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R, <br /> APPLICATION FOR PAYMENT <br /> PAYMENT NO. 3 <br /> Project: 2001 Sanitary Sewer Rehabilitation Project • <br /> Lift Station #8 Reconstruction <br /> Owner: City of Arden Hills <br /> Owner No.: <br /> Contractor: GRIDOR CONSTRUCTION, <br /> INC. <br /> BRW Job No.: 37951-016-0101 <br /> Application Date: 4/9/01 <br /> For Period Ending: 3/30/01 <br /> Original Contract Amount: $302,484.00 <br /> Contract Amendments: $0.00 <br /> Contract Amount To Date: $302,484.00 <br /> Total Amount of Work Complete To Date: $172,668.85 <br /> Material Suitably Stored On-Site but not <br /> Incorporated into Work: $0.00 <br /> Gross Amount Due To-Date: $172,668.85 <br /> Less 5.00% Retainage: $8,633.44 <br /> Amount Due To-Date: $164,035.41 <br /> Less Previous Payments: $51,045.16 <br /> Total Due This Application: $112,990.24 <br /> 1 hereby certify that all items and amounts shown are correct for the work completed to- • <br /> date. <br /> Contractor: GRIDOR CONSTRUCTION, INC. <br /> By: Date: <br /> The work on this project and the application for payment have been reviewed and the <br /> amount shown is recommended for payment. <br /> BRW, Inc. <br /> By: Date: <br /> APPROVED FOR PAYMENT <br /> Owner: City of Arden Hills <br /> By: Date: <br /> Page 1 of 5 <br />