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Pay Estimate Summary Sheet <br />Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />Contractor: <br />Address: <br />Partial <br />22-01 (S.A,P. 199-105-006 & 199-111-003) <br />Sunwood Drive & Waco Street Reconstruction <br />August 31, 2022 <br />Novco, Inc. <br />11090 173rd Avenue, Elk River, MN 55330 <br />1 Original Contract Amount $ 560,896.85 <br />2 Change Order(s) No. Thru No, <br />3 Total Funds Encumbered $ 560,896.85 <br />4 Value of Work Completed $ 371,509.80 <br />5 Retainage 5 % $ (18,575.49) <br />Percent Complete 66% <br />6 deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) $ 352,934.31 <br />8 Previous Payment(s) $ <br />9 Payment Due (Lines 7-8) <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) <br />$ 352,934.31 <br />$ 207,962.54 <br />Certification of Partial Payment <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 contract amount for the period covered by this estimate. <br />Nciv i IQC� <br />Contractor Name <br />Title . <br />Pu6r <br />Print Name <br />Signature 5 <br />Date <br />6)1 c 1 2_2— <br />City of Ramsey Approval <br />Sig ature (Project EnEngine <br />� <br />Signature (City Engineer <br />Date <br />Date <br />Pay Estimate Page 1 of 2 <br />