4.3.A. SR 09-19-2011 - Laserfiche WebLink

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CONTRACTOR'S PAY REQUEST 2011 STREET IMPROVEMENTS CITY OF ELK RIVER BMI PROJECT NO. 813.103354 CONTRACTOR OWNER ENGINEER TOTAL, COMPLETED WORK TO DATE ....................................................................................... $ 267,054.23 TOTAL, STORED MATERIALS TO DATE ...................................................................................... $0.00 DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED ..................................... $0.00 TOTAL, COMPLETED WORK & STORED MATERIALS ................................................................ $ 267,054.23 RETAINED PERCENTAGE ( 5.0% ) ...................................................................................... $ 13,352.71 TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) .............................................. $ - NET AMOUNT DUE TO CONTRACTOR TO DATE ....................................................................... $ 253,701.52 TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES .................................................................. $ - PAY CONTRACTOR AS ESTIMATE NO. 1 ............................................. $ 253,701.52 Certificate for Partial Payment I hereby certify that, to the best of my knowledge and belief, all items quantities and prices of work and material shown on this Estimate are correct and that all work has been performed in full accordance with the terms and conditions of the Contract for this project between the Owner and the undersigned Contractor, and as amended by any authorized changes, and that the foregoing is a true and correct statement of-the contract amount for the period covered by this Estimate. Contractor: Redstone Construction P.O. Box 218 Mora, MN 55051 By Name Title -Date CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: BOLTON & MENK, INC., ENGINEERS, 7533 Sunwood Drive, Suite 206 Ramsey, MN 55303 By CITY ENGINEER Justin Femrite, P.E. Title Date APPROVED FOR PAYMENT: Owner: Elk River, Minnesota By Title Date