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Z4l <br />Pay Estimate Summary Sheet <br />Estimate Number: 3 Partial <br />Project Number: 23-02 <br />Project Name: Central Park Main Parking Lot Reconstruction <br />Period Ending November 30, 2023 <br />Contractor: Veit & Company, Inc. <br />Address: 14000 Veit Place, Rogers, MN 55374 <br />1 Original Contract Amount <br />$ <br />561,036.71 <br />2 Change Order(s) No. 1 Thru No. 1 <br />$ <br />6,871.20 <br />3 Total Funds Encumbered <br />$ <br />567,907.91 <br />4 Value of Work Completed <br />$ <br />581,532.30 <br />5 Retainage 1 % <br />$ <br />(51815.32) <br />Percent Complete 102% <br />6 Deductions or Charges <br />7 Total Earned Less Retainage (Lines 4+5+6) <br />$ <br />575,716.98 <br />8 Previous Payment(s) <br />$ <br />571,132.29 <br />9 Payment Due (Lines 7-8) <br />$ <br />4,584.69 <br />10 Total Balance to Finish, Including Retainage (Lines 3-7) <br />$ <br />5,815.32 <br />Certification of Partial Payment <br />l 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 />Veit &Company <br />Contractor Name <br />Project Manager <br />ITitle <br />City of Ramsey Approval <br />iSign6lbre (Project Engineer) <br />Signature (City Engineer) <br />Bradley Holtz <br />Print Name <br />f]ig lIy signed by Brad Holtz <br />IDN:^ =US, E=txad.holtz@veftUSa.CM, O= Veit <br />8<Ci tnpany, Inc.", CN=Brad Holtz <br />Brad t .; a# Y'l 19 07 4n•1A•7R_rKgnfv <br />Signature <br />Date <br />Date <br />Date <br />1217123 <br />I ?,I -i- /'ZG 2. 3 <br />Pay Estimate Page 1 of 3 <br />