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2021 Downtown Improvement <br />Project - Lions Park Project <br />Pay Voucher 4 <br /> <br /> Page 1 of 14 <br />Client: City of Hugo Contractor: Peterson Companies, Inc. <br /> 14669 Fitzgerald Avenue North 8326 Wyoming Trail <br /> Hugo, MN 55038 Chisago City, MN 55013 <br /> <br /> <br />Contract Amount Funds Encumbered <br />Original Contract $6,229,214.96 Original $6,229,214.96 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $6,229,214.96 Total $6,229,214.96 <br /> <br />Work Certified To Date <br />Base Bid Items $3,519,317.92 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $3,519,317.92 <br /> <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 />$1,585,395.81 $3,519,317.92 $175,965.90 $1,837,226.04 $1,506,125.98 $3,343,352.02 <br />Percent Retained: 5% Percent Complete: 56.5% <br /> <br />This is to certify that the items of work shown in this Pay Voucher have been actually furnished for the work comprising the above- <br />mentioned project in accordance with the plans and specifications heretofore approved. <br />Approved By WSB Approved By Peterson Companies, Inc. <br /> <br /> <br />Project Engineer <br /> <br /> <br /> Date Date <br /> <br />Approved By City of Hugo <br /> <br /> <br /> <br /> <br /> <br />Date <br /> <br /> <br /> <br /> <br />WSB Project No.: 015887-000 <br />Client Project No.: <br />State Project No.: <br />Federal Project No.: <br />December 30, 2021