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GONTRACTOR'S'PAY REQUEST ntsrRieu7lart:
EAST HASTINGS LlFf t'sTAT10l~ 1MPROVEMENT5 co~vrRACroO (#)
CITY OF HASTINGS, MN OWNER {1)
1BM1 PROJSCT NO. T16.f01138 ENGIN~EFt (t)
November 5, 2009
TOTAL AMOUNT BID PLUS APPROVEb CHANGE ORDERS $162,756.25
TOTAL, COMPLETED WORK TO DATE $148,128.75
RETAINED PERCENTAGE ( -5% y ($7,406.44)
TOTAL AMOUNT 41= OTHER PAYMENTS OR (DEDUCTIONS)
NET AMOUNT DUE TO CONTRACTOR TO DAVE $140,722.31
TOTAL AMOUNT'-PAID ON PR>wVIDUS ESTIMATES $46,108.95
PAY CONTRACTOR A5 ESTIMATE NO. 2 $94,613.36
Certificate for Partial ~Pa~men
thereby certify #ha#, to the best of my knowledge and belief, all items quantities and prices
of work and maierlal shown on this >~stimate are correct and Eha# ail work has been
performed in full accerdance with the le:ms and conditions of the .Contract far this project
between the Owner and the undersigned Contractor, and as amended by any
authorized changes, and that the foregoing is a true and correct statement of the
contract amoun# for the period covered by this Es#Imate_
Contractor: Minger Construction, Inc.
2471 Galpin Court, Suite 110
PO 13ox 238
Cho as en, MN 55317 ~}
-Name Title
Date _._. 1. L .~ J~ 1 ._ ,
CHE*CK1wi] AND APPROVED AS TO QUANTITIES AND AMOUNT:
ENGINEER: 60LTON & ME , 12 NICOLLET AVE., BURNSVILLE, MN 56337
B
Seth A. P ers .E., Project Manager
Date ~ fk,~D1f ~ ?.~~
APPROVED.FOR PAYMENT:
OWNER: CITY ~ HAST,(+IGS, MN, 1225 PRDGRESS DRIVE, HASTINGS, MN 55033
By ~ ~ 'Lb E
Ni\ck E}gger~, .1= ity Engineer D(atge
And `--kr~-/1•-~~~4-~J`~ ~ L l ,SC>~2~rn~x,,n~~~~ ~~ 1 l ~~~~b
?Dame 1 . Title Date
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