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IP #994 Sunram IC134s iI.rn, „ , DEPARTMENTri,,,F RE 'ENUEvisop V ._,,,, Contractor Affidavit Submitted Thank you,your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: 1-256-318-048 Submitted Date and Time: 14-Apr-2023 1:32:56 PM Legal Name: SUNRAM CONSTRUCTION INC Federal Employer ID: 41-1728948 User Who Submitted: Sunram Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit Number: 828788736 Minnesota ID: 1870470 Project Owner: CITY OF NEW HOPE Project Number: 193804335 Project Begin Date: 01-May-2019 Project End Date: 24-May-2022 Project Location: CIVIC CENTER PARK Project Amount: $2,808,958.42 Subcontractor Summary Name ID Affidavit Number ALLSTATES PAVEMENT RECYCLING 3908651 471339008 ANDERSON IRRIGATION CO INC 4769077 1306726400 AUTUMN RIDGE LANDSCAPING 2548169 1977782272 BOUNDARY FENCE DESIGN 2380598 942673920 CARCIOFINI COMPANY 5821025 391372800 CURB MASTERS INC 2207114 1102581760 GF JEDLICKI INC 7579212 1440911360 GMH ASPHALT CORP 2857091 2063437824 GROUNDSCAPE ENTERPRISE INC 5366456 799531008 LAKETOWN ELECTRIC CORP 4699810 470421504 MARGOLIS CO 8259877 937185280 PETERSON COMPANIES 4235858 394334208 SAFETY SIGNS LLC 5139558 2049986560 SIMON BRICK STONE CO 5111676 1027444736 SIR LINES A LOT INC 3509324 357044224 ....,,,,,•„• ''''''.1-:;.5,--.-.. DEPARTMENT 754,„ NR k: •.= :'tip :F OF REVENUE Your Contractor Affidavit request is Approved.A copy of this page MUST ber v` p o Fdeal to the contractor or government agencythat hiredyon. Submitted Date and Time: 12-Jan-2021 9:26:46 AM Confirmation Number: 0-614-806-304 Name: ALLSTATES PAVEMENT RECYCLING&STABILIZATION INC. ID: 3908651 Affidavit Number: 471339008 Project Owner: CITY OF NEW HOP Project Number: 190145 Project Begin Date: 6/21/2019 Project End Date: 6/21/2019 Project Location: CIVIC CENTER PARK Project Amount: $3,687.17 Subcontractors: No Subcontractors Please print thispage for your records using the print or save functionality built into your browser. ti ... . ..'"„z,''''. .. . ..- - '''' ' • . - ' '''' ''Eti4i.T .:: •• ' ' H :.'" ::' '"':' ..::' -.' ":--' .,:, -......'''''''''' :.N.:.::::::tA''''.it , .:.,.P.,.,•,.:::•.....ia:::::-,:. ........................... .......................................i:-..„.E..,:].. .::.H„-.:-• .. •:„••:- • . , .: . . . „„, • • •• •• • ... ...••••. .. ... „.„.,.. . ....,..:.............,...., ........... . .,., �' off: � ,��'� .:... :. .. .. .. .. .. .. .... .. :: :: ... . . : . '': .'OP:1:1-....:RHEVENUS.'. . ' ' :: ' ... . i . . ....::... ..- . . :::-. H .. . ' . ...:......,...,..,... .._.•••••.. .....:: .•,.........:. .. ... .....•:...•• .•.....:. .••:•:, :..•. ....::.......,..••: .. . ........ . . . ..... . i: i... .: ..... : : ::: ::: : : , H ::,. .. .. .. . . .,;, .... ....:.Contractor; .m t ..... Thank.you.;your poottoptorAffidAffidavit . . Confirmation Summ0. ,,:. :. .. • • ...... .. . . . ubr��t .:00t0•00.Trni . . . . .f.,4;980500.47:: ... . . Legal m-e ANDERSONIRRIGATION o INC: . : ft 'ri u"'iI a.. ": . ... :davit u tuber: 1196724400: : �� CITY O :NEW:HOPE::: • O JOB C-19-0'o Project Begin Date: x Project End CDat :: .:22.•,::$00;9 ... .. • I I CENTER•PA .K.:.PARKA EN'ITI E •.. • • - . No ubb nt . ..... ::::.::.....-,, .,•;::- . . Important'Mesged sa p ;of this page.must.e:pr ide to:the::contract _ ont, Us y....:::: :.: r . . . n Tax.Divi.'........ -: . ,: .. . • : . IIl.hp�:0.trr. �t�)° :: tete: :. ,..,.. . . :.: .. ,._t�IL.�r6�..� § ...�. . • p..a ..o.: ourr:r • •rds usi the print r:save:functio nal:. : ..: :sem..,:. .. EPART M T } .......• : •.. }t} `t • .0-1: RE . • , :Contrattor Affidavit Thank you,your C r or.Affiit has been' m .. Confirmation:Summar •1-345-299-672 Submitted patoand .Name,• AUTUMN:RIDGE N SCAPING, INC. Federal Employer IDP :454979133:: User•WhiS m : x Type: Ru Submitted: Contractor Mfida: i : : . 2Z i 2648169 HOPE Project N tribe :CA04109. Project Begin Date.: 5-Oct-201 ProjectLocation: Project. m n. $145 256x05: Subcontractors: .Nkty.Sttboonitactors Important. s this page must provided the contractor or government agency that:hired you z. Contact:U . need further assistance ,contact our Wi h i . o .:- - - .... '.-.. 74: 8:0 'X m n'- :3 ,g,Ntapy,gp pe�°rog gri ypQ Please pdlICIH'..tta .for your records using the print save functionality: it n : u r w$01% . • 4 Page 1 of 1 u‘k.,, DEPARTMENT . • .kms.: OF REVENUE Your Contractor Affidavit request is Approved.A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 19-Jan-2021 11:53:21 AM Confirmation Number: 0-912-591-648 Name: BOUNDARY FENCE&DESIGN LLC ID: 2380598 Affidavit Number: 942673920 Project Owner: CITY OF NEW HOPE Project Number: 941 Project Begin Date: 6/10/2020 Project End Date: 8/26/2020 Project Location: CITY OF NEW HOPE Project Amount: $6,166.16 Subcontractors: No Subcontractors Please ..int th s for your records using the print or save functionality built into your browser. https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/o/Dc/oxaBAzXJnT5Fc1a'fJ8nSrw ... 1/19/2021 From: MN Revenue e-Service To: Julie Pederson Subject: Your Recent Contractor Affidavit Request Date: Friday,January 8,2021 3:13:20 PM This email is an automated notification and is unable to receive replies. Contractor Affidavit Submitted Thank you,your Contractor Affidavit has been approved. Confirmation Sum.Mary Confirmation Number: 0-289-870-624 Submitted Date and Time: 8-Jan-2021 3:18:25 PM Legal Name; CARCIOFINI COMPANY Federal Employer ID: 41-2027823 User Who Submitted: julie.pederson@carciofini.com Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit Number: 39/372800 Minnesota ID: 5821025 Project Owner: CITY OF NEW HOPE Project Number: 6016-1 Project Begin Date: 09-Sep-2020 Project End Date: 22-Sep-2020 Project Location: 4401 XYLAN AVE N.,MPLS,MN 55428 Project Amount: $9,655.00 Subcontractors: No Subcontractors Important Messages A copy of this'page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance,contact our Withholding Tax Division at 651-282-9999,(toll-free)800-657-3594,or(email) withholding.tax@state.mn.us.Business hours are 8:00 a.m.-4:30 p.m.Monday-Friday. How to View and Print this Request You can see copies of your requests by going into your History. This message and any attachments are solely for the intended recipient and may contain nonpublic/private data.If you are not the intended recipient, any disclosure,,copying,use,or distribution of the information included in this message and any attachments is prohibited.If you have received this communication inerror.,please notify us and immediately and permanently delete this message and any attachments.Thank you. ` Yt 117 rn , . , „,z,,,,„,,„„z,,x„, , ',*,,-,\ ,,k, DEPARTMENT .::„.‘..,: . , , ' % OF REVENUE Your Contractor Affidavit request is Approved.A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and 1. 13-Apr-2021 1 . Time: p 07.08 AM Confirmation Number: 0-690-495-264 Name: CURB MASTERS INC ID: 2207114 Affidavit Number: 1/0258/760 Project Owner: CITY OF NEW HOPE Project Number: C-19-009 Project Begin Date: 8/12/2019 Project End Date: 9/3/2020 Project Location: CIVIC CENTER PARK-PARK AMENITIES,SKATE PAD, PARKING LOT,AND LANDSCAPING,NEW HOPE, MN Project Amount: $238,368.92 Subcontractors: No Subcontractors Please print this page for your records using the print or save functionality built into your browser. 28122,1:,:28-PM tt .li*w:mn or st t ; nA /tpteservice ,. rie I C/Ttitip l OrM Q ? i. , ,a ri t : :M . : . '.. -•. ''.. -. '."4:12kt;t,,,:...1.,', 'D E PAHR T.H:i'.'.: EN I .. .• •,. ., .:: ,: ..„,.,,,,,• • _ • • - :•... - •• :M. ••. : ,•••••-•: :••-: ' - ' ' 11'. OF RE'YEN Li 'E Contractor . S m Thankyou,your Contractor Affidavit has bee approved. Confirmation:S mm ry Confirmation Number: 0,012,363,468 68 Submitted:Data and TI:rtle; 28- n-2022 1::27:.57 PM Legal Name:' ,. , Federal Employer ID: 0- 49889 User Why Submitted:: LLin a 2 Type Of RequeSt Submitted= Contractor Affidavit :Affidavitu mmar .. .N m r 144091/360 Minnesota '. 7.7921 • j. :TY. NEW. PE Projecttuber: 193804335 Project Begin Date: 1-Ma:y- 1 Project End Data: 30-Jun-2020: Project Location:; NEW HOPE CIVICTR PARK Project mount: _ $346.,902,5Q • contr tors: No Subcontractors tmortt M:e : :A..dopy:of this page must be providedt the contractor or government agency that hired you. • Contact if you need farther•assistance,contact our Withholding Tax i ision at 651-282-- , fol 4r : )800-657-3594,or(email) withholdingAax@stateolmus;Business hours :re 8:00 am...-:4K 0 p.m.Monday-Friday. Please printth.st_p . :•for.your retOrdti,.using:the:print:or save•functionality.built:Into your browser. b :hit :J Y € cior.stato.nn it i s rvi . etrieye 0 00Tti t " r ' a :FiLF: riri0c) Q 8388 7 661. V t 1.012 0122,.s. W:35 0ns VA t.. r . ..'.<.�p. :�.:. :..:>r'� t..3 r..n .:`2':,d s v� .Y:E :t f K�- :.._y ... ..�: �..-.�..;r �;� 2� is> `�L. i s . t � . ' . ..'s.t'''N\ DEPAR TMENT :,.,: ..--:,,,„,,,,,, , •.....:H-.H--,..---,, :::: : :::-...':::-., ::-.::::. •..,., .„„. . .,. . • .. „,.., •''''•' • •••• ., . . _ . ,. ' '' ,.. .... .... .. .. . . ... .: • , ,..: :: ...::,, , . ,..i.„,„,: - ••••.....::::E • • • •--\ OF. -REV" ......::: N .:LIHE- : :: • • :: ,... .:•,,z,,,,,\.;... .. ..... ::...„.: ..,. ........:....... ,....: .. ..... . ..,....:.,, ...:.... .. ........ :. :...:.......•......_.,.. ,,...,.,,.. :,.... .... ::..... : ,. :.... ..,... ......... . . : :.: .:•.:, :„. •• .:........,.. . ,. .,. . .. :Conte:at:tor.Affidavit Submitted. Thank you',your Contractors Affidavit.has been approved.. •ConfirmationSmmr 0737-$93-28O Submitted:Date and Ti.m : �0a, ..a:39:0 M Legal m : G: .:i ASPHALT CORP: Federal:Em r:i s 41-1602485 User Who Submit mh sphalt Typeof.Request S its : ntr act r Affidavit €t Affidavitm : Affidavit Number: :2063437824 Minnesota.I • 7 1 Project wn r}: 'CITY NEW HOPE Project Number: ..... ..... C- 9-009 Project Begin Date: 1-Sip- : 0 . . .. .. ..Project End Date: ... ..... 24-May-2022 ir" taon: NEW HOPE Project .mo t: ,:$225:,03.176 ::: •: :::::::: Subcontractors:: No Sia rrtr for ..•.Important.i e , s A copy of this pager r: t b .grovidod to the r tr .ct r or overs m n agency that hir d: o : Contact U • ......itf you,tited further assistance,contact Out Withholding Ta Di i ion t 651282-9999',(toil-free)800-45 `w 4,or m ii) withhold tax_ Mate mn 4*:Business-:hours ar .:8130 a m. 4:30 ..r ::Monday-Frida ; Please print thi°s!:pagg for our~:records'u i g the print:•c r save fun tion .ii b:Ltilit into:your browser. f qi t,1> xr ldatsrate: ri.u.sItpi e. nest Retrieve/0/D } 4Pa ,4pmE f ilLOOAM. l ` .I . . Pr..ett P A: ` .1 . 247 : i/l 1/11/2021 (1 unread)-general_mail@sunramconstructioninc.com-Yahoo Mail Fwd: Your Recent Contractor. Affidavit Request From: ROB SIEVERS ( round ca 6 00@gr ai.corn)To: general_rnail sunray kco structioninc.corms Date: Sunday,January 10, 2021, 11:10 AM CST Good Morning Annette, Attached is the 1C134 for the Civic project. Thanks, Megan ..------ - Forwarded: ssaq e ...--- From: MN Revenue e-Services <ese rice . dor st Date: Sun, Jan 10,?:.02;,1, rt, :47 AM 1 Subject:Your Recent Contractor Affidavit Request To: <qon apes grnailucom This email is an automated'notification and is unable to receive replies. Contractor Af d i ��t Submitted Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number:, , 0-339-333-920 Submitted Date arid'lir e: 10-Jan-2021 21 7.47,31 AM Legal Name: GROUNDSCAPE ENTERPRISE INC Federal Employer f ID: 81-4895852 User Who ub i ted: r Ground Enter Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit umber: '7p0531008 Minnesota I D: .� 5366456 Project nertl`; ITY OF NEW HOPE Project Number: 1234 Project Begin Date: 01-Jun-2020 Project End Date: 31,-Aug-2020 Project Loc .tio : CIVIC:CENTER PARK-NEW HOPE Project Amount: $4,300.00 Subcontractors: No Subcontractors Important Message A copy of this page list be provided to the contractor or government agency that hired you. Contact Us If you need further- s ist nc ,.contact our Withholding Tax Division at 651-282-9999, (toll � -fre e)800-67- 94, or (email)withholding.taastatann.us. Business hours are 8:00 a.m. -4:30 p.m. Monday Friday. . https://mail.yahoo.cam/d/folders/1/messages/ABxK Sh9yRGGX_s1 Ew5-8FZ83Ng?guce_referrer=aHROcHM6L 9tYWIsLnIhaG9vc21 h x Y bGxidXNpbmVz... 1/2 8/10/2021 https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/Dc/L8B5fNihIfAl5yhbeJOXhQ ?FILE =Print2&PARAMS =75980705694824... • Mt‘ , DEPARTMENT OF RE ENUE Your Contractor Affidavit request is Approved.A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 10-Aug-2021 7:37:22 AM Confirmation Number: 1-928-971-424 Name: LAKETOWN ELECTRIC CORPN ID: 4699810 Affidavit Number: 470421504 Project Owner: CITY OF NEW HOPE Project Number: W22430 Project Begin Date: 5/17/2019 Project End Date: 9/15/2020 Project Location: NEW HOPE, MN Project Amount: $255,250.00 Subcontractors: No Subcontractors Please print this page for your records using the print or save functionality built into your browser. https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/Dc/L8B5fNihifAl5yhbeJOXhQ_?FILE_=Print2&PARAMS =7598070569482488367 1/1 4/14/23, 11:00 AM https://wvvw.mndor.state.mn.usltp/eservices/ /Retrieve/O/Dc/MUP1 pQSxdU6L8BZvQcg7bg ?FILE =Print2&PARAMS =4296... ',.\\:\A, DEPARTMENT N, • . , : . h OF REVENUE Contractor Affidavit Submitted Thank you,your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: 1-481-397-344 Submitted Date and'Time: 14-Apr-2023 11:00:31 AM Legal Name: MARGOLIS CO Federal Employer ID: 41-0662175 User Who Submitted: MargoTax Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit Number: 937185280 Minnesota ID: 8259877 Project Owner: CITY OF NEW HOPE Project Number: 941 Project Begin Date: 03-Jun-2020 Project End Date: 27-Jul-2020 Project Location: NEW HOPE Project Amount: $49,074.99 Subcontractors: No Subcontractors Important Messages A copy of this page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance,contact our Withholding Tax Division at 651-282-9999, (toll-free)800-657-3594,or(email) withholding.tax@state.mn.us.Business hours are 8:00 a.m.-4:30 p.m.Monday-Friday. Please print this page for your records using the print or save functionality built into your browser. f https://www.mndor.state.mn.usltp/eservicesl /Retrieve/0/Dc/MUP1pQSxdU6L8BZvQcg7bg_?FILE =Print2&PARAMS =4296249650006735090 1/1 8/6/2021 https://www.mndor.state.rnn,usltp/eservicesl /Retrieve/0/Dc/ZzNxWUIGJJTq_7HP9_pxZg ?FILE =Print2&PARAMS =610049632276... ''''.,',. DEPARTMENT , -N, , . s ,,,,,,,,,,,,,,N ... _ : i OF REVENUE Your Contractor Affidavit request is Approved.A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 6-Aug-2021 9:56:13 AM Confirmation Number: 0-485-762-208 Name: PETERSON COMPANIES INC ID: 4235858 Affidavit Number: 394334208 Project Owner: CITY OF NEW HOPE Project Number: 19068F C-19-009 Project Begin Date: 7/17/2019 Project End Date: 9/30/2020 Project Location: CIVIC CENTER PARK,4401 XYLON AVE N, NEW HOPE MN Project Amount: $60,157.00 Subcontractors: No Subcontractors Please print this page for your records using the print or save functionality built into your browser. https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/Dc/ZzNxWUIGJJRL7HP9_pxZg_?FILE_=Print2&PARAMS =6100496322754944805 1/1 ''' .. -.. .. .:-Itt*: D E PA'RTM,Et'•4,:''T- . -,k‘,.\\N ".,.::, , ,,::. ,.• .::.:-...- :.:. :.,,.:.-,.,-,,...-:...-. -,..,. ., '''''‘‘ -:0 F . R EiV EN U."E orn tact rAffidavit Submitted thank you,your Contractor Affidavit has been approved. Confirmation Summary'y' . Confirmation: umber, • :0-440-629-344 Submitted.Date and Time: . 21-Mar-2023 2:1 8:33 PM Leal a m : :SAFETY SIGNSL. Federal Employer la: 4149R-1E774 User Who umitted; beth nova Type ofRequest: ubmittod Cor tractor.Afdavit Nffidavit Summate Affidavit mambo: 2049986560 Minnesota 10: 51. 9:5 Project Owner: NEW •oPE,QITY OF Prof ct Number: ITY PROJE T NO.,941:&994 Project Begirt Date:. 09-Oct-2020 Project End Date: 04-May-2021 'rb t Dora ti r: CITY OF NEW HOPE I' I CENTER PA CITY HALL.& • .. .. POLICE BUILDING Project.Amount: 7:,630..00 . Subcontractors: l o: ubcontractors mportant: sage : A copy Of this page must be provided:to the::contractor or overnment agency that hired you. on act;Ps y u nee further:a ss¢ancej contact o r:Withholding.Tax Division'at 651-282-9999,(toll-free) J00"'6V735w4,:or(email):w1thhO#din .tax StTa an„us�Bs ne hou R:.:, .are ft.00 a,M.44:30.p.. .Monday...Friday. :lease l',,rir.it this p for your records.using the print or save.funott.onality.built into your browser. FW: Your Recent Contractor Affidavit Request From: Brett and Tarnmy Simon (info@simonbrickandstone.com) To: generaLmaii@sunramconstructioninc.com Date: Thursday, December 29, 2022 at 11:23 AM CST Please see below and attached for your records. Tammy Simon Simon Brick and Stone Co. 507.665.5156 From: MN Rev6nue e-Services<eservices.mdor@state.mn.us> Sent:Thursday, December 29, 2022 11:19 AM To: Brett and Tammy Simon <info@simonbrickandstone.com> Subject:Your Recent Contractor Affidavit Request This email is an automated notification and is unable to receive replies. Contractor Affidavit Submitted Thank you,your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: 0-970-166-176 Submitted Date and Time: 29-Dec-2022 11:18:47 AM Legal Name: SIMON BRICK&STONE CO Federal Employer ID: 41-1990082 User Who Submitted: simonbrick Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit Number: 1027444736 Minnesota ID: 5111676 Project Owner: CITY OF NEW HOPE Project Number: C-19-009 Project Begin Date: 01-Oct-2019 Project End Date: 15-May-2020 Project Location: NEW HOPE Project Amount: $62,928.55 Subcontractors: No Subcontractors Important Messages A copy of this page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance,contact our Withholding Tax Division at 651-282-9999, (toll-free)800-657-3594, or(email) withholding.tax©state.mn.us. Business hours are 8:00 a.m.-4:30 p.m. Monday-Friday. How to View and Print this Request You can see copies of your requests by going into your History. 1/12/2021 https://www.mnd or.state.mn.usitp/eservices/_/Retrieve/O/Dc/6CYm18n Nu iH U Fla ijOw9Rg ?FILE =Print2&PARAMS =424867057447... rivit‘ DEPARTMENT 1111 1111 OF REVENUE Your Contractor Affidavit request is Approved.A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 12-Jan-2021 9:09:04 AM Confirmation Number: 1-418-711-840 Name: SIR LINES-A-LOT INC ID: 3509324 Affidavit Number: 357044224 Project Owner: CITY OF NEW HOPE Project Number: C-19-009 Project Begin Date: 10/1/2020 Project End Date: 10/31/2020 Project Location: CIVIC CENTER PARK-PARK AMENITIES,SKATE PAD, PARKING LOT,AND LANDSCAPING Project Amount: $9,800.45 Subcontractors: No Subcontractors Please print this page for your records using the print or save functionality built into your browser. https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/6CYm18nNuiHUFlaijOw9Rg ?FILE =Print2&PARAMS =424867057447569223 1/1 • E ••EI is is .L AL INSTRUM N ':anti` : : re ei-t.si i1.:t'to this r l , 5< ATO E ,, /202 ate) Then. t THREE ' U A D IX:•• t (Amount: �:.�...�...� r c.a� N AM CONS y • . .ofPa of ,tai .'�'`�: �.'";T :. .:_ ....... ......:.. IVC CENTS _ .: . . ... ........ i: �' ec a sic .lie t date hereof but a Brit has beep :.....:........ . � .�� ��.�� - :�the �� ,. . b � • • ••••••,.f:::::.:.•*"7.7.;r:ti)Hi:,.:0,5H.:•-•HH:.:::H:...... ........ .............. ... ... • :11 . Y • • �. • • • • • r . .. .... . ... . . .. flt'-t':UNRAM CONSTRUCTION:..,Inc • • . 1X : • + ' E (763)4 0 A (763)494-395 ....... ... . . .. IPT ASD WATVLRME H. N '' LIEN RIGHTS ha important i.at.tie.f'oll0*i directions to y fo od. otherwisetbp receipt WI Nom'SK.ACCEPTEDt . This..is.a.LEGALINSTRUMENT and ust'1 e e ecuted ac rdinglyb ofcers f oratio l is i portant:t t e. x .. com plea d t e. :MOUN PA :.. R. if...00404t date,':so:'s :te, '. P D TAI TA :S2 45:L24 waiver:of 4e,0.1167.40: :for l plumbing,.heat . . :plasteTirig materials,etc. • .NO.:ERASURES OR ATJE O S UST: :MA . 815;120211 Date undersignedac rmo l c .: s #recut: ent .......... • (; .aunt.Pr) Sr • 'romS NRAM : NST RUC INC,; cel';Payor) : �.' erg a�. `INSTALL THE OM ETE:.I RIGATI N STEM: � fined eliv red or r*.bed tip or°perlor ie.•a CE TE PAR ::-, IT ' .NEW HOPE tree.Addre•ss t f.Leg r arid.:tbr value received . .. vest 4 rights which mai i.b4ve 0000 .c •d :Vac e'rs gnto•'I e m . anilien . ai Std.'premises for labor, or m to f. ..ed.to soi.t.ti s r r .0.t of but•.. a. tent has bee . iat e ohet.k.and t r i valictP Ire :al b . s ' a (Company:Name, • •••'!1:411.A:ALOHii. :...,..: ....... . .. ... . . • -1 (tented Name (Ad - :I/V1.r4: •:... •• . . Code) 'S,ON 1 FIO; : U RAM.. O TRUC i t!f :20010 75TH AV&NORTET CORCORAN MN 534 :OFFICE (70!)4p.;1140... 783)4201 0. FAX (763i494-3951 RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS N.B.-Itis important that the.following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: . l.. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporation and by partners in co-partnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3. If payment is not in full to date,so state,SHOW UNPAID RETAINAGE$8,634.36 4. .A receipt similar to this or legal waiver of lien rights will be required for all plumbing,heating and plastering materials,etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. 6/30/2022 (Date) The undersigned acknowledges having received payment of $144,256.05 ONE HUNDRED FORTY FOUR THOUSAND TWO HUNDRED FIFTY SIX AND 05/100 Dollars, (AountPaid) From AM CONSTRUCTION INC in FULL payment of (Naof Payor) • all LANDSCAPING-TREES, SHRUBS, PERENNIALS, STEEL EDGING, ROCK, MULCH, SOD (Kind of Material or Labor) by the undersigned delivered or furnished to (or performed at) CIVIC CENTER PARK- CITY OF NEW HOPE w. (Street Address of Legal Description) and for value received'herby waives all rights.which may have been acquired by the undersigned.to Zile . mechanics'lien agai.n.st"'said premises for labor, skill or material furnished to said premises prior to the date hereof but payment has been.made by check and this lien waiver is not valid until said check has cleared all banks. Autumn Ridge Landscaping Inc. (Company Name).. Givielleo (Signature) Joe Grygelko- President - (Printed Name and Title) 8940 Greenfield Road Loretto, MN (Address) Loretto, MN 55357 (City/State/Zip Code) PLEASE SIGN 8,RETURN TO: SUNRAM CONSTRUCTiON.INC 20010 75TH AVE NOR'T'H:• CORCORAN MN 55340. OFFICE (763)420-2140 FAX (763)494-3951 RECEIPTAND WAIVER OF EC. A c-S LIEN..R G TS • It i r: ori .n"::t . . the•i tlo :€gig•directionse ios: t.:followedNOT. �. . ;: a ' ga LEGAL INSTRIIM:H I a d. st be.executedy:b..Y Y: w , ., It is i po ant that ALL tI e.blanks be completed:and the, mNTPAIL) P. HOW a.. If'pa,=>x gn.t z not 01 lull to date,s .stater,SH( P . :E `AI At� 0 ,3. too.iip z ,4..1.i) . ..q14. 0d or an tiiturObjng, e fn <. t at.rvig ,Qtc, ., NO E`R .zSU :E OR ALTERATIONS NIU T E MADE 8/5/202:: (Date) undersignedC k: O .g : havirig.toive0 paythent SIXHOU AND tEH RED SLXTY SIX• k N• :16/100 ........ ........ :From N: A•M ::�O• . T CTIOINC . S: ::.e. t e " all9b 8 F MER• T; R MONTAGE'� G .MAJESTIC. O TTOM FENCE' tK .d:•of Material or Laos y tc:: i.� deliveredfurnished o T rfo�� e � DENTE PARK:.-• `Y:OF NEW HOPE: • r b. :•w . :..r ht --which may-have been acquired'by-the undersigne.0, u. a � i ! Et.fgaih.st . g : :skill o u. ' h:.. +.te her .f but. pppttie $.•# s , . .w .G�✓ 4gid thi S lien. Y er . : arks. • --• N'.. .I '. • • • (Printed Name and'`i Iet po ox 12,6 . „.. . . . . ... . .. . . 574p.3 City tate/Z Coit) • SIGNR.ETU N QQNSTRUcTION 20010 75TFLAVE NOR OFFICE' ` 32w2 : FAX (763)4943951 RECEIPT AND WA VER OF MECHANICS` LIEN RIGHTS N,B,-It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: T. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporation and by partners in co-partnerships. 2, It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. • 3. If payment is not in full to date,so state,SHOW UNPAID RETAINAGE$482,75 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing,heating and plastering materials,etc. 5, NO ERASURES OR ALTERATIONS MUST BE MADE. • 8/5/2021 • (Date) The undersigned acknowledges having received payment of $9,655:00 NINE THOUSAND SIX HUNDRED FIFTY FIE,AND NO 100 Dollars, (Amount Paid) may% l4S •.l • From .SU RAM CONSTRUCTION INC in FULL payment of (Name of Payor all CAULK 1/2 EXPANSION JOINTS, CAULK NEW SIDEWALK TO BACK OF CURB (Kind of Material or Labor) by the undersigned deliveredcar furnished to (or performed at) CIVIC CENTER PARK- CITY OF NEW HOPE (Street Address of Legal Description) • and for value received hereby Waives all rights which may have been acquired by the undersigned to file mechanics'lien against said premises for labor, skill or material furnished to said premises prior to the date hereof but paent has been made by check and this lien waiver is not valid until said check has cleared all.banks. ;. . Carciofini Comp..ny • .,. f$. l (Company Name) • Adt.4\.LeAdikir (Signature) GPederson...Cont roller (Printed Name and Title) • 12101 Nicol et Ave., • (Address) Burnsville,MN 55337. (City/State/Zip Code) PLEASE,'SIGN 8.RETURN T ; UN :AM CONST .UCTI N INC; 20010 75TH AVENORTH CORCORAN MN 55340 OFFICE . (763)420-2140 • FAX (763)494-3951 ...RECEIPT:AND,WAIVER-OF MECHANICS' LIEN.,RIGHTS .r.K` I to.itripottatit thilt the.followingdirectionsos ly follOWed 4s-otherwise-the r.. I .N'. a • 1,, This is LEGALINSTRUMENT and..must be:executed.accordingly:by-officers:of c rporati n:and y.partners in copartnerships. • : _ if4Portant that b1.40.k.Sb completed Arid:the.AMOUNT:PAID BE HOW 3, If PaYtttht stlOt date,ISO.:state;SHOW.UNPAID--RETAINAGE$17;209,60 y rete t.si..mi a to this or legal waiver lien�.fights ill be required-for all:plum x in heating nplastering: et-c.• . • . NO'ERASURESOK ALTERATIONS::14U T B ADE • (Date) Ttle undersigned .cknow edg s.ha.v ng r c . Ym :of ,:$235,985R g TWO HUNDRED TH RTTHOUSAND'NINE.HUNDRED EIGHT F E & 311:0.. . 'D5111 .93,1, • (amount gad. . Fr n X13 N :CONSTRUCTION INC ::FULL paymento (Name o aYr :CURB&GUTTER,CONCRETE WALK,. ONCRE E PED RAMP,.TRUNCATED .D M E o Mater is 0..L.' by the nd era ne d: ere : niche .t (or r b.rn :CIVIC EN ER A:RK a..CITY•OF NEW:HOPE ( fret d ° ss <>47-Legs Description) and•for.value received hereby•awes which:may have bietri,.acquireds by the•undersigned tO:file mechanics_ lien ga said.pr mises fbr labor,:skill.or Material: r .i h . :ate:.hereolbqt been made by•check and this lien waiver js..riot Ivsolid:untilhek . :• • • le Vis... . •`• ' • .w... .. v�v y'T ... • wv • W^. n N S:,qY��{ • \�Y'."'a. 3a'd v k.4'+x��Ld�, it't GL•:ti A1.��. ". / • • Mark President (PrintedName : _ . :49$.F.408.7:011 Avenue uth , 55:075 (City/State/Zip code .UN AM N TRU .ON: N 20010 #` T AVE NORTH. .R:A.N MN 55:34.0 O FFICF; 11.63)420-t2140 FAX. (763480951: ..v.v...�.•.v:�::...�.:::�•..:�v.v::�:.�.:v�:::�.�::.:.�'....::v::::�'.:v..:�:::::�•:.::::.::��•:•::�:i:i�i:i•: :.ln'lti•:vl:V::�� �hhX�\C "'i::iii::•.::•:::•:::iiiiti�::i•:i:%•:i•:i::i:: '..... .....:v:::•:...................:.v.::::.:.:v.v:v�.�:::.�:.:....: ..v.v,n..,l..\.:...:...v ...... v.v..:v:......1.:\..vx..:....:n.... .....,.�� ....::. MKf�ptlX$HC+,KCCQCCt000CQQC?CQ�,: \,'�,,,:�.;......�. : •• AND!WAIVER Offs'.MECHANICS' LIEN:RIGHTS:: •. .• . ••• •••••• • • • • ••• •.• • . •••• N IA it s itoportalit.that the:f.dilowioviimotions...be closeh tollowed as Othtrivist:thp.:jr000:iptWitL.NOT-13.E.AQCEPTEM: 1, 1,4c1-.41,'1..s.4.175T.Til.11VJENT,and.it-14$t be executed accordingly broftiooli:oftoporation Ar10.14y:11.4110?4,!...... 2. IL:ig importtilt tiat A tca.014410 t*:completed Ahd.ithe AMOPNT..:PAp BE stiowx, 3, H p4y4104t is riot in fiti ii date,0.0 state SHOW UN..PAID1RETAINAGE,$1:507.:.1,67 A rietipt:$itrli..14r to 044:pr...10goti:vocaivordt. iii.gtit. *.i.ti.b0. 0qui.redif.o.r altplumbing,-;..fitolingiand plastering . NO.:EKASURES alt ALTERATIONS MUST BE MADE, 6/.28/422. .......•............... • ••••. ...• .0)ato The uncl.f.r.signed..acknowledges having received payment of 34J,433.4S ....... ::.:.....:••: : •-• . •: ('H REE flUNDRED FORTY THREE THOUSAND FOUR.HUNDRED THIRTY THREE AND'.1$:.f.),.:00. Dollars, :. •••••:: . . .... . ..•. . .. .............. ....... From . ',131.JNAkri CONSTRUCTION INC in: payment•.. . ... .. ......... • . ..... . .. .......•:.... t:of r• 411 ...:..WATER:MAIN,::$•ToRM$EWER,.GATE VALVE:4130x;AND WEIR WALL (K4.14.4,('MAitetti41'dt e by:the undersigned (or performed.: .. . . ....... . .„ . . •••• . . OF:NON HOPE CIVIC ... ... •• • • . • ..: ............ . . ($tr.:1'.0,it..Add06i.:iif L000 Description( .400 for:value:rective0tiettby All right$4.*hith:may:have::been acquired.hytheuriarsigoot1::to filio! •,... mechanics lien against said promises,kir Labor.•skill:or material: t.he. • date hereof but,paytturif:haS,'Otetti made by check and -lien..waiver is not valid tettil.004 check has ,cleared all banks. . ..• . : C C: 3 • •. :-."1Z• .... .. C . \1:—. - . • . It.niip in Ninir ••• • ‘. :X; Is - • \ • • • • iiPtiotett Nomei and Tititl. ..7- • :.4*'.-8(\: cLa'• .... : . .... . .: S'3)!•\ ...... .. . . :........ . . . . ........ . g;f:ty,:$1,a014i0. • PLESE • , . •• $710N •.,:4E..171.0RN::170:. SUNRAM.CONSTRUCTION INC 2001.9.75TH AVE NORTH 00R.CORAN MN 553140. OFFICE: .:(7. 3),.4;0;.214c.i!, • . . F;AX (783)4943951 ., . . • -•'. .•• RECEIPT AND WAIVER OF MECHANICS` LIEN RIGHTS N.H,-It is importantthat the following.directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: 1. This is a LEGAL INSTRUMENT N and must be executed accordingly by officers of corporationandby partners in co-partnerships, 2, It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3, If payment is not in full to date,so state,SHOW UNPAID RETAINAGE$14,384.19 4, A receipt similar to this or.legal waiver of lien rights will be required for all plumbing,heating and plastering materials,etc. 5. NO ERASURES OR ALTER/MONS MUST BE MADE. 10/20/2022 {.Dated The undersigned acknowledges having received payment of $225,933.76 TWO HUNDRED TWENTY FIVE THOUSAND NINE HUNDRED THIRTY THREE&76/100 Dollars, (Atmoun.t Paid) From ‘SUNRAM CONSTRUCTION 1NC in FULL payment o:. (Kane of Payor) 'oi` all SF12.5 NON-WEARING COURSE MIX AND SP9.5 WEARING COURSE MIX • (Kind of Material or Labor) by the undersigned delivered or furnished to (or performed a.t) CIVIC CENTER PARK--CITY OF NEW HOPE (Street Address of Legal Description) and for value received.° .ereby'waives all rights which may have been acquired by the undersigned to file mechanics' lien against'said premises for labor, skill or material furnished to said premises prior to the date hereof but payme has been made by check arid this hen waiver is not valid until said check has cleared all banks. • r:.. • 11\0( � . 1/1 11 y) • • r pan Name) • (Signature) 111FdwitA (Printed Name and"Title) hate Corp' . _ - a �1F3 84-2 s (Address) 95 (City/State/Zip Code) • 6 PLEASE SIGN&R �I URN TO: • SUNRAM CONSTRUCTION INC; 20010 75TH AVE NORTH • ORCORAN MN.:55340 OFFICE (763)420-2140 FAX (763)494-3951'. RECEIPT AND WAIVER Of:MECHANICS'.:LIEN RIGHTS N It is Important that the following directions be closely followed as otherwise the receipt WELL NOT BE ACCEPTED:: 'Thisis a:LEGAL INSTRUMENT and must be..executed:accordifigikbkoffittrs:of corporation and by:partners in to,partnetSbipS:.. 2:.. It is important alas:ALL-the blanks be..corntil6t6ii.and the AMOUNT PAID BE SHOWN payromt:I!.not in full to date,so state,.:$1:4:QW UNPAID RETAINAGE$21184 similar to:this:or pgal waiver:Of lien:rights:will be required for all plumbing,heating and t piastorifitirtaterialS, NO ERASURES OR ALTERATIONS MUST BE•MADEs• 8/5/2021 (Date) The undersigned acknowledges haring received payment of :$4;236;75FOUR THOUSAND TWO HUNDRED . THIRTy.sDC.AND:75/100 Dollars, From , §rpN^RAIVI CONSTRUCTION INC :in FULL payment of (Nan*of Payor) 411. • EROSION CONTROL:BLANKET 2;421 by:the undersigned delivered or fixrnishied to:(or performed at) CIVIC.:CENTER:SPARK CITY OF NEW HOPE - • (StrediAddre66.:or.L6.01 Description( and for value received hereby•wp.ivesalisi7j-ghts which may have been acquired by:theundersigned to tile Mechanicslien against said premises for labor, skill bt.Material-ftirnished to said premises prior to the: date'hereof but p4yznett h4 been made by check and this lien waiver is not validuntil said check has: cleared all,banks,: '• .. ... .... r •• ••••••• .... ... .. Name) . .1Ik- -." ..... .. (Signature) idS TrVe • S jeve """jTPFiifjrNtttot and Title) •:. . (Address): ; N '553r). .(c,ttyistottlzip(.o&): PLEASE SIGN&RETURN TO . SUNRAM CONSTRUCTION INC 20019 75TH AVE NORTH : CORCORAN MN 55340 OFFICE (763)420.4140s FAX (763)4944951 RECEIPT, .:WAIV R. F€„ MECH N CS LIEN.RIGHT:.. y7 T., t i r t � .: .. It i m ort : t.AL : :e: l .. be 'tj $: 1 0:: i d..'6..:;11:.1 bilbiti : ga. o ,o . N SUE: .LTERTI NS MUST MADE. 10/202 (Dual) r . acknowledgeshaying receivedpayment : ... xt : .. F row • ��` � � '°" '`:� �` . ... -meiat ' • •::( r: ..of e .l or;Lebon .. • .. b the under net. lir o furnished t o • • FEW •• .N (Street Ad rnof Le l'Ds . o ) sa • m ec i-°: 1 cleared all : a . . }} :.. .(Print d.Nab i t'',: . .... . ....... ` w • • • • . Citx ,. PLEASE SIGN: RETURN TO: .... ... . NM CONSTRUCTION INC 20010 75TH : TH n:, RECEIPT AND WAIVER OF MECHANIC ' LIEN RIGHTS N.B.-It is important that the following directions be closely followed as otherwise the receipt,WILL NOT BE ACCEPTED; 1, This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporation and by partners in co-partnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN, 3. If payment.is not in full to date,so state,SHOW UNPAID RETAINAGE$3,307.12 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing,heating and plastering materials,etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. 12/21/2022 (Date) The undersigned acknowledges having received payment of $49,074.99 FORTY NINE THOUSAND SEVENTY FOUR AND 9 100 � :Dollars, (Amount Paid) From SUNRAM CONSTRUCTION INC in FULL payment of (Name of Payor) all COMPOST EROSION BLANKET BLOWN MN DOT 25-151 SEED • (Kind of Material or Labor) by the undersigned delivered or furnished to (or performed at) CIVIC CENTER PARK-- CITY OF NEW HOPE Street Ad • ( dress of Legal Description) and for value received'hereby waives all rights which may have been acquired by undersigned undersi ed to file mechanics' lien against•said premises for labor, skill or material furnished to said premises prior to the date hereof but payment:has been made by check and this lien waiver is not valid until said check has cleared all banks. Margolis Company (Company Nam Air; (Signature) re) Chad Baran, Vice President (Printed Name and Title) 295 Larpenteur Aare W (Address) Roseville, MN 55113 (City/State/Zip Code) • PLEASE SIGN 86 RETURN TO: SUNRAM CONSTRUCTION INC,. 20010 75TH AVE NORTH CORCORAN MN 55340 OFFICE (763)420-2140. FAX (763)494-393 • RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS • N.B.-It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: 1. This is a LEGAL INSTRUMENT.and must be executed accordingly by officers of corporation and by partners in Co-partnerships. • 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN, • 3. If payment is not in full to date,so state,SHOW UNPAID RETAINAGE. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing,heating and plastering materials,etc. 5. NO ERASURES OR.ALTERATIONS MUST BE MADE. • 1/16/2023 (Date) • The undersigned acknowledges having received pa rinent of $60,157.00 • • • SIXTY THOUSAND ONE HUNDRED FIFTY SEVEN AND NO/100 • - Dollars, •.(Amoun t Paid) • From SRAM:CONSTRUCTION INC in.FULL payment of (Name of Payor) „�....�., all •DRINKING:FOUNTAIN,WOOD SEAT TOP,BICYCLE RACK,FLAG POLE,METAL BENCH '(Kind of Material al or Labor) • • by the undersigned..delivered or furnished.to (or performed at) CIVIC CENTER PARK- CITY OF NEW HOPE (Street Address of Legal Description) • and:l'or value received hereby waives all rights which may have been acquired by the undersigned to file mechanics'lien against sai.d,pr.emises for labor, skill or material furnished to said premises:prior to the date hereof but payment has been made by check and this lien waiver is not valid until said check has cleared all banks. • • PETERSON COMPANIES.-INC _ • :( ©npany Name) • .. �. — (Signature) • • • (Printed Name and Title) • 8326 WYOMING TRAIL (Address) CHISAGO CITY MN 55013 (City/State/Zip Code) • PLEASE SIGN 86 RET RN TO: • SUNRAM CONSTRUCTION:INC • 20010 75TH AVE NNOR'I'H • CORCORAN'MN 55340 • OFFICE E (763)420-2140' . • FAX (763)434-3951 RECEIPT AND WAIVER F MECHANICS! LIEN RIGliTS , :14.,T3.,--It is:important.thi4:th,O:foliowitig...4frec'lioos bp:cjppelyiblityvvd:..a.$:otherwise:the reoei:14 WILL.NOT BE:AMEFIED:', • 2. II.s.Im ortant h i, .U..the ian s::be completed and the:AMOUNT.PAID BES W, , 3 • If PaYm ent:Is'pot in. ull odate,so state,"SHOW•UNPA. .ET N GE: 8 O, o 4. A receipt similar to finis o l :' ewer-of'lien rights:*ill be required for all plumbing,:heating-404 plastering . . iai ,tbrx : Y , N y .IS TS:RYAL!EicTI N MUST BE MADE, 3/211 . 2023 (Dat . ..... .. ..... The .w erst d.acs no v having rawed p m t SEVEN:' O US :. SIX HU REE) RT SNI•N I 1A"io :t Paid) UNCONSTRUCTION. a .ncI o.Material or Labor the..underSigned.delivered.or Y: tx to ' cr b me (streetAddress: f41: Serb . • : . ralu r ec i ebb waives alli its:whichacquired . :hancs! . .. i s std premises . for a or skill r mal .. . 'said .. . and. : .date� r ' . , to .:ma •b check th� l`.�.� ����r�� ct lid'until.��.dcheck has::cleared baflk � 2 ' ;_. , t r 'SAFETY NS ' , ( omp mly Nam3-ae : ` in,.. ad.''E.,} .tEk.. `fib.. _L_____....... ...._ '''. fl IS 1. • i4:::)-'11::: ,(:,:> (Pr t:Etta Name 404 .'tie . 119784.KENRECK ` -. c ' • .: .: . A.KE IL E.MN 550 (City/.State:/ i. Code}, • : PLFASE SIGN:&RETURN O , U N:R M::CONSTIWcTION iNe 2001.0-75TH- . O N ORTh : : QOIRCORAN MN:553491' OFFICE (763)420-2140.: -. , lam, (763)494-395 RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS N.B.4 It is important that thefollowing directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: I_ This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporation and by partners in co-partnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3. If payment is not in full to date,so state,SHOW UNPAID RETAINAGE$4,853.27 4. A receipt similar to this or legal waiver of hen rights will be required for all plumbing,heating and plastering materials,etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. 12/21/2022 (Date) The undersigned acknowledges having received payment of $60,880.00 SIXTY THOUSAND EIGHT HUNDRED EIGHTY AND NO/100 Dollars, (Amount Paid) From SUNRAM CONSTRUCTION INC in FULL payment of (Name of Payor) all PRECAST SEAT WALL, ORNAMENTAL FENCE BASE, PIER 86 CAP, PRECAST MONUMENT SIGN (Kind of Material or labor) by the undersigned delivered or furnished to (or performed at) CIVIC CENTER PARK- CITY OF NEW HOPE (Street Address of Legal Description) and for`value received hereby waives all rights which may have been acquired by the undersigned to file mechanics'lien against said premises for labor, skill or material furnished to said premises prior to the date hereof but payment pas been made by check and this lien waiver is not valid until said check has cleared all.banks. Simon Brick and Stone Co. (Company Name) ganunij Simon (Signature) Tammy Simon, CFO (Printed Name and Title) 31285 241st Avenue (Address) Le Center, MN 56057 (City/State/Zip Code) PLEASE SIGN 86 RETURN TO: SUNRAM CONSTRUCTION INC 20010 75TH AVE NORTH CORCORAN MN 55340 OFFICE (763)420--2140 FAX (763)494-3951. RECEIPT AND WAIVER OF Ec NICS LIEN RIGHTS It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED: I. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporation and by partners in copartnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3. If payment is not in fult to date,so state,SHOW UNPAID RETAINAGE$490.02 . 4. A receipt similarto or leggy..waiver of lien rights will be required for all plumbing, aatinand plastering . NO ERASURp OR ALTERATIONS.MUST BE MADE. 8/5/2021 (Date) e The undersigned acknowledges having received payment of ........ .. .... .... eek.....................:....::.•.•::::. .........;. NINE THOUSAND EIGHT HUNDRED AND 45/100 Do .h (Amount Pa � .. .9.....kY... w .(iR�. � • .kY ew u o ., , ,,..aeYM.. From SUNRAM CONSTRUCTION INCin FULL payment of . . (Name 0 Payer)- ,.:•................ all PEDESTRIAN CROSSWALK, SOLID LINE PAINT,PAVEMENT MESSAGE ADA symBoq Wind of Material or Labof) by the undersigned delivered or furnished to(or pertbrmed at • CIVIC CENTER PARK-CITY OF NEW hO E (Street Address oDescription) .. : '. .: ..,...�.. .. ... '.•..'mTOAD➢DO�id4DPDi. and for value received hereby waives all rights which may have been acquired by the undersigned to file mechanics'lien against said premises for labor,skill or material furnished to said premises prior to t date hereof but paymentpayment.has been made by check and this lien waiver is not valid until said check has cleared all banks. Sir Lines- -Lot LLC. (Company Name) 1.1 icgtiStu Teresa Johnson Controller • Print Name and Title 7175 Cahill Road (Address) City/State/Zip €d PLEASE SIGN &RETURN TO: SUNRAM CONSTRUCTION INC 20010 75TH AVE NORTH COR,CORAN MN 55340 OFFICE (763)420-2140 FAX (763)494-3951 Bond No. 54224938 CONSENT OF SURETY OWNER DI TO FINAL PAYMENT ARCHITECT 0 CONTRACTOR Li AIA Document G707 SURETY 0 (Instructions on reverse side) OTHER 0 TO OWNER: ARCHITECT'S PROJECT NO,: (Name and address) City of New Hope 4401 Xyl on Avenue North CONTRACT FOR: New Hope, MN 55428 PROJECT: CONTRACT DATED:March 25, 2 019 (Name and address) Civic Center Park - Park Amenities, Skate Pad, Parking Lot and Landscaping, New Hope, MN In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and addr`s!'I/•Surety) United Fire & Casualty Company 118 2nd Ave. SE Cedar Rapids, IA 52407 SURETY, on bond of rinser/name and address o/"corttrat'wr Sunram Construction, Inc. 20010 75th Avenue North Corcoran, MN 55340 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor toy shall notrelieve r � l�l� � y � [ � � thy.Surety t� of any of its obligations to (Insert name and address of Ou ltcr) City of New Hope ' 4401 Xylon Avenue North New. Hope, MN 55428 OWNER, as set forth in said Surety's bond, IN WITNESS WHEREOF,the Surety has hereunto set its hand on this(late: March 21, 2 023 (Insert in ter/ttrzt'the month jblloteed b.)the numeric dcee and..rear) United Fire & Casualty Company (Surety) iiil1/4„____,, ULt , „e_e___ : (Signature()/'allth()''''ed 1''preseiltative) ,Attest: (Seal): (}1 Nicole M. Coty Attorney-in-fact (printed name drill lith) 1 111 I 11 1 ' T'` p . i a noriginal ffi � e t �s caution y ir i � ' � 1sign original sur ill not be obscuredl when documents are reproduce,,W W) See Instruction or Limited License r Reproduction of this o . iAICA DOCUMENT G707•CONSENT OF,SI',Rl'I'Y'ID FINAL PAYMENT• 1,-)94 EDITION••MA l 1994•l'Iili AMERICAN I.NSTI UTE OF ARairr !"S.1'3S NEW YORK.AVENI-FF NW,WASH- ,,,,,,: 20006-5292,• WARNING:Unllcenaed photocopying violates U.S.copy' right laws and will subject the violator to legal pros: ution. UNITED FIRE&CASUALTY COMPANY,CEDAR RAPIDS,IA Inquiries; Surety Department UNITED FIRE&INDEMNITY COMPANY,WEBSTER,TX 118 Second Ave SE FINANCIAL PACIFIC INSURANCE COMPANY,LOS ANGELES,CA Cedar Rapids,IA 52401 INSURANCE CERTIFIED COPY OF POWER OF ATTORNEY (original on file at Home Office of Company—See Certification) KNOW ALL PERSONS BY THESE PRESENTS,That United Fire&Casualty Company,a corporation duly organized and existing under the laws of the State of Iowa;United Fire&Indemnity Company,a corporation duly organized and existing under the laws of the State of Texas;and Financial Pacific Insurance Company, a corporation duly organized and existing under the laws of the State of California (herein collectively called the Companies),and having their corporate headquarters in Cedar Rapids,State of Iowa,does make,constitute and appoint NICOLE M. COTY, AMANDA PLANTENBERG, ERIN J. POHLMAN, JACQUELINE RILEY, NICOLE SAJI, JESSICA A. OLSON, BRIANNA MUMM, EACH INDIVIDUALLY their true and lawful Attorney(s)-in-Fact with power and authority hereby conferred to sign, seal and execute in its behalf all lawful bonds, undertakings and other obligatory instruments of similar nature provided that no single obligation shall exceed $50 000,000.00 and to bind the Companies thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of the Companies and all of the acts of said Attorney,pursuant to the authority hereby given and hereby ratified and confirmed. The-Authority hereby granted shall expire the7th-day of July,-2023 unless sooner revoked by-UnitedFir-e- Casualty-Company; an � ya United Fire&Indemnity Company,and Financial Pacific Insurance Company. This Power of Attorney is made and executed pursuant to and by authority of the following bylaw duly adopted by the Boards of Directors of United Fire&Casualty Company,United Fire&Indemnity Company,and Financial Pacific Insurance Company. "Article VI—Surety Bonds and Undertakings" Section 2,Appointment of Attorney-in-Fact. "The President or any Vice President,or any other officer of the Companies may,from time to time,appoint by'written certificates attorneys-in-fact to act in behalf of the Companies in the execution of policies of insurance,bonds,undertakings and other obligatory instruments of like nature.The signature of any officer authorized hereby,and the Corporate seal,may be affixed by facsimile to any power of attorney or special power of attorney or certification of either authorized hereby;such signature and seal,when so used,being adopted by the Companies as the original signature of such officer and the original seal of the Companies,to be valid and binding upon the Companies with the same force and effect as though manually affixed. Such attorneys-in-fact,subject to the limitations set of forth in their respective certificates of authority shall have full power to bind the Companies by their signature and execution of any such instruments and to attach the seal the Companies thereto. The President or any Vice President,the Board of Directors or any other officer of the Companies may at any time revoke all power and authority previously given to any attorney-in-fact. IN WITNESS WHEREOF,the COMPANIES have each caused these presents to be signed by its tlll�l vice president and its corporate seal to be hereto affixed this 7th day of July, 2021 4 II �;�{9 ��,�,r <CO �� Il - -,_ UNITED FIRE&CASUALTY COMPANY .ff �irr:Vi' a-.'a ��fl �'t 1. (1 y w � �" t(k .:71 LOEI ogAir 'e r 4 coaFoRATE9 0 r ,q o 4�t;. UNITED FIRE&INDEMNITY COMPANY {��lJIlltttilt~\t {�r � `t�a FINANCIAL ANCIAL PACIFIC INSURANCE COMPANY SEAL IV 01986 octs 9- - } I!� ti , rllrl1111tlti, By• State of Iowa,County of Linn,ss: Vice President On 7th day of July, 2021, before me personally came Dennis J. Richmann to me known,who being by me duly sworn,did depose and say;that he resides in Cedar Rapids,State of Iowa;that he is a Vice President of United Fire & Casualty Company, a Vice President of United Fire & Indemnity Company, and a Vice President of Financial Pacific Insurance Company the corporations described in and which executed the above instrument that he knows the seal of said corporations;that the seal affixed to the said instrument is such corporate seal;that it was so affixed pursuant to authority given by the Board of Directors of said corporations and that he signed his name thereto pursuant to like authority ,and acknowledges same to be the act and deed of said corporations. co t Judith A.Jones Iowa Notarial Seal .1r.4Commission number 173041 -�-- . tall Notary Public —ow:. My Commission Expires 4/23/2024 My commission expires:4/23/2024 I,Mary A.Bertsch,Assistant Secretary of United Fire&Casualty Company and Assistant Secretary of United Fire&Indemnity Company,and Assistant Secretary of Financial Pacific Insurance Company,do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Section of the bylaws and resolutions of said Corporations as set forth in said Power of Attorney,with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID CORPORATIONS,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. In testimony whereof I have hereunto subscribed my name and affixed the corporate seal of the said Corporations this 21st day of March ,20 23 tittit".'1sx nen// t001,ifunnto. .".0VS1DE Awl .?ttitti 1 ,��l1l,l,,��f' ,•��'� �i,, w R` QtQQ C�fy�i ic►� CORPORATE C By: -1171L.A.gd, Bicti)e—A) R RATE: 7 ;���,wfi -'°".12;:::, t`..•2- � fc� O Fel �_ tl�� 2 :C? 1� ��40.:1r dye SEAQ SEAL rF �., Assistant Secretary, `1J 4•�,.�ti r '.�/�(��;..• T,ti lowl ftp� y&.0% rj'l�hflti,� ► `'� �f''''rjrlrll,«ti►�;'``� UF&C&UF&I&FPIC 0),t1111BPOA0045 122017