Pay Voucher Owner: City of Shorewood Date: 8/30/2016
5755 Country Club Road
s Shorewood,MN 55331-8926
For Period:4/25/2016 to 813012016 Request No.: 1
WSB Contractor: GMH Asphalt Corporation
9180 Laketown Road
Chaska,MN 55318
Pay Voucher
SHOR-2016 Mill and Overlay Improvement Project
Client Contract No.:
Project No.:02925-09
Client Project No.:
Prolect Summary
1 Original Contract Amount $217,971.50
2 Contract Changes-Addition $0.00
3 Contract Changes-Deduction $0.00
4 Revised Contract Amount $217,971.50
5 Value Completed to Date $204,593.66
6 Material on Hand $0.00
7 Amount Earned $204,593.68
8 Less Retainage 5% $10,229.68
9 Subtotal $194,364.00
10 Less Amount Paid Previously $0.00
E11 Liquidated Damages $0.00
12 AMOUNT DUE THIS PAY VOUCHER NO. 1 $194,364.00
THIS IS TO CERTIFY THAT THE ITEMS OF WORK SHOWN IN THIS CERTIFICATE OF PARTIAL PAYMENT HAVE BEEN
ACTUALLY FINISHED FOR THE WORK COMPRISING THE ABOVE MENTIONED PROJECTS IN ACCORDANCE WITH THE
PLANS AND SPECIFICATIONS HERETOFORE APPROVED.
Recommended for Approval by: Construction Observer.
WS I soclates,Inc.
Approve y Contract ved y w
G halt C o a on Ity f raw
1
Specified Contract Completion Date: Date: `
8/15/2016 ) ),
Comment:
d
Project Material Status
Item Item Description Units Unit Price Contract Quantity Current Amount to
No. Quantity to Date Quantity Date
SCHEDULE A.-SURFACE IMPROVEMENTS
1 2021.501 MOBILIZATION LS $6,100.00 1 1 1 $6,100.00
2 2104.501 REMOVE BITUMINOUS CURB L F $1.50 120 118 118 $177.00
3 2104.505 REMOVE CONCRETE DRIVEWAY PAVEMENT S Y $12.00 10 0 0 $0.00
4 2104.505 REMOVE BITUMINOUS DRIVEWAY PAVEMENT S Y $4.00 80 147.1 147.1 $588,40
5 2104.505 REMOVE BITUMINOUS PAVEMENT S Y $4.00 70 116.6 116.6 $466.40
6 21D4.509 REMOVE CASTING EACH $200.00 2 0 0 $0.00
7 2104.511 SAWING CONCRETE PAVEMENT(FULL DEPTH) L F $5.00 20 0 0 $0.00
8 2104.513 SAWING BITUMINOUS PAVEMENT(FULL DEPTH) L F $2.50 200 1527 1527 $3,617.50
9 2104.601 REMOVE&REPLACE CONCRETE CURB&GUTTER L F $28.45 910 1005 1005 $28,592.25
10 2104.602 SALVAGE AND REINSTALL MAIL BOX EACH $120.00 10 D 0 $0.00
11 2105.523 COMMON BORROW(LV) C Y $20.00 10 20 20 $400,00
12 2105.603 MINOR GRADING S Y $3.00 70 0 0 $0.00
13 2123.610 STREET SWEEPER(WITH PICKUP BROOM) HOURI $1.00 10 11 11 $11.00
14 2231.501 BITUMINOUS PATCHING MIXTURE TON $100.00 10 55.84 55.64 $5,584.00
15 2232.501 WILL BITUMINOUS SURFACE S Y $1.10 9000 7909 7909 $8,699.90
16 2331.501 JOINT ADHESIVE-MASTIC L F $0,60 9100 3140 3140 $1,884.00
17 2357.502 BITUMINOUS MATERIAL FOR TACK COAT GAL $2.80 1310 850 850 $2,380.00
18 2360.501 TYPE SP 9.5 WEARING COURSE MIX(2,B) TON $61.05 2030 1742.79 1742.79 $106,397.33
19 2360.503 TYPE SP 9.5 WEARING COURSE MIX(2,B)3.0"THICK S Y $35.00 80 147.1 147.1 $5,148.50
20 2360.601 BITUMINOUS SPILLWAY EACH $250.00 1 3 3 $750,00
21 2503.602 CHIMNEY SEALS(EXTERNAL) EACH $165.00 24 30 30 $4,950.00
22 2504,602 ADJUST GATE VALVE EACH $270.00 5 6 6 $1,620.00
23 2506.516 CASTING ASSEMBLY EACH $700.00 2 0 0 $0.00
24 2506.522 ADJUST FRAME&RING CASTING EACH $500.00 12 18 18 $9,000.00
25 2506.522 ADJUST FRAME&RING CASTING(STORM) EACH $315.00 8 8 8 $2,520.00
26 2506.602 ADJUST FRAME&RING CASTING(SPECIAL) EACH $475.00 12 6 6 $2,850,00
27 2511.501 RANDOM RIPRAP CLASS 1I C Y $180.00 0.5 1.4 1.4 $252.00
28 2531.501 CONCRETE CURB&GUTTER DESIGN 8618 L F $19.95 140 154 154 $3,072.30
29 2531.507 6"CONCRETE DRIVEWAY PAVEMENT S Y $75.95 10 0 0 $0.00
30 2535.501 BITUMINOUS CURB L F $6.50 120 151 151 $981.50
31 2557.602 REPAIR DOG FENCE EACH $90.00 5 8 8 $720.00
32 2563.601 TRAFFIC CONTROL LS $2,500.00 1 1 1 $2,500.00
33 2573.530 STORM DRAIN INLET PROTECTION EACH $150.00 9 9 9 $1,350.00
34 2575.505 SODDING TYPE LAWN S Y $11.60 500 326 326 $3,781,60
Totals For SCHEDULE A.-SURFACE IMPROVEMENTS: $204,593,68
Project Totals:1$204,693.618
f
I
Project Payment Status
Owner:City of Shorewood j
Client Project No.:
Client Contract No.:
Project No.:02925-09
Contractor:GMH Asphalt Corporation
6
Contract Chan es
No. IType I Date IDescription Amount
Change Order Totals: $0.00
Pa ment Summary
No. From To Date Payment Total Retainage Per Total Total Payment+ Work Certified !$204,593.68 al Work
Date Payment Payment Retainage Retainage Per Payment tified
1 4/25/201618/30/2016$194,364.00 $194,364.00 $10,229.68 $10,229.68 $204,593.68 $204,593.68 Payment Totals: $194,364.00 $10,229.68 $204,593.68 204,593.68
Proiect Summary
Material On Hand: $0.00
Total Payment to Date: $194,364.00 Original Contract: $217,971.50
Total Retainage: $10,229.66 Contract Changes: $0.00
Total Amount Earned: $204,593.68 Revised Contract: $217,971.50