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Pay Estimate Summary Sheet <br />IP 10 -25; Chameleon Street Paving <br />City of Ramsey <br />Estimate No. 3 <br />TOTAL CONTRACT • $ 268,222.08 <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS $ 268,222.08 <br />STORED MATERIALS $ - <br />TOTAL, COMPLETED WORK TO DATE $ 253,114.68 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 253,114.68 <br />RETAINED PERCENTAGE 5% $ .12,655.73 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 240,458.95 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 162,758.18 <br />PAY CONTRACTOR PER ESTIMATE NO.2 $ 77,700.77 <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 <br />and correct statement of the contract amount for the period covered by this estimate. <br />• <br />Contractor: Omann Brothers Paving, Inc. • <br />' '\I <br />. <br />. . <br />r <br />. ■ S A N .AMaLa± , c AA., A._ <br />Name Title <br />Date - tS — k`s <br />• <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By . . City Engineer <br />Tim Himmer, PE <br />Date <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey . • <br />By <br />Name Title Date <br />