HomeMy WebLinkAbout4.j. Application for Payment #6, Shannon Parkway, City Project #168 & #171f
CITY OF ROSEMOUNT
APPLICATION FOR PAYMENT
NO. E
CITY PROJECT NO: 16rpi. 1-7 SEH PILE NO: 6.71ZZ.
PROJECT : Sk7-1......_ ALI La,...
CONTRACTOR: 4ctr .- CONTRACT DATE: �O � Z.f $7 -
I9Ok' APPLICATION DATE: 6
_1 "OM, MN. SSoSj FOR PERIOD ENDING: 6/1 -7/66 -,---
Total
/1-7/66
Total Contract Amount $ 1f a73S O" Total Amount Earned
$
Material
Suitably Stored on Site,
Not Incorporated into Work
$
Contract
Change Order No. _ Percent Complete
Contract
Change Order No. Percent Complete
S
Contract
Change Order No. Percent Complete
$
GROSS AMOUNT DUE ......................
$---_�,./�8S7S..SS
LESS '�—$ RETAINAGE ...................
$
S71 7=
AMOUNT DUE TO DATE ....................
$
'10 9) 146 27
LESS PREVIOUS APPLICATIONS ............
$
7/6 3ZZ
AMOUNT DUE THIS APPLICATION ...........
$?4� �/ 4 4T3
A P RR -05 E.n :
_ -2 i
Richard M. He ,
City Engineer/D ector of Public Works
•
APPLICATION FOR PAYMENT
-R T, -4, curf,I v
i'r.'•T rel;:�T I�_i ., ,%hSORd, Mc.
-------------------------
(UNIT PRICE CONTRACT)
NO. 6
NOTE: QUANTITIES AND UNIT PRICES HAVE—BEEN REVISED IN ACCORDANCA'll
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 6-22-88
PERIOD END. 6-17-88
APPLICATION FOR PAYMENT
-----------------------
CONTRACT QUANTITY UNIT
DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL
---------- — — -- ---------
2021.501 MOBILIZATION L.S. •95 1 14322.00 $ 13.605.90
2101.501
CLEARING
TREE
21
2101.506
GRUBBING
TREE
21
2104.501
REMOVE CONCRETE CURB
1327
1050
AND GUTTER
L.F.
2104.521
SALVAGE CM PIPE CULVERT
L.F.
44
2104.501
REMOVE PIPE CULVERTS
L.F.
55
2104.509 REMOVE MANHOLES OR
CATCH BASINS
EACH 4
20
61.38
$
1.288.98
20
61.38
$
1,288.98
2,707.08
1050
2.04
$
20
5.11
$
224.84
58
5.11
$
281.05
3
204.60
$
818.40
PAGE 1 OF 7 SHORT—ELLIOTT—HENDRICKSON, INC.
• 0
COMMON EXCAVATION (P) C.Y. 56798 42833
COMMON CHANNEL
EXCAVATION
C.Y.
760
SALVAGED TOPSOIL (L.V.)
C.Y.
5825
TEST ROLLING
RD.STA
96
SUBGRADE PREPARATION
R.S.
96
CORE EXCAVATION
C.Y.
1350.6
AGG BASE PLACED CL 5 (P)
C.Y.
8858
AGG. BASE PLACED FOR
W/TRASH GUARD
WALK, CLASS 5 (P)
C.Y.
1527
AGGREGATE SHOULDERING
L.F. 1161
PLACED, CL. 2
C.Y.
BITUMINOUS MATERIAL FOR
MIXTURE
TON
299.64
BASE COURSE MIXTURE
TON
5548.97
BITUMINOUS MATERIAL FOR
MIXTURE
TON
239.59
WEARING COURSE MIXTURE
TON
3942.41
BITUMINOUS MATERIAL FOR
438
5825
96
96
1200
8495
996
30
229
5077
330
5077
TACK COAT GAL. 2030 2635
15" RC PIPE APRON
W/TRASH GUARD
EACH 8
18" RC PIPE APRON
W/TRASH GUARD
EACH 1
21" RC PIPE APRON
W/TRASH GUARD
?EACH 1
24" RC PIPE APRON
W/TRASH GUARD
EACH i
27" RC PIPE APRON
W/TRASH GUARD
EACH 1
42" RC PIPE APRON
W/TRASH GUARD
EACH 1
12" RCP STORM SEWER,
DES. 3006, CL. V
L.F. 1161
1.30 $ 73,837.40
1.38 $ 1,048.80
1.22 $ 7,106.50
102.30 $ 9,820.80
153.45 $ 14,731.20
1.22 $ 1,647.73
8.18 $ 72,458.44
10.23 $ 15,621.21
33.75 $
163.68 $ 49,045.07
6.64 $ 36,845.16
184.14 $ 44, 118.10
7.67 $ 30,238.28
1.02 $ 2.070.60
9 423.52
$
3.388.16
1 478.76
$
478.76
1 556.51 $ 556.51
1 630.16
$
630.16
1 760.08
$
760.08
2
1298
?AGE 2 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
1265.45 $ 1,265.45
19.14 $ 22,221.54
PAGE 3 OF 7
ul
L. F. 1077 1143
19.14 $ 20,613.78
L. F.
1359
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,
$
DES. 3006, CL. IV
2503.511
27" RC PIPE SEWER,
1040
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,
DES. 3006, CL. IV
0503.608
15" RCP STORM SEWER,
368.28
JACKED
0503.608
36" RCP STORM SEWER,
JACKED
2504.602
ADJUST GATE VALVE BOX
2506.506
CONSTRUCT MANHOLE,
DESIGN B
2506.506
CONSTRUCT MANHOLE,
DESIGN C
2506.507
CONSTRUCT CATCH BASIN,
DESIGN Y
2506.509
CONSTRUCT CATCH BASIN,
DESIGN X
2506.511
RECONSTRUCT MANHOLE
2506.516
CASTING ASSEMBLY,
TYPE R-1733
2506.516
CASTING ASSEMBLY,
TYPE R-3067
2506.522
ADJUST FRAME AND RING
CASTING
PAGE 3 OF 7
ul
L. F. 1077 1143
19.14 $ 20,613.78
L. F.
1359
850
21.33
$
28,987.47
f
685
50
123.98
15,850.90
L. F.
128
1489
23.14
$
46,082.56
L. F.
124
1040
26.30
$
3.261.20
L. F.
18
18
47.21
$
849.78
L. F. 995 1381
L. F. 1967 1972
L. F. 509 467
34.31 $ 34,138.45
69.99 $ 137,670.33
79.18 $ 40, 302.62
L. F.
96
78
113.55
$
10,900.80
f
50
123.98
$
L. F.
128
120
360.02
$
46,082.56
EACH
6
6
98.20
$
589.20
L. F.
177.71
141
122.35
$
21,742.81
78.66
L. F.
L. F. 59.90
L. F. 80.36
L. F. 17
EACH 29
EACH 45
EACH 3
SNORT-ELLIOTT-HENDRICKSON, INC.
13,695.49
73
174.11
$
50
123.98
$
7,426.40
132
139.53
$
11, 212.63
20
95.13
$
1.617.21
28
111.50
$
3.233.50
45
176.97
$
7,963.65
3
122.76
S
368.28
SNORT-ELLIOTT-HENDRICKSON, INC.
8" CONCRETE DRIVEWAY
PAVEMENT
0
17
LIGHTING UNITS, TYPE B
!
27
3" RIGID STEEL CONDUIT
L.F.
RANDOM RIPRAP
CL II
C.Y.
29.90
44
46.03
$
1.376.29
GEOTEXTILE FILTER
_75
57.80
S.F.
1
TURN LANE PAVEMENT
183.22
FABRIC, TYPE
IV
S.Y.
176
3.17
$
MESSAGE
CONCRETE CURB
& GUTTER,
4" WIDE SOLID LINE,
WHITE
L.F.
DESIGN D618
L.F.
19747
19550
4.17
$
82,344.99
2" BITUMINOUS
WALK
S.F.
73304
73550
0.28
$
20,525.12
8" CONCRETE DRIVEWAY
PAVEMENT
S.Y.
17
LIGHTING UNITS, TYPE B
EACH
27
3" RIGID STEEL CONDUIT
L.F.
557
DIRECT BURIED CABLE
L.F.
8000
FEED POINT
EACH
$
TRAFFIC CONTROL
L.S.
_75
SIGN PANELS - TYPE C
S.F.
1
TURN LANE PAVEMENT
$ 1.918.12
280
MESSAGE
L.S.
CROSS WALK PAVEMENT
MESSAGE
L.S.
4" WIDE SOLID LINE,
WHITE
L.F.
4" WIDE SOLID LINE,
YELLOW
L.F.
4" WIDE BROKEN LINE,
WHITE
L.F.
4" WIDE BROKEN LINE,
YELLOW
L.F.
12" WIDE SOLID LINE,
WHITE
L.F.
24" WIDE SOLID LINE,
YELLOW
L.F.
HANDHOLE - TYPE C
EACH
4
ROADSIDE SEEDING
ACRE
SEED MIXTURE 5
LBS.
76
21.99
$
373.83
27
1115.07
$
30,106.89
400
9.20
$
5.124.40
9000
1.81
$
14.480.00
3
1457.77
$
1
2557.50
$ 1.918.12
280
18.82
$
6 35.80 $
1
76.72
$
645
0.20
$
10800
0.15
$
670 0.21 $
1180 0.21 S
26 5.11
420
0.97
$
4
358.05
$ 1,432.20
10
96.16
$
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
SODDING
S.Y.
100.25
MULCH MATERIAL, TYPE 1
TON
$
DISC ANCHORING
ACRE
18.60
WOOD FIBER BLANKETS
S.Y.
$ 2,554.00
8" PVC, 121-14'DEEP
L.F.
50
8" PVC, 22'-24' DEEP
L.F.
100
STANDARD MANHOLE,
96
105
8' DEEP
EACH
1
EXCESS DEPTH STANDARD
6
10
MANHOLE
L.F.
14
MANHOLE DROP SECTION ON
$
2
EXISTING MANHOLE
L.F.
8.3
CONNECT TO EXISTING
1000
585
SEWER
10390
1
8" D.I.P. FORCEMAIN
6" DIP WATERMAIN, CL 52
8" DIP WATERMAIN, CL 52
12" DIP WATERMAIN, CL 52
16" DIP WATERMAIN, CL 52
BORE 24" STEEL CASING
JACK 16" DIP THRU CASING
6" R.S.GATE VALVE & BOX
8" R.S.GATE VALVE & BOX
12" B.F.VALVE & BOX
16" B.F.VALVE & BOX
FITTINGS LESS THAN 12"
FITTINGS 12" & LARGER
LOWER WATERMAIN
FIRE HYDRANT
6200
20
10
1000
50
100
1
15
1.20
$
100.25
$
42.96
$
1.16
$
18.60
$ 930.00
25.54
$ 2,554.00
961.62 $ 961.62
55.24 $ 773.36
9 115.59 $ 959.39
EACH
$
1
L. F.
1550
1550
L.F.
88
162
L.F.
254
320
L.F.
248
1945
L.F.
3212
3200
L.F.
96
105
L.F.
120
105
EACH
6
10
EACH
3
4
EACH
$
2
EACH
3
2
LB.
1000
585
LB.
10390
10640
EACH
1
2
EACH
6
9
PAGE 5 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC.
358.05
$
358.05
12.38
$
19,189.00
14.97
$
1,317.36
17.17
8
4.361.18
17.75
$
4.402.00
24.95
$
80,139.40
96.16
$
9,231.36
30.26
$
3.633.60
321.22
$
1.927.32
460.35
$
1,381.05
731.44
$
1366.72
$
4.100-16
1.52
$
1.520.00
1.04
$
10,805.60
552.42
$
552.42
1117.11
$____6,702.66
0.95 $ 486.40
255.75 $ 1.023.00
+11 A:t
137.08
•
INSULATION
BD.FT.
512
4
CONNECT TO EXISTING
37z --,'Z-
28.64
$-5i'r.�i
WATERMAIN
EACH
4
3
18.41
JAPANESE TREE LILAC 2"
EACH
'15/ 3
5
AMUR MAPLE 2"
EACH
7
7
CANADA RED CHERRY 2"
EACH
3
3
COLUMNAR BUCKTHORN 36"
EACH
.1813
18
COMMON PURPLE LILAC 36"
EACH
ZZ- 161
GOLD DROP POTENTILLA 18"
EACH
ZZ a
76
DWARF AMUR MAPLE 18"
EACH
49
33
RUGOSA ROSE #2 POT
EACH
S
47
BLACK HILLS SPRUCE 6'
EACH
15
15
COLORADO BLUE SPRUCE 6'
EACH
15
COLORADO GREEN SPRUCE 6'
EACH
_ 1'
27
AUSTRIAN PINE 6'
EACH
�, Z
11
PONDEROSA PINE 6'
EACH
12
RIVER ROCK, 3/4 - 1-1/2-? C.Y.
30
MULCH MATERIAL, TYPE 6
C.Y.
'
,2tf %J
20
0.95 $ 486.40
255.75 $ 1.023.00
+11 A:t
137.08
$ -649-45
137.08
$ 959.56
132.99
$ 398.97
37z --,'Z-
28.64
$-5i'r.�i
3 49446
28.64
$ 461
18.41
/O'S'. -
21.48
$ 706.04
A
21.48
$ _};gg9•
132.99
$ 1,99 '� �
1"7Z8_-
8
132.99
$"ice
3vS8 3
132.99
$ :4 SiQA
VN 76
132.99
$ a -e
132.99
$
18.41
$ -542.w
?-7,6 L
18.41
$ 46$:z0
r APPLICATION FOR PAYMENT - Continued
Total Contract Amount $_1.07560.12 Total Amount Ea*d
Material Suitably Stored on Site, Not Incoporated into Work
Contract Change Order No. I
Contract Change Order No.
Contract Change Order No.
Percent -Complete !00
Percent Complete
Percent Complete
GROSS AMOUNT DUE ...............
LESS 1,� % RETAINAGE.........
AMOUNT DUE TO DATE ..........:..
I � i 4�y� 57S ss
$ -47f5+;e99.9&75
-
LESS PREVIOUS APPLICATIONS..... $ 716,332.24
37 l4 3'3
AMOUNT DUE THIS APPLICATION.... $
CONTRACTOR'S AFFIDAVIT
The un ersigne 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 June 22 19 gg Arcon Construction Co. , Inc.
Contractor
By ,
anaxrtie
COUNTY OF- c SS
STATE OF
Before me on. this day of e, 19 personally appeared
known to me, who being TuTy sworn, did depose
and say tat he -the of the Contractor above mentioned;
ice
that he executed the above Applicavion for Pa ent and Affidavit on be of said Contractor;
and that al l of the ss�IM.Wt! 1�f1�1" n are tr e, correct a omplete
VERA C. 8ES9ER
My Commission Exp i res 9 Nou RAMK -UIM
wW TA
The undersigned has decked 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.
Date C�
C�
/�Z 8 ,5 � ORT E I HE RICKSO I
Page 7 of 7