HomeMy WebLinkAbout4.f. Approval of Application for Payment #2, Hawkins Pond, City Project #176 � , �
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CTTY DF RC/SEMC3UNT _-- -___. _
1�1PpLIC7�ITION FOR P�►YMSNT
NO. c...
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CITY PROJECT NQ; I �� 1 SI SEH FILE NO: ����?6�/37
P�o,��cT: - lf�.k�,us Pa►vo f S�c.Tio�u 3o St���Y S�.�i2
C(JNTRACTOR: �t/EBA�K Cat,rS�72(�G77o�tr C�NTRACT 1)ATE: �� S $
_ P� ��� �� ' APFLICATION DATE: I (t Zf��1$
/UC)�-1H'hE�D�lf'Mrf/. S,S�S'] F�R PERIOQ fiNDING: �� C��j�S _
Tota1 Cantract Amount S ��Q �`CZ °,° Total Amount Earned S f4�; Q6 '�-. aO
Material Suitably Stored on Site,
Not incorporated in�o Work S
Contract Change Order No. Percent Camplete $
Contract Charige 4rder No. Perce�t Complete �
Cantract Change Order No. P�rcent Complete g '
GROSS AM4UNT DUE . . . . . . . . . . . . . . . . . . . . . . $�lC��, O�`� o0
LESS S $ RETAINAG� . . : . . . . . . . . . . . . . . . 3 S4S3 .Ld
AMt3t1NT DU8 TO nATE . . . . . . . . . . . . . . . . . . . . $ �U!D.�'°
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L�SS. PREVIt?US ApPLICATIONS . . . . . . - • • . • • $ '�'fs, �jOU:•99
AMOVNT DUL THIS APPLICATiON . . . . . . . . . . . $` "�}`��,Gg ,ai
AP�Rt�I/ ;
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Rich�rd M. Hef
�City Engir�eer/D ector of Public Warks (�a l� �f� t�t
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APPLICATION FOR PAYMENT
(UNIT PRICE CONTRAGT}
NO. 2
�WNER: ROSEMOUNT, MiNNESOTA OWNER'S PRCIJECT NO. 276 & 181
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ENGINEER'S PR�JECT NO. 88026/88137
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LOCATION: HAWKINS P�ND & SECTIQN 30
CONTRACTdR ENEHAK CONSTRUCTION CONTRACT DATE
P.O. HOX 458 �_�a `CONTRACT AMOUNT S17(3,85�.00-- - ----
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NORTHFIELD, MN 55057
Ct�NTR. F�R HAWKINS`POND,�DRAINAGEWIMP. & SECTI�N 30, SANITARY SEWER EXTENSION
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AP�LIC.DRTE--- 11/21J88---------------
PERIOD END. 11/18/88
APPLICATION FOR PAYMENT
CQNTRACT QUANTITY UNIT
DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL
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SCHEDULE A� - HAWKINS POND DRAINAGE IMPROVEMENTS
2101.502 CLEARING TREE 200 204 20.{JO $ 4Q80.00 .
�
2I�1.503 GRUBBING TREE 200 166 20.DO $3��.00 �
21Q5.501 COMMUN EXCAVP►TIDN C.Y. 120000 6A,�OOd �•7� 543,2Q0.00 -
2105.511 C�MMdN CHANNEL EXC. C.Y. lOQO 1 t000 0.72 $ 720.00 r
2105. 535 SRLVAGED TOPSOIL C.Y. $000 5,000 ' �.72 $ 5760,00 �
2118.501 AGG. SURFACING, CLASS 2 TON 5Q0 Q 8.00 $ � '
2501.521 44" SPAN RC PIPE -- ARCH
Ct1LVERT, CL. IV L.F. 112 80 95.00 S ��600.00 .
PAGE 1 OF 4 SHCIRT-ELLIOTT-HENDRICKSON, INC.
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.5Q1.525 44" SPAN R.C. PIPE -
ARCH APRON EACH 4 4 4 950.00 $
�,$00 QO '
2503. 511 42" RC PiPE SEWER,
CL. I I I . L.F. 32 32 90.Ot� $ 2,880.00 r
2503. 512 42" RC PIPE APRON EACH
1 1 950.0� $ 950.00 -
2503.571 INSTALL 42" RC PIPE -�s
SEWER L.F. 40 40 25.00 $ 1,0OO.Op
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2506.611 RECONSTRU�T MANHOLE L.F.
20 13.6 60,OCl $ 816.00 /
2511. 507 GROUTED RIPRAP -�
C.Y. 100 21.6 45.00 $ 97Z.00
-_ ,
2511.511 GRANULAR FILTER C.Y, 50 11=p _ 30,00 $.�$ r���g�,p�g„ "�--
2575. 501 SEEDING ACRE
20 __-0_____- 99.00 $ p
2575.5C12 SEED, MIXTURE 3 LB. 8�0
� 1.20 $ 0
` 2575.505 SODDING S.Y. 3000
n 1.26 $_n �
2575. 511 MLILCH MATERTAI,, TYPE 1 TON
40 0 119.00 S Q
2575.519 DISC ANCHORING ACRE 20
- 0 29.QO $�_-
SCHEDULE`H__-SECTIC3N-30_SANITARY_S�WER EXTENSION
0256.408 8N pve, �o�-i2� DEEP �,.F.
640 964 10.OQ S 9,640.OQ „
025b.40$ 8" PVC, 12'-14' DEEP L.F.
309 2S7 1Q.00 S 2,570.00 -'
0256.408 8" PVC. 14'-16' DEEP L.F. 400
122 I1.�0 S 1,342.00 �
0256.4�8 8" PVC, 16'-1$' DEEP L.F.
9? 1`�0 i 2.00 $_ 2,040.Q� ,,
0256.408 8" PVC, 18'-20' DEEP L.F.
70 5a �3.0o S sso.ao �r�
�256.?O1 STANDARD MH, 8� DEEP EACH
. 8 8 ?50.DO $ 6,Q00.00 ✓
]256.702 EXCESS DEPTH STD MH L.F.
. 50 37.4 60.a� S 2,244.0� ✓ •
�256.$�}1 8" X 4" PVC WYB EACH 14 9
50.OU S 450.00 �
)256.9�0 CONNECT TO EX. SEWER EACH 1 1 200.00 $ 200.00 �
)256.901 CUT INTO ER. WET WELL EACH 1 1 5l�0.Otl $ 540.00
�.
:11$.501 AGG. SURFACING, CLASS 2 TON 25 � 1t}.0� $ 0
:575.501 SEEDING ACRE 2 p 49.0� $ 0
575.502 SEED, MIXTURS 3 LH. 80 Q 1.20 $ Q
AGE 2 OF 4 SNQRT-ELLIOTT-HENORICKSON, INC.
.. i •
.575.511 MULCH MATER�AL, TYP'E 1 TON 4 0 119.0� $ 0
2575.519 DISC ANCHORING ACRE 2 0 29.00 S 0
,
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PAGE 3 0�' 4 SHORT-ELLIOTT-HENDRICKSON, INC.
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' � ' AF�i CATION FuR P�iYhiENT - Con t i r�ueu'` �
.�tal Cuntract ��n�unt � 170 ,852. UO Total Anwur+t Earned � ID1� �',OC� �.,.
�
Materia] Suitably Stored on Site, Not Incoporated into Work $
Cantr•act Chan�e Order No. Percent.Complete �
Contract Ct�ange Order No. Percent Complete �
Contract Change Order ��o. Percent Complete $
�Ot�Of�y��O
GROSS Ah�UNT DUE. . . . . . . . . . .. . $ '�$r�3rl•r9g�-
, •,'
.5.o�3.�p
LESS 5 � RE7AINAGE. . . . . .. .. $�_ ��b.,�..
q oro, �"
. AMOUNT OUE TO DATE.. . .. . . .. . . $ ��-�g--�
LESS PREVIOUS APPIICATIONS. . . . . $ 46,800.99 ' �
Ah�UNT DUE THIS APPLICATION. .. . $ ������t
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COPITRACTOR'S AFFIDAVIT ' �'
The undersigned Contractor hereby swears under penalty of perjury that (1) ail previows pragress.
payments received from the Owner on account o# wark performed under the contract referred to
above have been appiied by the undersigned to discharge in fu11 aTl 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 ar covered by thjs
Appiication for Payment are free and clear of all liens, claims, securitq 3nterests and
encumbrances. .
Dated /t�a/ , �9�. Enebak Construction
Cantractor
B
Name and Tit e '
COUNTY OF �"� ,� � t'� � SS
STATE OF ��;��.� )
6efore me on thi s ���-�''� day af "�'��-�^- , 19 E� personal ly appeared
n`2^"''s ��>.�'�•,, nown to me, w o being cTuTy sworn, did depose
and say that he �s the S�',�, af the Contractor above mentioned;
Office
that he executed the above Applicatian for Payment and Affidavit un behalf of sa�d Contractor;
and that a�-�cF-�th�e•��ta��•t��.�ed there�n are tr , correct and camplete. �
,r�.,,� RICHAfta fi. 6QllCFl�F1 �
hjy Commi ss�qr� t r�T��i' i��YAtli�vA-���kN4x.�ctSaTA �,Q���� ,;
. �. � � � b...r�ii''\ V'!x.���l i � �+L.+�..<r.�..C=-'"�t---� .
� ' ' aiy com+r+. �xy�•�� r ;. i3, tA�a Notary Publ ic
� � �+w�.wr..�r.�+`..,y.�.iyi.tis.��l\I•.Ay..�y...ywr.,.byt � � . � . . .
The undersigned has checked the Contractor's Application for Payment shown above. A part of
this Applacation is the Contractor's Affidavit stating that alI previous payments to him
under this Contract have been applied by him to discharge in full all of h#s obligattons in
connectio►� with the work covered by alt prior Applications for Payment.
In accordance with the Gontract, the undersigned approues payment to the Contractar of the
Amaunt Que.
Date �l I'Z.Z SNORT T HE ICKSO I .
$y
�a�e 4 of q