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APPLICATION FOR PAYMENT NO. 2 <br /> To: City of St. Anthony, .Minnesota (OAR) <br /> From: Progressive Lontractors, Inc. (CONTRACTOR) <br /> Contract: City of St. Anthony— <br /> Project: 33rd Avenue; Silver Lake Road to Hiahcrest Road; Concrete Pavement Rehab. <br /> OWNER's Contract No. -- ENGINEER's Project No. 10367.03 <br /> For Work'accomplished through the date of September.5, 1998 <br /> 1. Original Contract Price: S 322.332.90 <br /> 2.. Net change by Change Orders and Written Amendments(+or-): S 0.00 <br /> 3. Current Contract Price(1 plus 2): S 322.332.90 <br /> 4. Total completed and stored to date: S 335,924.12 <br /> 5. Retainage(per Agreement): <br /> of completed Work: S 16,74F_21 <br /> %of stored material: S <br /> Total Retainage: S 16,796-21 <br /> 6. Total completed and stored to date less retainage(4 minus 5): S 319,127.91 <br /> 7. Less previous Application for Payments: S 201.595.12 <br /> 8. DUE THIS APPLICATION(6 MINUS 7): S 117,532.79 <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 Progressive Contractors. Inc. <br /> CONTRACTOR <br /> By: /�,?, /,/ , -.e- <br /> State of <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 September 15, 1998 <br /> By: • <br /> EJCDC No.1910-8-E (1996 Edition) <br /> Prepared by the Ezi&eers Joint Contract Documents Committee and endorsed by The Associated General Contractors of America and the Construction Specification <br /> Institute. <br />