Minutes-9/1/2016

PARTIAL PAYMENT ESTIMATE NUMBER 5 CONTRACTOR: METRO PAVERS, INC. ADDRESS: 101 Southgate Ave., PO Box 2508 CITY, STATE, ZIP Iowa City, IA 52240 OWNER: CITY OF TIFFIN PROJECT: TIFFIN TRAIL 5 PROJECT HFC#13218.163 <table> <tr> <th>Date of Completion:</th> <th>Amount of Contract:</th> <th>Date of Estimate:</th> </tr> <tr> <td>Original: 40 working days</td> <td>Original: $320,420.73</td> <td>From: 29-Aug-16</td> </tr> <tr> <td>Revised:</td> <td>Revised: $328,192.23 (C.O. #01)</td> <td>To: 4-Oct-16</td> </tr> </table> <table> <tr> <th></th> <th>THIS PERIOD</th> <th>TOTAL TO DATE</th> </tr> <tr> <td>Amount Earned</td> <td>$75,349.96</td> <td>$335,432.96</td> </tr> <tr> <td>Add Material Stored On-Site</td> <td>$ -</td> <td>$ -</td> </tr> <tr> <td>Subtract Materials Installed On-Site</td> <td>$ -</td> <td>$ -</td> </tr> <tr> <td>Subtotal</td> <td>$75,349.96</td> <td>$335,432.96</td> </tr> <tr> <td>Retainage (3%)</td> <td>$2,260.50</td> <td>$10,062.99</td> </tr> <tr> <td>Previous Payments</td> <td></td> <td>$252,280.51</td> </tr> <tr> <td>Amount Due</td> <td>$73,089.46</td> <td>$73,089.46</td> </tr> </table> Estimated % of Job Complete Based on Amount Earned/Contract Amount only 105% This does not constitute work completed to date Is Contractor's Construction Progress on Schedule? YES ✗ NO N/A I hereby certify that I have carefully inspected the work and as a result of my inspection and to the best of my knowledge and belief, the quantities shown in this estimate are correct and have not been shown in previous estimates and the work has been performed in accordance with the contract documents. HART-FREDERICK CONSULTANTS P.C. By: [signature] Title: Project Engineer Date: October 4, 2016 Approved by Owner's Representative: By: ____________________________ Title: ____________________________ (Contractor signature -- if required) By: ____________________________ Title: ____________________________