4.5 SR 05-17-2021 - Laserfiche WebLink

Home Browse Search

CODE: 406-4-8080-4530 CONTRACTOR'S PAY RE QUEST NO 2 —7, DISTRIBUTION. WINDSOR PARK 3RD ADDITION SEWER EXTENSION , ... CONTRACTOR (1) CITY OF ELK RIVER, MN (OWNER (1) BMI PROJECT NO. R19.122405 'E EER (1) ... �............... .. _... . (BONDING CO. (1) TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $1,094 582.00 TOTAL, COMPLETED WORK TO DATE ........... _...... $174,570.40 TOTAL, STORED MATERIALS TO DATE $68,164.93 DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED _...__..M $0.0011 TOTAL,, COMPLETED WORK &STORED MATERIALS $242,735.33 RETAINED PERCENTAGE ( 5%) $12,136.77 TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) $0.00 NET AMOUNT DUE TO CONTRACTOR TO DATE $230,598.56 TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $163,561.88 PAY CONTRACTOR AS ESTIMATE NO. 2 $67,036.68 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: G.F.Jedlicki Inc. 2471 Galpin Court, Suite 110 Chanhassen, M 55317 By 1,5) Name Title Date r CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: ENGINEER: BOLTON & MENK�,r INC., 7533 SUNWOOD DRIVE NW #206, RAMSEY, MN 55330. BY anon-` , PROJECT MANAGER Date 5/4/2021 APPROVED FOR PAYMENT: OWNER: CITY OF EL", ' ER By ,M..W Name Title Date And . Name Title Date