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CONTRACTOR'S Copy <br />FOR YOUR FILE <br />Mato ,Owner: CO of Centerville, 1880 Main St., Centerville, MN 55038 Date: May 6, 2010 <br />For Period: 2/18/2010 to 5/6/2010 Request Nc 3 AND FINAL <br />Bonestroo Contractor: Dresel Contracting Inc., 24044 July Ave., Chisago City, MN 55013 <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2009 POND DREDGING <br />BONESTROO FILE NO. 000616 - 09168 -0 <br />SUMMARY <br />1 <br />Original Contract Amount <br />$ <br />73,525.00 <br />2 <br />Change Order - Addition $ 2,700.00 <br />3 <br />Change Order - Deduction $ 0.00 <br />4 <br />Revised Contract Amount <br />$ <br />76,225.00 <br />5 <br />Value Completed to Date <br />$ <br />80,250.00 <br />6 <br />Material on Hand <br />$ <br />0.00 <br />7 <br />Amount Earned <br />$ <br />80,250.00 <br />8 <br />Less Retainage 0% <br />$ <br />0.00 <br />9 <br />Subtotal <br />$ <br />80,250.00 <br />10 <br />Less Amount Paid Previously <br />$ <br />74,033.50 <br />11 <br />Liquidated damages - <br />$ <br />0.00 <br />12 <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 3 AND FINAL <br />$ <br />6,216.50 <br />Recommended for Approval by: <br />BONESTROO <br />Approved by Contractor: <br />DRESEL CONTRACTING INC. <br />Approved by Owner: <br />CITY OF CENTERVILLE <br />Specified Contract Completion Date: <br />Date: <br />61609168REQ3FINAL xlsm <br />