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APPLIC&N AND CERTIFICATE FOR PAYMEN%A DOCUMENT G702 (Instructions on reverse side) PAGI:ONE*AGES TO OWNER: Saint Anthony Village PROJECT: S A V Liquor APPLICATION NO.: 1 Distribution to: 3301 Siler Lake Road PERIOD TO: 7/31/97 ❑ OWNER St.Anthony ,MN 55418-1699 PROJECT NOS.: 97467 ❑MRCHITECT ARCH PROJ NO: 95-08-11790 CONTRACTOR FROM CONTRACTOR: Lund Martin Construction VIA ARCI-IITEC'1': K K E Architects. Inc. CONTRACT DATE: 6/24/97 ❑1 Accounting 3023 Randolph St N E 300 First Avenue North APPLICATION DATE: 8/1/97 ❑ Minneapolis,MN 55418 Minneapolis,MN 55401-168 INVOICE NO: CONTRACT FOR: General Construction CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,infor- mation 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 Work for which previous Certificates for Payment were issued and ply- 1. ORIGINAL CONTRACT SUM. . . . . . . . . . . . . . . . . .8 714,100.00 ments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: Lund Martin Construction 2. Net change by Change Orders . . . . . . . . . . . . . . .8 3. CONTRACT SUM TO DATE Line 1 t 2 g 714,100.00 By: Date: August 5, 1997 4. TOTAL COMPLETED & STORED TO DATE . . . . . .S 50,800.00 State of: MN Karl T. Hinkle (Column G on G703) County of: Subscribed and sworn to before E MARVIS M.HARO 5. RETAINAGE: a. 5 % of Completed Work f 2,540.00 me this 5 clay of August RY PUBLIC-MINNESOTA (Columns D + E on G703) mmission Expires Jan.31,2000 h. 5 '%� of Stored Material S 0.00 t Notary Public: (.�'�Q L/Lt I (Column 1' on G703) y / I . lbtal Retainage (Line 51 + 51) or 2,540.00 My Commission expires: f�� _a0 Mimi in Column I of G703) . . . . . . . . . . . . . . . . .R 6. TOTAL EARNED LESS RETAINAGE. . . . . . . . . . . .E 48,260.00 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 less Line 5 Total) LESS OWNER P.O.'s...$ 0.00 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 $ comprising this application, the Architect certifies to the Owner that to the best of the (Line ) Architect's knowledge, information and belief the Work has progressed as indicated,the 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . .I E 48,260.00 quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. p, 9. BALANCE TO FINISH, INCLUDING RETAINAGE 665,840.00 (/ d (Line 3 less Line 6) 8 AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S (Attach avplanalion if amount certified differs fron) the an)orrnl applied for. Initial CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS all figures on t Apl icirtio)t a)c! on the Conlinualion Sheet that are changed to lbtal changes approved in confornI to 11 nc a erflfre previous months by Owner See Attached(Page )-Change Orders nRCHITECl 'li)tal approved this Month RY Date: TOTALS This Certificate is not negotiable. lie AMOUNT CERTIFIED is payable,only to the Con- NET CHANGES by Change Order tractor named herein. Issu. payment and acceptance of payment arc without prejudice to any rights of the Owner or Contractor under this Contract. l�0m AIA DOCUMENT G702 • APPLICATION AND CERTIFICNIT FOR PAYMENT • I')92 I:IATION • AIA"' 0l'P)2 •TlIt:AMERICAN INtirI'llI'll:OF ARCIII-I-Ii(,,IN, 1735 NEW YORK \\`1041 AVENUE. N.w., �'('ASIIINGIUN, 1).(:. 2(HX)6-5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G702-1992 CAUTION:You should use an original AIA document which has this caution printed In red.An original assures that changes will not be obscured as mny occur when documents are reproduced.