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Pay Estimate Summary Sheet <br />IP 08 -22 Sunfish Lake Park <br />City of Ramsey <br />December 3, 2010 <br />Estimate no 6 <br />TOTAL CONTRACT $ 270,607.84 <br />CHANGE ORDER NO $ 644.44 <br />TOTAL WITH CHANGE ORDERS $ 271,252.28 <br />STORED MATERIALS $ - <br />TOTAL, COMPLETED WORK TO DATE $ 268,295.14 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 268,295.14 <br />RETAINED PERCENTAGE 5% $ - <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 268,295.14 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 254,880.38 <br />PAY CONTRACTOR PER ESTIMATE NO. 5 $ 13,414.76 <br />Certificate for Final Payment <br />I hereby certify that, to the best of my knowledge and belief, all items, quantities and prices of <br />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 changes <br />and the foregoing is a true and correct statement of the amount for the Final Estimate, the <br />provisions of M.S. 290.92 have been complied with and that all claims against me by reason <br />of the contract have been paid or satisfactorialy secured. <br />Contractor: American <br />By <br />Libert <br />Construction <br />17 <br />Name . <br />Date 17-1 <br />/ <br />OL _ ( C- ) e � Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By Civil Engineer II <br />eonard Lin •n, PE <br />Date / 2-7l 7 //to <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Name T tle Da e <br />