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Pay Estimate Summary Sheet <br />Estimate Number: 1 Partial <br />Project Number: 23-07 <br />Project Name: 2023 Neighborhood Pavemet Overlay Improvements <br />Period Ending June 30, 2023 <br />Contractor: North Valley Inc. <br />Address: 20015 Iguana Street NW Suite 100, Nowthen, MN 55330 <br />1 Original Contract Amount $ 536,886.89 <br />2 Change Order(s) No. 1 Thru No, 1 $ 60,583.56 <br />3 Total Funds Encumbered $ 597,470.45 <br />4 Value of Work Completed $ 549,484.82 <br />5 Retainage 5 % $ (27,474.24) <br />Percent Complete 92% <br />6 Deductions or Charges $ <br />7 Total Earned Less Retainage (Lines 4+5+6) $ 522,010.58 <br />8 Previous Payment(s) $ <br />9 Payment Due (Lines 7.8) $ 522,010.58 <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 75,459.87 <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 Name <br />Secretary/Treasurer <br />Title <br />Atari <br />Signat <br />July 18, 2023 <br />Date <br />City of Ramsey Approval <br />Sigture (Project Engineer) Date <br />Signature (City Engineer) <br />f.� <br />Date <br />7 z oz_.3 <br />Pay Estimate Page 1 of 2 <br />