IP #769
COUNCIL
REQUEST FOR ACTION
Originating Department
Approved for Agenda
Agenda Section
Parks and Recreation
July 25, 2005
Consent
Item No.
By: Shari French
6.11
RESOLUTION APPROVING CHANGE ORDER NO.1 FOR ELM GROVE PARK (IMPROVEMENT PROJECT
#769)
REQUESTED ACTION
At the June 27, 2005 council meeting, council discussed the projects involving Elm Grove Park. Tonight, staff
is recommending that the Council approve Change Order No.1 to the contract with Minnesota Wisconsin
Playground, me. for the play equipment project approved on May 23, 2005. The original amount of the
contract with Minnesota Wisconsin Playground, Inc. for the Elm Grove Park play equipment project was
$44,420. The dollar amount of this change order is a savings of $1,600. The revised contract amount including
this change order becomes $42,820.00. The equipment does need to be ordered now in order to stay on time.
Part one of this change order involves a modification to the design. The design becomes one in which there is
a single play circle. This allows for a more accessible final design. Some grading alterations will need to be
made to accommodate the new container involving the contractor from project 779. The engineer will be in
attendance to discuss the changes.
Part two of this change order revises the completion date from September 30 to October 28, 2005. Unavoidable
delays in the 2005 Street, Park and Utility Improvements project 779 have caused the estimated date to have
the site ready for this contract to be shifted to a later date.
The final part of this change order deletes the existing play equipment removal. In an attempt to facilitate
construction activities between projects 769 and 779, the removals were completed by the contractor for project
779. Therefore, the quoted price for the existing equipment removals, $1,600, will be subtracted from this
contract. Payment for the removals will be later added to project 779 via change order.
A TT ACHMENTS
The en ineer's memorandum, the chan
osed new la out, and resolution are attached.
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1:\RFA\P&R\PARKS\R-769 Change Order No. 1.doc
CITY OF NEW HOPE
RESOLUTION NO. 05-93
RESOLUTION APPROVING CHANGE ORDER NO.1 FOR
ELM GROVE PARK (IMPROVEMENT PROJECT #769)
WHEREAS, the city of New Hope prepares a five year Capital Improvement Program (CIP) as a guiding
document for equipment acquisition and improvement projects to assist with the preparation of
each annual operating budget; and
WHEREAS, the CIP is not formally adopted as a budget document, nor does it authorize the acquisition of the
individual equipment and/or projects listed therein; and
WHEREAS, the funds for this equipment have been provided within the Park Dedication Fund; and
WHEREAS, the City Council of the city of New Hope authorized a contract in the amount of $44,420 to
Minnesota Wisconsin Playground, Inc. for project 769 on May 23, 2005; and
WHEREAS, after the contract was awarded it was determined that a change was desired to enhance the
accessibility of the design for play equipment for Elm Grove Park; and
WHEREAS, unavoidable delays with project 779 have caused the estimated date to have the site ready for this
contract to be shifted to a later date; and
WHEREAS, in an attempt to facilitate construction activities between projects 769 and 779, the removals of
the existing equipment were completed by the contractor for project 779.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the city of New Hope approves change order
number 1 to the contract with Minnesota/Wisconsin Playground, Inc. as part of Improvement
Project number 769 (Elm Grove Park Upgrade) which includes a revised play equipment layout, a
change in the completion date to October 28, 2005, and a deletion of the existing equipment
removal for a reduction of $1,000 to this contract putting the revised contract amount at $43,420.
Adopted by the City Council of the city of New Hope, Hennepin County, Minnesota, this 25th day of July, 2005.
i .~
Attest: III /LAA I.J C. ':Am..t
City Clerk
1:\RFA\P&R\PARKS\R-769 Change Order No. 1.doc
. fl. Bonestroo
e Rosene
'\i\lI AnderJik &
11 \J 11 Associates
Engineers & Architects
2335 West Highway 36 . St Paul. MN 55113
Office: 651-636-4600 . Fax: 651-636-1311
wwwbonestroocom
July 19,2005
Shari French
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Re: Elm Grove Park Play Equipment, City Project No. 769
Change Order #1 Recommendation
BRAA # 000034-05170-0
Dear Shari:
A revised play area layout, involving the construction of a single play area container, as opposed
to two containers, to house all the play equipment to be installed in Elm Grove Park, has been
proposed. The revised design involves both a change in the equipment configuration as well as
change in some ofthe components used. A copy of the layout is attached for your review. This
change in design will have no affect on the contract amount.
Upon initial review, it appears the new layout will not cause significant issue to the design of
Elm Grove Park. Some grading alterations will need to be made to accommodate the new
container. The design modifications will be looked at in more detail and depicted in drawings for
Council review prior to the July 25th meeting.
Unavoidable delays in the 2005 Street, Park and Utility Improvements project have caused the
estimated date to have the site ready for this contract to be shifted to a later date. Therefore,
MN/WI Playground has requested an extension on the completion date. It has been proposed that
the completion date be shifted by one month, from September 30th to October 28th,
Removal of the existing play equipment in Elm Grove Park was originally part ofthis contract.
In attempt to facilitate construction activities between projects, the removals were completed by
the contractor working on the 2005 Street, Park and Utility project. Therefore, the Bid Price for
the existing equipment removals, $1,600, will be subtracted from the contract. Payment for the
removals will be later added to the 2005 Street, Park and Utility project via change order.
We recommend Council approve Change Order #1 at the July 25th Council meeting. Upon
approval, the contractor will order the new equipment.
Sincerely,
BON EST ROO ROSENE ANDERLIK & ASSOClA TES, INC.
7~~y
Vincent T. Vander Top
Enclosures
St. Paul. St Cloud. Rochester. MN . Milwaul<ee. WI · Chicago. IL
Affirmative Action/Equal Opportunity Employer and Employee Owned
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~ Owner: City of New Hope, 4401 Xylon AYe. N., New Hope, MN 55428
-=- Rosene
'1\11 Anderlik & Contractor: Minnesota/Wisconsin Playground, P.O. Box 27328, Golden Valley, MN 55427
. \J. Associates
Engineers & Architects Bond Company:
Date July 19,2005
Bond No:
CHANGE ORDER NO. 1
ELM GROVE PARK PLAY EQUIPMENT
CLIENT PROJECT NO. 769
BRA FILE NO. 34-05-170
Description of Work
Revised Plav EQuipment Lavout
The original play area design called for two containers, one to house 5-12 year-old equipment and the other to house pre
5 year-old equipment. This layout was modified to consist of a single container to be used for all of the play equipment.
Modification of the layout includes a revised list of equipment to be used along with a new configuration of the
equipment. The new layout will include the equipment shown on the attached drawing. The contract amount does not
increase nor decrease due to this change.
Chan2ed Completion Date
The completion date will be changed from September 30th, 2005 to October 28th, 2005. This change is to allow a
feasible time for the play areas to be constructed given unavoidable delays that have occurred in other City projects. The
change in completion date will have no effect on the contract amount.
Deleted EQuipment Removal
The existing play equipment in Elm Grove Park was originally to be removed under this contract. In attempt to facillitate
construction efforts, the removals were performed by the contractor working under a separate City contract. Therefore, the
costs to remove and dispose of the existing equipment will be subtracted from this contract and added to the contract
under which the work was actually performed.
Contract
Unit
Total
No.
Item
Unit
Quantity
Price
Amount
CHANGE ORDER NO.1
2
REVISED PLAY EQUIPMENT LAYOUT (SEE
ATTACHED DRAWING)
CHANGED COMPLETION DATE
LS
SO.OO
SO.OO
LS
SO.OO
SO.OO
3
DELETED EQUIPMENT REMOVAL
LS
-SI,600.00
-S I ,600.00
Total CHANGE ORDER NO.1:
-SI,600.00
3405170CHO I.xis
Original Contract Amount
Previous Change Orders
This Change Order
Revised Contract Amount (including this change order)
Recommended for Approval by:
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
Date:
$44,420.00
$0.00
-$1,600.00
$42,820.00
Approved by Contractor:
MN/WI PLAYGROUND
Approved by Owner:
CITY OF NEW HOPE
Date
cc: Owner
Contractor
Bonding Company
Bonestroo & Assoc.
3405170CHO 1.xIs
Date
'.11' Bonestroo
~ Rosene
'1\11 Anderlil< &
. \j 1 Associates
Engineers & Architects
Owner: City of New Hope, 4401 Xylon Ave. N., New Hope, MN 55428 Date July 2 1, 2005
Contractor: Minnesota/Wisconsin Playgoumd, P. O. Box 27328, Golden Valley, MN 55427
Bond Company: Bond No:
CHANGE ORDER NO. 1
ELM GROVE P ARK PLAY EQUIPMENT
CLIENT PROJECT NO.769
BRA FILE NO. 000034-05170-0
Description of Work
Revised Plav EQuipment Lavout
The original play area design called for two containers, one to house 5-12 year-old equipment and the other to house pre 5
year-old equipment. This layout was modified to consist of a single container to be used for all of the play equipment.
Modification of the layout includes a revised list of equipment to be used along with a new configuration of the equipment.
The new layout will include the equipment shown on the attached drawing. The contract amount does not increase nor
decrease due to this change.
Changed Completion Date
The completion date will be changed from September 30th, 2005 to October 28th, 2005. This change is to allow a feasible
time for the play areas to be constructed given unavoidable delays that have occurred in other City projects. The change in
completion date will have no effect on the contract amount.
Deleted EQuipment Removal
The existing play equipment in Elm Grove Park was originally to be removed under this contract. In attempt to facillitate
construction efforts, the removals were performed by the contractor working under a separate City contract. Therefore, the
costs to remove and dispose of the existing equipment will be subtracted from this contract and added to the contract under
which the work was actually performed.
Spiral Slide Handrails
The existing spiral slide to be reused in the revised layout does not have the proper hand rails. Supplying and installing the
correct handrail on this piece of equipment will be added to the contract to ensure the safety of this component. The
contractor has provided a price of $600.00 to supply and install the rails on the existing slide. This cost will be an addition
to the contract amount.
Contract
Unit
Total
No.
Item
CHANGE ORDER NO.1
Unit
Quantity
Price
Amount
DELETED EQUIPMENT REMOVAL
LS
($ I ,600.00)
($ I ,600.00)
2
SUPPL Y Al\TI) INSTALL SPIRAL SLIDE HAl\TI)RAIL:
LS
$600.00
$600.00
TOTAL CHANGE ORDER NO.1:
($1,000.00)
3405170CHO I.xls
Original Contract Amount
Previous Change Orders
This Change Order
Revised Contract Amount (including this change order)
$44,420.00
$0.00
($1,000.00)
$43,420.00
CHANGE IN CONTRACT TIMES
Original Contract Times:
Substantial Completion (days or date):
Ready for [mal Payment (days or date):
Increase of this Change Order:
Substantial Completion (days or date):
Ready for [mal Payment (days or date):
Contract Time withal! approved Change Orders:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Recommended for Approval by:
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
Date:
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Approved by Contractor:
MINNESOT A1WIS 1 T
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Approved by Owner:
CITY OF NEW HOPE
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Bonding Company
Bonestroo & Assoc.
3405I70CHO I.xIs
COUNCIL
REQUEST FOR ACTION
Originating Department
Approved for Agenda
Agenda Section
By:
5/23/05
Development & Planning
Item No.
Parks and Recreation
By: Shari French
8.3
RESOLUTION AUTHORIZING THE PURCHASE OF EQUIPMENT AND APPROPRIATION OF FUNDS FOR
THE PURCHASE OF PLAY EQUIPMENT FOR ELM GROVE PARK (IMPROVEMENT PROJECT #769)
REQUESTED ACTION
Staff is recommending that the City Council review the options on the attached memo from the city engineer.
After review, staff recommends choosing the quote that best meets the city's needs for this project and then
approving a resolution and awarding the chosen quote for new play equipment for Elm Grove Park.
BACKGROUND
Project 769 includes the new play equipment portion of the Elm Grove Park improvement plan. Overall plans
for the park include new play equipment for two separate age groups (2-5 year old children and 5-12 year old
children); site preparation, curbing, etc. for the new play equipment; an improved trail which will lead from
55th A venue through the park to the parking lot of St. Raphael's church; and landscaping. Meetings have been
held with the neighborhood to get input as to the plan they would like to see for their park.
On November 8, 2004 the City Council approved the preparation of plans and specifications for this project.
On January 18, 2005 Council met with staff and engineers to discuss the project and to give direction.
Direction included purchasing new play equipment for this park and omitting the existing basketball court.
After discussion at the April 18 work session, Council directed staff on April 25th to advertise for quotes for
new play equipment.
The 2005 Street, Park, and Utility Infrastructure Improvement Project #779 was approved on May 9 and speaks
to additional work to be done in this park and surrounding area. Part of the park improvement work to be
done is similar to the street and utility work to be done in this area and so was included as a part of this
infrastructure project, 779. The park portion of the contract awarded to DMJ Corporation on May 9 for project
779 totaled $29,076.
MOTION BY
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1:\RFA\P&R\PARKS\R-Elm Grove Park Quotes 769.doc
ATTACHMENTS
Attached is a letter from the city engineer outlining the quotes received for the new play equipment from four
different manufacturers' representatives.
FUNDING
Funding for this project is available through the Park Dedication Fund.
I:\RFA\P&R\PARKS\R-Elm Grove Park Quotes 769.doc
CITY OF NEW HOPE
RESOLUTION NO. 05-76
RESOLUTION AUTHORIZING THE PURCHASE OF EQUIPMENT AND APPROPRIATION OF
FUNDS FOR THE PURCHASE OF PLAY EQUIPMENT FOR ELM GROVE PARK
(IMPROVEMENT PROJECT #769)
WHEREAS, the city of New Hope prepares a five year Capital Improvement Program (CIP) as a guiding
document for equipment acquisition and improvement projects to assist \vith the preparation of
each annual operating budget; and
WHEREAS, the CIP is not formally adopted as a budget document, nor does it authorize the acquisition of the
individual equipment and/or projects listed therein; and
WHEREAS, the Parks and Recreation Department recommends the acquisition of new play equipment for
Elm Grove Park from Minnesota Wisconsin Playground, Ine.; and
WHEREAS, the funds for this equipment have been provided within the Park Dedication Fund.
NOW, THEREFORE BE IT RESOLVED by the City Council of the city of New Hope, Minnesota, that the
appropriation of $44,420 for payment to Minnesota Wisconsin Playground, Inc. from the Park
Dedication Fund is authorized and the 2005 Parks operating Fund budget is hereby amended.
Adopted by the City Council of the city of New Hope, Hennepin County, I\IIinnesota, this 23 day of May, 2005.
1Jtc~~
Mayor l
'/l;J7:;{1
v . ,/-"
Attest: .. ~.Lf C.... fJ:YU..--.
City Clerk
I:\RFA\P&R\PARKS\R-Elm Grove Park Quotes 769.doc
Ji]J Bonestroo
I!I:liiI Rosene
1l\II Anderlik &
" \J 1 Associates
Engineers & Architects
2335 West Highway 36 · St. Paul, MN 55113
Office: 651-636-4600. Fax: 651-636-1311
www.bonestroo.com
May 17,2005
Honorable Mayor and City Council
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Re: Elm Grove Park Play Equipment
City Project # 769
File No. 000034-05170-0
Quote Results
Quotes were received for the Project stated above on Friday, May 13, 2005 at 4:00 P.M., C.D.S.T. The
quote submitted quote forms are attached. Copies will also be distributed to each Bidder.
Quote Form Background
The quote form was constructed to receive specific prices for certain items. The bid items were as
follows:
Bid Items #1 through #4 represent furnishing and installing the play equipment materials
Item # 1 - Furnish Play Equipment - The actual cost of the equipment.
Item #2 - Install Play Equipment - The labor to install the equipment.
Item #3 - Salvage and Reinstall Swing Set - The cost to salvage and reinstall the existing swing
Item #4 - Resilient Surface - The cost for the "rubber" surface required for ADA accessibility.
Bid Item # 5 provided the bidder the opportunity place an additional cost in the quote to meet the
extended warranty.
Bid Item #6 provided the bidder the opportunity rebate the City for any trade-in value for the existing
equipment. This bid item included the complete removal of the existing play equipment.
There were two alternates in the bid:
Alternate # 1 - Existing Equipment Removal and Disposal - This represented the cost of removal
of the existing equipment in the event that the bidder did not include that under Bid Item #6 -
Trade-in value.
Alternate #2 - Furnish and Install Rock Climber - A rock climbing equipment piece was bid as
an alternate. It was anticipated that the bids would be close to the MN statute quoting limit of
$50,000. In the event that the bids are over $50,000, this piece of the play equipment would not
be awarded.
· St. Paul, St. Cloud, Rochester, Willmar, MN · Milwaukee, WI · Chicago, IL
Affirmative Action/Equal Opportunity Employer and Employee Owned
Quote Summary
There were a total of 4 Quotes received. The quotes were received directly from the manufacturer's local
representatives. A summary of the quotes follows:
T bl 1 Q t S
a e- uo e ummary
Bid Item Miracle Little Gametime Landscape
Tikes Structures
Play Equipment Materials $40,356 $40,525 $40,940 $46,702
(Bid Items 1-4)
Extended Warranty Cannot do $0 $ 5,350 $0
(Bid Item 5)
Play Equipment $40,356* $40,525 $46,280 $46,702
Existing Equipment Trade-In $0 -$5,000 -$8,120 -$3,915
(Bid Item 6)
Existing Equipment Removal $ 1,850 $0 $ 1,600 $0
(Alternate 1)
Play Equipment wi Removal of Existing $42,206* $35,525 $39,760 $42,787
Equipment
Rock Climber-Alternate 2 $ 2,158 $16,752 $ 4,660 $ 9,385
Play Equip. wi Removal of Ex. Equip. and $44,364* $52,277 $44,420 $52,172
Rock Climber
* No extended warranty included.
Review of Quotes
The Quotes were reviewed by staff in three areas:
o Quoted Price
o Extent of Warranty
o Equipment provided
Quoted Price
The submitted quotes are summarized in Table 1. The following could be noted:
Miracle quoted the lowest price for the play equipment; however, they could not provide the
extended warranty
Little Tikes quoted the lowest price ($40,525) for the play equipment with the extended
warranty.
o Little Tikes quoted the lowest price ($35,525) for the play equipment and the removal of the
existing play equipment. The Trade-in value lowered their bid by $5,000.
If the Rock Climber is included, Miracle quoted the lowest price; however, Gametime submitted
the only quote under the limit of $50,000 with the extended warranty.
Extent of Warranty
An emphasis was placed on the warranty in the bid package. The base warranty in the bid includes:
. A I OO-year warranty on structural parts
. A I5-year warranty on other plastic and steel components
. A 5-year warranty on paints and coatings
A 3-year warranty on plastic moving and rocking parts
All quotes commit the manufacturer to this base warranty. The extended warranty increase the 5-year
warranty on paints and coatings to a I5-year warranty. Miracle submitted that they would not meet this
warranty. Gametime indicated that the extended warranty would be met at a cost of $5,350 and Little
Tikes and Landscape Structures will meet the extended warranty at no additional cost.
Equipment Provided
A specific list of equipment was provided in the bid package. The equipment list was based on
Landscape Structure equipment as City staff worked with that manufacturer in the preliminary layout of
the park. Other manufacturers were asked to submit equal play equipment to the components listed in the
plan. Staff can provide further detail on each component if desired. Each manufacturer submitted a
rendering of the play equipment layout. The following summarizes the comparison of the equipment
provided:
T hI 2 PI E
c
a e- ay ~QUlpment ompanson
Equipment Feature Miracle Little GameTime Landscape
On Bid Plan (5-12 yr-old Equipment) Tikes Structures
Triple Ring Fling X X X X
Horizontal Ladder w/2-24" decks Xw/l X X X
deck
Corner Climber win" deck X w/60" X Rock wall X
deck Climber1
Pod Climber w/40" deck X w/36" X X w/24" X
deck deck
Side Winder slide w/96" deck X X X X
Stand-up SeeSaw X X Walk the X
Plank2
Stand-up Spinner X X X X
Transfer module X X X X
3 steps X X 4 steps X
Rock climber w/64" deckl X w/78" X X w/66"
deck deck
Age Appropriate Si!lI1 X X X X
I Gametime supplied a rock wall climber in lieu of the corner climber. A volcano climber was
included under Alternate 2 in lieu of a rock climber. The Little Tikes and Landscape Structures
natural stone rock climbers should not be compared to the Gametime volcano climber. The
natural stone rock climbers are more expensive for all manufacturers.
2 Gametime submitted a "walk the plank" in lieu of a stand up see saw. Gametime does not have a
stand up see saw. The "walk the plank" can be described as a low balancing board on springs.
The stand up see saw was a piece of equipment requested at an open house.
Equipment Feature Miracle Little GameTime Landscape
On Bid Plan (5 yr-old and under Equipment) Tikes Structures
Pre-K Play Equipment
Driver Panel X X X X
Spring Rider Frog Whale Stallion Dolphin
Double wave slide w/48" deck X X X X
w/44" w/36" deck
deck
COZY climber X X X3 X
Sound Chimes panel w/40" deck4 X X X X
w/48" w/36" w/36" deck
deck deck
Tunnel slide wi a view tube and w/48" deck5 X X X X
36" deck
Transfer module X X X X
Super scoop X X X X
Tot swing (2 swings) X X X X
Sil:m X X X X
3 Gametime submitted a Wave climber in lieu of an Arch climber. An Arch climber could be
substituted at no additional cost. Gametime submits a wave climber is more age appropriate
4 Little Tikes submitted a 7-station play factory; Gametime submitted a Gizmo panel
5 Only the Landscape Structures Tunnel has a view window into the tunnel allowing parents to see
children inside the tunnel; however, the tunnel will be short and can be considered not necessary
. in this layout.
The most notable difference in the play equipment by manufacturer is the climbing rock under Alternate
2. The rock submitted by Little Tikes and Landscape Structures is different level of climbing rock than
the volcano climber submitted by Gametime.
Alternative Playground Designs
We did not request that manufacturers submit alternative playground layouts. However, Gametime did
submit an alternative layout. The base design in the plan includes two play areas: 5-12 year-old and an
under 5-year old. Separate age appropriate play areas is an increasing trend in play ground design and
was used most recently in Liberty Park. Gametime submitted an alternate design combining the two play
areas into one. This is also an acceptable approach. By combining the areas, they were able to increase
the amount play equipment and the ADA accessibility while keeping the costs below $50,000.
The alternative design raises some additional items that the City Council and staff may want to discuss;
however, the quotes should first be evaluated on an equal basis or the plan design. After the project
award is made, the Council could consider layout modifications and cost saving measures with the
selected contractor. Any changes after the award could be accommodated via a change order.
Considerations for Contract Award
The City Council could approach the award differently depending on immediate goals:
· Because of the submitted trade-in values and the low cost (or rebate) to have the existing
equipment removed, staff is recommending that the existing equipment be removed under this
contract.
· If the extended warranty is desired, the low quote was submitted by the Little Tikes rep
($35,525).
· If the extended warranty is not desired, the low quote was submitted by the Gametime rep
($39,760 - $5,350 = $34,410).
The rock climber (alternate #2) cannot be awarded as it increases the Little Tikes and Landscape
Structure bids over $50,000.
. Alternate #2 (Gametime volcano climber) could be awarded to Gametime keeping the award
quote below $50,000 ($44,420). The Miracle bid with Alternate #2 is slightly lower but it does
not include the extended warranty.
It is recommended that Council discuss these options and consider an award based on that discussion.
City staff will assist the Council in that discussion further identifying the benefits of specific options.
Should you have any questions, please feel free to contact me at (651) 604-4790.
Yours very truly,
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INe.
Vincent T. Vander Top, P.E.
Enclosures
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QUOTE
Elm Grove Park
Play Equipment
New Hope, Minnesota
City Project No. 769
File No. 34-05-170
Quote Due: Wednesday, May 11, 2005, 1 :30 P.M., C.S.T.
Return to: Vince Vander Top @ Bonestroo
Fax Number 651-636-1311
Office Number 651-604-4790
Cellular 651-775-5093
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
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TOTAL
COST
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1
ITEM
UNIT QTY
UNIT
COlT
1.
Furnish Play Equipment
LS
1
2.
Install Play Equipment
LS
I
/
1 /Lio
liY/tt
1
3.
Salvage and Reinstall Swing Set
LS
1
4.
Resilient Surface
LS
5.
Extended Warranty (faint)
C! C<./) /') CJ dO .
Existing Equipment Trade-In Value
(Refer to Section 02860.3.03)
LS
LS
1
6.
ALTERNATE #1
1.
Existing Equipment Removal and Disposal
(Refer to Section 02860.3.03)
LS
1
ALTERNATE #2
LS 1
fZJS5/ L BLuFF ~ /IU8ER..
2. Furnish and Install "Rock Climber"
1J1-/7306b
;'Submit Quote information consistent with Section 02860.1.05.
II
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II
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/vIR
2/ S8. 0 0 :bi::-
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Comp,", Nam~ UJ:b~! !Ztare OHDffi /.f;es '!in r1 he
Signature~ e.. fLCft&I<[(-t ;t; ..A/
Pdut'd&~SigU'''' ~f;:1m Kv/fck
~Title: (St.tJ!Jc:v2. ~/ q/J!!r
I
I-ldderJdoun 112 re(!e;'vecL
QUOTE
Elm Grove Park
Play Equipment
New Hope, Minnesota
City Project No. 769
File No. 34-05-170
'- \ ~ \ -e.. "\~ V-e'S
Quote Due: Wednesday, May 11, 2005, 1:30 P.M., C.S.T.
Return to: Vince Vander Top @ Bonestroo
Fax Number 651-636-1311
Office Number 651-604-4790
Cellular 651-775-5093
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
UNIT TOTAL
ITEM UNIT QTY COST COST
1. Furnish Play Equipment LS $31,218.00
2. Install Play Equipment LS 1 $5,925.00
3. Salvage and Reinstall Swing Set LS 1 $490.00
4. Resilient Surface LS 1 $2,892.00_
5. Extended Warranty (Paint) LS tfl.(O SLS"
1 -O- r
6. Existing Equipment Trade-In Value LS (-"i,nnn nn)
(Refer to Section 02860.3.03)
Total Quote $35,525.00
ALTERNATE #1
1. Existing Equipment Removal and Disposal LS
(Refer to Section 02860.3.03)
ALTERNATE #2
2. Furnish and Install "Rock Climber" LS 1 $16,752.00
*Submit Quote information consistent with Section 02860.1.05.
Printed Na e of Signer: s e y
Title: S ale s R e pre s e n t a
*Addendums #1 and #2 - acknowleged
Flanagan Sales, Inc.
(;,zCtMe{.{cMe
QUOTE
Elm Grove Park
Play Equipment
New Hope, Minnesota
City Project No. 769
File No. 34-05-170
:;~::>~;.
D Z ~ 8 8 H: ~?::/ .,.".~~~
PlAt-J DW<i,
Quote Due: Wednesday, May 11,2005,1 :30 P.M., C.S.T.
Return to: Vince Vander Top @ Bonestroo
Fax Number 651-636-l311
Office Number 651-604-4790
Cellular 651-775-5093
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
UNIT TOTAL
ITEM UNIT QTY COST COST
]. Furnish Play Equipment LS 31, 9'00
2. Install Play Equipment LS !:J e e a
3. 't.Salvage and Reinstall Swing Set LS 7Z0
4. Resilient Surface LS 1 :2-, 3 ~ 0 *~
5 Extended Warranty (Paint) LS S3~
1 R{;CO,'1;'1!=NO ep
6. Existing Equipment Trade-In Value LS 1 8/20
(Refer to Section 02860.3.03)
Total Quote 38/ Ira ()
AL TERJ"'lA TE #1
~
1. Existing Equipment Removal and Disposal LS (~ 0
(Refer to Section 02860.3.03) ..J
ALTER.NA TE #2 lh
2. Furnish and Install "Rock Climber" LS 1:0 6 () L
I
*Submit Quote information consistent with Section 02860.1.05.
Company Name: I1INJJc::5oTA WISCONSIN PLINt:,f'ol/Nt>, jNc..
Signature: ~ ~
Printed Name'ofSigner: !I;:JRl...AIV LeH.t'1I'lN
Title: vice ff?13'.'S/iJpAlr S,Al.c...s
'* GfI/l&nffE ,!;:.q UII',.41E:.",r wAtNW1{ ,ltT/,ACItED i._€.AD$ /N{;J()$rt? 't
5rA-~MS S'l.Tc!JDe/) ~/'1h/~/ON 'itELtJ5
/J/fOt:.. 8/ D g>vo 17S' TO r ..A-L ~ /rJo.D.fq:,t"t~ It'1rcrk'(\'
I ~tiiDlqt10 - iQt(b
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QUOTE
Elm Grove Park
Play Equipment
New Hope, Minnesota
City Project No. 769
File No. 34-05-170
~()./ljdsca~ 5ffrJc1o~
Quote Due: Wednesday, May 11, 2005, 1:30 P.M., C.S,T.
Return to: Vince Vander Top @ Bonestroo
Fax Number 651-636-1311
Office Number 651-604-4790
Cellular 651-775-5093
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
UNIT TOTAL
ITEM UNIT QTY COST COST
1. Furnish Play Equipment LS 1 $33,142.00
2. Install Play Equipment LS 1 8,960.00
3. Salvage and Reinstall Swing Set LS 1 1,500.00
4. Resilient Surface LS 3,100.00
i' 5. Extended Warranty (paint) LS 1 0.00 --;;'4 ( to z.
6. Existing Equipment Trade-In Value LS 1 (3,915.00) .,
(Refer to Section 02860,3,03)
Total Quote $42,790.00
ALTERNATE #1
1. Existing Equipment Removal and Disposal LS 0.00
(Refer to Section 02860.3.03)
ALTERNATE #2
2. Furnish and Install "Rock Climber" LS 9,385.00
*Submit Quote information consistent with Section 02860.1.05.
.,
~~
Company Name;-.--EARL..J;. AND~, INC.
==;-' ~
Signature:~ . \ :^,./ ^ ~ "\> C"'-=-;' _
Printed Name of Signer: BILL BACH
Title: SALES CONSULTANT
'.
THE AMERICAN INSTITUTE OF ARCHITECTS
.
Premium Amount Based
on Final Contract Amount
Bond No. 929373560
AlA Document A312
Performance Bond
Any singular reference to Contractor, Surety, Owner or other party shall be considered plural "Where applicable.
CONTRACTOR (Name and Address):
MINNESOTA /WISCONSIN PLAYGROUND,
INC.
P.O. BOX 27328
SURETY (Name and Principle Place of Business):
WESTERN SURETY COMPANY,
GOLDEN VALLEY, MN 55427
P.O. BOX 5077,
SIOUX FALLS, SO 57117-5077
OWNER (Name and Address):
CITY OF NEW HOPE,
4401 XYLON AVENUE N.,
NEW HOPE, MN 55428
CONSTRUCTION CONTRACT
Date: July 11th, 2005
Amount: FORTY FOUR THOUSAND FOUR HUNDRED TWENTY AND 00/100 $
Description (Name and Location):
City Project #769
Elm Grove Park - Play Equipment
New Hope, Minnesota
44,420.00
BOND
Date (Not earlier than Construction Contract Date): July 11th, 2005
Amount FORTY FOUR THOUSAND FOUR HUNDRED TWENTY AND 00/100$
Modifications to this Bond: [ X] None
44,420.00
[ ] See Page 3
CONTRACTOR AS PRINCIPAL
SURETY
} (Corporate Seal) COMPANY: (Corporate Seal)
.}t YGROUND, WESTERN SURETY .~OMP ANY, /?
I /! ~-- ~./P' // i
I~A ../,P*.. //'. /1 .,>%
.('f./2. ,,' ).Oii" . . ""'//* . ,"(/ /i.1 l." ..~ij///.il
. i 1./40, I) Signature: /'; 7/&'$'t. I ~7/vi~/ "-
Name ana-Title: I
Gary McBride, Attorney-in-Fact
(Any additional signatures appear on page 3)
OWNER'S REPRESENTATIVE (Architect,
or Engineer or other party):
N/A
FOR INFORMATION ONLY-Name, Address and Telephone
AGENT OR BROKER:
R.J. AHMANN COMPANY
7555 MARKET PLACE DRIVE
EDEN PRAIRIE, MN 55344
(952)941-9452
AlA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED., AlA 0
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON D.C. 20006
THIRD PRINTING - MARCH 1987
A 312-1984
1
1. The Contractor and the Surety, jointly and severally,
bind themselves, their heirs, executors, administrators,
successors, and assigns to the Owner for the performance
of the Construction Contract, which is incorporated herein
by reference.
reasonable promptness under the circumstances:
.1 After investigation, determine the amount for which it may be
liable to the Owner and, as soon as practicable after the amount is
determined, tender payment therefor to the
Owner; or
.2 Deny liability in whole or in part and notify the Owner
citing reasons therefor.
2. If the Contractor performs the Construction Contract,
the Surety and the Contractor shall have no obligation
under this Bond, except to participate in conferences as
provided in Subparagraph 3.1.
3. If there is no Owner Default, the Surety's obligation
under this Bond shall arise after:
3.1 The Owner has notified the Contractor and the
Surety at its address described in Paragraph 10 below
that the Owner is considering declaring a Contractor
Default and has requested and attempted to arrange a
conference with the Contractor and the Surety to be
held not later than fifteen days after receipt of such
notice to discuss methods of performing the Construc-
tion Contract. If the Owner, the Contractor and the
Surety agree, the Contractor shall be allowed a reason-
able time to perform the Construction Contract, but
such an agreement shall not waive the Owner's right, if
any, subsequently to declare a Contractor Default; and
5. If the Surety does not proceed as provided in Paragraph
4 with reasonable promptness, the Surety shall be deemed
to be in default on this Bond fifteen days after receipt of an
additional written notice from the Owner to the Surety
demanding that the Surety perform its obligations under
this Bond, and the Owner shall be entitled to enforce any
remedy available to the Owner. If the Surety proceeds as
provided in Subparagraph 4.4, and the Owner refuses the
payment tendered or the Surety has denied liability, in
whole or in part, without further notice the Owner shall be
entitled to enforce any remedy available to the Owner.
3.2 The Owner has declared a Contractor Default and
formally terminated the Contractor's right to complete
the contract. Such Contractor Default shall not be de-
clared earlier than twenty days after the Contractor and
the Surety have received notice as provided in Sub-
paragraph 3.1; and
6. After the Owner has terminated the Contractor's right
to complete the Construction Contract, and if the Surety
elects to act under Subparagraph 4.1, 4.2, or 4.3 above,
then the responsibilities of the Surety to the Owner shall
not be greater than those of the Contractor under the
Construction Contract, and the responsibilities of the
Owner to the Surety shall not be greater than those of the
Owner under the Construction Contract. To the limit of the
amount of this Bond, but subject to commitment by the
Owner of the Balance of the Contract Price to mitigation of
costs and damages on the Construction Contract, the Sure-
ty is obligated without duplication for:
3.3 The Owner has agreed to pay the Balance of the
Contract Price to the Surety in accordance with the
terms of the Construction Contract or to a contractor
selected to perform the Construction Contract in accor-
dance with the terms of the contract with the Owner.
6.1 The responsibilities of the Contractor for correc-
tion of defective work and completion of the Construc-
tion Contract;
6.2 Additional legal, design professional and delay
costs resulting from the Contractor's Default, and re-
sulting from the actions or failure to act of the Surety
under Paragraph 4; and
4. When the Owner has satisfied the conditions of Para-
graph 3, the Surety shall promptly and at the Surety's ex-
pense take one of the following actions:
6.3 Liquidated damages, or if no liquidated damages
are specified in the Construction Contract, actual dam-
ages caused by delayed performance or non-perfor-
mance of the Contractor.
4.1 Arrange for the Contractor, with consent of the
Owner, to perform and complete the Construction
Contract; or
7. The Surety shall not be liable to the Owner or others for
obligations of the Contractor that are unrelated to the Con-
struction Contract, and the Balance of the Contract Price
shall not be reduced or set off on account of any such
unrelated obligations. No right of action shall accrue on
this Bond to any person or entity other than the Owner or
its heirs, executors, administrators, or successors.
4.2 Undertake to perform and complete the Construc-
tion Contract itself, through its agents or through inde-
pendent contractors; or
4.3 Obtain bids or negotiated proposals from
qualified contractors acceptable to the Owner for a
contract for performance and completion of the Con-
struction Contract, arrange for a contract to be pre-
pared for execution by the Owner and the contractor
selected with the Owner's concurrence, to be secured
with performance and payment bonds executed by a
qualified surety equivalent to the bonds issued on the
Construction Contract, and pay to the Owner the
amount of damages as described in Paragraph 6 in ex-
cess of the Balance of the Contract Price incurred by the
Owner resulting from the Contractor's default; or
8. The Surety hereby waives notice of any change, includ-
ing changes of time, to the Construction Contract or to
related subcontracts, purchase orders and other obliga-
tions.
4.4 Waive its rights to perform and complete, arrange
for completion, or obtain a new contractor and with
9. Any proceeding, legal or equitable, under this Bond
may be instituted in any court of competent jurisdiction in
the location in which the work or part of the work is located
and shall be instituted within two years after Contractor
Default or within two years after the Contractor ceased
working or within two years aftter the Surety refuses or fails
to perform its obligations under this Bond, whichever oc-
curs first. If the provisions of this Paragraph are void or
prohibited by law, the minimum period of limitation avail-
AJA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED., AlA 0
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, 0.C.20006
THIRD PRINTING. MARCH 1987
A 312.1984
2
able to sureties as a defense in the jurisdiction of the suit
shall be applicable.
10. Notice to the Surety, the Owner or the Contractor shall
be mailed or delivered to the address shown on the sig-
nature page.
11. When this Bond has been furnished to comply with a
statutory or other legal requirement in the location where
the construction was to be perfonned, any provision in this
Bond conflicting with said statutory or legal requirement
shall be deemed deleted herefrom and provisions con-
fonning to such statutory or other legal requirement shall
be deemed incorporated herein. The intent is that this
Bond shall be construed as a statutory bond and not as a
common law bond.
12 DEFINITIONS
12.1 Balance of the Contract Price: The total amount
payable by the Owner to the Contractor under the
Construction Contract after all proper adjustments
have been made, including allowance to the Con-
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
tractor of any amounts received or to be received by
the Owner in settlement of insurance or other claims
for damages to which the Contractor is entitled, re-
duced by all valid and proper payments made to or on
behalf of the Contractor under the Construction Con-
tract.
12.2 Construction Contract: The agreement between
the Owner and the Contractor identified on the sig-
nature page, including all Contract Documents and
changes thereto.
12.3 Contractor Default: Failure of the Contractor,
which has neither been remedied nor waived, to per-
fonn or otherwise to comply with the tenns of the
Construction Contract.
12.4 Owner Default: Failure of the Owner, which has
neither been remedied nor waived, to pay the Con-
tractor as required by the Construction Contract or to
perfonn and complete or comply with the other tenns
thereof.
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL
Company:
(Corporate Seal)
Signature:
Name and Title:
Address:
SURETY
Company:
(Corporate Seal)
Name and Title:
Signature:
Address:
AlA DOCUMENT A312 PERFORMANE BOND AN PAYMENT BOND DECEMBER 1984 3D., AlA 0
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
THIRD PRINTING. MARCH 1987
A312-1984 3
THE AMERICAN INSTITUTE OF ARCHITECTS
.
Bond No. 929373560
AlA Document A312
Payment Bond
Any singular reference to Contractor, Surety. Owner or other party shall be considered plural where applicable.
CONTRACTOR (Name and Address):
MINNESOTA /WISCONSIN PLAYGROUND,
INC.
P.O. BOX 27328
SURETY (Name and Principle Place of Business):
WESTERN SURETY COMPANY,
GOLDEN VALLEY, MN 55427
P.O. BOX 5077,
SIOUX FALLS, SO 57117-5077
OWNER (Name and Address):
CITY OF NEW HOPE,
4401 XYLON AVENUE N."
NEW HOPE, MN 55428
CONSTRUCTION CONTRACT
Date: July 11th, 2005
Amount: FORTY FOUR THOUSAND FOUR HUNDRED TWENTY AND 00/100$
Description (Name and Location):
City Project #769
Elm Grove Park - Play Equipment
New Hope, Minnesota
BOND
Date (Not earlier than Construction Contract Date): July 11th, 2005
Amount: FORTY FOUR THOUSAND FOUR HUNDRED TWENTY AND 00/100 $
Modifications to this Bond: [ X] None
44,420.00
44,420.00
[ ] See Page 6
CONTRACTOR AS PRINCIPAL
SURETY
COMPANY: (Corporate Seal)
~~ESOTA fWISCONS~/;PLA.[/ iGROUND,
/ I
/' . j .jl ____
Signaturef: i,/. #KJ,c1p:<
Name an' /
COMPANY: (Corporate Seal)
WESTERN SURETY COMPANY,
Signature:
Name and-Title:
Gary McBride, Attorn
(Any additional signatures appear on page 6)
OWNER'S REPRESENTATIVE (Architect,
Engineer or other party):
N/A
FOR INFORMATION ONLY-Name, Address and Telephone
AGENT OR BROKER:
R.J. AHMANN COMPANY
7555 MARKET PLACE DRIVE
EDEN PRAIRIE, MN 55344
(952)941-9452
AlA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED., AlAO
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
THIRD PRINTING - MARCH 1987
A312-1984 4
1. The Contractor and the Surety, jointly and severally,
bind themselves, their heirs, executors, administrators,
successors, and assigns to the Owner to pay for labor,
materials and equipment furnished for use in the perfor-
mance of the Construction Contract, which is incorpo-
rated herein by reference.
2. With respect to the Owner, this obligation shall be
null and void if the Contractor:
2.1 Promptly makes payment, directly, or indirectly,
for all sums due Claimants, and
6. When the Claimant has satisfied the conditions of
Paragraph 4, the Surety shall promptly and at the
Surety's expense take the following actions:
6.1 Send an answer to the Claimant, with a copy to
the Owner, within 45 days after receipt of the claim,
2.2 Defends, indemnifies and holds harmless the
Owner from claims, demands, liens or suits by any
person or entity whose claim, demand, lien or suit is
for the payment for labor, materials, or equipment fur-
nished for use in the performance of the Construction
Contract, provided the Owner has promptly notified
the Contractor and the Surety (at the address
described in Paragraph 12) of any claims, demands,
liens, or suits and tendered defense of such claims,
demands, liens or suits to the Contractor and the
Surety, and provided there is no Owner Default.
3. With respect to Claimants, this obligation shall be
null and void if the Contractor promptly makes pay-
ment, directly or indirectly, for all sums due.
stating the amounts that are undisputed and the basis
for challenging any amounts that are disputed.
6.2 Payor arrange for payment of any undisputed
amounts.
7. The Surety's total obligation shall not exceed the
amount of this Bond, and the amount of this Bond shall be
credited for any payments made in good faith by the Surety.
8. Amounts owed by the Owner to the Contractor under
the Construction Contract shall be used for the perfor-
mance of the Construction Contract and to satisfy claims,
if any, under any Construction Performance Bond. By
the Contractor furnishing and the Owner accepting this
Bond, they agree that all funds earned by the Contractor
in the performance of the Construction Contract are
dedicated to satisfy obligations of the Contractor and
the Surety under this Bond, subject to the Owner's prior-
ity to use the funds for the completion of the work.
9. The Surety shall not be liable to the Owner, Claimants
or others for obligations of the Contractor that are unrelat-
ed to the Construction Contract. The Owner shall not be
liable for payment of any costs or expenses of any Claim-
ant under this Bond, and shall have under this Bond no obli-
gations to make payments to, give notices on behalf of, or
otherwise have obligations to Claimants under this Bond.
10. The Surety hereby waives notice of any change,
including changes of time, to the Construction Contract
or to related subcontracts, purchase orders and other obligations.
11. No suit or action shall be commenced by a Claimant
under this Bond other than in a court of competent juris-
diction in the location in which the work or part of the
work is located or after the expiration of one year from the
date (1) on which the Claimant gave the notice required by
4. The Surety shall have no obligation to Claimants
under this Bond until:
4.1 Claimants who are employed by or have a direct
contract with the Contractor have given notice to the
Surety (at the addres described in Paragraph 12) and
sent a copy, or notice thereof, to the Owner, stating
that a claim is being made under this Bond and, with
substantial accuracy, the amount of the claim.
4.2 Claimants who do not have a direct contract
with the Contractor:
.1 Have furnished written notice to the Con-
tractor and sent a copy, or notice thereof, to
the Owner, within 90 days after having last
performed labor or last furnished materials or
equipment included in the claim stating, with
substantial accuracy, the amount of the claim
and the name of the party to whom the
materials were furnished or supplied or for
whom the labor was done or performed; and
.2 Have either received a rejection in whole or
in part from the Contractor, or not received
within 30 days of furnishing the above no-
tice any communication from the Contractor
by which the Contractor has indicated the
claim will be paid directly or indirectly; and
.3 Not having been paid within the above 30
days, have sent a written notice to the Surety
(at the address described in Paragraph 12) and
sent a copy, or notice thereof, to the Owner,
stating that a claim is being made under this
Bond and enclosing a copy ofthe previous
written notice furnished to the Contractor.
Subparagraph 4.1 or Clause 4.2.3, or (2) on which the last
labor or service was performed by anyone or the last mate-
rials or equipment were furnished by anyone under the Con-
struction Contract, whichever of (1) or (2) first occurs. If the
provisions of this Paragraph are void or prohibited by law,
the minimum period of limitation available to sureties as a
defense in the jurisdiction of the suit shall be applicable.
12. Notice to the Surety, the Owner or the Contractor
shall be mailed or delivered to the address shown on the
signature page. Actual receipt of notice by Surety, the
Owner or the Contractor, however accomplished, shall
be sufficient compliance as of the date received at the
address shown on the signature page.
13. When this Bond has been furnished to comply with a
statutory or other legal requirement in the location where
the construction was to be performed, any provision in this
Bond conflicting with said statutory or legal requirement
shall be deemed deleted herefrom and provisions con-
forming to such statutory or other legal requirement shall
be deemed incorporated herein. The intent is that this
5. If a notice required by Paragraph 4 is gven by the Owner to the
Contractor or to the Surety, that is sufficient compliance.
A312-1984 5
AlA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED., AJAO
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
THIRD PRINTING. MARCH 1987
Bond shall be construed as a statutory bond and not as a
common law bond.
Construction Contract, architectural and engineering
services required for performance of the work of the
Contractor and the Contractor's subcontractors, and
all other items for which a mechanic's lien may be
asserted in the jurisdiction where the labor, materials
or equipment were furnished.
14. Upon request by any person or entity appearing to be a
potential beneficiary of this Bond, the Contractor shall
promptly furnish a copy of this Bond or shall permit a copy
to be made.
15.1 Claimant: An individual or entity having a direct
contract with the Contractor or with a subcontractor of
the Contractor to furnish labor, materials or equip-
ment for use in the performance of the Contract. The
intent of this Bond shall be to include without limita-
tion in the terms "labor, materials or equipment" that
part of water, gas, power, light, heat, oil, gasoline,
telephone service or rental equipment used in the
15.2 Construction Contract: The agreement between
the Owner and the Contractor identified on the sig-
nature page, including all Contract Documents and
changes thereto.
15. DEFINITIONS
15.3 Owner Default: Failure of the Owner, which has
neither been remedied nor waived, to pay the Con-
tractor as required by the Construction Contract or to
perform and complete or comply with the other terms
thereof.
MODIFICATIONS TO THIS BOND ARE AS FOLLOWS:
(Space is provided below for additional signatures of added parties, other than those appearing on the cover page.)
CONTRACTOR AS PRINCIPAL
Company:
(Corporate Seal)
SURETY
Company:
(Corporate Seal)
Signature:
Name and Title:
Address:
Signature:
Name and Title:
Attorney-in-Fact
AlA DOCUMENT A312 PERFORMANCE BOND AND PAYMENT BOND DECEMBER 1984 ED. AlAO
THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
THIRD PRINTING. MARCH 1987
A312-1984 6
Western Surety Company
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents, That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Richard J Ahmann ill, Gary McBride, Mary Jo Dingwall, Andrew P Krane, Dean
R Hildebrandt, Individually
of Eden Prairie, MN, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
- In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confinned.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Senior Vice President and its corporate seal to
be hereto affixed on this 27th day of May, 2005.
~"~:\Rv..'
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~tfF -0" ,'\o\.
s/!iIQ~~ I?~~,~"
~=i<i (ft)~i
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\"'1-..~~A"'/ifj
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~~'
WESTERN SURETY COMPANY
~~';"Vk'P''';d~'
State of South Dakota
County of Minnehaha
} ss
On this 27th day of May, 2005, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he
resides in the City of Sioux Falls, State of South Dakota; that he is the Senior Vice President of WESTERN SURETY COMPANY described in and which
executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so
affixed pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and
acknowledges same to be the act and deed of said corporation.
November 30, 2006
+~~~~~~~~~~~~~~~~~~~~~~~~+
$ D. KRELL $
r r
$~NOTARY PUBLIC~$
r~SOUTH OAKOTA~r
r $
+ "'Cot c.,. " " "'"c.,........." ",.,.,,,..,,,,,,,,,,,,c.,. +
~
~P"blk
My commission expires
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this 11 t h day of J ul y , 2005
\,,""11....."<...._
<>""'c:,\)IlEl1'?<
"'<t;--...... 0"-
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i=t(l l'}~J
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,+{0(;1i.'ft'':~.
~
WESTERN SURETY COMPANY
Cf ~{~~s,,-,
Form F4280-0 1-02
Authorizing By-Law
ADOPTED BY THE SHAREHOLDERS QF WESTERN SURETY CaMP ANY
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.
ACKNOWLEDGEMENT OF SURETY
State of Minnesota)
County of CARVER)
On this 11 th day of July, 2005 , before me personally appeared
Gary McBride to me known, who, being by me duly sworn, did depose and say:
that s/he is resides at OAKDALE. MN, that s/he is the Attorney-in-Fact of
WESTERN SURETY COMPANY. , the corporation
described in and which executed the annexed instrument; that s/he knows the corporate
seal of said corporation; that the seal affixed to said instrument is such corporate seal;
that it was so affixed by order of the Board of Directors of said corporation; that is was so
affixed by order of the Board of Directors of said corporation; that s/he signed his/her name
thereto by like order; and that the liabilities of said corporation do not exceed its assets as
ascertained in the manner provided by law.
~ CRYSTAL M. ERTL
Notary Public
Minnesota
,1y Commission Expires January 31, 2010
ACKNOWLEDGEMENT OF CORPORATION
State of Minnesota)
County of )
On this 11th day of July, 2005, before me personally appeared
.J-krv~
~'11ny-
, to me known, who being by me first duly
sworn, did depose and say that s/he resides in }-kvv~"" 0v~7 ' that
s/he is the LA c { ,Prql~ of MINNESOTA /WISCONSIN PLA YGROUND. INC., the
corporation described in and which executed the foregoing instrument; that s/he knows the
corporate seal of said corporation, that the corporate seal affixed to said instrument is such
corporate seal, that is was so affixed by order and authority of the Board of Directors .
corporation, and that s/he signed his/her name thereto by like order and authori .
~~
'i2lANV'AAMJ\lIJIM/'MMliil 6"".--c:A /'~
I . TODD M. LEHMAN J No ub ic
. NOTARY PUBLlC.MINNESOTA
My Commission Expires Jan. 31, 2010
'ii!J\I\I'.,N'", \iVI!'JV"'NVVV\N\I\NtfV~lil
NOTICE
In accordance with the Terrorism Risk Insurance Act of 2002, we are providing this
disclosure notice for bonds and certain insurance policies on which one or more of the
Writing Companies identified below is the surety or insurer.
To principals on bonds and insureds on certain insurance policies \vritten by anyone or
more of the following companies (collectively the "Writing Companies") as surety or
insurer: Western Surety Company, Universal Surety of America, Surety Bonding
Company of America, Continental Casualty Company, National Fire Insurance Company
of Hartford, American Casualty Company of Reading, P A, The Firemen's Insurance
Company of Newark, NJ, and The Continental Insurance Company.
DISCLOSURE OF PREMIUM
The premium attributable to coverage for terrorist acts certified under the Act was Zero
Dollars ($0.00).
DISCLOSURE OF FEDERAL PARTICIPATION IN PAYMENT OF TERRORISM
LOSSES
The United States will pay ninety percent (90%) of covered terrorism losses exceeding the
applicable suret;dinsurer deductible.
Form F7310
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP 10 S~ DATE (MMlDDIYYYY)
MINNE12 07/12/05
PROOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO~
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
RJ Ahmann Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7555 Market Place Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Eden Prairie MN 55344
Phone: 952-947-9700 Fax: 952-947-9793 jlNSURERS AFFORDING COVERAGE NAIC#
INSUREO i INSURER A: Nautilus Ins. Co.
! INSURER 8: Mt. Hawley Insurance Co.
Minnesota,Playgroundp Inc. dba INSURER C: Cincinnati Insurance Company
~nnesota Wisconsin layground
P.O. Box 27328 INSURER D:
Golden Valley MN 55427 i INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLlCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEO OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR INSRO TYPE OF INSURANCE i POLICY NUMBER i '6l~~'f"r,:;r6'~r}!j)t: i P5'k~1rr~~,'fb'b"~~N LIMITS
GENERAL UABIUTY EACH OCCURRENCE S 1,000,000
-
A X ~ COMMERCIAL GENERAL LIABILITY BK0010081-0 10/26/04 10/26/05 ~~'O'."\"'=. - i s 50 ,000
PREMISES (Ea occurence)
=::::J CLAIMS MADE ~ OCCUR MED EXP (Anyone person) I 5 Excluded
PERSONAL & ADV INJURY 5 1,000,000
GENERAL AGGREGATE 52,000,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG 52,000,000
i pel PRO- nLOC
POLICY X i J ECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 51,000,000
-
B X ANY AUTO CCA6824116 01/20/05 10/26/05 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- 5
SCHEDULED AUTOS (per person)
-
HIRED AUTOS BODILY INJURY
- (Per accident) S
NON-OWNED AUTOS
-
PROPERTY OAMAGE S
(per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S
:=] ANY AUTO OTHER THAN EA ACe 5
AUTO ONLY: AGG S
exCESS/UMBRELLA LIABILITY EACH OCCURRENCE 51,000,000
~ OCCUR - 10/26/04 10/26/05
C L-J CLAIMS MADE MXL0351745 AGGREGATE 51,000,000
i Excess 5
~ DEDUCTIBLE Liability S
j RETEIWON S 5
\VORKERSeOMPENSATIONAND X ITORYLIMfr'S I iVER-
EMPLOYERS' LIABILITY ISSUED BY BERKLEY ApM12/15/04 12/15/05 E.L. EACH ACCIDENT i5
ANY PROPRIETORIPARTNERrcXECUTIVE
OFFICERIMEMBER exCLUDED? (MINNESOTA WC) i EL DISEASE - EA EMPLOYEEi S
If yes, d...o.scribe under ! E.L DISEASE - POLICY LIMIT i 5
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 exCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
Project: Elm Grove Park Play Equipment City Project #769. For this project,
the City of New Hope is included as Additional Insured for General
Liability on a Primary and Non-Contributory basis as required by contract
per form SC2154 (02/03) . (*10 days for premium non-payment)
CERTIFICATE HOLDER
CANCELLATION
CITYN.EW
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 * DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE L.EFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABIL.lTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
City of New Hope
4401 Xylon Ave North
New Hope MN 55428
@ ACORD CORPORATION 1988
ACORD 25 (2001/08)
POLICY CHANGES
POLICY NUMBER I POLICY CHANGES COMPANY
I EFFECTIVE
BKOO10081-O I 10J26/2004 Nautilus Insurance Comnan\l
NAMED INSURED AUTHORIZED REPRESENTATIVE
Minnesota Playground. Inc. ~. .J, .~
a' I . A'~
COVERAGE PARTS AFfECTED
Policy Change
Number 1
COMMERCIAL GENERAL LIABILITY
CHANGES
In consideration of an additional premium of S500.00, it is agreed this policy is amended. in part, to include
the following effective 10/26/2004:
SC-2154 (02-03) - Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization
.1
I
All other terms and conditions remain unchanged.
KHT 121;?1j20lH
Includes copyrighted material of Insurance Services Office, fnc. with its permission.
SC.1200 (07-00)
Page 1 of 1
ENDORSEMENT
This endorsement forms a part of the policy to which it is attached. Please read it carefully.
....~PtJttj(jt;J;t.'i~~$U~E.D7.:O'W:f'4~~~j':L.~S~f:r:S9ft~9rj~$.,.9~$'f:
........ -.'. ,::.:SCHEOULEtrPERSONPFtORGANlZA'tI(QN;: ". - ..' ~ ,'.
- . . ~ . _ _: .' ;~","~":.'; '. . . .~'. H'.n".... ,. ..-.'",:,::'~
This endorsement modifies inwrance proVided under the folloWil19;
COMMERCIAL GENERAlllA81L1TY COVERAGE PART
SCHEDULE
I Name of Person or Organization:
I "Where required by written contract."
Who is An Insured (Section III is amended to include as an insured any person or organization from whom you
are performing operations when you and such person or organization have agreed in writing in a contract or
agreement that such person or organization be added as an additional insured on your policy. Such parson or
organization is an additional insured only with respect to liability arising out of your ongoing operations
performed for that insured. A person's or organization's status as an insured under this endorsement ends when
your operations for that insured are completed.
The coverage provided hereunder shall be primary and not contributing with any other insurance available to
those designated above under any other third party liability policy.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
SC-2154 (02-O3)
Page 1 of 1
&>rac
Minnesota Workers' Compensation Assigned Risk Plan
Standard Workers' Compensation and Employers' Liability Policy
Contract Administrator
Berkley Risk Administrators Company, LLC
P.O. Box 59143 Minneapolis, Minnesota 55459-0143
Phone (612) 766-3000 NCCI Carrier Code 21466
CERTIFICATE OF INSURANCE
Berkley Risk Administrators Comparr/. llC
1. The Insured:
~,,~innesota Playground Inc
Policy Number: WC-22-04-106294-04
Association File Number: 0895318
PO Box 27328
Golden Valley, MN 55427
Tax ID#: F 411382118
UIC #: 1737956000
Policy Period: From: 12/15/2004
To: 12/15/2005
Date of Mailing: 7/13/2005
The Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder.
This Certificate does not amend, extend or alter the coverage afforded by the Policy listed below.
This is to certify that the Policy of Insurance described herein has been issued to the Insured named above for
the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document
with respect to which this Certificate may be issued or may pertain, the insurance afforded by the Policy described
herein is subject to all the terms, exclusions and conditions of such Policy.
Part One
Workers' Compensation
Statutory
Part Two
Employers' Liability
Bodily Injury by Accident
Bodily Injury by Disease
Bodily Injury by Disease
$1,000,000 each accident.
$1,000,000 policy limit.
$1,000,000 each employee.
Should the above Policy be canceled before the expiration date thereof, the Company
will endeavor to mail 30 days written notice to the below named Certificate Holder, but
failure to mail such notice shall impose no obligation or liability of any kind upon the Company.
Certificate Holder's Name and Address:
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Aqencv Name and Address
Ahmann RJ Company
7555 Market Place Dr
Eden Prairie, MN 55344
~~~,.
GORDON L. JENSEN!
CLARISSA M. KLUG
GLEN A. NORTON
AMY E. PAPENHAUSEN
STEVEN A. SONDRALL
ARIc T. STIENESSEN
STACY A. WOODS
OF COUNSEL
LoRENS Q. BRYNESTAD
IReal Property Law
Specialist Certified By
The MinnesOla State
Bar Association
JENSEN & SONDRALL, P.A.
Attorneys At Law
8525 EDINBROOK CROSSING, STE. 201
BROOKLYN PARK, MINNESOTA 55443-1968
TELEPHONE (763) 424-8811 . TELEF.~'( (763) 493-5193
e-mail law@jensen-sondrall.com
Writer's Direct Dial No.: (763) 201-0211
e-mail sas@jensen-sondrall.com
July 18, 2005
Valerie Leone
City Clerk
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Re: Elm Grove Park Play Equipment Contracts
New Hope City Project No. 769
Our File No. 99.10030
Dear Val:
Enclosed are the following documents in connection with the referenced project:
1. Four (4) short-form Contracts with Minnesota Playground, Inc.;
2. ACORD 25 Certificate of Liability Insurance;
3. Certificate of Insurance/Minnesota Workers' Compensation Assigned Risk Plan; and
4. Performance Bond and Payment Bond in the amount of $44,420.00 with attached Power
of Attorney and Acknowledgement of Surety.
The Contracts can now be signed by the Mayor and City Manager and distributed in accordance
with the City's policy. Send the contractor the copy they forgot to sign. Please return a copy of
the Contract for my file. Also, keep the Performance and Payment Bonds in the City's file. I
am assuming you have the original ACORD Certificate of Liability Insurance and the BRAC
Minnesota Workers' Compensation Assigned Risk Plan Certificate of Insurance.
The documents are in order from a legal perspective. Contact me if you have any questions or
comments regarding the enclosed documents or the content of this letter.
Very truly yours,
~---
.::.~
~-,
Steven A. Sondrall, City Attorney,
City of New Hope
Enclosure( s)
cc: Daniel J. Donahue
Guy Johnson
Vince Vander Top
P:\Anomey\SAS\l Client Files\2 City of New Hope\99.10030 (Public Works general)\Val Ltr Sending Contracts.doc
July 28, 2005
Mr. Harlan Lehman
Minnesota Wisconsin Playground, Inc.
PO Box 27328
Golden Valley, MN 55427
SUBJECT: ELM GROVE PARK PLAYGROUND EQUIPMENT
(IMPROVEMENT PROJECT NO. 769)
Enclosed are two fully executed contract documents for New Hope Project No. 769.
One set is for your records and the second set should be transmitted to your bonding
company. This contract was awarded by the New Hope City Council on May 23,
2005, for $44,420. Also enclosed is change order no. 1 for a $1,000 credit - the
change order was approved at the Council Meeting of July 25.
Also enclosed is a "Withholding Affidavit for Contractors" (lC-1 34 form). We cannot
make final payment to contractors until this is approved by the Minnesota
Department of Revenue and submitted to our office (Minnesota Statute 290.97).
The form contains instructions for completion.
Should you have any questions regarding the project, please contact Shari French,
Director of Parks and Recreation, at 763-531-5152.
Sincerely,
~y'
f (JJt1J)/lL-
Valerie Leone
City Clerk, CMC
Enclosures - Contract, IC-134
cc: Steve Sondrall, City Attorney (File No. 99.10030)
Vince VanderTop, Assistant City Engineer (File No. 34-05170-0)
Shari French, Director of Parks and Recreation
CITY OF NEW HOPE
4401 Xylon Avenue North · New Hope, Minnesota 55428-4898 . vvww. ci.new-hope.mn.us
City Hall: 763-531-5100. Police (non-emergency): 763-531-5170. Public Works: 763-592-6777. TDD: 763-531-5109
City Hall Fax: 763-531-5136 ~ Police Fax: 763-531-5174 ~ Public Works Fax: 763-592-6776
CITY OF NEW HOPE
CONTRACT
FOR
ELM GROVE PARK
PLAY EQUIPMENT
CITY PROJE'CT #769
For valuable consideration as set forth below, this contract dated the A3
made and signed by the City of New Hope (hereinafter "OWNER") and
/nl7 i/U/sc flla'(J m"Ui1li,. IYtc (hereinafter "CONTRACTOR").
1. CONTRACT DOCUMENTS
day of lYlai' 2005, is
The CONTRACTOR hereby promises and agrees to perform and comply with all the provisions of this
Contract and specifications, all of which are incorporated hereby by this reference. This Contract shall
compromise the total agreement of the parties hereto. No oral order, objection or claim by any party
to the other shall affect or modify any of the terms or obligations contained in this Contract.
2. THE WORK
The work to be performed by CONTRACTOR under this Contract (hereinafter the "Work"), is defined
in Exhibit A (request for proposal). Any modifications to the work defined in Exhibit A will be made in
writing.
3. CONTRACT PRICE
The OWNER agrees to pay the CONTRACTOR $44,420 dollars, payable in accordance with the
payment terms of the City of New Hope Instruction to Bidders.
CONTRACTOR will be charged liquidated damages assessed in the amount of $200 per day for every
calendar day that the contract remains uncompleted beyond the 30TH day of September, 2005.
Total amount of this contract shall not exceed $44,420.
4. COMPLETION DATE
CONTRACTOR shall complete his performance under this Contract by the 30TH day of September,
2005 (hereinafter "Completion Date").
5. INSURANCE/BOND
Before beginning actual work under this Contract, the CONTRACTOR shall submit to the OWNER
and obtain the OWNER's approval of a certificate of insurance on Standard Form C.I.C.C.-701 or
ACORD 25 forms, showing the following insurance coverage and listing the OWNER as a loss payee
under the policies:
a. General Contractor Liability:
b. Automobile Liability for all Automobiles:'
$1,000,000.00
$1,000,000.00
c. Workman's Compensation:
Statutory Amounts
34-05-170
Basic Contract
Contract
Page 2
This certificate must provide for the above coverages to be in effect from the date of the Contract until
30 days after the Completion Date and must provide the insurance coverage will not be canceled by
the insurance company without 30 days written notice to the OWNER of intent to cancel. The
certificate must further provide that the contractor's insurance coverage is primary coverage
notwithstanding any insurance coverage carried by the OWNER that may apply to injury or damage
relating to the maintenance or repair of the OWNER's streets or right-of-ways by either the OWNER
or any employee, agent, independent contractor or any other person or entity retained by the OWNER
to perform the services described herein. This certificate must further provide that the Contractor's
insurance coverage is primary coverage notwithstanding any insurance coverage carried by the
OWNER that may apply to injury or damage relating to the maintenance or repair of the OWNER's
streets or right-of-ways by either the OWNER or any employee, agent, independent contractor, or any
other person or entity retained by the OWNER to perform the services described herein.
The CONTRACTOR shall furnish Performance and Materials/Labor Bonds, each in an amount at
least equal to the Contract Price as security for the faithful performance and payment of all
CONTRACTOR's obligations under the Contract Documents. These Bonds shall remain in effect at
least until one year after the date of final payment, except as otherwise provided by law. All Bonds
shall be in the forms prescribed by the Contract Documents and be executed by such Sureties as (A)
are licensed to conduct business in the State of Minnesota, and (B) are named in the current list of
"Companies Holding certificates of Authority as Acceptable Sureties on Federal Bonds and as
Acceptable Reinsuring Companies" as published in Circular 570 (amended) by the Audit Staff Bureau
of Accounts, U.S. Treasury Department. All bonds signed by an agent must be accompanied by a
certified copy of the authority to act.
If the Surety on any Bond furnished by CONTRACTOR is declared bankrupt or becomes insolvent or
its right to do business is terminated in the State of Minnesota or it ceases to meet the requirement of
clauses (A) or (B) in the previous paragraph, CONTRACTOR shall within five days thereafter
substitute another Bond and Surety, both of which shall be acceptable to OWNER. All bonds and
insurance are subject to the review and approval of the New Hope City Attorney.
6. LAWS. REGULATIONS AND SAFETY
The CONTRACTOR shall give all notices and comply with all laws, ordinances, rules and regulations
applicable to performance under this Contract.
7. INDEMNIFICATION
The CONTRACTOR agrees to indemnify, defend and hold the OWNER harmless from any damages,
including costs and attorney's fees, from any claims, demands, actions or causes of action arising out
of any act or omission on the part of the CONTRACTOR or its agents, servants or employees in the
performance of or with relation to any of the work or services performed or furnished by the
CONTRACTOR under this Contract.
8. ASSIGNMENT
The CONTRACTOR shall not assign or transfer, whether by an assignment or notation or otherwise,
any of its rights, duties, benefits, obligations, liabilities or responsibilities without prior written consent
of the OWNER.
34-05-000
Basic Contract
Contract
Page 3
9. NOTICE
The address and telephone number of the CONTRACTOR for purposes of giving notices and any
other purpose under this contract shall be
f!O.&'1i ;q73/Afl 0(JlCUJ1.. ()~.Jleu Inn &:j~'f;;l7
. I I
The address of the OWNER for purposes of giving notices and any other purpose under this contract
shall be.4401 Xylon Avenue North, New Hope, MN 55428. The contact person for this contract is
# J~Cl.r-" h--e I) U,
IN WITNESS WHEREOF, the parties to this Contract have hereunto set their hands and seals as of the
day and year first above written.
OWNER, CITY OF NEW HOPE
CONTRACTOR
1/1/:- ;147 jjOV~,J; ~(.
i/ '1.1~,~_2---~
fJit,vfP-
Its Representative
By
34-05-000
Basic Contract
Contract
Page 4
STATE OF MINNESOTA
)
) ss.
)
COUNTY OF HENNEPIN
foregoing was acknowledged before me this d -'j- day of
~ 'l.{j ,2005, by Martin E. Opem Sr. and Daniel J. Donahue, the Mayor and City
Manage .: resp ctively, of the City of New Hope, a Minnesota municipal corporation, on behalf of said
municipal corporation.
VALERIE LEONE
NOTARY PUBLIC - illNNESOTA
My Commission Expires j1 201 n
ku~ ~YLL
Notary Public
STATE OF MINNESOTA
)
) ss.
)
COUNTY OF HENNEPIN
TODD M. LEHMAN
NOTARY PUBLIC-MINNESOTA
My Commission EXjliresJan. 31, 2011l
Il1 N\'~ll!l
! ':) day of
i:1::J1-nYyV
of
The_foregoing was acknowledged before 1+v. on this
j' ill'1 ,2005, by J.A"'>
M. h""'",-.l'i'4 RL...~ /".,:.1..,~ ,r,./{
. I -" ~
II
34-05-000
Basic Contract
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP ID S~ DATE (MMlDDNYYY)
MINNE12 10/10/05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
RJ Ahmann Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7555 Market Place Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eden Prairie MN 55344
Phone: 952-947-9700 Fax:952-947-9793 INSURERS AFFORDING COVERAGE NAlC #
INSURED INSURER A: Nautilus Ins. Co.
INSURER B: Scottsdale Ins.Co.
Minnesota Playground, Inc. dba INSURER C: Cincinnati Ins.Co.
Minnesota~Wisconsin Playground
P.O. Box 7328 INSURER D:
Golden Valley MN 55427 INSURER E: I
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN:>K jAUu'l.i
L TR INSRQ TYPE OF INSURANCE
I GENERAL LIABILITY
A ! X COMMERCIAL GENERAL LIABILITY BKO 010081- 01
I CLAIMS MADE ~ OCCUR
!
i
I
!
POLICY NUMBER
10/26/05
10/26/06
LIMITS
1$1,000,000
PREMISES (Ea occurence) $ 50, 000
MED EXP (Anyone person) ,$ Exc 1 uded
PERSONAL & ADV INJURY 1$ 1,000,000
GENERAL AGGREGATE $ 2, 000, 000
PRODUCTS. COMP/OP AGG 1 $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY !xl f~8T nLOC
AUTOMOBILE LIABILITY
B X ANY AUTO CCA6824116
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON.OWNED AUTOS
I
i GARAGE LIABILITY
r--l
W ANY AUTO
I
,
EXCESS/UMBRELLA LIABILITY
C OCCUR n CLAIMS MADE BINDER
10/26/05
COMBINED SINGLE LIMIT I $ 1, 0 0 0 , 0 0 0
10/26/06 {Ea accident}
BODILY INJURY
(Per person)
$
$
1$
10/26/05
10/26/06
DEOUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDEO?
If yes, describe under
SPECIAL PROVISIONS below
OTHER
ISSUED BY BERKLEY
(MINNESOTA WC)
I
ADH12!15/04
I
12/15/05
E.L. EACH ACCIDENT S
E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / ~PECIAL PROVISIONS
Project: Elm Grove Park Play Equipment City Project #769. For this project,
the City of New Hope is included as Additional Insured for General
Liability on a Primary and Non-Contributory basis as required by contract
per form SC2154 (02/03). (*10 days for premium non-payment)
CERTIFICATE HOLDER
CANCELLATION
CITYNEW
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
A
City of New Hope
4401 Xylon Ave North
New Hope MN 55428
@ACORD CORPORATION 198
ACORD 25 (2001/08)
COUNCIL
REQUEST FOR ACTION
Originating Department
Approved for Agenda
Parks and Recreation
November 14, 2005
Agenda Section
Development and
Plannin
Item No.
By: Shari French
By:
8.2
Resolution approving change order no. 2 For Elm Grove Park (Improvement Project #769) for $4,900
REQUESTED ACTION
Staff requests that council approve change order #2 for Elm Grove Park play equipment (improvement project
769).
BACKGROUND
On May 23, 2005 a contract with Minnesota Wisconsin Playground, Inc. was approved for new play equipment
for Elm Grove Park. The original amount of the contract with Minnesota Wisconsin Playground, Inc. for the
Elm Grove Park play equipment project was $44,420. On July 25, 2005 the Council approved Change Order
No. 1. The dollar amount of that first change order was a savings of $1,000. The revised contract amount
became $43,420.00.
Change order #2 is for installation of fabric and sand. Originally this was omitted from the original quote for
the equipment. Quotes were obtained from two contractors with MN WI Playground, Ine. providing the
lowest quote for fabric and sand. (DMJ's quote was $14,000; they are the contractor awarded the 2005 Street,
Park, and Utility Infrastructure Project.) With change order #2 the contract amount with Minnesota Wisconsin
Playground, Inc. will become $48,320.00.
ATTACHMENTS
The change order is attached.
FUNDING
Funding for this project is available through the Park Dedication Fund.
MOTION BY
1/
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SECOND BY
TO:
1:\RFA\P&R\PARKS\R-769 Change Order No. 2.doc
CITY OF NEW HOPE
RESOLUTION NO. 05- 151
Resolution approving change order no. 2
For Elm Grove Park (Improvement Project #769)
for $4,900
WHEREAS, the city of New Hope prepares a five year Capital Improvement Program (CIP) as a guiding
document for equipment acquisition and improvement projects to assist with the preparation of
each annual operating budget; and
WHEREAS, the CIP is not formally adopted as a budget document, nor does it authorize the acquisition of the
individual equipment and/or projects listed therein; and
WHEREAS, the funds for this equipment have been provided within the Park Dedication Fund; and
WHEREAS, the City Council of the city of New Hope authorized a contract in the amount of $44,420 to
Minnesota Wisconsin Playground, Ine. for project 769 on May 23, 2005; and
WHEREAS, after the contract was awarded it was determined that a change was desired to enhance the
accessibility of the design for play equipment for Elm Grove Park; and
WHEREAS, change order #1 in the amount of ($1,000) was approved on July 25, 2005; and
WHEREAS, after that change was awarded it was determined that a second change became necessary to
provide fabric and sand to the project; and
WHEREAS, Minnesota Playground Inc. was the low quote for the second needed change.
NOW, THEREFORE, BE IT RESOLVED, that the City Council of the city of New Hope approves change order
number 2 in the amount of $4,900 to the contract with Minnesota Wisconsin Playground, Inc. as
part of Improvement Project number 769 (Elm Grove Park Upgrade) which includes furnishing
and installing fabric and sand to the play area; bringing the contract amount to $48,320.
Adopted by the City Council of the city of New Hope, Hennepin County, Minnesota, this 14th day of November,
2005.
1l!~
Mayor .
Attest ~~
City Clerk
1:\RFA\P&R\PARKS\R-769 Change Order No. 2.doc
n Bonestroo
~ Rosene
1i\iI Anderlil< &
~ \j" Associates
Engineers & Architects
2335 West Highway 36 · St. Paul, MN 55113
Office: 651-636-4600 · Fax: 651-636-1311
www.bonestroo..com
November 8, 2005
Shari French
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
Re: Elm Grove Park Play Equipment, City Pr~ject No. 769
Change Order #2 Recommendation
BRAA # 000034-05170-0
Dear Shari:
Find enclosed Change Order #2. The extra work included in this change order involves the supplying
and installation ofthe play area sand and fabric used to separate the sand and the underlying clay.
This work was originally part of the play equipment contract It was deleted prior to the bidding in
attempt to keep the contract amount under $50,000 and allow an invitational bids process to be used.
Pr~ject timelines did not allow the work to be added to the 2005 Street, Park and Utility Improvements
project prior to bidding.
Two contractors submitted costs that would be charged to complete the work. OM] Corporation quoted
$14,000 to complete the work; MN/WI Playground quoted $4,900. MN/WI Playground completed the
work for the $4,900 quoted. Including this cost in the contract keeps the total cost below $50,000 and
therefore in accordance with regulations regarding the invitational bids process.
We recommend Council approve Change Order #2 at the November 141h Council meeting. This would
change the total contract amount from $43,420 to $48,320.
Sincerely,
BONESTROO ROSENE ANDERLIK & ASSOCIATES, INe.
~~
Jason Quisberg
Enclosure
· St. Paul, St. Cloud, Rochester, MN · Milwaukee, WI · Chicago, IL
Affirmative Action/Equal Opportunity Employer and Employee Owned
f f1 J Bonestroo
R Rosene
"1\11 Anderlil< &
" \J. Associates
Engineers & Architects
Owner: City of New Hope, 4401 Xylon Ave. N., New Hope, MN 55428 Date October 31, 2005
Contractor: Minnesota/Wisconsin Playground, 5101 Hwy. 55. Suite 6000, Golden Valley, MN 55422
Bond Company: Bond No:
CHANGE ORDER NO. 2
ELM GROVE P ARK. PLAY EQUIPMENT
CLIENT PROJECT NO.769
BRA FILE NO. 000034-05170-0
Description of Work
Installation of Fabric and Sand
The play area material, sand, was eliminated from the original quote in attempt to keep costs under the $50,000 max.imum
amount for invitational quotes. The current contract price for the project is $43,420. The contractor has agreed to furnish
and install the play area sand, along with the fabric used to separate the materials, for $4,900. This will keep the total
project cost under the maximum allowable amount for invitational quotes.
Contract
Unit
Total
No.
Item
CHA1'lGE ORDER NO.2
Unit
Quantity
Price
Amount
FURi'HSH Ac".'D INSTAl-L PLAY AREA SA1'\'D Ai"lD
FABRlC
TOTAl- CHAJ'IGE ORDER NO.2:
LS
$4,900.00
$4,900.00
$4,900.00
3405170CH02.xls
Original Contract Amount
Previous Change Orders
This Change Order
Revised Contract Amount (including this change order)
$44,420.00
($1,000.00)
$4,900.00
$48,320.00
CHAl~GE IN CONTRACT TIMES
Original Contract Times:
Substantial Completion (days or date):
Ready for [mal Payment (days or date):
Increase of this Change Order:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Contract Time with all approved Change Orders:
Substantial Completion (days or date):
Ready for final Payment (days or date):
Recommended for Approval by:
BONESTROO, ROSENE, Ai~DERLIK & ASSOCIATES, INC.
v~~
Date:
/tJ-3/- tJS
Approved by Contractor:
MINNESO~r.. ISCO~. IN PLAYGROUND
/lv~ ~
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Date
Date
cc: Owner
Contractor
Bonding Company
Bonestroo & Assoc.
3405 1 70CH02.xls
November 17, 2005
Minnesota/Wisconsin Playground
5101 Hwy. 55, Suite 6000
Golden Valley, MN 55422
Subject: Change Order No.2 - Project No. 769 (Elm Grove Park Play Equipment)
Enclosed for your records are two fully executed copies for the above-referenced
Change Order. Please forward one copy to your bonding company. The change order
amount is $4,900.
This change order was approved by the New Hope City Council at its meeting of
November 14, 2005.
Sincerely,
-.....Y54/; /'-
j'-'\" .r->.
/ I V -1;,' /'~
Valerie Leone, CMC
City Clerk
Enc.
cc: Shari French, Director of Parks and Recreation
Vince Vander Top, Assistant City Engineer (BRAA #34-05170-0)
CITY OF NEW HOPE
4401 Xylon Avenue North. New Hope, Minnesota 55428-4898. www.ci.new-hope.mn.us
City Hall: 763-531-5100. Police (non-emergency): 763-531-5170. Public Works: 763-592-6777. roD: 763-531-5109
City Hall Fax: 763-531-5136. Police Fa,'(: 763-531-5174. Public Works Fax: 763-592-6776
COUNCIL
Ilk!,
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REQUEST FOR ACTION
Originating Department
Approved for Agenda
Agenda Section
Parks and Recreation
\ February 27, 2006
Consent
Item No.
By: Shari French
By:
6.11
Resolution Approving Final Payment Request to Minnesota/Wisconsin Playground, Inc for Elm Grove Park
Improvement Project (Improvement Project 769)
Requested Action
Staff recommends that the City Council approve a resolution to accept the Elm Grove play equipment project
(#769) and authorize final payment to Minnesota/Wisconsin Playground, Inc., in the amount of $7,489.00.
Background
On May 23, 2005 a contract with Minnesota Wisconsin Playground, Inc. was approved for new play
equipment for Elm Grove Park. The original amount of the contract was $44,420. On July 25, 2005 the City
Council approved Change Order No. 1. The dollar amount of that first change order was a savings of $1,000.
The revised contract amount became $43,420.00. Change order #2 was approved on November 14, 2005 and
was for installation of fabric and sand. With change order #2 the contract amount with Minnesota Wisconsin
Playground, Inc. became $48,320.00.
Funding
Funds for this project are available from the Park Infrastructure Fund.
Attachments
Attached are the resolution and a copy of the engineer's memorandum recommending the acceptance of the
project and the final pay request. The IC-134's have been submitted.
MOTION BY
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1:\RFA\P&R\PARKS\R-769 final out.doc
City of New Hope
Resolution No. 06-42
Resolution Approving Final Payment Request to Minnesota/Wisconsin Playground, Inc
for Elm Grove Park Improvement Project
(Improvement Project 769)
WHEREAS, the city has entered into a contract with Minnesota/Wisconsin Playground, Inc, for the
installation of play equipment at Elm Grove Park; and,
WHEREAS, staff is recommending that the Council adopt a resolution to accept improvement project 769
and approve final payment to Minnesota/Wisconsin Playground, Ine., in the amount of
$7,489.00; and,
WHEREAS, the city engineer has reported that all work has been satisfactorily completed and recommends
that final payment be made to Minnesota/Wisconsin Playground, Ine.
NOW, THEREFORE, BE IT RESOLVED, by the City Council of the city of New Hope, Hennepin County,
Minnesota:
1. That the City Council accepts the installation of play equipment at Elm Grove Park,
improvement project #769 from Minnesota/Wisconsin Playground, Inc.
2. That the city manager is hereby directed to authorize the final payment of $7,489.00 to
Minnesota/Wisconsin Playground, Inc.
Adopted by the City Council of the city of New Hope, Hennepin County, Minnesota this 27th day of
February 2006.
Attest:
~ /;z{;,/~
City Clerk
(/# tal
'-r- ttvU ~ ~
tyayor
~
1:\RFA\P&R\PARKS\R-769 final out.doc
JL]J Bonestroo
I!II:llIlI Rosene
11\11 Anderlik &
'1 \I, Associates
Engineers & Architects
2335 West Highway 36. St. Paul, MN 55113
Office: 651-636-4600 · Fax: 651-636-1311
www.bonestroo.com
February 17,2006
Shari French
City of New Hope
4401 Xylon Avenue North
NewHope,1f.N 55428
Re: Elm Grove Park Play Equipment, City Project No. 769
Final Payment Recommendation
BRAA # 000034-05170-0
Dear Shari:
Find enclosed the signed [mal pay request, documentation of the extended paint warranty, and the
necessary IC-134 form for the abovementioned project. All work has been completed and the
appropriate documentation submitted.
The revised contract amount is for $48,320. Final payment is for $7,489, giving a total project cost,
equal to the budget, of $48,320.
We recommend Council approve the request for final payment in the amount of$7,489. Please feel free
to call me at 651-604-4938 if you have any questions.
Sincerely,
BONESTROO ROSENE ANDERLIK & ASSOCIATES, INC.
~~
Jason Quisberg
Enclosure
· St. Paul, St. Cloud, Rochester, MN · Milwaukee, WI · Chicago, IL
Affirmative Action/Equal Opportunity Employer and Employee Owned
MINNESOTA Department of Revenue
Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the state of
Minnesota or any of its subdivisions can make final payment to contractors.
IC-134
Please type or print clearly. This will be your moiling label for returning the completed form.
ir-----------------\
Company name ~)
: Add,~11V Al FSC1)il- fh4; ~"'!2o 'LiVe : 176')1
l---v' 0 Q1 [.> 2 7 J 2-f5 I $ qC! Y1~O
I City ,( State Zip Code, I An:aun{ ftill due
"- ~l' ~ BJ -tkLL1; J1-.!.~ _D'"Y ~ /_ _ ./ $Ljt/, if '2-0
Daytime phone
51([., - 7)J7
Total contract amount
i Minnesota withholding tax ID number
')9 J- CJ 2- CJ 1<<fIJ-
Month/year work began
SOT 2.c/() s-----
i Month/year work ended
0' C/I 7. ",er)
Project number
Project location
cZn
Address
/6C/
G~OL-"~
~It
,
Project owner J . I
C J \;-- J &1 )Vf51-J) t
Did you h ve emh>yees w~rk on'thi
City
)J}:-w J-hl'r'
( ... t:5 (II
State
Zi p code
LJoJ 'X ,,}C)"/ J4L/c )J
'Yes '0 No' Ifio, who did the work?
1)-1 t.J
S-rY'-')
Check the box that describes your involvement in the proiect and fill in all information requested.
Jxl Sole contractor
o Subcontractor
contractor you
Address
o Prime contractor-If you subcontracted out any work on this project, all of your subcontractors must file their own
1C-134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each
subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified 1C-134. If you
need more space, attach a separate sheet.
o
Certificate of Compliance
Based on records of the Minnesota Department of Revenue, I certify that the contractor who has signed this certificate has
fulfilled all the requirements of Minnesota Statutes 290.92 and 290.97 concerning the withholding of Minnesota income tax
from wages paid to employees relating to contract services with the state of Minnesota and/or its subdivisions.
Department of Revenue approval Date
OCT 2 8 2005
Stock No. 5000134
(Rev. 11/96) Printed on recycled paper with 10% post.-consumer waste using soy-based ink.
Instructions for Form IC...134
Who must file?
If you are a prime contractor, a
contractor or a subcontractor who
did work on a project for the state
of Minnesota or any of its local
government subdivisions - such as
a county, city or school district -
you must file Form IC-134 with the
Minnesota Department of Revenue.
This affidavit must be certified and
rehlrned before the state or any of
its subdivisions can make final
payment for your work.
When to file
The IC-134 cannot be processed
lmtil you finish the work. If you
send it in for certification before the
project is completed, it will be
returned to you unprocessed.
If you are a subcontractor or sole
contractor, send in the form when
you have completed your part of
the project.
If you are a prime contractor, send
in the form when the entire project
is completed and you have received
certified affidavits from all of your
subcontractors.
H@w t@file
If you have fulfilled the
requirements of Minnesota
withholding tax laws, the
Department of Revenue will sign
your affidavit and rehlrn it to you.
If any \vitl1holding payments are
due to the state, Milmesota law
requires that payment be made by
money order, cashiers check,
certified check or cash (M.5. 290.97).
Submit the certified affidavit to
your prime contractor or to the
government unit for which the
work was done in order to receive
your final payment.
Are you a prime contractor
and a subcontractor on the
same proiect?
If you were hired as a subcontractor
to do work on a project, and you
subcontracted all or a part of your
portion of the project to another
contractor, you are a prime
contractor as well. Fill out both the
subcontractor and prime contractor
areas on a single form.
Where to file
Mail to:
MN Dept. of Revenue
Withholding Tax Division
Mail Station 6610
St. Paul, MN 55146-6610
Minnesota tax 10 number
You must fill in your Mumesota
withholdu1g tax ID number on the
form. You must have a Minnesota
tax ID number if you have
employees who work in Milmesota.
If you do not have a MiImesota 10
number, you must apply for one.
Call (612) 282-5225 or 1-800-657-
3605. Or write to the following
address to request an application
(Form ABR).
Milmesota Tax Forms
Mail Station 1421
St. Paul, MN 55146-1421
If you have no employees and did
all the work yourself, you do not
need a Minnesota tax ID number.
If this is the case, fill U1 your Social
Security number in the space for
Minnesota tax ID number and
explain who did the work.
Use of information
The Department of Revenue needs
all the information, except your
phone number, to determine if you
have met all state income tax
withholding requirements. If all
required information is not
provided, the IC-134 will be
returned to you for completion.
All information on this affidavit is
private by state law. It cannot be
given to others without your
permission, except to the Internal
Revenue Service, other states that
guarantee the same privacy and
certain government agencies as
provided by law.
Information and
assistance
If you need help or additional
information to fill out this form, call
(612) 282-9999 or 1-800-657-3594.
Hearing, speech or visually
impaired? TOO /TTY users may
contact the department through the
Mumesota Relay Service. Call 1-800-
627-3529.
If you need u1formation iI1 an
alternative format, such as Braille,
large pru1t or audio tape, we will
provide it.
To get more Ie> 1 34 forms
If you need more IC-134 forms, call
(612) 296-4444 or 1-800-657-FORtvL
Or write to:
Milmesota Tax Forms
Mail Station 1421
St. Paul, MN 55146-1421
HB, -' [HJi~ "Cf,' I
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9:03 AM
MN. WI PLAYGROUND
FAX NO,
71335465050
p, 1
J[}j Bonestroo
II::. Rosene
~ Anderlik &
~ \J ~ Associates
Engineers & Ar(;hite:ct~
2335 West Highway 36 · St Paul. MN 55113
Office: 651-636-4600 · Fax: 651-636-1 311
www.bonestroo.com
February 3, 2006
Re: City of New Hope
Elm Grove Park Play Equipment
City Project No. 769
BRA #000034-05170-0
'Warranty Agreement
The warranty coverage for the play equipment installed in Elm Grove Park is in accordance with
the contract documents for the abovementioned project. The optional extended warranty for the
paint has been accepted and will be covered for the fu1lIS years in accordance with the
specifications.
All warranty coverage terms shall commence upon receipt of a signed copy of this form.
The contractor responsible for supplying and installing the play equipment in accordance with
the project specifications is MNIWI Playground. The signature below represents acceptance of
the warranty terms presented here and in the contract documents.
riL
vI fife>
Position
1J... - 10" o?:>
Date
MNfWI Playground Representative
. St. Paul, St. Cloud, Rochester, MN · Milwaukee, WI · Chicago, IL
Afflrma~lve ActlonJEQllal Opporlunlty Employer and Employee Owned
J1j Bonestroo
-=- Rosene
1i1 Anderlik &
. ~. Associates
Engineers & Architects
e, MN 55428
Date: Februa 17,2006
Owner: Cit
For Period:
Contractor:
1/10/2006 to 2/17/2006
Re uest No:
3 AND FINAL
Minnesota/Wisconsin Pia
round, 5101 H
. 55, Suite 6000, Golden Valle ,MN 55422
CONTRACTOR'S REQUEST FOR PAYMENT
ELM GROVE PARK PLAY EQUIPMENT
BRA FILE NO. 000034-05170-0
CITY PROJECT NO. 769
SUMMARY
1 Original Contract Amount $ 44,420.00
2 Change Order - Addition $ 4,900.00
3 Change Order - Deduction $ 1,000.00
4 Revised Contract Amount $ 48,320.00
5 Value Completed to Date $ 48,320.00
6 Material on Hand $ 0.00
7 Amount Earned $ 48,320.00
8 Less Retainage 0% $ 0.00
9 Subtotal $ 48,320.00
10 Less Amount Paid Previously $ 40,831.00
11 Liquidated damages - $ 0.00
12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 3 AND FINAL $ 7.489.00
Recommended for Approval by:
BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC.
~~
Approved by Contractor:
MINNESOTAlWISCONSIN PLAYGROUND
C~ ,~\<,G.~ (G,,;( ~.\%( .
I . 0
Approved by Owner:
CIJ'YBF NEW HOPE
,/ /11 /J
F e
Specified Contract Completion Date:
Date:
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3405170REQ3FinaLxls
Contract Unit Current Quantity Amount
No. Item Unit Quantity Price Quantity to Date to Date
BASE BID:
1 FURNISH AND INSTALL PLAY EQUIPMENT LS 35120.00 $35,120.00
2 RESILIENT SURFACE LS 2360.00 $2,360.00
3 EXTENDED WARRANTY (PAINT) LS 5340.00 $5,340.00
4 EXISTING EQUIPMENT REMOVAL AND DISPOSAL
(REFER TO SECTION 02860.3.03) LS 1600.00 $0.00
Total BASE BID: $42,820.00
CHANGE ORDER NO.1
1 DELETED EQUIPMENT REMOVAL LS -1600.00 $0.00
2 SUPPLY AND INSTALL SPIRAL SLIDE HANDRAILS LS 600.00 $600.00
Total CHANGE ORDER NO.1 $600.00
CHANGE ORDER NO.2
1 FURNISH AND INSTALL PLAY AREA SAND AND FABRIC LS 4900.00 $4,900.00
Total CHANGE ORDER NO.2 $4,900.00
Total BASE BID:
Total CHANGE ORDER NO.1
Total CHANGE ORDER NO.2
$42,820.00
$600.00
$4,900.00
TOTAL WORK COMPLETED TO DATE
$48,320.00
3405170REQ3Final.xls
PROJECT PAYMENT STATUS
OWNER CITY OF NEW HOPE
CITY PROJECT NO. 769
BRA FILE NO. 000034-05170-0
CONTRACTOR MINNESOTA/WISCONSIN PLAYGROUND
CHANGE ORDERS
No.
Date
Description
Amount
1 7/20/2005 This Change Order provides for revisions and adjustments on this
project. See Change Order. -$1,000.00
2 10/31/2005 This Change Order provides for adjustments to this project. See
Chanqe Order. $4,900.00
Total Change Orders $3,900.00
PAYMENT SUMMARY
No. From
To
Payment
Retainage
Completed
1 10/03/2005 10/21/05 33,934.00 1,788.00 35,722.00
2 10/22/2005 01/09/06 6,897.00 2,149.00 42,980.00
3 AND FINAL 01/10/2006 02/17106 7,489.00 48,320.00
Material on Hand
Total Payment to Date $48,320.00 Oriqinal Contract $44,420.00
Retainaqe Pay No. 3 AND FINAL Chanqe Orders $3,900.00
Total Amount Earned $48,320.00 Revised Contract $48,320.00
3405170REQ3Final.xls
Bonestroo
IIIiICfII Rosene
"" Anderlik &
. \J. Associates
Engineers & Architects
2335 West Highway 36 · St. Paul, MN 55113
Office: 651-636-4600 · Fax: 651-636-1311
~ U..J1UVLiUXif
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February 3, 2006
Re: City of New Hope
Elm Grove Park Play Equipment
City Project No. 769
BRA #000034-05170-0
Warranty Agreement
The warranty coverage for the play equipment installed in Elm Grove Park is in accordance with
the contract documents for the abovementioned project. The optional extended warranty for the
paint has been accepted and will be covered for the full 15 years in accordance with the
specifications.
All warranty coverage terms shall commence upon receipt of a signed copy of this form.
The contractor responsible for supplying and installing the play equipment in accordance with
the project specifications is MNIWI Playground. The signature below represents acceptance of
the warranty terms presented here and in the contract documents.
// /J
~/ (I
~ X____
/ tV',,- ~
MN/WI Playground Representative
V{ J<; k.,
Position
'%,-/0-01,;;
Date
· St. Paul, St. Cloud, Rochester, MN · Milwaukee, WI a Chicago, IL
Affirmative Action/Equal Opportunity Employer and Employee Owned
J1j &t;;t'~b'iU<&1
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ADDENDUM NO.1
For
ELM GROVE PARK PLAY EQUIPMENT
CITY PROJECT NO. 769
FILE NO. 000034-05170-0
NEW HOPE, MINNESOTA
May 4, 2005
Number of Pages ~ (includes this sheet)
To:
All Planholders of Record
From:
Bonestroo, Rosene, Anderlik and Associates, Inc.
2335 West Highway 36
St. Paul, Minnesota 55113
(651) 636-4600 - General Office
(651) 604--4790- Vince Vander Top, Project Manager
The following changes, additions, and deletions are hereby made a part of the Bidding
Documents. Bidder shall acknowledge receipt of this Addendum on the Bid Form.
Failure to do so may result in rejection of the Bid.
Please acknowledge receipt of this Addendum by signing and faxing this page back to Bonestroo & Associates at
Fax No. (651) 636-1311 as soon as you receive it.
Company Name
Date
000034-05170-0
Al-l
ADDENDUM NO. I
CONTRACT - COMPLETION DATE
1. The Completion Date will be changed from May 27th, 2005 to September 30,
2005.
The actual start time will be dictated by the progress of work by others on the
site. It is anticipated that the work will commence late Mayor later.
SECTION 2860 - PLAYGROUND EQUIPMENT
1. ADD the following in Section 2986.2.01.A.2:
2. If Alternate #1 - Furnish and Install "Rock Climber" is not awarded with
the project, a "Climbing Pole" (Loop Pole 123538) is to be installed in
place of the "Rock Climber."
The furnishing and installation of the "Climbing Pole" shall be included in
the Base Quote. The unit price for Alternate #1 shall include the additional
cost for substituting a "Rock Climber" in place of a "Climbing Pole."
2. ADD the following in Section 2860.3.01.D:
D. Upon com'pletion of the play equipment installation, the Contractor will
schedule and complete an on-site audit by the equipment manufacturer.
The Manufacturer will review the installation to confirm that it is installed
per manufacturer's specifications. Any deficiencies in the installation will
be identified in writing to the Owner. Corrections will be completed by the
Contractor and reviewed by the Manufacturer to confirm that the
installation meets the manufacturer's installation requirements and
warrantee requirements before payment is made to the Contractor.
END OF ADDENDUM
000034.05170.0
AI-2
ADDENDUM NO. I