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Pay Estimate Summary Sheet <br />Estimate Number: 3 <br />Project Number: 24-11 <br />Project Name: MSA Alpine Drive Reconstruction <br />Period Ending August 31, 2024 <br />Contractor: Northwest Asphalt, Inc. <br />Partial <br />Address: 1451 Stagecoach Road, Shakopee, MN 55379-2797 <br />1 Original Contract Amount <br />2 Change Order(s) No. Thru No. <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />5 Retainage 5 % <br />Percent Complete 102% <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 />10 Total Balance to Finish, Including Retainage (Lines 3-7) <br />$ 1,009,971.93 <br />$ 1,009,971.93 <br />1,028„083.32 <br />$ (51,404.17) <br />$ 976,679.15 <br />$ 837,149.95 <br />$ 139,529.20 <br />$ 51,404.17 <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 />Contractor Name <br />PM <br />Title <br />City of Ramsey Approval <br />Signature (Project Engineer) <br />Signature (City Engineer) <br />\JOJtj()1/4 <br />Print Nahie <br />Signa re <br />6111 7ki\ <br />Date <br />Date <br />(111120111 <br />1-7 <br />Date <br />Pay Estimate Page 1 of 2 <br />