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Estimate Number: 1 <br />Pay Estimate Summary Sheet <br />Partial <br />Project Number: 22-06 <br />Project Name: <br />Period Ending <br />Wood Pond Hills 2nd - 5th Street Reconstructions <br />July 31, 2022 <br />Contractor: North Valley, Inc. <br />Address: 20015 Iguana Street NW, Suite 100, Nowthen, MN 55330 <br />1 Original Contract Amount $ 568,135.15 <br />2 Change Order(s) No. Thru No. <br />3 Total Funds Encumbered $ 568,135.15 <br />4 Value of Work Completed $ 66,177.36 <br />5 Retainage 5 % $ (3,308.87) <br />Percent Complete 12% <br />6 Deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) $ 62,868.49 <br />8 Previous Payment(s) $ <br />9 Payment Due (Lines 7-8) $ 62,868.49 <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 505,266.66 <br />Certification of Partial Payment <br />I 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 />Contractor Name <br />Title <br />_"--\oorn <br />Print Name <br />Signature <br />1 6i <br />Date <br />City of Ramsey Approval <br />F <br />Signature (Project Engineer) <br />Signature (City Engineer) <br />Date <br />Date <br />Pay Estimate Page 1 of 2 <br />