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0 <br /> APPLICATION AND CERTIFICATE FOR PAYMENT <br /> TO OWNER: C(ty ot Pequd Lakea PROJECT: 2106 Waetewater TreatmeN APPUCATION NO.: 7-FINAL <br /> 4838 CouMy Road 11 Faalihr Improvemerda 'PERIOD TO: November 27,2017 <br /> Pequot Lekes,MN 564T1 PROJECT NO.: 013080059.000 <br /> SUBSTANTIAL CONTRACT DATE: August 8,2016 <br /> CONTRACTOR: Barden Excaveting Iro. ENCiINEER: 1NfdaeH�Smith NolNrg FINAL CONTRACT DATE: October 3,2016 <br /> 13110 Borden Road 74�IndusMal Perk Roed ChanAe O►der No.2 adJust�d the Substanpal Completlon <br /> Merritield,MN 56485 Bauter,MN 56425 Oab trom Auguet 1 to August 8;arrc!the Final Date from <br /> Auguat 31 to Oetobor 3. <br /> CONTACT: Corelea Borden 21&7656348 CONTACT: Tim Houla 21&3183846 <br /> CONTRACTOR'8 APPUCA710N FOR PAYMENT <br /> AppioatWn is maCe for PaY�,ee s�am hebw,in oonrteolbn wtth Me Contrad T�e undertlpned Canlreo0or certllee thel M tlie beat af the Qonb�edn'e ImawAedpe,IrdormaUon,erM <br /> beliel,the Wark owered hY W6 APP�Ibn for Payrtrcrq Fme Eem anmPbted In amOrdarroe wUh Ure <br /> 7. ORIGINAL CONTRACT SUM........................ .............. SB88�7W.00 Contreat Oocummrte,thtl eq emaurde have bcen peld bythe Contnotm(or Workwhich pievioua <br /> 2. Net change by Cha�e Ordete.................................... 50.00 cemlloetee ror asm�were�suea eM vavm�Ne reoelved nom uie owner�end met w,rrem <br /> 3. CONTRACT SUM TO DATE(Line 1+Llne 2)............... t868,704.00 peymem eham herom la iro,v aw. <br /> 4. TOTAL COMPLETED 8 STORED TO DATE.................. S88B,704•00 <br /> 5. RETAINAOE: CONTRACTOR: Bord�n Exaavatlnq Ina <br /> A. Flrel Release of Retahmga 30.Q0 <br /> B. 596 oi Stared Meteriela 50.00 � ; � <br /> roml Retah�aga SO.OD eY. � �,,,j,)1�",a /�1/1,71� <br /> 6. TOTAL EARNED LESS RETAINAOE............................. 5968,704.00 / <br /> (Lhte 4�eee Lhro 9 To1a0 Defe: 7�/��/�7 <br /> 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT......... 3863,704•OD <br /> (Lh�e 8 trom v�vaY�U <br /> 8. CURRENT PAYMENT DUE..........._.......».......».............. 58,000.00 .EN{iINEER'8 CERTIFlCI�TE FOR PAYMENT <br /> 9. BALANCE TO FINISH,INCLUDING RETAINAOE............. 5�.� �n eooudarroe'�rlth Ure Corrtrect Duwmenb,baaed on on•slleoDcervetbne anC the Aele aomprldrp <br /> (Llne 3 tes��rre 8) thla eppihatlon,Uie Eaylneer oertfllee tu tlro Owner Mat to the beet d the E�ph�eats Iamwtedpe, <br /> Irdortnetlon.end DeUef,the Work lu�O�aOnaeed ee htdloeteE,the G��Y o1 Wak b In eacordarxe <br /> in 000ard�noe wAA the CbnMet D�oeurtrenle,and Ihe CoMreatot Is enfhbd W peymeM d tlre <br /> CHANGE QRDER SUMMARY ADDITIONS p�DUCTI NS �Eove c�ment Peymertt Due <br /> Total changes epproved in proviow mordha ENtiINEER: VYidseth BmRh Noltlnp <br /> by Owner. COs /'� � �, <br /> Totnl epproved th(e month: /.!`1����, ��• /�"""� <br /> By. / <br /> TOTALS: 50.00 30.00 Tunothy� <br /> NET CHANGES by Change Order: SO.OD <br /> Date:November 27,2017 <br /> J b13081Xry d Pepuot LekeetD13080p5&NNJTF fbrotruaUon PFinae1D130B009O.00aW WTF Corutructlon Plmee�PaymenhChanpe Orde�s\lPPE No 7-Flnal.xlex�8ummary Peqe <br />