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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 />6 Partial <br />24-13 <br />Fox Ridge Estates 1st & 2nd Street Reconstructions <br />December 31, 2025 <br />Douglas -Kerr Underground <br />P.O. Box 85, Mora, MN 55051 <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 1 % <br />Percent Complete 102% <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 />$ 2,099,737.06 <br />$ <br />2,099,737.06 <br />$ <br />2,142,410.62 <br />$ <br />(21,424.11) <br />$ <br />2,120,986.51 <br />$ <br />2,100,057.52 <br />$ <br />20,928.99 <br />$ 21,424.11 <br />Certification of Partial Payment <br />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 LJPrint Name <br />AL., _"_� ZL (�_ <br />Title 61J Sign ture <br />5!/- i,:,)-2 L <br />Date <br />City of Ramsey Approval <br />I %IZ Zoz(. <br />Sig ture (Project Engineer) Date <br />Signature (City Engineer) Date <br />Pay Estimate Page 1 of 3 <br />