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Pay Estimate Summary Sheet <br />IP 09-25; Dysprosium Street Reconstruction <br />City of Ramsey <br />Estimate No. <br />TOTAL CONTRACT <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DATE <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS <br />RETAINED PERCENTAGE 5% <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <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 />2 <br />693,752.48 <br />693,752.48 <br />Contractor: County Line Excavating, LLC <br />By <br />Date <br />Name <br />Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Tim Himmer, PE <br />City Engineer <br />Name Title Date <br />203, 944.60 <br />203,944.60 <br />10,197.23 <br />193,747.37 <br />56,197.25 <br />137,550.12 <br />