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<br />CONTRACTOR'S PARTIAL PAY RE,QUEST <br />2009 PAVEMENT MANAGEMENT PROGRAM <br />CJ.TY OF ARDEN HilLS, MINNESOTA <br />BMI PROJECT NO.: T16,100326 <br /> <br />DISTRIBUTION: <br />CONTRACTOR (1) <br />OWNER (1) <br />ENGINEER (1) <br />BON:DI,NG CO. (1) <br />$1,196,405,98 <br />$59,377,99 <br />$0.00 <br />$0.00 <br />$59,377.99 <br />$2,968.90 <br />$0.00 <br />$561409,09, <br />$0.00 <br />$56,409,09 <br /> <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />TOTAL, COM.PLETED WORK TO DATE <br />TOTAL, STORED MATERIALS TO DATE <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLE.TED <br />TOTAL, COMPLE,TED WORK & STORED MATERIALS <br />RETAINED PERCENTAGE ( 50;0 ) <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCT'IONS) <br />NET AMOUNT' DUE TO CONTRACTOR TO DATE <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />PAY CONTRACTOR AS E,STIMATE NO. 1 <br />Certificate for Partial Payment <br />I hereby certi.fy that, to the best of my knowledge an.d belief, aU items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed iJ1 full accordance with the terms and conditions of the Contract for this project <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered. by this Estimate, <br /> <br />Contractor: FrattaJ~ ne Companies, Inc. <br />3205 J3'!Kuce Street <br />~.) S1. PfU)MN 55117 <br />By~ <br />'"' -"J Name <br />b · d 3 -0 q <br /> <br />f. M~ <br /> <br />Title <br /> <br />Date <br /> <br />CHECKED AND APPROVED AS TO QUANTITIES AND A,MOUN,T: <br />ENGINEER: BOLTON & MENK1 INCot ENGINEERS, 12224 NI'COLLET AVENUE, BURNSVILLE,) MN, <br /> <br />By ~ 0. ~ I PROJECT ENGINEER <br />Travis Winter" P.E. - <br /> <br />Date t,!5/n? <br /> <br />APPROVED FOR PA YM'ENT: <br />;OWNER: City of Arden Hills <br /> <br />By <br /> <br />Nam.8 <br /> <br />Title <br /> <br />Date <br /> <br />And <br /> <br />Nam,e <br /> <br />Title <br /> <br />Date <br />