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Pay Estimate Summary Sheet <br />IP 10-07 ALPINE DRIVE/ ROANOKE STREET IMPROVEMENTS <br />October 13, 2011 <br />City of Ramsey <br />Estimate no FINAL <br />TOTAL CONTRACT $ 437,833.43 <br />CHANGE ORDER NO. 1 $ 100,779.70 <br />CHANGE ORDER NO. 2 $ 27,013.00 <br />TOTAL WITH CHANGE ORDERS $ 565,626.13 <br />STORED MATERIALS $ <br />TOTAL, COMPLETED WORK TO DATE $ 569,858.81 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 569,858.81 <br />RETAINED PERCENTAGE 0% <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 569,858.81 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 550,662.66 <br />PAY CONTRACTOR PER ESTIMATE NO. 5 $ 19,196.15 <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 performed <br />in full accordance with the terms and conditions of the Contract for this project between owner <br />and the undersigned Contractor, and as amended by any authorized changes and the <br />foregoing is a true and correct statement of the amount for the Final Estimate, the provisions of <br />M.S. 290.92 have been complied with and that all claims against me by reason of the contract <br />.have been paid or satisfactorialy secured. <br />Contractor: Rum River Contracting <br />By <br />Name Title <br />Date <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By Civil Engineer II <br />Leonard Linton, PE <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Name Title Date <br />