Pay Voucher No. 1Pay Voucher
CITY OF SHOREWOOD
5755 Country Club Rd
Shorewood, MN 55331
Project 011017 -00 - 2017 Sanitary Sewer Lining Project
Pay Voucher No. 1
Contractor: Visu- Sewer, Inc.
W230 N4855 Betker Drive
Pewaukee, WI 53072
Contract Amounts
Original Contract $83,776.00
Contract Changes $1,462.50
Revised Contract $85,238.50
Work Certified To Date
Base Bid Items
$72,420.00
Backsheet
Work Certified
This Pay Voucher
$0.00
Change Order
Less Previous
Payments
$0.00
Supplemental Agreement
011018 -00
$0.00
Work Order
1 $3,694.13
$1,462.50
Material On Hand
$70,188.37
$0.00
Total
Amount Paid This
$73,882.50
Page I of 3
Contract No.
Vendor No.
For Period: 12/12/2017 - 4/23/2018
Warrant # Date
Funds Encumbered
Original $83,776.00
Additional N/A
Total $83,776.00
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 Visu - Sewer, Inc.
Project Engineer
6/04/2018
Date
Contractor
Date
Work Certified
This Pay Voucher
Work Certified
To Date
Less Amount
Retained
Less Previous
Payments
Amount Paid
This Pay Voucher
Total Amount
Paid To Date
011018 -00
$73,882.50
$73,882.50
1 $3,694.13
$0.00
$70,188.37
$70,188.37
Percent Retained: 5.0000%
Percent Complete: 86.6774%
Amount Paid This
Pay Voucher
1 $70,188.37
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 Visu - Sewer, Inc.
Project Engineer
6/04/2018
Date
Contractor
Date
Pay Voucher
Page 2 of 3
CITY OF SHOREWOOD
5755 Country Club Rd
Shorewood, MN 55331
Project No. 011017 -00
Pay Voucher No. 1
011018 -00 Payment Summary
No. From Date To Date Work Certified Amount Retained Amount Paid
Per Pay Voucher Per Pay Voucher Per Pay Voucher
1 12/12/2017 04123/2018 $73,882.50 $3,694.13 $70,188.37
Totals: $73,882.50 $3,694.13 $70,188.37
011018.00 Fundinia Cateaory 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
73,882.50
3,694.13
0.00
70,188.37
70,188.37
Totals: $73,882.50 $3,694.13 $0.00 $70,188.37 $70,188.37
Amount Paid
Revised
Funds
Paid To
Accounting Funding This
Contract
Encumbered
Contractor
No. Source
Pay Voucher
Amount
To Date
To Date
UNF Unfunded 70,188.37
85,238.50
83,776.00
70,188.37
Totals: $70,188.37 $85,238.50 $83,776.00 $70,188.3fi
Pay Voucher
Page 3 of 3
CITY OF SHOREWOOD
5755 Country Club Rd
Shorewood, MN 55331
Project No. 011017 -00
voucner NO. 9
�I
Quantity Amount
Line Item Description Units Unit Contract This This Quantity Amount
Price Quantity Pay Pay To Date To Date
Voucher Voucher
SCHEDULE A - TONKA BAY
1
2021.501
MOBILIZATION
LS
$565.00
1
2
2503.603
LINING SEWER
L F
$25.00
629
Contract '
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PIPE 8
3
2503.604
LINING SEWER
L F
$23.00
626
PIPE 9
4
2563.601
TRAFFIC
LS
$1,445A0
1
CONTROL
Totals For Section SCHEDULE
A - TONKA BAY:
SCHEDULE B - SHOREWOOD
5
2021.501
MOBILIZATION
LS
$960.00
1
6
2503.604
LINING SEWER
L F
$23.00
1076
PIPE 9
7
2503.603
LINING SEWER
L F
$24.00
880
PIPE 12"
8
2563.601
TRAFFIC
LS
$2,250.00
1
CONTROL
Totals For Section SCHEDULE B - SHOREWOOD:
ALTERNATE 1 - SHOREWOOD
9
2021.501
MOBILIZATION
LS
$165.00
1
10
2503.603
LINING SEWER
L F
$230.00
10
PIPE 8"
11
2563.601
TRAFFIC
LS
$100.00
1
CONTROL
Totals For Section ALTERNATE
1 - SHOREWOOD:
Work Order 1 - CUTTING, BRUSHING AND ADDNL TELEVISING
CUTTING AND
BRUSHING OF 3
12
0000012
LATERAL
LS
$1,462.50
1
SERVICES AND
ADDNL
TELEVISING
Totals For Work Order 1 - CUTTING, BRUSHING AND ADDNL
TELEVISING:
Project Totals:
1 $565.00
640 $16,000.00
679 $15,617.00
1 $1,445.00
$33,627.00
0.75 $720.00
648 $14,904.00
881 $21,144.00
0.9 $2,025.00
$38,793.00
1 $565.00
640 $16,000.00
679 $15,617.00
1 $1,445.00
$33,627.00
0.75 $720.00
648 $14,904.00
881 $21,144.00
0.9 $2,025.00
$38,793.00
1 $1,462.501 11 $1,462.50
011018-00 Contract •-
Paid
Explanation
To Date
CEMELT
Contract '
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