Laserfiche WebLink
PARTIAL PAYMENT ESTIMATE <br />NUMBER 1 <br />I Name oi Contractor. Tri-City Paving, Inc. <br />P.O. Box 326 <br />` Little Falls, MN 56345 <br />IName of Owner: Ciry of Pequot Lakes, MN <br />IDate ot Completlon: <br />Oripinal: Substantiai = Oct 12, 2012 (exceDt fw turf�; Final = May 17, 2013 <br />Revised Substantial = Oct 24, 2012 (due to add. concrete work); Final = May 17, 2013 <br />I Description of Project: 2012 Govemment Drive Rehabilitation <br />WSN No. 03060047.000 <br />EaUmated PerceMage of Job ComD�eted: <br />Is CoMnctors Const. Progress on Schedule: <br />CONTRACTOR'S CERTIFICATION: <br />The undersigned ConVador certfies that to the best of their knowledge, <br />infortnation, and belief, the woAc covered by this payment estimate has been <br />completed in accorclance with the Contract Documents, that all amounts have been <br />pai0 by the Contractor for vrork which previous payment estimates were issued and <br />payments received from the Owner, and that current payment shown herein is now <br />due. <br />CONTRACTOR: TRI-CITY PAVING, INC. <br />Bv: <br />Date: <br />APPROVED BY OWNER: <br />CITY OF PEQUOT LAKES, MN <br />BV: <br />Date: <br />� <br />�� <br />Amount oT CoMract: Dates of Estimate: <br />Oripinal: $106,804.45 From: September4, 2012 <br />Revised: $180,313.70 (due to add. conaeta work) To: October 30, 2012 <br />712% <br />Yes <br />Page 2 of 2 <br />ENGINEER'S CERTIFICATION: <br />The undersigned csrtifies that ta the best of their knowledge antl belief and to the <br />eMent of their assigned ConVact responsibilities, the quanGties shown in this <br />estimate are conect and that the work has been perfortned in accordance with the <br />ConVact Documents. <br />ENGINEER: WIDSETH SMITH NOLTING <br />Bv: <br />Timothy M. Houle, P.E. <br />Date: <br />