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Y <br />PARTIAL PAYMENT ESTIMATE <br />NUMBER 2 • FINAL <br />� Name of Contrector: Tri-City Paving, Inc. <br />P.O. 8ox 326 <br />Little Palls, MN 563A5 <br />IName of Owner: City of Pequot Lakes, MN <br />IDate of Completion: <br />Original: Substantial = Oct. 12, 2012 (except for tur�; Final = May 17, 2013 <br />Revised Substantial = Oct. 24, 2012 (due to add. rAncrete work): Final = May 17, 2013 <br />I Description of Project: 2012 Government Drive Rehabilitation <br />WSN No.03060047.000 <br />Estimated Percentage of Jo6 Completed: <br />Is Contractofs Const. Progress on Schedule: <br />CONTRACTOR'S CERTIFICATION: <br />The undersigned ConVactor certifies that to the hest of their knowledge, <br />information, and belief, the work covered by this payment estimate has been <br />completetl in acco�tlance with the ConVact Documents, that all amounts have heen <br />paitl by the ConVaCtor for worK which previous payment estimates were issued and <br />payments received from the Owner, and that curren[ payment shown herein is now <br />due. <br />CONTRACTOR: TRI-CITY PAVING, INC. <br />BY: <br />Date: <br />APPROVED BY OWNER: <br />CITY Of PEQU07 LAKES, MN <br />ev: <br />Date: <br />Amount of Contract: <br />Original: $106,804.45 <br />Revised: $180,313.70 (due to adtl. concrete work) <br />112% <br />Yes <br />Dates of Estlmate: <br />From: October 31 2012 <br />To: End <br />ENGINEER'S CERTIFICATION: <br />The undersigned certfies that ro the best of their knovAedge and belief and to the <br />eMent of their assigned Contract responsibilities, the quan6ties shown in this <br />estimate are correct antl that lhe work has been pertormed in accortlance with the <br />ConVact Documents. <br />ENGINEER: WID: 'TH SMITH NOLTING <br />j l � ��f <br />Bv: / i��'rQ�othy �ouie, P.E.� <br />oate: October 5, 2013 <br />Page 2 of 2 <br />