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II:A ner Cit,+cf Cer!c-,.be, ZBaD Ce•.tki vlpe.Mt4 55038 Dot( 1:7tnb r:,20 4 <br /> op Stanger TorPenod 10110/.'014+r• 142;'7014 RegJcst'do. 2/Fir_ci1 <br /> Co! C r>< r;al Acncolt Cc., 720)Hemlock i.n,''1,Ste,203 Ntple C•ctve MN 54;,:; <br /> CONTRACTOR'S REQUEST FOR PAYMENT <br /> 2014 TFC t.t E TLiMlNOUS OVERLAY PROJECT (MATERIALS BID) <br /> S1At,ITEC PROJECT NO. 193801941 (MATERIALS) <br /> SUMMARY <br /> 1 Oriq•ncl Contrace Arr;tu”+,t* $ 231,123 8'D <br /> 2 Change Order Addition $ 14,026.50 <br /> 3 Chanac Order Deduction g 0.00 <br /> 4 Revised Contract Amount S 245,150 30 <br /> 5 Value Completed to Date $ --- 179,114.95 <br /> 6 Material en Hand $ 0.00 <br /> 7 Amount Earned $ 179,116.55 <br /> 8 Less Petainage 0$; $ 0 00 <br /> 9 Subtotal 4 179.116.95 <br /> 10 Less ArroJnt Paid Previously $ 159,594.66 <br /> 1 Liquidated damages• $ 000 <br /> 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NC. 2/I nal 19,522,29 <br /> Recommended ter Appr©'.dci3 by: <br /> STANTEC <br /> L. �-- <br /> Approved by Con'roctor: Approved by Owner. <br /> COMMERCIAL ASP CO.LT CITY OF CENTERVILLE <br /> L /0' ,fes."_ _ /2-/2./V <br /> Sp,ecified Contract Complet{ar' Date: Date: <br /> 193PJe'ldi P.FP1 t,R.1'i.. -C:nhen.-•f-d fv ptagi <br /> 40 <br />