HomeMy WebLinkAbout4.d. Application for Payment #4, Shannon Parkway, City Project #168 & #171CITY PROJECT NO:
PROJECT:
r
CITY OF ROSEMOUNT
}APPLICATION FOR PAYMENT
NO.-
447/ SEN FILE NO: _ 7/Zz-
�ivnr�w P��w r� v
Q V
G
CONTRACTOR: f r-COOU Qp V'SIAUG`1141V CONTRACT DATE:
R chard M. efti
90 3 c'v1 err- Aox67 APPLICATION DATE:
3t %�84j y
City Engineer/Di ,)tor of Public Works
l'r0e14, /'NIU, s-s�s� FOR PERIOD ENDING:
Z
Total Contract Amount Sb73,Sts0i2 Total Amount Earned
S
Material
Suitably Storey
Not Incorporated into Work
n 9
...9
$ 'fq0 6
Contract
Change Order No. Percent Complete
S
Contract
Change Order No. Percent Complete
$
Contract
Change Order Nd. Percent Complete
S
GROSS DUE ....................
S 684 999 3z
,.AMOUNT
5
LESS .$ RETAINAGE ............. ....
$ 341 Z.Z4- 97
AMOUNT DUE TO DATE ....................
S 6sz? Z7 g, 3S
LESS PREVIOUS APPLICATIONS ............
S 645, 64!S 8S
AMOUNT DUE THIS APPLICATION ...........
S 6S8,sO
APPRO1TED.
3 /07 -2z -
Q V
G
R chard M. efti
City Engineer/Di ,)tor of Public Works
PLICATION FOR_PAYMENT J' "! �"' i 7 j 1 ,
( UNIT PRICE CONTRACT) - Su;t'T r:
21Q5.501,
COMMON EXCAVATO (,P)
R
C.Y.
48,564
463
1.30
S
63, 133.20
2105.511
COMMON CHANNEL
760
EXCAVATION`
t`
C.Y.
438
1.38
1,048.80
2105.535
SALVAGED TOPSOIL (L:V.)
C.Y.
1004)
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
S
6.291.45
2116.501
CORE EXCAVATIONS
C.Y.
1200
1.22
$
ipip:
2211.503
AGG BASE PLACED CL ''5 (P)
C.Y.
2744
8786
8.18
S
22,445.92
2211.504
AGG. BASE PLACED FOR
'WALK, CLASS 5 (P)
C.Y.
996
10.23
2221.503
AGGREGATE SHOULDERING
PLACED, CL. 2
C.Y.
30
33.75
S
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 GUARDEACH
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 SEWERS
DES. 3006, CL. V
L.F.
1097
1298
19.14
$
20,996.58
PAGE 2 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
•
2503.511
15" RCP STORM S1vR,
DES. 3006, CL. V1077
#,
L.F.
1077
1143
19.14
$
20,613.78
2503.511
18" RCP STORM SEWER,
DES. 3006, CL. V =3:
L.F.
1333
850
21.33
S
28,432.89
2503.511
21" RCP STORM SEWER,
DES. 3006, CL. V ;t,
L.F.
685
1489
23.14
S
15,850.90
2503.511
24" RCP STORM SEWER`,
DES. 3006, CL. IV ' ,
L.F.
124
1040
26.30
S
3,261.20
G
2503.511
27" RC PIPE SEWER,,'
DES. 3006, CL. IV o
L.F.
18
18
47.21
$
849.78
2503.511
30" RC PIPE SEWER, r,
DES. 3006, CL. IV,-
L.F.
995
1381
34.31
$
34, 138.45
2503.511
36" RC PIPE SEWER,'
DES. 3006, CL. IV
L.F.
r
1967
1972
69.99
$
137, 670.33
2503.511
42" RC PIPE SEWER,„
DES. 3006, CL. IV
L.F.
509
467
79.18
$
40, 302.62
0503.608
15" RCP STORM SEWER,
JACKED
L.F.
78
113.55
$
0503.608
36" RCP STORM SEWER,
r
JACKED
L.F.
128
120
360.02
$
46.082.56
2504.602
ADJUST GATE VALVE BOX
EACH
6
98.20
$
2506.506
CONSTRUCT MANHOLE,,`
DESIGN 8
L.F.
177.71
141
122.35
S
21,742.81
2506.506
CONSTRUCT MANHOLE,
DESIGN C
L.F.
78.66
73
174.11
$
13,695.49
2506.507
CONSTRUCT CATCH BASIN,
DESIGN Y 1
L.F.
55.90
50
123.98
$
6►930.48
2506.509
CONSTRUCT CATCH BASIN,
DESIGN X a'
L.F.
76.36
_
132
139.53
S
10,654.51
2506.511
RECONSTRUCT MANHOLE
L.F.
17
20
95.13
$
1,617.21
2506.516
CASTING ASSEMBLY,
TYPE R-1733
EACH
28
111.50
S
2506.516
CASTING ASSEMBLY,
TYPE R-3067
EACH
45
176.97
S
2506.522
ADJUST FRAME AND RING
CASTING
EACH
1
3
122.76
$
122.76
PAGE 3 OF
7 SNORT-ELLIOTT—HENDRICKSON,
INC.
2511.501
RANDOM RIPRAP
C.Y.9
. Y. 29.90
44
46.03
S 1,376.29
2511.516
GEOTEXTILE FILTER,•.
FABRIC, TYPE .IV
S.Y. 57.80
176
3.17
$ 183.22
2531.501
CONCRETE CURB & GUTTER,
DESIGN D618
L.F.
19550
4.17
$
2521.511
2" BITUMINOUS WALK.,
S.F.
73550
0.28
$
2531.507
8" CONCRETE DRIVEWAY
PAVEMENT
S.Y.
76
21.99
$
2545.511
LIGHTING UNITS, TXrE B
EACH
27
1115.07
$
2545.521
3" RIGID STEEL CONDUIT
L.F.
400
9.20
$
2545.532
DIRECT BURIED CABLE,
L.F.
9000
1.81
S
2545.552
FEED POINT
EACH
3
1457.77
$
0563.601
TRAFFIC CONTROL
L.S.
1
2557.50
$
2564.531
SIGN PANELS - TYPE=C
S.F.
280
18.82
$
0564.602
TURN LANE PAVEMENT
MESSAGE
L.S.
6
35.80
$
0564.602
CROSS WALK PAVEMENT
MESSAGE
L.S.
1
76.72
$
2564.603
4" WIDE SOLID LINE,
WHITE
L.F.
645
0.20
2564.603
4" WIDE SOLID LINE,
YELLOW
L.F.
10800
0.15
$
2564.603
4" WIDE BROKEN LINE,
WHITE
L.F.
670
0.21
$
0564.603
4" WIDE BROKEN LINEi
YELLOW
L.F.
1180
0.21
$
0564.603
12" WIDE SOLID LINE,
WHITE
L.F.
26
5.11
0564.603
24" WIDE SOLID LINE,
YELLOW
L.F.
420
0.97
$
0565.602
HANDHOLE - TYPE C
EACH
4
358.05
$
.2575.501
ROADSIDE SEEDING
ACRE
10
96.16
$
2575.502
SEED MIXTURE 5
LBS.
500
2.54
$
PAGE 4 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
2575.505
2575.511
2575.519
2575.523
0256.408
0256.408
0256.701
0256.702
0256.706
0256.900
0256.910
0257.406
0257.408
0257.412
0257.416
0257.419
0257.421
0257.606
0257.608
0257.613
0257.617
0257.630
0257.631
0257.633
0257.640
PAGE 5 OF 7
STANDARD MANHOLE,
8' DEEP". EACH 1 1
EXCESS DEPTH STANDARD
MANHOLE L.F. 14 15
MANHOLE DROP SECTION ON
EXISTING MANHOLE L.F. 8.3 9
CONNECT TO EXISTING
!
$
i
SODDING
1
S.Y.
6200
1550 1
6" DIP WATERMAIN, CL 52
L.F.
88
MULCH MATERIAL,
TYPE 1
TON
20
DISC ANCHORING
24 1
ACRE
10
3 12 2 r 3
BORE 24" STEEL CASING
L.F.
86 1
WOOD FIBER BLANKETS,
S.Y.
1000
6" R.S.GATE VALVE &.BOX
EACH
6
8" R.S.GATE VALVE &BOX
8" PVC, 12'-14'DEEP
;
L.F.
50 50
460.35
16" B.F.VALVE & BOX
EACH
3
8" PVC, 22'-24'
DEEB
L.F.
100 100
STANDARD MANHOLE,
8' DEEP". EACH 1 1
EXCESS DEPTH STANDARD
MANHOLE L.F. 14 15
MANHOLE DROP SECTION ON
EXISTING MANHOLE L.F. 8.3 9
CONNECT TO EXISTING
S
$
SEWER
EACH
1
8" D.I.P. FORCEMAIN
L.F.
1550 1
6" DIP WATERMAIN, CL 52
L.F.
88
8" DIP WATERMAIN, CL 52
L.F.
254
12" DIP WATERMAIN, CL 52
L.F.
24 1
16" DIP WATERMAIN, CL 52
L.F.
3 12 2 r 3
BORE 24" STEEL CASING
L.F.
86 1
JACK 16" DIP THRU CASING
L.F.
120. 1
6" R.S.GATE VALVE &.BOX
EACH
6
8" R.S.GATE VALVE &BOX
EACH
;
12" B.F.VALVE & BOX°
EACH
460.35
16" B.F.VALVE & BOX
EACH
3
FITTINGS LESS THAN 12"
LB.
1000 5
FITTINGS 12" & LARGER
LB.
10390 106
LOWER WATERMAIN
EACH
i
FIRE HYDRANT
EACH
6 J
SHORT-ELLIOTT-HENDRICKSON, INC.
1.20
S
$
100.25
S
12.38
42.96
$
1.16
$
1, 317.36
18.60
$
930.00
25.54
$
2,554.00
961.62
$
961.62
55.24
$
773.36
115.59 S 959.39
1
550
162
320
945
200
358.05
$
358.05
12.38
$
19, 189,00
14.97
$
1, 317.36
17.17
$
4,361.18
17.75
$
4,402.00
24.95
$
80.139.40
05
96.16
$
8,269.76
05
30.28
$ 3,633.60
10
321.22
$ 1,927,32
4
460.35
$
2
731.44
$
2
1366.72
$
4,100.16
85
1.52
$
1,520.00
40
1.04
$
10.805.60
2
552.42
$
552.42
9
1117.11
S
6.702.66
0257,$06
INSULATION
BD.FT.
512 �64
0257.903
CONNECT TO EXISTING
WATERMAIN
J
EACH
4 3
0290.01
JAPANESE TREE LILAC"2"
EACH
5
0290.02
AMUR MAPLE 2"
EACH
7
0290.03
CANADA RED CHERRY 2"
EACH
3
0290.04
a'
COLUMNAR BUCKTHORN 16"
EACH
18
0290.05
COMMON PURPLE LILAC'36"
EACH
161
0290.06
GOLD DROP POTENTILLIA 18"
EACH
76
0290.07
DWARF AMUR MAPLE 18"
EACH
33
0290.08
RUGOSA ROSE #2 POT
EACH
47
0290.09
BLACK HILLS SPRUCE,6'
EACH
15
0290.10
COLORADO BLUE SPRUCE 6'
EACH
15
0290.11
COLORADO GREEN SPRUCE 6'
EACH
27
0290.12
AUSTRIAN PINE 6'
EACH
11
0290.13
PONDEROSA PINE 6'
EACH
12
0290.14
RIVER ROCK, 3/4 - 171/2"
C.Y.
30
0290.15
MULCH MATERIAL, TYPE 6
C.Y.
20
0.95 S 486.40
255.75 S 1.023.00
137.08 S
137.08 S
132.99 S
28.64 S
28.64 S
18.41 S
21.48 $
21.48 S
132.99 $
132.99 S
132.99 $
132.99 $
132.99 $
18.41 S
18.41 $
nrrLtLrii tui\ rum rmimtNi Lonttnuea
Total :Contract Amount $ 1.07 3 ,&0.12 Total Amount Earn* $ 679,595-63
Material Suitably Stored on Site, Not Incoporated into Work $ 4,903.69
Contract Change Order No. Percent.Complete $
Contract Change Order No. i+.percent Complete
Contract Change Order No. ;,'Percent Complete
$
GROSS AMOUNT DUE ............... $ _ 684.499.32
Jll LESS % RETAINAGE......... $ 34.224,97
AMOUNT DUE TO DATE............. $ 650, 274.35
LESS PREVIOUSAPPLICATIONS..... r
'�. $ 645_b15_R5
AMOUNT DUE THIS APPLICATION... $ Q,r,,fl
CONTRACTORS AFFIDAVIT
The undersigned Contractor hereby swears under penalty of perjury that (1) alt 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 March 7, , 1q gg . Arcon Construction Co., Inc.
Contractor
N and T tle
COUNTY 0 SS
.STATE OF
Befors me on th s day of r._ 19 personally personally appeared
Ga known to me, who being duTy sworn, did depose
and say th e i he of the Contractor above mentioned;
that he executed the above Appllcatlo for Payment and Affidavit on be f f said Contractor;
and that all of th rein are tr , correct Complete
My Commission Exp iIjEAMN
81 *-M#W:_WTABEC COIOTYEXOM 160.11,1993(Notary Public)
r
The undersigned has checked the Contractor's Application 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.
SHORT Et TT HMDRIC N, C.
Date BY
Page
By
Page 7 of
ELECTRIC Co.ninc. 1VUmDMO
7901 Brooklyn Blvd. •'' LETTER
Minneapolis, Minnesota 55445 RECEIVED
(612) 425-2525 MA, 3198J Date March 2, 1988
To Arcon Construction Arcon c;tryolortShannon Parkway
subject
P.O. Box 57 Material on Hand Payment
Mora, MN 55051
r,.
Dale,
Please submit the attached Jnvoices for payment as material on hand on
the above project. The conduit and fixtures are in storage in our Brooklyn
Park yard.
Brian F. Bakk, Office Manager
qm-U16
Vann. r. JUMNZ)UN ti-Lko I til` VV.
915 W NGTON AVE. NO. MINNEAPOLIS, MN Nif 1
PHONE: 1612) 333.2264
LIGH ING DIMENSIONS
5243 CNTRAL AVE. N.E.
JOHNSON ISKYWOOO MALL -694 AND CENTRAL AVE. N.E.)
MINNEAPOLIS, MN 55421
Electric Co. 16121571.4667
DUPLICATE
INVOICE 1 1 - Q tJ 1 1
Na
DATE: 09; 15/S7
ALL PAYMENTSCLAIMS
AND RETURN OD OS MUST
BE ACCOMPANIED BY THIS
INVOICE NO.
S' KILLMER ELECTRIC °a! I:ILLMER
7901 BROOKLYN BOULEVARD tj 7901 BROOKLYN BOULEVARD
0 MINNEAPOLIS MN 55445 Ip MINNEAPOLI8 MN 55445
T I I I 'II
0 '0!�
WE WILL BE CLOSED
SEPT. 25Th
FOR INVENTORY
No credit will be allowed for goods rehxned without penWsslat A Customer egress to psy a Ssrvtce Charge on pest due baiem" of t Ys%
reduction will be made to credits issued on all rehmed Irateriai to cover • per month but not to exceed the rmxtmdsn contract rete.
expense of handling
• e SERVING THE ELECTRICAL INDUSTRY FOR OVER 75 YEARS + •
CUSTOMER DUPLICATE
JUD
WHD f
JUDD SUPPLY COMPANY AMBER INvoIcE
Otftwt
,� P.O. BOX 33069 {{ ELECTRICAL
c�sewrx 401 93rd Ave. N.W.
DISTRIBUTORS
sirrufs Coon Rapids, Minn. 55,433
612.780-2270 fco "
FOUNDED 1812 PANIED BY THIS WVOWE
»� sr s�
H
T T
O L J O
NIVOICE DATE IMOD NO. PAGE Na
AFW to CUST04" ALPHA CUSTOMER ORDER NQ Na WHSE SLESMAN TERMS:
aw Daft And C"h Oh" nt
It A oicmb Am-U*Md BNow
_. IIAYe11AUMBIt1,YYGsiQ00
�` t i--.:iii :;•r c: 16'�' - i l`•.,i C t r' :, `-
:1(Yt1 SAILS TICKET NQ SIMP vIA DATE SHAPED ORDER DATE
{ �-� - .•+ 'C fal,;P i R' {r'4. _'. : r', i y�+ .1.. '�P~ �C DUE ON PAW
� % ACCOUNTS
CAT. NO. DESCRIPTION CD I PRICE UttMT AMOUNT
27 27 2495*1 GE LU250 CLEAR ESSHOG HHS LAMP 2 0.030 EA 0. r"•:
2-7
2'7 7656 * 1 AME 113-Hl,33 i_UKII A I R E .iC. G �%t 7. Y
ItiFit•iEdFit+'r�tr ## ii#1l+G�b•1rr �6�E#�iiHF
THANK-YOU! it##aiiI•
+e•�iF# iE�fr tt iE9E#ii#*iiiE#�i•# #iE iE1l
1 '
FOLD r • r
s
TERN%: M Your Account Is Cwr ntCash SUB TOTAL'
And The bwaim b Paid BY ; _ _ ° i t Deduct C _ _ DiBcaunt SALES TAX:
No CLmu war bn aaoww tar wror ar era.p.a a or aeeaua rw rot un•n ono at maaaay ane tlu aecara has b be anew for ea.etim aeweti•n b•• TRANSPORTATION
1.1 n !1 11011 •• aaaara w a aie wal an aro•we tar yowl naaarra wahps aaaw{a Sarva• aupns an outoun saea.ws nil be 44468"0 w aaaww by ur
-No S&ooN covvww am$ no m•ndaeu•rt • e yooaa it sen and inn ne •apaN w•wan•a• ur{w► Los SvppM C•nt+r<e► 0�•eeainu as YwPbo •rwnamina ( ( _
+� a{M �a+e wananry •1 m.wr+t.ewy ar tiw• lar • praalrr un•. .. .. _ .