HomeMy WebLinkAbout6.b. Approve Final Payment / Accept Utilities - West Ridge 1st Addition0
APPLICATION FOR PAYMENT
(UNIT PRICE CONTRACT)
NO. 2 Final
CLOWS
FILE 1987 1 3
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MAY 2 81987
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Owner: ROSEMOUNT, MINNESOTA Owner's Project No. 1986-6
Engineer's Project No. 87013
LOCATION ROSEMOUNT, MINNESOTA
Contractor McNAMARA CONTRACTING CO. Contract Date
14605 JOHNNY CAKE RIDGE RD _Contract Amount $101,737.50
APPLE VALLEY, MN. 55124
Contract for STREET CONSTRUCTION IN PHASE I WEST RIDGE FIRST ADDITION
Application Date March 26, 1987
For Period Ending March 26, 1987 Final
APPLICATION FOR PAYMENT
CONTRACT QUANTITY UNIT
DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL
2021.501 MOBILIZATION L.S. 1 100% $1, 500.00 $ 1,500.00
210 5.501 COMMON EXCAV . C.Y. 1, 000 1,104 2.00 $2,208.00
2105.521 GRANULAR BORROW
(L.V.) C.Y. 1,000 390 3.50 $ 1,365.00
Page 1 of 3 SHORT-ELLIOTT-HENDRICKSON, INC.
APPLICATION FOR PAYMENT Continued
COWS 1987
23
CONTRACT
QUANTITY
UNIT
DESCRIPTION
UNIT
QUANTITY
TO DATE
PRICE
TOTAL
2111.501
TEST ROLLING
R.S.
20
29 $
5.00
$ 145.00
2112.501
SUBGRADE PREP.
R.S.
29
29
120.00
$ 3,480.00
2116.501
CORE EXCAVATION
C.Y.
250
0
4.00
$ ---
2116.503
AGGREGATE
0
BACKFILL
C.Y.
250
4.00
$ ---
2211.503
AGGREGATE BASE
PLACED, CL. 5
C.Y.
1,000
1,070
10.75
$11,502.50
0211.503
4" AGGREGATE BASE
FOR SIDEWALK,
CL. 5
S.F.
5,200
C.O. deleted
.30
$deleted
2341.504
BITUMINOUS MATERIAL
FOR MIXTURE
TON
121
97.83
125.00
$12,228.75
2341.508
WEARING COURSE
MIXTURE
TON
1,100
1,086.90
10.50
$11,412.45
2341.510
BINDER COURSE
MIXTURE
TON
1,100
845.62
11.00
$ 9,301.82
2357.502
BITUMINOUS MATERIAL
FOR TACK COAT
GAL.
450
325
1.35
$ 438.75
0504.602
ADJUST VALVE
BOX
EACH
4
8
100.00
$ 800.00
2506.522
ADJUST FRAME AND
RING CASTING
EACH
14
28
150.00
$ 4.200.00
2521.511
2" BITUMINOUS
WALK
S.F.
5,200
C.O. deleted
.75
$ deleted
2531.501
CONCRETE CURB AND
GUTTER, DESIGN
D418
L.F.
6,000
5,667
5.05
$28,618.35
2554.505
PERMANENT
BARRICADES
L.F.
48
48
15.00
$ 720.00
Page 2
of 3
APPLICATION FOR PAYMENT - Continued
Total Contract Amount $ 101, 737.5 Total Amount Earned*
Material Suitably Stored on Site, Not Incoporated into Work
Contract Change Order No. Percent -Complete
Contract Change Order No. Percent Complete
Contract Change Order No. Percent Complete
COK`S
1987FILE
3
$ 87,920.62
GROSS AMOUNT DUE ............... $ 87,920.62
LESS 0 % RETAINAGE......... $ 0.00
AMOUNT DUE TO DATE ............. $ 879920.62
LESS PREVIOUS APPLICATIONS..... $ 85,245.91
AMOUNT DUE THIS APPLICATION $ .2,674.71
CONTRACTOR'S AFFIDAVIT
The 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 March 26, , 19 87 .
By
COUNTY OF Goodhue ) SS
STATE OF Minnesota )
McNamara Contracting Co.
Vice President
Before me on this 26th day of March , 19 87 personally appeared
Kevin McNamara known to me, w o being—cuTy sworn, did depose
and say that he is the Vice President of the Contractor above mentioned
(Office)
that he executed the above Application for Payment and Affidavit on behalf of said Contractor;
and that all of the statements contained therein are tr, correct and compJ ete.
�l
�IAAAsAAA A .. )", /% 4 /J/i J/
My Co E i'T'; .&f A : A,4Ay� 7
hntAn. ,..!�t H. silm '^� Notar Public
Alyvn"sSSDHUE C UN YESOTA
The un fi btractor's Application for Payment shown above. A part of
this Application is""ofllxr�era�#.o'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 EL T HE RICKSO I
Date s! �'�f 8� By
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