K-4 - Pay Estimate 1 - Shawver Well Company - Well 5 Improvements

SUMMARY Total Approved Total Completed Contract Price $ 296,015.00 $ 136,669.00 Approved Change Order (list each) Change Order No. 1 $ 2,720.00 $ 1,292.00 Revised Contract Price $ 298,735.00 $ 137,961.00 Stored Total Earned $ 137,961.00 Retainage (5%) $ 6,898.05 Total Earned Less Retainage $ 131,062.95 Total Previously Approved (list each) Total Previously Approved $ - Percent Complete 46% Amount Due This Request $ 131,062.95 The amount $131,062.95 is recommended for approval for payment in accordance with the terms of the contract. Prepared By: Recommended By: Approved By: Shawver Well Company, Inc. Veenstra & Kimm, Inc. Tiffin, Iowa Signature: Signature: Signature: Name: Name: Dave Schechinger Name: Title: Title: Engineer Title: Date: Date: February 24, 2022 Date: V&K Job No. 5093 3 of 3