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• <br />• <br />• <br />CONTRACTOR'S RECAP1TULATION <br />Well House No. 4 <br />CITY ~F Ramsey <br />SMI PROJECT NO.: M21.37017 <br />TOTAL WORK COMPLETED WELL HOUSE NO.4 $93,343.00 <br />TOTAL WORK COMPLETED TO DATE - $93,343.00 <br />RETAINED PERCENTAGE 5% $4,667.15 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR DEDUCTIONS $0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $88,675.85 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $-54,524.30 <br />PAY CONTRACTOR PER ESTIMATE NO.2 $34,151.55 <br />Certificate for Partial Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />pertormed in full accordance with the terms and conditions of the Contract fqr #his project <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct s#atement of the <br />contract amount- for the period covered by this Estimate. <br />Contractor: Rice Lake Co str ction Group <br />PO.Box5 <br />e o 56444 <br />BY ~D` c1G~" ~'(~vi~ta cv <br />~ Name Title <br />Date I ! - !~ -o'f <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON NK, INC., ENGINEERS, 7533 SUNWOOD DRIVE, SUITE 206 <br />~~ S ~N ' <br />BY ,PROJECT ENGINEER <br />Paul Saffe .E. <br />Date ~ / ~ ~-~ <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Name Title Date <br />