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PARTIAL PAYMENT ESTIMATE
<br /> NUMBER 3
<br /> Name of Contractor:Holden Electric Co.,Inc.
<br /> PO Box 2688
<br /> Baxter,Minnesota 56425-2688
<br /> Name of Owner:City of Pequot Lakes
<br /> Date of Completion: Amount of Contract: Dates of Estimate:
<br /> Original:Substantial-Sept 26,2014 Final-Oct 29,2014 Original: $16,800.00 From:October 25,2014
<br /> Note that this Contract's schedule is dependent on DeChantal Contract.
<br /> Revised: Revised: To:December 30,2014
<br /> Description of Project: North Washington Avenue Street Lighting
<br /> WSN No.013080051.001
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<br /> IA LIGHTING CONTROLLER-MATERIAL 1 LUMP SUM $4,343.00 $4,343.00 0% $0.00 100% $4,343.00
<br /> I B LIGHTING CONTROLLER-LABOR 1 LUMP SUM $440.00 $440.00 32% $140.00 100% $440.00
<br /> 2A CONTROLLER PAD-MATERIAL I LUMP SUM $200.00 $200.00 0% $0.00 100% $200.00
<br /> 2B CONTROLLER PAD-LABOR I LUMP SUM, $325.00 - 5325.00 0% $0.00 100% $325.00
<br /> 3A PVCCONDUIT-MATERIAL 1 LUMP SUM $1,177.00 $1,177.00 0% $0.00 100% $1,177.00
<br /> 3B PVC CONDUIT-LABOR 1 LUMP SUM $4,400.00 $4,400.00 0% $0.00 100% $4,400.00
<br /> 4A WIRE-MATERIAL I LUMP SUM $3,200.00 $3,200.00 100% $3,200.00 100% $3,200.00
<br /> 4B WIRE-LABOR I LUMP SUM $2,100.00 $2,100.00 100% $2,100.00 100% $2,100.00
<br /> 5A MISC CONN IN LIGHT POLE-MATERIAL I LUMP SUM $260.00 $260.00 100% $260.00 100% $260.00
<br /> 5B MISC CONN IN LIGHT POLE-LABOR I LUMP SUM $355.00 $355.00 100% 5355.00 100% $355.00
<br /> BASE BID TOTAL $16,800.00 $6,055.00 $16,800.00
<br /> THIS PERIOD TOTAL TO DATE
<br /> AMOUNT EARNED $6,055.00 $16,800.00
<br /> AMOUNT RETAINED(5%of Contract) $302.75 $840.00
<br /> PREVIOUS PAYMENTS $10,207.75
<br /> AMOUNT DUE $5,752.25
<br /> $5,752.25
<br /> Estimated Percentage of Job Completed: 100.0%
<br /> Is Contractor's Const.Progress on Schedule: Yes,was dependent on the DeChantal Contract's schedule
<br /> CONTRACTOR'S CERTIFICATION: ENGINEER'S CERTIFICATION:
<br /> The undersigned Contractor certifies that The undersigned certifies that the work has
<br /> to the best of their knowledge,information been carefully inspected and to the best of
<br /> and belief the work covered by this payment their knowledge and belief,the quantities
<br /> estimate has been completed in accordance shown in this estimate are correct and the
<br /> with the contract documents,that all amounts work has been performed in accordance with
<br /> have been paid by the Contractor for work for the contract documents.
<br /> which previous payment estimates were issued
<br /> and payments received from the Owner,and that
<br /> current payment shown herein is now due.
<br /> Holten Electric Co.,Inc. ENGINEER:WIDSETH SMITH NOLTINC�/J�/,,,
<br /> BY: CA .�` / BY: f '`ii74$—`�'
<br /> Timothy M. e,PE i,
<br /> Date: I d/3 c_,/ e..c2/ y Date: i0e° . 3P 021,111
<br /> J
<br /> APPROVED BY OWNER:
<br /> City of Pequot Lakes
<br /> BY:
<br /> Date:
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