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PAY ESTIJMATE #g (Fiaal) <br /> CITY OF RAMSEY <br /> 143RD AVENUE N.W. <br />UT~' AND ST~ET I~ROVMENTS <br />{~ROVEMENT PROJE~ NO, 00-11 <br />CI~' OF ~MSEY <br /> <br /> SUMMARY OF COSTS <br />Mid Scheclule "A" - Sanitary Sewe¢ <br /> <br />8id Scheclule "8" · Watermain <br /> <br />8id Scheclule "C" - Storm Sewer <br /> <br />8id Schedule "D" - Road Constructlom <br /> <br />Toni Contract Amount <br /> <br />Total Work Cmmpie~eTo-Oa~e <br /> <br />Less Retainage <br /> <br />Less ~ay ~sdmate ~ <br /> <br />Less Pay Estimate ~2 <br /> <br />Less Pay Esdm~te ~ <br /> <br />Less Pay Estimate ~ <br /> <br />Less Pay M~dmate ~ 5 <br /> <br />Less PeT Estimate ~ <br /> <br />Less Pay Esdm~te ~7 <br /> <br />We Recommen~ Fi~mJ P~yment <br /> <br />Please verify the amount of previous payment, ff any, and t~e receipt ot ~e ~oHowin~ Rems prior [o ~aking flna~ paymenL <br /> <br />1. Ce~ificate of claims payment (lien ~iver). <br />2. Af~dav~t of P~ymemt of States Taxes (~H Sta~e Tax Form 134). <br />3. LePer of Consent from Surety Firm. <br /> <br />$t05,037 60 <br />$101,923,00 <br />$139,043.83 <br />$178,507.25 <br />$524,511.48 <br /> <br />APPROVALS: <br /> <br /> Certificalion by Contraclor: [ cerlify that all items and amounts are correct for the work completed to date. <br /> Erickson Construction, Inc. <br /> <br />ENGINEER; Cani~ic~31ion by Engineer: We recommend payment for work and quantities as shown. HAKANSON ANDERSON ASSOC,ATES, 'HC. <br /> Signed',:~~~...~ <br /> <br />OWNER: Cf'~' OF ~... ~'*.~~ <br /> <br />RA3 157BtPay Esdn'm[c #5 <br /> Per C.O, J',lo. 2 <br />"*Per C,G. No. 3 <br /> <br />108.882.15 <br />93,085.65 <br />132,277.38 <br />185,562.01 <br /> <br />$517,807.19 <br />$o.oo <br />$52,707.26 <br />$185,320.11 <br />5200,804.34 <br />$3,592.52 <br />$18,827.~5 <br />S33,3~4.10 <br />$15,075.37 <br />$10,358.14 <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I: <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />