HomeMy WebLinkAbout20091102 - VI-10
CAB
p
e
`
ctt i~
c ~
~~, o
~ ~. ~•
~ ,-*
~•
-__
~'
~
~ ~
~*
e~
.~
o ~" e
n ~ ~ °
~ ~~
re
a +~
~-
Z ~ r
L y
N N ~
u~
~ ~.
~ ~
hs •-~ A}
eC
~
N
O
l.3
~7
~.
~
V~ 43
~
W ~
t/t
N
C
a.
0
~ ~ '~
:"~ ~ C7 G
~°
~ ,.
~ ~
~, ""
a
~ ..
..
"""'~
Q
N
W
O
~!
J
rTl ~
;~7
U'~
Z3~5 Higla~way 3u V+t
St. Pahl, ~1Pi 55113
TAI o51-636-~161~0
Fax X51-63f~-i3~1
~r4~5^~f r.F~,~~~st~oo,e~~n~
~ctaher 22, 2..009
I~r. Jahn goda
City of f~lastings Public Works
12.25 Progress Drive
Hastings, MN 550.33
Re: 1.0 Million gallon ground esenrair l~.epainting
Bonestraa t=ile Na.: 000222-C191~2-0
Pad Request ` 1
Gear Mr. gala:
'~
~~, 4~
Attached are four (4) copies of Pay bequest l'~a. 1 far the above-metianed praject. This
pay request cavern wark carr~pleted through C7otaber 20, 2009. Vile have reviewed the
request and hereby recommend approval for payment far the amount of X82,421.92.
Please execute the dacuments and distribute as follows:
1 copy City of Hastings
2 copies Atcon, attn: Tam Y'otter
capy 8onestroo, attn: Kurt Jahnson
If you have any questions, please call me at 651-067-4611.
Very truly yours,.
B~IV ESTRC~~
Kurt B. Johnson, P.E.
KBJ:cv
Attachment
st. Pa~Ri
st. c9ocic!
Roehest~r
i
C7ak 21 C~ ~~^21~ `fatter 32~ 272 ~8~~1 p.2
City C~~~
r
r ,~~~.,
.~ G'
.~ ~L :,
B~~i~~l'Clt7
~r+raraer Cita} ~f Fia~s~~~,~s, 1 ~1 Fr~urth 5[rc~•[ ast Hastinc~ ~,~1i~1 55~??~1~~~ f7aCe~ ~ ~ t ' 2 ~, 2v6
~_. _ -
=4r P~ri~~~~ c~o25?6C~r! t~ tC,fGt?;ix~Jd~ ~~ .a~at s~J~. 1
~c~ntract~r: ~,te~r, 1681 13th A~=eenue, {l il••#~i~, t~l^9. 5~3>8
C(~1VTRACTt~R'S REQUt»5T ~~1~ Q~;YMEP;'f
~ i~ ~~1i~~~~r~ ~.~i.~c~, ~~.~a~~r11~ ~;~~~~vc~,~ r~ ,:~~Er~iv
BGI~E.T~~Ct FIL"c i~10 ~tJd3r2-~9? 1~-Q
StJC~SV1r€ARY
~rigna-, C~r~trac~.4mQU~t
C~~n~e Order - ~dditi~n
Ch~n~e Order - ~edc~Ctian
Reprised Corltf~ct ,~mc~nF
~lalue Comp~eletl t~ date
hw~~ter~~l an Nino
7 ~;€~~nt E~ned
8 Less. etainage 2%
Subt~ta=
1rJ Leis fim~~tnt Paed Pre~~~usl;r
1 Liquidated d~~ta~es -
1~ ~I~r10t~P1T SUE TNI~ R~US~ FOR ~'~~'i~r~EnlT X10,
Fccarnen~e•~ ~r r~ppraval by.
B~PJFTR1~(7
5~5(~•Q
S .G~
fl,00
{~~^ ~~wp pp ~~}} (~~}/~
~•0~
5 1~6~,DB
82,421.9.2
t~.aa
Ct.p~
1 $ 32,421,92
,~.p~r~~.~eti +y ~J.~~nr_r
CITY t~F HAS1'i~1~5
L ~~ c:-
specili~~ Contrast Cc~rnpletic~n Late:
na te:
cza~~ 12~r2F~-1.~as
N° Item Unit
BASE BIE):
1 MOBILIZATION, MO~!E IP! ANb OUT IPUCLUDJNG CLE4N UP
At~lD ACCESS RAMP LS
2 EXTEPIOR Pf;ESSURE uVASHING AND CLEA~111~1G LS
EXTEP,IOR SPOT REPAIR AP3C? PRIME CdATIi}JG SF
EXTERIOR TIE COAT AND FINISH COAT A,It1D LOGO
PAILITING LS
5 IIRITERIOR PRESSUPE ASH16l1G Af}JD CLEANIP~IG LS
6 I~JTERIOR SPAT P,EPA.IR, PRII~AE COAT Aft1D TOP COAT SF
7 INTERI(}R DRY (PRLASTERS) CLEANING, SPORT REPAIR AND
PAINTING SF
8 CAULKING AS SPECIFIED AND DIRECTED BY EN'G9NEER LF
~} GROUTIf~lG OF THE TAFdK BASEPLATE LF
1d SITE RESTORATIQN AND 50DDING SY
T~TAI. BASE B9D:
TOTAL BASE BID:
TC7TAL 4VdRK COMPLETED TCT PATE
Cgntract Unit
Quantity Price
5000 d0
750f} dd
6d0 1 d dd
1 39~d0 dd
1 65dd 00
Odd 12.Od
add 2d 00
200 15 00
150 15.00
500 30.00
Quantity Amount
t~ [}ate to Bate
d 8 54,000 d0
1 57,50Q d0
1dd0 510,dd0.00
d 93 539,dd4 dd
1 56,5dd 00
Odd 54,804 Qd
add 56,004 00
200 S;~,ood da
Z2d 53,500.00
5d ad
Asa, ~ oa.~o
584,104 flfl
--- $84,144,0
ccayz r~~~ 72:~I~FP-t xls
PROJECT PAYMENT STATUS
OWNER CITY OF HASTINGS
E3ONESTROO FILE NCI. 000222-091 i 2-0
CONTRACTOR ATCC}N
CNANCE OR~3ERS
rvo, uate Descrlptlon An7aunt
--
Taal Change Ostlers
PAYMENT SUMMARY
No. From To Pa vent Retainage Completed
1 O&/25!2()09 1012(~l09 82,~t21.92 1,682.08 - 84,104.00
Material on Nand
Total Payment to Date
$82,421.92 _-
Original Contract.
8S,85a.0{l
Retainage Pay Nc~. 1 1,082.(}8 Change Orders
Total Amount Earned X84,104.(}0 Reuised Contract _. $85,850.00
Ooo222{7:313 7~ftFt~-~ .xfs
161 130`x' ~vent~e3 f3glvie, N 5635
~`ar~ Yattca ~r.320-2'72-$4 l 612-889-2131
~rla ~dncl~rrneyer 32.0-396-22011763-286-3623
1019109
13astin~s 1 Gillian Callan
rauncl stara~e tank,
allltln~ 1)ra~Ct
2009-~
REf~UE~ ~'~R i'"12.CJ(~Rl~+ S 1'A~i'~'1~+ N'I'
'~alTl~l~t~
~Vlalllli7atian ~~ ofo X13000
2 1~xteriat• cleaning 100°l~ '7,500
3 ~xteriar seat relaai~• 100°l0 1300Osf 7O.Q0 = 10,OQO
## 4 Pxteriar aintin~; 9~°la 39}Q0
5 lntei``ar cleann 100°.~0 63500
# 6 lnteraa seat repai~• 100..°l+~ ~100sf ~ 12..00 = 43100
7 lnteriar clay (Pilasters
cleaning anti spat relaair 100°/a 300sf [rr~ 20.00 =
13 Caulicin~ 100°,~a 570Lf cauilccci
brit anly char~n~ far 2001~f 15.00 =
9 ~rauting of base date 100°i'~ 220Lf X15.00
10 bite l~esta~•atan fatal Q°/~
63.000
33000
33300
0
'Total P~•agress Parent niaunt `s X4,104.00
~~t ~~ o~ oa:a7a ~~k~~l azo z~~ ~a~4 ~.~
Form
rRev t
Or.. ~.
N
ti
t].
O
r1 ~
.~ ~
a
C ~
C
~ ~
u
as
[5.
'~ eq~r+~~t fir Taxpayer ~irre fiortrt to the
;''°u~`~~'~~~
- ~C~~~1~If~~3'~ICF'T~l N~u'mber and t~C~iC~"kti~lfil requesler
.
Da
nnot
. ~1 `hr' ltC.:'l5,.. nr ,
c
{{~~
~en'~ t~} t.lle P'~a7.
grYenUe ~~`vrte
r~lar+Aa lay Shown 7n '/Q;lf r`cgme I~x r@1u"rip __--..
~us~ness name. r.` oiH@r@r§t lrq°it a4ov€'
Gh@rk a,s~rppr at@ oox r~y Ind+„rdualt,~csle pra¢r~etar ^ Corporat~ran Farirfirshrp .~
. .-
Li^'ited b zhrllty Can3pany ~r+~r !P`e lax rlnssifir_ad ran tf~-r°is•r hard@c ~r.E~.y ~-=cC~rapratli~n, ~-Gartrafshipj 1 ~ Ex2r'ipt
Qih_r 15'@'- v,~51r~+G"rCK 4) F. payee
Adriress (n,rr6er street ar,o aw: or sust@ ne R@qua:Stef'S came and addrrnSS (rip-t?cnalr
___
iity,/'~tate. aKdJ;?IP co~de~r j/~j~ ~j ~ /'~
°' t~sr acccurrt numr>dr{sj Mere top:,c~na}
~;
'_ . Taxpayer Cd~ntification ~lutber TIN)
-. Eater-;+aur'~tN ,r#-tl-e@ appropriate-tacx T`«e Tls^,I pravided must rnatCh the name gavon on-Lpne t to ar,•ard~taCiat security number _
backup w•ithhotdrng~ Far individuals, this i5 yaur sCaciai Security number {SSNj. Ha~vever, lar a residen#
alien, sole 9~rapr~etor, or disregarded entity, see the Part I rnstructpon5 an page 3. Far tithe- entities. it is
yaaur emptayer iderbf~cat=an number {EINj. It you dcs rice have a number, see Ha^rW fa c~et a TtN Qn page 3. Ctr
tVotr?. It the accaunt is it mare than Gn@ name. see the chart o~ page d far guidr:lines rar •~rhose Eanpprlyer der,tihcation a,umbea
numt~er ;o enter -- ) '~. (5 ~ .
G~rfif'iGatlt]in
Under penalties a! perjury, I certify that:
1,. 71ir numb@r showy on this farm is my correct taxpayer identification number (or I atyt waiting For a number to be issuet~ to me}. and
?. f am no° subject to taackup withholarne~ eaause: (a) f am exe^1pt from taaekup stiithholding, or (bi I have not tin notified by the Internal
Revenue Service iIRSj that I am subject to backup ,h°it'thalding as a result of a lailure to report all interest or ctividcncs, or (c) thz IPS has
not~Pi?d me that I am na lar,ger subject to 6aCkup w~fhhalding, and
3. t am a tJ.S. Citizen ar littler U.S person {definert k~elae~j.
Certification instruttians. You must Crass out item 2 above i° you..... have then rectified by the IPA that ypu ane Currently subject. is backup
tivithhcatding beeaus~ you have failed to report a!I interest and divsdends an year tax return. Far real estate transactrans, item 2 dace not apply.
For mortgage pnt8rest peed, acquisifian or a~ar7donmert of secures property, Caneellatian of tletst, cortrebutions to an individual ~etirer'n2nt
arrangement ([RA), and generally, paymenfis other than sntt;re5t and dividends, you are riot required tp Sign the Certification, but yt<tu must
prov+de your correvt T If~l. See the instru~.t~rr~:tan page 4
~i~rl Slgnaturt of
~~t"rE' tl.S. p@rs~m -
~leneral ir~~truct~ns
[fate ~V ~' `--~
5ectpan references are to the Internal Revenue Code unless
otherwise notes.
~u~pt~se ~f F+~rm
A person-iNhr~ is requice~Ta-file a~iinfCrrnatian ieturn wttii the -
IE~S roust o:rtarn yaur CarreCt taxpayer identpficatiC~n number (TIN}
to repent, for example, inecr~Ee paiB [a yau, real eskafe
transactiCars, martgage interest you paid, actt~Eisitian ar
abandanent of secured faroperty, cancellation of debt,. or
Contributions you rrrade to an 1F~Ft.
Use Farm ~v-9 only if you are a U p°f5on (including a
respder:t aliertj, tca provde yau° Garrett TIP~f to the person
reCtues;ing tt (the requester] and, where appltGable, ta:
~. Certify that the TI'wl ycau are rdevin{~ iS Correct far you are
°r~a;t,ng far a nurlt5er to be issued],
2. Certify that you are ijcat subject to backup urithhalding, ar
3. Glare exemptian fror~k baekuc3 wtihhrrldlrg it yotr arcs a U.S.
Pxernpl payee- If applicable, you are aiso Certp`yir't~ that a5 a
tJ.S. parser, yaur al,ocable share GP any partnership ~ncorne Pram
3 tJ.S. trade car kaus~nesu is not suk~jeek tQ the svithi7ording taa~ cn
fort~ign partners` share of effectively ~.onneCied incame..
Note. if a rEttuester gives you a farm ether than Farm krad-g to
request ; e~ur Tlhl, you must use the reduaster`s farm ~t if is
sat ,tar'. ;_;Ily similar to this Farm Lh"-9.
Definition of a U,S. p+ersort. Far federa teas purposes, you ar~
canspdered a U S. person iF you are:.
r An individual whoa is a U.S. citizen Cr U.S, resident alien,
r A partnershep, carparatian, cr~rnpany, or aSSaCiation creatett ar
organized In the Un~tod States or under the lames at the Unpt~d
~tAtE5,
An esk'tte {ether than a fareirdn estate:,, ar
~ ,~ darrteStC tftESt (aS defined In Fie.'gk.ltatia n5 SEGtl4n
3fj t . 7 7(~ t -7).
~peclal rules for gaartrzerships. partnerships that Conduct a
trade ar buslnass in ties United States are gear=ratty required to
pay a withhalding tax an any foreign partners` share cF incame
from Such business. Further, in certain cases where a Farm W-9
has not bean received, a partnership is rewired to presume that
a partner is a foreign person, and pay the withhplding tax..
Ttserefare, if you are a U.S. parspn that is a pa-trier in a
partnership GanduGting a trade ar business in the United Statrds,
provide Farm 4V-9 to khe partnershrp to establish... yaur U.,
sfatus and avoid v,rithhtaiding on your snare at partnership
incame.
The person tivho glv~:s Form rot-9 to iris partnershEip kar
aurposes of establishing its ,i.S. status and ~vaiding w~ithf`alding
an its alpoeable share at net interne tram the partnership.
canducting a trade; Car business in the United Mates is ire the
1allcrwing Cases
r The US. or~ner ctf a disregarded anti*,y and not the entity,
4~1 dVa ',Ct3'X F4'rpi YV"'~ (P@V fid-~Ctf(I