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HomeMy WebLinkAbout5B, Valentine Park Improvement Project - Approve Change Order #2 and Pay Estimate #3 in the Amount of $18,617.74 ,-SREN HILLS Request for Council Action 5B Prepared By: Terry Maurer, Public Works Director Council Meeting Date: November 26, 2012 Valentine Park Improvement Project—Approve Change Order#2 and Pay Estimate#3 in the Amount of$18,617.74 Budgeted Amount: Actual Amount: Funding Source: $321,757.00 $327,823.93 Surface Water Management Fund, Sanitary Sewer Enterprise Fund, PIR Recommendation: Motion to approve Change Order #2, which increases the project cost by $9,081.78, and Payment 43 to Interstate Pavement Maintenance of Forest Lake, Minnesota, in the amount of $18,617.74 for the Valentine Park Improvement Project. Supporting Documents: 1. Memorandum dated November 26, 2012, from Terry Maurer, Public Works Director. 2. Letter dated October 25, 2012, from Elfering and Associates. 3. Change Order 42. 4. Application for Payment 43. lt ,ARZEN HILLS MEMORANDUM DATE: November 26, 2012 TO: Honorable Mayor and City Councilmembers Patrick Klaers, City Administrator FROM: Terry Maurer, Public Works Directo SUBJECT: Valentine Park Improvements - Payment #3/Change Order 42 Background The City of Arden Hills awarded Interstate Pavement Maintenance of Forest Lake, Minnesota, the Valentine Park Improvement Project on April 30, 2012, for a total contract amount of$321,757.00. There has been one change order that decreased the total cost by $3,014.85. Discussion This pay request includes work on the project completed through the end of the 2012 construction season. The major work completed as a part of this payment includes in and around the large rain garden. Change Order #2 increases the total project cost by $9,018.78. This is due to the slow draw down time of the rain garden. After a geotechnical review it was decided to build a rock bedding around the three main drain tile lines in the rain garden. Financial Implications The total amount earned by the contractor including Change Order #2 is $205,952.32. After subtracting retainage of 5% and previous pay estimates, the amount due the contractor for Pay Estimate #3 is $18,617.74. The funding source for all of Pay Estimate #3 including Change Order#2, is Surface Water Management funds. Council Action Requested Approve Change Order#2 and Pay Estimate #3 to Interstate Pavement Maintenance in the amount of$18,617.74 for the Valentine Park Improvement Project. PAAdmin\Council\Agendas&Packet Infonnation\2012\11-26-12 Reg Mtg\Packet Page 1 of 1 �l�-RING �- -OSSOtI�T-�S October 25, 2012 File No. 170007E-0071 TRUI NO= Honorable Mayor and City Council City of Arden Hills 1245 Highway 96 W Arden Hills, MN 55112 RE: VALENTINE PARK IMPROVEMENTS PARTIAL PAY ESTIMATE #3 AND CHANGE ORDER#2 Dear Council Members: Please find attached 3 copies of Partial Pay Estimate No. 3 and Change Order No. 2 for the above-referenced project. As you are aware, the Contractor for the project is Interstate Pavement Maintenance. The total amount earned by the Contractor on this partial pay estimate is $205,952.32. Subtracting 5% retainage of $10,297.62 and previous payments in the amount of $177,036.96, the amount due the Contractor is $18,617.74. This pay estimate includes payment for rain water garden work, including the work covered by Change Order No. 2. We have inspected the work performed by Interstate Pavement Maintenance and find it to be in compliance with the plans, specifications, and contract documents. Also attached is Change Order No. 2. This change order is for modifications to the large rain water garden. After construction of the rain water garden, field monitoring determined that the filtration rate and corresponding draw down time of storm water captured by the garden was not as efficient as desired. Rock bedding around the drain the was added with filter fabric to increase the efficiency. This work has been completed and subsequent rain events have shown the garden to now be functioning as desired. We would recommend approval of Partial Pay Estimate No. 3 in the amount of $18,617.74 and approval of Change Order No. 2. If you have any questions regarding this issue please feel free to call. Sincerely, ELFERING &ASSOCIATES Kristie tifering, P.E. Project Engineer cc: Terry Maurer, Public Works Director 10062 Flanders Court NE, Blaine,MN 55449 - Phone:(763)780-0450 - Fax: (763)780-0452 SECTION 00671 CHANGE ORDER _(Instruction on reverse side) No. 2 PROJECT:Valentine Park Improvements DATE OF ISSUANCE:October 25,2012 OWNER:City of Arden Hills OWNER's Project No,: 170007E 1245 Highway 96 W Arden Hills,MN 55112 ENGINEER: Elfering&Associates 10062 Flanders Court NE CONTRACTOR: Interstate Pavement Maintenance Blaine,MN 55449 PO Box 1028 Forest Lake, MN 65025 ENGINEER's Project No.: 170007E You are directed to make the following changes in the Contract Documents. Description:See Attached Purpose of Change Order: See Attached Attachments(List documents supporting change): See Attached CHANGE IN CONTRACT PRICE: CHANGE IN CONTRACT TIME: Original Contract Price Original Contract Time Substantial Completion:October 15,2011 $ 321,757.00 Final Completion: July 1, 2012 Previous Change Orders No. 1 Net change from previous Change Orders ($ 3,014.85) 0 Days Contract Price prior to this Change Order Contract Time prior to this Change Order Substantial Completion: October 15,2011 $318,742.15 Final Completion: July 1,2012 — Net Increase(Decrease)of Gis Change Order Net Increase(Decrease)of this Change Order N/A days for Substantial Completion $ 9,081.78 NIA days for Final Completion Contract Price with all approved Change Orders Contract Time with all approved Change Orders Substantial Completion:June 29, 2012 $327,823.93 Final Completion: June 28,2013 RCO MENDED: APPROVED: APPROVED: �7 B:- By By Elfering Associates City of Arden Hills Interstate Pavement Maintenance EJCDC No.1910-B-B(1996 Edition}�—____.�.-::;:�-��-�-�-��-=�-�-:.::::::--.-�...-.�=:::=M:::=�-=—:::;;Z:=�-.=-.--=.-X-.�.r.-��.__:__.--= CHANGE ORDER#2 (Attachment) This contract is amended as follows: WHEREAS: After construction of the rain water garden the drawdown time experienced after a storm event was slower than desired; and WHEREAS: Soil testing completed determined that the select granular borrow used for the rain water garden construction met mechanical sieve analysis requirements; and WHEREAS: Geotechnical recommendations based on the soil testing was to construct rock bedding around the draintile to increase the filtration rate; and WHEREAS: The Engineer directed the Contractor to complete as part of this project. NOW, THEREFORE, IT IS HEREBY MUTUALLY AGREED AND UNDERSTOOD THAT: 1. The Contractor shall complete the above described changes and additions to the project. 2. Payment for the work was reviewed and approved by the Engineer. 3. The Contractor will not make claim of any kind or character for any other costs or expenses that he may have incurred or that he may hereafter incur in performing the work or furnishing the materials of this agreement. CHANGE ORDER#2 COST SUMMARY PROJECT: VALENTINE PARK IMPROVEMENTS OWNER. CITY OF ARDEN HILLS ITEM ITEM DESCRIPTION NO. UNIT QTY UNIT PRICE TOTAL PRICE CHANGE ORDER#2 1 2105.604 DRAINTILE FABRIC SY 562.20 $0.62 $348.56 2 2451.607 PIPE BEDDING MATERIAL CY 81.90 $27.00 $2,211.41 3 2502.541 4"PERF PE PIPEDRAIN W/SOCK LF 270.00 $0.60 $162.00 4 SPEC PUMPING LS 1.00 $196.04 $196.04 5 SPEC LABOR HR 37.32 $78.52 $2,930.37 6 SPEC EQUIPMENT HR 9.33 $230.00 $2,145.90 7 SPEC SOIL TESTING LS 1,087.50 $1.00 $1,087.50 CHANGE ORDER#2--SUBTOTAL $9,081.78 TOTAL $9,081.78 CO#2 PARTIAL PAY ESTIMATE#3 FROM:July 7,2012 TO:October 25,2012 CONTRACTOR:INTERSTATE PAVEMENT MAINTENANCE ADDRESS:PO BOX 1028,FOREST LAKE,MN 55025 OWNER:CITY OF ARDEN HILLS PROJECT:VALENTINE PARK IMPROVEMENTS SUBSTANTIAL COMPLETION DATE AMOUNT OF CONTRACT ORIGINAL:June 29,2012 ORIGINAL: $ 321,757.00 REVISED: REVISED: $ 327,823.93 S:ii�3R3 '<L.OAb CT:iS:::::::S:i:;:S::;:; f)D ::%i:::i;:::i<:5::^i:::S:Si::: . ... ...::::.;:;:; r:: :: GBYAL. 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SCHEDULE 1.0.VALENTINE PARK L 3 1 44 2021.501 MOBILIZATION LS 1.00 50547.25 0.00 $0.00 0.63 $31,8 .77 2 2101.502 CLEARING TREE 22.00 195.00 0.00 $0.00 22.00 $4290.00 2101.507 GRUBBING TREE 22.00 50.00 0.00 $0.00 21.00 $1,050. 4 2104.501 REMOVE SEWER PIPE SANITARY LF 265.00 14.00 0.00 $0.00 265.00 $3,710. 5 2104.501 REMOVE SEWER PIPE STORM LF I 60.00 18.00 0.00 $0.00 60.00 $1,080.00 6 2104.501 REMOVE CONCRETE CURB AND GUTTER LF 125.00 4.50 0.00 $0.00 0.00 $0.00 7 2104.501 REMOVE FENCE LF 335.00 2.25 0.00 $0.00 320.00 $720.00 8 2104.505 REMOVE CONCRETE PAVEMENT SY 100.00 2.00 0.00 $0.00 100.00 $200.00 9 2104.505 REMOVE BITUMINOUS PAVEMENT SY 1,460.00 2.20 0.00 $0.00 1,460.00 $3212.00 10 2104.509 REMOVE SANITARY MANHOLE EACH 1.00 980.00 0.00 $0.00 1.00 $980.00 11 2104.509 REMOVE SANITARY CASTING EACH 3.00 70.00 0.00 $0.00 3.00 $210.00 12 2104.509 REMOVE BENCH EACH 2.00 10O.D01 0.00 $0.00 0.00 $0.00 13 2104.509 REMOVE LIGHTPOLE EACH 2.00 600.00 0.00 $0.00 2.D0 $1,200.0 14 2104.509 REMOVE BASKETBALL HOOP EACH 1.00 85.00 0.00 $0.00 1.00 $85.00 15 2104.509 REMOVE SIGN EACH 2.00 75.00 0.00 $0.00 2.00 $150.00 16 2104.509 REMOVE PARKING STOP EACH 17.00 25.00 0.00 $0.00 17.00 $425.00 17 2104.511 SAW CUT CONCRETE FULL DEPTH LF 14.00 8.D0 0.00 $0.00 0.00 $0.00 18 2104.513 SAW CUT BITUMINOUS FULL DEPTH LF 150.00 5.00 0.00 $0.00 0.00 $0.00 19 2104.523 SALVAGE SIGN EACH 2.00 110.00 0.00 $0.00 2.00 $220.00 20 2104.523 SALVAGE HYDRANT EACH 1.00 1,290.00 0.00 $0.00 0.D0 $0.00 21 2105.501 COMMON EXCAVATION P CY 3289.00 9.50 0.00 $0.00 3,189.00 $30,295.5 22 2105.522 SELECT GRANULAR BORROW C PARKING LOT CY 550.00 11.35 0.00 $0.00 738.00 $8,376. 23 2105.522 SELECT GRANULAR BORROW C BASKETBALL COURT CY 145.00 10.00 0.00 $0.00 165.00 $1,650.00 24 2105.522 SELECT GRANULAR BORROW C RAIN WATER GARDEN CY 670.00 1025 0.00 $0.00 646.56 $6,627.2 25 2105.522 SELECT GRANULAR BORROW C PLAY AREA CY 180.00 10.001 0.00 $0.00 120.00 $1,200.00 26 2105.525 TOPSOIL BORROW C CY 750.00 15.00 0.00 $0.00 0.00 $0.00 27 2105.604 GEOTEXTILE FABRIC PE SY 2,450.00 0.85 0.00 $0.00 2 200.00 $1,870.00 28 2105.604 GEOGRID PE TX130S SY 2,520.00 2.20 0.00 $0.00 2,520.00 $5,544.00 29 2211.501 AGGREGATE BASE CLASS 5 PARKING LOT TON 450.00 16.00 0.00 $0.00 283.70 $4,539.20 30 2211.501 AGGREGATE BASE CLASS 5 BASKETBALL COURT TON 115.00 16.001 0.00 $0.00 115.00 $1,B40. 31 2211.501 AGGREGATE BASE CLASS 5 SIDEWALK TON 240.00 16.00 0.00 $0.00 240.00 $3,840. 32 2211.501 AGGREGATE BASE CLASS 5 RAIL TON 275.00 16.00 0.00 $0.00 100.00 $1,500.0 33 2231.604 BITUMINOUS PATCH SPECIAL SY 30.00 38.00 0.00 $0.00 0.00 $0.00 34 2232.501 MILL BITUMINOUS PAVEMENT SY 35.00 8.D0 0.00 $0.00 0.00 $0.00 35 2350.501 TYPE MV4 WEAR COURSE MIXTURE PARKING LOT TON 75.00 86.00 0.00 $0.00 0.00 $0.00 36 2350.501 TYPE MV4 WEAR COURSE MIXTURE BASKETBALL COURT TON 25.00 86.00 0.00 $0.00 0.00 $0.00 37 2350.501 TYPE MV4 WEAR COURSE MIXTURE RAIL TON 50.00 75.00 0.00 $0.00 0.00 $0.00 38 2350.502 TYPE LV3 NON WEARING COURSE MIXTURE(BASE) PARKI TON 75.00 86.00 0.00 $0.00 0.00 39 2350.502 TYPE LV3 NON WEARING COURSE MIXTURE(BASE)(BEALL TON 25.00 86.00 0.00 $0.00 0.00 $0.00 40 2401.601 HELICAL PIER SYSTEM LS 1.00 6,500.001 0.00 $0.00 0.00 $0.00 41 2411.507 INSTALL 24"SURGE BASIN EACH 1.00 2,100.00 0.00 $0.00 1.00 �$2100.00 RIAL CY 120.00 27.00 0.00 $0.00 120.00 .:::........... :::::::.::. ..:.......::.:.:_ . .. .............. E :bLSPRtP7tE)k>:< y:;.;:;.;:.;::::x>: ;:;::f?tY:s: i3N1f:P121 .. ..::::::::::#3TYo';::;:.z;z:;;:;:TQFfit:pE tCE:. ;::::.::::::.....: :........ .. ..... ... iY..................#QTt�t.PR1GE... 43 2501.602 18"FLARED END SECTION W/TRASHGUARD EACH 1.00 1,600. 0.00 $0.00 1.00 $1,600.0 44 2501.602 24"FLARED END SECTION WITRASHGUARD EACH 3.00 1,880. 0.00 $0.00 2.00 $3,760.0 45 2502.541 4"PERF PE PIPE DRAIN W/SOCK LF 1 530.00 1.95 541.00 $1,054.95 1,195.00 $2,330.25 46 1 2503.541 12"RC PIPE SEWER DES 3006 CLV LF 72.00 24.25 0.00 $0.00 72.00 $1,746. 47 2503.541 18"RC PIPE SEWER DES 3006 CLIII LF 30.00 38.00 0.00 $0.00 24.00 $912.00 48 2503.541 24"RC PIPE SEWER DES 3006,CLIII LF 55.00 49.00 0.00 $0.00 55.00 $2,695. 49 2503.602 CONNECT TO EXISTING STORM SEWER MAIN EACH 1.00 600.00 0.00 $0.00 1.00 $600.00 50 2503.602 CONNECT TO EXISTING STORM SEWER MANHOLE EACH 2.00 800.00 0.00 $0.00 2.00 $1,600.0 51 2503.602 CONNECT TO EXISTING SANITARY SEWER MANHOLE EACH 2.00 875.00 0.00 $0.00 2.00 $1,750.00 52 2503.603 8"PVC PIPE SEWER SDR 35 LF 265.00 18.00 0.00 $0.00 263.00 $4,734.0 53 2504.602 OFFSET WATERMAIN EACH 1.00 8,000.00 0.00 $0.00 0.00 $0.00 54 2504.602 REINSTALL SALVAGED HYDRANT EACH 1.00 1,400.00 0.00 $0.00 0.00 $000 55 2504.602 ADJUST VALVE BOX EACH 2.00 350.00 0.00 $0.00 1.00 $350.00 56 2506.502 CONST DRAINAGE STRUCTURE DESIGN SPECIAL 27"DIA. EACH 1.00 2265.00 0.00 $0.00 1.00 $2,265.0 57 2506.522 ADJUST FRAME RING,AND CASTING SANITARY EACH 100 480.00 0.00 $0.00 3.00 $1,440. 58 2506.522 ADJUST FRAME RING AND CASTING STORM EACH 5.00 150.00 0.00 $0.00 2.00 $300.00 59 2511.501 RANDOM RIP RAP CLASS IV CY 45.00 90.00 0.00 $0.00 45.00 $4,050.00 60 2521.501 4"CONCRETE SIDEWALK SY 375.00 29.50 0.00 $0.00 0.00 $0.00 61 2521.501 10"CONCRETE SLAB CAST-IN-PLACE SY 45.00 291.50 0.00 $0.00 0.00 $0.00 62 2531.501 CONCRETE CURB 8 GUTTER LF 580.00 16.50 0.00 $0.00 0.00 $0.00 63 2531.501 18"HIGH PLAY AREA CURB LF 380.00 18.00 0.00 $0.00 0.00 $0.00 64 2531.602 PEDESTRIAN CURB RAMP EACH 3.00 450.001 0.00 $0.00 0.00 $0.00 65 2531.618 TRUNCATED DOMES SF 24.00 38.00 0.00 $0.00 0.00 $0.00 66 2563.601 TRAFFIC CONTROL LS 1.00 1,800. 0.00 $0.00 0.50 $900.00 67 2564.602 REINSTALL SALVAGED SIGN EACH 2.00 120.00 0.00 $0.00 0.00 $0.00 68 2573.502 SILT FENCE TYPE MACHINE SLICED LF 1,035.00 1.90 0.00 $0.00 1,535.00 $2 916. 69 2573.520 SEDIMENT REMOVAL BACKHOE HOURS 10.00 145.001 0.00 $0.00 0.00 $0.00 70 2573.530 INLET PROTECTION MCO) EACH 2.00 85.00 0.00 $0.00 2.00 $170.00 71 2573.530 INLET PROTECTION EACH 1.00 85.00 0.00 $0.00 1.00 $85.00 72 2573.530 INLET SEDIMENT REMOVAL EACH 9.00 105.00 0.00 $0.00 2.00 $210.00 73 2571602 TEMPORARY ROCK CONSTRUCTION ENTRANCE EACH 1.00 1,800.00 0.00 $0.00 1.00 $1 800.00 74 2573.607 ROADWAY ROCK CHECK DAM CY 130.00 36.00 0.00 $0.00 130.00 $4,680,0 75 2575.513 MULCH MATERIAL TYPE SPECIAL CY 225.00 27.00 0.00 $0.00 225.00 $6,075.00 76 2575.525 EROSION STABILIZATION MAT 0350 SY 220.00 4.10 0.00 $0.00 167.00 $684.70 77 2575.532 FERTILIZER PE 24-12-24 LEIS 425.00 0.60 0.00 $0.00 400.00 $240.00 78 2575.545 WEED SPRAYING SY 7350.00 0.20 0.00 $0.00 0.00 $0.00 79 2575.550 COMPOST GRADE 2 CY 450.00 19.50 418.00 $8,151.00 418.00 $8,151.00 80 2575.604 SEEDING PE 270 SY 6,800.00 0.951 0.00 $0.00 6600.00 $6,270.00 81 2575.604 SEEDING PE 328 SY 2,300.00 1.10 0.00 $0.00 2t300-00 $2,530.00 82 2582.501 PAVEMENT MESSAGE HANDICAP SYM -EPDXY EACH 1.00 350.00 0.00 $0.00 0.00 $0.00 83 2582.502 4"SOLID WHITE LINE-EPDXY LF 250.00 2.65 0.00 $0.00 0.00 $0.00 84 SPEC TEMPORARY SEDIMENT BASIN LS 1.00 1,000.00 0.00 $0.00 1.00 $1,000. 85 SPEC GRADATION TEST EACH 3.00 190.00 1.00 $190.00 1.00 $190A0 86 SPEC PROCTOR TEST EACH 3.00 140.00 2.00 $280.00 2.00 $280.00 87 SPEC DENSITY TEST,IN PLACE EACH 20.00 60.00 14.00 $840.00 14000 $840.00 88 1 SPEC CONCRETE TESTING CYLINDERS SET OF 3 EACH 4.00 90.00 0.00 $0.00 0.00 $0400 89 SPEC NUCLEAR BITUMINOUS DENSITY EACH 8.00 50.00 0.00 $0.00 0.00 $0.00 90 SPEC EXTRACTION/GRADATION EACH 4.00 220.00 0.00 $0.00 0.00 $0.00 91 SPEC AIR VOIDS TEST EACH 4.00 320.00 0.00 $0.00 0.00 $0.00 z .:............::::....:...:::::.:::::::. .:...:.... ... ......::: ;:G: G:;;;S'>i:2::>;:is >:;;::>;: 4: :;:;;:::i:::;::.. L: G.: ::< :>;:8:>:4. 3] PEt71 :i::::s< ::: i:ai is :;:::if4TPl::OAA t .................. :15WMSCt1 7tbM:-::;:.::<.;:_;:: ;;;;;;>;:;>;:;; ;>:<.;;:;;:<.;:.>;:>;:UMt3::::;:<::Qh4>:^:::::>::>:7NiCPRiCE;_::>::::z:>;«#t#Y:;;:;;;;;:;;::;;7tk3tkt EETC >s»:>s>a:>: r...............arr:::>:::>::>:::::>:::::::::;to :PRtc> SCHEDULE 1.0-VALENTINE PARK-TOTAL $10,515.95 $189,253.46 CHANGE ORDER 1.0-VALENTINE PARK 1 2105.525 COMMON BORROW CY 517.00 10.25 0.00 $0.00 517.00 $5,299.25 2 2503.601 SANITARY SEWER-C900 LS 1.00 772.08 0.00 $0.00 1.00 $772.08 3 2503.603 SANITARY SEWER INSULATION SY 46.20 16.10 0.00 $0.00 42.60 $685.86 4 2504.602 ADJUST HYDRANT EACH 1.00 860.00 0.00 $0.00 1.00 $860.00 CHANGE ORDER 1.0-VALENTINE PARK-TOTAL $0.00 $7,617.19 CHANGE ORDER 2.0-VALENTINE PARK 1 2105.604 DRAANTILE FABRIC SY 562.20 $0.62 562.20 $348.56 562.20 $348.56 2 2451.607 PIPE BEDDING MATERIAL CY 81.90 $27.00 81.90 $2,211.30 81.90 $2,211.30 3 2502.541 4-PERF PE PIPE DRAIN W/SOCK LF 270.00 $0.60 270.00 $162.00 270.00 $162.00 4 SPEC PUMPING LS 1.00 $196.04 1.00 $196.04 1.00 $196.04 5 SPEC LABOR HR 37.32 $78.52 37.32 $2,930.37 37.32 $2,930.37 6 SPEC EQUIPMENT HR 9.33 $230.00 933 $2,145.90 9.33 $2,145.90 7 SPEC SOILTESTING LS 1,G87.50_ $1.00 1087.50 $1,D87.50 1087.50 $1087.50 CHANGE ORDER 1.0-VALENTINE PARK-TOTAL $9,081.67 $9,081.67 BID SUMMARY THIS PERIOD TOTAL TO DATE SCHEDULE 1.0-VALENTINE PARK-TOTAL $10,515.95 $189,253.46 CHANGE ORDER 1.0-VALENTINE PARK-TOTAL $0.00 $7,617.19 CHANGE ORDER 1.0-VALENTINE PARK-TOTAL $9,081.67 $9,081.67 TOTAL BID SUMMARY THIS PERIOD $19,597.62 TOTAL BID SUMMARY TO DATE $205,952.32 T t: DR7E: ;::>: ;: :;:;:? ;;: :::i':;::i:;::;;;?,;:?s:> TOTf3 T#tIS:?ffRfOD::i:::>::;:;::.............................. .. :::> [fE A fO NT EARNED :................................................... ...............:i:i19 597.62 :;:............ ..............................;:::..205 952.32 ............................... AM0U $ NED;>::................................................ ................::;::979.88�it�:.............. .................................:...i:'10 297.62.: :............................... AMOUNT RETAI $ b MATERIAL ON SITE--- $ 5 MATERIAL DEDU T. ............. . ii ; :::: ::: : ::C . ...................... .......... . $0. $0.00 .................................. ............................................... ... »,» ................................::::>177 036.:96: i..............................X. PREVIOUS PAYMENTS.. b ........................................................... ..............::::18 617.74 :>i............. .................................:::::18 617.74:: :.............................. ••NTDUE $ AMOU $ I hereby certify that all items and amounts shown by this pay estimate are correct for(lie work completed to date. CONTRACTOR: INTERSTATE PAVEMENT MAINTENANCE BY: i TITLE: fc.i DATE: LC 2iZ_. Based on the ENGINEER'S on-site inspections as an experienced and qualified design professional and on review of application for payment and the accompanying data and schedules,the ENGINEER has determined,to the best of his knowledge and belief that the quantities shown by this estimate are correct and that,based ou such inspections and review,that the work has progressed to the point indicated(subject to an evaluation i of such work as a functioning Project upon Substantial Completion,to the results of any subsequent tests required by the Contract Documents,and to any qualifications stated in his recommendation),and that payment of the amount recommended is due Contractor(S); but by recommending any payment,the ENGINEER will not thereby be deemed to have reviewed the means,methods,sequences,techniques,or procedures of construction or safety precautions or programs incident thereto or that the ENGINEER has made any examination to ascertain how or for what purpose any Contractor has used the monies 1 paid on account of the Contract Price,or that title to any of the work,materials,or equipment I has passed to the Owner free and clear of any lien,claims,security interests or encumbrances, or that the Contractor(s)have completed their work exactly in accordance with the Contract Documents. ENGINEER: ELFERING&ASSOCIATES i BY: ` i TITLE: yp - 1 DATE: Approved by Owner/Commission CITY OFARDEN HILLS,hIINNESOTA BY: i TITLE: i DATE: END.x1s