Pay Voucher No. 4 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
WS8
Pay Voucher No. 4
Contractor: Widmer Construction, LLC Contract No.
9455 County Road 15 Vendor No.
Maple Plain, MN 55359 For Period: 2/22/2017- 3/21/2017
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 $667,523.49
Backsheet $0.00
Change Order $28,725.48
Supplemental Agreement $0.00
Work Order $0.00
Material On Hand $0.00
Total $696,248.97
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 $98,716.75 $696,248.97 $34,812.45 $567,655.61 $93,780.91 $661,436.52
Percent Retained: 5% Percent Complete: 61.5092%
Amount Paid This Pay Voucher $93,780.91
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 By Approved By Widmer Construction, LLC
Project Engineer ® Contractor
Date Date
City of Sho ewo
Date
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Pay Voucher Page 2 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
02925-16 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 11/30/2016 $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
4 02/22/2017 03/21/2017 $98,716.75 $4,935.84 $93,780.91
Totals: $696,248.97 $34,812.45 $661,436.52
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 696,248.96 34,812.45 567,655.60 93,780.91 661,436.51
Totals: $696,248.96 $34,812.45 $567,655.60 $93,780.91 $661,436.51
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 93,780.91 1,131,943.49 1,102,856.13 661,436.51
Totals: $93,780.91 $1,131,943.49 $1,102,856.13 $661,436.51
Pay Voucher Page 3 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
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 $0,00 0.5 $7,000,00
2 2104.501 REMOVE WATER L F $6.00 100 0 $0.00 14 $84.00
MAIN
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)
5 2503.603 TELEVISE L F $2.00 2210 0 $0.00 1682 $3,364.00
SANITARY SEWER
6 2503.603 24" STEEL CASING L F $432.00 200 180 $77,760.00 180 $77,760.00
PIPE (JACKED)
7 2503.608 DUCTILE IRON LB $4.00 7000 464 $1,856.00 3780.5 $15,122.00
FITTINGS
8 2504.602 RECONNECT EACH $500.00 2 0 $0.00 0 $0.00
WATER SERVICE
CONNECT TO
9 2504.602 EXISTING WATER EACH $8,500.00 1 0 $0.00 1 $8,500.00
MAIN
10 2504.602 HYDRANT EACH $3,207.00 9 0 $0.00 6 $19,242.00
11 2504.602 1"CORPORATION EACH $396.00 33 0 $0.00 24 $9,504.00
STOP
12 2504.602 BOX GATE VALVE & EACH $1,198.00 9 0 $0.00 5 $5,990.00
13 2504.602 8"GATE VALVE & EACH $1,632.00 3 0 $0.00 4 $6,528.00
14 2504.602 12"ATE VALVE & EACH $2,802.00 5 0 $0.00 4 $11,208.00
BOX
15 2504.602 16"ATE VALVE & EACH $8,038.00 2 0 $0.00 2 $16,076.00
BOX
16 2504.602 BO CURB 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
WATERMAIN
18 2504.603 DUCTILE IRON CL L F $36.79 150 0 $0.00 89 $3,274.31
52 W/POLY WRAP
WATERMAIN
19 2504.603 DUCTILE IRON CL L F $43.00 140 0 $0.00 108 $4,644.00
52 W/POLY WRAP
10"WATERMAIN
20 2504.603 DUCTILE IRON CL L F $49.45 30 0 $0.00 0 $0.00
52 W/POLY WRAP
21 2504.603 "12"WATERMAIN L F $56.45 2600 295 $16,652.75 1776 $100,255.20
DUCTILE IRON CL
Pay Voucher Page 4 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
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
52 W/POLY WRAP"
WATERMAIN
22 2504.603 DUCTILE IRON CL L F $64.25 920 0 $0.00 901 $57,889.25
50 W/POLY WRAP
1"TYPE K
23 2504.603 COPPER SERVICE L F $60.00 230 0 $0.00 0 $0.00
(BORED)
24 2504.604 4" POLYSTYRENE S Y $31.50 100 0 $0.00 17.8 $560.70
INSULATION
Totals For Section SCHEDULE A -WATERMAIN IMPROVEMENTS: 1 $96,268.751 1 $377,261.66
SCHEDULE E-SURFACE IMPROVEMENTS
25 2021.501 MOBILIZATION LS $17,250.00 1 0 $0.00 0.5 $8,625.00
26 2101.501 CLEARING ACRE $4,080.00 0.6 0.1 $408.00 0.2 $816.00
27 2101.502 CLEARING TREE $1,020.00 5 1 $1,020.00 11 $11,220.00
28 2101.506 GRUBBING ACRE $4,080.00 0.6 0.1 $408.00 0.1 $408.00
29 12101.507 GRUBBING TREE $612.00 5 1 $612.00 4 $2,448.00
30 2104.503 REMOVE SF $6.50 20 0 $0.00 0 $0.00
CONCRETE WALK
REMOVE
31 2104.505 CONCRETE S Y $6.50 30 0 $0.00 0 $0.00
DRIVEWAY
PAVEMENT
REMOVE
32 2104.505 BITUMINOUS DRIVEWAY S Y $4.05 440 0 $0.00 279.8 $1,133.19
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 0 $0.00 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
SALVAGE SIGN
39 2104.523 PANEL TYPE EACH $25.50 6 0 $0.00 0 $0,00
SPECIAL
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Pay Voucher Page 5 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
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
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 0 $0.00 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 1100 $33,000.00
EXCAVATION
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 TON $16.75 4100 0 $0.00 3615.67 $60,562.47
(100% CRUSHED
LIMESTONE)
48 2232.501 MILL 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 TON $70.80 1100 0 $0.00 0 $0.00
COURSE MIX (2,C)
TYPE SP 12.5 NON
51 2360.502 WEAR COURSE TON $65.62 1000 0 $0.00 987.12 $64,774.81
MIX(2,C)
TYPE SP 9.5
52 2360.503 WEARING SQ YD $3.05 500 0 $0.00 362.7 $1,106.24
COURSE MIX (2,C)
3.0"THICK
53 2504.602 ADJUST GATE EACH $305.00 1 0 $0.00 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 L S $5,000.00 1 0 $0.00 0.5 $2,500.00
COORDINATION
56 2506.516 CASTING EACH $600.00 2 0 $0.00 1 $600.00
ASSEMBLY
57 2506.602 ADJUST FRAME & EACH $386.00 13 0 $0.00 11 $4,246.00
RING CASTING
Pay toucher Page 6 of 9
i
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No, 4
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
58 2506.602 CHIMNEY SEALS EACH $177.50 13 0 $0.00 11 $1,952.50
59 2521.501 4"CONCRETE S F $10.00 20 0 $0.00 0 $0.00
WALK
CONCRETE CURB
60 2531.501 & GUTTER L F $35.50 1440 0 $0.00 1018 $36,139.00
DESIGN B618
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 0 $0.00 1 $125.00
SUPPORT
64 2540.602 MAIL BOX EACH $75.00 31 0 $0.00 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
69 2571.502 DECIDUOUS TREE TREE $647.00 5 0 $0.00 0 $0.00
2.5 CAL B&B
70 2573.502 MIST FENCE, TYPE L F $1.47 5000 0 $0.00 0 $0.00
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 21-112 LB $5.08 60 0 $0.00 0 $0.00
77 2575.502 SEED MIXTURE LB $3.40 290 0 $0.00 0 $0.00
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Pay Toucher Page 7 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
02925-16 Project Material Status
Quantity Amount
Lone Item Description Units Unit Price Contract This This Quantity Amount
Quantity Pay Pay To Date To Date
Voucher Voucher
25-131
78 2575.502 SEED MIXTURE LB $4.21 10 0 $0.00 0 $0.00
25-141
HYDRAULIC
79 2575.563 MATRIX TYPE S Y $0.73 11600 0 $0.00 0 $0.00
MULCH
80 2575.604 SEEDING (INCL ACRE $1,015.00 1.7 0 $0.00 0 $0,00
TOPSOIL & 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
134-262
Totals For Section SCHEDULE B -SURFACE IMPROVEMENTS: 1 $2,448.001 1 $270,596.32
SCHEDULE C -STORM SEWER IMPROVEMENTS
83 2021.501 MOBILIZATION LS $3,950.00 1 0 $0,00 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/TRASH EACH $567.00 6 0 $0.00 6 $3,402.00
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 3006 L F $42.75 160 0 $0.00 0 $0.00
CL III
24" RC PIPE
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Pay Voucher Page 8 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
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
95 2503.541 SEWER DES 3006 CL III L F $47.25 100 0 $0.00 0 $0.00
36" RC PIPE
96 2503.541 SEWER DES 3006 L F $73.50 440 0 $0.00 0 $0.00
CL III
CONST DRAINAGE
97 2506.501 STRUCTURE DES L F $146.25 24 0 $0.00 0 $0.00
48-4020
CONST DRAINAGE
98 2506.501 STRUCTURE DES L F $475.00 19 0 $0.00 0 $0.00
84-4020
CONST DRAINAGE
99 2506.502 STRUCTURE EACH $499,50 3 0 $0.00 3 $1,498.50
DESIGN G
CONST DRAINAGE
100 2506.502 STRUCTURE EACH $397.00 1 0 $0.00 0 $0.00
DESIGN SPECIAL
101 2506.516 CASTING EACH $625.00 5 0 $0.00 0 $0.00
ASSEMBLY
102 2511.501 RANDOM RIPRAP C Y $85.00 90 0 $0.00 29.7 $2,524.50
CLASS III
Totals For Section SCHEDULE C-STORM SEWER
IMPROVEMENTS: $0.00 $19,665.51
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 OF LS $18,653.25 1 0 $0.00 1 $18,653.25
CONTAMINATED
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 TON $29.70 153.03 0 $0.00 153.03 $4,544.99
AGGREGATE
TEMPORARY
106 2360.501 BITUMINOUS TON $322.61 8 0 $0.00 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 0 $0.00 222 $306.36
BLANKETS
CATEGORY 3
Totals For Change Order 2-ADDITIONAL REQUIRED ITEMS: $0.00 $7,432.23
Pay Voucher Page 9 of 9
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331-8926
Project No. 02925-16
Pay Voucher No. 4
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
Project Totals: $98,716.75 $696,248.97
02925-16 Contract Changes
Noe 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