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MAY-07-2001 13:09 BRW 612 373 6526 P.03i07 <br /> APPLICATION FOR PAYMENT <br /> PAYMENT NO. 4 <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: 5/14/01 <br /> For Period Ending: 5/4/01 <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: $268,232.05 <br /> Material Suitably Stored On-Site but not <br /> Incorporated into Work: $0.00 <br /> Gross Amount Due To-Date: $268,232.05 <br /> Less 5.00° Retainage: $13,411.60 <br /> Amount Due To-Date: $254,820.45 <br /> Less Previous Payments: $164,035.41 <br /> Total Due This Application: $90,785.04 <br /> I hereby certify that all items and amounts shown are correct for the work completed Io- <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; tz Date: <br /> APPROVED FOR PAYMENT <br /> Owner: City of Arden Hills <br /> By; Date: <br /> Page 1 of 5 <br />