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P ofib /o(a3i( )711-03,72 <br />9q3loS.3o Loaor)of <br />Pay Estimate Summary Sheet <br />IP 17-01 Alpine Drive Reconstruction <br />City of Ramsey <br />FINAL PAY ESTIMATE <br />Estimate no 4 <br />TOTAL CONTRACT $ 341,407.52 <br />BITUMINOUS INCENTIVES $ 4,749.68 <br />TOTAL CONTRACT $ 346,157.20 <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DATE $ 348,074.53 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 348,074.53 <br />$ - <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 348,074.53 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 330,670.80 <br />PAY CONTRACTOR PER ESTIMATE NO. 4 $ 17,403.73 <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 foregoing <br />is a true and correct statement of the amount for the Final Estimate, the provisions of M.S. <br />290.92 have been complied with and that all claims against me by reason of the contract have <br />been paid or satisfactorily secured. <br />Contractor: North Vall <br />Name Title <br />Date // / % ( <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By 1' Civil Engineer IV <br />eonar i on, <br />Date /2/ 134' <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By •1' es- 2 6 <br />Name ' le Date <br />a <br />