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AL <br />1B <br />477 Temperance Street I St. Paul, MN 55101 1 (651) 286-8450 <br />July 18, 2017 <br />Mr. Scott Anderson <br />City of Hugo <br />14669 Fitzgerald Avenue North <br />Hugo, MN 55038 <br />Re: Final Application for Payment <br />Beaver Ponds Park Stormwater Re -Use Project <br />City of Hugo, MN <br />WSB Project No. 1904-611 <br />Dear Mr. Anderson: <br />Application and Certificate for Payment No. 4 for the above referenced project in the amount of $8,625.00 <br />is enclosed. The quantities completed to date have been reviewed and agreed upon by the contractor. <br />We hereby recommend that the City of Hugo approve the Final Pay Request for Peterson Companies, <br />Inc. <br />We have also enclosed the following required documents: <br />1 Satisfactory showing that the contractor has complied with the provisions of Minnesota <br />Statutes 290.92 requiring withholding state income tax (IC134 forms). <br />2. Evidence in the form of an affidavit that all claims against the contractor by reasons of the <br />contract have been fully paid or satisfactorily secured (lien waivers). <br />3. Consent of Surety to Final Payment certification from the contractor's surety. <br />4. Two-year maintenance bond. <br />Please include one executed copy of the pay request with the payment to Peterson Companies, Inc. and <br />return one executed copy to our office for our file. If you have any questions or comments regarding this <br />voucher, please contact me at (651) 286-8463. Thank you. <br />Sincerely, <br />WSB & Associates, Inc. <br />Mark Erichson, PE <br />Sr. Project Manager <br />Enclosures <br />cc: Erin Heydinger, WSB & Associates, Inc. <br />kkp <br />Building a legacy—your legacy. <br />Equal Opportunity Employer I wsbeng.com <br />K:\01904-6111AdmiMConstmction Admin\1904-611 Pay Request 4-final-cty 071817.docx <br />6-5 <br />