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CITY OF HUGO <br />14669 Fitzgerald Avenue North <br />wsb' Hugo, 55038 <br />Project R-013127-000 -Watersrs Edge Storm Reuse -Phase 2 <br />Pay Voucher No. 2 <br />Contractor: Peterson Companies, Inc City Project No. NA <br />8326 Wyoming Trail For Period: 11/30/2019 - 05/21/2020 <br />Chisago City, MN 55013 <br />Contract Amounts <br />Original Contract <br />$ <br />610,000.00 <br />Contract Changes <br />$ <br />- <br />Revised Contract <br />$ <br />610,000.00 <br />Work Certified to Date <br />Base Bid Items <br />$ <br />321,233.50 <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 />$ <br />321,233.50 <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 This <br />Pay Voucher <br />Total Amount <br />Paid to Date <br />$ 144,589.00 <br />$ 321,233.50 <br />$ 16,061.68 <br />$ 167,812.27 <br />$ 137,359.55 <br />$ 305,171.82 <br />- Percent retained 5% <br />Amount Paid This Pay Voucher <br />1 $ 137,359.55 <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 <br />=Q 4-c?� <br />Project Engineer <br />May 22, 2020 <br />Date <br />Approved By: City of Hugo <br />City of Hugo <br />Date <br />App d By: � Peterson Companies, Inc <br />Contractor <br />5VzOc> <br />Date <br />K:1013127-00OI4dminlConstruction AdminlPay Vouchers) <br />Page 1 of 2 013127-000 PV2 052120VO 2 Cover <br />