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2022 Street Rehabilitation Project Final Pay Voucher 4 <br /> <br /> Page 1 of 5 <br />Client: City of Lino Lakes Contractor: T. A. Schifsky & Sons, Inc. <br /> 600 Town Center Parkway 2370 East Hwy. 36 <br /> Lino Lakes, MN 55014-1182 North St. Paul, MN 55109 <br /> <br /> <br />Contract Amount Funds Encumbered <br />Original Contract $1,213,104.39 Original $1,213,104.39 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $1,213,104.39 Total $1,213,104.39 <br /> <br />Work Certified To Date <br />Base Bid Items $1,154,257.69 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $1,154,257.69 <br /> <br />Work Certified <br />This Voucher <br />Work Certified <br />To Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid <br />This Voucher <br />Total Amount <br />Paid To Date <br />$200.00 $1,154,257.69 $0.00 $1,096,354.81 $57,902.88 $1,154,257.69 <br />Percent Retained: 0% Percent Complete: 95.15% <br /> <br />FINAL PAY VOUCHER <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, that the entire <br />amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed in accordance with, and <br />pursuant to, the terms of the Contract is as shown in this Final Voucher. <br /> <br />Approved By WSB Approved By T. A. Schifsky & Sons, Inc. <br /> <br /> <br />Signature Signature <br /> <br /> <br />Date Date <br /> <br />Approved By City of Lino Lakes <br /> <br /> <br />Signature <br /> <br /> <br />Date <br /> <br /> <br /> <br />WSB Project No.: 019135-000 <br />Client Project No.: <br />State Project No.: SAP 210-107-001 <br />Federal Project No.: <br />7/7/2023