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2020 Goodview Avenue <br />Improvements Project Final Pay Voucher 4 <br />Page 1 of 4 <br />Client: City of Hugo Contractor:T. A. Schifsky & Sons, Inc. <br />14669 Fitzgerald Avenue North 2370 East Hwy. 36 <br />Hugo, MN 55038 North St. Paul, MN 55109 <br />Contract Amount Funds Encumbered <br />Original Contract $773,545.01 Original $773,545.01 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $773,545.01 Total $773,545.01 <br />Work Certified To Date <br />Base Bid Items $710,731.98 <br />Contract Changes 0.00 <br />Material On Hand $0.00 <br />Total $710,731.98 <br />Work Certified <br />This Voucher <br />Work Certified <br />To Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid <br />This Voucher <br />Total Amount <br />Paid To Date <br />$250.00 $710,731.98 $0.00 $674,957.88 $35,774.10 $710,731.98 <br />Percent Retained: 0% Percent Complete: 91.88% <br />FINAL PAY VOUCHER <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, that the entire <br />amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed in accordance with, and <br />pursuant to, the terms of the Contract is as shown in this Final Voucher. <br />Approved By WSB Approved By T. A. Schifsky & Sons, Inc. <br />County/City/Project Engineer <br />Date Date <br />Approved By City of Hugo <br />Date <br />WSB Project No.: 014873-000 <br />Client Project No.: <br />State Project No.: 224-103-001 <br />Federal Project No.: <br /> /20 <br />/204 <br />444 <br />442 <br />1 <br /> 5/20/2044444421 <br />June 3, 2021 5/20/2021