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<br />, <br /> <br />" <br /> <br />~mJ!:-:CE~i\,P~ I,.;AQp' ~'l' <br />itSi.et"~:i~!R _ fa ~~5'> . <br />:.&"l) _ ~ " <br /> <br />~ Bonestroo <br />l1:li Rosene <br />1\11 Anderlik & <br />,U, Associates <br />Engirwers &. Architects <br /> <br />Owner: City of Centerville, 1880 Main St, Centerville, MN 55038 <br /> <br />Date: <br /> <br />Juiv 26,2004 <br />4 <br /> <br />I <br />I <br /> <br />For Period: 7/3/2004 to 7/26/2004 Reouest No: <br />Contractor: Northdale Construction Comoany inc., 14450 Northdale Blvd.; Roners, MN 55374 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />HUNTERS CROSSING 2ND ADDITION PHASE 1 UTILITY AND STREET IMPROVEMENTS <br />BRA FILE NO. 616-03-132 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 598,749.66 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 598,749.66 <br />5 Value Completed to Date $ 510,246.24 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 510,246.24 <br />8 Less Retainage 5% $ 25,512.31 <br />9 Subtotal $ 484,733.92 <br />10 Less Amount Paid Previously $ 372,239.85 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 4 $ 112.494.07 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />~ <br /> <br /> <br /> <br />tl1y A-cJ. <br /> <br />Specified Contract Completion Date: <br />August 20, 2001 <br /> <br />Date a~ <br /> <br />3 <br />I' <br /> <br />2a:Ji <br /> <br />61603132REQ4.xls <br />