Pay Voucher No. 1Owner: City of Shorewood
5756 Country Club Road
Shorewood, MN 65331-8926
For Period: 4/2612016 to 813012016
Contractor: GMH Asphalt Corporation
9180 Laketown Road
Chaska, MN 56318
Pay Voucher
SHOR - 2016 Mill and Overlay Improvement Project
Client Contract No.:
Project No.: 02925-09
Client Project No.:
Pro kqSummer
I
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
$204,593.68
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
-Liquidated
$0,00
11
Damages
$0.00
1-2
AMOUNT DUE THIS PAY VOUCHER NO. 1
$194,364.001
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:
58-&-AAS clates, Inc.
Approve pprove y Contract
G halt Co a on
v-
Specified Contract Completion Date:
15/2016
Comment:
Construction Observer
Project Material Status
Item
No.
Item
I
Description
I
Units
I
Unit Price
I
I contract
Quantity
I Quantity
to Date
I Current
Quantity
Amount to
Date
SCHEDULE
...._,1....
A. - SURFACE IMPROVEMENTS
1
2021.501
IMOBILIZATION
LS
1$6,100-00
1
1
1
$6,100.00
2
2104.501
REMOVE BITUMINOUS CURB
L
1 $1.50
120
118
118
$177.00
3
2104.505
REMOVE CONCRETE DRIVEWAY PAVEMENT
S
1 $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
2104.509
REMOVE CASTING
EACH
$200.00
2
0
0
$0.00
7
2104.5111
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
$3,817.50
9
2104.601
REMOVE & REPLACE CONCRETE CURB & GUTTER
L F
1 $28.45
910
1005
1005
$28,59225
10
2104.602
SALVAGE AND REINSTALL MAIL BOX
EACH
$120.00
10
0,
0
$0.00
11
2105.523
COMMON BORROW (LV)
C Y
$20.00
10
20
20
$400=
12
2105.603
MINOR GRADING
S Y
$3.00
70
0
0
$0.00
13
2123.610
STREET SWEEPER (WITH PICKUP BROOM)
HOUR
$1.00
10
11
11,
$11.00
14
2231.501
BITUMINOUS PATCHING MIXTURE
,
$100.00
10
55.84
55.84
$5,584.00
15
2232.501
----TON
MILL BITUMINOUS SURFACE
S
$1.10
9000-
76-0-9
7909
$8,699.90*
16
2331.601
JOINT ADHESIVE -MASTIC
L
$0.60
9100
3140
3146--j-1,884.00
17
2357.502,
BITUMINOUS MATERIAL FOR TACK COAT
GAL
$2.80
1310
850,
850
$2,380.00
18
2360.501 ITYPE
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
$166.00
24
30
30
$4,950.00
22
2504,602
ADJUST GATE VALVE
EACH
$270.00
5
61
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 11
-
C Y
$180.00
0.5
1.4.
1.4
$252.00
2531.501
C ONCRETE CURB& GUTTER DESIGN 8618
$19.95
140
154
154
$3,072.30
29
2531.50716"
_LF
CONCRETE DRIVEWAY PA V E M E NT
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,
$720.0_0
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
$11.601
500
326
326
$3,781.60
Totals For SCHEDULE A. - SURFACE IMPROVEMENTS:
$204,693.68
----- ----- Project Totals:
$204,593,6.8
Project Payment Status
Owner: City of Shorewood
Client Project No.:
Client Contract No.:
Project No.: 02925-09
Contractor: GIVIH Asphalt Corporation
Contract Chan es
No. Type Date Description
Change Order Totals: 1 -$0-00
Payment Summary
--7
No. From
From
To Date
T
Payment
Total
Payment
Retainage Per
Payment
Total
Retainage
Total Payment +
Retainage
Work Certified
Per Payment
Total Work
Certified
1 14/25/201618/30120161$194,364.00
$194,364.00
$10,229.68
$10,229.68
$204,593.68
$204,593.68
$204,593.68
Payment Totals:
$194,364.00
$10,229.68
$204,593.68
$204,593.68
Project Summary
Material On Hand:
Total Payment to Date:
Total Retainage:
Total Amount Earned:
$0.00
$194,364.00 Original Contract:
$10,229.68 Contract Changes:
$204,593.68 Revised Contract: