HomeMy WebLinkAbout#06 - City Center Pay Request 14STAFF REPORT
DATE: March 21, 2023
CONSENT
AGENDA ITEM: City Center-Public Works Addition Pay Request #14
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 #14 for the City Center and Public Works Addition project?
PROPOSAL:
Pay request #14 is for $679,542.31. A copy is included in your packet.
FISCAL IMPACT:
With this pay request, the project remains within budget.
OPTION:
1) Approve pay request #14
2) Don’t approve pay request #14
RECOMMENDATION:
“Motion to approve Pay Request #14 for the New City Center and Public Works Addition.”
ATTACHMENTS:
• Pay Request #14
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 14Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:2/28/2023Lake 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 $9,681,458.76NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$484,073.01 (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)$484,073.01TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$9,197,385.75Net 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)$8,517,843.44Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$679,542.31and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $4,205,402.25 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 3/2/2023Notary Public:By:Date:3/2/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-03-09
CITY OF LAKE ELMO - OVERALLAPPLIC. FOR PAYMENT NO.#14H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 2/28/2023 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 Conditions243,080.000.00243,080.00134,169.3911,973.24146,142.6360%96,937.377,307.13ReimburseConstruction Management Reimbursables488,555.000.00488,555.00424,436.2538,622.50463,058.7595%25,496.2523,152.94FeeConstruction Management Fee82,595.000.0082,595.0057,903.614,619.4762,523.0876%20,071.923,126.15TrailerTemporary City Office Trailer53,170.000.0053,170.0045,748.162,458.8948,207.0591%4,962.952,410.35ContingencyConstruction 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 Concrete668,316.0056,740.00725,056.00689,206.0018,500.00707,706.0098%17,350.0035,385.30#0341Strutctural Precast1,755,999.00580.001,756,579.001,750,054.000.001,750,054.00100%6,525.0087,502.70#0510Steel Erection93,400.0015,196.00108,596.0089,000.000.0089,000.0082%19,596.004,450.00#0512Steel Supply485,000.0074,767.00559,767.00502,545.880.00502,545.8890%57,221.1225,127.29#0610Carpentry & GC1,027,000.0027,818.001,054,818.00308,661.1251,905.98360,567.1034%694,250.9018,028.36#0750Roofing & Metal Panels1,113,300.00(59,665.00)1,053,635.00754,889.0029,467.00784,356.0074%269,279.0039,217.80#0790Caulking & Firestopping72,350.007,545.0079,895.0010,005.500.0010,005.5013%69,889.50500.28#0810Doors, Frames, Hardware - Supply171,697.006,792.00178,489.0074,764.740.0074,764.7442%103,724.263,738.24#0833Coiling & Sectional Doors350,000.000.00350,000.000.000.000.000%350,000.000.00#0840Aluminum Storefronts & Curtainwall400,410.00139,476.00539,886.00413,121.0054,988.00468,109.0087%71,777.0023,405.45#0920Drywall & Fireproofing543,770.0046,152.00589,922.00446,261.5061,819.00508,080.5086%81,841.5025,404.03#0930Tile154,980.000.00154,980.000.0038,440.0038,440.0025%116,540.001,922.00#0950Acoustical Ceilings & Panels126,000.000.00126,000.0025,000.0035,000.0060,000.0048%66,000.003,000.00#0965Resilient Flooring & Carpet131,940.000.00131,940.0089,940.000.0089,940.0068%42,000.004,497.00#0990Painting and Wallcovering157,727.00670.00158,397.0023,148.0036,875.0060,023.0038%98,374.003,001.15#1420Conveying Equipment82,000.000.0082,000.0021,577.000.0021,577.0026%60,423.001,078.85#2100Fire Protection112,915.000.00112,915.00107,498.000.00107,498.0095%5,417.005,374.90#2200Plumbing & Heating854,000.0048,745.00902,745.00729,165.6795,595.61824,761.2891%77,983.7241,238.06#2300HVAC & Controls962,000.00159,675.001,121,675.00866,701.75117,043.00983,744.7588%137,930.2549,187.24#2600Electrical1,454,170.0077,660.001,531,830.00699,610.00118,000.00817,610.0053%714,220.0040,880.50#3100Earthwork & Site Utilities575,790.0021,220.00597,010.00539,627.500.00539,627.5090%57,382.5026,981.38#3210Asphalt Paving317,200.00(1,549.00)315,651.0014,489.000.0014,489.005%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 AMOUNTS13,402,788.00252,672.0013,655,460.008,966,151.07715,307.699,681,458.7671%3,974,001.24484,073.01
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 14Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:2/28/2023Lake 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 $4,169,062.18NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$208,453.16 (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)$208,453.16TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$3,960,609.02Net 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)$3,584,393.08Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$376,215.94and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $2,531,931.98 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 3/2/2023Notary Public:By:Date:3/2/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-03-09
CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSAPPLIC. FOR PAYMENT NO.#14H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 2/28/2023 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 Conditions243,080.000.00243,080.00134,169.3911,973.24146,142.6360%96,937.377,307.13ReimburseConstruction Management Reimbursables488,555.000.00488,555.00424,436.2538,622.50463,058.7595%25,496.2523,152.94FeeConstruction Management Fee82,595.000.0082,595.0057,903.614,619.4762,523.0876%20,071.923,126.15TrailerTemporary City Office Trailer53,170.000.0053,170.0045,748.162,458.8948,207.0591%4,962.952,410.35ContingencyConstruction 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 Concrete428,316.0032,818.00461,134.00440,284.0011,000.00451,284.0098%9,850.0022,564.20#0341Strutctural Precast333,704.000.00333,704.00327,179.000.00327,179.0098%6,525.0016,358.95#0510Steel Erection93,400.0015,196.00108,596.0089,000.000.0089,000.0082%19,596.004,450.00#0610Carpentry & GC459,000.006,684.00465,684.00247,820.1218,612.33266,432.4557%199,251.5513,321.62#0750Roofing & Metal Panels614,800.00(31,650.00)583,150.00438,466.000.00438,466.0075%144,684.0021,923.30#0790Caulking & Firestopping54,050.004,324.0058,374.008,425.500.008,425.5014%49,948.50421.28#0833Coiling & Sectional Doors175,000.000.00175,000.000.000.000.000%175,000.000.00#0840Aluminum Storefronts & Curtainwall78,450.0045,349.00123,799.0094,041.005,348.0099,389.0080%24,410.004,969.45#0920Drywall & Fireproofing314,360.0027,273.00341,633.00226,609.0057,167.00283,776.0083%57,857.0014,188.80#0930Tile86,880.000.0086,880.000.0011,200.0011,200.0013%75,680.00560.00#0950Acoustical Ceilings & Panels51,000.000.0051,000.000.0015,000.0015,000.0029%36,000.00750.00#0965Resilient Flooring & Carpet41,010.000.0041,010.000.000.000.000%41,010.000.00#0990Painting and Wallcovering128,196.00558.00128,754.0015,105.0028,600.0043,705.0034%85,049.002,185.25#1420Conveying Equipment35,260.000.0035,260.000.000.000.000%35,260.000.00#2100Fire Protection55,395.000.0055,395.0049,978.000.0049,978.0090%5,417.002,498.90#2200Plumbing & Heating363,000.0033,151.00396,151.00312,930.1250,322.35363,252.4792%32,898.5318,162.62#2300HVAC & Controls300,000.0016,250.00316,250.00156,626.7583,093.00239,719.7576%76,530.2511,985.99#2600Electrical646,070.0024,446.00670,516.00212,245.0058,000.00270,245.0040%400,271.0013,512.25#3100Earthwork & Site Utilities366,400.0018,676.00385,076.00341,858.500.00341,858.5089%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 AMOUNTS6,492,541.00252,672.006,316,466.003,773,045.40396,016.784,169,062.1866%2,147,403.82208,453.16
INVOICE SUMMARY-PAYMENT APPLICATION NO. #14CITY OF LAKE ELMO - LABOR & GENERAL CONDITIONSPERIOD ENDING 2/28/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE1General ConditionsH+U Construction2/28/23Applic #14$11,973.24$598.66$11,374.58ReimburseConstruction Management ReimbursablesH+U Construction2/28/23Applic #14$38,622.50$1,931.13$36,691.37FeeConstruction Management FeeH+U Construction2/28/23Applic #14$4,619.47$230.97$4,388.50TrailerTemporary City Office TrailerH+U Construction2/28/23Applic #12$2,458.89$122.94$2,335.95#0330Cast-In-Place ConcreteAxel H. Ohman, Inc.2/28/23Applic #9$11,000.00$550.00$10,450.00#0610Carpentry & GCEbert Construction2/28/23Applic #14$18,612.33$930.62$17,681.71#0840Aluminum Storefronts & CurtainwallEmpirehouse, Inc.2/28/23Applic #8$5,348.00$267.40$5,080.60#0920Drywall & FireproofingCommercial Drywall2/28/23Applic #11$57,167.00$2,858.35$54,308.65#0930TileAdvanced Terrazzo & Tile2/28/23Applic #1$11,200.00$560.00$10,640.00#0950Acoustical Ceilings & PanelsAcoustics Associates2/28/23Applic #1$15,000.00$750.00$14,250.00#0990Painting and WallcoveringSteinbrecher Painting Company2/28/23Applic #2$28,600.00$1,430.00$27,170.00#2200Plumbing & HeatingPeterson Sheet Metal2/28/23Applic #9$50,322.35$2,516.12$47,806.23#2300HVAC & ControlsSt. Cloud Refrigeration2/28/23Applic #7$83,093.00$4,154.65$78,938.35#2600ElectricalVinco, Inc.2/28/23Applic #12$58,000.00$2,900.00$55,100.00SUBTOTAL AMOUNT DUE$396,016.78$19,800.84$376,215.94 TOTAL AMOUNT DUE $376,215.94
INVOICE : 230044
PROJECT: J21001
FEBRUARY 28, 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 February, 2023
CONSTRUCTION MANAGEMENT REIMBURSABLES
Senior Project Manager 41.00 hrs. @ 125.00 $5,125.00
Project Manager 134.00 hrs. @ 105.00 $14,070.00
Project Administrator/Accountant 9.50 hrs. @ 65.00 $617.50
Project Superintendent 162.00 hrs. @ 105.00 $17,010.00
Truck, Travel, & Small Tools 1 mo. @ 1,400.00 $1,400.00
Field Office Equipment 1 mo. @ 400.00 $400.00
$38,622.50
GENERAL CONDITIONS
Temporary City Office Trailer $2,458.89
Plan Prints/Shipping $94.55
Expendable Supplies $354.07
Drinking Water $29.13
Temp Heaters/Fans $538.15
Temporary Toilets $1,084.49
Safety & OSHA $958.33
Xcel Energy - Utility Service $503.09
Trash Removal $778.00
Scaffold Rental $452.05
Trailer $1,350.00
Skid Steer $2,422.38
Braun Intertec Corporation $3,409.00
$14,432.13
$53,054.63
Subtotal Construction Management Reimbursables
Subtotal General Conditions
Total
INVOICE : 230044
PROJECT: J21001
FEBRUARY 28, 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 February 28, 2023
#0330-Labor Axel H. Ohman, Inc.$11,000.00
#0330-Material Axel H. Ohman, Inc.$7,500.00
#0610-Labor Ebert Construction $18,612.33
#0610-Material Ebert Construction $33,293.65
#0750-Material Palmer-West Construction $29,467.00
#0840-Labor Empirehouse Inc.$5,348.00
#0840-Material Empirehouse Inc.$49,640.00
#0920-Labor Commercial Drywall, Inc.$57,167.00
#0920-Material Commercial Drywall, Inc.$4,652.00
#0930-Labor Advanced Terrazzo & Tile Co.$11,200.00
#0930-Material Advanced Terrazzo & Tile Co.$27,240.00
#0950-Labor Acoustic Associates, Inc.$15,000.00
#0950-Material Acoustic Associates, Inc.$20,000.00
#0990-Labor Steinbrecher Painting Company $28,600.00
#0990-Material Steinbrecher Painting Company $8,275.00
#2200-Labor Peterson Sheet Metal, Inc.$50,322.35
#2200-Material Peterson Sheet Metal, Inc.$45,273.26
#2300-Labor St.Cloud Refrigeration, Inc.$83,093.00
#2300-Material St.Cloud Refrigeration, Inc.$33,950.00
#2600-Labor Vinco, Inc.$58,000.00
#2600-Material Vinco, Inc.$60,000.00
$657,633.59
$4,619.47
$715,307.69
Retainage
Current Retainge 35,765.38
Prior Retainage 448,307.63
Retainage-To-Date 484,073.01
Total Amount Due $679,542.31
CONSTRUCTION MANAGEMENT FEE
Total Contractor's Pay Applications February 1 - February 28
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
03/16/2023
Due Date Customer PO No.
RQ152297 Lake Elmo DW Trailer
Invoice No.:
Invoice Date:02/14/2023
INV642007
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
03/16/2023
Due Date Customer PO No.
RQ152297 Lake Elmo DW Trailer
Invoice No.:
Invoice Date:02/14/2023
INV642007
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
03/16/2023
Due Date Customer PO No.
RQ152297 Lake Elmo DW Trailer
Invoice No.:
Invoice Date:02/14/2023
INV642007
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 02/14/23 03/13/23 1 2,000.00 2,000.00
RR not utilized no need to winterize.
STEPS Steps - Rental 02/14/23 03/13/23 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
54MNI90574172/21/2023
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
54MNO90524362/21/2023NET30ARC DELIVERY1016013ASI 31
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 6 (30.00x42.00)
$5.93$0.10989Bond Prints - First Set1600SQFT0.0054.0054.00
$35.00$35.00Supply / Delivery Charge5201EACH011
$5.00$5.00Energy / Fuel Surcharge5205EACH011
$49.40Total Due
Amount Received
$49.40Total
$0.00Trade Discount
$0.00Freight
$3.47Tax
$0.00Misc
$45.93SubtotaltronneiBiller:
$49.402/21/202354MNI90574171016013
AMOUNT DUEDOC DATEINVOICECUSTOMER NO
ARC DOCUMENT SOLUTIONS LLC
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ARC DOCUMENT SOLUTIONS LLC
4730 PARK GLEN RD
SAINT LOUIS PARK MN 55416-5701
54MNI90575002/27/2023
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
54MNO90525272/28/2023NET30ARC DELIVERY1016013ASI 32
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
$41.98SubtotaltronneiBiller:
$45.152/27/202354MNI90575001016013
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/C164499B-051F-44F0-ADFC-CBDC5359E552
QuickPay Online Payment
Scan or Click
Branch:100
St. Paul
1397496
Invoice Date Page
INVOICE
3258917
ORDER NUMBER
Columbus, MN 55025
9205 Lake Drive NE
Viking Industrial Center
1 of 2651-646-6141
INVOICE
02/05/2023
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
Gabe Net 30 03/07/2023 03/07/2023 0.00
Primary Salesrep NameOrder Date Pick Ticket No Taker
02/02/2023 09:26:19 2289876 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 21.646296 129.88
1.0 1.0000
6.00
KLEEN SWEEP GREEN SWEEPING
COMPOUND 50#
Kleen Sweep Green Sweeping Compound 50LB (1815)
12.00 0.00 PAIR V5G-SB8610DTM PAIR 6.912000 82.94
1.0 1.0000
12.00
EVER-LITE SAFETY GLASS CLEAR AF
Ever-Lite Panoramic View Safety Glasses with HMAX Coated Wraparound Lens - Abrasion, Chemical & U
12.00 0.00 PAIR V5G-SB8620DTM PAIR 7.584000 91.01
1.0 1.0000
12.00
EVER-LITE SAFETY GLASS GRAY AF
Ever-Lite Panoramic View Safety Glasses with HMAX Coated Wraparound Lens - Abrasion, Chemical & U
1.00 0.00 PAIR V5G-SB8610R15 PAIR 11.258000 11.26
1.0 1.0000
1.00
EVER-LITE READER SAFETY GLASS CLEAR
1.5
6pr/box
1.00 0.00 EA V7LR-LCD100 EA 9.660000 9.66
1.0 1.0000
1.00
PRE MOISTENED LENS CLEANING
TOWELETTES
100/box
Ordered As:674326361741
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
Branch:100
St. Paul
1397496
Invoice Date Page
INVOICE
3258917
ORDER NUMBER
Columbus, MN 55025
9205 Lake Drive NE
Viking Industrial Center
2 of 2651-646-6141
INVOICE
02/05/2023
Please Note New Remittance Address
Delivery Instructions:Contact Gabe 651.395.0055
DOUG GEIST Tracking #:Carrier:
Item ID
Item DescriptionOrderedShippedRemaining
Quantities
UOM
Disp.Unit Size
Pricing
UOM Unit
PriceUnit Size
Price
Extended
SUB-TOTAL:Total Lines:5 324.75
MN STATE TAX 22.66:
MN SPECIAL TAX 1.66:
TRUCK DELIVERY 5.00:
354.07AMOUNT 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
133305325-0003
661003
2/06/23
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 -4644 -4713
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 1/18/23 THRU 2/14/23.
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W904875
2/22/2023
W904875
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 $721.56
Balance Due $721.56
Due Date: 3/22/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 3/22/2023 -Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jan 25-Feb 21
28 385563 -$4.00 $4.00
1 SERVICE
Service Jan 25-Feb 21
28 385563 2X/wk $70.00 $140.00
1 SERVICE
ClimateSvc Jan 25 to Feb 21
28 385563 2X/wk $40.00 $80.00
1 RENTAL
zHandSani Jan 25-Feb 21
28 385563 -$0.00 $0.00
1 RENTAL
RegHS Jan 25-Feb 21
28 386930 -$4.00 $4.00
1 SERVICE
Service Jan 25-Feb 21
28 386930 2X/wk $70.00 $140.00
1 SERVICE
ClimateSvc Jan 25 to Feb 21
28 386930 2X/wk $40.00 $80.00
1 RENTAL
zHandSani Jan 25-Feb 21
28 386930 -$0.00 $0.00
1 RENTAL
RegHS Jan 25-Feb 21
28 398087 -$4.00 $4.00
1 SERVICE
Service Jan 25-Feb 21
28 398087 2X/wk $70.00 $140.00
1 SERVICE
ClimateSvc Jan 25 to Feb 21
28 398087 2X/wk $40.00 $80.00
1 RENTAL
zHandSani Jan 25-Feb 21
28 398087 -$0.00 $0.00
0 TAX-MN
Tax-MN
---$0.00 $46.20
0 TAX-WASH
Tax-WASH
---$0.00 $3.36
Subtotal $721.56
Invoice Total $721.56
Credits/Payments Applied $0.00
Balance Due $721.56
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W904875
2/22/2023
W904875
2 of 2
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 #W904875
Amount Due $721.56
Amount Paid ______________________
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W904876
2/22/2023
W904876
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: 3/22/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 3/22/2023 LEPW Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jan 25-Feb 21
28 396954 -$4.00 $4.00
1 SERVICE
Service Jan 25-Feb 21
28 396954 1X/wk $70.00 $70.00
1 SERVICE
ClimateSvc Jan 25 to Feb 21
28 396954 1X/wk $40.00 $40.00
1 RENTAL
zHandSani Jan 25-Feb 21
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 #W904876
Amount Due $122.41
Amount Paid ______________________
Biffs, Inc6430 County Rd 101 EShakopee MN 55379-5202952.403.1221
Invoice
#W904877
2/22/2023
W904877
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 $240.52
Balance Due $240.52
Due Date: 3/22/2023
Terms Due Date PO #Sales Rep Builders Club#
Net 28 3/22/2023 -Jeff Foley
Qty Item Days Sales Order #Service Level Rate Amount
1 RENTAL
RegHS Jan 25-Feb 21
28 402272 -$4.00 $4.00
1 SERVICE
Service Jan 25-Feb 21
28 402272 2X/wk $70.00 $140.00
1 SERVICE
ClimateSvc Jan 25 to Feb 21
28 402272 2X/wk $40.00 $80.00
1 RENTAL
zHandSani Jan 25-Feb 21
28 402272 -$0.00 $0.00
0 TAX-MN
Tax-MN
---$0.00 $15.40
0 TAX-WASH
Tax-WASH
---$0.00 $1.12
Subtotal $240.52
Invoice Total $240.52
Credits/Payments Applied $0.00
Balance Due $240.52
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 #W904877
Amount Due $240.52
Amount Paid ______________________
OECS
OECS - 170064 PO Box 9201
Minneapolis, MN 55480
763-417-9599
accounting@oecscomply.com
Invoice 39402
BILL TO
H+U Construction
5555 West 78th Street, Suite A
Minneapolis, MN 55439
DATE
02/15/2023
PLEASE PAY
$2,875.00
DUE DATE
04/01/2023
DATE DESCRIPTION QTY RATE AMOUNT
Monthly Safety Services 1 2,875.00 2,875.00
TOTAL DUE $2,875.00
THANK YOU.
Invoice Date
2/6/2023
Invoice #
366968Customer
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
2/1/2023 30 Yard Container759781 1Each 371.00 371.00
2/1/2023 Solid Waste Management Tax calculated at
$0.60/yard. This ticket includes $18.00 of solid
waste disposal tax.
759781 30Yards 0.60 18.00
$389.00
$389.00
$0.00
Invoice Date
2/21/2023
Invoice #
368088Customer
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
2/16/2023 30 Yard Container761647 1Each 371.00 371.00
2/16/2023 Solid Waste Management Tax calculated at
$0.60/yard. This ticket includes $18.00 of solid
waste disposal tax.
761647 30Yards 0.60 18.00
$389.00
$389.00
$0.00
Invoice A124076
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
2/16/2023Date
Job Site Shipping Address:
3880 LAVERNE AVE N
LAKE ELMO, MN 55042-9627
Created: 2/16/2023
M: Minimum rental applies
R: Rate change applies
Rental Items
Shipment Part Number Description Qty From To Days 28-Day Ra Total
DEL-313409 28-Day Rent 01 Additional Rental Package, per 28
Days 1 1/19/2023 2/15/2023 28 $421.0000
0 $421.00
Rent $421.00
Subtotal
$452.05
Other tax: (none)$0.00
$31.05
$421.00
Sales tax: MN - LAKE ELMO CITY TAX (7.375%)
Invoice Total
Printed: February 16, 2023 6:56:06 AM Page 1 of 1A124076
132937196-0004
661003
2/16/23
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 -3998 -4033
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 2/06/23 THRU 3/05/23.
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
B328728Invoice number
Date 2/6/2023
Project ID B2203298
Customer account 27053
Customer PO
For Professional Services rendered through 1/28/2023
Lake Elmo Public Facilities
Special Inspections & Materials Testing
3800 Laverne Avenue North
Lake Elmo, MN 55042
1 - Construction and Materials Testing
1.2 - Concrete Observations and Testing $2,870.00
1.4 - Structural Steel Observations $290.00
1.6 - Project Management $249.00
$3,409.00
Total Fees $3,409.00
Amount Previously Invoiced: $20,830.50
Amount Invoiced to Date: $24,239.50
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: B328728
Qty/Hours Rate Amount
1 - Construction and Materials Testing
1.2 - Concrete Observations and Testing
Consulting Services Detail
Concrete Observations 7.00 92.00 644.00
Concrete Testing 6.50 82.00 533.00
Concrete Cylinder Pick up 4.00 82.00 328.00
Non-Salary Detail
Compressive strength of concrete cylinders
(ASTM C 39),per specimen
35.00 30.00 1,050.00
CMT Trip Charge 9.00 35.00 315.00
Total 1.2 - Concrete Observations and Testing $2,870.00
1.4 - Structural Steel Observations
Consulting Services Detail
ICC Structural Steel Technician 2.50 102.00 255.00
Non-Salary Detail
NDE Trip charge 1.00 35.00 35.00
Total 1.4 - Structural Steel Observations $290.00
1.6 - Project Management
Consulting Services Detail
Staff Engineer 0.50 132.00 66.00
Project Control Specialist 0.50 120.00 60.00
Project Assistant 1.50 82.00 123.00
Total 1.6 - Project Management $249.00
Total 1 - Construction and Materials Testing $3,409.00
Total Project $3,409.00
Page 2 of 2
10,450.00
2/27/23
17,681.712/27/23
5,080.60
78,450.00
45,349.00
123,799.00
99,389.00
4,969.45
94,419.55
89,338.95
0.00
0.00
99,389.00
Page 1
Certificate of the Subcontractor:
I hereby certify that the work performed and the materials supplied to date as shown on the above represent the actual value of accomplishment under the terms of the contract (and all authorized
changes thereto) between the undersigned and H+U Construction relating to the above-referenced project.
I also certify that Payments, less applicable retention, have been made through the period covered by previous payments received from the contractor, to (1) all my subcontractors (sub-subcontractors)
and (2) for all materials and labor used in connection with the performance of this contract.
I further certify I have complied with Federal, State and Local tax laws, including Social Security laws and unemployment laws and Workmen's Compensation laws insofar as applicable to the
performance of this contract.
Furthermore, in consideration of this request of the payments received and upon receipt of the amount of this request, the undersigned does hereby waive, release, and relinquish all claims or right of lien
which the undersigned may now have upon the premises above described except for claims or right of lien for contract and/or change order work performed to the extent that payment is being retained or will
subsequently become due.
Original contract sum
Net change by change orders (as per attached breakdown)
Contract sum to date
Completed to date (as per attached breakdown)
Total retainage (5.0%)
Total earned less retainage
Less previous certificates of payment
Sales tax at 0.000% on 0.00
Amount of this request
Stored material (as per attached breakdown)
Total completed and stored to date
Subtotal 5,080.60
Empirehouse Inc.
5200 Quincy Street
Mounds View, MN 55112
To:
From:
Phone:
Project:Lake Elmo City Center (L)
3880 Laverne Avenue N.
Lake Elmo, MN 55042
Application No: 8 Date: 02/01/23
Period To: 02/28/23
Contract For:
Contract Date:
Contractor Job
Number:21152
Date: __________________________________
Subscribed and sworn to before me this _ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
(763) 535-1150
Application and Certificate For Payment
H+U Construction
5555 West 78th Street
Suite A
Edina, MN 55439
Date: __________________________________
Subscribed and sworn to before me this __ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
Date: __________________________________
Subscribed and sworn to before me this __ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
February 2023
Kristine Hutera, CEO
20
February 20, 2023
January 31, 2025
010500
010600
020550
020551
020552
021050
021550
029050
029051
031050
040550
041050
042050
059000
CO #001-1
CO #001-2
1,115.00 1,115.00 0.00 0.00 1,115.00 100.00 55.750.00
9,260.00 9,260.00 0.00 0.00 9,260.00 100.00 463.000.00
12,085.00 0.00 0.00 0.00 0.00 0.00 0.0012,085.00
6,820.00 6,820.00 0.00 0.00 6,820.00 100.00 341.000.00
2,225.00 1,600.00 625.00 0.00 2,225.00 100.00 111.250.00
18,906.00 9,460.00 4,723.00 0.00 14,183.00 75.02 709.154,723.00
5,962.00 5,962.00 0.00 0.00 5,962.00 100.00 298.100.00
6,820.00 6,820.00 0.00 0.00 6,820.00 100.00 341.000.00
2,146.00 0.00 0.00 0.00 0.00 0.00 0.002,146.00
2,146.00 2,145.00 0.00 0.00 2,145.00 99.95 107.251.00
1,560.00 0.00 0.00 0.00 0.00 0.00 0.001,560.00
2,340.00 0.00 0.00 0.00 0.00 0.00 0.002,340.00
195.00 0.00 0.00 0.00 0.00 0.00 0.00195.00
6,870.00 6,870.00 0.00 0.00 6,870.00 100.00 343.500.00
1,360.00 0.00 0.00 0.00 0.00 0.00 0.001,360.00
43,989.00 43,989.00 0.00 0.00 43,989.00 100.00 2,199.450.00
123,799.00 94,041.00 5,348.00 0.00 99,389.00 80.28 4,969.4524,410.00
To:H+U Construction
From (Subcontractor):Empirehouse Inc.
Project:Lake Elmo City Center (L)
Application and Certificate For Payment -- page 2
Application No: 8 Date: 02/01/23
Item
Number Description
Scheduled
Value
Work Completed
Previous
Application This Period
Materials
Presently Stored
Completed and
Stored to Date
%
Balance to Finish
Retention Memo
Bonds
Submittals/PM/CAD/Admin
SF Installation
CW Installation
Housekeeping
Window Installation
Skylight Installation
Ballistic Window Install
Hurricane Window Install
Mock-up Installation
Borrowed Lite Installati
Heavy Wall Installation
Mirrors Installation
Equipment
All Glass Door 205A Billing Total
Add Curtainwall Billing Total
Application Total
Period To: 02/28/23
Contractor's Job Number: 21152
55
10,640.00
$ 14,250.00
27,170.002/27/23
33
78,938.35
2/27/23
APPLICATION AND CERTIFICATE FOR PAYMENTTO (OWNER): PROJECT:LAKE ELMO CITY HALL, FIRE DEPARTMENT APPLICATION NO: 14Distribution to:City of Lake Elmo & PUBLIC WORKS FACILITIES REMODELXOWNER3880 Laverne Ave N PERIOD TO:2/28/2023Lake 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 $5,512,396.58NumberDate Approved (Column G on G703) 5. RETAINAGE:$0.00$0.00 a. _5_ % of Completed Work$275,619.85 (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)$275,619.85TOTALS$0.00$0.006. TOTAL EARNED LESS RETAINAGE$5,236,776.73Net 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)$4,933,450.36Payment has been completed in accordance with the Contract Documents, 8. CURRENT PAYMENT DUE$303,326.37and that current payments shown herein are now due.9. BALANCE TO FINISH, PLUS RETAINAGE $1,673,470.27 (Line 3 less Line 6)CONSTRUCTION MANAGER:HOFFMANN + UHLHORN CONSTRUCTION, INC.State of: MINNESOTACounty of:Anoka County Subscribed and sworn to before me this 3/2/2023Notary Public:By:Date:3/2/2023My Commission expires:31-Jan-28ARCHITECT'S CERTIFICATE FOR PAYMENTAMOUNT CERTIFIED$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 SUBSTATION2023-03-09
CITY OF LAKE ELMO - MATERIALAPPLIC. FOR PAYMENT NO.#14H+U CONSTRUCTION EDITION OF AIA DOCUMENT G703PERIOD ENDING 2/28/2023 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 Concrete240,000.0023,922.00263,922.00248,922.007,500.00256,422.0097%7,500.0012,821.10#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 & GC568,000.0021,134.00589,134.0060,841.0033,293.6594,134.6516%494,999.354,706.73#0750Roofing & Metal Panels498,500.00(28,015.00)470,485.00316,423.0029,467.00345,890.0074%124,595.0017,294.50#0790Caulking & Firestopping18,300.003,221.0021,521.001,580.000.001,580.007%19,941.0079.00#0810Doors, Frames, Hardware - Supply171,697.006,792.00178,489.0074,764.740.0074,764.7442%103,724.263,738.24#0833Coiling & Sectional Doors175,000.000.00175,000.000.000.000.000%175,000.000.00#0840Aluminum Storefronts & Curtainwall321,960.0094,127.00416,087.00319,080.0049,640.00368,720.0089%47,367.0018,436.00#0920Drywall & Fireproofing229,410.0018,879.00248,289.00219,652.504,652.00224,304.5090%23,984.5011,215.23#0930Tile68,100.000.0068,100.000.0027,240.0027,240.0040%40,860.001,362.00#0950Acoustical Ceilings & Panels75,000.000.0075,000.0025,000.0020,000.0045,000.0060%30,000.002,250.00#0965Resilient Flooring & Carpet90,930.000.0090,930.0089,940.000.0089,940.0099%990.004,497.00#0990Painting and Wallcovering29,531.00112.0029,643.008,043.008,275.0016,318.0055%13,325.00815.90#1420Conveying Equipment46,740.000.0046,740.0021,577.000.0021,577.0046%25,163.001,078.85#2100Fire Protection57,520.000.0057,520.0057,520.000.0057,520.00100%0.002,876.00#2200Plumbing & Heating491,000.0015,594.00506,594.00416,235.5545,273.26461,508.8191%45,085.1923,075.44#2300HVAC & Controls662,000.00143,425.00805,425.00710,075.0033,950.00744,025.0092%61,400.0037,201.25#2600Electrical808,100.0053,214.00861,314.00487,365.0060,000.00547,365.0064%313,949.0027,368.25#3100Earthwork & Site Utilities209,390.002,544.00211,934.00197,769.000.00197,769.0093%14,165.009,888.45#3210Asphalt Paving180,634.00(1,549.00)179,085.0012,897.000.0012,897.007%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)7,338,994.005,193,105.67319,290.915,512,396.5875%1,826,597.42275,619.85
INVOICE SUMMARY-PAYMENT APPLICATION NO. #14CITY OF NEWPORT - MATERIALPERIOD ENDING 2/28/2023ITEM NO# DESCRIPTION VENDORDATENUMBERAMOUNTRETAINAGEDUE#0330Cast-In-Place ConcreteAxel H. Ohman, Inc.2/28/23Applic #8$7,500.00$375.00$7,125.00#0610Carpentry & GCEbert Construction2/28/23Applic #10$33,293.65$1,664.68$31,628.97#0750Roofing & Metal PanelsPalmer West Construction2/28/23Applic #5$29,467.00$1,473.35$27,993.65#0840Aluminum Storefronts & CurtainwallEmpirehouse, Inc.2/28/23Applic #9$49,640.00$2,482.00$47,158.00#0920Drywall & FireproofingCommercial Drywall2/28/23Applic #9$4,652.00$232.60$4,419.40#0930TileAdvanced Terrazzo & Tile2/28/23Applic #1$27,240.00$1,362.00$25,878.00#0950Acoustical Ceilings & PanelsAcoustics Associates2/28/23Applic #2$20,000.00$1,000.00$19,000.00#0990Painting and WallcoveringSteinbrecher Painting Company2/28/23Applic #2$8,275.00$413.75$7,861.25#2200Plumbing & HeatingPeterson Sheet Metal2/28/23Applic #11$45,273.26$2,263.66$43,009.60#2300HVAC & ControlsSt. Cloud Refrigeration2/28/23Applic #8$33,950.00$1,697.50$32,252.50#2600ElectricalVinco, Inc.2/28/23Applic #12$60,000.00$3,000.00$57,000.00SUBTOTAL AMOUNT DUE$319,290.91$15,964.54$303,326.37 TOTAL AMOUNT DUE $303,326.37
7,125.00
2/27/23
31,628.972/27/23
2/27/23
47,158.00
321,960.00
94,127.00
416,087.00
368,720.00
17,936.00
350,784.00
303,626.00
0.00
0.00
368,720.00
Page 1
Certificate of the Subcontractor:
I hereby certify that the work performed and the materials supplied to date as shown on the above represent the actual value of accomplishment under the terms of the contract (and all authorized
changes thereto) between the undersigned and H+U Construction relating to the above-referenced project.
I also certify that Payments, less applicable retention, have been made through the period covered by previous payments received from the contractor, to (1) all my subcontractors (sub-subcontractors)
and (2) for all materials and labor used in connection with the performance of this contract.
I further certify I have complied with Federal, State and Local tax laws, including Social Security laws and unemployment laws and Workmen's Compensation laws insofar as applicable to the
performance of this contract.
Furthermore, in consideration of this request of the payments received and upon receipt of the amount of this request, the undersigned does hereby waive, release, and relinquish all claims or right of lien
which the undersigned may now have upon the premises above described except for claims or right of lien for contract and/or change order work performed to the extent that payment is being retained or will
subsequently become due.
Original contract sum
Net change by change orders (as per attached breakdown)
Contract sum to date
Completed to date (as per attached breakdown)
Total retainage (4.9%)
Total earned less retainage
Less previous certificates of payment
Sales tax at 0.000% on 0.00
Tax Exempt
Amount of this request
Stored material (as per attached breakdown)
Total completed and stored to date
Subtotal 47,158.00
Empirehouse Inc.
5200 Quincy Street
Mounds View, MN 55112
To:
From:
Phone:
Project:Lake Elmo City Center (M)
3880 Laverne Avenue N.
Lake Elmo, MN 55042
Application No: 9 Date: 02/01/23
Period To: 02/28/23
Contract For:
Contract Date:
Contractor Job
Number:21153
Date: __________________________________
Subscribed and sworn to before me this __ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
(763) 535-1150
Application and Certificate For Payment
H+U Construction
5555 West 78th Street
Suite A
Edina, MN 55439
Date: __________________________________
Subscribed and sworn to before me this _ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
Date: __________________________________
Subscribed and sworn to before me this __ _ day
of ____________, _________ (year).
Notary public: _____________________________
My commission expires _ _.
Contractor: Empirehouse Inc.
By: ____________________________________
Title: ___________________________________
2
February 2023
Kristine Hutera, CEOJanuary 31, 2025
February 20, 2023
20
010500
010600
020500
020502
021000
021001
021002
030500
030501
030502
040500
041000
042000
055000
CO #001-1
CO #001-2
CO #001-3
CO #001-4
4,580.00 4,580.00 0.00 0.00 4,580.00 100.00 229.000.00
26,100.00 26,100.00 0.00 0.00 26,100.00 100.00 1,305.000.00
49,080.00 49,080.00 0.00 0.00 49,080.00 100.00 2,454.000.00
17,575.00 17,575.00 0.00 0.00 17,575.00 100.00 878.750.00
57,775.00 23,000.00 0.00 0.00 23,000.00 39.81 1,150.0034,775.00
47,640.00 0.00 47,640.00 0.00 47,640.00 100.00 2,382.000.00
63,500.00 63,500.00 0.00 0.00 63,500.00 100.00 3,175.000.00
17,565.00 17,565.00 0.00 0.00 17,565.00 100.00 878.250.00
7,530.00 7,530.00 0.00 0.00 7,530.00 100.00 376.500.00
10,000.00 10,000.00 0.00 0.00 10,000.00 100.00 0.000.00
6,010.00 0.00 2,000.00 0.00 2,000.00 33.28 100.004,010.00
6,465.00 0.00 0.00 0.00 0.00 0.00 0.006,465.00
120.00 0.00 0.00 0.00 0.00 0.00 0.00120.00
8,020.00 8,020.00 0.00 0.00 8,020.00 100.00 401.000.00
648.00 648.00 0.00 0.00 648.00 100.00 32.400.00
468.00 0.00 0.00 0.00 0.00 0.00 0.00468.00
1,529.00 0.00 0.00 0.00 0.00 0.00 0.001,529.00
91,482.00 91,482.00 0.00 0.00 91,482.00 100.00 4,574.100.00
416,087.00 319,080.00 49,640.00 0.00 368,720.00 88.62 17,936.0047,367.00
To:H+U Construction
From (Subcontractor):Empirehouse Inc.
Project:Lake Elmo City Center (M)
Application and Certificate For Payment -- page 2
Application No: 9 Date: 02/01/23
Item
Number Description
Scheduled
Value
Work Completed
Previous
Application This Period
Materials
Presently Stored
Completed and
Stored to Date
%
Balance to Finish
Retention Memo
Bonds
Submittals/PM/CAD/Admin
SF Metal Materials
CW Metal Materials
Jeld-wen Vinyl Windows
StormDefend Windows
Bullet Resistant Windows
SF Glass Materials
CW Glass Materials
Skyligtht Glass Material
Interior Glass Materials
Heavy Wall Glass Materia
Mirror Materials
Testing
Precast Revisions Billing Total
Change Door 110 to All Glass Billing
Total
All Glass Door 205A Billing Total
Add Curtainwall Billing Total
Application Total
Period To: 02/28/23
Contractor's Job Number: 21153
25,878.00
$ 19,000.00$23,750.00$19,000.00
7,861.252/27/23
2/27/23
32,252.50
2/27/23