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Pay Estimate Summary Sheet <br />Estimate Number: <br />Project Number: <br />Project Name: <br />Period Ending <br />3 Partial <br />26-03 <br />Carol -Rose Acres & Sports Haven Street Reconstructions <br />September 30, 2026 <br />Contractor: North Valley, Inc. <br />Address: 20015 Iguana Street NW, 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 1 <br />Percent Complete 101 % <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 />% <br />$ 763,724.51 <br />$ 763,724.51 <br />$ 774,384.50 <br />$ (7,743.85) <br />$ 766,640.65 <br />$ 708, 332.02 <br />$ 58,308.63 <br />$ 7,743.85 <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 />A/LVIT/ U.a cG •,L. �C� <br />Contractor Name <br />Title <br />City of Ramsey Approval <br />Sig,ature (Project'Engineer) <br />Signature (City Engineer) <br />Print N <br />4-/ <br />Signature <br />Date <br />Iv/ (2.02.6. <br />Date <br />to/ t9 /202.6 <br />Date <br />Pay Estimate Page 1 of 3 <br />