HomeMy WebLinkAbout4.n. Approve Application for Payment #3, Hawinks Pond / Section 30, Contract #1988-2 ` � • � _. �q,�.
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GITY OF RQ&E��IOUNT �e?� ��
. � APPLIC7#TION FOIt P1kYM8NT'
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C�TY PROJECT N0: , +�%�i,� �SI C��. ��$''Z' SEH FILE NQ;
l37
PR4JECT: }�'�t�s,k.nus /�o+vD 1 S�c.'Ra�u 30 .SM�U�'�Y S�v�2.
CONTRACTOR: _,�3t/�$A�K C4�uS 'Rorti CONTRACT DATE: -- � f,� � �j
- �� ��� ''�� APPLICATION DATE: �r��
��=�'fi�t0,l�'�� SSaS7 FOR PERIOD ENDING: � ��U�'g
Total Contract Amount S ��0� �'? °° Tatal Amount Earned S �v�v��Z/$ �
Material Suitabiy 5tc�red on Site,
No� Ineorporated into Work �
Con�ract Change Order No. Percent Complete $
Contract Change �rder No. Percent Complete $
Contract Change Order No. Percent Cpmp2ete $
GROSS AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . $_ 1�SS�, Z./� 9 8
LESS ,,.�.$ RETAINAGS . . . . . . . . . . . . . . . . . . . $ `�'�� 9S
AMflUNT DU8 TO DATE . . . . . . . . . . . . . . . . . . . . $ I �7, �S� 03
LESS, PREVI4US APPLICATZONS . . . . . . . . . . . . $ �}tS, Q�Q $�
AMOUNT DUE THIS APPLICATZON . . . . . . . . . . . $ v�I, 44'] 1
A Rp D�
.�l11!! � t� 'i��`��
,
ichard . H ,
City Engineer recto� of Public Warks '
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� APPLICATION FQR PAYNfENT
(UNIT FRICE CONTRACT) ^
NO. 3
OWNER: ROSEMOUNT, MINNESOTA UWNER S PROJECT NO. 276 & 181
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ENGINEER'S PROJECT NO. ---$8026j8$I37
L4CATIONt HAWKZNS POND & SECTION 30 ^ ~ � ^ � �^
' CONTRACTOR ENEHAK CONSTRUCTiC1N CONTRACT DATE
-.___�.____�___----- ----------------....__,_____
P.�. BOX 458 CONTRACT AMOUNT $17C?,$52.f}0
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NORTHFIELD, i�lN 55057 --- � ---�--- �T^ ^r��w _
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C�NTR. FOR HAWKINS PQND, DRAINAGE IMP. & SECTION 3Q, SANITARY' SEWER EXTENSIt3N
APPLIC.DATE 1/�0/89 - - ------------------------------- --------.,�,--------- ---
PERIOD END.---�1?�C89----------------- •
APFT,ICATION FOR PAYMENT
DESCRIPTION � �O��CT QUANTITY UNIT
UNIT QUANTITY TQ DATE PRiCE TOTAL
-----------------------------------------------•-----..�______-_-_
SCHEDULE A� - HAWICINS POND URAINAGE IMPROVEMENTS
21{�I.502 CLEARING -----w- - -----TREE 200 2�4 20.001 $
�;nRn np
2i01.507 GRUHBING TREE 200 ���; 20.Q� S
--3r329..gp
21Q5.501 COMM�N EXCRVRTION C.Y. 120000 117761 �.72 $_ $4.7$7.92
21(}5.511 COI�ION CHANNEL E%C. C,Y. 100Q 1000 0.72 $ '72f�.U0
2105.535 SALVAGED TOPSOIL C.Y. $QQO 14175 � t}.72 $ iQ�206.00
211$.501 AGG. SURFACING, CLASS 2 TOi�i 500 464.82 B.QO $ 3.718.56
2501.521 44" SPAN RC PIPE - ARCH
CULVERT, CL. �V . L.F'. 132 $0 95.�l3 $ ?.6Q0.00
PAGE 1 OF Q SHQRT-ELLTOTT-HENDRICKSON, INC.
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" ,501.525 44" SPAN R.C. PIPE -
ARCH APRON EACH 4 4 95C1.C34 $_3,800.4U
2503.511 42" RC PIPE SEWER, .
CL. III L.F. 32 32 90.U0 S 2.880 OU
2Sp3.512 42" RC PIPE APRON EACH 1 1 95Q.QQ $ 9SQ_Q0
25Q3.571 INSTALL 42" RC PIPE
SEWER L.F. 40 40 25.00 $ �,nntl tln
2506.fi11 RECONSTRUCT M1�NHpLE L.F. 20
13.& 60.00 S �� nn
2511.507 GROUTED RZPRAP C.Y. i00
84� 4 5,Ofl $�„-;t,�32A..5A-
2511.511 GRANULAR FILTER C.Y.
50 42.6 3Q.f3U $_ 1.278_00
2575.501 SEEDING . ACRE �0 . —
99.Ot� $
.. 2575.502 SEED, MIXTURE 3 LB. $00
1.2Q $
2575.505 SODDING S.Y. 30tJ0
1.26 $
25?5.511 MULCH MATERIAL, TYPE 1. TI�N �p
1Z9.00 $
2575.519 DISC ANGHORING ACRE �p
29.�0 $
SCHEDULE B_-i���TIQN'30-SANITARY_$EWER EXTENSIdN
0256.408 8" PVC, 10'-12' L?EEP L.F. 64Q
964 lO.OQ $ c�_tian nn
0256.408 8" PVC, 12'-1�' DEEP L.F. 309
�,57 ifl.fJ0 $ •�ZCt..011.
. 0256.408 8" pVC, 14'-16' DEEP L.F. 4Q�
��,2, 11.0� 5�42..40:
0256.408 8" PVC, 16'-18' DEEP L.F.
97 170 12.00 $ 2,040.Q
0256.4�8 $" PVC, 18'-20' DEEP L.F. ?0
.,_,_ 50� 23.4L1 a 55Q.00
�256.70�. STANDARD MH, 8' DEEF EACH 8 �T ?50.Q9 $ 6.Q�L2.
Q25$.702�� EXCESS DfiPTI� STD MH L.F. 5U 47.5 60.(}0 S 2 �
e �rt _00 ;
�255.8�1 8" X 4" PVC WYS EACH 14 �
9 5�.0o S ��n_oo ;
� )256.9t30 CONNECT TO Ex, SEWER EACH
k � 200.�t? S 200_o0
)255.9Q1 CtIT INTO EX. WET WELL EACH �
�. � �oa,00 s �aQ_oa
:118.501 AGG. SURFAGING, CLASS 2 TON 25 10.00 $
:575.5Q1 SEEDING �
ACRE 2 99.t?Q $
,575.502 SEED, MIJCTURE 3 LB. $0 _�Y 1.20 $
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RGE 2 OF 4 SHC?RT-ELLIQTT-HENDRICKSON, INC. �
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� � ' ` � ' . APPLiCATION F�R P�YMENT - Continued
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. �ta1 C�ntract Amount $ �70,�, p0 7ota1 Amount Ea�d $ 155,218,9g
' � Materiai Suitably Stored on Site, Not Incoporated into Work $
. Contract Ghange Order No. Percent_Compiete �
Contrac� Change Order No. � Percent Comp]ete �
Contract Change Qrder ��o, Percent Complete �
GROSS AMOUNT DUE. . .. . . . . . .. . . . $ 155,278.98
LESS 5 � RETAINAGE. .. ., .. .. $ 7,?60.95
� AI'�UNT DUE T0 DATE. .. . . ... . . . .. $ 147,458.03
CESS PREVIO�S APPtIGATIONS.. . . . $ - '�-
• ; Ah10UNT QUE TNIS APPIFCATION. .. . $ �g�—� �"
CONTRACTQR'S AFFIDAVIT
he un ersigned Cantractor hereby swears under penalty of perjury that (1} a11 previous progress.
payments received from the Owner on account of work performed u�der the contract referred to
above have been applied by the undersigned to discharge in futi ail obtigations of the under-
signed incurred in connection with work covered by prior Applications for Payment urtder said
contract, and �{2) all
rr�teriai and equipment incorparated in said Project or otherwise listed in ar covered by this
Applieation for Payment are free and clear of all liens, claims, security interests and
eneumbrances.
Dated � "�f , 19�. Enebak Construction
� Cantractor
���-�1Q�- �
� � Name and Title
caur�zx oF � t N►��crr✓�- ss
STATE OF �
Before m h� � � � da f._.J'
���� ►�' , 19 C7 personai fiy apPeared
n wn to me, w o being u y swarn, did depose
and say that he is the of th Contractar above ment�oned;
Of ice
that he executed the a6ove Application for Payment and Af davit on behaif of said Contractor;
and that all of the stat -'�e�-t°he��, • , rrec nd lete.
$•:•�;� B�UCE G. �9
N�y Commi s s i o n Exp i res• :�-�'� s� taOTA�t�t�����C•t,'??arzCs
' ������.''�� E,r;Y Co rn1.�.E�eSt�� 2t►, 1833
� Notary u c
.rv.:;o._scr.�.c-.sa,s,�.. �•w. : r .
The undersigned has checked the Contractor�s �pp�cat'�on for Payment s awn abave. A part vf
th�s Application is the Contractor's Aftidavit stating that ali previous payments to him
under this CQntract have h�en app�ied by him ta discharge in full a31 af his obligations in
connection with the work cavered by all prior Applications for Payment.
In accardance with the Contract, the undersigned approves payment to the Contractor o€ the
Amount Due.
1 I 1,C� ,� �� SHORT EL T NEN GKSON IN
Date / �� ��f
p�ge 4 of 4