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<br />CONTRACTOR'S COpy <br /> <br />.... .. <br />. ... --...... ..----..... <br />.. .... - ... <br />.- . ,.....-.._,.....-... <br />L~illi <br />Ils88i~t~s <br />Etigin~ii&Aicbltects <br /> <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038 <br />For Period: 4/1/2006 to 5/12/2006 <br /> <br />Date: <br />Request No: <br /> <br />May 12, 2006 <br /> <br />Contractor: Volk Sewer & Water Inc., 1566 Ward Lake Dr., NW, Andover, MN 55304 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />HUNTERS CROSSING 3RD ADDITION - UTILITY AND STREET IMPROVEMENTS <br />BRA FILE NO. 000616-05141-0 <br /> <br />SUMMARY <br /> Original Contract Amount $ 503,886.97 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 503,886.97 <br />5 Value Completed to Date $ 104,439.00 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 104,439.00 <br />8 Less Retainage 5% $ 5,221.95 <br />9 Subtotal $ 99,217.05 <br />10 Less Amount Paid Previously $ 0.00 <br />11 Liquidated damages- $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. $ 99,217.05 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />~-/A <br /> <br />Approved by Contractor: <br /> <br />Q:;:aN~ <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61605141REQ1.xls <br /> <br />-15 <br />