HomeMy WebLinkAboutItem 8 - 3-Pumphouse No. 4 Pay Request 8(F)PROJECT PAY FORM
PARTIAL PAY ESTIMATE NO.
PERIOD OF ESTIMATE
TO
PROJECT OWNER: CONTRACTOR:
1. Original Contract Amount
2. Net Change Order Sum
3. Revised Contract (1+2)
4. *Work Completed
5. *Stored Materials
6. Subtotal (4+5)
7. Retainage*
8. Previous Payments
9. Amount Due (6‐7‐8)
*Detailed Breakdown Attached
START DATE:ON SCHEDULE
SUBSTANTIAL COMPLETION:
FINAL COMPLETION:X
ENGINEER'S CERTIFICATION: FOCUS Engineering, inc.
DATE
CONTRACTOR'S CERTIFICATION: CONTRACTOR
DATE
APPROVED BY OWNER:CITY OF LAKE ELMO, MINNESOTA
DATE DATE
No.Approval
Date
Amount $748,640.00
Additions Deductions $16,401.25
2 2/3/2015 $6,796.50 $765,041.25
1 11/18/2014 $9,604.75 $765,041.25
$765,041.25
$0.00
$726,789.19
$0.000.0%
CONTRACT TIME
TOTALS $16,401.25 $0.00 $38,252.06
NET CHANGE $16,401.25
CONTRACT CHANGE ORDER SUMMARY PAY ESTIMATE SUMMARY
8 (Final)
5/27/20151/23/2015FROM
PUMPHOUSE NO. 4
PROJECT NO. 2013.132
CITY OF LAKE ELMO
3800 LAVERNE AVENUE NORTH
LAKE ELMO, MN 55042
ATTN: JACK GRIFFIN, P.E., CITY ENGINEER
TOTAL MECHANICAL SERVICES, INC.
420 BROADWAY AVE
ST. PAUL PARK, MN 55071
ATTN: MARK DIESSNER
5/19/2014
12/19/2014
REVISED DAYS
REMAINING
214
0
‐159
11/28/2014
ORIGINAL DAYS
YES
NO
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
documents, that all amounts have been paid by the contractor for
work for which previous payment estimates was issued and payments
received from the owner, and that current payment shown herein is
now due.
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
with the contract documents.
ENGINEER
BYBY
BY
5/28/2015
FOCUS Engineering, inc.PROJECT PAYMENT FORM
PARTIAL PAY ESTIMATE NO. 8 (FINAL)
PUMPHOUSE NO. 4
CITY OF LAKE ELMO, MINNESOTA
PROJECT NO. 2013.132
QUANTITY UNIT PRICE AMOUNT QUANTITY AMOUNT QUANTITY AMOUNT
1 LS 1 $60,000.00 $60,000.00 ‐$0.00 1.00 $60,000.00
2 LS 1 $10,000.00 $10,000.00 ‐$0.00 1.00 $10,000.00
3 LS 1 $45,000.00 $45,000.00 ‐$0.00 1.00 $45,000.00
4 LS 1 $30,000.00 $30,000.00 ‐$0.00 1.00 $30,000.00
5 LS 1 $59,000.00 $59,000.00 ‐$0.00 1.00 $59,000.00
6 LS 1 $3,000.00 $3,000.00 ‐$0.00 1.00 $3,000.00
7 LS 1 $19,000.00 $19,000.00 ‐$0.00 1.00 $19,000.00
8 LS 1 $13,000.00 $13,000.00 ‐$0.00 1.00 $13,000.00
9 LS 1 $12,000.00 $12,000.00 ‐$0.00 1.00 $12,000.00
10 LS 1 $10,000.00 $10,000.00 ‐$0.00 1.00 $10,000.00
11 LS 1 $5,000.00 $5,000.00 ‐$0.00 1.00 $5,000.00
12 LS 1 $60,000.00 $60,000.00 ‐$0.00 1.00 $60,000.00
13 LS 1 $137,900.00 $137,900.00 ‐$0.00 1.00 $137,900.00
14 LS 1 $243,000.00 $243,000.00 ‐$0.00 1.00 $243,000.00
15 CY 350 $11.00 $3,850.00 ‐$0.00 350.00 $3,850.00
16 TN 130 $108.00 $14,040.00 ‐$0.00 114.0 $12,312.00
17 GAL 35 $6.00 $210.00 ‐$0.00 35.0 $210.00
18 TN 190 $20.00 $3,800.00 ‐$0.00 237.0 $4,740.00
19 TN 380 $13.50 $5,130.00 ‐$0.00 637.0 $8,599.50
20 SF 235 $5.00 $1,175.00 ‐$0.00 235.0 $1,175.00
21 SF 8 $40.00 $320.00 ‐$0.00 8.0 $320.00
22 CY 15 $65.00 $975.00 ‐$0.00 226.0 $14,690.00
23 EA 1 $1,000.00 $1,000.00 ‐$0.00 1.0 $1,000.00
24 LF 400 $3.00 $1,200.00 ‐$0.00 400.0 $1,200.00
25 HR 4 $110.00 $440.00 ‐$0.00 4.0 $440.00
26 SY 2,400 $4.00 $9,600.00 ‐$0.00 ‐$0.00
TOTALS ‐ BASE CONTRACT $748,640.00 $0.00 $755,436.50
CHANGE ORDER NO. 1
CO1‐1 SY 2,945 $1.90 $5,595.50 ‐$0.00 2945.00 $5,595.50
CO1‐2 HR 14.5 $276.50 $4,009.25 ‐$0.00 14.50 $4,009.25
TOTALS‐CHANGE ORDER NO. 1 $9,604.75 $0.00 $9,604.75
COMPENSATING CHANGE ORDER NO. 2
CO2‐1 LS 1 $6,796.50 $6,796.50 ‐$0.00 ‐$0.00
TOTALS‐COMPENSATING CHANGE ORDER NO. 2 $6,796.50 $0.00 $0.00
TOTALS‐REVISED CONTRACT $765,041.25 $0.00 $765,041.25
COMPENSATING CHANGE ORDER
HYDROSEEDING
GRADING FOR SOIL CORRECTION
DIV 9 ‐ FINISHES
DIV 10 ‐ SAFETY AND SIGNS
DIV 11 ‐ PROCESS EQUIPMENT
DIV 15 ‐ MECHANICAL
DIV 16 ‐ ELECTRICAL
SOD
STREET SWEEPER
SELECT GRANULAR BORROW (MODIFIED)
5" CONCRETE SIDEWALK
TRUNCATED DOME PANELS
TOPSOIL BORROW (CV)
TEMPORARY ROCK CONSTRUCTION ENTRANCE
SILT FENCE, MACHINE SLICED
DIV 1 ‐ GENERAL CONDITIONS
COMMON EXCAVATION (P)
TYPE SP. 12.5 BITUMINOUS WEARING COURSE MIXTURE (2,B)
BITUMINOUS MATERIAL FOR TACK COAT
AGGREGATE BASE CLASS 5, 100% CRUSHED
DIV 1 ‐ MOBILIZATION
DIV 2 ‐ SITE WORK
DIV 3 ‐ CONCRETE
DIV 4 ‐ MASONRY
DIV 5 ‐ METALS
DIV 6 ‐ CARPENTRY
DIV 7 ‐ THERMAL PROTECTION
DIV 8 ‐ DOORS AND WINDOWS
ITEM DESCRIPTION OF PAY ITEM UNIT
CONTRACT THIS PERIOD TOTAL TO DATE