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CONTRACTOR'S PARTIAL PAY REQUEST DISTRIBUTION: <br />2009 PAVEMENT MANAGEMENT PROGRAM CONTRACTOR (1) <br />CITY OF ARDEN HILLS, MINNESOTA OWNER {1) <br />BMI PROJECT NO.: T16.100326 ENGINEER 1 <br />B�NDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $1,196,405.98 <br />TOTAL, COMPLETED WORK TO DATE $1,055,468.96 <br />TOTAL, STQRED MATERIALS TO DATE $0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN W�RK COMPLETED $0.00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS $1,055,468.96 <br />RETAINED PERCENTAGE 5% $52,773.45 <br />TOTAL AMOUNT OF �THER PAYMENTS OR DEDUCTIONS $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $1,002,695.51 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $857,270.45 <br />PAY CONTRACTOR AS ESTIMATE NO. � $145,425.06 <br />Certificate for Partial Payment <br />I 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 true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: Frattalone Companies, Inc. <br />3205 Spruce Street <br />St. Pau I, M N 55117 <br />By <br />Name Title <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., ENGINEERS, 12224 NICOLLET AVENUE, BURNSVILLE, MN. <br />By , PROJECT ENGINEER <br />Travis Winter, P.E. <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Arden Hills <br />By <br />Name Title Date <br />And <br />Name Title Date <br />