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Pay Estimate Summary Sheet <br />Estimate Number: 5 Partial <br />Project Number: 26-05 <br />Project Name: Flintwood Hills 2nd & 3rd Street Reconstructions <br />Period Ending September 30, 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. <br />3 Total Funds Encumbered <br />4 Value of Work Completed <br />5 Retainage 1 <br />Percent Complete 104% <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 />Thru No. <br />% <br />$ 792,282.86 <br />$ 792,282.86 <br />$ 824,393.25 <br />$ (8,243.93) <br />$ 816,149.32 <br />$ 808,739.68 <br />$ 7,409.64 <br />$ 8,243.93 <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 c_ <br />Contractor Name <br />Title <br />City of Ramsey Approval <br />SiSature (Project Engineer) <br />Signature (City Engineer) <br />Morfr <br />Print Name <br />/f/.77 <br />Signature <br />/0k/A6 <br />Date <br />/°/I`t/ZoZ. <br />Date <br />to / ► 9 /2o.2-6 <br />Date <br />Pay Estimate Page 1 of 3 <br />