HomeMy WebLinkAbout5.d. Application for Payment #3, Shannon Parkway, Contract #1987-4CITY OF ROSEMOUNT
APPLICATION FOR PAYMENT
No. 3
CITY PROJECT NO: 166 1 1-71 SEH FILE NO: 871 zZ
PROJECT: SP*tvrv0A! PA9ktv9y
CONTRACTOR: A?'C4w Cosi4-rFalc.-rtow CONTRACT DATE: /d/ZI57
903 E &eEsr Roy S7 APPLICATION DATE: /Z,//7/57
Inose t, /nMr• SSaSI FOR PERIOD ENDING: � % n/87
Total Contract Amount $ 1 0731660 12- Total Amount Earned
Material Suitably Stored on Site,
Not Incorporated into Work
Contract Change Order No. Percent Complete
s 679, s9s 63
1
R
Contract
Change
Order
No.
Percent
Complete $
Contract
Change
Order
No.
Percent
Complete $
GROSS AMOUNT DUE ...................... $ 6 7P, S9S'63
LESS S $ RETAINAGE $33, 979 7b
AMOUNT DUE TO DATE ........... $ 6 fS,6/S 8S
LESS PREVIOUS APPLICATIONS ............ $ Sg gfa87 30
AMOUNT DUE THIS APPLICATION ........... $ 61,3z8 SS
APPROVED
J,
Richard M. Hti,
City Engineer' Director of Public Works
•PLICATION FOR PAYMENT
---------------------
(UNIT PRICE CONTRACT)
NOTE: QUANTITIES AND UNIT PRICES HAVE -BEEN REVISED IN ACCORDANCE WITH
CHANGE ORDER NO. 1
OWNER: ROSEMOUNT, MINNESOTA OWNER'S PROJECT NO. 168 & 171
ENGINEER'S PROJECT NO. 87122 -
LOCATION: ROSEMOUNT, MINNESOTA
-------------------------------
CONTRACTOR ARCON CONSTRUCTION CO., INC. CONTRACT DATE
----------------- -------------------------
903 E. FOREST AVE., BOX 57 CONTRACT AMOUNT $1,073,560.12
------ ----------------------
MORA, MINNESOTA 55051
--------------------------
CONTR. FOR SHANNON PARKWAY STREET AND UTILITY CONSTRUCTION - S.A.P. 208-106-02
-----------------------------------------
APPLIC. DATE December 17, 1987
PERIOD END. December 11, 1987 -------
APPLICATION FOR PAYMENT
CONTRACT QUANTITY UNIT
DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL
2021.501 M08ILIZATION L.S. -------------------------------------
75 1 14322.00 $ 10, 741.50
2101.501
2101.506
2104.501
2104.521
2104.501
2104.509
CLEARING
GRUBBING
REMOVE CONCRETE CURB
AND GUTTER
TREE
21 20
TREE
21 20
L.F.
1050
SALVAGE CM
PIPE CULVERT
L.F.
44 _
20
REMOVE PIPE
CULVERTS
L.F.
35
58
REMOVE MANHOLES OR
CATCH BASINS
EACH 1 3
PAGE 1 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
61.38 $1,288.98
61.38 $1,288.98
2.04 $
5.11 $ 224.84
5.11 $ 178.85
204.60 $ 204.60
2105.501
COMMON EXCAVATIO^
C.Y.
48,564
4280
1.30
$
63, 133.20
2105.511
COMMON CHANNEL
760
1,048.80
EXCAVATION
C.Y.
438
1.38
$
2105.535
SALVAGED TOPSOIL (L . V .)
C.Y.
1000-
5825
1.22
$
1,220.00
2111.501
TEST ROLLING
RD.STA
41
96
102.30
S
4,194.30
2112.501
SUBGRADE PREPARATION
R.S.
41
96
153.45
$
6,291.45
2116.501
CORE EXCAVATION
C.Y.
1200
1.22
$
2211.503
AGG BASE PLACED CL 5 (P)
C.Y.
2744
8786
8.18
$
22,445,92
2211.504
AGG. BASE PLACED FOR
WALK, CLASS 5 (P)
C.Y.
996
10.23
S
2221.503
AGGREGATE SHOULDERING
PLACED, CL. 2
C.Y.
30
33.75
$
2331.504
BITUMINOUS MATERIAL FOR
MIXTURE
TON
229
163.68
$
2331.514
BASE COURSE MIXTURE
TON
5077
6.64
S
2341.504
BITUMINOUS MATERIAL FOR
MIXTURE
TON
3.46
330
184.14
S
637.12
2341.508
WEARING COURSE MIXTURE
TON
57.74
5077
7.67
$
442.86
2357.502
BITUMINOUS MATERIAL FOR
TACK COAT
GAL.
2635
1.02
$
2501.515
15" RC PIPE APRON
W/TRASH GUARD
EACH
4
9
423.52
$
1,694.08
2501.515
18" RC PIPE APRON
W/TRASH GUARD
EACH
1
1
478.76
$
478.76
2501.515
21" RC PIPE APRON
W/TRASH GUARD
EACH
1
1
556.51
$
556.51
2501.515
24" RC PIPE APRON
W/TRASH GUARD
EACH
1
1
630.16
$
630.16
2501.515
27" RC PIPE APRON
W/TRASH GUARD
EACH
1
1
760.08
$
760.08
2501.515
42" RC PIPE APRON
W/TRASH GUARD
EACH.
1
2
1265.45
$
1,265.45
2503.511
12" RCP STORM SEWER,
DES. 3006, CL. V
L.F.
1097
1298
19.14
$
20,996.58
PAGE 2 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
PAGE 3 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
2503.511
15" RCP STORM SEWER,
DES. 3006, CL. V
2503.511
18" RCP STORM SEWER,
DES. 3006, CL. V
2503.511
21" RCP STORM SEWER,
L. F.
DES. 3006, CL. V
2503.511
24" RCP STORM SEWER,
S
DES. 3006, CL. IV
2503.511
27" RC PIPE SEWER,
850
DES. 3006, CL. IV
2503.511
30" RC PIPE SEWER,
L.F.
DES. 3006, CL. IV
2503.511
36" RC PIPE SEWER,
$
DES. 3006, CL. IV
2503.511
42" RC PIPE SEWER,
1040
DES. 3006, CL. IV
0503.608
15" RCP STORM SEWER,
L. F.
JACKED
0503.608
36" RCP STORM SEWER,
$
JACKED
2504.602
ADJUST GATE VALVE BOX
25061.506
CONSTRUCT MANHOLE,
$
DESIGN B
2506.506
CONSTRUCT MANHOLE,
DESIGN C
2506.507
CONSTRUCT CATCH BASIN,
L.F.
DESIGN Y
2506.509
CONSTRUCT CATCH BASIN,
$
DESIGN X
2506.511
RECONSTRUCT MANHOLE
2506.516
CASTING ASSEMBLY,
$
TYPE R-1733
2506.516
CASTING ASSEMBLY,
78
TYPE R-3067
2506.522
ADJUST FRAME AND RING
L.F.
CASTING
PAGE 3 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
M
L. F.
1077
1143
19.14
S
20,613.78
L. F.
1333
850
21.33
$
28,432.89
L.F.
685
1489
23.14
$
15,850.90
L. F.
124
1040
26.30
$
3,261.20
L. F.
18
18
47.21
$
849.78
L. F.
995
1381
34.31
$
34,138.45
L.F.
1967
1972
69.99
$
137,670.33
L.F.
509
467
79.18
$
40,302.62
L.F.
78
113.55
$
L.F.
128 r
120
360.02
$
46,082.56
EACH
6
98.20
$
L.F.
177.71
141
122.35
$
21,742.81
L.F.
78.66
73
174.11
$
13,695.49
L.F.
55.90
50
123.98
$
6,930.48
L.F.
76.36
132
139.53
$
10,654.51
L.F.
17
20
95.13
$
1,617.21
EACH
28
111.50
EACH
45
176.97
$
EACH
1
3
122.76
$
122.76
PAGE 3 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
+ 2511. 501
RANDOM RIPRAP CL
C.Y.
29.90 41
2511.516
GEOTEXTILE FILTER
WHITE
96.16
$
FABRIC, TYPE IV
S.Y.
57.80 176
2531.501
CONCRETE CURB & GUTTER,
YELLOW
DESIGN D618
L.F.
19550
2521.511
2" BITUMINOUS WALK
S.F.
73550
2531.507
8" CONCRETE DRIVEWAY
WHITE
PAVEMENT
S.Y.
76
2545.511
LIGHTING UNITS, TYPE B
EACH
27
2545.521
3" RIGID STEEL CONDUIT
L.F.
400
2545.532
DIRECT BURIED CABLE
L.F.
9000
2545.552
FEED POINT
EACH
3
0563.601
TRAFFIC CONTROL
L.S.
1
2564.531
SIGN PANELS - TYPE C
S.F.
280
0564.602
TURN LANE PAVEMENT
MESSAGE
L.S.
6
0564.602
CROSS WALK PAVEMENT
MESSAGE
L.S.
1
2564.603
4" WIDE SOLID LINE,
WHITE
L.F.
645
2564.603
4" WIDE SOLID LINE,
YELLOW
L.F.
10800
2564.603
4" WIDE
BROKEN
LINE,
358.05
S
WHITE
96.16
$
L.F.
0564.603
4" WIDE
BROKEN
LINE,
YELLOW
L.F.
0564.603
12" WIDE
SOLID
LINE,
WHITE
L.F.
0564.603
24" WIDE
SOLID
LINE,
YELLOW
L.F.
0565.602
HANDHOLE
- TYPE
C
EACH
2575.501
ROADSIDE
SEEDING
ACRE
2575.502
SEED MIXTURE 5
LBS.
670
1180
26
46.03 $ 1.376.29
3.17 $ 183.22
4.17 $
0.28 $
21.99 $
1115.07 $
9.20 $
1.81 $
1457.77 $
2557.50 $
18.82 $
35.80 $
76.72 $
0.20 $
0.15 $
0.21 $
0.21 $
5.11 S
420
0.97
$
4
358.05
S
10
96.16
$
500
2.54
$
PAGE 4 OF 7 SHORT'-ELLIOTT-HENDRICKSON, INC.
�
•
257 5.505
5 5 5
SODDING
S.Y.
6200
1.20
S
2575.511
MULCH MATERIAL, TYPE 1
TON
20
100.25
$
2575.519
DISC ANCHORING
ACRE
10
42.96
2575.523
WOOD FIBER BLANKETS
S.Y.
1000
1.16
$
0256.408
8" PVC, 12' -14' DEEP
L.P.
50
50
18.60
$
930.00
0256.408
8" PVC, 22'-24' DEEP
L.F.
100
100
25.54
$
2,554.00
0256.701
STANDARD MANHOLE,
8' DEEP
EACH
1
1
961.62
$
961.62
0256.702
EXCESS DEPTH STANDARD
MANHOLE
L.F.
14
15
55.24
$
773.36
0256.706
MANHOLE DROP SECTION ON
EXISTING MANHOLE
L.F.
8.3
9
115.59
$
959.39
0256.900
CONNECT TO EXISTING
SEWER
EACH
1
1
358.05
$
358.05
0256.910
8" D.I.P. FORCEMAIN
L.F.
1550
1550
12.38
$
19, 189.00
0257.406
6" DIP WATERMAIN, CL 52
L.F.
8$
162
14.97
$
1,317.36
0257.408
8" DIP WATERMAIN, CL 52
L.F.
254
320
17.17
$
4,361.18
0257.412
12" DIP WATERMAIN, CL 52
L.F.
248
1945
17.75
$
4,402.00
0257.416
16" DIP WATERMAIN, CL 52
L.F.
3Z12 J
3200
24.95
S_
80, 139.40
0257.419
BORE 24" STEEL CASING
L.F.
86
105
96.16
$
8.269.76
0257.421
JACK 16" DIP THRU CASING
L.F.
120 r
105
30.28
S
3.633.60
0257.606
6" R . S . GATE VALVE & BOX
EACH
6
10
321.22
$ 1.927.32
0257.608
8" R.S.GATE VALVE & BOX
EACH
3
4
460.35
$ 1381.n5
0257.613
12" B.F.VALVE & BOX
EACH
2
731.44
$
0257.617
16" B.F.VALVE & BOX
EACH
3
2
1366.72
$
4,100.16
0257.630
FITTINGS LESS THAN 12"
LB.
1000
585
1.52
$
1,520.00
0257.631
FITTINGS 12" & LARGER
LB.
10390
10640
1.04
$
10,805.60
0257.633
LOWER WATERMAIN
EACH
1
2
552.42
$
552.42
0257.640
FIRE HYDRANT
EACH
6 J
9
1117.11
S
6,702.66
PAGE 5 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
.Q257,806
INSULATION •
8D. FT. 512
0.95
$ 486.40
0257.903
CONNECT TO EXISTING
WATERMAIN
EACH 4
3
255.75
$ 1,023.00
0290.01
JAPANESE TREE LILAC 2"
EACH
5
137.08
$
0290.02
AMUR MAPLE 2"
EACH
7
137.08
$
0290.03
CANADA RED CHERRY 2"
EACH
3
132.99
$
0290.04
COLUMNAR BUCKTHORN 36"
EACH
18
28.64
$
0290.05
COMMON PURPLE LILAC 36"
EACH
161
28.64
S
0290.06
GOLD DROP POTENTILLA 18"
EACH
76
18.41
$
0290.07
DWARF AMUR MAPLE 18"
EACH
33
21.48
$
0290.08
RUGOSA ROSE #2 POT
EACH
47
21.48
$
0290.09
BLACK HILLS SPRUCE 6'
EACH
15
132.99
$
0290.10
COLORADO BLUE SPRUCE 6'
EACH
15
132.99
$
0290.11
COLORADO GREEN SPRUCE 6'
EACH
27
132.99
$
0290.12
AUSTRIAN PINE 6'
EACH
11
132.99
$
0290.13
PONDEROSA PINE 6'
EACH
12
132.99
$
0290.14
RIVER ROCK, 3/4 -.1-1/2-
C.Y.
30
18.41
0290.15
MULCH MATERIAL, TYPE 6
C.Y.
20
18.41
$
Total Cortract Amount S 1, 073, 560. 12 Total Amount Earned
Material Suitably Stored on Site, of Incoporated into Work .
Contract Change Order No. Percent.Complete
Contract Change Order No. Percent Complete
Contract Change Order No. Percent Complete
GROSS AMOUNT DUE ............... $ 679,595.63
LESS 5 % RETAINAGE......... $ 33,979.78
AMOUNT DUE TO DATE ............. $ 645.615.85'
LESS PREVIOUS APPLICATIONS..... $ 584.287.30
AMOUNT DUE THIS APPLICATION.... $ 61-328.55
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 Applications for Payment under said
contract, and (2) all
material and equipment incorporated in said Project or otherwise listed in or covered by this
Application for Payment are free and clear of all liens, claims, security interests and
encumbrances.
Dated December 17 , ig 87 .
COUNTY 0
STATE OF
1 - Bef
F;e% SS
or�fih - - day of
and say tW ne
Arcon Construction Co., inc.
.�x4,, 19 personally appeared
knownto mewTio being duly sworn, did depose
of the Contractor above mentioned;
V (J (Office
that he executed the above Application f Payment and Affidavit on beha of said Contractor;
and that all of the statements contained therein are tru , correct an tete.
My Commission Expires:
(Notary Public)
The undersigned has checkeiiitthii% ontractor'.s; Appli.cation for Payment shown above. A part of
this Application is the Contractor'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
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.
Date
1 Z,/Z4- /87
Page 7 of 7
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