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Pay.Estimate Summary Sheet <br />IP 08-27 167th Avenue NW Realignment <br />SAP 199-102-006 <br />City of Ramsey <br />Estimate No. 4 <br />TOTAL CONTRACT $ 789,875.37 <br />CHANGE ORDER N0. 1 $ 1,270.00 <br />CHANGE ORDER NO. 2 $ 1,297.50 <br />TOTAL WITH CHANGE ORDERS $ 792,442.87 <br />STORED MATERIALS $ - <br />TOTAL, COMPLETED WORK TO DATE $ 646,516.47 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 646,516.47 <br />RETAINED PERCENTAGE 5% $ 32,325.82 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 614,190.65 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 581,857.29 <br />PAY CONTRACTOR PER ESTIMATE NO, 4 $ 32,333.36 <br />Certifiicate 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: Hennen Construction Co. <br />Name Title <br />Date / // 4/l i a <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />ey~,~., ----~------ City Engineer <br />Tim Himmer, PE <br />Date 1' <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />ey <br />Name Title Date <br />