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02 <br /> Pay Estimate Summary Sheet <br /> Estimate Number: 3 Partial <br /> Project Number: 23-07 <br /> Project Name: 2023 Neighborhood Pavemet Overlay Improvements <br /> Period Ending October 31, 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. I Thru No. 1 $ 60,583.56 <br /> 3 Total Funds Encumbered $ 597,470.45 <br /> 4 Value of Work Completed $ 573,503.63 <br /> 5 Retainage 1 % $ (51735,04) <br /> Percent Complete 96% <br /> 6 Deductions or Charges $ - <br /> 7 Total Earned Less Retainage (Lines 4+5+6) $ 567,768.59 <br /> 8 Previous Payment(s) $ 530,080.35 <br /> 9 Payment Due. (Lines 7-8) $ 37,688.24 <br /> 0 Total Balance to Finish, Including Retainage (Lines 3-7) $ 29,701.86 <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 /> Phis 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 /> 3 <br /> North Valley, Inc. �• <br /> Leslie A. Bloom <br /> Contractor Name Print Name <br /> President <br /> Title <br /> t Signature , <br /> November 13, 2023 <br /> Date Y <br /> City of Ramsey Approval <br /> 1 zo?') <br /> Sig ature (Project Engineer) Date <br /> Signature (Cit Engineer) Date <br /> Pay Estimate Page I of 2 <br /> i- <br />