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<br />AP&l:]CATION AND CERTIFICATE OF PAYMENT <br /> <br />,y// <br /> <br />TO: <br /> <br />to: 80M Consulting <br />Engineers, PLC <br /> <br />Di stri bution <br /> <br />APPLICATION NO. 11 <br />PERIOD:Through June 25, 2006 <br />JOB NO.: 2005-06 <br /> <br />WWTP Headworks Improvements <br /> <br />PROJECT: <br /> <br />City of Elk River <br />Elk River, MN <br /> <br />FROM: Gridor Constr., Inc. <br />3990 27th Street SE <br />Buffalo, MN 55313 <br /> <br />APPLICATION FOR PAYMENT <br /> <br />The undersigned Contractor certifies that to the best of the Contractor's <br />knowledge, information and belief the Work covered by this application for <br />Payments has been completed in accordance with the Contract Documents, that <br />all amounts have been paid by the Contractor for Work for which previous <br />Certificates for Payment were issued and payments received from the Owner, <br />and that current payment shown herein is now due. <br /> <br />$1,776,000 <br />$0 <br />$1,776,000 <br />$1,729,368 <br /> <br /> <br />Inc. <br /> <br />Constr. <br /> <br />CONTRACTOR: Gridor <br /> <br /> <br />o <br /> <br /> <br />o <br /> <br />1.0RIGINAl CONTRACT SUM <br />2.Net change by Change Orders. <br />3.CONTRACT SUM TO DATE (line 1 +/- 2)..... <br />4.TOTAL COMPLETED & STORED TO DATE. <br />(column G on G703) <br />5.RETAINAGE: Note: Securities in Lieu of Retainage <br />a. 0 olb of Completed Work <br />(columns 0 + E on G703) <br />b. 0 % of Stored Material <br />(columns 0 + E on G703) <br /> <br />Date: <br /> <br />CERTIFICATE FOR PAYMENT <br /> <br />$0 <br />$1 ,729,368 <br /> <br />$1 ,634,966 <br />$94,402 <br /> <br />Total retainage (Line 5a + 5b or Total in columns Ion G703) <br />6.TOTAL EARNED LESS RETAINAGE.................... <br />7.LESS PREVIOUS CERTIFICATES FOR PAYMENT <br /> <br />(Line 6 from prior Certificate).. <br />a.CURRENT PAYMENT DUE. <br /> <br />9.BALANCE TO FINISH, INCLUDING RETAINAGE <br />(Line 3 less Line 6) <br /> <br />Date: <br /> <br />AMOUNT CERTIFIED <br /> <br />CERTIFIED BY: ENGINEER <br /> <br />B <br /> <br />$46,632 <br />