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Pay Estimate Summary Sheet <br />Estimate Number: 2 Partial <br />Project Number: 21-05 <br />Project Name: 2021 MSA Pavement Overlay Improvements <br />Period Ending July 31, 2021 <br />Contractor: North Valley, Inc. <br />Address: 20015 Iguana Street NW, Suite 100, Nowthen, MN 55330 <br />I Original Contract Amount <br />2 Change Order(s) No. Thru No. <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />Value of Work Remaining 42,886.62 <br />Percent Complete 79% <br />5 Retainage 5 % <br />--, • <br />6 Previous Payment(s) <br />7 Deductions or Charges <br />8 Total Retainage, Payments & Deductions (Lines 5+6+7) <br />$ 206,395.58 <br />$ 206,395.58 <br />$ 163,508.96 <br />$ 8,175.45 <br />$ 11,845.64 <br />$ 20,021.09 <br />Payment Due (Lines 4-8) 143,487.87 <br />Certification of Partial Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items, quantities and prices of work and material shown on <br />this Estimate are correct and that all work has been performed in full accordance with the terms and conditions of the <br />Contract for this project between owner and the undersigned Contractor, and as amended by any authorized changes and <br />the foregoing is a true and correct statement of the contract amount for the period covered by this estimate. <br />North Valley, Inc. Timothy P. Erickson <br />Contractor Name Print N <br />Secretary/Treasurer <br />Title . Signatu <br />August 6, 2021 <br />Date <br />City of Ramsey Approval <br />8741/zoi <br />Signature (Project Engineer) Date <br />Signature (City Engineer) Date <br />Pay Estimate Page 1 of 2 <br />