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GRIDOR CONSTR., INC. <br />3990 27TH STREET S.E. <br />BUFFALO, MN 55313 <br />(763)559-3734 <br />Owner CITY OF ELK RIVER Data 4/24/2008 <br />For Period 3/25/2008 to 4/24/2008 Request No. 4 <br />Engineer BDM CONSULTBG ENGINEERS, ST. PAUL, MN <br />WASTEWATER TREATMENT FACII.ITY PHASE II IMPROVEMENTS <br />SUMMARY: <br />1 ORIGINAL CONTRACT AMOUNT $ 3,594,700 <br />2 CHANGE ORDER - ADDTITON <br />3 CHANGE ORDER -DEDUCTION <br />4 REVISED CONTRACT AMOUNT <br />5 V ALUE COMPLETED TO DATE <br />6 MATERIAL STORED <br />7 AMOUNT EARNED TO DATE <br />8 LESS RETAINAGE - 0°/a <br />9 LESS AMOUNT PREVIOUSLY PAID <br />10 AMOUNT DUE THIS REQUEST <br /> <br />$ 3,594,700 <br />$ 615,809 <br />$ 75,246 <br />$ 691,055 <br />$ 0 <br />$ 471,944 <br />$ 219,111 <br />The undersigned Contractor certifies that to the best of Contractor's knowledge, <br />information and belief the Work covered by this Application for Payment has been completed <br />in accordance with the Contract Documents, that all amounts have been paid by the Contractor <br />for Work for which previous Certificates for Payment were issued and payments received <br />fmm the Owner, and that curent payment shown herein is now due. <br />CONTRACTOR: GRH)OR CONSTR., INC. ENGINEER: BDM CONSULTING ENGINEERS <br />By: 0_~1~-- Date: y\0-`a~~ By <br />State of: MINNESOTA County of: WRIGHT <br />Subscribed and rn [o befo is~`~~day -C~ <br />Notary Public: T~ <br />My Commission Expires: 1-31-2010 <br />SHE~MNNf~so <br />pOTAPY. ,.,, ExOnes ~e..N,NJ~ <br />Date: <br />Approved by Owner: <br />CITY OF ELK RIVER <br />Date <br />PAYXLS 4/24/2008 EQUAL OPPORTUNITY EMPLOYER <br />