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#03 - City Center - Public Works Pay Request 13
STAFF REPORT DATE: February 21, 2023 CONSENT AGENDA ITEM: City Center-Public Works Addition Pay Request #13 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 #13 for the City Center and Public Works Addition project? PROPOSAL: Pay request #13 is for $735,727.21. A copy is included in your packet. FISCAL IMPACT: With this pay request, the project remains within budget. OPTION: 1) Approve pay request #13 2) Don’t approve pay request #13 RECOMMENDATION: “Motion to approve Pay Request #13 for the New City Center and Public Works Addition.” ATTACHMENTS: • Pay Request #13 APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 13Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:1/31/2023Lake 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 Owner2. Net Change by Change Orders$0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$13,402,788.00Approved this Month4. TOTAL COMPLETED & STORED TO DATE $8,966,151.07NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$448,307.63 (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)$448,307.63TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$8,517,843.44Net 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)$7,782,116.23Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$735,727.21and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $4,884,944.56 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 2/2/2023Notary Public:By:Date:2/2/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-02-13 CITY OF LAKE ELMO - OVERALLAPPLIC. FOR PAYMENT NO.#13H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 1/31/2023 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 Insurance25,000.000.0025,000.0021,204.000.0021,204.0085%3,796.001,060.200Payment and Performance Bond127,464.000.00127,464.00127,424.000.00127,424.00100%40.006,371.201General Conditions243,080.000.00243,080.00125,750.598,418.80134,169.3955%108,910.616,708.47ReimburseConstruction Management Reimbursables488,555.000.00488,555.00381,557.5042,878.75424,436.2587%64,118.7521,221.81FeeConstruction Management Fee82,595.000.0082,595.0052,902.205,001.4157,903.6170%24,691.392,895.18TrailerTemporary City Office Trailer53,170.000.0053,170.0043,289.272,458.8945,748.1686%7,421.842,287.41ContingencyConstruction Contingency588,330.00(369,150.00)219,180.000.000.000.000%219,180.000.00TestingTesting & Special Inspections28,000.000.0028,000.000.000.000.000%28,000.000.00#0330Cast-In-Place Concrete668,316.0056,740.00725,056.00599,508.0089,698.00689,206.0095%35,850.0034,460.30#0341Strutctural Precast1,755,999.00580.001,756,579.001,750,054.000.001,750,054.00100%6,525.0087,502.70#0510Steel Erection93,400.0015,196.00108,596.0071,000.0018,000.0089,000.0082%19,596.004,450.00#0512Steel Supply485,000.0074,767.00559,767.00502,545.880.00502,545.8890%57,221.1225,127.29#0610Carpentry & GC1,027,000.0027,818.001,054,818.00296,762.1711,898.95308,661.1229%746,156.8815,433.06#0750Roofing & Metal Panels1,113,300.00(59,665.00)1,053,635.00722,743.2032,145.80754,889.0072%298,746.0037,744.45#0790Caulking & Firestopping72,350.007,545.0079,895.000.0010,005.5010,005.5013%69,889.50500.28#0810Doors, Frames, Hardware - Supply171,697.006,792.00178,489.0065,400.129,364.6274,764.7442%103,724.263,738.24#0833Coiling & Sectional Doors350,000.000.00350,000.000.000.000.000%350,000.000.00#0840Aluminum Storefronts & Curtainwall400,410.00139,476.00539,886.00371,749.0041,372.00413,121.0077%126,765.0020,656.05#0920Drywall & Fireproofing543,770.0046,152.00589,922.00358,528.0087,733.50446,261.5076%143,660.5022,313.08#0930Tile154,980.000.00154,980.000.000.000.000%154,980.000.00#0950Acoustical Ceilings & Panels126,000.000.00126,000.0025,000.000.0025,000.0020%101,000.001,250.00#0965Resilient Flooring & Carpet131,940.000.00131,940.0089,940.000.0089,940.0068%42,000.004,497.00#0990Painting and Wallcovering157,727.00670.00158,397.000.0023,148.0023,148.0015%135,249.001,157.40#1420Conveying Equipment82,000.000.0082,000.0021,577.000.0021,577.0026%60,423.001,078.85#2100Fire Protection112,915.000.00112,915.0097,024.0010,474.00107,498.0095%5,417.005,374.90#2200Plumbing & Heating854,000.0048,745.00902,745.00640,137.6889,027.99729,165.6781%173,579.3336,458.28#2300HVAC & Controls962,000.00159,675.001,121,675.00712,083.25154,618.50866,701.7577%254,973.2543,335.09#2600Electrical1,454,170.0077,660.001,531,830.00580,110.00119,500.00699,610.0046%832,220.0034,980.50#3100Earthwork & Site Utilities575,790.0021,220.00597,010.00523,202.5016,425.00539,627.5090%57,382.5026,981.38#3210Asphalt Paving317,200.00(1,549.00)315,651.0012,209.002,280.0014,489.005%301,162.00724.45#3290Landscaping & Fencing144,630.000.00144,630.000.000.000.000%144,630.000.00#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS13,402,788.00252,672.0013,655,460.008,191,701.36774,449.718,966,151.0766%4,689,308.93448,307.63 APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 13Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:1/31/2023Lake 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 Owner2. Net Change by Change Orders$0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$6,492,541.00Approved this Month4. TOTAL COMPLETED & STORED TO DATE $3,773,045.40NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$188,652.32 (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)$188,652.32TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$3,584,393.08Net 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)$3,083,806.00Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$500,587.08and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $2,908,147.92 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 2/2/2023Notary Public:By:Date:2/2/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-02-13 CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSAPPLIC. FOR PAYMENT NO.#13H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 1/31/2023 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 Insurance25,000.000.0025,000.0021,204.000.0021,204.0085%3,796.001,060.200Payment and Performance Bond127,464.000.00127,464.00127,424.000.00127,424.00100%40.006,371.201General Conditions243,080.000.00243,080.00125,750.598,418.80134,169.3955%108,910.616,708.47ReimburseConstruction Management Reimbursables488,555.000.00488,555.00381,557.5042,878.75424,436.2587%64,118.7521,221.81FeeConstruction Management Fee82,595.000.0082,595.0052,902.205,001.4157,903.6170%24,691.392,895.18TrailerTemporary City Office Trailer53,170.000.0053,170.0043,289.272,458.8945,748.1686%7,421.842,287.41ContingencyConstruction Contingency588,330.00(369,150.00)219,180.000.000.000.000%219,180.000.00TestingTesting & Special Inspections28,000.000.0028,000.000.000.000.000%28,000.000.00#0330Cast-In-Place Concrete428,316.0032,818.00461,134.00380,019.0060,265.00440,284.0095%20,850.0022,014.20#0341Strutctural Precast333,704.000.00333,704.00327,179.000.00327,179.0098%6,525.0016,358.95#0510Steel Erection93,400.0015,196.00108,596.0071,000.0018,000.0089,000.0082%19,596.004,450.00#0610Carpentry & GC459,000.006,684.00465,684.00235,921.1711,898.95247,820.1253%217,863.8812,391.01#0750Roofing & Metal Panels614,800.00(31,650.00)583,150.00407,570.2030,895.80438,466.0075%144,684.0021,923.30#0790Caulking & Firestopping54,050.004,324.0058,374.000.008,425.508,425.5014%49,948.50421.28#0833Coiling & Sectional Doors175,000.000.00175,000.000.000.000.000%175,000.000.00#0840Aluminum Storefronts & Curtainwall78,450.0045,349.00123,799.0065,769.0028,272.0094,041.0076%29,758.004,702.05#0920Drywall & Fireproofing314,360.0027,273.00341,633.00162,989.0063,620.00226,609.0066%115,024.0011,330.45#0930Tile86,880.000.0086,880.000.000.000.000%86,880.000.00#0950Acoustical Ceilings & Panels51,000.000.0051,000.000.000.000.000%51,000.000.00#0965Resilient Flooring & Carpet41,010.000.0041,010.000.000.000.000%41,010.000.00#0990Painting and Wallcovering128,196.00558.00128,754.000.0015,105.0015,105.0012%113,649.00755.25#1420Conveying Equipment35,260.000.0035,260.000.000.000.000%35,260.000.00#2100Fire Protection55,395.000.0055,395.0040,978.009,000.0049,978.0090%5,417.002,498.90#2200Plumbing & Heating363,000.0033,151.00396,151.00262,635.9450,294.18312,930.1279%83,220.8815,646.51#2300HVAC & Controls300,000.0016,250.00316,250.0045,158.25111,468.50156,626.7550%159,623.257,831.34#2600Electrical646,070.0024,446.00670,516.00165,745.0046,500.00212,245.0032%458,271.0010,612.25#3100Earthwork & Site Utilities366,400.0018,676.00385,076.00327,427.5014,431.00341,858.5089%43,217.5017,092.93#3210Asphalt Paving136,566.000.00136,566.001,592.000.001,592.001%134,974.0079.60#3290Landscaping & Fencing83,490.000.0083,490.000.000.000.000%83,490.000.00#TBDHoist12,000.000.0012,000.000.000.000.000%12,000.000.00TOTAL CONTRACT AMOUNTS6,492,541.00252,672.006,316,466.003,246,111.62526,933.783,773,045.4060%2,543,420.60188,652.32 INVOICE SUMMARY-PAYMENT APPLICATION NO. #13CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSPERIOD ENDING 1/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE1General ConditionsH+U Construction1/31/23Applic #13$8,418.80$420.94$7,997.86ReimburseConstruction Management ReimbursablesH+U Construction1/31/23Applic #13$42,878.75$2,143.94$40,734.81FeeConstruction Management FeeH+U Construction1/31/23Applic #13$5,001.41$250.07$4,751.34TrailerTemporary City Office TrailerH+U Construction1/31/23Applic #11$2,458.89$122.94$2,335.95#0330Cast-In-Place ConcreteAxel H. Ohman, Inc.1/31/23Applic #7-8$60,265.00$3,013.25$57,251.75#0510Steel ErectionA.M.E. Construction Corp1/31/23Applic #5$18,000.00$900.00$17,100.00#0610Carpentry & GCEbert Construction1/31/23Applic #13$11,898.95$594.95$11,304.00#0750Roofing & Metal PanelsPalmer West Construction1/31/23Applic #3$30,895.80$1,544.79$29,351.01#0790Caulking & FirestoppingCarciofini Company1/31/23Applic #1$8,425.50$421.28$8,004.22#0840Aluminum Storefronts & CurtainwallEmpirehouse, Inc.1/31/23Applic #7$28,272.00$1,413.60$26,858.40#0920Drywall & FireproofingCommercial Drywall1/31/23Applic #10$63,620.00$3,181.00$60,439.00#0990Painting and WallcoveringSteinbrecher Painting Company1/31/23Applic #$15,105.00$755.25$14,349.75#2100Fire ProtectionNova Fire Protection, Inc.1/31/23Applic #4$9,000.00$450.00$8,550.00#2200Plumbing & HeatingPeterson Sheet Metal1/31/23Applic #8$50,294.18$2,514.71$47,779.47#2300HVAC & ControlsSt. Cloud Refrigeration1/31/23Applic #6$111,468.50$5,573.43$105,895.07#2600ElectricalVinco, Inc.1/31/23Applic #11$46,500.00$2,325.00$44,175.00#3100Earthwork & Site UtilitiesPark Construction Company1/31/23Applic #10$14,431.00$721.55$13,709.45SUBTOTAL AMOUNT DUE$526,933.78$26,346.70$500,587.08 TOTAL AMOUNT DUE $500,587.08 INVOICE : 230016 PROJECT: J21001 JANUARY 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 January, 2022 CONSTRUCTION MANAGEMENT REIMBURSABLES Senior Project Manager 73.50 hrs. @ 125.00 $9,187.50 Project Manager 178.00 hrs. @ 105.00 $18,690.00 Project Administrator/Accountant 9.25 hrs. @ 65.00 $601.25 Project Superintendent 120.00 hrs. @ 105.00 $12,600.00 Truck, Travel, & Small Tools 1 mo. @ 1,400.00 $1,400.00 Field Office Equipment 1 mo. @ 400.00 $400.00 $42,878.75 GENERAL CONDITIONS Temporary City Office Trailer $2,458.89 Plan Prints/Shipping $152.95 Expendable Supplies $251.62 Drinking Water $23.13 Temp Heaters/Fans $538.15 Temporary Toilets $966.38 Safety & OSHA $958.33 Trash Removal $1,556.00 Scaffold Rental $454.97 Trailer $1,350.00 Skid Steer $2,167.27 $10,877.69 $53,756.44 Contractor's Pay Applications January 31, 2022 #0330-Labor Axel H. Ohman, Inc.$60,265.00 #0330-Material Axel H. Ohman, Inc.$29,433.00 #0510-Labor A.M.E. Construction Corp $18,000.00 #0610-Labor Ebert Construction $11,898.95 Subtotal Construction Management Reimbursables Subtotal General Conditions Total INVOICE : 230016 PROJECT: J21001 JANUARY 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 January 31, 2022 #0750-Labor Palmer-West Construction $30,895.80 #0750-Material Palmer-West Construction $1,250.00 #0790-Labor Carciofini Company $8,425.50 #0790-Material Carciofini Company $1,580.00 #0810-Material Twin City Hardware Company $9,364.62 #0840-Labor Empirehouse Inc.$28,272.00 #0840-Material Empirehouse Inc.$13,100.00 #0920-Labor Commercial Drywall, Inc.$63,620.00 #0920-Material Commercial Drywall, Inc.$24,113.50 #0990-Labor Steinbrecher Painting Company $15,105.00 #0990-Material Steinbrecher Painting Company $8,043.00 #2100-Labor Nova Fire Protection, Inc.$9,000.00 #2100-Material Nova Fire Protection, Inc.$1,474.00 #2200-Labor Peterson Sheet Metal, Inc.$50,294.18 #2200-Material Peterson Sheet Metal, Inc.$38,733.81 #2300-Labor St.Cloud Refrigeration, Inc.$111,468.50 #2300-Material St.Cloud Refrigeration, Inc.$43,150.00 #2600-Labor Vinco, Inc.$46,500.00 #2600-Material Vinco, Inc.$73,000.00 #3100-Labor Park Construction Company $14,431.00 #3100-Material Park Construction Company $1,994.00 #3210-Material Ebert Construction $2,280.00 $715,691.86 $5,001.41 $774,449.71 Retainage Current Retainge 38,722.51 Prior Retainage 409,585.12 Retainage-To-Date 448,307.63 Total Amount Due $735,727.21 CONSTRUCTION MANAGEMENT FEE Total Contractor's Pay Applications January 1 - January 31 Total Before Retainage 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 02/16/2023 Due Date Customer PO No. RQ152297 Lake Elmo DW Trailer Invoice No.: Invoice Date:01/17/2023 INV635123 Tracy DickensonAccount Rep: PO Box 860700 Minneapolis, MN 55486-0700 Phone: (763) 553-1900 Rental Insurance Status: 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 02/16/2023 Due Date Customer PO No. RQ152297 Lake Elmo DW Trailer Invoice No.: Invoice Date:01/17/2023 INV635123 Tracy DickensonAccount Rep: PO Box 860700 Minneapolis, MN 55486-0700 Phone: (763) 553-1900 Rental Insurance Status: 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 02/16/2023 Due Date Customer PO No. RQ152297 Lake Elmo DW Trailer Invoice No.: Invoice Date:01/17/2023 INV635123 Tracy DickensonAccount Rep: PO Box 860700 Minneapolis, MN 55486-0700 Phone: (763) 553-1900 NO INS No.Description Serial No. Rental From Date Rental To Date Qty.Unit Price Amount Customer Project RC520567 0 0.00 0.00 FA204334 24x60 Doublewide Office w/RR s/n 15809A/10B 15809A/10B 01/17/23 02/13/23 1 2,000.00 2,000.00 RR not utilized no need to winterize. STEPS Steps - Rental 01/17/23 02/13/23 2 45.00 90.00 44130 Damage Waiver Chg - No Insurance on File 1 200.00 200.00 Subtotal:2,290.00 Tax:168.89 Total:2,458.89 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 54MNI90563871/16/2023 INVOICEDATE Page 1/1 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION BILL TO:SHIP TO: Luke Nelson 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION 54MNO90517391/17/2023NET30ARC DELIVERY1016013ASI 28R 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 $45.15Total Due Amount Received $45.15Total $0.00Trade Discount $0.00Freight $3.17Tax $0.00Misc $41.98SubtotalllakotasBiller: $45.151/16/202354MNI90563871016013 AMOUNT DUEDOC DATEINVOICECUSTOMER NO ARC DOCUMENT SOLUTIONS LLC NEW REMIT TO ADDRESS PO BOX 645913 CINCINNATI, OH 45264-5913 (216) 539-1501 We accept: Visa | MasterCard | American Express | Discover Card/Check Number:______________________ Exp. Date: __________ Signature:_______________________________ Amount: $___________ REMIT PAYMENT TO HTTPS://PAY.ARCREMOTE.COM/P/5185D17A-E1A8-48EF-A1FD-CEA2B8F3855F QuickPay Online Payment Scan or Click ARC DOCUMENT SOLUTIONS LLC 4730 PARK GLEN RD SAINT LOUIS PARK MN 55416-5701 54MNI90566521/24/2023 INVOICEDATE Page 1/1 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION BILL TO:SHIP TO: Luke Nelson 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION 54MNO90518441/24/2023NET30ARC DELIVERY1016013ASI 30 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 1 (30.00x42.00) $0.99$0.10989Bond Prints - First Set1600SQFT0.009.009.00 $35.00$35.00Supply / Delivery Charge5201EACH011 $5.00$5.00Energy / Fuel Surcharge5205EACH011 $44.08Total Due Amount Received $44.08Total $0.00Trade Discount $0.00Freight $3.09Tax $0.00Misc $40.99SubtotalllakotasBiller: $44.081/24/202354MNI90566521016013 AMOUNT DUEDOC DATEINVOICECUSTOMER NO ARC DOCUMENT SOLUTIONS LLC NEW REMIT TO ADDRESS PO BOX 645913 CINCINNATI, OH 45264-5913 (216) 539-1501 We accept: Visa | MasterCard | American Express | Discover Card/Check Number:______________________ Exp. Date: __________ Signature:_______________________________ Amount: $___________ REMIT PAYMENT TO HTTPS://PAY.ARCREMOTE.COM/P/6827FA3D-D1E0-4595-8F79-78BEE901F015 QuickPay Online Payment Scan or Click ARC DOCUMENT SOLUTIONS LLC 4730 PARK GLEN RD SAINT LOUIS PARK MN 55416-5701 54MNI90566541/24/2023 INVOICEDATE Page 1/1 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION BILL TO:SHIP TO: Luke Nelson 5555 WEST 78TH STREET SUITE A MINNEAPOLIS, MN 55439 P: (952) 837-3309 F: (952) 831-1268 H+U CONSTRUCTION 54MNO90518531/24/2023NET30ARC DELIVERY1016013 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 49 (24.00x36.00) $32.31$0.10989Bond Prints - First Set1600SQFT0.00294.00294.00 1 set of 35 (24.00x36.00) $23.08$0.10989Bond Prints - First Set1600SQFT0.00210.00210.00 1 set of 2 $3.86$1.92918Stapling Sets1624EACH022 $63.72Total Due Amount Received $63.72Total $0.00Trade Discount $0.00Freight $4.47Tax $0.00Misc $59.25SubtotalllakotasBiller: $63.721/24/202354MNI90566541016013 AMOUNT DUEDOC DATEINVOICECUSTOMER NO ARC DOCUMENT SOLUTIONS LLC NEW REMIT TO ADDRESS PO BOX 645913 CINCINNATI, OH 45264-5913 (216) 539-1501 We accept: Visa | MasterCard | American Express | Discover Card/Check Number:______________________ Exp. Date: __________ Signature:_______________________________ Amount: $___________ REMIT PAYMENT TO HTTPS://PAY.ARCREMOTE.COM/P/716CA249-B60A-4600-8B1A-73ECC176A804 QuickPay Online Payment Scan or Click Branch:100 St. Paul 1396025 Invoice Date Page INVOICE 3257695 ORDER NUMBER Columbus, MN 55025 9205 Lake Drive NE Viking Industrial Center 1 of 1651-646-6141 INVOICE 01/15/2023 Please Note New Remittance Address Bill To:Ship To: Lake Elmo, MN 55042 3800 Laverne Ave N H+U Construction - Lake Elmo City CenterH+U Construction 5555 West 78th Street Suite A Minneapolis, MN 55439 Customer ID:106629 Ordered By: Gabe . Delivery Instructions:Contact Gabe 651.395.0055 DOUG GEIST Tracking #:Carrier: Net Due Date Discount AmountDisc Due DateTerm DescriptionPO Number Lake Elmo Net 30 02/14/2023 02/14/2023 0.00 Primary Salesrep NameOrder Date Pick Ticket No Taker 01/11/2023 07:49:28 2288243 Douglas P. Geist TWOODBURY Item ID Item DescriptionOrderedShippedRemaining Quantities UOM Disp.Unit Size Pricing UOM Unit PriceUnit Size Price Extended 6.00 0.00 EA V8G-SCGREEN EA 29.990000 179.94 1.0 1.0000 6.00 KLEEN SWEEP GREEN SWEEPING COMPOUND 50# Kleen Sweep Green Sweeping Compound 50LB (1815) 2.00 2.00 EA B V8G-ICEMELTZAP50 EA 27.200000 54.40 1.0 1.0000 4.00 50 LB BAG OF ICE MELT Snow & Ice Melter; 50LB Bag; Blend of Calcium Chloride and Sodium Chloride effective to -15*F SUB-TOTAL:Total Lines:2 234.34 MN STATE TAX 16.11: MN SPECIAL TAX 1.17: 251.62AMOUNT DUE: ORIGINAL12.17.2242 - 11/12/15 Goods may be returned within 30 days of this invoice for credit, exchange or replacement only with authoriztion, and subject to inspection and restocking charges. ALL Respiratory, Fall Protection, Special Order and Custom Items are NON-RETURNABLE. Interest at 1.5% per month (18% annum) will be charged on past due accounts. Rev 2 133305325-0002 661003 1/09/23 1 of 1 SCHOER,GABE 133305325 LAKE ELMO 3 -H +U CONSTRUCTI MINNEAPOLIS MN CC CONSTRUCTION 3700 W PRESERVE BLVD BURNSVILLE,MN 55337 7746 952-707-5050 SUNBELT RENTALS,INC. PO BOX 409211 ATLANTA,GA 30384-9211 501.18 36.97 538.15 REMIT TO: SUNBELT RENTALS,INC.NET 30 Invoices not paid within 30 days may be subject to a 1-½% per month charge. LAKE ELMO CITY CENTER 3880 LAVERNE AVE N LAKE ELMO,MN 55042 9627 651-395-0055 4 WEEK BILL PO BOX 409211 ATLANTA,GA 30384-9211 1oz -4384 -4467 H +U CONSTRUCTION 5555 W EST 78TH STREET,SUITE A MINNEAPOLIS,MN 55439 THERESA CASBOLT theresa.casebolt@sunbeltrentals.com Y PAGE RECEIVED BY CONTRACT NO. PURCHASE ORDER NO. JOB NO. INVOICE TO INVOICE SEND ALL PAYMENTS TO: JOB ADDRESS LOYALTY PLUS NO. Equipment. Service. Guaranteed. INVOICE NO. ACCOUNT NO. INVOICE DATE BRANCH SUBTOTAL SALES TAX INVOICE TOTAL .QTY EQUIPMENT #Min Day Week 4 Week Amount . 1.00 36"HIGH VOLUME FAN 115V 18.33 18.33 55.00 165.00 165.00 TA022253 Make:SCHAEFER Model:FAN 36 Ser #:22253 1.00 36"HIGH VOLUME FAN 115V 18.33 18.33 55.00 165.00 165.00 10143518 Make:TEMP AIR Model:83100.212 Ser #:N/A 1.00 36"HIGH VOLUME FAN 115V 18.33 18.33 55.00 165.00 165.00 TA013541 Make:SCHAEFER Model:FAN 36 Ser #:13541 Rental Sub-total:495.00 SALES ITEMS: Qty Item number Unit Price 1 ENVIRONMENTAL EA 6.180 6.18 ENVIRONMENTAL/HAZMAT FEE 2133XXX0000 BILLED FOR FOUR WEEKS 12/21/22 THRU 1/17/23. Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221 Invoice #W902088 1/25/2023 W902088 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 $632.98 Balance Due $632.98 Due Date: 2/22/2023 Terms Due Date PO #Sales Rep Builders Club# Net 28 2/22/2023 -Jeff Foley Qty Item Days Sales Order #Service Level Rate Amount 1 RENTAL RegHS Dec 28-Jan 24 28 385563 -$4.00 $4.00 1 SERVICE Service Jan 04-Jan 24 21 385563 2X/wk $70.00 $105.00 1 SERVICE ClimateSvc Jan 04 to Jan 24 21 385563 2X/wk $40.00 $60.00 1 SERVICE Service Dec 28-Jan 03 7 385563 1X/wk $70.00 $17.50 1 SERVICE ClimateSvc Dec 28 to Jan 03 7 385563 1X/wk $40.00 $10.00 1 RENTAL zHandSani Dec 28-Jan 24 28 385563 -$0.00 $0.00 1 RENTAL RegHS Dec 28-Jan 24 28 386930 -$4.00 $4.00 1 SERVICE Service Jan 04-Jan 24 21 386930 2X/wk $70.00 $105.00 1 SERVICE ClimateSvc Jan 04 to Jan 24 21 386930 2X/wk $40.00 $60.00 1 SERVICE Service Dec 28-Jan 03 7 386930 1X/wk $70.00 $17.50 1 SERVICE ClimateSvc Dec 28 to Jan 03 7 386930 1X/wk $40.00 $10.00 1 RENTAL zHandSani Dec 28-Jan 24 28 386930 -$0.00 $0.00 1 RENTAL RegHS Dec 28-Jan 24 28 398087 -$4.00 $4.00 1 SERVICE Service Jan 04-Jan 24 21 398087 2X/wk $70.00 $105.00 1 SERVICE ClimateSvc Jan 04 to Jan 24 21 398087 2X/wk $40.00 $60.00 1 SERVICE Service Dec 28-Jan 03 7 398087 1X/wk $70.00 $17.50 1 SERVICE ClimateSvc Dec 28 to Jan 03 7 398087 1X/wk $40.00 $10.00 1 RENTAL zHandSani Dec 28-Jan 24 28 398087 -$0.00 $0.00 Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221 Invoice #W902088 1/25/2023 W902088 2 of 2 Qty Item Days Sales Order #Service Level Rate Amount 0 TAX-MN Tax-MN ---$0.00 $40.53 0 TAX-WASH Tax-WASH ---$0.00 $2.95 Subtotal $632.98 Invoice Total $632.98 Credits/Payments Applied $0.00 Balance Due $632.98 Biffs Inc.Remittance Slip Make Checks Payable To Customer L136962 Hoffman & Uhlhorn Const Inc : Lake Elmo Public Facilities Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202 Please return this portion with your payment. Invoice #W902088 Amount Due $632.98 Amount Paid ______________________ Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221 Invoice #W902089 1/25/2023 W902089 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 $122.41 Balance Due $122.41 Due Date: 2/22/2023 Terms Due Date PO #Sales Rep Builders Club# Net 28 2/22/2023 LEPW Jeff Foley Qty Item Days Sales Order #Service Level Rate Amount 1 RENTAL RegHS Dec 28-Jan 24 28 396954 -$4.00 $4.00 1 SERVICE Service Dec 28-Jan 24 28 396954 1X/wk $70.00 $70.00 1 SERVICE ClimateSvc Dec 28 to Jan 24 28 396954 1X/wk $40.00 $40.00 1 RENTAL zHandSani Dec 28-Jan 24 28 396954 -$0.00 $0.00 0 TAX-MN Tax-MN ---$0.00 $7.84 0 TAX-WASH Tax-WASH ---$0.00 $0.57 Subtotal $122.41 Invoice Total $122.41 Credits/Payments Applied $0.00 Balance Due $122.41 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 #W902089 Amount Due $122.41 Amount Paid ______________________ Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221 Invoice #W902090 1/25/2023 W902090 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 $210.99 Balance Due $210.99 Due Date: 2/22/2023 Terms Due Date PO #Sales Rep Builders Club# Net 28 2/22/2023 -Jeff Foley Qty Item Days Sales Order #Service Level Rate Amount 1 RENTAL RegHS Dec 28-Jan 24 28 402272 -$4.00 $4.00 1 SERVICE Service Jan 04-Jan 24 21 402272 2X/wk $70.00 $105.00 1 SERVICE ClimateSvc Jan 04 to Jan 24 21 402272 2X/wk $40.00 $60.00 1 SERVICE Service Dec 28-Jan 03 7 402272 1X/wk $70.00 $17.50 1 SERVICE ClimateSvc Dec 28 to Jan 03 7 402272 1X/wk $40.00 $10.00 1 RENTAL zHandSani Dec 28-Jan 24 28 402272 -$0.00 $0.00 0 TAX-MN Tax-MN ---$0.00 $13.51 0 TAX-WASH Tax-WASH ---$0.00 $0.98 Subtotal $210.99 Invoice Total $210.99 Credits/Payments Applied $0.00 Balance Due $210.99 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 #W902090 Amount Due $210.99 Amount Paid ______________________ OECS OECS - 170064 PO Box 9201 Minneapolis, MN 55480 763-417-9599 accounting@oecscomply.com Invoice 39018 BILL TO H+U Construction 5555 West 78th Street, Suite A Minneapolis, MN 55439 DATE 01/15/2023 PLEASE PAY $2,875.00 DUE DATE 03/01/2023 DATE DESCRIPTION QTY RATE AMOUNT Monthly Safety Services 1 2,875.00 2,875.00 TOTAL DUE $2,875.00 THANK YOU. Invoice Date 1/9/2023 Invoice # 364690Customer HU Construction, Inc. 5555 W 78th St Suite A Minneapolis, MN 55439 Service Address LECC 3880 Laverne Ave N Lake Elmo, MN 55042 P.O. No.Terms Net 30 Total Balance Due Payments/Credits All invoices paid by credit card are subject to a convenience fee. Questions on this invoice? Want your invoices to be emailed? Please send your request to ar@atomicrecycling.com We've moved! Please update our address and mail payments to: 315 27th Ave NE, Minneapolis, MN 55418 Service Date DescriptionTicket QtyUnit of Measure Rate Amount 1/5/2023 30 Yard Container754243 1Each 371.00 371.00 1/5/2023 Solid Waste Management Tax calculated at $0.60/yard. This ticket includes $18.00 of solid waste disposal tax. 754243 30Yards 0.60 18.00 $389.00 $389.00 $0.00 Invoice Date 1/16/2023 Invoice # 365246Customer HU Construction, Inc. 5555 W 78th St Suite A Minneapolis, MN 55439 Service Address LECC 3880 Laverne Ave N Lake Elmo, MN 55042 P.O. No.Terms Net 30 Total Balance Due Payments/Credits All invoices paid by credit card are subject to a convenience fee. Questions on this invoice? Want your invoices to be emailed? Please send your request to ar@atomicrecycling.com We've moved! Please update our address and mail payments to: 315 27th Ave NE, Minneapolis, MN 55418 Service Date DescriptionTicket QtyUnit of Measure Rate Amount 1/12/2023 30 Yard Container754653 1Each 371.00 371.00 1/12/2023 Solid Waste Management Tax calculated at $0.60/yard. This ticket includes $18.00 of solid waste disposal tax. 754653 30Yards 0.60 18.00 $389.00 $389.00 $0.00 Invoice Date 1/24/2023 Invoice # 365845Customer HU Construction, Inc. 5555 W 78th St Suite A Minneapolis, MN 55439 Service Address LECC 3880 Laverne Ave N Lake Elmo, MN 55042 P.O. No.Terms Net 30 Total Balance Due Payments/Credits All invoices paid by credit card are subject to a convenience fee. Questions on this invoice? Want your invoices to be emailed? Please send your request to ar@atomicrecycling.com We've moved! Please update our address and mail payments to: 315 27th Ave NE, Minneapolis, MN 55418 Service Date DescriptionTicket QtyUnit of Measure Rate Amount 1/18/2023 30 Yard Container758393 1Each 371.00 371.00 1/18/2023 Solid Waste Management Tax calculated at $0.60/yard. This ticket includes $18.00 of solid waste disposal tax. 758393 30Yards 0.60 18.00 $389.00 $389.00 $0.00 Invoice Date 1/27/2023 Invoice # 366369Customer HU Construction, Inc. 5555 W 78th St Suite A Minneapolis, MN 55439 Service Address LECC 3880 Laverne Ave N Lake Elmo, MN 55042 P.O. No.Terms Net 30 Total Balance Due Payments/Credits All invoices paid by credit card are subject to a convenience fee. Questions on this invoice? Want your invoices to be emailed? Please send your request to ar@atomicrecycling.com We've moved! Please update our address and mail payments to: 315 27th Ave NE, Minneapolis, MN 55418 Service Date DescriptionTicket QtyUnit of Measure Rate Amount 1/25/2023 30 Yard Container756746 1Each 371.00 371.00 1/25/2023 Solid Waste Management Tax calculated at $0.60/yard. This ticket includes $18.00 of solid waste disposal tax. 756746 30Yards 0.60 18.00 $389.00 $389.00 $0.00 Invoice A123410 Scaffold Service P.O.Box 74008409 Chicago, IL 60674-8409 Send Payment To: Customer H + U CONSTRUCTION 5555 W 78TH ST ATTN: ACCOUNTS PAYABLE MINNEAPOLIS, MN 55439-2702, USA Order PO: J21001 Number A14121 Job Site 11170 - LAKE ELMO CITY STAIR 1/18/2023Date Job Site Shipping Address: 3880 LAVERNE AVE N LAKE ELMO, MN 55042-9627 Created: 1/19/2023 M: Minimum rental applies R: Rate change applies Rental Items Shipment Part Number Description Qty From To Days 28-Day Ra Total DEL-308542 28-Day Rent Base Rental Package, per 28 Days 1 12/22/2022 12/29/2022 8 $220.0000 0 $62.86 DEL-313409 28-Day Rent 01 Additional Rental Package, per 28 Days 1 12/26/2022 1/18/2023 24 $421.0000 0 $360.86 Rent $423.72 Subtotal $454.97 Other tax: (none)$0.00 $31.25 $423.72 Sales tax: MN - LAKE ELMO CITY TAX (7.375%) Invoice Total Printed: January 19, 2023 7:14:15 AM Page 1 of 1A123410 132937196-0003 661003 1/19/23 1 of 1 SCHOER,GABE 132937196 LAKE ELMO 3 -H +U CONSTRUCTI MINNEAPOLIS DOWNTOWN PC781 900 E HENNEPIN AVE MINNEAPOLIS,MN 55414 1314 612-486-4111 SUNBELT RENTALS,INC. PO BOX 409211 ATLANTA,GA 30384-9211 342.05 25.22 367.27 REMIT TO: SUNBELT RENTALS,INC.NET 30 Invoices not paid within 30 days may be subject to a 1-½% per month charge. LAKE ELMO CITY CENTER 3880 LAVERNE AVE N LAKE ELMO,MN 55042 9627 651-395-0055 4 WEEK BILL PO BOX 409211 ATLANTA,GA 30384-9211 1oz -4036 -4095 H +U CONSTRUCTION 5555 W EST 78TH STREET,SUITE A MINNEAPOLIS,MN 55439 THERESA CASBOLT theresa.casebolt@sunbeltrentals.com Y PAGE RECEIVED BY CONTRACT NO. PURCHASE ORDER NO. JOB NO. INVOICE TO INVOICE SEND ALL PAYMENTS TO: JOB ADDRESS LOYALTY PLUS NO. Equipment. Service. Guaranteed. INVOICE NO. ACCOUNT NO. INVOICE DATE BRANCH SUBTOTAL SALES TAX INVOICE TOTAL .QTY EQUIPMENT #Min Day Week 4 Week Amount . 1.00 66"SNOW BUCKET 62.00 62.00 171.00 337.00 337.00 10140245 Make:BOBCAT Model:7184105 Ser #:7184105 Rental Sub-total:337.00 SALES ITEMS: Qty Item number Unit Price 1 ENVIRONMENTAL EA 5.050 5.05 ENVIRONMENTAL/HAZMAT FEE 2133XXX0000 BILLED FOR FOUR WEEKS 1/09/23 THRU 2/05/23. 57,251.751/30/23361,018.0557,251.75 275,000.0050,000.0012,866.00380,019.0020,000.0035,000.00500.0060,265.00 $ 17,100.001/30/23 11,304.001/30/23 1/30/23 8,004.221/30/2322 559.00 14,349.751/30/23 8,550.00 1/30/23 105,895.07 1/30/23 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702/CMa PAGE ONE OF 2 PAGES APPLICATION NO:10 Distribution to: OWNER PERIOD TO: 01/31/23 LABOR X CONSTRUCTION PROJECT NO.: 21725 MANAGER ARCHITECT CONTRACT DATE:11/04/21 CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract.information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached.completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $366,400.00 2. Net change by Change Orders $18,676.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 ± 2) $$385,076.00 4. TOTAL COMPLETED & STORED TO DATE $341,858.50 (Column G on G703)By: Date: 5. RETAINAGE: a.5.0 % of Completed Work $17,092.93 State of: Minnesota County of: (Column D + E on G703)Subscribed and sworn to before me this day of b.0.0 % of Stored Material $0.00 Notary Public: (Column F on G703)My Commission expires: Total Retainage (Lines 5a + 5b or Total in Column I of G703) $17,092.93 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $324,765.58 In accordance with the Contract Documents, based on on-site observations and the data (Line 4 Less Line 5 Total)comprising the application, the Construction Manager and Architect certify to the 7. LESS PREVIOUS CERTIFICATES FOR Owner that to the best of their knowledge, information and belief the Work has PAYMENT (Line 6 from prior Certificate) $311,056.13 progressed as indicated, the qualtity of the Work is in accordance with the Contract 8. CURRENT PAYMENT DUE $13,709.45 Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $60,310.43 (Line 3 less Line 6)AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied for. Initial all Total changes approved figures on this Application and on the Continuation Sheet that changed to conform to the in previous months by Owner $4,245.00 $0.00 amount certified.) CONSTRUCTION MANAGER: Total approved this Month $22,824.00 $8,393.00 By: Date: ARCHITECT: TOTALS $27,069.00 $8,393.00 By: Date: NET CHANGES by Change Order This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702/CMa · APPLICATION AND CERTIFICATION FOR PAYMENT · CONSTRUCTION MANAGER-ADVISER EDITION · 1992 EDITION · AIA · ©1992 G702/CMa - 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's Authenticity VIA ARCHITECT: Park Construction Company 1481 81st Ave NE CONSTRUCTION MANAGER-ADVISER EDITION Minneapolis, MN 55439 FROM CONTRACTOR: $18,676.00 Lake Elmo City Center & Public Works Addition Minneapolis, MN 55432 VIA CONSTRUCTION MANAGER: TO CONSTRUCTION MANAGER: PROJECT: H+U Construction 5555 West 78th Street, Suite A 1/23/2023 Hennepin 23 January 13,709.45 1/30/23 PARK CONSTRUCTION COMPANY SCHEDULE OF VALUES CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:10 Contractor's signed certification is attached.PROJECT APPLICATION DATE:01/23/23 In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:01/31/23 Use Column I on Contracts where variable retainage for line items may apply.H+U PROJECT NO.: PARK PROJECT NO.:21725 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 (IF VARIABLE APPLICATION STORED AND STORED (C - G)RATE) (D + E)(NOT IN TO DATE D OR E)(D+E+F) LABOR EROSION CONTROL $28,000.00 $21,000.00 $21,000.00 75.00%$7,000.00 $1,050.00 SITE REMOVALS $28,050.00 $28,050.00 $28,050.00 100.00%$1,402.50 MASS GRADING $32,500.00 $26,000.00 $26,000.00 80.00%$6,500.00 $1,300.00 BUILDING EXCAVATION & BACKFILL $41,000.00 $41,000.00 $41,000.00 100.00%$2,050.00 FINE GRADING $101,000.00 $80,800.00 $80,800.00 80.00%$20,200.00 $4,040.00 SANITARY SEWER $18,700.00 $18,700.00 $18,700.00 100.00%$935.00 WATER MAIN $18,500.00 $18,500.00 $18,500.00 100.00%$925.00 STORM SEWER $73,250.00 $69,587.50 $69,587.50 95.00%$3,662.50 $3,479.38 CRANE ACCESS ROAD $4,700.00 $0.00 $0.00 0.00%$4,700.00 HOUSEKEEPING $11,550.00 $10,395.00 $10,395.00 90.00%$1,155.00 $519.75 SHOP DRAWINGS/O&M MANUALS/AS-BUILTS/TRAINING $4,400.00 $4,400.00 $4,400.00 100.00%$220.00 BOND $1,720.00 $1,720.00 $1,720.00 100.00%$86.00 INSURANCE $3,030.00 $3,030.00 $3,030.00 100.00%$151.50 CHANGE ORDERS - LABOR CO #2 - ADDITIONAL TREE REMOVAL $2,090.00 $2,090.00 $2,090.00 100.00% CO #3 - ADJUSTMENTS TO SAN MH-01 $2,155.00 $2,155.00 $2,155.00 100.00% CCD 01 - DEDUCT STORM PIPING AND TWO STRUCTURES ($8,393.00)($8,393.00)($8,393.00)100.00% RFCO 22 - MOVE WATERMAIN TO MISS COLUMN $6,983.00 $6,983.00 $6,983.00 100.00% RFCO 24 - LOWER EXISTING SS AND ADJUST MANHOLES $8,232.00 $8,232.00 $8,232.00 100.00% RFCO 25 - MOVE MANHOLE FROM FOOTING LINE $3,192.00 $3,192.00 $3,192.00 100.00% RFCO 54 - REROUTE WATER SERVICE $4,417.00 $4,417.00 $4,417.00 100.00% $0.00 $0.00 $0.00 GRAND TOTALS $385,076.00 $327,427.50 $14,431.00 $0.00 $341,858.50 88.78%$43,217.50 $16,159.13 AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · © 1992 G703-1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5292 Lake Elmo City Center & Public Works Addition PARK CONSTRUCTION COMPANY SCHEDULE OF VALUES APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 13Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:1/31/2023Lake 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 Owner2. Net Change by Change Orders$0.00TOTAL$0.00$0.003. SUM TO DATE (Line 1+2)$6,910,247.00Approved this Month4. TOTAL COMPLETED & STORED TO DATE $5,193,105.67NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$259,655.31 (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)$259,655.31TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$4,933,450.36Net 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)$4,698,310.23Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$235,140.13and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $1,976,796.64 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 2/2/2023Notary Public:By:Date:2/2/2023My 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 SUBSTATION2023-02-13 CITY OF LAKE ELMO - MATERIALAPPLIC. FOR PAYMENT NO.#13H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 1/31/2023 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 Concrete240,000.0023,922.00263,922.00219,489.0029,433.00248,922.0094%15,000.0012,446.10#0341Strutctural Precast1,422,295.00580.001,422,875.001,422,875.000.001,422,875.00100%0.0071,143.75#0512Steel Supply485,000.0074,767.00559,767.00502,545.880.00502,545.8890%57,221.1225,127.29#0610Carpentry & GC568,000.0021,134.00589,134.0060,841.000.0060,841.0010%528,293.003,042.05#0750Roofing & Metal Panels498,500.00(28,015.00)470,485.00315,173.001,250.00316,423.0067%154,062.0015,821.15#0790Caulking & Firestopping18,300.003,221.0021,521.000.001,580.001,580.007%19,941.0079.00#0810Doors, Frames, Hardware - Supply171,697.006,792.00178,489.0065,400.129,364.6274,764.7442%103,724.263,738.24#0833Coiling & Sectional Doors175,000.000.00175,000.000.000.000.000%175,000.000.00#0840Aluminum Storefronts & Curtainwall321,960.0094,127.00416,087.00305,980.0013,100.00319,080.0077%97,007.0015,954.00#0920Drywall & Fireproofing229,410.0018,879.00248,289.00195,539.0024,113.50219,652.5088%28,636.5010,982.63#0930Tile68,100.000.0068,100.000.000.000.000%68,100.000.00#0950Acoustical Ceilings & Panels75,000.000.0075,000.0025,000.000.0025,000.0033%50,000.001,250.00#0965Resilient Flooring & Carpet90,930.000.0090,930.0089,940.000.0089,940.0099%990.004,497.00#0990Painting and Wallcovering29,531.00112.0029,643.000.008,043.008,043.0027%21,600.00402.15#1420Conveying Equipment46,740.000.0046,740.0021,577.000.0021,577.0046%25,163.001,078.85#2100Fire Protection57,520.000.0057,520.0056,046.001,474.0057,520.00100%0.002,876.00#2200Plumbing & Heating491,000.0015,594.00506,594.00377,501.7438,733.81416,235.5582%90,358.4520,811.78#2300HVAC & Controls662,000.00143,425.00805,425.00666,925.0043,150.00710,075.0088%95,350.0035,503.75#2600Electrical808,100.0053,214.00861,314.00414,365.0073,000.00487,365.0057%373,949.0024,368.25#3100Earthwork & Site Utilities209,390.002,544.00211,934.00195,775.001,994.00197,769.0093%14,165.009,888.45#3210Asphalt Paving180,634.00(1,549.00)179,085.0010,617.002,280.0012,897.007%166,188.00644.85#3290Landscaping & Fencing61,140.000.0061,140.000.000.000.000%61,140.000.00TOTAL CONTRACT AMOUNTS6,910,247.00(0.00)7,338,994.004,945,589.74247,515.935,193,105.6771%2,145,888.33259,655.31 INVOICE SUMMARY-PAYMENT APPLICATION NO. #13CITY OF NEWPORT - MATERIALPERIOD ENDING 1/31/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE#0330Cast-In-Place ConcreteAxel H. Ohman, Inc.1/31/23Applic #7$29,433.00$1,471.65$27,961.35#0750Roofing & Metal PanelsPalmer West Construction1/31/23Applic #4$1,250.00$62.50$1,187.50#0790Caulking & FirestoppingCarciofini Company1/31/23Applic #1$1,580.00$79.00$1,501.00#0810Doors, Frames, Hardware - SupplyTwin City Hardware1/31/23Applic #3$9,364.62$468.23$8,896.39#0840Aluminum Storefronts & CurtainwallEmpirehouse, Inc.1/31/23Applic #8$13,100.00$655.00$12,445.00#0920Drywall & FireproofingCommercial Drywall1/31/23Applic #8$24,113.50$1,205.68$22,907.82#0990Painting and WallcoveringSteinbrecher Painting Company1/31/23Applic #1$8,043.00$402.15$7,640.85#2100Fire ProtectionNova Fire Protection, Inc.1/31/23Applic #2$1,474.00$73.70$1,400.30#2200Plumbing & HeatingPeterson Sheet Metal1/31/23Applic #10$38,733.81$1,936.69$36,797.12#2300HVAC & ControlsSt. Cloud Refrigeration1/31/23Applic #7$43,150.00$2,157.50$40,992.50#2600ElectricalVinco, Inc.1/31/23Applic #11$73,000.00$3,650.00$69,350.00#3100Earthwork & Site UtilitiesPark Construction Company1/31/23Applic #10$1,994.00$99.70$1,894.30#3210Asphalt PavingEbert Construction1/31/23Applic #4$2,280.00$114.00$2,166.00SUBTOTAL AMOUNT DUE$247,515.93$12,375.80$235,140.13 TOTAL AMOUNT DUE $235,140.13 27,961.351/30/23208,514.5527,961.35 195,000.0010,000.00219,489.0015,000.005,000.0029,433.00 1/30/23 1,501.001/30/23 $ 8,896.39 9144 7,640.851/30/23 1,400.30 1/30/23 40,992.50 1/30/23 APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702/CMa PAGE ONE OF 2 PAGES APPLICATION NO:10 Distribution to: OWNER PERIOD TO: 01/31/23 MATERIALS X CONSTRUCTION PROJECT NO.: 21725 MANAGER ARCHITECT CONTRACT DATE:11/04/21 CONTRACTOR CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract.information and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached.completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $209,390.00 2. Net change by Change Orders $2,544.00 CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 ± 2) $$211,934.00 4. TOTAL COMPLETED & STORED TO DATE $197,769.00 (Column G on G703)By: Date: 5. RETAINAGE: a.5.0 % of Completed Work $9,888.45 State of: Minnesota County of: (Column D + E on G703)Subscribed and sworn to before me this day of b.0.0 % of Stored Material $0.00 Notary Public: (Column F on G703)My Commission expires: Total Retainage (Lines 5a + 5b or Total in Column I of G703) $9,888.45 CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE $187,880.55 In accordance with the Contract Documents, based on on-site observations and the data (Line 4 Less Line 5 Total)comprising the application, the Construction Manager and Architect certify to the 7. LESS PREVIOUS CERTIFICATES FOR Owner that to the best of their knowledge, information and belief the Work has PAYMENT (Line 6 from prior Certificate) $185,986.25 progressed as indicated, the qualtity of the Work is in accordance with the Contract 8. CURRENT PAYMENT DUE $1,894.30 Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE $24,053.45 (Line 3 less Line 6)AMOUNT CERTIFIED $ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied for. Initial all Total changes approved figures on this Application and on the Continuation Sheet that changed to conform to the in previous months by Owner $550.00 $0.00 amount certified.) CONSTRUCTION MANAGER: Total approved this Month $5,200.00 $3,206.00 By: Date: ARCHITECT: TOTALS $5,750.00 $3,206.00 By: Date: NET CHANGES by Change Order This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702/CMa · APPLICATION AND CERTIFICATION FOR PAYMENT · CONSTRUCTION MANAGER-ADVISER EDITION · 1992 EDITION · AIA · ©1992 G702/CMa - 1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's Authenticity VIA ARCHITECT: Park Construction Company 1481 81st Ave NE CONSTRUCTION MANAGER-ADVISER EDITION Minneapolis, MN 55439 FROM CONTRACTOR: $2,544.00 Lake Elmo City Center & Public Works Addition Minneapolis, MN 55432 VIA CONSTRUCTION MANAGER: TO CONSTRUCTION MANAGER: PROJECT: H+U Construction 5555 West 78th Street, Suite A 1/23/2023 Hennepin 23 January 1,894.30 1/30/23 PARK CONSTRUCTION COMPANY SCHEDULE OF VALUES CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:10 Contractor's signed certification is attached.PROJECT APPLICATION DATE:01/23/23 In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:01/31/23 Use Column I on Contracts where variable retainage for line items may apply.H+U PROJECT NO.: PARK PROJECT NO.:21725 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 (IF VARIABLE APPLICATION STORED AND STORED (C - G)RATE) (D + E)(NOT IN TO DATE D OR E)(D+E+F) MATERIALS EROSION CONTROL $3,800.00 $2,850.00 $2,850.00 75.00%$950.00 $142.50 SITE REMOVALS $3,900.00 $3,900.00 $3,900.00 100.00%$195.00 MASS GRADING $9,000.00 $7,200.00 $7,200.00 80.00%$1,800.00 $360.00 BUILDING EXCAVATION & BACKFILL $5,310.00 $5,310.00 $5,310.00 100.00%$265.50 FINE GRADING $46,000.00 $36,800.00 $36,800.00 80.00%$9,200.00 $1,840.00 SANITARY SEWER $13,250.00 $13,250.00 $13,250.00 100.00%$662.50 WATER MAIN $29,100.00 $29,100.00 $29,100.00 100.00%$1,455.00 STORM SEWER $94,600.00 $94,600.00 $94,600.00 100.00%$4,730.00 CRANE ACCESS ROAD $4,430.00 $2,215.00 $2,215.00 50.00%$2,215.00 $110.75 CHANGE ORDERS - MATERIALS CO #3 - ADJUSTMENTS TO SAN MH-01 $550.00 $550.00 $550.00 100.00% CCD 01 - DEDUCT STORM PIPING AND TWO STRUCTURES ($3,206.00)($3,206.00)($3,206.00)100.00% RFCO 22 - MOVE WATERMAIN TO MISS COLUMN $1,075.00 $1,075.00 $1,075.00 100.00% RFCO 24 - LOWER EXISTING SS AND ADJUST MANHOLES $1,635.00 $1,635.00 $1,635.00 100.00% RFCO 25 - MOVE MANHOLE FROM FOOTING LINE $40.00 $40.00 $40.00 100.00% RFCO 54 - REROUTE WATER SERVICE $2,450.00 $2,450.00 $2,450.00 100.00% $0.00 $0.00 $0.00 GRAND TOTALS $211,934.00 $195,775.00 $1,994.00 $0.00 $197,769.00 93.32%$14,165.00 $9,761.25 AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · © 1992 G703-1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5292 Lake Elmo City Center & Public Works Addition PARK CONSTRUCTION COMPANY SCHEDULE OF VALUES 2,166.001/30/23