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MRR. 6, 2009 9.4iRM ~~~. ~~~ ~. ~ <br />Pay Estimate Summary Sheet <br />iP 08-37 County Pond Storm Sewer Outlet <br />City pfi Ramsey <br />Estimate no 1 <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS ~ $ 392,249.17 <br />STORED MATERIALS $ _ <br />TOTAL, COMPLETED WORK 70 DATE $ 168,099.16 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 168,099016 <br />RETAJNED F'ERGENTAGE 5% $ ~ $,404.96 <br />NET AMOUNT DUE TO CONTRACT~7R TO DATE $ 159,694.20 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES ~ - _ <br />PAY CONTRACTDR PER ESTIMATE NO. 1 $ 158,694„2p <br />Certificate for Partial Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items, quantities and prices <br />afi work and material Shawn on the this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditiar~s of the Contract far this project <br />between Qwner and the undersigned Gvntractar, and as amended by any authorized <br />changes and the foregoing is a true and correct statement of the contract amount far the <br />period covered by this estimate. <br />Contractor: 1~,~~, c,~-es~~ /~y pl ~/f ~~-~ <br />Y ~~ <br />.Name Title <br />Date 3 ~ 6 <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER; GITY ~F RAMSE~' <br />gy GiVil Engineer I! <br />Leonard Linton, PE <br />Date ~~id~ 1 <br />APPROVED FOR PA`~MENT: <br />OWNER: City of R sey <br />o <br />Name Title late <br />.i <br />~. <br />,! <br />i <br />~' <br />I. <br />~; <br />~r <br />~' <br />~~. <br />I'~ <br />I; <br />,~ <br />~~~ <br />r <br />('. <br />g 5 .~. <br />