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Home My WebLink About4.f. Approve Pay Estimate #3, West Ridge 3rd Addition, Contract #1989-2 . ' � L'��i�fl. r`�l��2-- ' , r�� • CITY OF ROSEMOUNP APPLICATZt)N 3R PAYMENT NU. �_ CITY PROJECT NO: /tI S SEH FILE NO: �q � 3 '] !,, pROJECT: WESTR 1 D(sE. 3 RD ADD 5�T'R.�ET & V'T l L ITY GO/V 5T7e U�.n OhJ II CONTRACTOR: [11OD!-RND CpNST. G, CONTRACT DATE: P� �� I'� � �� r•'�• �X "' 38 APPLICATION DATE: I Zl Zp �9 !� AL-E�4fFND P-�A ,J1/�/� S(�3pQs FOR PERIOD EI�IDING: _I Z jZp�8 y1 I Total Contract 1�mount S 316,0�5'.0o Total 1�nount Earned $ Z.S7 F,p -��- � , Material Suitably Stored on Site, ' Not .Incorporated into Work $ Contract Change Order No. Percent Complete $ �I Contract Change Order No. . Percent Complete $ '' Contract Change Order No. Percent Comp2ete $ GROSS AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . $ Z�S71 �j0 � LESS S$ RETAINAGE . . . . . . . . . . . . . . . . . . . $��Z,� �5i.� o0 AMOUNT DUE TO DATE . . . . . . . . . . . . . . . . . . . . $ Z��, (7 Ej Z. � LESS PREVIOUS APPLICATIONS . . . . . . . . . . . . $_Z-II� (�/8 86 AMOUNT DUE THIS APPLICATION . . . . . . . . Z4 . . . s_ 3 3 '�43 -- � PP VE�l, . r' � + `a �t�. r� 1 �%� Richard M. i, City Engine ,/ irector of Public Works ,� � • � . APPLICATION FOR PAYMENT �-k-_-S, ,.,� •--� , . . -. �...� I ` , • ------------------------- J�" . �. � , +: �'�u .,...� .. r^ (UNIT PR�CE CONTRACT) ;�uRT ELl.14TT t��c,:�fttCtt,•,(�i,�. i��::• No.---3-- DE:C `., 1 t�.°�-�c, o•-� n 1 OWNER: ROSEMOUNT, MINNESOTA �p ��;. __OWNER'S PROJECT NO. ------------------- ENGINEER'S P�tOJECT NO. $9137 LOCATION: ROSEMOtINT, MINNESOTA � r - CONTRACTOR NODLRND_CpNgTRUC'��ON_CO�_�INC__CONTRACT DATE p� 11��9gc� __ ------------------------- P.O. BOX 338 CONTRACT AMOUNT $316,025.00 ------------------ --�--------------------- ALEXANDRIA, MINNESOTA 563Q8 CONTR. FOR WEST�RIDGE_3RD_ADD`�ST+_& UTILITY CONST. - ROSEMOUNT, MINNESOTA APPLIC.DATE -------------------------------------------- -------..Dec 20�19g9 PE�T7D END.________Dec 20,19g9 _------ APPLICATION FOR PAYMENT DESCRIPTION CONTRACT QURNTITY UNIT UNIT QUANTITY TO D1�TE PRICE TOTAL �256.408 8" PVC, 10' -12' DEEP L.F. 968 37b 10.00 $ �,760,00 �256.40$ 8" PVC, 12 '-14' DEEP L.�'. 100 6�9 10.00 $ 6,Sq0.00 7256.408 8" PVC, 18'-20' DEEP L.F. 80 g0 12.00 $ 960000 )256. 610 10" DIP, 16'-18' DEEP L.F. 130 24.00 $ )256.610 10" DIP, 18' -20' D£EP L.F. 262 42�q�_ 25.00 $ 10.725000 )256.610 10" DIP. 20'-22' DEEP L.F. 443 361 26.00 S 9,386.00 )256. 610 10" DIP, 22'-24' DEEP L.F. 131 120 27.00 $ 3,'�,.0.00 )256.610 10" DIP, 24'-26' D�EP L.F. 276 227 28.00 $ b,35bo00 � 'AGE 1 OF 5 SHORT-ELLIOTT-HENDRICKS�N, INC. page total 41,317.00 ,. Q256.70Y STANDARD MANHOLE, 8' DEEP ERCH 8 � �0�.0� $ 5,6Uo,00 0+256.702 EXCESS DEPTH STANDARD MH L.F. 69 �6 � .-�-� 60.00 $ 2,760.00 ; 0. �.705 S" PVC CLEAN OUT L.F. 13 13 25.00 S 325000 I' 0256.706 MANHOLE DROP SECTION L.F. 32 20 80.00 $ 1,60U,00 0256.801 8" BY 4" PVC WYE EACH 25 25 100.00 $ 2,500,00 ' 0256.801 10" BY 4" D�P TEE EACH 17 17 160.�0 $_ 2,720,00 0256.803 4" PVC SERVICE L.F. 1995 _ 19�4 6.00 S 11, 2�.o0U ' 02Sb.805 4" DIP RISER L.F. 225 �1 �j�� I2.00 $��,,,p0 0256.900 CONNECT TO EXISTING SEWER EACH 1 1 100.00 $ lOqo00 0256.900 CUT INTO EXISTING MANHOLE EACH 2 z 100.00 $ z�� 0257.406 fi" DIP WM, CL 52 L.F. 1450 12g5o5 10.00 $ 1z,855o00 0257.408 8" DIP WM, CL 52 L.F. 1280 10'7g 12.00 $ 12,936000 0257.606 6" RS GATE VALVE AND BOX EACH 2 2 350.00 $ 700.00 0257.60$ 8" RS GATE VALVE AND HOX EACH 4 !i, 450.00 $ 1i800,00 025�.630 FITTINGS LESS THAN 12" LB. 1300 1L.,.3 1.40 $� 1,600,20 Oa,., .640 FIRE HYDRANT EACH 6 6 1000.00 $ 6�000,00 0257.710 1° COPPER SERVICE L.F. 2085 2113. 3.00 $ 6,333000 0257.730 1" CORPORATION EACH 42 4�' 20.00 $ �� 0257.740 1" CURH STOP & B�X EACH 42 42 60.00 $ 2,52�000 0257.$O1 8" ON 12" PRESSURE TAP EACH 2 � 1600.00 $ 3,2�� 0257.806 INSULATION BD. FT - 200 1.00 $ 025'7.903 CONNECT TO EXISTING WM EACH 2 2 100.00 $ 200.00 025$.401 12" RCP GB LEADS, CL. IV L.F. 368 350 17.C30 $ 5,950000 0258.402 15" RCP CB LEADS, CL. III L.F, 139 139 1$.00 $ 2,502000 0258.415 15" RCP STORM SEWER CLIII L.F. 346 1S5 19.00 $ 3,515000 025$.418 18" RCP STORM SEWER CLIIT L.F. 663 210 20.00 $ 4,200.00 0258.421 21" RCP STORM SEWER CLIII L.F. 55 zp9 22.00 $ 4,598000 02�,$,.424 24" RCP STORM SEWER CLIII L.F. 60 3�,p 23.0� $ 7,820000 PAGE 2 OF 5 SHORT-ELLIOTT-HENDRICK50N, INC. page total 1.06,712.20 e �, C256.'�Ol STANdARD MANHOLE, $ ' DEEP EACH $ g 700.00 $ 5,6UG,OQ d'256.'702 EXCESS DEPTH STANDARD MH L.F. 69 /.�.6 60.00 $ 2,760.00 .,,..._ 0_ �.�05 $" PVC CLEAN OUT L.F. 13 13 25.00 S 3z5o00 0256.706 MRNHOLE DROP SECTION L.F. 32 20 80.00 5 1,60U,00 0256.801 8" BY 4" PVC WYE EACH 25 25 100.Ot? $ 2,500,00 0256.801 10" BY �1° DIP TEE EACH 17 17 160.00 $ 2,?20,0p 0256.803 4" PVC SERVICE L.F. 1995 � �.g�, 6.00 $ 11.72�.o0U 02,56.805 4" DIP RISER L.F. 225 1��._5 12.00 $ -t��ii�.,Ob 0256.900 CONNECT TO EXISTING SEWER EACH 1 1 100.00 $ 100a00 0256.900 CUT INTO EXISTING MANHOLE EACH 2 2 100.00 $ 2�� 0257.406 6" DTP WM, CL 52 L.F. 1450 12g5a5 10.00 $ 12,g5�,00 0257.408 8" DIP WM, CL 52 L.F. 1280 2076 12.�0 $ 12,936,00 0257.606 6" RS GATE VALVE AND BOX EAGH 2 2 350.00 $ 700.00 0257. 608 8" RS GATE VRLVE AND BOX EACH 4 4 450.00 $ 1,800000 0257.630 FITTINGS LESS THAN 12" LB. 1300 11l�3 1.40 $' 1,600,20 0�,., .640 FIR� HYD�tANT EACH 6 6 1000.00 $ 6,000,00 0257.710 1° COPPER SERVICE L.F. 2085 2111 3.00 $ b,333040 0257.730 1" CORPORATION EACH 42 4' 20.00 $ �� 0257.740 1" CURB STOP & BOX EACH 42 42 60.00 $ 2s52�o00 0257.801 8" ON 12" PRESSURE TAF EACH 2 � 1600.00 $ 3,z�� 0257.806 INSULATION BD. FT - 200 1.00 $ 0257.903 CONNECT TO EXISTING WM EACH 2 � 100.00 $ 200.00 025$.4�1 12" RCP CB LEADS, CL. IV L.F. 36$ 35� 17.00 $ 5,95ao00 0258.402 15" RCP CB LEADS, CL. iII L.F. 139 139 18.00 $ 2,502,00 0258.415 15" RCP STORM SEWER CLIZI L.F. 346 185 19.00 $ 3,515000 0258.418 18" RCP STORM SEWER CLIII L.F. 663 210 20.00 $_ 4,200.00 0258.421 21" RCP STORM SEWER CLIII L.F. 55 2p9 22.00 $ 4,598000 02�$,,.424 24" RCP STORM SEWER CLIII L.F. 60 3�.0 23.00 $ 7,�20,00 PAGE 2 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. Page total 106,?12.20 0�5$.4�7 27" RCP STORM SEWER CLIII L.F. 497 493 25.00 $ 12,32So00 0'`"� ,436 33" RCP STORM SEWER CLIII L.F. 1104 1�Z9 32.00 $ 32,60g,00 0258. 536 33" RCP APR W/TRASH GUARD EACH 1 � 750.00 $ 750.00 0258.603 MANHOLE, TYPE B L.F. 27 26.7 60.00 $ 1,602,00 025$.604 MANHOLE, TYPE C L.F. 99 g4,1� 100.00 $ B,L,�.0,00 0258.605 MANHOLE, TYPE D L.F. 24 2b.6 250.00 $ 3,990,00 0258.704 CATCN BASIN, TYPE X L.F. 35 _�5e1 50.00 $ ��ry_,�„p�) 0258.705 CATCH BASIN, TYPE Y L.F. 39 4�e6 60.00 $ 2,436.00 0258.$O1 R 1733 MH CASTING EACH 15 ],!�. 130.00 $ 1,�20,00 0258.808 R 3067 CB CASTING EACH 18 1� 180.00 $ 3.240,00 025$.809 R2561A CB CASTING EACH 2 2 180.00 S 360,00 (�258.920 GROUTED RIPRAP CL. III C.Y. 15 15 50.00 S 750.00 0258.921 GRANULAR FILTER MATERIAL C.Y. 7 7 20.00 $ 1�,d,00 2573.501 STRAW BALES EACH 20 1a 5.00 $ 50.04 2l .501 COMMON EXCAVATION C.Y. 1000 4� 0.50 $ 200,00 2105.521 GRANULAR BORROW (LV) C.Y. 1000 1.00 $ 2111. 501 TEST ROLLING R.S. 24 24 35.00 $ S1�.O.pO 2112.501 SUBGRADE PREPARATION R.S. 24 �i. 65.00 $ 1,56�,00 2211. 503 AGG. BASE PLACED, CL. 5 C.Y. 1780 17g0 8.50 $ 15,130,00 2331.504 HIT. MATERTRL FdR MIXTU�tE TON 35 125.00 $ 2331.514 BASE COURSE MIXTURE TON �70 9.30 $ 2341.504 HIT. MATERIAL FOR MIXZ'URE TON 50 125.00 $ 2341. 50$ WEARING COURSE MIXTURE TON 770 10.30 $ 2357.502 HYT. MAT FOR TACK COAT GAL. 450 1.30 $ 2504.602 ADJUST GATE VALVES EACH 6 50.00 $ 2506.522 ADJUST FRAME/RING CASTING EACH 14 75.00 $ 2521.501 4" CONCRETE WALK S.F. 9600 1.15 $ .-�. page tatal g7,996,00 ?AG� 3 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. ; 2531.501 CON CURB jGUTTER, DES D41$ L.F. 4750 �,�667 �•7� S 21,93409� 2554.501 PERMANENT BARRICADES L.F. 16 15.00 $ • .-- gr�tnd Total 257,960.1A PAGE 4 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC. ;� �- APPLICATION FOR PAYMENT - Continued T�tal Contract Amount $ 3161025 .00 Total Amount Earned ' $ 257,9bda10 , Material Suitably Stored on Site, Nat Incoporated into Work g �� ntract Change Order No. Percent.Complete $ Contract Change Order 4�0, percent Comp]ete � Contract Char�ge Order Wo. Percent Complete g GROSS AMOUNT DUE. . . . . . . . . . . . . . . $__ 257,960,10 LESS 5 � RETAINAGE. . . . . .. . . $ 12,�98,flp Ah�OUNT DUE TO DATE. . . . . . . . . . . . . $ ?1f.5,062,10 LESS PREVIOUS AAPLICATIONS. . . . . $ 211,61�og6 �- CONTRACTOR'S AFFIDAYIT �UNT DUE THIS APPLICATION. .. . $�=�,G,3,?,�, � he undersigned Contractor hereby swear�s under penalty of per�ury that (1) all previous progress. payments received from the Owner on account of work performed under the contract referred to above have been applied by the undersigned Lo discharge in full all obligations of the under- signed incurred in cnnnection with work covered by prior Applications for Payment under said contr�act, and (2) all material and equipment incarporated in said Pro,�ect or otherwise listed in or covered by this Application for Payment are free and clear of all liens, claims, security interests and encumbrance5. � ted Dec 20 , ig gc� , NODLAND CONSTRUCTION C0, , INC . � ,r Contra�tor By `��4�-�v ��C�:C'.0 �.�Vp Ha e and Title COUNTY OF � ) gg �TATE OF __��i�4 ) 3efore me on this _ 2p�� ddy �f D�� , lg 69 personally appeared - 7 � A c� r Nod"tAnd nown to me, w o �ieing�cuTy swarn, did depose snd say that he �s the of the Contractor above mentioned; fice that he executed the above Application for Payment and Affidavit on behalf of said Contractor; and that all of the statements co�tained therein are true, correct and complete. , . �/ , � My Commi ss i on Exp i res: #.M '�`"' r4w��.,.Y _ ; �j�� ;til��x c'�.:. . -,...,."'w".".�".�,,.'�..�.JY'_�.-.-'-�.-. Notary Publ ic) The undersigned has checked the Contractor's Application for Payment shawn above. A part of tfiis Application is the ,Contractor's Affidavit stating that atl previous payments to him under this Contract have been appifed by him to discharge in full all of his obligations in connectiun with the work covered by all prior Applications far Payment. In accordance with the Contract, the undersigned approves payment to the Contractor of the �nmQunt Due. Oate �t Z� �-p SHORT E TT NE ICKSO I By Page 5 of 5