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APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of ? <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public Safety Facility <br /> <br />APPLICATION #: 11 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />200 Grand Avenue <br />Saint Paul, MN 55102 <br /> <br />ARCHITECT: <br /> Tushie Montgomery <br /> <br />PERIOD FROM: 6/1/03 <br />PERIOD TO: 6/30/03 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 Dryden Excavating, Inc. 18,806.95 <br /> 3 Omann Brothers, Inc. 20,425.50 <br /> 4 Duncan Concrete, Inc. 109,664.33 <br /> 5 Dryden Excavating, Inc. 1,412.65 <br /> 13 Regal Contractors Inc. 2,161.25 <br /> 14 George F. Cook Construction Co. 31,109.99 <br /> 15 Kremer & Davis, Inc. 1,283.00 <br /> 16 Custom Drywall, Inc. 17,000.00 <br /> 18 Carciofini Caulking Co. 2,346.50 <br /> 21 Empirehouse Inc. 6,465.70 <br /> 22 Twin City Tile & Marble Co. 2,274.49 <br /> 23 St. Cloud Acoustics, Inc. 20,467.75 <br /> 26 Steinbrecher Painting, Inc. 28,595.00 <br /> 29 Bartley Sales Co., Inc. 6,717.00 <br /> 31 Haldeman-Homme 2,671.87 <br /> 36 ~Custom Expressions 4,013.75 <br /> 38 ' Haldeman-Homme 1,430.22 <br /> 40 Northern Air Corp. 10,264.00 <br /> 41 Tri-State Fire 3,185.00 <br /> 42 Northern Air Corp. 2,261.O0 <br /> 43 Sentra-Sota Sheet Metal, Inc. 6,983.45 <br /> 45 Collins Electrical Construction Co. 77,901.87 <br /> 46 Systems Management & Balancing 5,552.00 <br /> Kraus-Anderson 39,904.00 <br /> TOTAL: 422,897.27 <br /> <br />~,RCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />on-site observations and the data comprising the <br />above situation, the Architect certifies to the Owner <br />that to the best of the Architect's knowledge, <br />information and belief the Work is in accordance with <br />the Contract Documents, and the Contractors are <br />entitled to payment of the AMOUNT, INDICATED. <br /> <br />Amount Certified/~'~! ~;~ ~ <br />BY ~/~D a te:__~_(~_ <br /> Tushie Montgomery And Associates <br /> <br /> <br />