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PROJECT PAY FORM <br />4 FOCUS ENGTNEERTNG, inc <br />2024 SIR€ET & UNUTY IMPROVEM€I{TS <br />PROrrCr NO. 2023.lU <br />PERIOD OF ESTIMATE <br />FROM 81112024 TO 8lrtl2o24 <br />PROJECT OWNER: <br />C]TY OF IA(E ELMO <br />3800 tAvERt{t AVENUE NOnTH <br />TAXE ELMO, MN 55042 <br />ATT : JA€r GRlFFl , CIIY El{Gll{EER <br />CONTRACTOR: <br />NORTHDAII CO'{STRUCNON COMPAI{Y, INC <br />9760 71ST Sr NE <br />ALAERTVITIT, M 55:rcT <br />ATT : l(Evl TOP?, PROJECI MANAGER <br />CONTRACT CHANGE ORDER SUMMARY PAY ESTIMATE SUMMARY <br />No Approval <br />Oate <br />Amount L. Ori8inal Cootract Amount <br />2. Net Change Order Sum <br />3. Revised contract (1+2) <br />4. lwork Completed <br />5. *Stored Materials <br />6. Subtotal (4+5) <br />7. Retaina8er 5.0% <br />8. Previous Payments <br />9. Amount Due (G7-8) <br />' Oe tailed Breakdgw n AttocM <br />s42,608.13 <br />52,0o7,92O.44 <br />51.858,995.43 <br />s0.00 <br />51,8s8,995-43 <br />592,949.77 <br />s1.418,301.18 <br />su7,7U.48 <br />Additioos Deductions <br />1 <br />2 <br />sl20/2024 <br />7172/2024 <br />9/3/2024 <br />s9,60s.33 <br />520,747.n <br />s12,2ss.oo <br />TOTAL5 S42,608.13 so.0o <br />NET CHANGE s42,608-13 <br />CONTRACT TIME <br />START DATE: <br />SUBSTANTIAT COMPLTTION <br />FINAL COMPLETION:tol25l2O24 <br />ORIGINAL DAYS <br />REVISED DAY5 <br />RTMAINING <br />112 <br />0 <br />55 <br />ON SCHEOULE <br />YES <br />NO <br />x <br />ENGINEER'S CERTIFICATION: FOCUS Engineerin& inc. <br />The undersigned certifies that the work has been reviewed and to the <br />best of their koowledte and belief, the quantities shown in this <br />estimale are coraect and the ro,k has been performed in acco.da NCE ENGIT{E€R <br />with the contract documents <br />CONTRACTOR'S CERTI FICATION : <br />The undersi8ned Contractor certifies that to the best oftheir <br />knowledge, informatioo and beliefthe work cove.ed by this payment <br />eitimate has b€en completed in accordance with the contract <br />documents, that all amounts have be€n paid by the contracto. for <br />work ror which previous payment estimates was issued and paym€nt5 <br />received from the owner, and that current payment shown herein is <br />not / due. <br />COI{TRACTOR <br />1lurh t ,1.-, <br />BY <br />o,l /oq lzoz4 <br />DATT <br />APPROVEO 8Y OWNER: CITY OF I-AKE ELMO, MlIrlt{ESOTA <br />8Y 8Y <br />OATE DATE <br />FOCUS €ntineerin& inc-PROJECI PAYMTNT FORM <br />PARTIAL PAY ESTIMATE NO. <br />s1,965,312.31 <br />sl6l2024 <br />9lZ3l2O24 <br />DATf