2009-09-30 HWS Consulting $4,288.25: i l_, L)
)ATE
BLAIR AIRPORT AUTHORITY
INVOICE DESCRIPTION DISTRIBUTION AMOUNT INVOICE DESCRIPTION DISTRIBUTION AMOUNT
NUMBER NUMBER
0 t-1 5
A
BLAIR AIRPORT AUTHORITY CHECK NO. 0 0 0 57e
218 S. 16TH ST. DATE
BLAIR, NEBRASKA 68008
TWO RIVERS STATE BANK 76-359
(402) 426-4191 BLAIR, NEBRASKA 1049
AMOUNT
s 2-5
`q'0 -'j� ic"m
THO "It -11-11 F—TG' JJ
PAY TO:
rat-) GROUP
-dHAIRMAN
P 01 130358
TREASURER
v000S?3oo oojoijqo35q,-
, 0
A 31,4 0095o, ??qlp
30068 9/30/09
Vendor Number r17M Mte
HSPS CONSULTING GROUP INC
P O BOX 80358
LINCOLN NE 68501
Check Number
Account Number Description
3080055116 13E 4,299.25
SOUTH PARTIAL PARALLEL TAXIWAY PAVING &
LIGHTING 3-31-0109-09
Total $ 4,288.25
I do solenudy swear that the above is true and correct to the hest of my lntowledge.
SiAbseribed and sworn-to-befofcanetlds 20tli day of October, 2009
P Frahm City Treasurer
Finance Committee Approval:
10/06/2009 TUE 9t07 FAX 402 471 2906 NE DEPT OV AERONAUTICS
STATE OF NEBRASKA
DEPARTMENT OF AERONAUTICS
Sponsor Blair Airport Authority
Blair , Nebraska
Contractor HWS Consulting Group Inc.
Address PO Box 80358, Lincoln, NE 68.501
PROGRESS ESTIMATE 4 COPIES TO DEPT.
OF AERONAUTICS
12002/002
Nlb)4-
Estimate No. & Dam June 27, 2009
Project South Partial Parallel Taxiway Paving & Lighting 3-31-0109-09
Blair Municipal Airport
Date of Contract April 21, 2009
Amendment No. I -May 19, 200
Contract Rem Estimated
Quantities No. Quantities Unit Unit
To Date PA00 Amount
Part
84,849.00 111 Design Phase 100% IS $4,849.00
(Documents Approved)
5,045.00 IV Bidding Phase 85% IS 4,288,25
(Bids Received)
V Construction Phase 0.00
126,155.18 -Direct Salary, Overhead See
-and Expenses Attached
16,087.82 -Fixed Fee (15%) Invoice 0.00
142,243.00 0.00
VI Special Services See 0.00
53,483.00 -Testing Attached
Invoice,
52-59.1122,52-59-1123,52-59-1124,52-59-1125
As Project Engineer, I hereby cerfily, that the quantities shown Gran UTota l 89J 77
above have been completed from measurements made by me
or my predecessors and that the work has been performed in Lm Retained 0.00
reasonable close conformity to the plans and specifications.
Less Previous Estimates
Date: July 10, 2009 84,849.00
Project Engineer —Due-conftotop- 4,288.25
Approved for Payment as per
Project Engineer's Certification:
,�Z4 sit. 40 JUL 2 2 2009
NIrAPrqJ6CtHn9'nca-
DEPT, OT .:'J-7?R1-C)",',<AUT1C
RECENIE
Approved:
Date: 7 < 7 A JUL 1
nsor
DEPS, OF AERONMRMts