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CITY OF RAMSEY <br />2011 STREET MAINTENANCE PROGRAM <br />Pay Estimate Summary Sheet <br />IP 11-05 through 11-06; 2011 Street Maintenance Program - Division B (Overlays) <br />City of Ramsey <br />Estimate No. <br />TOTAL CONTRACT <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS <br />1 <br />$ 276,664.34 <br />$ 276,664.34 <br />STORED MATERIALS $ <br />TOTAL, COMPLETED WORK TO DATE $ 271,010.53 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 271,010.53 <br />RETAINED PERCENTAGE 5% $ 13,550.53 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 257,460.01 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ <br />PAY CONTRACTOR PER ESTIMATE NO. 1 $ 257,460.01 <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: North Valley, Inc. <br />By <br />Name <br />Date <br />Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Date <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 />