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21-4, -701-f <br />Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />Contractor: <br />Address. <br />4 <br />24O2 <br />Halls Dover Acres Street Reconstructions <br />September 30, 2024 <br />Pay Estimate Summary Sheet <br />Partial <br />Dave Perkins Contracting, Inc. <br />19745 Nowthen Boulevard NW, Nowthen, MN 55303 <br />1 Original Contract Amount <br />2 Change Order(s) <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />5 Retainage 1 <br />Percent Complete <br />6 Deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) <br />8 Previous Payment(s) <br />9 Payment Due (pines 7-8) <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) <br />No. 3 Thru No. 3 <br />104% <br />0,a <br />$ 844,919.01 <br />94588.05 <br />$ 939,507.06 <br />$ 974,498.05 <br />$ (9 744.98) <br />$ 964,753.07 <br />$ 921,973.15 <br />$ 42,779.92 <br />$ 9,744.98 <br />Certification of Partial Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items, quantties 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 foreJ7hg is a true and correct statement of the contract amount for the period covered by this estimate. <br />Dovo Perkins Conireicting, Ina <br />19745 Nowthen f3lvd NW <br />NOwthen, MN 55303-%55 <br />Contractor Name <br />cSt <br />Title <br />i <br />rint Nam <br />a <br />re <br />G - <br />Da e <br />City of Ramsey Approval <br />Pay Estimate Page 1 of 4 <br />