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Pay Estimate Summary Sheet <br />IP 09 -25; Dysprosium Street Reconstruction <br />City of Ramsey <br />Estimate No. 4 <br />TOTAL CONTRACT $ 693,752.48 <br />CHANGE ORDER NO. 1 & 2 $ 15,296.46 <br />TOTAL WITH CHANGE ORDERS $ 709,048.94 <br />STORED MATERIALS $ - <br />TOTAL, COMPLETED WORK TO DATE $ 720,417.72 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 720,417.72 <br />RETAINED PERCENTAGE 5% $ 36,020.89 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 684,396.84 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 373,796.87 <br />PAY CONTRACTOR PER ESTIMATE NO. 3 $ 310,599.97 <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: County Line Excavating, LLC <br />By <br />Name Title <br />Date <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 />