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• 001.9.99 APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) PAGE ONE OF PAGES TO OWNER: City of St Anthony Village PROJECT: Central Park APPLICATION NO.: 2 Distribution to: Water Tower Playground Improvements PERIOD TO: 7-20-99 ❑ OWNER PROJECT NOS.: ❑ ARCHITECT ❑ CONTRACTOR FROM CONTRACTOR: Arrigoni Brothers Company VIA ARCHITECT: Augie Wong CONTRACT DATE: ❑ 817 Vandalia St BRW, Inc ❑ St Paul MN 55114 700 3rd St So CONTRACT FUR: Mpls MN 55415 The undersigned Contractor certifies that Iu the hest of the Contractor's knowledge, infor- CONTRACTOR'S APPLICATION FOR PAYMENT nation and belief the Work covered by this application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached. Contractor for '%Rork for which previous Certificates for Payment were issued and pay- 1. ORIGINAL CONTRACT SUM. . . . . . . . . . . . . . . . . .S 265 662.00 tnents received from the Owner, and that current payment shown herein is now due. . Net change by Change Orders . . . . . . . . . . . . . . .S —0— CONTRACTOR: ARRIG BROTHERS COMPANY 3. CONTRACT SUM TO DATE (Line I t 2). . . . . . . .S 265 662.00 By: 19—t— Date: July 90-1999- 4. TOTAL COMPLETED & STORED TO DATE . . . . . .S 153,358.00 State of: Minnesota (Column G on G'03) County of: Ramsey �YIKAUM 5. RETAINAGE: Subscribed and sworn to before pLbrkrru a. 5 % of Completed Work $ 7,667-90 me this 20 day of July 1999 COUNIV (Columns D + E on G703) w�tltii011b0NJQ►3II•'D b. % of Stored Material E (Column F on G703) Notary Public: Total Retainage (Line 5a + 5b or My Commission expires: Total in Column I of G703) . . . . . . . . . . . . . . . . .S 7,667-90 6. TOTAL EARNED LESS RETAINAGE. . . . . . . . . . . .S 149,690-10 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line i less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT In accordance with the Contract Documents,based on on-site observations and the data (Line 6 from prior Certificate) . . . . . . . . . . . . . . . . .S 30,921-90 comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge,information.and belief the Work has progressed as indicated,the 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . .1 S 115,166.60 quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. G 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) 119,971.90 AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .S I�/ ��ab•�� E (Attach explanation if amount certified differs from the amount applied for. Initial CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS all figures on this Application an Continuation Sheet that are changed to Total changes approved in conform �e anrou hcertifi previous months by Owner ARCHIT Total approved this Month By: Date: I TOTALS This Ce ificate' not negotiabl Che AMO NT CERTIFIED is payable only to the Con- NET CHANGES by Change Order tractor n ed erein. Issuance, aymen and acceptance of payment are without prejudice [o any rights Of the Own ontractor under this Contract. AIA DOCUMENT G702• APPLICATION AND CERTIFICATE FOR PAYMENT• 1992 EDITION •ALA* • ©1992 •THE .LMERICANI INSTITUTE OF ARCHITECTS, 1735 NEW YORK \\�, AVENUE, N.\C'.. WASHINGTON, D.C. 20006-5292 • WARNING Unlicensed photocopying violates U.S. Copyright taws and Will subject the violator to legal posecutlon. G702-1992 ..1.nnnnr,.,i 11 nn1 1.,,nL.ernmrl oe m+.r seinesn ftnC1IfT1ANC;IMP fP nfn/rllrnit