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Attachment B <br />APPLICATION FOR PAYMENT <br />PAYMENT NO. # 3 <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: September 9, 2019 <br />For Period Ending: August 30, 2019 <br />Original Contract Amount: <br />$ <br />392,514.00 <br />Contract Amendments: <br />$ <br />40,910,05 <br />Contract Amount to Date: <br />$ <br />433,424.05 <br />Total Amount of Work Completed to Date: <br />$ <br />432,330.27 <br />Material Stored On -Site but not in Work: <br />Gross Amount Due to Date: <br />$ <br />432,330.27 <br />Less 0.00% Retainage: <br />$ <br />- (21,616.51) <br />Amount Due to Date: <br />$ <br />432,330.27 <br />Less Previous Payments: <br />$ <br />383,125.63 <br />Total Due This Application: <br />$ <br />49,204.64 27,588.13 <br />I 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: /KIIML ,Y -HORN <br />By: Date: 09/13/2019 <br />APPROVED FOR PAYMENT <br />Owner: CITY OF ARDEN HILLS <br />By: Date: <br />