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CONTRACTOR`S PARTIAL PAY REQUEST <br />2009 PAVEMENT MANAGEMENT PROGRAM <br />CITY OF ARDEN HILLS, MINNESOTA <br />BMI PROJECT NO.: T18.100320 <br />DISTRIBUTION: <br />CONTRACTOR(l) <br />OWNER (1) <br />ENGINEER <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />$1,1963,405.98 <br />TOTAL, COMPLETED WORK TO DATE <br />$8331897.35 <br />i`OTAL, STORED MATERIALS TO DATE <br />$0.00 1 <br />DEDUCTION FOIE STORED MATERIALS USED IN WORK COMIPLETED <br />0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS <br />$833,897.35 <br />RETAINED PERCENTAGE 5% <br />$417894.87 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR DEDUCTIONS <br />$0.00 <br />NET AMOUNT DUE To CONTRACTOR TO DATE <br />$7922202.49 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$6359752.60 <br />$156,449.89 <br />PAY CONTRACTOR AS ESTIMATE NO. 5 <br />Certificate for Partial Payment <br />hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in 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 tree and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: Frattal.one Companies, Inc. <br />3205 Spruce street <br />St. Paul, MIN 55117 <br />By <br />Name <br />Title <br />Date <br />(TIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., ENGINEERS, 12224 NICOLLET AVENUE, BURNSVILLE, MN. <br />Travis Winter, P.E. <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Arden Hills <br />By <br />Name <br />And <br />Name <br />, PROJECT ENGINEER <br />Title Date <br />Title Date <br />