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ITEM 3.10A Pay Estimate #1 DNR Wetland Project 17-12ITY OF 0 t�c e oo MINNESOTA <-I DEPARTMENT INFORMATION Request for City Council Action ORIGINATING DEPARTMENT REQUESTOR: MEETING DATE: Public Works City Engineer Wagner January 8, 2018 PRESENTER(s) REVIEWED BY: ITEM #: Consent Agenda City Administrator/ Finance Director Flaherty 3.10A AGENDA ITEM DETAILS RECOMMENDATION: Staff recommends approval of Pay Estimate #1 (Final) in the amount of $73,390.00 for the DNR Wetland 86-7W Outlet Project, City Project No. 17-12 to C.W. Houle Inc. ARE YOU SEEKING APPROVAL OF A CONTRACT? IS A PUBLIC HEARING REQUIRED? No No BACKGROUND/JUSTIFICATION: The work has been completed for the DNR Wetland 86-7W (Praught Pond) Outlet Project. All erosion control has been removed and the site has been restored to preconstruction conditions. Vegetation is not established at this time as the site was frozen and will be farmed immediately in the spring. The total work completed to date is $73,390.00. The total original contract amount of the project is $73,275.00. SUPPORTING DOCUMENTS ATTACHED: 0 Final Pay Estimate (PE #1) POSSIBLE MOTION PLEASE WORD MOTION AS YOU WOULD LIKE ITTO APPEAR IN THE MINUTES: Motion to approve Pay Estimate #1 (Final) to C.W. Houle Inc. in the amount of $73,390.00 for the DNR Wetland 86-7W Outlet Project, City Project No. 17-12. BUDGET INFORMATION FUNDING: BUDGETED: Fund #220 —Storm Water (Out of District) 220-49490-530 No FINAL PAYMENT CITY OF OTSEGO DNR Weiland M7W Outlet Project, City Improvement Project No. 17-12 Datw December 19, 2017 Honorable Mayor & City Council City of Otsego 13400 901h Street NE Otsego, MN 55330 Re: DNR Welland 86-7W Outlet Project, City Improvement Project No. 17-12 Contractor: C.W. Houle Ina. Contract Amount: $73,276.00 Award Date: bewoomber 5, 2017. Completion Date: January 15, 2018 Dear Honorable Mayor and Council Members: The following work has been completed on the above-referenoed praj�ct by C.W. Houle, Inc. 01A -4W �- Q..- ITeM NO. MnIDOT SPEC. NO. ITEM DESCRIPTION ESTIMATED QUANTITY UNIT CONTRACT UNIT PRICE CONTRACT NT AMOUNT USED TO DATE EXTENSION I 2D21.501 Motiltizati on 1100 LS 0()o $Sjf>00.00 $ 3 OD 11.00 $ 3 0.00 2 6 16 TON tIACH 0 DO $70.00 1 2 '00 W$3,06RDO $ 1,120.00 3 2501.511 18" CP Pipe Apron 2 - .1' 0_()o $� $ 2,300.00 2 $ 2,300.00 1 2503.611 !&' CP Pipe 196 LF oo $30.00 $ 1 W, 4 $ 41880.00 1409 $ 42,270.00 5 2506.501 Oullet Control SG-Cture (418" Dla) 4 VF $765.00 �oc 4 $ 3,060.00 6 1 259M.501 iConstructDfairkaggStrucWro.Das�n 48-4020 41 VF $2AS.00 $ IQ865.00 41 $ I W'.00 7 2515.503 lArticulated InterlacIdna Block an CelfjypeA 8 SY $180.00 .$ 1.440.00 7 $ 1,260.00 8 2563.601 Traffic control 1 LS M $ 500.00 1 $ 500.00 9 2573.502 Silt Fence, Type MS 1045.00 —LF — $ 209000 $ 10 2,973.505 Sit Curlain a all Water 115 LF 311.00 $ Moo 100 $ 1,100.00 11 2573,533 =Rntrol Lqg Type Straw 151 LF $5.00 5i83 1' 2,915.00 12 2575.&55 iment — I $ 4,5W.00 is. 4,500.001 i orai tsia -,cneouie "A" 4 10'Ar.,W 9 1., a..4 Bid Schedule "A' $ 73,276.00 $ 90.00 TOTAL WORK COMPLETED TO DATE 4-31390.00 VVE RECOMMEND PAYMENT OF: $73.,390.00 APPROVALS: Please verify the amount of previous payments, and the receipt of the following items prior to maWing payment. 1. Corlificate of claims payment (lien waiver). 2. Affidavit of payment of state taxes (MN State Tax Form IC 134). 3. Letter of consent from surety firm. CONTRACTOR: 6.W. HOULE, INC. Certiff tion by Contractor: flify1hatall tems and amounts are correatfor the work completed to date. Title: f�!*d 9 *-,A *,-4 -Date Is 117 - ENGINEER: HAKANSONANDEIkSONASSOCIATES, INC. - C rtMGatlo ngineer: We mmend paymep work and quantities as shown. Sig Title: Date 11-7 OWNER: CITY OF OTSEGO Date WAIVE R OF LIEN RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Dated: 12/20/2017 The undersigned hereby aelmowledges receipt of the sum of $73,390.00 Seventy-three thousand, three hundred ninety and 00/100 --------------------------- From: City of Otsego CHECK ONLY ONE I. ( ) as partial payment for labor, sldll and material furnished 2. ( ) as payment for all labor, s1dlI and material furnished or to be furnished (except the sum of $ , retainage or holdback) 3. ( x) as full and final payment for all labor, sldll and material furnished or to be furnished to the following described real property: (legal description, street address or project name) DNR Wetland 86-7W Outlet Project Otsego, Minnesota and for value received herby waives all rights acquired by the undersigned to file or record mechanic's liens against said real property for labor, s1dlI or material furnished to said real property (only for the amount paid if Box I is checked, and except for retaining shown if Box 2 is checked). The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership it must be signed by a partner. C. W. HOULE, INC. Title President Page 1 of 1 MDEPARTMENT *I OF REVENUE oil I - 0 Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: Submitted Date and Time: Legal Name: Federal Employer ID: User Who Submitted: Type of Request Submitted: Affidavit Summary Affidavit Number: Minnesota ID: Project Owner: Project Number: Project Begin Date: Project End Date: Project Location: Project Amount: Subcontractors: 1-340A67-392 20 -Dec -2017 4:24:15 PM C W HOULE INC 41-0834680 cwhoule Contractor Affidavit 680542464 8675384 CITY OF OTSEGO 17-12 1 I -Dec -2017 14 -Dec -20117 OTSEGO MINNESOTA $73,390.00 No Subcontractors Important Messages A copy of this page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email) withholding.taxQstate.mn,us. Business hours are 8:00 a.m. - 4:30 p.m, Monday - Friday. Please plbt this_page for your records using the print or save functionality built Into your browser. https:llwww.mndor.state.mn.usltpleservicesl—lRetrieve101c-IE055i5M6T6AUniaGQLLil... 12/20/2017