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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 />2 Partial <br />25-05 <br />High Point Street Reconstruction <br />June 30, 2025 <br />North Valley, Inc. <br />20015 Iguana Street NW, Nowthen, MN 55330 <br />1 Original Contract Amount <br />2 Change Order(s) No. 1 Thru No. 1 <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />5 Retainage 5 % <br />Percent Complete 51% <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 />$ 1,366,954.38 <br />$ 29,738.44 <br />$ 1,396,692.82 <br />$ 711,304.14 <br />$ (35,565.21) <br />$ 675,738.93 <br />$ 69,880.81 <br />$ 605,858.12 <br />$ 720,953.89 <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 />F/414... = t%' <br />Contractor Name <br />Title <br />/174ff 6_010t5 <br />Print Name <br />Signature <br />Date <br />City of Ramsey Approval <br />Sigture (Project Engineer) <br />Signature (City Engineer) <br />7/s/zoZs <br />Date <br />Date <br />-z_ <br />Pay Estimate Page 1 of 3 <br />