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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 />TOTAL BASE BID PLUS ALTERNATES <br />3 <br />$ 262,503.25 <br />STORED MATERIALS <br />TOTAL COMPLETED WORK TO DATE $ 263,341.85 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 263,341.85 <br />RETAINED PERCENTAGE 5% $ 13,167:09 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 250,174.76 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 245,868.65 <br />PAY CONTRACTOR PER ESTIMATE NO. 3 $ 4,306.11 <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 />(f;-ea'1"9 <br />ame Title <br />Date 61- <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY A- By s Engineering Technician III <br />Date <br />Joe Feriancek, PE <br />9//21l'i <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By (.t.ce� <br />Name <br />Title <br />9 (11-1tci <br />Date <br />