HomeMy WebLinkAboutItem 8 - Well No 4 - PR3 PROJECT PAY FORM
PARTIAL PAY ESTIMATE NO. 3 F'OCU S ENGINEERING, inc.
PRODUCTION WELL NO.4 PERIOD OF ESTIMATE
PROJECT NO.2013.125 FROM 9/1/2013 TO 9/30/2013
PROJECT OWNER: CONTRACTOR:
CITY OF LAKE ELMO KEYS WELL DRILLING CO.
3800 LAVERNE AVENUE NORTH 1156 HOMER ST
LAKE ELMO,MN 55042 ST.PAUL,MN 55116
ATTN:JACK GRIFFIN,P.E.,CITY ENGINEER ATTN:JEFFREY KEYS
CONTRACT CHANGE ORDER SUMMARY PAY ESTIMATE SUMMARY
No. Approval Amount 1.Original Contract Amount $304,800.00
Date Additions Deductions 2.Net Change Order Sum $0.00
3.Revised Contract(1+2) $304,800.00
4. *Work Completed $80,235.00
5.*Stored Materials
6.Subtotal(4+5) $80,235.00
7. Retainage* 5.0% $4,011.75
8.Previous Payments $44,816.25
TOTALS $0.00 $0.00 9.Amount Due(6-7-8) $31,407.00
NET CHANGE $0.00 *Detailed Breakdown Attached
CONTRACT TIME
START DATE: 7/8/2013 ORIGINAL DAYS 123 ON SCHEDULE
SUBSTANTIAL COMPLETION: 10/25/2013 REVISED DAYS 0 YES aX
FINAL COMPLETION: 11/8/2013 REMAINING 39 NO
ENGINEER'S CERTIFICATION: FOCUS n 'neerin inL.
The undersigned certifies that the work has been reviewed and to the
best of their knowledge and belief,the quantities shown in this
estimate are correct and the work has been performed in accordance ENGINEER
with the contract documents.
DATE
CONTRACTOR'S CERTIFICATION: CONTRACTOR
The undersigned Contractor certifies that to the best of their
knowledge,information and belief the work covered by this payment
estimate has been completed in accordance with the contract By
documents,that all amounts have been paid by the contractorfor 77
workfor which previous payment estimates was issued and payments /G
received from the owner,and that current payment shown herein is DATE
now due.
APPROVED BY OWNER: CITY OF LAKE ELMO,MINNESOTA
BY BY
DATE DATE
FOCUS Engineering,inc. PROJECT PAYMENT FORM
PARTIAL PAY ESTIMATE NO. 3
PRODUCTION WELL NO.4 FOCUS ENGINEERING, inc.
CITY OF LAKE ELMO,MINNESOTA
PROJECT NO.2013.125
CONTRACT THIS PERIOD TOTAL TO DATE
ITEM DESCRIPTION OF PAY ITEM UNIT
QUANTITY UNIT PRICE AMOUNT QUANTITY AMOUNT QUANTITY AMOUNT
1 MOBILIZATION/SITE WORK LS 1 $26,000.00 $26,000.00 - $0.00 0.50 $13,000.00
2 SILT FENCE LF 550 $5.00 $2,750.00 - $0.00 275.00 $1,375.00
3 24-INCH STEEL CASING LF 95 $200.00 $19,000.00 - $0.00 89.0 $17,800.00
4 24-INCH OPEN HOLE LF 110 $125.00 $13,750.00 - $0.00 120.0 $15,000.00
5 18-INCH STEEL CASING LF 210 $80.00 $16,800.00 209.00 $16,720.00 209.0 $16,720.00
6 18-INCH OPEN HOLE LF 85 $60.00 $5,100.00 81.00 $4,860.00 81.0 $4,860.00
7 GROUT CY 50 $410.00 $20,500.00 28.00 $11,480.00 28.0 $11,480.00
8 EXPLOSIVES LB 400 $28.00 $11,200.00 - $0.00 - $0.00
9 REMOVAL OF ROCK CY 750 $70.00 $52,500.00 - $0.00 - $0.00
10 AIR SURGING MOBILIZATION LS 1 $4,500.00 $4,500.00 - $0.00 - $0.00
11 AIR SURGING DEVELOPMENT HRS 125 $210.00 $26,250.00 - $0.00 - $0.00
12 TELEVISION SURVEY LS 1 $1,400.00 $1,400.00 - $0.00 - $0.00
13 TEST PUMP MOBILIZATION&INSTALL. LS 1 $5,000.00 $5,000.00 - $0.00 - $0.00
14 TEST PUMPING HRS 80 $140.00 $11,200.00 - $0.00 - $0.00
15 TEST PUMPING DISCHARGE PIPE LF 2,500 $5.50 $13,750.00 - $0.00 - $0.00
16 SAND CONTENT TESTS EA 5 $50.00 $250.00 - $0.00 - $0.00
17 CHEM.ANALYSIS&BACT.TEST LS 1 $4,500.00 $4,500.00 - $0.00 - $0.00
18 SOUNDS BARRIER CONSTRUCTION SF 1,600 $8.00 $12,800.00 - $0.00 - $0.00
19 GAMMA LOG EA 1 $800.00 $800.00 - $0.00 - $0.00
20 RESTORATION LS 1 $3,500.00 $3,500.00 - $0.00 - $0.00
21 WELL PUMP LS 1 $53,250.00 $53,250.00 - $0.00 - $0.00
TOTALS-BASE CONTRACT $304,800.00 $33,060.00 $80,235.00