9.0. SR 06-21-1993
TO: MAYOR & CITY COUNCIL
FROM: LORI JOHNSON, FINANCE DIRECTOR
DATE: JUNE 18, 1993
SUBJECT: PAY ESTIMATE #11 - CITY
HALL/POLICE FACILITY
Attached is a copy of Pay Estimate #11 to BOR-SON Construction,
Inc., in the amount of $21,049.15 for work completed on the
City Hall/Police facility. Total work to be completed plus
retainage is $133,709.10.
Nick Ruehl, Eos Architecture, has reviewed the Pay Estimate and
recommends payment to BaR-SON Construction, Inc., in the amount
of $21,049.15.
P.O. Box 490 8 13065 Orono Parkway 0 Elk River, MN 55330 @ (612) 441-7420 .G) Fax: (612) 441-7425
AI'" IH)
1111 ^~
In ,l( {"()r(J~}nce \vi tll the Coni rJcl Documcnt~, based on on-site observations and the
<L,ta cornprising Ihe above appljealion, Ihe Architect certifies 10 the Owner (hat(o the
h('~1 of the Architect's kncJ\vledge, ;n(ormJlion and belief Ihe Work has progressed .1S
indi( .lh'd. .ht' qUJlily of Ihe \Vofk is in accordance wilh the Contr.lc,1 Ou(unll'nl~, .lnd
thl' C"ootr\lctor h entirled 10 pJ}'mcnt (J( the AlvtOUNT C[f{Tlfl(f).
(NT G701 . AI'
AN IN'. 1I111 II
ICA11
)f ^~
)N AND CUU
I till Cl\. 17
Fie All r OJ( Pt\Yt-.U NT
'i Nt \V YOHK AVlNlJl
""AY IfIU t t DillON · AI^'
N .\\1,. \VASHIN(, ION, D, C.
JIll
1(}(Klh
lJy: ).uc Z
'--" .
This Ccr I ificat e is not ncgoli.lhlc. The ^,\.\()UN T C~ f{ r I f I L [) h 1~.lr,lh Ie
Con I r .ll tor nJmcd herei n. I ssuan('e, p.lynlt'fl t and a(TPpt.lnc:c 01 p.lY'llL'n t
prcjudic'c to any rights 01 the O\vncr or Conlr,lcror under I his C' " rJct
AMOUNT CERTifiED
(Atlach c.'xp1.1 f)JI ion if
AKCt.J tl{ CT
{{;l{7f) rZ(Jl1/'--
(;70'l.
o Ill)' . () III L'
..lrt! \\'ilholll
~ 1
<1)
fur, )
I
fl'l
If(
ilL'
$ 1_, L}~
.1/1lOUfl( .1ppllt.'cJ
an)()(J(
cert i liec/
dll(l'r~
\y
Dill e
anager
CATE FOR PAYMENT
6
/0
/93
c"
Slale ot:~ Minne~. ta C' Counr~t;~\ iN. EVENS
Subscrib 'f.l!rAJn 0 SC/1rJ) C 'lC (Mili . 1 ~~~~ Vf Pij~~~pMfNNESp9P.
NOI ar P ~ . . " . OAt<OtJ.. CmJNTY ,
Y b , My COmm. Expires July 22, 19~
My COOl m i s s; () n c)( p ire s : 7 / 2 2 / 9 7 .. vvvvvvvvvvvVvvvvvvvvvv I y\/yVVv,,'
).
.
>
9~
,
C()N
Chdn~
I he ulldl'rsigned Contractor certifies th.lt to the best of the Contractor's knowledge,
nlorrn.lIion illld belief the \\'ark covered by Ihis Application {or P.1yrnent htlS been
(orllph'h.'d in ,lccordancc vvith the ContrJct Documents, that all arnounts have been
p.lid hy the COlllrJctor for Work for \vhich previous Certificates for P,lynlcnt were
i~~\tl'd and pay,ncnts received Ironl the Owner, and that current payment shown
I1l'rl'in i~ now due.
Nel (h~Jng(! by
lOTAlS
Orders
Lill
(jJ!l
307.00)
307.00)
7.
6.
T
~ACl OR
BOR-SON Construct
on
nc
8.
9.
or
or G70J)
TOTAL EAItNED LESS RETAINAGE
(I.ine 4 less l.ine 5 Total)
LESS pnEVJOUS CERTIFICATES fOR
PAYMENT Ctine b (rurn prior Cer
CUltUENT PAYMENT DUE. . . . . . . . . .
BALANCE TO FINtSI-t, PLUS RETAINAGE
ine 3 less line 6)
cat
c)
S
$
$
2
013
21
33
'I 3 It
0/-19
709
75
5
o
s __ 107. 078 . 1 0 ._
S _f..LO 3 LII 118 3 . 9 0
-7
Approved
Nunlber
Cl-iANGE Of{OER SUt....tM,\RY
Chan~c Orders approved in
)rt'vi()u~ months by O\vner
TOTAL
h
Monlh
Dale Approved
($lLl,
307
00)
DEDUCTIONS
5.
1.
2.
3.
4.
ORIGINAL CONTRACT SUM
Net change by Change Orders
CONTRACT SUM TO DATE (line :t 2
TOTAL COMPLETED & STORED TO DATE
(Column G on G70J)
RETAINAGE:
a. -2.. % of Completed Work
(Colun1n D + E on G703)
b. _ % of Slored Malerial
(Column F on G70J)
Total RC1l\inage
Tolal in Col
line Sa + Sb
mn
s
$
07
078
"0
$
S
S
S
2
2
2
82
fij
68
41
500
307
193
562
00
00
00
00-
ADDITIONS
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is
Continuation
made for Payn1enl, as
ShccC, AlA Docunlcnl
shown belovv, in connection wi
G70J, is allached.
DhlflDUllon 10
DOWNER
o ARCriJT[CT
o CONTRACTOR
o
o
C()NTRACT
CONTRACTOR):
BOR-SON Construction,
2001 Killebrew Drive, #1
Bloonlington, MN 55425
fO~
Inc
41
VIA (ARCl-UTECT):
EOS Architecture
21 Water Street
Excelsior, MN
5533
CONTRACT DATE
ARC~ilT[CT'S
r~OJECT NO
c Con
rJ(
f.
{()f\\
5/08/93
6/01/93
City of Elk River
720 Dodge Avenue
Elk River I MN
N.W
55330
PERIOD TO
l()
APPLICATION AND CERTIFI
()\VN[ ~
)~O
CATE FOR PAYMENT
fer
AlA DOCUMENT G702
Elk River City Hall /
Police Station
APPl
1S
rue
CATION NO
nns
on
reverse Side
"ACI
()Nt
or
\