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Date: <br />Approved for Payment: <br />New Look Contracting, Inc.Signature Date <br />14045 Northdale Boulevard <br />Rogers, MN 55374 <br />Printed Name and Title <br />Checked and Approved as to <br />Quantities and Amount:Signature Date <br />Bolton & Menk, Inc. <br />2035 County Road D East <br />Maplewood, MN 55109 Printed Name and Title <br />Approved for Payment: <br />City of Little Canada <br />Name Date <br />City of Little Canada For Period Ending:8/26/2020 <br />8/26/2020 <br />CONTRACTOR'S PAY REQUEST Pay Request No. 4 <br />County Road D and Greenbrier Street Improvements <br />SAP 062-619-035, 200-121-001 & 209-020-012 <br />BMI Project No. N15.119833 <br />Original Contract Amount $2,655,646.55 <br />Approved Change Orders $63,695.51 <br />Deduction $0.00 <br />Revised Contract Amount $2,719,342.06 <br />Completed Work to Date $1,193,535.21 <br />Stored Materials on Hand $0.00 <br />Sub-Total $1,193,535.21 <br />Retained Percentage 5%($59,676.76) <br />Liquidated Damages $0.00 <br />Total $1,133,858.45 <br />Total Amount Paid on Previous Estimates $622,194.33 <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the <br />contract amount for the period covered by this Estimate. <br />Title <br />Amount Due Contractor This Pay Request $511,664.12 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />8/28/20 <br />Lisa Mazzitello, Asst Controller <br />9/3/20 <br />Mark D. Kasma, P.E., City Engineer