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Home My WebLink About4.i. Approve Pay Estimate #5 for West Ridge 3rd Addition < � , � .. ' ITEM � ��- 4 � � ' CITY OF ROSEMOUNT APPLICATION FOR PAYMENT NO. � CITY PROJECT NO: /�5 SEH FILE NO: �9I3 '] PROJECT: WESTtZ+b(?E 3�D l4DD. �7"R.��T F,- iI7!L j7Y GON STI�UGT1laN CONTRACTOR: f�JQj��/�iO �J�� CONTRACT DATE: �i�l� `�j� �jd• �X 33S APPLICATIUN DATE: C�a I� I 9C1 p�X��%D�►A , 1V11� ��3v8 FOR PERIOD ENDING: �I bI GT t? Total Contract Amount $ 31(�,O;tS.ov Total Amount Earned $ �qg , �p�,9 � Material Suitably Stored on Site, Not Incorporated into Work � s Contract Change Order No. Percent Complete $ Contract Change Order No. Percent Complete $ Contract Change Order No. Percent Complete $ GROSS AMOUNT DUE . . . . . . . . . . . . . . . $ v�Z.��i � !C}rI.9I LESS � $ RETAINAGE . . . . . . . . . . . . . . . . $_ I''��9o'S:�O AMOUNT DUE TO DATE . . . . . . . . . . . . . . . . . . . . $ �$3, ao�.�1 LESS PREVIOUS APPLICATIONS . . . . . . . . . . . . $ oZS"�1 �i � $ ,,��, AMOUNT DUE THIS AFPLICATION . . . . _ . . . . . . $_ �S� '�83,11 s A O D• �t ��' 'chard . ti, City Engine /Director of Public Works _ ___ _.._. _.._.. i . , ' . .. � - . ,ja� � {' � 2,�• •� � '�� . . � .. � v�"�rlfi7 �L,;,j.r;'��, if n, Mr� � APPLICATION FOR PAYMENT � ------------------------- f��t.��r�r�sa!ua ttY�. (UNIT PRICE CONTRACT) y�J�,`� < jG�(} . !L�`{ . . � . , rro. 5 , ------- ��°� ��.�`� `NER: ROSEMOUNT MINNESOTA OWNER' S PROJECT NO. -�------------�--------------------- �95 ------------------- ENGINEER'S PROJECT NO, 89137 CATION: ROSEMOUNT, MINNESOTA -- NTRACTOR NODLAND CONSTRUCTION CO. , INC. CONTRACT DATE ------------------------------- �`�'g9 --------�---------------- P•O• BOX 338 CONTRACT AMOUNT $316 025.00 ------------------ ------------------------ ALEXANDRIA, MINNESOTA 56308 --------------------- ----- NTR. FOR WEST RIDGE 3RD ADD. ST. & UTILITY CONST. - ROSEMOUNT, MTNNESOTA ------------------------ ---------------------- PLIC.DATE � ----------------- ----- June 6,1.990 ---------------- RTOD END. June 6,199p _ APPLICATION FOR PAYMENT DESCRIPTION CONTRACT QUANTITY UNIT UNIT QUANTITY TO DATE PRICE TOTAL 56.408 8" PVC, 10' -12 ' DEEP L.F. 968 543 ----------- 10.00 S 5,430.00 �6.408 g„ PVC, 12 ' -14' DEEP L.F. 100 5-2 10.00 S 5,220,00 56.408 8" PVC, 18 ' -20' DEEP L.F. 80 0 12.00 $ 0 56. 610 10" DIp, 16 ' -18 ' DEEP L.F. 130 236 24.00 $_ 5,6C�,.00 56. 610 10" DIP, 18 ' -20' DEEP L.F. � .262 531 25.00 S 13,275000 �6. 61D 10" DIP, 20' -22' DEEP L.F. 443 252 26.00 S�6 S 2.00 i6. 610 10" DIP, 22 ' -24' DEEP L.F. 131 216 27.00 S 5,�32.00 >6. 61Q 10" DIP. 24' -26 ' DEEP L.F. 276 92 28.00 S 2,576.00 �E 1 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. , I�ge total �+�549000 . . w • Q256.•701 STANDARD MANHOLE, 8' DEEP EACH 8 g ?00.00 S 5,600,00 0256.702 EXCESS DEPTH STANDARD MH L.F. 69 56.9 60.00 $ 3,/+11�.,00 0256.705 8" PVC CLEAN OUT L.F. 13 l'�e5 25.00 $ 437.50 0256.706 MANHOLE DROP SECTION L.F. 32 20.5 80.00 $_„1 6 O,QO " _ , 4. 0256. 801 8" BY 4" PVC WYE EACH 25 25 100.00 $ 2,5�0,00 0256.801 10" BY 4" DIP TEE EACH 17 1? 160.00 $ 2,720.00 0256.803 4" PVC SERVICE L.F. 1995 195�i� 6.00 $ �-,7�r•� 0256.805 4" DIP RISER L.F. 225 17� 12.00 $ 2,052.00 0256.900 CONNECT TO EXISTING SEWER EACH I 1 100.00 $ 100,Q0 0256.900 CUT INTO EXISTING MANHOLE EACH 2 2 100.00 $ 200,00 0257.406 6" DIP WM, CL 52 � L.F. 1450 1�.27 10.00 "$ L+,�70,00 0257.408 8" DIP WM, CL 52 L.F. 1280 126/�. 12.00 $ 15,16g.00 0257. 606 6" RS GATE VALVE AND BOX EACH 2 2 350.00 $ 700.00 0257. 608 8" RS GATE VALVE AND BOX EACH 4 L�. 450.00 $ l,$00.00 0257.630 FITTINGS LESS THAN 12" LB. 1300 11J.3 1.40 $ 1,600.20 0257. 640 FIRE HYDRANT � EACH 6 6 1000.00 $ 6,000.00 0257.710 1" COPPER SERVICE L.F. 2085 2.�11 3.00 $ 6,333.00 0257.730 1" CORPORATION EACH 42 42 20,00 $ g4�a00 0257.740 1" CURB STOP & BOX EACH 42 42 60.00 $ 2,520.00 0257.801 8" ON 12" PRESSURE TAP EACH 2 2 1600.00 $ 3,�00.00 0257.806 INSULATION BD. FT 200 0 1.00 $ 0 0257.903 CONNECT TO EXISTING WM EACH 2 2 100.00 $ 200,00 0258.401 12" RCP CB LEADS, CL. IV L.F. 368 _ 350 17.00 $ 5,950,00 0258.402 15" RCP CB LEADS, CL. IIZ L.F. 13g 139 18.00 $ 2,502,�0 �258.415 15" RCP STORM SEWER CLIII L.F. .346 �g5 19.Ot? $ ~ 3,515.00 3258.418 18" RCP STORM SEWER CLIII L.F. 663 ��n 20.00 S 4,200000 J258.421 21" RCP STORM SEWER CLIII L.F. 55 209 22.00 $ �i.,59�ofl0 )258.424 24" RCP STORM SEWER CLIII L.F. 60 540 23.00 $ 12�1�.20000 ?AGE 2 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. P�,ge Tota1 116,203,70 . . , 58.427 27" RCP STORM SEWER CLIII L.F. 497 493 25.00 $ 12�325e00 58.436 33" RCP STORM SEWER CLIII L.F. 1104 1019 32.00 $ 32,60�'e00 58.536 33" RCP APR W/TRASH GUARD EACH 1 1 750.00 $ 750.00 58.603 MANHOLE, TYPE B L.F. 27 26.7 60.00 $ 1,602.00 58. 604 MANHOLE, TYPE C L.F. 99 _ �'].�, 100.00 $ �7L�.0.00 58.605 MANHOLE, TYPE D L.F. 24 26s6 150.00 $ �.q p�0� 58.704 CATCH BASIN, TYPE X L.F. 35 � _5 � 50.00 S � _�5� �� 58.705 CATCH BASIN, TYPE Y L,g. 39 �i�.� 60.00 S- 2,436vOfl 58.801 R 1733 MH CASTING EACH 15 16 130.00 $ 2,080.00 58.808 R 3067 CH CASTING EACH 1$ � lg 180.00 S_ 3,_21.�Oa00 5$.809 R2561A CH CASTING EACH 2 - � �so.o0 S ��n,�n 58.920 GROUTED RIPRAP CL. III C,y. 15 15 50.00 S__ 75(�.00 58. 921 GRANULAR FILTER MATERIAL C.Y. 7 7 20.00 $ �s .00 73.501 STRAW HALES EACH 20 10 5.00 $ 50.00 05.501 COMMON EXCAVATION C.Y. 1000 . 1000 0.50 S 500 00 05.521 GRANULAR BORROW (LV) C.Y. 1000 � 0 1.00 S � 11.501 TEST ROLLING R.S. 24 35.00 $�� u+�-- � .d.00 12. 501 SUBGRADE PREPARATION R.S. 24 24. 65.00 $_ l,560,00 11.503 AGG. BASE PLACED, CL. 5 C.Y. 1780 17�0 8.50 $_15,13�00� 31.504 BIT. MATERIAL FOR MIXTURE TON 35 3� 125.00 $ 4,750,00 31.514 BASE COURSE MIXTURE TON 770 g43•�� 9.30 $ '7,�/.�,g.Og 41. 504 BIT. MATERIAL FOR MIXTURE TON 50 5 125.00 S 625.00 41.508 WEARING COURSE MTXTURE TON 770 �.�/J,�_ 10.30 $_ 9210 23 57.5Q2 BIT. MAT FOR TACK COAT GAL. 450 p 1.30 $ .- p J4. 602 ADJUST GATE VALVES EACH � 6 6 50.00 $ 00,00 �� 6.522 ADJUST FRAME/RING CASTING EACH 14 �1,, 7 5.0 0 $ 1, 050,00 ?1.501 4" CONCRETE WALK S.F. 9600 9000 1.15 $ 10,350000 �E 3 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. page total 1L.,.,700,31 �NNLICATION FOR PAYMENT - Continued � • • • Total Contract Amount S_ 316 ,025 .00 Total Amount Earned $ 29g,1t)'l,91 Material Suitably Stored on Site, Not Incoporated into Work $ Contract Change Order No. Percent.Complete � Contract Change Order �Io. Percent Complete $ Contract Change Order Wo. Percent Complete g GROSS AMOUNT DUE, . .. . .. . . . .. .. . $__ 29g,107.91 LESS _�_% RETAINAGE. .. . . ., .. $ 1l.,945.4.0 � AMOUNT DUE TO DATE. . . . . .. . . . . . . $ 2�3,202,51 IESS PREVIOUS APPLICATIONS. . . . , $ 257,718.56 CONTRACTOR'S AFFIDAVIT �UNT DUE THIS APPLICATION. .. . $ 25,1,.83.95 The undersigned Contractor hereby swears under penalty of perjury that (1) all previous progress. payments received from the Owner on account of work performed under the contract referred to above have been appiied by the undersigned to discharge in full a11 obligations of the under- signed incurred in connection with work covered by prior Applications for Payment under said contract, material and equipment incorporated� in said Project or otherwise listed in or covered,bylthis Application for Payment are free and clear of all liens, claims, security interests and encumbrances. Dated June 6 , 19 90 NODLAND CONSTRUCTION CO. , INC . � Cantractor B � y `'% U V� Na and Title COUNTY OF _ Dour�las ) SS �TATE OF _� � 3efore me on this (,_ t� day of �� , 19 90 personally appeared 3nd say that he �s the nown to me, w o being�cuTy sworn, did depose V�' of the Contractor above mentioned; Office that he executed the above Application for Payment and Affidavit on behalf of said Contractor• and that all of the statements contained therein are rue, correct and com ete. `~Airirr �,. ��=�,TH�r My Commi s s i on Exp i res: • f� /� : "��" No#ary P��:r,�_ . � /o`�-� � �,.. ' `� �CFJ liv7Y NOtdl"y Pub 1 C �F.bcuery 28, i9�:�ID� The undersigned has checked the Contractor's Application for Payment shown above. A-part of .his Application is the Contractor's Affidavit stating•that all previous payments to him �nder this Contract have been applied by him to discharge in full all of his obligations in :onnection with the work covered by all prior Applications far Payment. . in accordance with the Contract, the undersigned approves payment to the Contractor of the �rnount Due. )ate � � � SHORT H RICKS , -- BY �a9e 5 o f 5