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Pay Estimate Summary Sheet <br />IP 11-09; Alpine Drive Overlay <br />City of Ramsey <br />Estimate No, <br />TOTAL CONTRACT <br />CHANGE ORDER NO. 1 <br />CHANGE ORDER NO. 2 <br />MSA BITUMINOUS INCENTIVE <br />TOTAL WITH CHANGE ORDERS <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DATE <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS <br />RETAINED PERCENTAGE 0% <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 417,086.94 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ <br />PAY CONTRACTOR PER FINAL ESTIMATE $ 417,086.94 <br />Certificate for Final Payment <br />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 amount for the Final Estimate, the provisions of M.S, 290.92 have been <br />complied with and that all claims against me by reason of the contract have been paid or <br />satisfacto ria ly secured. <br />FINAL <br />Contractor: North Valley, Inc. <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 />Tim Himmer, PE <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />City Engineer <br />$ 363, 222.71 <br />$ 12, 000, 00 <br />$ 23,518.00 <br />$ 8,104,48 <br />$ 406,845.19 <br />$ 417,086.94 <br />$ 417,086.94 <br />Name Title Date <br />