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<br />Applr`cafr`orr arra� Cer�r'fic�#e for Paymerrt -
<br />T� �WNER: {'i�y �ai t�lk tti.r�, RR4JECT: 'sr-7n� I�.[Ec kn°cr I�ir� Sl.uic}n 113 Ai�P'LICATIL}hT Nf7: �i)-705-i)19 Retainagc distrihuti�n ta:
<br />13�}G5 C�r�zto f��rh���ay N1�� PERIO� T�: .loilv 31. 2f122 C7lh'NER: �
<br />Clk Rit�er, Mltii 5533C1 C�NTRACT FC�R: Cieneral C'nirstrucli��Et
<br />ARCHIT�CT: C?�I
<br />�F�{d� Tcrra C�c�icral C'utitractars VIA L3hV f�rnLi�� C(]N7RACT DATE: rJctnl�e�� 19, 2f}2[1
<br />CONTRACTOR: ?1(��5 C.'mm���rcc F�Ivd Stc 1�s0[1 ARCHfTEC7: ?22 N 2nd St, !Iltal P�2�JECT N�S: i 2D-7(�� 1
<br />Rn�c�S �'iN 5:��7�# h'Ifnnc���i�iiti, f�'1N 55=}{11
<br />CONT'RACT(3R'S APRLICAT�Q�J FQR PAYMENT
<br />A}��,lica�icj3i is macle ii�c paynicnt, as sf�o�i n l�cic��G�, in conncetiazl «�ilh 11�e C;ui7tract.
<br />,41A I7c��:+.�mc�71 Ci7{13". C'i�xi[ima��lint� �l�c'4l, is �jtG��cltcd.
<br />�. OR1GI�lAL C�hfTRACT SUM ..,.......�,,.�a .........................................��.....,...,,.�....�,.. 5C�,8�)t�,2�lc,.[1U
<br />2. NE7 CHANGE BY C}fANGE ORDERS ................................................................. �b,253,9i7
<br />3. COHTRACT SUM TO QRTE illine 1 t?i ............................................................ �G,9[}4,499.9f1
<br />4. TUTAL CQMPLET�� & STORED TO �DATE [C'nl�m�n Ci nn {a7f13) ................. �Et,�#3T.391.13
<br />5. RETA�NAG€:
<br />a. 5.{}(y `!�, c3t'C:oml�lctcci Wt�ri;
<br />{Cc3ltirnn n � f: on C�7�131
<br />b. {1 �/� of'S[nred Mater�:�l
<br />(C.oitaijm P asl C;7t}3}
<br />Tcatal i,ctsiina�e fl�ines �:i ��b nr '1'c�t.�l i�a ['nit���in [ o1'C37t13} ...............
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<br />6. TOTRL EARtJED LE�5 RETAI'NAGE ................................................................... �f,.747.391.1:�
<br />{Linc� Lcsti LiFic � fota]}
<br />7. LESS PREVIdUS CERTIFICATES FOR PAYM�NT .........................................�„ �b,4�}5,j? I.57
<br />{Li�tc li 1�rcrzn ��rinr (.'crtilicale7
<br />8. CURR�NT PAYMEN7 DLIE .......................................................................... S?51,58�).5{;
<br />9. BALAAICE �0 FINfSH, INGLUdING RE3AiNAGE
<br />{I,inc 3 1c5s l,iric 6}
<br />x 157.1(34,77
<br />C'HAI�CiE {]RC7CR SL]AqMARY Af?I7]'7'IC)N5 f7f:C1�L'TIUNS
<br />Tnitil cl3sin�,ci ��pprt����d in j�i�c��ia�uti numths Uy ()G��iicr 5(i,ZS3,9[) 50.(]U
<br />Tnia] aprro� cd thit h�cxntl� 4i).0(1 S0.(3U
<br />�'�)�1�1�.5 ti(7,��3,`)t} �i�.t)��
<br />I��.T C".I-IA�ICi�S l�y Chan��e �rder °�G,253.9C1
<br />CONTRACTQR: �
<br />FfELQ: ❑
<br />�7TF#ER , []
<br />�7�c iinci�i�si€;ncd C;c�iitractor ccrti(ics t�i�rt tc� th� hcst c�f' tlie C'or�tracior's knc�wlcdt;c,
<br />itifc�t�i77atio» a�id t�clief' tlic Wnrk cnvercd t�y t}iis Appli�tilic�ri for Paym�i�t has I�ccn
<br />�cm�picted in acec�rci;rnee u�ith tl�c Cc�nlract 17c�ci�mez�t5, tl�at alI ar��o�ii7Zs i�av� been F�aici
<br />}�y ilte C'oilt�actt�q- fi�r Wc�rlc fcrr wi�icll previc�us Ceitilicatcs fc}r I'<iyt�ie�7t we�'e i��ueci atjc4
<br />�ayi7i�i�ts rc�civcd i'rcriz� Ci icr, �nd tl���t cierrcnt ��€ymcnt shnw�ii hcrcica is ��c�w� ci�:c,
<br />Cf}NTRACT0�2: � /����,�
<br />C3y�: C]�rtc� I�
<br />Sl�itt.' Uf: MFill]c;Sf7ia
<br />C;nttf�ty n!': 1 icnncl�it�
<br />Sirlts�ril�ccj il]liI SIVi?Ill Eil I7f: OTf; L RYAH 5Cp7T $TFiI�CK�R
<br />riiethis 7�rc� ciaynfr�V��[-��•� `� �'�E�O�'Pu6�ic,SlateofAAfnnesota
<br />iy Cammiaa►on �xpiras
<br />�" J�rwa�ry 31, Pa�B
<br />Nc�txry I'ui�lic; Ity�in 5lrit'ker .
<br />114y Cnntmis4inn ex�ires: .d�iz�a �' 9, ?[]2b
<br />ARCHfTECT'S CERTIFICATE FL]I� PAYMENT
<br />Iri .iccc�rd�incc �E�ifll lf�c C'nntracf D[�ct�i�ic�tlti, basccI ��zj nn-tiitc ob�ervatinns a�t�l tl�e �iata
<br />cnn1�>risittg fhis ��p��lic�ili[�n, lht� r�.rcliitcct ccrtitics t[� kllc C}�t�i�ca lhat t« tl�c l�c:st «� t11c
<br />�lrchi�es�t's kn�wled�e, fnf'«rrnation t�nd l�cli�l� tl7c Wnric h��� prn�;resseci as inciicate�, lhe
<br />q�xalily ni'tl�e W�ric is i�i aca�rt4,ttjce �i�iih ihe Ct�tttra�t D�ci�mc�its, an�l tlic C'ca�7tr��ct�ir is
<br />ct�titleci tn p�yr�lei�t of't17c AM[7UNT �'�RTII'1Ell,
<br />AM4UNT CERTiFIEQ ........................................................�.,.....,,........,........... 525].4G�r.5G
<br />f:•�ftarli r���>lrrrrirfint� iJ �rraroralal c'r�r•liJierl rlr%F r.c jr r�ii� �hr� czrrrnxfit rrj���lied. I��i1ial ull ji,�u�•t°s nxt tl�i.r•
<br />.4j�f�1icr11i�i1r airrl nti 11r� f:'rlfrlirttr�f[ir �t SlreE�l llrial rty'r� CI[rrrl,s;c�r1 fo c�r�i3]ut�rrr it�illa Il�n rr��rr�rrrtr r.���r•di�'ic�cf,�
<br />ARC�iiTECT:
<br />�3a,; n,,t�:: 08/04/2022
<br />This L'erlilic�te 3a nE7� nebatiable. 'Tlar Ah�C)I.INT ('F:RTll�ll�.fi is ��.�yable uialv te� l}a� C�4111IC:l�I(7E"
<br />namc[I liercin. lssuuncs', j��iyi�icnt a��c� ar.ccptan�c of �7��ym�nt :t�� �1�iEhnul prCjl�dicC tn �isiy rights cif
<br />thc �wemcr �r C'c�ntr.3CIC�I'tllt[ICf l}11S [�[�I1StFiCi.
<br />AIA �ocument G702`� � 1992. Copyrighd � 7953, 1963, 7965, 1971, 197II, 1983 and 1992 by The Ameri�an Insti�ute of Archi[ec.ls, All rights reseeved. �he "American [nstitute af ArchiteeEs,` "ACA," ihe RIA �oga,
<br />"G7i72," and "AIq ConEract Q�cumenCs" are registere+i frariemarks and may nQt ae used wi�hout Qermission. �his document was prndi�ced k�y AIA softw�re a! 16:32:3A CY on f]$fq312022 under Qrder No.27143T[?799
<br />whieh expires on 04l24I2D23, is not for resale, is ficensed for ane-time �ise anly, and rn�y flnly be used in a�cordance wilh the AIA Conlracl Qacuments� ierms of Ser�ice. To repart copyright vivlalions, e-mail
<br />copyright a[7aia orc�.
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