Minutes-9/1/2016

PARTIAL PAYMENT ESTIMATE NUMBER 11 CONTRACTOR: SulzCo, LLC ADDRESS: 2410 Imperial Oaks Dr. PO Box 1639 CITY, STATE, ZIP Muscatine, IA 52761 OWNER: CITY OF TIFFIN PROJECT: Original Town Design Improvements - Sanitary Sewer I & I Reduction Project HFC#14218.187 <table> <tr> <th>Date of Completion:</th> <th>Amount of Contract:</th> <th>Date of Estimate:</th> </tr> <tr> <td>Original: 01-Oct-16</td> <td>Original: $487,121.00</td> <td>From: 1-Oct-16</td> </tr> <tr> <td>Revised:</td> <td>Revised: $487,994.00 (C.O. #182)</td> <td>To: 27-Oct-16</td> </tr> </table> <table> <tr> <th></th> <th>THIS PERIOD</th> <th>TOTAL TO DATE</th> </tr> <tr> <td>Amount Earned</td> <td>$ 37,515.00</td> <td>$ 385,840.67</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>$ 37,515.00</td> <td>$ 385,840.67</td> </tr> <tr> <td>Retainage (5%)</td> <td>$ 1,875.75</td> <td>$19,296.04</td> </tr> <tr> <td>Previous Payments</td> <td></td> <td>$330,905.38</td> </tr> <tr> <td>Amount Due</td> <td>$ 35,639.25</td> <td>$ 35,639.25</td> </tr> </table> Estimated % of Job Complete Based on Amount Earned/Contract Amount only 79% 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 27, 2016 Approved by Owner's Representative: By: ____________________________ Title: ____________________________ (Additional signatures -- if required) By: ____________________________ Title: ____________________________