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Pay Estimate Summary Sheet <br /> Estimate Number. 3 Partial <br /> Project Number: 23-05 <br /> Project Name.- Barthel's Rum River Acres 2nd street Reconstructions <br /> Period Ending September 30, 2023 <br /> Contractor: Douglas-Kerr Underground, L.L.C. <br /> Address: Po Box 85, Mora, MN 5505 -0085 <br /> I Original Contract Amount $ 1,198,428.85 <br /> Z Change Order(s) No. 1 Thru No. 1 $ 18,490.45 <br /> 3 Total Funds Encumbered $ 1,216,919.30 <br /> 4 value of Work Completed $ 12151,034.65 <br /> 5 Retainage 5 % $ (57,551 <br /> Percent Complete 95% <br /> 0 Deductions or Charges $ . <br /> 7 Total Earned Less Retainage(Lines 4+5+6) $ 1,093,482.92 <br /> 8 Previous Payment(s) $ 813)442.53 <br /> 9 Payment Due (Lines 7-8) $ 280 440.39 <br /> r <br /> 10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 123,436.38 <br /> Certification of Partial Payment <br /> l 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 wont has been performed in full accordance with the terms and conditions of the 3. <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 /> i. <br /> f' <br /> Contr for Name Print Name <br /> Title i ature <br /> I <br /> YJ <br /> Date <br /> City Y of Ramsey Approval <br /> zo Z <br /> I <br /> Sig Lure(Pr9ject Engineer) Date <br /> F I. <br /> 1" <br /> Signature City Engineer)' Date <br /> Pay Estimate Page 1 of 3 '= <br />