HomeMy WebLinkAbout4.g. Approve Pay Estimate #6, Hawkins Pond / Sec. 30 Sewer, Coontract #1988-2 t r R ���� � L'�' ' �/V[�r t.�ry
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�,,,,.� _APPLICATION_FOR_PAYMENT_ ��i! ;�i� lt:�{'.}
(UNIT. PRICE CONTRACT)
NO. � l d �'t1.�!!.<,
6 .
dWNEFt: ROSEMOUNT, MINN�SOTA QWN�R' S PROJECT N0. 176 & 18Z
ENGINEER' S PROJECT NO. $8026/88137
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LOCATIOI�I: HAWKINS POND & SECTION 30
CONTRACTOR ENEBAK CONSTRUCTION CONTRACT DRTE 9/13/8,$
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P.O. BOX 458 CONTRAC'� AMOUNT �20���g5.56
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NORTNFIELD, MN 55057
CONTFt. FOR HAWKINS POND, DRAINAGE+IMP. & SECTION� 30, SAN�TARY SEWER �XTENSION
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APPLIC.DATE 12/22/89 �
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PE? D END. 12/22/89
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APPLICATION FC7R PAYMENT
CONTRACT QUANTITY UNIT
DESCRIPTION UNIT QUANTSTY TO DATE PRICE TOTAL
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SCiiEDULE A - HAWKINS POND DRAINAGE IMPROVEMENTS
2101.502 CLEARING ^ � � � r TRE� 200 2p4 20.00 $ 4.080.00
2101. 507 GRUBBING TREE 200 166 20.p0 $ 3,320.00
2105. 501 CdMMON EXCRVATION C.Y. 1200�0 136,80� 0.72 $ 98,501.76
2105.513 CONII�ION CHANNEL EXC. C.Y. 1000 l,050 0.72 $ 756.00
2105.535 SALVAGED TOPSOIL C.Y. 8000 14,175 p,�� s 10,206.00
2118.501 AGG. SURFACING, CL�1SS 2 TON 500 670.68 8.00 $ �,365.44
250,�-�521 44" SPAN �2C F'iP� - ARCH •
' CULVERT, CL. IV L.�'. 112 8� 95.00 $ 7�600.00
PAGE 1 OF � Sf10Ft'1'-GLLIOTT-IIGNDRICICSON, INC.
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2501.525 44" SPAN R.C. PIPE -
ARCH APRON EACH 4 4 950.00 $ 3,800.00
,� �
. J3.511 42" RC PIPE SEWER,
CL. III L.F. 32 32 90.00 $_2,880.00
2503.512 42" RC PIPE APRON EACH 1 � 950.00 $ 950.00
2503.571 INSTALL 42" RC PTPE '
SEWER L.F. 40 40 25.00 $ 1 ,000.00
2506.611 RECONSTRUCT MANHpLE L.F. 20 l3_6 60.00 $_816.Od
2511.50� GROUT�D RIPRAp C.Y. 100 22g,2 45.00 $10,269.00
2511.511 GRANUL;AR FILTER C.Y. 50 114_1 30.00 $ 3,423.00
25�5.501 SEEDING ' RCRE 20 _ �5_5 99.00 $ 3,514.50
2575.502 SEED, MiXTURE 3 LH. 800 �Q�n 15 1•20 S ��_a72_18
2575.505 SODUING S.Y. 3000 4$43 1.26 S 6,102.18
2575.511 MULCH MATERIAL, TYPE 1 TON 40 H�:_�g 119.00 $ 3+ g� 0.$�
2575.519 D�SC ANCHORING ACRE 20 ��_S 29.00 $ 1� ?9_SO
SCHEDULE H - SECTION 30 SANITARY SEWER EXTENSION
0'. �.408 $" PVC, 10'-12'`DEEP---�-L.�. 640
9Fn . �0.00 S ArF,4(1 n�
0256.408 8" PVC, 12' -14' DEEP L.F. 309 _ 257 10.0� $ 2,570.00
0256.408 8" PVC, 14'-16' DEEP L.F. � 400 �2� 11.00 $ 1 ,342.00
0256.408 8" PVC, 16'-1$' DEEP L.F. 97 170 12.00 $ 2,040.00
0256.408 8" PVC, 18'-20' DEEP L.F. 70 50 13.00 $ 650.00
0256.701 STANDARD MH, 8' DEEP EACH 8 g '750.00 $ 6.000.00
�256.702 E�CESS DERTH STD MH L.F. 5U 47.5 60.0� $ 2,g50.00
. �.
)256.801 8" X 4" PVC WYE EACH 14 g 50.�0 $ 450.00
)256.900 CONNECT TO ER. SEWER . EACH 1 1 200.00 $ 200.00
)256.901 CUT INTO EX. WET WELL EACH 1 � 500.00 $ 500.00
:118.501 AGG. SURFACING, CLASS 2 TON 25 25 I0.00 $ 250.00
:5�'5.501 SEEDING . ACRE 2 2 99.00 $ 198.00
5��.502 SEED, MIXTURS 3 LH. 80 80 1.20 $ 96.00
AGE 2 OF 4 SHORT-�LLIOTT-HENDRICKSON, INC.
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�575. 511 MULCH MATERIAL, TYl'E 1. TON � 4 4 119.00 $ 476.00
�75.519 DISC ANCHQRING ACRE 2 2 29.00 S 58.00
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PAGE 3 OF 4 SHORT-ELLIOTT-HENDRICKSON, INC.
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� APPLICATION FOf� WAYhiENT - Continuec� �
Tbtal Cantract Amount $ 202,���.s6 Total Amount Earned $ 200,685.9$
M�"`rial Suitably Stared on Site, Not Incoporated into Work $
Contract Change Order No. � Percent_Complete loo � 2a,938.9s
Contract Change Order No. 1 Percent Complete loo $ 6 994.ss
,
Cor�tract Change Order t�o. Percent Complete $
GROSS {1MOUNT DUE. . . . . . . . . . . . . . . $ 232,619.54
�ESS -�- 5 vFs Rl,6�0.�+� p�'
X RETA I NAG E. . . . . . . . . $ _s=,.�5.�-�3�-"
��,988.56 �,
� AMOUNT DUE TO DATE. . . . . . . . . . . . . $ .�.2�;-+�cr�-��-3—
LESS PCtEUIOUS APPLICATIONS. . . . . $ 2�3,565.58
AMOUNT DUE THIS APPLICATION. . . . $ ���� 9�
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CONTRACT�R'S AFFiDAVIT
T e undersigned Contractor hereby swears under penalty of perjury that (1) ail previous progress.
payments received from the Owner on accounC of work performed under the contract referred to
above have been applied by the undersigned to discharge in full al] obligations of the under-
signed incurred in conr�ection with work covered by prior Appiications for Payment under sald
contract, � and (2) all
material and equfpment incarporated in said Project or otherwise listed in or covered by thls
Application for Payment are free and clear of all liens, claims� security interests and .
en�"`�hrances. � � � � � �
Dated December 22 , 19 89 E:nebak Construction
� Contra� or
BY t2�t. .0 Q�''�' �. -. �-SZe`t/
� T
� Name and Titl
COUNTY OF Dakata � gs '
STA7E OF rtinnesota � '
Qefore e on this ,�?_.�� day of ;�E'C'Pf71�Q�Y 19 � " er on
: � p s ally appeared
��' �n�s '�'r� known to me, w o bei ng �C uTy sworn, dfid depose
and say that he is the _, ��- �t . ����;.��.-- 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 contained therein are true, correct and cemp�.eta.�, ,. ,
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l / L , � �,'� � �s�i �s� '�!'; �< '�,� ;tT� ; }
1�iy Commission Expires: �l�c�/��� . �',,.�'`�C!.�tJ ���°iu'Y�. . �- � _,, , �. . �,�-;�,
Notary Publ� " �„��-� , �,rt � _
. . � f�7V Ct I�r11�1.i.�^�, r��i�. .
y. 1gi'��, .
The undersigned has checked the Contractor's Application for Payment show b ve.v ^A part �of �`"
this Application is the Contractor's Affidavi� stating that all previous payments to him
under this Contract have been applied by him to discharge 9n full all of his obligations in
connection with the work covered by all prior Applications for Payment.
�,"�..'
In �. .ordance wiCh the Contract, the undersigned approves payment to the Contractar of the
Amount Due.
' /�J��,` SNORT EL T FtE ICKSO , C.
Date ,� I Tv By �
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