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Owner: City of Centerville 1880 Main St.,Centerville MN 55038 Date: May 19 2014 <br /> 0 For Period: 10/17/2013 to 5/19/2014 Request No 5 <br /> Shffriee Contractor: Northdale Construction Co. Inc. 9760 71st St. NE Albertville MN 55301 <br /> CONTRACTOR'S REQUEST FOR PAYMENT <br /> 2013 STREET AND UTILITY IMPROVEMENTS <br /> STANTEC PROJECT NO. 193801520 <br /> SUMMARY <br /> 1 Original Contract Amount $ 1,533,650.86 <br /> 2 Change Order-Addition $ 12,545.39 <br /> 3 Change Order- Deduction $ 0.00 <br /> 4 Revised Contract Amount $ 1,546,196.25 <br /> 5 Value Completed to Date $ 1,325,334.01 <br /> 6 Material on Hand $ 0.00 <br /> 7 Amount Earned $ 1,325,334.01 <br /> 8 Less Retainage 5% $ 66,266.70 <br /> 9 Subtotal $ 1,259,067.31 <br /> 10 Less Amount Paid Previously $ 1,247,187.11 <br /> 11 Liquidated damages- $ 0.00 <br /> 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 5 $ 11,880.20 <br /> Recommended for Approval by: <br /> STANTEC <br /> Approved by Contractor: Approved by Owner: <br /> NORTHDALE CONSTRUCTION CO., CITY OF CENTERVILLE <br /> Specified Contract Completion Date: Date: <br /> 193801520RE05.)dsm y y <br /> 1 1 <br />