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CITY OF HUGO <br />WSB <br />14669 Fitzgerald Avenue North <br />Hugo, MN 55038 <br />Project R-010893-000 - Oneka Lake Boulevard and Harrow Avenue Street Improvement Project <br />Pay Voucher No. 1 <br />Contractor: North Valley, Inc. <br />20015 Iguana Street <br />NW <br />Nowthen, MN 55330 <br />Contract Amounts <br />Original Contract <br />$764,657.16 <br />Contract Changes <br />$0.00 <br />Revised Contract <br />$764,657.16 <br />Work Certified To Date <br />Base Bid Items <br />$375,953.31 <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 />$375,953.31 <br />Contract No. <br />Vendor No. <br />For Period: 7/5/2018 - 7/31/2018 <br />Warrant # Date <br />Funds Encumbered <br />Original $764,657.16 <br />Additional N/A <br />Total $764,657.16 <br />Work Certified <br />Work Certified <br />Less Amount <br />Less Previous <br />Amount Paid <br />Total Amount <br />This Pay Voucher <br />To Date <br />I Retained <br />Payments <br />This Pay Voucher <br />Paid To Date <br />R-010893-000 <br />$375,953.31 <br />$375,953.311 <br />$18,797.67 <br />$0.00 <br />$357,155.64 <br />$357,155.64 <br />Percent Retained: 5.0000% <br />Percent Complete: 49.1663% <br />Amount Paid This Pay Voucher <br />$357,155.64 <br />This is to certify that the items of work shown in this certificate of Pay Voucher have been actually furnished for <br />the work comprising the above mentioned projects in accordance with the plans and specifications heretofore approved. <br />Approved By Approved By North Valley, Inc. <br />County/City/Project Engineer <br />August 1, 2018 <br />Date <br />City of Hugo <br />Date <br />Contractor <br />Date <br />Page 1 of 5 <br />