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CONTRACTOR'S PAY REQUEST <br />DISTRIBUTION: <br />MISSISSIPPI RIVER TRAIL <br />CONTRACTOR (1) <br />CITY OF RAMSEY, MN <br />OWNER (1) <br />SP 199-090-001 <br />ENGINEER (1) <br />BONDING CO. (1) <br />TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS <br />$177,040.64 <br />TOTAL, COMPLETED WORK TO DATE <br />$176,836,19 <br />TOTAL, STORED MATERIALS TO DATE <br />$0.00 <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED <br />$Q00 <br />TOTAL, COMPLETED WORK & STORED MATERIALS <br />$176,836.19 <br />RETAINED PERCENTAGE ( 0%) <br />$0,00 <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$176,836.19 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$173,299.46 <br />PAY CONTRACTOR AS ESTIMATE NO. 6 FINAL <br />$3,536,73 <br />Certificate for Final Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prices <br />of work and material shown on this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of the amount <br />for the Final Estimate, that the provisions of M. S. 290.92 have been complied with and that <br />all claims against me by reason of the Contract have been paid or satisfactorily secured. <br />Contractor: North Valley, Inc. <br />20015 Iguana St NW #100 <br />No he N330 <br />By / <br />Tidy clam Name Title <br />Date Feb,B,y 8, 2018 <br />Approved <br />Contractor's Surety <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: BOLTON & MENK, INC., 7533 SUNWOOD DRIVE, SUITE 206, RAMSEY, MN 55303 <br />By Sew";-, 0 �, SENIOR PROJECT MANAGER <br />Kevin ,iic-lh, P.E. <br />Date February, 8, 2018 <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY, MN <br />By 2- i1� l 18 <br />Name Title Date <br />And <br />Name Title Date <br />