Pay Voucher No. 3CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331 -8926
Project 02925 -40 - SHOR - 2017 Street Reclamation Improvement Project
Pay Voucher No. 3
Contractor: C. S. McCrossan Construction, Inc.
7865 Jefferson Highway
Maple Grove, MN 55311 -6240
Contract Amounts
Original Contract
Contract Changes
Revised Contract
Work Certified To Date
Base Bid Items
Backsheet
Change Order
Supplemental Agreement
Work Order
Material On Hand
Total
Contract No.
Vendor No.
For Period: 3/31/2018 - 7/11/2018
Warrant # Date
Funds Encumbered
$810,924.60 Original $810,924.60
$15,055.95 Additional N/A
$825,980.55 Total $810,924.60
$803,894.96
$0.00
$15,055.95
$0.00
$0.00
$0.00
$818,950.91
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.
Approu t By Approved By C. S. McCrossan g6nstruction, Inc.
V1
ProjebT n ih er Contractor
Date Date
Approved By
Work Certified
This Pay Voucher
Work Certified
To Date
Less Amount
I Retained
Less Previous
Payments
Amount Paid
This Pay Voucher
Total Amount
Paid To Date
02925 -40
$703,526.82
$818,950.911
$40,947.55
$109,652.89
$668,350.47
$778,003.36
Percent Retained: 5.0000%
Percent Complete: 99.1489%
Amount Paid This Pay Voucher
$668,350.47
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.
Approu t By Approved By C. S. McCrossan g6nstruction, Inc.
V1
ProjebT n ih er Contractor
Date Date
Approved By
Totals: $818,950.91 $40,947.55 $778,003.36
02925 -40 Fundina Cateclory Resort
Funding
Work
Less
CITY OF SHOREWOOD
Amount Paid
Total
Category
5755 Country Club Road
Amount
Previous
Shorewood, MN 55331 -8926
Amount Paid
No.
To Date
Project No. 02925 -40
Payments
Pay Voucher
To Date
Pay Voucher No. 3
02925 -40 Payment Summary
40,947.55
109,652.89
668,350.47
No. From Date To Date
Work Certified
Amount Retained
Amount Paid
Per Pay Voucher
Per Pay Voucher
Per Pay Voucher
1 10/03/2017 12/15/2017
$106,797.59
$5,339.88
$101,457.71
2 12/16/2017 03/30/2018
$8,626.50
$431.32
$8,195.18
3 03/31/2018 07/11/2018
$703,526.82
$35,176.35
$668,350.47
Totals: $818,950.91 $40,947.55 $778,003.36
02925 -40 Fundina Cateclory Resort
Funding
Work
Less
Less
Amount Paid
Total
Category
Certified
Amount
Previous
This
Amount Paid
No.
To Date
Retained
Payments
Pay Voucher
To Date
UNF
818,950.91
40,947.55
109,652.89
668,350.47
778,003.36
Totals: $818,950.91 $40,947.55 $109,652.89 $668,350.47 $778,003.36
02925 -40 Fundina Source Resort
Accounting Funding Amount Paid
Revised
Funds
Paid To
No. Source This
Contract
Encumbered
Contractor
Pay Voucher
Amount
To Date
To Date
UNF Unfunded 668,350.47
825,980.55
810,924.60
778,003.36
Totals: $668,350.47 $825,980.55 $810,924.60 $778,003.36
2
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331 -8926
Project No. 02925 -40
Pav Vniichar Nn R
02925 -40 Project Material Status
Quantity
Line
Item
Description
Units
Unit Price
Contract
This
Amount This
Quantity
Amount
Quantity
Pay
Pay Voucher
To Date
To Date
Voucher
A.SURFACEIMPROVEMENTS
1
2021.501
MOBILIZATION
LS
$40,500.00
1
0.75
$30,375.00
1
$40,500.00
2
2104.501
REMOVE SEWER
PIPE (STORM)
L F
$13.00
220
149
$1,937.00
189
$2,457.00
REMOVE
3
2104.501
BITUMINOUS
L F
$6.20
580
0
$0.00
0
$0.00
CURB
4
2104.501
REMOVE CURB
& GUTTER
L F
$11.50
180
132
$1,518.00
142
$1,633.00
REMOVE
5
2104.503
BITUMINOUS
SF
$16.00
50
0
$0.00
35
$560.00
WALK
REMOVE
6
2104.505
BITUMINOUS
S Y
$6.10
950
0
$0.00
1269.3
$7,742.73
PAVEMENT
REMOVE
7
2104.505
BITUMINOUS
DRIVEWAY
S Y
$14.50
1320
1041
$15,094.50
1041
$15,094.50
PAVEMENT
REMOVE
8
2104.509
DRAINAGE
EACH
$310.00
6
9
$2,790.00
9
$2,790.00
STRUCTURE
SAWING
9
2104.513
BITUMINOUS
PAVEMENT
L F
$3.60
2105
1848
$6,652.80
2200
$7,920.00
(FULL DEPTH)
10
2104.523
SALVAGE SIGN
EACH
$25.85
31
28
$723.80
42
$1,085.70
11
2104.523
SALVAGE
CASTING
EACH
$150.00
6
6
$900.00
6
$900.00
REMOVE SUMP
12
2104.602
DISCHARGE
EACH
$310.00
2
0
$0.00
1
$310.00
PIPE
13
2504.602
IRRIGATION
SYSTEM REPAIR
EACH
$250.00
5
5
$1,250.00
5
$1,250.00
STREET
14
2123.610
SWEEPER (WITH
HOUR
$128.00
24
33.5
$4,288.00
33.5
$4,288.00
PICKUP BROOM)
15
2130.501
WATER
MGAL
$27.25
5
72
$1,962.00
72
$1,962.00
16
2211.501
AGGREGATE
BASE CLASS 5
TON
$25.00
420
0
$0.00
470.96
$11,774.00
17
2215.501
FULL DEPTH
RECLAMATION
S Y
$4.85
22260
23159.22
$112,322.22
23159.22
$112,322.22
BITUMINOUS
18
2231.502
PATCHING
S Y
$29.00
50
0
$0.00
3.3
$95.70
MIXTURE
BITUMINOUS
19
2357.502
MATERIAL FOR
GAL
$4.65
2420
1700
$7,905.00
1728
$8,035.20
TACK COAT
TYPE SP 12.5
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331 -8926
Project No. 02925 -40
Pay Voucher No. 3
02925 -40 Project Material Status
Quantity
Line
Item
Description
Units
Unit Price
Contract
This
Amount This
Quantity
Amount
Quantity
Pay
Pay Voucher
To Date
To Date
Voucher
WEARING
20
2360.501
COURSE MIX
TON
$64.00
2870
2830.06
$181,123.84
2960.67
$189,482.88
(2,C)
TYPE SP 12.5
21
2360.502
NON WEAR
COURSE MIX
TON
$64.00
2870
2971.19
$190,156.16
3103.27
$198,609.28
(2,C)
TYPE SP 9.5
WEARING
22
2360.503
COURSE
S Y
$11.50
1320
1304.7
$15,004.05
1304.7
$15,004.05
MIXTURE (2,C) 3"
THICK
23
2360.601
BITUMINOUS
SPILLWAY
EACH
$1,200.00
3
3
$3,600.00
3
$3,600.00
24
2451.507
GRANULAR
BEDDING
C Y
$40.00
70
0
$0.00
0
$0.00
25
2501.511
12" CS PIPE
CULVERT
L F
$48.00
214
101.4
$4,867.20
149.4
$7,171.20
26
2501.515
12" CS PIPE
APRON
EACH
$900.00
9
5
$4,500.00
7
$6,300.00
12" RC PIPE
27
2503.541
SEWER DES
L F
$53.50
27
63
$3,370.50
63
$3,370.50
3006 CL V
CONNECT TO
28
2503.602
EXISTING
EACH
$470.00
6
8
$3,760.00
8
$3,760.00
STORM SEWER
29
2504.602
ADJUST GATE
VALVE & BOX
EACH
$855.00
2
9
$7,695.00
9
$7,695.00
CONST
30
2506.501
DRAINAGE
STRUCTURE
L F
$495.00
12
16.5
$8,167.50
16.5
$8,167.50
DES 48 -4020
CONSTRUCT
31
2506.502
DRAINAGE
STRUCTURE
EACH
$1,785.00
3
4
$7,140.00
4
$7,140.00
(2'X3')
32
2506.516
CASTING
ASSEMBLY
EACH
$740.00
3
12
$8,880.00
12
$8,880.00
33
2506.522
ADJUST FRAME
& RING CASTING
EACH
$325.00
42
43
$13,975.00
45
$14,625.00
34
2506.602
CHIMNEY SEAL
EACH
$275.00
6
0
$0.00
1
$275.00
RANDOM
35
2511.501
RIPRAP CLASS
III
C Y
$140.00
24
2
$280.00
8
$1,120.00
36
2521.501
6" CONCRETE
WALK
SF
$14.00
75
0
$0.00
0
$0.00
CONCRETE
37
2531.501
CURB & GUTTER
L F
$30.30
470
370
$11,211.00
720
$21,816.00
DESIGN 8618
TRUNCATED
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331 -8926
Project No. 02925 -40
Pay Voucher No. 3
02925 -40 Project Material Status
Quantity
Line
Item
Description
Units
Unit Price
Contract
This
Amount This
Quantity
Amount
Quantity
Pay
Pay Voucher
To Date
To Date
Voucher
38
2531.618
DOMES
S F
$68.00
12
0
$0.00
0
$0.00
39
2535.501
BITUMINOUS
L F
$9.50
670
407
$3,866.50
407
$3,866.50
CURB
40
2540.602
MAIL BOX
(TEMPORARY)
EACH
$92.00
66
88
$8,096.00
88
$8,096.00
41
2557.602
FENCING
EACH
$250.00
5
0
$0.00
0
$0.00
42
2563.601
TRAFFIC
LS
$6,150.00
1
0.75
$4,612.50
1
$6,150.00
CONTROL
43
2564.531
SIGN PANELS
SF
$36.00
124.75
26.25
$945.00
26.25
$945.00
TYPE C
44
2564.602
SIGN PANELS
EA
$78.00
28
0
$0.00
0
$0.00
TYPE D
45
2564.602
LED BLINKER
EACH
$5,000.00
6
0
$0.00
4
$20,000.00
STOP SIGN
46
2573.502
SILT FENCE,
L F
$1.65
3580
0
$0.00
0
$0.00
TYPE MS
STORM DRAIN
47
2573.530
INLET
EACH
$150.00
33
27
$4,050.00
27
$4,050.00
PROTECTION
SEDIMENT
48
2573.533
CONTROL LOG
L F
$5.10
3790
3249
$16,569.90
5810
$29,631.00
TYPE WOOD
FIBER
STABILIZED
49
2573.535
CONSTRUCTION
LS
$2,500.00
1
1
$2,500.00
1
$2,500.00
EXIT
50
2573.603
LINEAR
L F
$13.65
415
0
$0.00
0
$0.00
SEDIMENT TRAP
51
2575.505
SODDING TYPE
S Y
$5.75
3300
0
$0.00
0
$0.00
LAWN
EROSION
52
2575.523
CONTROL
BLANKETS
S Y
$1.51
625
0
$0.00
0
$0.00
CATEGORY 3
RAPID
53
2575.572
STABILIZATION
S Y
$2.10
720
0
$0.00
0
$0.00
METHOD 4
SEEDING (INCL
54
2575.605
TOPSOIL, SEED,
ACRE
$42,000.00
0.26
0
$0.00
0.26
$10,920.00
FERT,
HYDROMULCH)
Totals For Section A. SURFACE IMPROVEMENTS:
$692,088.47
$803,894.96
Change Order 2 - Additional requested by City
REMOVE AND
55
2104.603
REPLACE
SF
$45.22
80
0
$0.00
80
$3,617.60
BITUMINOUS
PAVEMENT
56
2506.602
CHIMNEY SEALS
EACH
$326.81
35
35
$11,438.35
35
$11,438.35
CITY OF SHOREWOOD
5755 Country Club Road
Shorewood, MN 55331 -8926
Project No. 02925 -40
Pay Voucher No. 3
02925 -40 Project Material Status
No.
Type
Date
Explanation
Estimated
Amount
Amount Paid
To Date
Quantity
Change Order
10/18/2017
Extend Completion to 05/31/2018
Line
Item
Description
Units
Unit Price
Contract
This
Amount This
Quantity
Amount
$15,055.95
Quantity
Pay
Pay Voucher
To Date
To Date
Voucher
Totals For Change Order 2 - Additional requested by City:
$11,438.35
$15,055.95
Project Totals:
$703,526.82
$818,950.91
02925 -40 Contract Changes
No.
Type
Date
Explanation
Estimated
Amount
Amount Paid
To Date
C01
Change Order
10/18/2017
Extend Completion to 05/31/2018
$0.00
$0.00
CO2
Change Order
3/27/2018
Additional items requested by City
$15,055.95
$15,055.95
Contract Change Totals:
$15,055.95
$15,055.95