Laserfiche WebLink
<br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.2 <br /> <br />. <br /> <br />Project: <br /> <br />Lift Stations #4 and #9 Reconstruction Project <br /> <br />Owner: <br />Owner No.: <br />Contractor: <br />URS Job No.: <br />Application Date: <br />For Period Ending: <br /> <br />City ot Arden Hills <br /> <br />"'.... i t?:)(~ 1'1"'"'' <br />! ;J, ,,~~ v"~'YY <br />Copy <br /> <br />Gridor Construction, Inc. <br />31809733.00201 <br />9/6/2005 <br />8/26/2005 <br /> <br />Original Contract Amount: <br />Contract Amendments: <br />Contract Amount To Date: <br />Total Amount of Work Complete To Date: <br />Material Suitably Stored On-Site but not <br />Incorporated Into Work: <br />Gross Amount Due To Date: <br />Less 5.00% Retainage: <br />Amount Due To Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$236.758.00 <br />$0.00 <br />$236,758.00 <br />$210,265_00 <br /> <br />$0_00 <br />$210,265.00 <br />$10,513.25 <br />$199,751.75 <br />$94,172.36 <br />$105,579.39 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date. <br /> <br />. <br /> <br />Contractor: Gridor Construction, Inc. <br /> <br />By: jU)11 /( li /0 L,,] <br /> <br />Date: <br /> <br />(I --. . - , <br />j ."'; (') <br /> <br />The work shown on this project and the application for payment have been reviewed <br />and the amount shown is recommended for payment. <br /> <br />URS Corpotation <br />/) <br />By: ./-;~t/~t-"1 ~ <br />- . I I <br />" , <br /> <br />~r <br />/ ; <br />/ ' <br />/1: //: /~tv'-<---"- <br /> <br />Date: <br /> <br />, / / <br />0/2'/0 5' <br /> <br />; <br />I , <br />I <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: Date: <br /> <br />. <br />