Laserfiche WebLink
<br /> ______n_______ ----------- <br /> --.- - . I <br /> I hereby certify that all items and amounts shown by this pay estimate are - I <br /> correct for the work completed to date. <br /> CONTRACTOR: MIDWEST ASPHALT, NC. I <br /> BY: I <br /> TITLE: V. /;< t:3 r I <br /> ?/lo/qS- <br /> DATE: <br /> I <br /> Based on the ENGINEER'S on-site inspections as an experienced and qualified <br /> design professional and on review of application for payment and the accompanying I <br /> data and scheduies, the ENGINEER has determined, to the best of his <br /> knowledge and beiief, that the quantities shown by this estimate are correct <br /> and that, based on such inspections and review, that the work has progressed I <br /> to the point indicated (subject to an evaluation of such work as a <br /> functioning Project upon Substantial Completion, to the results of any subsequent tests <br /> required by the Contract Documents, and to any qualifications stated in his I <br /> recommendation), and that payment of the amount recommended is due Contractor(s); but <br /> by recommending any payment, the ENGINEER will not thereby be deemed to have -. <br /> reviewed the means, methods, sequences, techniques, or proceedures of construction <br /> or safety precautions or programs incident thereto or that the ENGINEER has made any <br /> examination to ascertain how or for what purpose any Contractor has used the monies <br /> paid on account of the Contract Price, or that title to any of the work, materials, I <br /> or equipment has passed to the Owner free and clear of any lein, claims, security <br /> interests or encumbrances, or that the Contractor(s) have compieted their work <br /> exactly in accordance with the Contract Documents. I <br /> ENGINEER: MSA, CONSULTING ENGINEERS I <br /> ~~ <br /> BY: <br /> I <br /> TITLE: ~~...,j-~ <br /> DATE: loM6l1S, \"'\'\S- I <br /> Approved by Owner/Commission I <br /> CITY OF ARDEN HILLS, MINNESOTA <br /> BY: I <br /> TITLE: -I <br /> DATE: <br /> I <br /> -- --- <br />