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Pay Estimate Summary Sheet <br /> Estimate Number: 2 Partial <br /> Project Number: IP 23-06 (S.A.P. 199-114-001) <br /> Project Name: 2023 MSA Pavement 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 $ 498,917.55 <br /> 2 Change Order(s) No. Thru No. <br /> 3 Total Funds Encumbered $ 498,9 7.55 <br /> 4 Value of Work Completed $ 512,998.27 <br /> 5 Retainage I % $ (51129.98) <br /> Percent Complete 103% <br /> 5 Deductions or Charges <br /> 7 Total Earned Less Retainage (Lines 4+5+6) $ 507,868.29 <br /> 8 Previous Payment(s) $ 425,3 1 5.47 <br /> 9 Payment Due (Lines 7-8) $ 81 2551,82 <br /> 3 <br /> 10 Total Balance to Finish, Including Retainage (Lines 3-7) $ 5,129.98 <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. Leslie A. Bloom <br /> Contractor Name Print Name <br /> President <br /> Title Signature <br /> November 13, 2023 <br /> Date <br /> City of Ramsey Approval <br /> S' nature (Project Engineer) Datek (kc <br /> ' <br /> o <br /> Signature (City Engineer) Date <br /> Pay Estimate Page I of 2 <br />