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<br />, <br /> <br />.n. Bonestroo <br />1.1 Rosene <br />-=- Anderlik & <br />lil1 Associates <br />Engineers&. Aradtects <br /> <br />Owner City of Centervme, 1880 Main 81reet, Centerville, MN 55038-9794 Date: Seotember30, 2004 <br />For Period: Auoust 31,2004 to Seoternber 30,2004 Request No; 3 <br /> Maouire Iron, Inc., PO Box 1446, Sioux Falls, SD 57101 . . <br />Contractor. <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />500 MG SPHEROID ELEVATED STORAGE TANK <br />BRA FILE NO. 616-03-130 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 943,115.35 <br />2 Change Order - Addhion $ <br />3 Change Order - Deduction $ <br />4 Revised Contract Amount $ 943,115.35 <br />5 Value Completed to Date $ 489,553.00 <br />6 Material on Hand $ 22,851.03 <br />7 Amount Earned $ 512,404.03 <br />8 Less Retainage 5% $ 25,620.20 <br />9 Subtotal $ 486,783.83 <br />10 Less Amount Paid Previously $ 161,583.63 <br />11 Liquidated Damages $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 3 $ 325,200.20 <br /> <br />Recommended for Approval by; <br />BONESTROO, ROSENE, ANDERllK 8. ASSOCIATES, INC. <br /> <br />~ <br /> <br /> <br />Approved by Owner. <br />CITY OF C IllE <br />I <br /> <br /> <br />c!i <br /> <br /> <br />Spec~ied Contract Completion Date; <br /> <br />Date: ()d-. /~ UXJ i <br /> <br />61603130 Req 3.m <br />