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Pay Estimate Summary Sheet <br />IP 08-37 County Pond Storm Sewer Outlet <br />City of Ramsey <br />Estimate no 4 <br />r <br />24V.1 I <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS $ 392,249.17 <br />STORED MATERIALS $ <br />TOTAL, CGMPLE T ED 'v' ORK TO DATE $ 294,775.76 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 294,775.76 <br />RETAINED PERCENTAGE 5% $ 14,738.79 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 280,036.97 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 187,372.88 <br />PAY CONTRACTOR PER ESTIMATE NO. 4 $ 92,664.08 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items, quantities and prices <br />of work and material shown on the this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between owner and the undersigned Contractor, and as amended by any authorized <br />changes and the foregoing is a true and correct statement of the contract amount for the <br />period covered by this estimate. <br />Contractor:Q �•�.�,,,,tse}spl~ t <br />By <br />Name Title <br />Date '7%/a <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />ByA�2�Civil Engineer Il <br />Le nard Linton, PE <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of R ey <br />13Y <br />oo <br />Name Title Date <br />