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Pay Estimate Summary Sheet <br />Estimate Number: 1 Partial <br />Project Number: 26-02 S.A.P. 199-101-013 & 199-128-001 <br />Project Name: 2026 MSA Pavement Overlay Improvements <br />Period Ending October 7, 2026 <br />Contractor: North Valley, Inc. <br />Address: 20015 Iguana Street. Suite 100, Nowthen, MN 55330 <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 18% <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 />$ 1,129,093.12 <br />$ 1,129,093.12 <br />$ 207,618.81 <br />$ (10,380.94) <br />$ 197,237.87 <br />$ <br />$ 197,237.87 <br />$ 931, 855.25 <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 />Aliterki th 4, <br />Contractor Name <br />Title <br />City of Ramsey Approval <br />Signature (Project Engineer) <br />Signature (City Engineer) <br />o/141,/2°2-C <br />Date <br />(0/ 1(d72024 <br />Date <br />Pay Estimate Page 1 of 3 <br />