HomeMy WebLinkAbout4.h. Approve Pay Estimate #4, West Ridge 3rd Addition � � ��tM # �+H
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� ' CITY OP ROSEMOUNT
APPLICATION FOR PAYMENT
NO. _�
CITY PROJECT NO: —_ J 9at' SEH FILE N(?: �q � 3 �]
FROJECT: WESTR 1 U E � p� �, `
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CONTRACTOR: OD � �jN�T =�, CQNTRACT OATE: _ Q��t� ��q
Y'v• �7C 33S APpI,ICATION DATE: _ 0�l'11 `�D
��-EXA�NDP-1A � 1VSnj SE,3pg FOR PERIOD ENDING: a/�/ qo
Total Contract Amount $`316,v�S.ov Tcatal Amount Earned $`02''1����302, .70
- _...�
Material Suitabiy Stored on Site, � �
�- Not �Incorporated into Work ' ' �
Contract Change Order No. Percent Complete g
Contract Change Order No. Percent Camplete $
Contract Change Order No. Percent Comple�e g
GROSS AMOtTNT DUE . . . . . . . . . . . . . . . . . . . . . . $ eL~I� �.B.Z.70
LESS S $ RETAINAGE . . . . . . . . . . . . . . . . . . . $_ �3 6�. I4- �
AMOUNT DVE TQ DATE . . . . . . . . . . . . . . . . . . . . $ �.S 7� '']I 8•S�
LESS PREVIOUS APPLICATIONS . . . . . . , , , . . . $ Z,�-S.O�rs�• �b
AMDUNT DUE THIS APPLICATION . . . . . . . . . . . $ �a,�$(,T46
APFROVED; �
',-,.E';%,. ,.-,��� � ' � ,t � Z L '��
1 Z � �
ichard M. He ��-,
City Engineer/birector of Public Works
�
� �
. APPLICATION FOR PAYMENT
' (UNIT PRIC��CONTRACT)^
;
4.."' NO. �
OWNER: RCISEMOUNT, MINNESOTA OWNER'S FROJECT NQ.
-------,---.-____---- --- 195
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ENGINEER'S PROJECT NO. gg1�7
L�CATION: ROSEMOUNT, MINNESOTA ---�-�---l�--�_Y
CONTRACTOR NO�LAND CONSTRUCTION CO. , INC. CONTRACT DATE ' _
------------------ A-11-69 .
------------- ---------------
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.O. BOX 338 � CONTRACT AMOUNT $316,025.00
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ALEXANDRIA, MINNESOTA 56308 �
CONTR. FOR WEST`RIDGE_3RD_ADD�_ST_-&`UTILITY CONST. - ROSEMOUNT, MINNESOTA
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APPLIC.DATE---2-�-��qn---�s___------ --------------
PERIOD END.
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APPLICATIQN FQR FAYMENT
DESCRIPTION CQNTRACT QUANTITY UNIT
UNIT QVANTITY TQ DATE PRICC TOTAL
0256.408 8" PVC, 10'-12' DEEP L.F. 968 543 `r �
lO.Op $ 5,430.00
0256.4�8 8" PVC, 12'-14' DEEP L.F. 1Q0 522
10.00 $ 5► 220•00
0256.408 8" PVC, 18'-20' DEEP L.F.
80 0 12.00 $ 0
0256.610 10" DIP, 16' -18' DEEP L.F.
130 236 24.00 $ 5,66� .00
0256. 610 10" DIP, 18'-20' DEEP L.F.
2b2 �31 25.00 $13 275.00
0256. 610 10" DIp, 2p'-22► DEEP L.F.
443 _ �S� 26.00 " 8_�.SS2.00
0256.610 10" DIP, 22'-2q+ DEEP L.F.
. 131 216 27.Q0 $ 5, $32.00
0256.610 10" DIP, 24' -26' DEEP L.F.
276 92 28.00 $ 2,576.00
PA�� 1 QF 5 SHORT-ELLIOTT-NENDRICKSON, INC.
Page Total 4Q. 549.Op
r
t
0256.7p1 STANDARD Mj�NHOLE, 8' DBEP EACH
8 8 �OU.00 A 5,600.Q0
0256.702 EXCESS DEPTN STANDARD MH L.p. 6g
56•9 60.00 $ 3,414 .OQ
��•7�5 8" PVC CLEAN OUT L.F. 13
17.5 25.00 $ 437.50
0256.706 MANNOLE DROF SECTION 32
L•�. -20.�_,,, 80.OQ $ 1 .640.00
0256. 801 � 8" BY 4" PVC WYE EACH 25 Z5 100.Op $ 2 ►500.00
0256.801 10" HY 4" DIP TEE ��
EACH 17 17 160,00 $ 2,720.00
0256.803 4" PVC SERVICF: 1995 1954 6.00 � 11 �24 .0
L,.F. � 0
0256.805 4" DIP RISER
L.F. 225 171 12.00 8_ 2 .052.00
0256.900 CONNECT TO EXISTING SfiWER EACH 1
1 100.00 $ 100.QO
0256.900 CUT INTO EXISTING MANHOLE EACH
2 2 100,00 $ ZOO.Op
0257.406 6" DIp W(H, CL 52 � 1450 1427 10.00 S1q , 270.0U
L.F.
0257.408 $" DIP WM, CL 52
L.F. 1280 1264 12.00 $ 15, 168 .00
0257.606 6" RS GATE VALVE AND BOX EACH
2 2 350.p0 $ ?00.00
0257.608 8" RS GATE VALVE AND BOX EACH ,�
4 450.00 $ 1 ,800.00
0257.630 FITTINGS LESS THAN 12" 1300 1193 1.40 $ 1 ,600. 20
L8.
Q�•,�.640 FIRE NYDRANT ' EACH
6 6 1000.00 $ 6,000.00
0257.71p 1" COPPER SERVICE
L.F. 20$5 2111 3.00 $ 6,333..00
0257.730 1" CORPORATION
EACH 42 42 20.00 $ 840.00
0257.740 1" CURB STOP & 80X
EACH 42 42 60.00 $ 2r520.p0
0257.801 S" ON 12" PRESSURE TAP EACN
2 2 16�0.00 $ 3,200.00
0257.806 INSULATION 1�
BD. FT 200 0 1.OQ $ 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.Q0 $ 5,950.00
0258.402 15" RCP CB LEADS, CL. III L.F.
139 �3��g 18.OQ S 2.502 .00
0258.415 15" RCP STORM SEWER CLIIZ L.F.
346 185 19.00 $ 3,515.00
258.418 18" RCP STO�2M SEWER CLIII L.F. •
663 210 20,00 $ q ,200.00
258.421 21" RCP $TORM SEWER CLIII L.F.
5� -209 22.00 $ 9 . 598.00
258.424 24" RCP STORM SEWER CLI,II L.F.
60 _540 23.00 $�t92p,p0
AGE 2 OF 5 SHQRT-ELLIOTT-�tENORICKSON, INC. Page Total 116, 2p3 ,7Q
�
,. r � . . � �. . . .
�258•427 27" RCP STORM SEWER CLIII L.F. 49? qgg 25.00 $12 ,325.Q0
)�. .436 33" RCP STORM SEWER CLIII L.F. I104 1019 32.00 $32, 60� .00
�....
)258. 536 33" RCP APR W/TRASH GUARD EACH 1 1 750.00 $ 75U.OQ
)258.603 MANHOLE, TYPE B L.F. 27 26.7 60.00 $_ 1 ,602.00
)258. 604 MANHOLE, TYPE C L.F. 99 �7,� 100.00 $�},'7�.pp
)258.605 MANHOLE, TYPE D L,F. 24 _ ��,,�, 150.00 $
_,�., 0.00
)25$.704 CATCH BASIN, TYPE X L.F. 35 ��_ t 50.OQ $ ��7rr.�p
)258.705 CATCH BASIN, TYPE Y L.F. 39 �p � 60.00 $ �* �� nn
)258.801 R 1733 MH CASTING EACH 15 19 130.00 $ 1 ,820.00
-�"
)25�.808 R 3C?6'7 C� CASTINQ EACH 18 18 18C3.00 A�2�0.00
)258. 809 R2561A CH CASTING EACH 2
_ 7 180.00 $ � 360.00
�258•920 GROUTED RIPRAP CL. III C.Y, 15 15 50.QQ $ 750.00
)258.921 GRANULAR FILTER MATERIAL C.Y. 7 7 20.00 $ 140.00
:573. 501 STRAW BALES EACH 20 10 �.p0 $ 50.OQ
--___�__ .
�1�' . 501 COMMON EXCAVATION C.Y. 1000 1000 0.50 $ 500.00
'� . .
'.105.521 GRANULAR BQRROW (LV) C.Y. 1000 0 1.Q0 $ 0
:111.501 TEST ROLLING R.S. 24 24 35.00 $ 840. 00
.'112.501 SUBGRAD� PREPARATION R.S. 24 29 65.00 $ 1 .560.00
:211. a03 AGG. BASE PLACED, CL. 5 C.Y. 1780 1780 g,50 � 15, 13Q.00
'.331.504 BIT. MATERIAL FOR MIXTURE TON 35 _ 125.00 $
:331.514 BASE COURSE MIXTURE TQN 770 9.30 $
:341. 504 HIT. MATERIAL FOR MIXTURk: TON 50 125.00 $
--_,
:341 .508 WEARING COURSE MIXTURS TON 770 �! 10.30 $
:357.5Q2 BIT. MAT FOR TACK COAT GAL. 450 1.30 $
:504.602 ADJUST GATE VALVES '
EACN 6 50.00 $
:506.522 ADJUST FRAME/RING CASTING EACH 14 75.00 $
,521. 501 4" CONCRETE WALK S,F. 9600 1.15 $
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AGE 3 OF 5 SNORT-ELLIOTT-NENDRICKSON, INC. Page Total 88 , 596.p0 �
:
. .�
2531. 501 CON CURB/GUTTER, DES D918 L.F.
• 4750 4667 �.7Q $21 ,43� .00
2�54.501 PERMAPIENT BARRICADES '
L.F. �6 i5.00 $
"�
Gr�nd 7'o�a1 �71 ► 2�2.7q
AGE 4 OF S SHORT-ELLIOTT-HENDRICKSON, INC.
. , ..
HrN�1tHIlUN FUR PAYMENT - Continued •
n Total Contract Amount 5 316 p25 .00 ' Total Amount Earned
. E z�i , zs2 . �o
Material Suitabty Stored on Site, Not Incopqrated into Work s
t �ntract Change Order No. Percent.Complete ; '
�,,.-
Contract Change Order �lo. percent Complete s
Contract Change Order No. Percpnt Comptete s
GRO55 AMOUNT DUE. . .. ... . .. .. . . . s _��� _���0
_ ,
LESS � RETAINAGE... . . .. .. S 13 ,564 . 14
AMOUMT DUE TO DATE. . .. . .. . . .. .. �_�5 7,718,5 6
LESS PREVIOUS APPI.ICAtI0N5.. .. . E 295,462 . 1q ✓�
CONTRACTOR'S AFFIDAVIT A�'�OUNr OUE THIS APPLICAtIQN. .. . = 12,656.46
e unders gned Contractor herebyswears under penaity of per,�ury that {1) all prevlous progress.
payments received from the Owner on account of work performed. under the contract referred tv �
above have been apptied by the undersigned to dlscharg� in fu11 all obligatfons of the under-
signed incurred in connection with work covered by nrior Appllcativns for Payn�ent und�r s�id
contract,
material and equipment incorporated in said Pro,�ect or atherwise 1lsted in or covered�by�thls
Application for Payment are free and clear of all tiens, claims� security interests and
encumbrances.
��ted 2-7- � ig gp . NODLA�TD CONSTRUCTION C0. , INC.
,:._,.. . • J`-� z or�tractor
gy �..�./�.� , .
. l�-���� �
e and T1t e
COUNTY OF '��` �<< 'uf SS
STATE OF "'_� --�
3efore g on this 7�1� i ay of �-cfi�-.���,,.
� c����.c �7�"�'�'�I�c1,..� , 19 �u per3ona11y ePPeared
3n say t at e is the nown o me, w o beln'g"""�uTy sworn, did depose
� ` ...• of the Contr�ctor ebvve mentioned;
that he executed the above A p1-f�{��or payment and fff�davl�t on behalf of said Contractor;
and that all of the statemen�s conta,ihp�'therein'a� �true� c rect a d cort�lete.
My Commission Exp M"� � : . .��� (� ,�`
�1"ES: � '� ���' y Cc-��,:e�:o;i cxpiret t` �L ��
Febrvery 2@,
otary u c
The undersigned has checked the Contractor's Appllcatinn for Payment shown �bove. A part of
this Applicatlon is the Contractor's Affidavit stating.that a11 previous paymertts to hfim
under this Contract have been applied by him to dfscharge 1n fu11 all of his obligativns in
connection with the work covered by all prlor Applications for Payment.
In accordance with the Contract, the undersigned approves payment to the Contractor of thp
Amount Oue.
Date _ �_' I I � � c:)��s SHQRt EL 0 t NENQR�CKSON, C.
By �'�'""' L..e.��f
Page 5 of S
i �
i �
I Conun. No. 9229 Cert. Na 3 St. Paul,MN, February 21, , 1990 I
I �
I To City of Rosemount, Minnesota Owner i
I �
I This Certifies that Pi tt-Des Mo i nes, I nc. , Contractor I
I �
I For 1 M.G. Elevated Tank I
� I
� One Hundred Sixty Thousand I
I Is entitledto One Hundred Sixty and .50/100------------------ ($ 160,160.50 ) I
� i
I being 3rd estimate for partial payment on contract with you dated July 17 , 1989 I
i �
l Received payment in full of above Certificate. To�Tz,KING,DUVALI,ANDERSON I
� AND ASSOCIATES,INCORPORATED I
� ERS AND ARCHITECTS I
� CONTRACTOR 2500 Am rican Na ional nk Bldg. �
� St.P ui,Min �
I , 19 I
I �
� David L. Moore, P.E. �
� i
RECAPITULATI4N OF ACCOUNT
I CONTRACT ( �
I PLUS EXTRAS I PAYMENTS I CREDITS
Contract price plus extras I 838,20Q 00 I I I I _
All�revious�vments I I I 402.230 I 00 1 I
All Qrevious credits I I I I I � __
I I i I I I
Extra Na I I I I I I
„ " i I I I I I
" " I i I I I f
" „ I I I I I i
„ " ' I I I I I I
1 I i I I I
Credit No � I I I I I �
° " I I I I I i
" „ I i I I i I
" " 1 I I I I I
" " 1 ( I I I I
1 I I I I I
AMOLTNT OF THIS CERTIFTCATE I I I 160,16 0 I 50 I I ___
I i I i I I
Totals I � 838 200100 I 562,3A�150 I i
Credit Balance I I I I I I
Tt�ere will iemain unpaid on contracx after payment I I I � � �
of this CeriiC�cate I I I 275,8091 50 I I
I i I I I i
1 1 I I I I
� 838,200 �00 � 838,200100 I I
TOLTZ, KING� DWALL, ANDERSON AND ASSOCIATES, INCORPORATED
Engineers-Architects-Planners Saint Pau1, Minnesota 55101
PERIODICAL ESTIMATE FOR PARTIAL PAYI�NTS
Estimate No.�_ Period Ending February 21.19�Q Page 1 of 1 Comm. No. 9229
Project 1 MG Elevated Tank Original Contract Amount
Location Rosemount, Minnesota $ 838�200.00
Contractor Pitt-Des Moines� Inc.
Total Contract Work Completed $ 591, 990.00
Total Approved Credits $
Total Approved Estra Work Completed $
Approved Extra Orders Amount Completed $
Total Amount Earned This Estimate $ 591,990.00
Less Approved Credits $
Less 5 � Retained $ 29�599.50
Less Previous Payznents $ 402,230.00
Total Deductions $ 431,928.50
Amount Due This Estimate $ 160,160.50
Contractor Date
�=�-z�_ � Z 2-t
Engineer Date O
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