HomeMy WebLinkAbout#15 - City Center-PW Pay Request 22STAFF REPORT
DATE: November 21, 2023
CONSENT
AGENDA ITEM: City Center-Public Works Addition Pay Request #22 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 #22 for the City Center and Public Works Addition project?
PROPOSAL: Pay request #22 is for $38,094.60 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. OPTION: 1) Approve pay request #22 2) Don’t approve pay request #22 RECOMMENDATION: “Motion to approve Pay Request #22 for the New City Center and Public Works Addition.”
ATTACHMENTS:
• Pay Request #22
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 22Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:10/31/2023Lake 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 $232,651.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$13,635,439.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $13,439,755.81NumberDate Approved (Column G on G703) 5. RETAINAGE:$232,651.00$0.00 a. _5_ % of Completed Work$583,417.11 (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)$583,417.11TOTALS$232,651.00$0.006. TOTAL EARNED LESS RETAINAGE$12,856,338.70Net change by Change Orders$232,651.00 (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)$12,818,244.10Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $38,094.60and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $779,100.30 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 11/13/2023Notary Public:By:Date:11/13/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-11-13
CITY OF LAKE ELMO - OVERALLAPPLIC. FOR PAYMENT NO.#22H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 10/31/2023 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 Conditions243,080.002,467.24245,547.24239,943.665,603.58245,547.24100%0.0012,277.36ReimburseConstruction 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(843,624.85)(255,294.85)0.000.000.000%(255,294.85)0.00COConstruction Cost + Change Order0.00232,651.00232,651.000.000.000.000%232,651.000.00TestingTesting & Special Inspections28,000.00(28,000.00)0.000.000.000.00#DIV/0!0.000.00#0330Cast-In-Place Concrete668,316.0057,502.00725,818.00725,462.00356.00725,818.00100%0.0036,290.90#0341Strutctural Precast1,755,999.0015,416.001,771,415.001,771,415.000.001,771,415.00100%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)1,058,912.001,058,912.000.001,058,912.00100%0.0052,945.60#0790Caulking & Firestopping72,350.007,545.0079,895.0072,795.004,310.0077,105.0097%2,790.003,855.25#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00194,272.99507.00194,779.9998%3,450.019,739.00#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 & Carpet131,940.00909.00132,849.00132,849.000.00132,849.00100%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 & Heating854,000.0064,812.00918,812.00907,999.006,813.00914,812.00100%4,000.0045,740.60#2300HVAC & Controls962,000.00176,879.001,138,879.001,138,879.000.001,138,879.00100%0.0056,943.95#2600Electrical1,454,170.00100,432.001,554,602.001,414,890.0022,510.001,437,400.0092%117,202.0071,870.00#3100Earthwork & Site Utilities575,790.0024,203.00599,993.00593,078.000.00593,078.0099%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(20,056.00)124,574.0092,011.000.0092,011.0074%32,563.004,600.55#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS13,402,788.00232,651.0013,635,439.0013,399,656.2340,099.5813,439,755.8199%195,683.19583,417.11
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 22Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:10/31/2023Lake 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$5,892,623.00previous months by Owner 2. Net Change by Change Orders $232,651.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$6,125,274.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $6,067,196.97NumberDate Approved (Column G on G703) 5. RETAINAGE:$232,651.00$0.00 a. _5_ % of Completed Work$285,932.91 (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)$285,932.91TOTALS$232,651.00$0.006. TOTAL EARNED LESS RETAINAGE$5,781,264.06Net change by Change Orders$232,651.00 (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)$5,753,663.16Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $27,600.90and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $344,009.94 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 11/13/2023Notary Public:By:Date:11/13/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-11-13
CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSAPPLIC. FOR PAYMENT NO.#22H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 10/31/2023 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 Conditions243,080.002,467.24245,547.24239,943.665,603.58245,547.24100%0.0012,277.36ReimburseConstruction 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(843,624.85)(255,294.85)0.000.000.000%(255,294.85)0.00COConstruction Cost + Change Order0.00232,651.00232,651.000.000.000.000%232,651.000.00TestingTesting & 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 Precast333,704.0014,836.00348,540.00348,540.000.00348,540.00100%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)586,923.00586,923.000.00586,923.00100%0.0029,346.15#0790Caulking & Firestopping54,050.004,324.0058,374.0053,774.002,852.0056,626.0097%1,748.002,831.30#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 & Carpet41,010.00634.0041,644.0041,644.000.0041,644.00100%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 & Heating363,000.0048,437.00411,437.00404,624.006,813.00411,437.00100%0.0020,571.85#2300HVAC & Controls300,000.0029,171.00329,171.00329,171.000.00329,171.00100%0.0016,458.55#2600Electrical646,070.0035,022.00681,092.00656,798.0013,785.00670,583.0098%10,509.0033,529.15#3100Earthwork & Site Utilities366,400.0021,659.00388,059.00383,359.000.00383,359.0099%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(9,710.00)73,780.0057,828.000.0057,828.0078%15,952.002,891.40#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS6,492,541.00232,651.006,125,274.006,038,143.3929,053.586,067,196.9799%58,077.03285,932.91
INVOICE SUMMARY-PAYMENT APPLICATION NO. #22CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSPERIOD ENDING 10/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE1General ConditionsH+U Construction10/31/23Applic #22$5,603.58$280.18$5,323.40#0790Caulking & FirestoppingCarciofini Company10/31/23Applic #6$2,852.00$142.60$2,709.40#2200Plumbing & HeatingPeterson Sheet Metal10/31/23Applic #13$6,813.00$340.65$6,472.35#2600ElectricalVinco, Inc.10/31/23Applic #18$13,785.00$689.25$13,095.75SUBTOTAL AMOUNT DUE$29,053.58$1,452.68$27,600.90 TOTAL AMOUNT DUE $27,600.90
INVOICE : 230289
PROJECT: J21001
OCTOBER 31, 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 October, 2023
GENERAL CONDITIONS
Expendable Supplies $411.38
Cleaning $3,920.00
Temporary Toilets $96.64
Trash Removal $380.00
Olsen Chain & Cable - Hoist $795.56 $5,603.58 Contractor's Pay Applications October 31, 2023
#0330-Material Axel H. Ohman, Inc.$356.00
#0790-Labor Carciofini Company $2,852.00
#0790-Material Carciofini Company $1,458.00
#0810-Material Twin City Hardware Company $507.00
#2200-Labor Peterson Sheet Metal, Inc.$6,813.00
#2600-Labor Vinco, Inc.$13,785.00
#2600-Material Vinco, Inc.$8,725.00
$34,496.00
$40,099.58
Retainage
Current Retainge 2,004.98 Prior Retainage 581,412.13 Retainage-To-Date 583,417.11 Total Amount Due $38,094.60
Total Contractor's Pay Applications October 1 - October 31
Total Before Retainage
Subtotal General Conditions1
529181
10/27/23
H+U Construction Lake Elmo Public Works Building
INVOICE NO.
DATE
Marsden Bldg Maintenance, LLC
5555 W. 78th St., Ste. A
Minneapolis, MN 55439
1717 University Avenue W.
St. Paul, MN 55104
651.523.6614
3445 Ideal Ave N
Lake Elmo, MN 55042
CUSTOMER SERVICE LOCATION
Net 30 Days
--- 11/01/2023 Ticket 32120 ---
Final interior cleaning at Lake
Elmo Public Works Building
Completed on 10/23/2023
1731401
TERMS:CUSTOMER NO.
Description Quantity Unit of
Measure Price Amount
3,920.00
P.O. NO.
If you are interested in receiving your invoices via email please send
us a message at billing@marsden.com. Thank you!Sub-Total
TOTAL $3,920.00
3,920.00
Sales Tax
TO ENSURE PROPER CREDIT, PLEASE DETACH AND MAIL BOTTOM PORTION WITH YOUR PAYMENT
H+U Construction
ATTENTION:
5555 W. 78th St., Ste. AMinneapolis, MN 55439
1731401
1731406
529181
10/27/23
$3,920.00
Customer No.
Job No.
Invoice No.
Invoice Date
Amount Due
Amount RemittedPLEASE SEND REMITTANCE TO:
Marsden Bldg Maintenance, LLC
MI 87
PO Box 1150
Minneapolis, MN 55480-1150
PAGE 1 OF 1
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W936362
10/4/2023
W936362
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: 11/1/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 11/1/2023 LEPW Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Sep 06-Oct 03
28 396954 -$4.00 $4.00
1 SERVICEService Sep 06-Oct 03
28 396954 1X/wk $70.00 $70.00
1 SERVICEClimateSvc Sep 06 to Oct 03
28 396954 1X/wk $16.00 $16.00
1 RENTAL
zHandSani Sep 06-Oct 03
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 #W936362
Amount Due $96.64
Amount Paid ______________________
5555 W 78TH ST STE A
MINNEAPOLIS, MN 55439-2702
Oct-14-23
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
UC23814
(0001)
LAKE ELMO FIRE
3880 LAVERNE AVE N, LAKE ELMO MN
Serv #004 ROLL OFF 20.00
1.00 $362.0014 - Oct RO FINAL PU - NT W.O# 32943 $362.00 GABE 651-394-0055
RO FINAL PU - NT
$18.0014 - Oct Solid Waste Management Tax C&D TN at $2.00/TN on 9.00TN
Oct-14-23
1
5555 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
$380.00 $0.00 $0.00 $0.00 $380.00 $380.00Invoice Total Balance DueCurrent31-60 Days 61-90 Days Over 91 Days
1 of 1
1523.1
000047001500015230001000000002381400000380004
Please detach coupon and remit with paymentNEW PAYMENT ADDRESS
REMITLRS, LLC
PO BOX 4700
CAROL STREAM IL 60197-4700
UC23814
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
CHECK OCT 27 2023 1
OCT 30 2023 HUCONS 13 CHOOSE SHIP METHOD 708207 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
NONSTOCKK LOCKING PLUGS 1 EACH 1 2 P 93.06 93.06
NONSTOCKK LOCKING PLUGS FEMALE 1 EACH 1 2 P 259.35 259.35
5029000 FREIGHT G 377.29
729.70
65.86
795.56
2,709.4010/25/23
10/25/23
10/25/23
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 22Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:10/31/2023Lake 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$7,510,165.00previous months by Owner 2. Net Change by Change Orders $0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$7,510,165.00Approved this Month 4. TOTAL COMPLETED & STORED TO DATE $7,372,558.84NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$297,484.22 (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)$297,484.22TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$7,075,074.62Net 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)$7,064,580.92Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE $10,493.70and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $435,090.38 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 11/13/2023Notary Public:By:Date:11/13/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-11-13
CITY OF LAKE ELMO - MATERIALAPPLIC. FOR PAYMENT NO.#22H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 10/31/2023 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 Concrete240,000.0025,459.00265,459.00265,103.00356.00265,459.00100%0.0013,272.95#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 & Firestopping18,300.003,221.0021,521.0019,021.001,458.0020,479.0095%1,042.001,023.95#0810Doors, Frames, Hardware - Supply171,697.0026,533.00198,230.00194,272.99507.00194,779.9998%3,450.019,739.00#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 & Heating491,000.0016,375.00507,375.00503,375.000.00503,375.0099%4,000.0025,168.75#2300HVAC & Controls662,000.00147,708.00809,708.00809,708.000.00809,708.00100%0.0040,485.40#2600Electrical808,100.0065,410.00873,510.00758,092.008,725.00766,817.0088%106,693.0038,340.85#3100Earthwork & Site Utilities209,390.002,544.00211,934.00209,719.000.00209,719.0099%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(10,346.00)50,794.0034,183.000.0034,183.0067%16,611.001,709.15TOTAL CONTRACT AMOUNTS6,910,247.000.007,510,165.007,361,512.8411,046.007,372,558.8498%137,606.16297,484.22
INVOICE SUMMARY-PAYMENT APPLICATION NO. #22CITY OF LAKE ELMO - MATERIALPERIOD ENDING 10/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE#0330Cast-In-Place ConcreteAxel H. Ohman, Inc.10/31/23Applic #10$356.00$17.80$338.20#0790Caulking & FirestoppingCarciofini Company10/31/23Applic #5$1,458.00$72.90$1,385.10#0810Doors, Frames, Hardware - SupplyTwin City Hardware10/31/23Applic #7$507.00$25.35$481.65#2600ElectricalVinco, Inc.10/31/23Applic #18$8,725.00$436.25$8,288.75SUBTOTAL AMOUNT DUE$11,046.00$552.30$10,493.70 TOTAL AMOUNT DUE $10,493.70
338.20
10/25/23
1,385.1010/25/23
$ 481.65
10/25/23