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Pay Voucher No. 3
Pay Voucher Page 1 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project 02925-16-SHOR-2016 Water Main Extension Project WSI? Pay Voucher No. 3 Contractor: Widmer Construction, LLC Contract No. 9455 County Road 15 Vendor No. Maple Plain, MN 55359 For Period: 12/1/2016-2/21/2017 Warrant# Date Contract Amounts Funds Encumbered Original Contract $1,102,856.13 Original $1,102,856.13 Contract Changes $29,087.36 Additional N/A Revised Contract $1,131,943.49 Total $1,102,856.13 Work Certified To Date Base Bid Items $568,806.74 Backsheet $0.00 Change Order $28,725.48 Supplemental Agreement $0.00 Work Order $0.00 Material On Hand $0.00 Total $597,532.22 Work Certified Work Certified Less Amount Less Previous Amount Paid Total Amount This Pay Voucher To Date Retained Payments This Pay Voucher Paid To Date 02925-16 $41,461.97 $597,532.22 $29,876.61 $528,266.74 $39,388.87 $567,655.61 Percent Retained: 5% Percent Complete: 52.7882% Amount Paid This Pay Voucher $39,388.87 This is to certify that the items of work shown in this certificate of Pay Voucher have been actually furnished for the work comprising the above mentioned projects in accordance with the plans and specifications heretofore approved. Approved B A Approved By Widmer Construction, LLC Project Engineer — - Contra6tor Date Date City of Shor ood, Date Pay Voucher Page 2 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 029250/6 Payment Summary No. From Date To Date Work Certified Amount Retained Amount Paid Per Pay Voucher Per Pay Voucher Per Pay Voucher 1 09/26/2016 11/08/2016 $461,796.69 $23,089.83 $438,706.86 2 11/09/2016 11/3012016 $94,273.56 $4,713.68 $89,559.88 3 12/01/2016 02/21/2017 $41,461.97 $2,073.10 $39,388.87 Totals: $597,532.22 $29,876.61 $567,655.61 02925-16 Funding Category Report Funding Work Less Less Amount Paid Total Category Certified Amount Previous This Amount Paid No. To Date Retained Payments Pay Voucher To Date UNF 597,532.21 29,876.61 528,266.74 39,388.87 567,655.60 Totals: $597,532.21 $29,876.61 $528,266.74 $39,388.87 $567,655.60 02925®16 Funding Source Report Accounting Funding Amount Paid Revised Funds Paid To No. Source This Contract Encumbered Contractor Pay Voucher Amount To Date To Date UNF Unfunded 39,388.87 1,131,943.49 1,102,856.13 567,655.60 Totals: $39,388.87 $1,131,943.49 $1,102,856.13 $567,655.60 Pay `Toucher Page 3 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925-16 Project Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher SCHEDULE A-WATERMAIN IMPROVEMENTS 1 2021.501 MOBILIZATION LS $14,000.00 1 0.25 $3,500.00 0.5 $7,000.00 2 2104.501 REMOVE WATER MAIN L F $6.00 100 0 $0.00 14 $84.00 3 2104.509 REMOVE GATE EACH $100.00 1 0 $0.00 0 $0.00 VALVE& BOX 4 2451.509 AGGREGATE C Y $0.01 200 0 $0.00 0 $0.00 BEDDING(CV) TELEVISE 5 2503.603 SANITARY L F $2.00 2210 1682 $3,364.00 1682 $3,364.00 SEWER 24"STEEL 6 2503.603 CASING PIPE L F $432.00 200 0 $0.00 0 $0.00 (JACKED) 7 2503.608 DUCTILE IRON LB $4.00 7000 0 $0.00 3316.5 $13,266.00 FITTINGS 8 2504.602 RECONNECT EACH $500.00 2 0 $0.00 0 $0.00 WATER SERVICE CONNECT TO 9 2504.602 EXISTING EACH $8,500.00 1 0 $0.00 1 $8,500.00 WATER MAIN 10 2504.602 HYDRANT EACH $3,207.00 9 0 $0.00 6 $19,242.00 1" 11 2504.602 CORPORATION EACH $396.00 33 0 $0.00 24 $9,504.00 STOP 12 2504.602 6"GATE VALVE EACH $1,198.00 9 0 $0.00 5 $5,990.00 & BOX 13 2504.602 8"GATE VALVE EACH $1,632.00 3 0 $0.00 4 $6,528.00 & BOX 14 2504.602 12"GATE VALVE EACH $2,802.00 5 0 $0.00 4 $11,208.00 & BOX 15 2504.602 16"GATE VALVE EACH $8,038.00 2 0 $0.00 2 $16,076.00 & BOX 16 2504.602 1 XURB STOP& EACH $466.00 33 0 $0.00 24 $11,184.00 17 2504.603 1"TYPE K L F $28.60 700 0 $0.00 667 $19,076.20 COPPER PIPE "6"WATERMAIN 18 2504.603 DUCTILE IRON L F $36.79 150 0 $0.00 89 $3,274.31 CL 52 W/POLY WRAP" "8"WATERMAIN 19 2504.603 DUCTILE IRON L F $43.00 140 0 $0.00 108 $4,644.00 CL 52 W/POLY WRAP" "10"WATERMAIN 20 2504.603 DUCTILE IRON L F $49.45 30 0 $0.00 0 $0.00 CL 52 W/POLY WRAP" Pay Voucher Page 4 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925-16 Project Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher 12"WATERMAIN 21 2504.603 DUCTILE IRON CL L F $56.45 2600 0 $0.00 1481 $83,602.45 52 W/POLY WRAP "16"WATERMAIN 22 2504.603 DUCTILE IRON L F $64.25 920 0 $0.00 901 $57,889.25 CL 50 W/POLY WRAP' 1"TYPE K 23 2504.603 COPPER L F $60.00 230 0 $0.00 0 $0.00 SERVICE (BORED) 4" 24 2504.604 POLYSTYRENE S Y $31.50 100 0 $0.00 17.8 $560.70 INSULATION Totals For Section SCHEDULE A-WATERMAIN IMPROVEMENTS: 1 $6,864.001 1 $280,992.91 SCHEDULER-SURFACEIMPROVEMENTS 25 2021.501 MOBILIZATION LS $17,250.00 1 0.5 $8,625.00 0.5 $8,625.00 26 2101.501 CLEARING ACRE $4,080.00 0.6 0 $0.00 0.1 $408.00 27 2101.502 CLEARING TREE $1,020.00 5 0 $0.00 10 $10,200.00 28 2101.506 GRUBBING ACRE $4,080.00 0.6 0 $0.00 0 $0.00 29 2101.507 GRUBBING TREE $612.00 5 0 $0.00 3 $1,836.00 REMOVE 30 2104.503 CONCRETE S F $6.50 20 0 $0.00 0 $0.00 WALK REMOVE 31 2104.505 CONCRETE S Y $6.50 30 0 $0.00 0 $0.00 DRIVEWAY PAVEMENT REMOVE 32 2104.505 BITUMINOUS S Y $4.05 440 0 $0.00 279.8 $1,133.19 DRIVEWAY PAVEMENT REMOVE 33 2104.505 BITUMINOUS S Y $2.10 8100 0 $0.00 7631.6 $16,026.36 PAVEMENT 34 2104.509 REMOVE SIGN EACH $25.50 10 0 $0.00 0 $0.00 35 2104.509 REMOVE MAIL EACH $100.00 5 1 $100.00 1 $100.00 BOX SUPPORT SAWING 36 2104.511 CONCRETE L F $7.00 30 0 $0.00 0 $0.00 PAVEMENT (FULL DEPTH) SAWING 37 2104.513 BITUMINOUS L F $3.00 1500 0 $0.00 611.5 $1,834.50 PAVEMENT (FULL DEPTH) 38 2104.523 SALVAGE EACH $115.00 2 0 $0.00 0 $0.00 CASTING 39 2104.523 SALVAGE SIGN EACH $25.50 6 0 $0.00 0 $0.00 PANELTYPE SPECIAL Pay Voucher Page 5 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925-16 Pr®wect Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher SALVAGE AND 40 2104.601 REINSTALL LS $12,075.00 1 0 $0.00 0 $0.00 LANDSCAPE STRUCTURES SALVAGE AND 41 2104.602 REINSTALL EACH $125.00 20 9 $1,125.00 9 $1,125.00 MAILBOX SALVAGE AND 42 2104.602 REINSTALL MAIL EACH $500.00 1 0 $0.00 0 $0.00 BOX(SPECIAL) 43 2105.501 COMMON C Y $30.00 2000 0 $0.00 EXCAVATION 1100 $33,000.00 44 2112.501 SUBGRADE RDST $396.00 32 0 $0.00 26.25 $10,395.00 PREPARATION STREET 45 2123.610 SWEEPER (WITH HOUR $105.00 20 0 $0.00 12.75 $1,338.75 PICKUP BROOM) 46 2130.501 WATER MGAL $2.00 20 0 $0.00 0 $0.00 AGGREGATE 47 221.501 BASE CLASS 5(100%CRUSHED TON $16.75 4100 0 $0.00 3615.67 $60,562.47 LIMESTONE) MILL 48 2232.501 BITUMINOUS S Y $3.86 1100 0 $0.00 0 $0.00 SURFACE(2.0") BITUMINOUS 49 2357.502 MATERIAL FOR GAL $3.05 500 0 $0.00 0 $0.00 TACK COAT TYPE SP 9.5 50 2360.501 WEARING COURSE MIX TON $70.80 1100 0 $0.00 0 $0.00 (2,C) TYPE SP 12.5 51 2360.502 NON WEAR TON $65.62 1000 0 $0.00 987.12 $64,774.81 COURSE MIX (2,C) TYPE SP 9.5 52 2360.503 WEARING COURSE MIX SQ YD $3.05 500 362.7 $1,106.24 362.7 $1,106.24 (2,C)3.0"THICK 53 2504.602 ADJUST GATE EACH $305.00 1 1 $305.00 1 $305.00 VALVE & BOX 54 2504.602 IRRIGATION EACH $262.50 5 0 $0.00 0 $0.00 SYSTEM REPAIR 55 2505.601 UTILITY LS $5,000.00 1 0 $0.00 0.5 $2,500.00 COORDINATION 56 2506.516 CASTING ASSEMBLY EACH $600.00 2 1 $600.00 1 $600.00 57 2506.602 ADJUST FRAME EACH $386.00 13 11 $4,246.00 11 $4,246.00 & RING CASTING Pay Voucher Page 6 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925®16 Proiect Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher 58 2506.602 CHIMNEY SEALS EACH $177.50 13 11 $1,952.50 11 $1,952.50 59 2521.501 4"CONCRETE S F $10.00 20 0 $0.00 0 $0.00 WALK CONCRETE 60 2531.501 CURB&GUTTER L F $35.50 1440 172 $6,106.00 1018 $36,139.00 DESIGN 8618 6"CONCRETE 61 2531.507 DRIVEWAY S Y $76.25 30 0 $0.00 7.5 $571.88 PAVEMENT 62 2535.501 BITUMINOUS L F $9.65 200 0 $0.00 0 $0.00 CURB 63 2540.602 MAIL BOX EACH $125.00 5 1 $125.00 1 $125.00 SUPPORT 64 2540.602 MAIL BOX EACH $75.00 31 12 $900.00 12 $900.00 (TEMPORARY) 65 2557.602 REPAIR DOG EACH $100.00 5 0 $0.00 0 $0.00 FENCE 66 2563.601 TRAFFIC LS $4,080.00 1 0 $0.00 0.5 $2,040.00 CONTROL 67 2564.531 SIGN PANELS SF $35.19 47 0 $0.00 0 $0.00 TYPE C 68 2571.501 CONIFEROUS TREE $647.00 5 0 $0.00 0 $0.00 TREE 8' HT B&B DECIDUOUS 69 2571.502 TREE 2.5"CAL TREE $647.00 5 0 $0.00 0 $0.00 B&B 70 2573.502 SILT FENCE, L F $1.47 5000 0 $0.00 0 $0.00 TYPE MS STORM DRAIN 71 2573.530 INLET EACH $178.00 10 0 $0.00 0 $0.00 PROTECTION SEDIMENT 72 2573.533 CONTROL LOG L F $2.96 5000 0 $0.00 2129.6 $6,303.62 TYPE WOOD FIBER TEMPORARY 73 2573.535 ROCK EACH $650.00 11 0 $0.00 0 $0.00 CONSTRUCTION ENTRANCE COMMON 74 2574.525 TOPSOIL C Y $25.00 100 0 $0.00 0 $0.00 BORROW 75 2575.502 SEED MIXTURE LB $5.08 60 0 $0.00 0 $0.00 21-111 76 2575.502 SEED MIXTURE LB $5.08 60 0 $0.00 0 $0.00 21-112 77 2575.502 SEED MIXTURE LB $3.40 290 0 $0.00 0 $0.00 25-131 78 2575.502 SEED MIXTURE LB $4.21 10 0 $0.00 0 $0.00 25-141 _J Pay Voucher Page 7 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925®16 Protect Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher HYDRAULIC 79 2575.563 MATRIX TYPE S Y $0.73 11600 0 $0.00 0 $0.00 MULCH SEEDING(INCL 80 2575.604 TOPSOIL& ACRE $1,015.00 1.7 0 $0.00 0 $0.00 FERT) 81 2575.604 SEEDING(INCL ACRE $1,015.00 1.1 0 $0.00 0 $0.00 FERT) 82 2575.608 SEED MIXTURE POUND $66.00 10 0 $0.00 0 $0.00 34-262 Totals For Section SCHEDULE B a SURFACE IMPROVEMENTS: $25,190.74 $268,148.32 SCHEDULE C -STORM SEWER IMPROVEMENTS 83 2021.501 MOBILIZATION LS $3,950.00 1 0.5 $1,975.00 0.5 $1,975.00 84 2104.501 REMOVE SEWER L F $13.00 770 0 $0.00 200 $2,600.00 PIPE (STORM) REMOVE 85 2104.509 DRAINAGE EACH $250.00 4 0 $0.00 3 $750.00 STRUCTURE 86 2105.604 GEOTEXTILE S Y $1.75 100 0 $0.00 49.2 $86.10 FABRIC TYPE IV GRANULAR 87 2451.609 FOUNDATION TON $0.01 200 0 $0.00 40.78 $0.41 AND/OR BEDDING 12"RC PIPE 88 2501.511 CULVERT CLASS L F $37.00 200 0 $0.00 157 $5,809.00 V 24" RC PIPE 89 2501.515 APRON WITH EACH $1,000.00 1 0 $0.00 0 $0.00 TRASH GUARD 36"RC SAFETY 90 2501.567 APRON &GRATE EACH $1,838.50 1 0 $0.00 0 $0.00 DES 3132 12" RC PIPE 91 2501.602 APRON W/ EACH $567.00 6 0 $0.00 6 $3,402.00 TRASH GUARD 8" PRECAST 92 2502.501 CONCRETE EACH $2,000.00 2 0 $0.00 0 $0.00 HEADWALL 93 2502.521 8"PVC PIPE L F $21.25 40 0 $0.00 48 $1,020.00 DRAIN 18"RC PIPE 94 2503.541 SEWER DES L F $42.75 160 0 $0.00 0 $0.00 3006 CL III 24" RC PIPE 95 2503.541 SEWER DES L F $47.25 100 0 $0.00 0 $0.00 3006 CL III 36" RC PIPE 96 2503.541 SEWER DES L F $73.50 440 0 $0.00 0 $0.00 3006 CL III Pay Voucher Page 8 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 02925®16 Proiect Material Status Quantity Amount Line Item Description Units Unit Price Contract This This Quantity Amount Quantity Pay Pay To Date To Date Voucher Voucher CONST 97 2506.501 DRAINAGE L F $146.25 24 0 $0.00 0 $0.00 STRUCTURE DES 48-4020 CONST 98 2506.501 DRAINAGE L F $475.00 19 0 $0.00 0 $0.00 STRUCTURE DES 84-4020 CONST 99 2506.502 DRAINAGE EACH $499.50 3 0 $0.00 3 $1,498.50 STRUCTURE DESIGN G CONST 100 2506.502 DRAINAGE EACH $397.00 1 0 $0.00 0 $0.00 STRUCTURE DESIGN SPECIAL 101 2506.516 CASTING EACH $625.00 5 0 $0.00 0 $0.00 ASSEMBLY RANDOM 102 2511.501 RIPRAP CLASS C Y $85.00 90 0 $0.00 29.7 $2,524.50 III Totals For Section SCHEDULE C -STORM SEWER $1,975.00 $19,665.51 IMPROVEMENTS: Change Order 1 -Remove tree and dispose of contaminated material 103 2101.511 CLEARING& LS $2,640.00 1 0 $0.00 1 $2,640.00 GRUBBING HAUL AND 104 2105.607 DISPOSE CONTAMINATED TED LS $18,653.25 1 0 $0.00 1 $18,653.25 MATERIAL Totals For Change Order 1 -Remove tree and dispose of $0.00 $21,293.25 contaminated material: Change Order 2-ADDITIONAL REQUIRED ITEMS 105 2105.543 STABILIZING AGGREGATE TON $29.70 153.03 153.03 $4,544.99 153.03 $4,544.99 TEMPORARY 106 2360.501 BITUMINOUS TON $322.61 8 8 $2,580.88 8 $2,580.88 WEDGE 107 2564.602 SIGN PANELS SF $48.25 7.5 0 $0.00 0 $0.00 199622 TYPE SPECIAL EROSION 108 2575.523 CONTROL S Y $1.38 222 222 $306.36 222 $306.36 BLANKETS CATEGORY Totals For Change Order 2-ADDITIONAL REQUIRED ITEMS: $7,432.23 $7,432.23 Project Totals: $41,461.97 $597,532.22 Pay Toucher Page 9 of 9 i CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 3 0292516 Contract Chan No. Type Date Explanation Estimated Amount Paid Amount To Date CO1 Change Order 11/9/2016 Remove tree and dispose of contaminated material $21,293.25 $21,293.25 CO2 Change Order 1/4/2017 ADDITIONAL REQUIRED ITEMS $7,794.11 $7,432.23 Contract Change Totals: $29,087.36 $28,725.48 I