The URL can be used to link to this page

Home My WebLink About5.d. Approve 2nd & Final Pay Estimate, Valley Oak Replat, Phase IV E � • �� ' , �. � CITY OF ROSEMOUNT APPLICATION FOR PAYM�NT NO. � - Fr�vkc. CITY PROJECT NO: fQ� SEH FILE NO: Q��t61 PROJECT: VR tz�y UA�� Q ob� nc��; — P�S E � '�-' ��'�'T�/ �'9-� CONTRACTOR: ��C..}�/}� k��,�-Sct� CONTRACT DATE: �� ,� t� £�,? _�.o I ��}��t.F�s �j-/� APPLZCATION DATE: 1� � i 3 ��3� �ii;1�N� �li+-L� , rv1N �S33R]FOR PERIOD ENDING: lU/ 3�f f+,�j Total Contrac� Amount $ /43,/��3.a(� Total Amount Earned $ / �¢��56_ i� , Material Suitably Stored on Site, Not Iz�corporated into Work $ Contract Change Order No. , Percent Complete S Contract Change Order No. Percent� Complete $ Contract Ct�ange Order No. Percent Complete $ GROSS AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . $ l44,7 SE>. ��. LESS � $ RETAINAGE . . . . . . . . . . . . . . . . . . . $ ' AMOUNT DUE TO DATE . . . . . . . . . . . . . . . . . . . . $ I�-9-, 7S6. +� LESS PREVIOUS APPLICATIONS . . . . . . . . . . . . $ $I ,�S 6,'37 AMOUNT DUE THIS APPLICATION . . . . . . . . . . . $[,3 � �.��j. ']$' RPP�('9VED:�� f . - � �j'� , '�,�'�"-�..�L �`;� `''r ��4 �'2 L��' �¢'l(� �Richard . H� t, � City Engine�r D�rector of Public Works ; / ; . • • j� APPLiCATION FOR PAYMENT �� C � 1 �' E D ------------------------- SHORT EU.IOTT NENDRICKSON. lNC. (UNIT PRICE CONTRACT) No. NOV 1 G i°89 _ 2 Final 1 VER: CITY QF ROSEMOUNT OWNER'S PRO JECT NO. 196 ------------------- ENGINEER'S PROJE�T NO. 89161 ;ATION; VALLEY OAK ADDN — PHASE IV ---------------- fTRACTOR RICHARD KNUTSON CONTRACT DATE ----------------------- 6/21/89 -------- --------------- 201 TRAVERLS T --'—""" R�►IL, SUITB 5 CONTRPICT AMOUNT $��IQ�� -------------------- HURN ----------------------- SVILLE, MN 55337 $143,108. 26 TR. FOR VALLEY_OAK�ADDN__pflAgE_IV-_ROSEMOUNT, MN ---------------------- LIC.DATE 11/i3/89 --------------------- -------------------- IOD END. 10/31�89 ------------------------- APPLICATION FOR PAYMENT )ESCRIPTION CONTRACT QUANTITY UNIT UNIT QUANTITY TO DATE PRICE TQTAL ----------------- ------------------------------- PION 1 — SANITARY SEWSR - ---------------- i.408 8" PVC, 8'-10' DEEP L.F. 56 166 8.50 $_1,411.00 i.408 8" PVC, 10'-12' DEEF L.F. 305 521 9.32 $ 4,855. 72 i.408 8" PVC, 12'-14' DEEP L.F. 414 198 10. 6fi $ 2, 110. 68 �.408 8" PVC, 14'-16' DEfiP �Fs �4K4•3c L.F. 173 }..4g'r :�1 12.36 5��':�� "�- .408 8" PVC, 16'-18' DEEP L.F. 139 � " 13.86 $ -- .701 STD. MH, 8' DEEP EACH 5 6 804.60 $ 4, 827. 60 .702 EXCESS DEPTH STD. MH L,g, 2g 30.20 48.62 $ 1, 468. 33 .801 8" X 4" PVC WYE EACH 26 26 16.00 $ 416. 00 -_ 1 OF 4 SHORT—ELLIOTT—HENDRICKSON, INC. . . • � �?56,803 4" PVC SERVICE L.F. 1410 1336 �.43 $ 7, 254. 48 1256.805 4" PVC RISER L.F. 80 ______41 g,�3 $ 349.73 1256.900 CONN TO EXISTING SEWER EACH 2 2 1g2,5p $ 365. 00 �ECTION II - WATERMAIN �257.406 6'" DIP WM, CL. 52 L.F. 1765 1671 10.35 $17, 294.85 �257.408 8" DIP WM, CL. 52 L.F. 410 410 13.41 S 5, 498. 10 257.606 6" R.S. GATE VALVE & BOX EACH 3 2 298.00 $ 596. 00 257.612 12" RS GATE VALVE & BOX EACH 1 1 708.00 $ 708. 00 257.630 FITTINGS LESS THAN 12" LH. 760 1388 1. 69 $ 2, 345. 72 257.640 FIR� fiYDRANT EACFI 4 4 899.Q0 $ 3 � S96. OQ 257.710 1" COPPER SERVICE L.F. 1430 1305 6.36 S $.299.8Q 257.730 1" CORPORATION EACH 26 2� 17.88 $ 464. 88 257.740 1" CURH STOP EACH 26 �� 59.81 $ 1 � �55.�6 257.801 6" ON 16" PRESSURE TAP EACH 1 i 998.00 $ AAR_ nn 257.903 CONNECT TO EXISTING WM EACH 5 � 169.80 S uaa nn �CTION III - STORM SEWER 258.427 27" RCP STORM SEWER, L.P. ?20 710 22.2� g15,811. 70 CL III Z58.603 MANHOLE, TYPE H L.F. 2$ 25.80 68.6$ $ 1,771. 95 t58.705 CATCH BASIN, TYPE Y L.F. 5 4. 8 105.60 $ 506. 88 t58.801 R-1733 MH CASTING EACH 3 3 139.00 S 417. 00 Z58.808 R-3067 CH CASTING EACH 1 1 211.00 $ 211. 00 t58.930 CONN TO EXTG STORM SEWER EACH 2 2 255.50 $ 511 .00 :CTION IV - STREET CONSTRUCTION L05.501 CONII�ION EXCAVATION C.Y. 500 �08 i.52 $ 1. 228• 16 .05.521 GRANULAR HORROW (LV) C,Y. 500 1995 2,49 $ 4,967. 55 .11.501 TEST RaLLING R.S. 14 14• 2 15.C10 $ 213 . 00 14. 2 1 066. 99 .12.501 SUBGRADE PREPARATION R.S. 14 75.14 $ + ►GE 2 OF 4 SHURT-ELLIOTT-HENDRICKSON, INC. ' � � !:?:11.503 AGG. HASE PLACED, CL 5 C.Y. 1080 1080 7.92 $ 8,553. 60 !341.504 HIT MAT. FOR MIX TON 55 56. 29 130.Q0 $ 7, 317. 70 :341.508 WEARING COURSE MIX TON 500 504. 18 9.35 $ 4,714.09 :341.510 BINDER COURSE MIX TON 500 573. 15 9.35 $ 5, 358. 96 :357.502 BIT M,AT. FOR TACK COAT GAL. 290 290 1.25 $ 362. 50 :504. 602 ADJUST GATE VALVE 80X EACH 4 3 78.50 $ 235. 50 ;506.522 ADJ FRAME & RING CASTING EACH 9 9 162.67 $1, 464. Q3 ;531.501 C�NC CURB & GUTTER DES L.F. 3210 2998 3,94 $11,812. 12 D418 531.507 7" C�NCRETE CROSS GUTTER S.Y. 40 47• 20 21.40 $ 1,010. 08 ECTION V - LIGHTING 545.511 LIGHTING UNIT, TYPE A EACH 3 3 1235.00 $ 3,705.QA 545.511 LIGHTING UNIT, TYPE B EACH 1 1 1455.00 $ 1, 455.00 545. 532 UNDERGROUND CONDUCTOR L.F. 800 557 2.00 $ 1, 114. 00 545.552 FEED POINT EACH 2 2 1600.OQ $ 3 .200. 00 PAGE 3 OF 4 SHORT-ELLIOTT-HENDRICKSON;- INC. 6 • $143 10�C6TI0N FOR PAYMENT - Continued� ° � 1�-�`?56.1� DFS �ta19 Contract Amount $ ��r;(��3'0� Total Amount Earned $_�g�;-7�" aterial Suitably Stored on Site, Not Incoporated into Work $ ontract Change Order No. Percent.Complete $ ontract Change Order ^lo. Percent Complete $ on�ract Change Order �Jo. Percent Complete g �44�'756,tz- �FS GROSS AMOUNT DUE. . . . . . . . . . .. . . . � 15S-r�9�4-��L LESS � RETAINAGE. . . . . .. . . $ -- , ,��s� ,� o�s AMOUNT DUE TO DATE. . . . . . . . . . . . . $ t3t , �sE,3'7 AFs LESS PREVIOUS APPIICATIONS. . . . . $ $-�:�'�--�- AMOUNT DUE THIS APPLICATION. . . . $ -�-,��- �s )NTRACTOR'S AFFIDAVIT �e undersigned Contractor hereby swears under penalty of perjury that (1) all previous progress. �yments received from the Owner on account of work performed under the contract referred to �ove have been applied by the undersigned to discharge in full all obligations of the under- Igned incurred in connection with work covered by prior Applications far Rayment under said �ntract, and (Z) all iterial and equipment incorporated in said Project or otherwise listed in vr covered by this �plication for Payment are free and clear of all liens, claims, security interests and icumbrances. �ted November 13 , 19 89 RICHA.RD KNUTSON � Co tractor � ; BY Treasurer . ' N me and itle UNTY OF �; � /► ) SS ATE OF ,�,��i�Pc�rfz;.� ) fore on t is � •` '�� day of _��L�C'�'�j , 19 �,�`� _ personally appeared % '� �� > nown to me, wfi�o being duly sworn, did depose d say that e i the of the Contractor above mentioned; ce at he executed the above Apptication for Payment and Affidavit on behalf of said Contractor, d that all of the st i a e rue, correct an complete. V � Commission Expires MoisryPubNc- � � Han'�epl" � Qtary ub c e undersigned has checked the Contractor s App cation for Payn�ent shown above. A part of is Application is the Contractor's Affidavit stating that all previous payments ta him der this Contract have been applied by him to discharge in full all of his obligations in nnection with the work covered by all prior Applications for Payment. accordance with the Contract, the undersigned approves payment to the Contractor of the �unt Due. te _�� O �- B HORT EI.L ENDRI ON, I . Y �e 4 of 4