K-3 - Pay Estimate 4 - Final - Well 5 Improvements

SUMMARY <table> <tr> <th></th> <th>Total Approved</th> <th>Total Completed</th> </tr> <tr> <td>Contract Price</td> <td>$296,015.00</td> <td>$290,407.00</td> </tr> <tr> <td rowspan="2">Approved Change Order (list each)</td> <td>Change Order No. 1</td> <td>$2,720.00</td> <td>$1,292.00</td> </tr> <tr> <td>Change Order No. 2</td> <td>$37,000.00</td> <td>$37,000.00</td> </tr> <tr> <td colspan="2">Revised Contract Price</td> <td>$335,735.00</td> <td>$328,699.00</td> </tr> <tr> <td colspan="2">Stored</td> <td>Total Earned $328,699.00</td> <td></td> </tr> <tr> <td colspan="2">Retainage (0%)</td> <td>$-</td> <td></td> </tr> <tr> <td colspan="2">Total Earned Less Retainage</td> <td>$328,699.00</td> <td></td> </tr> </table> <table> <tr> <th>Total Previously Approved (list each)</th> <th>Pay Estimate No. 1</th> <th>$131,062.95</th> </tr> <tr> <td></td> <td>Pay Estimate No. 2</td> <td>$178,683.60</td> </tr> <tr> <td></td> <td>Pay Estimate No. 3</td> <td>$2,517.50</td> </tr> <tr> <td colspan="2">Total Previously Approved</td> <td>$312,264.05</td> </tr> <tr> <td colspan="2">Amount Due This Request</td> <td>$16,434.95</td> </tr> </table> Percent Complete 100% The amount $16,434.95 is recommended for approval for payment in accordance with the terms of the contract. Prepared By: Shawver Well Company, Inc. Recommended By: Veenstra & Kimm, Inc. Approved By: Tiffin, Iowa Signature: [signature] Name: Dana V Lentz Title: Treasurer Date: 8/18/24 Signature: [signature] Name: Dave Schechinger Title: Engineer Date: August 7, 2024 Signature: [signature] Name: [name] Title: [title] Date: [date]