The URL can be used to link to this page

Home My WebLink About4.f. Request Payment #2, Jay Simon's & 130th Street, City Project #1985-4 & 1985-4(a)cWtI s 1987 .01 SHORT-ELLIOTT-HENDRICKSON, INC. =%aPC.,,� CONSULTING ENGINEERS I ST. PAUL, MINNESOTA • CHIPPEWA FALLS, WISCONSIN COPIED TO COUNOL DEC 3 01986 File No. ' 85197 Date O c t o b e r 28, 1986 To: ri tg of Rn -remount P_Q_ Rnx L55• 1367 145thSt r:c mL1LiAt MN 5St)bR Re: C4;y project Na. 19RS 4 & 1985-4A Application for Payment No. . STREET CONSTRUCTION ON 130th ST. & THE JAY SIMON's ADDN. GENTLEMEN: We are Qt Enclosing ❑ Sending Under Separate Cover Two Copies of above referenced application for payment. For Your With Our • Information Approval If Approval ❑ Records ❑ Distribution ❑ Approval with Corrections Please Return -Corrected Prints ❑ Disapproval REMARKS: Steve Campbell_ Y 200 GOPHER BUILDING • 222 EAST LITTLE CANADA ROAD • ST. PAUL, MINNESOTA SS117 0 PHONE (612) 484-0272 aw$ 1987 p1 APPLICATION FOR PAYMENT (UNIT PRICE CONTRACT) NO. 2 Owner: ROSEMOUNT, MINNESOTA Owner's Project No. 1985-4 & 1985-4A Engineer's Project No. 85197 LOCATION JAY SIMON'S ADDITION AREA Contractor Bituminous Roadways, Inc. Contract Date 2825 Cedar Avenue South Contract Amount $182,696.40 Minneapolis., MN 55407 r Contract for STREET CONSTRUCTION ON 130TH ST. & THE JAY SIMON'S ADDN. Application Date OCIO'bAr -i 5+h . i aAF; For Period Ending October 10th, 1986 APPLICATION -FOR PAYMENT CONTRACT QUANTITY UNIT DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL 0563.601 TRAFFIC CONTROL DEVICES L.S. 2 1 $1,200.00 $ 1200.00 2021.501 MOBILIZATION L.S. 1 1 1,018.00 $ 1018.00 2101.501 CLEARING ACRE 4 4 8$0.00 ' $ 3520:00 2101.501 Grubbing Acre 4 4 880,.00 $ 3520.00 Page 1 of 5 SHORT-ELLIOTT-HENDRICKSON, INC. J 11 CUM, 198? F 02 y APPLICATION FOR PAYMENT - Continued DESCRIPTION UNIT CONTRACT QUANTITY QUANTITY TO DATE UNIT PRICE TOTAL 2104.521 SALVAGE CM PIPE CULVERT L.F. 705 186 $4.00 $ 744.00 2105.501 COMMON EXCAVATION (p) C.Y. 7,542 7542 1.70 $12,821.40 2105.521 GRANULAR BORROW (C.V.) C.Y. 800 4420 5.00 $ 22,100.00 2105.535 SALVAGED TOPSOIL (L.V.) C.Y. 1,434 1434 3.25 $ 4,660.50 2111.501 TEST ROLLING RD. STA. 70 70 5,00 $ 350.00 2112.501 SUBGRADE PREP. R.S. 70 70 68.00 $ 4,760.00 2116.501 CORE EXCAVATION C. Y. 500 339.3 3.00 $ 1,017.90 2116.503 AGGREGATE BACKFILL C.Y. 500 530.5 5.65 $ 2,997.33 2211.503 AGGREGATE BASE PLACED, CLASS 5 C.Y. 2,150- 759.6 9.45 $ 7,178.22 2221.503 AGGREGATE SHOULDERING PLACED, CLASS 2 C.Y. 1,150 14.85 $ 2341.504 BITUMINOUS MATERIAL FOR MIXTURE TON 140 148.00 $ - 2341.508 WEARING COURSE MIXTURE TON 2,300 10.30 $ 2501.511 12" CM PIPE CULVERT L.F. 450 128 13.90 $.1,779.20 2501.511 15" R.C. PIPE CULVERT L.F. 625 630 20.85 $132135.50 2501.515 12" CM PIPE APRON EACH 30 4 65.00 $ 260.00 Page 2 of 5 11 IFU CLERrs ly87 01 APPLICATION FOR PAYMENT - Continued DESCRIPTION UNIT CONTRACT QUANTITY QUANTITY TO DATE UNIT PRICE TOTAL 2501.515 15" R.C. PIPE APRON EACH 15 16 $275.00 $4,400. 0 2501.521 28-1/2" SPAN RCP CLASS III L.F. 36 36 38.00 $-l-,368.00 2501.525 28-1/2" SPAN RCP CLASS III APRONS EACH 2 2 365.00 $ 730.00 2501.571 INSTALL SALVAGED CM PIPE CULVERT -L.F. 352 224 4.60 S 1,030.40 :2506.509 CONSTRUCT CATCH BASIN, TYPE Z EACH 1 1 850.00 $ 850.00 2511.515 GEOTEXTILE FILTER, TYPE IV S.Y. 1,,500 1879 1.50 S 2,818.S0 2511.515 RANDOM RIPRAP, CLASS II C.Y. 150 144.1 40.00 $ 5,764.00 2535.501 BITUMINUS CURB L.F. 1,690 2.95 $ .r 2554.501 PERMANENT BARRICADES L.F. 16 22.00 $ 2554.501 TRAFFIC BARRIER, DESIGN 8330 L.F. 555 600 5.85 $ 3,510.00 2554.501 TRAFFIC BARRIER, t DESIGN A8307 L.F. 654 638 9,85 $ 6,284.30 2554.523 TWISTED END TREATMENT EACH 2 2 420.00 $ 840.00 2575.501 ROADSIDE SEEDING ACRE 4.7 160.00 $ 2575.502 SEED MIXTURE 5 LBS. 355 2.30 Page 3 of 5 CWT fill 1987 p APPLICATION FOR PAYMENT - Continued DESCRIPTION UNIT CONTRACT QUANTITY QUANTITY TO DATE UNIT PRICE TOTAL 2575.505 SODDING S.Y. 140 3.15 $ 2575.511 MULCH MATERIAL, TYPE 1 TON 9.4 175.00 S 2575.519 DISC ANCHORING ACRE 4.7 42.00 $ 1 Page 4 of 5 APPLICATION FOR PAYMENT - Continues+ CLERK's Total Contract Amount $__ 182,o96.4Q Total Amount Earned FRE t' Material Suitably Stored on Site, Not Incoporated into Work Contract Change Order No. Percent.Complete Contract Change Order No. Percent Complete 1987 01 $ 108,657.25 $ Contract Change Order No. Percent Complete $ GROSS AMOUNT DUE ............... $ 108,657.25 LESS 5 % RETAINAGE......... $ 5,432.87 AMOUNT DUE TO DATE ............. $ 103,224.38 LESS PREVIOUS APPLICATIONS.. $ 25,817.77,/ CONTRACTOR'S AFFIDAVIT AMOUNT DUE THIS APPLICATION.... $ 77,406.61 Tfie undersigned Co tor 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. JoAd . 19 BITUMINOUS ROADWAYS, INC. 0000 DOROTHY M. FRITZE Contr ctor X a NOTARY PUSIiO . Lq,Wa gOTA HENNEPIN COUNTY By i Mr Qomml. On EzMM Flb. 1.10, IWO Name and Title) pop t COUNTY OF _A.,1SS STATE OF ore me on t is day of19 personally appeased nown to me, who being duly sworn, did depose and say t at hels the of the Contractor above mentioned; ce that he executed the above -Application for Payment and Affidavit on behalf of said Contractor; and that all of the statements contained therei re tru , correcta d comp ete. My Commission Expires:, .fib &yv Notary u 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. f� f� SHORT E H DRLC N C. Date l f BY S 5 Page of