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Pay Voucher No. 5
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 WSB Pay Voucher No. 5 Contract No. Contractor: Widmer Construction, LLC Vendor No. 9455 County Road 15 For Period: 3/22/2017-4/30/2017 Maple Plain, MN 55359 Warrant# Date Contract Amounts Funds Encumbered Original Contract $1,102,856.13 Original $1,102,856.13 Contract Changes $52,018.47 Additional N/A Revised Contract $1,154,874.60 Total $1,102,856.13 Mork Certified To Date Base Bid Items $739,713.98 Backsheet $0.00 Change Order $53,536.70 Supplemental Agreement $0.00 Work Order $0.00 Material On Hand $0.00 Total $793,250.68 Work Certified Mork Certified Less Amount Less Previous Amount Paid Total Amount This Pay Voucher To Date Retained Payments This Pay Voucher Paid To Date 02925-16 $97,001.71 $793,250.68 $39,662.53 $661,436.52 $92,151.63 $753,588.15 Percent Retained: 5% Percent Complete: 68.6872% Amount Paid This Pay Voucher $92,151.63 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. Approve Approved By Widmer Construction, LLC Project Engineer Contractor Date Date Approved By City horewood Date Pay `Toucher Page 2 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 5 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 5 03/22/2017 04/30/2017 $97,001.71 $4,850.08 $92,151.63 Totals: $793,250.63 $39,662.53 $753,563.15 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 793,250.67 39,662.53 661,436.51 92,151.63 753,588.14 Totals: $793,250.67 $39,662.53 $661,436.51 $92,151.63 $753,566.14 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 92,151.63 1,154,874.60 1,102,856.13 753,588.14 Totals: $92,151.63 $1,154,374.60 $1,102,656.13 $753,566.14 Pay Voucher Page 3 of 9 CITY OF SHOREOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 5 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 0.75 $10,500.00 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 0 $0.00 180 $77,760.00 PIPE (JACKED) 7 2503.608 DUCTILE IRON LB $4.00 7000 984 $3,936.00 4764.5 $19,058.00 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 BM GATE VALVE & EACH $1,198.00 9 0 $0.00 5 $5,990.00 13 2504.602 B GATE VALVE & EACH $1,632.00 3 0 $0.00 4 $6,528.00 14 2504.602 SOX ATE VALVE & EACH $2,802.00 5 1 $2,802.00 5 $14,010.00 15 2504.602 BMX ATE VALVE & EACH $8,038.00 2 0 $0.00 2 $16,076.00 16 2504.602 1"CURB STOP & EACH $466.00 33 0 $0.00 24 $11,184.00 BOX 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 475 $26,813.75 2251 $127,068.95 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. 5 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: $37,051.75 $414,313.41 SCHEDULE B-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 $0.00 0.2 $816.00 27 2101.502 CLEARING TREE $1,020.00 5 0 $0.00 11 $11,220.00 28 2101.506 GRUBBING ACRE $4,080.00 0.6 0 $0.00 0.1 $408.00 29 2101.507 GRUBBING TREE $612.00 5 0 $0.00 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 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 1064 $2,234.40 8695.6 $18,260.76 PAVEMENT 34 2104.509 REMOVE SIGN EACH $25.50 10 0 $0.00 0 $0.00 35 2104.509 REMOVE MAIL BOX SUPPORT EACH $100.00 5 0 $0.00 1 $100.00 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 768 $2,304.00 1379.5 $4,138.50 PAVEMENT (FULL DEPTH) 38 2104.523 SALVAGE CASTING EACH $115.00 2 0 $0.00 0 $0.00 SALVAGE SIGN 39 2104.523 PANEL TYPE EACH $25.50 6 0 $0.00 0 $0.00 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. 5 I E 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 780 $23,400.00 1880 $56,400.00 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 50 $152.50 50 $152.50 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 Voucher Page 6 of 9 CITY OF SHOREOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 5 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 SMISLT 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 TYPE WOOD L F $2.96 5000 539 $1,595.44 2668.6 $7,899.06 FIBER TEMPORARY 73 2573.535 ROCK EACH $650.00 11 2 $1,300.00 2 $1,300.00 CONSTRUCTION ENTRANCE COMMON 74 2574.525 TOPSOIL C Y $25.00 100 0 $0.00 0 $0.00 BORROW 75 2575.502 SEED MIXTURE 21-111 LB $5.08 60 30 $152.40 30 $152.40 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 Pay Voucher Page 7 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No. 02925-16 Pay Voucher No. 5 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 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 TOPSOIL & FERT) ACRE $1,015.00 1.7 0 $0.00 0 $0.00 81 2575.604 SEEDING (INCL ACRE $1,015.00 1.1 0 $0.00 0 $0,00 FERT) 82 12575.608 SEED MIXTURE POUND $66.00 10 0 $0.00 0 $0.00 134-262 Totals For Section SCHEDULE B-SURFACE IMPROVEMENTS: $31,138.74 $301,736.06 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 2 $4,000.00 2 $4,000.00 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 Pay Voucher Page 8 of 9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, MN 55331-8926 Project No, 02925-16 Pay Voucher No. 5 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 L F $47.25 100 0 $0.00 0 $0.00 CL III 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: $4,000.00 $23,665.51 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 BLANKETS S Y $1.38 222 1362.4 $1,880.11 1584.4 $2,186.47 CATEGORY 3 Totals For Change Order 2 -ADDITIONAL REQUIRED ITEMS: $1,880.11 $9,312.34 Pay Voucher Page 9n[9 CITY OF SHOREWOOD 5755 Country Club Road Shorewood, N1N56331'BQ2G Project No. O2925-1S Pay Voucher No, 5 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 Vouche Change Order 3 -CONSTRUCTION CHANGES 109 2105.505 MUCK C Y $86.05 115 115 $9,895.75 115 $9,895.75 EXCAVATION 110 2105.507 SUBGRADE CY $31.13 136 136 $4,233.68 136 $4,233.68 EXCAVATION GEOTEXTILE 111 2105,604 FABRIC TYPE V SY $2.63 1273 1273 $3,347.99 1273 $3,347.99 112 2563.601 TRAFFIC LS $5,453.69 1 1 $5,453.69 1 $5.453.69 CONTROL Totals For Change Order 3 -CONSTRUCTION CHANGES: $22,931.11 $22,931.11 Project Totals: $97,001.71 $793,250.68 02925-16 Contract Changes No. Type Date Explanation Estimated Amount Paid Amount To Date C01 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 $9,312.34 CO3 Change Order 4/19/2017 CONSTRUCTION CHANGES $22,931.11 $22,931.11 Contract Change Totals: $52,018.47 $53,536.70 / � | | � � � | ` � � `