3.7. SR 10-21-1996 - Laserfiche WebLink

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APPLIC,~ fiON AND CERTIFICATION FOR PAYMENT ~ TO OWNER City of Elk Rivet a' 13065 Omno Parkway' Elk River, Minnesota 55330 PRO.IECT: Etk River Ice Arena Expansion Elk Rivet, Minnesota FROM CONTRACTOR: VIA ARCHITECT: RSP Archieects, Ltd. M. A. Mortenson Company 120 First Avenue Noah 700 Meadow Lane Noah Minneapolis, MN 5540 I Gotden Valley, Minne.~ota 55422 CONTRACT FOR: Construct[on Management CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for pa)nnenL as shines below, in connectinn with the Cents'act. Continuation Sheet, AIA Document G703. is attached. I. ORIGINAL CONTILtkC'[ SUM 2. Net change by Change Orders 3. CONTRACT SUM TO DATE (Line 1 J- 2) 4. TOTAL COMI'LEIED & STORED TO DATE (Colunm Goo G703) 5. RETAINAGE: a. 5 %ofCmnpleted Work ~ (Colmm~ D + E on G703) fi) h. % of Stmed Materiat ~ (Colntmt F m~ G703) tfl Total Retainage (Lines 5a + 5h or ~ Tc~al in Colunm I of G703) 6 TOIAL EARNED LESS RETAINAGE I- (Line 4 Less Line 5 Total) Z '/. LESS PREVIOt. I$ CERTIFICA'IES FOR IX~. PAYMENT (Line 6 from prior Certificate) ~ 8. CURRENT PAYMENT DUE $ 2,2881204.00 $ 2,514.00 $ ~,290;71 $.00 1,291:493.00 16,292.00 16.292.00 $ 1:275,201.00 $ 760,950.00 9. BALANCE-tO FIN[SH~ INCLUDING REI'AINAGE (Line 3 less Line 6) $ 1,015,51 'L00 CIIANGE ORDER SU MM,~RY ADDIi-IONS DEI)UCTIO~S Total changes apple)red ' ' !9 previous months by f.~cr g2,514.00 'l'otal approved this Month TOT'ALS $2,514.00 S(I.00 N£~ CtL~NGE$ by Ctun~e Order $2,514.0'0 AIA DoCuMEJql G702 · APPLICAIlOI~AI~D CERIIFIC, A'IION FOf~ PAYMENT' I ~J(2 EOIrlOl~ AJA, - 01992 Am DOCUMENT G702 APPLICATION NO: PERIOD TO: 9/30196 PROJECT NOS: 951019 Distdbutionto: OWNER ARCHITECT F-~CONTRACTOR CONTRACT DATE. May, 1995 The undersigned Contractor ce~ifles ~hat lC, the besl of the Contractor's Imowledge, information and belief the Work covered by this Appticafiou fbr Pa)men[ has b~en mmplcted in aeootdance with the Cnntract Do..tmm~is, that all umuunt~ have been lvaid by the Conu'actor for Work lbr which pm~,ious Cealificates for Payment ,,,,,ere issued -,md .tu, yme. nis received from the Ow.er. and thai cunent pa)meat shin. va hernia is now due. CONTRACIOR: M. A. Morteason Company By: Date: State of: County of: Subscribed and s~;om to bel'ote me this day of Notary Public: My Conunixsion e.,q)ires: ARCHITECT'S CERTIFICATE FOR PAYMENT ht accordance with the Contriver Documents, based cm ou-site observations and the dais comprising the application, the Avchilecl cestifics to the Ovmer that to the best of the Architect's knowt~ge, information and belie/Iht Wo~ has progressed as indicated, the quality of tire Work is in ao.~onlance with the Contracl D0~uments, and the Contractor is em[fled to pa)xuent of thc AMOUNT CER'i'IFIED. AMOUNT CERTIFIED ........... $ (/lttach explanation if amount cvrtified differ&from the amount applied. Initial all figures on this ApplicatJon and onthe Continuation Sheet that are changed to con~rm with the amount certified.) ARCIflTECT: By: Bate: This Certificate is not aegotiable. The AMOUNI CERTIFIED i$ payable only tO the t:ontractor name~l hereto. Issuance, payment and ucccptax~ee oI pa)meat a~e ,,wtht)ut prejudice to any righls of the Owner or Conlva~or under this Conltact. 1HE AMERICAN IN $"l'lro TE OF ARCHITECTS. 1736 NEW YORK A','E.. N.W. WAStt!NGTON. DC 20~06-5292 T Users may obtain validation of this document by requesting a completed AIA Document D401 - Certi[icaUon of Document's Authenticity from the Licensee.