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Pay Estimate Summary Sheet <br /> Estimate Number; 2 Final <br /> Project Number: 23-21 <br /> Project Name: 2023 DeeP Pothole Patching Contracted Services <br /> Period Ending September 23,2023 to October 6,2023 <br /> Contractor: Diversified Paving <br /> Address: 50 33rd Avenue S., Saint Cloud, MN 56301-3722 <br /> I Original Contract Amount $ 499,650.00 <br /> 2 Change Order(s) No. Thru No. <br /> 3 Total Funds Encumbered $ 499,650.00 <br /> 4 Value of Work Completed $ 520,E 96.54 <br /> 5 Retainage g % $ <br /> Percent Complete 100% <br /> 0 Deductions or Charges $ <br /> 7, Total Eamed Less Retainage(Lines 4+5+6) $ 520,190.54 <br /> 8 Previous Payment(s) $ 424,888.92 <br /> 9 Payment Due (Uhas 7-8) $ 95,307,62 <br /> Jim <br /> 10 Totai Balance to Finish, Including Retainage(Lines 3-7) $ 20,546,54 <br /> Certificaiton of Final 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 amount for the Final Estimate,the provisions of M.S.290•92 have been <br /> complied with and that all claims against fine by reason of the contract have been paid or satisfactorily secured. <br /> Contractor Name Print Name <br /> CP, • <br /> Title Sigriature <br /> Date <br /> City of Ramsey Approval <br /> Signature (Project Engineer) Date <br /> . `2 <br /> Sl nature (City Engines Date . <br />