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Imp. Proj. #656
1 : Originating Departin Parks & Recreation BY: Shari French an 1/10/2000 Agenda Section Development & Planning :. RESOLUTION AWARDING CONTRACT TO E &V CONSULTANTS AND CONSTRUCTION MANAGERS TO SERVE AS CITY'S OWNER REPRESENTATIVE FOR THE GOLF COURSE CLUBHOUSE PROJECT (I MPROVEMENT PROJECT # 656) REQUESTED ACTION Staff recommends that the City hire E &V Consultants and Construction Managers to act as owner's representative on the Golf Course Clubhouse Project ( #656). E &V has taken on this role for the City on a number of projects including the Pool Concessions project ( #601 C), the City Hall project of 1998 ( #608), and the Public Works remodeling project of 1997 ( #542). BACKGROUND The City's golf course clubhouse, located at 8130 Bass Lake Road is in need of replacement. The problem areas include: windows, doors, HVAC system, non - accessible bathrooms, plumbing, wiring, floor, landscaping, walkways and parking lot. On February 8, 1999 the City Council approved the hiring of Ankeny Kell Architects, P.A. to develop a feasibility study to look at a new clubhouse. A design team was formed comprised of the architects, City Engineer, City staff, and two residents, one representing the Citizen Advisory Commission and the other representing community golfers. The design team met a number of times over the course of the spring. On May 17, 1999 the architects presented a preliminary report to Council at a work session. On June 28, 1999 Council accepted the feasibility study and directed staff to continue with the process of planning for this project. In fall of 1999, six architectural firms were invited to submit proposals for their services for this project. Three firms submitted proposals. Two firms were interviewed and the staff interview team selected TSP One, Inc. to recommend to Council on January 10, 2000 for architectural services for this project. It is anticipated that the planning for this project will begin immediately in January 2000 with construction to begin in late summer. The project is anticipated to be completed by spring of 2001. E &V will assign Cheryl Badinger to be the project manager. She is the person who represented E &�V�o_n the Public Works proiect in 1997 and the C ity Hall project in 1998. She M also serving as owner's representative on the Pool Concessions project right now. She has a good deal of experience wit the City and with the engineering /architectural firm recommended for this project, TSP One, Inc. FUNDING E &V's lump sum fee is a not -to- exceed price of $23,850.00 for the project through the anticipated completion date of May 31, 2001. Any time spent beyond May 31, 2001, which is approved by the City, would be billed at an hourly rate as stated in the contract. Time spent by E &V on this project would reduce time and money spent by the City on the engineering /architectural firm. ATTACHMENTS The attached contract contains a Team Responsibilities Chart which describes E &V's role in this project. This contract has been reviewed by the City Attorney. RESOLUTION NO. 2000- 15 RESOLUTION AWARDING CONTRACT TO E&V CONSULTANTS AND CONSTRUCTION MANAGERS TO SERVE AS CITY'S OWNER REPRESENTATIVE FOR THE GOLF COURSE CLUBHOUSE PROJECT (IMPROVEMENT PROJECT # 656) WHEREAS, the City wishes to contract with a company to serve as Owner's Representative for the Golf Course Clubhouse Project (#656), and WHEREAS, funding is recommended to come from revenue bonds to be paid back over 20 years from Golf Course earnings, and WHEREAS, the City worked with E&V in similar projects (Public Works remodeling in 1997, City Hall remodeling in 1998, and the pool concessions building in 1999 & 2000). NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of New Hope, Minnesota, the Mayor and City Manager are hereby authorized and directed to enter into the attached contract with E&V Consultants and Construction Managers in the name of the City of New Hope for the Golf Course Clubhouse Project, Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 1 0 th day of January 2000. Mayor I Attest:, J4� City Clerk January 3, 2000 Ms. Shari French City of New Hope 4401 Xylon Avenue New Hope, MN 55428 RE: Proposal for Project Management Services City of New Hope Golf Clubhouse / City Project No. 656 Dear Ms. French: Attached are two original contracts for the above project for services provided by E &V for council approval on January 10, 2000. Upon council approval, please sign and return for E &V's signature. Please feel free to contact us if there is any additional clarifications or information required. Very truly yours, E &V CONSULTANTS AND CONSTRUCTION MANAGERS Cheryl Badinger Project Manager WE 5801 Duluth Street • Suite 345 • Minneapolis, MN 55422 Phone 612/545 -1355 • Fax 612/545 -1346 Equal Opportunity Employer 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 www.ci.new-hope.mn.us January 13, 2000 Ms. Cheryl Badinger E &V Consultants & Construction Managers 5801 Duluth Street, Suite 345 Minneapolis, MN 55422 City Hall: 612 - 531 -5100 Police: 612 - 531 -5170 Public Works: 612 - 533 -4823 TDD: 612 - 531 -5109 Subject: Contract Documents - Improvement Project No. 656 Dear Cheryl: City Hall Fax: 612- 531 -5136 Police Fax: 612 -531 -5174 Public Works Fax: 612 - 533 -7650 As you are aware, at its meeting of January 10, 2000, the New Hope City Council approved the contract with E &V to serve as the City's owner representative for the golf course clubhouse project. Enclosed are two contract documents which have been executed by City officials. Please have both copies signed by the appropriate official of your company; retain one contract for your records; and return one fully executed contract to my attention. We're looking forward to working with you on another city project. Our Parks and Recreation Director, Shari French, will be the main contact person at the City for this project. Sincerely, ham..-( O'Le Valerie Leone, CMC City Clerk enc. cc: Shari French Family Styled City A �(�� For Family Living '� V� r [Nowimmomi , If 5801 Duluth Street • Suite 345 Minneapolis, MN 55422 Phone: (612) 545-1355 Fax: (612) 545-1346 DATE: January 24, 2000 PROJECT: New Hope Golf Clubhouse New Hope, Minnesota TO: Ms. Shari French City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 WE ARE SENDING YOU THE FOLLOWING ITEMS: COPIES DESCRIPTION 1 Fully executed contract agreement THESE ARE TRANSMITTED AS NOTED BELOW: For your use. REMARKS: i t / 0- SIGNED: Cheryl Badinger/kkn CITY OF NEW HOPE NEW HOPE GOLF CLUBHOUSE CITY PROJECT NO. 656 SERVICES CONTRACT 1. Parties - The parties to this contract are E &V, Incorporated, a Michigan corporation, d/b /a E &V Consultants and Construction Managers (hereafter E &V) located at 5801 Duluth Street, Suite 345, Minneapolis, Minnesota 55422 and The City of New Hope, a Minnesota Municipal corporation (hereafter New Hope) located at 4401 Xylon Avenue North, New Hope, Minnesota 55428. 2. Purpose of Contract - New Hope is undertaking a construction project to improve the New Hope Golf Clubhouse. The project will include demolition of the existing golf clubhouse, sitework, and construction of a new golf clubhouse located at 8130 Bass Lake Road, New Hope. The size of the clubhouse has not yet been determined. The project has been designed by the architectural /engineering firm of TSP One, Inc. (hereafter TSP). The project will be constructed using a general contractor having a direct contract with New Hope. All subcontractors on the project will contract with the general contractor awarded the contract. As New Hope's Owner Representative, E &V will provide project management services to New Hope and will coordinate functions with New Hope, the architect, the general contractor as set out in paragraph 4 Scope of Services. Terms of Agreement - The term of this agreement shall be the length of time reasonably necessary to complete the project as designed by TSP. It is anticipated the project will be bid Spring /Summer 2000 with construction commencing Fall 2000 with completion May 31, 2001. 4. Scope of Services - E &V agrees to provide all services as set out in the Team Responsibilities Chart attached hereto as Exhibit A and further defined as follows: a. Conduct and record project team meetings as required to coordinate the design, bidding and construction of the project. b. Prepare a program schedule, which gives duration and dates for the design, bidding and construction phases of the project. C. Evaluate construction phasing and review alternate plans with New Hope. Develop, plan and schedule for relocation, moving and occupying the new facility. Assist New Hope in obtaining and scheduling moving and relocation services. d. Review bidding documents provided by the architect. Contact prospective bidders, develop final bidders list and conduct pre -bid meetings. e. Review contract schedule. Coordinate New Hope relocations and moving with contract schedule. Monitor schedule throughout construction phase. Notify New Hope of contractor delays, which may impact the completion schedule of the project. Payment Terms - New Hope shall make monthly payments to E &V based on invoices submitted by E &V showing itemized charges for the work performed based on the fee schedule attached as Exhibit B. Upon determination of construction schedule and scope of project, E &V and New Hope will agree on an amendment to this Agreement specifying a not to exceed fee. Prior to each payment E &V agrees to submit detailed service reports including the following information: the name of the service provider, the date of service, a description of work performed and the time spent. 6. Records, Reports and Monitoring Procedures - E &V agrees to maintain and make available to New Hope or any of its duly authorized representatives all records relevant to the provision of services set out in the Scope of Services clause above including, but not limited to, financial records, expense statements and service delivery records. Further, E &V agrees to the following requirements regarding records: a. E &V agrees to maintain all records relevant to the services provided under this agreement for two (2) years after final completion of the project. New Hope or any of its duly authorized representatives may duplicate, use, and disclose all data delivered under this agreement. C. E &V insures the availability of all records during normal business hours, and will permit review for copying or transcription as often as reasonably necessary. Indemnification and Insurance a. Indemnity. 1. New Hope shall not be liable to E &V or its officers, agents, employees, lessees, licenses, invitees or trespassers in respect of, and E &V shall hold harmless and indemnify New Hope against liabilities, losses, damages, costs, expenses (including reasonable attorney's fees) claims, actions, judgments and settlements of any nature whatsoever for any personal injury, death or property damage arising out of or resulting from any negligent act or omission of E &V in the performance of E &V's responsibilities under this agreement, but only to the extent the injury, death or damage has not been caused by the intentional acts or omissions or breach of this agreement by New Hope, its officers, employees or agents. 2. E &V shall not be liable to New Hope, its officers, agents, employees, lessees, licenses, invitees or trespassers in respect of, and New Hope shall hold harmless and indemnify E &V against liabilities, losses, damages, costs, expenses (including reasonable attorney's fees) claims, actions, judgments and settlements of any nature whatsoever for any personal injury, death or property damage arising out of or resulting from any negligent act or omission of New Hope in the performance of New Hope's responsibilities under this agreement, but only to the extent the injury, death or damage has not been caused by the intentional acts or omissions or breach of this agreement by E &V, its officers, employees or agents. b. Insurance. E &V does further agree that in order to protect itself as well as the New Hope under the indemnity agreement provisions hereinabove set forth, it will at all time during the term of the agreement have and keep in force: A single limit or combined limit excess umbrella commercial and general liability insurance policy of an amount of not less than $1,000,000 for property damage arising from one occurrence, $1,000,000 for damages arising from death and /or total bodily injuries arising from one occurrence, and $1,000,000 for total personal injuries arising from one occurrence. 2. A single limit or combined limit or excess umbrella automobile liability insurance policy covering E &V- owned, non - owned, and E &V vehicles used in the provision of services under this agreement, in an amount of not less than $1,000,000 per accident property damage, $1,000,000 for death or bodily injury and /or damages to any one person, and $1,000,000 for total bodily injuries and /or damages arising from any one accident. Any policy obtained and maintained under this clause shall provide that it shall not be canceled, materially changed, or not renewed without thirty (30) days' written prior notice thereof to New Hope. 4. Worker's Compensation insurance. Independent Contractor - E &V is to be and shall remain an independent contractor with respect to all services performed under this agreement. E &V represents that it has or will secure at its own expense all personnel required in performing the services under this agreement. Any and all personnel of E &V or other persons while engaged in the performance of any work or services required by E &V under this agreement shall have no contractual relationship with New Hope. Any and all claims that may or might arise under the Unemployment Compensation Act or the Workers' Compensation Act of the State of Minnesota on behalf of said personnel, arising out of employment or alleged employment, including without limitation, claims of discrimination against E &V, its officers, agents, contractors, or employee shall in no way be the responsibility of New Hope. E &V shall defend, indemnify, and hold harmless New Hope from any and all such claims regardless of any determination of any pertinent tribunal, agency, board, commission, or court. Such personnel or other persons shall neither require nor be entitled to any compensation, rights, or benefits of any kind whatsoever from New Hope, including without limitation, medical and hospital care, sick and vacation leave, Workers' Compensation, Unemployment Insurance, disability, severance pay, and PERA. 9. Merger and Modification a. It is understood and agreed that the entire agreement between the parties is contained herein and that this agreement supersedes all oral agreements and negotiations between the parties relating to the subject matter hereof. All items referred to in this agreement are incorporated or attached and are deemed to be part of this agreement. b. Any material alterations, variations, modifications, or waivers of provisions of this agreement shall be valid when they have been reduced to writing as an amendment to this agreement signed by the parties hereto. 10. Default None of the parties shall be held responsible for delay or failure to perform hereunder when such delay or failure is due to fire, flood, epidemic, strikes, acts of God or the public enemy, unusually severe weather, legal acts of the public authorities, or delays or defaults caused by public carriers, which cannot reasonably be foreseen or provided against. b. Unless E &V's default is excused under the provisions of this agreement, E &V, after receipt of notice from New Hope of any of the following conditions or other circumstance warranting cancellation of this agreement, shall have ten (10) days (or longer such period as New Hope may authorize in writing) after receipt of notice to cure the specified failure: If E &V fails to provide services called for by this agreement within the time specified herein or any extension thereof, or 2. If E &V is in such financial condition so as to endanger the performance of this agreement; or If E &V fails to perform any of the other provisions of this agreement, or so fails to prosecute the work so as to endanger the performance of this agreement in accordance with its terms; or 4. If it is discovered that material misrepresentations were made by E &V as to the conditions relied upon by New Hope which purported to exist by their terms of this agreement and all exhibits and documents attached hereto and incorporated by reference. If E &V fails to cure the specified condition after notice within the prescribed period of time, this agreement may be canceled immediately by New Hope, not withstanding any provisions of Paragraph I 1 to the contrary. Waiver of any default shall not be deemed a waiver of any subsequent default. 11. Cancellation a. Not withstanding any other terms to the contrary herein, this agreement may be canceled by either party for any reason with thirty (30) days written notice delivered by first class mail or in person to the address of the other party referenced above. b. After receipt of a notice of cancellation under any provision of this agreement, and except as otherwise directed, E &V shall: Discontinue provision of services under this agreement on the date, and to the extent specified, in the notice of cancellation. 2. Complete performance of such services as shall not have been canceled by the notice of cancellation. 4 Submit a revenue and expense statement for the performance of services prior to the effective date of cancellation within thirty (30) days of said date. 4. Maintain all records relating to performance of the canceled portion of the agreement as may be required by New Hope. 12. Governing Law - The parties acknowledge and agree this contract shall be governed by Minnesota law. IN WITNESS WHEREOF, the parties have agreed and signed below. Dated: GIGL ,CPU(.) Dated: U _ it '�Ztx)o Dated: THE City of New Hope By: •, Its City Mager E &V Consultants and Construction Managers B. Its Regional M ager NEW HOPE GOLF CLUBHOUSE PAGE 1 OF 3 TEAM RESPONSIBILITIES EXHIBIT A DATE: 09/21/99 Team Meetings O NEVI ' Conduct, Record ARCHITECT GENERAL ACTS 4IT? HOPE E &'V , TSP ONE CONTRACTOR Team Meetings Participate Conduct, Record Participate X Program Schedule Provide Input, Approve, Use Prepare Provide Input, Use X Cost Estimating Approve Review Provide X Value Engineering Approve Recommend, Review Provide X Specifications - CSI Divisions 0 and 1 Approve Review Provide X Proposal Forms Approve Review Provide X Bid Advertisement Approve, Publish Review Review, Provide X Bidder Solicitation Review Provide Review, Provide X Plans and Technical Specifications Approve Review Provide X Plan Reviews /Approvals Receive, Approve Monitor Arrange X Print and Distribute [aid Documents Approve Coordinate Provide Original Documents, Arrange X NEW HOPE GOLF CLUBHOUSE PAGE 2 OF 3 TEAM RESPONSIBILITIES EXHIBIT A DATE: 09/21/99 Pre -Bid Meetings CO+.NEW Participate ARCHITECT GENERAL Bid Opening Open Bids Attend TSP ONE CONTRACTOR Pre -Bid Meetings Attend Participate Conduct X Bid Opening Open Bids Attend Attend X Bid Review, Evaluation and Bid Tab Participate Conduct, Prepare Participate X Owner Phasing Approve Develop, Review, Recommend Participate, Recommend Comply Award Contract for Construction and Removal Awards Recommend Recommend X Issue Contract Approve Review, Coordinate, Obtain Signatures Prepare Contract X Pre- Construction Meeting Participate Conduct Participate Participate Foreman Progress Meetings Participate Conduct Participate Participate Invoicing and Pay Requests Review, Approve, Cut Checks Review, Approve, Recommend Review, Approve Submit Construction Schedule Approve Review, Monitor Review, Monitor Provide Proposal Requests and ASI Approve Review Provide Reply NEW HOPE GOLF CLUBHOUSE PAGE 3 OF 3 TEAM RESPONSIBILITIES EXHIBIT A DATE: 09/21/99 Construction Observation CITY OF NEW Coordinate ARCHITECT GENERAL ",,:ACTIVITY HOPE, E &V TSP ONE CONTRACTOR Construction Observation Coordinate Provide Change Orders Approve Review, Negotiate Prepare Accept Punchlist Participate Monitor Prepare, Issue Receive, Respond Safety Observe Observe Observe Responsible Building Department Inspections Provide Review X Arrange, Obtain RFI's Review as Required Review Reply Provide Shop Drawings Accept, File Monitor Review, Approve Provide Owner Occupancy, Warranty Participate, File Coordinate Review, Comment Provide As Builts Approve Coordinate Review Provide FF &E Purchase Review, Coordinate X X FEESCHEDULE AGREEMENT MOR The City of New Hope, A Minnesota Municipal Corporation 4401 Xylon Avenue North New Hope, MN 55428 the OWNER, AND E &V Consultants and Construction Managers 5801 Duluth Street, Suite 345 Minneapolis, MN 55422 the CONSTRUCTION MANAGER Scope of Work: Demolition of existing golf clubhouse, sitework, and construction of a new golf clubhouse located at 8130 Bass Lake Road, New Hope, Minnesota. Total Project Budget is approximately $600,000. Project Schedule: Bid Date: Spring / Summer 2000 Construction: Start Fall 2000 with completion May 31, 2001 E &V Fee Schedule: Personnel Est Rate Estimated Fees Project Manager 300 $75.00 $ 22,500 Clerical 45 $30.00 $ 1,350 Total 345 $ 23,850 E &V's fee would be billed hourly at the above rates for a total not to exceed $23,850 through May 31, 2001. Any additional hours that exceed the estimated fees after May 31, 2001, and which are approved by New Hope, will be billed at an hourly rate as stated in this amendment. ' 9 # 4 r�irrc Originating Departm Parks & Recreation BY: Shari French 1/10/2000 Agenda Section Development & Planning RESOLUTION AWARDING CONTRACT TO TSP ,ONE, INC. FOR ARCHITECTURAL SERVICES FOR GOLF COURSE CLUBHOUSE (IMPROVEMENT PROJECT '?# 656) REQUESTED ACTION Staff is recommending that Council award the contract for architectural and engineering services for the Golf Course Clubhouse project to TSP One, Inc. BACKGROUND The City's golf course clubhouse, located at 8130 Bass Lake Road, predates the City purchasing the golf operation in 1971. The building is in need of replacement. The problem areas include: windows, doors, HVAC system, non - accessible bathrooms, plumbing, wiring, floor, landscaping, walkways and parking lot. On February 8, 1999 the City Council approved the hiring of Ankeny Kell Architects, P.A. to develop a feasibility study to look at a new clubhouse. A design team was formed comprised of the architects, City Engineer, City staff, and two residents, one representing the Citizen Advisory Commission and the other representing community golfers. The design team met a number of times over the course of the spring. On May 17, 1999 the architects presented a preliminary report to Council at a work session. On June 28, 1999 Council accepted the feasibility study and directed staff to continue with the process of planning for this project. In fall of 1999, six architectural firms were invited to submit proposals for their services for this project. Three firms submitted proposals. Two firms were interviewed and the staff interview team selected TSP One, Inc. to recommend to Council for architectural services for this project. It is anticipated that the planning for this project will begin immediately in January 2000 with construction to begin in late summer. The project is anticipated to be completed by spring of 2001. °s TSP One, Inc. is the same firm that performed the architectural and engineering services for the City Hall remodeling project in 1998 which dealt with the mold problem and remodeling of the Administration and Community Development departments. FUNDING A contract has been negotiated with TSP One, Inc. that states that the City will pay a lump sum of $46,000 plus reimbursable expenses (whose total will not exceed $5,000). This is equal to 9.2% of an assumed construction cost of $500,000. Funding for this project is recommended to be a revenue bond to be paid back over twenty years from Golf Course earnings. The budget for this project totals $600,000 for all anticipated costs. ATTACHMENTS The contract for architectural services is attached. This contract has been reviewed by the City Attorney. Also attached is TSP's request for proposal for this project. RESOLUTION NO. 2000- 14 RESOLUTION AWARDING CONTRACT TO TSP ONE, INC. FOR ARCHITECTURAL SERVICES FOR GOLF COURSE CLUBHOUSE (IMPROVEMENT PROJECT # 656) WHEREAS, the City wishes to contract for architectural and engineering services for the Golf Course Clubhouse project #656, and WHEREAS, funding is recommended to come from revenue bonds to be paid back over 20 years from Golf Course earnings, and WHEREAS, the City went through the request for proposal process, interviewed two architectural firms, and TSP One, Inc. is recommended by a staff panel to do this work, and WHEREAS, TSP One, Inc. worked for the City on the City Hall Remodeling project of 1998 and proved to be a responsible consultant. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of New Hope, Minnesota, the Mayor and City Manager are hereby authorized and directed to enter into the attached contract with TSP One, Inc. in the name of the City of New Hope for the Golf Course Clubhouse project #656. Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 10 day of January, 2000. Attest: City Clerk December 15, 1999 TSP One, Inc. 21 Water Street Excelsior, MN 55331 phone (612) 474 -3291 fax (612) 474 -3928 Architecture Engineering Interior Design Offices in Minneapolis and Rochester, MN Shari French, Director Parks and Recreation City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 Re: Golf Course Clubhouse Project Dear Shari, Thank you for considering TSP for your golf course clubhouse project. As you requested, we are herewith providing our fee proposal. Services to be provided will include those described as basic services in AIA Document B141, Standard Form of Agreement Between Owner and Architect. Professional disciplines will include necessary architectural; structural, mechanical and electrical engineering; civil engineering; landscape architecture; and food service. Your total budget for the project is $600,000. Assuming that approximately $100,000 of this will be in "soft" costs, $500,000 is left for construction. If we are fortunate enough to be selected for this project, our fee for architectural and engineering services will be a lump sum of $46,000, plus reimbursable expenses. This is equal to 9.2% of an assumed construction cost of $500,000. If, in the planning of the project, the estimated construction cost is found to vary from this amount, we would ask that our lump sum fee be adjusted accordingly. Reimbursable expenses will include those items listed on the attached sheet. Reimbursable expenses will be billed as shown, but total reimbursable expenses shall not exceed $5,000. We very much look forward to the opportunity of working with you again, and with E & V as your Owner's Representative. If you have any questions, please give me a call. Sincerely, AFFILIATED OFFICES TSP ONE, INC. Minneapolis, MN Rochester, MN Denver, CO Marshalltown, IA Rapid Cit SD Bertil E. Haglund, A A Sioux Falls, SO Sheridan, WY Architect /Principal BH:bh - Enclosure An Equal Opportunity, Affirmative Action Employer TSP One, Inc. Architecture Engineering Interior Design REIMBURSABLE EXPENSES TSP reimbursable expenses which appear on your invoices are based on the following rates. These rates are established by TSP and will be updated semi - annually. PHOTOCOPYING $.08 /side if duplexed or $.08 /page BLUEPRINrTING 24x36 30x42 Standard 1 -2 sheets 1.54 2.16 3 -5 sheets 1.43 2.10 6 -10 sheets 1.17 1.82 11+ sheets .95 1.40 Mylar Sepia 1 -2 sheets 10.07 12.19 3 -5 sheets 9.54 11.66 6 -10 sheets 9.01 11.13 11+ sheets 8.22 10.34 BINDING Plan binding only $ .35 Spec bindingibook form $ 1.50 (Covers and binder) FACSIMILE 1 -3 pages $1.10 /page 4 -6 pages $1.00 /page 7 -10 pages $ .90 /page 11+ pages $ .75 /page LONG - DISTANCE TELEPHONE Equal to AT &T rates OVERNIGHT DELIVERY Equal to UPS or Federal Express rates POSTAGE Equal to cost ARCHIVE RETRIEVAL FEE $25.00 per item MILEAGE $ .35 /mile MEALS AND LODGING Per diem 1999 SOP /reimb 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 www.ci.new- hope.mn. us January 13, 2000 Mr. Bert Haglund TSP One, Inc. 21 Water Street Excelsior, MN 55331 City Halk 612 - 531 -5100 Police: 612 - 531 -5170 Public Works: 612- 533 -4823 TDD: 612 531 - 5109 Subject: Contract Documents - Improvement Project No. 656 Dear Mr. Haglund: City Hall Fax: 612- 531 -5136 Police Fax. 612- 531 -5174 Public Works Fax: 612- 533 -7650 As you are aware, at its meeting of January 10, 2000, the New Hope City Council approved the contract with your firm for architectural services for the golf course clubhouse project. Enclosed are two contract documents which have been executed by City officials. Please have both copies signed by the appropriate official of your company; retain one contract for your records; and return one fully executed contract to my attention. We're looking forward to working with you on another city project. Our Parks and Recreation Director, Shari French, will be the main contact person at the City for this project. Sincerely, Valerie Leone, CMC City Clerk enc. cc: Shari French Family Styled City . �1 For Family Living January 19, 2000 TSP One, Inc. 21 Water Street Excelsior, MN 55331 phone (612) 474 -3291 fax (612) 474 -3928 Architecture Engineering Interior Design Offices in Minneapolis and Rochester, PAN AFFILIATED OFFICES Minneapolis, MN Rochester, MN Denver, CO Marshalltown, IA Rapid City, SD Sioux Falls, SD Sheridan, WY Valerie Leone, CMC City Clerk City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 Re: Golf Course Clubhouse Improvement Project No. 656 Dear Ms. Leone, TSP Project #99732 Enclosed please find one copy of the contract for the golf course clubhouse project, which has been executed by TSP. I have kept one copy for our records. If you have any questions, please give me a call. Sincerely, lourelaimle[" Bertil E. Haglund, AIA Architect /Principal BH:bh Enclosure cc: Shari French An Equal Opportunity, Affirmative Action Employer Abbreviated • of Agreement 1wner and Architect f or C onstruction Projectg of Limited Scope AIA Document B151 - Electronic Format THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. Copyright 1974, 1978, 1987 by The American Institute of Architects, 1735 New York Avenue, N.W., Washington, D.C., 20006 -5292. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will be subject to legal prosecution. AGREEMENT made as of the Fourth day of January in the year of Niiieteen Hundfed an Two Thousand. BETWEEN the Owner: (Name and address) City of New Hone 4401 Xylon Avenue North New Hone, Minnesota 55428 and the Architect: (Name and address) TSP One, Inc. 21 Water Street Excelsior Minnesota 55331 For the following Project: (Include detailed description of Project, location, address and scope) Golf Course Club House 8130 Bass Lake Road New Hope, Minnesota 55428 The size of the new facility is anticipated to be approximately 2,500 square feet (indoor) and 1,500 square feet (outdoor) The protect is to include a main room, storage, food service and preparation areas, two offices, pro shop sales and counter areas, toilets, and a mechanical room. Outside facilities are to include a cart storage area, picnic food prep area and pavilion, a trash enclosure. Parking lot upgrades will also be required. The rp oiect budget is approximately $600,000, of which $500,000 is assumed to be construction cost. The Owner and Architect agree as set forth below. AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #1 TERMS AND CONDITIONS OF AGREEMENT BETWEEN OWNER AND ARCHITECT ARTICLE 1 ARCHITECT'S RESPONSIBILITIES 1.1 ARCHITECT'S SERVICES 1.1.1 The Architect's services consist of those services performed by the Architect, Architect's employees and Architect's consultants as enumerated in Articles 2 and 3 of this Agreement and any other services included in Article 12. 1.1.2 The Architect's services shall be performed as expeditiously as is consistent with professional skill and care and the orderly progress of the Work. 1.1.3 The services covered by this Agreement are subject to the time limitations contained in Subparagraph 11.5.1. ARTICLE 2 SCOPE OF ARCHITECT'S BASIC SERVICES 2.1 DEFINITION 2.1.1. The Architect's Basic Services consist of those described under the three phases identified below, any other services identified in Article 12, and include normal structural, mechanical and electrical engineering services. 2.2 DESIGN PHASE 2.2.1 The Architect shall review with the Owner alternative approaches to design and construction of the Project. 2.2.2 Based on the mutually agreed -upon program, schedule and construction budget requirements, the Architect shall prepare, for approval by the Owner, Design Documents consisting of drawings and other documents appropriate for the Project, and shall submit to the Owner a preliminary estimate of Construction Cost. 2.3 CONSTRUCTION DOCUMENTS PHASE 2.3.1 Based on the approved Design Documents, the Architect shall prepare, for approval by the Owner, Construction Documents consisting of Drawings and Specifications setting forth in detail the requirements for the construction of the Project and shall advise the Owner of any adjustments to previous preliminary estimates of Construction Cost. 2.3.2 The Architect shall assist the Owner in connection with the Owner's responsibility for filing documents required for the approval of governmental authorities having jurisdiction over the Project. 2.3.3 Unless provided in Article 12, the Architect, following the Owner's approval of the Construction Documents and of the latest preliminary estimate of Construction Cost, shall assist the Owner in obtaining bids or negotiated proposals and assist in awarding and preparing contracts for construction The parties acknowledge and agree that the rp oject is subiect to the Uniform Municipal Contracting Law, Minn, Stat. #471.345 and that all bidding, negotiations, or preparation of contracts for the performance of this improvement will be made in compliance with said statute section. The parties also acknowledge and agree that all contractors who work on this improvement shall provide performance and labor and material payment bonds in an amount e ual to their contract amount, as also required h state law 2.4 CONSTRUCTION PHASE -- ADMINISTRATION OF THE CONSTRUCTION CONTRACT 2.4.1 The Architect's responsibility to provide Basic Services for the Construction Phase under this Agreement commences with the award of the Contract for Construction and terminates at the earlier of issuance to the Owner of the final Certificate for Payment or 60 days after the date of Substantial Completion of the Work. 2.4.2 The Architect shall provide administration of the Contract for Construction as set forth below and in the edition of AIA Document A201, General Conditions of the Contract for Construction, current as of the date of this Agreement. 2.4.3 Duties, responsibilities and limitations of authority of the Architect shall not be restricted, modified or extended without written agreement of the Owner and Architect k- eenser t -of -the - r -�er, whie eanseffz shall -net 4)e- 2.4.4 The Architect shall be a representative of and shall advise and consult with the Owner (1) during construction until final payment to the Contractor is due and (2) as an Additional Service at the Owner's direction from time to time AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #2 during the correction period described in the Contract for Construction. 2.4.5 The Architect shall visit the site at intervals appropriate to the stage of construction or as otherwise agreed by the Owner and Architect in writing to become generally familiar with the progress and quality of the Work completed and to determine in general if the Work is being performed in a manner indicating that the Work when completed will be in accordance with the Contract Documents. However, the Architect shall not be required to make exhaustive or continuous on -site inspections to check the quality or quantity of the Work. On the basis of on -site observations as an architect, the Architect shall keep the Owner informed of the progress and quality of the Work, and shall endear to guard the Owner against defects and deficiencies in the Work. (More extensive site representation may be agreed to as an Additional Service, as described in Paragraph 3.2) 2.4.6 The Architect shall not have control over or charge of and shall not be responsible for construction means, methods, techniques, sequences or procedures, or for safety precautions and programs in connection with the Work, since these are solely the Contractor's responsibility under the Contract for Construction. The Architect shall not be responsible for the Contractor's schedules or failure to carry out the Work in accordance with the Contract Documents. The Architect shall not have control over or charge of acts or omissions of the Contractor, Subcontractors, or their agents or employees, or of any other persons performing portions of the Work. 2.4.7 The Architect shall at all times have access to the Work wherever it is in preparation or progress. 2.4.8 Based on the Architect's observations and evaluations of the Contractor's Applications for Payment, the Architect shall review and certify the amounts due the Contractor. 2.4.9 The Architect's certification for payment shall constitute a representation to the Owner, based on the Architect's observations at the site as provided in Subparagraph 2.4.5 and on the data comprising the Contractor's Application for Payment, that the Work, to the best of the Architect's knowledge, information and belief, has progressed to the point indicated and that quality of the Work is in accordance with the Contract Documents. The issuance of a Certificate for Payment shall net be ahat toe A - ehi4e -(l� Fnade o w t 4 ,,,,.,," ��� -�-� er -on site ec iens -to cheek theme e "mitity E)f the WeAE, ( - of - pree-edures, {34 ed eepies -of r-egn agreed upon. When making such interpretations and initial AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. ffem eentraeters -and mat -and ether data- requested*-tke to Mme he ram�-fight- to payme -of-(4) aseei4a ea -hew -ef4of whatpoTase4w- r.. cvr tfaeter has used money e . ieosi i. e y. pr �y P .�a ,. �. t;e114fac- __ be a representation that the Architect haste_ made on -site inspections to check the _progress and quanti of the Work as provided in Subparagraph 2.4.5 and reviewed data requested by the Owner to substantiate the Contractor's right to pavment 2.4.10 The Architect shall have authority to reject Work which does not conform to the Contract Documents and will have authority to require additional inspection or testing of the Work whenever, in the Architect's reasonable opinion, it is necessary or advisable for the implementation of the intent of the Contract Documents. 2.4.11 The Architect shall review and approve or take other appropriate action upon Contractor's submittals such as Shop Drawings, Product Data and Samples, but only for the limited purpose of checking for conformance with information given and the design concept expressed in the Contract Documents. The Architect's action shall be taken with such reasonable promptness as to cause no delay. The Architect's approval of a specific item shall not indicate approval of an assembly of which the item is a component. When professional certification of performance characteristics of materials, systems or equipment is required by the Contract Documents, the Architect shall be entitled to rely upon such certification to establish that the materials, systems or equipment will meet the performance criteria required by the Contract Documents. 2.4.12 The Architect shall prepare Change Orders and Construction Change Directives, with supporting documentation and data if authorized or confirmed in writing by the Owner as provided in Paragraphs 3.1 and 3.3, for the Owner's approval and execution in accordance with the Contract Documents, and may authorize minor changes in the Work not involving an adjustment in the Contract Sum or an extension of the Contract Time which are not inconsistent with the intent of the Contract Documents. 2.4.13 The Architect shall conduct inspections to determine the dates of Substantial Completion and final completion and shall issue a final Certificate for Payment. 2.4.14 The Architect shall may at the request of the Owner interpret and decide matters concerning performance of the Owner- Contractor under the requirements of the Contract Documents on y ffitten fe -4 eithe -the -owner -er- Een4aete . The Architect's response to such requests shall be made with reasonable promptness and within any time limits Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #3 decisions, the Architect shall endeavor -to secure faithful performance by bath 9 -and the Contractor, &ha 4 net show pai4 kty to either ^ ^' but shall not be liable for results of interpretations or decisions so rendered in good faith. ARTICLE 3 ADDITIONAL SERVICES 3.1 Additional Services shall be provided if authorized or confirmed in writing by the Owner or if included in Article 12, and they shall be paid for by the Owner as provided in this Agreement. Such Additional Services shall include, in addition to those described in Paragraphs 3.2 and 3.3, budget analysis, financial feasibility studies, planning surveys, environmental studies, measured drawings of existing conditions, coordination of separate contractors or independent consultants, coordination of construction or project managers, detailed Construction Cost estimates, quantity surveys, interior design, planning of tenant or rental spaces, inventories of materials or equipment, preparation of record drawings, and any other services not otherwise included in this Agreement under Basic Services or not customarily furnished in accordance with generally accepted architectural practice. 3.2 If more extensive representation at the site than is described in Subparagraph 2.4.5 is required, such additional project representation shall be provided and paid for as set forth in Articles 11 and 12. 3.3 As an Additional Service in connection with Change Orders and Construction Change Directives, the Architect shall prepare Drawings, Specifications and other documentation and data, evaluate Contractor's proposals, and provide any other services made necessary by such Change Orders and Construction Change Directives. ARTICLE 4 OWNER'S RESPONSIBILITIES 4.1 The Owner shall provide full information, including a program which shall set forth the Owner's objectives, schedule, constraints, budget with reasonable contingencies, and criteria. 4.2 The Owner shall furnish surveys describing physical characteristics, legal limitations and utility locations for the site of the Project, a written legal description of the site and the services of geotechnical engineers or other consultants when such services are requested by the Architect. 4.3 The Owner shall furnish structural, mechanical, chemical, air and water pollution tests, tests for hazardous materials, and other laboratory and environmental tests, inspections and reports required by law or the Contract Documents. 4.4 The Owner shall furnish all legal, accounting and insurance counseling services as may be necessary at any time for the Project, including auditing services the Owner may require to verify the Contractor's Applications for Payment or to ascertain how or for what purposes the Contractor has used the money paid by the Owner. 4.5 The foregoing services, information, surveys and reports shall be furnished at the Owner's expense, and the Architect shall be entitled to rely upon the accuracy and completeness thereof. 4.6 Prompt written notice shall be given by the Owner to the Architect if the Owner becomes aware of any fault or defect in the Project or nonconformance with the Contract Documents. 4.7 The proposed language of certificates or certifications requested of the Architect or Architect's consultants shall be submitted to the Architect for review and approval at least 14 days prior to execution. ARTICLE 5 CONSTRUCTION COST 5.1 DEFINITION 5.1.1 The Construction Cost shall be the total cost or estimated cost to the Owner of all elements of the Project designed or specified by the Architect. 5.1.2 The Construction Cost shall include the cost at current market rates of labor and materials furnished by the Owner and equipment designed, specified, selected or specially provided for by the Architect, plus a reasonable allowance for the Contractor's overhead and profit. In addition, a reasonable allowance for contingencies shall be included for market conditions at the time of bidding and for changes in the Work during construction. 5.1.3 Construction Cost does not include the compensation of the Architect and Architect's consultants, the costs of the land, rights -of -way, financing or other costs which are the responsibility of the Owner as provided in Article 4. 5.2 RESPONSIBILITY FOR CONSTRUCTION COST AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #4 5.2.1• It is recognized that neither the Architect nor the Owner has control over the cost of labor, materials or equipment, over the Contractor's methods of determining bid prices, or over competitive bidding, market or negotiating conditions. Accordingly, the Architect cannot and does not warrant or represent that bids or negotiated prices will not vary from any estimate of Construction Cost or evaluation prepared or agreed to by the Architect. 5.2.2 No fixed limit of Construction Cost shall be established as a condition of this Agreement by the furnishing, proposal or establishment of a Project budget, unless a fixed limit has been agreed upon in writing and signed by the parties hereto. Fixed limits, if any, shall be increased in the amount of an increase in the Contract Sum occurring after execution of the Contract for Construction. 5.2.3 Any Project budget or fixed limit of Construction Cost may be adjusted to reflect changes in the general level of prices in the construction industry between the date of submission of the Construction Documents to the Owner and the date on which proposals are sought. 5.2.4 If a fixed limit of Construction Cost is exceeded by the lowest bona fide bid or negotiated proposal, the Owner shall: 1 give written approval of an increase in such fixed limit; .2 authorize rebidding or renegotiating of the Project within a reasonable time; .3 if the Project is abandoned, terminate in accordance with Paragraph 8.3; or 6.1 The Drawings, Specifications and other documents prepared by the Architect for this Project are instruments of the Architect's service for use solely with respect to this Project, and the Architect shall be deemed the author of these documents and shall retain all common law, statutory and other reserved rights, including the copyright. The Owner shall be permitted to retain copies, including reproducible copies, of the Architect's Drawings, Specifications and other documents for information and reference in connection with the Owner's use and occupancy of the Project. The Architect's Drawings, Specifications or other documents sha41- net may be used by the Owner or others on other projects, for additions to this Project or for completion of this Project by others__ tmless the ^ -� n ee 4 ac ge -in deffailt under -this - -Agr-eem e -by agr-ee -in siting -an4- with appropriate serxpensa4ien -te -the ^ reset _ -In consideration thereof, the Owner agrees to hold harmless, indemnify and defend the Architect from and against any and all liabilities, claims, losses, damages, and costs, arising out of the modification, misinterpretation, or misuse of the documents in the completion of the rp oject by others, or arising out of any reuse of the documents on any other project, excepting only those liabilities, losses, damages, and costs caused by the sole negligence of the Architect 6.2 Submission or distribution of documents to meet official regulatory requirements or for similar purposes in connection with the Project is not to be construed as publication in derogation of the Architect's reserved rights. ARTICLE 7 ARBITRATION 7.1 Claims, disputes or other matters in question .4 cooperate in revising the Project scope and quality as between the parties to this Agreement arising out of or required to reduce the Construction Cost. relating to this Agreement or breach thereof shall be subject to and decided by arbitration in accordance with the 5.2.5 If the Owner chooses to proceed under Clause Construction Industry Arbitration Rules of the American 5.2.4.4, the Architect, without additional charge, shall modify Arbitration Association currently in effect unless the parties the Contract Documents as necessary to comply with the mutually agree otherwise. No arbitration arising out of or fixed limit, if established as a condition of this Agreement. relating to this Agreement shall include, by consolidation, The modification of Contract Documents shall be the limit of joinder or in any other manner, an additional person or entity the Architect's responsibility arising out of the establishment not a party to this Agreement, except by written consent of a fixed limit. The Architect shall be entitled to containing a specific reference to this Agreement signed by compensation in accordance with this Agreement for all the Owner, Architect, and any other person or entity sought to services performed whether or not the Construction Phase is be joined. Consent to arbitration involving an additional commenced. person or entity shall not constitute consent to arbitration of any claim, dispute or other matter in question not described in the written consent. The foregoing agreement to arbitrate and ARTICLE 6 other agreements to arbitrate with an additional person or USE OF ARCHITECT'S DRAWINGS, entity duly consented to by the parties to this Agreement shall SPECIFICATIONS AND OTHER DOCUMENTS be specifically enforceable in accordance with applicable law AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.D0C -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #5 in any court having jurisdiction thereof. 7.2 In no event shall the demand for arbitration be made after the date when institution of legal or equitable proceedings based on such claim, dispute or other matter in question would be barred by the applicable statutes of limitations. 7.3 The award rendered by the arbitrator or arbitrators shall be final, and judgment may be entered upon it in accordance with applicable law in any court having jurisdiction thereof. ARTICLE 8 TERMINATION, SUSPENSION OR ABANDONMENT 8.1 This Agreement may be terminated or suspended by either party upon not less than seven days' written notice ShOttld -he ether -paw -fail s4stafttially -to per-fe 4n- a ° ..,;ti. ir,o #04 A gfee .,. °„t tr,.. lie f u 4t 8.2 If the Project is suspended by the Owner for more than 30 consecutive days, the Architect shall be compensated for services performed prior to notice of such suspension. When the Project is resumed, the Architect's compensation shall be equitably adjusted to provide for expenses incurred in the interruption and resumption of the Architect's services. 8.3 T44R AgreemenA may -be teffriinmed -by -the 9wner upen- a seve -days! wfittenmetiee to e Ar - the e that th Pr-ajeet i pefman eii4ly .b ifd Frajeet -is ab&nderieci -key -the Qv,%e -€ef more -t+a* -94- t;.,° d ays th A,- teet m a y , t ff 4 this A .,t by giving wr-it4en natiee. 8.4 Failure -of -the Owner -to -mare payrreffts -to -the - AA ` ^ t rrc i teet -in ae-eerdaaee -with 4h4& mmt shall -be- eensidered „ '� nenp °wee -aa4 eause -for-- ternien. 8.5 If the Owner fails to make payment when due the Architect for services and expenses, the Architect may, upon seven days' written notice to the Owner, suspend performance of services under this Agreement. Unless payment in full is received by the Architect within seven days of the date of the notice, the suspension shall take effect without further notice. In the event of a suspension of services, the Architect shall have no liability to the Owner for delay or damage caused the Owner because of such suspension of services. 8.6 In the event of termination not the fault of the Architect, the Architect shall be compensated for services performed prior to termination, together with Reimbursable Expenses then due and all T°.....,;.,^t;,.„ R *peases 8.7 Tefrainatien des are -iff additien -te- eenp Basie- and Additiona s-anl inslade ARTICLE 9 MISCELLANEOUS PROVISIONS 9.1 Unless otherwise provided, this Agreement shall be governed by the law of the principal place of business of the Architect. 9.2 Terms in this Agreement shall have the same meaning as those in AIA Document A201, General Conditions of the Contract for Construction, current as of the date of this Agreement. 9.3 Causes of action between the parties to this Agreement pertaining to acts or failures to act shall be deemed to have accrued and the applicable statutes of limitations shall commence to run not later than either the date of Substantial Completion for acts or failures to act occurring prior to Substantial Completion, or the date of issuance of the final Certificate for Payment for acts or failures to act occurring after Substantial Completion. 9.4 The Owner and Architect waive all rights against each other and against the contractors, consultants, agents and employees of the other for damages, but only to the extent covered by property insurance during construction, except such rights as they may have to the proceeds of such insurance as set forth in the edition of AIA Document A201, General Conditions of the Contract for Construction, current as of the date of this Agreement. The Owner and Architect each shall require similar waivers from their contractors, consultants and agents. 9.5 The Owner and Architect, respectively, bind themselves, their partners, successors, assigns and legal representatives to the other party to this Agreement and to the partners, successors, assigns and legal representatives of such other party with respect to all covenants of this Agreement. Neither Owner nor Architect shall assign this Agreement without the written consent of the other. 9.6 This Agreement represents the entire and integrated agreement between the Owner and Architect and supersedes all prior negotiations, representations or agreements, either written or oral. This Agreement may be amended only by written instrument signed by both Owner and Architect. AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #6 9.7 Nothing contained in this Agreement shall create a contractual relationship with or a cause of action in favor of a third party against either the Owner or Architect. 9.8 The Architect and Architect's consultants shall have no responsibility for the discovery, presence, handling, removal or disposal of or exposure of persons to hazardous materials in any form at the Project site, including but not limited to asbestos, asbestos products, polychlorinated biphenyl (PCB) or other toxic substances. ARTICLE 10 PAYMENTS TO THE ARCHITECT 10.1 DIRECT PERSONNEL EXPENSE 10.1.1 Direct Personnel Expense is defined as the direct salaries of the Architect's personnel engaged on the Project and the portion of the cost of their mandatory and customary contributions and benefits related thereto, such as employment taxes and other statutory employee benefits, insurance, sick leave, holidays, vacations, pensions and similar contributions and benefits. 10.2 REIMBURSABLE EXPENSES 10.2.1 Reimbursable Expenses include expenses incurred by the Architect in the interest of the Project for: expense of transportation and living expenses in connection with out -of -town travel authorized by the Owner; .2 long- distance communications; .3 fees paid for securing approval of authorities having jurisdiction over the Project; .4 reproductions; .5 postage and handling of Drawings and Specifications; .6 expense of overtime work requiring higher than regular rates, if authorized by the Owner; .7 renderings and models requested by the Owner; .8 expense of additional insurance coverage or limits, including professional liability insurance, requested by the Owner in excess of that normally carried by the Architect and Architect's consultants; and 9 &Epense s€ .,, *o, ;aoa n -awl d}a€i*g- equipe -time when used -i* Mien -the - 10.3 PAYMENTS ON ACCOUNT OF BASIC SERVICES 10.3.1 An initial payment as set forth in Paragraph 11.1 is the minimum payment under this Agreement. 10.3.2 Subsequent payments for Basic Services shall be made monthly and, where applicable, shall be in proportion to services performed within each phase of service. 10. 3.3 If and to the extent that the time initially established in Subparagraph 11.5.1 of this Agreement is exceeded or extended through no fault of the Architect, compensation for any services rendered during the additional period of time shall be computed in the manner set forth in Subparagraph 11.3.2. 10.3.4 When compensation is based on a percentage of Construction Cost and any portions of the Project are deleted or otherwise not constructed, compensation for those portions of the Project shall be payable to the extent services are performed on those portions, in accordance with the schedule set forth in Subparagraph 11.2.2, based on (1) the lowest bona fide bid or negotiated proposal, or (2) if no such bid or proposal is received, the most recent preliminary estimate of Construction Cost or detailed estimate of Construction Cost for such portions of the Project. 10.4 PAYMENTS ON ACCOUNT OF ADDITIONAL SERVICES AND REIMBURSABLE EXPENSES 10.4.1 Payments on account of the Architect's Additional Services and for Reimbursable Expenses shall be made monthly upon presentation of the Architect's statement or services rendered or expenses incurred. 10.5 PAYMENTS WITHHELD 10.5.1 No deductions shall be made from the Architect's compensation on account of sums withheld from payments to contractors. ARTICLE 11 BASIS OF COMPENSATION AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #7 The Owner shall compensate the Architect as follows: 11.1 AN INITIAL PAYMENT OF Zero Dollars ($ 0.00 ) shall be made upon execution of this Agreement and credited to the Owner's account at final payment. 11.2 BASIC COMPENSATION 11.2.1 FOR BASIC SERVICES, as described in Article 2, and any other services included in Article 12 as part of Basic Services, Basic Compensation shall be computed as follows: (Insert basis of compensation, including stipulated sums, multiples or percentages, and identify phases to which particular methods of compensation apply, if necessary) Fee for architectural and engineering services shall be a lump sum of $46,000.00 (equal to 9.2% of an assumed construction cost of $500,000 11.2.2 Where compensation is based on a stipulated sum or percentage of Construction Cost, progress payments for Basic Services in each phase shall total the following percentages of the total Basic Compensation payable: (Insert additional phases as appropriate) Design Phase Construction Documents Phase: T hirty percent ( 30 %) E2M percent( 40 %) Construction Phase: Thy percent ( 30 %) otal Basic Compensation: one hundred percent o 11.3 COMPENSATION FOR ADDITIONAL SERVICES 11.3.1 FOR PROJECT REPRESENTATION BEYOND BASIC SERVICES, as described in Paragraph 3.2, compensation shall be computed as follows: Hourly - See Exhibit 'A' 11.3.2 FOR ADDITIONAL SERVICES OF THE ARCHITECT provided under Article 3 or identified in Article 12, compensation shall be computed as follows: (Insert basis of compensation, including rates and /or multiples of Direct Personnel Expense for Principals and employees, and identify Principals and classify employees, if required. Identify specific services to which particular methods of compensation apply, if necessary.) Hourly - See Exhibit 'A' 11.3.3 FOR ADDITIONAL SERVICES OF CONSULTANTS, including additional structural, mechanical and electrical engineering services and those provided under Article 3 or identified in Article 12 as part of Additional Services, a multiple of one ( 1_0 ) times the amounts billed to the Architect for such services. (Identify specific types of consultants in Article 12, if required.) 11.4 REIMBURSABLE EXPENSES 11.4.1 FOR REIMBURSABLE EXPENSES, as described in Paragraph 10.2, and any other items included in Article 12 as Reimbursable Expenses, a multiple of one_ ( 1_0 ) times the expenses incurred by the Architect, the Architect's employees and consultants in the interest of the Project. Total reimbursable expenses shall not exceed $5,000.00. 11.5 ADDITIONAL PROVISIONS 11.5.1 IF THE BASIC SERVICES covered by this Agreement have not been completed within Eighteen - ( 18 ) months of the date hereof, through no fault of the Architect, extension of the Architect's services beyond that time shall be compensated as provided in Subparagraphs 10.3.3 and 11.3.2. 11.5.2 Payments are due and payable Thirty ( 30 ) days from the date of the Architect's invoice. Amounts unpaid Six ( 60 ) days after the invoice date shall be subject to a late payment fee of 1.5 percent per month. bear inter-est at the rate en4eFed below, f +„». tiff,e *E) tiffle at th@ p £ A *i. }6hitee 't. r r t r t � AIA DOCUMENT B151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: B151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #8 (Insert rate of interest agreed upon) (Usury laws and requirements under the Federal Truth in Lending Act, similar state and local consumer credit laws and other regulations at the Owner's and Architect's principal places of business, the location of the Project and elsewhere may affect the validity of this provision. Specific legal advice should be obtained with respect to deletions or modifications, and also regarding requirements such as written disclosures or waivers.) 11.5.3 The rates and multiples set forth for Additional Services shall be annually adjusted in accordance with normal salary review practices of the Architect. ARTICLE 12 OTHER CONDITIONS OR SERVICES (Insert descriptions of other services, identify Additional Services included within Basic Compensation and modifications to the payment and compensation terms included in this Agreement.) This Agreement entered into as of the day and year first written above. OWNER (Signature) W. Peter Erick, Mayor ARCHITECT — ��'&CJVA (Signature) (Printed name and title) (sig ature) D el J. Donahue, City Manager Bertil Haglund, AIA - Vice President (Printed name and title) AIA DOCUMENT 13151 - ABBREVIATED OWNER- ARCHITECT AGREEMENT - THIRD EDITION - AIA - COPYRIGHT 1987 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format B151 -1987 User Document: 13151.DOC -- 1/6/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #9 Exhibit 'A' Agreement Between Owner and Architect for the Golf Course Clubhouse Project New Hope, Minnesota Standard Hourly Rate Schedule Effective January 1, 2000 Professional Category Rate Principal $125 Associate $100 Project Manager $95 Architect /Engineer $80 -95 Designer $65 -75 Specification Writer $70 -80 Drafter $55 -65 Clerical $40 -45 COT TTNJCTT 1:RFA\P&RXGo1fCrs\R-656 C0#1.doc REQUEST FOR ACTION 0 Originating Department Approved for Agenda Agenda Section January 22, 2001 Parks & Recreation Consent Item No. By: Shari French By: 6.7 RESOLUTION APPROVING CHANGE ORDER #1 WITH THE BUILDERS, INC. FOR IMPROVEMENT PROJECT NO. 656 (GOLF COURSE CLUBHOUSE PROJECT) - $15,909.00 REQUESTED ACTION Staff, the architects, TSP, and owner's representative, E&V, are recommending that the City Council approve change order #1 to the contract with The Builders, Inc. This relates to Improvement Project #656, Golf Course Clubhouse Improvements. The seven items included on this change order are described on the attached. The total for this change order is $15,909.00. BACKGROUND The original bid for this project was $589,750.00 and was approved by Council on June 26, 2000. The original contractual sum plus this first change order now totals $605,659.00. FUNDING Funding for this project is to be primarily through a revenue bond to be paid back over twenty years from Golf Course earnings. The budget presented to Council on June 26, 2000 included a contingency of $25,156. This change takes that contingency down to $9,247.00. ATTACHMENTS The itemized change order is attached, as is a letter from the Architect and the change order signed by the architect, the contractor and the owner's representative. MOTION BYE. e Q SECOND BY y TO: 1:RFA\P&RXGo1fCrs\R-656 C0#1.doc RESOLUTION NO. 01 - 27 RESOLUTION APPROVING CHANGE ORDER #1 WITH THE BUILDERS, INC. FOR IMPROVEMENT PROJECT NO. 656 (GOLF COURSE CLUBHOUSE PROJECT) $15,909.00 WHEREAS, the City of New Hope authorized on June 26, 2000, Improvement Project No. 656, (Golf Course Clubhouse Project) for the contractual sum of $589,750.00; and WHEREAS, after the bid was awarded additional work has been determined to be needed which is described on the attached; and WHEREAS, Change order #1 for this work totals $15,909.00, which brings the total contractual sum to $605,659.00. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of New Hope approves change order no. 1 to the contract with The Builders, Inc., as part of Improvement Project No. 656 (Golf Course Clubhouse Project). Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 22" d day of January 2001. Mayor Attest: _ ' 2� City Clerk I:RFA \P &R \Go1fCrs \R -656 C0 #1.doc January 15, 2001 TSP One, Inc. 21 Water Street Excelsior, MN 55331 phone (612) 474 -3291 fax (612) 474 -3928 Cheryl Badinger E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 RE: New Hope Village TSP One # 99732 Architecture Golf Course Clubhouse Engineering Interior Design Dear Cheryl, The following are brief explanations for each item listed in the attached Change Offices in Minneapolis Order # 1. and Rochester, MN 1. Proposal Request #2: The gas company requested that their meter be moved to the front of the building for easier reading. 1 Proposal Request #3: Hennepin County Community Health Department required changes to finishes in food preparation and storage areas; plumbing equipment revisions and lighting revisions. 3. Proposal Request #6: Minor revisions are required to four exterior light fixtures for them to fit within the roof framing of the picnic shelter area. 4. Architect's Supplemental Agreement #2: Revisions are required to the hardware intended for the doors on the west side of the clubhouse in order for them to fit the doors. 5. The Builders Change Request 41: The City of New Hope requested that the contractor provide an accessible ramp for the temporary clubhouse. 6. The Builders Change Request #5: The contractor was asked to install ceramic tile in lieu of vinyl composition the in the hall outside the toilet rooms. 7. Add Alternate #4: The existing clubhouse was not sold and the contractor was asked to demolish the building. If you need additional explanation please do not hesitate to contact me. An Equal Opportunity, Affirmative Action Employer TSP One Inc. AFFILIATED OFFICES A Minneapolis, MN Rochester, MN Denver, CO Mark Thiede Marshalltown, IA Rapid City, SD Sioux Falls, SD Copies: File Sheridan. WY An Equal Opportunity, Affirmative Action Employer Change Order AIA Document G701 - Electronic Format OWNER [ [XI THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (name, address) New Hope Village Golf Course 61 Club House New Hope, MN TO CONTRACTOR: (name, address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 The Contract is changed as follows: See Attachment "A ". CHANGE ORDER NUMBER: One 1 DATE: January 15, 2001 ARCHITECT'S PROJECT NO: 99732 CONTRACT DATE: June 26, 2000 CONTRACT FOR: General Construction Not valid until signed by the Owner, Architect and Contractor. The original (Contract Sum) ( ) was $ 589,750.00 Net change by previously authorized Change Orders $- 0.00 The (Contract Sum) ( prior to this Change Order was $ 589,750.00 The (Contract Sum) ) will be (increased) (deefeased) (unskafiged) by this Change Order in the amount of $ 15,909.00 The new (Contract Sum) ) including this Change Order will be $ 605,659. The Contract Time will be (unchanged) by ( 0 ) days. The Date of Substantial Completion as of the date of this Change Order therefore is May 18,2001 NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed maximum Price which have been authorized by Construction Change Directive. TSP One, Inc. The Buildlers, Inc. City of New Hope Address 21 Water Street Exce lsior. MN 55331 BY: DATE:( DATE: / ~ 0 -10 1 • Address 4401 Xylon Ave. N. New H e N 55428 BY: s* t DATE: /— ; ; 2 a. --() AIA DOCUMENT G701 • CHANGE ORDER • 1987 EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format - G701 -1987 User Document: CO #LDOC -- 1/15 /2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 New Hope Village Golf Course Clubhouse TSP Project # 99732 Type No. Type Amount Proposal Request #2 Add 220.00 Proposal Request #3 Add 9,505.00 Proposal Request #6 Add 284.00 Architect's Supplemental Instruction #2 Add 513.00 Builder's Change Request #1 Add 1,102.00 Builder's Change Request #3 Add 1,885.00 Add Alternate #4 Add 2,400.00 Total Change Order # 1 $ 15,909.00 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 January 26, 2001 The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 City Hall: 612 - 531 -5100 Police: 612- 531 -5170 Public Works: 612 - 533 -4823 TDD: 612 -531 -5109 Subject: Change Order No. 1 — Project No. 656 City Hall Fax: 612 -531 -5136 Police Fax: 612 -531 -5174 Public Works Fax: , 612.533 -7650 Fire Dept. Fax: 612 - 531 -5175 Enclosed is a fully executed change order for the golf course clubhouse project (Improvement Project No. 656). This was approved by the New Hope City Council at its meeting of January 22, 2001. The total amount of the change order is $15,909. Sincerely, Valerie Leone, CMC City Clerk Enc. cc: Cheryl Badinger, E &V Consultants Mark Thiede, TSP One, Inc. Shari French, Director of Parks & Recreation Family Styled City rv For Family Living COUNCIL G�� Y O� REQUEST FOR ACTION 2�� N 0 Originating Department Approved for Agenda Agenda Section Parks & Recreation April 23, 2001 Consent Item No. By: Shari French By: 6.6 RESOLUTION APPROVING CHANGE ORDER #2 WITH THE BUILDERS, INC. FOR IMPROVEMENT PROJECT NO. 656 (GOLF COURSE CLUBHOUSE PROJECT) - $7,644.00 REQUESTED ACTION Staff, the architects, TSP, and owner's representative, E &V, are recommending that the City Council approve change order #2 to the contract with The Builders, Inc. This relates to Improvement Project #656, Golf Course Clubhouse Improvements. This change order is for soil corrections encountered unexpectedly last fall. This change order totals $7,644.00. BACKGROUND The original bid for this project was $589,750.00 and was approved by Council on June 26, 2000. Change order number one to this contract was approved by the Council on January 22, 2001 and totaled $15,909. The original contractual sum plus these two change orders now totals $613,303.00. FUNDING Funding for this project is to be primarily through a revenue bond to be paid back over twenty years from Golf Course earnings. The budget presented to Council on June 26, 2000 included a contingency of $25,156. A change order for the an additional fee for the architect was approved in February, totaling $9,800.00, so the contingency is now gone and the remaining dollars needed to cover this change order must come from the golf course operating budget for 2001. ATTACHMENTS A letter from the Owner's Representative, E &V, explaining the change order is attached. The signed change order is also attached. MOTION BY �! SECOND BY r TO: ' dLt A& f �1O I:RFA \P &R \Go1fCrs \R -656 CO #2.doc CITY OF NEW HOPE RESOLUTION NO. 01 - 67 RESOLUTION APPROVING CHANGE ORDER #2 WITH THE BUILDERS, INC. FOR IMPROVEMENT PROJECT NO. 656 (GOLF COURSE CLUBHOUSE PROJECT) — $7,644.00 WHEREAS, the City of New Hope authorized on June 26, 2000, Improvement Project No. 656, (Golf Course Clubhouse Project) for the contractual sum of $589,750.00; and WHEREAS, after the bid was awarded additional work has been determined to be needed; and WHEREAS, Change order #1 for this work totaled $15,909.00, was approved by Council on January 22, 2001, which brought the total contractual sum to $605,659.00; and WHEREAS, Change order #2 for this work totals $7,644.00 which brings the total contractual sum to $613,303.00. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of New Hope approves change order no. 2 to the contract with The Builders, Inc., as part of Improvement Project No. 656 (Golf Course Clubhouse Project). Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 23r day of April 2001. Mayor Attest: City Clerk I:RFA \P &R \Go1fCrs \R -656 CO #2.doc 10-T�7 TO: Shari French COPY TO: Mark Thiede FROM: Cheryl Badinger DATE: April 17, 2001 City of New Hope TSP One, Inc. E &V Consultants and Construction Managers RE: New Hope Village Golf Course Club House Change Order No. 2 E &V and TSP have reviewed the request for extra from The Builders for soil corrections under the demolished clubhouse. We recommend approval of the request for an extra in the amount of $7,644. When the soils were excavated for the footings for the new clubhouse, STS Consultants, the City's testing firm, noted the soils were unsuitable. They recommended replacing the unsuitable soils. The area in question was a 50' x 75' area with an average depth of 2 '/2 feet. The unsuitable soils were excavated, removed from site, and new soils were brought to the site and compacted. If you need further information, feel free to contact us at 763.545.1355. l r AIA Document G701 - Electronic Format OWNER [ X ARCHITECT [ X CONTRACTOR [ ] FIELD [ ] OTHER [ ] THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (name, address) New Hope Village Golf Course Club House New Hope, MN TO CONTRACTOR: (name, address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 The Contract is changed as follows: 50' x 75' area of soil correction Add $7,644.00 CHANGE ORDER NUMBER: Two 2 DATE: April 10, 2001 ARCHITECT'S PROJECT NO: 99732 CONTRACT DATE: June 26, 2000 CONTRACT FOR: General Construction Not valid until signed by the Owner, Architect and Contractor. The original (Contract Sum) ( ) was $ 589,750.00 Net change by previously authorized Change Orders $ 15,909.00 The (Contract Sum) ( prior to this Change Order was $ 605,659.00 The (Contract Sum) ) will be (increased) r by this Change Order in the amount of $ 7,644.00 The new (Contract Sum) ) including this Change Order will be $ 613,303.00 The Contract Time will be (unchanged) by ( 0 ) days. The Date of Substantial Completion as of the date of this Change Order therefore is May 18,2001 NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed maximum Price which have been authorized by Construction Change Directive. ARCHITECT CONLRAC'YOR — 07N= TSP One, Inc. The Builders, Inc. City of New Hope Address 8100 Wayzata Blvd. Minna MN 4;6 BY: C DATE: hell k Address 4401 Xylon Ave. N. New HopqqMN 55428 AIA DOCUMENT G701 • CHANGE ORDER • 1987 EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format - G701 -1987 User Document: CO #2.DOC -- 4/10/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 April 30, 2001 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 www. ci. new -hope. mn. us The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 Subject: Change Order No. 2 — Project No. 656 City Hall: 763 -531 -5100 Police: 763 - 531 -5170 Public Works: 763 - 533 -4823 TDD: 763 - 531 -5109 City Hall Fax: Police Fax: Public Works Fax: Enclosed is a fully executed change order for the golf course clubhouse project (Improvement Project No. 656). This was approved by the New Hope City Council at its meeting of April 23, 2001. The total amount of the change order is $7,644. Sincerely, Valerie Leone, CMG City Clerk Enc. cc: Cheryl Badinger, E &V Consultants Mark Thiede, TSP One, Inc. Shari French, Director of Parks & Recreation 763- 531 -5136 763 - 531 -5174 763 - 533 -7650 Family Styled City ^� For Family Living /V 6 r COUNCIL Y O� co REQUEST FOR ACTION 2�� H 0 Originating Department Approved for Agenda Agenda Section June 26, 2000 Parks & Recreation Development & Planning Item No. By: Shari French By: 8.1 RESOLUTION AWARDING CONTRACT FOR NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE — IMPROVEMENT PROJECT 656 REQUESTED ACTION Staff is recommending that the City Council award a contract to The Builders for construction of a new clubhouse for the New Hope Village Golf Course, Project #656, for a base bid of $508,000.00. If Council wishes to consider the alternates, they include: adding a roof over the east side picnic area - $57,400; adding 2 gas grills to the picnic area - $1,350; removing the clubhouse after it has been burned by the fire department - $2,000; demolishing the existing clubhouse - $2,400; adding a new trash enclosure - $23,000. It is still anticipated that the existing clubhouse can be dealt with without adding costs to the project — by finding a party who would move it to another site. BACKGROUND The City's golf course clubhouse, located at 8130 Bass Lake Road, predates the City purchasing the golf operation in 1971. The building is in need of replacement. The problem areas include: windows, doors, HVAC system, non - accessible bathrooms, plumbing, wiring, floor, landscaping, walkways and parking lot. In early 1999 the City Council approved development of a feasibility study to look at a new clubhouse. In June 1999 Council accepted the feasibility study and directed staff to continue with the process of planning for this project. In fall of 1999, architectural firms were interviewed and Council selected TSP ONE, INC. In January 2000, work began on concept plans for a new facility. By February 22, 2000 Council reviewed concept ideas for the clubhouse and directed the development of schematic designs. On March 13 of this year Council reviewed and accepted schematic designs for this project. The Planning Commission gave their approval for a CUP with regards to this project with nine conditions. On May 22, 2000 Council approved final plans and specifications. The base bid included a new clubhouse. There were alternates to the base, which include a roof over the picnic area and two gas grills in the picnic area. The option of a new parking lot was bid separately. FUNDING Funding for this project is to be through a revenue bond to be paid back over twenty years from Golf Course earnings. The bond for this project totals $600,000. If the base bid is awarded, it is anticipated that an additional $139,400 will be needed to cover a 5% construction contingency and the estimate for other costs, including all soft costs. If alternates are awarded, other funding sources will be necessary. ATTACHMENTS Bids were opened June 2000 and are attached. f 12, �",' MOTION BY /i SECOND BY TO: LLLLI� A I:RFA \P &R \GolfCrS \R- Clubhouse bids 2000.doc CITY OF NEW HOPE RESOLUTION NO. 2000 -103 RESOLUTION AWARDING CONTRACT FOR NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE — IMPROVEMENT PROJECT 656 WHEREAS, pursuant to advertisement for bids for New Hope Village Golf Course Clubhouse Improvements, bids were received, opened and tabulated according to law, and the attached bids were received complying with the advertisement, and WHEREAS, it appears that The Builders is the lowest responsible bidder. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of New Hope, Minnesota: 1. The Mayor and City Manager are hereby authorized and directed to enter into a contract with The Builders in the name of the City of New Hope for New Hope Village Golf Course Clubhouse Improvements according to the plans and specifications on file in the office of the City Clerk for a total bid of $589,750 ($508,000.00 base bid plus alternates). 2. The City Clerk is hereby authorized and directed to return forthwith to all bidders the deposits made with their bids, except that the deposits of the successful bidder and the next lowest bidder shall be retained until a contract has been signed. Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 26 day of June 2000. �A�44 Mayor I X Attest: ' A t J� e--" I City Clerk I :RFA \P &R \GolfCrs \R- Clubhouse bids 2000.doc 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Phone: (612) 545 -1355 Fax: (612) 545 -1346 June 16, 2000 Ms. Shari French City of New Hope 4401 Xylon Avenue South New Hope, Minnesota 55428 Re: New Hope Village Golf Course Clubhouse Recommendation for Award Dear Ms. French: The bids received on June 15, 2000 for the above referenced project have been tabulated and reviewed. The contract amount is for the base bid plus Alternate Nos. 1, 2, and 5. It is the joint award recommendation of E &V Consultants and Construction Managers and TSP One, Inc., that the contract be issued to the following contractor: The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 Base Bid Alternate No. I Alternate No. 2 Alternate No. 5 PLM Bond Total Base Contract Amount $508,000.00 $57,400.00 $1,350.00 $23,000.00 Included in Base Bid The recommended alternates for the project are as follows: $589,750.00 Alternate No. 1: Construct the Picnic Area Canopy Alternate No. 2: Provide two gas grilles. Alternate No. 5: Demolition of existing trash enclosure and provide new trash enclosure at the northwest side of parking lot. Upon approval, TSP One, Inc. will issue the Contract. Very truly yours, E &V CONSULTANTS AND CONSTRUCTION MANAGERS CheryIL ad inger Project Manager W. cc: Mark Thiede — TSP One, Inc. S P One BID FOR: GENERAL, MECHANICAL AND ELECTRICAL CONSTRUCTION Architects & Engineers PROJECT: New Hope Village Golf Course Clubhouse New Hope, Minnesota 55428 TSP One Project # 99732 BID TABULATION DATE: June 15, 2000 11:00 AM ADDENDUM BID ECURIT BASE BID Picnic Roof Alternate 1 Gas Grills Alternate 2 Remove Fire Debris Alternate 3 Remove entire bldg Alternate 4 Trash Encl. Alternate 5 TOTALS NAME OF BIDDER #1 #2 CM Construction X X BOND 587,000.00 55,000.00 5,000.00 10,500.00 4,000.00 18,500.00 665,500.00 Ebert Inc. X X BOND 559,800.00 38,000.00 2,900.00 1,800.00 2,200.00 9,721.00 610,421.00 Hunerberg Construction X X BOND 516,000.00 49,325.00 2,500.00 1,560.00 2,640.00 23,093.00 590,918.00 Infinity Builders X X BOND 599,700.00 42,000.00 3,200.00 5,000.00 6,000.00 20,000.00 664,900.00 Lund - Martin Construction X X BOND 665,000.00 49,400.00 7,800.00 5,000.00 24,300.00 738,700.00 Merrimac Construction X X BOND 552,692.00 64,737.00 8,000.00 6,673.00 7,786.00 21,856.00 647,285.00 Morcon Construction X X BOND 635,718.00 66,000.00 1,900.00 5,000.00 5,000.00 27,000.00 730,618.00 RAK Construction X X BOND 784,777.00 69,820.00 3,594.00 7,500.00 9,800.00 14,562.00 872,753.00 Terranova X X BOND 607,000.00 53,000.00 4,000.00 8,000.00 6,000.00 26,000.00 690,000.00 The Builders X X BOND 508,000.00 57,400.00 1,350.00 2,000.00 2,400.00 23,000.00 589,750.00 F AStand and \Excel\B idTab.Xls EXHIBIT F -7 CITY OF NEW HOPE, MINNESOTA GOLF COURSE FUND BALANCE SHEET DECEMBER 31, 1999 With Comparative Amounts for December 31, 1998 Current assets: Cash Inventories Total current assets Property and equipment, less accumulated depreciation Total assets Current liabilities: Accounts payable Accrued expenses Total current liabilities Fund equity: Contributed capital Retained earnings: Unreserved Total fund equity Total liabilities and fund equity 1999 1998 $ L,Z§1,962 $ 209,726 14,669 13,327 276,631 223,053 449,212 461,743 $ 725,843 $ 684,796 $ 1,119 $ 1,221 856 747 1,975 1,968 1,182 1,182 722,686 681,646 723,868 682,828 $ 725,843 $ 684,796 May 15, 2000 New Hope Golf Course New Hope, MN DIV. # DESCRIPTION QUANT. UNIT Unit $ Cost Notes: V 1000 General Conditions $ 65,281 2000 SiteWork $ 39,020 3000 Concrete $ 30,343 4000 Masonry $ 15,935 5000 Metals $ 3,864 6000 Woods and Plastics $ 102,040 7000 Thennal and Moisture $ 24,241 8000 Doors and Windows $ 28,534 9000 Finishes $ 50,779 10000 Specialties $ 6,380 11000 Equipment $ _ 12000 Furnishings 13000 Special Construction 14000 Conveying Equipment 15000 Mechanical $ 53,900 16000 Electrical $ 35 000 V Subtotal: 455,317.15 Estimating & Design Contingency 2% 9,106.34 Overhead & Profit 8.5% $ 38,702 Subtotal: $ 503,125 Construction Contingency 5% $ 25,156 Construction Total: $ 503,125 Administrative Costs SAC/WAC By Owner $ - DIV. # DESCRIPTION QUANT. UNIT Unit $ Cost Notes: Builders Risk Insurance See General Conditions Bonding $ 12,000 City Fees $ - County Fees (MN Dept of Rec & Trails) $ - Zoning Fees Hazerdous Material Removal Study $ 460 Abatement $ - FFE Table & Chairs By Owner $ - Office Furniture By Owner $ - Kitchen Equipment By Owner $ - Telephone Equipment 4 ea $ 100.00 $ 400 Computer 1 ea $ 3,000.00 $ - Cabling for Television 2800 sf $ 0.50 $ 1,400 Security System 2800 sf $ 3.00 $ 8,400 Temporary Office 5 mo $ 300.00 $ 1,500 Provided by E & V Topographical Map & Plat $ 2,500 Owners Rep Fee (includes reimbursible expenses) $ 23,850 E & V Quality Control Testing $ 2,500 Legal Services $ 1,000 City Staff Time $ - A/E Fee $ 46,000 TSP One Reimbursible Expenses $ 5,000 Project Total: $ 608,135 Alternate #1 - Picnic Shelter $ 40,056 Alternate #2 - Gas Grills $ 3,000 Raise Building $ 27,762 CLUBHOUSE BIDS 6/15/00 BUDGET = $530,887 FOR BASE BIDDER BASE BID (1)= BASE +1 (2)= BASE +1 +2 (2)+3 (2)+4 ( +5 ( + +5 (2) +4 +5 THE BUILDERS $508,000 $ 565,400 $ 566,750 $ 568,750 $ 569,150 $ 589,750 $ 591,750 $ 592,150 HUNERBERG $516,000 $ 565,325 $ 567,825 $ 569,385 $ 570,465 $ 590,918 $ 592,478 $ 593,558 EBERT $559,800 $ 597,800 $ 600,700 $ 602,500 $ 602,900 $ 610,421 $ 612,221 $ 612,621 MERRIMAC $552,692 $ 617,429 $ 625,429 $ 632,102 $ 633,215 $ 647,285 $ 653,958 $ 655,071 INFINITY BUILDERS $599,700 $ 641,700 $ 644,900 $ 649,900 $ 650,900 $ 664,900 $ 669,900 $ 670,900 CM CONSTRUC $587,000 $ 642,000 $ 647,000 $ 657,500 $ 651,000 $ 665,500 $ 676,000 $ 669,500 TERRANOVA $607,000 $ 660,000 $ 664,000 $ 672,000 $ 670,000 $ 690,000 $ 698,000 $ 696,000 MORCON $635,718 $ 701,718 $ 703,618 $ 708,618 $ 708,618 $ 730,618 $ 735,618 $ 735,618 RAK CONST $784,777 $ 854,597 $ 858,191 $ 865,691 $ 867,991 $ 872,753 $ 880,253 $ 882,553 LUND- MARTIN $665,000 $ 714,400 NO BID ALT. 2 c I 4:1 BID TAB SORT BY LOW BASE BIDDER + ROOF +GRILLS +TRASH.xls V EXHIBIT F -8 CITY OF NEW HOPE, MINNESOTA GOLF COURSE FUND STATEMENT OF REVENUE, EXPENSES AND RETAINED EARNINGS YEAR ENDED DECEMBER 31, 1999 With Comparative Amounts for Year Ended December 31, 1998 Operating revenue: Green fees Concessions Rentals Merchandise sales Lessons and league registration Other Total operating revenue Operating expenses Cost of goods sold Personal services Supplies and maintenance Depreciation Total operating expenses Operating income Other revenue (expenses): Interest revenue Income before transfers Operating transfers to other funds Net income Retained earnings January 1 Retained earnings December 31 1999 1998 $ 288,674 $ 281,931 16,087 16,415 11,075 11,365 28,865 35,352 23,070 22,049 12,002 8,439 379,773 375,551 28,094 35,568 160,247 129,284 105,635 114,192 34,114 30,117 328,090 309,161 51,683 66,390 4,357 11,107 56,040 77,497 (15,000) 41,040 77,497 681,646 604,149 $ 722,686 $ 681,646 • I F1 as to I ii To: Dan Donahue, City Manager From: Shari French, Parks and Recreation Director Date: June 16, 2000 Subject: NEW HOPE VILLAGE GOLF COURSE PROJECT 656 Attached you'll find two RFA's for the golf course project — the clubhouse bids and the parking lot bids. According to the engineers and architects, the bids are quite favorable. The issue is the money needed to pay for both. Also attached you'll find the golf course operating statement for 1999. You'll find that there is $261,962 in cash in the retained earnings but Daryl and 1 don't recommend using these retained earnings as they are needed to keep the operation going over the 12 -month period each year. As you'll see on the attached bid summary, if we opt for the alternates for the grill, the roof, and the trash enclosure (scenario #1) the clubhouse project comes to $722,316 (which includes all soft costs that I am aware of). If we add the parking lot we are at $910,743 (which again includes the soft costs). These costs assume that the clubhouse is sold or given away. If that does not come to be, the highest we'd have to pay would be $2,400 for demolition. Being conservative, my recommendation to you is that we go with the low bid and include no alternates (scenario #2). With soft costs we'd be at $640,566. 1 further recommend that we wait on the parking lot for a few years until we have some money. The existing lot is in pretty bad shape so it may come to pass that we'd have a class -five parking lot for a period of time if we lose the asphalt during construction, which I keep being advised, may happen. In any event, the golf course has no funds at this time to pay for the parking lot, even though it would be ideal to have it now. We've promised the Continental Apartments that we'll move the trash enclosure. We feel that we could do this on a temporary basis for a lot less money than the low bidder's price of $23,000. If we do that, we'd have to rebuild a nicer one when the parking lot is redone in a few years. Please note that the attached May 15, 2000 architect's estimate of $503,125 did not include contingency monies nor did it include raising the building (their separate estimate for that was $27,762). The final low bid of $508,000 did include raising the building so that price looks quite good. If it is decided that alternates are to be awarded, I would strongly recommend that the grills and roof be awarded together. To go with a roof and not the grills would not be wise in my estimation as the bid for the grills is only $1,350. Awarding the roof alone, changes to low bidder to Hunerberg, that is the only alternate combination that would change the low bidder. If you have questions about this please ask Mark Severson. I have discussed all this with Daryl so he is aware of where we are at with these bids and what would be needed to construct the entire project including alternates. If we had to reject all bids, go back to the drawing board, and live for another year with the present clubhouse we could do it if we had to. I'd hate to spend more dollars on architect fees but we are prepared to do whatever the council deems to be most appropriate on this project. cc: Daryl Sulander, Finance Director Kirk McDonald, Community Development Director bid tap & budget for council Project 656 2000.xis New Hope Golf Course Clubhouse 6/16/00 SCENARIO #1 CLUBHOUSE LOW BIDDER $ 589,750.00 (assumes old is sold; includes roof, grills, and trash enclosure) CLUBHOUSE ESTMATED ALL OTHER COSTS $ 132,566.00 TOTAL: $ 722,316.00 PARKING LOT LOW BID $ 150,727.00 SCENARIO #2 $ 508,000.00 (Assumes old is sold; includes no alternates) $ 132,566.00 $ 640,566.00 ESTIMATED OTHER COSTS PARKING LOT $ 37,700.00 GRAND TOTAL: $ 910,743.00 Estimated All Other Costs: Construction Contingency: Builders Risk Insurance Hazerdous Material Removal Study Telephone Equipment Cabling for Television Security System Temporary Office Topographical Map & Plat Owners Rep Fee Quality Control Testing Legal Services A/E fees A/E reimbursible expense NSP Easement from Continental Apt $ 25,156.00 $ 12,000.00 $ 460.00 $ 400.00 $ 1,400.00 $ 8,400.00 $ 1,500.00 $ 2,500.00 $ 23,850.00 $ 2,500.00 $ 1,000.00 $ 46,000.00 $ 5,000.00 $ 900.00 $ 1,500.00 Other cost total $ 132,566.00 Valerie Leone New Hope Village Golf Course Clubhouse Page 1 From: Cheryl Badinger <cbadinge @evcm.com> To: "'Builders, Scott Krinke "' <scott @thebuildersinc.com >, "'Builders, Mark Gorksi "' <markg @thebuildersinc.com> Date: 6/27/00 9:14AM Subject: New Hope Village Golf Course Clubhouse Scott: Congratulation! The New Hope City Council awarded the contract for the New Hope Village Golf Course Clubhouse to The Builders, Inc. yesterday, June 26, 2000. The council awarded the base bid, and alternates 1, 2, and 5 for a contract amount of $589,750.00.. TSP will issue the contracts to The Builders, Inc. this week. The Builders is to submit the required contract documents, such as, insurance, bonds, safety program, etc. to TSP. Also, the shop drawing process could begin immediately to aid in material delivery. A pre- construction meeting will be held the first part of August to review the project, schedule and communications. If you have any questions, feel free to contact me at 763.545.1355. Cheryl Badinger E &V Consultants and Construction Managers 6/27/00 CC: "'NH, Shari French "' <sfrench @ci.new- hope.mn.us >, "'TSP, Mark Thiede "' <thiedemc @teamtsp. com> TSP One, Inc. 21 Water Street Excelsior, MN 55331 July 17, 2000 phone (612) 474 -3291 fax (612) 474 -3928 Mark Gorksi The Builders 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 ngineeering ring Engin Interior Design Re: New Hope Village Golf Course Clubhouse New Hope, Minnesota Offices in Minneapolis Dear Mark: and Rochester, MN TSP One #99732 This is a letter of award. However, you cannot begin work until a written notice to proceed is issued. This is to inform you that you are the low bidder on the bid opening of June 15, 2000 for the subject project. Enclosed are two copies of AIA form A101 Standard Form of Agreement Between Owner and Contractor dated June 26, 2000 for the amount of $589,750.00. Please execute and return all copies to me. You will receive a copy of the fully executed contract when the Notice to Proceed is issued. If you have any questions, please call. Sincerely, Mark Thiede Enclosures cc: Sheri French Cheryl Badinger AFFILIATED OFFICES Minneapolis, MN Rochester, MN Denver, CO Marshalltown, IA Rapid City, SD Sioux Falls, SD Sheridan, WY An Equal Opportunity, Affirmative Action Employer TO: Steve Sondrall COPY TO: Shari French Valerie Leone FROM: Cheryl Badinger DATE: August 3, 2000 Jensen, Swanson & Sondrall New Hope Public Works (Memo only) City of New Hope (Memo only) E &V Consultants and Construction Managers RE: New Hope Village Golf Course Clubhouse Improvement Projects 656 Attached are the following contract documents for The Builders, Inc. for the above mentioned project: • 2 — Signed contracts • 1 — Certificate of insurance • 1 — Performance bond 0 1 - Payment bond Please review and advise if the documentation is correct. If all is in place, forward to the City for signature. If documents are not correct, please contact me. Construction is scheduled to start on first part of September, therefore we need to have the above in place prior to this date. If you have any questions, feel free to contact me at 763.545.1355. NAIC Attachments Fax: 763.545.1346 Telephone: 763.545.1355 Address: 5801 Duluth Street, Ste 345 Minneapolis, MN 55422 4401 Xylon Avenue North New Hope, Minnesota 55428 -4898 August 22, 2000 The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 City Hall: 612 -531 -5100 Police: 612 -531 -5170 Public Works: 612- 533 -4823 TDD: 612 - 531 -5109 SUBJECT: GOLF COURSE CLUBHOUSE (IMPROVEMENT PROJECT NOS. 656) City Hall Fax. 612 -531 -5136 Police Fax. 612 -531 -5174 Public Works Fax: 612- 533 -7650 Fire Dept Fax: 612 - 531 -5175 Enclosed is a fully executed "Standard Form of Agreement Between Owner Contractor where the basis of payment is a Stipulated Sum ". This contract awarded by the New Hope City Council on June 26, 2000, for $589,750. 0- 0611 was Also enclosed is a "Withholding Affidavit for Contractors" (IC -134 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. Sincerely, L '7 LLl - Valerie Leone City Clerk, CMC enc. cc: Cheryl Badinger, Project Manager (E &V) TSP One, Inc. Steve Sondrall, City Attorney (File No. 99.1 1238 Shari French, Director of Parks and Recreation Tom Schuster, Contract Manager Family Styled City I For Family Living Attorneys At Law 8525 EDINBROOK CROSSING, STE. 201 BROOKLYN PARK, MINNESOTA 55443 -1968 TELEPHONE (763) 424 -8811 • TELEFAx (763) 493 -5193 e -mail law @j ensen- sondrall.com GORDON L. JENSEN STEVEN A.SONDRALL MARTIN P. MALECHA WILLIAM C. STRAIT' C.ALDEN PEARSONf JULIE A. THILL OF COUNSEL LORENSQ.BRYNESTAD *Real Property Law Specialist Certified By The Minnesota State Bar Association tQualified ADR Neutral August 16, 2000 Valerie Leone City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 RE: Golf Course Clubhouse Our File No. 99.11238 Dear Valerie: Enclosed please find two copies of the contract and one copy of the bonds for the above - referenced project, as well as the original of the Builder's Risk Insurance Certificate and a fax copy of the Certificate for the other required insurance. All are in order from a legal standpoint. You should be receiving the original of the Certificate of Insurance by mail. If you have not received it by Tuesday, August 22, please contact me. Be sure to call if you have any questions. Sincerely, NA"4W4., Martin P. Malecha Assistant City Attorney cc: Daniel J. Donahue, City Manager Kirk McDonald, Director of Community Development Shari French, Director of Parks and Recreation Steven A. Sondrall, City Attorney °ry"�4. �✓�- t o tVf-'► 1 C Vt' t_® ®IL/ 1 Jr 11'4% U 08/16/2000 PRODUCER (612) 545 =1230 FAX (612) 593 - 8733 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION American Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5851 Cedar take Road HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 Box 16527 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Minneapolis, MN 55416 -OS27 MISURERS AFFORDING COVERAGE INSURED guilders Inc jut NNSURERA: General Casualty 8100 Wayzata Blvd INSURER B; Minneapolis, MN 55426 `NSURERG INSURER IT. INSURER E. COVERAGES - - -- - - -• - -- -- --. - ... , UG■J - "QwKru I Y MU ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINO R OTHER ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR DOCUMENT WITH RESPECT TO WHICH MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED KERl IN IS SUBJECT TO ALL THE THIS CERTIFICATE MAY BE ISSUED OR TERMS, POLICIES. AGGREGATE L"TB SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, EXCLUSIONS AND CONDITIONS OF SUCH INSR JJL TYPE OF INSURANCE POLICY NUMBER O LtYtTS G ENERAL LASILrtY 0207155 12/31/1999 12/31/2000 EAC OCCURRENCE a 1 000 00 X COMMERGAL GENERAL Lwam (,(.AIMS MADE ® OCCUR - tZ RE DAMAGE (Any one flm) $ ----t --- F 10 000 A MED EXP (Any one pe f 5,0 0 01 PERSONAL & ADV INJURY S 1 , 00 0 GENERAL AGGREGATE S _, 000 1,000 QEkL AGORMATE LIMIT APPLIES PER, PRO. PRODUCTS . COMPtOP AGG S I QQQ QQ POLICY LOC JEcT AUTOMOMLE CELAOx 12/31/1999 12/31/2000 X ANY AUTO COMBINED SINGLE OMIT {ES.ccsaeng $ 1 oaa o0 ALL OWNED AUTOS - - -- - ---L A SCHEDULED AUTOS SO L���ARY $ X HIRED AUTOS WILCO S NON- CWNEDAUTOS X PROPERTY DAMAGE S (Pa avoided) GARAGE LAOIUTY AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: Af?O $ EXCE= LIARMM X OCCUR D C CIO2071SS 12/31/1999 12/31/2000 EACH OCCURRENCE : 5,0 00,00 0 AGGREGATE !t S 000, A CLAIMS MADE S DEDUCTIBLE t X RETENTION s 10,00 5 WORKERS COMPENSAT'IDN AMD CO207ISS 1,2/31/1999 12/31/2000 X EMPLOYERW LAWLTTY TORY LIMITS ER . A � A � E.L. EA CO ¢ 100 _ E.L. DISEASE -EA EMPLO ,. 100 00 E L DISEASE- PDLIClLIMIT S 500,00 orrlElt DESCRIPTION OF OPEAATTONS ILOCATIONgryF3{ICLE'�EXCW&OUS ADDED By EMDORSJ�MEW(SPESIAL PROVISIONS E; New Hope Golf Course Clubhouse ertificate holder and TSP One, Inc and EB&V Consultants and Construction Managers are arced as additional insureds. CERTIFICATE HOLDER I j AO0MOkAL City of New Hope 4401 Xyl on Ave N. New Hope, MN $5428 SHO�ILD ANY Of THE ABOYE DESCRISM POLICIES BE CANCELLED StrORE THE 30 DAY&WIlffTEN NOTICE TO THE CERI FICATE HOLDER NAMED TO THE I-ErT. �.�+rtT+ =sltaatn.r =; oar• tr ~•+ hat�.Sgny , ,r�a�•Ia�tatont, ;.,�; 1588 �+ This supersedes and corrects GR DATE ' ' a V Binder B00071710789 07117/2000 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER nHc Ext: (952)545 -1230 COMPANY BINDER# FAX (952)593 -8733 Travelers Insurance 800071710790 American Agency Inc A FF TIV TIME DATE PIRATIO TIME 09/15/20 ®® 12:01 X AM 10/15/2000 X 12:01 AM 5851 Cedar Lake Road PRODUCTS - COMPIOP AGG P 0 BOX 16527 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PM $ NOON Minneapolis, MN 5 5416-0 S 27 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POLICY# COD E: CP956 SUB CODE: A CUSTOM 00007324 MER DESCRIPTION OF OPERATIONSNEHICLESIPROPERTY (including Location) INSURED Builders Inc The OCATION: NEW HOPE GOLF COURSE CLUBHOUSE $ 8130 BASS LAKE RD, NEW HOPE, MN 8100 Wayzata Blvd Minneapolis, MN 55426 $ COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS % AMOUNT PROPERTY CAUSES OFLOSS X BASIC � BROAD F SPEC B UILDERS RISK 1,00 80 589,75 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR RETRO DATE FOR CLAIMS MADE: EACH OCCURRENCE_ $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBI SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ MEDICAL PAYMENTS $ PERSONAL INJURY PROT $ UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE DEDUCTIBLE COLLISION: OTHER THAN COL: ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE $ STATED AMOUNT OTHER GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: EACH OCCURRENCE $ AGGREGATE $ SELF - INSURED RETENTION $ WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY WC STATUTORY LIMITS E.L. EACH ACCIDENT $.,,,,,,, — E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL CONDITIONS! OTHER COVERAGES $ TAXE S 11111111'_ E _ -- ESTIMATED TOTAL PREMIUM $ NAME & ADDRESS ACORD 75S (1198) NOTE: IMPORTANT STATE INFORMATION ON KEYEKSE SIDE WAUUKU GUKYUKA I IUN 7111ys MORTGAGEE X ADDITIONAL INSURED City of New Hope LOSS PAYEE 4401 Xyl on Ave N. LOAN # New Hope, MN 55428 AUTHORIZED REPRESENTATIVE Terry Starks ACORD 75S (1198) NOTE: IMPORTANT STATE INFORMATION ON KEYEKSE SIDE WAUUKU GUKYUKA I IUN 7111ys .......:................... A C( R D a f.e � A! v DATE (MMIDDIYY) a L d � x, .'x 4 h 07/17/2000 ..... ,+..:: 4>.+ ....... .............................:" THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. :.......................... 952 .......................................................................................................................................................................... ............................... PRODUCER (AIC N Exc1: ( )545 -123. .. .0 COMPANY ...................... ............................... American Agency Inc Travelers Insurance 5851 Cedar Lake Road 6465 Wayzata Boulevard P 0 Box 16527 5th Floor Minneapolis, MN 55416 -0527 Minneapolis, MN 55426 ................... ........ ... ........... ........................... .......................................... ............................... CODE: CP956 SUB CODE: .. ........................................... .................:.......................................... ............................... CUSTO 0 ........ MER.ID # .......... ............................... ................... ..................................................... . ......... . .......................... ............................... INSURED LOAN NUMBER POLICY NUMBER Builders Inc The BINDER 8100 Wayzata Blvd EFFECTIVE DATE ... EXPIRATION DATE Minneapolis, MN 55426 09/15/2000 CONTINUED UNTIL 03/15/2001 TERMINATED IF CHECKED ......... REP L LA ...... . CE ....S PRIO ........... R ... EVIDENCE .....:.....C'E"DATED: _........... .... .................. E........... ._........... .._...._....................... THIS ;........,., ..........: .: ..........; . ..,.,.. :......... tip' » r • *„ : �.,. ^:,, t.. m. �: •. %F'. ,: . }� 3 �`'/�y tf p.� . �'i: }.. ^, �. "•. '"..�, µ. � ",, w..ti'v \ *... '* ,. "^�. a ::b� ^ z , k ^v. ;."w,, .. :; . : .�[�E'E�Tyi�{�RAlti�.... { r� "�. ',�... { : Y, °w,.w:- ,u `^a'... 4.?.,""" 'W *'�+ ?�,. `'+�".'� ,. �..,..,... k.,, w,.,. .,.,.:,,.ma�.�...�,.,.h..k,,<.a :. „...,...�....,...7 &.,..w:��.., OCATION/DESCR TION New dope Golf Course Clubhouse - 8130 Bass Lake Rd, New Hope, MN ,. �� }� ... ,. ,.. ,... ..... r :."a #�, �^w.k. "�:` ;�t� > e ::'+: �.`*w '�:. ;. »+,`*, .,, ter;,:, � >.;,. �*. t , � �• �, �, ��. h �.. 4:�, �v �3� ���a ■�w ��{{yi t *'"�r+ ^2. � ,.. +�a �,,. ,, *.�.• , � � t. ,��, �.. �.. t z �„ .,... �. ,�.�.. 'w �::. � ^+ > '� r �:s "� .,: "; r. .f.:,. ... *t. . , ., ..,...,:.; a.,.. ,�.'�; a•,� +�,".•::,•,�.•a..,;.;� "aua'� , ,.,,,+:,. �;.�.�.�a.�..:� �a.�.. a..�...c- s�,ts,.� �'�... �, ....:..s+.' -.,� �,... r. :�. ,�-,�..n�,. .M �..,.,;... �.w;....>.. �,...�, COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE ? DEDUCTIBLE 1 .............. slk..._...Spec a 1 ....................................................................................................... ............................... ...,....................... 750.,.................1, 000 ..,.,. .e, : > „:,. '[;,.,.,,g..s..t..,w..a,,.. ,.:,.....,,... ...,,....,w;,.�...x..,..,..,.�. ..,,•., 2�..::�.ba.,:�."�.,...,� :.,.r.,.,.� ;r, �t,..,; a..,4^�.'��2'*. «.:�%r. ..,.,,, a ,•..., ., ,,.. ...4a,.,.... �.,,, .;tis �`�.,., „�,'�.. a,�`,u...,v..,.:� �...».'�;�;.:�"a,�,, Additional insureds: TSP One Inc., 21 Water Street, Excelsior, MN 55331; E &V Consultants and Construction Managers, 5801 Duluth St., Golden Valley, MN 55422. , .: . ,,:, �Y,.. . „r,�t �"�:�*' �. � ..• s*^^a 4:"�. ...,„ �,"�..:.w, ,;' �:,�,.'.. �`'�`',�° ” � :::.w5, �. o; , '�, *., .;r t. • :,,,. , .., y r �:*„�c .» �"":;t"t« �" '� ; � t .�;^� +,.�. +, �'r ��� `� >;�.aww.. >,� �'s,��n`���. . n, �. �w. a..^ ��. �1�, �..': ��` b�w�”, �. �. �` �' a�. �; ta"^; s :,�..��.fin�'��`�.��.'���'�.,T�. .�v�av�.�...:.��.?�h, ,.., �'* v' �9^," �t. aw•: v+" ��c�, v�, � :..� , w.. ��s;;, �'*a�'*�:+*.�v�•2.:��",z��h�a�, THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. *. + ,,,.. h'� �, . ,`� » .,;» +� ^� "� �"`� �; +�w:. ��` 4y �'° wt �,:x tr.• � r a � "* "�"�.+�^:w » tai:... w u �,t ^✓ : ,, k. �,.a"" � ^� �;.•. �y�.]�( �x� ., ��. a fi `+•�. , ^, � �.*�+� �,., �. �,x,��.,, tt� '��`"� �, �`+�. ,,.� .�';�� +•'",�. s�� t=�r.:� *S. � �..`�` a� ,. .�. �."• r� ,� �.+: a..� � �:, ��I� 1��'l�l"fkf 1F�� " 4 .. 4 k, 'd Viz.:++,, }r} ?C 4 k , .. . ro: ,. ` .. '".�e., °4 r� h, YK 5.h '.. `1`4b. M.^� k , >"b '^< *, "^ s•a'�, �.m:�.�, 4.�.�.,. «,,, ..,.,.... �k�,�.�..,.,�, a,�. ;:�.: .: �..: �.:. �...,,"», �,.: ��: w., �, �.. a,": �. v., �,.... s�, �:., a'' c,.., v.":+: haX��m.. a�g^ �2; �. �.. x,,t`�:;.. sx., ,.':S�.z+c:�..,_�,��:�.M..�.. , �.,�.,..;�.�^;b.a..:- �,^�.°�,.. ».�..�. s;�:,,+.,,:�' tea. NAME AND ADDRESS MORTGAGEE X i ADOf110NA1 INSURED City of New Hope Loss PAYEE 4401 Xylon Ave N. LOAN # ...............................:......................................................................... ............................... New Hope, MN 55428 AUTHORIZED REPRESENTATIVE y� Terry Starks /BEB Q A�tiQ.� }} �93 jj „ �^M ��.� �. � � � '� ��.. �,: �`;� � �`� ^�� • ,. �. `'��'�� , `.�v ' � , :, � � w, . ,. � � [30+17 (li ��5��: Standard Form of Agreement Between . • C . r . ba sis • pa ym e nt •a: Sti AIA Document A101 -Electronic Format THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES: CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. The 1987 Edition of AIA Document A201, General Conditions of the Contract for Construction , is adopted in this document by reference. Do not use with other general conditions unless this document is modified. This document has been approved and endorsed by The Associated General Contractors of America. Copyright 1915, 1918, 1925, 1937, 1951, 1958, 1961, 1962, 1967, 1974, 1977, copyright 1987 the American Institute of Architects, 1735 New York Avenue, N.W., Washington, D.C., 20006 -5292. Reproduction of the material herein or substantial quotation of its provisions without written permission of the AIA violates the copyright laws of the United States and will be subject to legal prosecution. AGREEMENT made as of the Twenty Six day of June in the year of Two Thousand BETWEEN the Owner: (Name and address) City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 554428 and the Contractor: (Name and address) The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 The Project is: (Name and location) New Hope Village Golf Course Clubhouse 8130 Base Lake Raod New Hope, Minnesota 55428 The Architect is: (Name and address) TSP One, Inc. 21 Water Street Excelsior. Minnesota 55331 The Owner and Contractor agree as set forth below. AIA DOCUMENT AI01 - OWNER - CONTRACTOR AGREEMENT • TWELFTH EDITION • AIA - COPYRIGHT 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format A101 -1987 User Document: A101.DOC -- 7/10/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #1 ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement, Conditions of the Contract (General, Supplementary and other Conditions), Drawings, Specifications, addenda issued prior to execution of this Agreement, other documents listed in this Agreement and Modifications issued after execution of this Agreement; these form the Contract, and are as fully a part of the Contract as if attached to this Agreement or repeated herein. The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations, representations or agreements, either written or oral. An enumeration of the Contract Documents, other than Modifications, appears in Article 9. ARTICLE 2 THE WORK OF THIS CONTRACT The Contractor shall execute the entire Work described in the Contract Documents, except to the extent specifically indicated in the Contract Documents to be the responsibility of others, or as follows: ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3.1 The date of commencement is the date from which the Contract Time of Paragraph 3.2 is measured, and shall be the date of this Agreement, as first written above, unless a different date is stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner. (Insert the date of commencement, if it differs from the date of this Agreement, or, if applicable, state that the date will be fixed in a notice to proceed.) Unless the date of commencement is established by a notice to proceed issued by the Owner, the Contractor shall notify the Owner in writing not less than five days before commencing the Work to permit the timely filing of mortgages, mechanic's liens and other security interests. 3.2 The Contractor shall achieve Substantial Completion of the building no later than 3/16/2001 and remainder of ea4ire Work not later than May 18, 2001 (Insert the calendar date or number of calendar days after the date of commencement. Also insert any requirements for earlier Substantial Completion of certain portions of the Work, if not stated elsewhere in the Contract Documents) , subject to adjustments of this Contract Time as provided in the Contract Documents. (Insert provisions, if any, for liquidated damages relating to failure to complete on time) Liquidated damages of $500.00 /Calendar Day. ARTICLE 4 CONTRACT SUM 4.1 The Owner shall pay the Contractor in current funds for the Contractor's performance of the Contract the Contract Sum of Five Hundred Eightv Nine Thousand, Seven Hundred Fifty and 00 /100 Dollars ($ 589,750.00 subject to additions and deductions as provided in the Contract Documents. 4.2 The Contract Sum is based upon the following alternates, if any, which are described in the Contract Documents and are hereby accepted by the Owner: (State the numbers or other identification of accepted alternates. If decisions on other alternates are to be made by the Owner subsequent to the execution of this Agreement, attach a schedule of such other alternates showing the amount for each and the date until which that amount is valid.) Add Alternate #1 Construct Picnic Area Canopy Add Alternate #2 Provide Gas Grilles Add Alternate #5 Trash Enclosure AIA DOCUMENT A101 • OWNER - CONTRACTOR AGREEMENT - TWELFTH EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format A101 -1987 User Document: Al01.DOC -- 7/1012000. AIA License Number 101129, which expires on 12/6/2000 -- Page #2 4:3 Unit prices, if any, are as follows: ARTICLE 5 PROGRESS PAYMENTS 5.1 Based upon Applications for Payment submitted to the Architect by the Contractor and Certificates for Payment issued by the Architect, the Owner shall make progress payments on account of the Contract Sum to the Contractor as provided below and elsewhere in the Contract Documents. 5.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month, or as follows: 5.3 Provided an Application for Payment is received by the Architect not later than the Fifteenth day of a month, the Owner shall make payment to the Contractor not later than the last day of the Following month. If an Application for Payment is received by the Architect after the application date fixed above, payment shall be made by the Owner not later than Forty -Five days after the Architect receives the Application for Payment. 5.4 Each Application for Payment shall be based upon the Schedule of Values submitted by the Contractor in accordance with the Contract Documents. The Schedule of Values shall allocate the entire Contract Sum among the various portions of the Work and be prepared in such form and supported by such data to substantiate its accuracy as the Architect may require. This schedule, unless objected to by the Architect, shall be used as a basis for reviewing the Contractor's Applications for Payment. 5.5 Applications for Payment shall indicate the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment shall be computed as follows: 5.6.1. Take that portion of the Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of each portion of the Work by the share of the total Contract Sum allocated to that portion of the Work in the Schedule of Values, less retainage of Five percent (5 %) . Pending final determination of cost to the Owner of changes in the Work, amounts not in dispute may be included as provided in Subparagraph 7.3.7 of the General Conditions even though the Contract Sum has not yet been adjusted by Change Order; 5.6.2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction (or, if approved in advance by the Owner, suitably stored off the site at a location agreed upon in writing), less retainage of Five percent ( 5 %); 5.6.3 Subtract the aggregate of previous payments made by the Owner; and 5.6.4 Subtract amounts, if any, for which the Architect has withheld or nullified a Certificate for Payment as provided in Paragraph 9.5 of the General Conditions. 5.7 The progress payment amount determined in accordance with Paragraph 5.6 shall be further modified under the following circumstances: 5.7.1 Add, upon Substantial Completion of the Work, a sum sufficient to increase the total payments to Ninety -five percent ( 95 %) of the Contract Sum, less such amounts as the Architect shall determine for incomplete Work and unsettled claims; and 5.7.2 Add, if final completion of the Work is thereafter materially delayed through no fault of the Contractor, any additional amounts payable in accordance with Subparagraph 9.10.3 of the General Conditions. 5.8 Reduction or limitation of retainage, if any, shall be as follows: AIA DOCUMENT A101 • OWNER - CONTRACTOR AGREEMENT • TWELFTH EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format A101 -1987 User Document: Al01.DOC -- 7/10 /2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #3 (If it is intended, prior to Substantial Completion of the entire Work, to reduce or limit the retainage resultingfrom the percentages inserted in Subparagraphs 5.6.1 and 5.6.2 above, and this is not explained elsewhere in the Contract Documents, insert here provisions for such reduction or limitation) N/A ARTICLE 6 FINAL PAYMENT Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when (1) the Contract has been fully performed by the Contractor except for the Contractor's responsibility to correct nonconforming Work as provided in Subparagraph 12.2.2 of the General Conditions and to satisfy other requirements, if any, which necessarily survive final payment; and (2) a final Certificate for Payment has been issued by the Architect; such final payment shall be made by the Owner not more than 30 days after the issuance of the Architect's final Certificate for Payment, or as follows: ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 Where reference is made in this Agreement to a provision of the General Conditions or another Contract Document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. 7.2 Payments due and unpaid under the Contract shall bear interest from the date payment is due at the rate stated below, or in the absence thereof, at the legal rate prevailing from time to time at the place where the Project is located. (Insert rate of interest agreed upon, if any) Should the Owner fail to pay a re uest for payment within 30 days from the date of recommendation of approval by the Architect/Engineer and should he fail to inform the Architect/Engineer and Contractor in writing of the reasons for withholding payment the Owner shall pay to the Contractor simple interest on the past due amount at an annual rate equal to the monthly index of long term United States Bond iy'elds for the month prior to the month in which the obligation is incurred plus an additional 1% per annum. (Usury laws and requirements under the Federal Truth in Lending Act, similar state and local consumer credit laws and other regulations at the Owner's and Contractor's principal places of business, the location of the Project and elsewhere may affect the validity of this provision. Legal advice should be obtained with respect to deletions or modifications, and also regarding requirements such as written disclosures or waivers) 7.3 Other provisions: ARTICLE 8 TERMINATION OR SUSPENSION 8.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of the General Conditions. 8.2 The Work may be suspended by the Owner as provided in Article 14 of the General Conditions. ARTICLE 9 ENUMERATION OF CONTRACT DOCUMENTS 9.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are enumerated as follows: 9.1.1 The Agreement is this executed Standard Form of Agreement Between Owner and Contractor, AIA Document A101, 1987 Edition. 9.1.2 The General Conditions are the General Conditions of the Contract for Construction, AIA Document A201, 1987 Edition. 9.1.3 The Supplementary and other Conditions of the Contract are those contained in the Project Manual dated May 22, 2000 and are as follows: AIA DOCUMENT A101 • OWNER - CONTRACTOR AGREEMENT • TWELFTH EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format A101 -1987 User Document: A101.DOC -- 7/10/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #4 Document Title Pages (Refer to Exhibit A) 9.1.4 The Specifications are those contained in the Project Manual dated as in Subparagraph 9.1.3, and are as follows: (Either list the Specifications here or refer to an exhibit attached to this Agreement) Document Title Pages (Refer to Exhibit A) 9.1.5 The Drawings are as follows, and are dated unless a different date is shown below: (Either list the Drawings here or refer to an exhibit attached to this Agreement.) Number Date (Refer to Exhibit 13) 9.1.6 The addenda, if any, are as follows: Number Addendum #1 Addendum #2 Date Pages Pages 6/8/00 13 6/13/0 4 Portions of addenda relating to bidding requirements are not part of the Contract Documents unless the bidding requirements are also enumerated in this Article 9. 9.1.7 Other documents, if any, forniing part of the Contract Documents are as follows: (List here any additional documents which are intended to form part of the Contract Documents. 77te General Conditions provide that bidding requirements such as advertisement or invitation to bid, Instructions to Bidders, sample forms and the Contractor's bid are not part of the Contract Documents unless enumerated in this Agreement. They should be listed here only if intended to be part of the Contract Documents) This Agreement is entered into as of the day and year first written above and is executed in at least three original copies of which one is to be delivered to the Contractor, one to the Architect for use in the administration of the Contract, and the remainder to the Owner. OWNER (fignature) (Printed name and title) ), // Y ,I CONT (Si ure) The Builders Inc. (Printed name and title) AIA DOCUMENT A101 ^ OWNER - CONTRACTOR AGREEMENT • TWELFTH EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format A101 -1987 User Document: A101.DOC -- 7/10/2000. AIA License Number 101129, which expires on 12/6/2000 -- Page #5 EXHIBIT `A' AIA DOCUMENT A101 June 26, 2000 VILLAGE GOLF COURSE CLUBHOUSE Owner: City of New Hope Contractor: The Builders Inc. DOCUMENT 00003 TABLE OF CONTENTS 00002 Certifications 00003 Table of Contents 00004 List of Drawings , .,)! 1r0ol "1010 11"10105 1 00030 Advertisement for Bids 00100 Bidding Requirements 00300 Bid Form [01 11ffm us] S ' 00700 General Conditions (AIA Doc A201) TECHNICAL SPECIFICATIONS DIVISION 1 GENERAL REQUIREMENTS 01010 Summary of Work 01020 Allowances 01030 Alternates 01039 Coordination and Meetings 01094 Definitions 01300 Submittals 01410 Testing Special Inspection & Testing Schedule 01500 Construction Facilities and Temporary Controls 01570 Erosion and Sediment Control 01630 Product Substitutions 01710 Cleaning 01720 Project Record Documents TSP One Project #99732 Exhibit `A' - 1 01725 Contract Closeout DIVISION 2 SITE WORK 02060 Building Demolition 02120 Sub- Surface Exploration 03200 Geotechnical Report (Braun Intertec) 02200 Earthwork 02210 Building Earthwork 02225 Removals 02230 Site Clearing 02280 Adjust Miscellaneous Structures 02318 Finish Grading 02320 Trench Excavation and Backfill 02510 Water Main 02515 Water Services 02535 Sanitary Sewer Services 02580 Pavement Markings 02630 Storm Drainage 02720 Aggregate Base Course 02740 Plant Mixed Bituminous Pavements 02750 Irrigation System 02770 Concrete Curb and Gutter 02775 Concrete Walks 02830 Fence 02930 Turf Establishment 02950 Trees and Shrubs DIVISION 3 CONCRETE 03100 Concrete Formwork 03150 Concrete Joints 03200 Concrete Reinforcement 03252 Anchors & Inserts 03300 Cast -in -Place Concrete 03600 Grout DIVISION 4 MASONRY 04100 Mortar 04160 Reinforcement 04170 Anchors and Inserts 04200 Unit Masonry DIVISION 5 METALS 05100 Structural Steel TSP One Project #99732 Exhibit `A' - 2 05500 Metal Fabrications DIVISION 6 WOOD AND PLASTIC 06100 Rough Carpentry 06190 Prefabricated Wood Trusses 06191 Architectural Wood Trusses 06201 Finish Carpentry 06220 Millwork 06240 Plastic Laminate & Polymer Fabrications DIVISION 7 THERMAL AND MOISTURE PROTECTION 07150 Vapor Barriers 07210 Building Insulation 07310 Asphalt Shingles 07460 Siding 07615 Sheet Metal Flashing & Trim 07900 Caulking & Sealants DIVISION 8 DOORS AND WINDOWS 08110 Hollow Metal Doors & Frames 08210 Flush Wood Doors 08305 Special Doors 08330 Overhead Coiling Doors 08410 Aluminum Storefront, Doors, Frames and Windows 08520 Aluminum Windows 08710 Finish Hardware 08800 Glass & Glazing DIVISION 9 FINISHES 09250 Gypsum Drywall 09300 Tile Work 09650 Resilient Flooring 09680 Carpeting 09761 Concrete Floor Finish 09775 Glassboard Paneling 09900 Painting DIVISION 10 SPECIALTIES 10160 Toilet Partitions 10200 Louvers & Vents 10260 Wall Corner Guards 10520 Fire Extinguishers & Cabinets TSP One Project #99732 Exhibit `A' - 3 10557 10800 DIVISION 11 11400 DIVISION 12 12500 DIVISION 15 15010 15100 15250 15300 15400 15800 15900 15990 DIVISION 16 16050 16060 16120 16130 16140 .16145 16410 16442 16491 16511 16521 16710 16715 16721 16850 Fire Department Key Box Toilet & Bath Accessories EQUIPMENT Food Service Equipment FURNISHINGS Window Treatment MECHANICAL Mechanical Requirements Materials and Methods Insulation Fire Protection Plumbing Ventilation Temperature Control Balancing ELECTRICAL Basic Electrical Materials and Methods Grounding and Bonding Conductors and Cables Raceways and Boxes Wiring Devices Lighting Control Devices Enclosed Switches and Circuit Breakers Panelboards Fuses Interior Lighting Exterior Lighting Security System Premises Telephone Wiring Fire Alarm Systems Television Equipment -THE END- TSP One Project #99732 Exhibit `A' - 4 EXHIBIT `B' AIA DOCUMENT A101 June 26, 2000 NEW HOPE VILLAGE GOLD COURSE CLUBHOUSE Owner: City of New Hope Contractor: The Builders Inc. DOCUMENT 00004 LIST OF DRAWINGS The following Drawing Sheets are included as part of the Contract Documents: GENERAL G001 Title Sheet CIVIL Cl Project Limits /Site Survey C2 Site Removals C3 Grading Plan C4 Utility Plan C5 Site Details LANDSCAPE L1.00 Landscape & Sidewalk Plan - Phase I ARCHITECTURAL A101 Floor Plan, Enlarged Toilet Plans, Room Finish & Door Schedules A201 Reflected Ceiling Plan & Roof Plan A401 Exterior Elevations A501 Building & Wall Sections A601 Window & Door Details - Window, Door & Frame Types A701 Details A702 Details A801 Interior Elevations A802 Interior Elevations and Casework Details FOOD SERVICE FS 101 Food Service Equipment, Plans, Schedule and Elevations FS 102 Food Service Equipment & Standard Details STRUCTURAL 5001 Structural General Notes and Schedules TSP One Project #99732 Exhibit 'B'- 1 S101 Foundation Plan 5201 Roof Framing Plan 5301 Structural Details 5302 Structural Details MECHANICAL M001 Symbols, Abbreviations & General Notes & Schedules M101 Underground & First Floor HVAC Plans P101 Underground & First Floor Plumbing Plans F101 Fire Protection Plan ELECTRICAL E101 Lighting Plan - Fixture Schedule E201 Power & Communications Plan E401 Electrical Details TSP One Project #99732 Exhibit `B' - 2 Bond Number: 77430 AIA Document A312 Performance Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business): THE BUILDERS, INC. CAROLINA CASUALTY INSURANCE COMPANY 8100 WAYZATA BLVD. P.O. BOX 2575 MINNEAPOLIS, MN 55426 JACKSONVILLE, FL 32203 OWNER (Name and Address): PHONE: (952) 541 -0771 CITY OF NEW HOPE, MINNESOTA 4401 XYLON AVENUE NORTH NEW HOPE, MN 55428 CONSTRUCTION CONTRACT Date: JUNE 26, 2000 Amount: $589,750.00 Description (Name and Location): NEW HOPE VIILAGE GOLF COURSE CLUBHOUSE BOND Date (Not earlier than Construction Contract Date): JULY 21, 2000 Amount: $589,750.00 Modifications to this Bond: X None _ See Page 2 CONTRACTOR AS PRINCIPAL Company: THE BU RS, INC. eal) Signature: Name and Title: c en SURETY Company: CAROLINA CAS I ALTY INSURANCE,,,) COMPANY p to Seal) Signature: Name UANE MISCHK , ATTORNEY-IWFACT (Any additional signatures appear on page 2) (FOR INFORMATION ONLY —Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or other party): MISCHKE BORRELL & ASSOCIATES, INC. TSP ONE, INC. 1000 SHELARD PARKWAY, SUITE 250 21 WATER STREET MINNEAPOLIS, MN 55426 EXCELSIOR, MN 55331 PHONE: (952) 541 -0771 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. 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 Construction Contract. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable 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 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 declared earlier than twenty days after the Contractor and the Surety have received notice as provided in Subparagraph 3.1; and 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 accordance with the terms of the contract with the Owner. 4 When the Owner has satisfied the conditions of Paragraph 3, the Surety shall promptly and at the Surety's expense take one of the following actions: 4.1 Arrange for the Contractor, with consent of the Owner, to perform and complete the Construction Contract; or 4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent 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 Construction Contract, arrange for a contract to be prepared 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 excess of the Balance of the Contract Price incurred by the Owner resulting from the Contractor's default; or 4,4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: AIA DOCUMENT A312 • PERFORMANCE BOND AND PAYMENT BOND -DECEMBER 1984 ED. • AIA THE AMERICAN INSTITUTE OF ARCHITECTS. 1735 NEW YORK AVE.. N.W., WASHINGTON, D.C. 20006- THIRD PRINTING • MARCH 19137 A312 -1984 1 .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. 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. 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 Surety is obligated without duplication for: 6.1 The responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; 6.2 Additional legal, design professional and delay costs resulting from the Contractor's Default, and resulting from the actions or failure to act of the Surety under Paragraph 4; and 6.3 Liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or nonperformance of the Contractor. 7 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction 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. MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: 8 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. 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 after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. 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. 10 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the signature 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 performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming 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 Contractor 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, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. 12.2 Construction Contract: The agreement between the Owner and the Contractor identified on the signature page, including all Contract Documents and changes thereto. 12.3 Contractor Default: Failure of the Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract. 12.4 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL Company: Signature: Name and Title: Address: SURETY (Corporate Seal) Company: Signature: Name and Title: Address: (Corporate Seal) A1A DOCUMENT A312 • PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED. • AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 • THIRD PRINTING • MARCH 1987 A312 -1984 2 Bond Number: 77430 AIA Document A312 Payment Bond Any singular reference to Contractor, Surety, Owner or other parry shall be considered plural where applicable. CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business): THE BUILDERS, INC. CAROLINA CASUALTY INSURANCE COMPANY 8100 WAYZATA BLVD. P.O. BOX 2575 MINNEAPOLIS, MN 55426 JACKSONVILLE, FL 32203 OWNER (Name and Address): CITY OF NEW HOPE, MINNESOTA 4401 XYLON AVENUE NORTH NEW HOPE, MN 55428 CONSTRUCTION CONTRACT Date: JUNE 26, 2000 Amount: $589,750.00 Description (Name and Location): NEW HOPE VIILAGE GOLF COURSE CLUBHOUSE BOND Date (Not earlier than Construction Contract Date): JULY 21, 2000 Amount: $589,750.00 Modifications to this Bond: X None _ See Page 4 CONTRACTOR AS PRINCIPAL SURETY Company: THE BU S, INC. Company: CAROLWA CASUA ITY INSURANCg - COMPANY rate Seal) Signature: Signatur Name and Title: Name e: DUANE MISCHKE, ATTORNEY -IN -FACT (Any additional signatures appear on page 4) (FOR INFORMATION ONLY —Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or other party): MISCHKE BORRELL & ASSOCIATES, INC. TSP ONE, INC. 1000 SHELARD PARKWAY, SUITE 250 21 WATER STREET MINNEAPOLIS, MN 55426 EXCELSIOR, MN 55331 PHONE: (952) 541 -0771 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 performance of the Construction Contract, which is incorporated 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 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 furnished 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 payment, directly or indirectly, for all sums due. 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 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, 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 Contractor 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 notice 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 of the previous written notice furnished to the Contractor. AIA DOCUMENT A312 -PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED. • AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 • THIRD PRINTING • MARCH 1987 A312 -1984 3 5 If a notice required by Paragraph 4 is given by the Owner to the Contractor or to the Surety, that is sufficient compliance. 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, stating the amounts that are undisputed and the basis for challenging any amounts that are disputed. 6.2 Pay or 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 performance 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 priority 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 unrelated to the Construction Contract. The Owner shall not be liable for payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligations 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 jurisdiction 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 Subparagraph 4.1 or Clause 4.2 (iii), or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under the Construction Contract, whichever of (1) or (2) first occurs. If the provisions of this Paragraph MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: 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 conforming 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. 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 DEFINITIONS 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 equipment for use in the performance of the Contract. The intent of this Bond shall be to include without limitation 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 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. 15.2 Construction Contract: The agreement between the Owner and the Contractor identified on the signature page, including all Contract Documents and changes thereto. 15.3 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: Signature: Name and Title: Address: Signature: Name and Title: Address: (Corporate Seal) AIA DOCUMENT A312. PERFORMANCE BOND AND PAYMENT BOND -DECEMBER 1984 ED. • AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.. N.W., WASHINGTON, D.C.20006 o THIRD PRINTING • MARCH 1987 A312 -1984 4 STATE OF MINNESOTA On this 21ST day of JULY, 2000, before me appeared DUANE MISCHKE to me personally known, who, being duly sworn, did say that he or she is the ATTORNEY-IN-FACT of CAROLINA CASUALTY INSURANCE COMPANY , that the seal affixed to the foregoing instrument is the corporate seal of said corporation; that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said DUANE MISCHKE acknowledged said instrument to be the free act and deed of said corporation. Notary Public County and Date of Expiration of Commission 16 PATRICIA H. BORCHER NCIARY PUBLI NNESOTA My Co&SMJSSJON I SI-3 it No. 113 POWER OF ATTORNEY CAROLINA CASUALTY INSURANCE COMPANY JACKSONVILLE, FLORIDA NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS: that CAROLINA CASUALTY INSURANCE COMPANY ( "Company ") a corporation duly organized and existing under the laws of the State of Florida, having its Principal office in Jacksonville, Florida, has made, constituted and appointed, and does by these presents make, constitute and appoint Duane Mischke or Charles W. Fiebig or Dan Borrell or Peter M. Bradt or Patricia H. Borchers its true and lawful Agent and Attorney -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: any and all bonds and undertakings and to bind the Company thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney is granted pursuant to the Minutes of the Special Meeting of the Board of Directors of Carolina Casualty Insurance Company held on March 30, 1966, to wit: RESOLVED. "That the following Officers of the Carolina Casualty Insurance Company, Chairman of the Board, President, Secretary and Treasurer, or either of them, are hereby authorized to execute on behalf of the Carolina Casualty Insurance Company, Powers of Attorney authorizing and qualifying the Attorney -in -Fact named therein to execute bonds on behalf of the Carolina Casualty Insurance Company, and further, that the said Officers of the Company mentioned, are hereby authorized to affix the corporate seal of the said Company to Powers of Attorney executed pursuant hereto ".. RESOLVED FURTHER, this Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the company except in the manner and to the extent therein stated. RESOLVED FURTHER, this Power of Attorney revokes all previous powers issued in behalf of the attorney -in -fact named above RESOLVED FURTHER, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed.. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF Carolina Casualty Insurance Company has caused ese presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this day of _, 19 ��.` " Attest: Carolina Casualt e mpany ?0 B By Betty Pue l son, r . aye Secretary President WARNING: THIS POWER INVALID IF NOT PRINTED ON GREEN "MONITOR" SECURITY PAPER. STATE OF FLORIDA) SS COUNTY OF DUVAL) Sworn to before me, a Notary Public in the State of NOT' -RY PUBLIC ST2 OF F Cx CommISSION NO. CC21.373 MY COMM6,510 t a'�'P. FEB. 25,1997 / day of 19 9s , by .ry of Carolina Casualty In ranee Com any Notary Public, State of Fl ida at Large I, the undersigned, Secretary of CAROLINA CASUALTY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a just, true, correct and complete copy of original Power of Attorney; that the said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and the seal of the Company, this 21st day of Jul 2000 c +,jNS ° qv y Secretar Bet y C Su Hand y io GREGERSON, ROSOW, JOHNSON & NILAN, LTD. ATTORNEYS AT LAW 1600 PARK BUILDING 650 THIRD AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55402 -4337 TELEPHONE: (612) 338 -0755 FAX: (612) 349 -6718 WRITER'S DIRECT DIAL: (612) 436 -7474 DAVID H. GREGERSON* EDEN PRAIRIE OFFICE: RICHARD F. ROSOW+ 250 PRAIRIE CENTER DRIVE MARK J. JOHNSON SUITE 370 JOSEPH A. MILAN* EDEN PRAIRIE, MINNESOTA 55344 JENNIFER M. INZ TELEPHONE: (952) 829 -7355 JAMES W. DELAPLAIN FAX: (952) 829 -0713 CRAIGHTON T. BOATES CHRISTINE A. LUNGE REPLY TO MINNEAPOLIS ROBERT I. LANG, OF COUNSEL ROGER A. PAULY, OF COUNSEL *Also admitted in Wisconsin +Certified as a Real Property Specialist By the Minnesota State Bar Association September 25, 2002 CERTIFIED MAIL RETURN RECEIPT REQUESTED City of New Hope Administration Office 4401 Xylon Avenue North New Hope, MN 55428 RE: New Hope Village Golf Course Clubhouse; The Builders, Inc., Contractor; Carolina Casualty Insurance Company, Surety Ladies /Gentlemen: Please be advised that this law firm represents Carolina Casualty Insurance Company, contract surety, with respect to the above contract dated July 21, 2000. Carolina Casualty Insurance Company executed contractor surety bonds inconsideration of the assignment by The Builders, Inc. of contract rights to proceeds, balances, and funds in the event the surety should incur claims, damages, and losses associated with its contract bonds. Carolina Casualty Insurance Company has received claims from suppliers and subcontractors of The Builders, Inc. which now precipitates the surety's claim to all contract sums, earned, to be earned, or otherwise due with respect to the above contract. This letter will serve to provide notice of Carolina Casualty Insurance Company that all contract sums now due, or hereafter due, including retainages, change order sums, and principal balances, be released directly to Carolina Casualty Insurance Company in care of Carolina Casualty Insurance Company c/o Gregerson, Rosow, Johnson & Nilan, Ltd., 1600 Park Building, 650 Third Avenue South, Minneapolis, Minnesota 55402. September 25, 2002 Page 2 Please be advised that, in addition to Carolina Casualty's security interest in contract sums, Carolina Casualty Company is entitled to a priority interest in all contract sums to the extent of losses and damages incurred and sustained by Carolina Casualty in discharge of its surety bond obligations with respect to the above specific project. Such claim rights of Carolina Casualty Insurance Company are superior to the claims of all other third parties under law. Any release of contract proceeds to third parties other than Carolina Casualty Insurance Company without the written consent of Carolina Casualty shall expose the project owner to liability. If you have any questions, please contact this office. Very truly yours, GREGERSON, ROSOW, JOHNSON & NILAN, LTD. By �, David H. Gregerson DHG /jj cc: Monitor Surety Managers, Inc. /Carolina Casualty Insurance Company The Builders, Inc. Thomas Lallier, Esq. monitor surety managers \the builders in6project letters.092502 Bond Number: 77430 AIA Document A312 Performance Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business): THE BUILDERS, INC. CAROLINA CASUALTY INSURANCE COMPANY 8100 WAYZATA BLVD. P.O. BOX 2575 MINNEAPOLIS, MN 55426 JACKSONVILLE, FL 32203 OWNER (Name and Address): CITY OF NEW HOPE, MINNESOTA 4401 XYLON AVENUE NORTH NEW HOPE, MN 55428 CONSTRUCTION CONTRACT Date: JUNE 26, 2000 Amount: $589,750.00 Description (Name and Location): NEW HOPE VIILAGE GOLF COURSE CLUBHOUSE BOND Date (Not earlier than Construction Contract Date): JULY 21, 2000 Amount: $589,750.00 Modifications to this Bond: X None _ See Page 2 CONTRACTOR AS PRINCIPAL Company: THE BU RS, INC. al) Signature: Name and Title: SURETY Company: CAROLINA CASUALTY INSURANCE COMPANY > (Cor' to Seal) Signature: _ � �, 4: - Name 6ad-Title: UANISCHK ATTORNEY -IN -FACT (Any additional signatures appear on page 2) (FOR INFORMATION ONLY- - -Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or other party): MISCHKE BORRELL & ASSOCIATES, INC. TSP ONE, INC. 1000 SHELARD PARKWAY, SUITE 250 21 WATER STREET MINNEAPOLIS, MN 55426 EXCELSIOR, MN 55331 PHONE: (952) 541 -0771 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. 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 Construction Contract. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable 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 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 declared earlier than twenty days after the Contractor and the Surety have received notice as provided in Subparagraph 3.1; and 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 accordance with the terms of the contract with the Owner. 4 When the Owner has satisfied the conditions of Paragraph 3, the Surety shall promptly and at the Surety's expense take one of the following actions: 4.1 Arrange for the Contractor, with consent of the Owner, to perform and complete the Construction Contract; or 4.2 Undertake to perform and complete the Construction Contract itself, through its agents or through independent 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 Construction Contract, arrange for a contract to be prepared 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 excess of the Balance of the Contract Price incurred by the Owner resulting from the Contractor's default; or 4.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: AIA DOCUMENT A312 • PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED. • AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 • THIRD PRINTING • MARCH 1987 A312 -1984 1 .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. 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. 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 Surety is obligated without duplication for: 6.1 The responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; 6.2 Additional legal, design professional and delay costs resulting from the Contractor's Default, and resulting from the actions or failure to act of the Surety under Paragraph 4; and 6.3 Liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or nonperformance of the Contractor. 7 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction 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. MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: 8 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. 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 after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. 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. 10 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the signature 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 performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming 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 Contractor 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, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. 12.2 Construction Contract: The agreement between the Owner and the Contractor identified on the signature page, including all Contract Documents and changes thereto. 12.3 Contractor Default: Failure of the Contractor, which has neither been remedied nor waived, to perform or otherwise to comply with the terms of the Construction Contract. 12.4 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: Signature: Name and Title: Address: Signature: Name and Title: Address: (Corporate Seal) AIA DOCUMENT A312 • PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED. • AIA U THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.. N.W., WASHINGTON, D.C. 20006 • THIRD PRINTING - MARCH 1987 A312 -1984 2 Bond Number: 77430 CONSTRUCTION CONTRACT Date: JUNE 26, 2000 Amount: $589,750.00 Description (Name and Location): NEW HOPE VIILAGE GOLF COURSE CLUBHOUSE BOND Date (Not earlier than Construction Contract Date): JULY 21, 2000 Amount: $589,750.00 Modifications to this Bond: X None _ See Page 4 CONTRACTOR AS PRINCIPAL SURETY Company: THE BU S, INC. Company: CAROLINA CASUALTY INSURANCE COMPANY rate Seal) ,� � /�(COrpof Seal) Signature: Signature: _c e r 6'/ ` Name and and Title: Name and Title: DUANE MISCHKE, ATTORNEY -IN -FACT (Any additional signatures appear on page 4) (FOR INFORMATION ONLY- -Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or other party): MISCHKE BORRELL & ASSOCIATES, INC. TSP ONE, INC. 1000 SHELARD PARKWAY, SUITE 250 21 WATER STREET MINNEAPOLIS, MN 55426 EXCELSIOR, MN 55331 PHONE: (952) 541 -0771 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 performance of the Construction Contract, which is incorporated 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 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 furnished 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 payment, directly or indirectly, for all sums due. 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 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, 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 Contractor 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 notice 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 of the previous written notice furnished to the Contractor. AIA DOCUMENT A312. PERFORMANCE BOND AND PAYMENT BOND. DECEMBER 1984 ED.. AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006. THIRD PRINTING -MARCH 1987 A312 -1984 3 AIA Document A312 Payment Bond Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. CONTRACTOR (Name and Address): SURETY (Name and Principal Place of Business): THE BUILDERS, INC. CAROLINA CASUALTY INSURANCE COMPANY 8100 WAYZATA BLVD. P.O. BOX 2575 MINNEAPOLIS, MN 55426 JACKSONVILLE, FL 32203 OWNER (Name and Address): CITY OF NEW HOPE, MINNESOTA 4401 XYLON AVENUE NORTH NEW HOPE, MN 55428 CONSTRUCTION CONTRACT Date: JUNE 26, 2000 Amount: $589,750.00 Description (Name and Location): NEW HOPE VIILAGE GOLF COURSE CLUBHOUSE BOND Date (Not earlier than Construction Contract Date): JULY 21, 2000 Amount: $589,750.00 Modifications to this Bond: X None _ See Page 4 CONTRACTOR AS PRINCIPAL SURETY Company: THE BU S, INC. Company: CAROLINA CASUALTY INSURANCE COMPANY rate Seal) ,� � /�(COrpof Seal) Signature: Signature: _c e r 6'/ ` Name and and Title: Name and Title: DUANE MISCHKE, ATTORNEY -IN -FACT (Any additional signatures appear on page 4) (FOR INFORMATION ONLY- -Name, Address and Telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE (Architect, Engineer or other party): MISCHKE BORRELL & ASSOCIATES, INC. TSP ONE, INC. 1000 SHELARD PARKWAY, SUITE 250 21 WATER STREET MINNEAPOLIS, MN 55426 EXCELSIOR, MN 55331 PHONE: (952) 541 -0771 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 performance of the Construction Contract, which is incorporated 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 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 furnished 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 payment, directly or indirectly, for all sums due. 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 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, 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 Contractor 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 notice 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 of the previous written notice furnished to the Contractor. AIA DOCUMENT A312. PERFORMANCE BOND AND PAYMENT BOND. DECEMBER 1984 ED.. AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006. THIRD PRINTING -MARCH 1987 A312 -1984 3 5 If a notice required by Paragraph 4 is given by the Owner to the Contractor or to the Surety, that is sufficient compliance. 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, stating the amounts that are undisputed and the basis for challenging any amounts that are disputed. 6.2 Pay or 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 performance 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 priority 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 unrelated to the Construction Contract. The Owner shall not be liable for payment of any costs or expenses of any Claimant under this Bond, and shall have under this Bond no obligations 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 jurisdiction 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 Subparagraph 4.1 or Clause 4.2 (iii), or (2) on which the last labor or service was performed by anyone or the last materials or equipment were furnished by anyone under the Construction Contract, whichever of (1) or (2) first occurs. if the provisions of this Paragraph MODIFICATIONS TO THIS BOND ARE AS FOLLOWS: 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 conforming 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. 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 DEFINITIONS 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 equipment for use in the performance of the Contract. The intent of this Bond shall be to include without limitation 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 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. 15.2 Construction Contract: The agreement between the Owner and the Contractor identified on the signature page, including all Contract Documents and changes thereto. 15.3 Owner Default: Failure of the Owner, which has neither been remedied nor waived, to pay the Contractor as required by the Construction Contract or to perform and complete or comply with the other terms thereof. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: Signature: Name and Title: Address: Signature: Name and Title: Address: (Corporate Seal) AIA DOCUMENT A312. PERFORMANCE BOND AND PAYMENT BOND • DECEMBER 1984 ED.. AIA THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006. THIRD PRIMING -MARCH 1987 A312 -1984 4 STATE OF MINNESOTA On this 21ST day of JULY, 2000, before me appeared DUANE MISCHKE to me personally known, who, being duly sworn, did say that he or she is the ATTORNEY -IN -FACT of CAROLINA CASUALTY INSURANCE COMPANY , that the seal affixed to the foregoing instrument is the corporate seal of said corporation; that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors, and said DUANE MISCHKE acknowledged said instrument to be the free act and deed of said corporation. ti G ✓� Notary Public 4 County and Date ofF� Expiration of Commission s t 0 POWER OF ATTORNEY CAROLINA CASUALTY INSURANCE COMPANY JACKSONVILLE, FLORIDA No. 113 NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS: that CAROLINA CASUALTY INSURANCE COMPANY ( "Company ") a corporation duly organized and existing under the laws of the State of Florida, having its Principal office in Jacksonville, Florida, has made, constituted and appointed, and does by these presents make, constitute and appoint Duane Mischke or Charles W. Fiebig or Dan Borrell or Peter M. Bradt or Patricia H. Borchers its true and lawful Agent and Attorney -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: any and all bonds and undertakings and to bind the Company thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney is granted pursuant to the Minutes of the Special Meeting of the Board of Directors of Carolina Casualty Insurance Company held on March 30, 1966, to wit: RESOLVED: "That the following Officers of the Carolina Casualty Insurance Company, Chairman of the Board, President, Secretary and Treasurer, or either of them, are hereby authorized to execute on behalf of the Carolina Casualty Insurance Company, Powers of Attorney authorizing and qualifying the Attorney -in -Fact named therein to execute bonds on behalf of the Carolina Casualty Insurance Company, and further, that the said Officers of the Company mentioned, are hereby authorized to affix the corporate seal of the said Company to Powers of Attorney executed pursuant hereto'. RESOLVED FURTHER, this Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the company except in the manner and to the extent therein stated. RESOLVED FURTHER, this Power of Attorney revokes all previous powers issued in behalf of the attorney -in -fact named above. RESOLVED FURTHER, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF Carolina Casualty Insurance Company has caused ese presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this Z. 1 " 6 � day of , 19 9•S" v�,�NSURgy Attest: Carolina'Casualt e mpany J!V In By BY Betty . u er an i son, r. Secretary President WARNING: THIS POWER INVALID IF NOT PRINTED ON GREEN "MONITOR" SECURITY PAPER. STATE OF FLORIDA) SS COUNTY OF DUVAL) Sworn to before me, a Notary Public in the State of Fl PATRICLA M jOI-INSO ?• NOTARY PUBLIC 51=r- OF FL -s1 CO1d,TSSI00N NO. CC2553373 MY COMMISSION EXP. FEB. 25,1 this / day of 19 9s , by - rotary of Caroli C In ran any. Notary Public, State of FlOida at Large I, the undersigned, Secretary of CAROLINA CASUALTY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a just, true, correct and complete copy of original Power of Attorney; that the said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and the seal of the Company, this 21st day of Jul 2000 t ,� , NS Ug 9 , y �o-,4a *YOn�rF - ,o m Bet y C Su nand ,Secretary N: in 'ti�.. ftnn°t�d2 OWNER IN ARCHITECT IN CONTRACTOR [ X] FIELD [ ] OTHER [ ] THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (Name and address) New Hope Village Golf Course Club House New Hope, Minnesota PROJECT NO.: 99732 CONTRACT FOR: General Construction CONTRACT DATE: June 26, 2000 (Name and address) City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 DATE OF ISSUANCE: August 14, 2001 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Exterior Work TO CONTRACTOR: (Name and address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as August 1, 2001 which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below list of items to be completed or correcte is atta"Mea Nereto. a ai ure to me u e any items on suc Fist loes not a ter the responsibility of the Contractor to complete all Work in a c dance with the C tract J ocuments. TSP One, Inc. ARCHITECT BY DATE The Contractor will complete or correct the Work on the list ones atta hed hetto within Thirty days from the above Date of Substantial Completion The Builders, Inc. CONTRACTOR DATE The Owner accepts the Work or designated portion thereof a ubstantially Rmplete and will assume full possession thereof at 12:01 (time) on August 2, 2001 (date). City of New Hope OWNER DATE e response i hies oT Me Zlwner a"M the Contractor for secunty, maintenance, 5eat, uti ihes, Ramage to Me Work aM insurance AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 r Document: G704EXTERIORWORK.DOC -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 sFiall Ee as o ows: (Note -- Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage) The City of New Hope assumes all responsibility for security, maintenance, heat, utilities, damage to the work and insurance. AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 r Document: G704EXTERIORWORK.DOC -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #2 TSP One, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 Water Street EXTERIOR PUNCH LIST Excelsior, MN 55331 _ 2. Exterior soffit light lenses are filled with dead insects. PROJECT NAME New Hope Golf Course Clubhouse phone (952) 474 -3291 AFFILIATED OFFICES 3. fax (952) 474 -3928 LOCATION (CITY, STATE) New Hope, Minnesota www.teamtsp.com TSP PROJECT NO. 99732 Paint light fixture pendants in picnic shelter to match g p p DATE OF PUNCH LIST: August 1, 2001 Architecture Marshalltown, IA Rapid City, SO _ 5. Engineering PRESENT: Mark Thiede, TSP; Interior Design Sheridan, WY Bob Kirchoff, The Builders Offices in Minneapolis COPIES TO: File; and Rochester, MN Mark Gorski, The Builders; Shari French, City of New Hope; Cheryl Badinger, E &V Consultants IMPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retamage. Please check the Yes column for the corrected items and the No column for the items not corrected. Yes No General Exterior Items An Equal Opportunity, _ 1 Affirmative Action Employer 1. Replace damaged portion of gutter at northeast corner of the picnic shelter. _ 2. Exterior soffit light lenses are filled with dead insects. Remove and seal off fixture from insects. AFFILIATED OFFICES 3. Seal all corners, gaps, joints and penetrations in composite Minneapolis, MN material in picnic shelter canopy. Rochester, MN 4. Paint light fixture pendants in picnic shelter to match g p p Denver, CO Fort Collins, CO adjacent surfaces. Marshalltown, IA Rapid City, SO _ 5. Install cabinet and coiling door in picnic shelter. Sioux Falls, SD 6. Seal pipe penetration near cabinet opening in picnic shelter. Sheridan, WY - An Equal Opportunity, _ 1 Affirmative Action Employer 7. Paint electrical meter box and conduits to match adjacent surfaces. 8. Install sealant around chimney at soffit. 9. Replace cracked concrete sidewalk near south entrance. 10. Resecure all hip roof vents 11. Replace cracked concrete sidewalk near west door stoops. 12. Provide hole for stake at east side of trash enclosure. End of Punch List ' • i Mark Thiede The above deficiencies have been corrected except where checked no . For the items not corrected, an explanation is included. Contractor's Signature Date • • • • • • 10! t • wilre OWNER IN ARCHITECT IN CONTRACTOR [X] FIELD [ ] OTHER [ ] THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROTECT: (Name and address) New Hone Villaze Golf Course Club House New Hope, Minnesota PROJECT NO.: 99732 CONTRACT FOR: General Construction CONTRACT DATE: June 26, 2000 TO OWNER: (Name and address) City of New Hope 4401 Xvlon Avenue North New Hope, Minnesota 55428 DATE OF ISSUANCE: August 14, 2001 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Interior Work TO CONTRACTOR: (Name and address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as May 3, 2001 which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below l ist of items to 5e completel complete or coffecteU is attacFe Fereto. Me aI ure to McTu any items on such ist does not alter the responsibility of the Contractor to complete all Work in a dance with the Co act Documents. TSP One, Ina ARCHITECT B* DATE The Contractor will complete or correct the Work on the list of jtem attach d heto within Thirty days from the above Date of Substantial Completion' The Builders, Inc. s ,/ � Z en CONTRACTOR — BY DATE The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof at 12:01 (time) on May 3, 2001 (date). f� City of New Hope ,L �Z OWNER DATE e response t sties of Me Mner ana the Contractor Tor security, maintenance, heat, utilities, aamage to t e Work 3M insurance AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 User Document: G704 -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 sTall 6e as o ows: (Note -- Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage) The of New Hope assumes all responsibility for security, maintenance, heat, utilities, damage to the work and insurance for work on the interior that is substantially complete. Same responsibilities for the exterior will be assumed by the Owner when the exterior work is substantially complete. AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 User Document: G704 -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #2 TSP One, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 Water Street GENERAL CONSTRUCTION PUNCH LIST Excelsior, MN 55331 phone (612) 474 -3291 GOLF COURSE CLUBHOUSE fax (612) 474 -3928 CITYOF NEW HOPE TSP PROJECT NO. 99732 Architecture DATE OF PUNCH LIST: May 2, 2001 Engineering Interior Design PRESENT: Mark Thiede, TSP Jodell eim, TSP Offices in Minneapolis Mark Gorski The Builders and Rochester, MN Bob Kirchoff, The Builders Cheryl Badinger, E &V Shari French, City of New Hope Jim Corbett, City of New Hope EMPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No column for the items not corrected. Yes No General Notes An Equal Opportunity, _ l Affirmative Action Employer 1. Clean all tile floor areas 2. Remove grout from tile at wall perimeters and install control joints AFFILIATED OFFICES 3. Wipe all surfaces Minneapolis MN 4. Recoat all door frames Rochester, MN Denver, CO 5. Stain and finish all trim ends Marshalltown, IA 6. Fill nail holes on all millwork Rapid City, SD Sioux Falls, SD Sheridan, WY An Equal Opportunity, _ l Affirmative Action Employer Seating 101 7. 8. 9. 10, 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. Pro Shop 102 Fill all misc. nail holes Ease mitered edges of trim and stain/finish Paint fire protection pipe and valves Remove debris from closer of door 101B Adjust door spacing and install weather - stripping on doors 101C and 101B at lockset Clean door thresholds Adjust doors 101C and 10 I so doors don't hit fireplace wall Nick in Southwest window sill Wood base in Southwest corner is raised above floor Misc. marks and nicks on all walls Angle of fireplace mantle base is incorrect Change fireplace mantle pillastors to close gap between trim and file Replace damaged the near door 101 C Touch up ceiling near fire protection valve and along ceiling trim Misc. touch -up on all painted walls Clean water marks from trim above entry doors Repair misc. nicks in trim above entry doors Clean pendent lights Clean truss plates /remove overspray Clean paneling adjacent to trusses Touch up ceiling access doors Clean entry doors Wipe down storefront frames 30. Touch up wood base at outside corner 31. Touch up ceiling along display wall (exposed screws) _ 32. Install sealant at window trim and walls _ 33. Misc. nicks and marks on South wall 34. Wipe down wainscot 35. Touch up ceiling at Southwest comer IW42 Counter Sales 103 36. Install sealant around window trim and wall 37. Wipe down walls 38. Stain and finish back edge of soffit trim Food Prep 104 39. Install splash guard at hand sink. 40. Wipe down all walls 41. Install sealant at window frame and wall 42. Provide missing shelf in casework Hall 105 43. Touch up ceiling near door 110 44. Touch up misc. marks on South wall 45. Install sealant at file /wood base joint Hall 106 46. Clean door and frame 106 47. Remove grout from threshold from door 106 and install sealant 48. Touch up all walls of nicks and marks 49. Sprinkler head cover plate near transfer grille does not cover opening 50. Touch up ceiling north of drinking fountain and west of door 106 51. Install sealant between door trim and tile Vestibule 107 52. Touch up nicks and rnarks on West, East, South walls 53. Stain and finish trim edges -3- Storage 108 54. Remove grout and install sealant between door frame and 55. _— 56. _ 57. _ 58. 59. Mechanical 109 60. — — 61. _— _— 62. 63. Office 110 file base Repair top edge of door 108A Wipe down all walls Touch up ceiling above pipes Touch up nick near sprinkler head Touch up ceiling above door 108A Install vinyl base Clean/remove debris and excess material Touch up all walls Touch up ceiling access door _ 64. Install wood base and sealant 65. Trim carpet around floor safe 66. Touch up all walls of misc. nicks and marks _ 67. Replace wall tiles below full length mirror with holes in them 68. Touch up ceiling above fire alarm 69. Remove grout from door frame and install sealant 70. Wipe counter and protection panel Mens 112 71. Wipe counter and protection panel 72. Rake out grout at wall perimeter and install control joint 73. Remove grout from door frame and install sealant 74. Clean floors 75. Exhaust fan not operating Exterior 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. Paint exterior Install downspouts Install access paths Install bituminous Finish grade and landscape Install irrigation system Finish trash enclosure Install exterior lighting Install all exterior sealant Install BBQ grills and concrete pad Install exterior sink and overhead door End of General Construction Punch List. TSP One, Inc. Mark Thhiede The above deficiencies have been corrected except where checked "No ". For the items not corrected, an explanation is included. Contractor's Signature Date -5- TSP One, Inc. 21 Water Street Excelsior, MN 55331 phone (952) 474 -3291 fax (952) 474 -3928 www.teamtsp.com Architecture Engineering Interior Design Offices in Minneapolis and Rochester, MN SUBSTANTIAL COMPLETION OBSERVATION REPORT ELECTRICAL & MECHANICAL PUNCH LIST PROJECT NAME LOCATION (CITY, STATE) TSP PROJECT NO. DATE OF PUNCH LIST PRESENT: New Hope Golf Course Clubhouse New Hope, Minnesota 99732 May 16, 2001 Chuck Bodmer, TSP Mel Smestad, TSP COPIES TO: Mark Gorski, The Builders Bob Kirchoff, TheBuilders Cheryl Badinger, E & V IMPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No column for the items not corrected. Yes No General Electrical Items 1. Provide operation and maintenance instruction manuals, complete with as -built drawings. AFFILIATED OFFICES Room 101 Minneapolis, MN _ 1. Tighten cover on voice data outlet just east of main entrance Rochester, MN door in south wall. Denver, CO Fort Collins, CO Marsh ltow SD _ 2• Adjust Type "H" light fixtures to make bowl rims level. Sioux Falls, SD Sheridan, WY _ 3. Remove dirt from inside Type "H" light fixture bowls. An Equal Opportunity, — 1 — Affirmative Action Employer Room 109 1. Repaint covers of large pull/junction boxes above the panelboards on the east wall. 2. Connect the unterminated wire hanging from the fire alarm control panel. 3. Provide typewritten circuit directories in the panelboards. Room 110 1. Install receptacle cover plate tight to wall (north receptacle, west wall). Outdoors 1. Clean dirt and bugs from inside Type "E" downlight fixtures. 2. Adjust pendant of northwest Type "F" light fixture to make it plumb. Mechanical Items Outside Building 1. Complete gas meter connection. 2. Missing one fire sprinkler head at the northeast comer of Picnic Area. 3. Install sink in Picnic Area and connect to piping. 4. Caulk the fire sprinkler drain pipe penetrations through the outside wall in the Picnic Area and at the south wall of Room 101. Room 101 _ — 1. Paint exposed fire sprinkler piping in the Picnic Area. 2. Provide a screen over the sump pump discharge pipe to keep animals from entering. -2- Rooms 103 & 104 1. Cold water piping inside cabinets are not insulated. 2. Missing the ADA compliant pipe covers under hand wash sink P -9. t ► I 1T3 1. Cold water and hot water piping is not insulated. 2. Room is too hot, adjust supply diffuser to more CFM. Room 109 1. Missing vinyl bumper guards on mop basin P -6. 2. Missing exterior insulation on fresh air intake ductwork. 3. Cold water and hot water piping is not insulated. 4. Missing the backflow prevention at the building water service. Room 111 1. Clean off sticker on water closet in non - handicapped stall. General Items 1. Provide Balancing Report for HVAC system. 2. Provide O &M manuals and shop drawings for all installed equipment. 3. Provide fire sprinkler system Certificate of Acceptance. 4. Provide special tools for fire sprinkler system and extra fire sprinkler heads. 5. Provide Certificate of Inspection for plumbing system. -3- 6. Provide plumbing fixture and wall hydrant keys. End of Punch List TSP ONE, INC. CI I:r Mark Thiede The above deficiencies have been corrected except where checked no . For the items not corrected, an explanation is included. Contractor's Signature Date PROJECT NO. 656 BULLETIN #1 NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE A design team was formed in the spring of 1999 to develop a concept plan for a new clubhouse for the New Hope Village Golf Course, located at 8130 Bass Lake Road, In January, the City Council appointed TSP One, Inc. as the architect to design the new facility. In February, the Council approved concept plans for this project. In March, schematic designs were approved and architects were directed to write plans and specifications. In May, plans and specifications were approved and bids were let. In June, the Council awarded the project to the low bidder, The Builders, Inc. The existing clubhouse predated the City's purchase of the golf course in 1971 and was in poor condition. Work began on the new clubhouse project right after Labor Day. The new facility is expected to be ready for occupancy by spring of 2001. A revenue bond will fund most of the project, with the golf course paying off the bond over a 20 -year period through revenues collected from course operations. Project Description The new, completely accessible clubhouse will be approximately 2,600 square feet in size. The old facility was about 900 square feet in size. The new building is one story in height and will be located in approximately the same location as the old but, of course, will take up a larger footprint. The new design includes an area that will seat up to about 50 people. This will offer a fireplace, a concessions area, and a pro shop area. The building will also contain an office, food preparation area, storage rooms, and bathrooms. On the east side of the new clubhouse will be a canopied picnic area offering a sink as well as two gas grills. The project also includes a new trash enclosure, which will be placed in the northwest area of the parking lot. The main entrance will be located on the south side of the building adjacent to the parking lot. At this time, the parking lot will not be improved, as funding does not yet allow for that. Proiect Schedule The project construction schedule, subject to weather and other construction issues, is as follows: • Week of September 11 • Week of September 18 • Week of September 18 • First part of October • Second part of October • November and December • Building completion • Landscaping Building demolition and site preparation Hauling in of additional soil and sub grade preparation Concrete footings and foundation are to follow Fencing of the construction area Structural steel and exterior framing Masonry, roofing and building enclosure Exterior and interior finishes End of December 2000 Spring 2001 9/14/00 NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE Construction Hours /Cleanup Construction may occur between the hours of 7:00 a.m. and 9:00 p.m., Monday through Friday, and 9:00 a.m. and 9:00 p.m. on Saturday. All work, including mobilization of equipment, will take place during these time periods. The contractor will periodically cleanup the site and remove debris. Construction Traffic Major deliveries that are scheduled for the next few weeks on this project include: • Delivery of imported soils first part of September • Concrete and masonry block • Delivery of building materials such as wood, and trusses Contacts • Contractor: the general contractor for the project is The Builders Inc. The contact person and phone number are Mark Gorski at (763) 545 -3217. City: if you have questions or concerns during the Golf Course Clubhouse improvement project, please direct your calls to Cheryl Badinger at (763) 545 -1355, from E &V Consultants, the City's representative on this project, or Shari French, Director of Parks & Recreation, at (763) 531 -5152. Future Bulletins These project bulletins are being provided to residents on behalf of the City. Future bulletins will be sent to update you on the construction progress. Please note that the golf course will be open for play during this period of fall construction as long as weather allows. A trailer has been rented for purposes of providing a temporary clubhouse. It is ramped for improved accessibility. Portable toilets have also been rented for this interim period. City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 COUNCIL REQUEST FOR ACTION Originating Department Approved for Agenda Agenda Section Parks & Recreation April 14, 2003 consent Item No. By: Shari French B 6.6 MOTION TO ACCEPT IMPROVEMENT PROJECT NO. 656 (GOLF COURSE CLUBHOUSE PROJECT) AND APPROVE FINAL PAYMENT REQUESTED ACTION Staff is recommending that the Council accept Improvement Project 656 and approve final payment for the Builders Inc. contract to be made to Carolina Casualty Insurance Company in the amount of $31,119.00. The City will issue final payment when all appropriate paperwork has been received to close out this project. BACKGROUND The original bid for this project was $589,750.00 and was approved by Council on June 26, 2000. Change order number one to this contract was approved by the Council on January 22, 2001 and totaled $15,909. Change order number two to this contract was approved by Council on April 23, 2001 and totaled $7,644.00. The original contractual sum plus the two change orders totaled $613,303.00. FUNDING Funding for this project came primarily through a revenue bond to be paid back over twenty years from Golf Course earnings. ATTACHMENTS Letters recommending approval from the architects, TSP, and the construction management company, E &V, are attached. As will be noted on the letter from E &V, the city attorney is in agreement with the release of payment to Carolina Casualty Insurance Company. MOTION SECOND > BY 2 BY / F ,,. - u TO: I:RFA \P &R \GolfCourse \Project 656 \Q -final proj 656 A EW Consultants and Construction Managers Ms. Shari French City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 RE: New Hope Golf Course Clubhouse The Builder's Final Payment Dear Shari: Attached are the following documents regarding the final payment to The Builders for the clubhouse project: • The Builder's final pay application in the amount of $31,119.00 • TSP One, Inca letter dated. March 10, 2003 • Letter from Carolina Casualty Insurance Company's attorney requesting payment to the surety in lieu of The Builders Inca • Letter from The Builder's attorney in agreement with releasing payment to the surety • Final Receipt and Waiver of Mechanic's Lien Rights • Consent of Surety to Final Payment • Contractor's Affidavit of Payment of Debts and Claims • Contractor's Affidavit of Release of Liens In a telephone conversation today with Steve Sondrall of Jensen, Swanson & Sondrall, we reviewed the surety company's request to release payment to Carolina Casualty Insurance' Company and he was in agreement with the releaser All documentation appears in order. Therefore, E &V recommends final payment for The Builders Inc contract be made to Carolina Casualty Insurance Company in the amount of $31,119.00. APPLICATION FOR PAYMENT (Columns D + E on Continuation Page) P age 1 b. of Stored Material TO OWNER: City of New Hope PROJECT: New Hope Clubhouse APPLICATION NO. 12 Distribution to: 4401 Xylon Avenue North New Hope Clubhouse PERIOD TO: 01/15/2003 -, New Hope, MN 55428 8130 Bass Lake Road PROJECT #s: 00 -262 OWNER 8. CURRENT PAYMENT DUE ....................................... I....... New Hope, MN 55428 CONTRACTOR FROM CONTRACTOR: The Builders Inc. ARCHITECT: TSP One, Inc. CONTRACT DATE: 06/27/2000 ARCHITECT 8100 Wayzata Blvd. 21 Water Street Minneapolis, MN 55426 Excelsior, MN 55331 CONTRACT FOR: Complete Construction CONTRACTOR'S SUMMARY OF WORK Application is made for payment as shown below. Continuation Page is attached. Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) the Work has been performed as required in the Contract Documents, (2) all sums previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, materials and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally entitled to this payment. 1. ORIGINAL CONTRACT AMOUNT ...... ............................... $589,750.00 2. NET CHANGE BY CHANGE ORDERS ............................... $23,553.00 3. CONTRACT AMOUNT TO DATE (Line 1 +/- 2) ........... $613,303.00 4. TOTAL COMPLETED AND STORED TO DATE .............. $613,303.00 (Column G on Continuation Page) 5. RETAINAGE: a. of Completed Work (Columns D + E on Continuation Page) b. of Stored Material (Column F on Continuation Page) Total Retainage (Line 5a + 5b or Column I on Continuation Page) ............................... $0.00 6. TOTAL EARNED LESS RETAINAGE $613,303.00 (Line 4 minus Line 5 Total) 7. LESS PREVIOUS APPLICATIONS FOR PAYMENT........ $582,184.00 (Line 6 from prior Application) 8. CURRENT PAYMENT DUE ....................................... I....... $31,119.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 minus Line 6) $0.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS <_ Total changes approved in previous months $23,55100 $0.00 Total approved this month $0.00 $0.00 TOTALS $23,553.00 _ $0.00 NET CHANGES by Change Order $23,553.00 CONTRACTOR: BY: °? 8 Date: 7-4-03 State of: Minnesota County of: Hennepin Subscribed and sworn to before me this day of r 1�.r ^,.i �J6aalt �11hf.E3r'?1 '� Notary Public: h� � .�; ni.s!or,ExpiresJan 3I 2.M My Commission Expires: 1 -31 -05 W Ar � m ARCHITECT'S CERTIFICATION Architect's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been completed to the extent indicated in this Application, and the quaility of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment should not be made. t AMOUNTCERTIFIED .......................................................... ............................... 4' 0 (Attach explanation if amount certified differs from the amount applied for Initial all figures on this Application and on the Continuation Page that are changed to conform to the amount certified.) ARCHITE : BY: . o � _ Date: Neither this Application nor pay e t applied for herein is assignable or negotiable. Payment shall be made only to Contractor, an b i without prejudice to any rights of Owner or Contractor under the Contract Documents or otherwise. APPLICATION FOR PAYMENT CONTINUATION PAGE Page 2 of 3 APPLICATION FOR PAYMENT PROJECT: New Hope Clubhouse APPLICATION NO.: 12 containing Contractor's signed Certification is attached. New Hope Clubhouse APPLICATION DATE: 01/24/2003 Use Column I when variable retainage for line items may apply. PERIOD TO: 01/15/2003 PROJECT #s: 00 -262 A B C D I E F G H 1 ITEM SCHEDULED COMPLETED WORK_ STORED TOTAL BALANCE RETAINAGE # WORK DESCRIPTION VALUE FROM PREVIOUS THIS PERIOD MATERIALS (NOT IN D OR E) COMPLETED AND STORED % (G / C) TO COMPLETION (IF VARIABLE APPLICATION (D + E + F) (C -G) RATE) (D + E) 1 Bond $5,698.00 $5,698.00 $0.00 $0.00 $5,698.00 100% $0.00 $0.00 2 General Conditions & Fee $52,426.00 $52,426.00 $0.00 $0.00 $52,426.00 100% $0.00 $0.00 3 Earthwork $18,500.00 $18,500.00 $0.00 $0.00 $18,500.00 100% $0.00 $0.00 4 Site Concrete $17,426.00 $17,426.00 $0.00 $0.00 $17,426.00 100% $0.00 $0.00 5 Bituminous Paving $8,360.00 $8,360.00 $0.00 $0.00 $8,360.00 100% $0.00 $0.00 6 Site Utilities $9,800.00 $9,800.00 $0.00 $0.00 $9,800.00 100% $0.00 $0.00 7 Fencing $1,365.00 $1,365.00 $0.00 $0.00 $1,365.00 100% $0.00 $0.00 8 Landscaping & Irrigation $16,450.00 $16,450.00 $0.00 $0.00 $16,450.00 100% $0.00 $0.00 9 Concrete & Masonry $59,410.00 $59,410.00 $0.00 $0.00 $59,410.00 100% $0.00 $0.00 10 Precast $3,195.00 $3,195.00 $0.00 $0.00 $3,195.00 100% $0.00 $0.00 11 Structural Steel $12,630.00 $12,630.00 $0.00 $0.00 $12,630.00 100% $0.00 $0.00 12 Erection $3,200.00 $3,200.00 $0.00 $0.00 $3,200.00 100% $0.00 $0.00 13 Rough Carpentry $36,321.00 $36,321.00 $0.00 $0.00 $36,321.00 100% $0.00 $0.00 14 Finish Carpentry $73,500.00 $73,500.00 $0.00 $0.00 $73,500.00 100% $0.00 $0.00 15 Millwork $18,535.00 $18,535.00 $0.00 $0.00 $18,535.00 100% $0.00 $0.00 16 Insulation $3,769.00 $3,769.00 $0.00 $0.00 $3,769.00 100% $0.00 $0.00 17 Asphalt Shingles $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100% $0.00 $0.00 18 Sheet Metal Work $8,694.00 $8,694.00 $0.00 $0.00 $8,694.00 100% $0.00 $0.00 19 Sealents $940.00 $940.00 $0.00 $0.00 $940.00 100% $0.00 $0.00 20 Doors, Frames & Hardware $6,800.00 $6,800.00 $0.00 $0.00 $6,800.00 100% $0.00 $0.00 21 Access Doors & TV Brackets $1,504.00 $1,076.00 $0.00 $428.00 $1,504.00 100% $0.00 $0.00 22 Coiling Doors $1,475.00 $1,000.00 $475.00 $0.00 $1,475.00 100% $0.00 $0.00 23 Aluminum Entrances $21,500.00 $21,500.00 $0.00 $0.00 $21,500.00 100% $0.00 $0.00 24 Glass & Glazing $13,980.00 $13,980.00 $0.00 $0.00 $13,980.00 100% $0.00 $0.00 25 Drywall $11,297.00 $11,297.00 $0.00 $0.00 $11,297.00 100% $0.00 $0.00 26 Tile Work $10,500.00 $10,500.00 $0.00 $0.00 $10,500.00 100% $0.00 $0.00 27 Carpet & Resilient Floor $4,844.00 $1,422.00 $0.00 $3,422.00 $4,844.00 100% $0.00 $0.00 28 Glassboard Paneling $610.00 $610.00 $0.00 $0.00 $610.00 100% $0.00 $0.00 29 Painting $10,920.00 $10,920.00 $0.00 $0.00 $10,920.00 100% $0.00 $0.00 TOTALS $443,649.00 $439,324.00 $475.00 $3,850.00 $443,649.00 100% $0.00 $0.00 CONTINUATION PAGE FOR APPLICATION FOR PAYMENT Page 3 of 3 APPLICATION FOR PAYMENT PROJECT: New Hope Clubhouse APPLICATION NO.: 12 containing Contractor's signed Certification is attached. New Hope Clubhouse APPLICATION DATE: 01/2412003 Use Column I when variable retainage for line items may apply. PERIOD TO: 01/15/2003 PROJECT #s: 00 -262 A B C D I E F G H I ITEM SCHEDULED COMPLETE WORK STORED TOTAL BALANCE FROM # WORK DESCRIPTION VALUE MATERIALS COMPLETED AND % TO RETAINAGE PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G / C) COMPLETION ( IF VARIABLE APPLICATION (D + E + F) (C -G) RATE) (D + E) 30 Specailties $4,033.00 $4,033.00 $0.00 $0.00 $4,03100 100% $0.00 $0.00 31 Flagpole $750.00 $750.00 $0.00 $0.00 $750.00 100% $0.00 $0.00 32 Kitchen Equipment $10,735.00 $10,735.00 $0.00 $0.00 $10,735.00 100% $0.00 $0.00 33 Blinds $720.00 $720.00 $0.00 $0.00 $720.00 100% $0.00 $0.00 34 Fire Protection $17,240.00 $17,240.00 $0.00 $0.00 $17,240.00 100% $0.00 $0.00 35 Plumbing $20,985.00 $20,985.00 $0.00 $0.00 $20,985.00 100% $0.00 $0.00 36 HVAC $18,970.00 $18,970.00 $0.00 $0.00 $18,970.00 100% $0.00 $0.00 37 Fireplace $1,375.00 $1,375.00 $0.00 $0.00 $1,375.00 100% $0.00 $0.00 38 Floor Safe $1,037.00 $1,037.00 $0.00 $0.00 $1,037.00 100% $0.00 $0.00 39 Gas Grilles $1,256.00 $1,256.00 $0.00 $0.00 $1,256.00 100% $0.00 $0.00 40 Electrical $69,000.00 $69,000.00 $0.00 $0.00 $69,000.00 100% $0.00 $0.00 41 Change Order No.1 42 Proposal Request #2 Gas Meter $220.00 $220.00 $0.00 $0.00 $220.00 100% $0.00 $0.00 43 Proposal Request #3 Health $9,505.00 $9,505.00 $0.00 $0.00 $9,505.00 100% $0.00 $0.00 44 Proposal Request #6 Lights $284.00 $284.00 $0.00 $0.00 $284.00 100% $0.00 $0.00 45 A.S.I. #2 Hardware $513.00 $513.00 $0.00 $0.00 $513.00 100% $0.00 $0.00 46 TBI Change Request #1 Ramp $1,102.00 $1,102.00 $0.00 $0.00 $1,102.00 100% $0.00 $0.00 47 TBI Change Request #3 Tile $1,885.00 $1,885.00 $0.00 $0.00 $1,885.00 100% $0.00 $0.00 48 Add Alternate Demo Building $2,400.00 $2,400.00 $0.00 $0.00 $2,400.00 100% $0.00 $0.00 49 Change Order No.2 50 Soil Corrections $7,644.00 $7,644.00 $0.00 $0.00 $7,644.00 100% $0.00 $0.00 TOTALS $613,303.00 $608,978.00 $475.00 $3,850.00 $613,303.00 100% $0.00 CONTINUATION PAGE FOR APPLICATION FOR PAYMENT To Solve. To Excel. Together. 18707 Old Excelsior Blvd Minnetonka, MN 55345 -3122 phone(952)474 -3291 fax(952)474 -3928 March 10, 2003 Cheryl Badinger E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 RE: New Hope Village Golf Course Clubhouse TSP One # 99732 www.teamtsp.com Dear Cheryl, Architecture TSP is in receipt of close out documents and a final application for payment from Engineering the The Builders Inc. All appears to be in order and therefore TSP recommends that Construction final payment be made. TSP One Inc. Denver, CO Fort Collins, CO Marshalltown, IA Minneapolis, MN Rochester, MN Omaha, NE Rapid City, SD Sioux Falls, SD Sheridan, WY Mark Thiede Copies: File GREGERSON, ROSOW, JOHNSON & NILAN, LTD. ATTORNEYS AT LAW DAVID H. GREGERSON* RICHARD F. ROSOW+ MARK J. JOHNSON JOSEPH A. NILAN* JENNIFER M. INZ CHRISTINE A. LONGS AMY L. CRALAM SARA B. GUNDERSON 1600 PARK BUILDING 650 THIRD AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55402 -4337 TELEPHONE: (612) 338 -0755 FAX: (612) 349 -6718 WRITER'S DIRECT DIAL: (612) 436 -7474 EDEN PRAIRIE OFFICE: 250 PRAIRIE CENTER DRIVE SUITE 370 EDEN PRAIRIE, MINNESOTA 55344 TELEPHONE: (952) 829 -7355 FAX: (952) 829 -0713 ROBERT I. LANG, OF COUNSEL ROGER A. PAULY, OF COUNSEL *Also admitted in Wisconsin TCertin"ed as a Reai Property Specialist by the Minnesota State Bar Association March 3, 2003 Ms. Cheryl Badinger City of New Hope 5801 Duluth Street Golden Valley, Minnesota 55422 RE: City of New Hope Golf Course Project The Builders, Inc., Subcontractor Carolina Casualty Insurance Company, Contract Surety Dear Ms. Badinger: REPLY TO MINNEAPOLIS This letter will serve to confirm our telephone conversation with regard to the above matter. It is our understanding that the bonded project, referenced above, is complete and subject to release of remaining contract balances, subject to the contractor's inability to provide subcontractor /supplier lien waivers. As you know, the public works project requires a contractor's surety bond, and our client, Carolina Casualty Insurance Company, has previously executed and issued statutory bonds, including a payment bond, for this project. As you further recognize, no mechanic's liens can be filed against the project in view of the public nature of the work. We have, therefore, discussed the agreement of surety to indemnify the project owner from any claims or losses which may be occasioned by the release of contract funds to Carolina Casualty Insurance Company. On behalf of our client, we do hereby demand the release of remaining contract funds to the surety, which has incurred losses in excess of remaining contract balances, and we do hereby reaffirm the surety's agreement to indemnify the project owner for any claims or losses occasioned by the release of contract funds to the surety. Ms. Cheryl Badinger March 3, 2003 Page 2 By copy of this correspondence to The Builders, Inc., and their counsel, we provide notification of our client's interest, and we invite their consent to release contract funds as set forth herein. Very truly yours, DHG /smt cc: The Builders, Inc. John T. Trout, Esq. Carolina Casualty Insurance Company monitor surety managers \the builders inc \general\badinger.030303 HELLMUTH &. JOHNSON, PLLC ATTORNEYS AT LAW CHAD A. JOHNSON' DAVID G. HELLMUTH' BLAKE R. NELSON JOHN K. ROSSMAN ROBERT A. GUST NANCY T. POLOMIS SUZANNE M. REMINGTON JOHN T. TROUT J. ROBERT KEENA a ir r WRITER'S DIRECT DIAL NO.: (952) 746- E -MAIL: JTROUT@HJLAWFIRM.COM ? �� " March 4, 2003 Ms. Cheryl Badinger City of New Hope 5801 Duluth Street Golden Valley, MN 55422 Re: The Builders, Inc. /City of New Hope Golf Course Project Our File No.: 11660 -0001 Dear Ms. Badinger: OF COUNSEL: MICHAEL J. KINZER' I represent The Builders, Inc. with regard to the above project and issues involving Carolina Casualty Insurance Company. I write in response to David Gregerson's letter to you dated March 3, 2003. The Builders, Inc. has no objection to the City of New Hope releasing the balance of the contract funds to Carolina Casualty Insurance Company. Very truly yours, HELLMUTH & JOHNSON, PLLC John T. Trout Attorney at Law JTT /jag cc: David H. Gregerson, Esq. (via mail) Bruce A. Boeder (via fax /mail) The Builders, Inc. (via mail) s: \bui1ders \gen'1 \badinger Itr.01 BRIAN H. DEBO JAREN L. JOHNSON MICHAEL S. PONCIN CRAIG M. BARBEE R. LEIGH FROST JEFFREY L. BODENSTEINER 10400 VIKING DRIVE, SUITE 500 ® EDEN PRAIRIE, MINNESOTA 55344 TELEPHONE (952) 941 -4005 0 FACSIMILE (952) 941 -2337 ® E -MAIL info @hjlawfirm.com Real Property Law Specialist, Certified by the Real Property Law Section of the Minnesota State Bar Association Also admitted in 2 Wisconsin and' California N.B. - It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED. 1. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and by partners in co- partnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3. If payment is not in frill to date, so state, SHOW UNPAID BALANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering materials, etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. DATE: January 24, 2003 The undersigned hereby acknowledges having received payment of $ 31,119.00 from The Builders Inc. in full payment of all General Contractor as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives all rights which may have been acquired by the undersigned to file mechanic's lien against said premises for labor, skill or material furnished to said premises prior to the date hereof. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, lKYCEPT: Dated this day of I A tij , 2 ! NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. The Builders Inc. By }� Its (address) OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ Bond No. 77430 OTHER ❑ TO O\X`NER: (Name and address) City of New Hope, Minnesota CONTRACT FOR: New Hope Village Golf Course Clubhouse PROJECT: (Name and address) ARCHITECT'S PROJECT NO.: CONTRACT DATED: June 26, 2000 New Hope Village Golf Course Clubhouse In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name artd address o/'Suret)y Carolina Casualty Insurance Company , SURETY, on bond of (Insert ncune and address c jCortracto ) The Builders, Inc. CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of owner) City of New Hope, Minnesota as set forth in said Suretv's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: February 19, 2002 (Inserrr in urriling the month followed ht, the immeric date cme Ceew) Attest: (Seal): (Printed )Icune and title) CAUTION: you should sign are original AIA document that has this caution printed in red. An d ! original assures that changes will net be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document, AIA DOCUMENT G707 • CONSFNT OF SI RELY TO FINAL. PAYMENT • 1994 EDITION • 'AIA AND 0199,4 • THF. ANIFRI(AN INS ITI'TH OF ARCHITECTS, 1 NEW YORK A\tE T, NW, W �:ND 'ASH- INGTON, D.C. 20006 -5292 • WARNING: Unlicensed photocopying violates U.S. copy- right laws and will subject the violator to legal prosecution. , OWNER, Carolina Casualty Insurance..- Corrp-any (S'Igllalra e q eaalhorized represe)llalrr'e) Duane Mischke, attorney -in -fact INSTRUCTION SHEET A, GENERAL INFORMATION 1. Purpose UK twonant in Vv,60 Go oA jb a omyntOx to All Winn, (79n mw�nv, AWMA CA jKlonn A vvhh and , t },' > L. Mon- dic 0ourin,v uiph"! No OwnQ a 1wouL By MWQ: Aw mwvl _? tab 0 AW pAIMIS Q, OW 14M, WM MY 14 aMCMMW jW 100 K100-IJ 01 WY "bkow 'hu Aully (Tony Or& AdQAtfory, div V)Xnar niq pnscrcv 05 AM un,vu the K to i, 2, Related Docurnents ln� . 4% AWK ()xp,rAWrNWx agre"ank" lu Wnd nnA000 Sol to Vol not c „ i.1 "wj MAm &K P N aspi0ov (by iuncNc a, A A A qid inn; 070 3. Use of Current Documents PvW P M7.010 m dw vonysip K fvy: IV An Mm AlAnnopmki, dv!vLrnrj conycnt KA K y1ni"nis 15, ro 4. Limited License for Reproduction AK Wonwin U07 NA a It Tyjacdiyai in I Inn K I qvp Miami Wevvq ad WHO �PKWXNJ vo is& Hot dw"Wcyn "V I alp, rnhn J OWN& 10 G67 A pvm"o W hom"11 w 1h: WMA 1- 1 a Como Q Ahn K lh. d§w! ""Unn imp- Amn hwhNN n III and coo 0 Olin, 6) o`nvWUW41MJiTaW HNATM AV (dWpo,qW. I YUCKAR!" SAW k0k"MQ xi "UnA A U?nvmn-: �,r c , .. h-i. lmxd Wn M wd,ind myk-" qmAd Witt ov"n own �0 M A & OVA ho� wv K hwQqqnnA! i 3 u"d pmtwmn M P I a VWY a PUBMW I 4RY a Ks Vi a JIM Aq too Lw h""Ww too Yoh a P0001. josin Fwainx capp <WAqA,uv j"414vo ohknH Aw .nAnkm ;WcAf %. It CHANGES FROM THE PREWOUS EDITION M h 1 Ow I � 0M 1 % As 1K Kno J 41 yn"n v vcnAnAR% " 0 liqy ;xn NA an V) do WSAE w, 104C Jvnnvn�, C. COMPLETINGTHE G707 FORM u h- A 6 o" i t! .(,C ,d : S n n,v an in Awl myov ray InTr Mv: Ws ink nip Ap I I K qj" At sqqhW 11 OWAKWI Am! knorn0m OW WK I'd W UWMMv VAINK. F PA: n1i nf" P) a J dw onnrvi. so-Ca h n - (&nvd Onto r"4 a' C, - 01 KKA Ah?". D. EXECUTION OF THE DOCUMENT' 'Mc Wo Pon 101(,M In Q dw Un rys seat vro ..,7._.s UnAd dk- Qvvn�> )iMNYVW i 0"Psnow4c MEME INSTRUCTM SHEET FOR AIADOCUMEN7 A!t, - G707-1994 No. 113 POWER OF ATTORNEY CAROLINA CASUALTY INSURANCE COMPANY JACKSONVILLE, FLORIDA NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS: that CAROLINA CASUALTY INSURANCE COMPANY ( "Company ") a corporation duly organized and existing under the laws of the State of Florida, having its Principal office in Jacksonville, Florida, has made constituted and appointed, and does by these presents make, constitute and appoint Duane Mischke or Charles W.Fiebig or Dan Borrell or Peter M. Bradt or Patricia H. Borchers its true and lawful Agent and Attorney -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: any and all bonds and undertakings and to bind the Company thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney is granted pursuant to the Minutes of the Special Meeting of the Board of Directors of Carolina Casualty Insurance Company held on March 30, 1966, to wit RESOLVED: "That the following Officers of the Carolina Casualty Insurance Company, Chairman of the Board, President, Secretary and Treasurer, or either of them, are hereby authorized to execute on behalf of the Carolina Casualty Insurance Company, Powers of Attorney authorizing and qualifying the Attorney -in -Fact named therein to execute bonds on behalf of the Carolina Casualty Insurance Company, and further, that the said Officers of the Company mentioned, are hereby authorized to affix the corporate seal of the said Company to Powers of Attorney executed pursuant hereto ". RESOLVED FURTHER, this Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the company except in the manner and to the extent therein stated. RESOLVED FURTHER, this Power of Attorney revokes all previous powers issued in behalf of the attorney -in -fact named above. RESOLVED FURTHER, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF Carolina Casualty Insurance Company has caused ese presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this /� _ day of ��` dsuga Attest: Carolina' Ca ranee mpany ,,rvveQanarf yn� Gc Spo�. -0a By By Betty Sutherland i son r. Secretary President WARNING: THIS POWER INVALID IF NOT PRINTED ON GREEN "MONITOR" SECURITY PAPER. STATE OF FLORIDA) SS COUNTY OF DUVAL) Sworn to before me, a Notary Public in the State of Florida, this / day of ' 19 9 � , by B et ty C Su the a' d � Ia knoi3cn twine ro be the Secretary of Carolina Casualty In rance Com any. Notary Public, State of Fl ida at Large 1. � ' CERTIFICATE I, the undersigned, Secretary of CAROLINA CASUALTY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a just, true, correct and complete copy of original Power of Attorney that the said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and the seal of the Company, this 19th day of February 2002 ��` NSUgq Secretary ���FYaAT Bet y C Su rland J Sip` � �'nFL0R�4� ya AFFIDA PAYMENT OF DEBTS AND ► D (Instructions on reverse side) OWNER ❑ ARCHITECT ❑ CONTRACTOR SURETY ❑ OTHER ❑ TO OWNER: City of New Hope Gvcurre « nd eldetress) 4401 Xylon Avenue North New Hope, MN 55428 PROJECT: New Hope Village Golf Course (,Vcrnremlctacldress) Clubhouse 8130 Bass Lake Road New Hope, MN 55428 CONTRACT FOR: General Construction ARCHITECT'S PROJECT NO.: CONTRACTDATED: June 26, 2000 STATE OF: Minnesota COUNTY OF: Hennepin The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contact referenced above for which the Owner or Owner's property might in anyway be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G?0, Consent of Surety, may he used for this purpose. Indicate attachment. Cleves ❑ no The following supportii q documents shorrld be attached hereto f f required by the Owner-' 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. 3. Contractor's Affidavit of Release of Liens (AIA Document G706A). CONTRACTOR: The Builders Inc. Cvettrtea,uletreh'ecs) 8100 Wayzata Blvd. Minneapolis, MN 55426 BY: tG f (Sr�quuhnao %axlLwtize Te /�reserttcrtir•e) Crain Moleski, CEO WI ial(ml etctme cutel title) ffi I�dt +�AtS+rvFv v�•'d�.! "'r S�"�''v�"`.e� -.'•_C^,�t'y;`+�rk .3 Subscribed and sworn to befor �. CePEBBCCA A. DAUER NOT,RRY PIJSL?C -` I1 Nora / ry Public: � �!} Commission E r .rac ,Iaq 31, 2005 bly Commission Expires: 1/31/05 CAUTION: You should sign an original AIA document that has this caution printed in red. An original assures that changes obscured as may occur when documents `ale",; `d See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G706 • CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DIB'1S AND CIAIMS 1W 199-1 EDITION • 'AIA • °� =I99 -+ * THE AMERICAN INS ITI "I'E OI' ARCHITECTS, 1-35 NEW YORK AVENGE, NW, WASHINGTON, D.C. 20006 -5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G706 -1994 &����� ����� INSTRUCTION "����� ~�������� I=AIA KOCl]&4�NT (7%,(10IRACTtJK AFFlI)AV\TQF 15AWNT OFIMATUS AND(LAIM8 A. GENERAL INFORMATION 1. Purpose 3jib d'cun, hen d6ccnnuma`run,qoimdu"nx`vidcv^mom ir yio hu°c|ur^yxdoJ.,xcclakndvmcUmed|ry dhcWxcuro,"mkr'DIr�MluN3'/orh,d'x``m,GAmm/g,iuUycxn.v/o.|w no*xokm,iMrm|isYoon. 2. Related Documents ]ffJsd,cvoncn1,ouiybc`/su\v|,bm.etu(Ohc%|Vs rxo,nJumdi/i"uK^ud,u^6Nz and ie ocICz| trio uk^`,u;u|^sdb,uo:dn^'m',[,cvcc !^u}`}wnWAdm`mwn^.u"|vdi/`q 67h t>vxxum,'^ NT b00Bck,va Wk,n�uxd60r.6u,mYu,IS! MxxVmWk^`k^`iumKrbz*.,Iuu,/ouIV, 3. Use of Current Documents P,i.`rw`u.i/`%un) Wm d' h'o,c,xh"xUm"xuk d`,at ,nAuu*n|v^an/ ,hxy'�r.n�.nn,m ,ko,nnincdu.u/nn`,,U�uw'�u^t.kvomox 4. Limited License fao Reprodtlo�oin, auu/u^zu` mu 1, in uu4 04v0e151r,T .^4mxi VA, u1xmum(nmom,r6iw. }uxQm Q4x,| uJ.vum.,`'.� 'mc1bv' in- hu.unl,uu|vud Koh un'x\unx{urukvxqvx0A now! 8,vm* Val dn.Nm aUmhc`|!kcnm� "|uvnnmsmo"`'y'cxuqvc^4x.`m1Juu|'vc^uvm\unn. |m/ NO u Fuohomjoxuk"kowmav!W1U`k�x|"kh.nx d`,oqvce m^ m'� cmWkvwwm uw'ux`xm ponWO,ix`i.v. |^xo No hJA. 11 CHANGES FROM THE PREVIOUS EDITION A/n^"'prQrW`rcm6JxLvxumnxA0o/ beh,u, Wad x`[cm&/hcu,roA;116 "kh.xhrrb,uVmNm|&d^^vu,unsaind��io� C. COMPLETING THE G706 FORM (BvE8NL Tbr (A nor mRnuz'oAQivcmcn, k ,bW o^vd on mac Amquiux| ioix`n»mu, s'ut as /hc um/mo allL uru| 'hc ^xmo WMWWuc'd/hrOv'mz,ymi(oxm)On/umr. A008UEJ.rSPkUB3'N{&: li bib ,mnubm`u |vodS!�u0J0|h)d`cArhocoa^duncodourhckmmi��h�c�m�nuz"� C ATRMTF81Ths,ckxan,UzuoHz'I/hcommmm,u1us^c}cncw|G MOM u�um'W'TIc/huoku v\xk' AFF|W8: lndku& the NImz Old umm!ntar do 1Ntwh b, mukv. Thm Is mx th,smnc kuz*m e Uv Pn*nn lot xh'mN In —w knnW. WTV ,bc mx:ry on audmrbc\ x, w|n.iuivcrawvn 'm0x. l[d`cn an uoy 8A(] P7lOAS m Ow mmon�nt, draw dnmhibclu/,din the ypwx p^^i6,(:mbm`riuumuru^'vom76nzuhu-umipuhrkm't OAcC.muylrv^z'nxzu,lkuW 0x`xrbwthcryhsx,w4ui,c OhcW/oumcx, W allodu`u"rrcy�!`unxpzion Noted unWVn^bdc IBM xuudvr hc G7u0 hmu sxwh! hc4 the ,aox, (cunx` o oUib'm dic`mG78Wl1w ALN dncxo,s; nub&xhm .uxbccuuy:u{6,gi`mdi*cnir7 N,Hruxus 'ww*mnn pcnrioui by rxu xn *uu mrdunxx An bxn Rmrn bv*ub |u'nns� mu, he a:8:bk hxun kr:| ovura` D. EXECUTION OF THE DOCUMENT � I& sot moumhm/Lw(^m/nu'rulzvxNrg Tr "Oka mmuucoouyywmYg `mGQm�md uhou|`i duh sigii od W W dJR 10nL41 nmmioing dh* C'mnrxonr`y ,ignwmu,. 6706/houk| it(,' ^u iv thc C(m,mcux's:udxmxr|m�ruano,�� AFFIDAVIT L RELEASE OF AIA Document G706A (Instructions on reverse side) OWNER ❑ ARCHITECT ❑ CONTRACTOR R SURETY ❑ OTHER ❑ TO OWNER: City of New Hope (Name 1doer(11-e „) 4401 Xylon Avenue North New Hope, MN 55428 PROJECT: New Hope Village Golf Course Ncui cuu(ctrlcGecc) Clubhouse 8130 Bass Lake Road New Hope, MN 55428 STA "I'E OF: Minnesota COUNTY OF: Hennepin ARCHITECT'S PROJECT NO.: CONTRACT FOR: General Construction CONTRACTDA`I'ED: June 26, 2000 The undersigned hereby certifies that to the hest of the undersigned's knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from SUhCOntr'actors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. REBECCA A. BAUER NOTARY PUBLIC - MINNESOTA ` My Commission Expires Jan. 31, 2005 CONTRACTOR: The Builders Inc. (Name and ael(k ss) 8100 Wayzata Blvd. Minneapolis, MN 55426 (Si, ,'nanu (?f'aat1 <7 re/)] esenlrttive) Craiq Moleski, CEO Subscribed and sworn to before me on this date: Notan Public: \ ivly Commission Expires: 1/31/05 0 C AUTION: # s • .. AIA document that has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. = See Instruction Sheet for Limited License for - p r d' r do cument. AIA DOCUMENT G706A • CONTRACIOR'S AFFIDMIT OE RELEASE OF LIENS • 199 -4 EDITION AIA • 1994 • THE AMERICAN INSTI t TE OF ARCHITECTS, 1 NEV' YORK AVENt'E, NAY, WASHINGTON, D.C. 20ooe 5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. I 0liT�:� 0 1 A� INSTRUCTION SHEET F()R \1A (w\jTRj�cT(1 AIFFIFAVIT01� RFJ,1 ()F LIEN'S A. GENERAL INFORMATION 1, Purpose 2. Related Documents i 1 ,t' A i Ui .w�t w : t.' ,Y.t �i`.,ti Ii i .s', )£.. H I illns. "'Lk i I A'.", .'k2 in"! its 1 f,k I ££!v , A' )n lk crf As 1t b; Z) t� to [A (,3 7W �MW�i 01 �c !WUlt - 3. Use of Current Documents ,u �hc ml„ ,F , }, 0 MA ,In !0 k cc ,ps m+ nt J )r 1;: t law U�.s lo 4. Limited License for Reproduction T) t.;ilF Y @ r tft A L (W t , C! r evv� ptod f , m in .hc "ITI 'N �1 C� M�� M I ht, d, K mllNc 0 dhc do r ; e , i ",--) ," 1, i,r teirk� hcr," k ,�,l k I 1� t rq w �d� I n,�C- J^, iw ml,<l �Znw� 1 ;i� hc �1 3r !CBJ Wrs. i€l I he i l l ' u t k • -,t2 4 A-(1 li; c', l U 1 1, tn h�, r :v kj J,, t, rt - tw c ( w l i( t- wirlik"i i"I ;'� ~a 0 th" n kjn,ii t �1 h'i' m Ci v )I iol li., N l ALI, or uf M"k th tt h hel 1� pl odun � pul lirnift .1 qn the AtA, t,l L !t - m�l i �4'tC�� "'J. �"nw�k -1 W"'d lwk ill "n \Nah 't I �alyi� uklr ��n ��ok Funht, r�2rl arc pnAJN�rd Hv i Ow - I I i - , I �, " - , " � I -, #• 1 ( d &,(, Q UA, B., CHANGES FROWTHE PREVIOUS EDITION k 7 t c - MA � t, w7 l€ .1u,, 1 1 ? Lq_vl v" t A I .,. a, fl ics CaR A�' icw liit hue C. COMPLETING THE G706A FORM , I � I Al .t 1 1""k irk 0 it t, M % Pr ;cci ind si `£t ";: 's { } #'. AP( "I W1 F�, 1 K( ' f"i u H+ �t P�k 0 An, i :i£ cc� C1, (11 k-C, 1 t i lC 11 1 [if" 'm r i " 11 t t. h :i 1 l' « . i,l 0 t , It ,F'34 t 11," Al"'KiX, i uk 6, t , . i the ,.mw lo tJun z h , Pr)jt °ct, b;; is If am' 1 Fh ul„ i'w I -, ��w. ti t hc tn tv:0 1; (10 kc: t - N -lit �l mav N: 4 dl( Conu (. I Thc rt "hc Coi " tU;to(w w „ vl,ek ,t hopd t c C.l, Yl H Acb(hvll. I I no )t -i - hvk asc or V, "sil cn )f Li f , C, 4M U f li ws Lc t jum" (1$ - -1, N 0tc di. it arious M"M-1 I , -ntj, tax` "-m,h pitlj! t OtE, tar Tv �r- qn 0 t4 MJv N "I"ith kA D. EXECUTION OF THE DOC "'h 15ki dl!iv -1. ! 9r. it lh:s w ti hv Thc 4`94 WSTRUCflON SHEET' FOR AiA DOCUMENT G7 06A £i 11 T OF {, : " :'E',\ tRK \:\ d G706A-1994 Leone Valerie From: French Shari Sent: Tuesday, April 29, 2003 2:06 PM To: Leone Valerie Subject: FW: More Claims re: The Builders Just to keep you in the loop on this final payment business: - - - -- Original Message---- - From: Sulander Daryl Sent: Tuesday, April 29, 2003 1:58 PM To: French Shari Subject: RE: More Claims re: The Builders yes, any claim would need to be made to the surety company. - - - -- Original Message---- - From: French Shari Sent: Tuesday, April 29, 2003 1:39 PM To: Sulander Daryl Subject: FW: More Claims re: The Builders So can we then release the final check based on what Cheryl says below once the final IC -134 is received ?? - - - -- Original Message---- - From: Cheryl Badinger [mailto:cbadinge @evcm.com] Sent: Tuesday, April 29, 2003 9:51 AM To: French Shari; 'Mark Thiede (E- mail)'; 'Steve Sondrall (E- mail)' Cc: Sulander Daryl; Severson Mark; Corbett Jim Subject: RE: More Claims re: The Builders Shari: I visited with the Premier Rest Supply and they have requested the IC -134 from their sub who did the install and will then send into the state. She said it takes about a month with the state for the IC -134. Premier has been paid in full by the Builders and will send the final lien waiver for payment in full with the IC -134. As for the remainder of the IC -134, to the best of our knowledge, all the sub contractors submitted the IC -134 and were included in the binder I submitted to you. As for unpaid subcontractors, if they are not paid I have provided them with the bonding information. They are to file under the payment bond. The last letter from Kellington Construction, they were provided with the bond information however, chose not to file. The contractors are to contact the bonding company. The Builders are in default and the bonding company (surety) are now handling the final disbursement of the account. I do not believe the city would be liable for the unpaid contractors, this is the reason for the payment bond. Steve can provide further insight on this. I will forward Premier's IC -134 and lien waiver upon receipt. Cheryl. 1 E &V a 3D /I Group Cheryl Badinger, Project Management 5801 Duluth Street, Suite 345, Minneapolis, Minnesota 55422 direct t: 763.367.1136 office t: 763.545.1355 f: 763.545.1346 cbadinge @evcm.com Date: 4/29/03 - - - -- Original Message---- - From: French Shari [mailto :sfrench @ci.new- hope.mn.us] Sent: Monday, April 28, 2003 9:40 AM To: Cheryl Badinger (E- mail); Mark Thiede (E- mail); Steve Sondrall (E -mail) Cc: Sulander Daryl; Severson Mark; Corbett Jim Subject: More Claims re: The Builders I got a letter from another sub on the clubhouse project stating that they have not been paid - Kellington Construction. That's 3 correspondences in a couple of weeks - 2 by phone and this one by letter. At this point we are holding their check until we get the IC -134 from the company who installed the sink. How do we know we have all the rest of the IC -134's is my first question. My second question is how do we know the Builders will pay off all these people when they get our final payment? What is our liability if they do not pay them all ?? How should we be handling these subs ? ?? Parks and Recreation... Discover the Benefits Shari French, Parks & Recreation Director City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 763 -531 -5152 763 -531 -5136 (fax) sfrench @ci.new- hope.mn.us 2 CLOSING DOCUMENTS Index A. Evidence of Compliance with Governing Agency B. Certificate of Occupancy and Substantial Completion C. Inspection Record D. Lien Waivers E. Minnesota Internal Revenue Form mc- 13 F. Certificate of Insurance r#1Wj . q3MM . • H. Change Orders I and 2 I. Field Test Reports J. Shop Drawings -- submitted separately K. Concrete Design Mixes L. Reinforcing Listing M. MSDA Sheets, Carpentry, Drywall and Miscellaneous N. Paving Warranty O. Site Concrete Warranty P. Millwork Warranty Q. Fiber Glass Insulating Warranty R. Wood Door and Hardware Warranty S. Metal Access Panel Warranty T. Coiling Door Operation Manual U. Carpet and VCT Product Specifications and Warranty V. Division Ten — 0 & M and Warranty Information W. Window Warranty X. Completed Punch List Y. Final Pay Application and Associated Documentation September 8, 2000 TSP One, Inc. beverage machine. 21 water Street Lynn A. Moore Excelsior, MN 55331 Hennepin County Minneapolis, MN Rochester, MN Community Health Department phone (952) 474 -3291 1011 South First Street, Suite 215 fax (952) 474 -3928 www.teamtsp.com Hopkins, MN 55345 -9413 Rapid City, SD Sioux Falls, SD Re: New Hope Village Golf Course Clubhouse TSP4 99732 Architecture require preparation such as cutting or combining or otherwise preparing. Engineering Dear Lynn Interior Design This letter is in response to the Community Health Department Review of the Offices in Minneapolis New Hope Village Golf Course Club House plans. The following responses and Rochester, MN correspond numerically with your review comments dated 7/17/00: Equipment: 1. All equipment specified by the foodservice consultant or provided by the owner will be NSF listed. An NSF rated electric booster heater will be added to the piping serving the 3- compartment sink. The specified model will have a 6 KW heater element, 5- gallon storage tank, and a recovery rate of 82 gallons per hour at 30 F temperature rise. 2. At this point no used foodservice equipment will be used on this project. If it is used it will have been previously approved by Hennepin County and carry an NSF label. Plumbing: 1. The specifications require the Mechanical Contractor to comply with all applicable state, local and other rules-and ragulations. Plans have been submitted to the Minnesota Department of Health for review. 2. A double check valve with an intermediate atmospheric vent type backflow preventer will be added to the water line to the carbonated An Equal Opportunity, Affirmative Action Employer beverage machine. AFFILIATED OFFICES 3. The main building water heater will provide hot water to the hand wash sinks at 110 -130 F, and the electric booster heater will provide 140 F hot Minneapolis, MN Rochester, MN water to the 3- compartment sink. Denver, CO Fort Collins, CO Marshalltown, IA Sinks: Rapid City, SD Sioux Falls, SD 1. The plan is designed around a menu with food products which do not Sheridan, wv require preparation such as cutting or combining or otherwise preparing. An Equal Opportunity, Affirmative Action Employer 2. Hand soap, paper towels and covered trash cans will be provided by the owner for food preparation by guests. 3. A splash guard will be added to the hand sink adjacent to the worktable, item #9. 4. The City of New Hope will provide proper signage. 5. The three compartment sink specified for this project includes bowls large enough to accommodate the largest piece of equipment used (coffee maker). Storage: 1. All work counters/ worktables are specified with 6" legs. 2. The owner will provide a separate area for storage of personal belongings away from food and cleaning equipment. 3. One of the closed work counter base cabinets is to be designated by operator for general cleaning chemicals. There is a remote janitor's closet with mop, sink and chemical storage in the facility. Installations: 1. Section-11400 Foodservice Equipment Specifications require the Foodservice Equipment Contractor to seal all junctures and annular openings as described in specifications. 2. The Plumbing Contractor will be informed of the requirement to ensure the ends of the 6 -inch diameter pipes serving the beverage machines must extend 3 -4 inches above the floor line and that the ends must be sealed. 3. All floor mounted equipment is specified with 6" legs or casters. There are no enclosed unfilled bases specified. 4. All countertop equipment is mobile or on 4" legs for ease of cleaning. Room Finishes: 1. Room finishes for 108 and 104 will be revised to have FRP extend from floor to ceiling. 2. The ceiling finishes in rooms 103, 104 and 108 will have finishes that are smooth and easily cleanable. 3. The scheduled floor finish in room 108 will be revised to a ceramic floor and base tile similar to the food preparation areas. Epoxy grout will be utilized for the joints. 4. The hardware group identified for the toilet rooms include closers. Adequate ventilation will be provided that meets the appropriate codes. The owner will provide paper towel dispensers and covered trash containers. 5. All exterior doors will be provided with closers. Lighting: 1. Additional light fixtures will be added to the food preparation/ warewashing area so a minimum lighting level of 70- footcandles 30" off the floor is achieved. 20 footcandles is currently provided in the storage rooms. 2. Light fixtures specified will be modified to include shielding over food storage, preparation, display and over utensil cleaning and storage areas. Minnesota Clean Indoor Air Act (MCIAA): 1. The entire building will be designated as no smoking. Appropriate signage will be provided by the owner. Miscellaneous: 1. The general contractor is required to obtain all required permits. 2. The City of New Hope has had direct communications with Hennepin County regarding training for food handlers. I hope that this letter addresses all of your concerns and comments for the above referenced project. Please notify us of your approval at your earliest convenience. Please feel free to contact me if you have any further questions. TSP One Inc. Mark Thiede Copies File Shari French, New Hope Cheryl Badinger, E & V Mark Gorksi, The Builders Terry Pellegrino, Robert Rippe and Associates TsP One, Inc. October 9, 2000 1500 Highway 52 North Rochester, MN 55901 phone (507) 288 -8155 fax (507) 288 -7220 Corey A. Frain www.teamtsp.com Public Health Engineer Environmental Health Services Section Architecture PO Box 64975 Engineering St Paul, MN 55164 -0975 Interior Design Re: New Hope Golf Course Clubhouse Offices in Rochester New Hope, Minnesota and Minneapolis, MN TSP Project No. 99732 Plan No. 01 0237 This is in response to your letter dated August 9, 2000. Item 1. The new buried water and sewer meet the requirements of Minnesota Rules, part 4715.1710, subpart 2.D. The sewer pipe is specified to be either PVC or cast iron, and the water service is Type K copper. 2. Noted. AFFILIATED OFFICES Rochester, MN Minneapolis, MN Denver, CO Fort Collins, CO Marshalltown, IA Rapid City, SD Sioux Falls, SD Sheridan, WY 3. Noted. 4. The backflow prevention on the lawn sprinklers, Detail 10/P101, mistakenly identified the Watts Model 008QT as an atmospheric vacuum breaker, when it actually is a pressure vacuum breaker. This allows control valves down stream and allows continuous line pressure. 5. The fire sprinklers and domestic water service are not combined, and backflow prevention is provided on each service. 6. The coffee maker, cappuccino machine, ice maker, and slushie machine will be provided by the Owner. We will advise them that if the equipment they provide has submerged inlets, or inlets below the spill line of the fixture, they are required to provide approved backflow prevention assemblies as specified by code. An Equal Opportunity, Affirmative Action Employer TSP Project No. 99732 - 10/9/00 Corey A. Frain 7. A Watts Model 9131) double check valve assembly with intermediate atmospheric vent will be added to the water line preceding the carbonated beverage machine. We will state to not use any copper tubing downstream of the backflow prevention. 8. Noted. 9. Noted. TSP One, Inc. Melvin J. P.E. cc: Doug Sandstad, New Hope Building Official Del Matasovsky, City of New Hope Mark Thiede, TSP One, Inc. Bob Kichoff, The Builders Enclosure oco900MJsS -2- Plans Dated: May 22, 2000 Date Received: July 24, 2000 Date Reviewed: August 9, 2000 SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The review is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should be retained at the project location for future reference. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be covered prior to completing the required tests and inspections. Provisions must be made for applying an air test at the time of the roughing -in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code. A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the finished plumbing inspection. It is the responsibility of the contractor /installer to notify the State Health Department when the installation will be ready for a test and inspection. To schedule inspections, contact the state plumbing standards representative for your region, or call the metro office at 1- 800 - 926 -6216, or Gary Topp at 651/215 -0841. REQUIREMENT(S): 1. The new buried water supply crosses the existing building as shown on Sheet C4. All underground sections of building drain and building sewer pipe located within 10 feet horizontally of underground water service pipe must be constructed in accordance with Minnesota Rules, part 4715.17 10, subpart 2. 2. The three - compartment sink shall be trapped in accordance with Minnesota Rules, part 4715.0900. Fixture traps must be located within 30 inches of each compartment outlet. No more than two traps may be served by a common vent. Each waste outlet and trap must be at least two inches in diameter. 3. Fixture vent connections must be taken off the dedicated fixture branch, rather than the main waste line as shown on the submitted waste and vent riser diagram. This is in reference to the water closets. 5 a� ` KJD FAG __ RRL MINNESOTA DEPARTMENT OF HEALTH JSG 1 WTM _ M t 4 Division of Environmental Health cHE P _ JGS ., Dti48 REPORT ON PLANS DWH PiLA _ CKJ CLH — GPE _ _ GPR Plans and specifications on plumbing: New Hope Village Golf Course Clubhouse, RM Base UAL Road;� New Hope, Hennepin County, Minnesota, Plan No. 010237 ARH BRS PRH — JAN SZMA DGW MrAl'i �. MQS m . OWNERSHIP: City of New Hope, c/o Ms. Valerie Leone, Clerk, New Hope City HNkh 4401 Y Cyion Av North, Minneapolis, Minnesota 55428 JHG — EAN _ fiSp, SUBMITTER(S): TSP One, Inc., Architects and Engineers, 1500 Highway 52 NorV, JEP Rochester, _ LED Minnesota 55901 Pile :�_ Plans Dated: May 22, 2000 Date Received: July 24, 2000 Date Reviewed: August 9, 2000 SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the Minnesota Plumbing Code, as amended, apply, and does not cover the water supply or sewerage system to which this plumbing system is connected. The review is based upon the supposition that the data on which the design is based are correct, and that necessary legal authority has been obtained to construct the project. The responsibility for the design of structural features and the efficiency of equipment must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included in this report. Special care should be taken to insure that the material and installation of the plumbing system are in accordance with the provisions of the Minnesota Plumbing Code. A copy of the approved plans and specifications should be retained at the project location for future reference. INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be covered prior to completing the required tests and inspections. Provisions must be made for applying an air test at the time of the roughing -in inspection as outlined in Minnesota Rules, part 4715.2820, subpart 2, of the code. A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the finished plumbing inspection. It is the responsibility of the contractor /installer to notify the State Health Department when the installation will be ready for a test and inspection. To schedule inspections, contact the state plumbing standards representative for your region, or call the metro office at 1- 800 - 926 -6216, or Gary Topp at 651/215 -0841. REQUIREMENT(S): 1. The new buried water supply crosses the existing building as shown on Sheet C4. All underground sections of building drain and building sewer pipe located within 10 feet horizontally of underground water service pipe must be constructed in accordance with Minnesota Rules, part 4715.17 10, subpart 2. 2. The three - compartment sink shall be trapped in accordance with Minnesota Rules, part 4715.0900. Fixture traps must be located within 30 inches of each compartment outlet. No more than two traps may be served by a common vent. Each waste outlet and trap must be at least two inches in diameter. 3. Fixture vent connections must be taken off the dedicated fixture branch, rather than the main waste line as shown on the submitted waste and vent riser diagram. This is in reference to the water closets. New Hope Village Golf Course Clubhouse Plumbing Plan No. 010237 Page 2 August 9, 2000 4. The installation of an atmospheric vacuum breaker does not allow a control valve on the discharge side of this type of backflow preventer as shown on Diagram 10/P 101. It must be located at least 6 inches above the highes k jAnkler head, there must be no possibility of back pressure, and no more than eight hours of continuous line pressure is permitted (see Minnesota Rules, part 4715.2100). The direct connection between a potable water supply and the lawn irrigation system shall be provided with an approved backflow preventer in accordance with Minnesota Rules, part 4715.2020 and part 4715.2110. 5. The combination fire protection/domestic water service shall comply with the backflow protection requirements of AWWA -M14, Chapter 6 (1990) with the exception that the following statement is deleted from section 6.3: "At any time where the fire sprinkler piping is not an acceptable potable water system material, there shall be a backflow - prevention assembly isolating the fire sprinkler system from the potable water system." 6 Water supply connections to fixtures or equipment which have submerged inlets, or inlets below the spill line of the fixture or equipment, must be provided with an air gap arrangement, approved backflow preventer or backflow preventer assembly as specified in Minnesota Rules, part 4715.2000 and part 4715.2010. This shall include the coffee maker, cappuccino machine, ice maker, and slushie machine connections if applicable. T The waterline to post- mix -type carbonated beverage machines must have an approved stainless steel double -check valve backflow preventer with intermediate atmospheric vent installed preceding the carbonator. In addition, there should be no copper tubing in the system downline of backflow preventer to preclude the possibility of copper poisoning. 8. PVC plastic pipe used for the sanitary sewer must comply with ASTM Standards D 2665, D 2949, D 3034, F 789 or F 891. 9. PVC used for subsoil drainage systems must must comply with Minnesota Rules, part 4715.0620. NOTE(S): 1. The scope of this project consists of constructing a golf clubhouse. Installation includes a water heater, a water cooler, a mop sink, a picnic area prep sink, a hand sink, a three - compartment sink, and bathroom fixtures. 2. The building is served by new municipal sewer and water services. Authorization for construction in accordance with the approved plans may be withdrawn if construction is not undertaken within a period of two years. The fact that the plans have been approved does not necessarily mean that recommendations or requirements for change will not be made at some later time when changed conditions, additional information, or advanced knowledge make improvements necessary. New Hope Village Golf Course Clubhouse Plumbing Plan No. 010237 Page 3 August 9, 2000 Approved: Corey A. Fran Public Health Engineer Environmental Health Services Section P.O. Box 64975 St. Paul, Mimesota 55164 -0975 651/215-0844 CAF:mak cc: TSP One, Inc. City of New Hope Mr. Doug Sandstad, Building Official Mr. Del Matasovsky, City of New Hope Plumbing Unit File May 18 01 (17:56a Lakeland Mechanical, Inc. 7634788124 Lakelaind VNIMI* 73.1 Tower Drive - Medina, MN 55340 Bus: (763) 478-8172 - Fax.- (763) 478-8124 Api 18, 2(X)J Cit - y of New Hope 44 Xylon Ave N. New I-lope, MN ,5.51.28 Att.mtion: Plumbing Inspector Re. New Hope Golf Club Permit # n9 Grcetings, We have been requested to notify the city that we are in compliance with the requirernents set forth by the Minnesota Department of Health. This is based on the Report on Plans reviewed on August 9. 20oo. Specifically, we have been instructed to provide information on two of the items listed. Requirement o The three-compartment sink is piped with three traps and each trap is individually vented. Requirements The fixture vent for the water cl i taken fiom the dedicated flxture. branch, We hope this information is beneficial. Please feel free to call ifyou have further questinn,q. Sincerely, Lake.-land Nlechanical, Inc. /0 l ay ;Michaud p.2 Y o Certificate of Occupanc . • w r CommercallIndustrial r ate _ x r x IIi i f' i Locatlonf ,8130 Bass Lake Road Jssued: ;:5 /18/2001 ` . Issued to: The B uilders, Inc: �; Permit: 15703 y „ r This certifies that _we have accepted the construction at the above location, situated on Section 6; Township 118, Range 2,1, Village Green Golf Course in the City, New Hope and . find that the same complies, to the best of our knowledge and belief, with all the requirements ` F of the. ordinances of the ,city relating thdreto. , Provision is hereby given' fad the oc anc of , ,p Y -said building, in whole; or in part, in the manner for the purpose, herein below specified. W B Occupancy P y , a 3600 sq ft. C _ * oug as ' E. Vdstad, Buddin 9 . OtMial , . y ri � ' 3 •i t ; it } , . i jl , .1. + i, fii c �. "�. r P fit, TSP One, Inc. 21 Water Street Excelsior, MN 55331 DATE: October 19, 2001 phone (952) 474 -3291 TO: Mark Gorski fax (952) 474 -3928 The Builders www.teamtsp.com 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 Architecture RE: New Hope Village Golf Course Clubhouse TSP One # 99732 Engineering Interior Design WE ARE SENDING YOU: (X) HEREWITH () UNDER SEPARATE COVER Offices in Minneapolis FOR YOUR: (X) USE ( ) FILES ( } INFORMATION ( )APPROVAL and Rochester, MN QTY DATE DESCRIPTION 1 5/2/01 Certificate of Substantial Completion- Interior 1 8/1/01 Certificate of Substantial Completion- Exterior REMARKS: Mark- These are for your records. AFFILIATED OFFICES Minneapolis, MN Rochester, MN Denver, CO Fort Collins, CO Marshalltown, IA Rapid City, SD Sioux Falls, SD Sheridan, WY SIGNED: Mark Thiede TRANSMITTED BY: ( X ) MAIL ( } MESSENGER (314R-) ( ) EXPRESS MESSENGER ( ) UPS ( ) HAND DELIVER ( ) MODEM COPIES TO: File An Equal Opportunity, Affirmative Action Employer C M Electr . OWNER I N ARCHITECT IN CONTRACTOR [ } FIELD [ ] OTHER [] THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (Name and address) New Hoae Villaze Golf Course Club House New Hope, Minnesota F (Name and address) City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 DATE OF ISSUANCE: August 14, 2001 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Interior Work PROJECT NO.: 99732 CONTRACT FOR: General Construction CONTRACT DATE: June 26, 2000 TO CONTRACTOR: (Name and address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the ,progress of the Work when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the. Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as May 3, 2001 which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below list of items to ge completed or correctel is attacFeU Eereto. a 177re to me u e any items on sucR list loes not alter Me responsibility of the Contractor to complete all Work in accordance with the Contract Documents. TSP One, Inc. ARCHITECT 'E DATE The Contractor will complete or correct the Work on the list of items attached,, hereto ,within Thirty days from the above Date of Substantial Completion The Builders, Ina CONTRACTOR BY" DATE The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof at 12:01 (time) on May 3, 2001 (date). rl City of New Hope / = / L �f L IZ � OWNER $ DATE e response I ihes o e Owner and the Contractor 15F secunty, maintenance, Mat, uti Iles, aamage to Fie Tor7ana insurance AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE )F ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 User Document: G704 -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 sh a I Fb as TOM (Note -- Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) The City of New Hope assumes all responsibility for security, maintenance, heat, utilities, damage to the work and insurance for work on the interior that is substantially complete. Same responsibilities for the exterior will be assumed b the Owner when the exterior work is substantially complete. _ AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 User Document: G704 -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #2 TSP One, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 water Street GENERAL CONSTRUCTION PUNCH LIST Excelsior, MN 55331 phone (612) 474 -3291 GOLF COURSE CLUBHOUSE fax (612) 474 -3928 CITYOF NEW HOPE TSP PROJECT NO. 99732 Architecture DATE OF PUNCH LIST: May 2, 2001 Engineering Interior Design PRESENT: Mark Thiede, TSP Jodelle Keim, TSP Offices in Minneapolis Mark Gorski, The Builders and Rochester, MN Bob Klrchoff, The Builders Cheryl Badinger, E &V Shari French, City of New Hope Jim Corbett, City of New Hope EWPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No column for the items not corrected. Yes No General Notes 1. Clean all tile floor areas 2. Remove grout from tile at wall perimeters and install control joints AFFILIATED OFFICES 3. Wipe all surfaces Minneapolis, MN 4. Recoat all door frames Rochester, MN Denver, Co 5. Stain and finish all trim ends Marshalltown, IA Rapid City, SO 6. Fill nail holes on all millwork Sioux Falls, SD Sheridan, WY An Equal Opportunity, _ 1 Affirmative Action Employer Seating 101 Pro Shop 102 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. Fill all misc. nail holes Ease mitered edges of trim and stain/finish Paint fire protection pipe and valves Remove debris from closer of door 101B Adjust door spacing and install weather - stripping on doors 101C and 101B at lockset Clean door thresholds Adjust doors 101C and 101B so doors don't hit fireplace wall Nick in Southwest window sill Wood base in Southwest corner is raised above floor N isc. marks and nicks on all walls Angle of fireplace mantle base is incorrect Change fireplace mantle pillastors to close gap between trim and file Replace damaged tile near door 101 C Touch up ceiling near fire protection valve and along ceiling trim N isc. touch -up on all painted walls Clean water marks from trim above entry doors Repair misc. nicks in trim above entry doors Clean pendent lights Clean truss plates /remove overspray Clean paneling adjacent to trusses Touch up ceiling access doors Clean entry doors Wipe down storefront frames Touch up wood base at outside comer Touch up ceiling along display wall (exposed screws) Install sealant at window trim and walls Nlisc. nicks and marks on South wall Wipe down wainscot Touch up ceiling at Southwest comer -2- Counter Sales 103 36. 37. 38. Food Prep 104 _ 39. _ 40. _ 41. 42. !-1_l�l_7i Install sealant around window trim and wall Wipe down walls Stain and finish back edge of soffit trim Install splash guard at hand sink Wipe down all walls Install sealant at window frame and wall Provide missing shelf in casework 43. Touch up ceiling near door 110 44. Touch up misc. marks on South wall 45. Install sealant at file /wood base joint Hall 106 1 46. Clean door and frame 106 47. Remove grout from threshold from door 106 and install sealant 48. Touch up all walls of nicks and marks 49. Sprinkler head cover plate near transfer grille does not cover opening 50. Touch up ceiling north of drinking fountain and west of door 106 51. Install sealant between door trim and the Vestibule 107 52. Touch up nicks and marks on West, East, South walls 53. Stain and finish trim edges MIE Storage 108 54. Remove grout and install sealant between door frame and 55. 56. 57. 58. 59. Mechanical 109 _ 60. _ 61. 62. 63. Office 110 file base Repair top edge of door 108A Wipe down all walls Touch up ceiling above pipes Touch up nick near sprinkler head Touch up ceiling above door 108A Install vinyl base Clean/remove debris and excess material Touch up all walls Touch up ceiling access door 64. Install wood base and sealant 65. Trim carpet around floor safe 66. Touch up all walls of misc. nicks and marks Womens 111 67. Replace wall tiles below full length mirror with holes in them 68. Touch up ceiling above fire alarm 69. Remove grout from door frame and install sealant 70. Wipe counter and protection panel Mens 112 71. Wipe counter and protection panel 72. Rake out grout at wall perimeter and install control joint 73. Remove grout from door frame and install sealant _ 74. Clean floors 75. Exhaust fan not operating M Exterior 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. Paint exterior Install downspouts Install access paths Install bituminous Finish grade and landscape Install irrigation system Finish trash enclosure Install exterior lighting Install all exterior sealant Install BBQ grills and concrete pad Install exterior sink and overhead door End of General Construction Punch List. TSP One, Inc. - VA Mark Thiede The above deficiencies have been corrected except where checked "No ". For the items not corrected, an explanation is included. Contractor's Signature Date WIE TSP One, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 Water Street ELECTRICAL & MECHANICAL PUNCH LIST Excelsior, MN 55331 phone (952) 474-3291 PROJECT NAME New Hope Golf Course Clubhouse fax (952) 474-3928 LOCATION (CITY, STATE) New Hope, Minnesota www.teamtsp.com TSP PROJECT NO. 99732 DATE OF PUNCH LIST: May 16, 2001 Architecture Engineering PRESENT: Chuck Bodmer, TSP Interior Design Mel Smestad, TSP Offices in Minneapolis COPIES TO: Mark Gorski, The Builders and Rochester, MN Bob Kirchoff, TheBuilders Cheryl Badinger, E & V IMPORTANT NOTE: The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No column for the items not corrected. Yes No General Electrical Items I Provide operation and maintenance instruction manuals, complete with as-built drawings. Room 101 AFFILIATED OFFICES Minneapolis, MN 1. Tighten cover on voice data outlet just east of main entrance Rochester, MN door in south wall. Denver, CO Fort Collins, CO M IA pid City, SD 2. Adjust Type "H" light fixtures to make bowl rims level. Sioux Falls, SD Sheridan, WY 3. Remove dirt from inside Type 'Tr' light fixture bowls. An Equal Opportunity, Affirmative Action Employer 1 r� M 1. Repaint covers of large pull/junction boxes above the panelboards on the east wall. 2. Connect the unterminated wire hanging from the fire alarm control panel. 3. Provide typewritten circuit directories in the panelboards. Room 110 1. Install receptacle cover plate tight to wall (north receptacle, west wall). Outdoors _ 1. Clean dirt and bugs from inside Type "E" downlight fixtures. 2. Adjust pendant of northwest Type " F" light fixture to make it plumb. Mechanical Items Outside Building 1. Complete gas meter connection. 2. Missing one fire sprinkler head at the northeast corner of Picnic Area. 3. Install sink in Picnic Area and connect to piping. 4. Caulk the fire sprinkler drain pipe penetrations through the outside wall in the Picnic Area and at the south wall of Room 101. Room 101. 1. Paint exposed fire sprinkler piping in the Picnic Area. 2. Provide a screen over the sump pump discharge pipe to keep animals from entering. -2- Rooms 103 & 104 1. Cold water piping inside cabinets are not insulated. 2. Missing the ADA compliant pipe covers under hand wash sink P -9. Room 108 _ 1. Cold water and hot water piping is not insulated. 2. Room is too hot, adjust supply diffuser to more CFM. Room 109 1. Missing vinyl bumper guards on mop basin P -6. — 2. Missing exterior insulation on fresh air intake ductwork. 3. Cold water and hot water piping is not insulated. 4. Missing the backflow prevention at the building water service. 1. Clean off sticker on water closet in non - handicapped stall. General Items 1. Provide Balancing Report for HVAC system. 2. Provide O &M manuals and shop drawings for all installed equipment. 3. Provide fire sprinkler system Certificate of Acceptance. 4. Provide special tools for fire sprinkler system and extra fire sprinkler heads. 5. Provide Certificate of Inspection for plumbing system. -3- 6. Provide plumbing fixture and wall hydrant keys. End of Punch List TSP ONE, INC. �2 Mark Thiede The above deficiencies have been corrected except where checked no . For the items not corrected, an explanation is included. Contractor's Signature Date M Certificati o f i' OWNER I N ARCHITECT I N CONTRACTOR FIELD [ ] OTHER [ ] THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (Name and address) New Hope Village Golf Course Club House New Hope, Minnesota PROJECT NO.: 99732 CONTRACT FOR: General Construction CONTRACT DATE: June 26, 2000 TO OWNER: (Name and address) City of New Hope 4401 Xvlon Avenue North New Hope, Minnesota 55428 DATE OF ISSUANCE: August 14, 2001 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Exterior Work TO CONTRACTOR (Name and address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 The Work performed under this Contract has been reviewed and found, to the Architect's best knowledge, information and belief, to be substantially complete. Substantial Completion is the stage in the progress of the Work when the Work or designated portion thereof is sufficiently complete in accordance with the Contract Documents so the Owner can occupy or utilize the Work for its intended use. The date of Substantial Completion of the Project or portion thereof designated above is hereby established as August 1, 2001 which is also the date of commencement of applicable warranties required by the Contract Documents, except as stated below l ist of items to Se compl eted or correcle is attacheU hereto. 7e at ure to me u e any items on sucH list loes not a ter e responsibility of the Contractor to complete all Work in accordance, with the Contract Documents. TSP One, Inc. v j rE " -� t l � C �F ; If 4— ARCHITECT BY � � DATE i The Contractor will complete or correct the Work on the list of items attac�ed he to within Thirty days from the above Date of Substantial Completion The Builders, Inc. CONTRACTOR BY DATE The Owner accepts the Work or designated portion thereof -as substantially complete and will ssume full possession thereof at 12:01 (time) on August 2, 2001 (date). City of New Hoe t L %{ OWNER BY DATE e responsigil oF Tie Z37ner anU Me Contractor 177 security, maintenance, 5eat, uh MS, l amage to Me TorT an7 insurance AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006- 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 r Document: G704EXTERIORWORK.DOC -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 sTall Ge as o ows: (Note -- Owner's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage.) The City of New Hope assumes all responsibility for security, maintenance, heat, utilities, damage to the work and insurance AIA DOCUMENT G704 - CERTIFICATION OF SUBSTANTIAL COMPLETION - 1992 EDITION - AIA - COPYRIGHT 1992 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C., 20006 - 5292.. WARNING; Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format G704 - 1992 r Document: G704EXTERIORWORK.DOC -- 8/14/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #2 TSP one, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 Water Street EXTERIOR PUNCH LIST Excelsior, MN 55331 phone (952) 474 -3291 PROJECT NAME New Hope Golf Course Clubhouse fax (952) 474 -3928 LOCATION (CITY, STATE) New Hope, Minnesota www.leamtsp.com TSP PROJECT NO. 99732 DATE OF PUNCH LIST: August 1, 2001 Architecture Engineering PRESENT: Mark Thiede, TSP; Interior Design Bob Kirchoff, The Builders Offices in Minneapolis COPIES TO: File; and Rochester, MN Mark Gorski, The Builders; Shari French, City of New Hope; Cheryl Badinger, E &V Consultants IMPORTANT NOTE The following list: of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be- marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No colurrin for the items not corrected. Yes No General Exterior Items An Equal Opportunity, Affirmative Action Employer — l . Replace damaged portion of gutter at northeast corner of the picnic shelter. 2. Exterior soffit light lenses are filled with dead insects. Remove and seal off fixture from insects. AFFILIATED OFFICES 3. Seal all corners, gaps, joints and penetrations in composite Minneapolis, MN material in picnic shelter canopy. Rochester, MN Denver, CO -- 4. --- Paint light fixture P pendants in picnic shelter to match g Fort Collins, CO adjacent surfaces. Marshalltown, IA Rapid City, SD _ _ 5. Install cabinet and coiling door in picnic shelter. Sioux Falls, SID Sheridan, WY -- 6. Seal pipe penetration near cabinet opening in picnic shelter. p p p p g p An Equal Opportunity, Affirmative Action Employer 7. Paint electrical meter box and conduits to match adjacent surfaces. 8. Install sealant around chimney at soffit. 9. Replace cracked concrete sidewalk near south entrance. 10. Resecure all hip roof vents 11. Replace cracked concrete sidewalk near west door stoops. 12. Provide hole for stake at east side of trash enclosure. End of Punch List TSP ONE, INC. It B 'V v uwcy Mark Thiede The above deficiencies have been corrected except where checked no . For the items not corrected, an explanation is included. Contractor's Signature Date ~ 'Yl��� ���` THE ^�. ^_v�/x^��r»^x �� INC. 8l0O Wayzata Blvd- Miozicupolis.MN 55426 Fax: 763-545-3209 Phone: 763-545-3217 To: TSP[*NE INC 21 WATER STREET EXCRLS|[)R.K8N55831 VVe are sending you: F� Attached Via: the following items: F] Shop Drawings F] Specifications R Copy of Letter R Change Order Date: 8/23/01 Attention: MARK THIEDE Re: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE R Under Separate Cover Plans samples Prints Addenda Copies No. Description 3 CERTIFICATE OF SUBSTANTIAL COMPLETION EXTERIOR 3 CERTIFICATE OF SUBSTANTIAL COMPLETION INTERIOR THESE ARE TRANSMITTED ea checked below: [-� For approval n Approved aosubmitted CN Fnrynuruue F] Approved asnoted nX As requested n Returned for corrections Fl For review and comment �l FOR BIDS DUE u M40WITUT2110111 El Resubmit copies for approval F] Submit copies for distribution F] Return corrected prints D PRINTS RETURNED AFTER LOAN TO US COPY TO: SIGNED: MARKGURS0 r r 1' _' \ U TSP One, Inc. 21 Water Street Excelsior, MN 55331 DATE: August 22, 2001 phone (952) 474 -3291 TO: Mark Gorski fax (952) 474 -3928 The Builders www.teamtsp.com 8100 Wayzata Blvd. Minneapolis, Minnesota 55426 Architecture RE: New Hope Village Golf Course Clubhouse TSP One # 99732 Engineering Interior Design WE ARE SENDING YOU: (X) HEREWITH () UNDER SEPARATE COVER Offices in Minneapolis FOR YOUR: (X) USE ( ) FILES ( ) INFORMATION ( )APPROVAL and Rochester, MN QTY DATE DESCRIPTION 3 5/2/01 Certificate of Substantial Completion- Interior 3 8/1/01 Certificate of Substantial Completion- Exterior REMARKS: Mark- Please sign all three copies of both certificates and return them to me. You will receive a copy for your files after all the signatures have been collected. An Equal Opportunity, Affirmative Action Employer SIGNED: Mark Thiede TRANSMITTED BY: ( X ) MAIL MESSENGER (3 HR.) ( ) AFFILIATED OFFICES 1 EXPRESS MESSENGER Minneapolis, MN l ) UPS Rochester, MN ( } HAND DELIVER Denver, CO ( ) MODEM Fort Collins, CO Marshalltown, IA Rapid City, SD COPIES TO: File Sioux Falls, SO Sheridan, WY An Equal Opportunity, Affirmative Action Employer DATE 09/25/2002 City of New Hope PAGE 1 PermlRes.rpt PERMIT INSPECTION RESULTS Permit Number: NH015703 BL Address: 8130 Bass Lake Rd Sub Type: Public Facility Work Type: New Description: Clubhouse Date Inspection Type Inspected By Result Comments 05/18/2001 Final Douglas Sandstad Pass 05/18/2001 Final Douglas Sandstad Partial Pass Gas piping in attic fixed. Several minor fixes left to do. 02/16/2001 Progress Douglas Sandstad Pass 02/13/2001 Insulation Chuck Tatro Pass 02/07/2001 Framing Chuck Tatro Pass 12/29/2000 Framing Chuck Tatro Partial Pass see remarks 12/07/2000 Framing Douglas Sandstad Partial Pass see remarks 11/02/2000 Footing Chuck Tatro Pass poured slab ok 10/16/2000 Footing Douglas Sandstad Partial Pass 10/04/2000 Concrete Forms Chuck Tatro Pass foundation walls & peers ok to pour 10/02/2000 Concrete Forms Douglas Sandstad Pass Foundation pour ok 10/02/2000 Concrete Forms Chuck Tatro Pass 12 in walls - steel in place - brick ledge ok 09/26/2000 Footing Douglas Sandstad Pass Send compaction test reports CONTRACTOR'S MATERIAL & TEST FOR UN"DERGROUNn PTPrnTn, PROPERTY NAME V� 4 i� o [. s DATE 10 — . Z 'P © o PROPERTY ADDRESS 0130 lSi1 L- �le.e�' tG� A9tst✓ leer Underground Pans Pipe Types & Class cL s s m Type Joint M Joints Joints needing anchorage Tamped, strapped, or blocked in accordance with NFPA Standard V Yes No Test Description FLUSHING. Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less that 390 GPM (1476 L /min) for 4 inch pipe, 880 GPM (3331 L /min) for 6 inch pipe, 1560 GPM (5905 L /min) for 8 inch pipe, 2440 GPM (:235 L /min) for 10 inch pipe, and 3520 GPM (13323 L /min) for 12 inch pipe. When supply cannot produce stipulated flow rate obtain maximum available. HYDROSTATIC. Hydroostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.3 bars) for two hours. Flushing New underground piping flushed according to NFPA Standard by Tests Industrial Utilities Inc. (company) _ Yes No How flushing flow was obtained? L*' Public Water Tank or Reservoir Fire Pump Through what type of opening? Hydrant Butt V Open Pipe Lead -ins flushed according to NFPA Standard? P Yes No How flushing flow was obtained? 1 '' ' Public Water Through what type opening? Y connection to flange & spigot Open Pipe Hydrostatic Test All new underground piping hydrostatica_Lty tested at 2-6v PSI for Z hours. Joints covered? �1// Yes No Hydrants Number Installed -- p _ Type & Make All operate satisfactorily? Yes No Signatures Name of Installing Contractor Industrial Utilities Inc. TESTS WITNESSED BY: r' r Fire Suppression System °� � � Date : -, Utilities Contr for In -� Date RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 1,401.25 from The Builders Inc. in payment for Coiling Doors as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said Premises on account of the above - described labor and/or materials delivered and famished by the undersigned, to amount of the aforesaid payment: and the undersigned hereby expressly reserves the right to assert without prejudice to its here the extent only st the ore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises tof payment for which is not included in the aforesaid payment. The undersigned affirms that all mater al furnished by the undersigned has i been paid for, and all subcontractors employed by the undersigned have been paid in full, EICEPT: Dated this �_ day of - - 6 �, 3- Fand : If this instrument is executed by a ation, it must be signed by an officer, executed by a p artnership, it must be by a partner. 21455 Architectural & Construction By..,---- --'_' Its �1 .. 6/21/2001 mull NO I We 111,110 UW11 11111 N The undersigned hereby acknowledges receipt of payment of $ 921.50 from The Builders Inc. in payment for Mechanical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and famished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for whieb is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this - 7 day of ., Associated Mechanical NOTE: If this instrument is e \ecuted by a a, _ M _ corporation it must be signed by an officer;' By _QLL, and if e \ecuted by a partnership, it must be signed by a partner. Its 21346 5,'21'2001 a 9 5 D a The undersigned hereby acknowledges receipt of payment of $ 2,165.05 from The Builders Inc. in payment for Mechanical . as per subcontract by the undersigned delivered or furnished to (or performed at) New hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid pa}nnent: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and %or materials delivered and/or fiunished to said premises pa yment for which is not included in the aforesaid payment. The undersigned affinus that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this L '! day of Associated Mechanical NOTE: If this instrument is executed by a ✓ i �i �� `- �" ' �`� e sig by an officer, . 7 ' corporation, It mint b gn By , - and if executed by a partnership, it must be signed by a partner. j �� f /✓ Its 21159 3!2612001 The undersigned hereby acknowledges receipt of payment of $ 1,000.00 from The Builders Inc. in payment for Mechanical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert. without prejudice to its heretofore existing priority, .mechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affums that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this J day of r V Associated vechanical NOTE: If this instrument is executed by a corporation, it must be signed b an officer, BY %1 and if executed by a partnership, it must be signed by a partner. Its !I 20974 1/15/2001 I ♦ • The undersigned hereby acknowledges receipt of payment of $ 3,800.00 from The Builders Inc. in payment for Mechanical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and famished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby w.pressly reserves the right to assert, without prejudice to is heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned ajT=s that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: W 4Y Dated this day of i Associated Mechani 1 NOTE: If this instrument is executed by a corporation, it must be signed by an officer, BY and if executed by a partnership, it must be signed by a partner. Its 20875 y/ J 12/15/2000 I , The undersigned hereby acknowledges receipt of payment of $ 5,700.00 from The Builders Inc. as per subcontract in payment for Mechanical by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials - livered an d/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this ? ' day of { ; <7 Lx�; L v � Z�� Associated Mechanical By Its 1. „ G ' " �`�-- NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 20765 11/20/2000 N.E. - It is important that the following directions be closer followed as otherwise the receipt WTILL NOT BE ACCEPTED. 1. This is a LEGAL. INSTRUMENT and must be executed according]y by officers of corporations and by partners in co- partnerships. 2. It is important drat ALL the blanks be completed and the _ -MOUNT PAID BE SHOWN. 3. If payment is not in full to date, so state. SHOW tN IPAID BALANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering materials. etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. DATE: The undersigned hereby acknoivledges having received perym7etlt of S 4,484.95 from The Builders Inc. in full pa)mient of all Mechanical cis per siibeotitract by the iliidersigHed delivered or fiii nished to (or performed cut) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, M ir 55428 and,for vahte received hereby waives all rights which main have been acquired by the undersigned to f le mechanic's lien against said premises for labor. skill or material furnished to said premises prior to the date hereof. The undersigned gfrrns that all material fro•nished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in frdl. EICEPT. Dated this day of, NOTE: If this instrument is executed by a corporation, it must be signed by an officer and if executed by a partnership, it must be signed by a partner. Associated Mechanical By Its / ��.- ter'=%- ' i ✓� % �� - 2 21268 (address 4.'23'2001 N.B. - It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED. 1. This is a LEGAL, INSTRUMENT and must be executed accordingl- by officers of corporations and by partners in co- partnerships. 2. It is important that ALL the blanks be completed and the AMOt?NT PAID BE SHOWN. 3. If payment is not in full to date. so state. SHOW UNPAID BAL ANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering materials. etc. 5. NO ERASURES OR _-1.LTERATIONS MUST BE MADE. DATE: January 4, 2002 The undersigned hereby ackt7oivledges hcn�in,- received payment of S 898.50 ftom The Builders Inc. in frtll payment of all Mechanical as per subcontract by the 7117dersigr7ed delivered or trnished to (or peg formed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby ivaives all rights irhich may have been acquired by the undersigned to file mechanic's lien against said preinises labor. skill or material,iirnished to said premises prior to the date hereof. The undersigned affirms that all material f a by the undersigned has been paid for, and all subcontractors emplc }red by the undersigned have been paid in fdl. EICEPT. I L Dated this '7 day of Associated Mechanical NOTE: If this instrument is executed by a B y corporation it must be signed by an officer, and if executed by a partnership. it must be It signed by a partner. A - �-- 5037 (address) 1/4/2002 e: ' t The undersigned hereby acknowledges receipt of payment of $ 4,930.50 from The Builders Inc. in payment for Fire Sprinkler System as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore 'existing priority, mech-anics lien rights against said premises for labor and'or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of A' ,G 4, ' NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21054 2/20/2001 I 0 i repw El all I s The undersigned hereby acknowledges receipt of payment of $ 7,204.80 from The Builders Inc. in payment for Fire Sprinkler System as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 ni - t � r•- , and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of tine aforesaid payment, and the undersiened hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered ai;d/or : ::fished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of Bro Fire Prot " Company NOTE: If this instrument is executed by a - corporation, it must be signed by an officer, B and if executed by a partnership, it must be / 1 ' signed by a partner. ItS �. 20972 1/15/2001 RECEI AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersitr ed hereby acknowledges receipt of payment of $ 3,914.00" from The uilders Inc. in payment for Fire Sprinkler System as per subcontract by the undersigned delivered or furnished to (or performed at) New Rope Village Golf Course Clubhouse ~ " 8130 ]Bass Lake Road New Hope, MN and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and /or flunished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this E,0 day of � `� — L w Brother Fire Proteefion Company NOTE: If this instrument is executed by a By/ r .-y corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. Its \1 20568 9/20/2000 I ' The undersigned hereby acknowledges receipt of payment of $ 1,790.83 from The Builders Inc. in payment for Fencing as per subcontract r' �__ by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 v 1i and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the atuount vf91c a r ecwid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered andior furnished tv said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this S f�_ day of DEC, y Century Fenc NOTE: If this instrument is executed by a By corporation, it must be signed by an officer, G and if executed by a partnership, it must be p signed by a partner. Its 20749 11/20/2000 N.B. - It is important that the folloNNina directions be closely folloiyed as otherwise the receipt WD-L NOT BE ACCEPTED, 1. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and by partners in co- paruterships. 2. It is important that ALL the blanks be completed and the _AMOtNT PAID BE SHO \ \'N. 3. Ifpa�ment is not in full to date. so state. SHO \V UNPAID B-- kl-ANCE and strike out last three lines. }. A receipt similar to this or legal si airs of lien rights will be required for all plumbing. heating and plastering materials, etc. d. NO ERASURES OR ALTERATIONS I`iUST BE 11. -.DE. DATE: 77ie undersigned hereb)7 acknoivledges hay ?irrg Deceived pa)m ?errs of S 1,365.00 from The Builders Inc. in full pa)mwnt of all Fencing as per s?lbcorltract by the under °sign ?ed delivered or furnished to (or per formed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road Qp New Hope, YEN J,.*28 and for value received hereby waives all rights which may have been acquired by the undersigned to ale mechanic's lien against said premises for labor, skill or material f crnished to said premises prior to the date hereof. The undersigned affirms that all material fru-nished by the undersigned has been paid for, and all subcontractors employed by the undersignec have been poicl in full, EICEPT. Dated this 12TH day of October 2001 NOTE: If this instrument is executed by a corporation it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21717 / Century Fence By Its Asst. Secty /Treast P O Box 466, Waukesha, WI 53187 -04 (address) 9/27/2001 The undersigned hereby acknowledges receipt of payment of $ 2,674.22 from The Builders Inc. in payment for Specialties as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against_ said premises for labor and /or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of Construction Supply, Inc. NOTE: If this instrument is executed by a ° corporation, it must be signed by an officer, By and if executed by a partnership, it must be ' signed by a partner. Its j '.0 21058 2/20/2001 W912041 Dral • The undersigned hereby acknowledges receipt of payment of $ 758.88 from The Builders Inc. in payment for Specialties as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the :-noun of the aforesaid payment_ and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished io said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this - day of _ 1 Construction Supply, Inc. NOTE: If this instrument is executed by a d corporation, it must be signed by an officer, By f " and if executed by a partnership, it must be ` r signed by a partner. j-..- Its 20878 12/15/2000 RECEI P. OF MECHANI , C RIGHTS] The undersigned hereby acknowledges receipt of payment of $ 250.28 from The Builders Inc. in payment for Specialties as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersimied hereby e „ recc; ✓es the light to a;scrt, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or famished to said premises payment for which is not included in the aforesaid pa }znent. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this e , ; day of h Cons r Supply, Inc. NOTE: If this instrument is executed by a L..� corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. Its i 20977 1/15/2001 RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 1,662.50 from The Builders Inc. in payment for Concrete & Masonry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore a• /sting prierit me h n ; licn rigi�,s against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affums that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21454 6/21/2001 Cox Concrete Construction, Inc. By kr�;� ItS //ts !✓ The undersigned hereby acknowledges receipt of payment of $ 5,282.00 from The Builders Inc. in payment for Concrete & Masonry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights wdhich Wray have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said promis.;s for labor and /or materials delivered and /or furnished to said premises payinent for which is not included in the aforesaid payment. The undersigned affimvs that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full.. E \CEPT: n Dated this day of Cox Concrete Construction, Inc. NOTE: If this instrument is executed by a _�' corporation, it must be signed by an officer, By �1 d -�= 'e `/� and if executed by a partnership it must be signed by a partner. ItS 21157 3/26'2001 I A Orel i . • The undersigned hereby acknowledges receipt of payment of $ 21,328.45 from The Builders Inc. in payment for Concrete & Masonry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned., to the extent only of the amount of the aforesaid payment, and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materlais delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this , day of `7' &"' ' Cox Concrete Construction, Inc. NOTE: If this instrument is executed by a f /f corporation, it must be signed by an officer, By J9 and if executed by a partnership, it must be signed by a partner. Its 21066 2/27/2001 t m NMI The undersigned hereby acknowledges receipt of payment of $ 23,821.25 from The Builders Inc. in payment for Concrete & Masonry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the ...:.punt of the aforesaid payment; and the undersigned hereby eV. ressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials dei1.7ered and/or fbrnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this � ' 7 day of a: Cox Concrete Construction, Inc. NOTE: If this instrument is executed by a ) By corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. ItS 20762 11/20/2000 e ♦ The undersigned hereby acknowledges receipt of payment of $ 6,531.25 from The Builders Inc. in payment for Concrete & Masonry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this )' G U day of Cox Concrete Construction, Inc. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its G'-� 20873 12/15/2000 N.B. -It is important that the follo\%ina directions be closely follmt ed as othery ise the receipt WILL NOT BE ACCEPTED. 1. This is a LEGAL, I1STRt°.\IENT and must be executed accordingly by officers of corporations and b partners in co- partnerships. 2. It is important that .ALL the blanks be completed and the A- MOL7\T PAID BE SHOWN. 3. If payment is not in full to date. so state. SHOW U.\ PAID BALANCE and strike out last three lines. 4, A receipt similar to this or legal waiver of lien rights \rill be required for all plumbing. heating and plastering materials. etc. 5. NO ERASURES OR ALTERATIONS 'MUST BE MADE. DATE: The undersigned hereby acA72oivledges having received payment of S 3,285.55 from The Builders Inc. in fitll payrrnetlt of all Concrete & Masonry as per .vibcontract b): the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8730 Bass rake Road New Hope, MN 55428 and value received hereby vaires all rights which niq have been acgrrired h}• the undersigned to f le mechanics lien against said premises.for labor, skill or• nrcrterial furnished to said premises prior to the date hereof The undersigned gfJrrnrs that all material furnished by the undersigned has been paid for. and all srubcorrtractors emplgved h) - the undersigned have been paicl in dl.. E1'CEPT. Dated this day of z NOTE: If this instrument is executed by a corporation it must be signed by an officer. and if executed by a partnership, it must be signed by a partner. Cox Concrete Construction, Inc. C Its � 7 G a (%' � °'''.' -�L`L fZ ✓v /- ; �. 22013 (address) 1/17/2002 Rig The undersigned hereby acknowledges receipt of payment of $ 17,608.25 from The Builders Inc. in payment for Millwork as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said memises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressiy reserves the right to assert, without prejudice to its hcrcto f�. e existing priority, mechanics lien riglits against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affinns that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full. EXCEPT: Dated this Z ( z� r day of �tti 2ao� Paul's Woodcraft Company NOTE: If this instrument is executed by a corporation, it must be signed by an officer. and if executed by a partnership, it must be signed by a partner. Its Tat-- 21344 5'21:'2001 RECEIPT A PARTIAL . • r �, R IGHTS The undersigned hereby acknowledges receipt of payment of $ 7,098.40 from The Builders Inc. as per subcontract in payment for Electrical by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and fo es o t account of the above-described ribed labor and/or deliver d and f rn sh d by th undersi to the e e mec ha n ics liens agairiq, pre -tent only oftha rtus amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, ���ithout prejudice to its heretofore existing priority, mechanics Tian rights against said premises for labor and /or materials delivered and/or furiished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished bS the t:::?ersim'ed has been paid for. and all subcontractors employed by the undersigned have been paid in Rill.. EXCEPT: Dated this 3rd day of May , NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if etiecuted by a partnership, it must be signed by a partner. 21161 MO Phasoi Electric / Company By Its P resident 3!26/2001 Viking Elactric Supply 451 Industrial Blvd. Minneapolis, MN 55413 Telephone 612 -627 -1300 Facsimile 612 -627 -1310 Toll Free 800 - 435 -3345 wr,m vikingelecuic.com RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric Company 15300 25` Ave North, Suite 400 Plymouth, MN 55447 February 13, 2001 The iindersigtied Hereby acknowledges receipt of the sure of S 670.14 CHECK ONLY ONE: � 1. as partial payment for labor, skill and material furnished 0 2. as payment for all labor, skill and material furnished or to be furnished (except the sum of S retainage or holdback) 0 3. as fill and final payment for all labor, skill and material furnished through the above date to the following described real property: New Hope Golf Course Club House, 8130 Bass Lake Rd., New Hope, NfN 55428 and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor skill or material furnished to said real property (only for the amount paid il' box '1 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's lien is contingent upon ',be payment beiP2 lionored. ' F'e -o nd,,- cion. ,, „ rY nt 'a f.,. ishc by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in frill, EXCEPT: VIKING ELECTRIC SUPPLY, WC. % t 1 0 y By 1 Robinson, Credit Analyst. 451 Industrial Boulevard Minrueapolis, IVIN 55413 ioca.tior&s ihhroughout Minnesota and N177sconsin aq 451 Industrial Blvd. Minneapolis, MN 55413 = ' Telephone 612 - 627 -1300 Facsimile 612- 627 -1310 Toll Free 800 -435 -3345 www. vikingeleciric.com RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric 15300 25` Ave North, Ste 400 Plymouth, MN 55447 February 23, 2001 The undersigned hereby acknowledges receipt of the sum of $ 3,104.48 CHECK ONLY ONE: 1. as partial payment for labor, skill and material furnished 2. as payment for all labor, skill and material furnished or to be furnished (except the sum of $ retaina�ze or holdback) ` 3. as full and final payment for all labor, skill and material furnished on invoice 5554014. to the following described real property: New Hope Golf Course Club House, 8133 Bass Lk Rd, New Hope, MN and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if box 1 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's ., t. u.. �. 11'.° "`.a���.:izt 1' °'i'tv N: p::n r°�t Tl,o iin�arcippar? �f� � r pr F - � _ - r affir t a ll mat Burnished bv the undersigned has been paid for. and all subcontractors employed by the undersigned have been paid in full, EXCEPT: VIKING ELECTRIC SUPPLY, IN-C. By Jodi ;Robinson, Credit Analyst 451 Industrial Boulevard Minneapolis, MN 55413 ocatio s throyulghoa,r Minnesota and Wisconsin. The undersigned hereby acknowledges receipt of payment of $ 22,154.00 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert. without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of F j NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its P a r Ei i Company President 20876 12/15/2000 I E �! 7 a g ESE T' �l 451 Industrial Blvd, C, Minneapolis, MN 55413 Telephone 512 - 527 -1300 Facsimile o i2- 527 -1310 Toll Free 800- 435 -3345 vvww. vikingelectric. ccm RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric 1530025 1h Ave N., Ste 400 Plymouth, MN 55447 January 19, 2001 The undersigned hereby acknowledges receipt of the sum of $2,821.06 CHECK ONLY ONE: e -� . as partial payment for labor, skill and material furnished 2. as payment for all labor, skill and material furnished or to be furnished (except the sum of $ retainage or holdback) F1 3. as full and final payment for all labor, skill and material furnished through the above date to the. following described real property: New Hope Golf Course Club House, 8130 Bass Lake Rd, New Hope, MN and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if box 1 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's lien is contingent upon the payment being honored. The undersigned affirms that all material furnished by the undersigned has Seen paid for, and ail subcontractors employed by the undersigned have been paid in full, EXCEPT: VIKING ELECTRIC SUPPLY, INC. By Jodi Robinson, Credit Analyst 451 Industrial Boulevard Minneapolis, MN 55413 V iki ng m & 451 Industrial Blvd. Minneapolis, MN 55413 R . r Telephone 612 -627 -1300 Facsimile 612 -627 -1310 Toll Free 800- 435 -3345 wKw vikingelect;;c. com RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric 15300 25` Ave N., Ste 400 Plymouth, MN 55447 January 19, 2001 The undersigned hereby acknowledges receipt of the sum of $1,418.58 CHECK ONLY ONE: 0 0 1. as partial payment for labor, skill and material furnished 0 2. as payment for all labor, skill and material furnished or to be furnished (except the sum of $ retainage or holdback) 3. as fall and final payment for all labor, skill and material furnished through the above date to the following described real property: New Hope Golf*Course Club House, 8130 Bass Lake Rd, New Hope, MN and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if box 1 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's lien is contingent upon the payment being honored. The undersigned affirms that all material furnished by Lou ut;cersi has been paid for, and alf subcontractors empioyed by the undersigned have been paid in full, EXCEPT: VIKING ELECTRIC SUPPLY, INC. ByC JodYobinson, Credit Analyst 451 Industrial Boulevard Minneapolis, NIN 55413 locations i !kfinresota and ` lz *sc�orsirz e y The undersigned hereby acknowledges receipt of payment of $ 1,992.15 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and funushed by the undersigned. to the extent only of the amount ofthe aforesaid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore LtiI5l" J ioi 12y, mechanics licil r isW apiu s� s pramiszs yvr labor sn d materials dc^iiveru and/or Burnished to said pr cruises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, E:niCEPT: Dated this 9th day of October 200 NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its Ph s Elec c Go parry i President 21347 5/21;2001 f ,tea Form No. 1799 Miller/Davis Co., St. Paul, Ma. SUBCONTRACTOR'S RECEIPT AND WAIVER OF MECHANICS LIEN RIGHTS s November 21, 2000 (Date) (Year) The undersigned subcontractor who has given to the owner of premises described herein the notice described in MSA 514.011, E Subd. 2, acknowledges having received payment of Two Thosuand One Hundred Sixty Four and 37/100 -- ( ) -------------------------- - - - - -- DOLLARS 2 � 164.37 r (Amount Paid) from P hasor Electric Company _ in full payment of (Name of Payor) a ll Material Invoice #105306 (Kind of Material or. Labor) by the undersigned delivered or furnished to (or performed at) New Hope Golf Cours Clubhouse, 8130 Bass Lake Road (Street Address or Legal Description) and for value received hereby agrees not to file a claim against said premises and hereby waives all rights which may have been acquired by the undersigned to file mechanics liens against said premises for labor, skill or material furnished to said premises prior to the date hereof. DMX Music N.B. —It is important that the following directions be closely followed as otherwise the receipt will not be accepted: 1. This is a Legal Instrument and must be executed accordingly by officers of corporation and by partners in co- partnership, 2. It is important that all blanks be completed and that the amount paid be shown. 3. If payment is not in full to date, so state; show unpaid balance and strike out last paragraph. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering material, etc. 5. No erasures or alterations must be made. (Title) Address 11485 Valley View Road, Eden Prairie The undersigned hereby acknowledges receipt of payment of $ 10,559.25 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the arnount ofthc afore p - ent; - the ,inders fined hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said prccnisab payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 3rd day of January NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 2001 P a dr Ele ric .company By r,i� / %C �L Its President 20766 11 /20 /2000 W__O�j Viking Ehalctr SuPpl 500 Broadway x St. Paul, Minnesota 55101 t 4 Telephone 612 627 -1300 Inc, C E Y E' ±..? V RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric Company 15300 25 Ave North, Suite 400 Plymouth, MN 55447 October 24, 2000 The undersigned hereby acknowledges receipt of the sum of $570.31 CHECK ONLY ONE: 0 1. as partial payment for labor, skill and material furnished 15 Locations St. Paul Minneapolis 2 Locations Burnsville Duluth Fridley Grand Rapids Minnetonka Rochester Eau Claire St. Croix Falls Wausau Rice Lake Rhinelander Oshkosh o 2. as payment for all labor, skill and material famished or to be furnished (except the sum of $ retainage or holdback) t n V 3. as, full and final payment for all labor, skill and material furnished on invoice 5308284. to the following described real property: New Hope Golf Course, 8130 Bass Lake Road, New Hope, MN 55428 and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if box 2 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's lien is contingent upon the payment being honored. The undersigned affirms that all mateial famished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: VIKING ELECTRIC SUPPLY, INC. By *Joo ' biWso`h", Credit Analyst 451 Industrial Boulevard Minneapolis, MN 55413 /YHOLES.IIE.P �Mking Efac-frlc Supprlly hnec. 500 Broadway St. Paul. Minnesota 55101 Telephone 612 62 -1300 RE CE, 1yIr ) ill: RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Phasor Electric Company 15300 25` Ave N Suite 400 Plymouth, Mn 55447 October 12, 2000 The undersigned hereby acknowledges receipt of the sum of $9,242.07 CHECK ONLY ONE: ' 1. as partial payment for labor, skill and material furnished 15 Lo ca joins St Paul Minneapolis 2 Locations Burnsville Duluth Fridley Grand Rapids Minnetonka Rochester Eau Claire St. Croix Falls Wausau Rice Lake Rhinelander Oshkosh 0 2. as payment for all labor, skill and material furnished or to be furnished (except the sum of $ retainage or holdback) 3. as full and final payment for all labor, skill and material furnished through the above date to the following described real property: New Hope Golf Course Club House, 8130 Bass Lake Rd. New Hope, MN and for value received hereby waives all rights acquired by the undersigned to file or record a mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if box 1 is checked, and except for retainage shown if box 2 is checked). This waiver of mechanic's lien is contingent upon: the payment being honored. 'f he undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: VIKING ELECTRIC SUPPLY, INC. By P1 ✓ I fly Jodi .Robinson, Credit Analyst 451 Industrial Boulevard Minneapolis, MN 55413 r iW11ix��cirl !Y//OL£S,/LE�P R FRO i The undersigned hereby acknowledges receipt of payment of $ 5,229.75 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore e ring prio t}::7cchau'cs lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, E KCEPT: Dated this 6th day of June NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership it must be signed by a partner. 2001 Its President .• r Elect ic Compa By 21270 4/23,2001 The undersigned hereby acknowledges receipt of payment of $ 10,633.35 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- desczibed labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priodiy, mechanics lien righis against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this ". '= day of -- f j i� NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 21056 P asor EIectric Company 41!,. -,' (� rx 3/20/2001 The undersigned hereby acknowledges receipt of payment of $ 8,184.25 from The Builders Inc. in payment for Electrical as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment, and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials deiivored and'or Pu.. ish�d to said prer�ses payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this /= day of 11 1 NOTE: If this instrument is executed by a By corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. Its 20975 1/15/2001 D' ME I BM The undersi hereby acknowledges receipt of payment of $ 13,548.66 from The Builders Inc. in payment for Drywall as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and fiimished by the undersigned. to the extent only of the amount of the aforesaid payment and the undzrsigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included hi the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: stir. Dated this day of ,� u_v\_�E_ NOTE: If this instrument is executed by a corporation it must be signed by an 41cer, By and if executed by a partnership, it must be signed by a partner. Its 21265 4:23/2001 MUIJ oil Me a l E a 1 01100 9 M The undersigned hereby acknowledges receipt of payment of $ 6,916.00 from The Builders Inc. in payment for Earthwork as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and fiimished by the undersigned, to the e%ient only of the amount of the aforesaid payment, and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore e%isting priority, mechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affinnns that all material fimlished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of ,)1/f "l Ql RJK Contracting NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By ` and if executed by a partnership, it must be signed by a partner. Its 21350 5!21 /2001 RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 12,041.25 from The Builders Inc. as per subcontract in payment for Earthwork by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those , bar y m tenals delivered and furnished by the undersi to the ext n only of the premi on account of the above-described amount of the aforesaid payment; and the undersigned hereby e�'pressly reserves the right to assert, without prejudice to its hereto ore existing priority, mechanics lien rights against said payment. Tie n undersigned affirms that t all material furmished by tl e undersigned has payment for which is not included in the aforesaid paym been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this �_ ___ __ day of lE 0 0 y R,jK Contacting ; NOTE: If this instrum:ent s executed b y a By corporation, it must ba ed by an officer, and if executed by a pership, it must be signed by a partner. Its 20711 11%10/2000 W e i The undersigned hereby acknowledges receipt of payment of $ 9,476.25 from The Builders Inc. in payment for Earthwork as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and /or materials delivered and fiirnisbed by the undersigned, to the extent only of the amount of the aforesaid payment: and the undarsigiied hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority. mechanics lien rights against said premises for labor and/or materials delivered andior fiurnished to said premises paN2uent for vdiich is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day ofmi 1 4 E7 h , 20 NOTE: If this instrument is executed by a corporation it must be sired by an officer and if executed by a partnership it must be signed by a partner. RJK Contracting 1 f Its 21067 2127 ,'2001 The undersigned hereby acknowledges receipt of payment of $ 4,101.15 from The Builders Inc. in payment for Sheet Metal as per subcontract by the undersigned delivered or furnished to (or performed at) New Mope Village Golf Course Clubhouse 5130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials d and furnished by the undersigned, to the extent on ly of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of =� NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be sided by a partner. Its 21163 heridan Sh t etal of c-v 3.'26.,'2001 R. • 9 ♦ • 0. • • , The undersigned hereby acknowledges receipt of payment of $ 1,076.00 from The Builders Inc. in payment for Access Doors as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in fall, BXCEPT: Dated this (°,Q� day of C �r '4 , (;-DO specialty Sales Service Inc. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, y J and if executed by a partnership, it must be signed by a partner. Its 20869 12/15/2000 r• , 11 9 • The undersigned hereby acknowledges receipt of payment of $ 428.00 from The Builders Inc. in payment for Access Doors as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the a m otim of the aforesaid ^meat; and the uad �i^z�d herb ml ..s.... P =; 7 � .�} ea -,,.y r�� the right to assert, rritl.out prajuuice W its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which iS not included in the aforesaid payment. The undersigned affirms that all material furnished by the has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day o �tt, S ecialty Sales Service Inc. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. Its 20759 11/20/2000 The undersigned hereby acknowledges receipt of payment of $ 10,421.50 from The Builders Inc. in payment for Appliances as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and%or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid pa}nnent; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or inTterials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by tine undersigcd has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 25 day of September 200 NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 21457 St. Cloud Restaurant Su Pres 6121/2001 The undersigned hereby acknowledges receipt of payment of $ 9,975.00 from The Builders Inc. in payment for Tilework as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material famished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 1,A / , day of ; ' ' C� Superior He and Terrazzo Inc. By j Its — NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21267 4'23,'2001 a • 01 6 The undersigned hereby acknowledges receipt of payment of $ 3,638.50 from The Builders Inc. in payment for Tilework as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the ea only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore exdsting priority, mechanics lien rights against said premises for labor and /or materials delivered and/or Airiushed to said premises payment for - which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of r NOTE: If this instrument is executed biz a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 4875 Superior Tile and Terrazzo Inc. o L it 1812001 The undersigned hereby acknowledges receipt of payment of $ 3,040.00 from The Builders Inc. in payment for Erection/Installation as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affums that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of Western Steel Erection, Inc. NOTE: If this instrument is executed by a By corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. Its 20763 11/20/2000 0007 Z, MIMM The undersigned hereby acknowledges receipt of payment of $ 581.40 from The Builders Inc. in payment for Erection/Installation P as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: , Dated this 2-.v day of Cx,,f�, _ , 2,) 1 Western Steel Erection, Inc. NOTE: If this instrument is executed by a I / corporation, it must be signed by an officer, BY and if executed by a partnership, it must be f signed by a partner. Its 20874 12/15/2000 i The undersigned hereby acknowledges receipt of payment of $ 1,966.50 from The Builders Inc. in payment for Glass & Glazing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this I day of Ail 1 .xl W. L. Hall Co. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By ' and if executed by a partnership, it must be signed by a partner. 4 Its �7 it. �Q�ivCfi� 21053 2 /2o/?ooi r y, ill li q '� • y • The undersigned hereby acknowledges receipt of payment of $ 11,229.00 from The Builders Inc. in payment for Glass & Glazing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of W. L. Hall Co. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, B and if executed by a partnership, it must be �- signed by a partner. } Its v /�. 20872 12/15/2000 RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 688.75 from The Builders Inc. in payment for Joint Sealents as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereb , ,naives those rights which may have been acquired by the undersigned to file mechan ove - described labo ics liens against said premises on account of the abr and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, m- chanics lien rs nt against said premises for labor anchor materials delivered and/or furnished to said premises payment for n$ich is not included in the aforesaid payment. The undersigned affinns that all material funiished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of / Whi`teeo'ck Construction Services, NOTE: If this instrument is executed by a corporation it must be signed by an officer. B / and if eseeuted by a partnership, it must be ����(� signed by a partner. � Its 21273 =4'23;2001 , ' 1 1 1, • i The undersigned hereby acknowledges receipt of payment of $ 688.75 from The Builders Inc. in payment for Joint Sealents as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and fiumished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly re the right to assert, without prejudice to its heretofore exlcting — iorlt \'. ineCl :an :CS lien rlylts agai said pren;;ses for labor aud;'or materials delivered and %or furnished to said premises payment for which is not included in the aforesaid payment. The undersig affirms ned arms that all material finished by the undersigned has been paid for. and all subcontractors employed by the undersigned have been paid in full. EXCEPT: Dated this day of 1 j NOTE: If this instrument is executed by a [ and orporation it must be sided by an officer. By if executed bN a partnership, it must be ided by a partner. Its W,h erockC istruction Services DAY ID W jt2HNS0IN FRES EE �MT 21547 7 19'2001 The undersigned hereby acknowledges receipt of payment of $ 11,350.60 from The Builders Inc. in payment for Bituminous Paving as per subcontract by the undersigned delivered or furnished to {or performed at} New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said Premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert. without nreudice to its heretofore O-Msting priority, mechanics lienrights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this Z day of OLIC) f D J Corporation NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By L t and if executed by a partnership, it must be signed by a partner. Its 01 9 , 21453 6/21/2001 NEW WOMNIM M10 D&V 11111308 IN The undersigned hereby acknowledges receipt of payment of $ 965.43 from The Builders Inc. in payment for Carpet and Resilient Flooring as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore Basting priority, iechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcOhtractors employed by the undersigned have been paid in full, EXCEPT: Dated this �_ day of,_ , Facilities 2000, Inc. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 21452 6/21/2001 The undersigned hereby acknowledges receipt of payment of $ 3,250.43 from The Builders Inc. in payment for Carpet and Resilient Flooring as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and<or f1 n.ished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this C) b -- day of 0 6) G I Facilities 2000, Inc. NOTE: If this instrument is executed by a By corporation, it must be signed by an officer, and if executed by a partnership; it must be signed by a partner. It S 20870 12/15/2000 N.B. - It is important that the following directions be closely follo-,ved as otherwise the receipt WILL NOT BE ACCEPTED. I. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and by partners in co- partnerships. 2. It is important that ALL the blanks be completed and the AMOU1\TT PAID BE SHOWN. 3. If payment is not in full to date, so state, SHOW UNPAID BALANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering materials, etc. S. NO ERASURES OR ALTERATIONS MUST BE MADE. DATE: October 26, 2000 The undersigned hereby ack77017 having received payment o, f $ 1,317.17 from The Builders Inc. in full payment of all as per subconflva by the under signed delivered or, furnished to (or pel, formed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives all rights which may have been acquired by the undersigned to file mechanic's lien against said premises for labor, skill or material furnished to said premises prior to the date hereof. The undersigned of rms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 20625 Floyd Total Security By GZC Its�y (address) 10/102000 W ei • The undersigned hereby acknowledges receipt of payment of $ 836.56 from The Builders Inc. in payment for Doors, Frames & Hardware as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the a.brosaid payment.; and the nndercigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered an d/or famished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of d U� NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 20761 11/20/2000 FROM r The undersigned hereby acknowledges receipt of payment of $ 836.80 from The Builders Inc. in payment for Doors, Frames & Hardware as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment, and the undersigned hereby expressly reserves the right to assert. without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or famished to said premises paymerit for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned, have been paid in full, EXCEPT: Dated this C::�� day i E , y ')_n ( i NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 20871 12/15/2000 W ei My I IM Me , The undersigned hereby acknowledges receipt of payment of $ 5,615.66 from The Builders Inc. in payment for Doors, Frames & Hardware as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the ai .our: of *1.e aforesaid pa;,nent; and the undersigned hereby expressly rase±. ties the right to assert, without prejudice to its heretofore existing priority, mechanics lien. rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this R n day of J NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 20971 1/15 /2001 MMJ oil I X911 go L-113 UM M 101,0 The undersigned hereby acknowledges receipt of payment of $ 3,580.55 from The Builders Inc. in payment for Insulation as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the e%tent only of the amount of the aforesaid payment-, and the undersigned hereby expressly reserves the right to assert. without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. Tbe affimns that all material Rinnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 3rd day of MaY 00 NOTE: If this instrument is executed by a corporation, it must be sided by an officer, and if executed by a partnership, it must be signed by a partner, 1v Horneco Insulation, Inc. B �. / / / S r (j - - V - - F �./ __%_ r�'_ Its President 21158 3'26 %2001 The undersigned hereby acknowledges receipt of payment of $ 9,310.00 from The Builders Inc. in payment for Site Utilities as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above-described labor and/or materials delivered and furnished by the undersigned, to the extent only of the arnvurit of the aforesaid payment; and the undersigned hereby expressly reserves the ri to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, E%CEPT: Dated this 6 day of ustrial/Utilities Inc. NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 20764 11/20/2000 . 11 L q► The undersigned hereby acknowledges receipt of payment of $ 2,588.75 from The Builders Inc. in payment for Landscaping & Irrigation as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 I and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and' all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this _1 121 1_ day of I Z. , ® } NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21923 12/17/2001 1LJ RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ from The Builders Inc. 15627.50 in payment for Landscap & Irrigation by the undersigned delivered or furnished to (or performed at) as per subcontract New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby n °awes those rights which may h and'or materiave barn acquired by the uudersigrxd to file Mechanics liens o premises on account of the abo" e- described labor als delivered and fiintished by the undersigned, to the extent • f +.. amount of the aforesaid payment_ and thz undirsignid herebv expressly risenis the right to assist. w ititout priiudici to its hereto a said existing priority. mechanics lien rights against slid ^re :t . only o. '110 pa }mint fox .vLich is not included in the aforesaid pa2Yneni. Thi under-Signed ailimts tha mished to said premises t all material filntishid by the a fore been paid for, and all subcontractors emplo }fed by the enders T ed] at z t paid in fu del:vered and /or fi: EXCEPT: ndersigttid has Dated this day of NOTE: If this instrument is executed by a corporation, it must be signed b1' an o$icer, and if executed hi a partnership, it must be Signed tly a partner. Kahnke Brothers 1 B 21546 7 ;19 2001 I ts ____-- .��� -= ° �- �= �,� �•- -�.�„� RECEIPT AND PARTIAL WAIVE OF MECHANICS LIEN RIGHTS reby acknowledges receipt of payment of $ 16,166.15 The undersigned he from The Builders Inc. as per subcontract in payment for Rough & Finish Carpentry delivered or furnished to {o performed at) by the undersigned New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 r materials delivered and furnished by the undersigned premises on account of the above - described labor to t�h` to its ° e :e and for value rec eived hereby waives those right= which may have been acquired by the underside witl file mechanics o th liens against said amount of the aforesaid payment; and the undersigned hereby e ' p ulla rsi d :at all matzrial furnished by the undersigned has agau" "aid p:cimaes for labor ancUor materials delivered and /or furnished to said premises r .......::' , cc. pa }7nent for which is not inch:ded in cru plo aforesaid payment, e undersigned have been paid in full, EICEPT: been paid for, and all subcontractors em} ed by Dated this 1 day of ' -A Constr ct+ n Inc. Kell= on NOTE: If this instrument is executed by a By . corporation, it must be signed by an officer, and if executed by a partnership, it must be Its signed by a partner. 21272 4/23i26o1 CEIPT AN D PART RE CHANICS LIEN RIGIITS OF ME hereby acknowledges receipt of payment of $ The underslgned as per subcontract f rom Th Builders Inch & Finish Carpentry in p for Rot hed to (or performed at) by the undersigned delivered or e C bhouse NeW H Village Golf Coors 8130 Bass Lake Road N 55428 a gainst said New Hype' M the undersigned to file mechanics liens of the wired by the undersigned to the extent only waives those rights which may have been acq ht to assert, without prejudice to its heretofore and for value received hereby oned hereby p shed to mises express reserves the rig said pre the undersigned has d the undersip j -, _ or andior materials delivered material famished by premises on account of the above - described labor and/or materials de elivered and furnishe t pretm a ment; an that all ma ainct =ai premises .�• =u amount of the afo mechanics p Y aid in fu11, EXCEPT ent. The undersized affirms existing priority, mechanics lien rights e o ned have been p to o payme aid for, and all subcontracto s th e aforesaid by the undersi Yesai paY w been p a n c e � - 1 day of °'=- r etl�n Constr e�ron` Dated this r NOTE: If this instrum -at is executed �cer, By it must be sign y . / co oration, I t must be (' and i Its f executed by a partnership 1 signed by a Partner. 387.60 21059 2120/2001 % :r J �✓ RECEIPT AND PARTIAL WAIT OF )4ECRANICS LIED RIG cknowledges receipt of payment of $ 1,900. ' The undersigned hereby a from The Builders Inc. as per subcontract for Roug or p h & Finish Carpentry per formed at) in payment by the undersigned delivered or furnished to New Hope Village Golf Course Clubhouse 8134 Bans P eLNIN 55 New 428 H m echanics liens against aired by the undersigned to file mecham inst said of the the undersigned, to the extent only waives those ri ghts wlvch may have been ace{ d to its heretofore and for value received here rt to assert, without prejudic by s igned has t and the undorsigned i;eraLy e xpressly resazvas Zia rigl famished by the undersign abor and/or materials delivered a or famished to said premises Pr emises on account of flee aboen -described labor and�or matanO21 delivered and furnished p remises f that all material amount of the aforesaid p cs lien rights against said p existing priority, mechanics a Want. The undersigned as m X11, E?�CEPT: td id igned have been p payment for, which nd all o ontrac ors e employed y e by the unders p yi been p 1 �1 1 day of �' ton Construction, Inc. Dated this A — -- Kelling Y Its NOTE: If this instrument is executed by a corporation, it must be signed by an officer, a partnership, it must be and if executed by signed by a partner. 20771 11 -28 -2000 RECEI . OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 51,371.25 from The Builders Inc. in payment for Rough & Finish Carpentry as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value account of the aboveldescrib d labor and /or m tenals delivered u and furnished by the fined, t the extent onl of the premises on amount of the aforesaid payment; and the undersigned hereby e� pr or a reserves the right to assert, without prejudice to its heretofore nd/or materials e fisting priority, h is not included in the aforesaid payment The unders fined affirms that material furnished by the undersigned has been paid been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: this i �. 1 r ' , a t' %�� `�� � '_'�`` ! Dated this �______ da of ___t -� Kellington Construction, Inc. n rand OTE: If this instrument is executed by a By '��� rporation, it must be signed by an officer, if executed by a partnership, it must be gned by a partner• its 20879 12/15/2000 Mulwal r The undersigned hereby acknowledges receipt of payment of $ 1,531.30 from The Builders Inc. in payment for Plumbing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and fiinnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics heii rights against said premises for labor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned atImns that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated thi day of /Lakel ldlec anneal NOTE: If this instrument is executed by a / corporation, it must be signed by an officer. By and if executed by a partnership, it must be signed by a partner. Ix � 21271 4 t 0 A L ' 1 0 wmzma The undersigned hereby acknowledges receipt of payment of $ 5,613.07 from The Builders Inc. in payment for Plumbing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby e\pressly reserves the right to assert, without prejudice to its heretofore existing pnority, mechanics lien rights against said pi causes for labor andlor Materials delivered and/or fitrnisbed to said premiseq payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 1 � � day of Lakeland Mechanical NOTE: If this instrument is executed by a - corporation, it must be signed by an officer. BY and if executed by a partnership, it must be signed by a partner. Its A my G 21162 1'26/2001 The undersigned hereby acknowledges receipt of payment of $ 3,804.72 from The Builders Inc. in payment for Plumbing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course CIubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert. without nrei� dice to its harctoforc exkting nriorh mechanics lk • i -. „ _._: ........... ...a ag.:� against said premises for tabor and/or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: . Dated this i 7 L, day of _AtF'i?- . i i— , I cCi M NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21057 2/20/2001 • • The undersigned hereby acknowledges receipt of payment of $ 8,355.25 from The Builders Inc. in payment for Plumbing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and famished by the undersigned to the extent only of the amount ofthe aforesaid paym=ent; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered ancvor furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this 1 _ day of —C-= `L' r _ U ' Lakeland- Meekanical NOTE: If this instrument is executed by a By corporation, it must be signed by an officer, and if executed by a partnership, it must be .+ signed by a partner. Its 20877 12/1/2000 i The undersigned hereby acknowledges receipt of payment of $ 3,705.00 from The Builders Inc. in payment for Plumbing as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by thz undersigned to file mechanics liens against said Premises on account of the above- described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment, and the undersigned hereby expresciv reserves the right to assn; ;without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and /or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this ;PC- k+ , d ay of �Qaw Z 7 st strument is executed by a ust b e signed by an off cer, by a partnership, it must be ner. 20976 Lakeland hanical ., BY E. / /' ✓� Wit✓ f � Its -�. 1/15/2001 a � The undersigned hereby acknowledges receipt of payment of $ 27,277.59 from The Builders Inc. in payment for as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and/or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly reserves the - to assert, without prejudic: to its uercioforc existing priority, mechanics lien rights against said premises for labor and /or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of NOTE: If this instrument is executed by a corporation, it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its 20830 McCarron's Building Center _Zft7� 12/11 /2000 FINAL RECEIPT AND WAIVER OF MECHANICS' LIEN RIGHTS N.B. - It is important that the following directions be closely followed as otherwise the receipt WML NOT BE ACCEPTED. 1. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and by partners in co- partnerships. 2. It is important that ALL the blanks be completed and the .- \IOL1T PAID BE SHOWN. 3. If payment is not in full to date. so state. SHOD' U\PAID BALANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing. heating and plastering materials. etc. 5. NO ERASURES OR ALTERATIO \S \IL'ST BE MADE. DATE: July 25, 2001 The undersigned hereby ack770141edges hctving received pqy - meat of S 719.94 from The Builders Inc. h7 f x11 payment of all Blinds cis per subcontract b).- the rirrdersiar ?ed delivered or f trni.shed to (or per, forwed at) New Hope Village Golf Course Clubhouse 8130 Bass Ilnke Road New Hope, MN 55428 and for volue received hereby ivaives all rights which mov have been acquired by the undersigned to file mechanic's lien against said premises for labor, shill or material furnished to said premises prior to the date hereof The undersigned giTirms that all moterial_ o by the undersigned has been paid for. and all subcontractors employed 8y the undersigned) have been paid in f ull, EICEPT: Dated this day of '' E NOTE: If this instrument is executed by a corporation, it must be signed by an officer and if executed by a partnership it must be signed by a.partner. Midwest BI' ds P Its at 21434 6.21!2001 (address) Wei 00 1 Kole FROMM 01 t The undersigned hereby acknowledges receipt of payment of $ 3,838.95 from The Builders Inc. in payment for Aluminum Entrances as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and /or materials delivered and furnished by the undersigned. to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and/ui fuiiiished to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day o Mulcahy Inc. 1 NOTE: If this instrutnent is executed by a corporation it must be signed by an officer,'` - `--� and if executed by a partnership, it must be signed by a partner. 1 y Its 21269 4"23,'2001 i The undersigned hereby acknowledges receipt of payment of $ 14,371.60 from The Builders Inc. in payment for Aluminum Entrances as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account ofthe above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment: and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and/or materials delivered and/or furnished to said prernisas payment for which is not included in the aforesaid payment. The undersigned affirms that all material finmished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of d NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 21160 3,'26./2001 Mulcahv Inc. 4 120 Iola l FRO MM WS It The undersigned hereby acknowledges receipt of payment of $ 2,214.45 from The Builders Inc. in payment for Aluminum Entrances as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above- described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment, and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore existing priority, mechanics lien rights against said premises for labor and /or materials delivered and/or furnished to said premises payment for which is not included in the aforesaid payment The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this d o Mulcahy Inc. - J NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. 2105 2/20/2001 W e i ♦ The undersigned hereby acknowledges receipt of payment of $ 16,554.70 from The Builders Inc. in payment for Site Concrete & Curbs as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert, without prejudice to its heretofore e nisting priority/ mechanics lien rights against said premises for labor a -&or nnatcri als delivered and/or faniislied to said promises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this - day of r z_�_'o+ North Country Concrete, Inc. NOTE: If this instrument is executed by a� % corporation, it must be signed by an officer, B and if executed by a partnership, it must be signed by a partner. Its (1/4 21345 5/2112001 I DEN Me F.110 The undersigned hereby acknowledges receipt of payment of $ 5,954.60 from The Builders Inc. in payment for Painting as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights which may have been acquired by the undersigned to file mechanics liens against said premises on account of the above - described labor and /or materials delivered and furnished by the undersigned, to the extent only of the amount of the aforesaid' payment-, and the undersigned herelivexpressh reserves the right to assert, without prejudice to its heretofore existing priority. mechanics lien rights against said premiss for labor and'or materials deli : er ed and 'or Rir 'shed to said premises payment for which is not included in the aforesaid payment. The undersigned affirms that all material furnished by the undersigned has been paid for. and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this day of Uo Nort ern Painting, Inc. NOTE: If this instnulient is executed by a — — corporation it must be signed by an officer, By and if executed by a partnership, it must be signed by a partner. Its itd'1i f 21-544 7 19'2001 RECEIPT AND PARTIAL WAIVER OF MECHANICS LIEN RIGHTS The undersigned hereby acknowledges receipt of payment of $ 4,275.00 from The Builders Inc. in payment for Painting by the undersigned delivered or furnished to (or performed at) as per subcontract New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives those rights -hick may have been acquired by the undersigned to file mechanics Bans agautst said premises on account of the above - described labor and!or materials delivered and furnished by the undersigned, to the extent only st the amount of the aforesaid payment; and the undersigned hereby expressly reserves the right to assert without prejudice to its her etofore misting priority. mechanics Tian rig] agautst said premises for labor and /or materials delivered and/or fimtished to said premises payment for which is not included ill the aforesaid payment. The undersigned affinns that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: Dated this - day of NOTE: If this instrument is executed by a r, 0rthern Painting, inc. corporation it must be signed by an ofcer, By and if executed by a partnership, it must be signed by a partner. i Its 21156 3'26 %2001 NUNNESOTA Department of Revenue W ithh olding Ai avit for Contractors eC -1 This o9davit must be approved by the Minnesota Department of Revenue before the stale of Minnesota or any of its subdivisions can make final payment to contractors. Please type or pant clearly. This will be your mailing label for returning the completed farm. Company name — — — — — — — — — — — — Daytime phone The Builders Inc. 1 7631 545 -321' Address Total contract amount 8100 Wayzata Blvd. 6 ti 5 C City State Zip Code Amount still due Minneapolis — — MN — — 554?6— — $� Minnesota withholding tax ID number wor began Project number Project location 00 -262 New Hope Village Golf Course Clubhouse, New Hope, MN Project owner Address City State Zip code City of New Hope 4401 Xylon Avenue N New Hope, MN 55428 Did you have employees work on this project? ® Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor ❑ Subcontractor Name of contractor who hired you Address ® Prime contractor—If you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 affidavits and have them certified by the Department of Revenue before you can file your off idavit. For each subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer See Attached Sheet / dec /are that all information l have filled in on this form is true and complete to the best of my knowledge and beliel l authorize the Department of Revenue to disclose pertinent informodon relating to this prolect, including sending copies of this form, to the prime contractor if / am a subcontractor; and to any subcontractors if / am a prime contractor, and to the contracting agency. Contractor's signature p ij Tide Date �S, i U`°J ` '` � - � CEO Mail to: MN Deoh. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-6610 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 Dare Business Name Address Owner/Officer Cli, 6 v ilc 2- Di"10 v avng> ! I,' _jl pkif! / I o. tt IA,��Ie T?;�T C j A 17 C, _C J t_, 6 40, t kk 2.16 eO X CoAJC Ave N6 AAWOVEa MW 55 Fv-� C 6',1 C i C EWA 50,9 p6cnelc . 15 - 300 5 " Ave tJ *400 Plymot#h zr64 , pft�f CORP. 2392 o neer TMil 0. BOX 2cT7 Awe A4T"575 Ll.% puk eor)fra(hn"4 3 VO '?S` AXJ S25 Y33 k IC 4,�C 1 I V*C,+CA 2.68 7 tJ 15IVd,. 6k) no TtY356 Att JV� -s-son s A j ar IC3 djor&,Sfrand Co. . 0917 I-a-'r v&Wried 61t/d. ourf%sviue. -s-V337 Mov- Qj - N \1N'E5OTA Department of Revenue Withhold r 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. UP a o° C 01 IL L; 0 W- 0 0 [7 Project number Project location 00 262 -104 I New --- H - gp . e__ yill.age Gglf Course Clubhouse 8130 Bps.G T,.nkP Fr? Project owner Address City State Zip code City of New Hope 4401 Xylon Ave. North New H ope MN 55428 Did you have employees work on this project? []]Yes ❑No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor Name of contractor who hired you The Builders Inc. Address 8100 Wayzata Boulevard Minneapolis_ MN 55426 ❑ Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer yt t declare that all information i have filled in on this form is true and complete to the best of m knowledge and belief. t authorize the Department of m Revenue to disclose pertinent information relating to this pmo�, including sending copies of this form, to the prime contractor if t am a subcontractor, ,= and to any subcontractors if t am a prime contractor, and to the contracting a j enc . C `>n tor' signature i Tide Date President 4/08/02 Mail for 6K Depf. o €Revende, Withholding Division, Mail "Station 6610, St. Paul, MN 55146 -6 Based on records of the Minnesota Department of Revenue, 1 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. Depar e or - evenue approval Date 11 , � � A yU2 Stock No. 5000134 (Rev. 11/99) Printed an recycled paper with 10% post-consumer waste using sorbased ink. Please type or print clearly. This will be your mailing label for returning the completed form. ----- - - - - -- Company C name Daytime phone Minnesota tax ID number I ' CL St. Cloud Restaurant Supply ( (320 252 -2977 9237881 S. 0 (Address Total contract amount Month /year work began 100 Roosevelt Road � $ 10,970.00 May, 2001 City State Zip Code I Amount still due Month /year work ended -- St_ Cloud - -MN -- -56301 —/ $ 548.50 June, 2001 UP a o° C 01 IL L; 0 W- 0 0 [7 Project number Project location 00 262 -104 I New --- H - gp . e__ yill.age Gglf Course Clubhouse 8130 Bps.G T,.nkP Fr? Project owner Address City State Zip code City of New Hope 4401 Xylon Ave. North New H ope MN 55428 Did you have employees work on this project? []]Yes ❑No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor Name of contractor who hired you The Builders Inc. Address 8100 Wayzata Boulevard Minneapolis_ MN 55426 ❑ Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer yt t declare that all information i have filled in on this form is true and complete to the best of m knowledge and belief. t authorize the Department of m Revenue to disclose pertinent information relating to this pmo�, including sending copies of this form, to the prime contractor if t am a subcontractor, ,= and to any subcontractors if t am a prime contractor, and to the contracting a j enc . C `>n tor' signature i Tide Date President 4/08/02 Mail for 6K Depf. o €Revende, Withholding Division, Mail "Station 6610, St. Paul, MN 55146 -6 Based on records of the Minnesota Department of Revenue, 1 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. Depar e or - evenue approval Date 11 , � � A yU2 Stock No. 5000134 (Rev. 11/99) Printed an recycled paper with 10% post-consumer waste using sorbased ink. MINNESOTA Department of Revenue Withholding Affidavit for Contractors IC -1 34 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, CL L. , 0 C L C 0 4) CL 0 0 ii Please type or print clearly. This will be your mailing label for returning the completed form. -------------------- p name Daytime phone JA3 (76 1 1 Address Total contract amount 1 2'?� o CC) Ci k State Zip Code Amount still due \� c _��_ztj — — — — — — — — -- $ — - L aC:3 I Project number Project location 14c --b6pf, y LLaa--F_ �L::F Project owner Address City State Zip code Did you have employees work on this project? ❑ Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. F Sole contractor E3- Subcontractor Name of contractor who hired you T4E S Address E�> LQA _Mp F Prime contractor—If you subcontracted out any work on this project, all of your subcontractors must file their own IC -1 34 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 IC -1 34. If you need more space, attach a separate sheet. name Address Owner/Officer I declare that all information I have filled in on this form is true and complete to the best of my knowledge and belief. I authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency. I Minnesota withholding tax ID number Q S - z 73 20 �Month /year work began I 1 7 to: MN Dept. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146 Date — I h —C) 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. D6pertMent of Revenue approval Date A, A -;I- Stock No. 5000134 (Rev. 11/96) Printed on recycled paper with 10% post-consumer waste using soy-based ink. 111N1VLJlJ1ri 1_ICJJCUL11LC1LL Ul 1\CVCILUk_ Withholding fi avi for Contractors IC-134 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. ?,ieese 'type or pr,nt clearly. This will be your moiling Jebel for returning the completed form. 4• Company name Daytime phone i Minnesota withholding tax ID number Minnesota MECHANICAL CONTRACTORS 445 -5100 1. CL 15371812 L. Address ' Total contract amount Month /year work began O APO BOX 237 $18,970.00 !10 -2000 a� CL I City State Zip Code I Amount still due Month /year work ended E— �SHAKOPEE MN 55379 J $ 0.00 4 -2001 C . Project number I Project location a INEW HOPE VILLAGE GOLF CLUBHOUSE +. G Project owner Address City State Zip code E CITY OF NEW HOPE, 4401 XYLON AVE N, NEW HOPE MN 55428 .� Did „,.0 have employees work on this aroject? ! Yes n No IF no. who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor ® Subcontractor Name of contractor who hired ou THE B UILDERS INC Address 8100 WAYZATA BLVD, MINNEAPOLIS MN 55426. ❑ Prime contractor — you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC =134. If you need more space, attach a separate sheet. a Business name Address Owner /Officer O Q I declare that all information.J filled in on this arm is true and complete to the best of my knowledge and belief. I authorize the Department of s- Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if 1 am a subcontractor, s : and to any subcontractors if I am a prime contr f,'or, and to the contracting agency. !s l Contractor's signature Title Date CONTROLLER 4 - 19 - 02 - Mail o: MN Dept'. of Rev e, WAholdin vision, Mail Station 6610, St. Paul, MN 551 46 -66 10 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 Dote 2 02 :k No. 5000134 ,. 11/96) Printed on recycled paper with 10% postaonsumer waste using soy - based ink. t MINNESOTA Department of Revenue Withholding Affidavit for Contractors IC -134 This affidavit must be approved by the Minnesota Department of Revenue before The state of Minnesota or any of it's subdivisions can make final payment to contractors. Company Name Daytime Phone MN Withholding tax ID #: Homeco Insulation, Inc. (763) 755 -3581 3423904 Address Total Contract Amount Month /Year Work Began 9541 NW Foley Blvd. $3,769.00 01 -01 Cam: State Zip Code Amount Still Due Month/Year Work Completed Coon Rapids MN 55433 $188.45 02 -01 Proiect #: Project location New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN Proiect Owner Address Cam: State Zip Code City of New Hope 4401 Xylon Ave. N. New Hope MN 55428 Did you have employees work on this project? (X) Yes ( ) No Check the box that describes your involvement in the project and fill in all information requested. ( ) Sole Contractor ( X ) Subcontractor Name of Contractor who hired you: Address: The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 Prime Contractor - If you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 Affidavit and have them certified by the Department of Revenue before you can file you affidavit. For each Subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you need more space, attach a separate sheet. Business Name: Address: Owner /Officer: I declare that all information I have provided is true and complete to the best of my knowledge and belief. I authorize the Department of Revenue to disclose Pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontractor, and to any subcontractors If I am a prime contractor, and to the contracting agency. Signature Title: President Date: 04 -18 -02 to: MN Dept. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146 -6610 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: APP 111 V1 N L4 I 1 ILl11Cl LL VI1 \CV CILL.LC it o A Ravi for Contractors �c -�s� 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. Please type or print clearly. This will be your mailing label for returning the completed form C - - - - -- — Com name I — i Daytime phone Minnesota withholding tax ID number .L Q , D ' 4L-,- N1-) tyItAL ITT D W --�- (7 -577j i 3 76207 L. Addreesss �/ / Total contract amount ; Month /year work began 0 ^ j B O ci� /YCbNTIC�L�d r � L ,d..v� A e r a $ 4 1, - 2 6 /, 85 tae✓ moo r Ci y State Zip Code ( Amount still due Month /year work ended ` IW,4PL E (eov� IVA — 5536 - - - J 7/ 3 .69 �g� aoo C v E. � s. �0 W_ 4 .0 m s. . Project number ! Project location 60 —a4 a —13 � 1116 4 P V1 LL4oz. (�;Oc.r lkls 6 Lk 0V__ Project owner! Address Q City / State Zip code ��` f�PL F3 /30 .(1AS5 /0" SS`/a.Y Did you have employees work on this project? C� Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor P Subcontractor Name of contractor who hired you —T WE WE Address 8166 OJA^/'ZA Y 4 &V to /0i41.y,C-4?t, ..t 5 41 5S yz& ❑ Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer Mare at all information t have filled in on this form is true and complete to the best of my knowledge and belief. t authorize the Department of e t disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontractor, to a subcontractors if I am a prime contractor, and to the contracts agency. Mail : MN D t, of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-66 10 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 42 2 2 :k No. 5000134 , 11 /96) Printed on recycled paper with 10°5 poshconsumer waste using say-based ink. 11 N L NI- .)1./ I XX 1 Crl CLI L11 LCI L L U1 1\C V t=j L UIZ: Withhold'Hi n A "'Fidavit for Contractors IC-134 This affidavit must be approved by the Minnesota Department of Revenue before the state Of A Minnesota or any of its subdivisions can make final payment to contractors. Please hype or print clearly. This will be your mailing lobel for returning the completed form 4- ------------------ / Company name Architectural & Construction Supply, Inc. Daytime phone Minnesota withholding tax ID number I Address 2489 Eagle Trace Lane I Total contract amo un t 1 Month7year work began 0 Woodburn, MN 55126 I $ city State Zip Code Amoup still due Month/ year work ended — — — — — — — — — — — — — — — — — .2 E CL 0 a Project number 1 Project location Lu_"d Project owner �dclr City State Zip code C) t"I i i - n - , 1 ; 1 � ' fL ki k_V Did you have employees work on this project? ❑ Yes Efr"No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor 0' 'Subcontractor Name of contractor who hired you Address 1 ❑ Prime contractor you subcontracted out any work on this project, all of your subcontractors must File their own IC -1 34 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 IC -1 34. If you need more space, attach a separate sheet. Business name Address Owner /Officer I declare that all information I have filled in on this form is true and complete to the best of rZ knowledge and belief. I authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies . this Form, to the prime contractor if / am a subcontrac and to any subcontractors if i am c7 prime contractor, and to the contracting agency. Contractor's. �0 nature Title Mail to:,KAN bept. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55 1 46 -66 1 0 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 Reyenue r ov Dote 2 :k No. 5000134 v, 1 1 /96) Printed on recycled paper with 10% post-consumer waste using soy-bosed ink. 111V1VL'JV1L1 LJt _FcULii1C1LL Ul 1 \CVt1LUC W ithhold n idavit for Contractors IC -134 ,,This affidavit must be approved by the Minnesota Department of Revenue before the state of �,'�Vlinnesora or any of its subdivisions can make final payment to contractors. Please h /pe or print clearly. This will be your mailing label for returning the completed r'orm. ------ - - - - -- C Company name 1 . i oa.[W �tS �c�'nk•WG� ��c . y I Address 0 0 1 1?. o . r b o k. (.o ° CL Cit/ State Zip Code C 0 w �o c Daytime phone I Minnesota withholding tax ID number I(o511 44 t.2 -Ilfl ► 3Z22 Total contract amount Month /year work began Amount still due Month /year work ended Project number I Project location ff nn po - A,L -122 I BvJ k- D�G ac) �yt/L Project owner Address City State Zip code C, ( & V� 0 I x � � o ,J� Any. M� ssyz 9 Did ybu have employees work on this project? 23 ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sale contractor Subcontractor Name of contractor w, ho hired you ms n.; t L . Or; a:. _ ti tJ :. i .tr . C Ln ' .tiaaress 5/0 b (nJPy2 "7'c' ��✓ ou /CslaiPJ /�r %lgc� apa /�s /�!//JG3o�� sS ❑ Prime contractor -If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner I declare that all information I have filled in on this arm is true and complete to the best of m knowledge and belief. 1 authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontracor, and to any subcontractors if I am a prime contractor, and to the contracting agency. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 551-46-6610 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 Stctutes 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 Jgyftnue approval "15 � R a Date ck No. 5000134 V. 1 1 /96) Printed on recycled paper with 10 ?' post-consumer waste using soy -based ink. 111 V1 V IJ _C L.ICkICQI 111LC1l1 U 1 \C V C1 LUC w ithhold" n affidavit for Contractors IC -134 1, •-Thss 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. please type or print clearly. This will be your moiling label for returning the completed form .1 --- - - r Company name - - -- , I Daytime phone (763 Minnesota withholding tax ID number ID -d , -- r �>j -fEE7 I Address ky) Zf AIL I s 3 Z 4— 6, L a i alp QU 15 8tF i= ,d�o I Total contract amount $ 6 � 7V-1 I Month /year work begcn 19/00 City State Zip Code I Amou still due Month /year work ended c 0 E 0 L - .3 - 0 L. �.. Project number A,n t Project location F/ 3c) 3a- } a' 0 L -.. a: Dept. of venue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-6610 —J' Certificate of Compliance Project owner Address City State Zip code i f y O% IV / He t' y 110'o- e-✓!d" S 'y z f Did you have employees work on this project? 2 Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Z Subcontractor Name of contractor who hired you 1 e &J, /n V rW.At4' 910 ❑ Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer I declare that all information 1 have filled in on this form is true and complete to the best of m knowledge and belief. I authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies 07this form, to the prime contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency. s signature .// 1, ^ Title Date 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 • w. �rn .� �r A No- 5000134 •. 11/96) Printed on recycled paper with 10% post - consumer waste using soy -based ink. IliNINEOU lt1 L.)tpdl UILtIlL U1 1�tV(211U(2 Withholding Affidavit for Contractors IC-134 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. ?lease type or print clearly. This will be your mciling label for returning the completed form. ---------------- 4- Company name kh Y D Daytime phone Minnesota withh J olding tax ID number q JLrzn_<, f iAol� 3 0 4 I- I Address g I Total contrac amount Month/year work began 0 0 4 /sO 9L G State Zip Code 1 —0/ Amount still due Month /year work ended ", k 5. '3 imi�l -3, 7 $ ✓ 7,�i , -3 — S i Project number Pro' ct location . 7� Project owner Address City State Zip code 0 u. Did you have employees work on this project2 i Tes ❑ No if no. who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor &6�12-) 7 Name of contractor who hired you Address 4LV ❑ Prime contractor—if you subcontracted out any work on this project, all of your subcontractors must file their own IC -1 34 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 IC -1 34. If you o need more space, attach a separate sheet. Business name Address Owner/Officer 0 r vied r I declare that all information I have filled in on. this farm is true and complete to the best O knowledge and belief. I authorize the D nt a, f m4his form, to the prime contractor if I am a sub contractor, Revenue to disclose pertinent intormotion relating to this project, including sending copies 1111 Q and to any subcontractors if I am a prime contractor, and to the contracting agency. C ' tractor's signature he t L 2,'-7 n_e D /rt�'LiA C1 'Mail to: MN Dept. of Revenue, Withholding Division, Mail Station' 6S 10, St. Paul, MN 1 46 -6610 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. Deportment of Revenue approval Date APR 2 'pip 2 ck No. 5000134 Y. 11/96) Printed on recycled paper with I To post-consumer waste using say-based ink. A. -L.L V l V J-tI \/ 11 1 l t., t..l "L L" Ll.l LL 1.J1 1 \l. V l.1 L U.l. W ithholding Affidavit for Contractors IC -1 34 This affidavit must be approved by the Minnesota Deportment of Revenue before the state of Minnesota or any of its subdivisions can make final payment to contractors. Please type or print c l e a r ly. This will be your mailing label for returning the completed form. 4 �- Company name„, Daytime phone Minnesota withholding tax ID number ,L 0 Echo Lake Av a�. i 3 s. I Address °7 ' "r° ' Total contract amount Manth /year work bega � 0 I hoes ( 770-5250 I $ f �� , 00 City ` °' "330 (8 ) 7 ' F� Zip Code I Amount still due Month / y ear work ended ------------ - - - - -J $ l Project number (� ! Project locali n . O Project own / dress City State Zip code C ': Did you ha emp' ees work on This pr lecti es ❑ i`.c if no, yr did 'r',c Check the box that describes your involvement in the project and fill in all information requested. Sole contractor Subcontractor 44�� Name of contractor who hired you Address ❑ Prime contractor — you subcontracted out any work on this project, all of your subcontractors must file their own }, IC -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 IC -134. If you v need more space, attach a separate sheet. a Business name Address Owner /Officer O: v Qy 1 declare th t all infor . I hav filled in on this form is true and complete to the best of my knowledge and belief. I authorize the Deportment of Revenue t disclose ertr ent i for ation relating to this project, including sending copies of This form, to the prime contractor if 1 am a subcontractor, and tc an ub rs i m a rime contractor, and to the contracting agency. s Contractor' s' n id 6 Mail to: MN De t, of enue, Division, Mail Station 661 , S . Paul, MN 55 146-6610 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 Regnue ap roval -, Date 2 6 :k No. 5000134 i. 11/96) Printed on recycled paper with 10% post waste using soy - based ink. 111N.L N1..�A 111 1,1CJJCLIL11IC1ILL Vl 1 \CV C1LUlC "idavit for Contractors IC-134 " 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. C L O k� Q r. u� Please type or print clearly. This will be your mailing label for returning the completed form. �Compan name -- _--- -- - - - - -� _ INA Address qq City Project number L $tcte Zip Code ttk Project location ! v Daytime anone Minnesota withholding tax ID number 41 - 12 ?34 Total contract amount $16 > Up Mon /yecr work began c , Amount s due Month y work ended Pro rt , er Address City State Zip code work on this pro M Yes U No If Ao.lwho did the work? Check the box that describes your involvement in the project and fill in alt information requested. ❑ Sole contractor Subcontractor Name of contract63 who,hiredwou _ 0 Prime contractor ou subcontracted out any work on this project, all of your subcontractors must file their own y, IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each L subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you need more space, attach a separate sheet. v a Business name Address Owner /Officer O V I declare that all information 1 have filled in on this form is true and complete to the best of my knowliM ond'betier�t authorta the be ' ortrYteiit of P Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if a( m a suo" con"! .:- and to any subcontractors if I am a prime contractor, and to the contracting agency. C Contractor's signat re t Mle D a te Mail to: MN Dept. of Re nue, Withhol ing Division, Mail Station 6610, St. Paul, MN 551 6610 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 2 '' 4 :k No. 5000134 r. 11/96) Printed an recycled paper with 10 °t, post -consumer waste using soy-based ink. 111 Vl VL�.J �✓ 111 1 -,' J".L L11U 1LL lJ1 1 \C: V G1 LU.G In W ithholding Affidavit for Contractors 1C -134 w 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. C �L Q., L. 0 Q. t� O v E Q� L- Please type or print clearly. This will be your moiling label for returning the completed form. � y - - - -- - - - - -� Com F an name .dl;'U I rtiAL U 11L) I t�`'° {tv Dcytime phone i Minnesota withholding tax ID number BOX 76 Address 1) trai » N1 N u� Total contract amount Month /year work begcn City Project number Project oygner State Zip Code Project locati ti / '.I'll Address 4 ' — 'Y - ' ) �— Did you have Anplcyees work on this project ? 'Kes ❑ No If no, who did the work? City /7 State Zip code Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Y Subcontractor Name of contra `1' hired you < Address 2 4 a F Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own C IC -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 IC -134. If you 4_° need more space, attach a separate sheet. V. Business name Address Owner /Officer L t i declare that all information I have filled in on this corm is true and complete to the best of my knowledge and belief. I authorize the Department or Revenue to disc] pert t information relating to this project, including sending copies oFthis form, to the prime contractor if I am a subcontractor, and to any su�S6nt*6rs if 1 am a prime contractor, and to the contracting ageacv. 7i' Fes- / =- �/ /z MN Xpt. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-66 10 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 Amount still due crG I Month /year work ended © 0 0 C3 G' :k No. 5000134 1. 11/96) Printed on recycled paper with 10% post -consumer waste using soy-based ink. MINNESOTA Department of Revenue W ithholding fi vit for Contractors !C -134 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. Please type orprint clearly, This will be your mailing label for returning the completed form. _ Company name Daytime phone Minnesota withholding tax ID number Address _ Total contract amount , Month /year work began I i 7 't 4 e- a 4� ► �/���< �, ���� lv r City State Zip Code I Amount still due Month /yar work ended -57 ZL Project number Prcject location I Project owner Address J City State Zip coca Did you nave employees work on this project? ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor (� Subcontractor Name of contractor who nired you (� Address — ., :5 02 .- j . 4 —Prime contractor —if you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 affidavits and have them certified by the Department of Revebe6ore you can file your affidavit. For each subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC-1 34. if you need more space, attach a separate sheet. Business name \ j Address t (� Owner /Officer A Js f .r. r 5" }Y" / declare that aU information, l have title in on this form is true and complete to the best of my knowledge and belief . belief. / auv7orize the Department of Revenue to disclose pen /ne t rn orrpabo relating to this project, including sending copies of this form, to the prime contractor if / am a subcontractor, and to any subrontractorsifY4 rr�;a pri e contractor, and to the contracting agency. to: MN,9ep't. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146.6610 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. Depar'bT,; q(Revenue aopr val �t'� a' ' Date SENI BY: FACILITIES 2000; 052 035 4412 APP-18-02 12:42PM; PAGE 2/2 MINNESOTA Department of Revenue Withholding Affidavit for Contractors JC- 1 34 This affidavit must be approved by the Minnesota Depenment of Revenu sta biefop, th 0 I Alfinne$0(8 or any 0(#$ subdivisions can make final payment to co ntract=. A%hs* om or ,:-- - 7 h. ae ymrwikv /wow / tux reaming P* clap #aw "O/M. ------------------ C any no" `\ Daytime phone Minnesota withholding tax 10 numbei _0 r7 V1 r'n I Towl comact amount Momis/yoar work organ S 1 ()Zip Cwo__, Afmuni still due Mortih4w work enclocl � Project location PrPA" owner Address City State Zip co"as 8130 l�..c fu!i Did ;aye employees work w IN prtjw? No 11 w. who did the work7 Ch9C* the 60X that describes your ihvioXemenr in &C project and in all M, requested ❑ Sol* tontirsmor Subcontractor Name of cointracwt wein hired you 0c) 1 \V% L ❑ !Prime controctor—If you subcontracted out any work on this p r oject, all of your subcontractors mug file their own 1C-134 affidavits and have them certified by the Department of ReVet;00,re you can file yout'arridavit. For each subcontractor you had, fill in the information below and attach a Copy Of each subcontractor's certified 10 1,34, If you :need more space, attach a separate sheet. : Business name Address Owner/Otticer 1,*Clam OW a0imt~w i /tam 000 h on ft norm /S &W arid compift to ft binsf *fm ,y knawkd90 and ba*df / au*a za 0a Uwparrrnant of R*V~ 10 (MOOM PWF~ IMMMOM r0016 to M p %/pct. PICAN&V seew/rig Copies of thb; A"M to the PF(Rm corwaclor it / am a subconlraVor, &OdJO Sny A4C&W&=r% YJ am a prim camactim, &W to #W c*NradIV apency Contractor's signature- - Title Date t oa Me@ to. MN 061x- of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-6610 Certifitate of Compliance Based on records of the Minnesota Department of Revenue, I certify that the contractor who has signed this certificate ' has fulfilled ill the requirements of Minnesota Stamm 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. D*Pamwir of Retiomo appv Val Do(* �2 1 Smxh No. 500013♦ (Rev. I T/98) swfteii 6M fOCY04d OZOW -ilk 7 0% 0Q%t<Q?KUMQF WDS111 WiM WY•1341ed 1"k. 111 1J1 NL�.l �./ L.4 1 1/ l:F ULL L111 C.1 L L U 1 \C V CI LUC Withholding A ffidavit for C ontractors IC This offidavit 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. Please type or print clearly. This will be your mailing label for returning the completed form. ---- ------------- C Company name Daytime phone i Minnesota withholding tax ID number •i 1 SUPERIOR TILE & TERRAZZO INC (651) 12224221 CL I Address Total contract amount Month /year work began m P.O. Box 847 $ 14.330.00 2/20/ 2001 ti I Ciry Sate Zip Code Amount still due Month /year work ended \FOREST Lakes MN -5�25 - -J $ 716.50 3 /2 /aooi _ Project number I Project location 00- 262 -10 I NEW HOPE VILLAGE GOLF COURSE +. O Project owner Address City State Zip code •� t D;d ., u hCve emp!oyees , ;rrG o n this proiect2 n Yes ❑ No If nn, who did the worlr.2 CL , Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor ® Subcontractor Name of contractor who hired you THE BUILDERS INC Address 8100 WAYZATA BLVD MINNEAPOLIS MN 55426 ❑ Prime contractor — you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each i subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you need more space, attach a separate sheet. a Business name Address Owner /Officer C O V 1 declare that all information I have filled in on this form is true and complete to the best of my knowledge and belief. i authorize the Deportment or s- Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontrcctor, and to any subcontractors if t am a prime contractor, and to the contracting agency. IM Contractor's s" n ture r Title Date ;A, , VICE President 4/25/2002 Mail to: MN Dept. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-66 10 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. Depaf4meRt.of Revenue approval, Date A No. 5000134 V. 11 /96) Printed on recycled paper with 10% post - consumer waste using soy -based ink. MINNESOTA Department of Revenue L'� y Withholding ffidavit for Contractors IC -134 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. Please type or print clearly. This will be your mailing label for returning the completed form. Company name Daytime phone Minnesota withholding tax ID number W.L. HALL CO. 952 - 937 - 8400 6882796 Address Total contract amount Month /year work began 14800 MARTIN DRIVE $13,890.00 July - 00 City STATE ZIP CODE Amount still due Month /year work ended EDEN PRAIRIE MN 55344 $694.50 March - 02 Project number / Project location 69086 / New Hope Village Golf Course -8130 Basslake Road, New Hope, MN 55428 Project owner Address City State Zip code City of Nee Al ricp 4401 Xylon n\i --nLr-- North f e\A, Hope NAN 55428 Did you have employees work on this project? ( X) Yes ( ) No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested ( )Sole contractor ( X )Subcontractor Name of contractor who hired you The Builders' Address 8100 Way zata Boulevard, Minneapolis, MN 55426 -1338 ( ) Prime contractor -if you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer I declare that all information I have filled in on this form is true and complete to the best of my knowledge and belief. I authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency. Contractor's signal' re Title Date ffi� Vice President April 19, 2002 Mail to: MN Dept. of Revere; Withholding Division, Mail Station 6610, St. Paul, MN 55146 - 6610 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 vypges to employees relating to contract serve ith � Minnesota and/or its subdivisions. Deoaam�ntof Revenge aDbroval � ii�� Stock No. 5000134 111N1N.CJUi1 JJCFr_LiLiRtf1Ll Ul AtV(211Ue Withhold In Affidavit for Contractors -�1his affidavit must be approved by the Minnesota Department of Revenue before the state of linnescra or any of its subdivisions can make final payment to contractors. , i C . CL L 0 Q} G. F Please type or print clearly. This will be your mcifing label for returning the completed form. — — — — — — — — — — — �Company name I Address ON State Zip Code Dayrime phone t ?i -G,S1 IC-134 Minnesota ,^ wit hholding tax ID number Total contract amount i Month /yecr work began Amount still due Month /year work ended ✓ tom:. ` L'. Project number I Project location 01 +�{ GG. t.� eGJ i./V C j rFA S Lx'-j �:._ 'y� f� 7i rf ;��✓/' -_ A,7�'�' at Project owner Address City State Zip code 1.I C< "ry �!!- /tiiiv rrU f'C I OU - Did you have employees work on this project? �Z Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor ;t Subcontractor Name of contractor who hired you WA)l z14 r,4 r_Va Address ❑ Prime contractor — you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you 0 need more space, attach a separate sheet. Business name Address Owner /Officer a „- C' a:> 4L, L= s i7i I declare that all information I have filled in on this form is true and complete to the best of my knowledge and belief. I authorize the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if i am a subcontractor, and to any subcontractors if i am a prime contractor, and to the contracting agency. Contractor' signature , title uate Mail to: MN Dept. of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 551 10 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 :k No. 3000134 r. 11 /961 Printed on recycled paper with 10 °a post - consumer waste using soy-based ink. 111VIV1.)JUIi - 1 L.ICPCUL11LC1LL U1 IV= VCILUC a •� 0 Project number Project location Project owner Address j City • t State Zip code Did you have employees work on this project? El Yes El No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ ,Sole contractor Subcontractor s/ (� 1 �l G 3 31c,. Name of contractor who hired you 1 7,L7 ❑ Prime contractor —if you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each L subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you a need more space, attach a separate sheet. Business name Address Owner /Officer is G� 1 declare that all information f have filled in on this farm is true and complete to the best of m knowledge and belief. I authorize the Department a,*' Revenue to disclose pertinent information relating to this project, including sending copies ofYhis form, to the prime contractor if I am a subcontrac,ar, and to any subcontractors if I am a prime contractor, and to the contracting agency. r Ua�e. to: MN Dept. of Revenge, Withholding Division, Mail Station 6610, St. Paul, MN 55146 -6610 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 A No.500013 4 - -•- •. 11/96) Printed on recycled paper with 10% post -consumer waste using soybosed ink. - 1 - hh old i ng Aff idavit for Contractors IC -134 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. Please type or print clearly. This will be your mailing label for returning the completed form. � /" Com any name l I , �(ii — DS�ytirCye p h ho .� n � e j / ` �? ( � l 'J ' / l� '�C� <a Minnn withholldinG tax I number i f 1 I 0 7 — 7(v Add ,, re �,� ss �� ��_ �, � Total contract amount. ! Month /year work began � Ci State Zip e p 1 f I Amount sh du= Mon th/ work _ de d a •� 0 Project number Project location Project owner Address j City • t State Zip code Did you have employees work on this project? El Yes El No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ ,Sole contractor Subcontractor s/ (� 1 �l G 3 31c,. Name of contractor who hired you 1 7,L7 ❑ Prime contractor —if you subcontracted out any work on this project, all of your subcontractors must file their own IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each L subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you a need more space, attach a separate sheet. Business name Address Owner /Officer is G� 1 declare that all information f have filled in on this farm is true and complete to the best of m knowledge and belief. I authorize the Department a,*' Revenue to disclose pertinent information relating to this project, including sending copies ofYhis form, to the prime contractor if I am a subcontrac,ar, and to any subcontractors if I am a prime contractor, and to the contracting agency. r Ua�e. to: MN Dept. of Revenge, Withholding Division, Mail Station 6610, St. Paul, MN 55146 -6610 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 A No.500013 4 - -•- •. 11/96) Printed on recycled paper with 10% post -consumer waste using soybosed ink. Ili V1NJ:,JVlri LJCrJQ1L11U=LL Ul 1�,CVCILUC of aa- Aff idavit for Contractors IC 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. Please type or print clearly. This will be your mailing label for returning the completed form. — — — — — — — — — — -- V .4. Company name Daytime phone Minnesota withholding tax ID number 'L Phasor Electric Company ( 76B 557 -9702 3789993 Q.. L. I Address I Total contract amount i Month /year work began 0 i 15300 — 25th Ave N 1400 $ 71, 963.00 Sept. 2000 FL City State Zip Code I Amount still due Month /year work ended Plymouth IVIN 55447 — — _ J $ 6,111.85 July 2001 �. Project number Project location a 8130 Bass Lake Road, New Hope MN '.r. Project owner Address City State Zip code a� Clty of New Hope 4401 Xylon Ave N. New Hope MN 55428 'a Did you have employees work on this project? ® Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor Name of contractor who hired you The Builders Inc. Address 8100 Wayzata Blvd., Minneapolis MN -55426 a ❑ Prime contractor — you subcontracted out any work on this project, all of your subcontractors must file their own CL IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For each 4. 1. subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you need more space, attach a separate sheet. a Business name Address Owner /Officer a CJ i declare that all information t have filled in on this form is true and complete to the best of m knowledge and belief. I authorize the Department of ►- Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if 1 am a subcontroc, . and to any subcontractors if I am a prime contractor, and to the contracting agency. Contractors signature Title Date � ! l Vice President April 18, 2002 Mail to: MN ry-' pt. cf Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-6610 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. De ardment of Revenue approval Date APIR 2 6 2002 :k No. 5000134 '. 11/96) Printed on recycled paper with 10% poskonsumer waste using soy - based ink. MINNESOTA Department of Revenue Withholding ffi vi for Contractors IC 34 T his affidavit must be approved by the Minnesota Department of Revenue before the state of �1 Minnesota or any of its subdivisions can make final payment to contractors. Type Or Print � c v, ,un �,adn . ,,,,a "Oil ua our n,d,urn Iduer f ur reiumu� ore cofrrprerea form. No pany name Daytime phone Minnesota withholding tax ID number DMJ CORPORATION 763- 478 -6878 3142780 Address Total contract amount Month/year work began 2392 PIONEER TRAIL, PO BOX 299 $11948.00 5/01 City State Zip Code Amount still due Month/year work ended HAMEL MN 55340 $597.40 1 5/01 Project number Project location 00- 262 -114 ( NEW HOPE VILLAGE GOLF COURSE CL U B HOUSE, NEW HOPE, MN Project owner Address City State Zip code CITY OF NEW HOPE 4401 XYLON AVE N NEW HOPE MN 55426 Did you have employees work on this project? _X_ Yes _ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested _ Sole contractor Subcontractor Name of contractor who hired you THE BUILDERS Address 8100 WAYZATA BLVD MINNEAPOLIS, MN 55426 _ Prime contractor- If you subcontracted out any work on this project, all of your subcontractors must file their own I0-134 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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer I declare that /l U fonnation I have filled in on this form is true and complete to the best of my knowledge and belief. / authorize the Department Of Revenuej0 1se/ose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a Subcontrac r and to any subcontrapt " if / am a prime contractor, and to the contracting agency. Contra s signature Title Date sign 5/2/02 Nfi Mo: MN Dept. of Revenue, Withholding Division, Mail Statio 10 St. Paul, MN 551 6 - 6610 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 iployees relating to contract services with the state of Minnesota and/or its subdivisions. apartment of Revenue approval Date JA Stock No. 5000134 (Rev. 11195) 111 V1 VLV'./ 111 Lt.. E,I Kt l.11 ll-1 11 Vl 10l. v V..1LLAV— W ithholding n Affidavit r Contractors IC-134 This affidavit must be approved by the Minnesota Deportment of Revenue before the state of Minnesota or any of its subdivisions can make final payment to contractors. A, � s j ?lease type or print clearly. This will be your moiling label for returning the completed form. -- ---------- - - - - -1\ C Company name Daytime phone ; Minnesota withholding tax ID number ��. TL *n_ - lko - 11 - 1- 05? L. Address Total contra cttamount Month /year work began $ G I !li r - ' .l iy n-�% 0 Ci'ry State Zip Code I Amount still due Month =_ar work ended v ir. W0 Project number Project location a h�lRj IIv'%e r 111a I Project owner Address City State Zip code (tt' 4 w It re 4A b] hi 61r, N?-"VV' MV� Did you have employees work on this project? `Q1 Yes ❑ No If no, who did the work? Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor Name of contractor who hired you Address V t t u Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you ' need more space, attach a separate sheet. Business name Address Owner /Officer /declare that all information I hove filled in on this form is true and complete to the best of m knowledge and belief. t authorize the Department or' 1 - Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontracor, ._- and to any subcontractors if I am a prime contractor, and to the contracting agency. Cant r tor's signature f Title Date Mail to: MN/bept. of Revenue; I Withholding Divjsicln, Mail Station 6610, St. Paul, MN 55146-6610 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. Deporhaer of evenue app Date 3 " .... r ck No. 5000134 a. 11/96) Printed an recycled paper with 10% post -consumer waste using soy -based ink. rJC/Z41ZUUZ I 1J: id (bJb45J2U'3 THE BUILDERS INC PAGE 02 ampasow N/MNTNESOTA Depaxtment of Revenue 9 A I C_ 1 34 W ithholdin Puffildavit ©r o f Cntractors This anday!T must ha approved by the Mili,7wolo Deportment cFReyenue before ,fie state of MjnJZe.FO14C or any Of !If, subdjyi$ilVf7$ Cor7 Mok if"ICIPOYMC171fo can/rcc/OM PJ " ar p rintclearr y. Phis WIYI be YC Iffmciping low for ----------------- Company nQmc Doytirftd phone 4iinnc.cia withholding t= Q number lWestern Steel Erection, Inc. 1 9521 473-4344 3053886 A,:Wr— Total (;Qn trc-:t 'n=uft) MoniVywrw-k *(3n 2687 W. Wayzata Blvd. $ 3,812.00 Oct., 00 city state Zip cado Amovnt;liil due Nkcnth/y=rwork ended ��rono________MN --55K6 ---,/ $ 190.60 Dec., On FroiLfte number Project Incalica 00072 ...1 Bass Lake Road New Hope IVIN 55428 Froled ownspr Address cit) slate Zip 408a City of New Hope 4401 Xvlon Ave. N. New Hope MN 5542S Did you have employees work an this prole--t? X1 Yes ❑ No If na, who did the work? Check the box that' describes your involvement in the pro feet and Pill in all information requested M Sole contractor Subcontractor Name of cootractar who hired you 8100 Wayzata Blvd., Minneapolis,__MN 55426 [7 Prime confractorlf you subcontracted out any work on this project, all of your subcontractors riiu*t file their own 1C -13d affidavits and have them certified by the Department of Revenue before you can -File your affidavit. For oach subcontractor you Had, fill in the information below and o tt czc h a co of e a c h su b con tractor's certified IC -1 34, If you need more space, attach a separate sheet. Business name Address OwnerYOEficer declare thai a/1 in foemafian / howe fiXad in on this har is fte and comp/eme to the best of my,67awlacIve and b1A41 I OvAlrize the DI: V"ment Of R eye , v* ) I V c y;_ c rtir to this �7 V 425 lending cop a this form, to the pime mn#=w W lam 0 JlJbCOIMMC�Cf, , pertinent 7,� ro g l , i c/ or P t$ and to diyju b carr brodzrs Y1 am aptfn7e CCt7?A=A:r, and j'0 the Canhlde�7_C agency. Lld' ti-27— Bookkeeper Mail to: MN Dept, 9 . Atyenue, Withholding Division, Mail Station 6610, St. Paul, MN SS 146-6610 Certificate of Compliance Based on records of the Minnesota Department of Revenge, I certify that the contractor who has signed this certificate has fulFilled all the requirements of Minnesota St 290-92 and 290.97 concerning th w ithholdi n g of Minnesota Income fax f rom wage paid to employees relating [a contract services with the state Of Minnesota and/ar its subdivisions, 10 IR ycrwe fats A 6 -114 MAY 2 8 20W L 0 9? CL . Withholdillng Affidavit for Contractors IC- 1 34 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. Please type or print dearly. This will be your mailing label for returning the completed form. ------------ ` - - - - - Daytime hone Company name bP _ p Minnesota withholding tax ID number Address J��/ . Wi=t C C/7 -1 /V - �-� Y+��✓ S i .2,q< /` 7 _ n Total contract amount I Month / ar work began city State Zip Coda Amount ill due Mont / I / / � or work ended / N %, I /// Project number Project owner roject location &ec =J / e, / i 1Iei y.. K, C Address City State Zip code Did you have employees work on this project? ❑ Yes No IF no, who did the work? yes - � �r> �e- 5' Check the box that describes your involvement in the project and fill in all information requested. ❑ Sole contractor. _ `� Subcontractor t f iyl� , Name of contractor who hi d you Address 0601 1__�4 , /`l /IG Prime contractor —lf you subc tracted out any work on this project, all of your subcontractors must file their own IC -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 IC -134. If you need more space, attach a separate sheet. Business name Address Owner /Officer Cre 5 4 " k7ke e r S Y/,3 1_4 0_` e'l N4 -c: E �t r l ll � tl J /![ • M11 6 t � +�t a I declare that all information 1 have filled in on this form is true- and complete to the best of m knowledge and belief. l authorize the Department of s- Revenue to disclose pertinent information relating to this project, including sending copies ct this form, to the prime contractor if 1 am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency. Co Qt is st ature _ Title pate ,,��. �� � � - -- _ x � r °` ✓� ,�� � � ail to: MN Dept. evenue, Withholding Division, ail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance Based on records of the Minnesota Department of Revenue, I cenify 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. D t of Revenue approval A , . Date ® f 4 2 , Ia. 5000134 1/96) Printed on recycled paper with 10% post waste using soy - based ink. W ithholdiling Affidavit for Contractors 1C -134 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. Please 'type or print clearly This will be your moiling Iebel for returning the completed form. � �zz -- =----- - - - - -- y 1`f' Company name Daytime phone t Minnesota with hold i ng4ex-e number 1 . I Address I Totol contract amount Month /,year work begen CL Ciry �ote Zip Code I Amount still due Mo th/ ear wor ended —� - - -- 0 v E ` C i✓ ._ Project number Projectl location Project owner Address Ciry State Zip code Did you have employees work on this project? ❑ Yes Y i No i( nu, who did the work? D eck tfie ox your involvement in the project and fill in all information requested. ❑ Sole contractor Subcontractor Name of contractor who hired you y / �,,, / & ! /� •Lil [ `��I 4-1vi/ Address � F ' Prime contractor —If you subcontracted out any work on this project, all of your subcontractors must file their own > IC -134 affidavits and have them certified by the Department of Revenue before you can file your affidavit. For'each 6. ,. subcontractor you had, fill in the information below and attach a copy of each subcontractor's certified IC -134. If you 01 need more space, attach a separate sheet. g Business name Address Owner /Officer �;1fr Q;. Q y 1 declare that all information I have filled in on this form is true and comolete to the best of my knowledge and belief. I authorize the Department of L. Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor if I am a subcontrac ;or, and to any subcontractors if I am a prime contractor, and to the contracting agency. Contractor's signature Title Date Im Mail to: MN Dept, of Revenue, Withholding Division, Mail Station 6610, St. Paul, MN 55146-66 10 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 ,ck No. 5000134 :v. 11/96) Printed on recycled paper with 10% post{onsumer waste using soy -based ink. INSURER E: 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. INSR tR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE A MM /DD/YY POLICY EXPIRATION A IDD LIMITS GENERAL LIABILITY CC10207155 12/31/1999 12/31/2000 EACH OCCURRENCE $ 1,000, FIRE DAMAGE (Any one fire) $ 100,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR MED EXP (Any one person) _ $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 A GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 1,000,00 POLICY JEC LOC AUTOMOBILE LIABILITY X ANY AUTO CBA0207155 12/31/1999 12/31/2000 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS LIABILITY CC10207155 12/31/1999 12/31/2000 EACH OCCU RRENCE $ 5,000,00 X OCCUR 0 CLAIMS MADE AGGREGATE $ S , OOO , OO A _ $ $ DEDUCTIBLE X RETENTION $ 10,00 $ WORKERS COMPENSATION AND CWCO207155 12/31/1999 12/31/2000 X I TORY LIMITS ER A EMPLOYERS' LIABILITY E.L EACH ACCIDENT _ $ 100,00 E.L. DISEASE - EA EMPLOYEE _ $ 100,00 E.L. DISEASE - POLICY LIMIT $ 500,00 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS E: New Hope Golf Course Clubhouse ertificate holder and TSP One, Inc and E &V Consultants and Construction Managers are amed as additional insureds. l:ttl 111 1 t MULUtK ADDITIONAL INSURED; INSURER LETTER tiAIVUrLLA I IUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of New Hope BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 4401 Xyl on Ave N. OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. New Hope, MN 55428 AUTHORIZED REPRESENTATIVE Terry Starks /BEB Addendum 1 TSP ONE, INC. 21 WATER STREET EXCELSIOR, MN 55331 ADDENDUM NO. 1 June 8 2000 NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE NEW HOPE, MN TSP ONE PROJECT NO. 99732 This Addendum forms a part of the original Documents and modifies the original specifications and drawings, dated May 22, 2000, as noted below. Acknowledge receipt of this Addendum in the space provided on the Proposal Form. Failure to do so may subject bidder to disqualification. THE FOLLOWING ITEMS SHALL BECOME A PART OF THE ORIGINAL BIDDING DOCUMENTS: This addendum consists of 8 typed pages Drawings ADD -1, ADD -2, ADD -3, ADD -4, ADD -5. Architectural Specification Items 1 Section 01030: a) Add the following to Alternate No.3: i) The contractor shall remove all hazardous material prior to the building being burned by the Fire Department. The contractor shall also remove any existing trees as required by the Fire Department prior to burning the building. b) Demolition of the existing masonry trash enclosure shall be part of Alternate No. 5. 2 Section 02510 -Add the following paragraphs: 2.10 GATE VALVE AND BOX A General Requirement: AWWA C509. B Bronze mounted, iron body valves. C O -ring seals. D Non -rising stem, opening by turning counter clockwise, 2" square operating nut. E Mechanical joint ends conforming to AWWA Cl 11. F Valve Boxes: G Three piece, cast iron, screw -type. H Adjustable for 7 %2 foot depth of cover. I Valve and box considered as integral units. Addendum #1 Page - 1 Addendum 1 J 5 diameter shafts. K "Stay put" type drop covers, "WATER" on top, with extended skirts. L Anti- corrosive coating required on all bolts and tie rod assemblies. 3.07 INSTALLATION OF VALVE A. Install a six -inch valve in the six -inch water main extended into the club house. B. Install valve such that the valve box extends to the surface in a non paved area. Install immediately north of the existing hydrant. C. Restrain joints with Megalugs. D. Set and joint valves to new pipe in the manner as specified for cleaning, laying and jointing pipe. E. Valves and boxes shall be supported on a concrete block. F. Maintain valve box centered and plumb over the operating nut of the valve. G. Set top of valve box flush with the existing surface to provide 12" of upward adjustment. 3 Section 06201 — Delete this section. 4 Section 06220: a) Revise 2.3 exposed veneer panels to rotary cut natural birch. b) Delete section 2.14 Wood Transparent Finish System. Finish system shall be by Division 09900. 5 Section 07150: a) Add to Barrier Sheathing: #15 felt behind masonry on Air Barriers. 6 Section 07460: a) Revise heading of 2.4 to "Fascia and Trim ". Mechanical Specification Items 1. Section 15400.13 Plumbiniz Fixture Types P -4: Delete Accessory: Truebro layshield protective pipe covers, ADA compliant. Addendum #1 Page - 2 Addendum 1 2. Section 15800.2 Diffusers, Registers and Grilles * Add the following types: Type 1: Linear Floor Supply Registers Supply registers shall be similar to Anemostat AL -15 or approved equal, aluminum construction, concealed mounting 1/4" bars on 1/2 " centers, 15° single deflection, 4" height, width as indicated on plans, opposed blade damper, and natural anodize finish unless otherwise indicated. Type 2 Exhaust Grille Grilles shall be similar to Anemostat X1V or approved equal, aluminum construction, frame for surface mounting, horizontal face bars, 45° deflection, and aluminum paint finish unless otherwise indicated. Type 3 & 4 Return and Transfer Grilles Grille shall be similar to Anemostat S3HD or approved equal, steel construction, frame for surface mounting, horizontal face bars, 45° deflection, and white enamel finish unless otherwise indicated. 3. Section 15800.3 Insulation a. Delete: Supply and relief duct lining. b. Delete: Round ducts (branches) of insulated flex 5' -0" maximum length. C. Add: Provide thermal insulation on fresh air and exhaust ducts within 10 feet of wall penetration and ducts in attic space." 4. Section 15800.6 Ceiling Exhaust Fans *: Add: a. Provide when indicated and as schedule on the drawings, ceiling exhaust fan(s) as manufactured by Greenheck, ACME, Jenn Fan, Loren Cook, Penn, Pace, Powerline, Broan, or Engineer approved equal. b. Provide with backdraft damper and ceiling grille, and entire housing lined with 1/2 -inch sound insulation. Motor shall be mounted on resilient elastic grommets and be equipped with plug -in connection for easy removal. Unit shall bear the AMCA seal for air and sound performance. Fans not bearing this seal will not be acceptable. 5. Section 15800.7 Underground Ductwork *: Add: a. Provide where indicated on the drawings and as specified herein a complete underground air distribution system. Air duct material shall be as manufactured by PVS Underground, Wesco, Tangent Air, or approved equal. Addendum #1 Page - 3 Addendum 1 b. Construction. All round underground ductwork, including fittings, transition pieces, etc., shall be constructed of PVC coated spiral wound steel. All rectangular underground ductwork, including air boots, etc. shall be constructed of PVC vinyl coated galvanized sheet metal. Exterior coating shall be minimum 4 mil thickness and interior coating shall be minimum 1 mil thickness. C. Duct gauges shall be as follows: (1) Rectangular Ductwork - 20 gauge on all sizes with angle iron reinforcing as recommended by manufacturer. d. Joints on ductwork shall be joined by a galvanized sheet metal sleeve installed inside of duct and secured with sheet metal screws. An extruded bead of non - hardening waterproof mastic shall be applied to the end of one duct to be joined and the other duct pressed rightly against the bead and secured with sheet metal screws. Wrap joint with waterproof tape covering screw heads. Waterproof mastic shall be Presstite No. 579.6 or as approved by ductwork manufacturer. Waterproof tape shall be Nashua No. AVI -10 or equal. e. Joints on PVC vinyl coated galvanized sheet metal shall be 4 -inch male connectors with sealer and mechanical fasteners a maximum of 15 inches o.c. and minimum of 3 per joint. f. Elbows shall be minimum 5 section gored construction with 1.5 center line radius. Dieformed elbows will be allowed below 14 -inch diameter. g. Installation. Ductwork shall be installed in pea gravel compacted to 95% test compaction. Section 15900.3 Thermostats Delete: "and provide a locking clear plastic cover." Architectural Drawing Items 1 Sheet AL 1.00: a) Refer to drawings issued this addendum for trash enclosure dimensions and details. 2 Sheet A101: a) The wall between rooms 104 and 108 shall be wall type 1. b) At the wall between room 102 and room 110, revise wall type 2 by deleting 5/8" gypsum board and replacing it with 1/2" plywood on the side of room 102. See structural also. c) Room Finish Schedule: Change the base for room 107 from vinyl to 4" wood. Addendum #1 Page - 4 Addendum 1 d) Room Finish Schedule: Change the base for room 113 from 4" wood to 4" composite trim. e) Room Finish Schedule: Add remark #3 to the south side of door 108A in room 103. D Door Schedule: Change the frame type for door 110 from frame type 1 to frame type 3. g) Keyed Note #08 add: "Include with the fireplace insert operable glass doors and screen mesh by manufacturer as selected by Architect." 3 Sheet A702: Replace Detail 12/A702 with detail issued this addendum. 4 Sheet A801: a) Toilet room elevations showing counter top mounted soap dispensers shall be wall mounted soap dispensers by owner. b) Revise the detail number of interior elevation in the second row, second from the right to 7/A801. c) Revise the detail number of interior elevation in the second row, first from the right to 8/A801. d) Revise the detail number of interior elevation in the third row, first from the left to 9/A801. e) Revise the detail number of interior elevation in the third row, first from the right to 10 /A801. f) Revise the detail number of interior elevation in the fourth row, first from the left to l l /A801. g) Revise the detail number of interior elevation in the fourth row, first from the right to 12/A801. 5 Sheet A802: a) The glass shown in Detail 6/A802 is 2' -6" long at two locations determined by Architect. b) At the interior elevation for the east wall of room 102, modify the note referring to the store fixture slats to read: "1/2" natural birch plywood on 1 /4" plywood backing. Provide rabbitting and slots at 4" O.C. vertical and as required for store fixture display hooks. Use horizontal grain pattern and minimize joints." Structural Drawing Items 1. Sheet 5301: c) Details 19 and 20/5301— Change the lumber grade of all architectural wood truss members to #1 DF -L. Addendum #1 Page - 5 Addendum 1 Mechanical Drawing Items Drawing Sheet P 101 a. Water Riser Diagram P /1: Change domestic water service to a separate 1 1/2" pipe, delete the pipe and valve between the 6" fire main and 1 1/2" domestic service. b. Detaill/P101: (1) Add 2" waste piping from the 2" floor drains in Rooms 111 and 112 to the 4" main. (2) Add 1/2" hot water and 1 1/4" cold water piping between the pipes up in the Mechanical Room and the pipes up in the restroom chase. (3) Change "New gas service by others" to "make arrangements with the Gas Company to provide a new gas service and meter ". Electrical Drawing Items 1 Sheet E101: a) Provide a wall mount and a ceiling mount occupancy sensor in rooms 111 and 112. Delete the toilet wall switches. The sensors shall be a passive infra -red type, fully automatic switch that turns on the lights and exhaust fan when someone enters the room, keep the lights and fan on during occupancy and turns them off 3 to 15 minutes after the occupant has left. The ceiling sensors shall be single gang with an integral power switch relay, 2000 SF coverage, and an electrical rating of 20A. The wall switch shall be a single gang, single circuit, and 1000 SF coverage. Minimum electrical rating shall be 1000 watts at 120V. Provide an auxiliary relay for the exhaust fan motors. The occupancy sensors shall be ivory. Leviton catalog number 6768 (wall sensor), Leviton catalog number 6777 (ceiling sensor) and Leviton 16773 -CBX (control unit) or approved equal. b) Provide a three -way switch in room 108 on the west wall, next to the door. Change the south wall light switch in room 108 to a three -way switch. c) Add the following fixtures to the light fixture schedule: A National CPB- X -ID/D- 332 -PFM- PPM- AC- 120V -16W B Hubbell WSW332B C Hubbell D4132 -E120 -VAR VAR =1 -32W PLT D Hubbell D9232 -120 E Hubbell LS615 -120 F Newstar 84- 175MH -120V -Clear Lens Addendum #1 Page - 6 Addendum 1 G Devine CDB- 50MH- 120 -Clear Lens H Original Cast STE- 24- 7- B- 4DP -1 -Q J Hubbell HTA13WH K Hubbell PRB L DynaRay 2301N-2 Surelite M Devine BCR14- PLC26- BLK -SP 2. Sheet E201: a) Provide another receptacle next to the L1 /21 receptacle on the east wall of the Electrical Room, and connect to circuit L1/21. b) Provide a public address amplifier, Bogen GS 100, a Community R.5 -94T speaker and a Audiotechnica MB2000L switched microphone. These products shall be supplied through Bormann Marketing (Brad Woodhouse 612 -835- 9161). The speaker shall be mounted on the north side of the building, outside of the storage area, 7' above finished grade. Connect with shielded, insulated 12 -2 speaker wire to the amplifier, located in the electrical room. Mount on a rack above the L1 /21 receptacle. The microphone shall be located at the cash register. Provide 3 /4" conduit from the amplifier to the cash register counter and microphone cable. c) Provide a Fender portable public address system model P150. This portable system shall be obtained through Bormann Marketing. Architectural Product Reviews The following manufacturers' materials and equipment listed below appear to meet project requirements and performance and are still subject to compliance with all drawing and specification requirements. 08330 Overhead Coiling Door Mechanical Product Reviews Mahon Door Corp. The following manufacturers' materials and equipment listed below appear to meet project requirements and performance and are still subject to compliance with all drawing and specification requirements. 15400.13 Plumbing Fixtures: Closet Seats: Centoco Mop Basin: Zurn Brass: Zurn Addendum #1 Page - 7 Addendum I 15400.14 15800.2 .NOM Sump Pumps: Bell & Gossett Diffusers, Registers and Grilles: Price, Nailor Furnace Unit: Bryant Condensing Unit: Bryant Addendum #1 Page - 8 a� z w N 0 ■� ai Q 0 11 Q) U C/1 O r- 1 TSP One, Inc. Architecture Engineering Interior Design 1500 Highway 52 North ❑ Rochester, MN 55901 Tel. (507) 288 -8155 Fax. (507) 288-7220 21 Water Street Excelsior, MN 55331 Tel. (952) 474 -3291 Fax. (952) 474 -3928 Project Title: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE ADDENDUM #1 Project No.: 99732 Date: 5 -22 -00 Page No: co 7- rr. E- '"S Z o 6 0 ilm TSP One, Inc. Architecture Engineering Interior Design 1500 Highway 52 North Rochester, MN 55901 F] Tel. (507) 288-8155 Fax. (507) 288-7220 21 Water Street rvq Excelsior, IVIN 55331 L& Tel. (952) 474-3291 Fax. (952) 474-3928 Project Title: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE ADDENDUM #1 Project No.: 99732 Date: 5-22-00 Page No: P, NOTE: SEE 1 ( � FOR FLOOR FINISH PATTERNS �AIOI) I � ai STEEL PANEL DOORS - FT. - PRECAST GONG. GAP. E- ��5TEEL BOLLARD (TYF.) - FT. ROCK FACE CONCRETE NOTE: TRASH ENCLOSURE 1.5 PART OF ALTERNATE #5. law W co C) Cn O p— NOTE: SEE SHEET ADD-4 FOR MORE ELEVATION DETAILS 12 TSP One, Inc. Architecture Engineering Interior Design 1500 Highway 52 North ❑ Rochester, MN 55901 Tel. (507) 288-8155 Fax. (507) 288-7220 21 Water Street rq�z Excelsior, MN 55331 A Tel. (952) 474-3291 Fax. (952) 474-3928 Project Title: Project No.: NEW HOPE VILLAGE Date: 99732 GOLF COURSE CLUBHOUSE 5-22-00 ADDENDUM #1 Page No: ADD-3 yJ co 0 Ws Q) SEE ELEVATION 5' O.D. PIPE - LATCH- FT. STD. (BOLLARD) 10'-0' LONG FILLED W/ CONG. ���� - ��� ROUND TOP SET IN FOOTING SEE STRUC. NOTE: ALL STEEL TO BE FAINTED 1500 Highway 52 North Rochester, MN 55901 F] Tel. (507) 288-8155 Fax. (507) 288-7220 21 Water Street ru'l Excelsior, MN 55331 L& Tel. (952) 474-3291 Fax. (952) 474-3928 Project Title: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE ADDENDUM #1 Project No.: 99732 Date: 5-22-00 Page No: ADD-4 DJ I I I I I I I. I I I I I 171 SURFACE BOLT [DOOR - PT. SEE DE TAIL BELOW ro' O.D. F'IF`E x 13" STRONG SLEEVE 4' STEEL DOOR FRAME - FT. 1 /S' BENT PLATE BRACKET. WELD TO DOOR FRAME. GRIND WELDS SMOOTH - FT. 6'X2* HEAVY-DUTY INDUSTRIAL ROLLER BEARING WHEEL. GRAINGER STOCK ' 4Z569 OR APPROVED EQUAL. 1500 Highway 52 North Rochester, MN 55901 F] Tel. (507) 288-8155 Fax. (507) 288-7220 21 Water Street ru'l Excelsior, MN 55331 L& Tel. (952) 474-3291 Fax. (952) 474-3928 Project Title: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE ADDENDUM #1 Project No.: 99732 Date: 5-22-00 Page No: ADD-4 z w h 0 a a) ro Q .J 0 .o 0 U C!1 0 a t)L,ALt =: _ b" = 1' -0 VA -WLP» TSP One, Inc. Architecture Engineering Interior Design 26' -O" l02 d a° Lu° d �- ° SLOPE p CONC. 2% d a ° KGJ ° ° J ANO SLOPE d a d ° 9 CONC. d ° ° ° APRON ° a ° d S ° 4 1/2" 1' -3" 4 1/2" ASH E\C L OS AIZ L SCALE: 1 /5" = V -O" _ XA -TRASH PRECAST CONC. CAP DRIP EACH SIDE /�— THRU WALL FLASHING STAINLESS 5%. PINS 0 4' O.C. S' BOND BEAM W/ (2) #4/ BAR HORIZ. CONT. ROCK FACE BLOCK FLO OR 12 ELEV. = I06' - O" $5 BAR VERT. AT 32" C/C - GROUT CORES SOLID AT VERT. REINF. 6" REINFORCED CONC. SLAB ON GRADE W/ #3 EPDXY COATED I' -6' O.G. EACH WAY #3 BENT BARS AT 24' C/C 2 ll�l INTO SLAB N� -- —#5 BAR VERT. AT 32" C/C CENTER W/ 5TD. HK. (2) #S BAR HORIZ. CONT. AT FTC. ALTERNATE HOOK SIDE TO SIDE 1e Y ELEV. = 100' -0' - -� S' BOND BEAM W/ (2) #4 BAR HORIZ. CONT. EXPANSION MATERIAL 8' GMU FOUNDATION CONT. CONC. FOOTING - SEE PLAN TOP OF FOOTING ELEV. = / S r o' - _i 1500 Highway 52 North ❑ Rochester, MN 55901 Tel. (507) 288 -8155 Fax. (507) 288 -7220 21 Water Street Excelsior, MN 55331 Tel. (952) 474 -3291 Fax. (952) 474-3928 Project Title: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE ADDENDUM #1 Project No.: 99732 Date: 5 -22 -00 Page No: ADD -5 TSP ONE, INC. 21 WATER STREET EXCELSIOR, MN 55331 Addendum 2 ADDENDUM NO.2 June 13 2000 NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE NEW HOPE, MN TSP ONE PROJECT NO. 99732 This Addendum forms a part of the original Documents and modifies the original specifications and drawings, dated May 22, 2000, as noted below. Acknowledge receipt of this Addendum in the space provided on the Proposal Form. Failure to do so may subject bidder to disqualification. THE FOLLOWING ITEMS SHALL BECOME A PART OF THE ORIGINAL BIDDING DOCUMENTS: This addendum consists of 4 typed page. Mechanical Specification Items: 1. Section 15400.13 Plumbing Fixture Types P -4: Delete Accessory: Truebro layshield protective pipe covers, ADA compliant. 2. Section 15800.2 Diffusers, Registers and Grilles * Add the following types: Type 1: Linear Floor Supply Registers Supply registers shall be similar to Anemostat AL -15 or approved equal, aluminum construction, concealed mounting 1/4" bars on 1/2 " centers, 15° single deflection, 4" height, width as indicated on plans, opposed blade damper, and natural anodize finish unless otherwise indicated. Type 2 Exhaust Grille Grilles shall be similar to Anemostat X1 V or approved equal, aluminum construction, frame for surface mounting, horizontal face bars, 45 deflection, and aluminum paint finish unless otherwise indicated. Type 3 & 4 Return and Transfer Grilles Grille shall be similar to Anemostat S3HD or approved equal, steel construction, frame for surface mounting, horizontal face bars, 45° deflection, and white enamel finish unless otherwise indicated. 3. Section 15800.3 Insulation a. Delete: Supply and relief duct lining. b. Delete: Round ducts (branches) of insulated flex 5' -0" maximum length. TSP One Project # 99732 Addendum #2 - 1 Addendum 2 C. Add: Provide thermal insulation on fresh air and exhaust ducts within 10 feet of wall penetration and ducts in attic space." 4. Section 15800.6 Ceiling Exhaust Fans *: Add: a. Provide when indicated and as schedule on the drawings, ceiling exhaust fan(s) as manufactured by Greenheck, ACME, Jenn Fan, Loren Cook, Penn, Pace, Powerline, Broan, or Engineer approved equal. b. Provide with backdraft damper and ceiling grille, and entire housing lined with 1/2 -inch sound insulation. Motor shall be mounted on resilient elastic grommets and be equipped with plug -in connection for easy removal. Unit shall bear the AMCA seal for air and sound performance. Fans not bearing this seal will not be acceptable. 5. Section 15800.7 Underground Ductwork *: Add: a. Provide where indicated on the drawings and as specified herein a complete underground air distribution system. Air duct material shall be as manufactured by PVS Underground, Wesco, Tangent Air, or approved equal. b. Construction. All round underground ductwork, including fittings, transition pieces, etc., shall be constructed of PVC coated spiral wound steel. All rectangular underground ductwork, including air boots, etc. shall be constructed of PVC vinyl coated galvanized sheet metal. Exterior coating shall be minimum 4 mil thickness and interior coating shall be minimum 1 mil thickness. C. Duct gauges shall be as follows: (1) Rectangular Ductwork - 20 gauge on all sizes with angle iron reinforcing as recommended by manufacturer. d. Joints on ductwork shall be joined by a galvanized sheet metal sleeve installed inside of duct and secured with sheet metal screws. An extruded bead of non - hardening waterproof mastic shall be applied to the end of one duct to be joined and the other duct pressed rightly against the bead and secured with sheet metal screws. Wrap joint with waterproof tape covering screw heads. Waterproof mastic shall be Presstite No. 579.6 or as approved by ductwork manufacturer. Waterproof tape shall be Nashua No. AVI -10 or equal. e. Joints on PVC vinyl coated galvanized sheet metal shall be 4 -inch male connectors with sealer and mechanical fasteners a maximum of 15 inches o.c. and minimum of 3 per joint. f. Elbows shall be minimum 5 section gored construction with 1.5 center line radius. Dieformed elbows will be allowed below 14 -inch diameter. g. Installation. Ductwork shall be installed in pea gravel compacted to 95% test compaction. 5. Section 15900.3 Thermostats TSP One Project # 99732 Addendum #2 - 2 Delete: "and provide a locking clear plastic cover." Addendum 2 Electrical Specification Items 1. Specification Section 16050 a. Note that NSP will provide a power pole adjacent to the construction trailer and the owner trailer. Provide electrical connections to both trailers. 2. - Sheet E101 Lighting Plan a. Add the following light fixture as an approved equal: L Highlights NBN -1 b. Note that fixture type M is located on the east side of the building, in the sink alcove, mounted on the south wall, 2 %2 above the sink. 3. Sheet E201 Power and Communication a. Delete the Fender portable public address system added in Addendum 1. b. Note that the telephone /data jack symbols should telephone only. c. Note that the 2 1/2" long PVC wiremold in Note 2 and the 1 V2 long PVC wiremold in Note 9 should be in feet. 4. Sheet E401 Electrical Details a. Note that the service shall be 3 wire, 120/240. Provide 3 #500 kcmil instead of the four #500 kcmil shown on the riser diagram. 5. Sheet E201 a. Note that the dark circles on the ceiling are the security system occupancy sensors. Mechanical Drawing Items 1. Drawing Sheet P 101 a. Water Riser Diagram P /1: Change domestic water service to a separate 1 1/2" pipe, delete the pipe and valve between the 6" fire main and 1 1/2" domestic service. b. Detaill/P101: (1) Add 2" waste piping from the 2" floor drains in Rooms 111 and 112 to the 4" main. (2) Add 1/2" hot water and 1 1/4" cold water piping between the pipes up in the Mechanical Room and the pipes up in the restroom chase. (3) Change "New gas service by others" to "make arrangements with the Gas Company to provide a new gas service and meter ". TSP One Project # 99732 Addendum #2 - 3 Addendum 2 Architectural Product Reviews The following manufacturers' materials and equipment listed below appear to meet project requirements and performance and are still subject to compliance with all drawing and specification requirements. 08410 Aluminum Storefront EFCO 08520 Aluminum Windows EFCO Mechanical Product Reviewals The following manufacturers' materials and equipment listed below appear to meet project requirements and performance and are still subject to compliance with all drawing and specification requirements. 15400.13 Plumbing Fixtures: Closet Seats: Centoco Mop Basin: Zurn Brass: Zurn 15400.14 Sump Pumps: Bell & Gossett 15800.2 Diffusers, Registers and Grilles: Price, Nailor 15800.5 Furnace Unit: Bryant 15800.6 Condensing Unit: Bryant TSP One Project # 99732 Addendum #2 - 4 .... ... ......... . .......................................... . ................................ . ......... ........ . ....... .... ........ .......... ..... ............ ............... I ............. . FROM : FAX NO. : 612 332 2312 May. 07 2001 04:01PM P1 Chang Or der AIA Document G70 Electronic Format - - OWNER E X ) ARCI nTECT : X CONTRACTOR FIELD OTHER r �) THIS DOCUMENT HAS IMPORTANT LEGAL C COMPLETION OR MODIFICATION. AUTHENTIL .,,,%,,, DOCUMENT D401. [I AN .ATTORNEY Is UNCOURAGED WITH RESPECT TO ITS �RAPTED AIA DOCUMENT MAY BE: MADE BY USTgG AIA PROJECT: ( nam e. address) CHANGE ORDER NUMI3B1i.: Cane 2 Now Ho„De Village C701f Course - t �r ��� Clu House DATE: Jaaixaty 15, 2002 New 1^Iope MN ARCHITECT'S PROJECT NO: 29732 n e, address) : June CONTRACTOR: ( CONTRACT DATE, 26, 2000 (nam The Builders, Inc, CONTRACT FOIL: General Construction 5100 Wayzata Blvd. Mitittea{�olas, MN 55426 The Contract is cb=ged as follows: Spe Attachment "A". Not valid until signed by the Owner, Architect and Contractor. The original (Contract Sum) ( ) was y s $ 589,750.00 Net o barge by previousI authorized chan Carders $- — 0.00 The (Contract Sum) ( prior to this - Change Order was $ 589.750_._00 The (Contract Sure) ] will be (increased) .(desrea,ye$) (uasluftsQ by this Change Order in the amount of $ 15.909.00 The new (Contract Stun) ) including this Change Carder will be $ 605,659.00 The Contract Time will (unchanged) by ( 0.) days. T1Te Date of Substantial Completion as of the date of this Change Order therefore is MgX 18,2001 NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed main urt Pried which have: been authorized by Construction Change Directive. ARCETILM CON IVACI CU OWNER TSP One, Inc, The $uildlers, Inc. City of New Hone Address Address Address 21 Water Street 8100 Wavzata Blvd 4401 Won .ve. N. H ceIs' MN 55331 Mimtea o ` MN 26 New H e 55 28 BY: - BY: BY: -- DATE: 1 /I t DATE: �' 1 `7 C DATE: �.dV C�v..a,.,,Q� <,,�rsa�cc.Gca+ �,�.�►c� -�, tt`t1ct.•cr�.�ca AIA DOCUMENT e70I # CfrANGE ORDER - 1987 EDITION • • COPYRIGHT 1987 # THE AMERICAN INSTITUTE O ' F ARCHITECTS, 173, NEW YORK AVENUE, N.VI., WASIilTIGTON, D.C., 200065292. WAr NING. Unlicensed pbovycopying violatcs U.s. copyright Ia WS and is subject to Icgal prosecution. This doownent was cicctronically produced with perinission of Mc AIA and can be Teprodueed without violation until the date of expiration a: noted below, 61ectronic Format- G7C I -1987 User Document: CO #LDOC -- 1/15/200 L ALA License Number 201129, which expires on 32/7/2001 -- Pa gc #1 0 C.0thange Order OWNER [ X ] ARCHITECT [ X ] CONTRACTOR [X ] AIA Document 6701 - FIELD [ ] [ ] Electronic Format OTHER THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE BY USING AIA DOCUMENT D401. PROJECT: (name, address) New Hope Village Golf Course Club House New Hope, MN TO CONTRACTOR: (name, address) The Builders, Inc. 8100 Wayzata Blvd. Minneapolis, MN 55426 The Contract is changed as follows: 50'x 75' area of soil correctio Not valid until signed by the Owner, Architect and Contractor. The original (Contract Sum) ( ) was $ 589,750.00 Net change by previously authorized Change Orders $ 15,909.00 The (Contract Sum) ( prior to this Change Order was $ 605,659.00 The (Contract Sum) ) will be (increased) (d@s;€as@d} (�n} by this Change Order in the amount of . $ 7,644.00 The new (Contract Sum) ) including this Change Order will be $ 613,303.00 The Contract Time will be (unchanged) by ( 0 ) days. The Date of Substantial Completion as of the date of this Change Order therefore is May 18,2001 NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed maximum Price which have been authorized by Construction Change Directive. CHANGE ORDER NUMBER: Two 2 DATE: April 10, 2001 ARCHITECT'S PROJECT NO: 99732 CONTRACT DATE: June 26, 2000 CONTRACT FOR: General Construction TSP One, Inc. The Builders, Inc. City of New Hope Address 21 Water Street Excelsior, MN 55331 Address 8100 Wayzata Blvd. Mi , n 5 2 BY: it Address 4401 Xylon Ave. N. New Hop e, 55428 I BY: DATE: j DATE: iV11110 ( DATE: � _� 3 AIA DOCUMENT G701 • CHANGE ORDER • 1987 EDITION • AIA • COPYRIGHT 1987 • THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW 'ORK AVENUE, N.W., WASHINGTON, D.C., 20006 -5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. This document was electronically produced with permission of the AIA and can be reproduced without violation until the date of expiration as noted below. Electronic Format - G701 -1987 User Document: CO #2.DOC -- 4/10/2001. AIA License Number 101129, which expires on 12/7/2001 -- Page #1 Add $7,644.00 To: E & V Consultants Date: 1015100 STS Project 97934 5801 Duluth Street Suite 345 Re: New Hope Village Golf Course Clubhouse Minneapolis, MN 55422 New Hope, MN Attn: Ms. Cheryl Badinger We are sending the following item(s): Boring Logs Change Order Copy of Letter Plans Proposal/Report Repair Documents Samples Specifications X Test Results X Field Reports Other Remarks Shop Drawings Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders Inc 8100 Wayzata Blvd. Minneapolis, MN 55426 Mr. Mark Thiede TSP One Inc. 21 Water Street Excelsior. MN 55331 STS Representative Steven J. Ruesink, P.E. D6934001 FIELD EPORT .� f-/ Construction Technology Group NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. of Project Cc - A- 614 —sc - A&;U 14y VJU-4 ( :E Project No. ';):2 �3 y Location /-)&- J Contractor K� X- Project Competent Person per 29 CFR Part 1926 (Subpart P) NAME: FIRM: - -- - -- - - -- ADDRESS: PHONE: Present on Site OYES O NO Report No. Day/Date , -' X Weather/Temp. A ce , y Client Ci V Equipment Rental Arrive Job 1<1!4 a Tolls $ `—'' Depart Job l5 Parking $ '""' Total Hours on Job Mileage Project Preparation Time Travel Time 2- TOTAL CHARGEABLE HOURS 4 hrn�r minimum 1� Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. G�65c nv�n / 7ltl/y' of evs 11 u,Ut5140v.SC ak CAV AftdvJ . C3$Sc xY & 6,*731/tH 1c 6 C taC F- SAiv ©`/ �LA`{ P IP j 5 tank �« [�NZ- cft...,.5 OGyY?zti -- d� ` _ �'• r:JG„Ouc. � //J�„ ...JA+^�O G��-G- <JG� �/4 /77 /'� / GG- . 114 15S, p -dd dX� ....... .... r .��? l �!' . .r9rit(' . . .......... ............................... . FieldTest Data is Estimated - Pending Final LaboratoryTest Results Site Sketch: Indicate North Field Representative Position Company e e Title �- STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6100 20k STS Consultants Ltd. Consulting Engineers FIELD R EPORT ti Construction Technology Group .. NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. of Project �L�GSf4°��s� - ��� (�P c ��c� �ou.2 Report No. Project No. C/ - 7 I F Y Day/Date Location / ' ter-' " Weather/Temp. /-7 I 6 5 -- 2 e Contractor Project Competent Person per29 CFR Part 1926 (Subpart P) NAME: FIRM: ADDRESS: PHONE: Present on Site OYES O NO Client IE t \J C ,151 ANT- -' /Y 6'95. Equipment �twKC G c< Rental /' ° N Arrive Job le, 3a TOTAL Tolls $ Depart Job Parking $ Total Hours on Job 0 Mileage Travel Time C • S Project Preparation Time CHARGEABLE HOURS Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. Field Test Data is Estimated - Pending Final Laboratory Test Results Field Representative Position Jompany ........... ............................... Site Sketch: Indicate North By Title STS Consultants Ltd. White - Office White - Field Yellow - Time Card sroo 20k STS Consultants Ltd. Consulting Engineers Field Memo '04 6 STS Consultants, Ltd. Date: September 19, 2000 STS Project 97934 To: Ms. Cheryl Badinger Weather: Partly cloudy, 65 °F E &V Consultants & Construction Managers From: Mr. Steven Ruesink, P.E. Time: 3:40 p.m. STS Consultants, Ltd. Re: Site Visit to Observe and Test Excavation Base Soil for the New Hope Village Golf Course Clubhouse in New Hope, Minnesota Personnel Contacted: Mr. Bob Kirchoff with The Builders As requested by Mr. Kirchoff, STS Consultants, Ltd. visited the site today to observe soil conditions along the east side of the clubhouse area. A patio area will be constructed on the east side of the building with column pad foundations. Test holes were excavated prior to our site visit by the earthwork contractor encountering surficial fill over a black organic silt topsoil layer measuring 6 inches to 1 foot in thickness overlying naturally occurring brown and gray sandy clay. The brown and gray sandy clay was encountered approximately 2 feet below design bottom of footing elevation. Based on our site observations, it is our opinion the surficial fill and black topsoil should be removed from the building footing and slab areas in its entirety exposing the naturally occurring brown and gray inorganic sandy clay. Fill should then be placed and compacted in thin lifts to re -attain design grades. We recommended that Mr. Kirchoff contact our materials technician to observe and test the excavation base soil tomorrow, prior to placement of fill to design grade. M6934001.DOC FIELD E P O R T C o ns tructio n T Gr L NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. /n� of Project �'c1 - /� �`�t�Pc YlcG Gc'C oc ( � Cw -,S& Report No. Project No. �74 3 `; Day/Date w Co._ Location �)Cw � /f'f''r' WeatherfTemp. Ccour✓y �c mss' Contractor Client 4 4 V 6 -1%7r, ✓nG/_'5 Project Competent Person per29 CFR Part 1926 (Subpart P) NAME: FIRM: _ ADDRESS: PHONE: Present on Site OYES O NO Equipment Rental Tolls $ Arrive Job I C a d Depart Job I I `• e j Parking $ Total Hours on Job Mileage Travel Time O - ZS Project Preparation Time L/ TOTAL CHARGEABLE HOURS O •S Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. �-'` ��CIaU� �Qt'S"ar` Q r �+� L e` �CCfIUe=I t l �r � � ' �"?�3 C� 4�` L_k�sri.✓c, G- `?et"�?,�/- 7�'?e:.r . A -1 ,5ST-r C e-r -311 0 1 ,.r 774i5 141241-1' .............................. ield Test Data is Estimated - Pending Final laboratory Test Results Site Sketch: Indicate North Field Representative Position Jompany True ��� STS Consultants Ltd. White - Office White - Field Yellow -Time Card 6ro0 20k STS Consultants Ltd. Consulting Engineers FIELD R EPORT V (/ C o ns truction Tec Group i NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFA 1926 Subpart P, `J of Project C'L�r,� usc; NL ` H�t=c V�� c= ( >cer f�Stf Report Na Day/Date - tP , rrS 9 zP( Weather/Tem 1,4 Client E� �t CCn!�ictGf>f�1 4' C arif�'j- /���/'iS. Equipment Rental <V • �r Arrive Job 3 0 Tolls $ Depart Job Parking $ Total Hours on Job Project No. `7 C13 7- Location Contractor Mileage M_ Travel Time 0. 2 �Y Project Preparation Time o---- — TOTAL CHARGEABLE HOURS Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. r � cam. �IGG Y/`�� �% TY 7"LJi? G' G' ? C AI�C� �7Zc A-_cY4' X z! 144 ........... ............................... Field Test Data is Estimated -Pending Final Laboratory Test Results Site Sketch: Indicate North Field Representative Position .;ompany By Title STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6/00 20k STS Consultants Ltd. Consulting Engineers FIELD REPORT I Construction Technology Group NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. / of Project AC- 11�sdG Project No. Location A) Contractor . e X11 /dam `s tic Project Competent Person per 29 CFR Part 1926 (Subpart P) NAME: FIRM: ADDRESS: PHONE: Present on Site OYES ONO Arrive Job �� TOTAL CHARGEABLE Depart Job g° j� HOURS 4 hour minimum Total Hours Z, Z'� on Job Travel Time d 5� ' T Z , 5` Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. G lc'C eFc 7 c� c �dc�.`� Iz'/' o T� y $ cz n �✓ J 4 G^— 7�G" f/'" c. ° �LC/•�� ��hSf(� -"� r `r �� a� �'r� � Zr} �; -}''. t �ieldTest Data is Estimated -Pending Final Laboratory Test Results Field Representative Position .;ompany Equipment Rental Tolls $ Parking Mileage ,- Project Preparation Time Report No. Day /Date Weather/Temp. S k :L ° Client ............................... Site Sketch: Indicate North By Title STS Consultants Ltd. White - Office White - Field Yellow -Time Card 6roo lac STS Consultants Ltd. Consulting Engineers FJELD R SPORT .,� C on s tructio n Technology Group .. NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. / z/ of Project A) cf w eZo Project No. "— Location x) <-- Contractor 1lle-1-1- . ,L r < Project Competent Person per 29 CFR Part 1926 (Subpart P) NAME: FIRM: ADDRESS: PHONE: Present on Site OYES O NO # Report No. 7 F-? y Day/Date :''J 9 Z 7 -6 0 Weather/Temp. G o Client C-4 V a- ri ,s�17t Equipment , Rental Arrive Job lr TOTAL Tolls $ CHARGEABLE Depart Job 3c> HOURS 4 hour minimum Parking Total Hours on Job �� Z Mileage Travel Time Project Preparation Time Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. ❑ Field Test Data is Estimated - Pending Final Laboratory Test Results Field Representative Position .;ompany ........... ............................... Site Sketch: Indicate North By ----- Title 4i; STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6/00 20k STS Consultants Ltd. Consulting Engineers cn ❑ Field Test Data is Estimated - Pending Final Laboratory Test Results Field Representative Position .;ompany ........... ............................... Site Sketch: Indicate North By ----- Title 4i; STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6/00 20k STS Consultants Ltd. Consulting Engineers Laboratory Compaction Method: STS CONSULTANTS, LTD. ydmax COMPACTION CONTROL REPORT / FIELD DENSITY TEST RESULTS Mark 10900 73rd Avenue North, Suite 150 PROJECT: Clubhouse New Hope Village Golf Course STS PROJECT: 97934 Maple Grove, Minnesota 55369-5547 LOCATION: New Hope, MN REPORT DATE: 10103/00 763.315,6300 FAX 763.315.1836 CLIENT: E. &V. Consultants & Const. M'GRS TECHNICIAN: G.P.E "Solutions through Science A- rngineering" CONTRACTOR The Builders, Inc. REVIEWED BY: SJR Laboratory Compaction Method: Mark ydmax w ept Mark ydmax Optimum' In-Place In-Place In-Place USGS Elevation Datum: r ASTM D-1557-79 (Modified Proctor) P-1 117.4 i Test Maximum Water Moist Water Dry Relative Compaction Pass Test j Elev Mat'l Dry Density Content Density Content j Density Compaction Specification or No. 1 Date 9/19100 Location or Structure Diagram Attached: DEMOLISHED BUILDING FILL, WEST END (ft) 4.4 Mark P-1 ydmax (pco 117.4 wopt M (pcf) 8.9 120.6 M 4.3 (Pcf) 115.6 (%) 98 95 Fail P 2 9/19/00 DEMOLISHED BUILDING FILL, EAST END i 4.4 P-1 1 117.4 8.9 I 117.9 1 3.2 1 114,2 97 95 P 3 9/21/00 DEMOLISHED BUILDING FILL,MIDDLE I 4.4 P-1 I 117.4 8.9 122.9 i 42 117.9 100 95 P 4 9/21/00 DEMOLISHED BUILDING FILL, EAST END 4.4 P-1 j 117.4 8.9 1207 4.4 115.6 1 98 95 P Laboratory Compaction Method: Mark ydmax w ept Mark ydmax w,pt Field Density Test Method: USGS Elevation Datum: r ASTM D-1557-79 (Modified Proctor) P-1 117.4 8.9 ASTM D-1556 (Sand Cone) Depth Below Subgrade ASTM D-698-78 (Standard Proctor) Other X ASTM D-2922 (Nuclear) Other X Depth Below Finish Grade Other f6934001 Sheetl 10/0312000 9:47 AM MOISTURE- DENSITY RELATIONSHIP, ASTM D- 689,STANDARD PROCTOR, METHOD A 125 120 115 U L2. N c m Z 0 110 105 100 L 0 5 10 15 20 Water Content, w, ( %) LEGEND o P -1 0_ - � A —�— —0-- 100% Sat X Wopt/Dmax PROCTOR SUMMARY TEST SAMPLE ! USCS OPT w. MAX yd NO. i NO. SYMBOL W °pl (%) yd... (pcf) 1 i P -1 SP 8.9 117.4 I 2 STS JOB NO.:! 97934 3 i 4 New Hope, MN p 6 • I 7 CLIENT: 8 E & V Consultants & Construction Managers TEST/ TESTED BY BG SOIL CLASSIFICATION / DESCRIPTION SAMPLE TSP One, INC 1 /P-1 Fine to coarse sand, trace silt, trace gravel - brown 2/ 3/ 4/ 5/ 61 7/ i. 8/ L6934001.xis Curves 9!28/00 2:35 PM MOISTURE - DENSITY RELATIONSHIP, ASTM D- 689,STANDARD PROCTOR, METHOD A STS CONSULTANTS, LTD. PROJECT Clubhouse - New Hope Village Golf Course STS JOB NO.:! 97934 109 AVENUE NORTH MINNEAPOLIS, MN 55369 -5547 _ LOCATION ... _. __._ New Hope, MN p REPORT DATE:; 18-Sep , p (612) 315 -6300 FAX 315 -1836 CLIENT: E & V Consultants & Construction Managers TESTED BY BG ENGINEER: TSP One, INC APPROVED:I L6934001.xis Curves 9!28/00 2:35 PM To: E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Cheryl Badinger We are sending the following item(s): 10900 - 73 Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/315 -1836 Date: 10/9/00 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope, MN Boring Logs Proposal/Report Specifications Change Order Repair Documents X Test Results Copy of Letter Samples Field Reports Plans Shop Drawings Other Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders, Inc, 8100 Wayzata Blvd. _ Minneapolis, MN 55426 D6934001 Mr. Mark Thiede TSP One Inc. 21 Water Street Excelsior, MN 55331 STS Representative Steven J. Ruesink, P.E. ' t p C opies ' Date �' m 'yS+��w'�7�� i * @' Cna � kG ✓:i i � . �,.if`w� „ 5� ^r ;wr` S�l�'C Y�.n'��, k'4 Y ,�. ��, } q v�'"k on ete Compressive Stxen Test, .�,� x { � � M1S # ,}, k 'v."a,.S�r' §. A �'. i� A R 4 M "`�""` d5y,* 1, •3;9 ,i. .�h &� ' R°�. A 'A k '� N �,i"" � � '� 1 tNV" ��¢VM1 ` Now Remarks Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders, Inc, 8100 Wayzata Blvd. _ Minneapolis, MN 55426 D6934001 Mr. Mark Thiede TSP One Inc. 21 Water Street Excelsior, MN 55331 STS Representative Steven J. Ruesink, P.E. STS Construction Technology Group Concrete Compressive Strength Report PROJECT NAME: New Hope Village Clubhouse PROJECT LOCATION: New Hope, MN SET NUMBER: I CONCRETE DESIGN STRENGTH: 3000 PSI STS PROJECT NUMBER: 97934 I STS PROJECT ENGINEER: Ruesink DATE CAST: 9/27/00 GENERAL PROJECT INFORMATION OWNER: CLIENT: E & V Inc. ARCHITECT: GENERAL CONTRACTOR: The Builders STRUCTURAL ENGINEER: SUB - CONTRACTOR: CONCRETE PLACEMENT LOCATION: Foundation footings and patio pads MIX DESIGN INFORMATION NAME OF SUPPLIER: CEMSTONE MIX DESIGNATION: MIX DESIGN STRENGTH: 3000 PSI @ 28 DAYS LOAD INFORMATION TICKET: TRUCK: 530 YARD: FIELD TEST DATA AREA CEMENT TYPE: DATE AGE CURING DIA. -IN. SLUMP: IN. / 3.50 IN. 10 /4/00 7 AIR CONTENT: 2.00% 6 28.27 CONCRETE TEMP: 60 F AIR TEMP: 40 F Lab WATER ADDED: 0 GALS. 28.27 60176 NOTES: Lab ADMIXTURES 28.27 60177 AIR ENTRAINING: Lab 6 WATER REDUCING: TIME SAMPLED: 8:00 AM ACCEL/RETARD: MADE BY: BG WET UNIT WT.: PCF OTHER DATE RECEIVED: RY UNIT WT.: PCF CYLINDER TEST TEST TYPE CYLINDER AREA NUMBER DATE AGE CURING DIA. -IN. SQ.IN. 60174 10 /4/00 7 Lab 6 28.27 60175 10/25/00 28 Lab 6 28.27 60176 10/25/00 28 Lab 6 28.27 60177 11/22/00 56 Lab 6 28.27 MAXIMUM STRENGTH FRAC. LOAD -LBS. PSI TYPE 49360 1750 C STRENGTH TEST REVIEW BY NOTE KR X @28 days= PSI A) CONE B) CONE AND SPLIT C) CONE AND SHEAR D) SHEAR E) COLUMNAR GENERAL NOTES Possible unacceptable test result if STRENGTH REVIEW Sampling: In accordance with ASTM C -172, except that sample may have been taken from the !ginning of the load after minimum discharge of approximately one cubic yard. .ylinder casting and laboratory curing: In accordance with ASTM C -31. DEFECTS NOTED UPON ARRIVAL: Compressive strength test: In accordance with ASTM C -39. To: E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Cheryl Badinger We are sending the following item(s): 10900 - 73` Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/315 -1836 Date: 10/16/00 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope, MN Boring Logs Proposal/Report Specifications Change Order Repair Documents X Test Results Copy of Letter Samples Field Reports Plans Shop Drawings Other Remarks Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders Inc 8100 Wayzata Blvd. Minneapolis, MN 55426 Mr. Mark Thiede TSP One Inc. 21 Water Street Excelsior MN 55331 Z4 ,7 1 STS Representative , V� Steven J. Ruesink, P.E. D6934001 STS Construction Technology Group C oncr et e Compre Strength Report PROJECT NAME: New Hope Village Clubhouse PROJECT LOCATION: New Hope, MN STS PROJECT NUMBER: 97934 STS PROJECT ENGINEER: Ruesink SET NUMBER: 2 CONCRETE DESIGN STRENGTH: 3500 PSI DATE CAST: 10/3/00 GENERAL PROJECT INFORMATION OWNER: CLIENT: E & V Inc. ARCHITECT: GENERAL CONTRACTOR: The Builders STRUCTURAL ENGINEER: SUB - CONTRACTOR: CONCRETE PLACEMENT LOCATION: Perimeter Foundation Walls MIX DESIGN INFORMATION LOAD INFORMATION NAME OF SUPPLIER: CEMSTONE TICKET: 828146 MIX DESIGNATION: 3566 TRUCK: 476 YARD: 10 MIX DESIGN STRENGTH: 3500 PSI @ 28 DAYS FIELD TEST DATA CEMENT TYPE: SLUMP: IN. / 4.25 IN. AIR CONTENT: 5.10% CONCRETE TEMP: 64 F AIR TEMP: 51 F WATER ADDED: 0 GALS. NOTES: DMIXTURES AIR ENTRAINING: WATER REDUCING: TIME SAMPLED: 7:35 AM ACCEL/RETARD: MADE BY: GPE WET UNIT WT.: PCF OTHER: DATE RECEIVED: RY UNIT WT.: PCF CYLINDER TEST TEST TYPE CYLINDER AREA MAXIMUM STRENGTH FRAC. STRENGTH TEST NUMBER DATE AGE CURING DIA:IN. SQ.IN. LOAD -LBS. PSI TYPE REVIEW BY NOTE 60415 10/10/00 7 Lab 6 28.27 86360 3050 B KR 60416 10/31/00 28 Lab 6 28.27 60417 11/28/00 56 Lab 6 28.27 X @28 days= PSI A) CONE B) CONE AND SPLIT C) CONE AND SHEAR D) SHEAR E) COLUMNAR GENERAL NOTES Possible unacceptable test result if STRENGTH REVIEW Sampling: In accordance with ASTM C -172, except that sample may have been taken from the beginning of the load after minimum discharge of approximately one cubic yard. Binder casting and laboratory curing: In accordance with ASTM C -31. DEFECTS NOTED UPON ARRIVAL: Compressive strength test: In accordance with ASTM C -39. 10900 - 73` Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/315 -1836 To: E 8:, V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Cheryl Badinaer Date: 10116100 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope MN We are sending the following item(s): Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope. MN 55428 Mr. Mark Gorski The Builders, Inc, 8100 Wayzata Blvd Minneapolis MN 55426 Mr. Mark Thiede TSP One, Inc. 21 Water Street Excelsior, MN 55331 D6934001 STS Representative Steven J. Ruesink, P.E. FIELD R E P O R T Construction Technology Grou pi NOTE: I he responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. Project 4"1 t )-- nOLASC - LZ „� lLt�bN a4F C6 Rft Project No. C 1 3 y Location V W Contractor Project Competent Person per 29 CFR Part 1926 (Subpart P) NAME: FIRM: ADDRESS: PHONE: Present on Site OYES O NO Equipment Rental Arrive Job c� ' G .'3 0_ of Report No. Day /Date Weather/Temp. C4e,,,- Client ( / ' } V C cn�;'�r �rt9ni7S £y` fug Si Tolls $ Depart Job 0 o Parking $ Total Hours � on Job 2 v Mileage jS Project Preparation Time Summary of technical and/or engineering services performed, including field test data _ ausg —r . S't L Liz Ar I U -Ys P ea r--4 Travel Time TOTAL CHARGEABLE HOURS 4- Letrf- t�tii+�um Locations, elevations and depth are estimated. =s72 r� �. cc p rru�5 1 nl wNtL nrG7 `u roam J G�i�r..�zt��a 7tfcTr CL '�'� � c�' GfG S F°7 �` � r ✓�l Test Data is Estimated - Pending Final Laboratory Test Results Field Representative Position Ce , any -- White - Office Site Sketch: Indicate North By Title STS Consultants Ltd. to - Field Yello - lime 9/99pp20k STS Consultants Ltd. COnsulNnn FIELD R EPO►RT Construction Technology Group .� NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. Project _ Cc.4,1,4 >Asc — !/cZt' �i'C t /c��l Uoci �C i Project No. 9,-? i y Location I; E ' �pE Contractor Project Competent Person per 29 NAME: FIRM: ADDRESS: PHONE: / Present on Site --- Equipment of Report No. Day /Date c?j /c - y - ua Weather/Temp. Cu'4 Y4 y r Client _C7 f V CGr'x 9 cT/��,CJ') i ("i R Part 1926 (Subpart P) Rental Arrive Job TOTAL Tolls $ CHARGEABLE Depart Job HOURS Parking $ 4 444- njmjmum Total Hours r-- on Job Mileage 617 Travel Time _� L5 ❑ NO Project Preparation Time Summary of technical and/or Y cc " s 2 (t4 <' Test Data is Estimated - Pending Final Laboratory Test Results Field Representative P. 'on Company _ services performed, including field test data. Locations, elevations and depth are estimated. .................... Site Sketch: Indicate North By Title - L . STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6/00 20k STS Consultants Ltd. STIc, CONSULTANTS, LTD. TRANSMITTA To: E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Cheryl Badinger We are sending the following item(s): 1 10900-73 d Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/315 -1836 Date: 10/30/00 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope, MN Boring Logs Proposal/Report Specifications Change Order Repair Documents Test Results Copy of Letter Samples X Field Reports Plans Shop Drawings Other C opies Remarks Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders, Inc, 8 10 0 Wayzata Blvd. Minneapolis, MN 55426 D6934001 Mr. Mark Thiede TSP One, Inc. 21 Water Street Excelsior, MN 55331 l STS Representative "`� -✓�, Steven J. Ruesink, P.E. F IELD E P O R T P 4_� ' C o n s t r u c t i o n Technology Grou .d NOTE: The responsibilities and authority of STS and STS' Field Personnel include neither the responsibilities nor the authority of the 'Competent Person' for the project site as defined by OSHA Regulations: 29 CFR 1926 Subpart P. Project 146z^j �PJ \/1CJ a4c-r GacG' � %2SC"— Project No. - 0 / // 0 l 7 ,, 53 Y Location .V�ZJ , � Contractor Project Competent Person per 29 CFR Part 1926 (Subpart P) NAME: _ FIRM: ADDRESS: PHONE: Present on Site OYES 0 O of Report No. Day/Date t/J -� /G - z5 -` o Weather/Temp. Cea,, -e GS -2d` Client Equipment Rental I Arrive Job Tolls $ Depart Job l Parking $ Total Hours on Job Mileage 7 Project Preparation Time Travel Time e ' 'S_ TOTAL CHARGEABLE HOURS tt� Summary of technical and/or engineering services performed, including field test data. Locations, elevations and depth are estimated. Ems/ `89`9.6 � IQs ✓�-a� a� EXcr9v� �� 2 Tkt�S� toruy,�,, ��„�,, -, - Ar�ft , & Z CBs 2 _ // 2 cl = "!.� /� - 2 Y ' �y( &<aw k 5c"O ✓u2�/ =rY r N> Gl5izuzG 7 ''� J t J' Cl I$h-AJ l`l•u� /<– ,/!Lam% J/iwT77 e-f X/ �1�'`IS(i/ �✓.IC1ofU� % 6 1uCP!'c>.ti/ 45y�v AI ........... ............................... FieldTest Data is Estimated - Pending Final Laboratory Test Results Site Sketch: Indicate North Field epresentative Position By a Company Title STS Consultants Ltd. White - Office White - Field Yellow - Time Card 6= lac STS Consultants Ltd. Consulting Engineers To: E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Chervl Badinger We are sending the following item(s): 1 10900 - 73r Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/3 15 -1836 Date: 10/30/00 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope, MN Boring Logs Proposal/Report Specifications Change Order Repair Documents X Test Results Copy of Letter Samples Field Reports Plans Shop Drawings Other Remarks The 28 day tests for set #I did not meet the required strength at 28 days. Copy to D6934001 Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders, Inc, 8100 Wayzata Blvd. Minneapolis. MN 55426 Mr. Mark Thiede TSP One Inc. 21 Water Street Excelsior MN 55331 STS Representative Steven J. Ruesink, P.E. STS Construction Technology Group — Condrete Compressive Strength Report ASTM C 39 1 � 7 PROJECT NAME: New Hope Village Clubhouse PROJECT LOCATION: New Hope, MN .STS PROJECT NUMBER: 97934 STS PROJECT EN G IN EER: Ruesink DATE CAST: 09/27/00 GENERAL PROJECT INFORMATION OWNER: CLIENT: E & V Inc. ARCHITECT: GENERAL CONTRACTOR: The Builders STRUCTURAL ENGINEER: SUB - CONTRACTOR: CONCRETE PLACEMENT LOCATION: Foundation footings and patio pads MIX DESIGN INFORMATION NAME OF SUPPLIER: CEMSTONE MIX DESIGNATION:... MIX DESIGN STRENGTH: 3000 PSI , @ 28 DAYS CEMENT TYPE: �gIXTURES AIR ENTRAINING: WATER REDUCING: ACCEL/RETARD: OTHER: LOAD INFORMATION TICKET: _ TRUCK: 530 — FIELD TEST DATA AIR CONTENT: 2.00% CONCRETE TEMP: 60 F WATER ADDED: 0 GALS. NOTES: SLUMP: IN./ 3.50 IN. AIR TEMP: 40 F TIME SAMPLED: 8:00 AM MADE BY: BG DATE RECEIVED: WET UNIT WT.: PCF DRY UNIT WT.: PCF CYLINDER TEST TEST TYPE NUMBER DATE AGE CURING 60174 10/04/00 7 Lab 60175 10/25/00 28 Lab 60176 10/25/00 28 Lab 60177 11/22/00 56 B CYLINDER AREA MAXIMUM STRENGTH FRAC. STRENGTH TEST DIA. -IN. SQ.IN. LOAD -LBS. PSI TYPE REVIEW BY NOTE 6.00 28.27 49360 1750 C - N/A 6.00 28.27 83230 2940 B - N/A 6.00 28.27 84360 2980 B - N/A X i @ 28 days = 2960 PSI Air Content: ASTM C 173 or ASTM C 231 A) CONE B) CONE AND SPLIT C) CONE AND SHEAR D) SHEAR Pible unacceptable test result if STRENGTH REVIEW filing: ASTM C 172 (procedure may be modified as per STS procedure) Cylinder casting and laboratory curing: ASTM C 31 Slump: ASTM C 143 Air Content: ASTM C 173 or ASTM C 231 Concrete Temperature: ASTM C 106 DEFECTS NOTED UPON ARRIVAL: YARD: SET NUMBER: 1 CONCRETE DESIGN STRENGTH:3000 PSI E) COLUMNAR To: E & V Consultants 5801 Duluth Street Suite 345 Minneapolis, MN 55422 Attn: Ms. Cheryl Badinaer We are sending the following item (s): 1 10900 - 73r Ave. N., Suite 150 Maple Grove, MN 55369 -5547 763/315 -6300 FAX 763/315 -1836 Date: 11/27/00 STS Project 97934 Re: New Hope Village Golf Course Clubhouse New Hope, MN Boring Logs Proposal/Report Specifications Change Order Repair Documents X Test Results Copy of Letter Samples Field Reports Plans Shop Drawings Other Copies Date Number Description,,,'""" 1 I Concrete.Compressive Strength Test . Remarks Copy to: Ms. Shari French City of New Hope 4401 Xylon Ave. North New Hope, MN 55428 Mr. Mark Gorski The Builders, Inc. 8100 Wavzata Blvd. Minneapolis, MN 55426 D6934001 STS Representative /.. -A L ' Steven J. Ruesink, P.E. Mr. Mark Thiede TSP One, Inc. 21 Water Street Excelsior, MN 55331 STS G Technology Group 4 Pi Concrete Compressive Strength Report A STM C 39 PROJECT NAME: New Hope Village Clubhouse SET NUMBER: I PROJECT LOCATION: New Hope, MN CONCRETE DESIGN STRENGTH: 3000 PSI STS PROJECT NUMBER: 97934 STS PROJECT ENGINEER: Ruesink DATE CAST: 09/27/00 GENERAL PROJECT INFORMATION OWNER: CLIENT: E & V Inc. ARCHITECT: GENERAL CONTRACTOR: The Builders STRUCTURAL ENGINEER: SUB-CONTRACTOR: CONCRETE PLACEMENT LOCATION: Foundation footings and patio pads MIX DESIGN INFORMATION NAME OF SUPPLIER: C EMSTONE MIX DESIGNATION: .. MIX DESIGN STRENGTH: 3 000 PSI @ 28 DAYS CEMENT TYPE: ADMIXTURES AIR ENTRAINING: WATER REDUCING: ACCEL/RETARD: OTHER: LOAD INFORMATION TICKET: TRUCK: 530 YARD: FIELD TEST DATA SLUMP: IN./ 3.50 IN. AIR CONTENT: 2.00% CONCRETE TEMP: 60 F AIR TEMP: 40 F WATER ADDED: 0 GALS. NOTES: TIME SAMPLED: 8:00 AM MADE BY: BG DATE RECEIVED: WET UNIT WT.: _ PCF DRY UNIT WT.: PCF CYLINDER TEST TEST TYPE CYLINDER AREA MAXIMUM STRENGTH FRAC. STRENGTH TEST NUMBER DATE AGE CURING DIA. -IN. SQ.IN. LOAD -LBS. PSI TYPE REVIEW BY NOTE 60174 10 /04 /00 7 Lab 6.00 28.27 49360 1750 C - N/A 60175 10/25/00 28 Lab 6.00 28.27 83230 2940 B - N/A 60176 10/25/00 28 Lab 6.00 28.27 84360 2980 B - N/A 60177 11/22/00 56 Lab 6.00 28.27 101100 3580 C N/A X i @ 28 days = 2960 PSI Air Content: ASTM C 173 or ASTM C 231 A) CONE B) CONE AND SPLIT C) CONE AND SHEAR D) SHEAR ;ible unacceptable test result if STRENGTH REVIEW -- npling: ASTM C 172 (procedure may be modified as per STS procedure) Cylinder casting and laboratory curing: ASTM C 31 Slump: ASTM C I43 Air Content: ASTM C 173 or ASTM C 231 Concrete Temperature: ASTM C 106 DEFECTS NOTED UPON ARRIVAL: E) COLUMNAR zl�� Division 6 Wood Truss Shop Drawings Divisions 7 & 8 Shingles UNA Glad Color Charts Glass Approval Hardware Schedule Wood Door Schedule Hardware Detail Sheets Hardware Schedule Aluminum Entrances and Color Chart Aluminum Windows Access Panels Divisions 9,10,11,12 Glassbord Carpet, VCT, and Vinyl Base Ceramic Tile Paint Division 10 Food Service Equipment Window Treatment Fireplace Division 15 Mechanical HVAC Mechanical Plumbing Mechanical Fire Protection Rebar Steel and Miscellaneous Metals Millwork Aluminum Entrances Food Services Date: July 24, 2000 For: AVR, Inc- Copies: NORTH COUNTRY CONCRETE 14698 Galaxie Avenue Attention; Beth Apple Valley, MN 55124 Sales Reps: Dan Lien Quality Control: Peter Fischer Dan Murray Steve I-Inegar Dan Rortz 3000 PSI AT 28 DAYS MIX DESIGNATION MIX # 3A22 3A32 COMPRESSIVE STRENGTH - 28 DAYS 3900 PSI 3900 PSI PLACEMENT LOCATION CURB & GUTTER CURB & GUTTER SIDEWALK (HAND) COARSE AGGREGATE SIZE (MAX) 3/4" - #4 314" - #4 SLUMP - MAXIMUM 2 INCH 3 INCH AIR CONTENT 5.5% 1 1-5 5.5% ± 1.5% DESIGN MIX I- CEMENT-LBS. 535 aBti 2- FLYASH - LBS. 0 6- ADMIXTURE: POLYCHEM VR - OZ. 4.5 OZJYD 5,0 OZND 3. FINE AGGREGATE - L-13S, 1266 1238 4- COARSE AGGREGATE (314" - #4) 1947 1906 7- WATER - LSS. 245 262 WATER CEMENT RATIO 0.46 0.46 SLUMP 21NCH 3INCH AIR CONTENT (CALCULATED) 5.50% 5.50% BATCH MATERIALS: (1) Regular Type 1111 Portland (ASTM: C 150) (2) Furnished by ERCIMSCIISG (ASTM. C 618) (3) Furnished by Fischer Sand & Aggregate (ASTM. C 33) (4) Same as 3) above (a) CRT KB-1000 Water Reducer (ASTM: C 49.0, TYPE A) (6) CRT Polychern VIR (ASTM." C 260) NOTES: A. Compressive strength based on previous tests and water-cementitious ratio, the compressive strength at 28 days moist curing should be 15 to 20% over the specified strength & Ali aggregate weights are saturated surface dry (SSD) C. Batch water to be adjusted for aggregate absorption and moisture content D. Air entraining agent dosage to be adjusted for field and batching conditions to maintain the specified air content If air entraining is used. E. Plasticizer dosage to be adjusted for field and batching conditions to maintain the desired slump 9 SEP-25-2000 10:20 �UW 91�Aommm P.02/04 autux 1 0 7 FU7ZM-- TOUMER CONCRETE MIX DESIGN :mIX ID : 4062 (6.00 BAG) C96] 4000 PSI standard mix i SOU,RC,E OF CONCRETE Cemstone Products Co. CONSTRUCTION TYPE -As applicable PLACEMENT Truck chute WZXGHTS PER CtTBIC YARD (SATURATED, CEMENT (ASTM C 250 /TYPE I LB SAND (ASrM C 33 LB GRAVEL, 314's (ASTM 0 331#67 LB WAVER, LB (GAL-US) TOTAL AIR, % WAVZRICEMENT RATIO, LBSIL.� SLUMP, IN CONCRETE UNIT WEIGHT, PCP NOTES: 21/09/99 SURFACE-DRY) YIELD, CU YD 564 0.11 2427 0.32 2764 0.38 295 35.3) 0.20 2.0 0.02 TOTAL 2.00 0.52 4.00 149.6 1) Based on ACX 221 WIC Strength table and our experience with production facilities, materials, and proportions, the compressive strength above is the m1j31muin anticipated at 28 days when the conc is tested in accordance with ASTM C 32 and ASTM C 39. 2) Material variation and jobuite conditions may requize mix adjustments to .maintain strength, water cement ratio, slump, air content and yield. r Cernstone Products Company 2025 Centre Pointe Boulevard Suite $00 - Mendota Heights, MN 55120-1221 Phone: 651-686-4269 - Fax: 651-688-0726 - Toll Free: 800-642-3887 2 try P. 04/04 ENGI NEERING SER VICES CONCRETE MIX DESIGN MIX ID : 356.1 (5.50 AAG) (96J 3500 PSI PROJECT Standard Mix SOURCE OF CONCRETE Cemstone Products Co. CONSTRUCTION TYPE As Applicable .FLACEMENT : Truck Chute WEIGHTS PER CUBIC WARD (SATURATED, CEMENT (ASTM C 250ITYYPE I ), LB SAND (ASTM C 33 ) , LB CRAVEL, 314" (ASTM C 331#67 ), .L.B WATER, ,LB (GAL -US) TOTAL AIR, :W WATER /CEMENT RATIO, LBS /L$ SLUMP, IN CONCRETE UNIT WEIGHT, PCF 07/.30/98 SURFACE -DRY) YIELD, CU YD 527 0.10 1457 0.32 1764 0.38 295 ( 35.3) 0.18 2.0 0.02 TOTAL 1.00 0.57 4.00 149.4 PERF'ORMAN'CE: .based on ACT 211 WIC Strength table and our experience with production facilities, materials, and proportions, the compressive strength above is the minimum anticipated at 28 days when the concrete is tested in accordance With ASTM C 32 and C 39. REMARKS: Material variation and job -site conditions may require mixture adjustments to maintain strength, water - cement ratio, slump, air and yield. Cemstone Products Company 9n`J l`onfrc GninPc Qnnlmi,n�r1 Gi tin '2nn . 11A....4 -t- LJ-Z -W4r 1061 r. rann wn.,. TOTAL P.04 A SEP -25-2000 10:20 AU1iCIA' : THE F MOM MGM CONCRETE MIX DESIGN MIX ID : 3061 (5.00 BAG) [961 3000 PSI PROJECT : Standard mix SOURCE OF CONCRETE Cemstone Products Co. CONSTRUCTION TYPE As applicable PLACEMENT Truck chute WEIGHTS PER CUBIC YARD (SATURATED, CEMENT (ASTM C 150ITYPE I ), LB SAND (ASTM C 33 ), LB GRAVEL, 314" (ASTM C 33I167 ), LB WATER, LB (GAL -U'S) TOTAL AIR, % WATERICEMENT RATIO, LBSILB SLUMP, IN CONCRETE UNIT WEIGHT, PCF 07/08/96 SURFACE -DRY) YIELD, CU YD 470 0.09 1497 0.33 1764 0.38 295 { 35.3) 0.18 2.0 0.02 TOTAL 1.00 0.63 4.00 149.1 PERFORMANCE. Based on ACI 211 WIC - Strength table and our experi- ence with production facilities, materials, and proportions, the compressive strength above is the minimum anticipated at 28 days when the concrete is tested in accordance with ASTM C31 and C39. REMARKS: Material variation and job-site conditions may require mixture adjustments to maintain strength, water - cement ratio, slump, air, and yield. Gemstone Products Company 2025 Centre Pointe Boulevard Suite 300 . Mendota Heights, MN 55120 -1221 - -- Ghnna- Arl_AACLA')9Q . Gav Ar.4_AAA_17')A . Tn11 Croc• A0(LRd ?_RAA7 3 OCT-03-2000 OB:50 P.02 IWAs r AT CONCRETE MIX DESIGN MIX ID . 3566 (3500 FWA) [961 3500 PST 07108196 PROJECT : Standard mix SOURCE OP CONCRETE CemsLone Products Co. CONSTRUCTION 27PR As Applicable PLACEMENT - Truck Chute WEIGHTS PER CUBIC YARD (SATURATED, SURFACE -DRY) CEMENT (ASTM C, 1501TYPE I LB 385 YIELD, CU YD 0.07 'FLY ASH (A STM �, e 618 1�B- 68 SAND (ASTM C 33 ib 1466 .0.02 0.33 GRAVEL, 314 (ASTM C 331#67 LB 1754 0.38 WATER, LB (GAL-US) 240 28.8) 0.14 TOTAL AIR, % 6.0 1.0 0.06 TOTAL 2.00 WRA (ASTM C 4941TYPH A/D),, OZ 13.58 ARA (ASTM C 260 02 2.9 WATERICEMENT RATIO, MSILB 0.53 SLUMP, IN 4.00 CONCRETE UNIT WEIGHT, PCF 145.3 PERFORMANCE. Based 09 ACX 211 WIC-Strength table and our experi- ence with production facilities, materials, and proportion's, the compressive strength above is the minimum anticipated at 28 days when the concrete is tested in accordance with ASTM C31 and C39. REMARKS; Material variation and Job-site conditions may require mixture adjustments to maintain strength, water-cement ratio, slump,, air,, and yield. Cemstone Products Company 2025 Centre Pointe Boulevard Suite 300 - Mendota Heights, MN 56120-1221 Phnne: SAI-RAH-496P * Fay- A!;1-AAP_n79F;'- TnIl Fro "- Anr1_AA')_'kAR7 TOTAL P.02 2 Ar&'tacts and Eagin«rs 1500 Elghway 52 North Rocb=mr, MN 55901 TEL (507) 288 -8155 FAX (507) 288 =7220 CONTRACTOR PROJECT NAME KEYWORDS: CaNCRE 57 PZWFORCEM q -i • et ) TNE' B(AILbwes zr4(2. a1 Ob W t 14x4 $O K, L Eqi4 r-b MrNN.rAPous L Mt4 TS'4 4eyi NaPE VILLP&6 Goy,;' Cau2yE CLIAgg6 LOCA2TON t4EW w 6per PROJECT NO TSP PMO TECr SamnTAL Out ❑ 2nd ®3rd ❑ ❑ ENCLOSURES SHOP DRWGS: e6 do RE't'E i2E N j;aRce M aim NO. OF SETS. r•J DATA MMTS/CATALOG COTS: S-MC SECTION PRODUCT/MATERIAL STATUS 03 ?-Cc Gb CONS: ALL 8 25 5 s�A -ire H� is R.t�t�E G.cr DE�'o2rn�D W44 LE% i.(ct'Eb a 7 ft - R w t S!E . lea vtD 5010? '�R A w , N. C�.S i=cy TR Pr � FI C �c +as,� 2 E Pooh Nb.S M {�}So t�R�t c., A•,.�5 ArID 5 t� t3 0 � En R.A�D E a CC: sMlmM* --. z MIN= 6/99 N.) CO C7,. U; N (D z m Z 0 &J LTJ w - C (P 4 -4 r. (yj o 0 U (D (\3 TE 3� ( 1,,,, 1J V �) � T om -P� C-) E: E 0 - F� - P� - P l - f - F::> - rf�-, 67 6� C M C-51 ZZ w C) �N 1 7 �'��l 0 ., EJ .. 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N.E. MINNEAPOLIS, MN 55413 (612) 331-5543 (612) 378-1520 TOLL FREE: 1-800-886-6686 FAX: 378-1484 Hazard warnings for treated wood are similar to thbse for untreated wood. 0 Airborne wood dust can cause respiratory, eye arid skin irritation. Breathing excessive amounts of treated or untreated. wood dust. (primarily hardwood) has been associated with nasal cancerAn sorne industries. 0 Handling may cause splinters. N High airborne levels of wood dust may burn rapidly in .the air when exposed to an ignition source. Some forms of components of the liquid preservative used to manufacture this product (arsenic and chromium) have caused lung, skin and possibly other cancers in humans occupationally or environmentally overexposed. SUCH EXPOSURES HAVE NOT.. OCCURRED WITH TREATED WOOD USE. Note: Consult the Consumer Information Sheet (CIS) for additional information on this product. 421 JOHNSON ST. N.E. NINNEAPOLIS, NIN 55413 (612) 331 -5543 (612) 378 -1520 TOLL FREE: 1- 800 - 886 -6656 FAX: 378 -1484 PRODUCT NAME: Chromated Copper Arsenate (CCA) Pressure - Treated Wood SYNONYM: CCA- treated wood PRODUCT USE: Treated wood CHEMICAL FAMILY: NA CAS NUMBER: None PROPER SHIPPING NAME: NA DOT HAZARD CLASS: NA SECTION II — HEALTH /SAFETY ALERT HANDLING MAY CAUSE SPLINTERS AIRBORNE WOOD DUST MAY CAUSE RESPIRATORY, EYE AND SKIN IRRITATION WARNING: Some forms of components o: the liquid preservative used to manufacture this product(arsenic and chromium) have caused lung, skin and possibly other cancers in humans occupationally or environmentally overexposed. SUCH EXPOSURES HAVE NOT OCCURRED WITH TREATED WOOD USE. SECTION III — HEALTH H AZARD INFORMATION EYE: Treated or untreated wood dust may cause mechanical irritation. SKIN: Prolonged and /or repeated direct contact with treated or untreated wood dust may cause mild, transient irritation. See Section X1I — COMMENTS. INHALATION: Finely divided treated or untreated wood dust may cause nose, throat or lung irritation and other respiratory effects. Breathing excessive amounts of wood dust (primarily hardwood) has-been associated with nasal cancer in some industries. Burning treated wood can release toxic metais into ash and Possibly smoke. See Section X11 — COMMENTS. INGESTION: Not anticipated to be a health problem. A single ingestion .by a small chi!d ofa large amount (approximately 2.5 oz. 6 cubic inches) of treated wood dust may require immediate medical attention. See Section IV -- NOTE TO PHYSICIAN and Section XII — COMMENTS. SECTION I V EMERGENCY AND FIRST AiD PROCEDURES 'YE CONTACT: Gently flush any portides from the eye with large amounts of cold water for at least 15 minutes. L)O NOT RUB THE EYES. SKIN CONTACT: Rinse skin free of material with voter to avoid abrasion of skin. DO NOT RUB until skin is free of material then wash.thoroughly with soap and water. INHALATION: Remove from wood dust exposure. If breathing has stopped or is difficult; administer artificial respiration or oxygen as indicated. Seek medical aid. INGESTION: Give 1 -2 glasses of milk or water to victim if conscious flnd alert. induce vomiting OR give 1 -2 0- (30 -60 g) activated charcoal in water to victim if conscious and alert. See Section X11 — COMMENTS. NOTE TO PHYSICIAN: If one ounce of treated wood dust per 10 lbs. of body weight is ingested, acute arsenic intoxication is a possibility. SECTION V— HAZARDOUS INGREDIENTS AND RECOMMENDED EXPOSURE LIMITS HAZARDOUS INGREDIENTS Chromium (111) Arsenic (V) Copper food dust* (regulated as a particulate) 7440 -47 -3 <2 ** 7440 -38 -2 <2 ** 7440 -50 -8 <2 ** EXPOSURE LIMIT (mg /m OSHA -PEL (as Cr) 1.0 ACGIH -TLV (as Cr) 0.5 OSHA -PEL (as As) 0.01 ACGIH -TLV (as As) 0.01 OSHA -PEL (dusts /mists) 1.0 ACGIH -TLV (dusts /mists) 1.0 OSHA -PEL (total dust) 15.0 (respirable fraction) 5.0 ACGIH -TLV (softwood) 5.0 ACGIH -STEL (softwood) 10.0 None OSHA — Occupational Safety and Health Administration ACGIH — American Conference of Governmental Industrial Hygienists PEL — Permissible Exposure Limit TLV —Threshold Limit Value STEL — Short-Term Exposure Limit (15 minute exposure standard) SARA Title III Section 313 Chemicals: Arsenic, Chromium and Copper * A state - run OSHA program may have more stringent limits for wood dust. Please contact the state representative for further details. -4 Based on wood retention of 0.6 pounds CCA per cubic foot of wood. Actual retention percentage may vary slightly due to differences in wood stock and treatment retention levels. •• • TOM EYE PROTECTION: Wear safety glasses with side shields or safety goggles when sawing or cutting. SKIN PROTECTION: When handling wood, wear leather or fabric gloves. Wear normal work clothing and �'afefy footwear. ESPiRATORY PROTECTION: Not required under normal use conditions. When sawing or cutting treated or entreated wood, wear a MSHA /NIOSH approved dust mask. VENTILATION: Saw or machine wood in open (outdoor) or well ventilated areas. Provide suffi ventilation to maintain inhalation exposures below OSHA PEL for particulates. HEARING PROTECTION: Wear ear plugs or ear muffs when power sawing and /or cutting wood: SECTION Vill — PHYSICAL DATA C - CA TOILING POINT: NA MELTING POINT: NIA VAPOR PRESSURE: NA VAPOR DENSITY (AIR= 1): NA SOLUBILITY (WATER): Insoluble VOC: NA SPECIFIC GRAVITY: NA % VOLATILE BY VOL: NA EVAPORATION RATE (ETHER=1): NA VISCOSITY: NA pH: NA APPEARANCE/ODOR: Light green colored wood SECTION Vill - REACTIVITY DATA CONDITIONS CONTRIBUTING TO INSTABILITY: Stable under normal conditions. INCOMPATIBILITY: Strong acids, open flame and oxidizers. HAZARDOUS REACTIONS/DECOMPOSITION/COMBUSTION PRODUCTS: Contact with strong acid may release metals. Combustion products may include smoke, oxides of carbon, nitrogen, chrome copper and arsenic. The metals may remain in the ash if the wood is burned. CONDITIONS CONTRIBUTING TO HAZARDOUS POLYMERIZATION: None known. SECTION IX - FIRE AND EXPLOSION HAZARD INFORMATION FLASH POINT & METHOD: NA FLAMMABLE LIMITS (% BY VOLUME/AIR): AUTOIGNITION TEMP: NA LOWER: NA UPPER: NA EXTINGUISHING MEDIA: Use wafer, dry chemical, or other common extinguishing media. FIRE-FIGHTING PROCEDURES: Fire from a separate fuel source maybe intense enough to cause thermal decomposition releasing harmful gases including oxides ofccrbon cnd nitrogen. Wear complete fire service protective equipment, including full-face MSHA/NIOSH approved self-contained breathing apparatus. FIRE AND EXPLOSION HAZARD: High airborne levels of wood dust may burn rapidly in the air when exposed to an ignition source. MSHA — Mine Safety and Health Administration Te NIOSH — National Institute of Occupational Safety and Health SECTION X - SPILL, LEAK AND DISPOSAL INFORMATION SPILL OR LEAK PROCEDURES (PRODUCT): NA. WASTE DISPOSAL: Dispose of in accordance with loccil*, state and federal regulations. Treated wood may be disposed of by regular disposal. This product is not defined as a US EPA hazardous waste. I STORAGE: When storing wood, the material should be kept off the ground. Protect from physical damage. Maintain good housekeeping. CAUTION: Whenever possible, sawing or machining treated or untreated wood should be performed outdoors to avoid accumulations or' airborne wood dust. S ECTION XII -- COMMENTS (_CA individuals with o Pre-existing disease or a history of ailments involving the skin, kidney, liver, respiratory tract, � es or nervous system are at a'areoter than normal risk of developing adverse effects from woodworking ` perohons°/it6 this product. UNTREATEDWOOD DUST ORSAWDUST:The principal healtheffecis reported from occupational exposure to sawdust or wood clud-generated from uol./eoted wood are derrnctihs, rhini6s, conunctivihs, reduced or suppressed rnococi}iory clearance rates, chronic obstructive lung changes, and nasal sinus cancer. Skin and respirotorysensi6zot�on �ov� ��en repo�edfronn exposure to hardwood dust. Epidemiological studies have been reported on carcinogenic risks o[employment In the furnhure'rn'okinB industry, the carpentr industry, and the lumber and sovvrn[l| industry.The International Agency on Research at' Carcinogens U/\RC\ has reviewed these studies and reports that there is sufficient evidence that nasal carcinomas' hove been caused by employment in the furniture-making industry where the excess risk is associated with exposure to unfnaohsd wood dust or sawdust from hardwood species. IARC concluded that epidemiological data are not sufficient to make o definite assessment of the carcinogenic risk of employment as o carpenter or worker in o lurnberrni|l or sawmill. CCA TREATED WOOD: Sawdust from CCA treated wood has been shown not fo cause chromosome changes in mice fed sawdust or birth defects in mice or rabbits receiving sawdust in their feed or applied to their skin. Recreational exposure to children using CCA treated wood playground equipment has been evaluated. The results of this study indicated thatthe amount of arsenic transferred from the wood surface tothe child is within the normal variation of lotal arsenic exposure to children and that the maximum risks of skin cancer associated with the exposure approximates the skin cancer risk from the sunlight experienced during ploy periods. Leof stern and fruit of grope plants crown adjacent to CCAtreotad wood poles did not take up preservative components from the poles above background levels (limit of detection 0'7 and 0.05 pprn for chrome and arsenic, respecfivelyL < its productmust not come In contact with food orfeed. oknn"vn �' �s �' � c� � t� O lq� �� t� f� �' f � � listed ' . " mgre /en v/ /c occur greater on . ,o other on those /s � o o»e, are as in the (ARC Monographs on the Evaluation of the Carcinogenic. Risk of Chernicols to Humans, the National Toxicology Program (NTP) Annual Report on Carcinogens or OSHA 29 CFR 1910.1001-1047 sbbpart Z Toxic and Hazardous Substances (Specifically Regulated 5ubstonced. Do not use until Consumer Information 3heet is read and understood. Wash exposed areas promptly and thoroughly after skin contact from working with this product and before ecTing, drinking, usin8foboccoproducts or rest rooms. Do not wear contact lenses without proper eye protection when sowing or cutting treated or untreated wood. [CA PRESERVATIVE: The effects of industrial exposure to the chrome-c preservative used to treat (�(�/\ wood has been evaluated in three epidemiology ��pen�ent epidemiology studies. In each case the authors concluded thatworkers exposed on a daily basistothe preservatives were citno increased riskof death ordisecise as o result of their exposure. Ingestion of components (arsenic and chromium) of the liquid preservative has caused toxicity to pregnant laboratory animals and their fetuses. Reproductive performance in laboratory animals was not affected by feeding diets containing arsenic. |ARC, the NTP and OSHA do not consistently distinguish among arsenic or chrome species but list inorganic arsenic and chromium and certain chromium cornpounds as human corcino�ans- Cancers in humans have 6 z!lo°vedfronTiongterrn: l\consurnotionofFovvle�s �olution,ornedicinoltrivo}entorsenicol; 2\ inhalations and skin contact with inorganic trivalent arsenical shee p-dust; 3) the combined inhalation of arsenic trioxide /h'i'o|ent arsenical) sulfur dioxide, and other particulates from ore smelting in arsenic triox production; 4\ �ccupofionol exposure to nonv/oter-soluble hexovoleot chromium. This product is not manufactured wifh � ivo|enf arsenic ornun`vofer-soluble hexovo|antchrorniurn compounds but may contain some trivo!enfarsenic �s o result of reactions occurring after wood treatment. NOTICE: While the information and recommendations set forth herein ore believed tobe accurate osof th date ' � � � ' e o ereo�pr� producer makes disclaims all |iabilih/frornreliance ���,�.. ' Manufacturer Name and Address: Weyerhaeuser Company Tacoma WA 98, -mergency Phone: (206) 924-5000 .kddtional Information: (206) 924 -3865 •s• t Product Identification Product Manufacturing Location Wood Dust untreated Various Description: Particles generated by any manual or mechanical cutting or abrasion process performed on wood. This includes wood dust generated during chipping and lumber operations. Synonyms: Wood Flour, Sawdust, Sander Dust Date Prepared: 12/10185 Date Revised: 05/01/95 Prepared by: Corporate Safety & Health Hazardous Ingredients/ldentity Information Chemical or NAP VAPOR PRESSURE (mm Hg): Common Name VAPOR DENSITY (Air =1; 1 atm): NAP CAS4 Percent OSHA Current Exposure Limits Wood 100 OSHA PEL -TWA 15 mg/m' (a) CAS :None NAP OSHA PEL -TWA 5 mg/m' (b) Insoluble % VOLATILE BY VOLUME @ 70OF (21eC): ACGIH TLV -TWA 5 mg/m' (c) pH: NAP ACGIH TLV -STEL 10 mg/rn' (c) ACGIH TLV -TWA 1 ma/m' d Recommended Exposure Limits' PEL -TWA 5 mg/m' (e) PEL -STEL 10 mg/m' (e) PEL -TWA 2.5 ma/m' f (a) total dust (b) respirable dust fraction (c) sohwood total dust (d) selected hard - total dust (beech, oak others) (e) softwood or hardwood total dust (1) Weatem red cedar total dust ' Weyerhaeuser recomrnen led exposure limits based on 1989 OSHA PELs In 1992, the U.S. Court of Appeals for the Eleventh Circuit Court overturned OSHA's 1989 Air Contaminants Rule, which Included specific PELs for wood dust established by OSHA at that time. Wood dust Is now officially regulated as an organic dust in a category known as 'Particulates Not Otherwise Regulated' (PNOR), or Nuisance Dust. However, a number of states have incorporated the OSHA PELs from the 1989 standard In their state plans. Additionally, OSHA has announced that )1 may cite companies under the OSH Act general duty clause under appropriate circumstances for noncompliance with the 1989 PELs. Appearance and Odor: Light to dark colored granular solid. Wood dust may have a slight aromatic odor. Color and odor depend on the wood species and time since dust was generated. The wood component may consist of alder, aspen, beech, birch, cottonwood, fir, gum, hemlock, hickory, maple, oak, pecan, pine, poplar, spruce, walnut and/or Westem red cedar. El Physical /Chemical Characteristics BOILING POINT (® 760 mm Hg): NAP VAPOR PRESSURE (mm Hg): NAP VAPOR DENSITY (Air =1; 1 atm): NAP SPECIFIC GRAVITY (H =1): Variabe; depends on wood species and moisture MELTING POINT: NAP EVAPORATION RATE (Butyl Acetate =l): NAP SOLUBILITY IN WATER (% by Weight): Insoluble % VOLATILE BY VOLUME @ 70OF (21eC): NAP pH: NAP ru LJj Fire and Explosion Hazard Data Flash Point (Method Used): NAP Flammable Limits: LEL: See below under "Unusual Fire and Explosion Hazards" UEL• NAP Extinguishing Media: Water, carbon dioxide, sand. Autoignition Temperature: Variable [typically 400 -500°F (204- 260°C)]. Special Firefighting Procedures: Use water to wet down wood dust to reduce the likelihood of ignition or dispersion of dust into the air. Remove burned, charred or wet dust to open, secure area after fire is extinguished. Unusual Fire and Explosion Hazards: Depending on moisture content and more importantly, particle diameter, wood dust may explode in the presence of an ignition source. An airborne concentration of 40 grams (40,000 mg) of dust per cubic meter of air is often used as the LEL for wood dust. LA Reactivity Data Stability: () Unstable (x) Stable Conditions to Avoid: Avoid open flame. Product may ignite at temperatures in excess of 400oF (204°C). Incompatibility (Materials to Avoid): Avoid contact with oxidizing agents and drying oils. Hazardous Decomposition or By- Prbducts: Thermal decomposition products include carbon monoxide, carbon dioxide, aliphatic aldehydes, rosin acids, terpenes, and polycyclic aromatic hydrocarbons. Hazardous Polymerization: () May Occur (x) Will Not Occur Precautions for Safe Handling and Use Steps to be Taken In Case Material Is Released or Spilled: Wood dust may be vacuumed or shoveled for recovery or disposal. Avoid dusty conditions and provide good ventilation. Use NIOSW MSHA- approved respirator and goggles where ventilation is not possible. Waste Disposal Method: Landfill or incinerate in accordance with federal, state and local regulations. It is, however, the user's responsibility to determine at the time of disposal whether your product meets RCRA criteria for hazardous waste. Precautions to be Taken In Handling and Storage: Avoid repeated or prolonged breathing of wood dust. Avoid eye contact and repeated or prolonged contact with skin. Keep in cool, dry place away from open flame. Other Precautions: Avoid open flame and contact with oxidizing agents and drying oils. A NIOSH/MSHA- approved respirator and goggles should be worn when the allowable exposure limits may be exceeded. SAWING, SANDING OR MACHINING WOOD PRODUCTS CAN PRODUCE -WOOD DUST WHICH CAN CAUSE A FLAMMABLE OR EXPLOSIVE . 1gAZARD. ° DUST MAY CAUSE LUNG, UPPER RESPIRATORY TRACT, EYE AND _SKIN IRRITATION. SOME WOOD SPECIES MAY CAUSE DERMATITIS AND /OR RESPIRATORY ALLERGIC EFFECTS. Avoid dust contact with ignition sources. Sweep or vacuum dust for recovery or disposal. Avoid prolonged or repeated breathing of wood dust in air. Avoid dust contact with skin and eyes. FIRST AID: If inhaled, remove to fresh air. In case of eye contact, flush eyes and skin with water. if irritation persists, call a physician. For additional information, see the Material Safety Data Sheet. IMPORTANT: The information and data contained herein are believed to be accurate and have been com- piled from sources believed to be reliable. It is offered for your consideration, investigation and verification. NAWLA makes no warranty of any kind, express or implied, concerning the accuracy or completeness of the information and data herein. NAWLA will not be liable for claims relating to any party's use of or reliance on 36ftitrrma'tion and data contained herein regardless of whether it is claimed that the information and data are i`accii te, incomplete or otherwise misleading. NOTES: 1. Preventative measures and first aid instruction (shown as buileted items of rwi; rare not required on labels, but may be added voluntarily. 2. Labels must be legible and prominently displayed. There are no specific requirements for size, color, or any specified text. 3. TrJtPlabel is designed to address the requirements of the OSHA Hazard Communication Standard with respect to wood dust. You may want to consult other sources such as the American National Standards Institute for general guida' A'8 on the preparation of warnings. M A T E R I A L S A F E T Y D A T A S H E E T SECTION I - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME : NP2 BASES IDENTIFICATION NUMBER: 42-350 Finishing DATE PRINTED: 03/19/99 -362 Precast Gray -365 Pretint Limestone PRODUCT USE/CLASS : Sealant SUPPLIER: MANUFACTURER: ChemRex Inc. Sonneborn Building Products 889 Valley Park Drive Shakopee, MN 55379 EMERGENCY TELEPHONE: EMERGENCY TELEPHONE:(800)424-9300 24 HRS A DAY 7 DAYS A WEEK PREPARER: Scott Shinn, PHONE: 612-496-6000, PREPARE DATE: 01/08/99 SECTION 2 - COMPOSITION/INFORMATION ON INGREDIENTS ITEM ------------ CHEMICAL NAME ------------- CAS NUMBER WT/WT S LESS THAN 01 Toluene diisocyanate mix 26471-62-5 <0.1 'i 02 Calcium carbonate 471-34-1 30.0 £: 03 Naphtha-light aromatic 64742-95-6 5.0 rA 04 1,2,4 Trimethyl Benzene 95-63-6 5.0 05 Titariium dioxide 13463-67-7 5.0 il SECTION 3 - HAZARDOUS IDENTIFICATION EFFECTS OF OVEREXPOSURE - EYE CONTACT: Causes eye irritation. EFFECTS OF OVEREXPOSURE - SKIN CONTACT: Prolonged or repeated contact can ' i result defatting and drying of the skin which may result in skin z - irritation and dermatitis (rash). May cause irritation. Repeated or prolonged contact with skin may cause sensitization. (Continued on Pace 2) ---------------------- EXPOSURE LIMITS -------------------- ACGIH OSHA COMPANY ITEM TLV-TWA TLV-STEL PEL-TWA PEL-CEILING TLV-TWA SKIN 01 0.04 mg/m3 0.15 mg/m3 0.04 mg/m3 0.15 mg/m3 N.E. NO 02 10 mg/m3 N.E. 15 mg/m3 N.E. N.E. NO 03 N.E. N.E. 435 mg/m3 N.E. N.E. NO 04 123 mg/m3 N.E. 125 mg/m3 N.E. N.E. NO 05 10 mg/m3 N.E. 25 mg/m3 N.E. N.E. NO (See Section 16 for abbreviation legend) SECTION 3 - HAZARDOUS IDENTIFICATION EFFECTS OF OVEREXPOSURE - EYE CONTACT: Causes eye irritation. EFFECTS OF OVEREXPOSURE - SKIN CONTACT: Prolonged or repeated contact can ' i result defatting and drying of the skin which may result in skin z - irritation and dermatitis (rash). May cause irritation. Repeated or prolonged contact with skin may cause sensitization. (Continued on Pace 2) Product: 42 =350 Preparation Date: 01/08/99' Page 2 SECTION 3 - HAZARDS IDENTIFICATION EFFECTS OF OVEREXPOSURE - INHALATION: Harmful if inhaled. Headaches, dizziness, nausea, decreased blood pressure, changes in heart rate and cyanosis, may result from over - exposure to vapor. EFFECTS OF OVEREXPOSURE - INGESTION: Irritating to mouth, throat and stomach. EFFECTS OF OVEREXPOSURE - CHRONIC HAZARDS: This product contains solvents. Reports associate repeated and prolonged occupational overexposure to solvents with permanent brain and nervous system damage. Reports also indicate that solvents cause liver damage, kidney damage, and mucous membrane irritation. Be warned that intentional misuse by deliberately inhaling the vapors and /or the product contents (a process often called "sniffing ") may be harmful or fatal. This product may contain a small amount ( <0.1t J of toluene diisocyanate. NIOSH, NTP and IARC list toluene diisocyanate as a suspected carcinogen. Note also that prolonged repeated exposure to isocyanates can lead to skin sensitation. For persons so sensitized even breif exposures to the isocyanate can produce reddening, swelling, rash, or blisters. Similarly, prolonged and repeated exposure to isocyanates can lead to respiratory sensitization. In such individuals brief exposures to isocyanates at levels well below the TLV can produce chemical asthma, and nonspecific asthmatic conditions. PRIMARY ROUTE(S) OF ENTRY: SKIN CONTACT INHALATION EYE CONTACT SECTION 4 - FIRST AID MEASURES FIRST AID - EYE CONTACT: Flush eye with water for 15 minutes. Get medical attention. FIRST AID ; SKIN CONTACT: Remove contaminated clothing and shoes. Wash affected area(s) throughly with soap and water. If irritation persist, seek medical attention. FIRST AID - INHALATION: Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get immediate medical attention. FIRST AID - INGESTION: If swallowed, DO NOT induce vomiting. Give victim a glass of water or milk. Call a physician or poison control center immediately. Never give anything by mouth to an unconscious person. Should vomiting occur, be sure to keep victum's head below hips to avoid aspiration of vomitus into lungs. SECTION 5 - FIRE FIGHTING MEASURES FLASH POINT: 125 F (PENSKY- MARTENS C.C.) LOWER EXPLOSIVE LIMIT: 0.9 % UPPER EXPLOSIVE LIMIT: 7.0 AUTOIGNITION TEMPERATURE: N/D (Continued on Page 3) Product: 42 -350 Preparation Date: 01/08/99 Page 3 SECTION 5 - FIRE FIGHTING MEASURES EXTINGUISHING MEDIA: ALCOHOL FOAM CO2 DRY CHEMICAL WATER FOG UNUSUAL FIRE AND EXPLOSION HAZARDS: Vapors can travel to a source of ignition and flash back. "Empty" containers retain product residue (liquid and /or vapor) and can be dangerous. DO NOT PRESSURIZE, CUT, WELD, BRAZE, SOLDER, DRILL, GRIND, OR EXPOSE SUCH CONTAINERS TO HEAT, FLAME, SPARKS, STATIC ELECTRICITY, OR OTHER SOURCES OF IGNITION; CONTAINERS MAY EXPLODE AND CAUSE INJURY OR DEATH. Solid stream of water or foam may cause frothing. Direct stream of water into hot burning mat'l will cause splattering. SPECIAL FIREFIGHTING PROCEDURES: Containers exposed to fire should be kept cool with water spray. Containers can build up pressure if exposed to heat (fire). As in any fire, wear self - contained breathing apparatus pressure- demand (MSHA /NIOSH approved or equivalent) and full protective gear. SECTION 6 - ACCIDENTAL RELEASE MEASURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Ventilate the area and remove all sources of ignition. Evacuate unneccessary personnel. Large spills should be handled carefully. Put on respiratory protection and necessary personal protective equipment. Dike or impound spilled liquid. Absorb spill with inert material (e.g. dry sand or earth), then place in a chemical waste container. Repeat sorbent /sweep cycle until the spill has dried up. Avoid runoff into storm sewers and ditches which lead to waterways. SECTION 7 - HANDLING AND STORAGE HANDLING: Use only in a well ventilated area. Keep out of reach of children. Ground and bound containers when transferring material. If user operations generate dust, fume, or mist, use ventilation to keep exposure to airborne contaminents below the exposure limit. STORAGE: Keep container closed when not in use. SECTION 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION ENGINEERING CONTROLS: Local exhaust may be necessary to control any air contaminants to within their TLVs during the use of this product. ' RESPIRATORY PROTECTION: Wear NIOSH /MSHA approved respiratory protection when the product is mixed or applied in a poorly ventilated area or if workplace levels of ingredients exceed the TLV. Follow applicable federal, state, and local regulations. (Continued on Page 4) Product: 42 -350 Preparation Date: 01/08/99 Page 4 SECTION 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION OTHER PROTECTIVE EQUIPMENT: Where contact is likely, wear chemical resistant gloves, chemical safety goggles with a face sheild, and clean protective clothing to cover arms and legs to keep exposure to a minimum. HYGIENIC PRACTICES: Do not take internally. Wash thoroughly after handling. Remove contaminated clothing and wash before reuse. Avoid breathing vapors from heated material. Avoid contact with eyes, skin, and clothing. SECTION 9 - PHYSICAL AND CHEMICAL PROPERTIES BOILING RANGE 308 - 484 F VAPOR DENSITY : Is heavier than air ODOR Paint thinner ODOR THRESHOLD : EVAPORATION RATE: N/D Is slower than Butyl APPEARANCE Smooth paste 4.7 g /kg >3670 ppm /8H SOLUBILITY IN H2O Slight <0.1 S No Information Acetate FREEZE POINT : N/D SPECIFIC GRAVITY: 0.9129 VAPOR PRESSURE N/D pH @ 0.0 b N/D PHYSICAL STATE Paste VISCOSITY N/D COEFFICIENT OF WATER /OIL DISTRIBUTION: N/D (See Section 16 for abbreviation legend) SECTION 10 - STABILITY AND REACTIVITY CONDITIONS TO AVOID: Long term exposure to elevated temperatures. INCOMPATIBILITY: Alcohols and water. Avoid contact with oxidizing material. HAZARDOUS DECOMPOSITION PRODUCTS: Acrid fumes. Oxides of carbon. HAZARDOUS POLYMERIZATION: Will not occur under normal conditions. STABILITY: This product is stable under normal storage conditions. SECTION 11 - TOXICOLOGICAL PROPERTIES PRODUCT DERMAL LD50: No Information PRODUCT LC50: No Information COMPONENT TOXICOLOGICAL INFORMATION:'- PRODUCT ORAL LD50: No Information - - -- CHEMICAL NAME - --- -- DERMAL LD50 -- --- ORAL LD50 - -- -- ---- LC50 - - --- Toluene diisocyanate mi >10 g /kg 4130 mg /kg 6450 mg /kg 11 ppm /4H No Information Calcium carbonate Naphtha -light aromatic No Information >4 ml /kg 4.7 g /kg >3670 ppm /8H 1,2,4 Trimethyl Benzene No Information 12.7 gm /kg 18 gm /m3 /4H (Continued on Page 5) Product: 42-350 Preparation Date: 01/08/99 Page 5 SECTION 11 TOXICOLOGICAL PROPERTIES SECTION 12 ECOLOGICAL INFORMATION ECOLOGICAL INFORMATION: No Information. SECTION 13 - DISPOSAL CONSIDERATIONS DISPOSAL METHOD: Review all local, state, and federal regulations concerning health and pollution for appropriate disposal procedures. SE - CTION 14 - TRANSPORTATION INFORMATION This material has been determined to be a non-combustible solid by ASTM standards DOT PROPER SHIPPING NAME: Not regulated DOT TECHNICAL NAME: N/A DOT HAZARD CLASS: N/A HAZARD SUBCLASS: N/A DOT UN/NA NUMBER: N/A PACKING GROUP: N/A RESP. GUIDE PAGE: DOT PLACARD AT: N/A DOT CLASS NUMBER: N/A UN PROPER SHIPPING NAME: Not regulated UN HAZARD CLASS: N/A UN CLASS NUMBER: AIR N/A MARINE N/A HAZARD SUBCLASS: AIR N/A MARINE N/A UN UN/NA NUMBER: N/A UN PACKING GROUP: AIR N/A MARINE N/A UN PLACARD AT: N/A SECTION 15 - REGULATORY INFORMATION U.S. FEDERAL REGULATIONS: AS FOLLOWS - OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR ' 1 920.1200) I (Continued on Page 6) Product: 42-350 Preparation Date: 01/08/99 Page 6 SECTION 15 - REGULATORY INFORMATION CERCLA - SARA HAZARD CATEGORY: This product has been reviewed according to the EPA 'Hazard Categories' promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986 (SARA Title III) and is considered, under applicable definitions, to meet the following categories: IMMEDIATE HEALTH HAZARD CHRONIC HEALTH HAZARD FIRE HAZARD SARA SECTION 313: This product contains the following substances subject to the reporting requirements of Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 and 40 CFR Part 372: ------------ CHEMICAL NAME ----------- CAS NUMBER WT/WT i IS LESS THAN Toluene diisocyanate mix 26471-62-5 <0.1 1,2,4 Trimethyl Benzene 95-63-6 5.0 TOXIC SUBSTANCES CONTROL ACT: This product contains the following chemical substances subject to the reporting requirements of TSCA 12(B) if exported from the United States: ----------- CHEMICAL NAME ----------- CAS NUMBER 1,2 benzenedicarboXYlic acid 68515-47-9 cumene 98-82-8 CALIFORNIA PROPOSITION 65: WARNING: The chemicals) noted below and contained in this product, are known to the state of California to cause cancer, birth defects or other reproductive harm: ----------- CHEMICAL NAME ----------- CAS NUMBER Acrylonit;ile 107-13-1 toluene 108-88-3 Silica, quartz 14808-60-7 Toluene diisocyanate mix 26471-62-5 inorganic lead 7439-92-1 Arsenic 7440-38-2 1,1-dichloroethylene 75-35-4 INTERNATIONAL REGULATIONS: AS FOLLOWS CANADIAN WHMIS: This MSDS has been prepared in compliance with Controlled Product Regulations except for use of the 16 headings. CANADIAN WHMIS CLASS: No information available. I SECTION 16 - OTHER INFORMATION NYIIS RATINGS - HEALTH: 2 FLAMMABILITY: I REACTIVITY: 0 PERSONAL PROTECTION: G PREVIOUS MSDS REVISION DATE: 05/21/98 (Continued on Page 7) Product: 42 -350 Preparation Date: 01/08/99 Page 7 SECTION 16 - OTHER INFORMATION REASON FOR REVISION: Change in extinguishing media VOLA:'ILE ORGANIC COMPOUNDS (VOCS): 0.44 lbs /gal, 53 grams /ltr LEGEND: N.A. - Not Applicable, N.E. - Not Established, N.D. - Not Determined This information is furnished without. 'warranty, representation, or license of any kind, except that this information is accurate to the best of ChemRex's knowledge, or is obtained from sources believed by ChemRex to be accurate. No warranty is expressed or implied regarding the accuracy of this information or the results to be obtained from its use thereof. Chemrex assumes no responsibility for injuries proximately caused by use of the Material if reasonable safety procedures are not followed as stipulated in this Data Sheet. Additionally, ChemRex assumes no responsibility for injuries proximately caused by abnormal use of the Material even if reasonable safety procedures are followed. Buyer assumes the risk in its use of the Material. <END OF MSDS> COPYRIGHT GENERAL ELECTRIC CO. PRODUCT: SCS1702 ACETOXY SANITARY SEALANT PAGE: 01 1, CHEMICAL. PRODUCT AND COMPANY IDENTIFICATION MANUFACTURED BY: SUPPLIED BY: GE SILICONES GE SILICONES 260 HUDSON RIVER ROAD 260 HUDSON RIVER ROAD WATERFORD, NY 12188 WATERFORD, NY 12188 EMERGENCY PHONE (24 HRS) EMERGENCY PHONE (24 HRS) (518) 237 -3330 (518) 237 -3330; REVISED: 02/12/93 B. NON - HAZARDOUS PREPARER: DA POLSINELLI CHEMICAL FAMILY /USE: SILICONE RUBBER SEALANT FORMULA: MIXTURE TRADE SECRET COMPONENT 2. COMPOSITION/INFORMATION ON INGRED PRODUCT COMPOSITION/ APPROX. ACGIH TLV OSHA PEI. CAS REG NO. WOT. % TWA STEL TWA STEL UNITS - -- - - - - - -- 1. HAZARDOUS - - - - -- - - - - -- - - - - -- --- - - - -- METHYLTRIACETOXYSILANE 4253 -34 -3 1 -5 10(R) NE 10(R) NE! PPM B. NON - HAZARDOUS TRADE SECRET COMPONENT 5-10 NF NE NF NE ' NA TRADE SECRET COMPONENT 10 -30 10 NE 15 NE MG /M3 DIMETHYL POLYSILOXANE SILANOL /ST 70131-67 -8 60 -80 NA NE NA NE NA See Section 15 for description of any WHMIS Trade Se!cret(s). 3. HAZARDS IDENTIFICATION EMERGENCY OVERVIEW: This section not in use POTENTIAL HEALTH EFFECTS: INGESTION: May be harmful if swallowed. SKIN CONTACT: Uncured product contact will irritate lips,gums and tongue. Uncured product contact may irritate the skin. INHALATION: Causes irritation of the mouth,nose,and throat. Applies only in uncured state. EYE CONTACT: Uncured product contact irritates eyes. MEDICAL CONDITIONS AGGRAVATED: 1 * ** CO T N ED ON NEXT PA &E ,* aRODUCT: SCS1702 AC E1 UXY ,ASV 1 1 Ail T „ ^ " ^" None known. SUSCHRONIC (TARGET OR.GAN) . EFFECTS: None known. CHRONIC EFFECTS /CARCINOGENICITY: This product or one of its ingredients present 0.1% or more cted careinopen:by is NOT listed as a carcinogen or suspe NTP, IARC, or OSHA. PRODUCTS /INGREDIENTS This apace reserved for spacial use. PRINCIPLE ROUTES OF EXPOSURE: Oral. Dermal ° skin. Eyes. Inhalation. OTHER: Acetic acid released during curing. This product contains Methylpolysiloxenes which can generate imately 300 degrees farenheit (150'C) Formaldehyde at •pProx which contain oxygen. Formaldehyde and above, in ttomospheres sensitizer, eye and throat irritant, is a skin and respiratory acute toxicant, and potential cancer hazard. An MSDS for Formaldehyde is available from GE Silicones. FfRST AID MEASURES ; INGESTION: Do not induce vomiting. S lowly dilute with 1 °2 pleases of water or milk and seek medical attention. Never give any thing by mouth to an unconscious person. SKIN: To clean from skin, remove completely with a dry cloth or paper towel, before washing with detergent and water. Gat medical attention if irritation persists. INHALATION: Move person to fresh air. EYES: 1n case of contact, immediately flush eyes with p1an�Y of water for at l 15 minutes and pat medical attention if 4rritation persists. NOTE TO PHYSICIAN: Nona known. a t x FLASH POINT: METHOD = IGNITION TEMP = FLAMMABLE LIMITS IN AIR - LOWER (y): FLAMMABLE LIMITS IN AIR - UPPER (y): SENSITIVITY TO MECHANICAL IMPACT (Y /M SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is EXTINGUISHING MEDIA: All standard firefighting media SPECIAL FIREFIGHTING PROCEDURES: None known. NA NA UNK UNK UNK : NO not expected. ,.g 6 t ; a r G1DEISiTAC REI.EASI; o- IME tj (C) NA (F) (C) UNK (F) URES C ACTION TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: Wipe, scrape or soak up in an inert material and putin a container for disposal. * ** CONTINUED ON NEXT PAGE * * PRODUCT: SCS1702 ACETOXY SANITARY SEALANT PAGE: 03 Wash walking surfaces with detergent and water to reduce slip- ping hazard. Wear proper protective equipment as specified in the protective equipment section. 7, HANDLING AND„ STORAGE � PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE: Avoid contact with skin and eyes. Caution] Remove contact lenses before using sealant. Do not handle lenses until all sealant has been cleaned from the finger- tips, nails and cuticles. Residual sealant may remain on fingers for several days and transfer to lenses and cause severe eye irritation. Product releases acetic acid during application and curing. Use mechanical ventilation to stay below TLV of 10 pom acetic acid. Uncured':Oroduct contact irritates eyes. Uncured product contact may irritate skin. Use in a wall ventilated area to prevent irritation by vapors. S. EXPOSURE CONTROLS /PERSONAL PROTE TION ENGINEERING CONTROLS: Exhaust ventilation Eyewash stations. Use in a well ventilated area. RESPIRATORY PROTECTION: None known. PROTECTIVE GLOVES: Cloth gloves. EYE AND FACE PROTECTION: Safety glasses. OTHER PROTECTIVE EQUIPMENT: None known. VENTILATION: Use only in well ventilated area. Mechanical ventilation. PHYSICAL ,ANDHEM,t�PaOP 9 • ERTIES! PRODUCT INFORMATION: BOILING POINT : VAPOR PRESSURE(20 C)(MM HG): VAPOR DENSITY (AIR =1) : FREEZING POINT MELTING POINT PHYSICAL STATE ODOR = COLOR = ODOR THRESHOLD (PPM) : % VOLATILE BY VOLUME EVAP. RATE(BUTYL ACETATE =1): SPECIFIC GRAVITY (WATERcl) DENSITY (KG /M3) ACID /ALKALINITY (MEG /G) s PH = VOC (EPA METH.24) (G /L) : SOLUBILITY IN MATER (20 C) : NA UNK UNK NA NA SOLID ACETIC ACID WHITE UNK <8 <1 1.05 1050 UNK NA 9 (C) NA (F) (C) NA (F) (C) NA (F) eee CONTINUED ON NEXT PACE 004 t'huuut_ i : b( -b t t ACETOX SANITARY SEALANT PAGE: 04 INSOLUBLE SOLUBILITY IN ORGANIC SOLVENT (STATE SOLVENT): TOLUENE 10. STABILITY AND REACTIVITY STABILITY: STABLE HAZARDOUS POLYMERIZATION: WILL NOT OCCUR HAZARDOUS THERMAL DECOMPOSITION /COMBUSTION PRODUCTS: Carbon monoxide. Carbon dioxide. Silicon dioxide. Acetic acid, Formaldehyde. INCOMPATIBILITY (MATERIALS TO AVOID): None known. CONDITIONS TO AVOID: None known. 11 . TOXICOLOGICAL - INFORMATION j METHYLTRIACETOXYSILANE ACUTE ORAL LDSO (MG /KG): 2,060 (RAT) ACUTE DERMAL LDSO (MG /KG): NONE FOUND ACUTE INHALATION LC50 (MG /L): NONE FOUND OTHER: None. AMES TEST: TRADE SECRET COMPONENT ACUTE ORAL LDSO (MG /KG): >40,000 RAT,ESTM, ACUTE DERMAL LDSO (MG /KO): NONE FOUND ACUTE INHALATION LCSO (MG /L): >535 MG /L ESTM. OTHER: None. AMES TEST: TRADE SECRET COMPONENT ACUTE ORAL LDSO (MG /KG): NA ACUTE DERMAL LD30 (MG /KC): NA ACUTE INHALATION LC50 (MG /L): NA OTHER: None, M cad -Cis DIMETHYL POLYSILOXANE SILANOL /ST ACUTE ORAL LDSO (MG /KG): RAT >40,000 ACUTE DERMAL LDSO (MG /KG): UNKNOWN ACUTE INHALATION LC50 (MG /L): RAT >535 MG /L (4HR) OTHER: Non - irritating to skin (rbt). AMES TEST:. 12. ECOLOGICAL INFORMATION + ^— ECOTOXICOLOGICAL INFORMATION: No data at this time CHEMICAL FATE INFORMATION: No data at this time #* CONTINUED ON NEXT PAGE *a* PRODUCT: SCS1702 ACETOXY SANITARY SE ALANT PAGE: 05 DISPOSAL CONSIDE,RAT ONS ,n DISPOSAL METHOD: Disposal should be made in accordance with federal, state and local regulations. Bury in a licensed landfill or burn in an approved incinerator according to federal, state, and local regulations. e 7� ; TRA�lSORT 1QhtATI�ON DOT SHIPPING NAMES DOT HAZARD CLASS: DOT LABEL(S): UN /NA NUMBER: PLACARDS: IATAt NA IMO IMDG -coda: EUROPEAN CLASS: RID (OCTI): ADR (ECE) : PAR (IATA): NONE NONE NONE NONE NONE NA NA NA NA 15, ` REG.IJL.�TORY 1NFORMATIflN;'' SARA SECTION 302: None Found SARA (311,312) HAZARD CLASS: ACUTE HEALTH HAZARD SARA (313) CHEMICALS: NONE CPSC CLASSIFICATION: MHMIS HAZARD CLASS: D2B TOXIC MATERIALS MHMIS TRADE SECRET: EXPORT: SCHDLE B /HTSUS: ECCNt HAZARD RATING SYSTEMS HMIS NFPA CALIFORNIA PROPOSITION 65: NONE [1L•11 None 3910.00.00003 1C966 FLAMMABILITY 0 , REACTIVITY 0 HEALTH 2 FLAMMABILITY 0 , REACTIVITY 0 HEALTH 2 18, OTHER ; I.NFORMAT K This product or its Components are on the European inventory of existing commercial chemicals ( EINECS ) ...... I These data are offered - in good faith as typical values and not as a Product specification. No warranty, either expressed or implied; is made. The recommended handling procedures are believed to be generally applicable. However, each user should review these recommendations in the specific content of the intended use ................ ............................... C s ceiling limit NEGL a negligible EST- estimated NF a none found NA a not applicable UNKN a unknown NE a - mono established REC a recommended * ** CONTINUED ON NEXT PAGE * *k rKUUUCT: SCS1702 ACETOXY SANITARY SEALAN F VAVt: Ua ND = none determined By- product = reaction by- product, TSCA inventory status not required under 40 CFR part 720.30(h -2) $TEL = short term exposure limit V = recomm. By vendor SKN = skin TS = *rods secret R = recommended MST = mist NT = not tested H � EN M"Mdtk yX - - - - - - - - - - - Section 2 - ---------------------------------------------------------------------- - - - - - - - - - - - Molecular - - - - - - - - - - - - - - - - - Composition - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - Common Name and Chemical Name --------- weight % CAS Number Exposure Limits CALCIUM CAR50NATE (LIMESTONE) OSHA:T'WA 15 mg/M3 STEL (total Oust, 5mg/M3 respirable fraction) ACGIH:TWA 10 mg /M3 STEL (total (just, no asbestos, <1% Sioll) ACRYLIC POLYMER 0 5.0 - 35,0 Trade Secret OSHA:TWA STEL - ACGIH:TWA ACGIH:TWA STEL WATER 1 5.0-20.0 7732-18-5 OSHA:TWA STEL ACGIH.TWA STEL BUTYL EENZYL PHTHALATE 1.0 5.0 85-68-7 OSHA;TWA 5 mg/M3 STEL ACGIH:TWA 5 mg/M3 STEL 10 mg/M3 WHITE MINERAL OIL ' . 1.0-5.0 8042-47-5 OSHA:TWA 5 mg/M3 STEL - (MIST) ACGIH*TWA 5 mg /M3 STEL 10 mg/M3 (mist) TITANIUM DIOXIDE 0.5 13463-67-7 OSHA:TWA 10 mg /M3 STEL - ACGIH 10 mg/M3 STEL - (total dust, no asbestos. <I SfC2) CRYSTALLINE SILICA (QUARTZ) 0.5-0.8 14608-60 -7 OSHA:TWA 0.10 mg/M3 STEL (skin) (respirable oust) ACGIH:TWA 0.10 mg/M3 STEL (respirable oust) CARBON BLACK 0.0 i333-86-4 OSHA:TWA 3.50 mg /M3 STEL - ACGIH.TWA 3.50 mg /M3 STEL - ------------------------------- I ----------------------------------------------- section 3 - Hazards Identification --------------------------------------------------------------------------- I I W W w_W # # ###!! W * I ***V wwwww* W.A* * IV* W 1 4 1 1 WW W W IV W w a! #* XA I Emergency Overview: Various Colored paste. If Inhaled can cause Irritation to respiratory system Leave area to breathe fresh air. ............ W# V WNW W W W W W W W W # # # # * #! ** ... W W W W W W Y w. # P #!! ## W ## W W 9 W W W W ....... Potential Hith Effect/Rte of Entry: ------------------------- --- ------ - inhalation: Can cause irritation to respiratory system. Eyes Can cause irritation, Ingestion: Can cause gastrointestinal irritation, Skin: May cause slight I rr i tat ion. Aggravated Medical Conditions. Pro-existing eye, skin, and respiratory disorders eg. as may be aggravated by exposure. Acute Health Effects: Product S39 -LINE Page 01 of 04 Chronic Health Effects: Prolonged or repeated exposure of butyl benzyl phthalate to rats produced decreased body wefghts,spleen and sex organ changes, increased liver and kidney weights, reduced food consumption, weakness, hindlimb stiffness, and effects on the liver,testes and pancreas. Birth defects have been reported in�mlce and rats, but only at high doses that produce significant toxicity in the mother and offspring. Birth defects have not been observed in rabbits. Evidence of carcinogenicity has been mixed. Initial NTR studies has reported an increased incidence of mononuelear cell leukemias in female rats, a commonly occuring spontaneous disease in this strain, but no increase in tumors in mice. However, a repeat study has not found an increase in leukemias, although a increase in kidney and bladder lesions in females and in pancreatic tumors in males was noted. Furthermore, a concurrent study that restricted diet also has not revealeo any increase in tumors in male and female rats. Numerous studies also have indicated that it is not genotoxic. Filters are encapsulated and not expected to be released in product under normal conditions of use. Crystalline silica (quartz) may cause cancer, but only limited evidence in humans. Prolonged and repeated overexposure to free crystalline silica dust above the TLV level may cause scarring of the lungs with cough and shortness of breath. A delayed lung injury, silicosis may result from breathing free silica. No serious health effects have been established in man when exposed to carbon black. Inflammation, lung fibrosis, and tumors have been observed in animals at levels which overload lung clearance mechanisms. Carbon black contains varying amounts of polynuclear aromatic compounds(PNA's) which have been found to cause cancer in animals. Solvent extracts of carbon black are carcinogenic to the skin of mice. It is classified by IARC to be a known animal carcinogen and a possible human carcinogen (Group 28), -- --- ----- -- --- - ---- -_- --- - "- "_._ -__ Section 4 - First Aid Measures ---- - - -- ---- --- --- ---------------------------------------- ........ _........... Inhalation: Leave area t0 breathe fresh air. Eyes: Flush immediately with running water for 15 minutes, lifting the upper and tower lids occasionally. Get medical attention immediately. Ingestion: Get medical attention immediately. Skin: wash with soap and water. Notes to Physician: N/A -- - ~._•-------- <._ - - -- -- . .. .. ...... . Section 5 - Fire Fighting Measures - ---- -- __- -- -- ------ ---- - ----- --------------- --- ----- Flash Point. Method: N/A Lower Flammability Limit: N/A Upper Flammability Limit: N/A Autoignition Temperature: N/A Extinguishing Media: Not applicable. water base compound, not expected to burn. Fire and Explosion Hazards; Keep away from heat and flame. Special Fire Fighting Procedures: During a fire, personnel at the scene are to prevent exposure to fumes using accepted fire fighting techniques. Fire Fighting Equipment: N/A Other Precautions: None known. Section 6 - - Accidental - Release Measures �. °° - -- -- - - - ----------------- ----- ---- --- -__-_-- -- .- --_-___ Release Res OVer Absorb spill in sand, earth or other suitable material. Transfer to appropriate container for disposal. Section 7 - Handling - and Storage - • ----------- - - - - -- -------------------- --------------------- ------------- -------- -- -- ----- ------ - - - - --- Handling and Storage Precautions; Store under normal warehouse conditions. Handle in compliance with common hygenic practices. - Section 8 - Exposure Controls /Personal Protection - - °-° - -------------------------------------------- --------------- Respiratory. Product S39 -LINE Page 02 of 04 Not required. Skin: Protect hands with rubber or other suitable gloves. wear typical full cover clothing, Eyes: wear suitable safety eyewear, Face: Not required.. Engineering: N/A Section 9 - Physical and Chemical Properties 00orVAppearence: ACRYLIC /VARIOUS COLORED PASTE Color: VARIOUS Physical State: PASTE PH: 5.0 -7,0 Vapor Pressure: N/A Vapor Density: N/A Boiling Point: N/A Melting Point: N/A Freezing Point: <32 F Solubility in Water: MISCIBLE Specific Gravity: 1.3 % Volatile Weight: 20.0 - -- •_-_ -- __ __- _-- •- _ -- - -- SeCtion't0 - Reactivity / Stability Stability Stable Incompatible Products: Avoid contact with strong oxidizing agents, Conditions to Avoid Polymerization: Hazardous polymerization will not occur. Section 11 - Toxicological information ------- --------- EYeS; ------------------------ ------------ SEE SECTION-3---------------------------- Ingestion: Inhalation: Skin: „ Subchronic: Chronic: - - - - - - - - - - - - - - - Section 12 - Ecological Information _ _ - _ - - -- -------- Data N/A ------------- Ecotox Chemical Fate: N/A Section 13 - w Olsposal Considerations RCRA Class: N/A Disposal Method: Not regulated by RCRA, Dispose of in compliance with state ano local regulations. EPA Reportable 0uantities - -- - ----- N/A . ....... ....................... ..... Section 14 - Transportation Data -�� DOT Shipping Name - - - - -- NOT REGULATED - - - _ _ DOT Hazard Class: DOT Label: UN /NA Number: N/A Packing Group: SpeCia N'Provi9ions: Packaging Exceptions: Non -Bulk: Bulk: Quantity Limitations Passenger Aircraft or Railcar: Cargo Aircraft: Vessel Stowage Requirements P'rOduCt S39 -LINE Page 03 of 04 vessel Stowage: Other Stowage: Transportation Notes: N/A . . . -•. - .' " " °'___ _______ ...... ... __ Section 16 - T Other Information .•`�-�• ^---.,---•-------------------------------------- FOR INDUSTRIAL USE ONLY. KEEP OUT OF REACH OF CHILDREN, THE HAZARD INFORMATIOM HEREIN IS OFFERED SOLELY FOR THE CONSIDERATION OF THE USER. SUBJECT' TO HIS OWN INVESTIGATION OF COMPLIANCE WITH APPLICABLE REGULATIONS, INCLUDING THE SAFE USE OF THE PRODUCT UNDER EVERY FORESEEABLE CONDITION. Product S39 -LINE Page 04 of 04 APPEARANCE ODOR MELTPOINT SPECIFIC GRAVITY Gray Powder None NA 2.90-4.00 VAPOR DENSITY (AIR=1) %VOLATILE BY WEIGHT BULK DENSITY BOILING POINT NA None NA VAPOR PRESSURE %SOLUBfLITY(H 0 ) EVAPORATION RATE PH NA None 2 I ffa JAI; Al 22% FLASH POINT & METHOD NA NFPA FIRE HAZARDS IDENTIFICATION SYSTEM 0 FLAMMABLE LIMITS LEL NA UEL NA <8> NA SPE CIAL FIRE FIGHTING PROCEDURES NA UNUSUAL FIRE AND EXPLOSION HAZARDS NA LD50 ORAL (INGESTION) LD50 DERMAL (SKIN CONTACT) LC50 (INHALATION) NE I NE NE PRIMARY ROUTE OF EXPOSURE THRESHOLD LIMIT VALUE (TLV) Eye, Skin and Inhalation EFFECTS OF OVEREXPOSURE Inhalation: Chronic exposure may cause bronchitis and emphysema. Eye: May cause burning and comeal edema. Skin: May cause iritation, bums and tissue damage. Ingestion: May cause caustic bums in the mouth, esophagus, stomach. — Alf k \n 6 THE EUCL CHEMICAL COMPANY 1S218 REDWOOD RD CLEVELAND, OHIO 4411O 1'800-321'7628OR218-531'9222 � `^ NE' NOT ESTABL N4' NOT APPLICABLE The Euclid Chemical Company - Cleveland, Ohio 441 Inhalation: move to fresh air. Monitor for respiratory distress. Give oxygen if necessary. If cough or difficulty in breathing occurs, immediately seek medical attention. Eye: Irrigate eye for 15 minutes. If pain, irritation or burning persists, seek medical attention. Skin: Wash area twice with soap and water. if pain, irritation or burning persists, seek medical attention. Ingestion: Administer milk or water. DO NOT induce vomiting. Call a Physician or Poison Control Center immediately. DO NOT give anything orally to an unconscious person. Cement Compound, NOI, Building'or Floor, Dry, Class 55 VENTILATION Use with adequate ventilation. RESPIRATORY EYE PROTECTION Yes PROTECTIVE GLOVES d acccrdina to 29 All chemicals should be handled so as to prevent eye contact and excessive or repeated skin contact Appropriate eye and skin protection should be employed. — Inhalation of dusts and vapors should be avoided. CAUSING INSTABILITY (MATERIALS TO SPECIA None PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING Always store material on pallets in a dry location. STEPS TO BE TAKEN IN CASE MATERIAL IS SPILLED OR RELEASED Sweep up and dispose of in standard landfill. WASTE DISPOSAL METHOD Dispose of in accordance with all federal, state, and local laws and regulations. I PREPARED BY David M. Hudak DATE 07/18/97 I TELEPHONE NUMBER SUPERSEDES MSDS DATED 216 - 531 -9221 The information contained herein is based on data considered accurate. However, no warranty Additionally, vendor assumes no responsibilityfor injury to vendee orthird persons proximately is expressed or implied regarding the accuracy of these data orthe results to be obtained from caused by abnormal use of the material even if reasonable safety procedures are followed. the use thereof. Furthermore, vendee assumes the risk in his use of the material. Vendor assumes no responsibility for injuryto vendee orthird persons proximately caused by the material if reasonable safe*, prccedures are not adhered to acstipulatedill the data sheet. 7-15 12122/2900 08:12 6124644305 MCCARRONS BLDG CTiR PAGE 02 i f !e.!:, I e ICJ 4F:,44307 p 0 ls� im - PAGES INCLUNNG TRANSMIT Ai, SHEET PLEASE,C&L (OSi) 0454$11 IF ANY PROBLEMS WITW TKS TRANWMAL PAX NumsER (m) s4"tii2 MATERIAL SAFETY DAtA RxrxT KAXVPAcTnrst.- JAM= amwts auxmnm PRQDvcTs AobRsv$ t 109 VL* AVXN=t FWTAXA, CA. DATE Rtvl-1 IDENTIFICATION PRODUCT WAM- OT ' " NAM'S$ PISSR C04M, PXBER PX;NLP0P,=D CMMT_ PR. ZMCT NAM. HARDISRA"(1ko), WUWKE(Tm) mRr):rpzsx(R*), RAM KAXVjpA=, (R*, (R*) MC (R M ' M UEDIBOARD HAMZTSX (R , HARDITRIM (R-) UK N O-' WONX ALLOCATlw DxqcEk) OOODS M-Mg NONE ALLOCAT16D RAZCNM4 col)e pMj AL- OCAT= MWE ALLOCATED TXz ABOVE PRODVCTS ARE USED AS lKTMWAl,,f=Tj�7WAL WALL ciaWUI�jo, rjSe . RQCFING FITAW-RING OR 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 03 PHYSICAL DX8CRXPTZQW./PR0PERTIEE APPEARANCE & ODOP,.- sOLZI) 0R8y/pjGMuqT= BoAjt ;qrTH VX roU G DrX=.joNS AqcQ=IlqG TO PRODUCT. VAPOR PRESSVRB^ NOT RM2VANT FLASH POIXT (CELS) - =T RELXVAirr SPECIPIC GRAVZTY! NOT RELEVANT A M O XGN'T 10 N TL (CXW x NOT RELEVANT FIJONUILITY LIKITS; NOR-FLAMM"LiE VOLATILITY: NOT RELEVANT A POINT: NOT "LVAnT SOLMILITY IN WAT);R! NOT RELEVANT MELTING POINT: NOT RELEVANT INqaSPIRYTS; SUBSTANCZ NAME CAS Nu"sn ]PROPORTIOR CALCIUM SMICATE (XYDRATrz) 1344-95-2 so-flok CRY-STALL191 SILICA (QUARTZ) 14408-60-1 35-45% c2LLULOSE 0TURR trObT-&mAXDous SDIEWTe (FIGMENTS. FILLERS) HEALTH EFFECTS; ;&CUTE Ervite"ri SWALLOWED: UYLTULY UkWzA XQpAAL CONDZ T;[0148 op t7SE, BUT $WA"QWINl2 THS DUST FROrl THIS PRODUCT MAY R&MT IN A=QMTlqAL PXsCQNp40RT DUrg SIMPLY TO MECHANICAL, ABF Io BYE I OWT• KWf IftitTTATE THE tyV, FROM MUCklANICAL Anp ,&SION CAl;8Wo V TOR. a REDNESS, A TN SKIN. DUST MAX CAUSE IMITATION OF T.KE SKIN F? T]�OROUG9 3��ACT SXrX. or4 FRICTJON BUT CAMOT BE AMSORDED rvuALzD.- DVIST MAY CAUSE IRRITATION O pk TER NoStj TIXQAT AND L=GS CAtISING MUG9100 APTV SKL CNRONIC INRAL=- RE PEATED AND P OVITRImPOSURES To Du"!T CONTAINING CJRYSTALLIM 'SILICA- CAUSES S=COSLa (scARRI)TQ op MM :LLVC) Arr ll;(2REASES T. DAQNC�XITIS, TUBZRCLEOSTS, LUM CANCER. RM06L DISPASE Amp scLEp qX RISK Olt THE C01=CTIVS TI MM OF OpERM& (A =53ASE THE SKM JOINTS, BLOOD VrSVRL,9 AND nrT brAL ORGAN ;5'=135 SHOWN THAT CYCARETTE 354o1Cxm; INCp-gASES Ty.9 RISK OP 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 04 -- — — -, . - �f 4 --- Q"� —4i 4V " W ' t " 'Aw'd r- . tili SILICOSI$, BRONCHITIS AM LUNG CMCBR IN pLMSoNS ALSO EXPOSED TV CRYSTALLINE SILICA. TlfE FOLWW-IN4 RELATES TO HIALTIK EFFECTS oF CELL $E: . SA-SED CW ToXMTM ANIMAL nsRAXCH, IT ip PossluLF THAT REPRATtv ISHALATlow GF CMLLULO-n F4svR WST OVER .TIME KAY t= To j"LApMTjON AND SCA RRTNO OF ZWE LWIC IN Hut-ws. PRECAUTIO!s3 TAl FPO- C$ty$TA"XN8 SILICA DUST ALSO PROTBOT AGAINST C2jZ;jWgE. CARCINOCgIRICITy t 3 ROPOS7T 45 KAlWIlVi3- Rp "IFA$ 11 E CVySZlLLlNE SILICA 15 =OWN ty THN STATE Or CAZZWQFWlA TO CAUSE CANM. INTEPNATICHAL AaEwcy FOR REsmCn cN cANCU (TARC) I C $1LIUA INNALU IN THIS FORMS OF CUhRTZ OR CXj&jqMLza0jTE FR OM OC=ATT TQ HUr*AN$, OMLL 301MCSS IS CARCINOGENIC THE NATIOM TOXICOLcr pROrpAM (NTP) KAS CONCLUDED THhT lox RLFSP3:RApy Z CRyST;� INE SILICA,. M&Y PlEASOMBLY BE FOND TO CONSTITUTE A CARCINOC-iiNIC p , ,. OsAhz HAS NOT MADE ANY FINDING REGARDING THE CARC2N0GsmZcjry or Ag CRYSTALLT.%M SILICA. SIGNS Am SYMPTOM op OVRR VxPaSURR, gljtzAT=suuass, WHEEZING, cou38, SPUTLYM PROCUCTION KEDXCAL COMITIONS aa" MRALLy AOURAVk By EXPOSURE. R9DWED 13Y INHALATTOR Or ReSpIg"L& . PULMONARY PMOTIOIT rkT 13E CRYOTALLIKE SrLrCA, IF LUNG 917J=lIfft; OCCURS AS A RESULT Of laCK r-%jXAjATjQff,. SUCH SCARRING MAY 3r-4,D *r* A pRoapMSS pWBIVE FIBROSIS o r THE LUN(W W1UCH Ml(;HT A03RkVA9TLP OTHsR PULMOKARY cc Z SU5041pTrBILITY TO PULMONAky A= DISEAtts )0m M �ssrvE Frsposrs MXy 133 ACCOX.7AXttV, Ey _ ;t AND WXXONAPY FAJLUR E. SMOXMI AGOP- WES Z' rV3CTS OF FaposD- -- R:ggp = FIRST AlDi 3WALLIOW80, ROT EX MWLPR MORN" rOVD:CTZONS OF tT$Z. 3 _ ,,*M � TSR To DItTrZn. fn ': QMTA�'. FLUSH WXTH RU WrNG WATSP SEEK MDICAL A�TTIeNTI m I SS 0 l:PRXTA vZ"jsrS. 0 F RE MS R $KIN CONTACT; IF ANV IRRITA;"�o or _ CURS WASH THOROVOHLY WITS; MILD SCA.- A= WATER. TRUALED- REMOVE .To FRESK AZ ADV To DQCTQX, TREAT SYMPTOXATIcATzy PRECAUTIONS FOR us ZXPOSURS STANDARDS OSHA PRL. EXPOSURES SHALL NOW EXCEm An 8-HOUR TIME STATED IN 29 CPR 1,qJ0.3,000 TABLE Z FOR t4TNEpJ&L W:VT MPFCF M/m CR•STALLINLP qjAj�TZ (Rwprpj%zLr) 250 lomc/K3 tsiort5 IrSiO2+2 QUARTZ (TOTAL Dus 3 OMG/K3 ksiQ2*2 CALCIUM STLXCAre (TOTAL DUCT) 15MG/M3 .94 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 05 I I ... . .. — -1-1---, — I I � L4 I V r . 1:1x1 • (1�9SPIP-ABLE) sm-#/m3 NUISANCE DT .5T (NOT OTHMIISE SPECIFIED) (TOTAL) so Ismo/K3 (REOPIPLARLE) is 5?4Q/M3 =LULOSS (TQTAL) {RESPZWOLZ) 15MG/143 SMQI?41 OTMER TjZKJTZ XjC0MXMMW A) A]COIR TLV: CRYST"&INX QUARTZ Tl.V-TWA-0.jMGjY3 (PESPIRABLE DUST) SEE DOCUPIZ19TATION OF THE THRESHOLD LZMTT VALUES AIM SZOLWICAL EXPOSUPIR INWDIC Acolm I - PRODUCTS MAY BE PICK"NTED Olt COATED TF ]PIGMEN THEY WILL CONTAIN IRON OX-MY- F-'k Ze TFM WARNINGS BELOW APPLY TO D=T 0 TJD MOM THE BOARDS BY el JAMES HARDTCS ACCOMENDATImit KEZP EXPOSURE TO Dusl AS LOW A5 pR&CTIC L — =Z; USE 7- MZ- AND SITAP Wrpr, FIR13R CEMENT ELBMTC OR pwj mis BE WORbf. PEZ-190 Ptzo- ON t K lN s-4Tp-S no- -Z wZ. Cunruxl My 'T-]5U pr^ vpwtet-- aTarTTasn 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 06 THER.-E ARE NO SPECrAL RZOVIMMUTS FOR STORA!G8 pa:1 TpAXSFpopT. SPILLS AND GOOD HOUSMIM-EDZI10 frpAcTicss Ap-p- Nr Fo CL&&N:[KG t p y ARF.45 J f SOA RAVE RZ8VLT;rKq in WJST At OF- A Fla,;E ts HARME pfi�zp PRODU-Ts An =T FLkHMABLZ. 1 ON- DISEASE, AcccnLlootty, jr--g2:s " vr-cumm=c� T- 0 R E i fX I I N ORMAT7CL Tn zamzS WA.VV5 Ex, 70 RBsplR4 -517-ICA DrUr-4T CZLIV CA tyaE LwzLicosto To TFo +qTAT-E OF CAL:U AIW �s 71 Tca WRRN lTppn il) 12/22/20e0 08:12 6124644305 MCCARRONS BLDG CTR PAGE 07 PRODUCTS CONTROL, T QQKPAD MAMS b,Ao SMUR Exp"ss o;z ImmT= WAPR-,- r ;k-s To v - 77 — nmrz- z_ v t�- & a my ** TOTAL 7AGE.06 ** 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 08 ` m! -- wr-TtKHHL.UbhR-5T PALn e512 TO 4a4z3e$ P.01 /0t HARMSMAKE, MARDIsHINGLE IjAp",_ HARDIFLEX HARF)MACKEp IIVN5 -FOR USE WV A, R HAZARD R-A-Tik—in-m L"elo4: 4 - SOvere, 3 - I z kcm i cmr_ et NFL&& im-=!t.*�. NfPA �**MM 11MIS ()Mar OA.-STY ZATA taErr, j0F;M pRoovCT K TJSRD A2 ** TOTAL PAGF ** el ]ENDUSTIftlAiL urn jcTxs 1 5857 FOREST BOULEVARD NORTH • HUGO, MINNESOTA 55038 LETTER OF TRANSMITTAL_-,_-.. DATE: 612-4 -6120 r ax: 61 2-426-0371 C,, 4. CJ J NU M B E R: JOB NA,A,fE t M-46 ecakews Or PLEASE BE ADVISED WR ARP q�7\TT N com MR - SI THESE ARE BEING TR-ANSh/fITTED AS INDICATED BELOW: AS REQUESTED 7 . � CO E N T S FOR APPROVAL YOUR USE IRETURN = COPIES CONTTRACTOR'S NIATERLAL & TEST FOR UNDERGROUND PIPWn, PROPERTYNAME JJ�w He.sGa L w DATE Jt? — 4 I z PROPERTY ADDRESS Underground Pipes and Pipe Types & Class C(„ S2.. D Yh 5 Type Joint M Joints Joints needing anchorage camped, strapped, or blocked in accordance with NFPA Standard Yes No Test Description FLUSHING. Flow the required rate until water is clear as indicated by no collection of foreign material in burlap bags at outlets such as hydrants and blow -offs. Flush at flows not less that 390 GPM (1476 L /min) for 4 inch pipe, 880 GPM (3331 L /min) for 6 inch pipe, 1560 GPM (5905 L /min) for 8 inch pipe, 2440 GPM (9235 L /min) for 10 inch pipe, and 3520 GPM (13323 L /min) for 12 inch pipe. When supply cannot produce stipulated flow rate obtain maximum available. HYDROSTATIC. Hydrrostatic tests shall be made at not less than 200 psi (13.8 bars) for two hours or 50 psi (3.4 bars) above static pressure in excess of 150 psi (10.3 bars) for two hours. Flushing Tests New underground piping flushed according to NFPA Standard by Industrial Utilities Inc. (company) Yes No How flushing flow was obtained? !" Public Water Tank or Reservoir Fire Pump Through what type of opening? Hydrant Butt Open Pipe Lead -ins flushed according to NFPA Standard? Yes No How flushing flow was obtained? l/ Public Water Through what type opening? y' Y connection to flange & spigot Open Pipe Hydrostatic Test All new underground piping hydrostatical , tested at 2Ex� PSI for Z hours. Joints covered? �I __ Yes No Hydrants Number Installed — p _ Type & Make All operate satisfactorily? Yes No Signatures Name of Installing Contractor Industrial Utilities Inc. TESTS WITNESSED BY: Fire Suppression System a f Date , % : c Utilities Contr for In - G��' � z 4_� Date F A'G Z I Z002 MSDS NO. 06401 Page 1 of 3 ()Med 5tat � G40sum Qompany Product Safety: I (800) 507-8899 126: soul Version pate. October 1, 1999 ' i4i T€'d ii f 44?s Version 3 N FOR HANpum'AwD IDENTIFICATION OF CHEMICAL HAZARDS NFPA-RAt06S::: Health: D Fire: 0 Reactivity; 0 Other: N/A Healft 0 Fire; 0 Reactivity: 0 skin protection. Vss NIOSWMSHA-approved respiratory protection when necessary, Sliphi Hazard Modefatq 3 Serious Hazard 4 *: Severe Hazard Fivsh None Auto 1g tats :1-vomporatum; Water, C() foam, dry chemit;al pit 4r#j—,ht4,0LPr6, dures'. Noria Uri Usti tij#kj.'j*jdL' ftolosion Hazards; None spo'bilof F1100 _ A61tit;ig , P Otive Equipment: None dust 6,xplosiofl PTOIDI exis;ts. EmIs toxic dust�is,:d�ed to a bone dry condition, a paper or cellulose illiom SH iETROCe- Brand Jain['TAPO McAL C��VJCMC Appe0*4&6:4i 0:0doir. Manila paper in various widths. ! Sj jH20 in I): Lass than I Insclutie TLV (rngird') PEL( MqAM) C A S H tOBER 10 15(T 6(R) 9004-34-6 10 1'5(T)15(t2) 1317.65-3 Ik M u If 1 NE NE " 3 1 0 j . Sill. 141808-60-7 Respira e -stablished Not Established N FOR HANpum'AwD IDENTIFICATION OF CHEMICAL HAZARDS NFPA-RAt06S::: Health: D Fire: 0 Reactivity; 0 Other: N/A Healft 0 Fire; 0 Reactivity: 0 skin protection. Vss NIOSWMSHA-approved respiratory protection when necessary, Sliphi Hazard Modefatq 3 Serious Hazard 4 *: Severe Hazard Fivsh None Auto 1g tats :1-vomporatum; Water, C() foam, dry chemit;al pit 4r#j—,ht4,0LPr6, dures'. Noria Uri Usti tij#kj.'j*jdL' ftolosion Hazards; None spo'bilof F1100 _ A61tit;ig , P Otive Equipment: None dust 6,xplosiofl PTOIDI exis;ts. EmIs toxic dust�is,:d�ed to a bone dry condition, a paper or cellulose illiom SH iETROCe- Brand Jain['TAPO McAL C��VJCMC Appe0*4&6:4i 0:0doir. Manila paper in various widths. ! Sj jH20 in I): Lass than I Insclutie DEC-19-00 TUE 01.20 PMT ALLEOAD T n10, r"Ar . 7 E 57 7016 PAGE 2 dPJJ.9at}0;:; " :.13c.05 U0 814 8207 ti$G 14INNEAPOLIS U003 T I L SAFE-TY ' DATA . SHEET WDS € O.0640 1 HEETROCK Brand Joint lape Page 2 of .. . �. ,. .. .. .. ... ............. .,.:,: ,. , 1 ^ ".. ,, a:.:4..v .. .._... Mac e;. .... o , .. .... Plc4Uct WOuld riOt fi re a tolth hazard. HoWftbr, it May be possible to create and release "al rat;,Cretro' this .product during herding or use. rorexample, If sending joint tape o cure then riuisanoe dust v�ciulct rte estdad Sys:; rtase. Throat, and upper piratory imitation may orzGUr with proiorg expooure•tu.f�tgh dust ; c��c!1trk�ttAr;3. ; ,E �� trbbVi?= 7t�XPOSURE� . � .. , M. twYt''x • t3iresi t tact,cari cause mechanical initation of aye& it burning, redness, itching, pair, or otter symptoaas {aer�i:,ttri b± np :ca:xsLdt physician, Sl4lt�t;; .fdeu►e,{rtttrwai_ t# F}pt 1 t it :: ac'posuYe to dust may produce irriwlbn 46f tins none, throat, and upper respiratory systern. Persons s'iir rj d•td:iLiy�ertezp stile talargo uniounts Gt dust still be krc d to leave area bemuse of nuisance condoGGns su'.h a� aaughft ;.;W602it►g's"Id,nasal imitation front dust. tabored „breathing may occur after exc ss;va inhalation. If teatiir.7tra y sy•pYOi^i1 persist, consult physician; fVane kmwn, tyFtiRGlhtO ;` his. : rnmi A displays no &pacific toxic properties> H S Nbno- knaWn fiMIN:.. ►'dcrr� kr►oMvri• 1N'HAl A110 tit' Chronic overexposure to respirable Crystalline siilo may result in hang disease (i.e., siiioosis) and/or liing cancer. ttV(�tm�'j "i�.11J: > tCn�+iri� :atffgrts. E.MFft40N`C Y iANb FtttST AiD PROCIWU ES,, CYLS t it #Itorflughl}i" with plenty ref W ater for 15 minutes to rerirme particies, it irritation persists, consult physician, If out byadgp df imper, treat as any piper cut. Take appropriate action to prevent infection and prornotc h . a FN? tfiit , IG tJ'', vmt?�vi3 to fic3sh eit. Leave the area of drast exposure and remain away ur*l coughing and other syrYipY tiaS'.iSU# S t a?; C3tfit rs 5uaes ale usually, not necessary, however, 9 conditions warrant, contact physician. IN, aa' 7 10'0; :- Nd harmIlOt affects expected. No specific recommendation. If gestric disturbance occurs, call physician. T ARead i°`e F; �WS, Eyes, skin, and respiratory system; Nlr~ClIC+AIa : tJ'iVRIT1C11tlS WHICH J+,+tAY RC AGGRAVATED: Pre - existing upper respiratory and lung diseases such as, ths't nu Ciftd tO, bronohills, emphyserna'aa�tt asthma, pHtf(9A.. Y F 0,UT•ES -Of ENTRY: inhalation; /rye and/or Skin contact, CAE/ tt3t t 1t~Iill OF tNOREDtENTS: : ii4ieRtAL ; 1Ai2C NTP ;'i�cyc irle.:S lca Group 1; Anticipated is .Jiir }: 7g:f, :tisi lgieriaei #iortal Agency for Research-on Cancer (IARC) classified crystatlini silicas (quark and cYi tonalrt ,).'A t �'ttrnart.G�itcvraGgen. In making the.awarail evaluation, the IARC Working Group noted that car 4;irio00nj It fn! ans was riot detected in all industrial circumstances studies. Carcinogenicity, may, be dependent on . tEt of the Crystalline silica or on external lac affecting i#s biological as ti�,�ity car distribution of 1?YI3?; ft i tC stalep tl%; crystalline silica inhaled in the fortis of quartz or cristobalite from occupational sources in carcinovnic to.tturtz�ais(Croup � }. STJARIIJTY ," HAZARIJOUS POLYMERIZATION: f1� r 1E1S filIEC u1Pt} &fTWN �>�tat7ti��. Stable. High lentperatured, Will not occur. CG. L'm I'01 6W W :Prat"1 ion iS type c�iitly not necessary under nom4 corctt ltions o f use. fdai hjpr ify 1itCfls$ary under normal oonditions of use. Tsar a NIOSH/ MSH"pprpved rasps , ator when dusty cond+t?p`;lt;:ip,,py yentgalod arias for protection against nuisance partidas. Ganeret vc i t<7at�rni -is &poc ted tot satisfactory. F'lsl;FSUM;�t� ;p!�QT�Cf1VE: �QUIPMI N'f: Vo r Pyqprotnc*a `n (sA %ty. glasses o QO avoid' particulate irritation of the eye. Gloves or proter8ive dolhing �stc?'trtic�a y ript net�as ary, but may 0 desirable in sp' eao work si tuations. p 0. 11,U3 tS T6 BE:'1"i11MW IN "ANDLING AND STORAGE: S ;o. in zWrV, a1tiS t,. Pe00 StorOd in wet COMM Om can beaorne a fire hazard via methane production by microbe trGiivi3jr; AWA a A l .' , ., t : �u�E m8y cause.eye, nose, throat or respiratory irritation, Avoid eye cortiact or inhalation of dint.: W� praracisdn, `if, *" Contad ocours, h thomughiy with water. if dusty c ondit'sorw exist wea a . {7S iNkSa4 t pproxecl apim1or to p�iavent coughing, sneezing and respiratory irritative. Do not ingest, it titers is t Proriuci safety infom*ion: @00) 547 -5898, tM FIR 'Cyt`f't4 r�'t"41.n� a^uif r�ra�i 8 1 <f Ck ;T6tK t :iN CASE M:p►TFR1AL LS RELEASED OR SPILLED: Usi+ up C)18Ppa�' Cif MatErriai in %Wofd ance with federal; stale, and local re4ulations, c NIATERIAL SAFETY DATA SHEET 01501 National Gypsum Company 2001 Rexford Road Charlotte, NC 28211 For emergency product safety information. call Mr. Thomas A. Welty, Director Quality Services Management at 704365 -7543 I PRODUCT IDENTIFICATION This material safety data sheet is applicable to the Gold Bond Wallboard products listed on page 4. Chemical Family: Mixture II HAZARDOUS INGREDIENTS Contains: OSHA ACGIH Chemical Identity CA -NC PEI. 3 TLV 3 (mg /m } (mg /m ) Gypsum 10101 -41 -4 5 10 Quartz ** 14508 -60 -7 0.1 Cellulose (paper fiber) 9004 -34 -6 5 10 Contains no asbestos. Total dust. All others are respirable dust. ' Present as a naturally occurring component of minerals. See See III IIEALTH HAZARD DATA. 3 * Respirable dust. Use the formula .10 mg/m . %SiO2 .F 2. Appearance and Odor A gypsum core wrapped with paper. Surface finish will vary with product. No odor. Fire Hazard Data - Not combustible Extinguishing Media Dry chemical,foam,water fog or spray. Special Firefighting Procedures Wear full protective equipment and an approved pressure demand self - contained breathing apparatus. Reactivity Data Gold Bond Wallboard is stable and hazardous polymerization will not occur. When heated to decomposition oxides of sulfur and carbon will be released. Health Hazard Data Gold Bond Board Products do not present an inhalation,ingest ! on or contact health hazard unless subjected to operations such as sawing, sanding or machining which result in the generation of airborne particulate. �J - 2 - MATERIAL SAFETY DATA SHEET 01501 III HEALTH HAZARD DATA Carcinogenicity Suh�tance NTP IARC OSHA Quartz (crystalline silica) YES 2:A NO Caution: Contains quartz (crystalI.ine silica) The International Agency for Research on Cancer (IARC) classes this substance in Group 2A, which IARC defines as "probably carcinogenic to humans ". According to IARC there is sufficient evidence for the carcinogenicity of crystalline - silica to experimental animals and limited evidence for the carcinogenicity of crystalline silica to humans. On the basis of sufficient evidence of carcinogenicity in experimental animals NTP (National Toxicology Program) places this substance in the group "which may reasonably be anticipated to be carcinogens ". It is recommended that a NIOSFI approved respirator,for toxic dusts,be worn whenever working with this product results in airborne dust exposure exceeding the prescribed limits. Quartz is not classified as a carcinogen by OSHA. Skin Contact Continued and prolonged contact may result in dtry skin. Eye Contact Direct contact may cause mechanical irritation. Inhalation "Target Organ: respiratory system. Signs and Symptoms of Exposure to Airborne Dust Continued and prolonged exposure to airborne dust concentrations in excess of the PEL /TLV may result in cough,dyspnea,wheezing and impaired pulmonary function. Medical Conditions Generally Aggravated By Exposure Overexposure would generally aggravate respiratory system dysfunctions. First Aid Procedures Eye: Immediately flush eyes with ,eater for 15 minutes and get medical attention. Slain: Flush and wash skin with soap and water. Get medical attention if irritation persists. Breathing: Move the exposed person to fresh air at once. If not breathing initiate pulmonary resuscitation. Get medical attention. �J NIATERIAL SAFETY DATA SHEET 01501 IV PRECAUTIONS fQr SAFE HANDLING Steps to be Taken in Case Material is Released or Spilled Pickup to avoid tripping .hazard Waste Disposal Method Not a hazardous waste. Dispose of in accordance with applicable federal,state and local regulations. Precautions to be Taken in Handling and Storing Keep dry to preserve usefulness. V CONTROL MEASURES Work /Hygiene Practices The score and snap method of cutting is recommended. Sawing,drilling or machining will produce dust. Ventilation Provide ventilation to maintain a dust level below the PEL /TLV. Respiratory Protection ` A NIOSH approved respirator for toxic dusts is recommended if the PEL /TLV is exceeded. Eye Protection Safety glasses or goggles. Effective Date: October 1,1993 Prepared by: Norbert W. Kaleta Disclaimer of Liability: As the conditions or methods of use are beyond our control,we do not assume any responsibility and expressly disclaim any liability for any use of the material. Information contained herein is believed to be true and accurate, but all statements or suggestions are made without any warranty, express or implied, regarding accuracy of the information, the hazards connected with the use of the material or the results to be obtained for the use thereof. D �i -a- NIATERIAL SAFETY DATA SHEET 01 -501 GOLD BOND GYPSUt I WALLBOARD PRODUCTS Durabase Wallboard Seaspray Ceiling Panels Seaspray MVR Coiling Panels Durasan Arihor Wall Durasan Fabric- Surfaced Wallboard Durasan Vinyl- Surfaced Wallboard Exterior Soffit Board V Fire- Shield Shaftliner Board Fire - Shield Wallboard (includes "G ") Fire - Shield Kal -Kore (includes "G ") Foil Back Lath Foil Back Wallboard Furnace Room Wallboard Gridstone Fire - Shield G Base Board Gridstone Ceiling Panels Lath,Fire- Shield and Plain Regular and Sta- Smooth Wallboard High Strength Ceiling Board Ka1--K.ore Moisture Resistant (MR) Board Regular and Fire - Shield Jumbo Sheathing Regular and Fire - Shield ` Regular Sheathing 1 /4" High Flex Wallboard D Geor GP: MATERIAL SAFETY DATA SHEET GYPSUM PRODUCTS #0071 Page 1 of 3 SECTION I - PRODUCT IDENTIFICATION PRODUCT NAME AND SYNONYMS Paper Faced Gypsum Board (See attached list of products covered by this MSOS #0071.) CAS NAME AND NO Mixture CHEMICAL FAMILY Mixture CHEMICAL FORMULA Not Applicable MANUFACTURER'S NAME AND ADDRESS Georgia-Pacific Corporation 133 Peachtree Street, N.E. Atlanta, GA 30303 VAPOR PRESSURE (MM. OF MERCURY) Not Applicable SPECIFIC GRAVITY (WATER = 1) Approximately 0.7 VAPOR DENSITY (AIR = 1) Not Applicable PERCENT VOLATILE (8Y WEIGHT) Not Applicable PH: 6.5 - 8.5 SOLUBILITY IN WATER Approximately 0.2% EVAPORATION RATE (BUTYL ACETATE = 1) Not Applicable SECTION IV - FIRE AND EXPLOSION DATA EMERGENCY TELEPHONE NO. (404) 987 -5190 or (800) 424 -9300 CHEMTREC SECTION II - HAZARDOUS INGREDIENTS COMPONENT ACGIH TLV OSHA PEL (CAS Registry No.) WT. % (TWA (TWA) .,m/Catcium 89.0 10 mg/m30 15 mg /m 3(2) .fate Dihydrate 5 mg /m 3(3) (7778-18 -9). Paper /Celtulose 3.5 - 10.8 10 ng /nr {1) 15 mg /m 3(2) Fiber 5 Q /m 3(3) (9004 -34-6) Nuisance Particulates 4 - 11 10 mg/m 15 mg /m 3(2) including Polyvinyl 5 mg /m 3(3) Chloride, Vermiculite, and Clay ( "From ACGIH, value is for total ,dust containing no asbestos and < 1.0% free crystalline silica. (Z) Total dust. (3) Respirable dust. SECTION III - PHYSICAL TIES APPEARANCE AND ODOR Paper faced gypsum board. No odor. MOLECLN.AR WEIGHT Not Applicable NjNG POINT (DEGREES FAHRENHEIT) Not Applicable _.TING POINT (DEGREES FAHRENHEIT) Not Applicable FLASH POINT None FIRE EXTINGUISHING MEDIA Non-combustible FLAMMABLE LIMITS (PERCENT BY VOLUME) LOWER UPPER L N/A N/A SPECIAL FIREFIGHTING PROCEDURES & EQUIPMENT None UNUSUAL FIRE AND EXPLOSION HAZARDS None Note: These products are naninatty fire resistant and have - the following surface burning characteristics as reported by nationally recognized laboratories: Flame Spread, 0 - 25; Smoke Developed, 0 - 50. SECTION V - REACTIVITY DATA STABILITY: UNSTABLE STABLE X CONDITIONS TO AVOID None INCOMPATIBILITY (MATERIALS TO AVOID) None HAZARDOUS DECOMPOSITION PRODUCTS Nigh temperatures could lead to the formation of.vinyt chloride monomer as i decomposition product of polyvinyl chloride. PVC Is present at less than 5% in the products covered by this MSDS. HAZARDOUS POLYMERIZATION WILL OCCUR WILL NOT OCCUR X CONDITIONS TO AVOID None — nr — nm GYPSUM PRE&TS N( Page 2 on { d skin - May dry skin. eyes - Particles may cause irritation. PROBABLE ROUTES OF EXPOSURE Inhalation, skin, eyes. EMERGENCY AND FIRST AID PROCEDURES INGE if swallowed, no specific intervention is indicated, as the product is not likely to be hazardous by ingestion. However, consult a physician if necessary. INNALATI Remove to fresh air. EYE CONTACT Remove contact tenses. Rinse eyes with plenty of running water for 10 -15 minutes, including under eyelids. If irritation occurs, contact physician. SKIN CONTACT Wash promptly with water. If irritation occurs, contact physician. SECTION VII - TOXICITY DATA ORAL Not available DERMAL This material is not an irritant when applied to the skin of rabbits under the Federal Hazard Substances Act (FHSA) criteria. This material is not lethal when applied to the skin of rabbits under the FHSA criteria. INHALATION This material is not toxic to rats by inhalation under the FHSA criteria. CARCINOGENICITY The gypsum used in these products may contain natural, trace amounts of crystalline silica (usually less then 1.0X). Some of the dust created by cutting, trimming, or processing of the product may contain low concentrations of silica, some of which may be respirable. Prolonged exposure to crystalline silica has been known to cause silicosis, a lung disease which may be disabling. White there may be a factor of Individual susceptibility to a given exposure to respirable silica dust, the risk of contracting silicosis and the severity of the disease is clearly related to the amount of dust exposure and the length of time (usually years) of exposure. Crystalline silica has been classified by the International Agency for Research on Cancer (IARC) as a probable human carcinogen (Group 2s) with animal evidence sufficient. Respirable crystalline silica has been classified by the National Toxicology Program (NTP) as a substance which may be reasonably anticipated to be a carcinogen. It is not considered to be a human carcinogen by the American Conference of Governmental Hygienists (ACGIH) or the Occupational Safety and Health Administration. OTHER PERTINENT DATA This material is not an eye irritant when. applied to the eyes of rabbits under the FHSA criteria. SECTION VIII - SPECIAL PROTECTION INFORNATION PERSONAL PROTECTIVE�EOUIPMENT PROTECTIVE GLOVES Not Applicable EYE PROTECTION When dry sending, wear duet goggles. Use wet sponging in lieu of dry sanding whenever possible. RESPIRATORY PROTECTION (SPECIFY TYPE) When dry sanding, wear NIOSH- approved respirator. Use wet sponging in lieu of dry sanding whenever possible. OTHER PROTECTIVE EQUIPMENT Not Applicable k VENTILATION LOCAL EXHAUST As necessary to avoid dusting conditions., MECHANICAL -(GENERAL) Not Applicable SPECIAL: Not Applicable OTHER Not Applicable SECTION IX - SPILL, LEAK AND OISAt>sAt PMZEXM STEPS TO BE TAKEN IN CASE MATERIAL IS _RELEASED OR SPILLED Swap or vacuum spitted material into a waste container for disposal. Do not wash down drains - may plug drains. WASTE DISPOSAL METHODS May be disposed of as Inert solid in sanitary landfill or by other procedures In accordance with all federal, state and local regulations. CLEAN WATER ACT REQUIREMENTS Not Applicable RESOURCE CONSERVATION AND RECOVERY ACT (RCRA) REQUIREMENTS Not Applicable SECTION X - ItEGULATMY INFOMTION FDA: Product is manufactured for use as building eo+atructio" material or other industrial applications. As such, FDA regulations are not deemed applicable. d GYPSUM PRODUCTS NW71 Page 3 of 3 SECTION X - REGULATORY INFORMATION FDA: Not Applicable USDA: Not Applicable CPSC: Not Applicable TS A: Mixture of components, all of which are Listed on inventory if required. DOT: Not regulated PROPER SHIPPING NAME Not Applicable HAZARD CLASS Not Applicable LABEL REQUIRED Not Applicable IDENTIFICATION NO. Not Applicable OTHER PERTINENT jNFORMATION Not Applicable SECTION XI - SPECIAL PRECAUTIONS AND COMMENTS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING Store under dry and level conditions. OTHER PRECAUTIONS None PRODUCT LIST FOR MSDS 0071 3/8 and 1/2" G- P_Lath 1/4 5/16 - -, 3/8 ", 1/2 5/8 - G-P Gypsum Board 1/2 and 5/8 G-P Firestop Type XXX Gypsum Board 5/8 G-P Firestop Type X 1/2 and 5/8 11 G -P Firestop Type C 1/211 and 5/8 G -P Soffit Board 5/8 G -P Firestop Soffit Board Type X 1/2 G -P Gypsum Sheathing (treated and untreated) 5/8 G -P Firestop Sheathing Type X (treated and untreated) 3/8 1/2 5/8 G -P Tile Backer Board 1/2 G -P Firestop Tile Backer Type X 5/8 G -P Firestop Tile Backer Type X 1/4 G-P Sound Deadening Board 3/8 1/2 -1 , 5/8 G -P Foil Back Gypsum Board 1/2 G-P Firestop Foil-Back Gypsum Board Type XXX 5/8 G-P Firestop Foil Back Gypsum Board 1/2 and 5/8 G-P Eternawatt 1/2 G-P Firestop Eternawalt Type XXX 5/8 Firestop Eternawalt Type X 1/2 -1 and 5/8 - G -P Firestop Eternawalt Type C 1/2" and 5/8 G -P Dens -Cote Piaster Base 1/2 G-P Firestop Dens -Cote 1 Plaster Base Type XXX 5/8" G -P Firestop Dens -Cote Plaster Base Type X and XXX 1/2 and 5/8 Firestop Dens-Cote Type C 1 11 G -P Coreboard 1" G-P Shafttiner Type X 1/4 3/8 1/21 5/8 G -P Backer Board 1/2 G-P Firestop Backer Board Type XXX REGISTRATION /CERTIFICATIONS Not Applicable EFFECTIVE DATE 4/8/92 SUPERSEDES 4/8/91 IMPORTANT The information and data herein are believed to be accurate and have been compiled from sources believed to be reliable. It is offered for your consideration, investigation and verification. Buyer assumes all risk of use, storage and handling of the product in compliance with applicable federal, state and local taws and regulations. GEORGIA - PACIFIC MAKES NO WARRANTY OF ANY KIND, EXPRESS OR IMPLIED, CONCERNING THE ACCURACY OR COMPLETENESS OF THE INFORMATION AND DATA HEREIN. THE IMPLIED WARRANTIES FOR MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE SPECIFICALLY EXCLUDED. Georgia-Pacific wilt not be liable for claims relating to any party's use of or reliance on information and data contained herein regardless of whether it is claimed that the information and data are inaccurate, incomplete , therwise misleading. 5/8 G -P Firestop Backer Board Type X and XXX 1/2 and 5/8 G-P Firestop Backer Board Type C PreOec Blanks 1/2 SR Ceiling Board 1 Registered Trademark of Georgia - Pacific Corporation 2 Trademark of Georgia - Pacific Corporation N MATERIAL SAFETY DATA SHEET UNITED i STATES °; GYPSUM. COMPANY EMERGENCY -;NO;. l0i S DRIVE DATE` CHICAGO; .' IL SECTION I PRODUCT: DUROCK(R) CEMENT BOARD, DUROCK(R) EXTERIOR CEMENT "BOARD,. DUROCK(R) UNDERLAYMENT BOARD & CONCRETE UTILITY BOARD CHEMICAL FAMILY: ARTICLE SECTION II INGREDIENTS MATERIAL TLV PEL CAS NO. MG /M3 MG /M3 SLAG 0 -55 5 (NE) (NE) PORTLAND CEMENT 30 -40 10 50MPPCF 65997 -15 -1 EXPANDED CLAY AGGREGATE 0 -33 (NE) (NE) 7732-18-5 HIGH ALUMINA CEMENT 0 -15 10 50MPPCF (NE) FLY ASH 1 -15 5(R) L (NE) 68131-74-8 GYPSUM 0 -10 10 15 (T) 15 (R) 10101 -41 -4* GLASS SCRIM 1 -5 10 15 (T) 15 (R) 65997 -17 -3 POLYSTYRENE 0 -5 (NE) (NE) 9003-53 - HYDRATED LIME 1 - 5 5 5 39445 - 23 - 3 OR 01305 -62 -0 OR 58398 -71 -3 CELLULOSE FIBER 0 -2 10 15/5(R) 9004-34 -6 ALKYL ETHER SALT <0.1 (NE) (NE) (NE) CITRIC ACID <0.1 (NE) (NE) 77 -92 -9 SODIUM CARBONATE <0.1 (NE) (NE) 497 -19 -8 (T) - TOTAL (R) - RESPIRABLE (NE) - NOT ESTABLISHED * - NATURAL OCCURRING GYPSUM DOES NOT REQUIRE A TSCA NUMBER, THIS IS THE CAS NUMBER PER RTECS. SECTION -III PHYSICAL DATA SOLUBILITY IN WATER: NONE SPECIFIC GRAVITY (H20 = 1) : 1.2 (APPARENT BULK DENSITY) APPEARANCE AND ODOR: GRAY BOARD; MILD ODOR. fiWOU I : t;rr LNT bUAxUJ , f , A p .AGE ! �a ` t 1 �N4 f of r , SECTION IV t k i� FIRE AND EXPLOSION HAZARD DATA FLASH _pOINT;':,(HE'I'BOD`USED) : NONE EXTINGtTISHING • MEDIA: NOT COMBUSTIBLE SPECIAL FIRE' FIGHTING PROCEDURES: NONE UNUSUAL-FIRE AND EXPLOSION HAZARDS: NONE SECTION V HEALTH HAZARD DATA EFFECTS OF OVEREXPOSURE: ACUTE: EYES: IF PRODUCT IS CUT WITH A POWER SAW, THE DUST PRODUCED CAN BE IRRITATING. SKIN: IRRITATION AND POSSIBLE ALKALI BURNS CAN RESULT IF VERY WET PANELS ARE HANDLED WITHOUT IMPERVIOUS GLOVES. INHALATION: IF PRODUCT IS CUT WITH A POWER SAW, THE DUST PRODUCED CAN BE IRRITATING TO THE RESPIRATORY SYSTEM AND, IF BREATHED IN LARGE QUANTITIES OVER A LONG PERIOD OF TIME, CAN CAUSE LUNG DAMAGE. CHRONIC: NONE KNOWN. EMERGENCY AND FIRST AID PROCEDURES: EYES: IMMEDIATELY FLUSH EYES WITH WATER FORL15 MINUTES, SEE PHYSICIAN. SKIN: WASH DUST FROM SKIN WITH WATER FOLLOWED BY WASHING WITH SOAP AND WATER. IF IRRITATION CONTINUES, SEE PHYSICIAN. INHALATION: REMOVE TO FRESH AIR. TARGET ORGANS: LUNGS MEDICAL CONDITIONS WHICH MAY BE AGGRAVATED: PRE-EXISTING UPPER RESPIRATORY AND LUNG DISEASES SUCH AS, BUT NOT LIMITED TO, BRONCHITIS, EMPHYSEMA AND ASTHMA. PRIMARY ROUTE OF ENTRY: BREATHING CARCINOGENICITY OF INGREDIENTS: MATERIAL IARC NTP OSHA ALL NOT LISTED NOT LISTED NOT LISTED SECTION VI REACTIVITY DATA STABILITY: STABLE HAZARDOUS POLYMERIZATION: WILL NOT OCCUR. rauOut.l : I.C.Y1L' N i buAltl.i5 SECTION VII SPILL OR LEAK PROCEDURES STEPS ' TO ° BE?;TANEN : , IN CASE MATERIAL I S RELEASED: OR SPI WASTE DISPOSAL METHOD: TO SANITARY LANDFILL. SECTION VIII SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION: IF PRODUCT IS CUT-WITH A POWER SAW A THE SAW.MUST BE, EQUIPPED WITH A DUST COLLECTOR AND A NIOSH APPROVED.NUISANCE;DUST RESPIRATOR MUST BE USED IF THE DUST LEVEL IN THE WORK'AREA IS ABOVE THE TLV OR PEL. VENTILATION: LOCAL EXHAUST AND GENERAL MECHANICAL VENTILATION TO KEEP BELOW TLV. OTHER PROTECTIVE EQUIPMENT: GLOVES AND SAFETY GLASSES. IF POWER CUTTING IS DONE THE TOOLS MUST BE EQUIPPED WITH A DUST COLLECTOR. SECTION IX SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: KEEP CLEAN, DRY AND FLAT. STORE ON ORIGINAL PALLETS OR ON STRINGERS ON 16 INCH CENTERS. 1507C ,D 910021 MATERIAL SAFETY DATA SHEET t *_ United States Gypsum Company Y p Y Emergency No.: (312)-6015 . 125 S. Franklin Street DATE ISSUED: August 7 ;1992; Chicago, IL 60606 -4678 SECTION I i 6,` F 6; PRODUCT: IMPERIAL" Tape - Type P IMPERIAL* Tape - Type S DUROCK• Interior Type P Tape DUROCK` Exterior Tape SHEETROCK" Fibergalss Drywall Tape - Trademark of United States Gypsum Company or an affiliated company. CHEMICAL FAMILY: Article; Amorphous Silica, (Glass) MATERIAL Fibrous Glass Polyvinyl Chloride Styrene Butadiene Isopropyl Alcohol Heptane Ethyl Acetate Polymer Anthraquinone Dye Xylene 4- Nonyl- Phenol Tr- Trace BOILING POINT: VAPOR PRESSURE: VAPOR DENSITY (Air = 1): SPECIFIC GRAVITY (H20 = 1): MELTING POINT: PERCENT VOLATILE BY VOLUME EVAPORATION RATE: APPEARANCE AND ODOR: NA NA NA Fiberglass = 2.50 Fiberglass = 700 + 4� C -3% Butyl Acetate = 1 Woven fabric, coated or uncoated, white, red or blue; slight hydrocarbon odor. SECTION If INGREDIENTS L % TLV PEL CAS No. mg /M mg/M 45 -90 10 15 -5(R) 65997 -17 -3 0 -50 (NE) (NE) 9002 -86 -2 0 -15 (NE) (NE) 9003 -55 -8 0 -0.90 980 980 67 -63 -0 0 -0.72 1600 2000 142 -82 -5 0 -0.36 400 400 141 -78 -6 0- 0.0006 (NE) (NE) 14233 -37 -5 0 -Tr 435 435 1330 -20 -7 0 -Tr (NE) (NE) 25154 -52 -3 (R) - Respirable (NE) - Not Established NA - Not Applicable SECTION III PHYSICAL DATA BOILING POINT: VAPOR PRESSURE: VAPOR DENSITY (Air = 1): SPECIFIC GRAVITY (H20 = 1): MELTING POINT: PERCENT VOLATILE BY VOLUME EVAPORATION RATE: APPEARANCE AND ODOR: NA NA NA Fiberglass = 2.50 Fiberglass = 700 + 4� C -3% Butyl Acetate = 1 Woven fabric, coated or uncoated, white, red or blue; slight hydrocarbon odor. PRODUCT: IMPERIAL" Tape- Type P IMPERIAL* Tape - Type S DUROCK* Interior Type P Tape DUROCK* Exterior Tape SHEETROCK* Fiberglass Drywall Tape SECTION IV FIRE AND EXPLOSION HAZARD DATA Page 2 FLASH POINT (METHOD .USED): Fiberglass is noncombustable. EXTINGUISHING MEDIA: Use that which is appropriate for surrounding fire. SPECIAL FIRE FIGHTING PROCEDURES: Thermal de- composition of coating materials may produce an irritating mixture of smoke and fumes. Firefighters should wear full protective gear including NIOSH approved self- contained breathing apparatus. UNUSUAL FIRE AND EXPLOSION HAZARDS: None known. SECTION V HEALTH HAZARD DATA EFFECTS OF OVEREXPOSURE: ACUTE: EYES: Dust fibers can cause irritation. SKIN: Repeated or prolonged contact may cause irritation. INHALATION: Excessive inhalation of fibers can cause nasal and respiratory irritation. INGESTION: Not likely to occur. CHRONIC: None known. CARCINOGENICITY OF INGREDIENTS: MATERIAL IARC NTP OSHA All Not Listed Not Listed Not Listed TARGET ORGAN: Lungs MEDICAL CONDITION WHICH MAY BE AGGRAVATED: Pre - existing upper respiratory and lung disease such as, but not limited to, bronchitis, emphysema and asthma. PRIMARY ROUTE OF ENTRY: Inhalation. EMERGENCY AND FIRST AID PROCEDURES: EYES: Flush eyes with water for 15 minutes. Call physician. SKIN: Wash thoroughly with water. Remove and wash clothing before reuse. If irritation develops, get medical attention. INHALATION: Remove patient to fresh air. Get medical attention. INGESTION: N/A if PRODUCT: IMPERIAL* Tape - Type P IMPERIAL` Tape - Type S DUROCK• Interior Type P Tape DUROCK` Exterior Tape SHEETROCK° Fiberglass Drywall Tape SECTION VI REACTIVITY DATA Page 3 STABILITY: Stable INCOMPATIBILITY: None known. HAZARDOUS DECOMPOSITION PRODUCTS: None known for fiberglass. However, small amounts of CO and CO from the finish. HAZARDOUS POLYMERIZATION: Will not occur with fiberglass. SECTION VII SPILL OR LEAK PROCEDURES E t, STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASEDLOR SPILLED: Prevent the spread of.fiberglass dust and avoid dust generation conditions. WASTE DISPOSAL METHOD: In most cases, woven fiberglass scrap can be disposed of in a sanitary landfill. Dispose of according to federal, state and local regulations. SECTION Vill SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION: If TLV is exceeded, use NIOSH approved dust mask. VENTILATION: Mechanical or local exhaust to keep below TLV. PROTECTIVE EQUIPMENT: Gloves, safety glasses. SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: Provide adequate ventilation when using. Store in a cool, dry place. 91002t MATERIAL SAFETY DATA SHEET United States Gypsum Company 125 South Franklin Street Chicago, IL 60606 -4678 SECTION I Emergency No.: (312) 606 -4542 Date Issued: April 20, 1993 PRODUCT GROUP: Joint Treatment Products - Ready Mixed Compounds USGO Plus III Total Joint Compound SHEETROCKO Topping Joint Compound DURABONDO Wallboard Compound USGO - Topping I USGO - All Purpose USGO - Topping It COVER COAT'S Compound USGO - Topping 111 SHEETROCK® All Purpose Joint Compound USGO - Taping DURABONDO Light 'n Easy Joint Compound SHEETROCKO Taping Joint Compound SHEETROCKO Lightweight All Purpose Joint Compound USGa Lightweight All Purpose Joint Compount (K -LITE) SHEETROCKO Lightweight All Purpose - Regal en - Trademark of United States Gypsum Company or an affiliated company. CHEMICAL FAMILY: Mixture SECTION 11 INGREDIENTS MATERIAL % TLV PEL CAS No. mg /M' mg /M' Limestone* 10 15/5(R) 1317 -65 -3 Water (NE) (NE) 7732 -18 -5 Mica 3(R) 20MPPCF 12001 -26 -2 Talc (Non - Fibrous) 2(R) 20MPPCF 14807 -96 -6 Expanded Perlite 10 15/5(R) 93763 -70 -3 Attapu(gite 10 15 12174 -11 -7 Vinyl Acetate Polymer (NE) (NE) 9003 -20 -7 Ethylene Glycol 0 -1 127(C) 125(C) 107 -21 -1 *Alternate Material Gypsum 10 15/5(R) 13397 -24 -5 (C)- Ceiling (R)- Respirable (NE) -Not Established « « « «« This is a Non - Asbestos Product. * * « «« SECTION III PHYSICAL DATA SPECIFIC GRAVITY (H,,0 = 1): 1.6 PH = 8to9.5 PERCENT VOLATILE BY VOLUME: Approximately 35% VOC = less than 20 grams per liter VOS = less than 0.17 pounds /gallon APPEARANCE AND ODOR: Off white paste; low odor. D PRODUCT GROUP: Joint Treatment Products - Ready Mixed Compounds SECTION IV FIRE AND EXPLOSION HAZARD DATA FLASH POINT (METHOD USED): None EXTINGUISHING MEDIA: Not Combustible SPECIAL FIRE FIGHTING PROCEDURES: None UNUSUAL FIRE AND EXPLOSION HAZARDS: None Page 2 k.: r SECTION V EFFECTS OF OVEREXPOSURE: HEALTH HAZARD DATA ACUTE: EYES: Spray mist or dust from dry sanding may cause transitory irritation. SKIN: May dry skin. INHALATION: Breathing of spraying mist or dust from dry sanding may cause irritation to the eyes, nose, throat or upper respiratory system. INGESTION: None known. CHRONIC: EYES: None known. SKIN: None known. INHALATION: Long term inhalation of large amounts of respirable mica or talc dust can cause lung damage (pulmonary fibrosis). INGESTION: None known. EMERGENCY AND FIRST AID PROCEDURES: EYES: Flush thoroughly with water for 15 minutes to remove particles. If irritation continues, consult physician. SKIN: Wash with soap and water. INHALATION: Remove to fresh air. INGESTION: Call physician. TARGET ORGANS: Lungs. MEDICAL CONDITIONS WHICH MAY BE AGGRAVATED: Pre - existing upper respiratory and lung disease such as, but not limited to, bronchitis, emphysema and asthma. PRIMARY ROUTE OF ENTRY: Inhalation. CARCINOGENICITY OF INGREDIENTS: Material IARC NTP OSHA All Not listed Not listed Not listed SECTION VI REACTIVITY DATA STABILITY: Stable HAZARDOUS POLYMERIZATION: Will not occur. f PRODUCT GROUP: Joint Treatment Products - Ready Mixed Compounds SECTION VII SPILL OR LEAK PROCEDURES Page .3 . STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Scoop up. Wash down area before material dries. WASTE DISPOSAL METHOD: Deposit in sanitary landfill in accordance with federal, state and local regulations. SECTION VIII SPECIAL PROTECTION INFORMATION RESPIRATORY PROTECTION: If dry sanded, wear a NIOSH- approved dust respirator. VENTILATION: General mechanical or local exhaust. PROTECTIVE EQUIPMENT: Safety glasses or goggles. SECTION IX SPECIAL PRECAUTIONS PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING: When finishing joints using these products, wet - sanding is recommended. See "Finishing and Decorating Gypsum Panels - Wet Sanding, J- 610112 -87 ". Store in a cool, dry place. Avoid freezing. B WARNING When applying or sanding, wear safety glasses or goggles. If eye contact occurs, flush thoroughly with water for 15 minutes to remove particles. If irritation continues, consult physician. Use wet - sanding technique to avoid creating dust. If dry sanding, wear a NIOSH- approved dust mask. Dust created from dry sanding may cause eye, nose, throat or upper respiratory irritation. Long -term breathing of large amounts of mica or talc may cause lung disease. Do not take internally. If child ingests, stay calm; material is nontoxic. If there is any discomfort, consult physician. Emergency product safety information: (312) 606 -4542. KEEP OUT OF REACH OF CHILDREN. J 91001 t SENI by :UNIMASI iNCUHNUHAIEU f12- 24 -6> 1;43AM UNIMAS( FRANKLIN PK- 16125213602;9 1 t UNIMAST INC. MATERIAL SAFETY DATA Page 1 of 4 __MATERIAL SAFETY DATA SHEET Unimast Incorporated 9595 West Grand Ave, Franklin Park, IL 60131 Emergency Number: (708)451 -1410 Date Issued: November 13, 1991 PRODUCTS: - Unimut steel framing components and accessories for drywall, plaster and load bearing construction. CHEMICAL FAMILY: Steel �► sr; t► curs, Chromium 0.01.12 0.5 as Cr 1.0 as Cr 7440 -47 -3 Cobalt 8.0 Max. 0.05 as furna 0.1 as Co 7440 -48 -4 Copper 0.04 -0.7 0,2 as fume 0.2 as Cu 7440.30 -8 Lead 0.15 -0.35 0.15 as dust dt 0.05 7439 -92 -1 fume Manganese 0105 -2.0 5 as dust & 1 as 5 ceiling 7439.96.5 fume Molybdenum 0.01 -i.1 5 as tot. 5 as sol. 7439 -98 -7 compounds compounds Nickel 0.01 -10 1 as Ni i as Ni 7440 -02 -0 Zinc 0.10 -5 5 as fume. 10 as 5 as fume 7440 -66 -6 dust Iron Balance 5 as fume 10 as fume 7439.89 -6 1. The above listing is a summary of elements used in alloying steel. Various grades of steel will contain different combinations of these elements and may also be present in minute amounts. 2. AC©IH recommends a TLV for welding fume of 5 m&W, in addition to any other applicable TLV. If wearing a welding helmet, a welder is unlikely to exceed this, 0 ITN- 35 /11.91 6ENI UYWNiMA51 iNUURPQRAIEU ;12—?4—b> ; 1:4" AM ; UN1MA51 FRANKLIN PK-+ 16125213802;# 2 UNIMAST INC. MATERIAL SAFETY DATA Page 2 of 4 BOILING POINT: NAi MELTING POINT: VAPOR PRESSURE: NA VAPOR DENSITY (Air-1): SOLUBILITY IN WATER: NA SPECIFIC GRAVITY Vogl): VOLATILE BY VOLUME (%): NA EVAPORATION RATE (H0- APPEARANCE AND ODOR. Cray-black with metallic luster. Odorless. 'Boiling point of zinc (in galvanized steel) is 1665° F. sEct= IV ME AND EMDSM HAZAM DATA FLASH POINT (NWMOD USED): None SPECIAL FM F101117M PROCEDURES: NA UNUSUAL FM AND ECnDSION HAZARDS: None FLAMMABLE LIMITS: NA EXTINGUISHING MEDLAu NA 2750• F (Iron) NA 7 NA Steel products in the natural state do not present an Inhalation, ingestion or contact health hazard. However, operations such as welding, "burning," brazing, and to a looser extent. sawing, grinding, and possibly machining, which result in elevating the temperature of the product to or above its melting point can result in the generation of airborne respirable particles which may present hazards. These operations should be preformed in well- ventilated areas. The major exposure hazard is inhalation, especially of welding fumes. WE ACUM- Excessive inhalation of metallic fumes and dusts may result in irritation of eyes, nose and throat. Also high concentrations of fumes and dusts of iron oxide, manganese, copper, zinc and lead may result in metal fume fever. Typical symptoms consist of a metallic taste in the mouth, dryness and Irritation of the throat, chills and fever, and usually last from 12 to 48 hours. 0 UN- 35111.91 tiVl bY;UIViNIA51 ilVWhF'UHAItU ; IY - L4 - 0> ; 1 -44AM ; UNIMA51 1 HANKLiN PK UNIMAST INC. MATERIAL SAFETY DATA '1612b213bU2;4 3 Page 3 of 4 CHRONIC: Chronic and prolonged inhalation of high concentrations of fumes or dust of the following elements may lean to the conditions listed opposite the clemant: Iron Pulmonary effects, sidcrosis. (iron oxide) Chromium - Various forms of dermatitis, inflammation and/or ulceration of upper respiratory tract, and possible cancer of nasal passages and lungs. Based on available information. there does not appear to be any evidence that exposure to welding fume induced human cancer. Nickel - Same as chromium. Copper - Pulmonary effects. Vanadium - No reported cases of exposure to vanadium. Cobalt - Inhalation of cobalt dust may cause an asthma -like disease with cough and dyspnaa. Molybdenum - Pain in joints, hands, lessees and feet. Tungsten - Some evidence of pulmonary involvement such as cough. L Lead - Prolonged exposures can cause behavioral changes, kidney damage. periphery ueuropathy characterized by decreased hand -grip strength and adverse reproductive effects. Zinc None reported. TARGET ORGAN: Lungs MEDICAL CONDITION WHICH MAY BE AGGRAVATED: Pre - existing upper respiratory and Iung disease such as, but not limited to, bronchitis, emphysema and asthma. PRIMARY ROUTE OF ENTRY: Inhalation EYES: Immediately flush well with running water to remove particles. GET MEDICAL ATTEN'T'ION. SEE: If irritation develops. remove clothing and wash well with soap and water. If condition persists seek medical attention, INHALATION: Remove to fresh air, if condition continues, consult physician, INGESTION: If significant amounts of metal are ingested, SEEK MI3DICAL ATTENTION. PRODUCTS: Unimast steel framing component` and accessories for drywall, plaster and loadbearing construction. Q UN- 33/11.91 SLNI UY;0iMAbI 0 0F'UKAILU ; iz - 2a - n> ; 1. 49AM , UNIMASI I NK UNIMAST INC. MATERIAL SAFETY DATA STABILITY: Stable CONDITIONS TO AVOID: Non - ventilated areas when cutting, welding, burning or brazing. and fumes. INCOMPATIBILITY: Rcacts with strong acids to form hydrogen gas. HAZARDOUS DECOMPOSITION PRODUCTS: Metallic oxides. HAZARDOUS POLYMERIZATION: Will not occur. 1b12b2138U2;4 4 Page 4 of 4 Avoid generation of airborne dust& STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: NA WASTER DISPOSAL METHOD: ` Dust, etc. follow federal, state and local regulations regarding disposal. RESPIRATORY PRCITF=ON: When engineering controls arc not sufficient to lower exposure levels below the applicable exposure limit, use a NIOSH approved respirator for dusts and metal fume within the use limits of the respirator. VENTILATION: Oenend mechanical and local exhaust if needed. PROTECTIVE EQUIPMENT: Safety glasses should always be worn when grinding or cutting. Face shields should be worn when welding or burning. Wear gloves when handling. PRECAUTIONS TO BE TAKEN IN HANDLINO AND STORING}: Store in a dry place and on a Ievel surface. D 0 UN-35/11-91 M A T E R I A L S A F E T Y D A T A S H E E T • i Product: FPATRIMTX165 Preparation Date: 07/10/98 3 Page 2 02 SECTION 9 - HAZARDS IDENTIFICATION 20.0 % 03 SECTION 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION EFFECTS OF OVEREXPOSURE - EYE CONTACT: CAN CAUSE SEVERE IRRITATION, REDNESS, TEARING, BLURRED VISION. t � PRODUCT NAME TRIM -TEX 847 16.5 OZ ADHESIVE EFFECTS OF OVEREXPOSURE - SKIN CONTACT: PROLONGED OR REPEATED CONTACT CAN IDENTIFICATION NUMBER: FPATRIMTX165 DATE PRINTED: 07/10/98 CAUSE MODERATE IRRITATION DEFATTING, DERMATITIS. PRODUCT USE /CLASS EFFECTS OF OVEREXPOSURE - INHALATION: EXCESSIVE INHALATION OF VAPORS CAN SUPPLIER: MANUFACTURER CAUSE NASAL AND RESPIRATORY IRRITATION, DIZZINESS, WEAKNESS, FATIGUE, TRIM -TEX INC. NAUSEA, HEADACHE, POSSIBLE UNCONSCIOUSNESS, AND EVEN ASPHYXIATION. Camie- Campbell OVEREXPOSURE MAY CAUSE DAMAGE TO THE NERVOUS SYSTEM. 3700 WEST PRATT 9225 Watson Industrial Park LINCOLNWOOD, IL 60645 St. Louis, MO 63126 EFFECTS OF OVEREXPOSURE - INGESTION: No Information. EMERGENCY TELEPHONE:NOT AVAILABLE EMERGENCY TELEPHONE: 800 - 424 -9300 24 HOUR EMERGENCY PHONE EFFECTS OF OVEREXPOSURE - CHRONIC HAZARDS: OVEREXPOSURE TO THIS MATERIAL (OR ITS COMPONENTS) HAS APPARENTLY BEEN FOUND TO CAUSE THE FOLLOWING EFFECTS IN LABORATORY ANIMALS: KIDNEY DAMAGE, EYE DAMAGE, PREPARER: JLM, PHONE: 314/968 -3222, PREPARE DATE: 07/10/98 REPLACES DATE: 07/10/98 .5;e- e�ri�. /„/1 / 10 SECTION 2 - COMPOSITION /INFORMATION ON INGREDIENTS ITEM ------ - - - - -- CHEMICAL NAME ------- - - - - -- CAS NUMBER PRIMARY ROUTE(S) OF ENTRY: SKIN CONTACT INHALATION EYE CONTACT I WT /WT X SECTION 4 - FIRST AID MEASURES LESS THAN 01 HEXANE 110 -54 -3 40.0 % 02 PROPANE 74 -98 -6 20.0 % 03 ACETONE 67 -64 -1 20.0 % 04 DIMETHYL ETHER 115 -10 -6 15.0 % -- --- -- -- ----- -- - -- --- EXPOSURE LIMITS -------------------- ACGIH OSHA COMPANY ITEM TLV -TWA TLV -STEL PEL -TWA PEL- CEILING TLV -TWA SKIN 01 NO INFO NO INFO 500 ppm NO INFO NO INFO NO 02 NO INFO NO INFO 1000 ppm NO INFO NO INFO NO 03 NO INFO 1000 ppm 1000 ppm NO INFO NONE NO 04 NO INFO NO INFO NO INFO NO INFO 1000 ppm NO (See Section 16 for abbreviation legend) SECTION 3 - HAZARDS IDENTIFICATION * ** EMERGENCY OVERVIEW * * *: KEEP FROM REACH OF CHILDREN. DO NOT PUNCTURE, INCINERATE, OR PLACE AEROSOL PRODUCT CONTAINERS IN COMPACTORS. CONTAINERS OF THIS MATERIAL MAY BE HAZARDOUS WHEN EMPTIED SINCE CONTAINERS RETAIN PRODUCT RESIDUES (VAPOR, LIQUID, AND /OR SOLID). ALL HAZARD PRECAUTIONS GIVEN MUST BE OBSERVED. DO NOT FLAME CUT, BRAZE, OR USE WELDING TORCH. INTENTIONAL MISUSE BY DELIBERATELY CONCENTRATING AND INHALING THIS PRODUCT MAY BE HARMFUL OR FATAL. (Continued on Page 2) FIRST AID - EYE CONTACT: FLUSH WITH LARGE AMOUNTS OF WATER, LIFTING UPPER AND LOWER LIDS OCCASIONALLY, GET MEDICAL ATTENTION. FIRST AID - SKIN CONTACT: THOROUGHLY WASH EXPOSED AREA WITH SOAP AND WATER. REMOVE CONTAMINATED CLOTHING. LAUNDER CONTAMINATED CLOTHING BEFORE RE -USE. GET MEDICAL ATTENTION IF IRRITATION PERSISTS. MINERAL OIL, BABY OIL, MAKEUP REMOVER, MINERAL SPIRITS, OR OTHER SIMILAR MILD SOLVENT MAY BE USED TO REMOVE THE STICKY RESIN RESIDUE LEFT BY THE ADHESIVE. FIRST AID - INHALATION: REMOVE INDIVIDUAL TO FRESH AIR. IF BREATHING IS DIFFICULT, ADMINISTER OXYGEN. GIVE ARTIFICIAL RESPIRATION IF BREATHING HAS STOPPED. KEEP PERSON WARM AND QUIET. GET MEDICAL ATTENTION. FIRST AID - INGESTION: DO NOT INDUCE VOMITING. GIVE TWO GLASSES OF WATER IF CONSCIOUS. NEVER GIVE ANYTHING BY MOUTH TO AN UNCONSCIOUS PERSON. GET IMMEDIATE MEDICAL ATTENTION. SECTION 5 - FIRE FIGHTING MEASURES FLASH POINT: -156 F LOWER EXPLOSIVE LIMIT 1.0 % (PENSKY- MARTENS C.C.) UPPER EXPLOSIVE LIMIT: 18.0 % AUTOIGNITION TEMPERATURE: N.D. EXTINGUISHING MEDIA: CO2 DRY CHEMICAL FOAM WATER FOG UNUSUAL FIRE AND EXPLOSION HAZARDS: VAPORS ARE HEAVIER THAN AIR AND TRAVEL ALONG THE GROUND OR MAY BE MOVED BY VENTILATION AND IGNITED BY IGNITION SOURCES AT LOCATIONS DISTANT FROM MATERIAL HANDLING POINT. FOR AEROSOL (Continued on Page 3) Product Ft Preparation Date: 07J10/9$ Page 5 tJ SECTION 14 - TRANSPORTATION INFORMATION DOT HAZARD CLASS: 2.1 HAZARD SUBCLASS: NONE DOT UNINA NUMBER: UN1950 PACKING GROUP: NONE RESP. GUIDE PAGE: 126 ADDITIONAL INFORMATION:: FOR DOMESTIC GROUND AND AIR SHIPMENT THIS PRODUCT MAY $E SHIPPED AS A CONSUMER COMMODITY ORM -D. OUTER CARTONS MUST HAVE THE ORM -D OR ORM -D AIR DESIGNATION.(OUR ORIGINAL CARTONS ARE PREPRINTED WITH THE ORM -D DESIGNATION FOR GROUND SHIPMENT) I SECTION 15 - REGULATORY INFORMATION 1 U.S. FEDERAL REGULATIONS: AS FOLLOWS - OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200) CERCLA - SARA HAZARD CATEGORY: This product has been reviewed according to the EPA 'Hazard Categories' Promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986 (SARA Title III) and is considered, under applicable definitions, to meet the following categories: IMMEDIATE HEALTH HAZARD CHRONIC HEALTH HAZARD FIRE HAZARD PRESSURIZED ,AS HAZARD iARA SECTION 313: Chis product contains the following substances subject to the reporting :• equirements of Section 313 of Title III of the Superfund Amendments and teauthorization Act of 1986 and 40 CFR Part 372: •--- - --- - -- CHEMICAL NAME ----- - - - - -- CAS NUMBER WT /WT % IS LESS THAN [EXANE 110 -54 -3 40.0 % 'OXIC SUBSTANCES CONTROL ACT: 'his product contains the following chemical substances subject to the , requirements of TSCA 12(B) if exported from the United States: --- - -- CHEMICAL NAME ----- - - - - -- CAS NUMBER to information is available. :NTERNATIONAL REGULATIONS: AS FOLLOWS - :ANADIAN WHMIS: This MSDS has been prepared in compliance with Controlled 'roduct Regulations except for use of the 16 headings. :ANADIAN WHMIS CLASS: No information available. ON JUNE 30, 1993 THE OSHA Z -1 -A TABLE WAS REVOKED AND OSHA REVERTED BACK '0 THEIR PRIOR EXPOSURE LIMITS. THE VALUES ON THIS MSDS REFLECT THE ROLL LACK TO THE PRIOR VALUES. SOME STATES MAY CONTINUE TO ENFORCE THE 1993 LIMITS. ON JUNE 16, 1995 EPA ANNOUNCED IN A FINAL RULE THAT ACETONE WOULD �O LONGER BE CONSIDERED A VOC FOR AIR ATTAINMENT STANDARDS.(IT IS NOW AN (Continued on Page 6) Product: FPATRIMTX165 Preparation Date: 07/10/98 Page 6, SECTION 15 - REGULATORY INFORMATION EXEMPT COMPOUND) NOT ALL STATES HAVE ADOPTED THE EXEMPT STATUS OF ACETONI AT THIS TIME. THE VOC CALCULATIONS ON THIS MSDS ARE BASED ON ACETONE BEII AN EXEMPT COMPOUND. THE JUNE 16 RULE ALSO REMOVED ACETONE FROM THE LIST SARA 313 REPORTABLE CHEMICALS, EFFECTIVE THE 1994 REPORTING YEAR. SECTION 16 - OTHER INFORMATION HMIS RATINGS - HEALTH: 2 FLAMMABILITY: 4 REACTIVITY: 1 PREVIOUS MSDS REVISION DATE: 07/10/98 REASON FOR REVISION: NEW FORMULA VOC CONTENT: 66.9 % BY WEIGHT, 457 GRAMS /LITER TOTAL PRODUCT, 528 GRAMS /LITER LESS WATER AND EXEMPT, 0.70 LBS /CAN LEGEND: N.A. - Not Applicable, N.E. - Not Established, N.D. - Not Determined The information contained on this MSDS is been checked and shoulii be accurate. However, it is the responsibility of the user to co®p1�Y with al Federal, State, and Local laws and regulations. The environmental information and hazardous materials identification system have be6n included by Camie - Campbell Inc. in order to provide additional health and hazard classification information. The ratings recommend are based upon the criteria supplied by the developers of these rating systems, together with Carrie- Campbell Inc.'s interpretation of the available data. Proper personal protective equipment varies widely with conditions of use and anticipated exposure. We recommend that a supervisor or other qualified person determine proper PPE for intended use. <END OF MSDS> SECTION 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME : NP2 BASES IDENTIFICATION NUMBER: 42-350 Finishing DATE PRINTED: 03/19/99 -362 Precast Gray -365 Pretint Limestone PRODUCT USE/CLASS Sealant SUPPLIER: MANUFACTURER: ChemRex Inc. Sonneborn Building Products 889 Valley Park Drive Shakopee, MN 55379 EMERGENCY TELEPHONE: EMERGENCY TELEPHONE:(800)424-9300 24 HR5 A DAY 7 DAYS A WEEK PREPARER: Scott Shinn, PHONE: 612-496-6000, PREPARE DATE: 01/08/99 SECTION 2 - COMPOSITION/INFORMATION ON INGREDIENTS WT/WT ITEM ------------ CHEMICAL NAME ------------- CAS NUMBER LESS THAN 01 Toluene diisocyanate mix 02 calcium carbonate 03 Naphtha-light aromatic 04 1,2,4 Trimethyl Benzene 05 Titanium dioxide 26471-62-5 471-34-1 64742-95-6 95-63-6 13463-67-7 5.0 4. <0.1 'i 30.0 �, 5. 0 `A 5.0 il ---------------------- EXPOSURE LIMITS -------------------- ACGIH OSHA COMPANY ITEM TLV-TWA TLV-STEL PEL-TWA PEL-CEILING TLV-TWA SKIN 01 0.04 mg/m3 0.15 mg/m3 bi 0.15 mg/m3 M A T E NO 02 10 mg/m3 N.E. R I A L S A F E T Y D A T A S H E E T 03 N.E. N.E. 435 mg/m3 SECTION 1 - CHEMICAL PRODUCT AND COMPANY IDENTIFICATION PRODUCT NAME : NP2 BASES IDENTIFICATION NUMBER: 42-350 Finishing DATE PRINTED: 03/19/99 -362 Precast Gray -365 Pretint Limestone PRODUCT USE/CLASS Sealant SUPPLIER: MANUFACTURER: ChemRex Inc. Sonneborn Building Products 889 Valley Park Drive Shakopee, MN 55379 EMERGENCY TELEPHONE: EMERGENCY TELEPHONE:(800)424-9300 24 HR5 A DAY 7 DAYS A WEEK PREPARER: Scott Shinn, PHONE: 612-496-6000, PREPARE DATE: 01/08/99 SECTION 2 - COMPOSITION/INFORMATION ON INGREDIENTS WT/WT ITEM ------------ CHEMICAL NAME ------------- CAS NUMBER LESS THAN 01 Toluene diisocyanate mix 02 calcium carbonate 03 Naphtha-light aromatic 04 1,2,4 Trimethyl Benzene 05 Titanium dioxide 26471-62-5 471-34-1 64742-95-6 95-63-6 13463-67-7 5.0 4. <0.1 'i 30.0 �, 5. 0 `A 5.0 il ---------------------- EXPOSURE LIMITS -------------------- ACGIH OSHA COMPANY ITEM TLV-TWA TLV-STEL PEL-TWA PEL-CEILING TLV-TWA SKIN 01 0.04 mg/m3 0.15 mg/m3 0.04 mg/m3 0.15 mg/m3 N.E. NO 02 10 mg/m3 N.E. 15 mg/m3 N.E. N.E. NO 03 N.E. N.E. 435 mg/m3 N.E. N.E. NO 04 123 mg/m3 N.E. 125 mg/m3 N.E. N.E. NO 05 10 mg/m3 N.E. 15 mg/m3 N.E. N.E. NO (See Section 16 for abbreviation legend) SECTION 3 - HAZARDOUS IDENTIFICATION EFFECTS OF OVEREXPOSURE - EYE CONTACT: Causes eye irritation. EFFECTS OF OVEREXPOSURE - SKIN CONTACT: Prolonged or repeated contact can result in defatting and drying of the skin which may result in skin irritation and dermatitis (rash). May cause irritation. Repeated or prolonged contact with skin may cause sensitization. (Continued on Page 2) Product: 42= a0 '' ' tt Preparation`Date: 01/08/99 Page 2 SECTION 3 - HAZARDS IDENTIFICATION EFFECTS OF OVEREXPOSURE - INHALATION: Harmful if inhaled. Headaches, dizziness, nausea, decreased blood pressure, changes in heart rate and cyanosis.may result from over - exposure to vapor. EFFECTS OF OVEREXPOSURE - INGESTION: Irritating to mouth, throat and stomach. EFFECTS OF OVEREXPOSURE - CHRONIC HAZARDS: This product contains solvents. Reports associate repeated and prolonged occupational overexposure to solvents with permanent brain and nervous system damage. Reports also indicate that solvents cause liver damage, kidney damage, and mucous membrane irritation. Be warned that intentional misuse by deliberately inhaling the vapors and /or the product contents (a process often called "sniffing ") may be harmful or fatal. This product may contain a small amount ( <0.1" ) of toluene diisocyanate. NIOSH, NTP and IARC list toluene diisocyanate as a suspected carcinogen. Note also that prolonged repeated exposure to isocyanates can lead to skin sensitation. For persons so sensitized even breif exposures to the isocyanate can produce reddening, swelling, rash, or blisters. Similarly, prolonged and repeated exposure to isocyanates can lead to respiratory sensitization. In such individuals brief exposures to isocyanates at levels well below the TLV can produce chemical asthma, and nonspecific asthmatic conditions. PRIMARY ROUTE(S) OF ENTRY: SKIN CONTACT INHALATION EYE CONTACT SECTION 4 - FIRST AID MEASUREb FIRST AID - EYE CONTACT: Flush eye with water for 15 minutes. Get medical attention. FIRST AID = SKIN CONTACT: Remove contaminated clothing and shoes. Wash affected area(s) throughly with soap and water. If irritation persist, seek medical attention. FIRST AID - INHALATION: Remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Get immediate medical attention. FIRST AID - INGESTION: If swallowed, DO NOT induce vomiting. Give victim a glass of water or milk. Call a physician or poison control center immediately. Never give anything by mouth to an unconscious person. Should vomiting occur, be sure to keep victum's head below hips to avoid aspiration of vomitus into lungs. SECTION 5 - FIRE FIGHTING MEASURES FLASH POINT: 125 F LOWER EXPLOSIVE LIMIT: 0.9 (PENSKY- MARTENS C.G.) UPPER EXPLOSIVE LIMIT: 7.0 v AUTOIGNITION TEMPERATURE: N/D (Continued on Page 3) Product: 42 -350 Preparation Date: 01/08/99 Page 3 SECTION 5 - FIRE FIGHTING MEASURES EXTINGUISHING MEDIA: ALCOHOL FOAM CO2 DRY CHEMICAL WATER FOG UNUSUAL FIRE AND EXPLOSION HAZARDS: Vapors can travel to a source of ignition and flash back. "Empty" containers retain product residue (liquid and /or vapor) and can be dangerous. DO NOT PRESSURIZE, CUT, WELD, BRAZE, SOLDER, DRILL, GRIND, OR EXPOSE SUCH CONTAINERS TO HEAT, FLAME, SPARKS, STATIC ELECTRICITY, OR OTHER SOURCES OF IGNITION; CONTAINERS MAY EXPLODE AND CAUSE INJURY OR DEATH. Solid stream of water or foam may cause frothing. Direct stream of water into hot burning mat'l will cause splattering. SPECIAL FIREFIGHTING PROCEDURES: Containers exposed to fire should be kept cool with water spray. Containers can build up pressure if exposed to heat (fire). As in any fire, wear self - contained breathing apparatus pressure- demand (MSHA /NIOSH approved or equivalent) and full protective gear. SECTION 6 - ACCIDENTAL RELEASE MEASURES STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: Ventilate the area and remove all sources of ignition. Evacuate unneccessary personnel. Large spills should be handled carefully. Put on respiratory protection and necessary personal protective equipment. Dike or impound spilled liquid. Absorb spill with inert material (e.g. dry sand or earth), then place in a chemical waste container. Repeat sorbent /sweep cycle until the spill has dried up. Avoid runoff into storm sewers and ditches which lead to waterways. SECTION 7 - HANDLING AND STORAGE HANDLING: Use only in a well ventilated area. Keep out of reach of children. Ground and bound containers when transferring material. If user operations generate dust, fume, or mist, use ventilation to keep exposure to airborne contaminents below the exposure limit. STORAGE: Keep container closed when not in use. SECTION 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION ENGINEERING CONTROLS: Local exhaust ventilation may be necessary to control any air contaminants to within their TLVs during the use of this product. ' RESPIRATORY PROTECTION: Wear NIOSH /MSHA approved respiratory protection when the product is mixed or applied in a poorly ventilated area or if workplace levels of ingredients exceed the TLV. Follow applicable federal, state, and local regulations. (Continued on Page 4) Product: 42 -350 Preparation Date: 01/08/99 Page 4 SECTION 8 - EXPOSURE CONTROLS /PERSONAL PROTECTION OTHER PROTECTIVE EQUIPMENT: Where contact is likely, wear chemical resistant gloves, chemical safety goggles with a face sheild, and clean protective clothing to cover arms and legs to keep exposure to a minimum. HYGIENIC PRACTICES: Do not take internally. Wash thoroughly after handling. Remove contaminated clothing and wash before reuse. Avoid breathing vapors from heated material. Avoid contact with eyes, skin, and clothing. SECTION - 9- PHYSICAL AND CHEMICAL PROPERTIES BOILING RANGE 308 - 484 F VAPOR DENSITY Is heavier than air ODOR Paint thinner ODOR THRESHOLD EVAPORATION RATE: N/D Is slower than Butyl APPEARANCE Smooth paste INFORMATION: %' SOLUBILITY IN H2O Slight <0.1 S - - -- CHEMICAL NAME - - -- Acetate FREEZE POINT N/D SPECIFIC GRAVITY: 0.9129 VAPOR PRESSURE N/D PH @ 0.0 t N/D PHYSICAL STATE Paste VISCOSITY N/D COEFFICIENT OF WATER /OIL DISTRIBUTION: N/D No (See Section 16 for abbreviation legend) SECTION 10 - STABILITY AND REACTIVITY CONDITIONS TO AVOID: Long term exposure to elevated temperatures. INCOMPATIBILITY: Alcohols and water. Avoid contact with oxidizing material. HAZARDOUS DECOMPOSITION PRODUCTS: Acrid fumes. Oxides of carbon. HAZARDOUS POLYMERIZATION: Will not occur under normal conditions. STABILITY: This product is stable under normal storage conditions. SECTION 11 - TOXICOLOGICAL PROPERTIES PRODUCT DERMAL LD50: No Information PRODUCT ORAL LD50: No Information PRODUCT LC50: No Information COMPONENT TOXICOLOGICAL INFORMATION: %' - - -- CHEMICAL NAME - - -- -- DERMAL LD50 -- - -- ORAL LD50 - -- - - - - -- LC50 - - - -- Toluene diisocyanate mi >10 g /kg 4130 mg /kg 6450 mg /kg 11 ppm /4H Information Calcium carbonate No Information >4 /kg 4.7 g /kq No PP Naphtha -light aromatic ml Information 12.7 gm /kg 18 gm /m3 /4H 1,2,4 Trimethyl Benzene No (Continued on Page 5) Product: 42 -350 Preparation Date: 01/08/99 Page 5 SECTION 11 - TOXICOLOGICAL PROPERTIES SECTION 12 - ECOLOGICAL INFORMATION ECOLOGICAL INFORMATION: No Information. SECTION 13 - DISPOSAL CONSIDERATIONS DISPOSAL METHOD: Review all local, state, and federal regulations concerning health and pollution for appropriate disposal procedures. SECTION 14 - TRANSPORTATION INFORMATION This material has been determined to be a non - combustible solid by ASTM standards DOT PROPER SHIPPING NAME: Not regulated DOT TECHNICAL NAME: N/A DOT HAZARD CLASS: N/A HAZARD SUBCLASS: N/A DOT UN /NA NUMBER: N/A PACKING GROUP: N/A RESP. GUIDE PAGE: DOT PLACARD AT: N/A DOT CLASS NUMBER: N/A UN PROPER SHIPPING NAME: Not regulated UN HAZARD CLASS: N/A UN CLASS NUMBER: AIR N/A MARINE N/A HAZARD SUBCLASS: AIR N/A MARINE N/A UN UN /NA NUMBER: N/A UN PACKING GROUP: AIR N/A MARINE N/A UN PLACARD AT: N/A SECTION 15 - REGULATORY INFORMATION U.S. FEDERAL REGULATIONS: AS FOLLOWS - OSHA: Hazardous by definition of Hazard Communication Standard (29 CFR 1910.1200) (Continued on Page 6) Product: 42 -350 Preparation Date: 01/08/99 Page 6 SECTION 15 - REGULATORY INFORMATION CERCLA - SARA HAZARD CATEGORY: This product has been reviewed according to the EPA 'Hazard Categories' promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986 (SARA Title III) and is considered, under applicable definitions, to meet the following categories: IMMEDIATE HEALTH HAZARD CHRONIC HEALTH HAZARD FIRE HAZARD SARA SECTION 313: This product contains the following substances subject to the reporting requirements of Section 313 of Title III of the Superfund Amendments and Reauthorization Act of 1986 and 40 CFR Part 372: ----- - - - - -- CHEMICAL NAME --- - ------ CAS NUMBER WT /WT S IS LESS THAN 5 <0.1 Toluene diisocyanate mix 26471 -62 - 5.0 'k 1,2,4 Trimethyl Benzene 95 -63 -6 TOXIC SUBSTANCES CONTROL ACT: This product contains the following chemical substances subject to the reporting requirements of TSCA 12(B) if exported from the United States: ----- - - - - -- CHEMICAL NAME - -- -------- CAS NUMBER 1,2 benzenedicarboxylic acid 68515 -47 -9 cumene 98 -82 -8 CALIFORNIA PROPOSITION 65: WARNING: The chemical(s) noted below and contained in this product, are known to the state of California to cause cancer, birth defects or other reproductive harm: ----- - - - - -- CHEMICAL NAME ----- - - - - -- CAS NUMBER Acrylonitrile 107 -13 -1 toluene 108 -88 -3 Silica, quartz 14808 -60 -7 Toluene diisocyanate mix 26471 -62 -5 inorganic lead 7439 -92 -1 Arsenic 7440 -38 -2 1,1- dichloroethylene 75 -35 -4 INTERNATIONAL REGULATIONS: AS FOLLOWS - CANADIAN WHMIS: This MSDS has been prepared in compliance with Controlled Product Regulations except for use of the 16 headings. CANADIAN WHMIS CLASS: No information available. SECTION 16 - OTHER INFORMATION HMIS RATINGS - HEALTH: 2 FLAMMABILITY: 1 REACTIVITY: 0 PERSONAL PROTECTION: G PREVIOUS MSDS REVISION DATE: 05/21/98 (Continued on Page 7) Product: 42 -350 Preparation Date: 01/08/99 Page 7 SECTION 16 - OTHER INFORMATION REASON FOR REVISION: Change in extinguishing media VOLATILE ORGANIC COMPOUNDS (VOCS): 0.44 lbs /gal, 53 grams /ltr LEGEND: N.A. - Not Applicable, N.E. - Not Established, N.D. - Not Determined This information is furnished without•'warranty, representation, or license of any kind, except that this information is accurate to the best of ChemRex's Jnowledge, or is obtained from sources believed by ChemRex to be accurate. No warranty is expressed or implied regarding the accuracy of this information or the results to be obtained from its use thereof. Chemrex assumes no responsibility for injuries proximately caused by use of the Material if reasonable safety procedures are not followed as stipulated in this Data Sheet. Additionally, ChemRex assumes no responsibility for injuries proximately caused by abnormal use of the Material even if reasonable safety procedures are followed. Buyer assumes the risk in its use of the Material. <END OF MSDS> COPYRIGHT GENERAL ELECTRIC CO. PRODUCT: SCS1702 ACETOXY SANITARY SEALANT PAGE: 01 1... CHEMICAL PRODUCT AND COMPANY IDENTIFICATION MANUFACTURED BY: SUPPLIED BY: GE SILICONES GE SILICONES 260 HUDSON RIVER ROAD 260 HUDSON RIVER ROAD WATERFORD, NY 12188 WATERFORD, NY 12188 EMERGENCY PHONE (24 HRS) EMERGENCY PHONE (24 HRS) (518) 237 -3330 (518) 237-3330 REVISED: 02/12/93 PREPARER: DA POLSINELLI CHEMICAL FAMILY /USE: SILICONE RUBBER SEALANT FORMULA: MIXTURE 2. COMPOSITION/'INFORMATION ON PRODUCT COMPOSITION/ APPROX. ACGIH TLV OSHA PEL CAS REG NO. WGT. % TWA STEL TWA STEL UNITS -------------------- - - - - - - - ------ - - - - - - ------ - - - - - - ----- 1. HAZARDOUS METHYLTRIACETOXYSILANE 4253 -34 -3 1 -5 10(R) NE 10(R) NE! PPM B. NON - HAZARDOUS TRADE SECRET COMPONENT ' TRADE SECRET COMPONENT 5 -10 NF NE NF NE NA 10 -30 10 NE 15 NE' MG /M3 DIMETHYL POLYSILOXANE SILANOL /ST 70131 -67 -8 60 -80 NA NE NA NE NA Sea Section 15 for description of any WHMIS Trade Se!erst(s). -3. HAZARDS IDENTIFICATION EMERGENCY OVERVIEW: This section not in use POTENTIAL HEALTH EFFECTS: INGESTION: May be harmful if swallowed. SKIN CONTACT: Uncured product contact will irritate lips,gums and tongue. Uncured,Product contact may irritate the skin. INHALATION: Causes irritation of the mouth,nose,and throat. Applies only in uncured state. EYE CONTACT: Uncured product contact irritates eyes. MEDICAL CONDITIONS AGGRAVATED: * ** CO ON NEXT ,P -A.G.E ** oonni tr'r, CrC17n7 ACETOXY SANITARY SEALANT PAGE: 02 None known. SUDCHRONIC (TA0ZT ORgAN) .EFFECTS: None known. CHRONIC EFFECTS /CARCINOGENICITY: This product or one of its ingredients present 0.1% or more is NOT listed as a carcinogen or suspected csrcinogsn'by NTP, IARC, or OSHA. PRODUCTS /INGREDIENTS This space reserved for special use. PRINCIPLE ROUTES OF EXPOSURE: Oral. Dermal - skin. Eyes. Inhalation. OTHER: Acetic acid released during curing. This product contains Mothylpolysiloxanes which can generate Formaldehyde at approximately 300 degrees forenheit (150'C) and above, in atomospheres which contain oxygen. Formaldehyde is a skin and respiratory sensitizer, eye and throat ;irritant, acute toxicant, and potential cancer hazard. An MSDS'for Formaldehyde is available from GE Silicones. C- FIRST AID MEASURES INGESTION: Do not induce vomiting. Slowly dilute with 1 -2 glasses of water or milk and soak medical attention. Never give any- thing by mouth to an unconscious person. SKIN: MUSE To clean from skin, remove completely with a dry cloth or paper towel, before washing with detergent and water. Get medical attention if irritation persists INHALATION: Move person to fresh air. EYES: In case of contact, immediately flush aye with plenty of water for at bast 15 minutes and pot medical attention if,arritation persists. NOTE TO PHYSICIAN: None known. :- : 1 RE F�IGK IN G MEASURHS� FLASH POINT: NA tC) NA (F) METHOD i NA : UNK (C) UNK (F) IGNITION TEMP FLAMMABLE LIMITS IN AIR LOWER W: UNK FLAMMABLE LIMITS IN AIR - UPPER (y): UNK SENSITIVITY TO MECHANICAL IMPACT (Y /N): NO SENSITIVITY TO STATIC DISCHARGE: Sensitivity to static discharge is not expected. EXTINGUISHING MEDIA: All standard firefighting media SPECIAL FIREFIGHTING PROCEDURES: None known. ' ITAL RELEAS!~ �+tEASUFiES ACTION TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: i Wipe, scrape or soak up in an inart material and quoin a container for disposal. eae CONTINUED ON NEXT PAGE * ** P RODUCT: SCS1702 ACETOXY SANITARY SEALANT PAGE: 03 Wash walking surfaces with detergent and water to reduce slip- ping hazard. Wear proper protective equipment as specified in the protective equipment section. 7. HANDLING D „ STORAGE PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE: Avoid contact with skin and eyes. Caution) Remove contact lenses before using sealant. Do not handle lenses until all sealant has been cleaned from the finger- tips, nails and cuticles. Residual sealant may remain on fingers for several days and transfer to lenses and cause severe eye irritation. Product releases acetic acid during application and curing. Use mechanical ventilation to stay below TLV of 10 ppm acetic acid. Uncured' product contact irritates eyes. Uncured product contact may irritate skin. Use in a well ventilated area to prevent irritation by vapors. 8. EXPOSURE GONTRO LS/ PERSONAL. PROTE TION ENGINEERING CONTROLS: Exhaust ventilation Eyewash stations. Use in a well ventilated area. RESPIRATORY PROTECTION: None known. PROTECTIVE GLOVESs Cloth gloves. EYE AND FACE PROTECTION: Safety glasses. OTHER PROTECTIVE EQUIPMENT: None known. VENTILATION: Use only in well ventilated area. Mechanical ventilation. 9. ..PHYSICAL.,,AND CkiEryl��A�.� `PROPERTIESI ;::. PRODUCT INFORMATION: BOILING POINT : VAPOR PRESSURE(20 C)(MM HG): VAPOR DENSITY (AIR =1) : FREEZING POINT MELTING POINT PHYSICAL STATE ODOR : COLOR : ODOR THRESHOLD (PPM) : Y. VOLATILE BY VOLUME EVAP. RATE(BUTYL ACETATE =1): SPECIFIC GRAVITY (WATER =1) DENSITY (KG /M3) ACID/ALKALINITY (MEG/0) : PH : VOC (EPA METH.24) (G /L) s SOLUBILITY IN WATER (20 C) : NA UNK UNK NA NA SOLID ACETIC ACID WHITE UNK <S <1 1.05 1050 UNK NA 9 (C) NA (F) (C) NA (F) (C) NA (F) e4e CONTINUED QN NEXT PAGE 499 PR ODUCT: SCS7702 ACETOXY SANITA S EALANT PAGE:, 04 INSOLUBLE SOLUBILITY IN ORGANIC SOLVENT (STATE SOLVENT): TOLUENE 10. STABILITY AND REACTIVITY j STABILITY: STABLE HAZARDOUS POLYMERIZATION: WILL NOT OCCUR HAZARDOUS THERMAL DECOMPOSITION /COMBUSTION PRODUCTS: Carbon monoxide. Carbon dioxide. Silicon dioxide. Acetic acid. Formaldehyde. INCOMPATIBILITY (MATERIALS TO AVOID): None known. CONDITIONS TO AVOID: None known. 11. TOXICOLOGICAL INFORMATION METHYLTRIACETOXYSILANE ACUTE ORAL LD50 (MG /KG): 2,060 (RAT) ACUTE DERMAL LD50 (MG /KG): NONE FOUND ACUTE INHALATION LC5O (MG /L): NONE FOUND OTHER: None. AMES TEST: TRADE SECRET COMPONENT ACUTE ORAL LD50 (MG /KG): >40,000 RAT,ESTM. ACUTE DERMAL LD50 (MG /KO): NONE FOUND ACUTE INHALATION LC50 (MG /L): >535 MG /L ESTM. OTHER: None. AMES TEST: TRADE SECRET COMPONENT ACUTE ORAL LD50 (MG /KG): NA ACUTE DERMAL LD50 (MG /KG): NA ACUTE INHALATION LC50 (MG /L): NA OTHER: None. mI4 jflf DIMETHYL POLYSILOXANE SILANOL /ST ACUTE ORAL LD50 (MG /KG): RAT >40,000 ACUTE DERMAL LD50 (MG /KG): UNKNOWN ACUTE INHALATION LC50 (MG /L): RAT >535 MG /L (4HR) OTHER: Non - irritating to skin (rbt). AMES TEST :. C 12. ECOLOGICAL INFORMATION k ECOTOXICOLOGICAL INFORMATION: No data at this time CHEMICAL FATE INFORMATION: No data at this time * *e CONTINUED ON NEXT PAGE eea PRO DUCT: SCS1702 ACETOXY SANITARY SE ALANT PAGE: OS DiSPOSAI� CONSIDf~RAT.tONs „ .. DISPOSAL METHOD: Disposal should be made in accordance with federal, state and local regulations. Bury in a licensed landfill or burn in an approved incinerator according to federal, state, and local regulations, i , x uw } i I Ii h9i e nn ,ail �i urr6 ... 144 TRAMS NORT �FXR91. ffAT�O i .0 M , DDT SHIPPING NAME: NONE DOT HAZARD CLASS: NONE DOT LABEL(S): NONE UN /NA NUMBER: NONE PLACARDS: NONE IATA: NA IMO IMDG -coda: NA EUROPEAN CLASS: RID (OCTI): NA ADR (ECE) : NA RAR (IATA): NA M 15, REOL LATOW 1NFOR,MATION SARA SECTION 302: None Found SARA (311,312) HAZARD CLASS: ACUTE HEALTH HAZARD SARA (313) CHEMICALS: NONE CPSC CLASSIFICATION: MHMIS HAZARD CLASS: D2B TOXIC MATERIALS MHMI3 TRADE SECRET: EXPORT: SCHDLE B/HTSUS: ECCN: HAZARD RATING SYSTEMS HMIS NFPA CALIFORNIA PROPOSITION 63: NONE None 3910.00.00003 IC96G FLAMMABILITY 0 , REACTIVITY 0 HEALTH 2 FLAMMABILITY 0 , REACTIVITY 0 HEALTH 2 16,.,` OTHER I�IFORM This product or its components are on the European inventory of existing commercial chemicals (EINECS) ....................... Those data are offered faith as typical values end not as a product specification. No warranty, either expressed or implied; is made. The recommended handling procedures are believed to be generally applicable. However, each user should review these recommendations in the specific content;of the intended use ..................... ............................... C s limit " " ceilin g � negligible EST= estimated NF = none found NA = not applicable UNKN a unknown NE = honer established REC = recommended * ** CONTINUED ON NEXT PAGE * *k PRODUCT: SCS1702 ACETOXY SANITARY SEALANT PAGE: 06 ND = none determined By-product = reaction by- product, TSCA inventory status not required under 40 CFR part 720.30(h -2) STET = short term exposure limit ..........I ............... V = recomm. By vendor SKN = skin TS u trod* secret R = recommended MST = mist NT = not tested .... I ......... I.......... t 1 • r 3733._GFt�EN RbAO NAT R$AL SAFETY pA,3A Sfi ET P 0 .'80X 228;Q�8 `BEACM.Woo OH. >22 8,058 TELEPHOF(E (2 t6 )282 5QCT4 EMERG.[NCIES (216)T65 6727 B 30 5:04,EST a*TER- HOURSr CHEarREC (800)474 -9300 -------------------------------------------------- ------------------------------------------------------------------------------------------------ ------ ------- ---- -- -- - - - - -- ------ - --- -- SECTION I Product Name: TREMFLEX 834 Chemical Family: Adhesive-Sealant Product Code: S39 -LINE Date Prepared: 03-MAR -97 MSOS Preparer: R.A.MIKOL Replaces Date: 24- FEE-97 ---------- - - - - - -- -------------------------------------------------------------- Section 2 - Molecular -------------------------------------------------------------------------------- Composition Common Name and Chemical Name Weight % CAS Number Exposure Limits CALCIUM CARBONATE (LIMESTONE) 3$,0 -50.0 1317 - 65 -3 OSHA:TWA 15 Mg /M3 STEL - (total dust, 5mg /M3 respirable fraction) ACGIH:TWA 10 mg /M3 STEL - (total dust, no asbestos. <1% Si02) ACRYLIC POLYMER 25.0 -35,0 Trade Secret OSHA TWA - STEL - ACGIH:TWA - STEL WATER 15.0 -20.0 7732 -16-5 OSHA:TWA STEL ACGIH.TWA STEL BUTYL BENZYL PHTHALATE 1.0 5.0 85-66 -7 OSHA:TWA 5 mg /M3 STEL - ACGIH!TWA 5 mg /M3 STEL 10 mg /M3 WHITE MINERAL OIL 1.0 -5.0 8042 -47 -5 OSHA:TWA 5 mg /M3 STEL - (mist) ACGIH'TWA 5 mg /M3 STEL 10 mg /M3 (mist) TITANIUM DIOXIDE 0.5 13463 -67 -7 OSHA:TWA 10 mg /M3 STEL - ACGIH 10 mg /M3 STEL - (total dust, no asbestos. <1% SiO2) CRYSTALLINE SILICA (QUARTZ) 0.5-0.8 1 -60 -7 OSHA!TWA 0.10 mg /M3 STEL - (skin) (respirable dust) ACGIH:TWA 0.10 mg /M3 STEL - (respirable dust) CARBON BLACK 0.0 1333 -86-4 OSHA:TWA 3.50 mg /M3 STEL - ACGIH.TWA 3.50 mg /M3 STEL - ------------------------------ Section 3 - Hazards Identification W . * ...... * *** W W .... W WWW * ** 4 4 ** K W W W W W W W W W( ...... W W. *............. Emergency Overview: Various colored paste. If Inhaled can cause irritation to respiratory system Leave area to breathe fresh air. W W. W W W W,.W W W W W W * *MM W W W WWW W WW�F ►gIM**4YYYW •W W WW W1�W M+M�•W * # * ** * * *� W MN t W W Y. W M W..r.... Potential Hith Effect /Rte of Entry: Inhalation: - Can cause irritation to respiratory system. Eyes: Can cause irritation, Ingestion: Can cause gastrointestinal irritation. Skin: May cause slight irritation. Aggravated Medical Conditions. Pre - existing eye, skin, and respiratory disorders ( eg. asthmatics) may be aggravated by exposure. Acute Health Effects: Product S39 -LINE Page 01 of 04 See effects described above, Chronic Health Effects: Prolonged or repeated exposure of butyl.benzyl phthalate to rats produced decreased body welghts,spleen' and sex organ changes, increased liver and kidney weights, reduced food consumption, weakness, hindiimb stiffness, and effects on the liver,testes and pancreas. Birth defects have been reported in mice and rats, but only at high doses that produce significant toxicity in the mother and offspring. Birth defects have not been observed in rabbits. Evidence of carcinogenicity has been mixed. Initial NTR studies has reported an Increased incidence of mononuclear cell leukemias in female rats, a commoniy occuring spontaneous disease In this strain, but no increase in tumors in mice. However, a repeat study has not found an increase in leukemias, although a increase in kidney and bladder lesions in females and In pancreatic tumors in males was noted. Furthermore, a concurrent study that restricted diet also has not revealed any increase in tumors In male and female rats. Numerous studies also have indicated that it 1s not genotoxic. Fillers are encapsulated and not expected to be released in product under normal conditions of use. Crystalline silica (quartz) may cause cancer, but only limited evidence In humans. Prolonged and repeated overexposure to free crystalline silica dust above the TLV level may cause scarring of the lungs with cough and shortness of breath. A delayed lung injury, 5111cosis may result from breathing free silica, No serious health effects have been established in man when exposeo to carbon black. Inflammation, lung fibrosis, and tumors have been observed in animals at levels which overload lung clearance mechanisms. Carbon black contains varying amounts of polynuclear aromatic compounds(PNA's) which have been found to cause cancer in animals. Solvent extracts of carbon black ale carcinogenic to the skin of mice. It is classified by IARC to be a known animal carcinogen and a possible human carcinogen (Group 28). •---------------------------------------------------------------- Section 4 - First Aid Measures ----------------------------------------------------------- Inhalation: Leave area to breathe fresh air Eyes: Flush immediately with running water for 15 minutes, lifting the upper and lower lids Occasionally. Get medical attention immediately. Ingestion: Get medical attention immediately. Skin: Wash with soap and water. Notes to Physician: N/A Section 5 - Fire Fighting Measures Flash Point: N/A Method: N/A Lower Flammability Limit: N/A Upper Flammability Limit: NIA Autoignition Temperature: N/A Extinguishing Media: Not applicable. water base compound, not expected to burn. Fire and Explosion Hazards: Keep away from heat and flame. Special Fire Fighting Procedures: During a fire, personnel at the scene are to prevent exposure to fumes using accepted fire fighting techniques. Fire Fighting Equipment: N/A Other precautions: None known. -------------------------------------------------------------------- Section 6 - Accidental Release Measures .----------------------------------------------------------- Release Response overview: Absorb spill in sand, earth or other suitable material Tramsfer to appropriate Container for disposal. .----•--------------------- ---------- --- -- -- ------ -- - - -- ---- Section 7 - Handling and Storage Handling and Storage Precautions: Store under normal warehouse conditions. Handle in Compliance with common hygenlc practices. ----------- --------------- -- - -- - - -- Section 8 - Exposure Controls /Personal Protection Respiratory. Product S39 -LINE Page 02 of 04 Not required. Skin: Protect hands with rubber or other suitable gloves. Wear typical full cover clothing, Eyes: Wear suitable safety eyewear, Face: Not required. Engineering: N/A - - Section 9 - Physical and Chemical Properties Odor /Appearance: ACRYLIC /VARIOUS COLORED PASTE Color: VARIOUS Physical State: PASTE pH: 5.0-7.0 Vapor Pressure: N/A Vapor Density: N/A Boiling Point: N/A Melting Point: N/A Freezing Point: <32 F Solubility in Water: MISCIBLE Specific Gravity: 1.3 % Volatile Weight: 20.0 ------------------------------------------------------ Section't0 - Reactivity /Stability ---- •- - - ---- -- Stability: Stable Incompatible Products: Avoid contact with strong oxidizing agents, Conditions to Avoid Polymerization: Hazardous polymerization will not occur. -- - - - - -- - --- -------•-- Section 11 - Toxicological Information ----------------------------------- ------------------------ ----------------- Eyes, - SEE SECTION 3 Ingestion: „ Inhalation: Skin: Subchronic: Chronic: „ -- - - - - - -_- - - - - - - - - - - - - - - - - - - - -- - - - - Section 12 - Ecological Information Ecotoxicological Data: N/A Chemical Fate: N/A Section i3 - - Disposal Considerations RCRA Class: N/A Disposal Method: Not regulated by RCRA, Dispose of in compliance with state ano local regulations. EPA Reportable Quantities .....---^ N/A --------------- ------ Section 14 - Transportation Data DOT Shipping Name: NOT REGULATED DOT Hazard Class: DOT Label: UN /NA Number: N/A Pack i ng 'Group : Special' Provisions: Packaging Exceptions: Non -Bulk: Bulk: Quantity Limitations Passenger Aircraft or Railcar: Cargo Aircraft: Vessel Stowage Requirements Product 539 -LINE Page 03 of 04 --------------- Vessel stowage: -- Other stowage: Transportation Notes: N/A ------------------- - ------------------------------------------- Section 15 - Regulatory Information - ------------------- --------- - -- ------------ ---------------- TSCA Status : On the TSCA Inventory ---------- -- ------------------ OSHA Status: Considered hazardous based Irritant on the following criteria: Sensitizer Target Organs ------------- Liver Kidney Nerve Blood Reproductive Lung Skin Eye Stomach. pancreas OSHA Hazardous Components ---- --------------- CAS Number CALCIUM CARBONATE (LIMESTONE) '13i7.65 CRYSTALLINE SILICA (QUARTZ) -3 ■ CARBON BLACK 14808-60-7 TITANIUM DIOXIDE 1333-86-4 WHITE MINERAL OIL 13463-67-7 BUTYL BENZYL PHTHALATE 8042-47-5 * - CHEMICAL IS LISTED AS AN IARC, NTP, 65.68-7 OSHA, Or ACGIH CARCINOGEN SARA 311 Ratings ................ Immediate Health Hazard: Y Delayed Health Hazard: Y Fire Hazard: N Reactivity Hazard: N Sudden Release of Pressure Hazard: N SARA - 313 - Ingredients. * ------------- ------------------------------ CAS Nvmoer No SARA 313 Ingredients ------ - - - --- Compliance QUantites -------------------- N/A Proposition e5 Ingredients ------------------ ChOMICalS known to the State of California to cause cancer, birth dOFOCts and/or other reproductive harm. CAS Number --------------------------------------------- ------------ CRYSTALLINE SILICA (QUARTZ) 14808-60-7 5ectton 16 - Other ------------------------------------------------ ----------------- ................ --------------------- •--------------------- FOR INOUSTRrAL USE ONLY. KEEP CUT OF REACH OF CHILDREN, THE HAZARD rNFORMATIOM HEREIN IS OFFERED SOLELY FOR THE CONSIDERATION OF THE USER. SUBJECT TO HIS OWN INVESTIGATION OF COMPLIANCE WITH APPLICABLE REGULATIONS, INCLUDING THE SAFE USE OF THE PRODUCT UNDER EVERY FORESEEABLE CONDITION. Product 539-LINE Page 04 of 04 The Euclid Chemical Company - Cleveland, Ohio 441 FOR TRANSPORTATION & SAFETY EMERGENCIES CALL: 1-800-255, INTERNATIONAL USERS CALL COLLECT: 1-813-979-06Z6 TRADE NAME NS Grout CHEMICAL NAME Portland Cement INGREDIENTS MATERIAL CAS* % ACGIH(TLV) Sand Portland Cement APPEARANCE Gray Powder VAPOR DENSITY (AIR=1) NA VAPOR PRESSURE NA � l48O8-6O-7 65997-l5-1 ODOR None BY WE FILASH POINT & METHOD FLAMMABLE LIMITS EL NA None %SOLUBJLITY(H 0) None 2 xl� hN� EXTINGUISHING MEDIA NA SPECIAL FIRE FIGHTING NA UNUSUAL FIRE AND EXPI InLyl-IM � PEL 60-65 O.l Mg/M` IO Mg/M3 Respirable Dust 30-35 | IO mg/o� | Total Dust i MELTPOINT NA BULK DENSITY NA EVAPORATION RATE SPECIFIC GRAVITY J'9O-4.OU BOILING POINT PH NFPA FIRE HAZARDS NA IDENTIFICATION SYSTEM LD50 ORAL (INGESTION) LD50 DERMAL (SKIN CONTACT) LC50 (INHALATION) NE I NE NE PRIMARY ROUTE OF EXPOSURE THRESHOLD LIMIT VALUE (TLV) Eye, Skin and Inhalation EFFECTS OF OVEREXPOSURE Inhalation: Chronic exposure may cause bronchitis and emphysema. Eye: May cause burning and comeal edema. Skin: May cause iritation, bums and tissue damage. � THE EUCLID CHEMICAL COMPANY � 19218 REDWOOD RD CLEVELAND, OHIO 4411O 1-800-321-7628DR216'531-9222 NE' NOT ESTABLISHED NA' NOT APPLICABLE Inhalation: Move to fresh air. Monitor for respiratory distress. Give oxygen if necessary. If cough or difficulty in breathing occurs, immediately seek medical attention. Eye: Irrigate eye for 15 minutes. If pain, irritation or burning persists, seek medical attention. Skin: Wash area twice with soap and water. If pain, irritation or burning persists, seek medical attention. Ingestion: Administer milk or water. DO NOT induce vomiting. Call a Physician or Poison Control Center immediately. DO NOT give anything orally to an unconscious person. Cement Compound, NOI, Building'or Floor, Dry, Class 55 VENTILATION Use with adequate ventilation. RESPIRATORY A NIOSH approved dust mask is recommended according to 29 CFR 1910.134. EYE PROTECTION Yes PROTECTIVE GLOVES OTHER Yes (rubberized) All chemicals should be handled so as to prevent eye contact and excessive or repeated skin contact. Appropriate eye and skin protection should be employed. Inhalation of dusts and vapors should be avoided. 8. CHEMICAL REACTIVITY CONDITIONS CAUSING INSTABILITY None INCOMPATIBILITY (MATERIALS TO AVOID) NC_' e HAZARDOUS DECOMPOSITION PRODUCTS None SPECIAL SENSITIVITY None PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING Always store material on pallets in a dry location. STEPS TO BE TAKEN IN CASE MATERIAL IS SPILLED OR RELEASED Sweep up and dispose of in standard landfill. WASTE DISPOSAL METHOD Dispose of in accordance with all federal, state, and local laws and regulations. PREPARED BY David M. Hudak ( DATE 07/18/97 TELEPHONE NUMBER - SUPERSEDES MSDS DATED 216- 531 -9222 , 07/01/97 The information contained herein is based on data considered accurate. However, no warranty Additionally, vendor assumes no responsibility for injury to vendee orthird persons proximately is expressed or implied regarding the accuracy of these data or the results to be obtained from caused by abnormal use of the material even if reasonable safety procedures are followed, the use thereof. Furthermore, vendee assumes the risk in his use of the material. Vendor assumes no responsibility for injury to vendee orthird persons proximately caused by the material if reasonable safety procedures are not adhered to as stipulated in the data sheet. k 7 -15 12/22/2900 08:12 6124644305 MCCARRONS BLDG CT-R PAGE 02 1 -- — ---- ':)' I " VH1,Lb4n !:Vule JO 4844305 P.01 Twam"Wom Si. Pad. am"* W141-1061 Tdom4eml ft"4)0*w2 PAX NUMWR (ftl) 845-WI2 HATURZAL uvrv�Ty DATA gjmRT KMVt?ACTLMF.R JAMS RA"3;8 iWILDINO VRQDWTS FWTUA, CA. 02337 DATE RWVTq=: UNCENSSR 7, 199- WENTIFICATION PRODUCT Wan- OTMW NAMES, P.TIIVR CMgxT, PXOUR RZZNFORCOD 42'kTJrETi 2 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR .-I — -- -- .— r 1% rHQt-04Q Z.Vic - is-' pt' 4'4jvz� PHYSICAL DESCRIPTZOX/PROPERTIES -. AMARANCE & GDOA' SOLID QRHY/PlGMWM= BOAPD8 ;qrTH vMxou-s DrmMiSjoy$ AW♦ING TO PRODUCT, VOLATILITY - NOT RELEVANT DOI)41vc POINT. NOT " VAOT SOMMILITY IN WATUR! NQT RELEVANT MELTING POIMt NOT RFZZVANT - =Mk HEALTH EFIECTs; PAGE 03 rlue SKIN! DUST MAY CAUSE ' M ' TA!r ' M or T'M SY'M 7100 FaICTION OUT CANNOT BE AM$0RpW M ROUQR INTACT SKrM. lM"LXD DUST MAY QAVSe IRRITATION Op THR y ogg, Tjjp MUGRIVO Am SHEsallm. QAT AND L-U=S CAUS I 2TG Csmonc REPEATED AND PROLONG= OVaUX V O SM'a To DUST CONTAINING CRYSTALLINR CAUSES STLZCOSXS (SCARRING or =6 LUNG) A". INCA ES Tug RISK OF IIAORCHITIN, TtMxRcuLOsXS, LlWG CANOER, ROML DISWR AM scLEvoDZRMA to DDS "f5CTZWi3 THE CO=CTIVE Tl$stM op TxE SKIN, JOINTS, BLOOD VWSOM'S AND MMNAL HAV SHOW THAT C-T=ETTE SmftxxQ INCREAsigs THE RISK op I CARClN0WWTCjT , p"Po 465 XPJWING, SPY 116 COYSTALLIM SILICA IS IWOWN ly T" SrATZ Or CAZZk'QRbTlA TO CAUSE CAM". INTRANATXONAL AoRNcy pojR RE_qMC ON CANCU (XARC) CR D Y.9TALLINN $ILICA IW AA .LE TV THS TCRMS OF CUARTZ OR CRIsTORATITE pp M OC= SOVXMS 13 CARCINOGEN14 T9 AUMAN$ THE MATIOUn ToxICOX4gy pROGRM (l EM CONC!LUDED THAT nspzwLz Cky9TA,*4LlKB 91- LICA MAY 9EAgokmmy ax VWMD TO CONSTTTUTZ A CARCINOGWIC RISK. OG11a. HAS NOT MADE ANY PIWING PZQARo= THE - CtM - ENy CRYSTALLIM SILICA. AR Of C][ry Op RZqPXPAplE S AM ' OF 0 V= SXPQSURPC-' VJtXAT=Z;4KZS9, WHEEZING, couou, spunm PRODuCTION - FIR8T AID� XOT EXPECTED WDER XORWjL COBDI:TZONS Op ZMV Glit A TM To DRINIC. U r YU CONTACT. FLUSH WITH RUNNING WATSP, SEEK MEDICAL KTTM IF F,=KBSS OR 3:RgXTATXQN VE"ISTS. S . KIN CONTACT, IF ANY jRRjTA Q CC Mg WASH THOROVoliLy WITH 14ILD $OAP AM WAT XXHALB D -. 104 OVE TO FPESK A%R. I �V TQ WQTQX TREAT SYMPTONATICA"Y, 3014G/3 tsiQ2+2 CALCIUM SXLXCATIF (TOTAL DfJCT) ISMG/m m 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 05 11 ... . .. -- c ,rte A5 t- r . uj�i ffz�� SNO/M3 NUISANCE OUST (NOT OTHERWISE SPZCIFXED) MTAL� so ISMAQ IRZSPIAABLR) is 5MG/m 0=UL6S2 (TOTAL) �RWPZRAX�Lz) 15mu/N3 $Z4Q/?43 d Tjlf4lTs RucomwmXom A) �CQTK Tf.Vc CRYSTAZTXXX QVARTZ 'TL V-TWA-0.lXGjM3 (INSPIPABLE DUST) SEE DOCUMXYTATION OF TXE TMESHOLD LIMIT VALUNS AM 8ZoLO4aICJkL r AC015. PRODUCTS MAY BE FiCmWTED OR COATED. IF pToxmtT= mm WILL CONTAIN IRON OXTY)F- I LI , Z� kAXOT ;�A a. wmNnms ZZLOW APPLY TO DUST ONNURATED MOM THS 30ARM Z cwncz;�,�— JAMES HARDIE$ AtECOMMINDATIOXt KEEP RXPOSURE TO DUsT AS LOW AS PFJkcT!CAkLE, - - - - - - - - ��i -vwA "Witt[" orlvv mm My WWI' T. Use; IZCQ.RZ AND &=21- %r,-jjoD Rjj- ARD sprsc!!A:i TIT&MA79k: '"Tr-t4rl AND SNAP WIM 711 CEMENT ZLZVMTC OR PDT "TTY 01T ?r 1PROTECTION MUST BE WORtf. (SEE PERSoa-&L V&oTqzcTjox nmr.nW-_ PER-SCMAL -r*L0T]9v-TlG9! :LOX 77 r: WTT;i 4 1 R, %al A Li�V M -T-Aw MPa "%tot- =JTZ Triwl vwwNuwt'- 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 06 STORAGE AND TRANSPORT TfMR An NO SmcfAL Rj&oVjRmjmTs FOR STORAW A= TAMSFORT. SPILLS AND DISPOSAL: GOOD KCU88)MVP,%Lf4 P"cTicss ARE NXCUSSARy FOR CL NG Up ARE" WkW 21 :r EM SOA"$ W QW RZ6VLTXUQ IN W-JUT AWDIOR MvCtIT5 A F E h+A E72 MAly BE =97 oi axzjum; JAM�g MARDTH P CEMENT PROW= ARS NOT FLANKMIE. OTHER INFOR.M.-ATION mAgfi ACCORDi3jo-ly. .F ay tj— x1gCommingns mg" vn- r�t Thl Zs In WA THE m;mm.- �� '7 C Af T9!CPff1QAL RRRI"Mm AIT PRODUCT CONT" - ZXPOSMAS TO RESPlRJQ*" S-1 VV$T C" CAUZr6 LaxL100sT, r I - --- -�— - q zlz Zoll�i; �L-unlia 1�1;saikzizs Ailb Xs Kxoww 14D '170 STATE OF TKSIAL"lli],& Chi vrwi- To Qz uz-�z ;kk4 i�4YOAZ) - R"D(Kr WHT.Loj'W- m 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 07 P-qQDTJCTS CONTROL, T COMPANY MA"S NO REPRESENTATICN8, QUA WARgANTIRS, UITX9A XP SS OR T"T-.T= UARA"Tas As TO TW-- Fvm=,.F� tlr Tex ** TOTAL FIOSrt.06 ** 12/22/2000 08:12 6124644305 MCCARRONS BLDG CTR PAGE 08 — MI! rj% WCTLN"HLUSER-ST PADI-645 9512 TO 4E;4430$ P,01"ol HAMIFLOL HAftnr#A4r.KLx;k TP�WNTUMCA.InnNI ki�l HAZARD lNY0RmA7-mw A lur4b FOR USE O"L DATA t9girr 4V.TWluc r)P*TZ WMISED - i t) FMITI PICA TVN W. P, --- ---- USID AR ** TOTAL PAGE =gi m* 1.011 ...................... ........ ....... A 3rd Generation Asphalt Contractor 2392 Pio Frail • Med1na, MIY55340 763.478.6878 • FAX 763.4782329 , E'mail: dMjCorP(Mqwest Website., -i . ua-Spha corn This warranty stipulates that the above-named Contractor shall, during a period of one (1) year from the date of final acceptance of the Work, promptly repair any defective wor w ith out cost work corrected or the re to the Owner, If Contractor does not Promptly repair defective work, Owner may ha work removed and replaced, and all direct, indirect, d efective consequential costs of such removal and replacement (including but not liMitod and to fees and charges of engineers, architects, attorneys, and other professionals) will be paid by the Contractor. Before expiration of the above warranty Period, the Prime Contractor shall inspect the work in the Presence of the Owner's representative and make necessary correction of all deficiencies not considered normal- The warranty will remain done. i f k $ n n force until the necessary repair wor ha 1!4 KARI HTJHN TITLE Wir'M-Onn!�j DATE 4110/02 UPDATED 2/9 i/M ,ountry Concrete, Inc. Karl Virkus President RE MOM The Builders Inc 8100 Wayzata Blvd. Minneapolis, MN 55426 Office: (763) 576-8602 Fax: (763) 576-8636 7040 143rd Ave. NW Ramsey, MN 55303 Dear Mark, North Country Concrete Inc., will warranty all site concrete work that we have performed one year from our last date on site. Our last date on site at the New Hope Village Golf Course Clubhouse was May 8, 2001. If you have any questions, please feel free to contact me. Sincerely, Amie GangI CFO April 5, 2002 The Builders Inc. 8100 Wayzata Boulevard Minneapolis, MN 55426 Attention: Mark Gorski Re: New Hope Village Golf Course Clubhouse The following warranty shall be applied to the Millwork as Manufactured and supplied by Paul's Architectural Woodcraft Company on the above referenced project. That Paul's Architectural Woodcraft Company located at 2730 Fernbrook Lane, Minneapolis, Minnesota guarantees its product for a period of (1) one year from the date of substantial completion to be free from any material and manufacturing defects which would render this product unsuitable for use by the designated occupant or owner. Upon written notice to Paul's Architectural Woodcraft Company by either the occupant, owner, architect, or contractor an inspection will be made to determine the extent of the defects. Paul's Architectural Woodcraft Company agrees to make corrective action as necessary to restore the product to good working condition at no expense to any of the above parties. This warranty does not cover acts of catastrophe, misuse, or vandalism. z o q.of exog Vd�� cos � a 2730 Fernbrook Lane, Plymouth MN 5544 7 763 - 559 -2990 Fax 763 - 559 -2630 04/05/2002 14:40 7637553581 HOMECO PAGE 02 Wb" is warranted CertainTeed Corporation ( "Certsin1leed" ), subject to the condi- tions and limittstiona listed herein, warrants its fiber glass building insulation and loose 811 products to be free from manufacturing defects, as well as from defects related to the material or to the design of the insulation, for one year following the date of installa- tion. This warranty is extended to and may be enforced by the origi- nal homeowner /consumer for wham the insulation is installed, or the supplier ot the insulation. It is not trxnaferable by the original homeawrker /consumer. Certaiu'Ibed, at its election, will correct the defect or supply replsceaterd or substitute insulation, free of charge, for any inoula- tion proven to be surferiug tram one of the foregoing defects during the applicable abov"tated warranty period Afillowing installa- tion, up to a maximum liability which shall be equal to the cost of the irwul*aon required to replace the defective product, but CertainTeed shall inaeo event be liable for arty labor charges or other expenses whatsoever in connection with removal or installa- tion of either the original or replacement insulation etucept to the extent CertainTeed, at its election, corrects rather than replaces the insulation determined to be defective. HVv to Maio a Claim 1b obtain performance under this warranty, the original cus- toaner, installation contractor, or supplier shall notify Certainlhed in writing of any defect promptly following its discovery and shall submit with such notice proof oQ date of purchase and installation in order to pra vide Certain'Iked are opportunity to investigate the claim and examine the material claimed to be defective. Notifica- tion shall be provided to GertainTeed Corporation, Valley Forge, Pennsylvania IM2, Attention: IG Technical Services Department. CertainTeed "I then promptly inspect the chinned defect and if such examination does disclose a defect covered by this warranty, shall, within a reasonable period of time after inspection, either correct or replace the deflective insulation subject to the terms set forth above. LIMITATI MiS 1. Certainlbed shall have no liability under this warranty for: s. Deflects or failure caused by improper storage or by iuetal- lation of the insulation not in strict adherence with the instructions of CertalanTBe4 b. Any damage to the insulation caused by impact of foreign objects, or by lightning, gale, hurricane, torn049, earthquake or other Acts of God, or by Rre, explosion, or other casualty. e. Defects or failure of or damage caused by materials adjacent to the insulation. d. Damage caused by alteration after completion of the installs' tion of the insulation whether such alteration be by structural additions, changes, or replacements, or by equipment installation. 2. Certain'i'eed reserves the right to discontinue or modify any of its insulation products without notice, and shall not be liable to the original customer, installation contractor, or supplier as a result of such discontinuance or moditIcation. 3. If Certain1bed replaces any material under this warranty, it may substitute products designated by CertainTeed to be of compara- ble duality or price range in the event the product initially installed has been discontinued or modi>tled- C THIS WARRANTY IS EXPRESSLY IN LIEU OF ALL OTHER ORAL OR WRI'T'TEN WARRANTIES, LIABILITIES OR OBLIGt>r TIONS OF CERTAINTEED, PERTINENT STATE LAW SHALL CONTROL FOR WHAT PERIOD OF TIME SUBSEQUENT TO SALE A CONSUMER/HOMEOWNER MAY SEEK A REMEDY PURSUANT TO ME IMPLIED WARRANTY OF MERWAN- TABILITX OR OF FITNESS FOR A PARTICMAR PURPOSE, IN NO EVENT SHALL CERTAINTEED Ot LIABLE FOR CONSE- (ZUENTIAL OR INCIAENTAL DAMAGES OP ANY KIND, INCLUDING ANY DAMAGE TO THE BUILDING, ITS CONTENT$ OR ANY PERSONS THEREIN, RESULTING FROM THE BREACH OF ANY WARRANTY SET FORTH HEREIN. NO REPRESENTA- 1'I VE OF CERTAINTEED OR ITS DISTRIBUTORS OR DEALERS IS AUTHORIZED TO MAKE A14Y CHANGE OR MODIFICATIONS To THIS WARRANTY. SOME STATES MAX NOT ALLOW LIMITA- TIONS TO OR THE EXCT.UStoN OF INCIDENTAL OR CONSE- QUENTIAL DAMAGES, SO THE ABOVE EXCLUSIONS MAY NOT APPLY TO YOU This limited warranty gives you specift legal. rights and you may also have other rights which vary from state to state. It is effective on insulation installed subsequent to March 1, 1991. CertainTeed Corporation, P.O. Box 860, Valley Forge, PA 15482 U.S.A. `.ode No. 30-M -982 &9 1991 Cartaintood Corpombon 9191 Weyerhaeuser Door Division warrants our 5 -Ply doors to be of good material and workmanship and will provide satisfactory xformance for the time period shown: Door Type Interior Warranty Exterior Warranty DPC -1 Particleboard Core Life of Original Installation Not Warranted DFP -20 + DFP -2OPP Particleboard Core Life of Original Installation Not Warranted DCL -1 Structural Composite Lumber Core Life of Original Installation Not Warranted DCL-2O + DCL -2OPP Structural Composite Lumber Core Life of Original Installation Not Warranted DSC -1 Staved Core Life of Original Installation Not Warranted DFS -20 + DFS -2OPP Staved Core Life of Original Installation Not Warranted DFM -45, 60 & 90 Mineral Core Life of Original Installation Not Warranted DFM -45PP, 6OPP & 9OPP Mineral Core Life of Original Installation Not Warranted DSR -41 + DSR -41 PP Particleboard Core Life of Original Installation Not Warranted WXR -1 Lead and Staved Core Life of Original Installation Not Warranted WXR -20 + WXR -2OPP Lead and Staved Core Life of Original Installation Not Warranted Coverage This warranty applies to purchasers of the above described doors from Weyerhaeuser. It extends on resale of the door, however, claims should be processed through the intermediate supplier. If any door does not comply with this warranty " the warranty period, Weyerhaeuser will Jr or replace the door. If repair is not practical, Weyerhaeuser will, at Weyerhaeuser's option, replace the door or refund the purchase price of the door. If any door becomes defective after installation, with preapproval, Weyerhaeuser will pay a reasonable amount to remove, refinish and rehang the door. Weyerhaeuser is not obligated to pay for removal and rehanging if the reason for which the door is being rejected was apparent prior to hanging. i E-ceptions to Coverage Exclusions are not covered. This warranty is subject to tolerances and requires strict compli- ance with maintenance, storage, handling, fin- ishing and installation instructions. (See reverse side.) Weyerhaeuser is not responsible for damage or unsatisfaciory performance caused by others. Weyerhaeuser's sole respon- sibility is stated in this warranty, and Weyerhaeuser is not liable for consequential, indirect or incidental damages. (Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limi- or exclusion may not apply to you. This warranty y , -, you specific legal rights, and you may also have other rights which vary from state to state.) . Claims Procedure Since Weyerhaeuser cannot control the handling or exposure of doors after shipment, the purchaser must inspect the doors when received. Written notice of any claim must be given by the purchaserfinstaller to the supplier and to Weyerhaeuser within 30 days of delivery. Forwarding of doors prior to inspection for damage will waive all opportunity to file a freight claim. All parties must be given a reasonable opportunity to investigate the reported problem before taking cor- rective action. Weyerhaeuser will not inspect finished installa- tions for the sole purpose of certifying the instal- lation is within warranty. Weyerhaeuser Door Division Sales & Service Center 1401 East Fourth Street P.O. Box 7780 Marshfield, WI 54449 -7780 Toll -free: (800) 869 -3667 http: / /doors.weyerhae user.co m Record this information in case of claims Od- (�z l l �'j`j Installer — TL-e_ -� Mill Order No. A x ' 4 7`j Date Shipped 1 a-- 4 J -" Dat Installed ? Door Type (s) LI)O Z Lk_ U Purchaser _ � ,Z� G L E W W E DOORS, INC. SECTION 08700 - FINISH HARDWARE Re: NEW HOPE VILLAGE GOLF COURSE Job #: 00-6111 BS Glewwe Doors, Incorporated guarantees material furnished against defective manufacture for a period of one year from the date of March 22, 2002. Signed By: James M. Schreiner Date: April 23, 2002 GLEWWE DOORS, INC. • 935 APOLLO ROAD • EAGAN, MN 55121 PHONE: (651) 456-9194 0 FAX: (651) 456-9956 111 F 1 11 1 ARC MUE"CTUTRAL HARDWARE SCBEDULE He: 00-6111 BS Project: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE Revision Number: 8130 BASS LAKE ROAD Date Revised: NEW HOPE, MN 55428 HHI Contact: BRAD WOLFE Position: Job Superintendent Job Site Phone: 763-553-0062 Architect: TSP ONE, INC. VDI = 21 WATER STREET EXECLSIOR,MN 55331 Contact: MARK THIEDE Position: Project Architect Office Phone: 952-474-3291 Contractor: THE BUILDERS 8100 WAYZATA BLVD MINNEAPOLIS, MN 55426 Contact: MARK GORSKI Position: Project Manager Office Phone: 763-545-3217 Consultant: ff7LLL4MJSCM11TTAHC1d3 Submittal Date: 07/26/2000 Revision Number: 1 Date Revised: 08/15/2000 BLC = BEST LOCK CO, BOM = BOMMER INDUSTRIES GJC = GLYNN JOHNSON CORP. HHI = HIAWATHA HARDWARE, INC. LCN = LCN CLOSERS, INC. MMC = McKINNEY MFG. CO. NGP = NATIONAL GUARD PRODUCTS VDI = VON DUPRIN, INC. 935 Apollo Road - Eagan, 1V 55121 - Phone (651) 456-9194 - Fax (651) 456-9956 AA/EEO Page no. 2 of 4 FILE: 00 -6111 BS 0 NEW HOPE VILLAGE GOLF - NEW HOPE, MN 55428 t ;ion #1 GLEWWE DOORS, INC. - EAGAN, MN VERTICAL SCHEDULE BY OPENING OPENING LOCATION U/M WIDTH HEIGHT THICK HAND LABEL DOOR INFO DR FRAME INFO FR MACHINING HOWE -------------------------------------------------------------------------------------------'--------------------------------- xref mfr qty item description EL EL HING STRK HEAD GROUP - - - - -= 101A EXTERIOR 3' -0 7' -0 1 -3/4 RHR AL BY OTHERS AL BY OTHER 1 from SEATING 122A MMC 3 EA *HINGES T4B3786 4 -1 12 x 4 -1/2 US4 x NRP 299A BLC 1 EA *RIM CYLINDER 1E72 S2 RP 606 400A VDI 1 EA *EXIT DEVICE 99NL -OP US4 3' 505A HHI 1 EA *PULL 536B - 1" x 10" ctc US4 631A LCN 1 EA *CLOSER /STOP 4111 CUSH LH BRASS 645A LCN 1 EA *CLOSER DROP PLATE 4110 -18 BRASS 646A LCN 1 EA *BLADE STOP SPACER 4110 -61 BRASS 647A LCN 1 EA *CUSH SHOE SUPPORT 4110 -30 BRASS 831A NGP 1 EA *THRESHOLD 425E - 36" 850A NGP 1 EA *SWEEP B606A - 36" WEATHERSTRIP FURNISHED BY ALUMINUM DOOR SUPPLIER. 1018 EXTERIOR PR. 3' -0 7' -0 1 -3/4 LHRA AL BY OTHERS AL BY OTHER 2 from SEATING RHRI 122A MMC 6 EA *HINGES T4B3786 4 -1/2 x 4 -1/2 US4 x NRP 242A BLC 1 EA *OFFICE LOCKSET 35H 7G 3H 606 LHR 306A GJC 1 PR *MANUAL FLUSHBOLTS FB6 US4 12" (2 EACH) 311A GJC 1 EA *DUST PROOF STRIKE DP -1 US4 643A LCN 1 EA *CLOSER /H -0 /STOP 4111 H -CUSH RH BRASS 645A LCN 1 EA *CLOSER DROP PLATE 4110 -18 BRASS 646A LCN 1 EA *BLADE STOP SPACER 4110 -61 BRASS 647A LCN 1 EA *CUSH SHOE SUPPORT 4110 -30 BRASS 730A GJC 1 EA *OVERHEAD STOP /HOLDER 904H US4 (Mount on the Inactive Leaf) 833A NGP 1 EA *THRESHOLD 425E - 72" 850A NGP 2 EA *SWEEP B606A - 36" WEATHERSTRIP FURNISHED BY ALUMINUM DOOR SUPPLIER. 101C EXTERIOR PR. 3' -0 7' -0 1 -3/4 RHRA AL BY OTHERS AL BY OTHER 2 from SEATING LHRI 122A MMC 6 EA. *HINGES T4B3786 4 -1/2 x 4 -1/2 US4 x NRP 244A BLC 1 EA *OFFICE LOCKSET 35H 7G 3H 606 RHR 306A GJC 1 PR *MANUAL FLUSHBOLTS FB6 US4 12" (2 EACH) 311A GJC 1 EA *DUST PROOF STRIKE DP -1 US4 641A LCN 1 EA *CLOSER /H -0 /STOP 4111 H -CUSH LH BRASS 645A LCN 1 EA *CLOSER DROP PLATE 4110 -18 BRASS 646A LCN 1 EA *BLADE STOP SPACER 4110 -61 BRASS 647A LCN 1 EA *CUSH SHOE SUPPORT 4110 -30 BRASS 730A GJC 1 EA *OVERHEAD STOP /HOLDER 904H US4 (Mount on the Inactive Leaf) 833A NGP 1 EA *THRESHOLD 425E - 72" 850A NGP 2 EA *SWEEP B606A - 36" WEATHERSTRIP FURNISHED BY ALUMINUM DOOR SUPPLIER. Page no. 3 of 4 FILE: 00 -6111 BS 08/15/2000 NEW HOPE VILLAGE GOLF - NEW HOPE, MN 55428 Rpwision #1 GLEAIE DOORS, INC. - EAGAN, MN VERTICAL SCHEDULE BY OPENING OPENING LOCATION U/M WIDTH HEIGHT THICK HAND LABEL DOOR INFO DR FRAME INFO FR MACHINING HDWE xref mfr qty item description EL EL HING STRK HEAD GROUP -------------------------------------------------------------------------------------------------------------------=-------- - - - - -- 101D EXTERIOR from SEATING 3' -0 7' -0 1 -3/4 RHR AL BY OTHERS AL BY OTHER 122A MMC 299A BLC 400A VDI 505A HHI 631A LCN 645A LCN 646A LCN 647A LCN 831A NGP 850A NGP 106 EXTERIOR from HALLWAY from STORAGE 122A MMC 299A BLC 400A VDI 505A HHI 633A LCN 645A LCN 646A LCN 647A LCN 831A NGP 850A NGP 108A FOOD PREP from STORAGE 155 BOM 500 HHI 540 HHI 751 GJC 108B HALLWAY from STORAGE 111 MMC 274 BLC 510 HHI 652 LCN 700 GJC 3 EA *HINGES T4B3786 4 -1/2 x 4 -1/2 US4 x NRP 1 EA *RIM CYLINDER 1E72 S2 RP 606 1 EA *EXIT DEVICE 99NL -OP US4 3' 1 EA *PULL 536B - 1" x 10" ctc US4 1 EA *CLOSER /STOP 4111 CUSH LH BRASS 1 EA *CLOSER DROP PLATE 4110 -18 BRASS 1 EA *BLADE STOP SPACER 4110 -61 BRASS 1 EA *CUSH SHOE SUPPORT 4110 -30 BRASS 1 EA *THRESHOLD 425E - 36" 1 EA *SWEEP B606A - 36" WEATHERSTRIP FURNISHED BY ALUMINUM DOOR SUPPLIER. 3' -0 7' -0 1 -3/4 LHR AL BY OTHERS AL BY OTHER 3 EA *HINGES T4B3786 4 -1/2 x 4 -1/2 US4 x NRP 1 EA *RIM CYLINDER 1E72 S2 RP 606 1 EA *EXIT DEVICE 99NL -OP US4 3' 1 EA *PULL 5368 - 1" x 10" ctc US4 I EA *CLOSER/STOP 4111 CUSH RH BRASS 1 EA *CLOSER DROP PLATE 4110 -18 BRASS 1 EA *BLADE STOP SPACER 4110 -61 BRASS 1 EA *CUSH SHOE SUPPORT 4110 -30 BRASS 1 EA *THRESHOLD 425E - 36" 1 EA *SWEEP B606A - 36" WEATHERSTRIP FURNISHED BY ALUMINUM DOOR SUPPLIER. 1 3' -0 7' -0 1 -3/4 LHR WD DPCl BIRCH HG HM 16GA. SL 5 -3/4" 03 453 P.P. GJC 6 DA 104S 90' 3 EA DOUBLE ACTING SPRING HINGE 3029 -6" US3 2 EA PUSH PLATE 20OF - 4" x 16" US4 2 EA ARMOR PLATE 40" x 34" .050 CS B4E US4 1 EA CONCEALED OVERHEAD STOP 1045 US4 90 DEGREE (FOR USE WITH BOMMER 3029 -6 HINGE) 3' -0 7' -0 1 -3/4 RHR WD DPC1 BIRCH F HM 16GA. SL 5 -3/4" 01 453 El 71 #2 5 3 EA HINGES TB2714 4 -1/2 x, 4 -1/2 US4 1 EA CLASSROOM LOCKSET 35H 7J 3H 606 RHR 1 EA KICKPLATE 10" x 34" .050 CS 84E US4 1 EA CLOSER /HOLD -OPEN P1461 H -EDA BRASS 1 EA WALL STOP SOW US4 Page no. 4 of 4 FILE: 00 -6111 BS 08/15/2000 NEW HOPE VILLAGE GOLF - NEW HOPE, MN 55428 R —ision #1 GLEWWE DOORS, INC. - EAGAN, MN VERTICAL SCHEDULE BY OPENING OPENING LOCATION U/M WIDTH HEIGHT THICK HAND LABEL DOOR INFO DR FRAME INFO FR MACHINING HDWE ---------------------------------------------------------------------------------------------------------------------------------- xref mfr qty item description EL EL HING STRK HEAD GROUP 109 HALLWAY 3' -0 7' -0 1 -3/4 RHR WD DPC1 BIRCH F HM 16GA. SL 5 -3/4" 01 453 El 41#2 5 from MECH. /JANITOR 111 MMC 3 EA HINGES TB2714 4 -1/2 x 4 -1/2 US4 274 BLC I EA CLASSROOM LOCKSET 35H 7J 3H 606 RHR 510 HHI 1 EA KICKPLATE 10" x 34" .050 CS B4E US4 652 LCN 1 EA CLOSER /HOLD -OPEN P1461 H -EDA BRASS 700 GJC 1 EA WALL STOP SOW US4 110 111 112 HALLWAY to OFFICE 100 MMC 273 BLC 700 GJC HALLWAY to WOMENS 111 MMC 500 HHI 504 HHI 508 HHI 510 HHI 651 LCN 700 GJC HALLWAY to MENS 111 MMC 500 HHI 504 HHI 508 HHI 510 HHI 651 LCN 700 GJC 3' -0 7' -0 1 -3/4 RH WD DPCl BIRCH F HM 16GA. SL 5 -3/4" 02 453 El #1 #2 4 3 EA HINGES T2714 4 -1/2 x 4 -1/2 US4 1 EA CLASSROOM LOCKSEf 35H 7J 3H 606 RH 1 EA WALL STOP SOW US4 3' -0 7' -0 1 -3/4 RH WD DPCI BIRCH F HM 16GA. SL 5 -3/4" 01 453 P. P. #1 #2 3 3 EA HINGES TB2714 4 -1/2 x 4 -1/2 US4 1 EA PUSH PLATE 20OF - 4" x 16" US4 1 EA PULL 523A - 3/4" x 8" ctc US4 1 EA MOP PLATE 4" x 34" .050 CS B4E US4 1 EA KICKPLATE 10" x 34" .050 CS B4E US4 1 EA CLOSER /HOLD -OPEN 1461 H BRASS 1 EA WALL STOP SOW US4 3' -0 7' -0 1 -3/4 LH WD DPC1 BIRCH F HM 16GA. SL 5 -3/4" 01 453 P. P. - #2 3 3 EA HINGES TB2714 4 -1/2 x 4 -1/2 US4 1 EA PUSH PLATE 20OF - 4" x 16" US4 1 EA PULL 523A - 3/4" x 8" ctc US4 1 EA MOP PLATE 4" x 34" .050 CS B4E US4 1 EA KICKPLATE 10" x 34" .050 CS B4E US4 1 EA CLOSER /HOLD -OPEN 1461 H BRASS 1 EA WALL STOP SOW US4 113 PICNIC AREA(EX) 3' -6 7' -0 1 STL BY OTHERS STL BY OTHER ... PICNIC PREP COILIN G DOOR 29X BLC I EA CYLINDER TO BE BEST. :.VERIFY TYPE (Rim or Mortise) US4 BALANCE OF HARDWARE FURNISHED BY COILING DOOR SUPPLIER. 7 T21�x Stainless steel base or available in Steel base polished and plated brass or bronze base material polished or furnished in prime or powder and plated or furnished in prime or coat finish. powder coat. 1 *Not available in Stainless • NRP (non- removable pin) • RC (round comer - radius furnished unless specified otherwise) • HT (hospital tip) • BT (ball tip) • ST (steeple tip) • SSF (safety stud feature) • RB (raised barrel) • "S "(sheradizing, our additional rust resistant base under standard finishes on steel base) • Slip In (Type 1 or Type 2) • Beveled Edge (where doors are beveled on hinge side specify T4314 or T4714) All standard weight full mortise non - ferrous hinges are packed with all machine x 1 /2 wood screws. Steel hinges (except USP) are packed all machine x all wood screws. For special screws consult price book on availability. A2133 Brass, Bronze A5133 Stainless A8133 Steel Not recommended for medium or high frequency doors, or doors with closing devices. m m McKINNEY -80®- 346 -7707 -AY plated Stainless steel base or available in Steel base polished and plated brass or bronze base material polished or furnished in prime or powder and or •, powder coat. • NRP (non - removable pin) TB (ball bearing) ' • TCA (concealed bearing) • RC (round comer - %" radius furnished unless specified otherwise) • HT (hospital tip) • BT (ball tip) • ST (steeple tip) • SSF (safety stud feature) • CC -4 (concealed circuit - 4 wire) • CC -6 (concealed circuit - 6 wire) • CC-8 (concealed circuit - 8 wire)* • CS- (concealed switch - handing required) * • ylM (magnetic monitoring) • "S "(sheradizing, our additional rust resistant base under standard finishes on steel base) • Slip In (Type 1 or Type 2 ) • Beveled Edge (where doors are beveled on hinge side specify T_A43 14 orTA4714) * Not available in Stainless -ti r A2112 Brass, Bronze A5112 Stainless A8112 Steel — ecommended for standard ia- eight, medium frequency doors, or doors with closing devices. 34 ac 1- 800 - 346 -7707 A_ B_ ' 'Not available in Stainless S t Note: 8" x 6" and 8" x 8" have six bearings. _1_1____11_ i7 laul" I'."111Jlicu unless specified otherwise) • HT (hospital tip) • BT (ball tip) • ST (steeple tip) • SSF (safety stud feature) • RB (raised barrel) • CC-4 (concealed circuit, 4 wire) • CC -6 (concealed circuit - 6 wire) • CC -8 (concealed circuit - 8 wire) • CS- (concealed switch -handing required? • MM (magnetic monitoring) • "S" (sheradizing, our additional rust - resistant base under standard finishes on steel base) • Slip In (Type 1 or Type 2) • Beveled Edge (where doors are beveled on hinge side specify T4A4386 or T4A4786) Not available in Stainless _._.�'. A2111 Brass, Bronze A51 11 Stainless A8111 Steel commended for use on high frequency and /or heavy wood or metal doors in schools, hospitals or other public buildings where heav> traffic is experienced. 36 mcKNNEY m -7, "° Supplied in Bronze or Steel only o� Steel base material polished and plated or furnished in prime coat finish. • For wood doors not weighted with plate glass or heavy hardware ' • Door flange mortised in door • Jamb Flange Surface applied to the frame face • Non- templated (sizes 3 ", 4 ", 5 ", 6 ") • Springs are made of high grade tempered steel • Non -handed All 1001 Series Double Acting Spring Hinges are packed all machine x 1/2 wood screws. This hinge is designed to be applied directly to the jamb without the use of a hanging strip. Door flange requires a shallow mortise. K81041 Steel It is recommended that three hinges be used on door sizes as indicated above. The center hinge should be installed as close as possible to the top hinge for maximum support. r m MOUNNEY 1- 800 -346 -7707 81 Minimum height for weights shown. Hinge capacity decreases as door height decreases. TABLE,;�FCGO�I`�ITENTS Page.. -.`- p fe_atureslSpec�ficatians ...; ... 2, 3 Functions Shipping Weights: _ ........ .......:...3 Strikes /Special Features: 971 Or. "aer Procedures:: �. .... ,.....�.�. 4 , 38H/39H High Security Spec's /Funct�on�- .,._. _ 13 . 1 E:Gyllnder Specifiications „ ......,..,.. . 5' 38H/39H High:S Hi�h Securt G finders _ e ....,.:. 5: m �fari " Door Preparation � unty Qrder Procedure 13 Knobs & Triations _ 14 6 Hand ofi Door / Service Equipment 14 Lever & Trim V eiatio S 7 8 Sample Specifications_ FEATURES 1. Solid machined knob construction. ( #4, #6) 2. Self aligning trim is through - bolted for proper alignment with 6 14 9 a; 16 H Cl_J11r\VVHY viCVV 15 k EXPLCI�EE�) \/IE\A/ M case. 3. Knob, lever and rose styles match 8K/9K series cylindrical locks. 4. One inch stainless steel throw deadbolt. 5. 3 /4" throw anti - friction latchbolt standard. 6. 36H/37H offers high security cylinder for ANSI Grade 1 security. Cylinder is UL listed (UL437). 7. Friction insert in inside knob resists loosening. (Not shown) _4 8. Low friction knob and lever handle bearing for smooth, wear - resistant operation. 9. Lockset reversible for hand of door. 10. Quick rekeying with Best interchangeable core. 5 11. Patented roller bearing hub mechanism for smooth, wear - resistant operation. 12. Independently spring loaded lever handles to prevent wear and lever sag. 13. Solid machined cylinder rings with tension spring to resist wrenching of cylinder. 14. Improved cylinder security screw prevents removal of cylinder except when core is removed. 15. Lever and knob can be intermixed for inside /outside trim. 16. Heavy gauge steel lock case. 17. Heavy steel hubs & locking mechanisms. 18. UL listed. 19. ANSI certified. 20. Patented trim plate, N trim escutcheon. (Not shown) 21. `Twist for security" feature redesigned spindle & locking bar for improved strength & superior torque resistance. 13 6 -� /_ _...---10 E:? lf:n 9 ©® ACC SYS - e,vs 1 (1 9 / 3 C>RIDER PR4C><:::EE>URE H SERIES HC>W TO <- 3.4H K"C>B 35H T 7 EW 14 H 7 E i 4 A _6 RH 5C cores j I 37H - lever I only J - classroom 144 - ball LHRB LL - lead lined 35H - Lever 0- keyless 34H - Knob j 0 - keyless o :�office round concave 605 606 RH KNL - knurled knob or less - storeroom 44 - ball B - s st, om square q 611 612 RHRB IDH-integrated door hardware 1 cylinder F- entrance 6 - tulip C - 2 Ih6 dia. 613 618 LH ILL - lead lined LH RQE- request to exit 7 - 7 pin J - classroom D -convex 619 625 LHRB RQE. request to exit 619 625 LHRB SH - security head screws I housing. accepts LF - privacy I J - wrought N -passage M 626 housing. SH - security head screws 14 - curved/ concealed 626 629 Thick Door - (specify thickness if other - forged TAC - tactile knob N -passage re cylinder all Best etc. *N - forged ACCESS SYSTEmS I Thick Door - (specify thickness if other all Best etc. cores concealed - than I 'A ") cores c ylinder I WT - working trim only WT - working trim only page 9-11 page 6 page 6-8 page 3 page 14 page 12 *Use V' trim for double keyed functions. **Must specify key mark and number of keys or designate UC for less core. HOW TO C>RE)ER: 35H LEN/ER High 35H T 7 EW 14 H 626 RH 36H - Knob 5C cores F- entrance 4 " round only LH KNL - knurled knob 37H - lever I only J - classroom 144 - ball LHRB LL - lead lined 35H - Lever 0- keyless E�office 3t S H s olid tube/ 2 d ia. 605 606 RH AL - abrasive lever or less E reroom - s e Zm J - w 611 612 R HRB LL - lead lined 1 cylinder der F- entrance 12 - solid tube/ M - forged 613 618 LH RQE- request to exit 7 - 7 pin I lassroorn , no return *N - forged 619 625 LHRB SH - security head screws I housing. Lil;c privacy 14 - curved/ concealed 626 629 Thick Door - (specify thickness if other accepts N -passage re cylinder 630 than 1 -1 /4 " ) ACCESS SYSTEmS all Best etc. 15 - contour/ & S - 3 '/2 " dia, TL - tactile lever cores angle return WT - working trim only 16 - curved/ no return 17 - gullwing/ no return 33 - solid return page 9-11 page 7, 8 page 7, 8 page 3 I page 14 page 12 *Use "M' trim for double keyed functions. ** Must specify key mark and number of keys or designate UC for less core. HC>W TO C>ROER: 36H/37FA H]4:3;" SEC - 36H ;11 6 26 R T /V M High 7 pin E - office 3 - solid tube/ 26 RH M - forged AL - abrasive lever Security a Pt s acc - & EW storeroom return :30 RHRB K - non UL cylinder 36H - Knob 5C cores F- entrance 4 " round only LH KNL - knurled knob 37H - lever I only J - classroom 144 - ball LHRB LL - lead lined etc. 6 - tulip RQE- request to exit 12 - solid tube/ I SH - security head screws no return a I TAC - tactile knob I 14 - curved/ - (2 _� 1 Thick Door - (specify thickness if other 1 return than 1 3 /4 " ) 15 - contour/ TL - tactile lever angle return WT - working trim only i 16 - curved/ no return 17 - gullwing/ page 5 no return 9-11 I page pag 6-8 page 7, 8 I page 3 I page 14 page 12 — Must specify key mark and number of keys or designate L/C for less core. ACCESS SYSTEmS FUNC.:T1C>PJS Function & Diag. Description I Outside Lever or Knob Inside Lever or Knob ANSI No. (Fed. No.) Latch operated by I Deadbolt operat!d �yLmcked I - - Unlocked: Locked I Unlocked mom T-Communicating Rotating inside or outside Turning key in inside, Turning key in - Turning key, in inside or Turning key Turning key knob/lever--only when or outside cylinder inside or outside outside -cylinder in inside or in inside or deadbolt is retracted cylinder outside outside F14 cylinder cylinder ( 86C) (A G-Off ice • Rotating inside knob/lever, N/A.. Turning key in Turning key in inside or. Cannot be Always OR inside cylinder outside cylinder locked unlocked • Rotating outside knob/lever FOS only when unlocked by key in (86G) (87G) EM inside cylinder, OR • Turning key in outside The latchbolt is deadlocked with an auxilary deadlatch. When required, inside cylinder may be cylinder only. combinated to operate by master key only. W-Storeroom • Rotating inside knob/lever, Turning key in Pushing top • Pushing bottom faceplate, Cannot be Always • OR or outside cylinder faceplate button button. OR locked unlocked • Rotating outside knob/lever • Turning key in outside only when bottom faceplate cylinder or inside cylinder. button is depressed, OR • Turning key in outside cylinder. *WW-Storeroom Turning key in inside or N/A Always locked Cannot be unlocked Always fixed Cannot be outside cylinder unlocked CE The latchbolt is deadlocked with an auxilary deadlatch. when required, inside cylinder may be combinated to operate by master key onl) I ►M I IM P-Deadlock N/A • Turning key in N/A N/A N/A N/A outside cylinder OR F17 Turning inside: (86p) turn knob..' Available in 34H and 36H series only. A-Deadlock N/A • Turning key in N/A N/A N/A N/A outside cylinder. OR • Turning inside turn knob:* Available in 34H and 36H series only. *Function R-the inside turn knob retracts deadbolt but will not project it. (Specify ha . nd of door.) *S-Deadlock N/A • Turning key in N/A, N/A. N/A N/A outside cylinder only F18 (86S) Available in 34H and 36H series only. *T-Deadlock N/A _ key in,., N/A N/A N/A N/A 'outside cylinder only , F16 r. Av�ailablei, �34H and 36H series only. LF-Privacy Rotating inside knob/lever, sTurning emergency -,Turning inside - Turning, inside turn knob, Cannot be Always • OR Ro Outside Totating outside knob/lever key. OR - • Turning. inside.turn turn knob. OR OR, locked -Rotating inside knob/lever Rotating inside unlocked 0 0 only when deadbolt y knob. , • Turning retracts latch a retcts lat and,deadbolt 19 is retract re ct ed. emergency simuItaneously_QR,- simu ously key. -Turning emergency key, Available in 24H qnri qrH coripc nniy 'ATTENTION: Locksets that secure both sides of the door are controlled by building codes and the Life Safety Code°, In an emergency exit situation, failure to quickly unlock the inside lever could be hazardous or even fatal. NOTE: Other special functions are available, such as 'K, 'S", "BW' and "Lf. Contact Best Access Systems for details. ACCESS S YSTEMS Function & Diag. Description Outside Lever Knob Ins de Lever or Knob Latch operated by Deadbolt.operateid.by Locked Locked Unlocked E-Office * Rotating inside knob/lever, N/A Pushing.top�,,�:- Pushing, boft6m' Cannot be Always OR faceplate ' 7 - indplat utton b locked unlocked - Rotating outside knob/ F04 lever—only when bottom 86E) faceplate button is (87E� depressed, OR Turning key in outside The latchbolt is deadlocked with an auxiliary cleadlatch. EW-Storeroom - Rotating inside knob/lever, Alway Cann6t`be; Cannot be Always OR locked unlocked - Turning key in outside 0 1 The latchbolt is deadlocked with an auxiliary cleadlatch. F-Entrance Rotating inside knob/lever, Titmin key in outside top Pushling Cannot be Always unlocked Rotating outside knob/lever n utton, CR Turning ke' in F12 only when bottom faceplate (Rotating fn-side-knobl' P t 1 6. (86F) button is depressed and lever retracts dead bolt d6adbolt Turning key in outside knob.: Ltj FD-Dormitory Rotating inside knob/lever, Turnin§ key in outside Always locked Cannot�be.uhlocked Cannot be Always : QR cylinder OR locked unlocked un ming key in outside - Turning inside turn knob.' cy inder. (Rotating' inside: lever retracts deadbolt and latch simultaneously.) I The latchbolt is deadlocked with an auxiliary deadlatch. FW-D rmitory Rotating inside knob/lever, Turning key in outside Turning key in -Turning keyjn Cannot be Always OR cylinder, OR outside outside cylinder, DB�' locked unlocked Rotating outside knob/ Turning inside turn knob. cylincler,- - Turning inside turn n lever--only when deadbolt (Rotating inside knob/ OR knob, OR F13 (86FW) is retracted. lever retracts cleadbolt Tu inside Rotating I and latch turn knob. knob/lever, r� J-Classroorn - Rotating inside knob/lever, N/A Turning key in Turning key in outside Cannot be Always OR outside cylinder cylinder locked unlocked - Rotating outside knob/lever only when unlocked by key, F05 OR �86J) oTurning key in outside — 1 The latchbolt is deadlocked with an auxiliary deadlatch. HF-Hotel - Rotating inside knob/lever, - inside turn knob, Alwayslocked Cannot be unlocked Cannot be Always I I OR OR locked unlocked . Turning key in outside Turning key in outside R cylinder. cylinder. (Rotating inside F15 (86H) knob/lever retracts deadbolt and latch L!j The latchbolt is deadlocked with an auxiliary deadlatch.Th rowing deadbolt indicates room is occupied and blocks out all keys except emergency key. HimHotel Rotating inside knob/lever, -Turning inside turn knob, Alwaysiocked Cannot be Cannotbe Always (no indicator) OR OR unlocked locked unlocked Turning key in outside - Turning key in outside cylinder, cylinder. (Rotating inside :15 knob/lever retracts 56H) deadbolt and latch 7 ATTENTION: Locksets that secure both sides of the door are controlled by building codes and the Life Safety Code. In an emergency exit situation, failure to quickly . u nlock th in lev c b haza ~~,~.~a H SERIES — LEN/ER 8c TRIM N/,kR5,A-TlCD"S Lever ^8 Rose -H Lever -1R Lever-3 Lever-12 Lever ^12 Lever ~17 Lever-3 Lever '33 Lever ~33 Rose - H Lover-12 Lever '33 Laver-3 Lever-12 Laver-33 TABLE OF CONTENTS Pa 1 E Series /Features/Specs /How to Order ............ 2, 3 Adaptation Cams...... ......... 8 1E Series Special Cylinders ...........:............- 4, 5 . 1 El Cylinder Special Rings.............: ......... .......;..........9 1 E7J4 /1 E7K4 High Security Cylinders .....: .....:.,.... 6 5E Series Specs /Accessories 10 Eurocylinders ........... ....... .:................................... 7 5E Serles.' How to Order,... ..... .. :...:.. 11 i 7 E SERIES 7 1E Mortise Cylinder RP3 Standard mortise : +: applications require Y = use of Best's 1E - - - Series cylinders with standard 1 E -C4 cam. Best cylinders may be altered to function with other = �r- manufacturers' locks by use of different cams (see page 8)�' 0 -dummy and different cylinder rings (see page 9). Special cylinder 1 E Rim Cylinder variations are available for most applications (see pages 4 & Standard rim cylinder applications require the use of Best's 5). Best cylinders are machined from brass or bronze bar 1 E rim cylinder series. Best rim cylinders are interchangeable stock and are available in a variety of finishes. Additional with other manufacturers'rim cylinders. Best rim cylinders are security is provided by a set screw that mounts diagonally in machined from solid bar stock and are available in a variety the cylinder wall and when tightened, holds the cylinder of finishes. The standard package for the Best rim cylinder securely in the housing. Best mortise cylinders feature the includes cylinder, 1 E -R3 and 1 E -R5 rings, 1 E -S2 spindle, Best interchangeable core and may be masterkeyed into any clamp plate and clamp plate screws. Best rim cylinders existing Best system. Contact your local Best Representative feature the Best interchangeable core and may be for information on special cylinder applications not listed in masterkeyed into any existing Best system. this catalog. RP2 -6 pin mortise 625 626 i page 10 housing mortise up to S2- standard F1 Specifications "A w �. Cylinder Dimension Door . Specifications Nomenclature "A" Thickness 96 -6" 1 E -64 8 " 1 W to 2'/4" Cylinder Dimension Door 1 E-74 1'/4" 1 ' /e" to 2 ' /z" Nomenclature "A" Thickness Cylinder diameter -1 5/sz" 1 E-62 1 3 /,s" 1" to 2 3 /4" To order: see below example: 1 E74 -C4 -RP3 -626 1 E -72. 1 " /32 " 1'/4" to 3" Products covered by on or-more of the following patents: Cylinder diameter - 1 5 /sz" 4,437,695 4,633,690 4,616,394 To order: see below example: 1 E72 -S2 -RP -626 HOW 7 ORDER M STEP A B C D E i r u 1 E 7 4 C4 RP3 626 ** - 1E-1 %2" 0 -dummy 2 -rim ..- Blank- standard C4- standard cam RP -rim cylinder 605 606 MC- marine 3E -1 '/2 6 -6 pin 4- mortise* 22-1% C181 -Adams Rite RP1- tapered cyl. 612 613 construction 5E -see 7 -7 pin 6- tapered 24 -1 '/" etc. MS cam RP2 -6 pin mortise 625 626 page 10 housing mortise up to S2- standard RP3 -7 pin mortise 8E -see accepts see pages- 96 -6" spindle RP4 -3E mortise page 7 all Best 4 & 5 for (special cams see (special rings see Specify hand if i cores special cyl. (see page 4 & 5) 1 page 8) page 9) required F -- ..,,...,,u, ....... � " -0, w= Hayes 4 ana o. " Must specify keymark and number of keys or designate L/C for less core. C BE T OJT ACCESS SYSTEMS w FB6 FOR METAL DOORS FB6 RATED - 3 HOUR DOOR NON - HANDED FB6: FED. SPEC. 1049; BHMA L 14081; ANSI 156.16 The GJ FB6 pair of manual flush bolts (FB6A if single bolt desired), with 12" rod, fits standard ANSI preparation for metal doors, and is listed for use on all (A, B, C, D and E labeled) metal fire doors in the United States and Canada. The FB6 meets Federal Specification #1049, and is equipped with a spring loaded snap action lever. When the active door is opened, the lever can be moved to the 'up' position, retracting the bolt and allowing the inactive leaf to be opened. When the inactive leaf is closed, the lever can be moved to the 'down' position, projecting the bolt into the head frame and securely locking the inactive leaf. The FB6 is non - handed, with a 5 /8" throw and a 7 /a" vertical adjustment. The standard rod length is 12 ", with other lengths available upon request (see chart below). The FB6 is made from forged brass and is available in US3, 4, 10, 10B, 26 and 26D finishes. For single -point latching, specify FB6A, single bolt only. For dust -proof strikes, specify DP2, for floor and /or threshold, or DP1, for threshold only. (see page D11). STRIKE GUIDE M SCREW DETAILS: . bolt housing: 4 - #8 -.32 x 5 /1e" flat head machine screws 4 - #8 x 1" sheet. metal screws strike: 2 #8 32 x 5 /.e" flat head machine screws 2 - #8 x 1 " sheet metal screws guide: = 2 - #8 - 32.x'I,E" flat head machine screws. 2 -48 x 1 sheet metal screws Glynn- Johnson Door Controls Ingersoll-Rand Company P.O. Box 6135 Indianapolis, IN 46206 01998 Printed in U.S.A. 0 MINIMUM CLEARANCE REQUIRED 1- 800 -525 -0336 (Customer Service) In Canada: 317 -899 -9440 (General Office) Ingersoll -Rand Door Hardware Fax: Port Credit P.O. Box 100 1- 800 -525 -0337 (Customer Service) Mississauga, Ontario L5G 4L5 317 -899 -9432 (General Office) TEL: 905 - 278 -6128 -FAX: 905 - 278 -1413 4D] ,P = °u """' THRC =� STRIKE FLUSH BOLT AND COORDINATOR ACCESSORIES J DP1 DP2 THRESHOLD ONLY FLOOR AND /OR THRESHOLD DP -1, DP -2: BHMA L 7 4011 - L 14012: ANSI 756.16 The DP1 and DP2 are designed to work with all Glynn - Johnson flush bolts. Spring loaded plunger returns to floor or threshold anytime flushbolt is retracted, to for- ever end the need to stoop down and clean a floor strike. The DP1 and DP2 are available in US3, 4, 10, 1013, 26 and 26D finishes. SCREWS DETAILS: 4 - #12 24,x TW' truss head machine. screws . • c 0 0 0 00 BX2 EX1 The BX -1 and SX -2 must be specified any time stop mount- ed hardware and door coordinators are part of the hardware set. Order SX -1 for stop widths over 2'/z ", and BX -2 for stop widths up to 2'/ ". Specify BX1 V and BX2V for use with Von Duprin 8827F exit device. Specify BX1 F or BX2F for use with fire listed surface vertical rod exit devices other than Von Duprin 8827E All mounting brackets are normally furnished in a USP finish. SCREWS,DETAILS: 4- #12 -24 X V/4" truss head machine screws . Glynn- Johnson Door Controls Ingersoll-Rand Company -- '' P.O. Box 6135 Indianapolis, IN 46206 I i 2Tl,zf I i THRESHOLD I I 1 I L ___ -__! DP1 BX1 MOUNTING BRACKET FOR STOP STRIP WIDTHS OVER 2 I OVER Vh " I' _ I `REINFORCEMENT BY OTHERS BX2 MOUNTING BRACKET FOR STOP STRIP WIDTHS ' /," TO 2 I 1 T REINFORCEMENT BY OTHERS 1 4,. 1," MOUNTING BRACKET S FOR STOP APPLIED HRDWARE MAY BE SUPPLIED WITH COORDINATOR. BRACKETS MUST BE FIELD PREPARED FOR STOP APPLIED HARDWARE, LOWER MOUNTING HOLES FOR DOOR APPLIED HARDWARE „ ,6" TO CLEAR COORDINATOR AND MOUNTING BRACKET. 1- 800 - 525 -0336 (Customer Service) In Canada: 317- 899 -9440 (General Office) Ingersoll -Rand Door Hardware Fax: Port Credit P.O. Box 100 1 -800- 525 -0337 (Customer Service) Mississauga, Ontario L5G 41_5 317- 899 -9432 (General Office) TEL: 905 - 278 -6128 *FAX: 905 -278 -1413 01998 Printed in U.S.A. 1 - 1 1 /,13 "DIA:+-1 DP2 VON DUPRIN" 98199 Exit Devices - WW The proper selection and application of exit hardware, in addition to safety, are major concerns to all responsible manufacturers. Exit devices are a critical part of a door opening or egress system and will provide safe and reliable service when properly applied and maintained. It is the policy of Von Duprin Division, Ingersoll -Rand Company, to design and manufacture exit devices to a high standard of quality- reliability in accordance with accepted U.S. domestic and international standards. All 98 and 99 series exit devices are UL listed for Accident Hazard or Fire Exit Hardware, and are tested in accordance to ANSI A156.3, 1994, Grade 1. It is intended that the information included in this publication, when properly used, will provide clear and reliable guidelines to the proper general selection and application. However, the scope of the information is necessarily limited. Unusual operating conditions and environments and other external influences can affect the proper application of the products represented. Modifications of these products will also affect UL listings. It is recommended that whenever an unusual application condition exists, or when any modification of a product is considered, that our engineers review the application. Application engineering services are available to help ensure proper selection or to review any areas where users of Von Duprin products may have questions. Von Duprin push pad exit devices are available in two external surface styles, designated 98 Series and 99 Series. The two styles are mechanically and dimensionally identical and provide a wide selection of appearance options. grooved mechanism case. ism case. A fluid dampener decelerates the push pad on its return stroke and eliminates most noise associated with exit device operations. Furnished on all 98/99 series exit devices. 98 and 99 rim devices for all types of single doors and double doors with mullion, UL listed for accident hazard installations. Covers stock hollow metal doors with 86 or 161 cutouts. FEATURES • Nonhanded • Field sizeable 2 9 9 • 3 /4' (19mm) throw, latch bolt • Latch bolt deadlocking • Eight popular finishes • Hex key dogging Touchb height to finished floor 39 13 /,6" (935mm) at center Touchbar projection — neutral 3' 3 /16' (97mm) depressed 3 1 /1e" (78mm) Center case 8" x 2 x 2 ( 203mm x 57mm x 70mm) Device length — Short 3' 2'6" to 3' (762mm to 914mm) door size Long 4' 3'1" to 4' (940mm to 1219mrn) door size OUTSIDE TRIM STRIKES AND FASTENERS Standard Device is furnished with standard 299 strike in dull black finish. All necessary 99ONL -RN fasteners are included. Optional strikes and finishes are available. For strike 99OTP -RN applications, dimensions, and minimum door stile information refer to pages 22, 23. 990DT A combination of fasteners are included for surface mounting and through bolting to 11ONL -MD trim on 1 (44mm) and 2 1 /4" (57mm) thick doors. 991 K -RN 992L -R /V Optional 990EO 696NL -RN 696TP =RN 696DT 697NL -RN 697TP -RN 697DT KP992L -RN 994L -RN 11 ONL -WD 392 -7 For complete outside trim information, see pages 18 -19. Electric latch retraction, page 24 Pneumatic latch retraction, page 27 Electric rim device, page 25 Request to exit switch, page 26 Latch bolt monitoring, page 26 Signal switch, page 26 Cylinder dogging, page 30 Double cylinder, page 27 For How-To-Order Information on all devices, see page 35. c` » cam : , 01 02 03 03 05 08* 08* 11 Function Pull When Key Retracts Key Retracts Key Locks Key Locks Key Locks Key Locks Exit Only Dogged Latch Bolt Latch Bolt Thumbpiece Knob Lever Thumbturn 990DT 99ONL 11ONL 99OTP 991K 992L 374T A T 1 (Pull Required) I Trim Number and Dimensions A ,41/16 yq 3/16" Cylinder (60 /m� 705) O (270mm) Y ° / °" (270mm) fr97mm)� ' (360mm) (360m O nly II i (32mm1 I. I Projection (anmm) H 3 "f%6mm) �---) 3 "(76mm) Rim (—I 3 "(7smm) 2 5 18 "(67mm) 2 $A" f67) 1 (44mm) Device/Trim Center Line To Finished Floor t 1 A T 1 I t A 1 I e II i Projection — 2" (51mm) 2" (51mm) — 2" (51mm) 3 (95mm) 2 (70mm) 1 (44mm) Panic 98ED 98DT 98NL 98NL -0P 98TP 98K 98L 99EO 99DT 99NL 99NL -OP 99TP 99K 99L — Rim Fire 98ED -F _ 98NL -F 98NL -OP -F 98TP -F 98K -F 98L -F 99EO -F 99NL -F 99NL -OP -F 99TP -F 99K -F 991.-F — Ctr. Line A 39 " /1d _ A 39 6 33 A 39"/16' B 33 A39"/16' B 40 A 39 8 33' /e" A 39 8 37 A 39t B 39 "1,6" 1011mm 1011mm 860mm 1011mm 860mm 1011mm 1018mm 1011mm 660mm 1011mm 945mm 1011mm 945mm — — Panic 9875E0 9875DT 9875NL 9875TP 9875K 9875L 9975EO 9975DT 9975NL _ 9975TP 9975K 9975L — ^ Mortise Fire 9875EO-F _ 9875NL -F 9875TP -F 9875KF 9875E -F Lock 9915E0 F 9975NL -F — 9975TP -F 9975K -F 9975L -F — Ctr. Line A 39 /s" _ A 39 B 33 "1,s" A 39 B 33'/16" AWN' 839 A 39 B 33 A 39'le B 37" A 39 B 37" 1006mm 1006mm 856mm 1006mm 856mm lOO6mm m2mm 1006mm 856mm 1006mm 940mm 1006mm 940mm — — Panic 9827EO 9827DT 9827NL 9827NL -OP 9827TP 9827K 9827L 982TTL Surface 9927EO 9927DT 9927NL 9927NL -OP 992TTP 9927K 9927L 992TTL Mounted Vertical Fire 9827EO -F _ 9827NL -F 9827NL•OP•F 9827rP -F 9827K -F 9827E -F 98277E -F Rod 9927ED - F 9927NL - F 9927NL - OP - P 9927TP - F 9927K•F 99271. 992TrL - F Ctr. Line A 39 _ A 39 B 33 "/16" A 39 /s" 8 Ville A 39 B 39 A 39 B 33 "1,6" A 39 /e" B 37" A 39 /e" B 37" A 39 /1" B 53'/2" 1006mm 1006mm 856mm 1006mm 856mm 1006mm 1012mm 1006mm 856mm 1606mm 940mm 1006mm 940mm 1006mm 1359mm Panic 9847EO 984707 9847NL 9847NL -OP 9847TP 9847K 9847L 9947EO 9947DT 9947NL 9947NL -OP 9947TP 9947K 9947L — Concealed 9847EO -F 9847NL -F 9847NL -OP -F 9847TP -F 9847K -F 9847L -F Vertical Fire 9947EO -F _ 9947NL -F 9947NL -OP -F 994TTP -F 9947K -F 9947L -F Rod 984BEO -F 9848NL -F 9848NL -OP -F 9848TP -F 9848K -F 984BL -F — 9948EO -F 9948NL -F 9948NL -OP -F 9948TP -F 9948K -F 9948L -F Ctr. Line A 39 _ A 39'18 8 33',6 /" A 39 B 33 "h4' A 39 /e" B 39 A 39 /e' a 33 A 39 B 37" A 39 B 37" A 39 B 53 1006mm 1006mm 856mm 1006mm 856mm 1006mm 1012mm 1006mm 856mm 1006mm 940mm 1006mm 940mm 1006mm 1359mm Panic 9847WDC -EO 9847WDC -DT 9847WDC -NL 9847WDC -NL -OP 9847WDC -TP 9847WDC -K 9847WOC•NL 9847WOC -TL Concealed 9947WDC-E0 9947WDC -DT 9947WDC•NL 9947WDC -NL -OP 9947WDC -TP 9947WDC -K 9947WDC -NL 9947WDC -TL Vertical Fire 9847WDC -EO -F _ 9847WDC•NL -F 9847WDG- NL -OP -F 9847WDC -TP -F 9847WDC -K•F 9847WDC -L Rod Wood Door 9947WDC -EO -F 9947WDC -NL -F 9947WDC-NL -0P-F 9947WDC -TP -F 9947WDC -K -F 9947WDC -L — Ctr. Lin e A 39 _ A 39'/B' e 33"/16' 6 A 39 /e" B 33 A 39 B 39 /e' A 39 8 33 he" 6 A 39 /e" e 37" A 39 18" 8 37" A 39 8 53 1006mm 1006mm 856mm 1006mm 856mm 1006mm 1012mm 1006mm 856mm 1006mm 940mm 1006mm 940mm 1006mm 1359mm Panic 9857E0 9857DT — 985 9857K 9857L Three 9957E0 99570T _ 995lip 9957K 9957L _ Point Fire 9857EO -r' _ 9857TP -F 9857K•F 9857L -F Latch 995-F _ 9957P-F 9 957K -F 9957L -F Ctr. Lin e A 39 _ A 39 8 33 A 39 B 33 "1,s" A 39 8 39 A 39 8 33 11 he" A 39 a 37 1 A 39 B 37" A 39 853 i006mm 1006mm 856mm 1006mm 856mm 1006mm 1012mm 1006mm 856mm 1006mm 940mm 1006mm 940mm f006mm 1359mm Additional ' requirementis s 6 2 2 6 2 2 2 2 *Refer to additional lever or knob information, page 19. M J .._; G .. Push Plates Series 200 DescripiLon Hiawatha Push Plates are available in all architectural metal finishes. They are also available inclear acrylic and black, brown or gray plastic laminate. The most popular models are shown here. Any size push plates are available upon request, Push plates are supplied with phi||ipsoval head sheet metal screws to match push plate finish. All push plates come standard with beveled edges. Construction Series Metal ANSI# 200 Series .O5O Thickness KJeta(1Sga.B&S) J301 220 Series .05O Wrought MetaK16ga.B&G) J302 300 Series .125 Thickness yWetal(8go.B&G) J304 600 Series .125 Thick Plastic J304 Metal Finishes Aluminum-U828 SaUnBmnzeUS10 AntioueBnass-US5 PoUohedChrome-UG2G Po|ishedBraaa-US3 SabnChmme-US2GD Satin Brass-US4 Satin Stainless Stee|-US32D Po|ishedBvonze-USQ Polished Stainless Stee|'UG32 '« ')i|-Rubbed Bronzu-U81UB .� 21OD/31OD Options Adhesive Mounting . Specify push plate number "x scotch mnunt." The push plate will have a 1/1S" thick double face tape applied tothe back side and will not have screw holes. ^ Engraving On push plates 4" wide or wider vve can engrave "PU8H'", "PUL|7.'^MEN".or"YVOk4EN". Please indicate required copy and location when ordering. Cylinder and Turn Knob Cut Outs Specify the push plate number x CC for cylinder hole. Specify hole diameter and location. Plastic Finishes Black Brown Gray Clear Acrylic Size Models 3"s12" 200A 210A — — — — GOOA 3 15" 20OD/300D 21OD/31OD 220O — 240D 600[) 4"V6" 20OF/30OF 21OF731OF _ 220F — 240F 80OF 6"x16" 20OH/300H 21OH31OH — — — _ GOOH 7 x15" 200J/3OUJ 21OJ/31OJ — 230J — — GOOJ 8"x16" � 200K/30OK 21OKJ30OK — 230K _ 280K 600K � ` / Other Sizes of Push & Pull Plates Available Upon Request @Copyright 1996, Hiawatha, Inc. Page A-1 Hiawatha, Inc. "Our Name Opens Many Doors" Straight Pulls Series 5, 500 ®esori fp ion Hiawatha door pulls are fabricated from bar stock and a number of variations are available. If you have custom applications, we will work with you to design a custom pull. O O Available in most architectural finishes. Mountirtp motions Mounting options include thru bolts with finish washer, thru bolts with finish buttons, surface concealed, back to back on glass, aluminum, hollow metal and wood doors. Please see Section B for mounting instructions. Base Plates Base Plates Base plates are available to be mounted with any pull. 2" diameter is standard. Other sizes are available upon request. Aft 5 5 523A 5356 559 580 564G 592 5236 5098 559A 581 565G 523C 5368 523E 5378 5158 518E Part Number Material CTC Overall Projection Clearance Base Weiaht ANSI 5238 3 /4" dia. 5 6 2 1 1 /2" 3 /4" 1.1 lbs J401 523E 3 /4" dia. 6" 6 2 1 3 /4" 1.2 lbs J401 523A 3 /4" dia. 8" 8 2 1 3 /4" 1.4 lbs J401 523C 3 /4" dia. 10" 10 2 1 3 /4" 1.6 lbs J401 535B 1" dia. 8" 9" 3" 2" 1" 2.6 lbs J401 509B 1" dia. 9" 10" 3" 2" 1" 2.9 lbs J401 536B 1" dia. 10" 11" 3" 2" 1" 3.1 lbs J401 537B 1" dia. 12" 13" 3" 2" i" 3.5 lbs J401 5158 1" dia. 15" 16" 3" 2" 1" 4.1 lbs J401 518B 1" dia. 18" 19" 3" 2" 1" 4.8 lbs J401 559A 3 /8 x 1 6" 6 2" 15/8" 31/8 x 1 1.1 lbs J401 559 3 /8 x 1 8" 8 2" 1 3 /8 x 1 1.4 lbs J401 580 1" half round 6" 6 2" 1 — 1.1 lbs J401 581 1" half round 8" 8 2" 1 — 1.3 lbs J401 5 cast 5 6 1 TV .8 lbs J401 cast 5 6 2" 1 5 /8" x 1 .9 lbs J401 --� 592 1" dia. tapered 8" 16" 2 1 3 /4" 3.5 lbs J401 564G 1" modified 7" 8" 2" 1 5 /8" x 1" mod. 1.6 lbs J401 565G 1" modified 12" 13" 2" 1 5 /8" x 1" mod. 1.8 lbs J401 @Copyright 1996, Hiawatha Inc. Page C -1 Kirk Plates EJ Hiawatha, Inc. Armor Plates "Our Name Opens Many Doo&' Mop Plates Metal Kick Plates B HMA/ANSI A156.6 Standards Hiawatha can provide a variety of kick plates to meet your Metal Armor Plate J101 needs. All plates can be sized to your custom specifica- Metal Kick Plate J102 ticn. Square edges are standard on all metal plates. Metal Mop Plate J103 Beveling and countersinking are available at an additional charge. Metal Finishes Finish BHMA B &S Gauge Thickness Min. Height Max. Height Min. Width Max. Width Aluminum US28 16 .050 4" 48" 22" 48" Antique Brass US5 16 .050 4" 12" 22" 48" Pol. Brass US3 16 .050 4" 48" 22" 48" Satin Brass US4 16 :050 4" 48" 22" 48" Pol. Bronze US9 16 .050 4' 48" 22" 48" Oil -Rub. Brnz US10B 16 .050 4" 12" 22" 48" Satin Bronze US10 16 .050 4" 48" 22" 48" Pol. Chrome US26 16 .050 4" 12" 22" 48" Satin Chrome US26D 16 .050 4" 12" 22" 48" Satin S. Steel US32D 16,20 .050, .038 4" 48" 22" 48" Pol. S. Steel US32 16 .050 4" 48" 22" 48" Alum. Brass Look 18 .040 4" 48" 22" 48" Plastic Laminate /Clear Acrylic Kick Plates BHMA/ANSI A156.6 Standards Hiawatha can provide plastic /acrylic kick plates custom Plastic Armor Plate J105 sized to meet all of your plate needs. Beveling is standard Plastic Kick Plate J106 on all plastic and acrylic plates. Plastic Mop Plate J107 Plastic Laminate /Clear Acrylic Finshes Finish Thickness Min. Height Max. Height Min. Width Max. Width Black Plastic .125 4" 48" 22" 96" Brown Plastic .125 4" 48" 22" 96" Grey Plastic .125 4" 48" 22" 96" Clear Acrylic .125 4" 48" 22" 96" Kydex® Kick Plates Kydex® is an extremely durable, fire - retardant, acrylic /PVC alloy. The Kydex® sheet is widely used in areas subject to high traffic and abuse where the exceptional impact, gouge and scratch resistance of a Kydex® surface minimizes damage and related maintenance costs. Kydex© features excellent cleanability and chemical resistance, which pro- vide maximum protection from stains and graffiti. Kydex® is available in 33 standard colors. Beveling is standard. Kydex® Finish Thickness Min. Height Max. Height Min. Width Max. Width K dex® 1' Y .060, .080, .125 4 48 22 96 „ @Copyright 1996, Hiawatha, Inc. Page F -1 �J' 773o -471) 32j! D7,lizL is 3 1'25iyy 3T✓ Dt'. " t 3 'd JZ7_b r di u1 l C;v^�1rid73. !, js liands J 0JDSZr IS 3 L3CZ3JY JaSfgaEd %, ,aa3&,. 1 ,.L? L3, r V I E inda,vandenttasfing, Me Wide ChOk-- Of OptiOBS,1173taflatkn BCCOSSb7T1 -OS and OBSO Di !D- S1SJJBJDn offar.na f! M M yarsat%lt The 4110 Series is UL and ULC listed for self - closing doors without hold- Standard 4110 series closer shipped with non - hold -open Extra Duty open. Tested and certified underANS1 (EDA) arm, standard non - metallic cover, 4110 -201 FIFTH SCREW SPACER and wood and machine screw pack. See 4110 -3 for options. Standard A156.4, grade one. >- Sized cylinders adjustable for interior doors to 5'0" and exterior doors to 4'0 ". >- Non -sized cylinder adjustable for interior doors to 4'6" and exterior doors to 3'6 ". Closer mounts parallel arm, specify right or left swinging door. > 4111 cylinder meets ADA requirements. See 4110 -5. Standard or custom powder coat finish. Optional plated finish on cover, arm and fasteners. > SRI primer for installations in corrosive conditions. MOUNTING FINISH COVER CYLINDER ARM FUNCTION* 4 p`��`�� V S`�,,r I 1 .r 0 __ � ! 1 L0 al Lti —i O 180 °1 180° 180 °) 110 °1 3 10y'! NR ® Available t. Closer available with less than 5.0 lbs. opening force on 36" door. O Not available Maximum opening /hold -open point with standard template. Nfl = No periodic maintenance ,required. LCN DIVISION PHONE 815-875-3311 INGERSOLL -RAND P.O. BOX 100 FAX 815 -879 -1497 1 121 W. RAILROAD AVE. 1/99 AQrurrcr LAMMMAOG .1-a_ 1 a i •' gg U UM r, � AI *L 2L ARR5ji FUSS S3DED EDA or Fusible Link arm can be templated for 100°, �)A = 6" (152 mm) ®= 7 1/4" (184 mm) 140°, D= 41/2" (114 mm) ©= 5 3/4 " (146 mm) or 180 °. (A)= 3" (76 mm) ©= 41/4" (108 mm) Hold -open points up to maximum opening with H -EDA or Fusible Link arm. CUSH arm can be templated for maximum opening at 85°, (A)= 8 5/16" (211 mm) ©= 9 5/8" (244 mm) 90°, C =7 11/16" (195 mm) ©= 9" (229 mm) 100°, ®= 6 7/16° (164 mm) ©= 7 3/4" (197 mm) or 110°. AA)= 5 9/16 " (141 mm) U= 6 7/8 " (175 mm) Hold -open point at maximum opening with H -CUSH arm. Spring Cush hold -open points are approximately 5° less than templated stop point. Options �. Sized or non -sized cylinder. Delayed action or Advanced Backc heck cylinder, H -EDA; CUSH, H- CUSH, SPRING CUSH, SPRING H- CUSH or Fusible Link arm. Metal or lead lined cover.. Special Templates . Customized installation templates or products may be available to solve unusual applications. Contact LCN for assistance. � Hutt Hinges should not exceed 5" (127 mm) in width. > Auxiliary Slog is recommended at hold -open point, where a door cannot swing 180 °, or where CUSH -N- STOP' arm is not used. �- Clearance for EDA, FL, or CUSH shoe is 51/2" (140 mm) from door. Top nail less than 51/8" (130 mm) measured from stop requires PLATE, 4110 -18. Plate requires 2" (51 mm) minimum measured from the stop. Stop Width minimum 1"(25 mm). >- Head Frame flush or rabetted requires 4110 -145 armor PA SHOE ADAPTER, 4110 -418, Use CUSH FLUSH PANEL ADAPTER, 4110 -419 with CUSH arms. Reveal less than 2 3/4" (70 mm), use CUSH SHOE SUPPORT, 4110 -30 with CUSH arms. > Slade Stop Spacer, 4110 -61 required to clear 1/2" (13 mm) blade stop. Add CUSH SHOE SUPPORT, 4110 -30 for fifth screw anchorage with CUSH arms. > Delay Action Add suffix "D A" to selected cylinder leg. 4115 DA). Not available with 4115 or 4116 cylinder. Delays closing from maximum opening to approximately 70° . Delay time adjustable up to 1 minute. Advanced Variable Backcheck cylinder starts backcheck at approximately 45 instead of the normal 75° . Add suffix "AVB" to selected cylinder. LCN DIVISION PHONE 315 -375 -3311 P.O. BOX 100 FAX 315 -379 -1497 121 W. RAILROAD AVE. 1/99 1 PRINCETON, IL, USA 61356 -0100 CV1E 23 COVER, 4110 -72 Standard, non - handed non - metallic cover. LEAD LINED COVER, 4110 -92 Optional, non - handed non - metallic cover. METAL COVER, 4110 -72MC Optional, handed cover. Required for plated finishes. ARMS EXTRA DUTY (EOA) ARM, 4110- 3077EOA Standard, non - handed parallel arm features forged, solid steel main and forearm for potentially abusive installations. Optional 4110 -62G thick hub shoe for blade stop clearance. Optional 4110 -145 flush transom shoe for single rabetted installations. Optional shoes require special templating. HOLD -OPEN (H- EOA) ARM 41110- 3049EOA Optional handed arm provides hold -open function, adjustable at shoe. FUSIBLE LINK ARM, 4110- 3049FL Optional, handed arm releases hold -open function adjustable at shoe when exposed to temperatures above 160° F Optional links release at 125° F or 135° F. CUSH- N -STO€ @ (CUSH) ARM, 4110- 3077CNS Optional, handed parallel arm features solid forged steel main arm and forearm with built -in stop in soffit shoe. �NGMSOLL —RAND ARCHITECTURAL HARDWARE 72 72LL �w 72MC 1 u m 62G 145 3049FL , .o 62FL C 3077CNS LCN DIVISION PHONE 815 - 875 -3311 P.O. BOX 100 FAX 815 - 879 -1497 121 W. RAILROAD AVE. 1/99 15 PRiniuinni ii ,iqo Fi ?Fh -Winn T! , 1 15- 3 E 1 2 IV I N I 10 is Ft H -CUSH ,ARIA 4110- 3049CNS Optional handed arm provides hold -open function with templated stop /hold -open points. lama Handle controls hold -open function. SPRING CUSH ARM, 4110- 3077SC Optional, non - handed parallel arm for abusive applications features solid forged steel main arm and forearm with spring loaded stop in the soffit shoe. SPRING H -COSH ARM, 4110- 3049SC Optional, non - handed parallel arm for abusive applications features solid forged steel main arm and forearm with spring loaded stop in the soffit shoe. Handle controls hold -open function. PLATE, 4110 - 18 Required for push side mount where top rail is less than 51/8" (130 mm), measured from the stop. Plate requires minimum 2" (51 mm) minimum top rail. Plate also'used with Cush Arm installations. CUSH SHOE SUPPORT, 4110 -30 Provides anchorage for fifth screw used with CUSH arm, where reveal is less than 3 1/16" (78 mm). BLADE STOP SPACER, 4110 -61 Lowers parallel arm shoe to clear 1/2" (12 mm) blade stop PA SHOE ADAPTER, 4110 -418 Provides horizontal mounting surface for parallel arm shoe on single rabetted or flush frame. CUSH FLUSH PAINEL ADAPTER, 4110 -419 Provides horizontal mounting surface for CUSH shoe on single rabe ted or flush frame. LCN DIVISION PHONE 815 - 875 -3311 P.O. BOX 100 FAX 815 -879 -1497 121 W. RAILROAD AVE. 1/99 PRINCETON, IL, USA 61356 -0100 &1 30 418 � d P1 J, RYAN _i(OHNISCH , MOXAi • ! .' & L 50C 60C GJ 50C, 60,C: FED. SPEC. 1327, 1327T, BHMA L 12 10 1; ANSI 156.16 Glynn- Johnson 50C and 60C Wall Bumpers feature heavy -duty cast brass or bronze base. Units also feature concealed tamper -proof mounting and are provided standard with fasteners adequate for mounting in all types of wall construc- tion, including concrete. Units are shipped factory preassembled to reduce installation cost. Both 50C and 60C have a 2'/2" diameter base with 1 " overall projection. The 50C unit is designed with a convex rubber bumper while the 60C unit has a concave bumper which avoids damage to locks with projecting buttons. Both models available in aluminum, US3, 4, 9, 10, 10B, 26 and 26D finishes. SCREW DETAILS: 1 - #10 X 11/2° Truss head dual purpose screw 1 - toggler 1 - plastic expansion shield 50W 60W GJ 50W, 60W.• BHMA L22102; ,ANSI 156.16 Glynn- Johnson 50W and 60W feature sturdy yet economical wrought base of brass, bronze or stainless steel construction. Both models feature concealed tamper -proof mounting and are provided standard with fasteners adequate for mounting in all types of wall construction, including concrete. Backplate is furnished with projecting prongs to prevent movement after unit is installed. Units are shipped factory preassembled to reduce installation cost. Base of units measure 2'/2" diameter with a 1 " overall projection. The 50W unit has a convex rubber bumper while the 60W unit features a concave rubber, which avoids damage to locks with projecting buttons. Both versions available in aluminum, US3, 4, 9, 10, 10B and durable stainless steel US32 and US32D finishes. SCREW DETAILS: -1 #10 X .11 /z ",Truss head dual purpose screw, 1 - toggler 1 plastic expansion shield Note: Expansion shield is adequate for most types of wall construction, including brick, block, and concrete. The toggler is recommended for use in dry wall construction. Glynn- Johnson Door Controls 1- 800 -525 -0336 (Customer Service) In Canada: Ingersoll -Rand Company 317- 899 -9440 (General Office) Ingersoll -Rand Door Hardware P.O. Box 6135 Fax: Port Credit P.O. Box 100 Indianapolis, IN 46206 1- 800 -525 -0337 (Customer Service) Mississauga, Ontario L5G 41_5 317- 899 -9432 (General Office) TEL: 905 - 278 -6128 •FAX: 905- 278 -1413 ©1998 Printed in U.S.A. E MM -JOHNSO „�t.�. y.,*a�.. _ _ c � _ ��„«•s . ��� is �� 90 Series 332 and 32D finishes on stainless ael material — Increased durability d corrosion resistance! - igle acting doors :erior / exterior applications _eversible, non - handed Glynn- Johnson 90 series surface mounted holders and stops provide the most versatile and attractive variety of functions, materials and finishes to fit.heavy duty applications. Models are available in 300 series stainless steel, brass /bronze, and steel materials. The broadest range of finishes in the industry are furnished to complement design requirements. Three basic models are available, each offered in five sizes to accommodate virtually all openings. The models available include: • 90H Series - Hold -Open Model • 90F Series - Friction Hold -Open Model • 90S Series - Stop -Only Model All models incorporate a heavy duty channel and slide arm design and offset jamb brackets for improved compatibility with door closers. Unique design allows for simple field changing of functions to compensate for changes in user requirements. If, for example, a hold -open model is furnished and it is determined at a later date that a stop -only model would better suit the application, a simple field change can be made to convert the hold -open unit to a stop -only function, or to friction if so required. Kits are available for simple conversion in the field. 90H series hold -open units feature a selective hold -open mechanism which is easily controlled by a serrated knob on the underside of the channel. Flipped one way the control knob engages the hold -open mechanism, allowing the door to be held open at a predetermined position from 85 to 110 Flipped the opposite way, the unit acts as a stop and shock absorber. The tension on the hold -open mechanism is adjustable to satisfy individual requirements due to air currents or exterior conditions. 90S series stop -only units feature the same rugged shock absorbing mechanism used on the hold -open model, but the hold -open mechanism is removed. 90F series friction hold -open models provide a heavy duty multi -point hold open mechanism, permitting the door to be held open at various degrees. The tension on the friction mechanism is adjustable to suit field requirements.. All models are available in brass /bronze, 300 series stainless steel, and steel substrates, US3, 4, 10, 10B finishes are furnished on a brass /bronze substrate. All new 300 series stainless steel is furnished in US32 and 32D finishes, offering the highest resistance to corrosion. Steel units are available in S1 (sprayed bronze), S2 (sprayed brass), S3 (sprayed aluminum), S4 (sprayed black) and S5 (sprayed 1013), and also 652 plated finish. Steel units feature a corrosion resistant pretreatment prior to painting. Brass, bronze and stainless material are highly recommended for applications that are exposed to exterior or otherwise corrosive elements, while all four base materials are suitable for normal interior use. All 90 series models are designed for heavy duty applications and will provide long lasting protection for doors, frames and hardware. Refer to pages C19 / C20 for additional application information and to sizing chart for specific model selection. Other options available: Suffix J - Angle Jamb Bracket - Used to convert stan- dard unit to hinge side or flush transom mounting (ordered as 80/90J and affixed to standard jamb bracket). Suffix SE - Stop only model is furnished less shock absorber (for use with single -point hold -open electronic closers). Example: ORDERING, Ni *s.sRMAT [ON 902H -US32D 1st 2 digits Finish (also designates the base material) _ identify series US3, 4, 10, 10B - Brass /Bronze US32, US32D, - 300 Series Stainless Steel �90 2 H - US32D 652, S1 - S5 Sprayed finishes - Steel 3rd digit designates size �/ �`'"- Suffix identifying function (i.e. 2, 3, 4, 5,6) H - Hold open S - Stop only F - Friction YI{ I FRAME _i______J REINFORCEMENT FRICTION ADJUSTMENT The template information on this page is for reference only and is not intended to serve as an installation template. For complete dimensional information, refer to the Glynn- Johnson template book. 2'/16 " —>! I HOLLOW METAL SURFACE MOUNTED FRAME REINFORCEMENT JAMB BRACKET 1 3/16„ ----- ----- - - - --7 l = = -- _ = = __ - -- CHANNEL DOOR REINFORCEMENT CROSS SECTION IN CLOSED POSITION 1'/e" 1 ANGLE JAMB BRACKET B CENTER HUNG OFFSET PIVOT SWING CLEAR HINGE HINGE HINGE -'- A CHART C BUTTS /OFFSET PIVOTS CENTER HUNG 90 Series SIZE DOOR OPENING STOP HOLD ONLY OPEN FRICTION _ __ Butt Hinge Mounting - Plan View STOP ONLY HOLD OPEN FRICTON 1 - - - -- - - -- ---- - - - - - -- --- - - -- ---- 2 23' /,e" - 27° ------------------------ DOOR REINFORCEMENT 27/16" - 33" 902S 902H - - - - -- --------------------- O 0 3 27 %e" - 33" 903S 903H 903F O HOLD -OPEN TENSION 903H O ADJUSTMENT I FRAME _i______J REINFORCEMENT FRICTION ADJUSTMENT The template information on this page is for reference only and is not intended to serve as an installation template. For complete dimensional information, refer to the Glynn- Johnson template book. 2'/16 " —>! I HOLLOW METAL SURFACE MOUNTED FRAME REINFORCEMENT JAMB BRACKET 1 3/16„ ----- ----- - - - --7 l = = -- _ = = __ - -- CHANNEL DOOR REINFORCEMENT CROSS SECTION IN CLOSED POSITION 1'/e" 1 ANGLE JAMB BRACKET B CENTER HUNG OFFSET PIVOT SWING CLEAR HINGE HINGE HINGE (Note: i rns chart illustrates the most common 'types of hinging and door opening sizes, For unusual door details, contact Glynn- Johnson for availability. �4 F i STANDARD JAMB BRACKET 90 SERIES - 1CZING CHART BUTTS /OFFSET PIVOTS CENTER HUNG SIZE DOOR OPENING STOP HOLD ONLY OPEN FRICTION _ __ DOOR OPENING STOP ONLY HOLD OPEN FRICTON 1 - - - -- - - -- ---- - - - - - -- --- - - -- ---- 2 23' /,e" - 27° 902S 902H 902F 27/16" - 33" 902S 902H 902F 3 27 %e" - 33" 903S 903H 903F 33'/16" - 39" 903S 903H 903F 4 33'1;6" - 39" 904S 904H 904F 39',116" - 45" 904S 904H 904E 5 396" - 45" 905S 905H 905E 456" - 51" 905S 905H 905F 6 451/6" - 54" 906S 906H 906F 51'/16" - 59" 9065 906H 906F (Note: i rns chart illustrates the most common 'types of hinging and door opening sizes, For unusual door details, contact Glynn- Johnson for availability. �4 F i STANDARD JAMB BRACKET j T T `? m Typical Wall .125 j 3 " • All thresholds are aluminum mill finish. • DKB indicates aluminum dark bronze 2 step anodized finish. Vinyl Foot Sealy Vinyl foot seal is often used instead of caulking to increase the weather resistance of the threshold. Aft T N 1 l T fV j T GV 425E .80lbs. /ft. 425EDKB .80lbs. /ft. g „ The thresholds on this page have been certified by an independent test laboratory to meet the requirements of ANSI Al 56.21, T CV 1 7 5 " ' 426E .90 lbs. /ft. 6" 426EDKB .901bs. /ft. in C627A 600 601 C627B 600A 601A C627DKB 600B 601B 60ODKB 601 DKB T T LO LO i I i A605A B606A C607A A605B B606B C607B A605DKB B606DKB C607DKB O C D608A E609A G61 OA G611 H612A D608B E609B G61 0B G61 1 DKB H612B D608DKB E609DKB G61ODKB H612DKB 44 O tfJ D_ I H614A 1-615A H614DKB 1-615B 1-615DKB 5 1-616A 1-616DKB m J.L INDU$TR1EP, INC. ID 44M Wed 7Mh 4L Ckole ' Bb min&ti, W masato 55435-34W Unmw stms Phan (612)� Fax (612) Sa5�22 t 8 ,? L J317 USTRIES WAt.RAM pas PIZOTECTIO�i p9Q27IIGTS MS AL AC ES;a P +S 1E" malobt 9PECTALTTES ALL J.L. INT1t75 IES FIRE PROTECTION FRODUCTS i �ETAL ,ACCESS PANELS, AND DETENTION 5PECIALTIES CARRY A ONE YEAR WAR�Z A- IF DATE OF COMPLETION AGAINST DSPECTIV'E XXTERIALS AND WO*�SI4YP. WE WILL REPLACE. OR REpEL ANY PRODUCT FOUND DEFEC'TI'VE WITHIN TnZS PERIOD- 90 OTB:MZ WARRANTY E, P -WgSED OR MPL-T= T3 VALZD- {SIGN`ED) (DA.TE ) Copyright 1995 4.L. industries .'' `� I a LBSPON r J.L. INDUSTRIES 4450 West 78th St. Circle Btoomington. Minnesota 55435-5406 Phone 612/835 -6850 Fax (612) 835-2218 OPERATION &MAINTENANCE MANUALS FIRE EXTINGUISHER. CABINETS: Fire Extinguisher cabinets and wall brackets are maintenance t ffrree• The wall brackets.have.no moving parts. The hinged door in cabinet is the only moving part. Peerless warrants its products, under normal use, to be free from defects in material and workmanship for a period of five years from the date of purchase. Peerless, at its sole discretion, will repair or replace such defective equipment free of charge provided the products are returned prepaid to Peerless. Thereafter, repairs will be made at established factory prices. Unauthorized service or repairs by anyone other than authorized Peerless personnel renders this Warranty void and releases Peerless from any further responsibility or obligation. Any damage caused by failure to observe proper packing or to observe instructions for installation, by accident or in transit or elsewhere will not be covered by the Warranty. This Warranty is in lieu of all other Warranties expressed or implied, and no one is authorized to assume any liability on behalf of Peerless or impose any obligation on it in connection with the sale of any product other than as outlined above. In no event will responsibility be assumed or implied for consequential damages arising from the theft of any product secured by a Peerless security device, by delay of installation, interrupted operation or other causes. Mel� =MM!I� M A� ® BUILDING PRODUCTS A Griffon Company Project Location Architect General Contractor Distributor Atlas Contract Number Model Voltage and Phase Alarm Voltage and Type Date of Shipment Ra • I n to] e 1 M PORT A NT ! To Protect Yourself From Injury You Must Carefully Read The Following Safety Information And Warnings Before Installing or Operating the Door This manual is not intended to direct "take- down" procedures of existing doors. Consult a qualified door service person if this is required before new doors are to be installed. Before you begin, read the installation and maintenance instructions thoroughly. To protect yourself from injury, carefully read all safety information and warnings before installing the new door. This document's primary function is to assist the qualified door service person in correctly mount- ing doors with due regard for safety, operation, and sound construction practices. Reference should be made to construction codes in your area. If there are any questions about any of the procedures, do not perform the work. Instead, contact the Atlas DoorT"' Customer Service Department for clarification. rio In the interest of safety this symbol means WARNING or CAUTION. Personal injury and /or property damage may occur unless instruc- tions are followed carefully. This document should be attached to the wall in close proximity to the door for future reference. �!L Installation, repairs to, and removal of, a spring counterbalanced door CAN BE dangerous. Only qualified door service people should perform such work. The following instructions are intended to be a guide for professional installers. Lack of adequate knowledge or training can pose a threat of serious injury or death. To avoid injury, do not hang on, or suspend anything from the hand chain. Doing so may result in chain or gear disengagement, causing the door to unexpectedly drop if unbalanced. To avoid injury, keep hands away from the gears and sprockets while door is being operated. To avoid injury, operate the door only when properly adjusted and free of obstructions. Avoid standing in the path of the door while door is moving. Do not permit children to play with the door or the electrical controls. The child could get caught between the door and floor causing fatal injury. Avoid installing door on windy days. The door could fall causing an accident or injury. Wear the proper safety clothing and protective safety gear as needed. IMPORTANT: If repairs to your door are ever required, safe and trouble -free operation can be assured by using only original replacement parts. IMPORTANT: To avoid door failure, use only the fasteners and hardware provided with the door. Atlas DoorTm and Clopay Building Products Company disclaim all liability for any installation that is not in compliance with applicable state, county, or local building codes. M Installation • - • t Check the opening width and the opening height and compare with the supporting documentation to be sure the opening is the proper size for the door. Small variations in the actual opening width or height, or plumbness of the jambs can be ignored when installing the wall angles and guides. Verify that adequate clearances are available. (FIG. 1) Check Opening Width Check Lintel For Levelness Check For Check Plumb Jambs dJamb Opening Left Jamb Right Hei ght Check Floor For Levelnes Fig.1 COIL (HOOD) SIDE ELEVATION A • 0 • • Separate the material into groups forming com- plete doors using the Atlas DoorTM code letter and determine the "hand" of each door. "Hand" is determined by the location of the drive side bracket plate (manual, chain, crank, or motor) when looking at the opening from the side on which the hood will be mounted. A right hand door will therefore have the operator on the right with the adjusting bracket plate on the left side. The adjusting bracket plate can be identified as the one with the charge wheel and drop out arm(s) as shown in Figure 2. Fuse Link Chain Bracket Plate Adjusting Wheel (Type May Vary) Fuse Link o ° o Tension Lock Bar o O o O ° Drop Out Arm ZLintel Wall Angle Fig. 2 (Right Hand Operation Shown) Inspect the pipe shaft assembly. The adjusting side of the shaft assembly is fitted with a rotating inner shaft and bearing. The shaft hand should also be verified. If the shaft has three screws, around the diameter, approximately 3" from the bearing end, it is a right hand shaft. (FIG. 3) Left hand shafts will have these screws located to- wards the middle of the pipe. Approximately 3" For Right Hand 0 Inner Shaft 0 Pipe Shaft Bearing Hole Fig. 3 SPRING END OF PIPE SHAFT Ak WARNING It is critical that the "hand" of doors is verified correctly. Failure to do so may result in incor- rect installation, causing possible damage to the springs within the pipe shaft by winding it backwards. This may lead to damage to other parts of the door or to serious injury to instal- lation personnel and /or passersby. Check the documentation supplied, for the re- quired dimension between the bracket plates. The bracket plates will be mounted to the outboard face of the wall angles. This is an extremely critical dimension and must be held to ± %" accuracy the entire length of the wall angle. Unbolt the guide angles from the wall angle. Install the wall angles as shown in Figure 4 making sure that they are plumb and that the exact distance between guides is maintained at the top and bottom. Both wall angles may rest on the floor (provided that it is level). Shim the wall angles if necessary. The hardware used to mount the wall angles will depend on the type of door jamb construction. Unfilled concrete block and soft brick jambs are to use through wall threaded rod mounting. Filled concrete block and hard -fired brick jambs are to use sleeve type expansion anchors. Solid concrete jambs are to use wedge type anchors. Steel jambs are to use machine bolt X Installing the Shaft Assembly ,, WARNIN7G Bracket and curtain assemblies on larger doors, particularly with an operator, can be extremely heavy. Persons with back problems or other physical conditions which may limit them from lifting heavy objects should not perform the next step. Remove the adjustment wheel, swing stop, and washers from the adjusting end of the pipe shaft. Slide the adjusting side bracket plate onto the inner pipe shaft. Be certain that the bracket plate is mounted to the correct "hand side." (FIG. 3) Rein- stall the swing stop and washers per Figure 7. The swing stop should rotate freely on the bronze bushing protruding through the bracket plate. Reinstall the adjusting wheel onto the inner pipe shaft using the fasteners provided with the pipe shaft. Slide the operating side bracket plate onto the inner pipe shaft. Install the appropriate drive side hardware and governor to the inner pipe shaft at this time. (FIG. 8) Some motor operated doors will require a driven sprocket on the inner shaft depending on the fire release mechanism. Very small doors may not require a governor. Reference Figures 9A - 9D for various drive side configurations. [Q Fuse Link Chain e Stop Arm ® Viscous Governor o Bracket Plate Lintel o Lintel wall Angle CHAIN OPERATED Fig. 9A MANUAL LIFT OPERATION Fig. 9B (Governor Type and Location May Vary) - - -- I II II © �@ 0 o o Lintel 0 rn Lintel MOTOR OPERATED- CLUSTER RELEASE COMPOUND CHAIN OPERATED Fig. 9C (Governor Type and Location May Vary) Fig. 9D (Governor Type and Location May Vary) [Q Installing the Curtain Assembly Place the coiled curtain under the shaft assembly above. Position the curtain so that the outside of the door will unroll towards the opening. Lift the coiled curtain up by using a safe mechanical means. Position the curtain about 18" below the shaft assembly with the top slats exposed facing up. Care must be used to prevent damage to the door. IMPORTANT: Distribute the load evenly. Do not support the entire weight of the assembly under the curtain at one point. This may cause perma- nent slat damage. Install heavy rope slings around the curtain and the shaft assembly. The installer must use a sufficient number of slings, evenly distributed, to prevent the curtain from being deformed during this process (one every three feet is recommended). (FIG. 12) Turn the shaft assembly by hand, or with the drive mechanism, so that the slings carry the top slats upward to the pipe shaft. Line up the holes in the top slats with the holes on the shaft assembly. Verify that the curtain is centered between the bracket plates. Slide the outermost top slats firmly against the curtain's endlocks of the slat directly below them. This will help to prevent curtain movement from side to side, during normal operation of door. IMPORTANT: Use only the curtain mounting bolts supplied by the manufacturer. If the shaft assembly is configured with barrel rings, the top slats are inverted with the flat outer side resting on the barrel ring mounting surface. Fasten the top slat to the shaft barrel ring using only the 3 /e -16 x' /2" large flange hex head bolts supplied. (FIG. 13) If the shaft assembly is configured with weld nuts (i.e., no barrel rings), the inside of the top slat is to rest over the weld nut. Fasten the top slat to the shaft weld nut using only the' /2 -13 x' /2" button head bolts supplied. (FIG. 14) Wind the curtain onto the shaft assembly. Stop winding the curtain when it is completely wound on shaft, and the bottom bar is about 1" below the bottom of the bracket plates. Do not remove the slings. Secure the rolled up curtain in place using Rope Slings Curtain and Bottom Bar Assembly Fig. 12 3 /e - 16 x' /2" A Large Flange Inverted Inside Hex Bolt Top Slat (Hole) Inverted End Top Slat (Slot) — Slide Against End Lock-----, Barrel Ring Fig. 13 SHAFTS WITH BARREL RINGS 1 /2 -13 x 1 /2 " X0 Button Inside Top Head Bolt Slat (Hole) End Top Slat (Slot) — SlideAgainst End Lock Fig. 14 SHAFTS WITH WELD NUTS a large rope or safety strap in the center of the coil or clamp the bottom bar to the wall angle. WARNING Do not let the curtain rotate in free fall. No tension has yet been applied to the springs. A free falling curtain could strike someone causing severe injury or death. 10 I � II �'I Exercise extreme caution when increasing or decreasing spring counterbalance. Never permit the adjusting wheel to rotate rapidly when releasing spring counterbalance. Con- tact with a rapidly rotating adjusting wheel or expelled winding tool can cause severe injury or death. Continue to adjust the spring tension until the curtain bottom bar slowly rotates upward against the bellmouth stops. The number of adjusting wheel turns to achieve optimum counterbalance, will vary with each door size. Apply only enough tension to hold the door in the up position against the stops. This is typically the optimum setting. Lock the charge setting in place by securing the fusible link chain. Test the door for proper balance. Do not over charge the spring. After the door counterbalance has been properly adjusted, carefully remove all safety ropes, straps or wall angle clamps. IMPORTANT: Increasing the initial tension will reduce the lift effort but can prevent the door from completely closing to the floor. Over charging the door may result in premature spring failure. Depending on the type of fire door and the op- tions selected, the unit will be supplied with the materials for either a manual lift door, a chain hoist operated door, a crank operated door, or a motor operated door. Manual Lift Doors Manual lift doors are supplied with a locking collar for the drive side shaft. From previous steps, the collar should be located on the inner shaft. Adjust the governor and lock it in position using the collar and set screw provided. WARNING The locking collar must be installed to insure that the viscous governor will be engaged by the governor arm. Failure to do so may result in the door dropping at a high rate of speed, which may cause damage to the door, damage to the operator, serious injury, or death. i - Gears and mechanisms move freely and quickly. To avoid severe injury or death, keep hands, arms, and clothing, free of moving mechanisms and meshing gears. Chain operated doors are supplied with the hoist assembly mounted to the bracket plate. From previous steps, the large diameter spur gear should be located on the driven shaft. Adjust the gear (if necessary) to line up with the chain hoist gear below. Tighten set screws securely. Install the chain over the chain wheel and adjust it to the proper length (3' from the floor) if necessary. The force required to raise or lower door with the chain should not exceed 35 pounds of force. IMPORTANT: Before operating the door, be sure that all drop out mechanisms are engaged and the fusible link chain is secured. Crank Operated Doors '� - =!CMM Gears and mechanisms move freely and quickly. To avoid severe injury or death, keep hands, arms, and clothing, free of moving mechanisms and meshing gears. Crank operated doors are supplied with the compo- nents mounted to the bracket plate. From previous steps, the large diameter spur gear should be located on the driven shaft. Adjust the gear (if necessary) to line up with the crank gear below. Tighten set screws securely. Motor Operated Doors WARNIN To reduce the risk of injury to persons, use only Atlas DoorTM operators on this fire door. Motor operated doors are supplied with the motor assembly which is packaged in a separate carton. The motor assembly and mounting brackets (if required) are to be fastened together using the four 3 /8 -16 x 1' /4" bolts, nuts, and washers provided with the door. When motor operators are furnished, check the documentation supplied for the correct mounting arrangement. 12 • • & •' 1 04MMUTal •• • 1 , Fusible links should be placed where they are most exposed to possible fire. A chain is to con- nect the fusible links to all release mechanisms, and should be free to move smoothly. The fusible links and chain shall be installed and routed so that the failure (or melting) of any single fusible link shall permit the door to drop. One fusible link must be within 12" of the ceiling. All wall mounted eye bolts must be completely threaded into wall. When all routings and door mechanisms are set, check to ensure that all fuse link chains are taut. (FIG. 17) NOTE: Some types of drop out mechanisms may have more than one chain coming from the bracket plate. These must not be looped together until each chain has been run at least 12" away from the bracket plate. NOTE: Through -wall fusible links are not required when the door is mounted on the interior side of an exterior wall of the building. Installing the Express Release Device If the door was supplied with an express release device, continue on with this section. Install the express release device only on the motor operator output shaft via the two set screws supplied with the assembly. Adjust the two "fingers" against the tension disc and lock in place via tightening the locking screw. (FIG. 18) Run the fusible link chain to the bracket holding the two fingers in place and attach via "s- hook." Route the fusible link chain through the eye bolt. Be sure the eye bolt is positioned properly in front of the s -hook so that the fusible link chain is set at 90 degrees to the bracket plate. Remove the plastic shipping clip (near the s -hook) prior to drop testing. Attach the end of the express release fusible link chain to the fusible link chain that engages the governor device. Check to ensure that the chain is taut, the tension disc set screws are tight, and that the eye bolt and mounting arm will not inter- fere with the governor engagement mechanism when it is released. Attach the motor drive chain between the drive sprocket on the operating end of the shaft and the express release device. Be sure the chain is tensioned properly. SprockJ Set Screw Fi Motor Shaft S -Hook Disconne EXPRESc Fig. 18 RELEASE DEVICE Fuse Link Eye Bolt Fusible Link Layout (Through Wall Application Shown) Fig. 17 14 See Figure 2 for Chain - Connection — Adjusting Side Pipe Sleeve by Others D Turnbuckle (Optional) S -Hook Detail 4 „ Ceiling 7gh hain 4" Min. k) Never Locate 12" Max. Fuse Links Here Top of Detector (Acceptable Here) Side Wall For a Fire Door Mounted on an Exterior Wall, Delete Pipe Sleeve and Connect Chains at Point "A" forces the pipe to turn, and the door to close. In order to allow only a portion of the spring force to be used to automatically close the door, a "starter bolt" is to be located in one of several positions on the face of the adjusting wheel. As the adjusting wheel rotates, the end of the starter bolt strikes the swing stop, behind the adjusting wheel. Both components rotate together until they are restricted by the stop bar welded to the bracket plate. First, make sure that the door is properly bal- anced. Place a chalk mark on the adjusting wheel and the bracket plate so that the adjusting wheel may be returned to the same position after each test drop. 'A I WARNIN 7 Failure to perform the next procedure correctly may result in the door dropping too fast.This may lead to door damage and/or to serious injury to installation personnel and/or passersby. To adjust the drop rate correctly, it is best to start by "under- releasing" spring charge, and then increase the amount until the door drops at the correct rate. (Adjustments to the spring balance charge are typically not necessary.) The spring release adjustment is made by changing the location of the starter bolt, in the face of the adjusting wheel. Please note that the adjusting wheel starter bolt hole configuration may vary depending on the door size. IMPORTANT: Make sure that the starter bolt is completely installed and tightened before performing a drop test. Refer to Figure 21 for the following steps. If the stop bar on the bracket plate is located at the Stop Bar (Welded to Bracket Plate) Adjusting Wheel O (0 pa Release Spring Starter Bolt O lO Charge 'O' Swing Stop 0 - - - - -- Tension Lock Bar Fig. 21 RIGHT HAND OPERATION SHOWN 1 o'clock position (right hand doors —as shown) and the starter bolt is located at approximately 8 o'clock (after the swing stop located at 6 o'clock) both will rotate until they meet the stop bar, releas- ing approximately 1 /3 turn of spring force. If the starter bolt is located at 12 o'clock, approximately 2 /3 turn of spring force will be released. If the starter bolt is located at 4 o'clock, approximately 1 turn of spring force will be released. The maxi- mum amount of charge that can be released is approximately 1 2 /3 turns. Prior to drop testing the door, a few precautionary steps should be taken. The door area should be roped off on both sides. Check to ensure that all fire release mechanisms operate freely. Fq Failure to check all mechanisms for proper operation, including the governor system, may result in the door dropping too fast. This may lead to door damage and /or to serious injury to installation personnel and /or passersby. After all adjustments have been made, test -drop the door by releasing the fusible link chain. The door should lower gradually to the floor. Reference local fire door codes for descent rate. If no local codes are applicable, all testing should be in accordance with NFPA 80 in which the door descent rate is between 6 and 24 inches per second. After a successful test drop, return the adjusting wheel to the chalk marked position and reconnect the fusible links to the chain(s). All disconnect levers must be fastened to the fusible link chains. Under no circumstances should disconnect levers be fastened to bracket plates or walls without having a fusible link in the line. IMPORTANT: It is the responsibility of the installer to ensure that the door is operating properly, and that it has been successfully test dropped, and documented, before leaving the job site. Be sure to have the facility manager, or end user, witness the drop test. IMPORTANT: Use an industry standard "Fire Door Inspection and Drop Test Form" to document all customer approval signature(s). If there is a problem, notify Atlas DoorTM, in writing, immediately. IN • Check all drop out components for loose or Preventative missing hardware, and proper operation. Fix or Maintenance Schedule replace components if necessary. Atlas Door TM Coiling Fire Doors have been engi- neered to provide years of trouble free service under normal use. A visual inspection of the door should be performed quarterly to determine if any components are malfunctioning, damaged, or missing. To ensure the longest possible life from your door, the following maintenance guidelines should be implemented. • Lubrication is the most important maintenance to be performed on the door. Apply grease to the guides quarterly (or more frequently if high usage or dusty conditions are present). Failure to do this may void warranty claims in the area of slat wear. Lubricate all moving mechanisms quarterly with WD -40©, silicone spray lubricant, graphite grease, lithium grease, or similar material. • Check the fuse link chain for tautness. Tighten if necessary. • Check all gears, sprockets, and chains drives for proper alignment and /or tautness. Adjust if necessary. • Check all fasteners and bolted connections to ensure they are secure. Tighten if necessary. As stated in NFPA 80, the door should be drop tested at least once a year by a qualified door service person to ensure proper operation. Contact a qualified door service person for any repairs. Use only Atlas Door TM replacement parts. • Check the slats and bottom bar for bent or punctured areas. Any damaged components should be replaced or corrected to enable smooth operation through the guides. • Check painted curtains for scratches. Touch up work should be performed as soon as possible to prevent rust and corrosion. • Check curtain endlocks for proper fastening to the slats. Fix or replace loose fitting components. • Check the guides for proper opening spacing. Adjust if necessary. • Check all wall angle and guide angle bolts to ensure that they are secure. Tighten if neces- sary. • Check the pipe shaft for signs of wear around the bearing and bracket plate areas. Fix or replace worn components if necessary. • Check the bracket plates for secure attachment to the wall angles. Tighten if necessary. IN Fire Door Parts The following parts list contains components or assemblies commonly referred to. Part Number Description Where Used 1002- 3122 -00 Endlock - Cast - Flat Slat Curtain 1002- 3113 -00 Endlock - Cast - Crown Slat - RH Curtain 1002- 3114 -00 Endlock - Cast - Crown Slat - LH Curtain 1101- 1400 -01 Motor Clip - Stamped Between motor and BP 1002 - 1401 -00 Motor Clip - Cast Between motor and BP 12021-3530 -00 Motor Clip - M30 Series Only Between motor and BP 1101G1302 -00 Bellmouth Stop - RH Top of guides 1101G1303 -00 Bellmouth Stop - LH Top of guides 1801 - 0016 -00 Bearing, 1.00" - Encapsulated Type Bracket Plate, Shaft 03071-2500 -02 Bearing retainer for 1.00" Encapsulated Type Bracket Plate, Shaft 1801- 0016 -02 Bearing, 1.00" - Stamped Flangette Type Bracket Plate, Shaft 1801- 0016 -03 Bearing, 1.00" - Cast Flange Type Bracket Plate, Shaft 1801- 0020 -03 Bearing, 1.25" - Encapsulated Type Bracket Plate, Shaft 03071-3125 -02 Bearing retainer for 1.25" Encapsulated Type Bracket Plate, Shaft 1801- 0020 -04 Bearing, 1.25" - Stamped Flangette Type Bracket Plate, Shaft 1801- 0020 -01 Bearing, 1.25" - Cast Flange Type Bracket Plate, Shaft 1801- 0024 -01 Bearing, 1.50" - Cast Flange Type Bracket Plate, Shaft 1801- 0028 -01 Bearing, 1.75" - Cast Flange Type Bracket Plate, Shaft 1801- 0032 -01 Bearing, 2.00" - Cast Flange Type Bracket Plate, Shaft 1406 - 0312 -04 Pull hook Manual doors 3020- 0042 -01 Express release device On Motor Operator Special Order Bracket plate, drive (Contract No. Required) Holds shaft Special Order Bracket plate, adjustment (Contract No. Required) Holds shaft Special Order Chain hoist assembly (Contract No. Required) Bracket Plate, DS Special Order Curtain slat (Contract Number Required) Curtain Special Order Bottom bar assembly (Contract Number Required) Curtain Special Order Guide assembly (Contract Number Required) Mounts to opening Special Order Hood (Contract Number Required) Covers curtain coil Special Order Shaft assembly (Contract Number Required) Supports curtain coil atlas r ® BUILDING PRODUCTS A Griffon Conpmi 312 Walnut Street, Suite 1600, Cincinnati, OH 45202 (800) 959 -9559 ©2001 Clopay Building Products Company, Inc. P/N 6003388 4/01 NN Product Specifications PRODUCT SPECIFICATION'S I CENTRAL PARK I CONSTRUCTION: Tufted/UPS GAUGE: 1 /10 inch PILE THICKNESS:.122 inch STITCHES PER INCH: 7.6 FACE YARN: DuPont Antron(E Lumen Solution ADDH IONAI INFORNIA I KA: k Awir pads arcs recomiuvn(led under cfflice chairs with rofler caster's to onhance appearal ice ; avoid premarure or acceleraled ,v ear and a(. asa deterrent to reccmirriended at building 10 ICdLlce soijim4 10 CIISMI a proper inmalhmon, a scarn sealer mwit be used on sa prokhwts where semning is Rcfi�nmce to C. Manual too -1 °99 4 is for cornplete inwdhition. Bact"-im"s or odlev tuaterillk zna� b,� cham. Without Prior 'notice \vlml Shortages OC'AH 01 �klmn t - - - Page 1 of 2 http://www.mohawkcommercial.com/showspecs.asp?Stylc=Central`/`20Park 4/5/02 Product Specifications techllolo advanccrnents beconw avadaWe which provido fi'w Improverlient of the product's pel This caq)�°t is nianufaclured .as c3 for indoor floor cwerin use olil "Ove (to not assumv arn; liat)i1ity: teal or implied when carpet is applied oiber%k i. Product sp(�cifiivations are dc from avcraoe, resufting Froin rionnal n RACI 's ill yarn, fiber. tei npera t ire, humidity and color and inlay vary widlin normal hidusil-," tolcmvwcs. Spceifications we subject to change. Perlormamc is not affected by such variances. Page 2 of 2 http://www.mohawkcommercial.com/showspecs.asp?Style=Central`/`20Park 4/5/02 Product Testing MOHAWX INDUSTRIES $TAT& OF GEORGIA PAMELA P. SPIV'ZY MANAGER OF TESTING AND CERTIFICATIONS, MOHAWl< INDUSTRIES, DU15LIN, GEORGIA, FIRST BEING DULY SWORN DEPOSES AND SAYS: THESE RESULTS INDICATE THE PRODUCT TO HAVE THE REOUIRE14ENT'S FOR A CLASS I CERTIFICATIO'. p FAMWEILAA SPIVEr SWORN TO BEFORE ME THIS 11TH DAY Or APRIL, -2001 L �� I a4 � 111' W *"WOW" E*m Aw Page 2 of 2 http://www.mohawkcommercial.com/results.asp?Test=Flame&Style=Central`/`20Park 4/5/02 Product Testing MOHAWK INDUSTRIES STATE OF GEORGIA ) SS.: COUNTY Or LAURENS) pAmzLA P. SPIvEY, MANAGER oE TESTING AND CE"IFICATIONS, MOHAWK INDUSTRIES, 'DUBLIN, GEORGIA, FIRST BEING DULY SWORN DEPOSES AND SAYS* THIS IS TO CERTIFY THAT MOHAWK INDUSTRIES CARPET STYLE, �CENTRAL PARK UPS" HAS BEEN TESTED FOR SPECIFIC OPTICAL DENSITY OF SMOKE GENERATED BY SOLID MATERIALS USING ASTM STANDARD METHOD 01' TEST E 662-79. THIS SPECIFIC OPTICAL DENSITY (AVERAGE E` °I WAS DETERMINED TO BE LESS THAN OR ZQUAL TO 450. PAMELA P. SPIVEY SWORN TO BEFORE ME THIS 16TH 'DAY OF MARCH, 2001 Page 2 of 2 http://www.mohawkcommercial.com/results.asp?Test=Smoke&Stylc=Central%20Park 4/5/02 Product Testing STATE OF GEOR : ) Mm PAMELA P. SPIVZY, MANAGER OF TESTING AND CZAT I FICA `TO NS, MOHAWK INVUSTRT", DUBLIN, GWRGIA, FIRST SEING DULY SWORN DEPOSES AND SAYS: THIS IS TO CERTIFY THAT MOHAWK INDUSTRIES CARPET STYLE "CtNTRAL 'PARK UPS" HAS BEEN TEMD IN ACOOODAmCE WIT" THE AATCC TEST MT140D 134, -8ttCTR0STATjC PROPSUSITy Of CARPM" A95=ING IN AN AVERAGE STEP ZIXCV�OSTATTC CHARGE OF 3 t 50 KV 09 LESS. PAMELA P. YPNEY SWORN TO BEFORE ME THIS 16TH DAY OF MARCH, 2001 Page 2 of 2 http://www.mohawkcommercial.com/results.asp?Test=Static&Style=Central%20Park 4/5/02 ULTIMA PERFORMANCE SYSTEMO WARRANTY Thu Mohawk Group ffi , q ,- 500 TownPark Lane Suite 400 Kennesaw, Georgia 30144 Karastan Durkan Mohawk Bigelow Lifetime Wear Guarantee Page 1 of 2 The Mohawk Group guarantees that the surface fiber of this carpet will wear less than 10% by weight from abrasion for the life of the carpet. Any area showing greater wear under conditions of normal indoor commercial use and is determined to be a manufacturing defect by a certified independent carpet inspector will be replaced at The Mohawk Group's expense, as long as the carpet was properly installed and maintained. The Mohawk Group shall repair, or in its sole discretion replace or refurbish that portion of the carpet which is unacceptable, and shall not include the incurring or reimbursing of any indirect costs of incidental or consequential damages arising from such activities. For example, damages arising from the interruption of use of the spaces affected shall not be included in our obligation. Please see Warranty Remedies. Subject to the Following limitations: The Mohawk Group warrants normal abrasive wear only. This warranty does not cover tears, burns, pulls, cuts, pilling, shedding, matting, damage due to improper cleaning agents or maintenance methods, or abuse by any athletic equipment, such as roller skates, ski boots and golf shoes. By abrasive wear is meant fiber loss from the carpet through normal abrasion, not crushing or flattening of the carpet pile in any area, nor staining, soiling, fading or change in carpet appearance, nor fiber loss due to abnormal usage of the carpet. Stairs are excluded. Claim Procedure To present a claim for excessive wear, advise your Mohawk Group Carpet Dealer or write: The Mohawk Group Attention: Claims Dept. 443 Nathaniel Drive Dublin, GA 31021 to arrange for an inspection and analysis of your carpet by our authorized representative. IV. Warranty Remedies: 1. After receipt of proper written notice of claim, The Mohawk Group will designate a representative to inspect the carpet with the Owner's representative and The Mohawk Group will meet all warranty obligations. 2. Subject to any monetary adjustment as may be agreed upon in writing by The Mohawk Group, and subject to the above warranty limitations and Owner obligation, The Mohawk Group shall repair or, in its sole discretion, replace any designated carpet sold by it containing a defect covered by the above LIFETIME WEAR warranty, at no expense to the Owner. 3. Any replacement will be made with a comparable product selected by The Mohawk Group from the then - current Mohawk Group running line. However, The Mohawk Group's obligation shall not include the reimbursing of any indirect costs or incidental or consequential damages, however incurred. By way of example and not limitation, damages arising from the interruption of use of the spaces affected, nor expenses in removing furniture from the affected area be included in our obligation. 4. The remedies provided in connection with the WEAR warranty are expressly in lieu of any other remedies provided under any other express or implied warranty, INCLUDING ANY WARRANTY BY MODEL OR SAMPLE AND ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS, and of any other obligation on the part of http:// www. mohawkcommercial. com /tmg_warranties /life_wear.html 4/5/02 ULTIMA PERFORMANCE SYSTEMO WARRANTY Page 2 of 2 The Mohawk Group. This limited warranty supersedes any additional or inconsistent warranty(s) set by dealer, owner, or any third party. In no event shall The Mohawk Group be liable for any incidental or consequential damages. No modification of this limited warranty shall be effective unless in writing and signed by a Representative of The Mohawk Group authorized to do so. Please Note: Some States do not allow the exclusion or limitation of incidental or consequential damages or limitations on how long an implied warranty lasts. The above limitation or exclusion may not apply to you. You have legal rights under this warranty. This warranty gives you specific legal rights, and you may also have other rights which vary from state to state. Except for these rights, the remedies provided under this warranties state the limit of The Mohawk Group Carpet Corporation responsibilities. V. Mediation / Arbitration: If a dispute arises out of or relates to this limited warranty, or the breach thereof, and if said dispute cannot be settled through direct discussions, the parties agree to first endeavor to settle the dispute in an amicable manner by mediation administered by the American Arbitration Association under its Commercial Mediation Rules in Atlanta, Georgia, before resorting to arbitration. Thereafter, any unresolved controversy or claim arising out of or relating to this limited warranty, or breach thereof, shall be settled by arbitration administered by the American Arbitration Association in Atlanta, Georgia and in accordance with its Commercial Arbitration Rules, and judgment upon the Award rendered by the arbitrator(s) may be entered in any court having jurisdiction thereof. Neither party nor the arbitrators may disclose the existence, content, or results of any arbitration hereunder without the prior written consent of both parties. Arbitrators shall be appointed as provided in the American Arbitration Association Commercial Arbitration Rules. In rendering the award, the arbitrator shall determine the rights and obligations of the parties according to the substantive and procedural laws of Georgia. * Lifetime of Carpet is defined by The Mohawk Group to be the lifetime of the original purchaser for a particular installation. http://www.mohawkcommercial.com/tmg_warranties/life 4/5/02 Technical Information 1. TECHNICAL INFO. SEARCH CARPET C A R E Click here for a PDF of our Carpet Care Brochure In Protecting Your Investment A x t. Ru ler The Way You Look At Carpet... A well programmed maintenance schedule will extend your carpet's performance,appearance and life ... so treat it like It's your own. FIVE KEYS TO EFFECTIVE MAINTENANCE Click the links below to find out more on the following topics: Preventative Maintenance Dirt is everywhere. Keeping it out of buildings is easier and less expensive than removing it. Vacuuming Regular vacuuming is the most important part of any maintenance program. Spot Removal Spots are inevitabie,but they don 't have to be permanent. Remove a spill quickly and there is less chance it will become a stain. Interim Cleaning Scheduled pile Iifting,vacuuming,spot extraction,or dry cleaning in high traffic areas can help the carpet retain appearance and improve performance. Restorative / Deep Cleaning No matter how conscientiously you work at it,daily maintenance will still leave some soil behind.Periodic deep cieaning,using hot water extraction,is most effective at removing embedded abrasive soil. http: / /www.mohawkcommercial .coin/caipet_care.html Page 1 of 21 4/5/02 Tedwical Information THE WAY YOU LOOK AT CARPET... Commercial carpet is a sizeable investment. Naturally, you want your carpet to remain attractive and highly functional long after it is installed. A well programmed maintenance schedule will extend your carpet's performance,appearance and life ... so treat it like it's your own. The longer carpet lasts ... the less it costs Maintenance costs for a carpeted floor,average 30 to 40 percent less than those for hard surfaces.To be truly cost effective, maintenance must be carried out with systematic frequency over the life of the carpet.Therein lies the irony.Today 's carpets are engineered to disguise soils and stains.This sometimes masks the need to vacuum and clean on a regular basis.A consistent and effective maintenance program can dramatically extend the life of your carpet. An environmental note The Mohawk Group,a subsidiary of Mohawk Industries Inc.,is committed to manufacturing processes that have the least impact on our environment.We practice conservation of energy and recycle by- products of manufacturing —thus reducing landfill waste.Protect your investment and be environmentally conscious.The proper maintenance program will keep your carpet out of landfills longer,and provide a healthier environment in which to work. Clean air The cleaner the carpet,the better the air.Properly maintained carpet can act as a filter, improving the air in your work environment,resulting in better performance and morale. Employee ownership Everyone in your company should treat the carpet as if it were their own.When problems arise from accidents that affect the floor,immediately address the problem. Ignoring a spill creates an even greater problem later for your maintenance staff. A good reflection on your business An effective maintenance program will protect your carpet investment.When your carpet looks good it 's a positive reflection on your company. http:// www. mohawkcommercial .com /carpet_Care.html Page 2 of 21 4/5/02 Technical Information Click to Return to the Effective Maintenance Menu ;4 Preventative MaintenancG • Walk -off mats trap soil.it is easier to keep soil out and less expensive than removing it. • The use of walk -off mats will significantly reduce your maintenance costs. • Place a mat outside,in the vestibule and inside for best results. • Today mats and removable grates are available to fit any type of entrance situation. • It has been estimated that removing a pound of dirt,once inside a building,costs more than $500.00. Mat Facts • Up to 24 pounds of dirt can be tracked in by just 1,000 people coming through an entrance over a 20 -day work period. • An effective matting system is essential to improve the appearance of your entire building and help reduce maintenance costs. • Consult your maintenance professional for proper mat selection. Chair Mats • The use of chair mats prevents casters from grinding soil into the carpet and breaking down the carpet 's fibers HEAVYCOMMERCIAL TRAFFIC The classification of Heavy Commercial traffic refers to public spaces such as main corridors, lobby and entrance areas,vending machine areas,airports and retail facilities. MEDIUM COMMERCIAL TRAFFIC Medium Commercial areas are those that must withstand high foot traffic such as school corridors and classrooms, administrative and general office areas. LIGHT COMMERCIAL TRAFFIC Light traffic areas include executive offices,boardrooms and conference rooms.Traffic is minimai,thus reducing the soil in this area. Page 3 of 21 http:// www. mohawkcommercial .com /carpet_care.html 4/5/02 Technical Information Page 12 of 21 l ittp:// www. mohawkconiunercial .com /carpet_care.litiiii 4!5/02 Tecill-ical Information Click to Return to the Effective Maintenance Menu Vacuumin Vacuuming is the most effective way to remove soil.How often you vacuum is influenced by soil type and traffic patterns.Soiling at entry areas and ground floors has high levels of dirt and sand,while executive offices generally are not as heavily traveled and will require less frequent vacuuming. Please refer to frequency chart for effective vacuuming. Train personnel on proper vacuuming methods and techniques. Z ■ � , • A slow pass against the carpet pile is more effective than several quick strokes. • Heavy traffic areas may require multiple passes (forward and backward)to sufficiently extract embedded soil. • A vacuum brush will open up the tufts. (Agitation will loosen the soil. Slow movement allows time for air to circulate through the face yarn and extract soil.) Vacuuming Frequency To Properly Remove Soil Area Traffic Condition Vacuuming Frequency Entry Heavy Daily Ground Floor Halls Heavy Daily Above Ground Halls Medium 3 times per week Administrative Offices Medium 3 times per week Classrooms Medium 3 times per week General Office Areas Medium 3 times per week School Corridors Medium 3 times per week Boardrooms Light Weekly Conference Rooms Light Weekly Page 13 of 21 http:// www. mohawkcommercial .com /carpet_Care.html 4/5/02 Technical Information Executive Offices I Light I Weekly 2 Motor Upright Vacuum with Rotary Brush • Proper vacuum set up should extend the rotary brushes 1/8 "below the casing. • Periodically check brushes for wear. • For maximum efficiency,change disposable bag when it is half full. (When a vacuum bag is over half full it loses 80 %efficiency.) Carpet is more efficiently cleaned when using a vacuum with a beater bar. Click to Return to the Effective Maintenance Menu * r Spot Removal Stain Category Stain Category Asphalt B * Copier Toner Vacuum Only Ball Point Pen A Cosmetics B Beer A Glue, Latex A Bleach A Grass A Blood A Grease B ' Brass Stain A Ink, Copying B Betadine B * Ink, Permanent B Butter B Mildew A Calcium Chloride (De -Icer) A Oil B Candle B Paint, Latex A Candy A Paint, Oil B Carbolic Acid (Disinfectant) A Peanut Butter A Page 14 of 21 llttp: / /www.moliawkcommercial .coin /carpet_carc.litmi 4/5/02 Technical Information Carbon,Black B Perfume A Catsup A Salad Dressing B Cement, Building A Shoe Polish B Cement, Contact B Soy Sauce B Chewing Gum A Tea C * Children's Drink Mix A Tomato Juice A Chocolate A Tomato Paste A Cigarette Burn A Urine C * Clay A Vomit C * Coffee C * Wine A Coke A *These difficult stains must be treated immediately to ensure removal of the stain. littp:// www. mohawkcomn ierc1al.com /carpet_care.lttml Page 15 of 21 4/5/02 Technical Information CATEGORY "A "STAINS Step I Blot or extract to remove substance.Rinse thoroughly with clear water.Apply an all- purpose cleaning solution sparingly,and gently agitate the stained area. Blot or extract to remove substance.Rinse thoroughly with clear water to remove residue.Blot or extract to remove excess moisture. Step 2 Repeat if necessary. Step 1 Blot or extract to remove substance.Try implementing cleaning procedure for Category "A "stain using an all- purpose cleaner. Pave 16 of 21 http:// www. moha .com /carpet_care.html 4/5/02 Technical Information Step 2 Blot or extract to remove substance.Apply only enough cleaning fluid to dampen the stained area.Gently agitate.Blot or extract to remove substance.Rinse thoroughly with clear water.Repeat as long as the stain continues to transfer from the carpet to the towel.Rinse thoroughly with clear water.Blot or extract to remove excess moisture. Step 3 Apply a specific FOG (Paint,Oil and Grease)Cleaner sparingly to the stained area.Gently agitate.Blot or extract to remove substance.Rinse thoroughly with clear water.Blot or extract to remove excess moisture. [. I MCIGI t. 1 Step 1 Blot or extract to remove substance.Rinse thoroughly with clear water. Apply a tannin remover according to manufacturer's recommendations. Rinse thoroughly with clear water to remove residue.Blot or extract to remove excess moisture. Work from the edge towards the center of the spill.Never rub,it may spread the stain. If these methods fail, contact your local certified cleaning company for recommendations. �►� •• • �• .. • • Click to Return to the Effective Maintenance Menu III11�' A well planned maintenance program includes regular interim and deep cleaning methods. Effective interim cleaning includes: • Pile lifting & vacuuming • Wet or dry spot cleaning • Dry cleaning or hot water extraction in high traffic areas METHOD For interim cleaning Mohawk recognizes that there are many dry cleaning methods available in the marketplace.We suggest that you Pao 17 of 21 littp:// www. mohawkconitnercial .com /carpet_Care.htiiil 4/5/02 Technical Information analyze several methods for effectiveness and cost,to determine which best suits your facility. An effective dry cleaning method involves the application of a dry cleaning substance that dissolves and absorbs both water and oil based soils,holding them until they are removed by vacuuming.The cleaning agent contacts all surfaces of the soiled carpet fibers,breaking down the bond that causes the soil to stick to the carpet fibers. • Thoroughly pre- vacuum all areas,paying particular attention to the heavily soiled areas. • Apply cleaner only to soiled areas. • Brush the cleaner gently through the carpet to remove stains and soil. • Vacuum up the loose soil and the cleaning agent. DRYEXTRACTION METHOD "Can work well to remove stains and spots ". The Dry Extraction Method utilizes small porous particles saturated with cleaning solvent and /or detergent that absorb soil and grime from carpet fiber.lt can be used to keep traffic lanes clean between water extraction cleaning,and where constant traffic doesn't allow ample drying time for a wet system.Closely follow the manufacturer 's user instructions for dry extraction system.As with other systems,dry extraction improperly carried out can lead to poorly maintained and damaged carpet. Click to Return to the Effective Maintenance Menu Pine 18 of 21 llttp:// www. mohawkcommercial .com /carpet_care.litnil 4/5/02 Technical Information M��All Deep Cleaning VAQV Deep Cleaning is restoring the carpet's appearance by extracting soil and substances that can damage your carpet. Mohawk recommends hot water extraction as the most effective method to give restorative deep cleaning results. METHOD Hot water extraction is the industry 's most frequently used method of deep cleaning.A hot water and light cleaning solution,in the manufacturer's recommended mix,is sprayed into the carpet.This solution mixes with the soil as powerful extraction removes the solution and the loosened soil in the process. Caution must be used with this method to avoid over wetting. • Test the cleaning chemical to be sure it dries without stickiness,otherwise,it can cause rapid re- soiling.Simply put some detergent in a saucer and allow to dry.If sticky to the touch,do not use. • Use only detergents that have a ph factor below 10 and contain low levels of volatile organic compounds (VOCs). • With proper hot water extraction equipment,carpet should be dry within 4 -6 hours. Extractors incorporating a brush between the water jet and vacuum are recommended. • Avoid machines that recycle the water.These may leave behind an oily residue that will cause rapid soiling. • If a pre -spray is needed to address spots prior to deep cleaning,use a product specifically formulated to remove detergent residue and mineral deposits. • 120 PSI (pounds per square inch)or more of water delivery. • 150 inches of mercury lift or more vacuum. • Should have a clear sight glass to observe the return water. If the equipment does not have observation glass,this can be easily installed in the return hose. • Must be able to reach all carpeted area. Cleaning Frequency Foot Traffic Location Page 19 of 21 http:// www. niollawkcommercial .com /carpet_Care.littnl 4/5/02 Technical Infonnation 9 Times /year Heavy Ground Floor Entrances 6 Times /year Medium Classrooms & General Office 3 Times /year Light Executive Offices & Boardrooms *Please consult your local cleaning professional for more specific instructions. COLOR,PATTERN AND CONSTRUCTION Color,pattern and construction all help determine how well your carpeting stands up to daily use.The best carpet selection takes both performance and aesthetics into account.No maintenance program can overcome a poor carpet choice.lmproper color selection could increase your maintenance costs. Many factors govern a carpet 's life and appearance from the fiber and construction to the way the carpet is installed.However,none pay more dividends than proper care.The small amount of time that it takes to implement a well planned maintenance program can dramatically extend the life of your carpet.And remember—the longer it lasts, the less it costs. Observe the appearance of the carpet for a period of time.lf soiling is apparent,increase the frequency of vacuum cleaning in that area. CARPET TILE The selection of carpet tile for your facility necessitates the implementation of programmed rotation in your maintenance schedule. CAUTION:Over wetting carpet the can cause dirt and detergent to be carried to the backing,which could affect the pressure sensitive adhesive bond. CARE OF WOOL CARPET The most important elements of maintaining your wool carpet investment includes the steps of thorough vacuuming,interim dry cleaning in high traffic areas and deep cleaning with warm (not hot)water. Vacuuming of wool cut pile carpets is most effective with the use of a rotary beater bar /brush. For loop pile constructions,a suction only vacuum should be used to prevent fuzzing. There are many cleaning agents,both dry and wet,that are suitable for use on wool carpet.Consult your local cleaning professional when selecting an approved cleaning agent for wool carpet.Your last step in deep cleaning must include a rinse with clear water. Do not apply stain repellent treatments that contain silicone because they will accelerate soiling Care must be taken to not over wet wool carpet. Immediate attention to spills will prevent the development of a stain.Remove the solid spill and use white absorbent cloth /towel to absorb all of the spilled substance.Apply spot cleaning agent sparingly as defined in the spot removal section of this maintenance guide.Work from the edge towards the center of the spill.Never rub,it may spread the stain. Test all spot and cleaning agents in an inconspicuous area to be sure it will not remove the carpet color. Page 20 of 21 http:// www. mohawkcommercial.com /carpet_care.litml 4/5/02 Technical Information ADDITIONAL SAFEGUARDS Always test for colorfastness in an inconspicuous area. Test all cleaning agents by evaporating some solution in a clear glass container. Residues should not feel sticky, or they can cause rapid re- soiling. MAINTENANCE HOTLINE 800.553.6045 X -62347 Click to Return to the Effective Maintenance Menu Pape 21 of 21 http:// www. mohawkeommercial .com /carpet_care.html 4/5/02 [: Between us, ideas become reality; �F • 1 • • Eau cationai/lnsi3WUonailiYans ortaUon Airport/Railway/Bus Terminals I EXCELOW N Feature Tile (d) Standard EXCELON N N Cafeteria, Dinin2 Area (e) R R R Civic /Convention Centers N N N Classrooms H R R Computer Rooms R (6) R (6) R (6) Corridors H R H Dormitory Rooms H H H Environmental Conditioning Unit N N N Food Service Area (e) R i) R(i) R(i) Gymnasium H H H Laboratories R(1 R(I) R(l) Lavatories R R R Library R R R Locker Rooms (No Spikes) N (3) N (3) N (3) Multipurpose Room H H H Museums /Cultural Centers H H H Rams (Dry) N (3 -N( N (3) /Shower Rooms N (3) N (3) N (3) ( Showers Utility/Storage Areas R R H N Clean Rooms l N N Computer Repair Lab N (6) N (6 i N (6) Electronic Testing L ab N (6) N (6) N ( 6) Electrorncs Manufacturing N 1 1 N (6) N (6) Conditioning Unit N N N ( Environmental Photo P rocessing R R I R Laboratory R(i) R(I) R(l) ! Production Research Laborato R(I) R(I} R(I) ! Small Parts Assembly R R R I Steriie Packaging R R R ( Warehouse (n) N ( Critical /Intensive Care R R R I Di3 (it N (2) N N R 2) H 21 Physical Therapy ( Dry Emergency Room Areas R R R IExam /Pro cedure R ooms R R R I tiydro P Th N (3) N (3) N ( 3) Hyperbanc Room N (6) 1 N (6) N (6') ! Labor Delivery Rooms N r N N ( Laboratories R (q FI (I) R (Q Lobbies R R ! Operating Rooms N (1) N (1) ! N (1) )Patient Corridors H H H P Patent Rooms R R R i Ramped Corridor (Dry) N (3) I N (3) N (3) { Scrub Areas N (1) 1 N (1) N (1) I Utilrty /Storage Room R R H ( Waning Rooms R � Mercenuie ( Automobile Showrooms j R R R R R ! Checkout/Cash Wrap R 1 R R ( Food Service (e) H (i) R (i) H (i) !Frozen Food H R H Indoor Mall Common Areas N N N I Produce Area N 3 N I N (3 Sales Floor - Department Stores R R R (Sales Floor - Groce H R H Sales Floor - Mass merchant H R H Specia Shops/Areas R Office Computer Room N (6) R R ( n N (6) N (6) Corridors H H ( H Elevators R R R Lavatories ( R R R !Cobb R I R R (Lunchrooms (e) N H H Os /Conference Rooms ffice R R R Uti( /Stora e Rooms Assisted Lavin uMa rfousin Activity Rooms /Common Areas R Commercial, H R H H H Beauty Salon /Barber Shop H H H Corridors H H H Daycare Areas H H H Dinin Areas R R R DoctorlDentist Office R R R Residence Bathrooms (p R R R Residence Kitchens e) R (e) R (e) R (e Residence Rooms /Barracks Around Whirlpool/Spas R N 3 R N (3 ) R N (3) Corridors H H H Dinin Room (e R R R Elevators R R R Exercise Rooms R R R Guest Bathrooms 1) R R R Guest Rooms R R R Lobby R R R Loun e R R R Vending Areas (i) R R R All patterns except SDT. Is New colors added in 2001. The line now has 70 contemporary colors representing all commercial color families, plus tone and value steps within each color range. Imperial Texture offers a balanced line of clean and tinted neutrals, plus darker and jewel tone accents. 9 The visual and colors help conceal dirt and traffic patterns on the floor. Imperial Texture can be installed on quarter -turn and in ashlar configurations to help hide subfloor irregularities. E Available in 1/8 inch and 3,32 inch gauges for options in performance and installed costs. Beauty that's not only skin -deep. Imperial Texture is a true through pattern constructed product, with color and design that are consistent from top to bottom,.and designed to last for the lifetime of the floor. Styled and constructed for all commercial spaces and for Main Street applications. E Part of the Armstrong portfolio of commercial products, including color- integrated floors and floor accessories, ceilings, and one - stop specification, delivery and service benefits. PHYSICAL DATA Form: 12 in. (305 mm) x 12 in. (305 mm) Gauges: 1/8 in. (3.2 mm) Wood 3/32 in. (2.4 mm) Reference Specifications: ASTM F 1066, Class 2— through pattern Fire Test Data: ASTM E 648 Critical Radiant Flux - Underlaymen 0.45 watts /cm or more —Class I Terrauo ASTM E 662 Smoke - 450 or less Resilient Floor Numerical flammability ratings alone may not S -515, S -700, I define the performance of the product under S -89, S -515 actual fire conditions. These ratings are provid- S -515, S -750 ed only for use in the selection of products to S -750 meet the specified limits. Static Load Limit: ASTM F 970 Tile -On 75 psi (5.27 kg /cm Durability: 1 /8 in. - Very good 3/32 in. - Good Maintainability: Good Resilience: Good Imperial Texture: 51812/51820/51821 /51822 INSTALLATION INFORMATION Approximate installed cost per square foot for 1/8 in. gauge: U.S.: $1.25 to $1.50; Canada: C$1.25 to C$1.50 Subfloor Wood I concrete Ceramic, Marble, I I Metal I Existing Underlaymen Terrauo Resilient Floor Adhesive S -515, S -700, I S -89, S -515, S -89, S -515 S -89`, S -700 I S -515, S -750 S -750 S -700, S -750 S -700, S -750 Tile -On ' S -89 may only be used over steel, stainless steel, aluminum and lead 102 FOR INFORMATION OR SAMPLES: PHONE 1 877 ARMSTRONG FAX 1 800 599 -9335 WEB SITE: www.armstrong.com Successive miildowns reveal true through - pattern construction. 601 E OR ■ POSSIBILITIES PRODUCT /MATERIALS Provide 0.085 inch (2.16 mm) nominal gauge Armstrong Possibilities Inlaid Commercial Vinyl Sheet Flooring in (pattern name and color number and name), 6'(1.83 m) wide, meet- ing ASTM F 1303, Type II, Grade 1, Class A backing. Colors will be selected from the range currently available from Armstrong. [Provide solid color weld rod to (blend) (accent) seam lines.] EXECUTION /INSTALLATION Install in strict accordance with manufacturer's written instruc- tions with a minimum of seams over approved subfloors using the Commercial Felt- Backed Installation System with S -235 Adhesive in the field and (the Securabond Seaming Method with S -200 Epoxy Adhesive at the seams) (with heat welded seams). Provide an integral (flash) cove by extending the flooring mate- rial (4 inches) (10.16 cm) (6 inches) (15.24 cm) ( ) up the wall supported by a cove stick having a minimum radius of 7/8 inch (2.22 cm), and adhering to the wall with (S -235) (S -580) Adhesive (using S -200 Epoxy Adhesive at the seams) (and heat welding the seams). Cap the integral coving with an approved cap strip installed in accordance with the manufacturer's recommendations. Classic CORLON/ Connection CORLON PRODUCT /MATERIALS Provide 0.085 inch (2.16 mm) nominal gauge Armstrong (Classic) (Connection) Corlon Inlaid Vinyl Sheet Flooring in (pattern name and color num- ber and name), 6' (1.83 m) wide, meeting ASTM F 1303, Type II, Grade 1, Class A back- ing. Colors will be selected from the range currently avail- able from Armstrong. [Provide solid color weld rod to (blend) (accent) seam lines.] EXECUTION /INSTALLATION Install in strict accordance with manufacturer's written instruc- tions with a minimum of seams over approved subfloors using the Commercial Felt- Backed Installation System with S -235 Adhesive in the field and (the Securabond Seaming Method with S -235 Adhesive in the field and with S -200 Epoxy Adhesive at the seams) (with heat welded the seams). Provide an integral (flash) cove by extending the flooring mate- rial (4 inches) (10.16 cm) (6 inches) (15.24 cm) ( ) up the wall supported by a cove stick having a minimum radius of 7/8 inch (2.22 cm) and adhering to the wall with (S -235) (S -580) Adhesive (using S -200 Epoxy Adhesive at the seams) (and heat welding the seams). Cap the integral coving with an approved cap strip installed in accordance with the manufac- turer's recommendations. 2.3 linoleum the ■ LINOPLAN Tile PRODUCT /MATERIALS Provide 0.100 inch (2.5 mm) nominal gauge 18.9 in, x 18.9 in. (48 cm x 48 cm) Armstrong LINOPLAN Linoleum Tile in (color number and name). Colors will be selected from the range currently available from Armstrong World Industries, Inc. EXECUTIONANSTALLATI ON Install the in strict accordance with manufacturer's instructions over approved subfloors using the LINOPLAN Installation System with S -760 Linoleum Adhesive as recommended by the manufacturer. 2.4 luxury solid vinyl flooring NATURAL OPTIONS PRODUCT /MATERIALS Provide 0.100 inch (2.5 mm) nominal gauge, (12 in. x 12 in.) (304.8 mm x 304.8 mm) (18 in. x 18 in.) (457.2 mm x 457.2 mm) (24 in. x 24 in.) (609.6 mm x 609.6 mm) (36 in. x 3 in.) (914.4 mm x 76.2 mm) (36 in. x 6 in.) (914.4 mm x 152.4 mm) ( ) Armstrong Natural Options Luxury Solid Vinyl Flooring in (pattern name and color num- ber and name) meeting ASTM F 1700, Class III, Type B - Embossed Surface. Colors will be selected from the range currently available from Armstrong. EXECUTI ONA NSTALLATI O N Install in strict accordance with manufacturer's written instruc- tions over approved subfloors using the Luxury Solid Vinyl Flooring Installation System with (S -575) (S -240 Epoxy) Adhesive as recommended by the manufacturer. NOTE: Rustico must be installed using S -240 Epoxy Adhesive. 2.5 vinyl composition the ■ Standard EXCELON and EXCELON PRODUCT /MATERIALS Provide (3/32 inch) (2.4 mm) (1/8 inch) (3.2 mm) nominal gauge, 12 in. x 12 in. (305 x 305 mm) ( ) Armstrong (Companion Square) (Stonetex) (Canvas) (Feature Tile/ Feature Strips) (MultiColor) (Imperial Texture) Tile in (color number and name) meeting ASTM F 1066, (Class 1 - solid color) (Class 2 - through pattern). Colors will be selected from the range currently available from Armstrong in thicknesses designated. EXECUTION/INSTALLATION [Install tile in strict accordance with manufacturer's written instructions over approved subfloors using the Vinyl Composition Tile Installation System with full- spread (S -89) (S -700) (S -750) (S -515) Adhesive as recom- mended by tile manufacturer.] [Install tile in strict accordance with manufacturer's written instructions over approved sub- floors using the Vinyl Composition Tile Installation System by the Tile -On method with (S -750) (S -515) Adhesive over smooth, completely bond- ed existing resilient flooring installations.] 2.6 specialty flooring slip - retardant sheet and tile its SAFEGUARD /SAFEGUARD Design /SAFEGUARD Hydro PRODUCT /MATERIALS Provide 0.080 inch (2.0 mm) nominal gauge vinyl- backed Safeguard Slip- Retardant Sheet Flooring (color number and name), 6'6 (2.0 m) wide, meeting the physical properties of overall thickness, residual indentation, flexibility and resistance to chemicals require- ments of ASTM F 1303. Colors will be selected from the range currently available from Armstrong. [Provide solid color weld rod to (blend) (accent) seam lines.] EX EC UTIONA NSTALLATI ON (SAFEGUARD /SAFEGUARD Design) Install in strict accordance with manufacturer's written instruc- tions with a minimum of seams over approved subfloors using the Commercial Vinyl- Backed Installation System (with S -575 Adhesive and heat - welded seams) (with S -230 Epoxy Adhesive and heat welded seams) (by the Perimeter Plus method with S -575 Adhesive in field, S -230 Epoxy Adhesive at the perimeter and heat - welded seams). Provide an integral (flash) cove by extending the flooring mate- rials (4 inches) (10.16 cm) tD C a m +D 0 0 O N • •. OWN FIVE-YEAR WARRANTY: ARMSTRONG ` /; AND TILE, VINYL COMPOSITION r WELDING RODS PRODUCTS TERMS EXCLUSIONS Armstrong warrants its regular (first quality) linoleum, vinyl sheet, vinyl composition tile, vinyl and rubber wall base, and welding rods to be free from manufacturing defects for five years from the date of purchase. INSTALLATION Armstrong warrants the installation integrity of these products for five years from the date of purchase if installed according to the Armstrong Guaranteed Installation System s manual, F -5061. The F -5061 manual is revised on a yearly basis, and floors must be installed according to the recommendations contained in the issue of F -5061 that is current and available at the time of installation. WORKMANSHIP Armstrong does not warrant installers' workmanship. Workmanship errors should be addressed to the contractor who installed the floor. Your Armstrong commercial floor should be professionally installed by contractors who have demonstrated expertise in installing commercial floors. Within One Year: If a defect covered by this warranty is reported to Armstrong in writing within one year of purchase, Armstrong will supply new material of the same or similar grade sufficient to repair or replace the defective material. Armstrong will also pay reason- able labor costs. Within Two Years: If a defect covered by this warranty is reported to Armstrong in writing after one year but within two years of purchase, Armstrong will supply new material of the same or similar grade sufficient to repair or replace the defective material. Armstrong will also pay fifty percent of reasonable labor costs. After Two Years: If a defect covered by this warranty is reported to Armstrong in writing after two years but within five years of purchase, Armstrong will supply new material of the same or similar grade sufficient to repair or replace the defective material. Armstrong will not pay labor costs. Armstrong will not pay labor costs to repair or replace materials with defects that were apparent before or at the time of installation. The following are not covered by this warranty: in Improper installation. N Differences in color between products and samples or photographs. ■ Indentation from improper loading including high heels, spiked shoes, rolling loads, Chairs or other furniture not using floor protectors. ■ Discoloration. ■ Failure of the floor to adhere to the subfloor due to, for example. moisture, alkaline or hydrostatic pressure from the subfloor. ■ Inappropriate end -user activities. THERE ARE NO WARRANTIES BEYOND THIS EXPRESSED WARRANTY. ALL OTHER WARRANTIES, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, ARE EXCLUDED. ARMSTRONG EXCLUDES ANY LIABILITY FOR LOST PROFITS OR ANY OTHER INDIRECT, SPECIAL OR CONSEQUEN- TIAL DAMAGES. THE REMEDIES CONTAINED HEREIN ARE THE ONLY REMEDIES AVAILABLE FOR BREACH OF THIS WARRANTY. WARRANTY OWNER This warranty extends only to the original end -user. 184 FOR INFORMATION OR SAMPLES: PHONE 1 877 ARMSTRONG FAX 1 800 599 -9335 WEB SITE: www.armstrong.com i e 5 _, f vinyl composition H = Highly Recommended The best flooring choice(s) for the space. R = Recommended Flooring choice(s) that are suit- able for the space. N = Not Recommended Flooring that should not be used for the space. • The ratings of H, R or N rat- ings are based on an evalua- tion of the performance, cost and aesthetic requirements of the space. • This chart provides recom- mendations for all Armstrong vinyl composition tile prod- ucts, except for specialty slip - retardant and static control tile products. • Numerical NOTES apply to the space requirements. Alpha footnotes apply to the product's suitability for the space. The numerical and alpha NOTES are consistent across all Recommended Applications Charts in this catalog (e.g., (a) is the same NOTE on the linoleum chart as it is on the vinyl chart, etc.). Depending upon the category, product and space requirements, some NOTES may not appear on all Recommendation Charts. In addition to spaces listed on this chart: • Armstrong vinyl composition the is recommended for use on stair steps, risers and landings. A manufactured slip- retardant nosing should always be applied on steps. • Armstrong floors are not recommended for exterior use, where pointed spike golf or track shoes will be used, or in areas where the floor will be subjected to unusually concentrated static or dynamic loads. • Armstrong floors should not be used as wall covering or wall surfacing. NOTES: (1) Aseptic Area - Hygienic conditions are of critical importance. (2) Water Resistance - Wet area installation is need- ed (flash roving, sealed seams). (3) Slip Retardance - A more secure walking surface is required. (6) Not recommended in areas that require electrostatic discharge control. (a) In most cases, veterinary applications are similar. (d) Only recommended for accents and borders. (e) Armstrong floors are not recommended for commer- cial kitchens and commer- cial food processing areas, including behind fast -food counters. (g) Most Armstrong floors are not recommended for heavy industrial areas. (i) No standing water; walkoff mats required. (1) Not recommended in lab- oratories that require special decontamination procedures on surfaces, including floors. (n) LINODUR is the only Armstrong product recom- mended for forklift traffic. 92 FOR INFORMATION OR SAMPLES: PHONE 1 877 ARMSTRONG FAX 1 800 599 -9335 WEB SITE: Vinyl Wall Base Type I Gauge I Size X X Outside Corner (OC) 1/8" or .080" 2.5" (6.35cm) 1/8' or .080" 4' (10.16cm) 11/8 or .080" 6" (15.24cm) FeeVCarton 25 pcsJcarton 25 pcs./carton 25 pcs. /carton To order standard toe, use prefix "CB" or to order toeless, use prefix "CBT" followed by Color Number and Name, Height and Length (i.e., CB - 22 Pearl - 4" x 4'). To order corners, add "OC" for outside or "fC" for inside to the above ordering instructions (i.e.. CB - 22 Pearl - 4" - CC). Standard or Visually Impaired Vinyl Stair Nosings: The vinyl stair nosings furnished under this specification shall be - (spec- ify standard or with a 2" (5.08cm) wide co- extruded strip of contrasting color at the nose of the product for the visually impaired) 16HNSONITE VINYL STAIR NOSINGS. The vinvi stair nosings shall be specified by style and in color (specify by color number and name). For the lohnsonite warranty to apply. lohnsonite #930 Two -Part, Solvent -Free, Epoxy Caulking Compound shall be applied in the internal angle area of all nosings, and the vinyl stair nosings shall be installed using lohnsonite " -' #945 Solvent -Free. Environmental Safe. Contact Bond Adhesive. Stair Visually Impaired Bronze Stair Nosings: The bronze stair nosings furnished under this specification shall be IOHNSONITE` VISUALLY IMPAIRED BRONZE STAIR NOSINGS with a 2" (S.08cm) wide vinyl insert strip of contrasting color at the nose of the product. The bronze stair nosings shall be specified by style number MDK and with insert number INEL in color (specify by color number and name). For the lohnsonite warranty to apps, lohnsonite #930 Two -Part, Solvent -Free, Epoxv Caulking Compound shall be applied to the back and in the internal angle area of the nosing and secured to the substrate with 3/16" x 1 -1 /4" flat -head Phillips masonry screws, which are supplied with each length of nosing. Visually Impaired Rigid PVC Stair Nosings: The rigid PVC stair nosings furnished under this specification shall be IOHNSONITE VISUALLY IMPAIRED METALLICS OR SPECKSTONE STAIR NOSINGS with a 2" (5.08cm) wide vinyl insert strip of contrasting color at the nose of the product. The rigid PVC stair nosings shall be specified by style (specify ELA for 90` sQuare nose Metaliics finish, ELB for 83` sQuare nose Metallics finish. TXA for 90` .square nose Specistone finish, or TXB for 83` sQuare nose Specstone finish) with insert number INEL in color (specify by color number and name). For the lohnsonite warranty to app!,, lohnsonite #930 Two - fart. Solvent -Free, Epovy Caulking., Compound shall be applied to the back and x, the internal angle area of the nosing and secured to the substrate with 31/16" x 1 -1/4 "flat-head Phillips masonry screws. which are supplied with each length of nosing. Floor Kee er" Rubber Entrance Barrier Matting- Tne rubtser entrance barrier matte , lurwshed under this spccilicauon shat; be JOHNSON tk FLOOR KEEPER RUBBER ENTRANCE BARRIER hVATTING ruth Patented caroct and rib design in an o+eraii ihickne i sJ Ispeciiy S00" ( 12mm) gauge for surface mounted applications w . 7 50" t I7rnm) gauge for recess- mounted installations ;, and i F} 5'*S' (SOcm) wide be 78 -3/4" (2m) long sire. The mat color shay( be spec +f) by cofnr number an.. nan.cl. ;ryu d V came., msert ec.ior shall be : ec,fr } s . "tor number and nainei Fot the lohnson,t: wzrra;rt .;a. -:'i the "suriace mounted' rubber entrance barrier matting and accctsones shall be installed with lohnsonite #945 Contzro Bond' Adhcsr\ c. and the 'recess mounted rubber entrance barrier mathrtg shall be installed in the lohnsonite Aluminum Mathyell`Framc designed specificallc for the matting Wall Base Rubber Wall Base. The rubber wall base furnished under this specification or listed herein as rubber cove base or wall base shall be IOHNSONITE DURA -COVE RUBBER "ALL BASE. It shall be constructed of first - Quality raw materials and shall be smooth and free from an_+ imperfections which would detract from its appearance. All lohnsonite Dura -Cove Rubber Wall Base shall a a height of Ispecify 2-1/2" (6.3 Scrim. 4" (10.16em) or 6" (I 5.24cm)l, and a length of ispecify 4' (i ?2m). 100 (30 48m) or 120' (36.58m)I and (specify toe or toeless) type base in 1/8" (3.175mm) thickness and in color (spccifr b+ color number and name). Dura -Cove Rubber Wall Base pre - formed inside and outside corners are available in all heights and stvies with 4" H0.16cm) returns. For the lohnsonite warranty to apply, wall base shall be installed on porous surfaces with lohnsonite. #960 Solvent -Free. Envrronmentalk Safe. Acrvhc Cove Base Adhesive or on nonporous surfaces with #945 Soh-ent -Free. Enwronmentalh Safe, Contact Bond Adhesive. lohnsonite Rubber Wall Base shall conform to all of the dimensional and performance criteria as required in ASTM F- 1861 -98. Standard Specification for Resilient Wall Base. Type TP Group I (solid) and Federal Specification #SS- W -40a. Vinyl Wall Base: The vinyl wall base furnished under this specification or listed herein as viral cove base or wall base shall be IOHNSONITE VINYL MALL BASE. It shall be constructed of first - Quality raw materials and shall be smooth and free from ari imperfections which would detract from its appearance. All lohnsonite Vimd "Fall Base shall be a height of (specify 2-1,2" 4" (10.16cm) or 6" (15.24cm)I, and a length of Ispecih 4' (1.22m), 100' (30.48m), or 120' (36.58m)I and (specify toe or toeless) type base in Ispecih .080" (2.03mm) or 1/8" (3.175mm)l thickness and in color (specify by color number and name). Vim pre- formed inside and outside corners are available in all heights, thicknesses and styles with 4" 110.16cm) returns. For the lohnsonite warranty to appite wall base shall be installed on porous surfaces with lohnsonite #960 Solvent - Free Envimnmentallw Safe. Acrvhc Cove Base Adhesive or on nonporous surfaces with lohnsonite #945 Solvent -Free. Emironmentalh Safe, Contact Bond Adhesive lohnsonite Vinyl Wall Base shall conform to all of the dimensional and performance criteria as required in ASTM F- 1861 -98. Standard Specification for Resilient Wall Base, Type TV. Group I (solid) and Federal Specification #SS- W -40a. The flooring accessories furnished under this specification or listed herein as vinvi mouldings shall be IOHNSONITE VINYL MOULDINGS. They shall be constructed of first - Quality raw materials and shall be smooth and free from an. imperfections which would detract from their appearance. All mouldings shall be specified by sh_'le number and color (specify by color number and name). For the lohnsonite warranty to apps, mouldings shall be installed with lohnsonite #945 Solvent -Free. Environmentalh Safe Contact Bond Adhesive. Subfloor Leveler Substrate Transitional Materials (i.e., patching boards, floor patching materials. etc.): The substrate transitional materials furnished under this specification shall be the IOHNSONITE LEVELER STRIP component(s) (specify from the following product listing. depending on the reQuirement): Elevations from: 1/8" to 0" over a 12" width = LS -40 -F 114" to 0" over a 12" width = LS -40 3/8" to 0" over a 12" width = LS -40 -D 3/8" to 0" over an 18" width = LS -40 plus LS -40 -B 1/2" to 0" over a 12" width = LS -40 -E 112" to 0" over an 18" width = LS -40 -D plus LS -40 -C 112" to 0" over a 24" width = LS -40 plus LS -40 -B and LS -40 -C with an overall length of 4' (1.22 m). The Leveler Strip component(s) and flooring materials applied over the leveler strip component(s) must be installed with lohnsonite #965 Flooring and Tread Adhesive to eliminate the possibility of incompatibility among the various materials and for the lohnsonite warranty to apply. � Limited Warranty For a period of one (1) y ear from the date of shipment, lohnsonite makes the following warranty, subject to the terms and conditions specified herein, for all lohnsonite Rubber and Vin ?4 Wall Base. Rubber Tile, Stair Treads, Stair Nosings. Bronze and Rigid PVC Stair Nosings, Floor Keeper Matting and accessories. For )ohnsonite 1/8" thick Roundel Raised Pattern Rubber Floor Tiles, Safety Stride Solid Vin Floor Tiles and Terra Turf ony, Johnsonite warrants the wearability of these products for a period of five (5) - years from the date of installation. For lohnsonite 4mm thick Roundel Raised Pattern Rubber Floor Tiles and ComforTech Rubber Sheet Flooring only. )ohnsonite warrants the wearability of these products for a period of ten f 10) years from the date of installation. If dissatisfied with the wearability, the owner must notify lohnsonite and permit an inspec- tion of the towmi . If the original Flooring is worn through the wear laver and the flooring has been proper[ installed and maintained, lohnsonite will replace the worn -out Flooring a; its cost in the affected room or area, subject to a charge to the customer to reflect a prorated discount for the age of the he aring. )oi:nsomte products wild conform to the contract description, with only such reasonable variation as is acceptable in the trade: it is fit for the ordinary purposes for which the Product is used: and it will be adequately packaged and labeled. lohnsonite will rentacc am dcfectac product at no charge the defect is found prior to installation If the customer bciicves the product to be defectve after installation, the customer must promptly noiik. lohr ;somlc and permit an inspection of the product. If. upon. inspection, lohnsonite determines the product to be defective, subject to the limitation, contained in this warranty. lohnsonite will replace the defective product at its cost in 0% affected room or area. To be eligible for replacement under any of these warranties, the customer must give lohnsonite written notice of any claimed defect immediate[ upon learning of the defect and in no event more than 90 days after the claimed defect is discovered. Notice shall be given to lohnsonite at its corporate address of 16910 Munn Road. Chagrin Falls, Ohio 44023. EXCLUDED FROM WARRANTY These warranties do not apply to the following: 1. The exact matching of shade, color or mottling. 2. Any expressed or implied promise made by anv salesman or representative. 3 Tears, burns, cuts or damage due to improper installation, improper usc, or improper cleaning agents or maintenance methods. 4. Labor costs for installation of original or replacement material. S. Sale of "Seconds.` "Off Goods" or other irregular (non -first quality) flooring materials. With respect to 'Seconds" or "Of Goods." such are sold "as is," and lohnsonite makes no warranties whatsoever, expressed or implied, with respect thereto. including warranties of merchantability or fitness for a particular purpose. 6. Problems caused by moisture, hydrostatic pressure or alkali in the subfloor. 7. Problems caused by uses, maintenance and installation that are contrary to lohnsonite's specifications, recommendations or instructions. 8. Material installed with obvious defects. 9. Damage to flooring products from high heels or spike heels. 10. Installation of lohnsonite products with adhesives other than those recommended by lohnsonite. 1 1. Exterior installations. )ohnsonite's products are designed for interior applications only. 12. Fading and /or discoloration resulting from heay sunlight penetration and ultraviolet rav exposure from direct or glass - filtered sunlight. 13. Material that is not installed and maintained as recommended by lohnsonite. These warranties are in lieu of any other warranty, expressed or implied. lohnsonite shall not be liable for any incidental or consequential damages which may result from a defect. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. These warranties give you specific rights and you may also have rights which vary from state to state. To know what your legal rights are in your state, consult your local or state Consumer Affairs Office oryour state's Attorney General. INSTALLATION AND MAINTENANCE NOTES Rubber Wall Base I . Not for use over vinyl wallcoverings or epoxy paint and /or non - porous surfaces. 2. Generalh requires little maintenance. If deemed necessary, a paste or acrylic wax can be applied. 3. )ohnsonite Rubber Wall Base will not shrink. Improper installation can cause stretching of the material and cause gaps when the material returns to its original length. Vinyl Wall Base I . Not for use over vinyl wallcoverings or epoxy paint and /or non- porous surfaces. 2. Generally requires little maintenance. If deemed necessary, a paste or acrlic wax can be applied. 3. lohnsonite Vinyl 11a11 Base will not shrink. improper installation can cause stretching of the material and cause gaps when the material returns to its original length. Rubber Tile and ComforTech Rubber Sheet Flooring I . Proper maintenance on a regular basis is essential to the appearance and the wear -life of the the and sheet flooring. 2. Tiles may have slight color variations not detected at the factory. All tiles must be dr and examined under standard lighting conditions for color acceptance beiore being mstallcd isec installation brochure). 3. Ceram chemicals and various substances normally attack rubber formulations Johnsonite Rubber Tile and ComforTech Rubber Sheet Flooring should not be used in commercial kitchens and /or areas where impregnation from cooking oiL, vegetable fats, etc is likely to occur. If am particular chemicals or substances arc going to be present in the environment, adeQuate testing should be done in advance to ensure suitabilib for the application. 4. Certain oils and antioxidants sometimes used in the manufacture of rubber tires can cause staining and discoloration. In auto showrooms, for example, we recommend that tires NOT be allowed to come in direct contact with the flooring We Busiest utilizing a pad made from carpet. Masonite. scrap tile. etc. Call factor v for specific details. 5. Not recommended for use in hospital operating rooms or computer rooms. NOT a conductive tile. Rubber and Vinyl Stair Treads I . Back or the tread must be cleaned with alcohol and /or lightly sanded to ensure proper adhesion. 2. The nose of the tread must fit tightly against the face of the stair riser or nosing. Any open spaces at the nosing between the step and the tread must be filled with )ohnsonite #930 Epoxy Caulking Compound (nose filler). 3. All treads and risers must be thoroughly rolled until a firm bond has been obtained. 4. No traffic for 24 hours. 5. Proper maintenance on a regular basis is essential to the appearance and wear -life of the treads. 6. For Rubber Stair Treads, see no. 3 under Rubber Tile. Terra -Turf 1. Can be power vacuumed, swept, hosed or shampooed to clean. Terra Turf is warranted to be free from defects due to materials or workmanship for a period of five (5) years, The complete limited warranty is available on request. 3. For Terra -Turf, see no. 3 under Rubber Tile. Resilient Mouldings I . Generally require little maintenance. If deemed necessary, a paste or acrylic wax can be applied. 2. lohnsonite Resilient Mouldings will not shrink. Improper installation can cause stretching of the material, which will result in gaps when the material returns to its original length. For Safety Stride, Floor Keeper and Rigid Nosings, contact Johnsonite or visit Johnsonite's Web site, www.johnsonite.com, for specific installation and maintenance instructions. For warranty to apply, Johnsonite adhesives must be used for installa- tion. See specific product listings for proper adhesive requirements. CONSTRUCTION SUPPLY, INC. PO BOX 243, 3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701)235 -6605 • FAX (701)235 -9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10160 Toilet Partitions Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763 -545 -3209 Fax: 763 -545 -3217 Supplier: Construction Supply, Inc. 32027 th Avenue North Fargo, North Dakota 58102 Ph (701) 235 -6605 Fax (701) 235 -9632 Manufacturer: Accurate Partitions Corp. PO Box 287 Lyons, Illinois 60534 Ph: 708- 442 -6800 Fax: 7085- 442 -7439 • . . . �, M PO Box 287 Phone 708 -442 -6801 Lyons, IL 60534 Fax 708 -442 -7439 RE: New Hope Village Golf Course Clubhouse INVOICE #: 119291 Our PO #: 1 3486F ACCURATE PARTITIONS CORP. guarantees that the Restroom Compartments for the above referenced project have been fabricated in accordance with Accurate's approved drawings and specifications. If during a period of One year, the partitions are found to be defective in workmanship, Accurate shall repair or replace defective material at no cost to the owner. This warranty shall not be applicable if vandalism or improper cleaning / maintenance of partitions has contributed as just cause for partition failure. TOILET COMPARTMENTS DRESSING ROOM ENCLOSURES SHOWER CABINETS PO Box 287 Phone 708 -442 -6801 Lyons, IL 60534 Fax 708- 442 -7439 CARE AND MAINTENANCE OF TOILET PARTITIONS In order to provide Baked Enamel Toilet Partitions with the proper care and maintenance, the following instruction must be followed: All four surfaces should be cleaned with a mild liquid soap only. The finish should then be wiped and dried. Automotive type wax may be used to bring back luster. In areas containing showers, either self - contained or tiled -in units, the partitions in these room mist receive ventilation from the outside so that excess humidity can escape and is not absorbed by the finish. Under no circumstances should the following agents be utilized: Abrasive powders or pads Water closet cleaners Ceramic tile cleaners Solutions containing more that 1% by volume of Ammonia Solutions containing Acids or Lye. Solutions containing Enzymes. If the above instructions are adhered to, our product shall provide years of dependable service. However, should there be any deviation from the above, we shall not accept any responsibility for product failure. TOILET COMPARTMENTS DRESSING ROOM ENCLOSURES SHOWER CABINETS Powder Baked Enamel/Stainless Steel Partitions l e F a/ Partitions by ACCURATE are engineered to withstand the everyday abuse they receive in high - traffic areas. Because of their superior durability, they give long -term, trouble -free service with minimal maintenance. Whatever the require- ment — compartments, screens, shower cabinets or dressing enclosures — Accurate has the right product with quality and features to give long - lasting senice, as exemplified by the 15 -yr. limited warranty on its door hinge and concealed latch. See whyACCURATE is astandard ofqualiry as well as a name: a. GALVANIZED- BONDERIZED STEEL with minimum zinc coverage .00015" (.00381 mm) each side. b. STAINLESS STEEL, alloy type 304 writh No. 4 finish, coated with 6 -mil Pohiinyl film to maximize protection during fabrication and shipment. Panel & Door /Construction All types shall be flush construction one inch thick Panels and doors are reinforced and insulated with verticel hon- eycomb filler core with maximum ih" (13 mm) cell size, cemented under pressure to steel sheets not less than 20-ga. (0.934 mm) for panels, and 22-ga. (0.78 mm) for doors, having formed edges interlocked under tension with special roll formed crown moulding, brazed, and ground smooth Characteristics TEST METHOD ROLL Flexibility ASTM D-522 Pass 54 inch (coniai Mandrel) Adhesion ASTM D-3359 Pass(Classifiacion5B) (cross hatch) Method 3 Impact Resisance ASTM D -2794 Minimum of 100 inch pounds direct and reverse. Pencil Hardness ASTM 0-3363 2x Gloss(60to80) A5TMD -523 = 5 Dependent on specTic product. ` Salt Spray ASTM &117 Nococrosionaeep more than Be$ ance t/a uxh from scribe after 1000 hours. Humidity ASTNID•2247 Nobiiueringor loss ofgioss Resistance after 1000 hour. solvent At Generally good to excellent chemical tesLzmc to aids, alkalies, oils Resistance and most solvents u ambient temperanua Care and Maintenance Clean with a mild liquid soap, wipe and dry thoroughly. Automotive wax may be used to bring back luster. Units must receive proper ventilation so that excess humidity can escape and not absorbed by the finish. We will not accept responsi- bility for product failure if the following agents are used for cleaning; abrasive powders or pads, water closet or ceramic We cleaners, solutions containing more than 1% by volume of ammonia, acids or lye, and enzymes. at corners. For added sound proofing the interior surface of pans are covered with special adhesive. Pilaster /Construction ARDMORE, BAYPORT kND DRE\EL PILASTERS shall be 1 /4" (32 mm) thick with 18 -ga.. (I?45 mm) steel sheets con- structed and assembled in same manner as partitions and doors. Pilasters are insulated with full -size, double -faced filler cemented under pressure to steel sheets. ARDMORE PILASTERS shall be securely bolted in place to structural supporting members (overhead members drilled, tapped and installed by miscellaneous iron contractors) by means of two 3 A * (9.5 mm) threaded studs and fastened to welded anchoring member in pilaster base with locking nuts. BAYPORT AND DRE EL PILASTERS shall be securely bolted in place to 3" (76 mm) min. thickness structural concrete floor by means of two 3 /a" (9S mm) threaded studs and fastened to welded anchoring member in pilaster base with locking nuts. CONCORD PILASTERS shall be (32 mm) thick with 20- ga. (0.934 mm) steel sheets constructed and assembled in same manner as partitions and doors. Pilasters are insulated with full -size, double -faced filler cemented under pressure to steel sheets. Pilasters shall extend from floor to headrail and be firmly anchored in place at floor by means of bolts fastened to pilaster, leveling members prodding for vertical adjustment. Headrail shall be anti -grip 16-ga. (1.557 mm) 1" (25 mm) x lih" (38 mm) etched and anodized e=uded aluminum overhead member extending full length of instal- lation and firmly fastened through a 14-ga. (1.984 mm) channel concealed within pilaster. Finish 1. Galvanized zinc coating of .00015" (.00381 mm) thickness to prevent corrosion inside panel and income:ase service life on outside surface. 2. Bcnderized phosphate coating to insure perfect adhesion and increase service life of finish 3. Automatically degreased and phosphate coated to guaran- tee adhesion and further increase senice. life of finish. 4. Powder Coated Improved colors with greater stability. 5. 100 percent solid non - hazardous Powder Coatings contain no solvents and offer excellent resistance to corrosion, acidity and chemicals. 6. Electrostatically applied, cross- linked, thermosetting pow- der particles are fuse bonded and radiantly baked into an enamelized uniform and flexible finish 7. Excellent adhesion properties generate superior hardness and uniform surfaces; high abrasion and scratch resistant finishes with a minimum of 1.0 to 1.5 mils of coverage. CONSTRUCTION SUPPLY, INC. PO BOX 243, 3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701)235 -6605 • FAX (701)235 -9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10200 Louvers & Vents Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763 -545 -3209 Fax: 763 -545 -3217 Supplier: Construction Supply, Inc. 32027 1h Avenue North Fargo, North Dakota 58102 Ph (701) 235 -6605 Fax (701) 235 -9632 Manufacturer: Nystrom, Inc. 1701 Madison Street NE Minneapolis, Minnesota 55413 Ph: 800 -547 -2635 Fax: 612-781-1363 1701 MADISONSTNE 1tINNEAPOLIS. MN 55413 PHONE: 800 -S47 -2635 F4X. 800 - 547 -2635 PHONE: 612- 781 -7850 ® ' r r • i USA or CANADA FAX: 612 -781 -1363 www.n}xtrom.com MAKING YOUR JOB EASIER E -AWL: info@nystrom.cont The following is the Nystrom warranty as it applies to access panels, floor hatches, Airline Louvers, roof hatches & smoke vents: "NYSTROM reserves the right to change the design or details of its products without notice. NYSTROM warrants all access panels, floor hatches, louvers, roof hatches & smoke vents to be free from defects in materials and workmanship for a period of 1 year from the date of final acceptance, but limits liability expressly to the replacement of products not complying with this warranty, or at its election, a credit to the buyer of the purchase price paid." Nystrom, Inc. manufactures products to be as maintenance free as possible. Products should be manually operated once a year to check performance and adjusted and /or lubricated as required. If any questions arise during the operation or maintenance on the products, please feel free to call our toll -free number listed below for assistance. Nystrom Customer Service: 800 -547 -2365 Fax: 800 -317 -8770 Very truly yours, Nystrom Building Products Matt Klinsing Safes Manager 6 -, 44 CONSTRUCTION SUPPLY, INC. PO BOX 243, 3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701)235 -6605 • FAX (701)235 -9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10260 Corner Guards Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763 -545 -3209 Fax: 763 -545 -3217 Supplier: Construction Supply, Inc. 32027 th Avenue North Fargo, North Dakota 58102 Ph (701) 235 -6605 Fax (701) 235 -9632 Manufacturer: InPro Corporation PO Box 406 Muskego, Wisconsin 53150 Ph: 800 - 222 -5556 Fax: 262- 679 -9127 Limited Warranty In Pro Corporation (IPC) warrants to its purchasers that all products sold by it will be free of manufacturing and material defects. Failure to use proper fasteners, adhesives or other installation methods consistent with IPC installation instructions shall relieve IPC of any liability. Any defective product will be replaced free of any charge if a claim is presented in writing to IPC, within FIVE YEARS following the date of installation, but not more than five and one half years from the date of shipment. /PC will not be responsible for any installation costs involved in such replacement. Replacement will include shipment costs within the United States. This warranty is IN LIEU OF any other warranty, express or implied, including, but not limited to, any implied warranty of MERCHANTABILITY or fitness for a particular purpose. Our liability under this warranty is limited to replacement and does not include any responsibility for incidental or consequential damages of any nature. DOOr And WBII S80 W18766 Apollo Drive Protectlon Systems, M Box 406 Muskego, WI 53150 USA IN-PRO CORPORATION www.inprocorp.com FOR CUSTOMER SERVICE CALL TOLL FREE: 800 -437 -2698 FAX: 414- 679 -9127 IPC, InPro Corporation Rev.0798 CONSTRUCTION SUPPLY, INC. PO BOX 243,3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701)235-6605 • FAX (701)235-9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10520 Fire Extinguishers & Cabinets Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8 100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763-545-3209 Fax: 763-545-3217 Supplier: Construction Supply, Inc. 3202 7 1h Avenue North Fargo, North Dakota 58102 Ph (701) 235-6605 Fax (701) 235-9632 Manufacturer: Larsen's Manufacturing 7421 Commerce Lane NE Minneapolis, Minnesota 55432 Ph: 763-571-1181 Fax: 763-571-6900 Lars e n ' S O M A NUF A CTURING O P TO: Construction Supply Inc. JOB: New Hope Village Golf Course Clubhouse OUR REF: Larsen's # shipped 102418 12 -06 -00 SUBJECT: WARRANTY All of Larsen's products are guaranteed against defects in material and workmanship for one year from the date of substantial completion when such products are used in the service for which they were made. Larsen's liability shall be limited to the repair of replacement free of charge of any products that in our opinion are found to be defective. Larsen's liability shall not include claims for labor cost, expenses or purchaser arising from such defects, recovery under strict liability, or for damages arising from delays, loss of use, or other direct, indirect, incidental or consequential damages of any kind. THIS WARRANTY IS EXPRESSLY IN PLACE OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED, INCLUDING THE WARRANTY OF MERCHANTABILITY AND FITNESS FOR PARTICULAR USE, WHICH EXCEED THE FOREGOING WARRANTY. All other representations, warranties and conditions, expressed or implied, statutory of otherwise, relating 'to products supplied by Larsen's are hereby excluded unless specifically agreed to in writing. Larsen's Manufacturing Co. By: J,u a Cheri A. Nielsen • TO: Construction Supply Inc. JOB: New Hope Golf Course Clubhouse OUR REF: Larsen "s # shipped 102418 12 -06 -00 Fire Extinguishers from Larsen's Limited Warranty: Amerex warrants its fire extinguishers to be free from defects in material and workmanship for a period of six (6) years from the date of purchase. During th_f warranty period, any such defects will be repaired or the defective extinguisher will be replaced (IF THE ORIGINAL GREY LOCKWIRE SEAL IS INTACT AND /OR IF ONLY FACTORY REPLACEIVMNT PARTS HAVE BEEN USED TO SERVICE THE EXTINGUISHER). This warranty does not cover defects resulting from modification, alteration, misuse, and exposure to corrosive conditions improper installation or maintenance. All implied warranties including, but not limited to warranties of fitness for purpose and merchantability are limited to the time periods as stated above. In no event shall Amerex be liable for incidental or consequential damages. Some states do not allow limitations on how long and implied warranty lasts or the exclusion or limitation of incidental or consequential damages, so the above limitations or exclusions may not apply to you. Amerex Corp. neither assumes nor authorizes any representative or other person to asstune for it, any obligation or liability other than as expressly set forth herein. This warranty gives you specific legal right and you may also have other rights which vary from state to state. To obtain performance of the obligations of this warranty, write to Amerex Corporation, P.O. Box 81, Trussville, AL 35173 -0081 for instructions. Larsen 's Manufacturing Co. By: Cheri A. Nielsen (6 641 ney) 1!600 :Nid V S n u! 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I! Wallm 'OP -LONNVO PUe NV0 I! le4m lsnf mou4 pin04s no,k •jagsin6w;xa a41 to asn in)ssaoons of a;ngljluoo ll!m jags!n6ugxa aql uo aleldaweu uoilonjisui aq1 'lenuew SI41 41!m A)!jell!wed •AouaBJaula ue to aseo a'41 ui ja4sm6ullxa ue asn of pa)oadxa aq MBIw 04m lauuosiad to 6uluiejl saiinbai VHSO •slseq olpouad a uo paMalnal aq Aew l! le4l os alq!ssaooe 1! daal pue Alalaldwoo 1! peaj aseald •lenuew slgl u! uol)ewjolul aq1 puels - .lapun pue Apn)s pino4s jagsin6ulpxa aril slq) asn o) pa)oadxa aq 146Iw o4m auoAuV N0110nClOHIN1 1 PUO3 Aq paloadsul ale(] :sjags!n ul)x3 LueOJ d .AJd i Ue jj-AV N sse leOlwau0 )aM aa)eM MW 1a)eM CONSTRUCTION SUPPLY, INC. PO BOX 243, 3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701)235 -6605 • FAX (701)235 -9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10800 Toilet & Bath Accessories Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763 -545 -3209 Fax: 763 -545 -3217 Supplier: Construction Supply, Inc. 32027 1h Avenue North Fargo, North Dakota 58102 Ph (701) 235 -6605 Fax (701) 235 -9632 Manufacturer: American Infant Care 6352320 Street Way, Suite A Cannon Falls, Minnesota 55009 Ph: 507- 263 -5354 Fax: 507 -263 -5350 'You are now the proud owner of a "I'll Hold The Baby" the finest commercial infant its kind. We know that you will be delighted with its performance. It will prove tremendous service to those who use lt. Enclosed with your "I'll Hold safety seat of hardware, instructions for installation and cleaning of the "I'll Hold The Baby P e to be of Please check to see that you have received all of the materials The Baby" you wil! find carefully before beginning installation. and read through the instructions The materials you should have received are: • "I'll Hold The Baby" • Four #20 -1/4 x 13/4" stainless steel machine screws • Four 114' I.D. Fender Washers - stainless steel t Four stainless steel cap nuts Tne "i'll Hold The Baby" has been designed to fit in even the smallest of restroom stalls. To install, follow these instructions: 1; Remove the "I'll Hold The Baby" hardware. } Use "I'll Hold the Baby" for template to mark holes for drilling, This should be mounted in a convenient location at or near the same height as the toilet tissue dispenser, Make sure there is enough clearance for the door to open and close when the seat is in the up position. 3) Use 9/32" bit to drill holes in partition where marked. 4) Place 1/4" fender washer on 1 3/4" bolt. 5) Place bolts with washers through holes in "I'll Hold The Baby" into drilled holes. Place cap nut on bolts and tighten securely. 6. Put pressure on seat to make certain the pressure_ seat is securely fastened and will support at least 100 Ibs of Tho "I'll Hold The Baby" can be easily cleaned with a mild, soapy water solution or with a mild lass or counter Cleaner, Do not use any strong chemical cleaners. 9 Be sure to check mounting hardware at least once a month to ensure that screws are tightly fastened. r 21 50 Excelsior Blvd, Greenwood, MN 55331 (614- • •' ' • PART- I System Description Provide a Compact Wall Mounted Infant Changing Table to include: safety straps and integral sanitary liner dispenser. Changing table to drop horizontally and be able to withstand a static weight of 400 lbs. in the open position. Warranty Five -year warranty on all parts from defects in workmanship. Upon the notification and return of defective part(s) within warranty period. the Company shall repair or replace any of the defective part(s) or at its option may replace entire unit. This warranty expressly excludes the breakage, damage or total destruction of any and all parts exposed to abuse, vandalism, acts of violence, or improper installation. In cases of vandalism or misuse, front or back replacement parts are available for S60.00 plus shipping and handling. For replacement parts, contact the office listed below. Customer is responsible for maintenance of all safety features; safety straps, mounting, hinges, liner covers, etc. PART 2 - EXECUTION Mounting requirements: Wood screws or toggle bolts both require a sound plumb, vertical wall structure in which to mount the "Diaper Deck""'" Under no circumstances should the "Diaper Deck""'" be mounted on a wall not able to withstand a minimum of 100 lbs. per sq. ft. in all directions. it must be consistent with all local, as well as national codes. ordinances. and regulations relating to such an installation. Location & Clearances: The bottom of the unit in its open position should be approximately 34" from the finished floor to insure comfort and safety of end user. It must be at least 4" away from any grab rail so as not to interfere with the rails use. The "Diaper Deck"'"" must be mounted in accordance with all building codes, regulations and ordinances relating to clearance as determined by the location of each particular installation. As you can see in the drawing below, the overall length is 32" and the mounting height should be 34" from the finished floor to bottom of deck in the open position. Specify ADA model if applicable. Easy Installation: A "Diaper Deck""'" installation kit is provided with the deck; it consists of mounting hardware, installation instructions. a Graphic Design door label and a few of the sanitary bed liners. This kit is located inside the lockable liner dispenser located in the upper half of the deck. Complete installation instructions allow for proper installation of the "Diaper Deck""'" in a short amount of time. The instructions include a list of the hardware provided and a suggestion of the tools to be used. As there can be many varieties in wall construction, materials, and designs we have provided the mounting hardware to be used under most conditions (wood screws for wooden studs and toggle bolts for metal studs or reinforced hollow walls). Use only the mounting hardware that is appropriate for your particular installation. If mounting hardware is inappropriate for installation, appropriate hardware must be obtained by the installer. Partial List of Facilities Equipped with ''Diaper Deck"'" ": -Sears -TGI Friday's -Red Lobster - Hardee's - Discovery Zone - Religious Facilities - Melvin Simon Malls - Burger King - Macy's - Ground Round - Airports -K -Mart Stores -Mail of America -Chi -Chi's -Cub Foods - McDonald's -Day Care Centers - Hospitals - Wendy's - Arby's -Saks Fifth Ave. - General Growth Malls - Clinics - Target Stores Mounting requirements w000 screws cr toggie dolts both require a sound Plumb. vertical wall structure in which to mount the "Diaper Deck'"' ". Under no circumstances shouid the "Diaper Deckr"m" oe mounted on a waii not able to withstand a minimum of 100 lbs per sq.ft.in all directions. It must be consistent with all local, as we!! as national codes. ordinances and reculat!ons relatinC: to sucn an installation. The decK is mounted with four screws or toggiebolts going through pre - grilled 'holes 16" on center as shown in diagram_ The holes are 6 1'2" from outer edge of u.-. r cecR. T ie corom noses are 5 uo from the bottom of upper nalf of unit. ana 1 1.2' oown from the top. 7r-'e deck projects only 18 U2" from wall when in fully openec Position. It projects only 4 U2" when in the closed Position. ADA Model 3 15/16: It holds 400 lbs, static'rreiPnt. 11/4" • 32" over all length 14 1/2" M - 4 1/2" deep in closed position -Holds 400lbs. ®.. of static weight 18 1/2 " Manufactured by: AMERICAN INFANT CARE PRODUCTS INC. 21150 Excelsior Blvd. Distributed by: Greenwood, MN 55331 Tel. (612) 474 -0204 Fax (612) 470 -4317 CONSTRUCTION SUPPLY, INC. PO BOX 243, 3202 SEVENTH AVENUE NORTH FARGO ND 58107 • (701 )235 -6605 • FAX (701)235 -9632 New Hope Village Golf Course Clubhous New Hope, Minnesota Spec Section: 10800 Toilet & Bath Accessories Owner: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Contractor: The Builders Inc. 8100 Wayzata Boulevard Minneapolis, Minnesota 55426 Ph: 763 -545 -3209 Fax: 763 -545 -3217 Supplier: Construction Supply, Inc. 32027 th Avenue North Fargo, North Dakota 58102 Ph (701) 235 -6605 Fax (701) 235 -9632 Manufacturer: American Specialties, Inc. 441 Saw Mill River Road Yonkers, New York 10701 Ph: 914- 476 -9000 Fax: 914- 476 -0688 I SPECIALTIES , INC. ,Am 4 S 441 Saw Mil! River Road, Yonkers. NY 10701 Tel: (914) 476.9000 • ax: (914) 476 -0668 CONSTRUCTION SUPPLY, INC. P.O. Box 243 3202 Seventh Avenue North Fargo, ND 58107 RE: Your PO # 1 461 3F ASI Job m 109464 Project: New Hope Village Golf Course Clubhouse We are pleased to forward this warranty covering ASI products furnished for this project. This warranty replaces any other warranti written or oral. es or product descriptions, whether express or implied, It is understood that the products for this project have been selected and inspected by the purchaser and have been accepted without qualification by the purchaser as merchantable. fit for the intended use, and satisfy the specifications. THESE ASI PRODUCTS ARE WARRANTED TO BE FREE OF DEFECTS IN MATERIAL OR WORKv AN'SHIP FOR A PERIOD OF ONE YEAR FROM DATE OF INVOICE. MIRRORS, IF INCLUDED ON THIS PROJECT, ARE WARRANTED AGAINST SILVER SPOILAGE UNDER NOR IAL USE FOR A PERIOD OF FIFTEEN YEARS FROM DATE OF INVOICE. DRYERS. IF INCLUDED ON THIS PROJECT, ARE NVARR-kNTED TO BE FREE OF DEFECTS IN MATERIAL OR WORKMANSHIP FOR A PERIOD OF TEN YEARS FROM DATE OF INVOICE. Should the product fail under this warranty, the sole remedy, at the seller's option. will be to repair the defective product. refiand the purchase price, or provide an equivalent new product. ASI will not be responsible for labor costs associated with the removal, replacement or return of its products. For more information. please do not hesitate to contact us. Yours truly, AMERICAN SPECIALTIES, INC. Customer Service Department enc: Product Care & Maintenance Bulletin Accessory Specialties AMERICAN wz vmss, t{aq rt Psi Dryer products are designed to be maintenance free. There are no user adjustable or serviceable parts inside the housing. General cleaning of the exterior housing and nozzle surfaces on a regular schedule is adequate, with no special attention required. Any general-purpose spray-and-wipe type cleaner such as Formula 40 "^ or Windex's is appropriate. Periodically, the sensor lens (if so equipped) should be wiped clean with a soft towel dampened with mild soap and water (NOT SOAKED), and rinse- -° =� wiped and dried. In highly dusty environments, the inside of the nozzle and/or exhaust screen should be examined regularly for dust and/or lint build-up, which should be removed. If, necessary, maintenance crews can open the housings with special security wrenches (after the power has been shut off) to clean the inside of the screen and/or the blower unit and heating element. P Si INSIDER NOTES: Any effects of vandalism or tampering should be repaired immediately by the user /owner to prevent any product performance deterioration. Products severely damaged must be replaced before they become hazardous. Proper maintenance procedures are the only prescribed method of ensuring a long, trouble -free life for the product. Properly maintained facilities also contribute to the general feeling of well being that characterizes the ambiance of a hygienic installation. Failure to follow proper maintenance procedures may shorten service life and will reduce product aesthetic quality level over time. Such a condition tends to encourage the disrespect that engenders overt vandalism and may forfeit any user /owner claims to warranty. Editorial comments and suggestions are respectfully solicited -Pa N � � 1 -Pa N �� THE �u~ x��/xu��,E� x�, x��^/, 8l0O Wayzata Blvd., MiomeupoDo 55426 Fuz:763-545-3209 Phouc:763-545-9217 To: TSP[VNE INC 21 WATER STREET EXCELSIOR, KAN55331 Date: 2/18/02 Re: NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE VVe are sending you [� Attached o the following items: n Under Separate Cover F] Shop Drawings R Copy of Letter Specifications | | Change Order F] Plans Samples F1 Prints n Addenda Copies No. Description 1 WAUSUA WINDOW WARRANTY THESE ARE TRANSMITTED as checked below: [l For approval [l Approved oasubmitted D� Foryouruse n Approved aanoted [l As requested F] Returned for corrections Fl For review and comment u �� [] FOR BIDS DUE Resubmit copies for approval | | Submit copies for distribution F] Return corrected prints [] PRINTS RETURNED AFTER LOAN TO US COPY TO: SIGNED: MARKGOR8K3 1415 West Street P.O. Box 1746 Wausau, WI 54402 -1746 Telephone: (715) 845-2161 Fax: (715)843 -4350 ALUMINUM WINDOWS: W.L. Hall Company New Hope Golf Course 201221 We warrant to our customers that the materials and workmanship, exclusive of insulated glazing materials (1) will be free from defects in manufacture and (2) meet our specifications. This includes window extrusions, weatherstripping, trim, finish and all hardware supplied by Wausau Window & Wall Systems. Wausau Window & Wall Systems does not warrant the installation of windows. INSULATED GLASS & GLAZING: We warrant to our customers that insulated glass purchased and factory glazed by us, will not develop material obstruction of vision resulting from dust collection or film formation on integral glass surfaces due to failure of the hermetic seal due to faulty manufacture. This warranty applies only to the insulated units in vertical exterior or interior walls of buildings within the United States. Typically insulated glass is produced at air temperatures of 68 to 78 degrees and inspected for flatness at the time of manufacture. Seasonal temperature variations will cause the sealed airspace within the unit to expand or contract creating distortion in a reflected image. The distortion is not a warranty item. Wausau Window & Wall Systems expressly assumes no responsibility for glass breakage or product failure due to improper usage. FINISH: We warrant to our customers that the paint finish will adhere to the aluminum and will not chalk or fade beyond industry standards. Customer: Project: Production No.: A Division of Apogee Enterprises TERM: The period for our window warranty is 10 years, glass warranty is 10 years, and finish warranty is 5 years after the date of substantial completion of May 3, 2001. LIMITATIONS TO OUR WARRANTY. Wausau Window & Wall Systems does not warrant the installation of windows. Our warranty is to replace or, at our option, repair any products or parts thereof which are found defective in material. This warranty will cover all replacement parts including insulated glass. We will provide on site labor to replace or repair window frames, sash, and / or hardware. We will supply insulated glass for replacement of failed units. Our obligation with respect to such products or parts shall be limited to replacement or repair, shipped F.O.B. Wausau, full freight allowed. In no event shall we be liable for consequential or special damages or other expenses which may arise in connection with such products or parts. To take advantage of our warranty, you must give us prompt written notice. If upon receipt of shipment a visible defect is apparent, you must notify us immediately and before the product is installed. If you become aware of a defect after installation, you must notify us in writing within thirty days so that we may make an inspection. All notices must be addressed to Apogee Wausau Group, Inc. 1415 West Street, P.O. Box 1746, Wausau WI 54402 -1746. This warranty is (1) expressly made in lieu of any and all warranties expressed or implied including the warranties of merchantability and fitness; (2) is not assignable and extends only to the original purchaser; (3) for material which have been fully paid for under the terms of the purchase agreement; and (4) shall be construed according to the laws of the State of Wisconsin regardless of where the products are shipped or installed. Sincerely, APOGEE WAUSAU GROUP, INC. d /b /a Wausau Window & Wall Systems / Linetec Gky u 6 Vice resident INC. THE BUILDERS en�� 8|00 Wayzata Blvd.. Minneapolis, NM 55426 Fax: 763-545-3209 Phone: 763-545-3217 To: TSPONE. INC. 21 WATER STREET EXCELSIOR, MN 55331 VVo are sending you: R Attached Via: the following items: Date: 2/18/02 Attention: MARK THIEDE Re: NEW HOPE VILLAGE GOLF COURSECLUBHOUSE F] Under Separate Cover Fl Shop Drawings E] Specifications R Plans F] Samples F] Prints Fl Copy of Letter F7 Change Order F] Addenda Copies For approval No. Description For your use Fl Approved unnoted || SIGNED OFF PUNCH LIST F] Returned for corrections | | For review and comment Fl FOR BIDS DUE TSP ONE - EXCELSIOR THESE ARE TRANSMITTED es checked below: F� E] Resubmit copies for approval F] Submit copies for distribution [] Return corrected prints R PRINTS RETURNED AFTER LOAN TO US COPY TO: SIGNED: K8ARKG{}RSK| For approval Fl Approved assubmitted CN For your use Fl Approved unnoted || As requested F] Returned for corrections | | For review and comment Fl FOR BIDS DUE E] Resubmit copies for approval F] Submit copies for distribution [] Return corrected prints R PRINTS RETURNED AFTER LOAN TO US COPY TO: SIGNED: K8ARKG{}RSK| t 2001 d n � TSP One, Inc. SUBSTANTIAL COMPLETION OBSERVATION REPORT 21 Water Street GENERAL CONSTRUCTION PUNCH LIST Excelsior, MN 55331 phone (612) 474 -3291 GOLF COURSE CLUBHOUSE fax (612) 474 -3928 CITYOF NEW HOPE TSP PROJECT NO. 99732 Architecture DATE OF PUNCH LIST: May 2, 2001 Engineering Interior Design PRESENT: Mark Thiede, TSP Jodelle Keim, TSP Offices in Minneapolis Mark Gorski, The Builders and Rochester, N1N Bob Kirchoff, The Builders Cheryl Badinger, E &V Shari French, City of New Hope Jim Corbett, City of New Hope IMPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the Yes column for the corrected items and the No colurnn for the items not corrected. An Equal Opportunity, _ 1 Affirmative Action Employer 1 Yes No General Notes _ 1. Clean all tile floor areas 2. Remove grout from tile at wall perimeters and install control joints AFFILIATED OFFICES 3. Wipe all surfaces Minneapolis, MN 4. Recoat all door frames Rochester, MN Denver CO _ 5. Stain and finish all trim ends Marsha lltown, lA 6. Fill nail holes on all millwork Rapid City, SD - Sioux Falls, SD Sheridan, WY An Equal Opportunity, _ 1 Affirmative Action Employer 1 Seating 101 Pro Shop 102 7. Fill all misc. nail holes 8. Ease mitered edges of trim and stain/finish _ 9. Paint fire protection pipe and valves _ 10. Remove debris from closer of door 101B _ 11. Adjust door spacing and install weather - stripping on _ 35. doors 101C and 101B at lockset 12. Clean door thresholds _ 13. Adjust doors 101C and 10113 so doors don't hit fireplace wall _ 14. Nick in Southwest window sill _ 15. Wood base in Southwest corner is raised above floor _ 16. Misc. marks and nicks on all walls 17. Angle of fireplace mantle base is incorrect _ 18. Change fireplace mantle pillastors to close gap between trim and the _ 19. Replace damaged tile near door 101C _ 20. Touch up ceiling near fire protection valve and along ceiling trim 21. Misc. touch -up on all painted walls 22. Clean water marks from trim above entry doors 23. Repair misc. nicks in trim above entry doors 24. Clean pendent lights _ 25. Clean truss plates /remove overspray _ 26. Clean paneling adjacent to trusses _ 27. Touch up ceiling access doors _ 28. Clean entry doors 29. Wipe down storefront frames Pro Shop 102 -2- — 30. Touch up wood base at outside corner — 31. Touch up ceiling along display wall (exposed screws) _ 32. Install sealant at window trim and walls _ 33. Misc. nicks and marks on South wall _ 34. Wipe down wainscot _ 35. Touch up ceiling at Southwest corner -2- Counter Sales 103 Vestibule 107 52. Touch up nicks and marks on West, East, South walls — 53. Stain and finish trim edges -3- 36. Install sealant around window trim and wall 37. Wipe down walls _ 38. Stain and finish back edge of soffit trim Food Prep 104 _ 39. Install splash guard at hand sink — 40. Wipe down all walls _ 41. Install sealant at window frame and wall _ 42. Provide missing shelf in casework Hall 105 _ 43. Touch up ceiling near door 110 44. Touch up misc. marks on South wall 45. Install sealant at tile /wood base joint _ Hall 106 x 46. Clean door and frame 106 _ 47. Remove grout from threshold from door 106 and install sealant 48. Touch up all walls of nicks and marks _ _ 49. Sprinkler head cover plate near transfer grille does not cover opening _ 50. Touch up ceiling north of drinking fountain and west of door 106 51. Install sealant between door trim and tile Vestibule 107 52. Touch up nicks and marks on West, East, South walls — 53. Stain and finish trim edges -3- Storage 108 Remove grout and install sealant between door frame and tile base Repair top edge of door 108A Wipe down all walls Touch up ceiling above pipes Touch up nick near sprinkler head Touch up ceiling above door 108A Install vinyl base Clean/remove debris and excess material Touch up all walls Touch up ceiling access door 64. _ 65. _ 66. Womens 111 67 68 69 70 Install wood base and sealant Trim carpet around floor safe Touch up all walls of misc. nicks and marks Replace wall tiles below full length mirror with holes in them Touch up ceiling above fire alarm Remove grout from door frame and install sealant Wipe counter and protection panel 71. Wipe counter and protection panel 72. Rake out grout at wall perimeter and install control joint 73. Remove grout from door frame and install sealant ® 74. Clean floors 75. Exhaust fan not operating 54. _ 55. 56. 57. _ 58. _ 59. Mechanical 109 60. _ 61. 62. 63. Remove grout and install sealant between door frame and tile base Repair top edge of door 108A Wipe down all walls Touch up ceiling above pipes Touch up nick near sprinkler head Touch up ceiling above door 108A Install vinyl base Clean/remove debris and excess material Touch up all walls Touch up ceiling access door 64. _ 65. _ 66. Womens 111 67 68 69 70 Install wood base and sealant Trim carpet around floor safe Touch up all walls of misc. nicks and marks Replace wall tiles below full length mirror with holes in them Touch up ceiling above fire alarm Remove grout from door frame and install sealant Wipe counter and protection panel 71. Wipe counter and protection panel 72. Rake out grout at wall perimeter and install control joint 73. Remove grout from door frame and install sealant ® 74. Clean floors 75. Exhaust fan not operating Exterior _ 76. Paint exterior _ 77. Install downspouts 78. Install access paths _ 79. Install bituminous _ 80. Finish grade and landscape 81. Install irrigation system _ 82. Finish trash enclosure 83. Install exterior lighting _ 84. Install all exterior sealant 85. Install BBQ grills and concrete pad 86. Install exterior sink and overhead door End of General Construction Punch List. TSP One, Inc. Mark Thiede The above deficiencies have been corrected except where checked "No ". For the items not corrected, an explanation is included. Contractor's Signature Date U!)/V2/ */UIJI IU: b2 bl2b4b�2U`J THE BUILDERS INC 8 100 Wayzata Boulevard, Minneapolis, MN 55426 (763) 545-3217 Phone (76' )) 545-3209 Fax TO: FROM: DATE: SUBJECT: FAX COVER SHEET JAY HERMAN PHAZOR ELECTRIC 763-557-1295 MARK GORSKI 5/22/01 NEW HOPE VILLAGE GOLF COURSE CLUBHOUSE MECHANICAL AND ELECTRICAL PUNCH LIST You will receive 5 page(s), including this cover sheet. PAGE 01 THE BU1-11DERVOS INC. DATE OF PUNCH LIST: May 16, 2001 Ai CRlteotVre Engineering PRESENT: Chuck Bodmer, TSP Iniof =o, Design Mel Smestad, TSP Offices in hGnnaaOls COPIES TO: Mark 1iwsld, The Builden and Accnc;tcf MN Bob Kirchoff, TheBuBders Cheryl Badinger, E & V IMPORTANT NOTE The following list of deficiencies shall be signed and returned to our office within 30 days of the above date. All items should be marked corrected unless it is impossible to do so. If this is the case, we wish some explanation for each item which cannot be corrected at this time. Until this final list is corrected, no consideration will be given to approving the release of final retainage. Please check the 'Yes cohrmn for the corrected items and the No column for the items not corrected. Yes No General Electrical Items 1. Provide operation and maintenance k sstruction manuals, complete with as -built drawings. Room 101 AFFILIATED OFFICES Minnespolls. MN ° ( _..., 1. Tighten cover on voice data outlet just east of main entrance Rochester. MN door in south wall. oanvar. co Fort Collins. CO M RaP d Cl 'SD 2. Adjust Type "H" light fixtures to snake bowl rims level. Sioux F41s. SD (r o �. 3. Remove dirt from inside Type "H" light fixture bowls. An Ecual OppOt'IUnIIY. AAtrmative AClidn Ernploycr 05/22/2001 10:52 6125453209 3- 22 -Oi; S:3SAM :TSP EXCE -SIOP THE BUILDERS INC PAGE 03 ;1TG12i474T329i x 3/ -- Room 109 I. Repaint covers of large pull/junction boxes above the panelboards on the east wall. 2. Connect the unterminated wire hanging from the fire alarm control panel. e 3. Provide typewritten circuit directories in the panelboards. Room 110 1. Install receptacle cover plate tight to wall (north receptacle, West Wall). N% D Outdoors co o 1. Clean dirt and bugs from inside Type "E" downlight fixtures. 2. Adjust pendant ofnorthwest Type "P" light facture to snake it plumb. Afechanical Items Outside Building 1. Complete gas meter connection. 2. Missing one fire sprinkler head at the northeast comer of Picnic Area. 3. Install sink in Picnic Area and connect to piping. A. Caulk the fire sprinkler drain pipe penetrations through the outside wall in the Picnic Area and at the south wall of Room 101. _ 1. Paint exposed fire sprinkler piping in the Picnic Area. 2. Provide a screen over the sump pump discharge pipe to keep animals from entering. -2- 05/22/2001 10:52 6125453209 THE BUILDERS INC 0- 22 -0.: s:ssnm:•*�P E <GEl50a : o ,�.,.,,,,,�„ _ .. PAGE 04 Rooms 103 & 104 1. Cold water piping inside cabinets arc not insulated. 2. Missing the ADA compliant pipit covers under hand wash sink P -9. Room 108 1. Cold water and hot water piping is not insulated. 2. Room is too trot, adjust supply dif - uscr to more CFM- R OOM 109 1. Missing vinyl bumper guards on mop basin P-6. 2. Missing exterior insulation on fresh air intake ductwork. _ r 3. Cold water and hot water piping is •not insulated. 4. Missing the backtlow prevention at the building water Service. Room III 1. Clean off sticker on water closet in non - handicapped stall. General )items 1, Provide Balancing Report for RVAC system. 2. Provide O &M manuals and shop drawings for all installed equipment. 3. Provide fire sprin4cr systan Certificate of Acceptance. 4. Provide special tools for fire sprinkler system and extra fire sprinkler heads. 5. Provide Certificate of Inspection for plumbing system. -4. n�/ LG/ Lnbl 1 b: 5L b1L5u� iLby 1 HL BUiLDLKS INC PAGE 05 _ 22- . ... , . . .. ... 5-"2-01 9 3 °/+M TSP EXCELSIOR ;it812 +474 +32af a i/ � 6. Provide plurnbigg fixture and wall hydrant keys. End of Punch List TSP ONE, INC. By -- y . L Mark Thicdc The above deficiencies have been corrected except where checked .no. For the items not corrected, an explanation is includod. Contractor's Signature -4- Date A Ms. Shari French City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 RE: New Hope Golf Course Clubhouse The Builder's Final Payment Dear Shari: Attached are the following documents regarding the final payment to The Builders for the clubhouse project: • The Builder's final pay application in the amount of $31,119.00 • TSP One, Inc. letter dated March 10, 2003 • Letter from Carolina Casualty Insurance Company's attorney requesting payment to the surety in lieu of The Builders Inc. • Letter from The Builder's attorney in agreement with releasing payment to the surety • Final Receipt and Waiver of Mechanic's Lien Rights • Consent of Surety to Final Payment • Contractor's Affidavit of Payment of Debts and Claims • Contractor's Affidavit of Release of Liens In a telephone conversation today with Steve Sondrall of Jensen, Swanson & Sondrall, we reviewed the surety company's request to release payment to Carolina Casualty Insurance Company and he was in agreement with the release. All documentation appears in order. Therefore, E &V recommends final payment for The Builders Inc contract be made to Carolina Casualty Insurance Company in the amount of $31,119.00. APPLI MON FOR PAYMENT (Columns D + E on Continuation Page) Pa 1 TO OWNER: City of New Hope PROJECT: New Hope Clubhouse (Column F on Continuation Page) 12 Distribution to: APPLICATION NO. 4401 Xylon Avenue North New Hope Clubhouse PERIOD TO: 01/15/2003 n OWNER New Hope, MN 55428 8130 Bass Lake Road PROJECT #s: 00 -262 [ - 1 CONTRACTOR $582,184.00 New Hope, MN 55428 8. CURRENT PAYMENT DUE ................ ............................... FROM CONTRACTOR: The Builders Inc. ARCHITECT: TSP One, Inc. CONTRACT DATE: 06/27/2000 ARCHITECT 8100 Wayzata Blvd. 21 Water Street ` Minneapolis, MN 55426 Excelsior, MN 55331 CONTRACT FOR: Complete Construction CONTRACTOR'S SUMMARY OF WORK Application is made for payment as shown below. Continuation Page is attached. 1. ORIGINAL CONTRACT AMOUNT .. ................. — .......... ..... $589,750.00 2. NET CHANGE BY CHANGE ORDERS — ............................. $23,553.00 3. CONTRACT AMOUNT TO DATE (Line 1 +/- 2) $613,303.00 4. TOTAL COMPLETED AND STORED TO DATE $613,303.00 (Column G on Continuation Page) 5. RETAINAGE: a. of Completed Work (Columns D + E on Continuation Page) b. of Stored Material (Column F on Continuation Page) Total Retainage (Line 5a + 5b or Column I on Continuation Page) ............................... 6. TOTAL EARNED LESS RETAINAGE $613,303.00 Line 4 minus Line 5 Total) 7. LESS PREVIOUS APPLICATIONS FOR PAYMENT........ $582,184.00 (Line 6 from prior Application) 8. CURRENT PAYMENT DUE ................ ............................... $31,119.00 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 minus Line 6) $0.00 -- __.. CHANGE ORDER SUMMARY ADDITIONS ! DEDUCTIONS Total changes approved in previous months $23,553.00 KOO Total approved this month $0.00 .. _ _ _ � $0.00 TOTALS $23,553.00 $0.00 _.— ._` - - -- - -- - .... - - - - -- -..._ NET CHANGES by Change Order i $23,55100 Contractor's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) the Work has been performed as required in the Contract Documents, (2) all sums previously paid to Contractor under the Contract have been used to pay Contractor's costs for labor, materials and other obligations under the Contract for Work previously paid for, and (3) Contractor is legally entitled to this payment. CONTRACTOR: By: & Date: _ 7- -0 State of: Minnesota County of Hennepin Subscribed and sworn to before me this day of Z,tv3 , f t� iC MIOLI SKI R ; " t` 1 � FUSL:0- 1, 01NNESOT A Nota Public: !/ r Nota F;!i �7mission Ex,ires Jan 3! 24 My Commission Expires: 1- 31 -05' ARCHITECT'S CERTIFICATION Architect's signature below is his assurance to Owner, concerning the payment herein applied for, that: (1) Architect has inspected the Work represented by this Application, (2) such Work has been completed to the extent indicated in this Application, and the quaility of workmanship and materials conforms with the Contract Documents, (3) this Application for Payment accurately states the amount of Work completed and payment due therefor, and (4) Architect knows of no reason why payment should not be made. D 7 - 0 AMOUNT AMOUNT CERTIFIED .......................................................... ............................... f , (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Page that are changed to conform to the amount certified.) ARCHITECT;, By: Date: Neither this Application nor pay e t applied for herein is assignable or negotiable. Payment shall be made only to Contractor, an i without prejudice to any rights of Owner or Contractor under the Contract Documents or otherwise. APPLICATION FOR PAYMENT CONTL JATiON PAGE Page 2 of 3 APPLICATION FOR PAYMENT PROJECT: New Hope Clubhouse APPLICATION NO.: 12 containing Contractor's signed Certification is attached. New Hope Clubhouse APPLICATION DATE: 01/24/2003 Use Column I when variable retainage for line items may apply. PERIOD TO: 01/15/2003 PROJECT #s: 00 -262 A B C . ! D F G H 1 ITEM SCHEDULED COMPLETED WORK STORED TOTAL BALANCE FROM # WORK DESCRIPTION VALUE MATERIALS COMPLETED AND % TO {IF VARIABLE IF VARIABLE PREVIOUS THIS PERIOD (NOT IN D OR E) STORED (G / C) COMPLETION APPLICATION (D + E + F) (C -G) RATE) (D + E) 1 Bond $5,698.00 $5,698.00 $0.00 $0.00 $5,698.00 100% $0.00 $0.00 2 General Conditions & Fee $52,426.00 $52,426.00 $0.00 $0.00 $52,426.00 100% $0.00 $0.00 3 Earthwork $18,500.00 $18,500.00 $0.00 $0.00 $18,500.00 100% $0.00 $0.00 4 Site Concrete $17,426.00 $17,426.00 $0.00 $0.00 $17,426.00 100% $0.00 $0.00 5 Bituminous Paving $8,360.00 $8,360.00 $0.00 $0.00 $8,360.00 100% $0.00 $0.00 6 Site Utilities $9,800.00 $9,800.00 $0.00 $0.00 $9,800.00 100% $0.00 $0.00 7 Fencing $1,365.00 $1,365.00 $0.00 $0.00 $1,365.00 100% $0.00 $0.00 8 Landscaping & Irrigation $16,450.00 $16,450.00 $0.00 $0.00 $16,450.00 100% $0.00 $0.00 9 Concrete & Masonry $59,410.00 $59,410.00 $0.00 $0.00 $59,410.00 0 100 /o $0.00 $0.00 10 Precast $3,195.00 $3,195.00 $0.00 $0.00 $3,195.00 100% $0.00 $0.00 11 Structural Steel $12,630.00 $12,630.00 $0.00 $0.00 $12,630.00 100% $0.00 $0.00 12 Erection $3,200.00 $3,200.00 $0.00 $0.00 $3,200.00 100% $0.00 $0.00 13 Rough Carpentry $36,321.00 $36,321.00 $0.00 $0.00 $36,321.00 100% $0.00 $0.00 14 Finish Carpentry $73,500.00 $73,500.00 $0.00 $0.00 $73,500.00 100% $0.00 $0.00 15 Millwork $18,535.00 $18,535.00 $0.00 $0.00 $18,535.00 100% $0.00 $0.00 16 Insulation $3,769.00 $3,769.00 $0.00 $0.00 $3,769.00 100% $0.00 $0.00 17 Asphalt Shingles $10,000.00 $10,000.00 $0.00 $0.00 $10,000.00 100% $0.00 $0.00 18 Sheet Metal Work $8,694.00 $8,694.00 $0.00 $0.00 $8,694.00 100% $0.00 $0.00 19 Sealents $940.00 $940.00 $0.00 $0.00 $940.00 100% $0.00 $0.00 20 Doors, Frames & Hardware $6,800.00 $6,800.00 $0.00 $0.00 $6,800.00 100% $0.00 $0.00 21 Access Doors & TV Brackets $1,504.00 $1,076.00 $0.00 $428.00 $1,504.00 100% $0.00 $0.00 22 Coiling Doors $1,475.00 $1,000.00 $475.00 $0.00 $1,475.00 100% $0.00 $0.00 23 Aluminum Entrances $21,500.00 $21,500.00 $0.00 $0.00 $21,500.00 100% $0.00 $0.00 24 Glass & Glazing $13,980.00 $13,980.00 $0.00 $0.00 $13,980.00 100% $0.00 $0.00 25 Drywall $11,297.00 $11,297.00 $0.00 $0.00 $11,297.00 100% $0.00 $0.00 26 Tile Work $10,500.00 $10,500.00 $0.00 $0.00 $10,500.00 100% $0.00 $0.00 27 Carpet & Resilient Floor $4,844.00 $1,422.00 $0.00 $3,422.00 $4,844.00 100% $0.00 $0.00 28 Glassboard Paneling $610.00 $610.00 $0.00 $0.00 $610.00 100% $0.00 $0.00 29 Painting $10,920.00 $10,920.00 $0.00 $0.00 $10,920.00 100% $0.00 $0.00 TOTALS $443,649.00 $439,324.00 T $475.00 $3,850.00 $443,649.00 100% $0.00 $0.00 CONTINUATION PAGE FOR APPLICATION FOR PAYMENT CONTh,,jATION PAGE Page 3 of 3 APPLICATION FOR PAYMENT PROJECT: New Hope Clubhouse APPLICATION NO.: 12 containing Contractor's signed Certification is attached. New Hope Clubhouse APPLICATION DATE: 01/24/2003 Use Column I when variable retainage for line items may apply. PERIOD TO: 01115/2003 PROJECT #s: 00 -262 A B C D E F G H ITEM SCHEDULED COMPLETED WORK STORED TOTAL BALANCE # WORK DESCRIPTION VALUE MATERIALS COMPLETED AND % TO AGE PREVIOUS THIS PERIOD (NOT IN D ORE STORED (G / C) COMPLETION IF VARIABLE (IF V APPLICATION (D + E + F) (C -G) RATE). (D + E) 30 Specailties $4,033.00 $4,033.00 $0.00 $0.00 $4,033.00 100% $0.00 $0.00 31 Flagpole $750.00 $750.00 $0.00 $0.00 $750.00 100% $0.00 $0.00 32 Kitchen Equipment $10,735.00 $10,735.00 $0.00 $0.00 $10,735.00 100% $0.00 $0.00 33 Blinds $720.00 $720.00 $0.00 $0.00 $720.00 100% $0.00 $0.00 34 Fire Protection $17,240.00 $17,240.00 $0.00 $0.00 $17,240.00 100% $0.00 $0.00 35 Plumbing $20,985.00 $20,985.00 $0.00 $0.00 $20,985.00 100% $0.00 $0.00 36 HVAC $18,970.00 $18,970.00 $0.00 $0.00 $18,970.00 100% $0.00 $0.00 37 Fireplace $1,375.00 $1,375.00 $0.00 $0.00 $1,375.00 100% $0.00 $0.00 38 Floor Safe $1,037.00 $1,037.00 $0.00 $0.00 $1,037.00 100% $0.00 $0.00 39 Gas Grilles $1,256.00 $1,256.00 $0.00 $0.00 $1,256.00 100% $0.00 $0.00 40 Electrical $69,000.00 $69,000.00 $0.00 $0.00 $69,000.00 100% $0.00 $0.00 41 Change Order No.1 42 Proposal Request #2 Gas Meter $220.00 $220.00 $0.00 $0.00 $220.00 100% $0.00 $0.00 43 Proposal Request #3 Health $9,505.00 $9,505.00 $0.00 $0.00 $9,505.00 100% $0.00 $0.00 44 Proposal Request #6 Lights $284.00 $284.00 $0.00 $0.00 $284.00 100% $0.00 $0.00 45 A.S.I. #2 Hardware $513.00 $51100 $0.00 $0.00 $513.00 100% $0.00 $0.00 46 TBI Change Request #1 Ramp $1,102.00 $1,102.00 $0,00 $0.00 $1,102.00 100% $0.00 $0.00 47 TBI Change Request #3 Tile $1,885.00 $1,885.00 $0.00 $0.00 $1,885.00 100% $0.00 $0.00 48 Add Alternate Demo Building $2,400.00 $2,400.00 $0.00 $0.00 $2,400.00 100% $0.00 $0.00 49 Change Order No.2 50 Soil Corrections $7,644.00 $7,644.00 $0.00 $0.00 $7,644.00 100% $0.00 $0.00 TOTALS $613,303.00 $608,978.00 $475.00 $3,850.00 $613,303.00 100% $0.00 $0.00 CONTINUATION PAGE FOR APPLICATION FOR PAYMENT To Solve. To Excel. Together. March 10, 2003 Architecture TSP is in receipt of close out documents and a final application for payment from Engineering the The Builders Inc. All appears to be in order and therefore TSP recommends that Construction final payment be made. TSP One Inc. Mark Thiede Copies: File Denver, CO Fort Collins, CO Marshalltown, IA Minneapolis, MN Rochester, MN Omaha, NE Rapid City, SD Sioux Falls, SD Sheridan, WY Cheryl Badinger - E & V Consultants 18707 Old Excelsior Blvd 5801 Duluth Street Minnetonka, MN Suite 345 55345.3122 Minneapolis, MN 55422 phone (952) 474 -3291 RE: New Hope Village TSP One # 99732 fax (952) 474.3928 Golf Course Clubhouse www.teamtsp.com Dear Cheryl, Architecture TSP is in receipt of close out documents and a final application for payment from Engineering the The Builders Inc. All appears to be in order and therefore TSP recommends that Construction final payment be made. TSP One Inc. Mark Thiede Copies: File Denver, CO Fort Collins, CO Marshalltown, IA Minneapolis, MN Rochester, MN Omaha, NE Rapid City, SD Sioux Falls, SD Sheridan, WY GREGERSON, ROSOW, JOHNSON & NILAN, LTD. ATTORNEYS AT LAW 1600 PARK BUILDING 650 THIRD AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55402 -4337 TELEPHONE: (612) 338 -0755 FAX: (612) 349 -6718 ROBERT I. LANG, OF COUNSEL ROGER A. PAULY, OF COUNSEL *Also admitted in Wisconsin +Certified as a Real Property Specialist by the Minnesota State Bar Association Ms. Cheryl Badinger City of New Hope 5801 Duluth Street Golden Valley, Minnesota 55422 March 3, 2003 RE: City of New Hope Golf Course Project The Builders, Inc., Subcontractor Carolina Casualty Insurance Company, Contract Surety Dear Ms. Badinger: This letter will serve to confirm our telephone conversation with regard to the above matter. It is our understanding that the bonded project, referenced above, is complete and subject to release of remaining contract balances, subject to the contractor's inability to provide subcontractor /supplier lien waivers. As you know, the public works project requires a contractor's surety bond, and our client, Carolina Casualty Insurance Company, has previously executed and issued statutory bonds, including a payment bond, for this project. As you further recognize, no mechanic's liens can be filed against the project in view of the public nature of the work. We have, therefore, discussed the agreement of surety to indemnify the project owner from any claims or losses which may be occasioned by the release of contract funds to Carolina Casualty Insurance Company. On behalf of our client, we do hereby demand the release of remaining contract funds to the surety, which has incurred losses in excess of remaining contract balances, and we do hereby reaffirm the surety's agreement to indemnify the project owner for any claims or losses occasioned by the release of contract funds to the surety. WRITER'S DIRECT DIAL: (612) 436 -7474 DAVID H. GREGERSON* EDEN PRAIRIE OFFICE: RICHARD F. ROSOW+ 250 PRAIRIE CENTER DRIVE MARK J. JOHNSON SUITE 370 JOSEPH A. NILAN* EDEN PRAIRIE, MINNESOTA 55344 JENNIFER M. INZ TELEPHONE: (952) 829 -7355 CHRISTINE A. LONGE FAX: (952) 829 -0713 AMY L. CRALAM SIIRA B. GUNDERSON REPLY TO MINNEAPOLIS ROBERT I. LANG, OF COUNSEL ROGER A. PAULY, OF COUNSEL *Also admitted in Wisconsin +Certified as a Real Property Specialist by the Minnesota State Bar Association Ms. Cheryl Badinger City of New Hope 5801 Duluth Street Golden Valley, Minnesota 55422 March 3, 2003 RE: City of New Hope Golf Course Project The Builders, Inc., Subcontractor Carolina Casualty Insurance Company, Contract Surety Dear Ms. Badinger: This letter will serve to confirm our telephone conversation with regard to the above matter. It is our understanding that the bonded project, referenced above, is complete and subject to release of remaining contract balances, subject to the contractor's inability to provide subcontractor /supplier lien waivers. As you know, the public works project requires a contractor's surety bond, and our client, Carolina Casualty Insurance Company, has previously executed and issued statutory bonds, including a payment bond, for this project. As you further recognize, no mechanic's liens can be filed against the project in view of the public nature of the work. We have, therefore, discussed the agreement of surety to indemnify the project owner from any claims or losses which may be occasioned by the release of contract funds to Carolina Casualty Insurance Company. On behalf of our client, we do hereby demand the release of remaining contract funds to the surety, which has incurred losses in excess of remaining contract balances, and we do hereby reaffirm the surety's agreement to indemnify the project owner for any claims or losses occasioned by the release of contract funds to the surety. GREGERSON, ROSOW, JOHNSON & NILAN, LTD. Ms. Cheryl Badinger March 3, 2003 Page 2 By copy of this correspondence to The Builders, Inc., and their counsel, we provide notification of our client's interest, and we invite their consent to release contract funds as set forth herein. Very truly yours, GREGERSON, ROSOW, JOHNSON &NILAN, LTD. By —"-- David H. Gregerson DHG /smt cc: The Builders, Inc. John T. Trout, Esq. Carolina Casualty Insurance Company monitor surety managers \the builders in6generaAbadinger.030303 HELLMUTH & JOHNSON, PLLC ATTORNEYS AT LAW CHAD A. JOHNSON ' DAVID G. HELLMUTH' 3LAKE R. NELSON ' JOHN K. ROSSMAN ROBERT A. GUST NANCY T. POLOMIS SUZANNE M. REMINGTON JOHN I TROUT J. ROBERT KEENA Ms. Cheryl Badinger City of New Hope 5801 Duluth Street Golden Valley, MN 55422 Re: The Builders, Inc. /City of New Hope Golf Course Project Our File No.: 11660 -0001 Dear Ms. Badinger: I represent The Builders, Inc. with regard to the above project and issues involving Carolina Casualty Insurance Company. I write in response to David Gregerson's letter to you dated March 3, 2003. The Builders, Inc. has no objection to the City of New Hope releasing the balance of the contract funds to Carolina Casualty Insurance Company. Very truly yours, HELLMUTH & JOHNSON, PLLC 1 " J T. Trout�.i Attorney at Law JTT /jag cc: David H. Gregerson, Esq. (via mail) Bruce A. Boeder (via fax/mail) The Builders, Inc. (via mail) s: \bui1ders \gen'1 \badinger Itr.01 10400 VIKING DRIVE, SUITE SOO • EDEN PRAIRIE, MINNESOTA 55344 TELEPHONE (9S2) 941 -4005 • FACSIMILE (952) 941 -2337 • E -MAIL info @hjlawfirm.com Real Property Law Specialist, Certified by the Real Property Law Section of the Minnesota State Bar Association Also admitted in 'Wisconsin and' California N.B. - It is important that the following directions be closely followed as otherwise the receipt WILL NOT BE ACCEPTED. 1. This is a LEGAL INSTRUMENT and must be executed accordingly by officers of corporations and by partners in co- partnerships. 2. It is important that ALL the blanks be completed and the AMOUNT PAID BE SHOWN. 3. If payment is not in full to date, so state, SHOW UNPAID BALANCE and strike out last three lines. 4. A receipt similar to this or legal waiver of lien rights will be required for all plumbing, heating and plastering materials, etc. 5. NO ERASURES OR ALTERATIONS MUST BE MADE. DATE: January 24, 2003 The undersigned hereby acknowledges having received payment of $ 31,119.00 from The Builders Inc, in full payment of all General Contractor as per subcontract by the undersigned delivered or furnished to (or performed at) New Hope Village Golf Course Clubhouse 8130 Bass Lake Road New Hope, MN 55428 and for value received hereby waives all rights which may have been acquired by the undersigned to frle mechanic`s lien against said premises for labor, skill or material furnished to said premises prior to the date hereof. The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT. Dated this day of 1 A&) NOTE: If this instrument is executed by a corporation, it must be signed by an officer, and if executed by a partnership, it must be signed by a partner. The Builders Inc. By ' Its (address) CONSENT OF SURETY TO FINAL PAYMENT ALA Document G707 (Instructions on reverse side) TO OWNER: (Ncune and address) City of New Hope, Minnesota PROJECT: (Name and, tcldreas) New Hope Village Golf Course Clubhouse ARCHITECT'S PROJECT NO.: CONTRACT FOR: New Hope Village Golf Course Clubhouse CONTRACT DATED: June 26, 2000 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Onsert name and address of Suret)7 Carolina Casualty Insurance Company on bond of (Insert nenne and addrms gl'C,onirac'tor) The Builders, Inc. , SURETY, , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (insert name and address q/'Owner) City of New Hope, Minnesota as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: February 19, 2002 (btse rt hi writing the ntonthfiollowecl hp the ntuneric date andyear ) Attest: (Seal): , OWNER, Carolina _Casualty Insurance.- Co=-any .s'ttyc�; (S7gmalu er gfalflhorizecl representative) Du Mischke, attorney-in- -fact (Printed none and title) i l CAUTION: You should sign an original AIA document that has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G707 • CONSENT OF SURti'lY'lo FINAL PAYMF,N'1' • 1994 F,DI'110N • "AIA 01994 • THE AMERICAN INS'll I' 173 OF ARCHITECT ITS, 1735 NF:W YORK AVENUE, NW, WASH- : INGTON, D.C. 20006-5292 • WARNING: Unlicensed photocopying violates U.S. copy- right laws and will subject the violator to legal prosecution. OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ Bond No 77430 OTHER ❑ G707 -1994 POWER OF ATTORNEY CAROLINA CASUALTY INSURANCE COMPANY JACKSONVILLE, FLORIDA No. 113 NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS: that CAROLINA CASUALTY INSURANCE COMPANY ( "Company ") a corporation duly organized and existing under the laws of the State of Florida, having its Principal office in Jacksonville, Florida, has made, constituted and appointed, and does by these presents make, constitute and appoint Duane Mischke or Charles W.Fiebig or Dan Borrell or Peter M. Bradt or Patricia H. Borchers its true and lawful Agent and Attomey -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, seal, acknowledge and deliver: . any and all bonds and undertakings and to bind the Company thereby as fully and to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney is granted pursuant to the Minutes of the Special Meeting of the Board of Directors of Carolina Casualty Insurance Company held on March 30, 1966, to wit: RESOLVED: "That the following Officers of the Carolina Casualty Insurance Company, Chairman of the Board, President, Secretary and Treasurer, or either of them, are hereby authorized to execute on behalf of the Carolina Casualty Insurance Company, Powers of Attorney authorizing and qualifying the Attorney -in -Fact named therein to execute bonds on behalf of the Carolina Casualty Insurance Company, and further, that the said Officers of the Company mentioned, are hereby authorized to affix the corporate seal of the said Company to Powers of Attorney executed pursuant hereto'. RESOLVED FURTHER, this Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein, and they have no authority to bind the company except in the manner and to the extent therein stated. RESOLVED FURTHER, this Power of Attorney revokes all previous powers issued in behalf of the attorney -in -fact named above. RESOLVED FURTHER, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company; and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may..continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have ceased to be such at the time when such instruments shall be issued. IN WITNESS WHEREOF Carolina Casualty Insurance Company has caused ese presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this /-4 66 day of , 19 Attest: Carolina'Casualt rance man By 6 ; Betty u erlan GM T on, r. Secretary President WARNING: THIS POWER INVALID IF NOT PRINTED ON GREEN "MONITOR" SECURITY PAPER. STATE OF FLORIDA) SS COUNTY OF DUVAL) Sworn to before me, a Notary Public in the State th is / day of 1 19 9s by -rtary of Carolina Casualty Infa Co m any. Notary Public, State of FI ida at Large I, the undersigned, Secretary of CAROLINA CASUALTY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a just, true, correct and complete copy of original Power of Attorney; that the said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney -in -Fact set forth therein, who executed the bond to which this Power of Attorney is attached, is in full force and effect as of this date. Given under my hand and the seal of the Company, this 19th day of Febru 2002 < , \NSUg Y`!•otlOAAIF v }„ v i '�ij••...FCOa� °��a °eve w H i w • Secretary ., "K el m 1 1 ALA Document G706 (Instructions on reverse side) OWNER ❑ ARCHITECT ❑ CONTRACTOR SURETY ❑ OTHER ❑ TO OWNER: City of New Hope rNunteuurlrutdrrc,) 4401 Xylon Avenue North New Hope, mm 55428 PROJECT: New Hope Village Golf Course (Nnnreaudcrrldr'ex+) Clubhouse 8130 Bass Lake Road New Hope, MN 55428 ARCHITECT'S PROJECT NO.: CONTRACT FOR: General Construction CONTRACT DATED: June 26, 2000 STATE OF: Minnesota COUNTY OF: Hennepin The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnisher(, for all work, labor, anti services performed, and for all known inclebteciness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way he held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose. Indicate attachment: C$yes ❑ no Thejbllowir;g szipportinr,J dacuzrzentti .chozild he attached .hereto if required b), the Owner. 1. Contractor's Release or Waiver of Liens, conclitional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanieci by a list thereof. 3. Contractor's Affidavit of Release of Liens (AIA Document G706A). CONTRACTOR: The Builders Inc. (Name currl addre.,$) 8100 Wayzata Blvd. Minneapolis, MN 55426 BY: Ca (,17,quahux�t�farrthot'ze re /�resc�tttcrtirc) Craia Moleski, CEO (Frfrlted nelme and title) ffi�iyN�P11V4' �i�c"�:+�r`+63t'b�: Subscribed and sworn to befor te REBECCA A. BAUER s NOTARY PUBLIC- iMiNNcSOTA Notary Public: My Commission Expires Jan. $1, 2005 My Commission Expires: 1/31/05 i l CAUTION: You should sign an original AIA document that has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet for Limited License for Reproduction of this document. AIA DOCUMENT G706 • CONTRAC 1'OR's AFPII)AVI "1' OP PAYtiUEN "I' OF DEBTS AND CIAIMS r 199-1 M)ITION • ''AIA • 0199- • THE .AMERICAN INS'ITI't' "I'R OF ARCHITECTS. 1735 NEW YORK AVENI'E, NW, WASHINGTON, D.C. 20006.5292 • WARNING: Unlicensed photocopying 'r violates U.S. copyright laws and will subject the violator to legal prosecution. G706 -1994 CONTRACTOR'S AFFIDAVIT OF OWNER ❑ RELEASE OF LIENS ARCHITECT ❑ ALA Document G706A CONTRACTOR SURETY ❑ (Instructions on reverse side) OTHER ❑ TO OWNER: City of New Hope ARCHITECT'S PROJECT NO.: (Name and address) 4401 Xylon Avenue North New Hope, MN 55428 CONTRACT FOR: General Construction PROJECT: New Hope Village Golf Course CONTRACTDATED: June 26, 2000 (Netme uud addrav) Clubhouse 8130 Bass Lake Road New Hope, MN 55428 STA'T'E OF: Minnesota COUNTY OF: Hennepin The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment Suppliers, to the extent required by the Owner, accompanied by a list thereof. ffi g REBECCA A. BAUER NOTARY PUBLIC- MINNESOTA My Commission Expires Jan. 31, 2005 CONTRACTOR: The Builders Inc. (Name emet adelrmo 8100 Wayzata Blvd. Minneapolis, MN 55426 BY: �" �Ci� ✓°�°t"' (,S7,quatrn•e (?/'ell Wive) Craig Moleski, CEO (Prinfeet name curd title) Subscribed and sworn to before me on this date: Notary Public: My Commission Expires: 1/31/05 CAUTION: You should sign an original AIA document that has this ,caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. See Instruction Sheet f Limited License for Re production of this document, AIA DOCUMENT G706A • CONrIiACI'OR'5 AFFIDAVIT OF HHH'ASii OF 1.11:N5 • 199-+ FIATION • 'AIA • ©199 -t • THti AMERICAN INSTITt "IT' OF ARCHITECTS. 1'35 NEW YORK AVHNITR, NW, WASHINGTON, D.C. 20000 -5292 WARNING: Unlicensed photocopying G706A -1994 violates U.S. copyright laws and will subject the violator to legal prosecution.