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Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />Contractor: <br />Address: <br />Pay Estimate Summary Sheet <br />3 <br />24-02 <br />Partial <br />Halls Dover Acres Street Reconstructions <br />August 31, 2024 <br />Dave Perkins Contracting, Inc. <br />19745 Nowthen Boulevard NW, Nowthen, MN 55303 <br />1 Original Contract Amount <br />2 Change Order(s) No. 3 Thru No. 3 <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />5 Retainage <br />Percent Complete 103% <br />6 Deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) <br />8 Previous Payment(s) <br />9 Payment Due (Lines 7-8) <br />0 Total Balance to Finish, Including Retainage (Lines 3-7) <br />.5 <br />$ 844 919.01 <br />$ 94 588.05 <br />$ 939 507.06 <br />$ 970 498.05 <br />$ (48 524.90) <br />$ 921,973.15 <br />$ 745,023.53 <br />$ 176,949.62 <br />$ 48,524.90 <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 />t'0TC / 64-,O1- irAf, <br />V._, ( (,‘ <br />14e ( ,,,cv:im5 <br />ontractor Name Print Name <br />Title <br />City of Ramsey Approval <br />Sign/Jure (Project Engineer) <br />ED- <br />Signature (City Engineer <br />SibnatVre <br />A% 7.(,(1 i'‘,2 4-1 <br />Date <br />/ 2.02-1-1 <br />Date <br />(7-- <br />Date <br />Pay Estimate Page 1 of 4 <br />