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'"
CON", II\.UCTION PAYMENT VOULIIEB
"'t
Estimate Voucher No.
7 (FINAL)
Date:
July 3, 1996
For Period Ending:
June 30, 1996
C.P. Number:
S.A.P.:
93~1, 93~3, 95~1, 95~
Class of Work: RidgemontlCreekside Street Improvements & T.H. 13/Industrial Park Storm Sewer
For:
City of Prior Lake
To:
S.M. Hentges & Sons, Inc.
650 Quaker Avenue, Suite 200, P.O. Box 69
Jordan, MN 55352
A. Original CUUuAct Amount $ 424,147.85
B. Total Additions $ 31,204.00
C. Total Deductions $ 0.00
D. Total Funds Encumbered $ 455,351.85
E. Total Value of Work Certified to Date $ 461,927.12
F. Less Retained Percentage 0 % $
G. Less Total Previous Payments $ 451,378.47
H. Approved for Payment, This Report $ 10,548.65
I.
J.
Total Payment Including This Voucher
Balance Carried Forward
APPROVALS
Pavment Breakdown
Ridgemont $5,894.70
Creekside $8,827.96
Mitchell Pond ($362.02)
Industrial Park ($3,811.99)
$
$
461,927.12
(6,575.27)
Pursuant to our field observation, as performed in accordance with our contract, we hereby certify that the materials are satisfactory and
and the work properly performed in accordance with the plans and specifications and that the total work is 100% completed as of June 11, 1996
I hereby recommend payment of the voucher.
Project Engineer Approval:
" 'l~
P:r~ER.P.E. ~
-..,.)
This is to certify that to the best of my knowledge, information, and belief, the quantities and values of work certified herein is a fair
approximate estimate for the period covered by this voucher.
!SiMo~igned by:
Contractor:
S.I11. ih'A
q/t? !qh
Date:
CITY OF PRIOR LAKE
~~JJ~.~
{Noucher Checked By 4 -
9 4 -qe,
Date
Title:
c./~? ~#.:dktJ1. ~4--
/- r 0 r.
thu l;1M/rlhd
AWrovooZ~
Author6ed Representative
q 1u/9 (,
Date
102023VH.XLS
FINAL PAYMENT ESTIMATE
NO. 7 (FINAL)
FROM: JUNE I, 1996
TO: JULY 1, 1996
CONTRACfOR: S.M. HENTGES & SONS, INC.
ADDRESS: 650 QUAKER AVENUE, SUITE 200, PO. BOX 200, JORDAN, MN 55352
OWNER: CITY OF PRIOR LAKE, MINNESOTA
PROJECf: RIDGEMONT/CREEKSIDE/INDUSTRIAL PARK STORM SEWERIT.H. 13 MITCHEL POND
COMPLETION DATE
ORIGINAL: SEPTEMBER 14, 1995
REVISED:
AMOUNT OF CONTRACf:
ORIGINAL: $ 424,147.85
REVISED: $ 455,351.85
SLoJl..I.IULE 1 0 RIDGEMONT AVENUE STREET
MOBILIZATION
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
SALVAGE AND REINSTALL SIGNS
CLEAR AND GRUB
COMMON EXCA VA TION
SUBGRADE PREPARATION 0 - 12"
MILL BITUMINOUS PAVEMENT
AGGREGATE BASE, CLASS 5
TYPE 41A, WEAR COURSE MIXTURE
TYPE 31B, BASE COURSE MIXTURE
BITUMINOUS MATERIAL FOR TACK COAT
CONCRETE CURB & Gu 1 u~.R, 8618
BITUMINOUS DRIVEWAY
CONCRETE DRIVEWAY AND APRONS
4" CONCRETE SIDEWALK
8" CONC. VALLEY Gu I u:,R
BITUMINOUS PATH
PEDESTRIAN RAMP
4" EQUlV WIDTH PAVEMENT STRIPING
ADJUST FRAME AND RING CASTING
ADJUST GATE VALVES
SILT FENCE
SODDING, LAWN & BOULEVARD
SEEDING
WOOD FIBER BLANKET
CATCH BASIN SEDIMENT BARRIER
WATER FOR DUST CONTROL
JUNIPER, 24" HT, POT
LILAC, 36" HT, POT
SUBGRADE DENSITY TEST, INPLACE
CLASS 5 GRADATION TEST
I 02023#7. XLS
LS
LS
AC
CY
RDSTA
SY
TON
TON
TON
GAL
LF
SY
SY
SF
SF
SY
EA
LF
EA
EA
LF
SY
AC
SY
EA
MGAL
EA
EA
EA
EA
0.06
2958
15.5
54
2223
455
845
236
3100
194
41
7572
104
120
2
3100
2
2
800
4283
0.3
1417
2
35
2
2
3
7,000.00
1,000.00
5,000.00
3.50
200.00
5.00
6.50
22.00
19.00
1.20
5.40
11.50
25.00
2.00
3.00
11.50
100.00
0.30
250.00
250.00
1.50
1.40
1,250.00
1.45
50.00
20.00
35.00
30.00
30.00
45.00
Page I
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
3.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
90.00
0.00
0.04
3,104.00
0.00
24.16
2,408.64
414.54
7'T1.'T1
173.00
3,244.00
391.69
7.41
7,955.00
104.10
111.11
3.00
0.00
2.00
2.00
250.00
3,960.00
0.00
0.00
2.00
30.00
4.00
4.00
3.00
2.00
1.00
7,000.00
1,000.00
200.00
10,864.00
0.00
120.80
15,656.16
9,119.88
15,161.43
207.9.>
17,517.9.>
4,504.44
185.25
15,910.00
312.30
1,277. 77
300.00
0.00
500.00
500.00
375.00
5,544.00
0.00
0.00
100.00
600.00
140.00
120.00
90.00
90.00
1.00
102-023-30
31
32
33
34
35
36
37
38
39
CLASS 5 PROCTOR TEST
CLASS 5 DENSITY TEST, INPLACE
CONC. CYLINDER COMPRESSIVE TEST
CONC. AIR ENTRAINMENT TEST
CONC. SLUMP TEST
BITUMINOUS EXTRACTION
BITUMINOUS GRADATION
BITUMINOUS AIR VOID TEST
BITUMINOUS CORE DENSITY TEST
EA
EA
EA
EA
EA
EA
EA
EA
EA
T
SCHEDULE 1.0 RlDGEMONT AVENUE STREET - TOTAL BASE BID
SCHEDULE 1.1 RlDGEMONT AVENUE ALTERNATE A
COMMON EXCAVATION - DEDUCT CY
AGGREGATE BASE, CLASS 5 - DEDUCT TON
MILLED BIT.lSALVAGE CLASS 5 - ADDITION CY
2
3
T
SCHEDULE 1.1 RlDGEMONT AVENUE ALTERNATE A - TOTAL
SCHEDm.E 20 RIDGEMONT AVENUE SANITARY SEWER
2
3
4
5
6
7
8
9
10
CONNECT TO EXIST. SANITARY MANHOLE
8" PVC (8' TO 10' DEEP)
8" PVC (10' TO 12' DEEP)
8" PVC (12' TO 14' DEEP)
8" PVC (14' TO 16' DEEP)
8"x4"WYE
4" PVC SDR40 SERVICE PIPE
STANDARD MANHOLE
EXTRA DEPTH FOR MANHOLES
IN-PLACE DENSITY TEST
EA
LF
LF
LF
LF
EA
LF
EA
LF
EA
T
SCHEDULE 2.0 RlDGEMONT AVENUE SANITARY SEWER .TOTAL
SCHEDULE 3.0 RIDGEMONT AVENUE WATERMAIN
CONNECT TO EXISTING W ATERMAlN EA
8" DIP LF
6" GATE VALVE EA
FITIINGS LB
HYDRANT WI GATE VALVE EA
WATER SERVICE EA
I" WATER SERVICE PIPE LF
IN-PLACE DENSITY EA
2
3
4
5
6
7
8
T
SCI~I&.E 3.0 RlDGEMONT AVENUE WATERMAIN - TOTAL
1 CJ2CY23#7 . XLS
483
898
483
124
465
198
131
7
251
3
11.28
19
934
710
2
7
180
11
3
6
6
6
5
5
5
5
74.00
40.00
90.00
90.00
75.00
75.00
75.00
120.00
100.00
(3.50)
(6.50)
10.00
500.00
20.00
20.00
20.00
20.00
100.00
12.00
1,200.00
100.00
30.00
500.00
22.00
500.00
1.50
2,250.00
150.00
12.00
30.00
Page 2
0.00
0.00
1.00
1.00
1.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
90.00
90.00
75.00
0.00
0.00
0.00
0.00
345.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.00
3.00
5.00
5.00
5.00
5.00
5.00
5.00
5.00
0.00
0.00
152.87
1.00
124.00
465.00
123.00
131.00
8.00
295.00
3.00
11.28
11.00
1.00
853.00
1.00
490.00
2.00
8.00
215.00
3.00
74.00
120.00
450.00
450.00
375.00
375.00
375.00
600.00
500.00
110,715.22
0.00
0.00
1.528.70
1,528.70
500.00
2,480.00
9,300.00
2,460.00
2,620.00
800.00
3,540.00
3,600.00
1,128.00
330.00
26,758.00
500.00
18,766.00
500.00
735.00
4,500.00
1,200.00
2,580.00
90.00
28,871.00
lCJ2-023-30
SCHEDUI.E 4 0 RIDGEMONT AVENUE STORM SEWER
REMOVE CATCH BASIN EA
IS" RCP CLASS 5 LF
IS" FES RCP CLASS 5 EA
CATCH BASIN EA
72" MANHOLE (SUMPED) EA
RIP RAP CL 3 CY
GEOTEXTILE FABRIC, TYPE IV SY
HA YBALES EA
IN-PLACE DENSITY TEST EA
2
3
4
5
6
7
8
9
13
31.7
8
7
T
SCHEDULE 4.0 RlDGEMONT AVENUE STORM SEWER - TOTAL
2
3
4
5
6
7
8
9
10
11
12
13
14
IS
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SCHEDULE 5 0 CREEKSIDE CIRCLE STREET
MOBILIZATION
SALVAGE AND REINSTALL SIGNS
COMMON EXCA VA TION
SUBGRADE EXCAVATION
MILL BITUMINOUS PAVEMENT
SELECT GRANULAR BORROW
AGGREGATE BASE, CLASS 5
TYPE 41A, WEAR COURSE MIXTURE
TYPE 31B, BASE COURSE MIXTURE
BITUMINOUS MATERIAL FOR TACK COAT
CONCRETE CURB & Gu I u~.R, B618
REM. EX 16" BARREL, INSTALL 12" BARREL
REM. EX 24" BARREL, INSTALL 18" BARREL
ADJUST FRAME AND RING CASTING
ADJUST GATE VALVE
BITUMINOUS DRIVEWAY
CONCRETE DRIVEWAY
CATCH BASIN SEDIMENT BARRIER
WATER FOR DUST CONTROL
JUNIPER, 24" HT, POT
LILAC, 36" HT, POT
SILT FENCE
SODDING, LAWN & BOULEVARD
SUBGRADE DENSITY TEST, INPLACE
CLASS 5 GRADATION TEST
CLASS 5 PROCTOR TEST
CLASS 5 DENSITY TEST, INPLACE
CONC. CYLINDER COMPRESSIVE TEST
CONC. AIR ENTRAINMENT TEST
CONC. SLUMP TEST
BITUMINOUS EXTRACTION
BITUMINOUS GRADATION
102023#7.XLS
LS
LS
CY
CY
SY
CY
TON
TON
TON
GAL
LF
EA
EA
EA
EA
SY
SY
EA
MGAL
EA
EA
LF
SY
EA
EA
EA
EA
EA
EA
EA
EA
EA
2747
645
45
645
1686
358
665
186
2653
3
5
549
17
9
30
4
4
100
5090
3
84
500.00
25.00
350.00
1,150.00
2,750.00
50.00
2.00
5.00
30.00
3
3
3
3
4
4
7,000.00
1.000.00
3.50
5.00
5.00
5.50
7.00
22.00
19.00
1.20
5.40
500.00
500.00
250.00
250.00
11.50
25.00
50.00
20.00
35.00
30.00
1.50
1.40
30.00
45.00
74.00
40.00
90.00
90.00
75.00
75.00
75.00
Page 3
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
22.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.00
2.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
550.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
150.00
150.00
1.00
86.00
1.00
1.00
1.00
13.00
31. 70
0.00
0.00
1.00
1.00
1,247.00
433.00
25.56
0.00
1,907.94
305.46
717.23
204.00
2,619.00
1.00
1.00
5.00
2.00
794.00
54.25
0.00
10.00
0.00
3.00
0.00
6,260.00
0.00
1.00
1.00
1.00
2.00
2.00
2.00
5.00
5.00
500.00
2,150.00
350.00
1,150.00
2,750.00
650.00
63.40
0.00
0.00
7,613.40
7,000.00
1,000.00
4,364.50
2,165.00
127.80
0.00
13,355.58
6,720.12
13,627.37
244.80
14,142.60
500.00
500.00
1,250.00
500.00
9,131.00
1,356.25
0.00
200.00
0.00
90.00
0.00
8,764.00
0.00
45.00
74.00
40.00
180.00
180.00
150.00
375.00
375.00
102-023-30
33
34
BITUMINOUS AIR VOID TEST
BITUMINOUS CORE DENSITY TEST
EA
EA
T
SCHEDULE 5.0 CREEKSIDE CIRCLE STREET - TOTAL
&.n"~lIm_E 5 1 CREEKSIDE CIRCLE ALTERNATE B
2
3
COMMONEXCAVATION-DEDUCT
AGGREGATE BASE, CLASS 5 - DEDUCT
MILLED BIT.lSALVAGE CLASS 5 - ADDITION
CY
TON
CY
430
799
430
T
SCHEDULE 5.1 CREEKSIDE CIRCLE ALTERNATE B - TOTAL
SCHEDULE 6 0 CREEKSIDE CIRCLE STORM SEWER
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
REMOVE CATCH BASIN
CONNECT TO EXISTING STORM SEWER
4" TP DRAINTlLE
12" RCP CLASS 5
IS" RCP CLASS 5
18" RCP CLASS 3
IS" HDPE
15" PES RCP CLASS 5
18" PES RCP CLASS 3
15" HDPE APRON
CATCH BASIN
27" MANHOLE
STANDARD MANHOLE
72" MANHOLE (SUMPED)
HAY BALES
IN-PLACE DENSITY TEST
EA
EA
LF
LF
LF
LF
LF
EA
EA
EA
EA
EA
EA
EA
EA
EA
T
S,",~u~E 6.0 CREEKSIDE CIRCLE STORM SEWER - TOTAL
SCHEDULE 7 0 T H 13 DRAINAGE TO MITCHEU_ POND
CLEARING AC 0.64
GRUBBING AC 0.64
COMMON BORROW (CV) CY 750
TOPSOIL BORROW (LV) CY 260
SALVo & REINSTALL EX. CHAIN LINK FENCE LF 110
BITUMINOUS RESTORATION SY 53
36" RC APRON WI TRASH GUARD EA
36" RC PIPE 7.5 DEG. BENDS DES. 3006, CL III EA 7
36" RC PIPE SEWER DESIGN 3006, CL III LF 491
CONSTR. DRAIN. STRUCTURE DES. 72-4020 EA 3
72" DIAMETER MANHOLE WI SUMP EA
CONNECT TO EXISTING STORM SEWER EA
RANDOM RIP RAP CLASS III CY 278
2
3
4
5
6
7
8
9
10
11
12
13
102023#7 .XLS
4
4
120.00
100.00
(3.50)
(6.50)
10.00
731
63
375
60
113
500.00
350.00
5.00
20.00
25.00
30.00
30.00
350.00
400.00
350.00
1,150.00
850.00
1,150.00
2,750.00
5.00
30.00
2
5
2
28
7
4,500.00
4,500.00
5.50
10.00
15.00
20.00
1,750.00
750.00
70.00
2,750.00
2,750.00
500.00
60.00
Page 4
2.00
2.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
3.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
240.00
200.00
1,290.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
90.00
90.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.00
7.00
0.00
0.00
354.64
1.00
1.00
100.00
62.00
350.00
60.00
110.00
1.00
2.00
1.00
1.00
1.00
5.00
2.00
0.00
5.00
0.62
0.62
750.00
275.00
180.00
155.26
1.00
7.00
491.00
3.00
1.00
1.00
255.66
600.00
700.00
87,758.02
0.00
0.00
3.546.40
3,546.40
500.00
350.00
500.00
1,240.00
8,750.00
1,800.00
3,300.00
350.00
800.00
350.00
1,150.00
850.00
5,750.00
5,500.00
0.00
150.00
31,340.00
2,790.00
2,790.00
4,125.00
2,750.00
2,700.00
3,105.20
1,750.00
5,250.00
34,370.00
8,250.00
2,750.00
500.00
15,339.60
102-023-30
14
IS
16
17
18
19
20
21
22
23
24
25
GROUTED RIP RAP CLASS III
GEOTEXTILE FABRIC, TYPE IV
CATCH BASIN SEDIMENT BARRIER
BITUMINOUS CURB
TRAFFIC CONTROL
BALE CHECK
SILT FENCE, HEAVY DUTY
SOD, EROSION CONTROL
SOD, LAWN & BOULEVARD
WooDFIBER BLANKET, REGULAR
SEEDING WITH MIX SOO
INPLACE DENSITY TEST
CY
SY
EA
LF
LS
EA
LF
SY
SY
SY
AC
EA
40
SO
1222
222
1222
0.52
3
T
SClu.uJLE 7.0 TH 13 DRAINAGE TO MITCHEL POND-TOTAL
SCHEDULE 8 0 INDUSTRIAL PARK STORM SEWER
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
CLEARING
GRUBBING
12" RCP STORM SEWER, CL V
12" RC APRON WI TRASH GUARD
27" DlA. MANHOLE WITH STOOL CASTING
48" DIAMETER MANHOLE
72" DlAMr. U:.K MANHOLE WITH 3' SUMP
CONSTRUCT 48" DlA. MH OVER EX. 12" PVC
CL III RANDOM RIP RAP
GEOTEXTILE FABRIC, TYPE V
CATCH BASIN SEDIMENT BARRIER
HAY BALES
SILT FENCE, HEAVY DUTY
WooDFIBER BLANKET, REGULAR
SEEDING, #SOO
INPLACE DENSITY TEST
AC
AC
LF
EA
EA
EA
EA
EA
CY
SY
EA
EA
LF
SY
AC
EA
0.11
0.11
208
2
T
SCHEDULE 8.0 INDUSTRIAL PARK STORM SEWER-TOTAL
CHANGE ORDER NO.1
DELETE S\.-J1I!.JJULE 8.0 BID, ADD SCHEDULE 8.0 REVISED
SCh~uIJLE 8 0 INDL.". ___IAI, PARK STORM SEWER CREVlSED)
CLEARING AC 0.3
GRUBBING AC 0.3
HAUL AWAY CONSTRUCTION DEBRIS CY 125
12" RCP STORM SEWER, CL V LF 200
15" RCP STORM SEWER CL V LF 40
IS" RC APRON WI TRASH GUARD EA
27" DIA. CB WITH STOOL CASTING EA
48" DIAMETER MANHOLE EA 2
2
3
4
5
6
7
8
1(11.(11.3#7 .XLS
28
222
4
50
7S.00
2.00
50.00
6.00
2,SOO.00
5.00
3.00
1.40
1.40
I.4S
1,250.00
30.00
2
7,500.00
7,SOO.00
30.00
1,000.00
850.00
1,150.00
2,7S0.00
1,250.00
75.00
2.00
SO.OO
5.00
3.00
1.50
1,250.00
30.00
S9
180
S
20
200
533
0.2
2
7,500.00
7,500.00
17.50
30.00
35.00
1,100.00
8S0.00
1,500.00
Page S
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
28.00
222.00
4.00
99.00
1.00
7.00
50.00
0.00
0.00
670.00
1.10
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.30
0.30
154.00
186.00
35.00
1.00
1.00
2.00
2,100.00
444.00
200.00
594.00
2,SOO.00
35.00
150.00
0.00
0.00
971.S0
1,375.00
0.00
94,839.30
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2,250.00
2,250.00
2,695.00
S,580.00
1,225.00
1,100.00
8S0.00
3,000.00
1(11.-023-30
~-I"II_,
- ."" ,.. - - ~
9 72" DIAMETER MANHOLE WITH 3' SUMP EA 3,250.00 0.00
10 EXTEND/CONNECT 12" PVC TO MH 3 LS 350.00 0.00
11 CL III RANDOM RIP RAP CY 4 75.00 0.00
12 GEOTEXTILE FABRIC, TYPE V SY 10 2.00 0.00
13 HAY BALES EA 20 5.00 0.00
14 SILT FENCE, HEAVY DUTY LF 70 4.00 0.00
15 WOODFIBER BLANKET, REGULAR SY 1000 1.50 0.00
16 SEEDING, #500 AC 0.2 1,250.00 0.00
17 INPLACE DENSITY TEST EA 2 30.00 0.00
T CHANGE ORDER NO.1 - SCHEDULE 8.0 IND1.J~.lAIAL PARK STORM SEWER (REVlSED)-TOTAL
CHANGE ORDER NO 2 - RIDGEMONT IillBGRADE CORRECTION
SUBCUT CY 2150 3.50
2 3" MINUS TN 4000 7.50
3 SUBGRADE PREP. STA 15.42 (200.00)
4 CONTRACTOR SHARING LS (4,500.00)
0.00 1.00 3,250.00
0.00 1.00 350.00
0.00 4.00 300.00
0.00 10.00 20.00
0.00 20.00 100.00
0.00 70.00 280.00
0.00 0.00 0.00
0.00 0.20 250.00
0.00 0.00 0.00
0.00 23,500.00
0.00 0.00 2,150.00 7,525.00
109.82 823.65 4,381.23 32,859.23
0.00 0.00 15.42 (3,084.00)
0.00 0.00 1.00 (4.500.00)
823.65 32,800.23
T CHANGE ORDER NO.2 - RIDGEMONT SUBGRADE CORRECTION-TOTAL
CHANGE ORDER NO.3 - CREEKSIDE SUBGRADE CORRECTION
3" MINUS CRUSHED LIMESTONE
0.00
TN
945
7.50
T
CHANGE ORDER NO.3. CREEKSIDE SUBGRADE CORRECTION-TOTAL
TOTAL AMOUNT TIllS PERIOD
TOTAL AMOUNT TO DATE
1 02023#7. XLS
Page 6
0.00
1,687.58
12.656.85
0.00
12,656.85
2,548.65
461,927.12
102-023-30
DESCRu: uON
SCHEDULE 1.0 RIDGEMONT AVENUE STREET - TOTAL BASE BID
SCHEDULE 1.1 RIDGEMONT AVENUE ALTERNATE A - TOTAL
SCHEDULE 2.0 RIDGEMONT AVENUE SANITARY SEWER -TOTAL
SCHEDULE 3.0 RIDGEMONT AVENUE WATERMAIN - TOTAL
SCHEDULE 4.0 RIDGEMONT AVENUE STORM SEWER - TOTAL
SCHEDULE 5.0 CREEKSIDE CIRCLE STREET - TOTAL
SCHEDULE 5.1 CREEKSIDE CIRCLE ALTERNATE B - TOTAL
SCHEDULE 6.0 CREEKSIDE CIRCLE STORM SEWER - TOTAL
SCHEDULE 7.0 TH 13 DRAINAGE TO MITCHEL POND-- TOTAL
SCHEDULE 8.0 INDUSTRIAL PARK STORM SEWER--TOTAL
CHANGE ORDER NO. I - SCHEDULE 8.0 INDUSTRIAL PARK STORM SEWER (REVISED)--TOTAL
CHANGE ORDER NO.2 - RIDGEMONT SUBGRADE CORRECTION-- TOTAL
TOTAL mIS PERIOD
CHANGE ORDER NO.3 - CREEKSIDE SUBGRADE CORRECTlON-- TOTAL
345.00
0.00
0.00
0.00
0.00
1,290.00
0.00
90.00
0.00
0.00
0.00
823.65
0.00
TOTAL TO DATE
110,715.22
1,528.70
26,758.00
28,871.00
7,613.40
87,758.02
3,546.40
31,340.00
94,839.30
0.00
23,500.00
32,800.23
12,656.85
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I 02023#7. XLS
Page 7
102-023-30
Project
RidgemontlCreekside Street Improvements
& TH 13/lndustrial Park Storm Sewer
Prior Lake
Date
Project No
07/09/96
102-23-30
Client
1 Pay Est 1 Pay Est 2 Pay Est 3 Pay Est 4 Pay Est 6 Pay Est 6 Pay Est 7 Totals
~
~ Rldgemont 70,442.40 112,632.57 9,582.75 (666.00) 3,408.70 \ 11,717.48 1,168.65 $208,286.55
Creekside 0.00 41,377.00 36,158.73 31,263.37 7,706.10 17,416.07 1,380.00 $135,301.27
o Mitchell Pond 8,550.00 70,519.00 7,745.70 7,989.60 35.00 0.00 0.00 $94,839.30
-:t Industrial Park 0.00 0.00 0.00 0.00 23,440.00 60.00 0.00 $23,500.00
Retained 3,949.62 11 ,226.43 2,674.36 1,929.35 1,729.49 (13,509.25) (8,000.00) $0.00
Amount earned $78,992.40 $224,528.57 $53,487.18 $38,586.97 $34,589.80 $29,193.55 $2,548.65 $461,927.12
! Amount paid
_ Ridgemont 66,920.28 107,000.94 9,103.61 (632.70) 3,238.27 16,761.45 5,894.70 $208,286.55
~ Creekside 0.00 39,308.15 34,350.79 29,700.20 7,320.79 15,793.38 8,827.96 $135,301.27
~ Mitchell Pond 8,122.50 66,993.05 7,358.42 7,590.12 33.25 5,103.98 (362.02) $94,839.30
Industrial Park 0.00 0.00 0.00 0.00 22,268.00 5,943.99 (3,811.99) $23,500.00
~Amount Due $75,042.78 $213,302.14 $50,812.82 $36,657.62 $32,860.31 $42,702.80 $10,548.65 $461,927.12
l
qr#'-
"
~
..\~\
~ "
AUI~09-1996 16:03
P.02/03
CERIU-ICATE OF SUBSTANTIAL COMPLETION
O~~.K's Project No. .93-01. 93-03. 95-01. & 95-Q2
ENGnrnER's Projca No. 102-021-~
Project
Ridgemont A venneJCreelaide Cirele Street TntPfOvemenh and Tmnk Hi,hway
13/1ndustrial Park StUUII Sewer L..~. ,-,vements
CONTRACTOR S M. Hentges &: Sons Inc.
CVULUlct For Ridff':mnnt A venlle/C~1cJ:iQe Cirele Street Impmve~'Ots and TnmIc High U ~!
13I1ndu~l.L:al Park StU&lll Sewer ImproVemfmLf&.
Co.~e&Ct Date June lQ 1~
This ~tillcate of Substantial Completion applies to all W Oft under the Contract Documenrs or
to the following specified parts thereof:
To -.CiJv of Prior 1 ",lee, Minnesota
OWNBR
And To S M 5emges & ~ns Inc.
CON1'RACTOk
Tl1e Wark to which tbis Ce&.Lif~te applies bag b~"'1I inspected by authorized representatives of
OWl'lbJ.{,. CONTRAl: 1 OR9 and ENG~btu{, and that Work: is hereby declared to be substRntiJllly
complete in accordance with the Contract Documents on
July 1 r 19C)6
DATE OF SUBSTAlmAL COMPlBl'ION
A tmtative list of items to be cu~leted or corrected is attached l..,;~wW. ThiBlist may not be aU-
inclusive, and the failure to iDtlude an item in it does not alter the responsibility of
COl't l.l'iACTOR to complete all the wort: in accordance with the Contract Docum~. The items
in the ~~ Ie list shall be completed or corrected by CO~ 1 t<ACTOR within.JL days of tile
above date of Snbstantial Completion
EJeDC No. 1910-8-D (1983 Edition)
Pr~ by the ~. .IcJW CauIBct Dal:aJmelllll CammitJl:c aad aabsaIl'Y The AssadDd Galen) CDIaIcrlln cl AJaMrica.
j :\cL-:....J\ l02\wordpaf\l Q2..023.~
102-023-30
AUG-09-1':39b 16; 1213
F. 83.< 03
The responsibilities between OWNER and CO~ 1 KACfOR for security! operation, safety,
maintenance, beal, utilities, insurance and w8J.1'anties sbaIl be as follows;
RESPONSIBfu! 1.05:
OWNER
The Owner as~um~ responsibilitY fOT operation and maintelJan~ of tb.c
imnrovfl!tt1.. "~~""
co~ lltACTOR
The Co....:....r.Ctor shan be Te~n~ible for allY ~~ nf fai.ure for the above
~jlities other 11mn which ~ be anribumble to nOUJ1~tl wea~ and ~r.
The following documents are attached to and made a part of this Certificate:
This ~..~ficare does not constitute an acceptaOCe of Wark not in accordance with the Contract
Documenrs nor is it a release of COl'll.t<ACTORtg obligation to complete the Work in accordance
with the Contract Documents.
ExccutedbYENGINEEROn~~q .19~.
MSA Consulti~ Ellii~m
BY~~'
COlt( lttACTOR accepts this certi:ticare of Substantial Completion on
, 19~.
CIP Jie ~:jJ-
/ I
OWNER accepts . ~L:ficate of Substantial Completion on _ q - 4
_, 19-2ti..
CibLQfPrior T.SI~ Minn~ot:a
BY ~L. ';."~~ )~. E -
j:\cleriul\l02\ Ilj,~.';'.erf\l02-023.c.se
102-023-30
TOTAL P, 03
r
e:ONSENT OF
SURt I Y COMPANY
TO FINAL PAYMENT
AlA DOCUMENT G707
owNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
o
o
o
o
PROJECT: Ridgemont Avenue/Creekside Circle Street Improvements and Trunk Highway 13
(name, address) Indus trial Park Storm Sewer Improvements
City..of Prior Lake, MN
TO (Owner)
r
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
L
CONTRACTOR:
S.M. Hentges & Sons, Inc.
I ARCHITECT'S PROJECT NO:
CONTRACT F<6~~: $424,147 . 85
FCP: $461,927.12
..J CONTRACT DATE:
6-19-95
{here insert rume and address of Surety Company}
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
Hartford Fire Insurance Company
.Hartford Plaza
Hartford, CT 06115
, SURElY COMPANY,
on bond of there insert name and address of Contractor)
S.M. Hentges & Sons, In~.
P.O. Box 69
Jordan, MN 55352
, CONTRACTOR,
to the Contractor shall not
hereby approves of the final payment to the Contractor, and agrees that final payment
relieve the Surety Company of any of its obligations to (here insert name and address of Owner)
City of Prior Lake
16200 Eagle Creek Ave. SE
Prior Lake, MN 55372
as set forth in the said Surety Company's bond.
IN ~ITNESS WHEREOF,
the Surety Company has hereunto set its hand this
~
(Seal) :
, OWNER,
13th
day of
August
19 96 .
Hartford Fire Insurance ~ny
Surety Company
. ~( ? c.JOI;J~
Signature of Jtrothorized Representative
Nina E. Werstein
Attorney-in- Fact
Title
NOTE: This form is to be used as a companion document to AlA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND
CLAIMS, (urrent Edition '
AlA DOCUMENT C707. CONSENT OF SURETY COMPANY TO FINAL PAYMENT. APRil 1970 EDITION · AlAS
CC 1970. THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
ONE PAGE
. .-
: f"
ACKNOWLEDGMENT OF SURETY
,TATE OF
COUNTY OF
Minnesota
Hennepin
55. :
On this 13th day of August .intheyear1996 ,before me
personally comers) Nina E. We rs tein
Attorney (SHn.Fact of Hartford Fire Insurance Comoanv with whom I am personally acquainted,
and who, being by me duly sworn, says that he reside(s) in ~finnetonk~. MN
that he is (are) the Attorney(s)-in-Fact of Hartford Fire InsuranC'e r.nm!1::lny , the
company described in and which executed the within instrument; that he know(s) the corporate seal of such Company; and
that the s~.a.1 affixed to the within instrument is such corporate seal and that it was affixed by order of the Board of Directors
of said Company, and that he signed said instrument as AttorneyCs).in-Fact of the said Company by like order.
.~<<"~ "KATHY M. WARNER J ~/ rtf. til2 Mlt1
\ NOTARY fl'UlJUC.-MNNUOrA I NOTARY PUBLIC
. "" ,,' MY COU"'SSION EXPIRES ,-at... .
F.97J3-8/81 _...; ................,..
~
I .-n. " "",no.., I-In.~ "'''''UI'V'\.''vC ,",V IV.,... Jo\rt T
",4
Hartford, ConnKtlcut
POWER OF ATTORNEY
Know .a men by .... PNMntI, That the HARTFORD FIRE INSURANCE COMPAHY, . corpcntion duly organized
&ftMr the laws of the sa. of ComecIIcut. and hIIVing Ita principIII office In the City of Hartford, County of Hartford, State of Connec:ticut.
does hereby make. conatitute Met appoint
THOMAS G. ~ scorr D. D~ ELDON Hf. OLDRE, NINA E. ~JJ.u~
.AImlURJ. DOllDEL IUId C4ROL WElbu..... of MlNNETO~ MINNESOTA
Ita true n lawful Aaamey(a)-in-F1lCt. wiIh fuI power and authority to each of Aid AIlomey(.)-in-F8d. In their ...... CIIpICity If mare
than one is named above. to Iign. aecute and acknowledge atrt Ind II banda n ~ Ind OCher wrtIIngs ~, In the
NIbn thentof on beh8If of the Comp8ny in .. buIinea of guaw"'lg the ftdeIIty 01 peqona holding places of pubic << private tnI8t;
gu8IaIl1eeing the perfonMnce of c:annctI other thM inIurance poI..~., .. guaranteeing the perfonnIf~ of NurancIt conhdI where
surety bonds 1ft accepted by atates Met munidpalties. n executing or gu8I1II1Ieeing bonds and undertakinga ntq'*-d << permitted In
aD adiona or pIOCMdinga or by law allowed, and to bind the HARTFORD FIRE INSURANCE COMPANY thereby .. fuIy and to the
same l.. .. ,.. . ,1 as if auc:h bonds and undertakings and other writings obligatory In the nature thereof were signed by an Executive Officer of
the HARTFORD FIRE INSURANCE COMPANY 8nd sealed and attested by one other of such Officers. and hereby ratifies and confirms
all that its said Attomey(s)-in-Fact may do in pursuence hereof.
This power of attorney is grard8d by .xi under authority of the following provisions:
(1) By-Laws adopted by the StocIchaAderI of the HARTFORD FIRE INSURANCE COMPANY at. meeting duly called and held on
the 9th day of March. 1971.
ARTICLE N
secnON 8. The Pr8IIdent or .., ~ ICIIng WII\ IIf'/ Sec:Ntwy or AIIiIt8nt Sec:rItary. ..... ... polRr and auIhorily to IPPOint. far
pUIpOMI onty of eucuting and all:8IIIng bondI and u..~ttaldl~ Ind oaw wrtIingI obIigIIDry In the Mbn ...,.. one or men ~ Vk:II
PreIidInIa. Resident AuiItant Sec:nttaries ... ~8Ct and lit IIT'I time ID rwncMt IIT'I such Re8idert ~ R8sident AaiItant
s.a.e.y, or ~ and rftoU the power and IUthOrily giYIn ID tWn.
SECTlON 11. ~8Ct .... ... power and 8UIhorIy. sutlject ID the IItrma and IimibItionI of the power of IUDmey iIIuId to them, to
eucuc. and deliver on bIhd ft the ~ Ind to dIlctI the .... d the CompIny theNID IIf'IInd II bonds and wldettllcillg&. and oIher wrItinga
GbIigIIDry In the nan ......,. and IIT'I such inIIrument.-aDd by IIT'I such ~.c:t sh8I be - binding .... the Company _ If Ii;ned by III
ex.c::utive 0C'ficer lInG IeIJId and III8IIIId by CInI aItIer of such 0ftk::erI.
. ..--~,-.._...".. _..'~.... ....-- ."'.... --.-
This power-Of ~ is Signed Dei. ..8i;d -by f8c:IinWe WIder 8I1d by the IUIhority of the foIawing Resolution Ildopted by the
Oiredors of the HARTFORD FIRE INSURANCE COMPANY at. meeting duly called and held on.the 1211I day of Fttbr.-y. 1993-
ReIaIved. ... .. ....... d IUCtt ~ IIId .. .... ~ .. ~ .., be ..... ID ." IUCtt poIIa" ~ IIIIlIrww, orlD ." ClIrIlIIcIlIe fWIIIIIng ... ~
..... Ind .., 8UCft .' , . aI ...., or ~ ..... 8UCft fIlcIIinliIe ....... or....... .... ... be WIld Ind binding upan .. eomp.n, Ind ." u:tI ..... .0
..... Ind C*tIIed a., iIc:IlI* ....... tnd IIcIirIlIa .... ... be ... ... bIdnQ ... .. eomp.w, n .. .... wlIll'llPlCllD art tland t/I WIdIItIIIdnCIID wtlidl . II
IIIIIIl:tIId.
In Witneu Whereof. the HARTFORD FIRE INSURANCE COMPANY has caused these presents to be signed by its Va-
President. and its....... ...te seal to be [ ';,.:i. affixed. duly attested by its Secretary, thil1st day ofMlly. 1995.
HAft. rORD FIRE INSURANCE COMPANY
AUMt:
~tf)L~-(l' ~. ..... ~
- Aictwd R.llMnlillloQ. ..... . ~JJ.. ~ /~
.' s.c.w.y ._~ . . ~~"H.
STATE OF CONNECTICUT I.... .
Paul L Marabella
COUNTY OF HARTFORD VICe-President
On this 1st day of May. A.D. 1995, before me personally came Paul L. Marabella, to me known. who L .::.,. by me duly sworn. did depose
and say: that he resides in the County of Hartford. State of Connecticut that he is the VICe-President of the ~ I rORD FIRE
INSURANCE COMPANY. the corporation desaibed in and which executed the above instrument that he knows the seal of the said
corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Di. ",~.....a. of
sai~ corporation and that he signed his name thereto by 6ke order.
STATE OF CONNECTICUT !:g"';;:.~
... · -..uc ·
COUNTY OF HARTFORD ~
Y-- #.~7.~~,~./
NtJaIy AIbIic
My C" ',' , 1:".' .... 30. 1188
~. .....cATE
I, the undersigned, Se......Wy of the HAr\ I rORO FIRE INSURANCE COMPANY. a Connec:tk:ut Corporation. 00 HEREBY
CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked; and fwth." ..1'8. that .
the, Resolutions of the Board of Directors, set forth in the Power of AIlDmey, are now in 1.,. .....
Signed and sealed at the City of Hartford.
13th
day of
August 19 96
Dated the
e,~
. .
~~
Pif L W-
Aabeft L POll
SKrIfaty
FOIWs.3507.' (BF) L:"...JiDU.s.A.
COl't 1 KACTORrS ArrWA vrr
Stan: of M1.u~ta
Dan:: August 8, J 99~
The COWM.f of Scot t
The City of
Jordan
of S. M. Hen t.~~ {.. Sons, Inc.
(ContractOr~ s name)
Street & stqrm sewer improvements on
has [U4.Jshed an labor ~ ~,,~ entering into the RidSJemont/Creekside/TH 13 In~. Park Storm
Sewer
Jeanette M. Hentges, Vice-President
(O(f~ts ~ and title)
i:'4Vje:: for the City of Prior Lake
(Qwncr)... .
Jeanette M. Hentoes scm:s kJ1er tbar he has fu1l knowI~ orall obligations
(Qffic::rts name) .. . -.'-.- _ .
for ",c.o-:. labor and ma..aw...:a1s w!ri:h Qave ~~ into me! L"-Uwe pan of that c.. wAin ~l.ujec:
kI1crwn and des~ above. and 1:= furJ1:r disposes and says that: an debt5 .~ other obligations
for such iabor 2lld materials have ~ fully and wW:Jletely paid for in' goOd and !G w ~w1 mot1CY
of the U~w:-: States or .~.~ ~ :Oat there a.r: no O)~~ rUJ. da.mages.. ~~~~ ~~ ~I.~,aa ~~.
:JI. w~~_~~ we or om.... wis:~ In ..ya:a~ of:heir ope:arions on the abov:. ~.d p~je-=.
The said Contractor, S. M. Hentges & Sons, Inc. will hold the Owners. the City
of Prior Lake biameiess of ~ and all Mtr...hanic "s Liens thaI mav be
'.. 4
h.;..~ emered or filed for I.___~L~ so as tc _v~~u.","" charge ~aaiDst said p...~es for work or
iabor done or ~ furnished by tl1em..
:~Hl::~~OF. heh2s~.~forcputd:;~.~
$J. ~C='S DaIDe) ( J:{ &.f4:.J
L Jean Schneider , Nowy Public in ami for the above na~ Coum;y
and State do hw~by c-.~ that Jeanette M. Hentqes ~omIly known to me
to be tbe a.ffiaDt in the fuA._~~:..z afu~m.. U\o..4.)\.I~V 4.~..,ear::d before me tbis day ~ and.. bavi:a2:
~... . ", - - ....
bef:n dIll}" SWO~ deposes and say that tlle facts set fUlL.il in the atx:>.:'!! ~idavit a..--e tIUe ~
CO!..L -;.ct.
v, 111'iESS my ~ and se31 tbis ~ day of ~'~f-
-~. :. ~.:-. ':"~ "19.2..6
my ~UJW' .~ion lw.A~~~ January 31, iooo
1:'Ci' ~(:'1 . -
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RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS
Auaust 8. 1996
The undersigned hereby acknowledge receipt of the sum of
$ 451.378.47
CHECK ONLY ONE
1)
as partial payment for labor, skill and material
furnished on project)
x
2)
as payment for all labor, skill and material furnished
or to be furnished (except the sum of 10,548.65
retainage or holdback)
3)
as full and final payment for all . labor , skill and
material furnished to the following
described real property: (legal description, street
address or project name):
All materials delivered to Ridaemont/Creekside street Imorovements
TH 13/Industrial Park Storem Sewer through 8-8-96 which is
city of Prior Lake Pay Request No. 7/FINAL and pays in full the
following materials:
Invoice Nos:
and for value received hereby waives all rights acquired by the
undersigned to file or record mechanic's liens against said real
property for labor, skill or material furnished to said real
property (only for the amount paid if Box 1 is checked, and except
for retainage shown if Box 2 is checked). The undersigned affirms
that all material furnished by the undersigned has been paid for,
and all subcontractors employed by the undersigned have been paid
in full, EXCEPT: .
PLEASE SIGN AND RETU
NOTE: If this instrument is
executed by a corporation, it
must be signed by an officer,
and if executed by a par~ner-
ship, it must be signed by a
partner.
IA r#f!tfLj
.. U..ct ~,.~
Company Name
S.M. HENTGES AND SONS, INC.
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