HomeMy WebLinkAbout#14 - City Center Pay Request 21STAFF REPORT
DATE: October 17, 2023
CONSENT
AGENDA ITEM: City Center-Public Works Addition Pay Request #21 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 #21 for the City Center and Public Works Addition project?
PROPOSAL: Pay request #21 is for $216,877.92. 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 #21 2) Don’t approve pay request #21 RECOMMENDATION: “Motion to approve Pay Request #21 for the New City Center and Public Works Addition.”
ATTACHMENTS:
• Pay Request #21
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 21Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:9/30/2023Lake 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 $13,399,656.23NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00 a. _5_ % of Completed Work$581,412.13 (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)$581,412.13TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$12,818,244.10Net 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)$12,601,366.18Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $216,877.92and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $584,543.90 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 10/10/2023Notary Public:By:Date:10/10/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION10/10/2023
CITY OF LAKE ELMO - OVERALLAPPLIC. FOR PAYMENT NO.#21H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 9/30/2023 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(3,136.34)239,943.66239,296.43647.23239,943.66100%0.0011,997.18ReimburseConstruction Management Reimbursables488,555.00143,716.25632,271.25632,271.250.00632,271.25100%0.0031,613.56FeeConstruction Management Fee82,595.000.0082,595.0082,595.000.0082,595.00100%0.004,129.75TrailerTemporary City Office Trailer53,170.005,278.3658,448.3658,448.360.0058,448.36100%0.002,922.42ContingencyConstruction Contingency588,330.00(812,205.27)(223,875.27)0.000.000.000%(223,875.27)0.00TestingTesting & 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 Precast1,755,999.0015,416.001,771,415.001,756,579.0014,836.001,771,415.00100%0.000.00#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 & GC1,027,000.0027,818.001,054,818.001,025,348.300.001,025,348.3097%29,469.7051,267.42#0750Roofing & Metal Panels1,113,300.00(54,388.00)1,058,912.00970,066.2588,845.751,058,912.00100%0.0052,945.60#0790Caulking & Firestopping72,350.007,545.0079,895.0072,795.000.0072,795.0091%7,100.003,639.75#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00194,272.990.00194,272.9998%3,957.019,713.65#0833Coiling & Sectional Doors350,000.00(26,700.00)323,300.00323,300.000.00323,300.00100%0.0016,165.00#0840Aluminum Storefronts & Curtainwall400,410.00147,119.00547,529.00547,529.000.00547,529.00100%0.0027,376.45#0920Drywall & Fireproofing543,770.0059,865.00603,635.00600,950.820.00600,950.82100%2,684.1830,047.54#0930Tile154,980.000.00154,980.00154,980.000.00154,980.00100%0.007,749.00#0950Acoustical Ceilings & Panels126,000.000.00126,000.00126,000.000.00126,000.00100%0.006,300.00#0965Resilient Flooring & Carpet131,940.00909.00132,849.00132,215.00634.00132,849.00100%0.006,642.45#0990Painting and Wallcovering157,727.00670.00158,397.00158,265.000.00158,265.00100%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 & Heating854,000.0057,999.00911,999.00902,342.555,656.45907,999.00100%4,000.0045,399.95#2300HVAC & Controls962,000.00176,879.001,138,879.001,121,638.2517,240.751,138,879.00100%0.0056,943.95#2600Electrical1,454,170.0082,575.001,536,745.001,414,890.000.001,414,890.0092%121,855.0070,744.50#3100Earthwork & Site Utilities575,790.0024,203.00599,993.00585,878.007,200.00593,078.0099%6,915.0029,653.90#3210Asphalt Paving317,200.0019,856.00337,056.00337,056.000.00337,056.00100%0.0016,852.80#3290Landscaping & Fencing144,630.00(20,846.00)123,784.0092,011.000.0092,011.0074%31,773.004,600.55#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS13,402,788.000.0013,402,788.0013,264,596.05135,060.1813,399,656.23100%3,131.77581,412.13
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 21Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:9/30/2023Lake 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$5,902,697.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$5,902,697.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $6,038,143.39NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00 a. _5_ % of Completed Work$284,480.23 (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)$284,480.23TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$5,753,663.16Net 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)$5,617,019.97Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $136,643.19and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $149,033.84 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 10/10/2023Notary Public:By:Date:10/10/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION10/10/2023
CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSAPPLIC. FOR PAYMENT NO.#21H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 9/30/2023 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(3,136.34)239,943.66239,296.43647.23239,943.66100%0.0011,997.18ReimburseConstruction Management Reimbursables488,555.00143,716.25632,271.25632,271.250.00632,271.25100%0.0031,613.56FeeConstruction Management Fee82,595.000.0082,595.0082,595.000.0082,595.00100%0.004,129.75TrailerTemporary City Office Trailer53,170.005,278.3658,448.3658,448.360.0058,448.36100%0.002,922.42ContingencyConstruction Contingency588,330.00(812,205.27)(223,875.27)0.000.000.000%(223,875.27)0.00TestingTesting & 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 Precast333,704.0014,836.00348,540.00333,704.0014,836.00348,540.00100%0.000.00#0510Steel Erection93,400.0016,546.00109,946.00109,946.000.00109,946.00100%0.005,497.30#0610Carpentry & GC459,000.006,684.00465,684.00436,214.300.00436,214.3094%29,469.7021,810.72#0750Roofing & Metal Panels614,800.00(27,877.00)586,923.00498,077.2588,845.75586,923.00100%0.0029,346.15#0790Caulking & Firestopping54,050.004,324.0058,374.0053,774.000.0053,774.0092%4,600.002,688.70#0833Coiling & Sectional Doors175,000.00(141,550.00)33,450.0033,450.000.0033,450.00100%0.001,672.50#0840Aluminum Storefronts & Curtainwall78,450.0047,704.00126,154.00126,154.000.00126,154.00100%0.006,307.70#0920Drywall & Fireproofing314,360.0037,519.00351,879.00349,194.820.00349,194.8299%2,684.1817,459.74#0930Tile86,880.000.0086,880.0086,880.000.0086,880.00100%0.004,344.00#0950Acoustical Ceilings & Panels51,000.000.0051,000.0051,000.000.0051,000.00100%0.002,550.00#0965Resilient Flooring & Carpet41,010.00634.0041,644.0041,010.00634.0041,644.00100%0.002,082.20#0990Painting and Wallcovering128,196.00558.00128,754.00128,622.000.00128,622.00100%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 & Controls300,000.0029,171.00329,171.00313,743.2515,427.75329,171.00100%0.0016,458.55#2600Electrical646,070.0026,733.00672,803.00656,798.000.00656,798.0098%16,005.0032,839.90#3100Earthwork & Site Utilities366,400.0021,659.00388,059.00378,259.005,100.00383,359.0099%4,700.0019,167.95#3210Asphalt Paving136,566.008,081.00144,647.00144,647.000.00144,647.00100%0.007,232.35#3290Landscaping & Fencing83,490.00(10,350.00)73,140.0057,828.000.0057,828.0079%15,312.002,891.40#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS6,492,541.000.005,902,697.005,912,652.66125,490.736,038,143.39102%(135,446.39)284,480.23
INVOICE SUMMARY-PAYMENT APPLICATION NO. #21CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSPERIOD ENDING 9/30/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE1General ConditionsH+U Construction9/30/23Applic #21$647.23$32.36$614.87#0341Strutctural PrecastWells Concrete9/30/23Applic #7$14,836.00$741.80$14,094.20#0750Roofing & Metal PanelsPalmer West Construction9/30/23Applic #6$88,845.75$4,442.29$84,403.46#0965Resilient Flooring & CarpetCommerical Flooring9/30/23Applic #4$634.00$31.70$602.30#2300HVAC & ControlsSt. Cloud Refrigeration9/30/23Applic #12-13$15,427.75$771.39$14,656.36#3100Earthwork & Site UtilitiesPark Construction Company9/30/23Applic #13$5,100.00$255.00$4,845.00SUBTOTAL AMOUNT DUE$125,490.73$6,274.54$119,216.19 RETAINAGE RELEASES #0341Strutctural PrecastWells Concrete9/30/23Retainage17,427.00TOTAL AMOUNT DUE $136,643.19
INVOICE : 230274
PROJECT: J21001
SEPTEMBER 30, 2023
PAGE 1 OF 1
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 September, 2023
GENERAL CONDITIONS
Drinking Water $8.59
Temporary Toilets $96.64
Braun Intertec Corporation $542.00
$647.23
Contractor's Pay Applications September 30, 2023
#0341-Labor Wells Concrete $14,836.00
#0750-Labor Palmer-West Construction $88,845.75
#0965-Labor Commercial Flooring Services $634.00
#2200-Material Peterson Sheet Metal, Inc.$5,656.45
#2300-Labor St.Cloud Refrigeration, Inc.$15,427.75
#2300-Material St.Cloud Refrigeration, Inc.$1,813.00
#3100-Labor Park Construction Company $5,100.00
#3100-Material Park Construction Company $2,100.00
$134,412.95
$135,060.18
Retainage
Current Retainge 6,753.01
Prior Retainage 663,229.87
Retainage-To-Date 669,982.88
Release Retainage
#0341-Labor Wells Concrete 17,427.00
#0341-Material Wells Concrete 71,143.75
Total Retainage Released 88,570.75
Updated Retainage-To-Date 581,412.13
Total Amount Due $216,877.92
Total Contractor's Pay Applications September 1 - September 30
Total Before Retainage
Subtotal General Conditions
1
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W931711
9/6/2023
W931711
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: 10/4/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 10/4/2023 LEPW Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Aug 09-Sep 05
28 396954 -$4.00 $4.00
1 SERVICEService Aug 09-Sep 05
28 396954 1X/wk $70.00 $70.00
1 SERVICEClimateSvc Aug 09 to Sep 05
28 396954 1X/wk $16.00 $16.00
1 RENTAL
zHandSani Aug 09-Sep 05
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 #W931711
Amount Due $96.64
Amount Paid ______________________
INVOICE
Braun Intertec Corporation
Lockbox #446035 PO BOX 64384
Saint Paul, MN 55164-0384
(952) 995-2000
(952) 995-2020
Telephone
Fax
PLEASE REMIT TO
Tax I.D.41-1684205
Hoffmann + Uhlhorn Construction, Inc. (H+U Construction)
5555 West 78th Street,
Suite A
Minneapolis, MN 55439
Luke Nelson
B358190Invoice number
Date 9/18/2023
Project ID B2203298
Customer account 27053
Customer PO
For Professional Services rendered through 9/9/2023
Lake Elmo Public Facilities
Special Inspections & Materials Testing
3800 Laverne Avenue North
Lake Elmo, MN 55042
1 - Construction and Materials Testing
1.1 - Soil Observations and Testing $299.00
1.5 - Pavement Observations & Testing $142.00
1.6 - Project Management $101.00
$542.00
Total Fees $542.00
Amount Previously Invoiced: $34,706.00
Amount Invoiced to Date: $35,248.00
Please pay from this invoice.
Terms: Due on receipt, 1 1/2% per month after 30 days, 18% annual percentage rate,
unless otherwise specified by written agreement.
Page 1 of 2
Projects: B2203298 - Lake Elmo Public Facilities Invoice number: B358190
Qty/Hours Rate Amount
1 - Construction and Materials Testing
1.1 - Soil Observations and Testing
Consulting Services Detail
Staff Engineer 2.00 132.00 264.00
Non-Salary Detail
CMT Trip Charge 1.00 35.00 35.00
Total 1.1 - Soil Observations and Testing $299.00
1.5 - Pavement Observations & Testing
Non-Salary Detail
Sieve Analysis with 200 wash, per sample 1.00 142.00 142.00
Total 1.5 - Pavement Observations & Testing $142.00
1.6 - Project Management
Consulting Services Detail
Project Control Specialist 0.50 120.00 60.00
Project Assistant 0.50 82.00 41.00
Total 1.6 - Project Management $101.00
Total 1 - Construction and Materials Testing $542.00
Total Project $542.00
Page 2 of 2
APPLICATION AND CERTIFICATE FOR PAYMENT
TO:FROM:APPLICATION NUMBER:7
CITY OF LAKE ELMO Wells Concrete PERIOD FROM:
3880 LAVERNE AVE NORTH SUITE 100 P.O. Box 656 TO:
LAKE ELMO MN 55042 Albany, Minnesota 56307 CONTRACT NUMBER:
VENDOR NUMBER:
Project Number:7509 Project Name:LAKE ELMO FIRE STATION
CONTRACTOR'S APPLICATION FOR PAYMENT
Application Is made for payment, as shown below, in connection with the Contract Continuation Sheet, G703, attached.
1. ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . $333,704.00
2. NET CHANGE BY CHANGE ORDERS . . . . . . . . . . .$14,836.00
3. CONTRACT SUM TO DATE (Line 1 + 2) . . . . . . . . .$348,540.00
Total To Date This Period
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) . . . . . . . . . . . . . . . . . . . . . .$348,540.00 $14,836.00
5. RETAINAGE 5.00% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,427.00 $741.80
6. TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $331,113.00 $14,094.20
(Line 4 Less Line 5)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$317,018.80
(Line 6 From Prior Certificate)
8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$14,094.20 $14,094.20
9. BALANCE TO FINISH, INCLUDING RETAINAGE . . .$17,427.00
(Line 3 Less Line 6)The undersigned Subcontractor certifies that to the best of the
Subcontractor's knowledge, information and belief the Work covered by this
Application for Payment has been completed in accordance with the Contract
Documents, that all amounts have been paid by the Subcontractor for Work
for which previous Certificates for Payment were issued and payments
received from the Contractor, and that current payment shown herein is now
due.
CHANGE ORDER SUMMARY ADDITIONS/DEDUCTIONS
Previous Months Total Approved Changes $-
This Month's Total Approved Changes $14,836.00
TOTALS $14,836.00
By:Stacy Schwantz
Title:AR SPECIALIST
Date:October 2, 2023
09/01/23
09/30/23
CONTINUATION SHEET AIA DOCUMENT G703
In tabulations below, amounts are stated to the nearest dollar.INVOICE NO:
APPLICATION NO:7
APPLICATION DATE:10/02/23
PERIOD ENDING:
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE
NO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH
APPLICATION STORED AND STORED (C-G)
(D+E)(NOT IN TO DATE
D OR E)(D+E+F)
1 INSTALLATION - WALLS $208,286.16 $208,286.16 $0.00 $0.00 $208,286.16 100%$0.00 $10,414.31
2 INTALLATION - DTS $77,534.40 $77,534.40 $0.00 $0.00 $77,534.40 100%$0.00 $3,876.72
3 INSTALLATION - PLANK $21,601.44 $21,601.44 $0.00 $0.00 $21,601.44 100%$0.00 $1,080.07
4 INSTALLATION - CAULK $26,282.00 $26,282.00 $0.00 $0.00 $26,282.00 100%$0.00 $1,314.10
52 CHANGE ORDER 1 $14,836.00 $0.00 $14,836.00 $0.00 $14,836.00 100%$0.00 $741.80
TOTALS $348,540.00 $333,704.00 $14,836.00 $0.00 $348,540.00 100%$0.00 $17,427.00
09/30/23
100001L
APPLICATION AND CERTIFICATE FOR PAYMENT
TO:FROM:APPLICATION NUMBER:7
CITY OF LAKE ELMO Wells Concrete PERIOD FROM:
3880 LAVERNE AVE NORTH SUITE 100 P.O. Box 656 TO:
LAKE ELMO MN 55042 Albany, Minnesota 56307 CONTRACT NUMBER:
VENDOR NUMBER:
Project Number:7509 Project Name:LAKE ELMO FIRE STATION
CONTRACTOR'S APPLICATION FOR PAYMENT
Application Is made for payment, as shown below, in connection with the Contract Continuation Sheet, G703, attached.
1. ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . $333,704.00
2. NET CHANGE BY CHANGE ORDERS . . . . . . . . . . .$14,836.00
3. CONTRACT SUM TO DATE (Line 1 + 2) . . . . . . . . .$348,540.00
Total To Date This Period
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) . . . . . . . . . . . . . . . . . . . . . .$348,540.00 $0.00
5. RETAINAGE 0.00% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0.00 $0.00
6. TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $348,540.00 $0.00
(Line 4 Less Line 5)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$331,113.00
(Line 6 From Prior Certificate)
8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$17,427.00 $0.00
9. BALANCE TO FINISH, INCLUDING RETAINAGE . . .$0.00
(Line 3 Less Line 6)The undersigned Subcontractor certifies that to the best of the
Subcontractor's knowledge, information and belief the Work covered by this
Application for Payment has been completed in accordance with the Contract
Documents, that all amounts have been paid by the Subcontractor for Work
for which previous Certificates for Payment were issued and payments
received from the Contractor, and that current payment shown herein is now
due.
CHANGE ORDER SUMMARY ADDITIONS/DEDUCTIONS
Previous Months Total Approved Changes $14,836.00
This Month's Total Approved Changes $-
TOTALS $14,836.00
By:Stacy Schwantz
Title:AR SPECIALIST
Date:October 2, 2023
09/01/23
09/30/23
CONTINUATION SHEET AIA DOCUMENT G703
In tabulations below, amounts are stated to the nearest dollar.INVOICE NO:
APPLICATION NO:7
APPLICATION DATE:10/02/23
PERIOD ENDING:
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE
NO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH
APPLICATION STORED AND STORED (C-G)
(D+E)(NOT IN TO DATE
D OR E)(D+E+F)
1 INSTALLATION - WALLS $208,286.16 $208,286.16 $0.00 $0.00 $208,286.16 100%$0.00 $0.00
2 INTALLATION - DTS $77,534.40 $77,534.40 $0.00 $0.00 $77,534.40 100%$0.00 $0.00
3 INSTALLATION - PLANK $21,601.44 $21,601.44 $0.00 $0.00 $21,601.44 100%$0.00 $0.00
4 INSTALLATION - CAULK $26,282.00 $26,282.00 $0.00 $0.00 $26,282.00 100%$0.00 $0.00
52 CHANGE ORDER 1 $14,836.00 $14,836.00 $0.00 $0.00 $14,836.00 100%$0.00 $0.00
TOTALS $348,540.00 $348,540.00 $0.00 $0.00 $348,540.00 100%$0.00 $0.00
09/30/23
100223L
9/26/23
602.30500
4,750.00
9,906.36
4,845.009/26/23
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 21Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:9/30/2023Lake 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$7,500,091.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$7,500,091.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $7,361,512.84NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$296,931.92 (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)$296,931.92TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$7,064,580.92Net 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)$6,984,346.19Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $80,234.73and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $435,510.08 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 10/10/2023Notary Public:By:Date:10/10/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION
CITY OF LAKE ELMO - MATERIALAPPLIC. FOR PAYMENT NO.#21H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703 PERIOD ENDING 9/30/2023 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%0.000.00#0512Steel Supply485,000.0079,038.00564,038.00564,038.000.00564,038.00100%0.0028,201.90#0610Carpentry & GC568,000.0021,134.00589,134.00589,134.000.00589,134.00100%0.0029,456.70#0750Roofing & Metal Panels498,500.00(26,511.00)471,989.00471,989.000.00471,989.00100%0.0023,599.45#0790Caulking & Firestopping18,300.003,221.0021,521.0019,021.000.0019,021.0088%2,500.00951.05#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00194,272.990.00194,272.9998%3,957.019,713.65#0833Coiling & Sectional Doors175,000.00114,850.00289,850.00289,850.000.00289,850.00100%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 Wallcovering29,531.00112.0029,643.0029,643.000.0029,643.00100%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 & Heating491,000.0016,375.00507,375.00497,718.555,656.45503,375.0099%4,000.0025,168.75#2300HVAC & Controls662,000.00147,708.00809,708.00807,895.001,813.00809,708.00100%0.0040,485.40#2600Electrical808,100.0055,842.00863,942.00758,092.000.00758,092.0088%105,850.0037,904.60#3100Earthwork & Site Utilities209,390.002,544.00211,934.00207,619.002,100.00209,719.0099%2,215.0010,485.95#3210Asphalt Paving180,634.0011,775.00192,409.00192,409.000.00192,409.00100%(0.00)9,620.45#3290Landscaping & Fencing61,140.00(10,496.00)50,644.0034,183.000.0034,183.0067%16,461.001,709.15TOTAL CONTRACT AMOUNTS6,910,247.000.007,500,091.007,351,943.399,569.457,361,512.8498%138,578.16296,931.92
INVOICE SUMMARY-PAYMENT APPLICATION NO. #21CITY OF LAKE ELMO - MATERIALPERIOD ENDING 9/30/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE#2200Plumbing & HeatingPeterson Sheet Metal9/30/23Applic #14$5,656.45$282.82$5,373.63#2300HVAC & ControlsSt. Cloud Refrigeration9/30/23Applic #13$1,813.00$90.65$1,722.35#3100Earthwork & Site UtilitiesPark Construction Company9/30/23Applic #13$2,100.00$105.00$1,995.00SUBTOTAL AMOUNT DUE$9,569.45$478.47$9,090.98 RETAINAGE RELEASES #0341Strutctural PrecastWells Concrete9/30/23Retainage71,143.75TOTAL AMOUNT DUE $80,234.73
APPLICATION AND CERTIFICATE FOR PAYMENT
TO:FROM:APPLICATION NUMBER:8
CITY OF LAKE ELMO Wells Concrete PERIOD FROM:04/01/23
3880 LAVERNE AVE NORTH SUITE 100 P.O. Box 656 TO:04/30/23
LAKE ELMO MN 55042 Albany, Minnesota 56307 CONTRACT NUMBER:
VENDOR NUMBER:
Project Number:7509 Project Name:LAKE ELMO FIRE STATION
CONTRACTOR'S APPLICATION FOR PAYMENT
Application Is made for payment, as shown below, in connection with the Contract Continuation Sheet, G703, attached.
1. ORIGINAL CONTRACT SUM . . . . . . . . . . . . . . . . . $1,422,295.00
2. NET CHANGE BY CHANGE ORDERS . . . . . . . . . . .$580.00
3. CONTRACT SUM TO DATE (Line 1 + 2) . . . . . . . . .$1,422,875.00
Total To Date This Period
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) . . . . . . . . . . . . . . . . . . . . . .$1,422,875.00 $0.00
5. RETAINAGE 0.00% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0.00 $0.00
6. TOTAL EARNED LESS RETAINAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1,422,875.00 $0.00
(Line 4 Less Line 5)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,351,731.25
(Line 6 From Prior Certificate)
8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$71,143.75 $0.00
9. BALANCE TO FINISH, INCLUDING RETAINAGE . . .$0.00
(Line 3 Less Line 6)The undersigned Subcontractor certifies that to the best of the
Subcontractor's knowledge, information and belief the Work covered by this
Application for Payment has been completed in accordance with the Contract
Documents, that all amounts have been paid by the Subcontractor for Work
for which previous Certificates for Payment were issued and payments
received from the Contractor, and that current payment shown herein is now
due.
CHANGE ORDER SUMMARY ADDITIONS/DEDUCTIONS
Previous Months Total Approved Changes $580.00
This Month's Total Approved Changes $-
TOTALS $580.00
By:Stacy Schwantz
Title:AR SPECIALIST
Date:April 27, 2023
CONTINUATION SHEET AIA DOCUMENT G703
In tabulations below, amounts are stated to the nearest dollar.INVOICE NO:042723M
APPLICATION NO:8
APPLICATION DATE:04/27/23
PERIOD ENDING:04/30/23
A B C D E F G H I
ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE
NO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G/C)TO FINISH
APPLICATION STORED AND STORED (C-G)
(D+E)(NOT IN TO DATE
D OR E)(D+E+F)
1 SHOP DRAWINGS $13,169.99 $13,169.99 $0.00 $0.00 $13,169.99 100%$0.00 $0.00
2 DRAFTING / ENGINEERING $64,486.01 $64,486.01 $0.00 $0.00 $64,486.01 100%$0.00 $0.00
3 MATERIALS - WALLS $989,954.66 $989,954.66 $0.00 $0.00 $989,954.66 100%$0.00 $0.00
4 MATERIALS - DTS $251,986.80 $251,986.80 $0.00 $0.00 $251,986.80 100%$0.00 $0.00
5 MATERIALS - PLANK $44,345.56 $44,345.56 $0.00 $0.00 $44,345.56 100%$0.00 $0.00
6 MATERIALS - CAULK $10,220.00 $10,220.00 $0.00 $0.00 $10,220.00 100%$0.00 $0.00
7 BOND $13,012.00 $13,012.00 $0.00 $0.00 $13,012.00 100%$0.00 $0.00
8 HOUSEKEEPING $35,119.98 $35,119.98 $0.00 $0.00 $35,119.98 100%$0.00 $0.00
51 CHANGE ORDER 01 $580.00 $580.00 $0.00 $0.00 $580.00 100%$0.00 $0.00
TOTALS $1,422,875.00 $1,422,875.00 $0.00 $0.00 $1,422,875.00 100%$0.00 $0.00
9/26/23
1,722.35
1,995.009/26/23