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CONTRACTOR'S PAY REQUEST NO 7 <br />DISTRIBUTION: <br />WINDSOR PARK 3RD ADDITION SEWER EXTENSION <br />CONTRACTOR (1) <br />CITY OF ELK RIVER, MN <br />OWNER (1) <br />RMI PROJECT NO. R19.122405 <br />ENGINEER (1) <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHNGE ORDERS <br />$1,094,582.00 <br />TOTAL, COMPLETED WORK TO DATE <br />$1,081,083.18' <br />TOTAL, STORED MATERIALS TO DATE <br />$68,164.93 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED <br />$68,164.93 <br />TOTAL, COMPLETED WORK & STORED MATERIALS <br />$1,081,083.18 <br />RETAINED PERCENTAGE ( S%) <br />$54,054.16 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$1,027,029.02 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$925,236.08. <br />PAY CONTRACTOR AS ESTIMATE NO. <br />$101.792.94 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between the Owner and the undersigned Contractor„ and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Contractor: G.F.Jedlicki Inc. <br />2471 Galpin Court, Suite 110 <br />Chanhassen, MN 5317 <br />By <br />w <br />Name <br />r <br />Title <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., 7533 SUNWOOD DRIVE NW #206, RAMSEY, MN 55330. <br />By ».,_ PROJECT MANAGER <br />Date 12/30/2021 <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF ELK RIVER Code: 406-4-8030-4530 <br />By - "P�ax� Chief 1-6-2022 <br />me Title Date <br />And <br />Name Title Date <br />