Laserfiche WebLink
Pay Estimate Summary Sheet <br /> Estimate Number: 1 Partial <br /> Project Number: IP 23-06 (S.A.P. 199-114-001) <br /> Project Name: 2023 MSA Pavement Overlay Improvements <br /> Period Ending September 30, 27 <br /> Contractor; North Valley, Inc. <br /> Address. 20015 Iguana Street NW Suite 100, Nowthen, MN 55330 <br /> 1 Original Contract Amount $ 498,917.55 <br /> 2 Change Order(s) No. Thru No. <br /> 3 Total Funds Encumbered $ 498,917.55 <br /> 4 Value of Work Completed $ 448,754.18 <br /> 5 Retainage 5 % $ (22,437.71) <br /> .......... <br /> Percent Complete 90% <br /> 6 Deductions or Charges <br /> 7 Total Earned Less Retainage (Lines 4+5+6) $ 4261316,47 <br /> 8 Previous Payment(s) $ w ? <br /> 9 Payment Due (Lines 7-8) $ 426,316.47 <br /> 10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 72,601,08 <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 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 cowered by this estimate. <br /> r - C. <br /> �. <br /> Contractor Name Print Name <br /> nor ;,0�0 <br /> Title Signature <br /> 10 OZ 5 <br /> Date <br /> �j <br /> City v ��of Ramsey Approval <br /> Si not a Project Engineer) <br /> Signature (City Engineer) Gate <br /> } <br /> s <br /> Pay Estimate Page 1 of 2 ' <br /> F <br />