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Pay Estimate Summary Sheet <br />IP 19-01 Ford Brook Estates Street Reconstructions <br />City of Ramsey <br />Estimate no <br />1 <br />TOTAL BASE BID PLUS ALTERNATES <br />STORED MATERIALS <br />TOTAL COMPLETED WORK TO DATE <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS <br />RETAINED PERCENTAGE 5% <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />PAY CONTRACTOR PER ESTIMATE NO. 1 <br />$ 262,503.25 <br />$ 140,638.40 <br />$ 140,638.40 <br />$ 7,031.92 <br />$ 133,606.48 <br />$ - <br />$ 133,606.48 <br />Certificate for Partial 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 contract amount for the period covered by this estimate. <br />Contractor: Asphalt Surface Technologies <br />By <br />Date <br />Name <br />7- <br />("A-4T?tie <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Joe Feriancek, PE <br />Date 71Jz/l� <br />Engineering Technician III <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By L,ie ''r .iC.3 i✓KLi� <br />Name <br />Title <br />Date <br />