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Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />Contractor: <br />Address: <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />io <br />Pay Estimate Summary Sheet <br />4 Partial <br />24-01 <br />Barthel's Rum River Acres & White Pines Estates <br />August 31, 2024 <br />North Valley, inc. <br />20015 iguana Street NW, Nowthen, MN 55330 <br />Original Contract Amount <br />Change Order(s) No. <br />Total Funds Encumbered <br />Value of Work Completed <br />Retainage 1 <br />Percent Complete <br />Deductions or Charges <br />Total Earned Less Retainage (Lines 4+5+6) <br />Previous Payment(s) <br />Payment Due (Lines 7-8) <br />Total Balance to Finish, Including Retainage (Lines 3-7) <br />1 Thru No. <br />1 0 % <br />$ 848,577.00, <br />1• 19,364.93 <br />867,941.93 <br />867,561.48 <br />(8,675.61), <br />$ 858,885.87 <br />$ 620,265.43. <br />$ 238,620.44 <br />9,056.06 <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 />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-1Jiu%A/6 <br />Contractor Name <br />05. i <br />Title <br />City of Ramsey Approval <br />Signature/Project Engineer) <br />i <br />Signtafure (City Engineer) — <br />Print Name <br />Signature <br />011 <br />Date <br />9 I/ z022-1 <br />Date <br />ct /(6/2St- <br />Date <br />Pay Estimate Page 1 of 3 <br />