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HomeMy WebLinkAbout4.f. Approve Payment #4, Shannon Parkway / Connemara Trail, Contract #1988-7 : ' • IT�t! # �. �' • r��E�vf� ci�r oF Ros�ourrr Jura �� '1 ��:�.. , APPLICATIlJN FOR PA'Y[MQsNT NO. _� r"ITYl1R R���w.n�n:�r CITY PROJECT N0: �U/ SEH FILE NO: �FSZ S' ¢ PROJECT: Sffi4�v,vo+u �rF�kij4,Y � 5/4P Z.o8�106'44 � GO�VJUE»�N-2�E�.q��-S�t�ZAB-/o4=0L CONTRACTOR: �P K�/1�,. �,s�y.., � CONTRACT DATE: 3���� '�a� ��v'e. APPLICATION DATE: tP �,�,b� Pj9 �'�; l�v�, /l�Kl. SSIt7 FOR PERI�D 6�1'DING: � j�.3i �S� Total Contract Amount $►���•��Total Amount Earned $ �2$9. ¢IO-pp ' Material Suitably Stored on Site, Not Incorporated into Work s Contract Change Urder No. Percent Complete $ Contract Change Order No. Percent Complete $ Contract Change Order No, Percent Complete $ GROSS AMOtJNT DUE . . . . . . . . . . . . . . . . . . . . . . $ Z�3`�.¢I�.00) LESS S $ RETAINAGE . . . . . . . . . . . . . . . . . . . $_ �'I"�'�-�P• SO � AMOUNT DUE TO DATE . . . . . . . . . . . . . . . . . . . . $ .Z1, 4,� `�3�.SO LESS PREVIQUS APPLICATIONS . . .. . . . . . . . . $ ."�L�S�(o�� .5,'� .AMOUNT DUE THIS APPLICATION . . . . . . . . . . . $ 3� ,029�•q & T � . \/� '-�`' G�� `} ichard M. H , City Engineer ector of Public Works IT�M # �. F - r�:�E���� CITY OF ^` . J U N E: !7 1':�,� ) � /' .�'�� ' rITY t►�an��.,,n�rr.:T / +�i%!� � CITY PROJECT NO: ��� ' �i�3ZS¢ PROJECT: StFrtitlitrow P+9'�Kkr, _...M�t4 �-S�tP Lo -10¢-�Z, ----" CONTRACTOR: A'P Ke.Ilev �,. _ CONTRACT DATE: �! ���9 '�Si �'ro+�f{'t/e. APPLICATI�N DATE: -- co I.2�� 'F�9 S�- �I, ��. SS!!? FOR PERIOD £�1DING: � �,"Z3 I g� Total Contract Amount $���'��Tota1 Amount Earned $ �.$9. '�-lO-oC� Material Suitably Stored on Site, ; Not Incorparated into Work $ Contract Change Order No. Percent Complete $ Cantraet Change �rder No. Percent Complete $ Contract Change Order No. Percent Complete $ GROSS ANiOUNT DUE . . . . . . . . . . . . . . . . . . . . . . $ �$`� .'4-IO.Ob LESS S $ RETAINAGE . . . . . . . . . . . . . . . . . . . $_ I''�'�4'�IO• SO • : AMOIJN'� DU� TO DATE . . . . . . . . . . . . . . . . . . . . s Z'�4, 9 39.$�O LESS. PREVIOUS APPLICATIONS . . . . . . . . . . . . S �3S�641 •s�.. AMOUNT DUE THIS APPLICATION . . . . . . . . . . . $ 3'R ,a9�.9 $ O 1�: ���� ---s -.�-.� ,� , . , � �� �� ichard M. H , �ity Engineer ector of Public Works • • APPLICATION FOR PAYMENT -- -------- -- _�, � � � � ��. � ' �� (UNIT PRICE CONTRACT) � � � � � St90R? �t-l-i��TT ti�::°�v.�Rifi;�:(lrV� IPdC,. � NO, 4 � � � ------- � �U�) :��i it-a�_.�� OWNE£tt ROSEMOUNT, MINNESOTA C)WNER'$ PROJECT NO. r 1H9 ENGINEER'S PROJECT NO. ` 8$254 ---------------- -LOC�TION: ROSEMfJUNT, MINNESOTA � CONTRACTOR AUSTIN P. KELLER CCINST. CO, CONTRACT DATE ' - ------------------------- 481 FRONT AVEMJE CONTRACT AMOUNT $563, 760.50 ----------------------- ST. PAUL, MN 5511? `CON�'R. FOR SHANNON PARKWAY - SAP 208-106-04 & CONNEMARA TRRIL - SAP 208-104-02 --------------------------------------------- APPLIC.DATE ----------- PERIOD END. �une 23, 1989 APPLICATION FOR PAYMENT GONTRACT QUANTITY UNIT �ESCRIPTI�N UNIT QUANTITY Zp DATE PRICE TQ'PAL -------------------------------------------------------------- ------------------ SEC'PION I - SANSTARY SEWER ------------------------- 0256.40$ S" PVC, 10' -12' DEEP L.F. 215 215 10.00 $ 2,15U.00 0256.408 8" PVC, 12' -14' DEEP L.F. 65 65 1Q.00 $ 650.00 d256.408 8° PVC, 14' -16 ' DEEP L.F. 95 95 10.00 S 950.00 0256.908 8" PVC, 16' -18' DEEP L.F. 260 2�p 10.00 $ 2,6U0.00 0256.40£3 8" PVC, 1$ ' -20' DEEP L. F'. 360 360 10.�0 $ 3,600.00 0256.408 8" PVC, 20' -22 ' DEEP L. F. 49 82 10.00 $ 820.00 0256.608 8" DIP, 1�' -12' DEEP L.�'. 20 20 16.00 � 320.00 0256. 60f3 8" DI�', 12' -14' DEEP L.F. 45 ��� � 16.00 S 720.00 pAGE ]. OI' S SHORT-�LLIOTT-HENDRICKSON, TIVC. � � 0256. 608 8" DIP, 14' -16 ' UEEP L.F. 45 45 16.00 $ 720.00 0256. 608 8" DIP, 16 ' -18' UEEP L.F. 40 _�Q_ 16.00 $ 640.00 0256. 6Oa 8" DIP, 18' -20` DEEP L.F. 50 _ 153 16.00 $ 2,448.00 0256. 608 8" UIP, 2a' -22' DEEP L.F. 65 328 16.00 $ 5,248.00 0256. 60$ $" DIP, 22 ' -24 ' DEEP L.F. 330 _ 476 16.00 $_ 7,616.00 d256. 608 g" I�TP, 24 ' -26' DEEP L.F. 595 �8� 16.00 $ 9,328.00 0256. 608 g" DIP, 2b'-28' DEEP L.F. 301 _ 476 16.00 $ 7,616.00 0256.701. STNT) MANfi�LE, 8 ' DEEP EACH 11 _ �� 800.00 $ y,6Q0 00 0256.702 � EXCESS DEPTfi STND MH L.F. 14$ 143 7(�.UO S 10,010.00 0256. 706 MANfiOLE DROY SECTION L.F. 41 38.33 110.00 $ 4,216.30 U256.9Q0 CONNECT TO EX SEWER EACH 5 4 _ 1500.00 $ 6,000.00 0256.910 8" DIP FORCEMAIN L.F. 1700 1,733 12,00 $ 20,796.00 0256.911 }1II2 RELIEF MANHOLE EACH 1 _ 1 2000.00 $ 2,000.00 SECTION I Y - WATE�iMAIN 0257.406 6° DTP�WM, `CL. r52� ^ rL. F. 380 361 � 10.00 $ 3,610.00 025�. 408 8" DIP WM, CL. 52 L.F. 45 �� 12.00 $ 420.00 0257.412 12" b�P WM, C�. 52 L. r. 605 __ ��� 15.00 $ 9,030.00 0257.416 16" DIP WM, CL. 52 L.F. 2270 2'a4A 23.Oa S �1,72? 00 0257. 606 b" RS GATE VALVE & HOX EACH $ g 300.00 $ 2,400.00 0257. 6Q8 8" RS GATE VALVE & BOX EACH 1 µi1 900.00 $ 400.OU 0257. G13 1'l" HTRFLY VALVE & BOX EACF3 1 1 650.00 $ 650.00 0257. 617 16" H'I'T�FLY VALVE & HUX EACEt 1300.00 $ 3 �-----4----- 5�2U0.00-- 0257. 63U FI`r'rtNGS LESS TNAN 12" Le. 490 45U .__ 1.00 $ 450.00 0257. 631 FITTINGS 12" AND LARGER LB. 7250 �694 ____ 1.00 $ 7,694.00 0257. 640 FIRE HYDRANT EACH 7 6 _ 925.00 $ 5,550.00 0257.903 CONNECT '!'O EX WM EACH 7 4 500.00 $ 2, U00.00 , I PAG� 2 dF 5 SIiORT-ELLIOTT-HENDRICKSON, INC. � • SECTION III - STREET, STORM SEWER, AND LTGH'rING ------------------- 2021 . 501 MOBZLIZATION L.S. 1 1 18000.00 $ la,000.00 21Q5. 501 COMMON EXCAVATION C.Y. 1000 1,000 2.00 $ 2,000.00 2105.521 GRANULAR BORROW (L.V. ) C.Y. 100� O 1.00 S � p�_ 2112. 501 SUBRADE PREPARATION R.S. 44 28 100.00 $_ 2,gpp,00 2116. 501 CORE EXCRVATION C.Y. 2000 p 1.00 $ 0.00 2i16. 503 AGGREGAmE BACKFILL C.Y. 2000 �_^ 1 .00 $ 0.00 0211 .504 4" AGG HASE FOR SDWALK, CS.F. 33060 � 0.20 $ 0.00 2211 . 503 AGG BASE PLACED, CL. 5 C.Y. 605� 2,800 7. 50 $ 21,000.00 2331 . 504 BIT MATERIAL F�R MIXTURE TON 130 0 128.00 $ p.pp 2331. 514 BASE COURSE MIXTURE TON �$90 0 $.00 $ 0.00 2341. 504 BIT MATERIAL FOR MIXTURE TUN l73 0 128.00 $ 0.00 2341. 508 WEARING COURSE MIXTURE TON 2$90 p 8. 20 $ 0.00 2357. 502 HIT MAT FOR TACK COAT GAL. 1310 p 1.0� $ 0.00 2503. 511 I2° RCP STORM SEWER, CL. V L.F. 565 �5�4 14.00 $ 7,196.00 2503.51Z 15" RCP STORM $EWER, CL. IV L.F. 832 791 16.OU $_12,656.00 2503.511 1$" �tCP STO�tM SEWER, CL. IV L.F. 653 7�4 1'7.00 $ 12.13$ 00 2503. 511 21° RCP STORM SEWER, CL. IV L.F. 511 512 18.OD $ 9,216.OQ 2503. 511 24" RCP STORM SEWER, CL. III L. F. 24 24 18.QO $ 432.00 I' 2504. 6U2 ADJUST GA�'E VALVE BOX ERCH 21 II �_o �ao.ao � --o.00 2506. 506 Ct�NSTRUC'I' MII, DESIGN B L. F. 82. 5 _�r�_ 92.00 $�i900.00 i 2506. 506 CONSTRUCT MN, UESIGN C L. F. 5.6 _ 15 190.00 $ 2,g50.00 2�06. 506 CONS`I'�tUCT Mti, DESIGN C-1 L. F. 8.6 � 170.00 $ 1,190.00 2506. �06 CONSTRUCT MIi, DESIGN Y L.F. 21 17_64 175.U0 $_�pg7.00_ 2506. 509 CONSTRUCT Mli, DESIGN X L.F. 32. 1 ___��� 105.00 $__ 2�7��,�Q PAGC 3 OF 5 S�i0I2T-ETrLIOT`r-I�ENDRICKSON, INC. � � 25U6. 511 RECONSTRUCT MAN1iOLE L.F. 20 0 65.00 $ 0.00 25�6.51:6 CASTING ASSEMBLY, TYPE R-1733 EACH l0 p 150.00 $ 0.00 2506. 516 CASTZNG ASSEMBLY, � TYPE R-3067 EACH 16 ,_ p 250.00 $ 0.00 25�6. 522 ADJllS'P Fl2AME AND RING CASTING EACH 56 __�_ 100.00 $_ 0.00 2521. 511 2" HITUMINOUS WALK S. F. 33060 0 0.30 $ 0.00 2531. 501 CONCRETE CUR� & GUTTER, DESIGN D418 L.F. 292tJ 0 4.30 $ 0.00 2531. 50Z CONCRETE CURB & GUTTER, DESIGN 8618 L.F. 5640 _ n 4.30 $ O.OU 2545. 511 LIGfiTINC� UNI'PS, 'I'YPE B EACIi � , 0 1000.00 $ 0.00 2545. 511 DZRECT BURI�D CABLE L.F. 1Z10 3.00 $ � �--Q---- 0.00 2545.552 FEED POINT EACH 2 _ n 1500.00 $ 0 00 2554. 5U5 PEi2MANENT BARRICADES L. F. 32 0 25.00 S 0.00 2564. 531 F&I SIGN PANELS, TYPE C S. F. 193 o i�.00 s o.00 0564.602 CROSSWALK PVMENT MESSAGE EACH 2 p 90,QQ $ � 0.00 2564. 603 4" WIDE SOLTD LINE, YELLOW L. F. 6750 p 0.25 $ 0.00 2564. 603 4" WIDE HROKEN LINE, WHITE L. F. 980 p 0.25 S o.ao PAGL �# QE' 5 SHOR�-ELLlOT`P-�iENi)RICKSON, INC. � . APPLICATION FOR PAYMENT - Cantinued Tot�l Cor�tr�act Rinount $ 5�3�,76(�,5o Total Amount Earned $ 289,410.00 Mater•ial Suitably Stor•ec1 an Site, Not Incoporated into Work $ 0.00 Contr�act Chanye Or�ier Pfo. Percent_Com�lete � Contract Change Order No. Percent Complete � Contr•act Change Order 1Jo. Percent Complete � GROSS AMOUNT DUE. . . . . . . . . . . . . . . $ 289,410.00 LESS 5� % RETAINAGE. . . . . . . . . $ 14,470.50 AMOUNT DUE TO DATE. . . . . . . . . . . . . $ 274,939.50 LESS PREVIOUS APPlICATIONS. . . . . $ 235,641.52 '� AMOUNT DUE THI5 APPLICATION. . . . $ 39,297.98 CONTRACTOR'S �1FFiDAVIT 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 cantract referred to above have been applied by the undersigned to discharge in full a1T obligations of the under- signed incurred in connection with work covered by prior Apptications for Payment under said contract, and (2� all material and equipment incorporated in said Pro,ject or otherwise listed in or covered by this Application for Payment are free and clear of al� liens, claims, security interests and encumbrances. da�ed . ---=`z_.., �'r , j� gy , �ustin P. Keller Constructioii Co. � p ,� Con ra r ' BY �' G/r � ��>/c,, .,�.� ' Nanre and Ti tl e �OUNfiY OF `y -���..��� ) S$ �TATE OF .-,-.�.�_=--�- � ) 3efore ��ie� on tl�� s �c �-"-'� day ofi -����`. , ig �9 � personally appeared �� ` ��-<----x ! �nown to me, w o being-7c-uTy sworn, did depose ind ay tha he �s� the ��' �.�,�.. ��.,���, of the Contractor above mentioned; Off ee Ctiat he �xecuteci khe above Appllcatfon for Payment and Affidavit on behalf of said Contractor; anci that all of tl�e staternents containe therein are true, carrect and complete. � � . r� f- My Commission ��cpires: �'��'�'p',:..,.r.�A „� � ► ��,. �s,�ga� otary Publ i c . :..�...,..�. The undersigned has checked the Contractor's Application for Paymer�t shown above. A part of this Application is the Cantractor's Affidavit stating that all previous payments to him under this Contract have been applied by him to discharge in full all of his obligations in . cannection with the wark covered by all prior Appl3cations for Payment. In accordance with the Contract, the undersigned approves payment to the Contractor of the Amount Due. SHORT E TT NE RICKSO , C. Date �i��9' q BY �ei��%� ,. �_ . , .