2017.10.02 CC Packet - Laserfiche WebLink

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WSB CITY OF HUGO 14669 Fitzgerald Avenue North Hugo, MN 55038 Project R-010044-000 - HUGO - Beaver Ponds Sanitary Sewer Rehabilitation Pay Voucher No. 1 Contract No. Vendor No. For Period: 7/21/2017 - 9/22/2017 Warrant # Date Funds Encumbered Original $232,410.00 Additional N/A Total $232,410.00 Work Certified Contractor: Geislinger and Sons, Inc. 511 Central Avenue South Watkins, MN 55389 Contract Amounts To Date Original Contract $232,410.00 Contract Changes $0.00 Revised Contract $232,410.00 Work Certified To Date $174,154.00 Base Bid Items Percent Retained: 5% $183,320.00 Backsheet 1 $174,154.00 $0.00 Change Order $0.00 Supplemental Agreement $0.00 Work Order $0.00 Material On Hand $0.00 Total $183,320.00 Contract No. Vendor No. For Period: 7/21/2017 - 9/22/2017 Warrant # Date Funds Encumbered Original $232,410.00 Additional N/A Total $232,410.00 This is to certify that the items of work shown in this certificate of Pay Voucher have been actually furnished for the work comprising the above mentioned projects in accordance with the plans and specifications heretofore approved. Approved By Coun ity/Pro'ect Engineer L�� September 25, 2017 Date City of Hugo Date Approved By Geislinger and Sons, Inc. Contractor Date Page 1 Work Certified Work Certified Less Amount Less Previous Amount Paid Total Amount This Pay Voucher To Date I Retained Payments This Pay Voucher Paid To Date R-010044-000 $183,320.00 $183,320.00 1 $9,166.00 $0.00 $174,154.00 $174,154.00 Percent Retained: 5% Percent Complete: 78.8778% Amount Paid This Pay Voucher 1 $174,154.00 This is to certify that the items of work shown in this certificate of Pay Voucher have been actually furnished for the work comprising the above mentioned projects in accordance with the plans and specifications heretofore approved. Approved By Coun ity/Pro'ect Engineer L�� September 25, 2017 Date City of Hugo Date Approved By Geislinger and Sons, Inc. Contractor Date Page 1