The URL can be used to link to this page

Home My WebLink About5.g. Approve Payment Application #2, Contract 1988-7, Shannon Parkway / Connemara Trail , ' $ � � �, f . �� # 5� CITY OF RQSQKOtTNT AFP � LICATION FOEt FAYMSNT NO. � CITY PRQJECT NO; 1�j� SEH FILE NOZ �j�3ZS'¢ PROJECT: �fMtuwow �+l�'�ul�Y � S�P LoB�IOb-04 � Goivru��►+�4 +�-Sit-PZp -l0�-02 CONTRACTQR: A'P IC��Ie.- �,,,,S.�y., C,�. C4NTRACT DATE: 3L5�1.� '�"�JI l�0+�'1�ye. APPLICATION DATE: _�SI Z�t`�9 �V'f; !'�i.��, 1?1I(!. SS1't7 FQR P�RIt3D 6�iQZNG: �30�,�' , Total ContraGt Amount S '�$'�, 7I9 =' Total Amount Earned $ � �, �j3Z 30 Material Suitahly Sto�red on Site, Not Incarpora�ed intc► Wark $ Contract Changa Order No. Percent Complete $ Contract Change �rder No. Percent Complete � Contract Chan e Order No. . � _____, Percent Complete $ ---_ GROS3 AMOUNT DUE . . . . . . . . . . . . . .. . . . . . . . $ � `�E'i �'i 3 Z 30 LF:SS S-$ RETAINAGE . . . . . . . . . . . . . . . . . . . $ �3 �¢J 6 Z ; AMt)UNT DUE TO DA�E . . . . . . . . . . . . . . . . . . . . $_ I �� '�-,StO 6 8 LESS FREVIOi1S APPLICATIUNS . . . . . . . . . . . . $ 64,Z843L �►;MOUNT DUE THIS APPLIGATION . . . . . . . . . . , � '�,�'� �06 3E, . �PP OVED:- . ' � "�� , '" \ ;-:-��.: ''y'/' �� a �`I Richard M. �, f City Enginee �Jbirector of Public Works � . � k � • . � . . . • � . � . . � . APPLICATION FOR PAYMENT (UNIT PRICE CQNTRACT) ' NO. 2 � OWNER: RQSEMOUNT, MINNESO!TA OWNER'S PROJECT NO. lgg ENGINEER'S PROJECT NO. � $$254 LOCATION: ROSEMOUNT, MINNESOTA � ^� � CONTRI+►CT�R 1lUSTIN P. K�LLER CONST. C�. CONTRACT UA'I'E - ------------------- ---------------- --------- 4$i FRONT AVENUE CONTRACT AMOUNT $563,760. 50 ST. PAUL, MN 5�a117' T �-'�---- ----------------.�_,,.--- CONTR. FQR SHAAtNQN_P1�RI4WAY___SAp'20$_106_04 & CONNEMARA TRAIL - S7Ap 208-104-()2 AFPLIC,DATE -------------------------------------- --5=�_$�-------- PERIOD END. ---------- --4=30-89----------------- APPLICATIOI#t FOR PAYMENT DESCRIPTION CONTRACT QUANTITY UNIT � UNIT QUANTITY TO DATE PRICE T�TAL SECTIUN I - SANITARY�SEWERTl�-------------.._ ___------------------__------ -- - 4256.40$ �8"^PVC. '10'-12' DESP +�-TL.F. 215 0 �o.oo s o.oa 0256.408 8" PVC, 12'-14' DEEP L.F. 65 0 10.Q0 $ 0.00 4256.4Q8 g° pVC, 14'-16' DEEP L.F. 95 0 10.�0 S 0.p0 0256.4�8 8" PVC, 16'-18' IIEEP L,F. ,�260 0 10.00 S 0.00 0256.408 $" PVC, 38'-2Q' DEEP L.F. 360 0 10,00 S 0.00 025b.408 g" pVC, 20'-22' DEEP L.F. 49 0 10.00 $ O.OQ 0256.6fl8 $" DIP. 10'-12' DEEP L.F. 20 20 16.00 $ 320.U0 . 0256.60$ 8" DIP, 12'-14' DEEF L.F. 45 45 16.00 $ 720.00 PAGE 1 OF 5 SHORT-ELLIOTT-NENDRICFCSQN, . INC. � � ' • i 0256. 60$ $" . DIP, i4'-16' DEEP I,.F. 45 4S 16.00 S 720.0�, 0255.6Q$ g�, �IF, 16'-18' DEEP L.F. 40 40 16.00 $ 6�t�.UU 0256.60$ g,� DIP. 1$'-20' DEEP L.F. 50 S5 Z6.�Q $ 88Q.00 � 0256.608 g'� DIP, 20' -22' DEEP L.F. 65 32$ Tfi.�0 S 5,248.00 0256. 608 8° DIP, 22' -24' DEEP L.F'. 330 976 16.00 S 7,filFi.00 0256.60$ $" DIP, 24' -26' DEEP L.F. 595 4"16 16.00 SY 7,Eilci.UU --- _ __.___._._ 0256.608 $�� DIP, 26' -28' DEEP L.F. 301 47fi 16.00 S 7,61Ei.Ol� 0256.701 STND MANHQLF;, $' DEEP EACH 11 7 800.Q0 S~ 5,6(�0.00 025$.702 EXCESS DEPTH STND MH L.F. 148 99 70.QO $ 6,930.04 0256.706 MANHOLE DROP SECTION L.F. 41 16,18 110.00 S 1 r 779.80 4256.900 CONNECT TO EX SEWER EACH 5 2 15QO.Q0 $� 3,000.00 0256.910 8" DIP FQRCEMAIN L.F. 1700 0 12.00 $ 0.40 0256.911 AIR RELiEF MANHQLE EACH 1 p 2Q00.00 $ p,�p SECTION II - WATERMAIN -------------------- 025?.406 6" DIP WM, CL. 52 -----L.F. 38Q $Q 10.�0 $ 800.00 U257.408 g" DIP WM, CL. 52 L.F. 45 0 12.fJ0 $ 0.00 . 0257.412 12" DiP WM, CL, 52 L.F. (p5 602 15.00 S 9,030.00 0257.416 16" DIP WM, CL. 52 L.F. 2270 1,2T0 23.00 $ 27,830.00 0257.606 6" RS CA'x'E VAL�TE & Bt�X EACH 8 2 3Q0.Q� $ 600.�00 Q257.608 8" RS GATE: VALVE & BOX EACH 1 Q 400.00 S 0.00 Q257.613 12" HTRFLY V�1LVE & HOX EACH l 1 650.00 $ 6SO.OQ ,._,__..____. 0257.617 16" HTRFLY VALVS & �OX EACH �3 3 13Q0.00 $ 3,904.00 0257. 634 FITTINGS LESS THAN 12" LH. 490 81 1,00 $ 81.00 0257.631 FITTINGS I2" AND LARGER LB. 7�50 4,844 1.00 $ 4, 844.00 0257.640 FIRE HYDRANT EACH ? ,� 925.00 $ l,$50.00 0257.903 CUNNECT TO EX WM EACH ? 2 500.QO $ 1,QOO.flO PAGE 2 �F 5 SHORT--ELLIt�TT-HENDRICKSC�N, ZNC. ' , • � � SECTIUN III - STREET, STORM SEWER, AND LiGNTING 2021.501 M�BILIZATI�Nr____--------L.S. 1 1 18000.QO S 1$,OOO.UO 2105.501 COMMON EXCl1VATION C.Y. ].000 Q 2.0� S 0.00 2105.521 GRANULAR 80RROW {L.V. ) C.Y. 1000 U 1 .00 $ U,UU 2112.501 SUBRADE PREPARATION R.S. 44 O 100.00 $��p.�p 2116.501 CORE EXCAVATION C.Y. 2000 p 1 .00 $ p,pp _ . 2116. 503 AGGREGATE HACKFILL C.Y. 2000 Q ]. .Op S p.�U 0211.504 4" AGG BASE FOR SDWALK, CS.F. 33060 p 0.20 S p^p� 2211.503 AGG HASE PLACED, CL. 5 C.Y: 6050 p 7. �p $�� 2331.504 HIT MATERIAL F4R MIXTURE TON 13t3 p 12$.00 $ O.QO 2331. 514 BASE COURSE MIXTURE TON 2$9Q p $,pp $ - �_O� 234I.504 HIT MATERIAL F�R MIXTURE TON 173 �_ 12$.OQ a� . �-n� 2341.5Q$ WEARING C�URSE MIXTURE TON 2894 p $.20 $ O 00 2357.502 HIT MAT FOR TACK COAT GAL. 13I0 � 1.0� $ p.� 25�3.511 12" RCP ST4RM SEWER, 196 CL. V L.F. 565 14.00 � 2,744.00 2503.511 15" RCP STORM SEWER, CL. IV L.F. 832 _-.�2�� 16.UO $ �i.'i..l Q� � 2503.511 18" RCP STORM SEWER, CL. IV L.F. , 653 336 I7.fJ0 $ 5,712.00 2503.51 i 21" RCP STQRM SEWER, 512 9,2i6.00 CL. IV L.F. 5i1 18.00? S 2503.511 24" RCP STORM SEWER, --- . �_ :. CL. III L.F. 24 0 18.40 S 0.00 2504.602 ADJUST GATE VALVE BQX EAGH 21 0 1QQ,0� $ p.00 2506.S06 CONSTRUCT MH, DESIGN B L.F. 82.5 SQ 92.0� $ 4,600.00 2506.506 CONSTRUCT MH, DESIGN C L.F. �.6 0 19C1.00 S O.QO 2506.5(}6 CONSTRUCT MH, DESZGN C-1 L.F. 8.6 7 170.00 S 1,190.00 25Gi6.50b CONST�UCT M�i, DLSIGN Y L.F. 21 �p � 1?�.Ot7 S 0,(7n 25Q6.5Q9 CONSTRUCT MH, DESIGN X L.F. 32.1 7.5 105.00 S ?87.50 PAGE 3 OF 5 SHQRT-ELLIpTT-HENDRiCKSt)N, INC. . • � . 2506.511 RECONSTRUCT MANNOLE L. F. 2Q _ f).:.____ 65.00 $ tl.tx) 25Q6.516 CASTING ASSEMBLY, TYPE. R-1733 EAGH 10 0 154.00 $ G.qO 250fi.5i6 CASTING ASSEMHLY, TYPE R-3467 EACH 16 0 250.00 S 0.00 - 2506.522 ADJUST FRAME AND RING CASTING EACH 56 � lOCI.�0 $ 0.� 2521.511 2" HITUMTNOUS WALK S,F. 33060 0 0.3Q S 0.00 2531.SOi CONCRETE CUR9 & GUTTER, DESIGN D418 L.F. 2920 � 4.30 S 0.00 2531.Sfl1 CONCR�TB CURB & GUTTER, DESIGN H618 i,.F. 564tJ � 4.30 S 0.� 2545.511 LIGHTING UNITS, TYPE 8 EACH 5 � 100Q.p0 S 0.00 2545. 511 DIRECT BURTED CABLE L.F. 111Q � 3.00 $ 0.00 2545. 552 FEED POINT EACN 2 � I500.00 $ Q.00 2554.5�5 PERMANENT HARRICADES L.F. 32 � �g.00 $� Q.00 2564.531 F&I SIGN PANELS, TYPE C S.F. 193 � 1?:00 $ 0.00 0564.602 CROSSWALK PVMENT MESSAGE EACH 2 � � 0.00 90.D0 $ 2564.603 4" WIDE S�LID LINE, ` Y�LLOW L.F. 6750 � 0.25 $ 0.00 2564.6�3 4" WIDE HRQKEN LINE, WHITE : L.F. 98Q � 0.25 S O.oU � PAGE 4 OF S SHORT-ELLIOTT-HENDRICKSQN, INC. � f . . . . . . . . . . . . . . . . �LIC�ITION FOR PAYMENT - Continu� fiotai Contract Amownt 5553,76o,sa To�al Amount Earned g 146,832.3� Material Suitably Stored on Site, Not Incaporated into Work $ Contract Change Order No. Percent.Complete g � Contract Change 4rder �Vo. Percent Complete � Contract Change Order �Jo. � Percent Complete g GR4S5 A�UNT DUE. . . . . . . . . . . . . � 146,832.30 LESS 5 X RETAINAGE. . . . . . . . . $ 7,341,6� A�UNT DUE TQ DA�E. . . . . . . . . . .. $_.__�_;�� 1�"� LESS PREVFOUS APPIICATIONS. . . . . $ 64,284.32 RMOUNT OU� THIS APPIICATION. .. . � 75.20�.3 CONTRACTOR'S AFFIDAVIT he undersigned ontractar hereby swears under penalty of perjury that (1) a11 previous progress. ` payments received from the Owner on account of work perFormed under the contract referred to above have been applied by the undersigned to discharge in fuli ail obligations of the under- signed incurred in connectiort with work covered by prtor Appiications for Payment under said contract, and (Z) ail material and equipment incorporated in said Pro,�ect or atherwise listed in or covered by this Appiication for Payment are free and clear of all liens, ctaims, security interests and encumbrances. Ma 2 �8t2� Y , j� 8� Austin P. Keller Constructian Co. Cantractor ; ,.. . � �y � �'�I�.,t i�7 Cg/ ,��E� Name an Title :OUNTY Uf ��-�.,«�:.4 S� �TATE OF - , - ---- 1�e... 3efore me on thiS .�-�d� da�r of `' � 19 �9 personally xappeared �--��.�.-, 1.e�..� nown to m�, � ��_ �nd say that fie s the wFio being"�uTy sworn, did dep4se � -�.� of the Cantractor above mentioned; , ice that he executed the above Apptication far Payment and Affidavit on behalf of safd Contractor; and that all of the�statem�nts'cbntaiNed thprein are true, correct and corr�iete. My Commission Expires: �'/�'/�"9 � t • �Ff ' . � . . �� ' l .scGL+aJ'- '.. � C .: � . , .,.; o ary ub c The unders3gn�d has checked the Contractar's Application f�r Payment shawn above, A p�rt of this ApplisaLion is the Contraetor's Affidavit stating that all previous payments to hfm under this Contract have been app1ied by him to discharge in full all of his obligations in connection with the work covered by alfi prior Applications for Payment. In accordance with the Contract, the undersigned approves paymer�t to the Gontractor of the Amount Que. . Date `�/ �/ �.g' SHURT EL 4 NE ICKSQ , 8y oa„„ s „f � '