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APPLICATION FOR PAYMENT <br /> PAYMENT NO. # 2 <br /> City Contract: PW 2018-0102 <br /> State Project No: 187-111-001 <br /> Owner: City of Arden Hills <br /> Contractor: VEIT & Company, Inc <br /> Project: Old Snelling Avenue Bridge Replacement <br /> Application Date: January 22, 2019 <br /> For Period Ending: January 15, 2019 <br /> Original Contract Amount: $ 392,514.00 <br /> Contract Amendments: $ 27,125.19 <br /> Contract Amount to Date: $ 419,639.19 <br /> Total Amount of Work Completed to Date: $ 403,290.14 <br /> Material Stored On-Site but not in Work: <br /> Gross Amount Due to Date: $ 403,290.14 <br /> Less 5.00% Retainage: $ 20,164.51 <br /> Amount Due to Date: $ 383,125.63 <br /> Less Previous Payments: $ 267,592.92 <br /> Total Due This Application: $ 115,532.71 <br /> 1 hereby certify that all items and amounts shown are correct for the work <br /> completed to-date. <br /> Contractor: VEIT & COMPANY, INC. <br /> By: `%%� Date: <br /> The Work on this project and application for payment have been reviewed and <br /> the amount shown is recommended for payment. <br /> Engineer: KI LEY-HORN <br /> By: Date: <br /> APPROVED FOR PAYMENT <br /> Owner: CITY OF ARDEN HILLS <br /> By: Date: <br />