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APPLICATION FOR PAYMENT <br />ToProjectInvoice No:10 <br />City of Elk RiverGuaranteed Energy Savings Agreement <br />3065 Orono ParkwayInvoice date:2/14/2022 <br />Elk River, MN 55330 <br />Billed through:FINAL <br />FromRemit payment toApex Project number:30320046 <br />Apex Facility Solutions, SBCApex Facility Solutions, SBC <br />403 Jackson St403 Jackson St <br />Suite 308Suite 308 <br />Anoka MN 55303Anoka MN 55303 <br />612-581-0219 <br />CONTRACTORS APPLICATION FOR PAYMENT <br />The undersigned Contractor certifies that to the best of the Contractor's knowledge, <br />Application is made for payment, as shown below, in connection with the contract signed <br />information and belief the Work covered by thisApplication for Payment has been completed <br />in accordance with the Contract Documents, that all amounts have been paid by the <br />10/19/2020 <br />Contractor for Work for which previous Certificates for Payment were issued and payments <br />received from the Owner, and that current payment shown herin is now due. <br />1.ORIGINAL CONTRACT SUM$ 2,070,067.00 <br />2.NET CHANGE BY CHANGE ORDERS$ (753.00) <br />3.CONTRACT SUM TO DATE (1+2)$ 2,069,314.00 <br />4.TOTAL COMPLETE TO DATE (D)$ 2,069,314.00 <br />5.RETAINAGE <br />5%$ - <br />6.TOTAL EARNED LESS RETAINAGE$ 2,069,314.00Contractor:Apex Facility Solutions, SBC <br />7.LESS PREVIOUS PAYMENTS $ 2,020,085.72 <br />8.CURRENT PAYMENT DUE$ 49,228.28 <br />9.BALANCE TO FINISH, INCLUDING RETAINAGE$ - <br />CHANGE ORDER SUMMARYADDITIONSDEDUCTIONS <br />Prior months approved change orders$ (753.00) <br />Total approved CO's this month <br />Total$ -$ (753.00) <br />NET CHANGES by Change Order$ (753.00) <br />