HomeMy WebLinkAbout4.d. Approve Pay Estimate #1, West Ridge 3rd Addition, Contract #1989-2 i . � • ITEM � �+ D
- CITY OF ROSEMOUNT
APPLICATION FOR PAYNSENT
NO. �_
CITY PROJECT NO: t tT S� SEH FILE NO: B9 I 3�I
PROJECT: WESTiZ�b�E 3�D RDD �i"R�ET & VT t� 1TY �o�srae uc.noN
CONTRACTOR: f 1 f OD�}N U CL�NST. �2Nl�• CONTRACT DATE: �I �1 I S�I
�,b. �JC 338 APPLICATION DATE: Q� ��Sq
f}L.Ej�f}y,pp-�/� �� JV�(� S�DB FOR PERIOD ENDING: �244_I��
Total Contract Amount $ 3�6,D�S.oc� Total Amount Earned S �! � ,��n
Materiai Suitably Stored on Site,
Not Incorporated into Work $
Contract Change Order No. Percent Complete S
Contract Change Order No. Percent Complete S
Contract Change Order No. Pereent Complete S
GROSS AMaUNT DUE . . . . . . . . . . . . . . . . . . . . S I � I� 03 �I-.ov
LESS S $ RETAINAGE . . . . . . . . . . . . . . . . . $ SSS),"T�
AMOUNT DUE TO DATE . . . . . . . . . . . . . . . . . $ I DS�482,3Q
LESS PREVIOUS APPLICATIC?NS . . . . . . . . . . . . $ �
AMOUNT DUE THIS APPLICATION . . . . . . . . . . . S IDS, �'5��3�
APPROVED: �
Richard M. Hefti,
City Engineer/Director of Publia Works �
s ' �! ��RECEIV
E I)
APPLICATION FOR PAYMENT SHORT ELUOTT HEhGRICKSON, lNC.
(UNIT PRICE CONTRACT) S�P �� �q8�
_ N0. ._ _ - _
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�WNERZ ROSEMOUNT, MINNESOTA OWNER'S PROJECT NO.
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ENGINEER'S PROJECT NO. 89137
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LOCATION: ROSEMOUNT, MINNESOTA
�ONTRACTOR NODLAND CONSTRUCTION CO. , INC. CONTRACT DATE
P.O. BOX 338 • CONTRACT AMOUNT $316,025.00
ALEXANDRIA, MINNESOTA 56308
ONTR. FOR WEST RIDGE 3RD ADD. ST. & LJTILITY CONST. — ROSEMOUNT, MINNESOTA
PPLIC.DATE 9/20 89
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ERIOD END.
9/2ots�
APPLIGATION FOR PAYMENT
CONTRP,CT QUANTITY UNIT
DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL
256.40$ 8" PVC, 10'—12' DEEP L.F. 968 3�� 10.00 $ 3?60.00
256.408 8° PVC, 12'—14' DEEP L.F. 100 _ 6g9 10.00 $ hg90_00
256.408 8" PVC, I8'-20: DEEP L.F. 80 ga 12.D0 S �a�n,nn
256.610 10" DIP, 16'-18' DEEP L.F. 130 p 24.00 $ n
_ -- -- _.___
256.63.0 -10" DIP,- 18'=20'. -DEEP " ---"- L.F.- - - 262 _�q. . - 25.00 $ 10725.00
56.610 10" DIP, 20'—22' DEEP L.F. 443 ��_ 26.�0 $ 9386.00
56.610 10" DIP, 22'—24' DEEP L.F. 131 ��� 27.00 $ 3240.00
56.610 10" DIP, 24'—26' DEEP L.F. 2?6 �ti_ 28.00 $ 6048.00
.
. _ _ �
GE 1 OF 5 . . SHORT—ELLIOTT—IiENDRICFtSON, INC.
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0256.701 STANDARD MANHOLE, 8 ' DEEP EACH 8 � 700.00 S 5604.00
�256.702 EXCESS DEPTH STANDARD MH L.F. 69 �6 60.00 $ 2760.00
�256.705 8" PVC CLEAN OUT L.F. 13 � 25.00 $ 325.00
�256.706 MANHOLE DROP SECTION L.F. 32 20 80.00 $ 1600_00
)256.SO1 8" BY 4" PVC WYE EACH 25 �3 100.00 $ ������
)256.801 10" BY 4" DIP TEE EACH 17 ��_ 160.p0 $ 24Q0 00
)256.$03 4" FVC SERVICE L.F. 1995 4z 6.00 $ 258.04
�.-
)256.805 4" DIP RISER L.F. 225 ��d S 12.00 $ 1614.Q0
)256.900 CONNECT TO EXISTING SEWER EACH 1 � 100.00 $__�00.00
)256.900 CUT INTO EXISTING MANHOLE EACH 2 � 100.00 S 2Q0_00
?257.406 6" DiP WM, CL 52. L.F. 1450 0 10.00 S �
o-
)257.408 8�� DIP taM, CL 52 L.F. 1280 � 12.00 S �
1257.606 6" RS GATE VALVE AND BOX EACH 2 � 350.00 $ �
f257.608 8" RS GATE VALVE AND BOX EACH 4 p 450.00 $ p
i257. 630 FITTINGS LESS THAN 12" LB. 1300 p 1.40 $ p
1257.640 FIRE HYDRANT EACH 6 p 1000.00 $ p
1257.'710 1" COPPER SERVICE L.F. 2085 p 3.00 $ p '
�257.730 1" CORPORATION EACH 42 p 20.00 $ Q
�257.740 1" CURH STOP & BOX EACH 42 p 60.00 $ Q
257.801 8" ON 12° PRESSURE TAP EACH 2 2 1600.00 $ 3200.Q0
257.806 INSULATION BD. FT 20Q p 1.00 $ p
257.903 CONNECT TO EXISTING WM EACH 2 p 100.00 $ �
258.401 12" RCP CB LEADS, CL. IV L.F. 36$ p 17.00 $ Q
258.402 15" RCP CB LEADS, CL. III L.F. 139 � 1$.00 $ �
258.415 15" RCP STORM SEWER CLIII L.F. 346 � 19.00 $ Q
25$.418 18" RCP STORM SEWER CLIII L.F. 663 p 20.00 $ �
258.421 21" RCP STORM SEWER CLIII L.F. 55 0 22.00 S 0
258.424 24" RCP STORM SEWER CLIII T,.F. 60 A 23.00 $ 0
GE 2 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC.
. . �� , *
. �
025$.427 27" RCP STORM SEWER CLIII L.F. 497 288 25.00 $7200.00
0258.436 33" RCP STORM SEWER CLIII L.F. 1104 1019 32.00 S 32608_00
0258.536 33" RCP APR W/TRASH GUARD EACH 1 1 750.00 575�_00
0258.603 MANHOLE, TYPE B L.F. 27 � 60.00 $ �
0258.604 MANHOLE, TYPE C L.F. 99 �Q 100.00 $�Qnn �.�r
0258. 605 MANHOLE, .TYPE D L.F. 24 11 150.00 $��_
025$.704 CATCH BASIN, TYPE X L.F. 35 _ � 50.00 $ 0
0258.705 CATCH BASIN, TYPE Y L.F. 39 � 60.00 $ p '
0258.801 R 1733 MH CASTING EACH 15 0 130.00 $ p
0258.80$ R 3067 CB CASTING EACH i8 0 l$0.00 $ �
025$.809 R2561A CB CASTING EACH 2 180.00 $
—i, Q
0258.92Q GROUTED RTPRAP CL. III C.Y. 15 �n 50.00 $
�9A�A��1-----
0258.92I GRANULAR FILTER MATERIAL C.Y. 7 3 2d.00 $ 60.00
2573.501 STRAW BALES EACH 20 5.Q0 $ p
0
2105.501 COMMON EXCAVATION C.Y. 1000 0.50 $ p
0
2105.521 GRANULRR BORROW (LV) C,Y. 1000 � 1.00 $
0
2111. 501 TEST ROLLING R.$. 24 {� 35.00 $ p `
2112.501 SUBGRADE PREPARATION R.S. 24 � 65.00 $ p
2211.503 AGG.. BASE PLACED, CL. 5 C.Y. 1780 0 8.50 $ p
Z331.504 $IT. MATERIAL FOR MIXTURE TON 35 p 125.00 $ 0
?331.514 BASE COURSE MIXTURE TON 770 p 9.30 $ Q
�341.504 BIT. MATERIAL FOR MIXTURE TON 50 p 125.00 $ p
:341.508 WEARING COURSE MIXTURE TON 770 0 10.30 $ p
.357. 502 BIT. MAT FOR TACK COAT GAL. 450 p 1.30 $ p
,504, 602 ADJUST GATE VALVES EACH 6 n 50.00 S_ p
506.522 ADJUST FRAME/RING CASTING EACH 14 � 75.00 $ �
521.501 4" CONCRETE WRLK S.F. 9600 � 1.15 $_ p
AGE 3 OF 5 SHORT-ELLIOTT-HENDRICKSON, INC.
- , , """LICATION FOR PAYMENT - �onti��
T . i Contract Amount �
, eta 5_ 316 ,025 .00 Total Arnoant Earned $_111 ,034.00
Material Suitably Stored on Site, Not Incoporated in�o Wark $
Contract Change Order No. Percent_Complete $
Contract Change Order No. percent Complete $
Contract Change Order No. Pereent Compiete $
GROSS AMOUiVT DUE. . . . . .. . . .,. .. . � 111 ,034:00
� �ESS �_% RETAINAGE. . . .. .. .. $ 5.551 .70
AMOUNT QUE T0 DATE. ., . . .. . . . . .. $ 10�,482.30
LESS PREVIOUS APPLICATIONS. . . . . $ 0
AMOUNT DUE THIS APPLICATION. .. . $ 105,482.30
CONTRACTOR'S AFFIDAVIT '
The undersigned Contractor hereby swears under penalty of perjury 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 to discharge in full all obligations of the under-
signed incurred in connection with work covered by prior Applicatians far Payment under said
contraet, and (2) a11
material and equipment incorporated in said project or otherwise Tisted in or covered by this
Application for Payment are free and clear af all liens, claims, security interests and
encumbrances.
^
Dated �i� � 1�_�-�' NODLAND CONSTRUCTiON C0. , INC.
_ Contractor
,� 7-e ��' � ��C�� �
me and Title ;�
C U TY �'`�/.(�
0 N OF ,q,� _) SS
STATE OF ^]�'t J (� �_ Q,1� )
�
3efore rr,� n thi ��� _ daY of � � �. �3'"- , 19 �� personai 1y appeared
������:: . , known to me w o bei n
, g duly sworn, d�d depose
�nd say that he is the � — „ � ,�� of t Contractor above mentioned;
Office ;:,
that he executed �he above Application for Payment and A �idavit on behalf of said Contractor,
and that ai 1 of the sta.t�e�-_��i.��t�y� r e, rect d complete.
� � Ir ' S7iZL7S�� i1. IYii�Il�7 .� . . .'/V�� �
My Commi s s i o n Exp i res: �f.: s� �'��Y ��-?�-�� ���
�4L,�����` t3a��T��bu�� � No ta ry P u b i c
,,�.�: �+Ar raaru� ��
The undersigned has che r c or s pplication for Payment sh above. A part of
this Appl�cation is the Contractor's Affidavit stating that ail previous payments to him
under this Contract have been applied by him to discharge in full all of his obiigations in
connection with the work covered by all prior Applications for Payment.
In accordance with the Contract, the undersigned approves payment to the Contractor of the
Amount Due.
Q,,/� / Q � SHORT E T HEN CKSON I C
Date /.! f V gy ��n
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