Laserfiche WebLink
Pay Estimate Summary Sheet <br /> Estimate Number., Partial r#al <br /> Project Number: 23-21 <br /> Project Name: 2623 Deep Pothole Patching Contracted Services <br /> ces <br /> Period Ending Sep#ember 22, 2023 <br /> Contractor: Diversified Paving <br /> Address: 66 33rd Avenue S,., Saint Cloud MN 56301-3722 <br /> I Original Contract Amount <br /> � 4a9,660.as <br /> 2 Change Order(s) No. 7`hru No. <br /> 3 Fetal Funds Encumbered <br /> $ 499,650.00 <br /> 4 Value of Work Completed <br /> $ 447,251.66 <br /> 6 Retainage 5 % - <br /> $ (2 2 3 6 L..5J8 <br /> Percent Complete 90% <br /> 6 Deductions or Charges <br /> 7 Total Earned less.Retainage(Lines 4+5+6) j{}� i{�� <br /> $ 424,888-92 <br /> 3 Previous Payment(s) <br /> ent(s) . <br /> . , $ ., <br /> 9 Payment Due.(Unes 7M8) $ <br /> r <br /> 888-92 <br /> 10 Total Balance to Finish, including Retainage 3--7(Lines ) $ 74,761.08 <br /> Roam <br /> Cerfficatb 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 than es and <br /> i <br /> the foregoing is a true and correct statement of the contract amount for the period covered by this estimate. g <br /> i <br /> lit <br /> gd � <br /> O'n, <br /> Contractor Marne Print NAme <br /> t � <br /> Title Si <br /> g a#u re � <br /> 0- 12- 2,02,3 <br /> Date 1 <br /> City of Ramsey Approval - <br /> . I <br /> Signature(Project Engineer) Date <br /> r <br /> I <br /> Y I <br /> I �. <br /> Signature City Enginee Date <br /> Pay Estimate Page x of 2 <br />