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Pay Estimate Summary Sheet <br /> Estimate Number., I Partial <br /> Project Number: 74-06 S.A.P. 199-118-001; 199-127002; 199-124-001 <br /> Project Name: 2024 MSA Pavement Overlay Improvements <br /> Period Ending October 31, 2024 <br /> Contractor.* Park Construction Company <br /> Address: 1481 81st Avenue NE, Minneapolis, MN 55432 <br /> I Original Contract Amount $ 162)689.38 <br /> 2 Change Order(s) No. Thru No. <br /> 3 Total Funds Encumbered $ 162,689.38 <br /> 4 Value of Work Completed $ 162,393.01 <br /> 5 Retainage I % $ {11623.93) <br /> Percent Complete 100% <br /> 6 Deductions or Charges $ 37090.21 <br /> 7 Total Earned Less Retainage (Lines 4+5+6) $ 163,859.29 <br /> 8 Previous Payment(s) $ - <br /> 9 Payment Due (Lines 7-8) $ 163,859.29 <br /> 10 Total Balance to Finish, Including Retainage (Lines 3-7) $ (11169.9'1) <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 /> Ak. <br /> Contractor Name Print Name <br /> Title Signature <br /> 1111112- <br /> Tat <br /> e( <br /> City of Ramsey Approval <br /> I -Z� 2-0Z-LI <br /> Signat e (Project Engineer) Date <br /> Signature (City Engineer) Date <br /> Pay Estimate Page 1 of 2 <br />