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GR6QOR CONSTR., INC. <br />3990 27TH STREET S.E. <br />BUFFALO, MN 55313 <br />(763) 559-3734 <br />Owner CITY OF ELK RIVER Date 5/29/2009 <br />For Period 3/2]/2009 thru 5/31/2009 Request No. l5 <br />Engineer BDM CONSULTING ENGINEERS, ST. PAUL, MN <br />WASTEWATER TREATMENT FACILITY PHASE II IMPROVEMENTS <br />SUMMARY: <br />1 ORIGINAL CONTRACT AMOUNT $ 3,544,700 <br />2 CHANGE ORDER -ADDITION $ 87,516 <br />3 CHANGE ORDER -DEDUCTION $ 11,076 <br />4 REVISED CONTRACT AMOUNT <br />5 VALUE COMPLETED TO DATE <br />6 MATERIAL STORED <br />7 AMOUNT EARNED TO DATE <br />8 LESS RETAINAGE - 0% <br />9 LESS AMOUNT PREVIOUSLY PAID <br />10 AMOUNT DUE THIS REQUEST <br />$ 3,671,140 '~j~~I~~ <br />$ 0 <br />$ 3,629,640 <br />$ 41,500 ~~ StJb <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 ail amounts have been paid by the Contractor <br />for Work for which previous Certificates for Payment were issued and payments received <br />from the Owner, and that current payment shown herein is now due. <br />CONTRACTOR: GRIDOR CONSTR., INC. ENGINEER: BDM CONSULTING ENGINEERS <br />By: ~ ~-- ~-_-~-------- Date: ~~~~ By: <br />Date: <br />State of: MINNESOTA County of: WRIGHT Approved by Owner: <br />CITY OF ELK RIVER <br />Subscribed an qrn to before e thi -'day of~-~ <br />No#ary Public: _ <br />My Commission Expires: 1-31-2010 <br />Date <br />S~~R~ ~. F MNNE pZP <br />~pZPRV QUg~1 p«e5~a°'3~~2p50 s <br />~t`Y ~0mm~ss~°a <br />$ 3,671,140 <br />$ 3,671,140 <br />$ 0 <br />PAYXLS 5129!2009 EQUAL OPPORTUNITY EMPLOYER <br />