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CITY OF HUGO <br />14669 Fitzgerald Avenue North <br />5038 <br />Wsb Hugo, - Water <br />Project 03288-190 -Water Tower No. 4 <br />Pay Voucher No. 7 <br />Contractor: CB&I, LLC City Project No. NA <br />PO Box 84627 For Period: 9/30/19-12/19/19 <br />Dallas. TX 75284-6217 <br />Contract Amounts <br />Original Contract <br />$ 3,510,500.00 <br />Contract Changes <br />$ - <br />Revised Contract <br />$ 3,510,500 00 <br />Work Certified to Date <br />Base Bid Items <br />$ 1,720,053.45 <br />Backsheet <br />0 <br />Change Order <br />0 <br />Supplemental Agreement <br />0 <br />Work Order <br />0 <br />Material on Hand <br />0 <br />Total <br />$ 1,720,053.45 <br />Work Certified <br />This PayVoucher <br />Work Certified <br />to Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid This Total Amount <br />Pay Voucher Paid to Date <br />$ 80,632.20 <br />$ 1,720,053.45 <br />$ 86,002.67 <br />$ 1,557,450.19 <br />$ 76,600.59 $ 1,634,050.78 <br />Percent retained <br />5% <br />Amount Paid This Pay <br />Voucher <br />$ 76.600.59 <br />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 <br />mentioned projects in accordance with the plans and specifications heretofore approved. <br />Approved By: WSB Approved By: CB&I, LLC: <br />Project Engineer Contractor <br />January 7, 2020 1-3" Z020 <br />Date <br />Approved By: City of Hugo <br />City of Hugo <br />Date <br />Date <br />K:103299-1901AdminlConatniction AdminlPay Voucheial <br />Page 1 of 1 03299-190 PV7122019VO 7 Cover <br />