HomeMy WebLinkAbout4.g. APplication for Payment #5, Shannon Parkway Street & Utility Improvementsi
CITY OF ROSEMOUi
APPLICATION FOR PAS
NO.
f -r O 4 iL
RECCIVhu
MAY 25 1981
r1TV f%C (Zf1CC�+nl�he^
PROJECT: S kaeu,�,,� POW lt,
CONTRACTOR: Atrow C�`tytjt ,,
CONTRACT DATE:
3 �'• bras' APPLICATION DATE: S S
O►, SSrOS� FOR PERIOD ENDING:
Total Contract Amount S./ D73,So �Z Total Amount Earned S �3/ 7Z3 g3
Material Suitably Stored on Site,
Not Incorporated into Work S�{_3l0
Contract Change Order No. Percent Complete S
Contract Change Order No. Percent Complete S
Contract Change Order No. Percent Complete S
GROSS AMOUNT DUE ...................... s 76-4,433 93
LESS S $'RETAINAGE ................... $ 3-7,70/ 6P
AMOUNT DUE TO DATE .. ... , . .... S_%lS, 33ZZ=
LESS PREVIOUS APPLICATIONS .......... SjSaj Z74 3S
AMOUNT DUE THIS APPLICATION ......... S 66,o&7 e¢
J
x
J
Rchard M. Heft
City Engineer/Di a or of Public Works
PAGE 1 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
APPLICATION FOR PAYMENT
Y-------------------------
---------------.--------(UNIT
(UNIT
PRICE CONTRACT)
NO. 5
,,. ,
i" " -,,
. i i .
kOTE: 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
---------------
903E. FOREST -AVE.,
-
-------------------------
AMOUNT
MORA, MINNESOTA 55051
--$1,073,560.12
---a ----
CONTR. FOR
-----------------------
SHANNON PARKWAY STREET
-------------------------------------------------------------------
AND UTILITY CONSTRUCTION
- S.A.P.
208-106-02
APPLIC.DATE
PERIOD END._ 7/ ---------------------
-------------
APPLICATION
APPLICATION FOR PAYMENT
-----------------------
CONTRACT
QUANTITY
UNIT
DESCRIPTION
-----------
UNIT QUANTITY
TO DATE
PRICE
TOTAL
2021.501
MOBILIZATION
L.S. - *-
- -.85 1
14322.00
$712,173.70-
2101.501
CLEARING
TREE 21
20
61.38
$ 1,288.98
2101.506
GRUBBING
TREE 21
20
61.38
$ 1,288.98
2104.501
REMOVE CONCRETE CURB
AND GUTTER
L.F. 871
1050
2.04
$ 1, 776.84
2104.521
SALVAGE CM PIPE CULVERT
L.F. 44
20
5.11
$ 224.84
2104.501
REMOVE PIPE CULVERTS
L.F. 20
58
5.11
$ 102.20
2104.509
REMOVE MANHOLES OR
CATCH BASINS
EACH 4
3
204.60
$ 818.40
PAGE 1 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
2105. 501
COMMON EXCAVATION (P)
C.Y.
50,000
42833
1.30
$
65,000.00
2105.511
COMMON CHANNEL
EXCAVATION
C.Y.
760
438
1.38
$
1,048.80
2105.535
SALVAGED TOPSOIL (L.V.)
C.Y.
1000
5825
1.22
$
1,220.00
2111.501
TEST ROLLING
RD, STA
77
96
102.30
$
7,877.10
2112. 501
SUBGRADE PREPARATION
R.S.
77
96
153.45
$
11, 815.65
2116.501
CORE EXCAVATION
C.Y.
1200
1.22
$
2211-503
r,
AGG BASE PLACED CL 5 (P)
C.Y.
5500
8495
8.18
$
44,990.00
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
$
2331.504
BITUMINOUS MATERIAL FOR
MIXTURE
TON
229
163.68
2331.514
BASE COURSE MIXTURE
TON
5077
6.64
$
2341.504
BITUMINOUS MATERIAL FOR
MIXTURE
TON
3.46
330
184.14
$
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
8
9
423.52
$
3,388.16
2501.515
18" RC PIPE APRON
1
478.76
W/TRASH GUARD
EACH
1
478.76
$
2501.515
21" RC PIPE APRON
1
W/TRASH GUARD
EACH
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.
1161
1298
19.14
$
22,221.54
PAGE 2 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
2503.511
15" RCF STORM SEWER,
DES, 3006, CL. V
L.F.
1077
1143
19.14
$
20,613.78
2603.511
18" RCP STORM SEWER,
DES. 3006, CL. V
L.F.
1359
850
21.33
$
28,987.47
2503.511
21" RCP STORM SEWER,
DES. 3006, CL. V
L.F.
685
1489
23.14
$
15,850.90
2503.511
24" RCP STORM SEWER,
DES. 3006, CL. IVL.F.
124
1040
26.30
$
3,261.20
1803.511
27" RC PIPE SEWER,
DES. 3006, CL. IV
L.F.
18
18
47.21
$
849.78
2503.511
30" RC PIPE SEWER,
DES. 3006, CL. IV
L.F.
995
1381
34.31
$
34,138.45
203.511
36" RC PIPE SEWER,
DES. 3006, CL. IV
L.F.
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.
96
78
113.55
$
10,900.80
0503.608
36" RCF STORM SEWER,
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 H
L.F.
177.71
141
122.35
$
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
L.F.
57.90
50
123.98
$
7,178.44
2506.509
CONSTRUCT CATCH BASIN,
DESIGN X
L.F.
80.36
132
139.53
$
11,212.63
2506.511
RECONSTRUCT MANHOLE
L.F.
17
20
95.13
$
1,617.21
2506.516
CASTING ASSEMBLY,
TYPE R-1733
EACH
28
111.50
2506.516
CASTING ASSEMBLY,
TYPE R-3067
EACH
2
45
176.97
$
353.94
2506.522
ADJUST FRAME AND RING
CASTING
EACH
3
122.76
$
PAGE 3 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
2511.501
RANDOM RIPRAP CL II
C.Y.
29.90
44
46.03
$
1,376.29
2,511.516
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, TYPE B
EACH
27
1115.07
$
2545.521
3" RIGID STEEL CONDUIT
L.F.
400
400
9.20
$
3,680.00
2545.532
DIRECT BURIED CABLE
L.F.
9000
1.81
$
2545.552
FEED POINT
EACH
3
1457.77
$
0563.601
TRAFFIC CONTROL
L.S.
. 5
1
2557.50
$
1,278.75
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 LINE,
YELLOW
L.F.
1180
0.21
$
0564.603
12" WIDE SOLID LINE,
WHITE
L.F.
26
5.11
$
0564.603
24" WIDE SOLID LINE,
3
YELLOW
L.F.
420
0.97
$
05:65.602
HANDHOLE - TYPE C
EACH
4
4
358.05
$
1,432.20
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
I'I
SODDING
S.Y.
6200
1.20
'1575.511
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.F.
50
50
18.60
$
930.00
0256.408
8" PVC, 22'-24' DEEP
L.F.
IOU
100
25.54
$
2,554.00
p,256.701
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.
88
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.
3212
3200
24.95
$
80,139.40
057.419
BORE 24" STEEL CASING
L.F.
96
105
96.16
$
9,231.36
0257.421
JACK 16" DIP THRU CASING
L.F.
120
105
30.28
$
3,633.60
0257. 606
6" R . S .GATE VALVE & BOX
EACH6
10
321.22
$
1,927-32
0257.608
8" R.S.GATE VALVE & BOX
EACH
3
4
460.35
$
1,381.05
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"
LH.
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
9
1117.11
$----6,702.66
PAGE 5 OF
7 SHORT-ELLIOTT-HENDRICKSON,
INC.
f•
0
0257.806
INSULATION
BD.FT. 512
0257.903
CONNECT TO EXISTING
'$ 1,023.00
5
WATERMAIN
EACH 4
0290.01
JAPANESE TREE LILAC 2"
EACH
0290.02
AMUR MAPLE 2"
EACH
0290.03
CANADA RED CHERRY 2"
EACH
0290.04
COLUMNAR BUCKTHORN 36"
EACH
0290.05
COMMON PURPLE LILAC 36"
EACH
0290.06
GOLD DROP POTENTILLA 18"
EACH
0290.07
DWARF AMUR MAPLE 18"
EACH
0290.08
RUGOSA ROSE #2 POT
EACH
0290.09
BLACK HILLS SPRUCE 6'
EACH
0290.10
COLORADO BLUE SPRUCE 6'
EACH
0290.11
COLORADO GREEN SPRUCE 6'
EACH
0290.12
AUSTRIAN PINE 6'
EACH
0290.13
PONDEROSA PINE 6'
EACH
0290.14
RIVER ROCK, 3/4 - 1-1/2"
C.Y.
0290.15
MULCH MATERIAL, TYPE 6
C.Y.
0
64
0.45
486.40
$
3
255.75
'$ 1,023.00
5
137.08
7
137.08
$
3
132.99
$
18
28.64
$
161
28.64
$
76
18.41
$
33
21.48
47
21.48
15
132.99
$
15
132.99
$
27
132.99
$
11
132.99
$
12
132.99
$
30
18.41
$
20
18.41
$
Tot&l . Cortract Amount $ 1 , 07 JM60. 12 Total Amount Ear $ 739,723.93
Material Suitably Stored on Site, Not Incoporated into Work $ 14,310.00
Contract Change Order No. Percent -Complete
Contract Change Order No. Percent Complete $
,I
Contract Change Order No. Percent Complete $
GROSS AMOUNT DUE .............. $ 754,033.93
LESS 5 i; RETAINAGE......... $ 37,701.69
AMOUNT DUE TO DATE....., .. . $ 716,332.24
LESS PREVIOUS APPLICATIONS..,.. $ 650,274.35
CONTRACTOR'S AFFIDAVIT AMOUNT OUE THIS APPLICATION.... $ 66,057.89
;
he 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 May 5 19 88 Arcon Construction Co. , Inca
Contractor
By el,4 Lev,f/
i(game an Title
COUNTY OF ) SS
STATE OF
Before me o thi day of —19 personally appeared
known to me, who' being'NTy sworn, did depose
and say t e rhe of the Contractor above mentioned;
(0 ffi
that he executed the above Application for Payment and Affidavit on beha said Contractor;
And that all of ,therein are tru ,correct and ete.
VERA C. '
My Commission Ex NOTARY PUBLIC—MINNWA c
KANABEC COUNTY (Notary Public)
Mr Cammiss�on Expires 1sn.It. 1993
The undersigned tf is LApplication for Payment shown above. Apart 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 a,ll prior Applications for Payment.
In accordance with the Contract, the undersigned approves payment to the Contractor of the
Amount Due.
Date
/ SHORT E H RLCKSO .
By
Page 7 of 7