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CITY OF RAMSEY <br />2011 STREET MAINTENANCE PROGRAM <br />Pay Estimate Summary Sheet <br />IP 11-01 through 11-04; 2011 Street Maintenance Program - Division A (Sealcoat) <br />City of Ramsey <br />Estimate No. 1 <br />TOTAL CONTRACT $ 286,337.40 <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS $ 286,337.40 <br />STORED MATERIALS $ <br />TOTAL, COMPLETED WORK TO DATE $ 261,552.82 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 261,552.82 <br />RETAINED PERCENTAGE 5% $ 13,077.64 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 248,475.18 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ <br />$ 248,475.18 <br />PAY CONTRACTOR PER ESTIMATE NO. 1 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items, quantities and prices of work <br />and material shown on the this Estimate are correct and that all work has been performed in full <br />accordance with the terms and conditions of the Contract for this project between owner and the <br />undersigned Contractor, and as amended by any authorized changes and the foregoing is a true and <br />correct statement of the contract amount for the period covered by this estimate. <br />Contractor: Asphalt Surface Technologies Corporation <br />By <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Date <br />Name Title <br />Tim Himmer, PE <br />APPROVED. FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />City Engineer <br />Name Title Date <br />BP 2 <br />