Laserfiche WebLink
Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />Contractor: <br />Address: <br />Pay Estimate Summary Sheet <br />1 Partial <br />25-10 <br />2025 Pavement Rejuvenation Improvements <br />July 31, 2025 <br />Corrective Asphalt Materials, LLC <br />300 Daniel Boone Trail, South Roxana, IL 62087 <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 88% <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 />$ 233,191.32 <br />$ 233,191.32 <br />$ 205,490.50 <br />$ (10,274.53) <br />$ 195,215.97 <br />195,215.97 <br />37,975.35 <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 Print Name <br />Title <br />City of Ramsey Approval <br />Sigr(ature (Project Engineer) <br />S V <br />tu e (City Engineer <br />Signature <br />�= l - /70'7 -r <br />Date <br />e/6/ZOZS <br />Date <br />Date <br />1 <br />Pay Estimate Page 1 of 2 <br />