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z z CITY OF ARDEN HILLS WS Attachment D 1245 West Highway 96 Arden Hills, MN 55112 Project R-010111-000 - 2018 Street and Utility Improvement Project Pay Voucher No. 9 Contractor: Northwest Asphalt, Inc. Contract No.Vendor No. 1451 Stagecoach For Period: 4/16/2019 - 9/6/2019 Shakopee, MN 55377 9 Warrant # Date Contract Amounts Funds Encumbered Original Contract $2,491,595.86 Original $2,491,595.86 Contract Changes $121,372.83 Additional N/A Revised Contract $2,612,968.69 Total $2,491,595.86 Work Certified To Date Base Bid Items $2,302,791.69 Backsheet $0.00 Change Order $120,678.58 Supplemental Agreement $0.00 Work Order $0.00 Material On Hand $0.00 Total $2,423,470.27 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 mentioned projects in accordance with the plans and specifications heretofore approved. Approved By Mayor Date Approved By WS September 10, 2019 Date Approved By Northwest Asphalt, Inc. Contractor Date Page 1 Work Certified This Pay Voucher Work Certified To Date Less Amount Less Previous I Retained Payments Amount Paid I This Pay Voucher Total Amount Paid To Date R-010111-000 $115,301.41 $2,423,470.27 1 $121,173.51 $2,192,760.42 $109,536.34 $2,302,296.76 Percent Retained: 5.0000% Percent Complete: 92.7478% Amount Paid This Pay Voucher $109,536.34 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 mentioned projects in accordance with the plans and specifications heretofore approved. Approved By Mayor Date Approved By WS September 10, 2019 Date Approved By Northwest Asphalt, Inc. Contractor Date Page 1