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APPLICATION FOR PAYMENT NO. 2 <br /> To: City of St. Anthony, Minnesota (OAR) <br /> From:_ Forest Lake Contracting, Inc. (CONTRACTOR) <br /> Contract: City of St. Anthony <br /> Project:_ 1998 Watermain, Street and Storm Sewer Improvements <br /> OWNER's Contract No. -- ENGINEER's Project No. 10408.03 <br /> For Work accomplished through the date of. 6/27/98 <br /> 1. Original Contract Price: S 533,674.45 <br /> 2. Net change by Change Orders and Written Amendments(+or-): S 0.00 <br /> 3. Current Contract Price(1 plus 2): s 533,674.45 <br /> 4. Total completed and stored to date: S q14,qnn_64 <br /> 5.- Retainage(per Agreement): <br /> 5 %of completed Work: S '25,725.03 <br /> of stored material: S <br /> Total Retainage: S_ 25,725.03 <br /> 6. _ Total completed and stored to date less retainage(4 minus 5): s 488,775.61 <br /> 7. Less previous Application for Payments: S 241,450.59 <br /> 8. DUE THIS APPLICATION(6 MINUS 7): S_ 247,325.02 <br /> Accompanying Documentation: <br /> CONTRACTOR'S Certification: <br /> The undersigned CONTRACTOR certifies that(1)all previous progress payments received from OWNER on <br /> account of Work done under the Contract referred to above have been applied on account to discharge <br /> CONTRACTOR's legitimate obligations incurred in connection with Work covered by prior Applications for <br /> Payment numbered 1 through 1 inclusive;(2)title of all Work,materials and equipment incorporated in said <br /> Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of payment <br /> free and clear of all Liens,security interests and encumbrances(except such as are covered by a Bond acceptable to <br /> OWNER indemnifying OWNER against any such Lien,security interest or encumbrance);and(3)all Work covered <br /> by this Application for Payment is in accordance with the Contract Documents and not defective. <br /> Dated _ 7- 7,9 Forest Lake Contracting. Tnc. <br /> CONTRACTOR <br /> State of By: <br /> County of <br /> Subscribed and sworn to before me this <br /> day of <br /> Notary Public - <br /> My Commission expires: <br /> Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br /> Dated July 6, 1998 Rieke Carroll Muller Asociates. Inc. <br /> B R <br /> EJC1)C No.1910-8-E (1996 Edition) - - ��-- o-� <br /> Prepared by the Engineers Joint Contract Documents Committee and endorsed by The Associated Gen errl Can cton of ena and the Construction specification <br /> - - Institute. - <br />