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<br />~ Bonestroo <br />~ Rosene <br />1\1 Anderlik & <br />1~. Associates <br />Engineers <. Architects <br /> <br />Owner: Citv of Centerville, 1880 Main St., Centerville, MN 55038 Date: November 13,2001 <br />For Period: 9/18/2001 to 11/13/2001 Reauest No: 1 <br />Contractor: Park Construction Companv 7900 Beech St NE, Minneapolis, MN, 55432-1795 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />PHEASANT MARSH UTILITY AND STREET IMPS <br />BRA FILE NO. 616-00-117 <br /> <br />SUMMARY <br /> Original Contract Amount $ 726,615.90 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 726,615.90 <br />5 Value Completed to Date $ 305,819.50 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 305,819.50 <br />8 Less Retainage 5% $ 15,290.98 <br />9 Subtotal $ 290,528.53 <br />10 Less Amount Paid Previously $ 0.00 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. $ 290,528.53 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br />~ /7 . <br />II ,/...;J. .' <br />L?; /0'.. ....... / f' ..' <br />IVttJl..-t.c /,6U-I_L:.{....f~iVlfl &:~ <br /> <br />/ <br /> <br />Approved by Contractor: <br />PARK CONSTRUCTION COMPANY <br /> <br />~ 2 'I! ~ <br />~--;~ -le.~ <br />IJ <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br />June 28, 2002 <br /> <br />Date: <br /> <br />616C0117REQ1.xls <br />