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Pay Estimate Summary Sheet <br />IP # 18-04; 2018 Crack Seal and Seal Coat Program ` )ECEIVE <br />City of Ramsey }DEC 2 6 2018 <br />FINAL PAY ESTIMATE <br />Estimate no BY: --3--._. <br />TOTAL BASE BID PLUS ALTERNATES $ 434,699.22 <br />CHANGE ORDER NO. 1 $ 2,858.25 <br />TOTAL CONTRACT WITH CHANGE ORDER $ 437,557.47 <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DATE $ 458,755.12 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 458,755.12 <br />$ - <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 458,755.12 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 434,696.36 <br />PAY CONTRACTOR PER ESTIMATE NO. 3 $ 24,058.76 <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: Pearson Bros., Inc. <br />Q el <br />By Ac .N C _ , `1"res 1t , KO - <br />Name Name Title <br />Date 11 12% (ZO I $ <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />Y 0 Y <br />ENGINEER: CIA <br />f <br />By / / Civil Engineer IV <br />9 <br />Leonard inton, PE <br />Date /L/ZT /($ <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By --C C- -j e- vva..,u— Z <br />j— <br />Name Title Date <br />