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Home My WebLink About4.f. Request for Payment #2, Shannon Parkway Improvements03 CITY OF ROSEMOUNT APPLICATION FOR PAYMENT NO. Z— / o CITY PROJECT NO: /66 4- /-7/ SEH FILE NO: 87tzz PROJECT: 5;1+ WNOIV /Oftjtw* CONTRACTOR: R'OCO#U C0yJ119UCVd#V CONTRACT DATE _�3 L. FoRLGS7 14VE IPPLICATION DATE: 1111616'7 /i'y'e'i /NN, SS"OSj FOR PERIOD ENDING: 1 t Ila% e7 Total Contract Amount $ I, 073,,5 0 z' Total Amount Earned $ 6 /S, 039 :' Material Suitably Stored on Site, Not Incorporated into Work $ Contract Change Order No. Percent Complete $ Contract Change Order No. Percent Complete $ Contract Change Order No. Percent Complete $ GROSS AMOUNT DUE ... ............. .... $ 61S,p3j.z6 LESS RETAINAGE ................... $ 30,75/ •316 30 AMOUNT DUE TO DATE ......... ...... .. $ 5'6-f -67 LESS PREVIOUS APPLICATIONS ............ $ Z-001 4Z3 AMOUNT DUE THIS APPLICATION ... $ 383, 8-63 76 ll APP,R0 rFD ; -7 1'6 Richard M.a (L t`yl� ? , "?.� C' ' City Engineer/Director of Public Works RECEIVE SH;, ; � •;Ti h ., D pir APPLICATION FOR PAYMENT -- ---- - Nov (UNIT PRICE CONTRACT) ' NO. k LJ-P-AUI. NOTE: QUANTITIES AND UNIT PRICES HAVE BEEN REVISED IN ACCORDANCE WITH CHANGE ORDER NO. 1 OWNER: ROSEMOUNTMINNESOTA OWNER'S PROJECT NO.168 & 171 ------------------------------------ -- ENGINEER'S PROJECT NO. --- ----87122-- LOCATION: ROSEMOUNT, MINNESOTA ---------------- ------------------------------- CONTRACTOR ARCON CONSTRUCTION CO., INC. CONTRACT DATE ------------------- ------- -------- 903 E. AVE., BOX` -57 --- ----------------------- AMOUNT $1,073,560.12 -- M- -------------------- ORA, MINNESOTA 55051 --------------------------- CONTR. FOR SHANNON PARKWAY STREET AND UTILITY CONSTRUCTION - S.A.P. 208-106-02 APPLIC. DATE 11-16-87 PERIOD END. 11-13-87 APPLICATION FOR PAYMENT ----------------------- CONTRACT QUANTITY UNIT DESCRIPTION UNIT QUANTITY TO DATE PRICE TOTAL --- -------------- -------------------------------- 2021.501 MOBILIZATION L.S. .75 1 14322.00 $ 10,741.50 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. 1050 2.04 $ 2104.521 SALVAGE CM PIPE CULVERT L.F. 20 5.11 $ 2104.501 REMOVE PIPE CULVERTS L.F. 35 58 5.11 $ 178.85 2104.509 REMOVE MANHOLES OR 1 204.60 CATCH BASINS EACH 3 204.60 $ PAGE 1 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC. 0 • 6 3, �j3 da 2105.501 COMMON EXCAVATION (P) C . Y.'*4-,94 *- 42833 1.30 $ 4 'a- 2105.511 COMMON CHANNEL EXCAVATION C.Y. 438 1.38 $ iCJt�•D 2105.535 SALVAGED TOPSOIL (L.V.) C.Y. 5825 1.22 2111.501 TEST ROLLING RD. STA 41 96 102.30 $ 4,194.30 2112.501 SUBGRADE PREPARATION R.S. 41 96 153.45 $ 6,291.45 2116.501 CORE EXCAVATION C.Y. 1200 1.22 $ 2211.503 AGG BASE PLACED CL 5 (P) C.Y. 2744 8495 8.18 $ 22, 445.92 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 $ 442.87 2357.502 BITUMINOUS MATERIAL FOR TACK COAT GAL. 2635 1.02 $ 2501.515 15" RC PIPE APRON W/TRASH GUARD EACH 3 9 423.52 2501.515 18" RC PIPE APRON W/TRASH GUARD EACH 1 1 478.76 $ 478.76 2501.515 21" RC PIPE APRON 1 556.51 W/TRASH GUARD EACH 1 556.51 2501.515 24" RC PIPE APRON W/TRASH GUARD EACH 1 1 630.16 S 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. 1027 1298 19.14 $ 19, 656.78 PAGE 2 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC. i 2503.511 15" RCP STORM SEWER, DES. 3006, CL. V L.F. 987 1143 19.14 $ 18,891.18 2503.511 18" RCP STORM SEWER, DES. 3006, CL. V L.F. 1259 850 21.33 $ 26,854.47 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. IV L.F. 124 1040 26.30 $ 3,261.20 2503.511 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 2503.511 36" RC PIPE SEWER, DES. 3006, CL. IV L.F. 1712 1972 69.99 $ 119.822.88 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. 78 113.55 $ 0503.608 36" RCP STORM SEWER, JACKED L.F. 120 360.02 $ v 3a.a 2504.602 ADJUST GATE VALVE BOX EACH 6 98.20 $ 2506.506 CONSTRUCT MANHOLE, DESIGN H L.F. 76 141 122.35 $ 9,298.60 2506.506 CONSTRUCT MANHOLE, DESIGN C L.F. 65 73 174.11 $ 11,317.15 2506.507 CONSTRUCT CATCH BASIN, DESIGN Y L.F. 56 50 123.98 $ 6,942.88 2506.509 CONSTRUCT CATCH BASIN, DESIGN X L.F. 70 132 139.53 $ 9.767-10 2506.511 RECONSTRUCT MANHOLE L.F. 17 20 95.13 $ 2506.516 CASTING ASSEMBLY, TYPE R-1733 EACH 28 111.50 $- 2506.516 CASTING ASSEMBLY, TYPE R-3067 EACH 45 176.97 $ 2506.522 ADJUST FRAME AND RING CASTING EACH % 3 122.76 $ /a• %lv PAGE 3 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC. 2511.501 RANDOM RIPRAP CL II C.Y. 29.9 44 46.03 $ 1,376.30 2513.516 GEOTEXTILE FILTER FABRIC, TYPE IV S.Y. 57.8 176 3.17 $ 183.23 2531.501 CONCRETE CURB S 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 9.20 $ 2545.532 DIRECT BURIED CABLE L.F. 9000 1.81 $ 2545.552 FEED POINT EACH 3 1457.77 $ 0563.601 TRAFFIC CONTROL L.S. 1 2557.50 $ 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, YELLOW L.F. 420 0.97 $ 0565.602 HANDHOLE - TYPE C EACH 4 358.05 $ 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 SODDING S.Y. 6200 1.20-$ 2575.511 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" FVC, 22'-24' DEEP L.F. 100 100 25.54 $ 2,554.00 0256.701 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 -915 95-9•4� 0 EXISTING MANHOLE L.F. 9 115.59 $ -2-4-1.30- 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. 2881 3200 24.95 $ 71,880.95 0257.419 BORE 24" STEEL CASING '`L.P. 88 105 96.16 $ 8,462.08 0257.421 JACK 16" DIP THRU CASING L.F. 105 30.28 $ 0257.606 6" R. S . GATE VALVE & BOX EACH 5 10 321.22 $ 1,606.10 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 1 2 1366.72 $ 1,366.72 0257.630 FITTINGS LESS THAN 12" LB. 1000 585 1.52 $ 1,_52o.00 0257.631 FITTINGS 12" & LARGER LB. 7630 10640 1.04 $ 7, q3g, _ go 0257.633 LOWER WATERMAIN EACH 1 2 552.42 $ SS? a? 0257.640 FIRE HYDRANT EACH 5 9 1117.11 $ 5.585 55 PAGE 5 OF 7 SHORT-ELLIOTT-HENDRICKSON, INC. 0257.806 INSULATION BD.FT. 512 64 0.95 $ 486.40 0257.903 CONNECT TO EXISTING WATERMAIN EACH 4 3 255.75 $ 1,023.00 0290.01 JAPANESE TREE LILAC 2" EACH 5 137.08 $ 0290.02 AMUR MAPLE 2" EACH 7 137.08 $ 0290.03 CANADA RED CHERRY 2" EACH 3 132.99 0290.04 COLUMNAR BUCKTHORN 36" EACH 1$ 28.64 $ 0290.05 COMMON PURPLE LILAC 36" EACH 161 28.64 $ 0290.06 GOLD DROP POTENTILLA 18" EACH 76 18.41 $ 0290.07 DWARF AMUR MAPLE 18" EACH 33 21.48 $ 0290.08 RUGOSA ROSE #2 POT EACH 47 21.48 $ 0290.09 BLACK HILLS SPRUCE 6' EACH 15 132.99 $ 0290.10 COLORADO BLUE SPRUCE 6' EACH 15 132.99 $ 0290.11 COLORADO GREEN SPRUCE 6' EACH 27 132.99 $ 0290.12 AUSTRIAN PINE 6' EACH 11 132.99 $ 0290.13 PONDEROSA PINE 6' EACH 12 132.99 $ 0290.14 RIVER ROCK, 3/4 = 1-1/2" C.Y. 30 18.41 $ 0290.15 MULCH MATERIAL, TYPE 6 C.Y. 20 18.41 $ 61Sfo3y . GROSS AMOUNT DUE ............... $ -t7� cty 10_,'7,T1. 316 LESS 5 % RETAINAGE.'........ $ rr,**r-- AMOUNT DUE TO DATE ............. $:--- LESS PREVIOUS APPLICATIONS..... $ 200,423.54 v 363,861.76 CONTRACTOR'S AFFIDAVIT AMOUNT DUE THIS APPLICATION.... $ 6 4 (a 1&44.&A,. The undersigned Con tractor. 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 11-16 1987 Arcon Construction Co. , Inc. COUNTY OF f STATE OF ) Before m this SS day of 19'�3 personally appeared known to me, who being auTy sworn, did depose of the Contractor above mentioned; that he executed. #A aUvaJ4pp1e&tto&4Qr Payment and Affidavit on beh g of said Contractor; and that all of Abe statements►contained"therein are �trt correct n tele My Commission Expitts: ,'.. ,.,.(Notary -Public) The undersigned has checked the Contractor's Application 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 obligationsin 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 E TT HE RI'CKSO I Date /Z-/ 2-/67 By Page 7 of 7 APPLICATION FOR PAYMENT - Continued 1,0'560.12 61s039.z6 Total Contract Amount $ Total Amount Ea d $ .. w _ 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 $ L6 61Sfo3y . GROSS AMOUNT DUE ............... $ -t7� cty 10_,'7,T1. 316 LESS 5 % RETAINAGE.'........ $ rr,**r-- AMOUNT DUE TO DATE ............. $:--- LESS PREVIOUS APPLICATIONS..... $ 200,423.54 v 363,861.76 CONTRACTOR'S AFFIDAVIT AMOUNT DUE THIS APPLICATION.... $ 6 4 (a 1&44.&A,. The undersigned Con tractor. 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 11-16 1987 Arcon Construction Co. , Inc. COUNTY OF f STATE OF ) Before m this SS day of 19'�3 personally appeared known to me, who being auTy sworn, did depose of the Contractor above mentioned; that he executed. #A aUvaJ4pp1e&tto&4Qr Payment and Affidavit on beh g of said Contractor; and that all of Abe statements►contained"therein are �trt correct n tele My Commission Expitts: ,'.. ,.,.(Notary -Public) The undersigned has checked the Contractor's Application 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 obligationsin 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 E TT HE RI'CKSO I Date /Z-/ 2-/67 By Page 7 of 7 DATE: NOVEMBER 25, 1987 TO: MAYOR & CITY COUNCIL C/O ADMINISTRATOR JILK FROM: RICH HEFTI, CITY ENGINEER/PUBLIC WORKS DIRECTOR RE: APPLICATION FOR PAYMENT NO. 2 FOR SHANNON PARKWAY STREET IMPROVEMENTS Attached is a copy of the summary sheets for Application No. 2 broken down into Project 168 (North of 145th Street) and Project 171 (160th Street to 145th Street). The cost are accurate, however the final draft of the application for payment is being prepared by S.E.H. Because of the short week this week I would request that Council consider this application for payment as an .additional item at the December 1, 1987 Council meeting. I will be available to answer any questions Council may have regarding this application for payment. SHORT-ELLIOTT-11ENDRICKSON, INC. DATE FILE N0. PREP. BY Z%j j6r.. G,. aaaasaasasssa=aasaaaaanmes�asaasaeaaaaaaaaaxaaaaaaaa�aaaaseas=asaasaaasaaass=aaaaa CONSTRUCTION COST BREAKDOWN f PROJECT NO. S. A. P. NO. Zb� CONTRACTORY'GO/'7 CONTRACT AMOUNTl, APPLICATION FOR PAYMENT NO. Z-- APPLICATION DATE 1/) 44-,97 FOR PERIOD ENDING saaasa==asaa�a=caaaaa=aasaaessaaaaaaxasssaaaaaaaaa�a=aaa�ssaaeaaaaaaaa�aaaaaaaabaaa. PARTICIPATING NON -PARTICIPATING TOTAL COMPLETED CONTRACT CRANCE ORDERS g G TOTAL LESS % RETAINAGE p TOTAL DUE TO DATE / LESS PREVIOUS PAYMENT - S✓✓ �S - /�' Z3�3 PAYMENT DUE THIS APPLICATIONS M SHEET OF SHEETS SHORT-ELLIOTT-HENDRICKSON, INC. � DATE s �• s��c�i> / FILE NO.j?,I PREP. BY G- - CONSTRUCTION COST BREAKDOWN ' PROJECT N0.% S. A. P. N0. CONTRACTOR CONTRACT AMOUNT Z- Z- �.•� • %� APPLICATION FOR PAYMENT NO. Z- APPLICATION DATE /% - 7 FOR PERIOD ENDING i/ PARTICIPATING NON -PARTICIPATING TOTAL COMPLETED CONTRACT CHANGE ORDERSJJ'f% TOTAL - LESS % RETAINAGE - Zj� t�%�. % - 5- % id TOTAL DUE TO DATE%Jb•�� %d/ 9� /b LESS PREVIOUS PAYMENT -- %'�_� / - Z % yyf7 • SZ- PAYMENT DUE THIS APPLICATION Z..g 3�•.��./ p �/ I M SHEET OF SHEETS G�bl1�1� Contract Amount $ 1, 073,.12 Total Amount Earneo $`z�_1.1o.t►� terial 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' $ GROSS AMOUNT DUE.......... . $ 57€►; -440,03; . .. 30 809. 7/ - LESS 5 % RETAINAGE......... ,r' SS' 3S'•la AMOUNT DUE TO DATE ............. LESS PREVIOUS APPLICATIONS..... $ 200,423.54 V 3Ry,9�/ FSG- AMOUNT DUE THIS APPLICATION .... $4€ri$@U CONTRACTOR'S AFFIDAVIT The undersigned ontFactor 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 11-16 , 1987 Arcon Construction Co. , Inc. Contractor By me and,,Title) COUNTY OF SS STATE OF Before h this day of ,�- , 1947 personally appeared nown to me, w o being &uTy sworn, did depose and say th` t he +i he r. of the Contractor above mentioned; ffi that he executed.,the above Application for Payment and Affidavit on beh of said Contractor; and that all of the statements contained therein are true, correct,_ n ,,a mplete. My Commission Expires. Notary ubTi,c 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 Paym In accordance with the Contract, the undersigned approves payment .to the Contractor of the Amount Due. SNORT ELLIOTT HENDRICKSON, INC. Date By Page,_ 7 of