2023.07.11 CC Packet - Laserfiche WebLink

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Invoice #: 58566APPLICATION AND CERTIFICATE FOR PAYMENT Contractor Architect Owner Distribution to : 2210200- Sunny Square Redevelopment Contract Date: Project Ref Nos: Contract For: Via Architect: From Contractor: City of New Brighton Project Number - Project Description:To Owner: 6 Period To: Application No. : New Brighton, MN 55112 Golden Valley MN 55416 Kraus-Anderson Construction Company Customer Reference:803 Old Highway 8 NW WSB & Associates 701 Xenia Avenue South, Suite 300 6/30/2023 8/15/2022 501 South Eighth Street Minneapolis, MN 55404 $81,995.31 $0.00 County of: State of: 4. TOTAL COMPLETED AND STORED TO DATE (Column G on G703) . . . . . . . . . . . . . Notary Public: $0.00 0.00%of Stored Materialb. Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. a. 5. RETAINAGE: $0.00 ARCHITECT'S CERTIFICATE FOR PAYMENT My Commission expires: $100,148.38 0.00% By:____________________________________Date:______________$1,756,435.43 $1,756,435.43 CONTRACTOR: $1,674,440.12 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information, and belief, the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. $1,656,287.05 $1,756,435.43 In accordance with the Contract Documents, based on on-site observations and the data 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 quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 1. ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . . . . . . . . . . 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. LESS PREVIOUS CERTIFICATES FOR PAYMENTS . . . . . . . . . . . . 6. TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . . . . . . . . . . . Total Retainage (Line 5a + 5b or Total in Column I of G703) . . . . . . . . . . of Completed Work 3. CONTRACT SUM TO DATE( Line 1 + 2) . . . . . . . . . . . . . . . . . . . . . . . . . . 2. NET CHANGE BY CHANGE ORDERS . . . . . . . . . . . . . . . . . . . . CONTRACTOR'S APPLICATION FOR PAYMENT (line 3 less Line 6) $0.00 $0.00 $100,148.38 By:____________________________________Date:______________ in previous months by Owner This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment, and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. ARCHITECT: (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) AMOUNT CERTIFIED $0.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE . . . . . . . . . . . . . . . . . $81,995.31 Net Changes By Change Order $81,995.31 $0.00 TOTALS Total Approved this Month $0.00 $81,995.31 Total changes approved DeductionsAdditionsCHANGE ORDER SUMMARY (Column D + E on G703) (Column F on G703) (Line 6 from prior Certificate) (Line 4 Less Line 5 Total) Kraus-Anderson Construction Company Minnesota Hennepin Subscribed and sworn to before me this 28th day of June, 2023 1/31/2025 6/28/2023 DocuSign Envelope ID: E3FEC5E9-469F-4434-9DDD-3ACC3A7E99C3