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Pay Estimate Summary Sheet <br />Estimate Number: 4 Partial <br />Project Number: 26-05 <br />Project Name: Flintwood Hills 2nd & 3rd Street Reconstructions <br />Period Ending August 31, 2026 <br />Contractor: North Valley, Inc. <br />Address: 20015 Iguana St. NW Suite 100 <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 103% <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 />792,282.86 <br />$ 792,282.86 <br />$ 816,908.77 <br />$ (8,169.09) <br />$ 808,739.68 <br />$ 784,079.71 <br />$ 24,659.97 <br />$ 8,169.09 <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 />/ 1+/C ft71f / 1r97` - i J <br />Contractor Name Print Name <br />Title Signature <br />Date ' <br />City of Ramsey Approval <br />Sigviature (Project Engineer) <br />3,ktickitel <br />Signature (City Engineer) <br />9�lI /2ou, <br />Date <br />/ /20240 <br />Date <br />Pay Estimate Page 1 of 3 <br />