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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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690347.tiff
CON '.ACTOR'S CERTIFICATION , The Contractor hereby certifies that the work performed during the period . of time as shown on the face of this Pay Estimate number three ____ r _► and tti► i ch is more fully set forth and itemized in the attached Engineers Payment Estimate has been furnished or completed; and does hereby further certify that all labor, materials and services necessary to complete said work have been paid in full; and does hereby agree that the amount shown in the Engineers Certificate is the correct amount of compensation to be paid by the Owner, less IA retainer, for the work herein certified as being performed, furnished, and/or completed dur- ing the payment period indicated.. A.S. Horner Construction Co., Inc. 1 By : e��i e -t Date: ' t 9 ENGINEER'S CERTIFICATE The Engineer hereby approves for payment the amount of S. 9,807.10 as indicated on the attached Engineers Payment Estimate and does hereby cert- ifythat the estimated quantities of work heretofore certified to by the Contractor have been furnished, performed, or completed to the best of his know l edge . Y: Date: EAGLE ENGI By: Date: PAYMENT AIJTNOR I ZED AND APPROVED W d County, Colorado 19 Date: .4 '9. • ti0 ) CO Ul c November 30, oloo U V •'-t a) 0 +� L fp 6. o ENGINEERS PAYMENT 0 H 0 L. E O O 1` O .r L 0 Q © 0 0 • O O 0. , T --tO ' on co 61 N LA M M O CO, O1 0 O O O M O N. O O ▪ O O LA 0 O N -- O ccaN O1 LA a O bt :t a O C 0 O 0 0 O O 0 0 0 0 0 O o O M O C O O O LALA0 O 0 N N. o r -- Al CO O 0 O ,..[j - CO O CO M 00 •- N 01 L V .C1 E 4) a.+ f0 C] 0 J.+ U (V L C 0 Total Cost O O O O C O O O O O L•'1 O O C O 0 0 • 0 0 ,7 0 •-O 0- CO 1/4.ON 0 0 O C'\ ti-‘ -7 M 0.1 CO • N U\ • M as M V E O M C t` O - O C O O N O N M NO LA O N O C1 Ot N 1 U 'v � L LO L U L a.0 8 U l0 C rn O Total Cost o O O O O O ‘D co r•-• - C CD O 0 OO 0 0 0 0 O C O 0 ▪ \O • N O O O 'O 0 M - O - U1 _I• M O1 - CO LA U M Ql M O C Crs 0 O O N- O 0 -� o u� >r Lf1 N O O CO N. 0 • M O O 0 (N CO (N ✓ C) O O r -o- O O 0 00 N 0 O 0 Cn O O O C.) • a.. L. U L a) 47 t _7 i!> t C (11 C • H O rre C G 0 u II7 O- . E O al u C ) 4) C_ U — �. U,' 4' LA Date Nov .l . 12969 Proj. No. 158.611 CONTRACT CHANGE ORDER Date of Contract Order No. 1 To: Weld County. C l-rsdo Item 3. Totals Description Piling Discount Letter Unit Price 5.50 2,000.00 Change to Contract - ADD Unit Amount $ UDGE NO, 221 Subtract Unit Amount 447 2.458.50 1 2,0O0.0C 4,458.51 The sum of $ 4,453.50 is hereby (XM) (deducted from the total .rvvn�Yll FINCRIMAN) Contract Price. The time provided for completion is ( (not changed) by 8n:' calendar days. This document will become a supplement to the Contract, and all provisions of the Contract will apply hereto. ii' RECOMMENDED BY: ACCEPTED BY: APPROVED BY: Cagle 4�'veering Co., Signed Title A.S. Horner Construction Co., Inc, Sig i Title Id County Colorado ign Nov. 30, 1969 Date /779 Date Title Date The Contractor hereby certifies that the work performed during .the. period of time as shown on the face of .this. Pay Estimate Number the ,. and which is more fully set forth and i teaiized in the attached En inears: Payment Estimate has: beenfurnished Of completed; and does hereby further certify that all labor, materials and services necessary to complete said work have been paid :in full; and. does hereby agree that the amount shown ` in the Engineers Certificate it the correct: amount of conformation to be paid by the Owner', less 10% retainer, for he work herein :;certifled::as being performed, furnished, and/or completed dur- `the payment period. indicated. A.S. Horner Construction Co., Inc. By: Date: � ,r7 X11/ i 9 G7 S /.�� ENGINEER'S CERTIFICATE Tie Engineer hereby approves for payment the amount of $, 6,882.55. as indicated on the attached Engineers Payment Estimate and" does hereby cert- fy that the estimated quantities of work heretofore certified to by the Contractor have been furnished, performed, or completed to the best of his juRawledge. EAGLE ENG1 'U4G CO Bv: )ate: vember 30, _ 69 PAYMENT AUTHORIZED AND APPROVED LD COUNTY. coLORAD® 19 Date: .. . ►'9:, u.1 a7 E O a3 O I Contract To Date C• Description WS O O C3 10` 6m o_ s a) a C ..Q E 10 C r .8 I G CD £. o O _ . � C) £ C O ,, C O CD C - o 'JDC OO cC U^, - n-\ L O O 0 c O o £ CO M '.. c . O . 0.' coo O O o 0:.... .b .. Q O O Ln Coop p O O o M O O o Q N 0 C1 QO LA M tO CO r-, Ln M Q1 M O O n o r- O O -7 O O c� O L — O N r, C -- O O1 rn N' O O O O CD O O O O C O O O O O O O C O Ln O O 0 C N C O CD O 00 - c0 .o • r, Ln m m M -- O C O O O 0 O O C) o G Ln tr, 0 � co O N O y ul N O M — CO N O OOal O 0 O n 0 O CD Ln O O u', N — N N C' - N 0. U y d Bridge Decking L C C ,01 0. • fI ( r • U- = a): Ui oC O 0 D� C U a) a) • IV U. C O o Ln s O LA; U our o. `Lft 00..3' N O N. sD — co o co CO w cN a) C +' C co 3 O — w V 4)1 O +•' o xi O Y • to 1,-- m E o e o. N. CO £ \ ni ul OO O O N. ul Ca V1• la. 0 • N 4J O O. Q O u s1 C .u.> b C:. RS Qi:... E. • 1n c, at: us: tOi4ITRAQT CHANGE, ORDER Date of Contract Order Noa 1. To: Weld County, Colorado Date Nov. 30, 1969 Proj. No. 158-611 BRIDGE NO. 408 Item Description Unit Price Change to Contract _ Subtract 3. Piling Discount Letter 5.50 2,000.00 ADD Unit Amount Unit Amount 67 368.50 1 2,000.00 Totals // 368.50 2,000.00 The sum of $ /65/. is hereby ( Eo�(i if MUMEUMI) the total Contract Price. The time provided for completion is (IMUNKNOMPIxuX Uxxa) (not changed) by any calendar days. This document will become a supplement to the Contract, and all provisions of the Contract will apply hereto. RECOMMENDED BY: ACCEPTED BY: APPROVED BY: Title A.S. Horner Construction Co. Sig ed t -'c L' o 6 —,fry Title Couty, Colorado iS�-c(ne November 30, 1969 Date "ae `/, ,7e7 Date Title Date NTaACIQRtS` E TIrICA'I(3''1 .The Contractor hereby certifies that thee work performed: during; t€e period. ...'time as shown on the face of this 'Pay Estimate Number ... two and which;, more fully set forth and itemized it the attached Engineers Payment. Estimate aas been furnished or completed; and does hereby further certify that alt labor, materials and services necessary to Complete said work have been paid €n full; and does hereby agree that the amount sin in the Engineers Certificate IS the correct amount of compensation to be paid' by the O eier,.less 10% retainer, for the. work herein certified as being performed.,. furnished ?nd/or completed uur» :Tng...the payment period indicated. A.S. Horner Construction Co., inc. By: C. Date: eaf,c- `/ 19 ( '7 ENGINEER'S CERT1f1CATE The Engineer hereby approves for payment the eMemmt of $ 1 1 , 786.00 indicated on the attached Engineers Payment Estimet, and does hereby cost- -tha the estimated quantities of work heretofore certified to by the COOtraCtor have been furnished, performed, or completed t the best of his i m)efie ge. EAGLE ENG 3y. Date: PAYMENT AUTHOR 1 ZED AND APPROVED By: 1LD cpIJNTY _. E a 1.0 Date: 1'9 .�,, hater ill • Z L 0: .Q .4• E fa ., i' . 41 • 7,.., 0 q .....L d'i'ai a Cf 0 4) .a CO N 61 rel '.O N !. O O O 0 O 0 O 0 O 444 w Contract To Data cc 0 0 O N cc 0 O 0 O N CO N C O CO • ett- O Cr.', t- r' 4) E 7 111 I U .A N 3 L n s.r 4) CD 0 0 0 0 O O 01 0 • N4.0 cO 00 c O O O O q G O �; O CC CO t` O 0 0 O O pp O N O �� O m r•" 00 N M ▪ �^ O O O 0 O O O O G O G O O O Lr1 00 N — --- N- N O O 0 0 0 p Ul 0 O •0 M O• • co • a.u. O O O d O O O NO O lD 0 47 3CO 0 00 in w— G a EWAA . bt ar1GE CII D$R Hate of Cti'itratt Order No. 1 To: Weld County, Colorado Item 3. 4. Description Piling Sway Bracing Discount Letter Unit Price 7.00 2.50 2,500.00 ADD bate November 30, 1969 Proj. No. 158-611 BRIDGE NO. 216 Change to Contract gubtract Unit Amount Unit Amount 398 2,786.00 172 430.00 1 2,500.00 Totals 3,216.00 2,500.00 The sum of $ 716.00 is hereby (added to) Q000060600006(n) the total Contract Price. The time provided for completion is pfieomwm VdikWI OW (not changed) by any calendar days. This document will become a supplement to the Contract, and all provisions of the Contract will apply hereto. RECOMMENDED BY: Title ACCEPTED BY: A.S. Horner Construction Co.. Loc. APPROVED BY: Title Nov. 30, 1969 Date y/7 Date Title Date "October 30 1969, ay'.tsti,.mate No. Z Protect' 158.611 BUDGE #222 , CoNTRACTOR.'S CERT t EiCATIOit % ti The Contractor hereby. Certi if ies that the .work. peg=F©xneaf' dnr°itmg the peFi.od of time as shown on the face of this Pay E s t i uaate: Nimheer 10,0;, and which is more fully setfortlt. and i teei gad In the attached Ertgtnee1's. Payment Ettlsna to has been furnished or completed.; and does hereby furthr certify that al! '`labor,. mater i a I s. and services necessary to complete said work have been paid in fo l i ; and does hereby agree that the aisoeat shoes In the Engineers Certificate is the correct amount. of compensation .to be paid by -the Owner, less 10% retainer, for { the work herein certified as being performed-, .furnished, and/or completed dur- ing the payment period indicated, • A#114 By: C'r Date: minim Nm4A c9 6-7 ENGINEER'S CERTIFICATE The Engineer hereby aeprovelf for payment the amount of $ 644.309471V as indicated anti* attached Engineers Payment .Estimate and does hereby cert- ify that the estimated gOantitles of work heretofore c+ert if ied to by the Contractor have been furnished, performed, or completed to ths best of his knowledge. EAGLE ERG 8y ; Date: 4 RING CO SIL 19 IA — PAYMENT AUTHORIZED AND APPROAD Date: • 19 a' s l U . .0 c 0 3 X O 1 L 0, .40 .G O .0 io Q a:'• O O j L O 0 0 0 O O O O • i • C3 O O O O 0 O •C CV O O 4 CO 411 Mat CO w ►- P- - 411 'lA . cx1 C1 ii. r- en 4.4 itt m.: Qc. R': . .. N p44 . C ,. *.. cri * iii L IW . c: e rn.y- C .e. � a MD o. U _ rV ? .�. Q N 0 et sit CO cv trts C fa. ro U L •4 64- ''n su . C uttractor hereby certifies that the work performed dur4ing, the pe iod. of"time as shown on the face of this Pay Estimate Number one 1, and which is: more fully set forth and i temi2ed is the attached Engineers Payneit Estimate hasbeen furnished Of completed; and does hereby farthercertify that all labor, materials and services necessary to complete said work have been paid in full; ' and does hereby agree that the amount shown ire the tneers Certificate is the correct amount of compensation to be paid by the Owner, tees 10X retainer for he work herein cart i f ie-d as being performed,. furnished, and/or completed dmr- the payment period _ nd:teatech. A.,5, Horner Construction Co., Inc: - By: Date: ENGINEER'S CERTIFICATE The Engineer hereby *Waves for payment the amount of 6•,660.00 ae tad tc ted on the attached Engineers Payment Estimate and !mss'he *,; • the estimated quantities Of work heretofore carat i fly . by ,ties :.-Gontracter have been furnished, performed, or completed tar the best of 11i 1 lie. 19 4t EAGLE €N By: Date: PAY°MEMT AUTHOR I ZED AND APPROVED ER 114G Er .HHWY. COO Mate: 19 ,_... 3lat ; • r rn .a� c0 0, ": 0 I. 3 0 U ;'..0 0 J .+• ♦+ i.., 40 0 0 >. 0 : a+ 13 a. .v a O 45 ys O is 'tl► O c3 W O w 0 CO 0 a lip U 4 a+ C O v u ▪ I c _ 0 Li, O O 0 0 C C 0 O 0 O Q 0 i 0 '.0 t 0 0 N o 0 O O C N Q t:l1 C 0 CO 0 O 0 0 c0 C O art a a O Q 6.1 i.' U 43 -o a+ . a 0 ca 0 I- 0 15 O 0 0 C O 0 0 0 Lit 00 N CV o b CD .O 0 C N cc 0 0' 0 Eh N I 0 o c� CD CD C N N 1", 0 0 0 O N co .r 0 0 O C '.0 crt a c 4-4 0 4-4 0 0 L L U) 1 U 4 t0 N N 3 vi N rY U O C p7-. U G), Vz >, v.. 11 0 0 O *. 0 CU 0 I— 4-4 Ir Q 4-4 ,a u C, E ak 411 t� LU CQNTRACTORt5CERT i FICAT 1'wi1'• The Contractor r . herp ► certifies that the workperformed during the period of time as shown on the .' face of this Pay Estimate Number three , and which is morefully set forth and itemized In t e attached Engineers Pl msent Estimate has been furnished or completed, and does hereby further certify that all labor, materials and services necessary to complete saidwork have been paid in full; and does hereby agree that the amount shownin the Engineers Certificate is the Contact aMONS4 Of: ration to be paid by the Owner, less 1.01 retainer, for "thewerk herein certified asbeing performed„ furnished, and/or completed dear ;lam the Wit.. period indicated. A.S. Horner Construction Co., Inc: By: Date: ac 19 ig ENGINEER'S S CERTIFICATE The >;Ag3meer hereby appir"oves for payment the amount of. $ , 181.80 as. indicated- on the attached Engineers Payment Estimateand does hereby test. `iffy that the estimated #vantities of work heretofore certified to by the Contractor have been furniaheei, performed, Or Completed .to the best of his knowledge. EAGLE € + EKING CO By: Date: Date: PAYMENT AUTHOR I ZED AND AMMO l:g WELD COUNTY,.. COLORADO a wl T 0 ▪ as a d ▪ C! tal ENGINEERS PAYMENT O 4. BRIDGE NO. Q co C a 0 a o 0 a o 0 o �. - o. .o ear . pp.: M C M M 0 0 Q 0 Q O 0 0 • 0 of 0 %fl 0 Q j on CO r CO 0 0 0 0 O O Q O O O 0 0 O O U1 O co pis COo- Ln o � en %.O • M un M M O 0 0 N 0 0 4. 0. &A r•4•1 0 Q LIN 0 4 44 C Q Q r. a September 30, 1,969 Pay Estimate lb. 2" Project 158-611 - 404, i1ye Contractor-hetehY serttflea that the work performed during the period :-thee as shown on the face of this Pay Estimate Number . 2 , and which 's more fully set forth and itemized in the attached Engineers Payment Estimate --I' liMeen furnished or criwtt,etd and dogs tereby further certify that all labor, matter i a d# and services necesteryt to complete said work have been paid in full; and does hereby egnwa that the @mount shoWn in the Engineers Certificate is the `= correct amount. of oration to be paid by the Owner, less 10% retainer, for the work herein certifi"ed= as being performed, furnished, and/or completed dur-. ing:°tthe payment :period indicated. Date: Zoe./ 7 V l9 ERFG1NEER'S CERTIFICATE °r steer hereby approve for payment the amount of $71,.x.34:.65 .as End c bed : the. e.0000`ineer' Payment Estimate O4 4co*litOeby curt- es mated quantities of work heretofore certifled to by the Ces Tractor **Oi n furnished, performed, or completed to the best of his . k ow edge. Date: September 30, 19 • 0 CO .0 0l !-; a. CJ N ENGINEERS PAYMENT ESTIMATE a) O C LL2 C.9 Coze 09' a +} 0 N0 40 d" ga O .. 0 0 0 0 0 0 o O L o O o 0 0 0 0 0O 0 0 0 0 O O1 CO 4' LA (a N. • 000 O L � 0 01 ao M , no- al f-- V E p ^' O O O 0 N N N 0 01 --.1- O 0 2 a. u t.) O Q O O a O O O O O O �-- • " o o O O O O O O Lt1 0 O 0 0 0 0 N © � 0 N • 0 0 LA LA CO c• °On O ts1 tp n. c 'C7 C • '.: '14, +� k- CO Lf1 M f� 00 O 00 N di .C W 4.6 a Ll1 ofN O1 00 N. 4 r a; -I• 0t- - r -i-3 C1 CJ 3 Q L.: 0 N- O !� 0 0 � 0 . 0 a 0 o ... N 4 N 0 0 01 0 {. Nx �- •r (Ti A• ?e ' . r:'•''''. Contract To Data tin O O O .5-5 O• O' o O O O O O 0 0 00 O O O O LA Q O O O N o O 0' r•-..,« (7 �- - - m CO L11 -.I' 4,1 O co •-• co n .- Q• - re\ - W}• Number O - O 0 O n C G .- O p Lf1 tv 0 Li - C Cv .. O . O - N al a) 4r i kJ 2,0 , VI C 110 RV V Original Contract Total Cost O O O O O O O O C O O O O O 0 O G C 3 O ItJ\ O U U1 O O O C N O U o N. o w O - - O - L11 i x•.,:^ .. Ol CO -7 -.1" • 'Y") CO •- CO - : QC•}:.:'CAi. M L11 1,1 al0 O '0 t.1 um Q O Q 00 o ON 4.1 V O LJl (N O M r CO (V Number — Q 0 0 N. O O O N 0 00 u 0• N 1f r .. — N Ol • O1 .. .- 3t ��a,w,, Jul •75 why t -a ST tty .— •Y • .. * 3l� ; N : X31 �. � �• rr - r 'Su `a. :: '„t.... L• i. .?��."• !d �, �}t.; � V.�.:• _•.. i.r. _' - .' �5`' :'�,: •' tFY e. 't p :'YRf •` in. �I,.. rt .'l h•- >�L?'rr. �'", :G'j YJ�'n'-i• b`r�.` �rK 'iY' yy�"re w`Fr 1�2•_.Y` .��;, i..r•.} h•^ .,4•; y..Q e. `:':t.'t�.St , l .y„y:7. �cA' �'• L+r.•.al ryt``"!-'• �' �. ` `�' �'r•. ."` z- H;•w. rarer .. , , i•.o-`' "s +�. . 4. .} .'�y- .fir' ¢'-• .:.` "'77,. .1 '. -'FX 1....}?•I ��'j'k��:y.�R((jfi.. .i4`- ,ti'.'• .cct 4X i ''J.:i .i�� . .•a�.:: `xis. _..� f• � �y. . •' :.`• •. ^t � ',�`sy. _ =fit+.•; -;y: .:�� � :4 ,,,rtuf�✓;,.,- ';o-:iC cat; i4°+i • w► . �f j' T.: ,.�: `I..iY.,fv'd' It c.'""t'. i.. .,;.. "'�' ... .. :.�:�rS!'. L . _:' :.; '4.:'S;.•": . d - - ';"f` ..,M4' .y:.. � : t 4y ..}. •. ({. ..r ;'�, ;.Y.. . o. . ,tt 4:, :(�.:4.`::-. ...!.. ; y:, <ti1 L� L:` .4+' y' "r.. .X •�rr - . a. d di. tq._.,�; - r.. __7.F :� 7 .. :5,. .•S•. 2v -.� :xc, s .:�} - ':n5�7':;.`.L�� +Cr„ '..r� -'::tom;?. A. :3•" r�fi+:•:'•�5 .,n `:;...._ .: 1J•xtt: '4f: !d •' 'G )'4" i •I+v. • • i'i{:: rrr.: !!.�y:. ; '.;.tri ��y ;. "':�..:: .:.:.,: ••g4:... .. .. e.: "':.: iH . :"`.r+ "' 't `Y '7• „?_>, �r.,�� ;a i•,r'r':�, .• �� pY The Contractor hereby certifies that the work performed during the period f rme as shown on the face of this Pay Estimate Number tote , and which s libore fully set forth anditemized in the attached Engineers Payment Estimate as been furnished or completed; and does hereby further certify that all labor, aterlais and services necessary to tssplete.said work have been paid in full; atd does hereby agree that the amount shown in the Engineers Certificate is the orrect amount of compensation t'o be paid by the Owner, less 10% retainer, for he: work herein certified as. being performed, furnished, and/or completed dur- ng:the ;payment period.indicated A. S. Hornet Construction to,. tiic, By: efrif Date: 19 67 The Engineer hereby approves for payment the amount of $6„310•,00 as indicated on the attached Engineers Payment Estimate and does'hereby cert- l♦f�; thrt,the estimated quantities of work heretofore certified to by the Contractor have been furnished, performed, or completed to the best of his EAGLE ENGPIG Co By: Date: } c � � C .- a c u: 12,282.75 Pay tst ima10 No. 44 u u 0 ENGINEERS PAYMENT ESTIMATE
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