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T.F. Powers Construction Co. <br /> Page 2 <br /> April 17, 2014 <br /> Workmen's Compensation - Submit three copies of your"Certificate of Premium Payment." <br /> Property (Builder's Risk)—Amount shall be $171,500.00. Add named insured in <br /> accordance with Article 11 of the Supplementary Conditions. Submit three copies of <br /> the policy. <br /> TAX CLEARANCE: Return three copies of your North Dakota Income Tax Clearance <br /> Certificate. <br /> We further request the following actions: <br /> S.S. & M. LIST: Complete in the appropriate spaces. You are not authorized to sign <br /> contracts or place orders with proposed subcontractors and suppliers until this list has <br /> been reviewed. Submit three copies. <br /> SCHEDULE OF VALUES: Submit three copies on an Application and Certification for <br /> Payment form in accordance with enclosed format. <br /> PROGRESS SCHEDULE: Prepare and submit three copies. <br /> Submit the above mentioned documents together as soon as possible. Upon receipt, we <br /> will forward them to the Owner for review and action. The first payment request cannot <br /> be certified until these documents have been received and processed. <br /> Ir <br /> Enclosures <br /> c: Keith Berndt <br />