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121st Street and Acres of Bald <br />Eagle Utilities & Street <br />Improvements Project <br />Pay Voucher 5 <br /> <br /> Page 1 of 7 <br />Client: City of Hugo Contractor: A-1 Excavating, Inc. <br /> 14669 Fitzgerald Avenue North PO Box 90 <br /> Hugo, MN 55038 Bloomer, WI 54724 <br /> <br /> <br />Contract Amount Funds Encumbered <br />Original Contract $1,005,924.00 Original $1,005,924.00 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $1,005,924.00 Total $1,005,924.00 <br /> <br />Work Certified To Date <br />Base Bid Items $990,852.91 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $990,852.91 <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 />$68,344.80 $990,852.91 $9,908.53 $876,382.70 $104,561.68 $980,944.38 <br />Percent Retained: 1% Percent Complete: 98.5% <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 A-1 Excavating, Inc. <br /> <br /> <br />Signature Signature <br /> <br /> <br /> Date Date <br /> <br />Approved By City of Hugo <br /> <br /> <br />Signature <br /> <br /> <br />Date <br /> <br /> <br /> <br /> <br />WSB Project No.: 018363-000 <br />Client Project No.: <br />State Project No.: <br />Federal Project No.: <br />7/28/2022