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Pay Estimate Summary Sheet <br />IP 19-00 2019 Crack Seal Improvements <br />City of Ramsey <br />Estimate no 1 <br />TOTAL BASE BID PLUS ALTERNATES $ 222,993.55 <br />STORED MATERIALS <br />TOTAL COMPLETED WORK TO DATE $ 222,993.55 <br />TOTAL WORK COMPLETED PLUS STORED MATERIALS $ 222,993.55 <br />RETAINED PERCENTAGE 5% $ 11,149.68 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 211,843.87 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ <br />PAY CONTRACTOR PER ESTIMATE NO. 1 $ 211,843.87 <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: kthwest Asphalt ajl Maintenance <br />By <br />Name <br />Date 16 - /l - <br />Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Joe Feriancek, PE <br />Date O/I/( 19 <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />By <br />Name <br />itle <br />Engineering Technician III <br />'D(tt(C9 <br />Date <br />