HomeMy WebLinkAbout20080107 - VI-08
i't. .~
.-
Bonestroo
Date:
Re uest No:
Owner: Ci
For Period:
Contractor:
Ma n Construction Inc., 1401 Park Road, Chanhassen, MN 55317
CONTRAaOR'S REQUEST FOR PAYMENT
WATER TREATMENT PLANT NO.1
BONESTROO FILE NO. 000222-06106-0
SUMMARY
1 Original Contract Amount
2 Change Order - Addition
3 Change Order - Deduction
4 Revised Contract Amount
5 Value Completed to Date
6 Material on Hand
7 Amount Earned
8 less Retainage 2%
9 Subtotal
1 0 less Amount Paid Previously
11 Uquidated damages -
12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO.
$
$
11,958.28
0.00
14
Recommended for Approval by:
BONESTROO
~
~-
Approved by Contractor:
MAGNEY CONSTRUCTION INC.
Approved by Owner:
CITY OF HASTINGS
See Attached for Signature
~Zr
Substantial Completion:
August 15, 2007
December 11, 2007
14
$
.2,838,500.00
$
$
$
$
$
$
$
$
$
2,850,458.28
2,833,772.02
0.00
2,833,772.02
56,675.44
2,777,096.58
2,687,092.12
0.00
90,004.46
Specified Contract Completion Date:
October 31, 2007
Date:
1J..-J3-o1
000222-06106-0 PR14 De~ek.l<ls
,
AppHcation for Payment No. 14
To: The Oty Of HastinKS (Owner)
From: Mapey Constmction, IDe (Contractor)
Contract: General Construction -
Project: Water Treatment Plant No. 1 Construction
Owners Contract No.
For work accomplished through the date of:
Engineer's Project No.
31-0ct-07
222-06-106
.1) Original Contract Price:
2) Net Change by Change Order /Written Amendments (-/+)
3) Curent Contract Price (1+2):
4) Total Completed and stored to date:
5) Retaii1age (per Agreement):
2.00% of completed woIk $56,675.44
$2,838,500.00
I $11,958.281
$2,850.458.28
$2,833,772.02
2.00% of stored material:
$0.00
Total retainage:
6) Total Completed and stored to date less retainage (4-5)
7) Less Previous Application for Payments:
8) DUE TIllS APPUCATION
$56,675.44
$2,777,096.58
$2,687,092.12
$90,004.46
Accompauing I>ocmnP.nfation:
CONTRACrOR'S Certification:
The lUldersigoed CONTRAcroR certifies thl!t (1) all previous progress payments received from OWNER on account of work
done IIDiIer 1he Coulract referred to above bave been applied onllCCOlll1t to discharge OONrRACl'OR'S legitimate obIigatiOllS
h1curred in connection with Wade, covered by prior Applicatiaos for Paymeut DIIIIIbered 1 tbmugh 14 inplusive; (2) title of all
wOIk, maIllriaIs 8Dd equipment i11c:oIpowed in said Wade Olhmwise listed in lK' covcn:d by this Application for Payment wiD
pass to OWNER_ at time of payment free and clear of all Lieos, security inten:st lK' em:umbnmce (expect such as are recovered
by a Bond acceplabJe to OWNER indemnifying OWNER agaiDst IIDY such LiaI, security interest or encumbrance); and (3)
all Wade covered by this Application for Payment is in accmdance by tJ:1e Coolract Documeors and not defective.
Dated: 3O-Oct-07
By:
State of MAl County of
Subscribed and sworn to before me this
NotaIy PubliC.' ~a.. /l1. ~~
. My COmmission Expires: ;:{on. -31. 'UJot}
~VM .
51- day of .
Payment of the above AMOuNT DUE THIS APPUCA'I10N is 1W'OlJIIIHIIded.
Owner:
Cit;}' of Hastings
Engineer:
BOIlestroo. Roslllle, Andedik &; Assoc;iates
By:
By:
Date:
Date:
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