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• CITY OF NEW BRIGHTON —MMEERING DEPARTMENT PROJECT NO. 07-3, OLD HIGHWAY 8 NW RECONSTRUCTION S.A.P. 147-020-33 PARTIAL PAYMENT 17 DATE: JULY 2, 2009 FUND: 491-40703-6751 CONTRACTOR: A. Original Contract Amount B. Total Additions Change Order No. 1 = $3,719.50 Change Order No. 2 = $6,596.80 Change Order No. 4 = $49,935.63 Change Order No. 5 = $9,962.22 C. Total Deductions Change Order No. 3 = ($560.00) D. Total Funds Encumbered E. Total Value of Work Certified to Date F. Less Retained Percentage G. Less Total Previous Payments Partial Payment 1 $141,503.11 Partial Payment 2 $197,365.30 Partial Payment 3 $311,977.74 Partial Payment 4 $340,405.15 Partial Payment 5 $296,764.66 Partial Payment 6 $56,525.70 Partial Payment 7 $16,492.09 Partial Payment 8 $37,279.25 Partial Payment 9 $64,133.45 Partial Payment 10 $2,063.12 Partial Payment 11 $215,247.21 Partial Payment 12 $360,645.61 Partial Payment 13 $274,304.74 Partial Payment 14 $50,696.59 Partial Payment 15 $28,869.35 Partial Payment 16 $130,103.67 H. Approved for Payment this Voucher I. Total Payments Including this Voucher J. Balance Carried Forward North Pine Aggregate, Inc. 14551 Lake Drive Forest Lake, MN 55025 Phone: (651)464-6802 $2,735,342.56 $70,214.15 ($560.00) $2,804,996.71 $2,710,842.53 $38,803.81 $2,524,376.74 $147,661.97 $2,672,038.71 $132,958.00 This is to certify that the items of work shown in the Statement of Work Certified herein have been actually furnished for the above mentioned projects in accordance with the plans and specifications heretofore approved and that the total work is 96.6% complete as of July 2, 2009. I hereby recommend paymeof his vauc r. I /,LJI 71-4�,�1 Gra M. Wyfws, D to Director of Public arks City of New Brighton This is to certify that to the best of my knowledge, information, and belief, the quantities and values of work certified herein are a fair approximate estimate for the period covered by this voucher. North Pine Aggregate, Inc.