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CITY OF HUGO <br />14669 Fitzgerald Avenue North <br />Hugo, MN 55038 <br />Project R-010044-000 - HUGO - Beaver Ponds Sanitary Sewer Rehabilitation <br />Final Pay Voucher No. 2 <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, <br />that the entire amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed <br />in accordance with, and pursuant to, the terms of the Contract is as shown in this Final Voucher. <br />Approved By County/City/Project Engineer Approved By Geislinger and Sons, Inc. <br />December 11, 2017 <br />Date <br />City of Hugo <br />Date <br />i <br />" L A, <br />Contracto <br />Date <br />Page 1 <br />Work Certified <br />This Pay Voucher <br />Work Certified <br />To Date <br />Contract No. <br />Contractor: Geislinger and Sons, Inc. <br />511 Central Avenue <br />South <br />R-010044-000 <br />Vendor No. <br />Watkins, MN 55389 <br />$0.001 <br />$174,154.00 <br />For Period: 9/23/2017 - 12/7/2017 <br />$195,654.00 <br />Percent Retained: 0% <br />Warrant # Date <br />Contract Amounts <br />Funds Encumbered <br />Original Contract <br />$232,410.00 <br />_ <br />Original $232,410.00 <br />Contract Changes <br />$0.00 <br />Additional N/A <br />Revised Contract <br />$232,410.00 <br />Total $232,410.00 <br />Work Certified To Date <br />Base Bid Items <br />$195,654.00 <br />Backsheet <br />$0.00 <br />Change Order <br />$0.00 <br />Supplemental Agreement <br />$0.00 <br />Work Order <br />$0.00 <br />Material On Hand <br />$0.00 <br />Total <br />$195,654.00 <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, <br />that the entire amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed <br />in accordance with, and pursuant to, the terms of the Contract is as shown in this Final Voucher. <br />Approved By County/City/Project Engineer Approved By Geislinger and Sons, Inc. <br />December 11, 2017 <br />Date <br />City of Hugo <br />Date <br />i <br />" L A, <br />Contracto <br />Date <br />Page 1 <br />Work Certified <br />This Pay Voucher <br />Work Certified <br />To Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid <br />This Pay Voucher <br />Total Amount <br />Paid To Date <br />R-010044-000 <br />$12,334.00 <br />$195,654.00 <br />$0.001 <br />$174,154.00 <br />$21,500.00 <br />$195,654.00 <br />Percent Retained: 0% <br />Amount Paid This Final Pay Voucher $21,500.00 <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, <br />that the entire amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed <br />in accordance with, and pursuant to, the terms of the Contract is as shown in this Final Voucher. <br />Approved By County/City/Project Engineer Approved By Geislinger and Sons, Inc. <br />December 11, 2017 <br />Date <br />City of Hugo <br />Date <br />i <br />" L A, <br />Contracto <br />Date <br />Page 1 <br />