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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 />4 <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 0% <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />PAY CONTRACTOR PER ESTIMATE NO. 4 <br />262, 503.25 <br />267,789.85 <br />267, 789.85 <br />267, 789.85 <br />250,174.76 <br />17,615.09 <br />Certificate for Final Payment <br />1 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: Asphalt Surface Technologies <br />By <br />Date <br />(Spe,rn tenae,19') <br />Name <br />I o- la •a�ao <br />Title <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By 7 <br />Joe Feriancek, PE <br />Date fo//S/zcao <br />Civil Engineer II <br />