Laserfiche WebLink
Pay Estimate Summary Sheet <br />Estimate Number. 3•Partial <br />Project Number: 22-02 <br />Project Name: Autumn Heights Street Reconstructions <br />Period Ending November 30, 2022 <br />Contractor: GMH Asphalt Corporation <br />Address: 9180 Laketown Road, Chaska, MN 55318 <br />1 Original Contract Amount 897,894.48 <br />2 Change Order(s) No. Thru No. <br />3 Total Funds Encumbered 897,894.48 <br />4 Value of Work Completed 833,199.93 <br />5 Retainage 1 % <br />Percent Complete 93% <br />6 Deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) $ 824,867.93 <br />8 Previous Payment(s) $ 764,236.62 <br />9 Payment Due (Lines 7-8) $ 60,631.31 <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 73,026.55 <br />$ (8,332.00) <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 />rA ti016% Li- 100)A, JO V /1)ill>fr4 <br />Contractor Name P <br />11,11:' <br />AN. <br />Title Signature <br />Date <br />City of Ramsey Approval <br />Signature <br />7. 2D 22_ <br />Project Engineer) Date <br />Signature <br />Signature (City Engineer) Date <br />Pay Estimate Page 1 of 3 <br />