HomeMy WebLinkAbout#21 - City Center Pay Request 19STAFF REPORT
DATE: August 15, 2023
CONSENT
AGENDA ITEM: City Center-Public Works Addition Pay Request #19 SUBMITTED BY: Kristina Handt, City Administrator
BACKGROUND: At the November 3, 2021 meeting, Council awarded bids for the new city center and public works
addition. Also established at that time was Guaranteed Maximum Price (GMP) with H+U for construction costs. The GMP was $13,402,788. ISSUE BEFORE COUNCIL: Should Council approve Pay Request #19 for the City Center and Public Works Addition project?
PROPOSAL: Pay request #19 is for $320,875.53. A copy is included in your packet.
FISCAL IMPACT:
With this pay request, the project remains within the overall budget though a change order to the GMP is expected next month. OPTION: 1) Approve pay request #19 2) Don’t approve pay request #19 RECOMMENDATION: “Motion to approve Pay Request #19 for the New City Center and Public Works Addition.”
ATTACHMENTS:
• Pay Request #19
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 19Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:7/31/2023Lake Elmo, MN 55042ARCHITECT FROM (CM): OVERALLCONST. MANAGERHOFFMANN + UHLHORN CONSTRUCTION, INC.5555 W 78TH ST, SUITE AXFILEMINNEAPOLIS, MN 55439CONTRACT DATE:APPLICATION FOR PAYMENTApplication is made for Payment, as shown below,CHANGE ORDER SUMMARYContinuation Sheet, AIA Document G703, is attached.Change Orders Approved inADDITIONSDEDUCTIONS1. COMMITTED COST$13,402,788.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$13,402,788.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $13,110,823.55NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$655,541.25 (Column D+E on G703) b. ___ % of Stored Material$0.00 (Column F on G703)Total Retainage (Line 5a + 5b or Total in Column I of G703)$655,541.25TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$12,455,282.30Net change by Change Orders$0.00 (Line 4 less Line 5 Total)The undersigned Construction Manager certifies that to the best of his 7. LESS PREVIOUS CERTIFICATES FORknowledge, information and belief the Work covered by this Application for PAYMENT (Line 6 from prior Certificate)$12,134,406.77Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $320,875.53and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $947,505.70 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 8/9/2023Notary Public:By:Date:8/9/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$In Accordance with the Contract Documents, based on on-site observations and the(Attach explaination if amount certified differs from the amount applied for).data comprising the above application, the Architect certifies to the Owner that to theARCHITECT:best of the Architect's knowledge, information and belief the Work has progressed asindicated, the quality of the Work is in accordance with the Contract Documents, andBy:Date:the Contractors are entitled to payment of the Amounts Certified.WASHINGTON COUNTY SHERRIFF SUBSTATION2023-08-09
CITY OF LAKE ELMO - OVERALLAPPLIC. FOR PAYMENT NO.#19H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 7/31/2023 AIA Document G723,APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.In tabulations below, amounts are stated to the nearest dollar. ABCDEF GHITEMDESCRIPTION OF WORKSCHEDULEDCHANGEREVISED WORK COMPLETEDTOTAL%BALANCERETAINAGENO.VALUEORDERSSCHEDULEFROMTHIS PERIODCOMPLETED(F/C)TO FINISHVALUEPREV. APPL.AND STORED(C-F)(A+B) TO DATE (D+E)InsuranceBuilders Risk Insurance25,000.00(3,796.00)21,204.0021,204.000.0021,204.00100%0.001,060.200Payment and Performance Bond127,464.00(40.00)127,424.00127,424.000.00127,424.00100%0.006,371.201General Conditions243,080.00(39,636.00)203,444.00188,497.585,464.79193,962.3795%9,481.639,698.12ReimburseConstruction Management Reimbursables488,555.00143,716.25632,271.25591,986.2540,285.00632,271.25100%0.0031,613.56FeeConstruction Management Fee82,595.000.0082,595.0080,566.212,028.7982,595.00100%0.004,129.75TrailerTemporary City Office Trailer53,170.005,278.3658,448.3658,042.61405.7558,448.36100%0.002,922.42ContingencyConstruction Contingency588,330.00(752,684.61)(164,354.61)0.000.000.000%0.000.00TestingTesting & Special Inspections28,000.00(28,000.00)0.000.000.000.00#DIV/0!0.000.00#0330Cast-In-Place Concrete668,316.0057,146.00725,462.00725,462.000.00725,462.00100%0.0036,273.10#0341Strutctural Precast1,755,999.00580.001,756,579.001,756,579.000.001,756,579.00100%0.0087,828.95#0510Steel Erection93,400.0016,546.00109,946.00109,946.000.00109,946.00100%0.005,497.30#0512Steel Supply485,000.0079,038.00564,038.00564,038.000.00564,038.00100%0.0028,201.90#0610Carpentry & GC1,027,000.0027,818.001,054,818.001,024,086.301,262.001,025,348.3097%29,469.7051,267.42#0750Roofing & Metal Panels1,113,300.00(54,388.00)1,058,912.00917,528.3752,537.88970,066.2592%88,845.7548,503.31#0790Caulking & Firestopping72,350.007,545.0079,895.0068,634.504,160.5072,795.0091%7,100.003,639.75#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00189,062.574,651.98193,714.5598%4,515.459,685.73#0833Coiling & Sectional Doors350,000.00(26,700.00)323,300.00321,030.002,270.00323,300.00100%0.0016,165.00#0840Aluminum Storefronts & Curtainwall400,410.00147,119.00547,529.00545,969.001,560.00547,529.00100%0.0027,376.45#0920Drywall & Fireproofing543,770.0059,865.00603,635.00600,950.820.00600,950.82100%2,684.1830,047.54#0930Tile154,980.000.00154,980.00120,240.0028,920.00149,160.0096%5,820.007,458.00#0950Acoustical Ceilings & Panels126,000.000.00126,000.00126,000.000.00126,000.00100%0.006,300.00#0965Resilient Flooring & Carpet131,940.00275.00132,215.00132,215.000.00132,215.00100%0.006,610.75#0990Painting and Wallcovering157,727.00670.00158,397.00144,472.0013,793.00158,265.00100%132.007,913.25#1420Conveying Equipment82,000.000.0082,000.0074,878.850.0074,878.8591%7,121.153,743.94#2100Fire Protection112,915.000.00112,915.00112,915.000.00112,915.00100%0.005,645.75#2200Plumbing & Heating854,000.0057,999.00911,999.00902,342.550.00902,342.5599%9,656.4545,117.13#2300HVAC & Controls962,000.00169,328.001,131,328.001,121,638.250.001,121,638.2599%9,689.7556,081.91#2600Electrical1,454,170.0082,575.001,536,745.001,312,830.000.001,312,830.0085%223,915.0065,641.50#3100Earthwork & Site Utilities575,790.0024,203.00599,993.00585,878.000.00585,878.0098%14,115.0029,293.90#3210Asphalt Paving317,200.0019,856.00337,056.00248,642.9788,413.03337,056.00100%0.0016,852.80#3290Landscaping & Fencing144,630.00(20,846.00)123,784.000.0092,011.0092,011.0074%31,773.004,600.55#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS13,402,788.000.0013,402,788.0012,773,059.83337,763.7213,110,823.5598%456,319.06655,541.25
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 19Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:7/31/2023Lake Elmo, MN 55042ARCHITECT FROM (CM): LABORCONST. MANAGERHOFFMANN + UHLHORN CONSTRUCTION, INC.5555 W 78TH ST, SUITE AXFILEMINNEAPOLIS, MN 55439CONTRACT DATE:APPLICATION FOR PAYMENTApplication is made for Payment, as shown below,CHANGE ORDER SUMMARYContinuation Sheet, AIA Document G703, is attached.Change Orders Approved inADDITIONSDEDUCTIONS1. COMMITTED COST$6,492,541.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$6,492,541.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $5,784,652.60NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$289,232.69 (Column D+E on G703) b. ___ % of Stored Material$0.00 (Column F on G703)Total Retainage (Line 5a + 5b or Total in Column I of G703)$289,232.69TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$5,495,419.91Net change by Change Orders$0.00 (Line 4 less Line 5 Total)The undersigned Construction Manager certifies that to the best of his 7. LESS PREVIOUS CERTIFICATES FORknowledge, information and belief the Work covered by this Application for PAYMENT (Line 6 from prior Certificate)$5,311,411.44Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $184,008.47and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $997,121.09 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 8/9/2023Notary Public:By:Date:8/9/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$In Accordance with the Contract Documents, based on on-site observations and the(Attach explaination if amount certified differs from the amount applied for).data comprising the above application, the Architect certifies to the Owner that to theARCHITECT:best of the Architect's knowledge, information and belief the Work has progressed asindicated, the quality of the Work is in accordance with the Contract Documents, andBy:Date:the Contractors are entitled to payment of the Amounts Certified.WASHINGTON COUNTY SHERRIFF SUBSTATION2023-08-09
CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSAPPLIC. FOR PAYMENT NO.#19H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 7/31/2023 AIA Document G723,APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.In tabulations below, amounts are stated to the nearest dollar. ABCDEF GHITEMDESCRIPTION OF WORKSCHEDULEDCHANGEREVISED WORK COMPLETEDTOTAL%BALANCERETAINAGENO.VALUEORDERSSCHEDULEFROMTHIS PERIODCOMPLETED(F/C)TO FINISHVALUEPREV. APPL.AND STORED(C-F)(A+B) TO DATE (D+E)InsuranceBuilders Risk Insurance25,000.00(3,796.00)21,204.0021,204.000.0021,204.00100%0.001,060.200Payment and Performance Bond127,464.00(40.00)127,424.00127,424.000.00127,424.00100%0.006,371.201General Conditions243,080.00(39,636.00)203,444.00188,497.585,464.79193,962.3795%9,481.639,698.12ReimburseConstruction Management Reimbursables488,555.00143,716.25632,271.25591,986.2540,285.00632,271.25100%0.0031,613.56FeeConstruction Management Fee82,595.000.0082,595.0080,566.212,028.7982,595.00100%0.004,129.75TrailerTemporary City Office Trailer53,170.005,278.3658,448.3658,042.61405.7558,448.36100%0.002,922.42ContingencyConstruction Contingency588,330.00(752,684.61)(164,354.61)0.000.000.000%0.000.00TestingTesting & Special Inspections28,000.00(28,000.00)0.000.000.000.00#DIV/0!0.000.00#0330Cast-In-Place Concrete428,316.0032,043.00460,359.00460,359.000.00460,359.00100%0.0023,017.95#0341Strutctural Precast333,704.000.00333,704.00333,704.000.00333,704.00100%0.0016,685.20#0510Steel Erection93,400.0016,546.00109,946.00109,946.000.00109,946.00100%0.005,497.30#0610Carpentry & GC459,000.006,684.00465,684.00436,152.3062.00436,214.3094%29,469.7021,810.72#0750Roofing & Metal Panels614,800.00(27,877.00)586,923.00494,304.253,773.00498,077.2585%88,845.7524,903.86#0790Caulking & Firestopping54,050.004,324.0058,374.0050,554.003,220.0053,774.0092%4,600.002,688.70#0833Coiling & Sectional Doors175,000.00(141,550.00)33,450.0031,500.001,950.0033,450.00100%0.001,672.50#0840Aluminum Storefronts & Curtainwall78,450.0047,704.00126,154.00124,594.001,560.00126,154.00100%0.006,307.70#0920Drywall & Fireproofing314,360.0037,519.00351,879.00349,194.820.00349,194.8299%2,684.1817,459.74#0930Tile86,880.000.0086,880.0052,140.0028,920.0081,060.0093%5,820.004,053.00#0950Acoustical Ceilings & Panels51,000.000.0051,000.0051,000.000.0051,000.00100%0.002,550.00#0965Resilient Flooring & Carpet41,010.000.0041,010.0041,010.000.0041,010.00100%0.002,050.50#0990Painting and Wallcovering128,196.00558.00128,754.00116,799.0011,823.00128,622.00100%132.006,431.10#1420Conveying Equipment35,260.000.0035,260.0031,734.000.0031,734.0090%3,526.001,586.70#2100Fire Protection55,395.000.0055,395.0055,395.000.0055,395.00100%0.002,769.75#2200Plumbing & Heating363,000.0041,624.00404,624.00404,624.000.00404,624.00100%0.0020,231.20#2300HVAC & Controls300,000.0023,433.00323,433.00313,743.250.00313,743.2597%9,689.7515,687.16#2600Electrical646,070.0026,733.00672,803.00579,952.000.00579,952.0086%92,851.0028,997.60#3100Earthwork & Site Utilities366,400.0021,659.00388,059.00378,259.000.00378,259.0097%9,800.0018,912.95#3210Asphalt Paving136,566.008,081.00144,647.00108,274.2036,372.80144,647.00100%0.007,232.35#3290Landscaping & Fencing83,490.00(10,350.00)73,140.000.0057,828.0057,828.0079%15,312.002,891.40#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS6,492,541.000.005,904,510.005,590,959.47193,693.135,784,652.6098%284,212.01289,232.69
INVOICE SUMMARY-PAYMENT APPLICATION NO. #19CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSPERIOD ENDING 7/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE1General ConditionsH+U Construction7/31/23Applic #19$5,464.79$273.24$5,191.55ReimburseConstruction Management ReimbursablesH+U Construction7/31/23Applic #18$40,285.00$2,014.25$38,270.75FeeConstruction Management FeeH+U Construction7/31/23Applic #19$2,028.79$101.44$1,927.35TrailerTemporary City Office TrailerH+U Construction7/31/23Applic #17$405.75$20.29$385.46#0610Carpentry & GCEbert Construction7/31/23Applic #19$62.00$3.10$58.90#0750Roofing & Metal PanelsPalmer West Construction7/31/23Applic #5$3,773.00$188.65$3,584.35#0790Caulking & FirestoppingCarciofini Company7/31/23Applic #5$3,220.00$161.00$3,059.00#0833Coiling & Sectional DoorsQuality Overhead Door7/31/23Applic #2$1,950.00$97.50$1,852.50#0840Aluminum Storefronts & CurtainwallEmpirehouse, Inc.7/31/23Applic #12$1,560.00$78.00$1,482.00#0930TileAdvanced Terrazzo & Tile7/31/23Applic #4$28,920.00$1,446.00$27,474.00#0990Painting and WallcoveringSteinbrecher Painting Company7/31/23Applic #7$11,823.00$591.15$11,231.85#3210Asphalt PavingEbert Construction7/31/23Applic #4$36,372.80$1,818.64$34,554.16#3290Landscaping & FencingHoffman & Mcnamara Co.7/31/23Applic #1$57,828.00$2,891.40$54,936.60SUBTOTAL AMOUNT DUE$193,693.13$9,684.66$184,008.47 TOTAL AMOUNT DUE $184,008.47
INVOICE : 230221
PROJECT: J21001
JULY 31, 2023
PAGE 1 OF 2
TO:CITY OF LAKE ELMO
3880 Laverne Ave N
Lake Elmo, MN 55042
ATTN:ACCOUNTING
RE:LAKE ELMO CITY CENTER &
LAKE ELMO PUBLIC WORKS ADDITION
Invoice for Construction Management services performed during the month of July, 2023
CONSTRUCTION MANAGEMENT REIMBURSABLES
Project Controller 4.00 hrs. @ 125.00 $500.00
Senior Project Manager 41.50 hrs. @ 125.00 $5,187.50
Project Manager 62.00 hrs. @ 105.00 $6,510.00
Project Administrator/Accountant 0.50 hrs. @ 65.00 $32.50
Project Superintendent 153.00 hrs. @ 105.00 $16,065.00
Assistant Superintendent 2.00 hrs. @ 95.00 $190.00
Truck, Travel, & Small Tools 1 mo. @ 1,400.00 $1,400.00
Field Office Equipment 1 mo. @ 400.00 $400.00
$40,285.00
GENERAL CONDITIONS
Temporary City Office Trailer $405.75
Plan Prints/Shipping $45.37
Drinking Water $8.59
Temporary Toilets $403.13
Xcel Energy - Utility Service $72.04
Trash Removal $794.00
Olsen Chain & Cable - Hoist $4,141.66
$5,870.54
$46,155.54
Subtotal Construction Management Reimbursables
Subtotal General Conditions
Total
1
INVOICE : 230221
PROJECT: J21001
JULY 31, 2023
PAGE 2 OF 2
TO:CITY OF LAKE ELMO
3880 Laverne Ave N
Lake Elmo, MN 55042
ATTN:ACCOUNTING
RE:LAKE ELMO CITY CENTER &
LAKE ELMO PUBLIC WORKS ADDITION
Contractor's Pay Applications July 31, 2023
#0610-Labor Ebert Construction $62.00
#0610-Material Ebert Construction $1,200.00
#0750-Labor Palmer-West Construction $3,773.00
#0750-Material Palmer-West Construction $48,764.88
#0790-Labor Carciofini Company $3,220.00
#0790-Material Carciofini Company $940.50
#0810-Material Twin City Hardware Company $4,651.98
#0833-Labor Quality Overhead Door $1,950.00
#0833-Material Quality Overhead Door $320.00
#0840-Labor Empirehouse Inc.$1,560.00
#0930-Labor Advanced Terrazzo & Tile Co.$28,920.00
#0990-Labor Steinbrecher Painting Company $11,823.00
#0990-Material Steinbrecher Painting Company $1,970.00
#3210-Labor Ebert Construction $36,372.80
#3210-Material Ebert Construction $52,040.23
#3290-Labor Hoffmann & McNamara $57,828.00
#3290-Material Hoffmann & Mcnamara $34,183.00
$289,579.39
$2,028.79
$337,763.72
Retainage
Current Retainge 16,888.19
Prior Retainage 638,653.06
Retainage-To-Date 655,541.25
Total Amount Due $320,875.53
CONSTRUCTION MANAGEMENT FEE
Total Contractor's Pay Applications July 1 - July 31
Total Before Retainage
1
Customer No.
C51148
H U Construction
5555 W78th St
Suite A
Minneapolis, MN 55439
Bill to:Ship to:City of Lake Elmo
24x60 Doublewide Office s/n 15809A/10B
Gabe 651-395-0055
3800 Laverne Ave. North
Lake Elmo, MN 55042
Satellite Quote No.
RC520567
Contract No
Matt Lawellin
Salesperson
08/17/2023
Due Date Customer PO No.
RQ152297 Lake Elmo DW Trailer
Invoice No.:
Invoice Date:07/18/2023
INV681958
Tracy DickensonA/R Account Rep:
PO Box 860700
Minneapolis, MN 55486-0700
Phone: (763) 553-1900
Rental Insurance Status:NO INS
No.Description Serial No.
Rental
From Date
Rental
To Date Qty.Unit Price Amount
Customer Project RC520567 0 0.00 0.00
R-0140 Labor charges for: 15809A/10B, 1 674.00 674.00
R-0145 Material charges for: 15809A/10B, 1 241.03 241.03
R-0140 CREDIT - Damage Charges Labor -1 400.00 -400.00
R-0145 CREDIT - Damage Charges Material -1 118.33 -118.33
Subtotal:396.70
Tax:9.05
Total:405.75
Thank You For Your Business!
20050 75th Ave N
Hamel, MN 55340-9459
Phone No.: 763-420-2001
Fax No.: 763-420-2034
Satellite Shelters, Inc - Minneapolis
InvoiceSatellite Shelters, Inc - Minneapolis
Lockbox Remit to address:Page 1 of 1
ARC DOCUMENT SOLUTIONS LLC
4730 PARK GLEN RD
SAINT LOUIS PARK MN 55416-5701 54MNI90610217/12/2023
INVOICEDATE
Page 1/1
5555 WEST 78TH STREET
SUITE AMINNEAPOLIS, MN 55439
P: (952) 837-3309
F: (952) 831-1268
H+U CONSTRUCTION
BILL TO:SHIP TO:
Luke Nelson
5555 WEST 78TH STREETSUITE A
MINNEAPOLIS, MN 55439
P: (952) 837-3309F: (952) 831-1268
H+U CONSTRUCTION
54MNO90553697/13/2023NET30ARC DELIVERY1016013ASI 37R
OrderOrder Due DatePayment TermsShipping MethodCustomer IDPurchase Order #
Lake ElmoJ21001Lisa Knox
Project NameProject NumberOrdered By
Extended
PricePriceDescriptionItem NumberUOM
Quantity
BO
Quantity
Shipped
Quantity
Ordered
1 set of 2 (30.00x42.00)
$1.98$0.10989Bond Prints - First Set1600SQFT0.0018.0018.00
$35.00$35.00Supply / Delivery Charge5201EACH011
$5.00$5.00Energy / Fuel Surcharge5205EACH011
$45.37Total Due
Amount Received
$45.37Total
$0.00Trade Discount
$0.00Freight
$3.39Tax
$0.00Misc
$41.98SubtotaltronneiBiller:
$45.377/12/202354MNI90610211016013
AMOUNT DUEDOC DATEINVOICECUSTOMER NO
ARC DOCUMENT SOLUTIONS LLC
NEW REMIT TO ADDRESS
PO BOX 645913CINCINNATI, OH 45264-5913
(216) 539-1501
ARC.AR.CENTRAL@E-ARC.COM
We accept: Visa | MasterCard | American Express | Discover
Card/Check Number:______________________ Exp. Date: __________
Signature:_______________________________ Amount: $___________
REMIT PAYMENT TO
HTTPS://PAY.ARCREMOTE.COM/P/627C0301-CC79-4152-B1E3-B66C87C2F742
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Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W921675
7/12/2023
W921675
1 of 2
Bill To
C57180Hoffman & Uhlhorn Const Inc5555 W 78th StSte AMinneapolis MN 55439United States
Location
L136962Lake Elmo Public Facilities3800 Laverne Ave NLake Elmo MN 55042United States
Invoice Total $193.28
Balance Due $193.28
Due Date: 8/9/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 8/9/2023 -Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jun 14-Jul 11
28 386930 -$4.00 $4.00
1 SERVICEService Jun 14-Jul 11
28 386930 1X/wk $70.00 $70.00
1 SERVICEClimateSvc Jun 14 to Jul 11
28 386930 1X/wk $16.00 $16.00
1 RENTAL
zHandSani Jun 14-Jul 11
28 386930 -$0.00 $0.00
1 RENTALRegHS Jun 14-Jul 11
28 398087 -$4.00 $4.00
1 SERVICE
Service Jun 14-Jul 11
28 398087 1X/wk $70.00 $70.00
1 SERVICEClimateSvc Jun 14 to Jul 11
28 398087 1X/wk $16.00 $16.00
1 RENTAL
zHandSani Jun 14-Jul 11
28 398087 -$0.00 $0.00
0 TAX-MNTax-MN
---$0.00 $12.38
0 TAX-WASH
Tax-WASH
---$0.00 $0.90
Subtotal $193.28
Invoice Total $193.28
Credits/Payments Applied $0.00
Balance Due $193.28
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W921676
7/12/2023
W921676
1 of 1
Bill To
C57180Hoffman & Uhlhorn Const Inc5555 W 78th StSte AMinneapolis MN 55439United States
Location
L141353LEPW3445 Ideal Ave NLake Elmo MN 55042United States
Invoice Total $96.64
Balance Due $96.64
Due Date: 8/9/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 8/9/2023 LEPW Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jun 14-Jul 11
28 396954 -$4.00 $4.00
1 SERVICEService Jun 14-Jul 11
28 396954 1X/wk $70.00 $70.00
1 SERVICEClimateSvc Jun 14 to Jul 11
28 396954 1X/wk $16.00 $16.00
1 RENTAL
zHandSani Jun 14-Jul 11
28 396954 -$0.00 $0.00
0 TAX-MNTax-MN
---$0.00 $6.19
0 TAX-WASH
Tax-WASH
---$0.00 $0.45
Subtotal $96.64
Invoice Total $96.64
Credits/Payments Applied $0.00
Balance Due $96.64
Biffs Inc.Remittance Slip
Make Checks Payable To Customer L141353 Hoffman & Uhlhorn Const Inc : LEPW
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202
Please return this portion with your payment.
Invoice #W921676
Amount Due $96.64
Amount Paid ______________________
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W921678
7/12/2023
W921678
1 of 1
Bill To
C57180Hoffman & Uhlhorn Const Inc5555 W 78th StSte AMinneapolis MN 55439United States
Location
L143501LECC3880 Laverne Ave NLake Elmo MN 55042United States
Invoice Total $113.21
Balance Due $113.21
Due Date: 8/9/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 8/9/2023 -Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jun 14-Jul 06
23 402272 -$4.00 $3.29
1 SERVICEService Jun 14-Jul 06
23 402272 1X/wk $70.00 $57.50
1 SERVICEClimateSvc Jun 14 to Jul 06
23 402272 1X/wk $16.00 $13.14
1 RENTAL
zHandSani Jun 14-Jul 06
23 402272 -$0.00 $0.00
1 SERVICETipOver Jul 05
1 414246 -$31.50 $31.50
0 TAX-MN
Tax-MN
---$0.00 $7.25
0 TAX-WASHTax-WASH
---$0.00 $0.53
Subtotal $113.21
Invoice Total $113.21
Credits/Payments Applied $0.00
Balance Due $113.21
Biffs Inc.Remittance Slip
Make Checks Payable To Customer L143501 Hoffman & Uhlhorn Const Inc : LECC
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202
Please return this portion with your payment.
Invoice #W921678
Amount Due $113.21
Amount Paid ______________________
5555 W 78TH ST STE A
MINNEAPOLIS, MN 55439-2702
Jun-30-23
1
HU CONSTRUCTION INC
Date Codes Description Reference Quantity Amount
Invoice No
Page No
Invoice Date
Customer No
Site No
Reference
315 27th Ave NE
Minneapolis, MN 55418
Phone: (612) 623-8888
www.LRSrecycles.com 1 of 1
1523.1
UC12542
(0001)
LECC
3880 LAVERNE AVE N, LAKE ELMO MN
Serv #002 ROLL OFF 20.00
1.00 $362.0030 - Jun RO FINAL PU - NT W.O# 15416 $362.00 GABE 651-395-0055
RO FINAL PU - NT
$18.0030 - Jun Solid Waste Management Tax C&D TN at $2.00/TN on 9.00TN
Due to increased costs, your next invoice may reflect a price increase.
Pay your bill online at www.LRSrecycles.com Jun-30-23
15555 W 78TH ST STE A
MINNEAPOLIS, MN 55439-2702
HU CONSTRUCTION INC
Payment due upon receipt of this invoice. 1.5% per month (18% per annum) late charges on balances
over 30 days from date of invoice. Payments received after invoice date are not reflected. To ensure proper credit, please include your account number on your check and include the bottom portion of this invoice. When making payment on multiple accounts, please include the account numbers and the amounts of payment. We reserve the right to suspend service without notice on any past due account.
Invoice No
Page No
Invoice Date
Customer No
Site No
Reference
$750.00 $0.00 $0.00 $0.00 $380.00 $750.00Invoice Total Balance DueCurrent31-60 Days 61-90 Days Over 91 Days
1 of 1
1523.1
Please detach coupon and remit with paymentNEW PAYMENT ADDRESS
REMITLRS
315 27th Ave NE
Minneapolis, MN 55418 UC12542
5555 W 78TH ST STE A
MINNEAPOLIS, MN 55439-2702
Jul-15-23
1
HU CONSTRUCTION INC
Date Codes Description Reference Quantity Amount
Invoice No
Page No
Invoice Date
Customer No
Site No
Reference
315 27th Ave NE
Minneapolis, MN 55418
Phone: (612) 623-8888
www.LRSrecycles.com 1 of 1
1523.1
UC13722
(0001)
LECC
3880 LAVERNE AVE N, LAKE ELMO MN
Serv #003 ROLL OFF 30.00
1.00 $396.0014 - Jul RO TEMP-PICK UP - NT W.O# 17588 $396.00 GABE 651-395-0055
RO TEMP-PICK UP - NT
$18.0015 - Jul Solid Waste Management Tax C&D TN at $2.00/TN on 9.00TN
Due to increased costs, your next invoice may reflect a price increase.
Pay your bill online at www.LRSrecycles.com Jul-15-23
15555 W 78TH ST STE A
MINNEAPOLIS, MN 55439-2702
HU CONSTRUCTION INC
Payment due upon receipt of this invoice. 1.5% per month (18% per annum) late charges on balances
over 30 days from date of invoice. Payments received after invoice date are not reflected. To ensure proper credit, please include your account number on your check and include the bottom portion of this invoice. When making payment on multiple accounts, please include the account numbers and the amounts of payment. We reserve the right to suspend service without notice on any past due account.
Invoice No
Page No
Invoice Date
Customer No
Site No
Reference
$1,164.00 $0.00 $0.00 $0.00 $414.00 $1,164.00Invoice Total Balance DueCurrent31-60 Days 61-90 Days Over 91 Days
1 of 1
1523.1
Please detach coupon and remit with paymentNEW PAYMENT ADDRESS
REMITLRS
315 27th Ave NE
Minneapolis, MN 55418 UC13722
7225 Washington Avenue South 4133 32nd Ave. S
Edina, MN 55439 Moorhead, MN 56560
952-944-7678 218-236-7099
800-328-1906 800-328-1906
Fax 952-944-3899 Fax 218-236-7191
Sales@OlsenChain.com
CUSTOMER PO PLACED BY DATE REQUIRED PAGE
ORDER DATE CUSTOMER SLSM SHIP VIA ORDER NO.I.D.BRANCH
SOLD TO SHIP TO
FILLED BY DATE BUNDLES REELS COILS PIECES CRATES CARTONS BAGS
QUANTITYPRODUCT NUMBER DESCRIPTION PRICE EXTENSIONTO SHIP UM SHIPPED WHSE PGF
SUB TOTAL
SALES TAX
TOTAL
WEIGHT DATE RECEIVED RECEIVED BY DRIVER
NEEDED LUKE JUL 25 2023 1
JUL 25 2023 HUCONS 13 CHOOSE SHIP METHOD 704361 12 02
H+U CONSTRUCTION H+U CONSTRUCTION
5555 W 78TH ST, SUITE A 5555 W 78TH ST, SUITE A
MINNEAPOLIS, MN 55439 MINNEAPOLIS, MN 55439
5100-80 HOIST ON-SITE LABOR 1 EACH 1 2 P 1785.69 1,785.69
NONSTOCKM FESTOON SYSTEM CONDUCTIX 34 FT 1 EACH 1 2 P 1274.93 1,274.93
NONSTOCKM FESTOON SYSTEM 19 FT 1 EACH 1 2 P 773.36 773.36
3,833.98
307.68
4,141.66
58.907/31/23
7/31/23
3,059.007/31/23
1,852.507/31/23
1,482.00
78,450.00
47,704.00
126,154.00
126,154.00
6,307.70
119,846.30
118,364.30
0.00
0.00
126,154.00
Page 1
Certificate of the Subcontractor:
I hereby certify that the work performed and the materials supplied to date as shown on the above represent the actual value of accomplishment under the terms of the contract (and all authorized
changes thereto) between the undersigned and H+U Construction relating to the above-referenced project.
I also certify that Payments, less applicable retention, have been made through the period covered by previous payments received from the contractor, to (1) all my subcontractors (sub-subcontractors) and (2) for all materials and labor used in connection with the performance of this contract.
I further certify I have complied with Federal, State and Local tax laws, including Social Security laws and unemployment laws and Workmen's Compensation laws insofar as applicable to the
performance of this contract.
Furthermore, in consideration of this request of the payments received and upon receipt of the amount of this request, the undersigned does hereby waive, release, and relinquish all claims or right of lien which the undersigned may now have upon the premises above described except for claims or right of lien for contract and/or change order work performed to the extent that payment is being retained or will
subsequently become due.
Original contract sum
Net change by change orders (as per attached breakdown)
Contract sum to date
Completed to date (as per attached breakdown)
Total retainage (5.0%)
Total earned less retainage
Less previous certificates of payment
Sales tax at 0.000% on 0.00
Amount of this request
Stored material (as per attached breakdown)
Total completed and stored to date
Subtotal 1,482.00
Empirehouse Inc.
5200 Quincy StreetMounds View, MN 55112
To:
From:
Phone:
Project:Lake Elmo City Center (L)3880 Laverne Avenue N.
Lake Elmo, MN 55042
Application No: 12 Date: 07/01/23
Period To: 07/31/23
Contract For:
Contract Date:
Contractor Job
Number:21152
Date: __________________________________
Subscribed and sworn to before me this _____ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires ____________________.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
(763) 535-1150
Application and Certificate For Payment
H+U Construction5555 West 78th Street
Suite A
Edina, MN 55439
July 10, 2023
10
July 2023
January 31, 2025 Kristine Hutera, CEO
010500
010600
020550
020551
020552
021050
021550
029050
029051
031050
040550
041050
042050
059000
CO #001-1
CO #001-2
CO #002-1
CO #002-2
1,115.00 1,115.00 0.00 0.00 1,115.00 100.00 55.750.00
9,260.00 9,260.00 0.00 0.00 9,260.00 100.00 463.000.00
12,085.00 12,085.00 0.00 0.00 12,085.00 100.00 604.250.00
6,820.00 6,820.00 0.00 0.00 6,820.00 100.00 341.000.00
2,225.00 2,225.00 0.00 0.00 2,225.00 100.00 111.250.00
18,906.00 18,906.00 0.00 0.00 18,906.00 100.00 945.300.00
5,962.00 5,962.00 0.00 0.00 5,962.00 100.00 298.100.00
6,820.00 6,820.00 0.00 0.00 6,820.00 100.00 341.000.00
2,146.00 2,146.00 0.00 0.00 2,146.00 100.00 107.300.00
2,146.00 2,146.00 0.00 0.00 2,146.00 100.00 107.300.00
1,560.00 0.00 1,560.00 0.00 1,560.00 100.00 78.000.00
2,340.00 2,340.00 0.00 0.00 2,340.00 100.00 117.000.00
195.00 195.00 0.00 0.00 195.00 100.00 9.750.00
6,870.00 6,870.00 0.00 0.00 6,870.00 100.00 343.500.00
1,360.00 1,360.00 0.00 0.00 1,360.00 100.00 68.000.00
43,989.00 43,989.00 0.00 0.00 43,989.00 100.00 2,199.450.00
-3,285.00 -3,285.00 0.00 0.00 -3,285.00 100.00 -164.250.00
5,640.00 5,640.00 0.00 0.00 5,640.00 100.00 282.000.00
126,154.00 124,594.00 1,560.00 0.00 126,154.00 100.00 6,307.700.00
To:H+U Construction
From (Subcontractor):Empirehouse Inc.
Project:Lake Elmo City Center (L)
Application and Certificate For Payment -- page 2
Application No: 12 Date: 07/01/23
Item
Number Description ScheduledValue
Work Completed
Previous Application This Period
Materials
Presently Stored
Completed and
Stored to Date
%Balance to Finish Retention Memo
Bonds
Submittals/PM/CAD/Admin
SF Installation
CW Installation
Housekeeping
Window Installation
Skylight Installation
Ballistic Window Install
Hurricane Window Install
Mock-up Installation
Borrowed Lite Installati
Heavy Wall Installation
Mirrors Installation
Equipment
All Glass Door 205A Billing Total
Add Curtainwall Billing Total
Change Vinyl Windows to SF Billing
Total
Add Type W3 windows Billing Total
Application Total
Period To: 07/31/23
Contractor's Job Number: 21152
27,474.00
11,231.857/31/23
34,554.167/31/23
54,936.60
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 19Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:7/31/2023Lake Elmo, MN 55042ARCHITECT FROM (CM): MATERIALCONST. MANAGERHOFFMANN + UHLHORN CONSTRUCTION, INC.5555 W 78TH ST, SUITE AXFILEMINNEAPOLIS, MN 55439CONTRACT DATE:APPLICATION FOR PAYMENTApplication is made for Payment, as shown below,CHANGE ORDER SUMMARYContinuation Sheet, AIA Document G703, is attached.Change Orders Approved inADDITIONSDEDUCTIONS1. COMMITTED COST$6,910,247.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$6,910,247.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $7,326,170.95NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$366,308.58 (Column D+E on G703) b. ___ % of Stored Material$0.00 (Column F on G703)Total Retainage (Line 5a + 5b or Total in Column I of G703)$366,308.58TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$6,959,862.37Net change by Change Orders$0.00 (Line 4 less Line 5 Total)The undersigned Construction Manager certifies that to the best of his 7. LESS PREVIOUS CERTIFICATES FORknowledge, information and belief the Work covered by this Application for PAYMENT (Line 6 from prior Certificate)$6,822,995.31Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $136,867.06and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE ($49,615.37) (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 8/7/2023Notary Public:By:Date:8/7/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$In Accordance with the Contract Documents, based on on-site observations and the(Attach explaination if amount certified differs from the amount applied for).data comprising the above application, the Architect certifies to the Owner that to theARCHITECT:best of the Architect's knowledge, information and belief the Work has progressed asindicated, the quality of the Work is in accordance with the Contract Documents, andBy:Date:the Contractors are entitled to payment of the Amounts Certified.WASHINGTON COUNTY SHERRIFF SUBSTATION2023-08-09
CITY OF LAKE ELMO - MATERIALAPPLIC. FOR PAYMENT NO.#19H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 7/31/2023 AIA Document G723,APPLICATION AND CERTIFICATE FOR PAYMENT, containing Contractor's signed Certification is attached.In tabulations below, amounts are stated to the nearest dollar. ABCDEF GHITEMDESCRIPTION OF WORKSCHEDULEDCHANGEREVISED WORK COMPLETEDTOTAL%BALANCERETAINAGENO.VALUEORDERSSCHEDULEFROMTHIS PERIODCOMPLETED(F/C)TO FINISHVALUEPREV. APPL.AND STORED(C-F)(A+B) TO DATE (D+E)#0330Cast-In-Place Concrete240,000.0025,103.00265,103.00265,103.000.00265,103.00100%0.0013,255.15#0341Strutctural Precast1,422,295.00580.001,422,875.001,422,875.000.001,422,875.00100%0.0071,143.75#0512Steel Supply485,000.0079,038.00564,038.00564,038.000.00564,038.00100%0.0028,201.90#0610Carpentry & GC568,000.0021,134.00589,134.00587,934.001,200.00589,134.00100%0.0029,456.70#0750Roofing & Metal Panels498,500.00(26,511.00)471,989.00423,224.1248,764.88471,989.00100%0.0023,599.45#0790Caulking & Firestopping18,300.003,221.0021,521.0018,080.50940.5019,021.0088%2,500.00951.05#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00189,062.574,651.98193,714.5598%4,515.459,685.73#0833Coiling & Sectional Doors175,000.00114,850.00289,850.00289,530.00320.00289,850.00100%0.0014,492.50#0840Aluminum Storefronts & Curtainwall321,960.0099,415.00421,375.00421,375.000.00421,375.00100%0.0021,068.75#0920Drywall & Fireproofing229,410.0022,346.00251,756.00251,756.000.00251,756.00100%0.0012,587.80#0930Tile68,100.000.0068,100.0068,100.000.0068,100.00100%0.003,405.00#0950Acoustical Ceilings & Panels75,000.000.0075,000.0075,000.000.0075,000.00100%0.003,750.00#0965Resilient Flooring & Carpet90,930.00275.0091,205.0091,205.000.0091,205.00100%0.004,560.25#0990Painting and Wallcovering29,531.00112.0029,643.0027,673.001,970.0029,643.00100%0.001,482.15#1420Conveying Equipment46,740.000.0046,740.0043,144.850.0043,144.8592%3,595.152,157.24#2100Fire Protection57,520.000.0057,520.0057,520.000.0057,520.00100%0.002,876.00#2200Plumbing & Heating491,000.0016,375.00507,375.00497,718.550.00497,718.5598%9,656.4524,885.93#2300HVAC & Controls662,000.00145,895.00807,895.00807,895.000.00807,895.00100%0.0040,394.75#2600Electrical808,100.0055,842.00863,942.00732,878.000.00732,878.0085%131,064.0036,643.90#3100Earthwork & Site Utilities209,390.002,544.00211,934.00207,619.000.00207,619.0098%4,315.0010,380.95#3210Asphalt Paving180,634.0011,775.00192,409.00140,368.7752,040.23192,409.00100%(0.00)9,620.45#3290Landscaping & Fencing61,140.00(10,496.00)50,644.000.0034,183.0034,183.0067%16,461.001,709.15TOTAL CONTRACT AMOUNTS6,910,247.000.007,498,278.007,182,100.36144,070.597,326,170.9598%172,107.05366,308.58
INVOICE SUMMARY-PAYMENT APPLICATION NO. #19CITY OF LAKE ELMO - MATERIALPERIOD ENDING 7/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE#0610Carpentry & GCEbert Construction7/31/23Applic #14$1,200.00$60.00$1,140.00#0750Roofing & Metal PanelsPalmer West Construction7/31/23Applic #7$48,764.88$2,438.24$46,326.64#0790Caulking & FirestoppingCarciofini Company7/31/23Applic #4$940.50$47.03$893.47#0810Doors, Frames, Hardware - SupplyTwin City Hardware7/31/23Applic #5$4,651.98$232.60$4,419.38#0833Coiling & Sectional DoorsQuality Overhead Door7/31/23Applic #2$320.00$16.00$304.00#0990Painting and WallcoveringSteinbrecher Painting Company7/31/23Applic #6$1,970.00$98.50$1,871.50#3210Asphalt PavingEbert Construction7/31/23Applic #8$52,040.23$2,602.01$49,438.22#3290Landscaping & FencingHoffman & Mcnamara Co.7/31/23Applic #1$34,183.00$1,709.15$32,473.85SUBTOTAL AMOUNT DUE$144,070.59$7,203.53$136,867.06 TOTAL AMOUNT DUE $136,867.06
1,140.007/31/23
7/31/23
893.477/31/23
$ 4,419.38
304.00304.008/7/23275,053.50
$153,500.00$289,530.00$289,850.00
1,871.507/31/23
49,438.227/31/23
32,473.85