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Pay Estimate Summary Sheet <br /> Estimate Number. 2 Final <br /> Project Number: 21--10 <br /> Project Name: Fire Station No.1 Parking Lot Improvements <br /> Period Ending June 30, 2022 <br /> Contractor: North Valley, Inc_ <br /> Address: 20015 Iguana Street NW, Suite 100, Nowthen, MN 55330 <br /> 1 Original Contract Amount $ 104,935.73 <br /> 2 Change Order(s) No. Thru No. <br /> 3 Total Funds Encumbered $ 104,935.73 <br /> 4 Value of Work Completed $ 126,168.17 <br /> 5 Retainage 0 % $ <br /> Percent Complete 100% <br /> 6 Deductions or Charges <br /> 7 . Total Earned Less Retainage (Lines 4+5+6) $ 1263168.17 <br /> 8 Previous Payment(s) $ 117,987:61 <br /> 9 Payment Due (Lines 7-8) $ 8,180.56 <br /> 10 Total Balance to Finish, Including Retainage (Lines 3-7) $ <br /> Certificaiton of Final Payment b <br /> 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 amount for the Final Estimate,the provisions of M.S.299.92 have been <br /> compfied with and that all claims against me by reason of the contract have been paid or satisfactorily secured. <br /> 6' <br /> NS2 LqN <br /> 0-0 <br /> Contractor Name U Print Name <br /> Title Signature <br /> � 15 , at)ac" <br /> Date <br /> City of Ramsey Approval <br /> Slgn ure (Project Engineer) Date <br /> { r <br /> f gy F' <br /> Signature (City Engineer) Date <br /> Pay Estimate Page 1 of 2 <br />