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Imp. Proj. #4761 October 22, 1991 Bonestroo, Rosene, Anderlik and Associates, Inc. c/o Mr. Robert W. Rosene 2335 West Highway 36 St. Paul, Minnesota 55113 Gentlemen /Ladies: Subject: Shallow Water Recreation Pool for the City of New Hope, New Hope Hennepin County, Minnesota, Plan No. 20486 We are enclosing a copy of our report covering an examination of plans and specifications on the above- designated project. IT IS THE PROJECT OWNER'S RESPONSIBILITY TO RETAIN THE PLANS AT THE PROJECT LOCATION. Also enclosed is an information sheet on maintenance and operation of swimming pools, together with a suggested swimming pool operational report form which should be prepared monthly by the pool operator and kept for his records. Your attention is directed to the paragraph in the report pertaining to inspections. It is important that we receive the information requested,on the enclosed postal card in order that the necessary inspection may be made. If you have any questions in regard to the information contained in this report, please contact me at 612/627 -5123. Sincere t y r r:,� Y ve to A. Keegan i Pub3, Health Engineer Sectko of Water Supply and Well Management YAK:cls Enclosures cc: Shari French, Parks and Recreation Director City of New Hope` Valerie Leone, Clerk City of New Hope An Equal Opportunity Employer MINNESOTA DEPARTMENT OF HEALTH Division of Environmental Health REPORT ON PLANS Plans and specifications on: Shallow Water Recreation Pool for the City of New Hope Location: New Hope, Hennepin County, Minnesota Date Examined: October 17, 1991 Prepared and submitted by. Bonestroo, Rosene, Anderlik and Associates, Incorporated, c/o Mr. Robert W. Rosene, 2335 West Highway 36, St. Paul, Minnesota 55113 Dates Received: September 18 and 19, and October 10, 1991 Plan File No.: 20486 Ownership - City of New Hope, c/o Ms. Valerie Leone, Clerk, City Hall, 4401 Xylon Avenue North, Minneapolis, Minnesota 55428 SCOPE - This report covers the design of this project insofar as safety and sanitary quality of water for public bathing may be affected, and is based upon Minnesota Rules, p. 4717.0100 - p. 4717.3900, Public Swimming Pools. The examination of plans 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, the efficiency of equipment, and design of any features which the rules do not address must be taken by the project designer. Approval is contingent upon satisfactory disposition of any requirements included with this report. Special care should be taken to insure that the material used and the installation of the swimming pool is in accordance with the approved plans and provisions of the rules. Pumping Apparatus - Two 2- horsepower pumps, 220 gpm Pool Volume - 17, 900 gallons Treatment - Liquid chlorine, Two 7.07 - square -foot high -rate sand filters Bather Load - 215 persons Compliance - No construction shall take place except in accordance with the approved plans and specifications. If it is desired to make deviations from the approved plans and specifications, the State Department of Health must be consulted and approval of the changes obtained before construction is started; otherwise such construction is carried out in violation of state rule, and in addition may create dangers to public health. Inspections - It is necessary that a final inspection be made of s wimming pools. In order to facilitate this work, the enclosed self - addressed postal card should be filled out and returned so that arrangements can be made for the final inspection. Acceptance of the pool cannot be given until inspection of the complete installation indicates compliance with the provisions of the regulation. REQUIREMENTS: 1. Approval is contingent upon conditions as described in the letter dated September 18, 1991, from Shari French, City of New Hope Parks and Recreation Director, providing for continuous supervision of this shallow water pool and play equipment, control of the use of the sand volleyball area, and that showers will be required when leaving the volleyball area. The sign to be installed in the volleyball area should read: "VOLLEYBALL PLAYERS MUST SHOWER BEFORE RE- ENTERING POOL AREA." 2. The two 12 -foot wide gates providing access to the pool area shall be self - closing, self - latching, and lockable. Or, as an alternative, provide that they shall remain normally locked and access controlled whenever they are open. 3. If after dark swimming is to be permitted, lighting should provide at least 10 foot - candles at all pool and deck areas. City of New Hope -2- October 17, 1991 Plan No. 20486 4. SIGNS REQUIRED FOR ALL POOLS: a. Where no lifeguard service is provided, a warning sign shall be placed in plain view and state "WARNING - NO LIFEGUARD ON DUTY' with clearly legible letters at least 4 inches in height. In addition, the sign shall state "CHILDREN SHALL NOT USE POOL WITHOUT AN ADULT IN ATTENDANCE." b. The design bather load shall be posted in a conspicuous location. c. Instructions regarding emergency calls shall be prominently posted. d. Suitable placards embodying the following personal regulations and instructions and those relating to suits and towels shall be conspicuously posted in the s wimmin g pool room or enclosure and in the dressing rooms and offices at all swimming pools. All persons' using the sv, mniin pool shall take a Ilea -s;ng shower bate in nude, using warm water and soap and thoroughly rinsing off all soap suds, before entering the swimming pool room or enclosure. A bather leaving the pool to use the toilet shall take a second cleansing bath before returning to the swimming pool room or enclosure. - Any persons having an infectious or communicable disease shall be excluded from a public swimming pool. Persons having any considerable area of exposed subepidermal tissue, open blisters, cuts, etc., shall be warned that these are likely to become infected and advised not to use the pool. - Spitting, spouting of water, blowing the.nose, etc., in the swimming pool shall be strictly prohibited. - No running and boisterous or rough play, except supervised water sports, shall be permitted in the pool, on the runways, diving board, floats or platforms, or in dressing rooms, shower rooms, etc. - Glassware or similar materials having a tendency to shatter upon impact shall not be allowed within the swimming pool enclosure area. Authorization for construction in accordance with the approved plan may be withdrawn if construction is not undertaken within a period of two years. The fact that 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. �/✓— A. Keegan � ealth Engineer f Water Supply and Well Management Sonestroo Rosene " now Anderlik & Associates I Bidder Total Base Bid Address Telephone No. City, State, Zip Fa)L No. E . &Allhf� U. P-L M All FILE NO. 34123 I � I iiiiiiii "I Opening Time: 11:00 Opening Da onday, September 2• , 1991 The bid opening time and date shall be changed from 10:00 A.M., C.D.S.T., on Wednesday, September 18, 1991 to 11:00 A.M., C.D.S.T.. on Monday, September 23, 1991. BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. 2335 WEST TRUNK HIGHWAY 36 ST. PAUL, MINNESOTA 55113 34123.ADD FILE NO. 34123 NEW HOPE, MINNESOTA PDT* TABLE OF CONTENTS DIVISION 2 - SITE WORK 02070. Selective Demolition 02200. Earthwork 02231. Crushed Aggregate Base Course 02270. Modular Masonry Retaining Wall 02511. Plant-Mixed Bituminous Pavement 02526. Concrete Curb and Gutter and Medians 02661. Water System 02711. Chain Link Fence 02736. Sanitary and Storm Severs 02931. Turf Establishment DIVISION 3 - CONCRETE 03100. Concrete Formwork 03200. Concrete Reinforcement 03300. Cast-In-Place Concrete DIVISION 4 - MASONRY 04200. Masonry 341235 00001. Table of Contents 00002. Professional Certifications 00030. Advertisement for Bids 00100. Information to Bidders 00300. Bid Proposal 00700. Conditions of the Contract 00800. Supplementary Conditions 00860. List of Drawings DIVISION 2 - SITE WORK 02070. Selective Demolition 02200. Earthwork 02231. Crushed Aggregate Base Course 02270. Modular Masonry Retaining Wall 02511. Plant-Mixed Bituminous Pavement 02526. Concrete Curb and Gutter and Medians 02661. Water System 02711. Chain Link Fence 02736. Sanitary and Storm Severs 02931. Turf Establishment DIVISION 3 - CONCRETE 03100. Concrete Formwork 03200. Concrete Reinforcement 03300. Cast-In-Place Concrete DIVISION 4 - MASONRY 04200. Masonry 341235 TABLE OF CONTENTS - LONTDj DIVISION 6 - WOOD AND PLASTICS 06000. Carpentry 06190. Wood Trusses DIVISION 7 - THERMAL AND MOISTURE PROTECTION 07110. Waterproofing 07410. Metal Preformed Roof and Wall Panels 07810. Unit Skylights 07920. Caulking and Sealants DIVISION 8 - DOORS AND WINDOWS 08100. Metal Doors and Frames 08710. Finish Hardware DIVISION 9 - FINISHES 09900. Painting . 09915. Pool Painting DIVISION 10 - SPECIALTIES 10200. Louvers and Vents DIVISION 15 - MECHANICAL WORK None (See Section 13850) DIVISION 16 - ELECTRICAL 16050. Basic Electrical Materials and Methods 16110. Raceways 16120. Wires and Cables 16140. Wire Connections and Connection Devices 16420. Service Entrance 16480. Motor Control 16500. Lighting o7M 34123S TABLE OF CONTENTS (CONT'D) Geotechnical Data Plate No. 1-1 Sanitary Sever Manhole Plate No. 1-10 Storm Sever Junction Manhole Plate No. 1-18 type I Catch Basin Plate No. 1-25 Bedding Methods for RCP, VCP, & DIP Plate No. 1-25A Improved Foundation for RCP, VCP, & DIP Plate No. 1-25B PVC Pipe Foundation & Bedding Methods Plate No. 3-9 Service Line Cleanouts Supplementary Conditions Conditions of the Contract End of Section T-3 34123S SECTION 00002. PROFESSIONAL CERTIFICATIONS Date: September 4® 1991 Reg. No. 3488 Date: September 4 1991 - Reg. No. 17388 Date: September 4. 1991 Reg. No. 15445 I hereby certify that this plan and specification was prepared by me or under my direct supervision and that I am a duly Registered Electrical Engineer under the laws of the State of MinneWta. .17 - If , A my Date: SeDtember 4. 1991 — Reg. No. 7566 _ 34123S Sealed bids will be received by the City of New Hope, Minnesota in the City Hall at 4401 Xylon Avenue until 10:00 A.M., C.D.S.T. on Wednesday, September 18, 1991, at which time they will be publicly opened and read aloud for the furnishing of all labor and materials and all else necessary for the following: SHALLOW WATER RECREATION POOL with recreation equipment, pumps, pumphouse, concrete deck, fence, retaining wall, sand volley ball court and related work. Plans and specifications, proposal forms and contract documents may be seen at the office of the City Clerk, New Hope Minnesota, and at the office of Bonestroo, Rosene, Anderlik & Associates, Inc., Consulting Engineers, 2335 W. Trunk Highway 36, St. Paul, MN 55113, (612) 636-4600. Each bid shall be accompanied by a bidder's bond naming the City of New Hope as obligee, certified check payable to the Clerk of the City of New Hope or a cash deposit equal to at least five percent (5%) of the amount of the bid, which shall be forfeited to the City in the event that the bidder fails to enter into a contract. The City Council reserves the right to retain the deposits of the three lowest bidders for a period not to exceed 45 days after the date and time set for the opening of bids. No bids may be withdrawn for a period of forty-five (45) days after the date and time set for the opening of bids. Payment for the work will be by cash or check. Contractors desiring a copy of the plans and specifications and proposal forms may obtain them from the office of Bonestroo, Rosene, Anderlik & Associates, Inc., upon payment of a deposit of $30.00. See "Information to Bidders" for plan/specification deposit refund policy. The City Council reserves the right to reject any and all bids, to waive irregularities and informalities therein and further reserves the right to award the contract to the best interests of the City. Daniel Donahue, Manager City of New Hope, Minnesota 34123ad 1. BID PROCEDURE: Each planholder has been furnished a specification, plan set and two extra proposals. Bids shall be submitted on the separate Proposal Form designated "BID COPY" and not in the specification book. The Proposal containing the bid shall be submitted in a sealed envelope. 2. DEPOSIT AND REFUND: Plans and specifications may be obtained for the deposit amount stipulated in the Advertisement for Bids. Planholders may obtain more than one set of plans and specifications for the stipulated amount, however, refunds will not be i given for these additional sets. Refunds of deposit will be made to all bidders, subcontractors, and suppliers who return plans and specifications, in good condition, within 15 days of the bid date provided they: a) Were a prime bidder who submitted a bona-fide bid to the Owner, or b) Submitted quotes to at least two prime bidders which are identified with the returned plans and specifications. The following planholders need not return plans and specifications to receive a refund of deposit: a) Low prime bidder, or b) Successful low subcontractors and suppliers who notify the receptionist within 15 days of the bid. Refunds of deposit will also be made, for one set of plans and specifications only, to those planholders who return plans and specifications at least 48 hours before the bid-letting hour. 3. INDIVIDUAL DRAWINGS AND SPECIFICATION SHEETS: Individual drawings and specifications sheets may be purchased at the rate of Five Dollars ($5.00) per sheet of drawings and Twenty-five cents ($0.25) per sheet of specifications for which no refund will be made. 1989 General Bonestroo ® Rosene Anderitk & Associates Bidder Associated Pool Builders, Inc. Total Base Bid $388,366.00 Address 1500 Industrial Drive, P.O. Box 2318 Telephone No. 701 - 258 -6012 City, State, Zip Bismarck, ND 58502 -2318 Fax. No. 701 - 224 -9729 P. . s "" SL Pa M ArC to p St, W. FILE NO. 34123 NEW HOPE, MINNESOTA 1991 Honorable City Council City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Dear Council Members: SHALLOW WATER RECREATION POOL Opening Time: 11:00 A M., C.D.S.T. Opening Date: Monday, September 23, 1991 The undersigned, being familiar with your local conditions, having made the field inspections and investigations deemed necessary, having studied the plans and specifications for the work including Addenda Nos. 1 & 2 and being familiar with all factors and other conditions affecting the work and cost thereof, hereby proposes to furnish all labor, tools, materials, skills, equipment and all else necessary to completely construct the project in accordance with the plans and specifications on file with your Clerk and Bonestroo, Rosene, Anderlik & Associates, Inc., 2335 W.Trunk Highway 36, St. Paul, Minnesota 55113, as follows: No. Item Unit Qty Unit Price Total Price • 11 I /wepropose to furnish all materials and labor for the construction of the shallow water pool, recreation equipment, mechanical equipment and building, deck, fence, and related items with all general, mechanical and electrical work as specified for the LUMP SUM of: Bid Item No. 2 Fence replacement as specified for the LUMP SUM of: E. ! ' 1 11 34123rev.PRO P -1 No. Item Unit Qty Unit Price Total Price Bid Item No. 3 All labor and materials to construct the sun screen structures as shown on the plans and as specified for the LUMP SUM of: $ 13.413.00 34123rev.PRO P -2 Bid Item No. 4 Sanitary sewer, water main, storm sewer, and site restoration as specified using the following unit prices and estimated quantities: 1 6" PVC, SDR 35 w /bedding LF 103 21.00 $ 2,163.00 2 8" PVC, SDR 35 w /bedding LF 420 24.00 10,080.00 3 Std. 4' dia. MH w/R -1642B cstg. EA 5 1,500.00 7,500.00 4 Reconstruct existing MH -6 EA 1 500.00 500.00 5 6" PVC cleanout EA 1 275.00 275.00 6 Connect MH to existing 9" VCP - EA 1 2,400.00 2,400.00 7 Impr. pipe fnd. per 6" depth increment LF 100 5.00 500.00 Total Part A - Sanitary Sewer $23,418.00 Part B - Water Main 8 4" DIP, Class 52 LF 5 27.00 $ 135.00 9 6" DIP, Class 52 LF 80 26.00 2,080.00 10 Remove existing hydrant EA 1 600.00 600.00 11 Furnish & install new hydrant EA 1 1,600.00 1,600.00 12 Connect 4' DIP to ex. 4' water main EA 2 400.00 800.00 13 1" Type K copper LF 95 14.00 1,330.00 14 3/4" Type K copper (Mech. Bldg. Service) LF 10 14.00 140.00 15 1" x 3/4" brass tee EA 1 60.00 60.00 16 Corporation stop EA 1 35.00 35.00 34123rev.PRO P -2 No. Item Unit Qty Unit Price Total Price 17 Curb box and stop EA 1 135.00 $ 135.00 18 Fittings LB 240 1.50 360.00 Total Part B - Water Main $7,275.00 Part C - Storm Sewer 19 4" PVC perforated drain pipe w /geotextile fabric LF 90 11.00 $ 990.00 20 6" PVC, SDR 35 w /bedding LF 104 16.00 1,664.00 21 12" PVC, SDR 35 w /bedding LF 210 21.00 4,410.00 22 Standard 4' diameter MH -101 w/R1642B SY 120 11.00 1,320.00 28 cstg. (Plate 1 -10) EA 1 1,500.00 1,500.00 23 Standard Type I CB -102 w/R2577 LF 75 25.00 1,875.00 30 cstg. (Plate 1 -18) EA 1 1,000.00 1,000.00 24 Connect 12" PVC to existing CB EA 1 450.00 450.00 34123rev.PRO Total Part C - Storm Sewer $10,014.00 Part D - Site Restoration 25 Cl. 5, 100% crushed aggregate base (including excavation) TN 220 15.00 $ 3,300.00 26 Bituminous patch 3" thick (2 lifts; street & fire sta. drive & parking) SY 500 14.00 7,000.00 27 Bit. patch 2" thick (bicycle parking) SY 120 11.00 1,320.00 28 Bituminous curb LF 40 8.00 320.00 29 Concrete curb LF 75 25.00 1,875.00 30 Modular block wall SF 280 15.00 4,200.00 31 Sod w /3" topsoil borrow SY 1,800 3.50 6,300.00 34123rev.PRO P -3 No. Item Unit Qty 32 Remove & replant existing pines EA 4 Total Part D - Site Restoration Total Part A - Sanitary Sewer Total Part B - Water Main Total Part C - Storm Sewer Total Part D - Site Restoration TOTAL BID ITEM NO. 4 TOTAL BID ITEM NO. 1 TOTAL BID ITEM NO. 2 TOTAL BID ITEM NO. 3 TOTAL BID ITEM NO. 4 TOTAL BASE BID Alternate No. 1 - Additional Water Service Modifications Install a new 4" gate valve and box to the west of the existing Concessions Building on the 4" water service line to the existing bathhouse. Remove box over existing gate valve. Restore disturbed areas. ADD the LUMP SUM of: P- 4(rev) Unit Price Total Price 250.00 1,000.O $25,315.00 23,418.00 7,275.00 10,014.00 25,31 $66,022.00 $303,943.00 $ 4,988.00 $ 13,413.00 $388,366.00 1! 34123rev.PRO P -4 No. Item Unit Qty Unit Price Total Price ALTERNATE EQUIPMENT BIDS Item Manufacturer Add /Deduct Item Manufacturer Add /Deduct Item Manufacturer Add /Deduct Item Manufacturer Add /Deduct Item Manufacturer Add /Deduct 34123rev.PRO P_s The final amount of the contract shall be determined by multiplying the final measured quantities of the various items actually constructed and installed by the unit prices therefor, in the manner prescribed in the specifications. However, the low bidder shall be determined by adding the sums resulting from multiplying the quantities stated by the unit prices bid therefor. Accompanying this bid is a bidder's bond certified check or cash deposit in the amount of $ five percent (5 %) of amt. bid , which is at least five percent (5 %) of the amount of my /our bid made payable to the Owner, and the same is subject to forfeiture in the event of default on the part of the undersigned or failure on the part of the undersigned to execute the prescribed contract and bond within fifteen (15) days after its submittal to me /us. In submitting this bid it is understood that the Owner retains the right to reject any and all bids and to waive irregularities and informalities therein and to award the contract to the best interests of the Owner. In submitting this bid, it is understood that payment will be by cash or check. It is understood that bids may not be withdrawn for a period of 45 days after the date and time set for the opening of bids. It is understood that the Owner reserves the right to retain the certified check or bond of the three lowest bidders as determined by the Owner for a period not to exceed 45 days after the date set for the opening of bids. Respectfully submitted, (A Corpor t� ion} Associated Pool Builders Inc (An Individual) Name of Bidder (A Partnership) (Signed) Duane Traynor Signer President Title Duane Traynor Printed Name of Signer 34123rev.PRO P_6 SECTION 00700. CONDITIONS OF THE CONTRACT This document is located at the rear of these specifications. It contains detailed Conditions of the Contract, Form of Agreement, Performance Bond and Labor and Payment Bond forms. 341235 SECTION 00800. SUPPLEMENTARY CONDITIONS This document is located at the rear of these specifications with the Conditions of the Contract. 34123S SECTION 00860. LIST OF DRAWINGS PART 1 - GENERAL DRAWING NO. TITLE G1 TITLE SHEET G2 UTILITY PLAN G3 RECREATION POOL AREA LAYOUT G4 DEMOLITION PLAN & SITE SECTIONS P1 DECK JOINTING AND DRAINAGE PLAN P2 POOL PIPING PLAN P3 POOL EQUIPMENT DETAILS P4 POOL DETAILS P5 MECHANICAL ROOM LAYOUT & ELEVATIONS AS1 MECHANICAL BUILDING - FLOOR PLAN, ELEVATIONS & SECTIONS AS2 MECHANICAL EQUIPMENT BUILDING AND SUNSHADE CANOPY DETAILS E1 ELECTRICAL End of • 00: 34123S PART 1 - GENERAL 1.01 PROJECT DESCRIPTION A. Contractor shall supply all labor, materials, transportation, apparatus, equipment and services required to provide the site work, general construction, mechanical and electrical work for the Shallow Water Recreation Pool, New Hope, Minnesota. B. Requirements of sections in Division 0 and Division 1 extend and apply to all work and material supplied by contractor, subcontractors, material suppliers and shall be included as a part of each section of this specification. 1.02 DIVISION OF CONTRACT 1.03 WORK UNDER SEPARATE CONTRACTS A. The Owner retains the option of issuing separate contracts for other work in connection with the project. 1.04 OWNER A. The City of New Hope, Minnesota is designated as the Owner. 1.05 ARCHITECT/ENGINEER A. Bonestroo, Rosene, Anderlik & Associates, Inc., is designated as the Engineer/Architect. B. Work shall be coordinated with Mr. Tim Murray, Phone Number (612) 636-4600. A. The general contractor shall lay out all work. This layout shall be for the use of all trades. Each subcontractor shall then lay out his own work and be responsible for any damages to his work or that of others occasioned by his errors or failure to check properly and verify all measurements. 341235 B. Subcontractors for all phases of the work and the prime contractors for pool, mechanical and electrical work are responsible for layout of their work, and they shall base their lay out on the work lines established by the general,contractor. Mention or indication of extent of work under any work Division or Specification Section is done only for the convenience of contractor and shall not be construed as describing all work required under that Division or Section, nor establishing any trade or jurisdictional requirements. 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. 1.09 CONTRACT PERIOD A. The project shall be substantially completed by May 22, 1992. A. Liquidated damages, as specified in the Supplementary Conditions, shall be Two Hundred Dollars ($200.00) per calendar day. 1.11 SEQUENCE OF WORK/OWNER OCCUPANCY A. The general sequence of work shall be at the option of the contractors, subject to the approval of the Architect/Engineer and the Owner. However, work shall be carried on simultaneously at as many points as will, in the judgement of the Architect/Engineer and owner, enable the work to be completed within the prescribed time. 1.12 BID DATE A. Bids will be received by the City of New Hope, at the City Hall at 4401 Xylon Ave., N., New Hope, Minnesota at 10:00 A.M., C.D.S.T. on Wednesday, September 18, 1991. 1.13 COORDINATION A. All correspondence, submittals, shop drawings, etc., on the project shall be directed to the Architect/Engineer. B. The Architect/Engineer will make visits to the site at intervals appropriate to the various stages of construction to observe the progress and quality of executed work. The Architect/Engineer will determine, in general, if the work is proceeding in accordance with the Contract Documents. 1.14 PAYMENT A. Submit monthly a Request for Payment to the Architect/Engineer for review and recommendation to the Owner. 1.15 PERMIT A. Contractor must apply for all permits. B. Contractor must apply for and pay all costs of electrical permit. C. Owner will pay for all permits except electrical permit. End of Secti 01010-3 1 341235 SECTION 01200. PROJECT MEETINGS PART 1 - GENERAL 1.01 PRECONSTRUCTION MEETING A. A preconstruction meeting will be scheduled within five days after receipt of signed contract documents. B. The contractor shall provide attendance by authorized representatives of the contractor and all major subcontractors. 1.02 PROGRESS MEETINGS A. Progress meetings may be scheduled by the Architect/Engineer. Assume one progress meeting per week. B. Persons designated by the Contractor to attend and participate in the project meetings shall have all required authority to commit the Contractor to solutions agreed upon in the project meetings. C. Subcontractors, material suppliers, and others may be invited to attend project meetings in which their aspects of work are involved. 341235 Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. SECTION 01300. CTTRUTMMAT C PART I - GENERAL 1.01 PROGRESS SCHEDULE A. Prepare and submit an estimated progress schedule for the work with 14 days after notification to proceed. I B. Maintain one copy of the progress schedule at the job site. C. During construction revise the progress schedule as necessary to conform to the current status of the work. Submit revised copies of the progress schedule, as required. A. Prepare and submit a complete list • all subcontractors within 14 days after notification to proceed. Include the subcontractors name, address, telephone number, and contact person. A. Prepare and submit a complete and comprehensive schedule of all submittals anticipated to be made during the project within 14 days after notification to proceed. B. Include a list of each item for which contractors drawings, shc drawings, product data, samples, guarantees, or other types of submittals are required. I A. Shop drawings and product data shall be submitted with the contractor's stamp of approval. Shop drawings and product data submitted without this stamp will not be reviewed and will ► returnet to the contractor for his approval and resubmission. B. Shop drawings and product data shall be clearly identified as to project, contractor, manufacturer, specification section and item submitted. Any substitutions or deviations from the requirements of the contract documents shall be noted in writing. C. Make all shop drawings accurately to a scale sufficiently large to show all pertinent aspects of the item and its method of connection to the work. 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. D. Clearly mark each copy of product data to identify information being submitted and delete information which does not apply. Supplement standard information as necessary. Show dimensions and other selectet- characteristics. E. Maintain one copy of approved shop drawings and product data at the site with the record drawings. p. Submit five (5) copies • shop drawings and product data. Three copies will be retained by the Architect/Engineer and two copies will be returned to the contractor. A. Samples shall be clearly identified as to project, contractor, manufacturer, specification section, product, type, color range, texture, finish and other identifying data. B. Samples shall be acccompanied by a letter of transmittal with the contractor's approval and other supporting information. C. Submit two samples of each item required, unless otherwise specified. The Owner wili retain one approved sample and the Architect/Engineer will retain one. A. Submit three copies of all inspections, tests and approvals required in the contract documents. End of Section 01300-2 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. A. Cooperate with the Owner's selected testing laboratory and all othe responsible for testing and inspecting the work. i A. Unless otherwise provided in the specifications, the contractor sha provide all materials, samples, mock-ups or assemblies for all test specified in various sections of specifications or as directed by Architect/Engineer. I A. Tests shall be provided and accomplished in accordance with the standard used as the reference for the particular material or product, unless other test methods or criterion are specified. In the absence of a reference standard, tests shall be accomplished in accordance with applicable ASTM Standards of Test Methods. I L;. The Owner and Architect/Engineer reserve the right to require certifi- cati•n or other proof that the material, assembly, equipment or other product proposed to be furnished for this project is in compliance 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc.. with any test or standard called for. The certificate shall be signed by a representative of the independent testing laboratory or a re- sponsible official of the firm supplying the product, as acceptable to the Owner and Architect/Engineer. The certificate shall be a sworn statement and shall be notorized. C. Any tests required to qualify the contractor or any of his workmen for any phase of the work, and any test of a method, system or equipment that may be required by specification or law to qualify the item use, shall be made or taken without cost to the Owner or Architect/Engineer. IMMIFRR�� End of Section 01400-2 34123S Copyright 1991 Bonestroo, Rosene, Anderlik I & Associates, Inc. PART 1 - GENERAL A. Furnish and install all necessary temporary electric service and temporary wiring. B. The Contractor shall pay for all temporary electricity prior to project completion. A. Provide and maintain heat needed for proper conduct of operations included in the work. No temporary heaters will be allowed which m cause smoke ♦ other damage. I B. The Contractor shall pay for all, fuel, labor, and heaters including cost of fuel for permanent heating equipment prior to project completion. A. Provide and maintain a telephone service to the Contractor's office at the site. B. The Contractor shall pay all costs for operation and installation of telephone service to the Contractor's office at the site. A. Provide temporary sanitary facilities in the quantity required, for use of personnel. Maintain a sanitary condition. A. Provide and maintain adequate fire extinguishers during all work. A. Provide protection against wind, storms, frost, rain, snow, heat, and cold to avoid injury to material in transit, stored material, and work in place. 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. 1.07 TEMPORARY CONSTRUCTION A. Provide temporary scaffolding, ladders, temporary bracing and shoring, barricades, enclosures and other temporary work as necessary for the protection of persons and property. 100155RUTM A. Maintain security of the site at all times. A. Provide and maintain a temporary field office on site during all construction work. B. Field office shall have telephone service, heat, and light. C. Maintain project plans, specifications, shop drawings, and construction records in field office. A. An on site storage area will be designated by the Owner. B. The Contractor shall be responsible for providing security for his tools, equipment, supplies, etc. 341235 Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. PART 1 - GENERAL A. Whenever materials or equipment are specified or described in the contract documents by using the name of a proprietary item or the nami of a particular manufacturer, fabricator, supplier, or distributor, the contractor must supply the product named unless he has written authority from the Architect/Engineer to make a substitution. B. Substitute items of material and equipment shall be subject to the review and approval of the Architect/Engineer. C. During the bidding process, no substitution will be considered unle written request has been submitted to the Architect/Engineer for approval at least seven (7) days prior to bid date. I D. Each request for substitution shall include a complete description of the proposed substitute, the name of the material or equipment for which it is to be substituted, drawings, cuts, performance and test data, and any other data or information necessary for a complete evaluation. E. If the Architect/Engineer approves any proposed substitution, such approval will ♦ set forth in an Addendum. 6. The contractor shall not be relieved from the responsibility C& furnishing material or equipment equal in quality, design, and efficiency • those specified. G. If a substitution is allowed for any reason, the contractor shall bear full responsibility for fitting that substitution into the project and shall make any necessary adjustments. No extra payment shall be made for extra work made necessary by a substitution requested by the contractor. End of Secti 01600-1 1 34123S Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. SECTION 01700. CONTRACT CLOSEOUT 1!721-,41M�W,021 0� • A. Prior to the inspection for substantial completion of the work, remove all waste material and rubbish from the building and site, remove all protective coatings, barriers, and other protective devices, all temporary work and surplus materials and thoroughly clean the work. A. Maintain a set of drawings and specifications at the job site fco documentation of changes to the contract documents. Identify t documents with the title "RECORD DOCUMENTS - JOB SET". I B. Throughout the progress of the work, maintain an accurate record of all changes in the Contract Documents. Clearly describe the change by note and by graphic line. Date all entries. C. Dimension the centerline of each item within 1". Clearly identify the item by accurate note. Show the vertical location of the item. D. Submit the final Record Documents for review and approval prior to final payment. A. Submit warranties, bonds, service and maintenance contracts as specified in the Contract Documents. B. Submit two copies of each submittal, neatly typed and in orderly sequence. DIUMW 341235 Copyright 1.991 Bonestroo, Rosene, Anderlik & Associates, Inc. C. Provide complete information on each item including product item, firm, date of warranty, bond or service contract, contract requirements, and contractor's name. A. If the Architect/Engineer is required to perform reinspections due to failure of the work to comply with the claims of status of c ' ompletion made by the contractor or due to problems with the methods or materials ► construction: 1. owner will compensate Architect/Engineer for such additional services. 2. owner will deduct the amount of such compensation from the final payment to the contractor. A. Prior to instruction of operating employees, each system will be ener- gized, started and operated through the entire range of operational conditions. B. No equipment shall be tested or operated for any purpose until it has been fully lubricated and permanently connected for normal operation. C. Equipment shall be tested to verify that all characteristics are consistent with design criteria. This includes, but may not be limited to: operating pressures, flow rates, running temperatures, voltage at outlets and disconnects, amperage draw of all electric motors, and operational characteristics of heating and filter systems. A. Upon completion of the project work and as a condition of final pay- ment, the contractor shall prepare and submit to the Architect/Engi- neer for transmission to the Owner, all exhibits required by the Project Manual including: C. Consent of Surety to Final Payment. 2. Affidavit of Payment of Withholding of Income Taxes Before Final Payment. 34123S Copyright 1991 Bonestroo, Rosene, Anderlik GEOTECHHICAL DATA The following borings were taken by Twin City Testing in 1989 as part of the construction program for the new fire station. This information is provided for the convenience of the contractor. Borings 6, 7, 8, and 9, are located in the shallow pool and mechanical building construction area. Borings 5, 11, and 12, provide information in the sanitary sewer construction area. 34123B Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. SE -2 (77-8) 4 x on x �s �r r•oif — _ _..�_... was �.� eC)f JOB NO 4220 89 -1540 VERTICAL SCALE III - 4 , BORING NO 6 PROJECT PROPOSED FIRE STATION FACILITY NEW HOPE MINNESOTA .- DEPTH DESCRIPTION OF MATERIAL 94.6' GEOLOGIC SAMPLE LABORATORY TESTS NO TYPE W D P-� Qu FEET ,[SURFACE ELEVATION i ORIGIN N WL FILL, MOSLTY SILTY SAND W/A LITTLE FILL _ GRAVEL, black and brown 1 HSA 2 SAND W /SILT, fine to medium grained, COARSE brown, wet, loose, lenses of clayey ALLUVIUM 5 2 SB sand (may be fill) (SP -SM) 41 CLAYEY SAND W/A LITTLE GRAVEL, TILL * _ brown mottled, rather stiff (SC /CL) g 3 SB — 9 4 SB 10 SANDY LEAN CLAY W/A LITTLE GRAVEL, 10 5 SB brown mottled to gray, rather stiff (CL) 13 6 SB 10 7 SB 21 10 8 SB End of Boring — _ * water level may rise to depth of about 2' -4' based on appearance of samples S62 (77-8) 4 --.. ® — ®— . ... corg3cmaicion �. JOB NO. 4220 89 -1540 VERTICAL SCALE l it - 4 t BORING NO 8 PROJECT PR FIRE STATION FACILITY, NEW HOPE, MINNESOTA DEPTH DESCRIPTION OF MATERIAL GEOLOGIC SAMPLE LABORATORY TESTS FEET SURFACE ELEVATION 94. 4' ORIGIN N WL NO. TYPE W D LPL Ou P.L. FILL, MOSTLY SILTY CLAY W/A LITTLE FILL -- GRAVEL, black 1 HSA 2 CLAYEY SAND W/A LITTLE GRAVEL, brown TILL mottled, medium to rather sti stiff 7 2 SB _ (SC /CL) 9 3 SB 7 SANDY LEAN CLAY W/A LITTLE GRAVEL, brown to gray, rather stiff (CL) 4 4 SB 11 5 SB _ 12 6 SB 10 7 SB 11 8 SB 21 End of Boring WATER LEVEL MEASUREMENTS START 6-22 -89 COMPLETE 6 -22 -89 DATE TIME S AMPLE D DEPTH DEPTH BAILED DEPTHS WATER LEVEL METHOD 3j NSA 0--191- 12' 30 __.. I I to one 1 i to to - -- to CREW CHIEF M. Crott tujtn ,� SE O)•B) ccit n SE 2 (77.81 d comcmamon [!{w�� � . n...ra mil 7 "" t::`' s•a Manhole steps shall be placed ' so that off -set vertical portion of cone Is facing downstream — 4 Flow s lope Grout 4U. I'd K Bonestroo, Rosene. Anderlik 8 Assoc., Inc. Consulting Engineers St. Paul, Minnesota SECTION Not to Scale CASTING R 1772 B Grout bottom • manhole to 1/2 diameter at pipe and slope grout 2" toward invert, Pipe shall be cut out flush II with inside face of Wall. C om p ac t to top of pipe,to first joint. Note: Kor-n-seal manhole or equal considered acceptable alternate STANDARD DETAILS Jan. NUU MANHOLE SANITARY SEWER I I 0 STAND „ Andorlik, Assoc. STO RM �, r `2:• Jan. I Consulting Enol"we • , REINFO 3 -. O '- O 9 r e � ) � • , t• 1 09 a • 4 9 � 1 1 f t t Slope rout 2 f Not to Sca STAND „ Andorlik, Assoc. STO RM �, r `2:• Jan. I Consulting Enol"we • , REINFO Back of curb a 01 I Grate to be 2 below gutter grade. Slope gutter 5' each side of cotchbosin Catch basin frame and grate Neenah R 3250 or equal. Minimum of 2, maxima of 3 adjusting rings allowed 27 Reinforced prqpast coi section or 8 segmei concrete block 3 YY G rout 7 7, ar 48 G4 YY Bonestroo, Rosene, Anderlik Ek Assoc., Inc. Consulting Engineers St. Paul, Minnesota STANDARD DETAILS TYPE I CATCHBASIN 2�w Em IRSTAIN 0=14- W.O.W.W.RWOW"S M M A ism A, ;.H: e I z i Bonestroo, Rosene, Anderlik a Assoc. Inc. Consulting Engineers St, Paul, Minnesota 2000 Concrete Z=Kmami =M1 Compacted Backfill 0.5 Bc Em��� Bonestroo, Rosene, STANDARD DETAILS Anderlik Ek Assoc. Inc. Consulting Engineers IMPROVED FOUNDATION St. Poul, Minnesota FOR RCP, vcP a DIP -Coarse Filter Aggregate (Mn DOT Spec Modified) Plate No. 1-25A Is Bc" Denotes outside diameter of Pipe Barrel L4= 1 0 NJ 154 W. N Granular Borrow (MnD• T Spec. 31••A, Modified) PIPE FOUNDATION & BEDDING IN GOOD SOILS BC 12 Bedding 6 P a y Depth o 6" Increments d Foundation (Ty p Variable ical) Coarse Filter Bc" Denotes outside 19, Minimum ® 2d+Bc+12' Aggregate diameter of Pipe (Mn. DOT Spec. 3149H Barrel Modified) PIPE FOUNDATION a BEDDING IN POOR SOILS Bonestroo, Rosene, Anderlik Eli Assoc. Inc. Consulting Engineers St. Poul, Minnesota STANDARD DETAILS �kVC PIPE FOUNDATION a BEDDING METHODS ,ISP Cleanout Rispr with threaded brass plug JSP422 or equal. CISP Long Sweep Bsnc�, USP 30 or equal. Concrete Min. 1/3 Cu. Yds. Bonestroo, Rosene, Anderlik a Assoc., Inc. Consulting Engineers St. Paul, Minnesota NOTE: Enclose long sweep bond or combination wye in concrete as shown. i Concrete Min, 1/3 Cu. Yds. • 3-9 SUPPLEMENTARY CONDITIONS I PART 1 - GENERAL 1.01 SECTION INCLUDES A. The Supplementary Conditions modify, delete or add to the Conditions of the Contract. 34123B Copyright 1991 Bonestroo, Rosene, Anderlik & Associates, Inc. End of Section 00800-2 34123B Copyright 1991 Bonestroo, Rosene , Anderlik & Associates, Inc. a eneral POWER NO. 3371202 00 Dower )f A ttorney Ohio Farmers Insurance Co. "ERTIFIED COPY ' Westfield Center, Ohio Know All Men by These Presents, That OHIO FARMERS INSURANCE COMPANY, a corporation duly organized and existing under the laws of he State of Ohio, and having Its principal office' in Westfield Center, Medina County, Ohio, does by these presents make,' constitute and appoint IEROME H. ENEBO, JAMES M. PADDEN, RUTH M. JOHNSON, JOINTLY OR SEVERALLY if FARGO and State of ND Its true and lawful Attorneys) -in -Fact, with full power and authority hereby conferred in its name, dace and stead, to execute, acknowledge and deliver any and all bonds, recognizances;; undertakings; or other instruments or contracts of .uretyship- .IMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE = GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE WARANTEE, OR BANK DEPOSITORY BONDS. ind to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal if the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys) -in -Fact may do in the premises. raid appointment is made under and by authority of the following resolutions adopted by the Board of Directors of the Ohio Farmers Insurance ;ompany: "Be It Resolved, that the President, any Vice- President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys) -in -Fact to represent and act for and on behalf of the Company subject to the following provisions: 'Section 1. Attorney- in- Fact.- Attorney -in =Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, 'agreements of indemnity and other rconditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." ; (Adopted at a meeting held on the 3rd day of July, 1957.) 'Be It Resolved, that the power and authority to appoint Attorney(s) -in -Fact granted to certain officers by a resolution of this Board on the 3rd day of July, 1957, is hereby also granted to any Assistant Vice - President." (Adopted at meeting held on the 13th day of July, 1976.) his power of attorney and certificate is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the loard of Directors of the Ohio Farmers Insurance Company at a meeting duly called and held on the 9th day of June, 1970: ; 'Be It Resolved, that the signature of any authorized officer and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' In Witness Whereof, OHIO FARMERS INSURANCE COMPANY has caused these presents to be signed by its Vice President, and Its corporate eal to be hereto affixed this 18th day of APRIL A.D., 1991' . Corporate m..»II + uaN,,, OHIO FARMERS INSURANCE COMPANY Seal r.�:aS�N� " %.!C'•,s3 Aff ixed 0 Iy11AR1ERE� . sm� rate of Ohio ; 1646_,: By e ••., ounty of Medina Ss.: g �y� * J n J. Adorne Vice President On this 18th day of APRIL' A.D., 1991 , before me personally came John J Adornetto, to me known, who, being by me duly sworn, id depose and say, that he resides in Homerville, Ohio; that he is Vice President of OHIO FARMERS INSURANCE COMPANY, the company escribed in and which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such Drporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto' by like order. Notarial a.N"""1/1"1"'•N Seal -ra a\A►.;S �/� Affixed ��il /;� 9�'�''� i - ♦• + Ir • James M. Walker Notary Public late of Ohio N •/ 4Y� o ounty of Medina ss.: , 9 �►���, My Commission Does Not Expire rC OF ,�•'' Sec. 147.03 Ohio Revised Code CERTIFICATE I, David S. Smith, Jr., Assistant Secretary of the OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing atrue and correct copy of a'Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions f the Board of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seal of said Company at Westfield Center, Ohio, this 2 day of ctober A.D. 1991 a � o : David S. Smith, Jr. Assistant Secretar POA02 POWER NO. 3371202 00 General Power of Attorney O hi o Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That OHIO FARMERS INSURANCE COMPANY, a corporation duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, does by these presents make, constitute and appoint JEROME H. ENESO, JAMES M. PADDEN, RUTH M. JOHNSON, JOINTLY OR SEVERALLY of FARGO and State of ND its true and lawful Attorney(s) -in -Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other Instruments or contracts of suretyship LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind the Company thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys) -in -Fact may do in the premises. Said appointment is made under and by authority of the following resolutions adopted by the Board of Directors of the Ohio Farmers insurance Company: Be It Resolved, that the President, any Vice - President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s) -in -Fact to represent and act for and on behalf of the Company subject to the following provisions: "Section 1. Attorney -in -Fact Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents ,canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." (Adopted at a meeting held on the 3rd day of July, 1957.) "Be It Resolved, that the power and authority to appoint Attorney(s) -in -Fact granted to certain officers by a resolution of this Board on the 3rd day of July, 1957, is hereby also granted to any Assistant Vice- President." (Adopted at a meeting held on the 13th day of July, 1976.) This power of attorney and certificate is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of the Ohio Farmers Insurance Company at a meeting duly called and held on the 9th day of June, 1970: 'Be It Resolved, that the signature of any authorized officer and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." In Witness Whereof, OHIO FARMERS INSURANCE COMPANY has caused these presents to be signed by its Vice President, and its corporate seal to be hereto affixed this 18th day of APRIL A.D., 1991 . OHIO FARMERS INSURANCE COMPANY Corporate +�,•.. •.• •,' Seal '. Affixed •, ; � 184® s B State of Ohio , * ..,,• : !; Y '• °,? J n J. Adorne Vice President County of Medina ss.: yrrrr,rryriuuu + "•',,,'• On this 18th day of APRIL A.D., 1991 , before me personally came John J. Adornetto, to me known, who, being by me duly sworn, did depose and say, that he resides inHomerville, Ohio; that he is Vice ,President of OHIO FARMERS INSURANCE COMPANY, the company described in which executed the above instrument; that he knows the seal of said Company; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said Company; and that he signed his name thereto by like order. Notarial , � A . N .`"" "N" Seal R A L S Affixed �Q ,..... F+M.•�'*� \. James M. Walker Notary Public State of Ohio w,p My Commission Does Not Expire County of Medina ss.: o t ••`' Sec. 147.03 Ohio Revised Code '•,., 'o F CERTIFICATE I, David S. Smith, Jr., Assistant Secretary of the OHIO FARMERS INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Company, which is still in full force and effect; and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, l have hereunto set my hand and affixed the seal of said Company at Westfield Center, Ohio, this 2 day of October A.D., 1991 p , 0 . 66 , David S. Smith, Jr. Assistant Secretary BPOA02 uUt 1 U lulyl REVISED 10708 -9 -1 _ L A 0J�5 C_U — r, f h I E L 1 ... C 0 — : tied Pct_l Builders ; ' ' 'R C VAUSA:1 iNSURANrt CIDN,PP.� P e , COMPANY .'318 1 ;?ER D r- r Lc, ;c L E R A 6 E S = -_ +- — — =r_�— __ -_ TO CERTI Y THAT P ZN�''RA I TCD BELOW HAVE B =EN ISSUE ,O TH: iNSURED NAMM D ABOVE 0 THE �: i — PERIOD; THE POLICI is O e SU t CE � 5L D, NOTWIT�TAtiC31'v,, R'�Y x_a�.?�R;' NP T--PN CY C1"41DITION OF ANY Cii�aTRACT OR OTHE:i DUL.�4'� :�' �.. �: BE$: - Ti W' iC� ' ; ATE �=�Y E_ ISSU D� Ca K ,7PTN , - IRA. AFci3RDED PY TAE G;: ,uTES DESfiRIA tk ,,_R�... S_lN. ";rx A: L TERMS; AhD CO;kD'TIO'S ElF SUCH FaL'i IES LIMITS T caiCl tY HAVE BEEk ')A', — BY ----PAID CL AIMS, ------------------------------- - - - -- -- - - -- -- -- - - - - -- -- - - - - -- - - - - - -- _ _ _ _ -- ------------ POLICY E= ; ,,. 1 POL,CY EX. - 1 TYPE OF_I#SEfR@Pg __ t POLICY NUMBER f t DATE Al LIMITS IN THOUSANDS ------- a t / RAL LIABILITY ; ; ; GENERAL - 's -; Commercial General Liability; ; ; 1 PRODUCTS -CgMP /MPS AGGREGATE _ —_ -; E 3 Clams Bade EIl Occur. 1 PAC854789006 1 11/01/90 01/01/92 1 PERSONAL & ADVERTISING INJURY 1 1,000 1 O is & Contractor's Prot. 1 1 1 1 6X OCCURRENCE__- 1 1,0 20`" ' FIRE DAMAGE (Any one fire) __ _ _ —_ 50 1 MEDICAL EXPENSE _(Arty _---- ---- -- -� 5_1 MOBILE LIABILITY , --------- ___. 1 CIiMBFNED 100 ; 1 Any Auto ; ; 1 1 SINGLE LIMIT --- 1 _— ___— __ —___ ' All Owed Autos 1 1 1 BODILY INJURY 1 8 ': < Scheduled Autos 1 CAP854789106 1 11/01/90 1 01/01/92 1_{ Per - person) ---- F M--- — ---- ----- 1 1 Hired Autos , 1 BODILY INJURY ' #Per accident} f NarrQ�ned Autos � _ . Garage Liability 1 PROPERTY DAMAGE 1 1 1 , — _ ;---------------- '---------- '------- - - - - -' -------- - - - - -- ------- r..4 ____ __ -- :SS LIABILITY — -------- f :FA{ry ; AGGREGATE ; UMBRELLA FORM ; 586869 01/01/91 1 01/01/92 1 OCCiRREtiCE ; 3 1 _ _ 3,, 00 000_ 1 WORKER'S COMPENSATION --- , _-- _M— _ —_ t__ ; —` STATUTS.R_tY_ _'_ ___ - -_ —_— _ 40 ; 03 1 01101/91 1 01/0162 500 _(EACH ACCIDENT) EMPLOYERS' LIABILITY 1 1 1 1 _;__ 5b4 _ (DISEASES-POLICY LIMIT)_____ 1 - - -'. -- 500 "DISEASES -EACH EMPLOYEE) 1 .R f ; f BUILDERS RISK BR854737905 1 04/01/91 1 01/01/92 1 ALL RISK 1,500 1 FtTL- FLOATER - - -� __—__-'----- w— _--- '------ __— ____'------ - - ---1 IN TRANSIT ---------------------------- 151}_1 f LION OF OPERATIONS/LOCATI0NS /VERICLES /SPECIAL ITEMS F 1 Low Water Recreation Pool, City of New Hope Mn ; pct #476 --------------------------------- ----------------- T - # - - - IC A T E 4 O L y E R= _--- _ =___ -- _____= C A N C L A I O N 6n0111) ANY 0 : _.:: DESCRIBED PC_A'___ __ :,,1iL_L.LLD B -GAZ _4� x.PIRATFCPI DATE T = THE of New Hope, Mn - _ - XylUil Ave. _'.IL _ - _'y i :_ i x i .v IX�K)P X N_'�_XXXXXXXkXw XxNMXXX1j1XX 1 Hope , 1 )v f yV� < < vSj XXXX ---- J , � {„, w!� f:/ ( / ,,..�:, �'�' ✓✓"` cry. L, ' ,.... - :. CERTIFICATE OF INSURANCE Wausau Insurance Companies o certify that the insurance policies (described below by a policy number) written on forms in use by the company have been issued. This certificate is not a policy or binder of insurance :s not in any way alter, amend or extend the coverage afforded by any policy referred to herein. and Mailing Address of Insured ASSOCIATED POOL BUILDERS, INC. PO BOX 2318 BISMARCK ND 58502 Producer No.: 0929 Issuing Office: MINNEAPOLIS, MN Date: 10 -8 -91 Region: MPL type of Insurance CO. NO. Policy Number Policy Effective Date MO /DA/YR Policy Expiration Date MO /DA/YR * * Unless otherwise indicated, this policy affords full coverage under the Workers Compensation laws of all states (except states where coverage can be provided only by State Funds, and Canada) and as designated in the policy and endorsements for Part Two (Employers Liability). _ fold Isation * 2 0312 -02- 087674 1 -1 -91 1 -1 -92 Liability Limits In Thousands (000 omitted) rcial General ty rcial Package or ark (Section II only) rims Made ( ) Occurrence s - Completed Operations: ( ) Included ( ) Excluded General Aggregate $ Products & Comp. /Ops. Aggregate $ Personal & Advertising Injury $ Each Occurrence $ Fire Damage (Any One Fire) $ Medical Expense (Any One Person) $ & Contractors ie Aggregate $ Each Occurrence $ ability Owned Autos ecified Autos Only ad Autos nowned Autos Single Limit- Each Accident $ Bodily Injury Each Person $ Each Accident $ Property Damage Each Accident $ a General Aggregate $ Products /Comp. Ops. Aggregate $ BI & PD Each Occurrence $ Personal & Advertising Each Person $ Retention $ fold Provisions /Locations /specifledAutos: LOCATION: MINNESOTA $500,000/500,000 /500,000 .kNY POLICY DESCRIBED ABOVE IS CANCELED BY THE ISSUING COMPANY DURING THE POLICY TERM FOR OTHER i NONPAYMENT OF PREMIUM, THE ISSUING COMPANY WILL MAIL NOTICE 10 DAYS BEFORE THE EFFECTIVE DATE SUCH CANCELLATION TO THE PARTY NAMED BELOW. SHALLOW WATER RECREATION POOL CITY OF NEW HOPE MN PROJECT #476 standing 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 olicv ( colicies) described above is subiect to all of the terms. exclusions and conditions of such policy (policies) during the term(s) thereof. ftry of a number in this column means that the coverage is afforded by the company designated by the same number. Hill CITY OF NEW HOPE 4401 XYLON AVE NEW HOPE MN 55428 (S) 80 -324 Certificate of Insurance �y 1�v e"a This is to certify that the insurance policies (described below by a policy number) written on forms in use by the company have been issued. This certificate is not a policy or a binder of insurance and does not in any way alter, amend or extend the coverage afforded by any policy referred to herein. ISSUED TO NAME AND MAILING ADDRESS OF INSURED AGENT OF RECORD ISSUING DATE CITY OF NEW HOPE ASSOCIATED POOL BUILDERS IN VAALER INSURANCE INC 01 21 92 4401 XYLON AVE PO BOX 933 NEW HOPE MN 55428 BISMARCK ND 58502 BISMARCK ND 58502 Policy Policy * *Unless otherwise indicated, this policy Co. Effective Date Expiration Date affords full coverage under the Workers Type of Insurance No.* Policy Number (MO /DA /YR) (MO /DA /YR) Compensation laws of all states (except states where coverage can be provided only Workers 2 0313 02 087674 01 01 92 01 01 93 by State Funds, and Canada) and as desig- Compensation** nated in the policy and endorsements for Part Two (Employers Liability). SPECIAL PROVISIONS /LOCATIONS /SPECIFIED AUTOS: LOCATION: MINNESOTA $500,000/500,000 /500,000 PROJECT #476 SHALLOW WATER RECREATION POOL Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policy (policies) described above is subject to all of the terms, exclusions and conditions of such policy (policies) during the term(s) thereof. *The entry of a number in this column means that the coverage is afforded by the company designated by the same number. PRODUCER NO. ISSUING OFFICE REGION *ISSUING COMPANY NO. 02. EMPLOYERS INSURANCE OF WAUSAU A Mutual Company 0929 MINNEAPOLIS MN MPL 03. WAUSAU UNDERWRITERS INSURANCE COMPANY 15. WAUSAU BUSINESS INSURANCE COMPANY 07. WAUSAU GENERAL INSURANCE COMPANY Signed ¢� Authorized Representat i COUNCIL Staff is recommending that 3 change orders be approved for Project #476, the shallow water recreation pool. They include: -A deduct of <$2,578> -An addition of $2,,263 for rerouting a city communication line and installing check valves -An addition of $14,604.39 for repairing the sanitary sewer from the NHPAA building to Zealand; installing storm drain from the NHPAA building to the catch basin in the Fire Station parking lot; refeeding existing light poles, receptacles, and PA system; reworking 3 gate posts; replacing fence fabric; sawcutting edge of concrete deck; adding 1 x 6 perimeter around sand volleyball court. These 3 change orders total $14,289.44. Staff recommends that funding come from the TIF funding that is paying for the project. MOTION BY C Z IUZ SECOND BY TO: ad- W� 4F Review: Administration: Finance: RESOLUTION NO. 92 - 146 RESOLUTION APPROVING CHANGE ORDERS #1, 2, & 3 FOR IMPROVEMENT PROJECT NO. 476 (SHALLOW WATER RECREATION POOL) IN THE AMOUNT OF $14,289.44 WHEREAS, the City of New Hope authorized on September 23, 1991, Improvement Project 476, for the contractual sum of $388,366; and WHEREAS, the items detailed on change order #1 total a deduct of <$2,578>; the items detailed on change order #2 total an addition of $2,263.05; and the items detailed on change order #3 total an addition of $14,604.39; all deemed necessary to complete the project in the best possible manner, totaling $14,289.44. NOW, THEREFORE, BE IT RESOLVED, that the City Council of the City of New Hope approves change orders no. 1, 2, and 3 to the contract with Associated Pool Builders in the amount of $14,289.44 as part of Improvement Project No. 476 which brings the total contract to $402,655.44. Adopted by the City Council of the City of New Hope, Hennepin County, Minnesota, this 10th day of August, 1992. A �Mayo Attest: City Clerk SUBSTANTIAL ARCHITECT ❑ COMPLETION CONTRACTOR ❑ FIELD ❑ AIA DOCUMENT 0704 OTHER ❑ PROJECT: Shallow Water Recreation Pool ARCHITECT: Bonestroo, Rosene, Anderlik & Assocs, (name, address) New Hope, Minnesota 2335 W. Trunk Hwy. 36 Inc. St. Paul, MN 55113 ARCHITECT'S PROJECT NUMBER: 34123 TO (Owner): CONTRACTOR: 7887 Fuller P Road Bll1 Suite'110 c � Eden Prairie, MN 55344 City of New Hope CONTRACT FOR: Attn: Ms. Shari French Pool & building construction with 4401 Xylon Avenue North related site improvements L New Hope, MN 55428 CONTRACT DATE: September 23, 1991 DATE OF ISSUANCE: June 8, 1992 PROJECT OR DESIGNATED PORTION SHALL INCLUDE: Entire Project The Work performed under this Contract has been reviewed and found to be substantially complete. The Date of Substantial Completion of the Project or portion thereof designated above is hereby established as June 5, 1992 which is also the (late of commencement of applicable warranties required by the Contract Documents, except as staled below. DEFINITION OF DATE OF SUBSTANTIAL COMPLETION The Date of Substantial Completion of the Work or designated portion thereof is the Date certified by the Architect when construction is sufficiently complete, in accordance with the Contract Documents, so the Owner can occupy or utilize the Work or designated portion thereof for the use for which it is intended, as expressed in the Contract Documents. A list of items to be completed or corrected, prepared by the Contractor and verified and amended by the Architect, is attached hereto. The failure to include any items on such list does not alter the responsibility of the Contractor to complete all Work' in accordance with the Contract Documents. The date of commencement of ranties for items on the attached list will he the date of final payment unless otherwise agreed to in writing. Bonestroo, Rosene, Anderlik & Assocs. Inc. - 7 ARCHITECT 13Y DATE The Contractor will complete or correct the Work on the list of items attached hereto within fourteen (14) days from the above Date of Substantial Completion. Associated Pool Builders, Inc. CONTRACTOR BY DATE The Owner accepts the Work or designated portion thereof as substantially complete and will assume full possession thereof at 5:00 p.m., CDST (time) on junle 5, 992 (date). City of New Hope r OWNER � DY DATE The responsibilities of the Owner and the Contractor for security, maintenance, heat, utilities, damage to the Work and insurance shall be as follows: (Note— Ownvr's and Contractor's legal and insurance counsel should determine and review insurance requirements and coverage; Contractor shall secure consent of surety company, if any.) Owner shall be responsible for all items above except that Contractor is responsible for all damages caused by his employees or subcontractors during completion of punchlist items. AIA DOCUMENT G704 • CERnrICArE or SUOSIANTIAL COMPLETION • AI'RI1. 19711 r,1)Irit)N • AIA'" 0) 1970 • TIME AMERICAN INSTITUTE Of ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006 0,704 — 1970 E Bonestroo Owner City of New Hope, 4401 Xylon Av N, New Hope, MN 55428 Date July 22, 1992 For Period Ma 31 1992 to Jul 15 , 1992 Request No. 8 Y y Contractor Associated Pool Builders, 7887 Fuller Road, Suite 110, Eden Prairie, MN 55344 REQUEST FOR PAYMENT Shallow Water Recreation Pool APBI Project No. 745 City Project No. 476 File No. 34123 SUMMARY 1 Original Contract Amount 2 Change Order - Addition 3 Change Order - Deduction 4 Revised Contract Amount 5 Value Completed to Date 6 Material on Hand 7 Amount Earned 8 Less Retainage 2% 9 Sub -Total 10 Less Amount Paid Previously 11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. Recommended for Approval by: BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. Approved by Contractor: ASSOCIATED POOL BUILDERS, INC. Specified Contract Completion Date: May 22, 1992 $ 16,867.44 $ 2,578.00 $ 388,366.00 $ 402,655.44 $ 405,578.94 $ 0.00 $ 405,578.94 $ 8,111.58 $ 397,467.36 $ 346,655.50 $ 50,811.86 Approved by Owner: CITY OF NEW HOPE, MN 34123.R1^P Date: a No. Item Unit Contract Quantity Unit Price Quantity To Dute Amount To Dote Bid It m No. 1 Construct shallow water pool as specified (Lump Sum $303,943.00) 1 General requirements LS 1 16,600.00 100% 16,600.00 2 Site work LS 1 29,300.00 100% 29,300.00 3 Chain link fence LS 1 17,920.00 100% 17,920.00 4 Concrete LS 1 24,020.00 100% 24,020.00 5 Swimming pool LS 1 16,280.00 100% 16,280.00 6 Masonry LS 1 14,000.00 100% 14,000.00 7 Metals LS 1 4,800.00 100% 4,800.00 8 Wood & plastics LS 1 5,200.00 100% 5,200.00 9 Thermal & moisture protection LS 1 15,400.00 100% 15,400.00 10 Doors & windows LS 1 2,800.00 100% 2,800.00 11 Finishes LS 1 10,000.00 100% 10,000.00 12 Specialties LS 1 3,600.00 100% 3,600.00 13 Special construction LS 1. 17,983.00 100% 17,983.00 14 Rain drop LS 1. 8,500.00 100% 8,500.00 15 S.C.S. LS 1 82,000.00 100% 82,000.00 16 Pool mechanical LS 1 18,240.00 100% 18,240.00 17 Electrical LS 1 17,300,00 100% — 300 00 _1 Total Bid Item No. 1 $303,943.00 18 Bid Item No? Fence replacement as specified LS 1 4,988.00 100% 4,988,00 19 Bid Item No. 3 Labor & materials to construct the sun screen structures as shown on the plans & as specified LS 1 13,413.00 100% 13,413.00 34123AFP RI' -1 No. Item Bid Item No 4 Sanitary sewer, water main, storm sewer, and site restoration as specified below Part A - Sanitary Sewer 20 6" PVC, SDR 35 w /bedding 21 8" PVC, SDR 35 w /bedding 22 Std. 4' dia. MH w/R -1642B cstg. 23 Reconstruct existing MH -6 24 6" PVC cleanout 25 Connect MH to existing 9" VCP 26 Impr. pipe fud. per 6" depth increment Total Part A - Sanitary Sewer Part B - Water Main 27 4" DIP, Class 52 28 6" DIP, Class 52 29 Remove existing hydrant 30 Furnish & install new hydrant 31 Connect 4" DIP to ex. 4" water main 32 1" Type K copper 33 3/4" Type K copper (Mech. Bldg. Service) 34 1" x 3/4" brass tee 35 Corporation stop 36 Curl) box and stop 37 Fittings Total Part B - Water Main Part C - Storm Sewer 38 4" PVC perforated drain pipe 39 w /geotextile fabric 40 6" PVC, SDR 35 w /bedding 41 12" PVC, SDR 35 w /bedding Contract Unit Quantity Amount Unit Quantity Price To Dale To Date LF 103 21.00 103 2,163.00 LF 420 24.00 410 9,840.00 EA 5 1,500.00 5 7,500.00 EA 1 500.00 1 500.00 EA 1 275.00 1 275.00 EA 1 2,400.00 1 2,400.00 LF 100 5.00 100 inn 00_ $23,178.00 LF 5 27.00 40 1,080.00 LF 80 26.00 86 2,236.00 EA 1 600.00 1 600.00 EA 1 1,600.00 1 1,600.00 EA 2 400.00 2 800.00 LF 95 14.00 115 1,610.00 LF 10 14.00 10 140.00 EA 1 60.00 2 120.00 EA 1 35.00 1 35.00 EA 1 135.00 2 270.00 LB 240 1.50 431 6 46.50_ $9,137.50 LF 90 11.00 90 990,00 LF 104 16.00 104 1,664.00 LF 210 21.00 210 4,410.00 34123.RFP RP -2 No. Item 42 Standard 4' diameter MH -101 w/R1642B estg. (Plate 1 -10) 43 Standard Type I CB -102 w/R2577 estg. (Plate 1 -18) 44 Connect 12" PVC to existing CB Total Part C - Storm Sewer Part D - S' . Restoration 45 Cl. 5, 100% crushed aggregate base (including excavation) 46 Bituminous patch 3" thick (2 lifts; street & fire sta. drive & parking) 47 Bit. patch 2" thick (bicycle parking) 48 Bituminous curb 49 Concrete curb 50 Modular block wall 51 Sod w /3" topsoil borrow 52 Remove & replant existing pines Total Part D - Site Restoration Total Part A - Sanitary Sewer Total Part B - Water Main Total Part C - Storm Sewer Total Part D - Site Restoration Total Item No. 4 fj,UgX, Order No 1 53 Use of old fire station as field office - DEDUCT 54 Bench removal by Owner - DEDUCT 55 Eliminate pool sandblasting requirement for paint preparation - DEDUCT Contract Unit Quantity Amount Unit Quantity Price To Date To Date EA 1 1,500.00 1 1,500.00 EA 1 1.,000.00 1 1,000.00 EA 1 450.00 1 4 'Sn nn $1.0,014.00 TN 220 15.00 220 3,300.00 SY 500 14.00 690 9,660.00 SY 120 11.00 120 1,320.00 LF 40 8.00 142 1,136.00 LF 75 25.00 82 2,050.00 SF 280 15.00 140 2,100.00 SY 1,800 3.50 1,800 6,300.00 EA 4 250.00 3 75D 00_ $26,616.00 23,178.00 9,137.50 10,014.00 2 I6 nn $68,945.50 LS 1 (2,000.00) 1 (2,000.00) LS 1 (500.00) 1 (500.00) LS 1 (1,000.00) 1 (1,000.00) 34123.RTP RP -3 No. Item Unit Contract Quantity Unit Price Quantity To Date Amount To Date 56 Furnish & install 1 -1/4" conduit for future flume slide - ADD LS 1 922.00 Total Change Order No. 1 ($2,578.00) 57 Change Order No. 2 Re -route City communication line LS 1 1,453.05 1 1,453.05 58 Install check valves LS 1 810.00 Total Change Order No. 2 $2,263.05 59 mange Order No. 1 Repair sanitary sewer from Athletic Building to Zealand Avenue LS 1 4,585.05 1 4,585.05 60 Install storm drain from Athletic Building to catch basin in Fire Station parking lot LS 1 4,314.57 1 4,314.57 61 Re -feed existing light poles, receptacles & P.A. system LS 1 4,302.77 1 4,302.77 62 Re -work 3 existing gate posts LS 1 445.00 1 445.00 63 Replace approx. 80 L.F. of 48" wire fabric near concession stand area LS 1 436.00 1 436.00 64 Sawcut edge of existing concrete deck to provide clean joint with new deck LS 1 286.00 1 286.00 65 Furnish & install 1 x 6 wood perimeter around sand volleyball court LS 1 235.00 1 235. 00_ Total Change Order No. 3 $14,604.39 Total Item No. 1 303,943.00 Total Item No. 2 4,988 00 Total Item No. 3 13,413.00 Total Item No. 4 68,945.50 Total Change Order No. 1 (2,578.00) Total Change Order No. 2 2,263.05 Total Change Order No. 3 14 ,6043-q — Total Total Work Completed to Date $405,57894 34123.RFP RP -4 PROJECT PAYME STATUS Owner City of New Hope Project Shallow Water Recreation Pool Project No. 476 File No. 341.23 Contractor Associated Pool Builders, Inc. CHANGE ORDERS No. Date Amount 1 11 -4 -91 Use old Fire Sta. as field office; Remove benches; Modify pool painting prep. - $2,578.00 2 1-13 -92 Reroute con lines; Install check valves 2,263.05 3 7 -22 -92 Various changes 14,604.39 Total Change Orders - Add $14,289.44 PAYMENT SUMMARY $397,467.36 Original Contract $388,366.00 No. Period Change Orders Payment Retainage Completed 1 Start 11 -30 -91 $134,306.72 $7,068.78 $130,555.50 2 11 -30 -91 12 -31 -91 95,494.00 12,094.78 191,895.50 3 12 -31 -91 1 -31 -91 32,746.03 13,818.25 276,365.00 4 1 -31 -91 3 -4 -92 4,845.00 14,073.25 276,365.00 5 3 -4 -92 3 -31 -92 15,295.47 14,878.28 297,565.50 6 3 -31 -92 4 -30 -92 21,476.68 16,008.60 320,172.50 7 4 -30 -92 5 -31 -92 42,491.60 18,245.00 364,900.50 8 5 -31 -92 7 -15 -92 50,811.86 8,111.58 405,578.94 9 10 Total Payment to Date $397,467.36 Original Contract $388,366.00 Retainage, Payment No. 8 8,1.11.58 Change Orders 14,289.44 Total Amount Earned $405,578.94 Revised Contract $402,655.44 34123.RIT RP -5 Otto G. Bonestroo, P.E. Keith A. Gordon, P.E. James R. Maland, P.E. Rene C. Plumart, A.I.A. Joseph C. Anderlik, PE. Richard W. Foster, P.E. Kenneth P. Anderson, P. E. Agnes M. Ring, A.LCP. Marvin L. Sorvala, P.E. Jerry A. Bourdon, PE. Mark R. Rolfs, PE. Jerry D. Pertzsch, P.E. Richard E. Turner, P.E. Mark A Hanson, P.E. Thomas E. Angus, PE. Cecilio Olivier, P.E. Glenn R. Cook, P.E. David O. Loskota, P.E. Daniel J. Edgerton, P.E. Gary W. Monen, P.E. Thomas E. Noyes, P.E. Robert C. Russek, A.I.A. Mark A. Seip, P.E. Karen L. Wiemeri, P.E. Robea G. Schunicht, P.E. Howard A. Sanford, P.E. Philip J. Caswell, P.E. Keith R. Yapp, P.E. Susan M. Eberlin, C.P.A. Donald C. Burgardt, PE. Ismael Martinez, P.E. Michael P Rau, P.E. Ted K. Field, P.E. Mark D. Wallis, P.E. Charles A. Erickson Michael T. Rautmann, PE, Thomas R. Anderson, A.I.A. Leo M. Pawelsky Robert R. Pfefferle, P.E. Gary F. Rylander, P.E. Harlan M. Olson Thomas W. Peterson, P.E. Miles B. Jensen, PE. Michael C. Lynch, PE. L, Phillip Gravel III, RE, January 23, 1992 City of New Hope 4401 Xylon Avenue N. New Hope, Minnesota 55428 Attn: Ms. Shari French Re: Shallow Water Recreation Pool Project No. 476, Our File No. 34123 Dear Shari: Attached is Change Order No. 2 for the above project. This change order covers the removal and replacement of the existing 3" communication line between the new and old Fire Stations, which had to be relocated for construction of the new Mechanical Building, and the addition of check valves in the new play equipment supply piping. Change Order No. 2 results in a $2,263.05 add to the contract amount, which we recommend be approved. This change order, combined with Change Order No. 1 results in a net deduct to the original contract amount of $314.95. Please call if you have any questions or would like additional information. Yours very truly, Attachment Bonestroo JA o - " Associates ♦ d , Engineers July 28, 1992 Ms. Shari French City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 Otto G. Bonestroo, P.E. Howard A. Sanford, PE. Gary E Rylander, P.E. Philip J. Caswell, P.E. Robert W. Rosen, RE* Keith A. Gordon, P.E. Ismael Martinez, P.E. Mark D. Wallis, P.E. Joseph C. Anderlik, P.E. Robert R. Pfefferle, P.E. Michael P. Rau, P.E. Miles B. Jensen, P.E. Marvin L. Sorvala, PE. Richard W. Foster, P.E. Agnes M. Ring, A.I.C.P. L. Phillip Gravel III, PE. Richard E. Turner, PE. David O. Loskota, P.E. Thomas W. Peterson, P.E. Karen L. Wiemen, P.E. Glenn R. Cook, P.E. Robert C. Russek, A.I.A. Michael C. Lynch, P.E. E Todd Foster, P.E. Thomas E. Noyes, P.E. Jerry A. Bourdon, P.E. James R. Maland, P.E. Keith R. Yapp, P.E. Robert G. Schunicht, P.E. Mark A. Hanson, PE, Jerry D. Pertzsch, P.E. Shawn D. Gustafson, P.E. Susan M. Eberlin, C.P.A. Michael T. Rautmann, P.E. Kenneth B Anderson, P.E. Cecilio Olivier, P.E. *Senior Consultant Ted K. Field, P.E. Mark R. Rolls, PE. Charles A. Erickson Thomas R. Anderson, A.LA. Mark A. Seip, P.E. Leo M. Pawelsky Donald C. Burgardt, P.E. Gary W. Morien, P.E. Harlan M. Olson Thomas E. Angus, P.E. Daniel J. Edgerton, P.E. James F. Engelhardt Re: Shallow Water Recreation Pool Our File No. 34123 Dear Shari: Attached is Request for Payment No. 8 from Associated Pool Builders and Change Order No. 3 for the project referenced above. This change order, as well as the two previous, are included in this pay request. We are still retaining two percent of the contract amount, as a few of the punchlist items and several sitework items have not yet been completed. Also attached is the Substantial Completion forms. Please sign and return two copies to this office. If you have any questions concerning these items, or any other issues, please contact me or Tim Murray at 636 -4600. Yours very truly, 4 Mark A. Han Enclosure cc: TCM 4401 Xylon Avenue North New Hope, Minnesota 55428 Phone: 531 -5100 FAX (612) 531 -5174 August 12, 1992 Associated Pool Builders 7887 Fuller Road, Suite 110 Eden Prairie, MN 55344 SUBJECT: CHANGE ORDERS 1, 2, AND 3 - IMPROVEMENT PROJECT 476 Enclosed are two fully executed copies of the above - referenced Change Orders for your records. Please forward one copy to your bonding company. The change orders were approved on August 10, 1992, by the New Hope City Council. Request for Payment No. 8 for $50,811.86 is being processed. If you have any questions, please contact me. Sincerely, Valerie Leone City Clerk enc. cc: City Engineer Family Styled City For Family Living February 17, 1993 Ms. Shari French City of New Hope 4401 Xylon Avenue N. New Hope, MN 55428 Re: Shallow Water Recreation Pool Our File 34123 Dear Shari: Howard A. Sanford, P.E. Keith A. Gordon, P.E. Robert R. Pfefferle, P.E. Richard W. Foster, P.E. David O. Loskota. P.E. Robert C. Russek, A.I.A. Jerry A. Bourdon, P.E. Mark A. Hanson, P.E. Michael T Rautmann, P.E. Ted K. Field, PE. Thomas R. Anderson, A.I.A. Donald C. Burgardt, P.E. Thomas E. Angus, P.E. Ismael Martinez, PE. Michael P. Rau, P.E. Agnes M. Ring, A.I.C.P Thomas W. Peterson, P.E. Michael C. Lynch, P.E. James R. Maland, P.E. Jerry D. Pertzsch, P.E. Kenneth P. Anderson, P.E. Mark R. Rolfs, P.E. Mark A. Seip, P.E. Gary W Morien, P.E. Daniel J. Edgerton, P.E. Daryl K. Kirschenman, P.E. Philip J. Caswell, P.E. Mark D. Wallis, P.E. Miles B. Jensen, P.E. L. Phillip Gravel III, P.E. Karen L. Wiemeri, P.E. Gary D. Kristofitz, P.E. F. Todd Foster, P.E. Keith R. Yapp, P.E. Shawn D. Gustafson, P.E. Cecilio Olivier, RE, Charles A. Erickson Leo M. Pawelsky Harlan M. Olson James F Engelhardt Enclosed are copies of lien waivers and IC -134 forms from Associated Pool Builders for the above project. We recommend that final payment be released to the contractor at this time, with concurrent approval of the final change order. We have advised the contractor of the problem with the electrical service to the Fire Station lighting. We further discussed the problem with the utility contractor, who explained what had occurred. They had called for utility locations prior to digging (April 4, 1992 - Ticket No. 39143), and the electrical line was not located by the City. As a result, they did cut the line during construction. They had marked the break, and thought the electrical contractor on the site was going to repair the line. However, this apparently did not get done, and the patch was made in the parking lot to complete the utility installation. Perkins Contracting has offered to assist the City in locating and exposing the break to help resolve the situation. We feel the City should have an electrical contractor to make the repair and coordinate the work with Perkins Contracting. This corrective item should not be cause for delay in processing the final payment to Associated Pool Builders. Please call if you have any questions or would like additional information. Yours very truly, BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. 4 Timo a . Murray TCM:lk Enclosures cc: Mr. David Volk, Assoc. Pool Builders Mark Hanson, BRA Otto G. Bonestroo, P.E. Bonestroo Robert W. Rosen, PE.* JA Joseph C. Anderlik, P.E. Rosene SUM Marvin L. Sorvala, PE. Richard E. Turner, P.E. Glenn R, Cook, P.E. Thomas E. Noyes. P.E. A ssociates Robe G. Schunicht, PE. Susan M. Eberlin, C.P.A. *Senior Consultant Engineers & Architects February 17, 1993 Ms. Shari French City of New Hope 4401 Xylon Avenue N. New Hope, MN 55428 Re: Shallow Water Recreation Pool Our File 34123 Dear Shari: Howard A. Sanford, P.E. Keith A. Gordon, P.E. Robert R. Pfefferle, P.E. Richard W. Foster, P.E. David O. Loskota. P.E. Robert C. Russek, A.I.A. Jerry A. Bourdon, P.E. Mark A. Hanson, P.E. Michael T Rautmann, P.E. Ted K. Field, PE. Thomas R. Anderson, A.I.A. Donald C. Burgardt, P.E. Thomas E. Angus, P.E. Ismael Martinez, PE. Michael P. Rau, P.E. Agnes M. Ring, A.I.C.P Thomas W. Peterson, P.E. Michael C. Lynch, P.E. James R. Maland, P.E. Jerry D. Pertzsch, P.E. Kenneth P. Anderson, P.E. Mark R. Rolfs, P.E. Mark A. Seip, P.E. Gary W Morien, P.E. Daniel J. Edgerton, P.E. Daryl K. Kirschenman, P.E. Philip J. Caswell, P.E. Mark D. Wallis, P.E. Miles B. Jensen, P.E. L. Phillip Gravel III, P.E. Karen L. Wiemeri, P.E. Gary D. Kristofitz, P.E. F. Todd Foster, P.E. Keith R. Yapp, P.E. Shawn D. Gustafson, P.E. Cecilio Olivier, RE, Charles A. Erickson Leo M. Pawelsky Harlan M. Olson James F Engelhardt Enclosed are copies of lien waivers and IC -134 forms from Associated Pool Builders for the above project. We recommend that final payment be released to the contractor at this time, with concurrent approval of the final change order. We have advised the contractor of the problem with the electrical service to the Fire Station lighting. We further discussed the problem with the utility contractor, who explained what had occurred. They had called for utility locations prior to digging (April 4, 1992 - Ticket No. 39143), and the electrical line was not located by the City. As a result, they did cut the line during construction. They had marked the break, and thought the electrical contractor on the site was going to repair the line. However, this apparently did not get done, and the patch was made in the parking lot to complete the utility installation. Perkins Contracting has offered to assist the City in locating and exposing the break to help resolve the situation. We feel the City should have an electrical contractor to make the repair and coordinate the work with Perkins Contracting. This corrective item should not be cause for delay in processing the final payment to Associated Pool Builders. Please call if you have any questions or would like additional information. Yours very truly, BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. 4 Timo a . Murray TCM:lk Enclosures cc: Mr. David Volk, Assoc. Pool Builders Mark Hanson, BRA (1 of 2) Form Minnesota Department of Revenue RC -134 Withholding Affidavit for Contractors , This affidavit must be approved by the Minnesota Department of Revenue before the State of Minnesota or any of its subdivisions can make final payme to contrac ` Company name ASSOCIATED POOL BUILDERS, INC. Address 7887 Fuller Road, Suite 110 city State Zip Code Eden Prairie, MN 55344 Telephone number ( 612 ) 937 -0346 Did you have employees work on this project? Yes If none, explain who did the work: Minnesota ID number 6747452 Month /year work began November 1991 Month /year work ended June 1992 Total contract amount: $416,255.07 Amount still due: $ 18,787.71 ject nu mber : Sha llow Water Recreat Pool Project location: 4301 Xvlon Avenue North Address e ort Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor ❑ Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: ® 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 business 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 755 4th Stree NW Carciofini Caulking New Brighton, MN 55112 1638 Nighway 10 NE Central Electric Company Spring Lake Park, MN 55432 1202 Jackson Street Gilbert Construction St. Paul, MN 55117 P.O. Box 14154 Keller Fence Company St. Paul, MN 55114 15775 Juniper Ridge Drive Dave Perkins Contracting Anoka, MN ,55303 1556 Oakways Sunburst Heating & Air Conditioning Wayzata, MN 55391 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 crime contractor if I am a subcontractor, and to anv subcontractors if I am a prime contractor, and to the contracting agency. Project Manager David A. Volk For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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. Signature of autho Department of Revenue official 0 Date 3 Who should file? If you are a prime contractor, a contractor, or a subcontractor who did work on a project for the state of Minnesota or any of its local government subdivisions — such as a county, city, or school district — you must file form 1C -134 with the Minne- sota Department of Revenue. This affidavit must be certified and returned before the state or any of its subdivisions can make final payment for your work. When to file The IC -134 cannot be processed until you are finished with the work. Do not send the affidavit in for certification before the project is completed since it will only be returned to you unprocessed. If you are a subcontractor or sole contractor, file form IC -134 when you have completed your part of the project. If you are a prime contractor, file form IC -134 when the entire project is completed and you have received certified affidavits from all of your subcontractors. Where to file Fill out form IC -134 and mail the original and one copy to: Minnesota Department of Revenue Business Trust Tax Section Mail Station 6610 St. Paul, MN 55146 -6610 How to file If you have fulfilled the requirements of the withholding tax laws of Minnesota, the Department of Revenue will sign your affidavit, keep the copy, and return the original to you. If any withholding payments are due to the state, Minne- sota law (M.S. 290.97) requires that payment must be made by only money order, cashiers check, certified check, or cash. Take the certified affidavit to your prime contractor or to the governmental unit for which the work was done in order to receive your final payment. Minnesota tax identification number You must fill in your Minnesota tax identification number on the form. You must have a Minnesota tax ID number if you have employees who work in Minnesota. If you need a number, get form MBA, Application for Tax Identification Number, and file it with the Minnesota Depart- ment of Revenue. To get form MBA, call 296 -3781 from the Twin Cities area or 1- 800 - 652 -9094 from elsewhere in Minnesota, or write to Minnesota Tax Forms, Mail Station 7131, St. Paul, MN 55146 -7131. You do not need a Minnesota identification number if you have no employees and did all the work yourself. If this is the case, fill in your Social Security number in the space for Minnesota ID number and explain who did the work. Are you a prime contractor and a subcon- tractor on the same project? If you are a subcontractor who was hired to do work on a project and you subcontract all or a part of your portion of the project to another contractor, you become a prime contractor as well. If this is the case, fill out both the subcontractor and prime contractor areas on a single form. Use of information The Department of Revenue needs all the information, except your phone number, to determine whether you have met all state income tax withholding requirements. If all required information is not provided, the IC -134 will be returned to you for completion. All information on this affidavit is guaranteed private by state law. It cannot be given to others without your permission, except to the Internal Revenue Service, other states that guarantee that it will be kept private, and certain state or county agencies. If you need help or additional information to fill out this form, call 296 -6181 in the Twin Cities area. From elsewhere in Minnesota and from outside the state, call (toll -free) 1 -800- 657 -3777. .Instructions for • ' (2 of 2) Form FEB r Minnesota Department of Revenue IC -134 ,� Rev. 9/89 Withholding Affidav for' ` n a ors 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. Company name Minnesota ID number ASSOCIATED POOL BUILDERS, INC. 6747452 Address Month /year work began 7887 Fuller Road Suite :110. November 1991° City state Zip Code Month/year work ended T Eden Prairie, MN 55344 June` - 1992 Total contract amount: $416,255.07 Telephone number Amount still due: ( 612) 937 -0346 $ 18,787.71 Did you have employees work on this project? Yes Project number: Shallow Water Recreation Pool If none, explain who did the work: Project location: 4301 Xylon Avenue North Project owner: City of New Hope Address 4401 Xylon Avenue North New Ho e, MN 55428 Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor ❑ Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: CR 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 business 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 1465 Selby Avenue M.G. McGrath, Inc. St. Paul, MN 55104 741 Case Glusica Excavating St.Paul, MN 55106 Gene Glusica 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. Proiect Manager February 8, 1993 David A. Volk For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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 subdivi Signature of authorized Department of Revenue official Date S A , y, Who should file? If you are a prime contractor, a contractor, or a I subcontractor who did work on a project for the state of Minnesota or any of its local government subdivisions — such as a county, city, or school district — you must file form IC -134 with the Minne- sota Department of Revenue. This affidavit must be certified and returned before the state or any of its subdivisions can make final payment for your work. When to file The IC -134 cannot be processed until you are finished with the work. Do not send the affidavit in for certification before the project is completed since it will only be returned to you unprocessed. If you are a subcontractor or sole contractor, file form IC -134 when you have completed your part of the project. Minnesota tax identification number You must fill in your Minnesota tax identification number on the form. You must have a Minnesota tax ID number if you have employees who work in Minnesota. If you need a number, get form MBA, Application for Tax Identification Number, and file it with the Minnesota Depart ment of Revenue. To get form MBA, call 296- 3781.from the Twin Cities area or 1- 800 -652 -9094 from elsewhere in Minnesota, or write to Minnesota Tax Forms, Mall Station 7131, St. Paul, MN 55146 -7131. You do not need a Minnesota identification number if you have no employees and did all the work yourself. If this is the case, fill in your Social Security number in the space for Minnesota ID number and explain who did the work. Are you a prime contractor and a subcon- tractor on the same project? If you are a prime contractor, file form IC -134 when the entire project is completed and you have received certified affidavits from all of your subcontractors. Where to file Fill out form IC -134 and mail the original and one copy to: Minnesota Department of Revenue Business Trust Tax Section Mail Station 6610 St. Paul, MN 55146 -6610 How to file If you have fulfilled the requirements of the withholding tax laws of Minnesota, the Department of Revenue will sign your affidavit, keep the copy, and return the original to you. If any withholding payments are due to the state, Minne- sota law (M.S. 290.97) requires that payment must be made by only money order, cashiers check, certified check, or cash. Take the certified affidavit to your prime contractor or to the governmental unit for which the work was done in order to receive your final payment. If you are a subcontractor who was hired to do work on a project and you subcontract all or a part of your portion of the project to another contractor, you become a prime contractor as well. If this is the case, fill out both the subcontractor and prime contractor areas on a single form. Use of information The Department of Revenue needs all the information, except your phone number, to determine whether you have met all state income tax withholding requirements. If all required information is not provided, the IC -134 will be returned to you for completion. All information on this affidavit is guaranteed private by state law. It cannot be given to others without your permission, except to the Internal Revenue Service, other states that guarantee that it will be kept private, and certain state or county agencies. if you need help or additional information to fill out this form, call 296 -6181 in the Twin Cities area. From elsewhere in Minnesota and from outside the state, call (toll -free) 1 -800- 657 -3777. ,k' i ,'? ,� -i - 1.i , i Form Minnesota Department of Revenue Re, g8 Withholding Affidavit for Contractors This affidavit must be approved by the Minnesota Department of Revenue before the State of Minnesota or any of its subdivisions can make final payment to contractors. Company name Carciofini Caulking Address 755 4th St. NW City State New Brighton, MN Total contract amount: $775.00 Minnesota ID number 6777124 Month /year work began 5/92 Zip Code Month /year work ended 55112 6/92 Telephone number Amount still due: (612 )639 -0505 $775.00 Did you have employees work on this project? Yes If none, explain who did the work: Project number: Shallow Water Recreation Pool I Project location: 4301 Xylon Avenue North Frojeet owmel. City of New Hope Address 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110 Eden Prairie, MN 55344 ❑ 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 business 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. President 1 8 /4/92 For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section f Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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. Signature of authorizedQayrtment of Revenue official Date Instructions for forl Who should file? If you are a prime contractor, a contractor, or a subcontractor who did work on a project for the state of Minnesota or any of its local government subdivisions — such as a county, city, or school district — you must file form IC -134 with the Minne- sota Department of Revenue. This affidavit must be certified and returned before the state or any of its subdivisions can make final payment for your work. When to file The IC -134 cannot be processed until you are finished with the work. Do not send the affidavit in for certification before the project is completed since it will only be returned to you unprocessed. If you are a subcontractor or sole contractor, file form IC -1'34 when you have completed your hart of the project. If you are a prime contractor, file form IC -134 when the entire project is completed and you have received certified affidavits from all of your subcontractors. Where to file Fill out form IC -134 and mail the original and one copy to: Minnesota Department of Revenue Business Trust Tax Section Mail Station 6610 St. Paul, MN 55146 -6610 How to file If you have fulfilled the requirements of the withholding tax laws of Minnesota, the Department of Revenue will sign your affidavit, keep the copy, and return the original to you. If any withholding payments are due to the state, Minne- sota law (M.S. 290.97) requires that payment must be made by only money order, cashiers check, certified check, or cash. Take the certified affidavit to your prime contractor or to the governmental unit for which the work was done in order to receive your final paymeni. IC-134 Minnesota tax identification number You must fill in your Minnesota tax identification number on the form. You must have a Minnesota tax ID number if you have employees who work in Minnesota. If you need a number, get form MBA, Application for Tax Identification Number, and file it with the Minnesota Depart- ment of Revenue. To get form MBA, call 296 -3781 from the Twin Cities area or 1- 800 - 652 -9094 from elsewhere in Minnesota, or write to Minnesota Tax Forms, Mail Station 7131, St. Paul, MN 55146 -7131. You do not need a Minnesota identification number if you have no employees and did all the work yourself. If this is the case, fill in your Social Security number in the space for Minnesota ID number and explain who did the work. Are you a prime contractor and a subcon- tractor on the same project? If you are a subcontractor who was hired to do work on a project and you subcontract all or a part of your portion of the project to another contractor, you become a prime contractor as well. If this is the case, fill out both the subcontractor and prime contractor areas on a single form. Use of information The Department of Revenue needs all the information, except your phone number, to determine whether you have met all state income tax withholding requirements. If all required information is not provided, the IC -134 will be returned to you for completion. All information on this affidavit is guaranteed private by state law. It cannot be given to others without your permission, except to the Internal Revenue Service, other states that guarantee that it will be kept private, and certain state or county agencies. If you need help or additional information to fill out this form, call 296 -6181 in the Twin Cities area. From elsewhere in Minnesota and from outside the state, call (toll -free) 1 -800- 657 -3777. Form Minnesota Department of Revenue IC -1 Withholding Affidavit for Contractors Rev.f >l ``' - 1 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. Company name Minnesota ID number Central Electric Company � t E= ' Address Month/year work began 1638 Highway 10 NE . fir` a, city State Zip Code Month/year work ended Spring Lake Park, MN 55432 t' ! Total contract amount: $16,979.09 Telephone number Amount still due: ( 612) 786 -8686 $391.49 Did you have employees work on this project? Project number: Shallow Water Recreation Pool If none, explain who did the work: Proj ect l ocation: 4301 Xyl_o Avenue North Project owner: City vf - Nev, dope Address 4401 Xylon Avenue North New Ho , MN 55428 Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor ® Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110 Eden Prairie, MN 55344 ❑ 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 business 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 de re that all information I have filled in on this form is true and complete to the best of my knowledge and belief. I authorize e Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, JdAe prim6contractor if I am a,swbcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency For certification, mail to: Minnesota Depa ent of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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 w ages paid to employees relating to contract services wi the state of Minnesota and /or its subdivisions. official Da 1 1 ' 8 4 4 1993 Instructions r form IC-1 Wtr h u ld e f t Minnesota tax identification number If you are a prime contractor, a contractor, or a subcontractor You must fill in your Minnesota tax identification number on who did work on a project for the state of Minnesota or any of the form. You must have a Minnesota tax ID number if you its local government subdivisions — such as a county, city, or have employees who work in Minnesota. school district — you must file form IC -134 with the Minne- sota Department of Revenue. If you need a number, get form MBA, Application for Tax This affidavit must be certified and returned before the state or any of its subdivisions can make final payment for your work. When to file The IC -134 cannot be processed until you are finished with the work. Do not send the affidavit in for certification before the project is completed since it will only be returned to you unprocessed. If you are a subcontractor or sole contractor, file form IC -134 when you have completed your part of the project. Identification Number, and file it w1th the Minnesota Depart ment of Revenue. To get form MBA, call 296-3781 the Twin Cities area or 1- 800 - 652 -9094 from elsewhere in Minnesota, or write to Minnesota Tax Forms, Mail Station 7131, St. Paul, MN 55146 -7131. If you are a prime contractor, file form IC -134 when the entire project is completed and you have received certified affidavits from all of your subcontractors. Where to file Fill out form IC -134 and mail the original and one copy to: Minnesota Department of Revenue Business Trust Tax Section Mail Station 6610 St. Paul, MN 55146 -6610 How to file If you have fulfilled the requirements of the withholding tax laws of Minnesota, the Department of Revenue will sign your affidavit, keep the copy, and return the original to you. If any withholding payments are due to the state, Minne- sota law (M.S. 290.97) requires that payment must be made by only money order, cashiers check, certified check, or cash. Take the certified affidavit to your prime contractor or to the governmental unit for which the work was done in order to receive your final payment. You do not need a Minnesota identification number if you have no employees and did all the work yourself. If this is the case, fill in your Social Security number in the space for Minnesota ID number and explain who did the work. Are you a prime contractor and a subcon- tractor on the same project? If you are a subcontractor who was hired to do work on a project and you subcontract all or a part of your portion of the project to another contractor, you become a prime contractor as well. If this is the case, fill out both the subcontractor and prime contractor areas on a single form. Use of information The Department of Revenue needs all the information, except your phone number, to determine whether you have met all state income tax withholding requirements. If all required information is not provided, the IC -134 will be returned to you for completion. All information on this affidavit is guaranteed private by state law. It cannot be given to others without your permission, except to the Internal Revenue Service, other states that guarantee that it will be kept private, and certain state or county agencies. If you need help or additional information to fill out this form, call 296 -6181 in the Twin Cities area. From elsewhere in Minnesota and from outside the state, call (toll -free) 1 -800- 657 -3777. t REVU4 1 U E MAILROOM m Minnesota Department of Revenue 4,34 AUG Mr Ilev 9 /89 'thhold'ng Aff idavit for C ontractors 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 contracto Company name Gilbert Construction Co., Inc. Address 1202 Jackson Street city state zip Code St. Paul, MN 55117 Minnesota to number If Month/year work began Month/year work ertded Total contract amount: $36,142.00 Telephone number Amount still due: ( &/--) ) C 11� "i 5 t —/ $1,807.10 Did you have employees work on this project? ��r,,. I Project number: Shallow Water Recreatio If none, explain who did the work: J Project locatio 4301 Xylon Avenue Nor th Project owner: GiLy or New Hope Address 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110, Eden Prairie„ MN 553-44 ❑ 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 business 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. t [ For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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 pa id to employees relating to contract services with the state of Minnesota and /or its subdivisions. Signature of authorized Department of Revenue official AUJj Dtte`t to ✓a• Minnesota Department of Revenue Withholding ffi avi for Contractors This affidavit must be approved by the Minnesota Department of Revenue before the State of Minnesota or any of its subdivisi can ma ke final payment to contractors. Company name Keller Fence Company Address P.O. Box 14154 City State Zip Code St. Paul, MN 55114 Telephone number { 612) 646 -8305 Did you have employees work on this project? If . n= la n , .vho did the wor ,.� ter exp Minnesota ID number Month /year work began Month /year work ended Total contract amount: $11,742.00 Amount still due: $587.00 Project number: Shallow Wa.ter._Recreation_Pool Proiect location: 4301 Xvlon Avenue North P o wner: City of New Hope Address 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor EX Subcontractor if you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110, Eden Prairie MN 5�3.4_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 Revenue before you can file your affidavit. For each subcontractor you had, fill in the business 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 m 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 ubcontractor, nd to any subcontractors if I am a prime contractor, and to the contracting agency, C It a oor signature i Title ,,a lo - , ) I /C For certification, mail to: Mi esota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota income Tax Withholding Law 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 waoes paid to emolovees relating to contract services with the state of Minnesota and /or its subdivisions. Please send Original to Prime This affidavit must be approved by the Minnesota Department of Revenue before the State o f Minn or any of its suhdivislons can make final pay ment to contractors. Company name .._ .____.. ,,... - -•- - - -- — Dave-Perkins Contracting Address 15775 Juniper Ridge Drive city State Ramsey, MN Tslephon0 numbUr .._ _.... _. _- -• -- -- t 612 ) 427 -0109 Did you have employees work on this project? If none, explain who did the work' MinnoW;l to numbor ty Monnvyear work began Month year work ended Wai contract amount: $64,649.94 i final quan + 9,53 8.00 + 5,96 Amount stilt due, -- ' - -- $13,624.16 t final quanti Project nu mber: Shallow Water Recreatio Pool Proiecttocation: 4301 Xyl.on Avenue North Project owner: _of New Home Address 4401 Xylon Avenue North Check the box that describes your Involvement in the project and tall In all Information requested in that category. ❑ Sole contractor I Subcontractor If you are a subcontractor, fill in the narne %nd address of the contractor that hired you: As Pool, Auil,ders, Inc. , 78$7 Fuller., Road,_, Su, ite.. I„ 1, 0, ,.,_j:d.en•.•Prai.r.f.e.s._MH_- 55.3.4.4 ❑ 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 Revenue before you can file your affidavit. For each subcontractor you had, fill in the business information below, and attach a copy of each,subcontractor's certified IC -134. (if you need more space, attach a separate sheet.) Business nam Addro„ OwncrtOfficer__ I doclaro that all Information i havo filled in on this form is true and complete to the best of my knowlr+dge and beliot. 1 authorize the Department of Rovenu s to disclose pertinent information relating to this project, including sending copies of this form, to the prime contractor it I am a subcontractor, an d to any subcontractors if I am a prime contractor, and to the contracting or Date 1 7 C ] �j For certification, mail to Minnesota Department of Revonue, BuSino.­,5 Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6614 Certificate of Compliance with Minnesota income Tax Withholding Law 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 tho withholding of Minne income lax from wage; paid to employees relating to contract services with the state of Minnesota and /or its subdivisions. Zip Code 55303 S ?7 D riat Data d�UthOrIZ a '+RmCnt or ovr!nU o oM OCT 2 7 1992 -_QA-x1 For Minnesota Department of Revenue 'Rev. 9189 Withholding Affidavit" for Contractors 1 V 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. Company name I Minnesota to number Sunburst Heating & Air Conditioning, Address 1556 Oakways. city state Zip code Wayzata, MN : 55391 Telephone number ( 612) 476 -0351 Did you have employees work on this project? 4W,, -2-5 If none, explain who did the work: Inc. Month/year work began � `(J^ Month/year work ended I mount : - �=--- Total contract a 900.00 Amount still due: FV E Pr —0— Project number: Shallow Water Recreation. 'Po Project location: 4301 Xylon Avenue North Project owner: City of New Hop--____ Ad&ess 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested In that category: ❑ Sole contractor ® Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110 Eden Prairie, MN 55344 ❑ 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 business 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 t 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 autnonze 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 subcontractor, and to any subcontractors if I am a prime contractor and to the c ontracting agency. Contractor's signature Title Date . For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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 29g.92 and 290.97 concerning the withholding of Minnesota income tax from wages paid to employees relating topontraq.seryce with the state of Minnesota and /or its subdivisi Date Signature oI au ri De a nue ti a { �I,f � Uri Form ttnesota Department of Revenue Rev. s 89 . , - - Withholding Affi a it for C ontractor 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. Company name NEW ADDRESS • Minnesota to number M.G. McGrath, Inc. Address 2448 Larpenteur 1465 Selby Avenue St., Paul, MN city State Zip Code 551 St. Paul, MN 55104 Telephone number ( 4 1z-) � &//C -0:3- -- Did you have employees work on this project? If none, explain who did the work: YES ect numb Shallow Water Recreation Pool P roject location: 4301 Xylon Avenue North Project owner: C ity of New Hoye Address 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor tXl Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suit 110 Eden Prairie MN 55344 ❑ 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 business 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. For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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. Signature of orizty (TaDartm e f Rev a officia w Date Z.. 8 9 } /y work began f Month /year work ended ( ;L Total contract amount: $10,855.00 Amount still due: $ 542.75 Telephone number Amount still due: ( 612) 778 -1230 -0- [7ii yotf a e ertiptoy0OO *6fkonthISProject ?" Project number: Shallow Water Recreation. Pool tf none, explain + ,i�id'the worts ,� Project location: 4301 Xylon Avenue North , r ., ,n , .: 7 : 7 _ Address 4401 Xylon Avenue North Check the box that describes your involvement in the project and fill in all information requested in that category: ❑ Sole contractor ® Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you: Associated Pool Builders, Inc., 7887 Fuller Road, Suite 110 Eden Prairie. MN 55344 ❑ 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 business 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 11,1111 1 111111 11 111 1 1 111 111!' 111 11, ?MMMM�illillillillill I 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 autho the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form, to the prigle contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contractin a ens . Cont orsWgnature — Title Dale ra For certification, mail to: Minnesota Department of Revenue, Business Trust Tax Section Mail Station 6610, St. Paul, MN 55146 -6610 Certificate of Compliance with Minnesota Income Tax Withholding Law 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 anti 290.97 concerning the withholding of Minnesota income tax from wnnnc nniri to mmnlnvanc rPlatinn fn rnntrat CPrvio'P,, with Ap state of Minnesota and /or its subdivisions. LIEN WAIVER Conditional upon receipt of final payment in the amount of $18,787.71 the undersigned hereby acknowledges receipt of payment in full for all materials furnished to City of New Hope through 11/13/92 pay appl. #9 (completion) on the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and the mat- erial, apparatus or machinery furnished through 11/13/92 (comp- letion). The undersigned further covenants that all labor, service, mat- erials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said pro- ject have been paid in full through 11/13/92 (completion). DATED this 4th day of December 1992 at Bismarck, ND Associated Pool Builders, Inc. Company Description of Materials Supplied or Work Performed: By Prime Contract - general Randy Traynor Title Secretary /Treasurer construction - Shallow 1500 Industrial Drive Water Recreation Pool Address P.O. Box 2318 New Hope, Minnesota Bismarck, ND 58502 State of : � f % i County of: ljr1AL �Ci61r- Subscribed and sworn to before me this day of Notary Public:`t'iz My Commission Expires: ■ The undersigned hereby acknowledges receipt of payment in full, less retention (which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22. 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). y t DATED this day of LX4 = 19 -at pct i City Description of Materials Supplied or Work Performed: VA n 0 e State of: — Conpa By .�- 7 c r P- I i t le r " A Address County of: Cltf, 8fate, Zip Subscribed and sworn to before me this /7-1 day of 10 QUJ 1 . Notary Public: My Commission expires: .:N�.: tiNY Mi)C hN r , The undersigned hereby acknowledges receipt of payment in full for all materials and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day of 19 at C it y Description of Materials Company Supplied or Work Performed: By Inc State of: Pt uu C: e) 7 T i t I a Address i­ city, state, zip C ount y o f : 'J CfA .'''J Subscribed and sworn to before me this _!r�day of A` °_5 � 1 19 2- Notary Public: '110- ERDMAN NOTARY —MINNESOTA COUNTY My Comm"ssion res Mar 26. 1993 TTrU WAIVER Ai.L " All 11 The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 2-2. 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 31 day of July 19 92at Bismarck ci Associated Supply Co., Inc. Description of Materials Supplied or Work Performed: Swimming Pool Supplies & Equipment CORDany By -// a ave 4ana er 7 i t I e P. O. Box 2318 Address Bismarck, ND 58502 city, State, Zip State of: Ki 1) County of: 6 (�- LEI Ca - ! Subscribed and sworn to before me this 1 day of L) 19 '/?- ��-� Ly Notary Public: My Commission expires: LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 - - (completion) or the following project: PROJECT: shallow Water Recreation Pool 4301 Xylon Avenue North. New Hope, Minnesota 55428 . . ... . .. ............ . ...... OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day of Description of Materials Supplied or Work Performed: B y 3 3 X" U-(,(? /70 , A40re9$' " 1h, A . /I - ��A J eA J d 14 '4' , 5 5S� Y. state, .sip State of: County of: Subscribed and sworn day of 19 , 7Ze me this Notary Public: My Commission expires: 110fth' 'ARQI - I ' - I ' A ' W686N NOTARY PUSUC - MINNESO HENNEPIN COUNTY My commission expires August 12, 1992 V06-3tw, The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 — (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day o f � 19 at c i t y Description of Materials Supplied or Work Performed: State of: V I I&I - CoaDany B y rycz- lame WF QJ PAW. rod 09MENUMM - I I County of: Subscribed and sworn to before me this day of V 19 Notary Public: My Commission expires: In* I Z I T A The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 — (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 36) d o f 'T�/ /- >/ 19 �� at C i t y Description of Materials Supplied or Work Performed: C a lip any B y Name "e� '212C) 'C ddress /,,/—) 19 A , A a;n - ------------ "Patzicia ­4 17U-4,ie NOIARY PWLIC - t" COLJ�Jy RAM—. 0LJM'Y MV commission expir 8-2-95 State of: ity. state, Up County of: Subscribed and sworn to before me this 30 day o J 4( 4 - Y 19 Notary Public: My Commission expires: 6 - "� – � 5 LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that materials and goods provided, furnished, given or delivered by or through the under have been paid in full through May 22, . DATED this % 4 ' day of AUGUST 1992 all perf c signed 1992 at labor, service, firmed, installed, for said project (completion). WAV7ATA, MN_ C it y INDELCO PLASTICS CORP. Description of Materials Supplied or Work Performed: IWa 6323 1 &?5,32, d5j'7 7602-2 '7 1�10 7Y. 1 2'77VI, W-LI, Wvllii W5-V'L_0? 931 5q, `1325 03M) Ao3 1 '7q 5 Y)T State of: Subscribed and sworn to }b me tl4s ' Notary Public: My Commission expires: CONDany dace By RICHARD L. DORE PRESIDENT t it l e 6530 CAMBRIDGE STREET Addresa MINNEAPOLIS, MN. 55426-4484 City, State, Sip County of: day of 19 W NVVAA,%Aay A)v 3 R. S A N D OTA �,s l u i i 2 3, 1 3 LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through Mav 22, 1992 (completion). DATED this day of 19 at c i t y R.E. Mooney & Assoc., Inc. Description of Materials Company Supplied or Work Performed: By Rose Peterson (�ooc- Pool Paint game State of: Office Manager T 1400 Selby Ave. A d dress St. Paul, MN 55104 Ci 8 t ate 2 i p County of: Subscribed and sworn to before me this _ day of Notary Public: , 19 My Commission expires: The undersigned hereby acknowledges receipt of payment in full, less retention (which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). Ci --, DATED this -31 day of i 19 j at 1 1 y Csm an By Address Il'o __ City, State, Zip Description of Materials Supplied or Work Performed: State of: County of: Subscribed and sworn to before me this S day of 11 (1 19c4-'\ Notary Public: VICKY K. TOMLINSON My Commission expires: NOTARY PUBLIC-MINNESOTA CHISAGO COUNTY my Commission Expires 8-2_95 The undersigned hereby acknowledges receipt of payment in full, less retention ion (which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day of 19V- at e 19 " L-- City Description of Materials Company Supplied or I Work Performed: By Name Vloes /J I r\ Address - City, state, zip State of: County of: Subscribed and sworn tq before me this day of 19 Notary Public: Xq"o My Commission expires: q7 �ftaazmamum The undersigned hereby acknowledges receipt of payment in full, less retention (which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 1 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 75 day of 19 - at City Description of Materials Supplied or Work Performed: rG_ State of: County of: Subscribed and sworn to before me this day of Notary Public: My Commission expires: 19 71 PlIBLIGMtIJtSOTA HENNEPIN COUNTY illy CO3V%!!,S!0N EXPIPES 1.3193 I The undersigned hereby acknowledges receipt of payment in full, less retention ( which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and /or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope _ Xvlon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 3 1 day of July 19_2 at Spring Lake P ark -- I City ities Inc. Description of Materials Supplied or Work Performed: Electrical Material and labor State of: C,-�O Subscribed and sworn t e ore m this M 1638 Hwv 10 NE Spring Lake Park, W r, 't5432 City, State, Zip C my of°��'/l��(� t day of 1 > 19 Notary Public: / f / �`'i My Commission expires: KAYlREEPlhi.NkNiC hay pusuc- MINNESOTA VY CtWia Ezgires Apt 4. ? 997 � dv�.-`oJ� >Rd+PI+JYN u General Manager "' Fit le The undersigned hereby acknowledges receipt of payment in full, less retention (which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and /or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xvlon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this ' day of t.} Uuy 19 a t Sk-, PA l i..., City Description of Materials Supplied or Work Performed: - FC W-6 ±gs -ALLZPl t ovl Company By 7P �/ Isste Y .R lit Ie Address City, state, Zip State of: County of: Subscribed and sworn to before me this 3C) day of 19 �Z Notary Public: REBECCA S. MADDAS M y Commission e x p i r e s: ` NOTARY PUBLIC MINNESOTA A t SG()TT COUNTY ;' pity Commisson Ex{11 Oct 9 , - 19M A . The undersigned hereby acknowledges receipt of payment in. full less retention ( which per subcontract agreement will be paid upon receipt by Associated Pool Builders, Inc. of final payment from owner) , for all materials and /or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xvlon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 1L day of C0EDa 4K Description of Materials Supplied or Work Performed: c State of: Subscribed and sworn to before me this Notary Public: 19 - 2Z, at A5& L12- Ci q By 7itIe ' Addres `- Cttq, State, , ZID County of: day of . 19 My Commission expires: DATED this 3rd day of The undersigned hereby acknowledges receipt of payment in full less retention (which per subcontract agreement will be paid upon receipt b� Associated Pool Builders, Inc. of final payment from owner) , for all materials and/or labor furnished to ASSOCIATED_ POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). Irall T A all a August 19 92 at New Brighton, MN City Carciofini Caulking Company Description of Materials Supplied or Work Performed: Swimming pool deck joint cap removal, cleaning, preparation and caulking. State of: Minnesota Subscribed and sworn to before me this Notary Public: My Commission expires: 12/17/92 c pany B y i b ase resident title 755 4th Street N.W. Address New Brighton, MN 551 12 city, state, Zip County of: Ramsey 3rd day of August 19 92 HOWARD STATZ hWARY PUBLIC - MiNNUCTA HENNEPIN COUNTY jft*Rj P, I V AJ The undersigned hereby acknowledges receipt of payment in full for all materials, equipment and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 -(completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North, New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this L/ v— day of 19 at � C it y Description of Materials Company Supplied or Work Performed: By 01 State of: Subscribed and sworn to before me this Notary Public: Title Address County of: City, State, Zip of L n4d' i- - , 19 U My Commission expires; HELEN C. RYSTAD ARY PUBUC - MINNESOTA RAMSEY COUNTY 147 t y c,,rnmisslon expires 5 LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials, equipment and/or labor furnished to ASSOCIATED POOL BUILDERS, INC. - through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this 5 day of August 19 92 at Burnsville C it y Tri-State Bobcat Inc. Description of Materials Company Supplied or Work Performed: By Jeanne Fleek Name equipment rental, parts Ass't. Controller I i t I e and glillpl i ps 1800 W. Hw 1 Add. ... Burnsville, MN 55337 City, state, zip State of: Subscribed and Minne Notary Public: to County of: Dakota �:O' , Jf Z_Iz: , 19 RODNEY 0 NEWMAN My Commission ex fires: U 'V/ "ARY RjBtTd - MINNESOTA HENNEPIN COUNTY My Mmb*m "rael-148 LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through Ma-5t- 22. (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day of Description of Materials Supplied or Work Performed: Pool Safety Padding State of: Z4 / 19/ at County of: 4-1 Subscribed and sworn to before me this day of 19, Notary Public: _` %?�� rl� My Commission expires: LIEN WAIVER A f The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this > � day of S 19 at S0- � b al 2 — Ci Description of Materials Supplied or Work Performed: Ck,em'Ical, Cor4� C3 Li C 011P an y B y Title i o n Address -SC'vAiC(- - d)64 - ba a CA- City, State, Zip LA State of: County of: Subscribed and sworn to before me this _ day of Notary Public: , 19 My Commission expires: LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED C. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this day of 19 -/Z-at City Id Description of Materials collpdnl Sup I plied or Work Performed: By Z kl l+A,41 Name ) Q ) 4') 1 . 1)i ec i Ies' " (e"f" title A a a re , 9 11 55 3 11 1 ' - 5 1 "7 City, State, Zip State o -f County of: Subscribed and swo to before me this day of Notary Public: LISA M RAUG' i My Commission expires: 4,,)nn "Y-FrT In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders. Inc., the. owner,.: . the above described premises, the improvement thereon ; 'and 'on I the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 DATED this 31 day of , 19 at 1. C �t T City 7 T , 7 T N CT TT 7 C Description of Materials Supplied or Work Performed: State of: Subscribed and sworn Notary Public: My Commission expires: By V i t I a 1010 1 Dg(le Street Address St. Paul, 1iinnesota 55117 City state, Zip County of: -? / day of 19 92 Iftf � 'l The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through . May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby. waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May _22, 1992 (completion). DATED this 10th day of August 1992 at Minneapolis City Model Stone Compan Description of Materials Supplied or Work Performed: concrete Materials State of: Subscribed and sworn to Notary Public: My Commission expires: County of: me this /0 day of Company By 14� A4 tac- Title 400 W. 61st St. Address -11-.9s Cit st a te , Z i p .0 .1 19 7-4 - kAT Ayj4 K HERNANDEZ NOTARY PI)BUC-MINNESOTA k low DAKOTA COUNTY NA�4' My commwsion Eq)im 2-1 RVWak9KN% The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS, INC. through May 22, 1992 (completion) or the following project: PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xylon Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this ?20 AA1 day of 19 at M f Anieuo/k' JU i t y na'�CA -T.C1 Description of Materials Supplied or Work Performed: Pec I rz-u 104 to A pt/mp compa �� y~ B y vame Address cily, state, Zip State of: County of: 14- an _6 — Subscribed d sworn to o re me this day of 19 , Notary Public: '1 My Commission e x S JEAN L. SKOGLUNV NOTARY Puar,--mINNESOTA HENNSPIN COUNTY my cow'MINION EXPIRES 140 LIEN WAIVER The undersigned hereby acknowledges receipt of payment in full for all materials furnished to ASSOCIATED POOL BUILDERS. INC. through May 22 (completion) or the following project: , 1992 PROJECT: Shallow Water Recreation Pool 4301 Xylon Avenue North New Hope, Minnesota 55428 OWNER: City of New Hope 4401 Xvion Avenue North New Hope, Minnesota 55428 In consideration of such payments, the undersigned does hereby waive, disclaim, relinquish, discharge and forever forego any.and all liens, claims or rights of lien which the undersigned now has against Associated Pool Builders, Inc., the owner, the above described premises, the improvement thereon and on the material, apparatus or machinery furnished through May 22, 1992 (completion). The undersigned further covenants that all labor, service, materials and goods provided, furnished, performed, installed, given or delivered by or through the undersigned for said project have been paid in full through May 22, 1992 (completion). DATED this d a y o f 40f : 1 9� at Ci Description of Materials Supplied or Work Performed: Daz4d)n Company By z2� Ease ri t le State of: Subscribed and sworn to before me Notary Public: My Commission expires: I IMBERWALL LMOSCAPING INC. 1915 AfMF o Box 9$ Victoria, MN 55386 County of: 3 day of 19 q-,7 T --- — ----- COUNCIL 110iDMIJ, - OV-1t ACCEPTANCE OF IMPROVEMENT PROJECV476 (SHALLOW WATER RECREATION POOL) AND AUTHORIZATION OF FINAL PAYMENT The engineers and staff recommend that the Shallow Water Pool, Project 476 be accepted and final payment be made to the contractor, Associated Pool Builders, Inc., upon receipt of the IC- 134 form. The request for final payments includes change order #4 in the amount of $4,199.13. This change order includes: -extra padding for the wall facing the slide exit and extra for beneath the play structure for added safety -replacement of sun shade fasteners for future ease of installation each spring -relocation of gate valve -epoxy coat strainers and pumps to prevent rusting and staining of pool -revision of electrical work (credit) The final pay request also includes an additional $9,400.50 on unit price bid item projects. $9,014.97 of this amount is due to repair of sanitary sewer leading to the NHPAA equipment building and installation of a storm drain from the NHPAA building to the Fire Station parking lot. The NHPAA building had experienced basement Ho k . 5 Review: Administration: Finance: RFA-001 flooding problems and a new sanitary sewer problem was discovered during the course of the pool construction. Staff recommends approval of the request for final payment including change order #4. TIF funding has been used to pay for this project. (This request for final payment was held up by staff while waiting for the contractor to send final lien waivers and income tax affidavit and form IC-134.) November 25, 1992 Ms. Shari French City of New Hope 4401 Xylon Avenue N. New Hope, MN 55428 Re: Shallow Water Recreation Pool Our File 34123 Dear Shari: Howard A. Sanford, P.E. Keith A. Gordon, P.E. Robert R. Pfefferle, PE. Richard W. Foster, P.E. David O. Loskota, PE. Robert C. Russek, A.I.A. Jerry A. Bourdon, PE. Mark A. Hanson, P.E. Michael T. Rautmann, P.E. Ted K. Field, P.E. Thomas R. Anderson, A.I.A. Donald C. Burgardt, P.E. Thomas E. Angus, PE. isrnael Martinez, P.E. Michael P. Rau, P.E. Agnes M. Ring, A.I.C.P. Thomas W. Peterson, P.E. Michael C. Lynch, P.E. James R. Maland, P.E. Jerry D. Pertzsch, P.E. Kenneth P. Anderson, P.E. Mark R. Rolfs. P.E. Mark A. Seip, P.E. Gary W Morien, P.E. Daniel J. Edgerton, P.E. Daryl K. Kirschenman, RE. Philip J. Caswell, P.E. Mark D. Wallis, P.E. Miles B. Jensen, P.E. L. Phillip Gravel III, PE. Karen L. Wiemeri, P.E. Gary D. Kristofitz, P.E. F. Todd Foster, P.E. Keith R. Yapp, P.E. Shawn D. Gustafson, P.E. Cecilio Olivier, P.E. Charles A. Erickson Leo M. Pawelsky Harlan M. Olson James F. Engelhardt Enclosed is Request for Payment No. 9 and Final for the project referenced above in the amount of $18,787.71. Also included is Change Order No. 4 for this project, which is incorporated into the final pay request. We recommend this change order be approved at your earliest convenience. The final pay request should be processed upon receipt of final Lien Waivers and Income Tax Affidavit, which will be forwarded separately. The Consent of Surety is enclosed with this Pay Request. You may note that the value completed exceeds the revised contract amount by $9,400.50. While a difference in these amounts is common on unit price bid item projects, you should be aware that the majority of this increase is not due to the typical small overruns which may occur. Rather, most of this increase is a result of additional work done in conjunction with Items 59 and 60 of Change Order No. 3. Since bid items were already in place for work such as bituminous patching, sodding, etc., this work was done under the original project instead of added to the change order to avoid paying the extra markup normally seen with change order prices. Under the specifications, the contractor is still required to provide assistance with next year's startup and review operation of the equipment with your pool personnel. Also, please note that there is a two year correction period for any detective work which may arise. The contractor has already been reminded about this item. Record plans for this project will be done as soon as possible by our office, as we discussed previously. You will be contacted at such time so that we may gain access to the project site. 2335 West Highway 36 # St. Paul, Minnesota S51 13 o X00 Otto G. Bonestroo, PE. Bonestroo Robert W Rosene, P.E.* JA Joseph C. Anderlik, P.E. R osene Marvin L. Sorvala, P.E. Richard E. Turner, P.E. mom e i Glenn R. Cook, PE. Thomas E. Noyes, PE. A ssociates Robert G. Schunicht, PE. Susan M. Eberlin, C.P.A. *Serior Consultant Engineers & Architects November 25, 1992 Ms. Shari French City of New Hope 4401 Xylon Avenue N. New Hope, MN 55428 Re: Shallow Water Recreation Pool Our File 34123 Dear Shari: Howard A. Sanford, P.E. Keith A. Gordon, P.E. Robert R. Pfefferle, PE. Richard W. Foster, P.E. David O. Loskota, PE. Robert C. Russek, A.I.A. Jerry A. Bourdon, PE. Mark A. Hanson, P.E. Michael T. Rautmann, P.E. Ted K. Field, P.E. Thomas R. Anderson, A.I.A. Donald C. Burgardt, P.E. Thomas E. Angus, PE. isrnael Martinez, P.E. Michael P. Rau, P.E. Agnes M. Ring, A.I.C.P. Thomas W. Peterson, P.E. Michael C. Lynch, P.E. James R. Maland, P.E. Jerry D. Pertzsch, P.E. Kenneth P. Anderson, P.E. Mark R. Rolfs. P.E. Mark A. Seip, P.E. Gary W Morien, P.E. Daniel J. Edgerton, P.E. Daryl K. Kirschenman, RE. Philip J. Caswell, P.E. Mark D. Wallis, P.E. Miles B. Jensen, P.E. L. Phillip Gravel III, PE. Karen L. Wiemeri, P.E. Gary D. Kristofitz, P.E. F. Todd Foster, P.E. Keith R. Yapp, P.E. Shawn D. Gustafson, P.E. Cecilio Olivier, P.E. Charles A. Erickson Leo M. Pawelsky Harlan M. Olson James F. Engelhardt Enclosed is Request for Payment No. 9 and Final for the project referenced above in the amount of $18,787.71. Also included is Change Order No. 4 for this project, which is incorporated into the final pay request. We recommend this change order be approved at your earliest convenience. The final pay request should be processed upon receipt of final Lien Waivers and Income Tax Affidavit, which will be forwarded separately. The Consent of Surety is enclosed with this Pay Request. You may note that the value completed exceeds the revised contract amount by $9,400.50. While a difference in these amounts is common on unit price bid item projects, you should be aware that the majority of this increase is not due to the typical small overruns which may occur. Rather, most of this increase is a result of additional work done in conjunction with Items 59 and 60 of Change Order No. 3. Since bid items were already in place for work such as bituminous patching, sodding, etc., this work was done under the original project instead of added to the change order to avoid paying the extra markup normally seen with change order prices. Under the specifications, the contractor is still required to provide assistance with next year's startup and review operation of the equipment with your pool personnel. Also, please note that there is a two year correction period for any detective work which may arise. The contractor has already been reminded about this item. Record plans for this project will be done as soon as possible by our office, as we discussed previously. You will be contacted at such time so that we may gain access to the project site. 2335 West Highway 36 # St. Paul, Minnesota S51 13 o X00 Ms. Shari French City of New hope Pagew 2 November 25, 1992 We have enjoyed working with you and the City on this project. This addition provides your swimming pool facility with a wide variety of exciting and unique opportunities which will be a great deal of enjoyment to its users. Please give us a call if you have any questions or wish to discuss any issues regarding this project. Yours very truly, BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. ,s s Timot C. urray TCM:lk Z5 Enclosures Bonestroo Rosene Anderk Associaates s Owner City of New Hope, 4401 Xylon Av N, New Hope, MN 55428 Date November 13, 1992 For Period July 15, 1992 to November 13, 1992 Request No. 9 & Final Ss. Pain, Mnnefou Contractor Associated Pool Builders, 7887 Fuller Road, Suite 110, Eden Prairie, MN 55344 REQUEST FOR PAYMENT Shallow Water Recreation Pool APBI Project No. 745 City Project No. 476 File No. 34123 SUMMARY 1 Original Contract Amount 2 Change Order - Addition 3 Change Order - Deduction 4 Revised Contract Amount 5 Value Completed to Date 6 Material on Hand 7 Amount Earned 8 Less Retainage 9 Sub -Total 10 Less Amount Paid Previously 11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. Recommended for Approval by: BONES1`1100, ROSE ANDEIILIK & ASSOCIATES, INC. AAA - Approved by Contractor: ASSOCIATED POOL BUILDERS, INC. $ 388,366.00 21,066.57 2,578. $ 406,854.57 $ 416,255.07 $ 0.00 $ 416,255.07 $ 0.00 $ 416,255.07 $ 397,467.36 $ 9 & Final $ 18,787.71 Approved by Owner: CITY OF NEW HOPE, MN Specified Contract Completion Date: May 22, 1992 Date: 34123.RFP No. Item Contract Unit Quantity Amount Unit Quantity Price To Date To Date Bid Item No. I Construct shallow water pool as specified (Lump Sum $303,943.00) 1 General requirements LS 1 16,600.00 100% 16,600.00 2 Site work LS 1 29,300.00 100% 29,300.00 3 Chain link fence LS 1 17,920.00 100% 17,920.00 4 Concrete IS 1 24,020.00 100% 24,020.00 5 Swimming pool LS 1 16,280.00 100% 16,280.00 6 Masonry LS 1 14,000.00 100% 14,000.00 7 Metals LS 1 4,800.00 100% 4,800.00 8 Wood & plastics I.S 1 5,200.00 100% 5,200.00 9 "Thermal & moisture protection LS 1 15,400.00 100% 15,400.00 10 Doors & windows LS 1 2,800.00 100% 2,800.00 11 Finishes LS 1 10,000.00 100% 10,000.00 12 Specialties LS 1 3,600.00 100% 3,600.00 13 Special construction LS 1 17,983.00 100% 17,983.00 14 Rant drop LS 1 8,500.00 100% 8,500.00 Is S.C.S. IS 1 82,000.00 100% 82,000.00 16 Pool mechanical LS 1 18,240.00 100% 18,240.00 17 ISlectrical LS 1 17,300.00 100% 17,300 'rota) Bid Item No. 1 $303,943.00 Bid Item No. 2 18 Fence replacement as specified I S 1 4,988.00 100% 4,988.00 Bid Item No. 3 19 Labor & materials to construct the sun screen structures as shown on the plans & as specified 1S 1 13,413.00 100% 13,413.00 34123.RFP RP- l No. Item Contract Unit Quantity Amount Unit Quantity Price 'to Date To Date Bid Item No. 4 Sanitary sewer, water main, storm sewer, and site restoration as specified below Part A - Sanitary Sewer 20 6" PVC, SDR 35 w/bedding LF 103 21.00 103 2,163.00 21 8" PVC, SDR 35 w/bedding LF 420 24.00 410 9,840.00 22 Std. 4' dia. MH w /R -1642B cstg. FA 5 1,500.00 5 7,500.00 23 Reconstruct existing MH -6 FA 1 500.00 1 500.00 24 6" PVC cleanout EA 1 275.00 1 275.00 2S Connect MI to existing 9" VCP EA 1 2,400.00 1 2,400.00 26 Impr. pipe fud. per 6" depth increment LF 100 5.00 loo Total Part A - Sanitary Sewer $23,178.00 Part B - Water Main 27 4" DIP, Class 52 1_1 5 27.00 40 1,080.00 28 6" DIP, Class 52 LF 80 26.00 86 2,236.00 29 Remove existing hydrant EA 1 600.00 1 600.00 30 Furnish & install new hydrant EA 1 1,600.00 1 1,600.00 31 Connect 4" DIP to ex. 4" water main EA 2 400.00 2 800.00 32 1" Type K copper LF 95 14.00 115 1,610.00 33 3/4" Type K copper (Mech. Bldg. Service) LF 10 14.00 10 140.00 34 1" x 3/4" brass tee EA 1 60.00 2 120.00 35 Corporation stop EA 1 35.00 1 35.00 36 Curb box and stop LA 1 135.00 2 270.00 37 Fittings LB 240 1.50 431 E 4fi_40— Total Part B - Water Maul $9,137.50 Part -C - Storm Sewer 38 4" PVC perforated drain pipe 39 w /geotextile fabric LF 90 11.00 90 990.00 40 6" PVC, SDR 35 w/bedding LF 104 16.00 104 1,664.00 41 12" PVC, SDR 35 w /bedding LF 210 21.00 210 4,410.00 42 Standard 4' diameter MI w/R1642B cstg. (Plate 1 -10) IAA 1 1,500.00 1 1,500.00 34123.RFP RP -2 No. Item 43 Standard Type I CB -102 w/R2577 estg. (Plate 1 -18) 44 Connect 12" PVC to existing CB Total Part C - Storm Sewer Part D - Site Restoration 45 Cl. 5, 100% crushed aggregate base (including excavation) 46 Bituminous patch 3" thick (2 lifts; street & fire sta. drive & parking) 47 Bit. patch 2" thick (bicycle parking) 48 Bituminous curb 49 Concrete curb 50 Modular block wall 51 Sod w /3" topsoil borrow 52 Remove & replant existing pines Total Part D - Site Restoration Total Part A - Sanitary Sewer Total Part B - Water Main Total Part C - Storm Sewer Total Part D - Site Restoration Total Item No. 4 Change Order No. 1 53 Use of old fire station as field office - DEDUCT 54 Bench removal by Owner - DI ;DUCT 55 Eliminate pool sandblasting requirement for paint preparation - 13EDUCT 56 Furnish & install 1 -1/4" conduit for future flume slide - ADD Total Change Order No. 1 Contract Unit Quantity Amount Unit Quantity Price To Date To Date EA 1 1,000.00 1 1,000.00 EA 1 450.00 1 450.00 $10,014.00 TN 220 15.00 244.2 3,663.00 SY 500 14.00 785 10,990.00 SY 120 11.00 120 1,320.00 LF 40 8.00 142 1,136.00 LF 75 25.00 82 2,050.00 SF 280 15.00 150 2,250.00 SY 1,800 3.50 3,124 10,934.00 IA 4 250.00 3 $33,093.00 23,178.00 9,137.50 10,014.00 33 ,093-OfL $75,422.50 IS 1 (2,000.00) 1 (2,000.00) LS 1 (500.00) 1 (500.00) LS 1 (1,000.00) 1 (1,000.00) I-S 1 922.00 1 9 2,12,00— ($2,578.00) 34123.RFP RP -3 No. Item Contract Unit Quantity Amount Unit Quantity Mee To Date To Date Change Order No. 2 57 Re -route City communication line LS 1 1,453.05 1 1,453.05 58 Install check valves IS 1 810.00 1 R10 On Total Change Order No. 2 $2,263.05 Change Order No. 3 59 Repair sanitary sewer from Athletic Building to Zealand Avenue LS 1 4,585.05 1 4,585.05 60 Install storm drain from Athletic Building to catch basin in Fire Station parking lot LS 1 4,314.57 1 4,314.57 61 Re -feed existing light poles, receptacles & P.A. system LS 1 4,302.77 1 4,302.77 62 Re -work 3 existing gate posts LS 1 445.00 1 445.00 63 Replace approx. 80 L.F. of 48" wire fabric near concession stand area I'S 1 436.00 1 436.00 64 Sawcut edge of existing concrete deck to provide clean joint with new deck LS 1 286.00 1 286.00 65 Furnish & install 1 x 6 wood perimeter around sand volleyball court LS 1 235.00 1 ?35.00 'Total Change Order No. 3 $14,604.39 Change Order No. 4 66 Provide & install New Braunfels bolt down padding on wall at exit of slide IS 1 500.00 500.00 67 Provide & install New Braunfels glue down padding beneath play structure LS 1 1,290.00 1,290.00 68 Replace sun -shade fasteners with brass I_ hooks; Mark fabric sections to note proper location, move & store in maul pool equipment building IS 1 1,400.00 1,400,00 69 Relocate existing gate valve to location outside of sand volleyball court and modify water service line as necessary US 1 1,200.00 1,200.00 34123.RFP RP -4 Contract Unit Quantity Amount No. Item Unit Quantity Price 10 Date 7o Date 70 Remove strainers from Model 115 and Raindrop pumps, sandblast, epoxy coat and reinstall LS 1 595.00 71 Revision to electrical work paid under Change Order No. 3 LS 1 (785.87) Total Change Order No. 4 Total Item No. 1 Total Item No. 2 Total Item No. 3 Total Item No. 4 Total Change Order No. 1 Total Change Order No. 2 Total Change Order No. 3 Total Change Order No. 4 Total Work Completed to Date 595.00 ( 785,87)— $4,199.13 303,943.00 4,988.00 13,413.00 75,422.50 (2,578.00) 2,263.05 14,604.39 4 ,1-9'3_13— $416,255.07 34123.111T RP -5 PROJECT PAYMENT sTATUs Owner City of New Hope Project Shallow Water Recreation Pool Project No. 476 File No. 34123 Contractor Associated Pool Builders, Inc. CHANGE ORDERS No. Date Amount 1 11 -4 -91 Use old Fire Sta. as field office; Remove benches; Modify pool painting prep. - $2,578.00 2 1 -13 -92 Reroute communications lines; install check valves 2,263.05 3 7 -22 -92 Various changes 14,604.39 4 11 -13 -92 Various changes 4,199.13 5 Total Change Orders - Add $18,488.57 PAYMENT SUMMARY No. Period Original Contract Payment Retainage Completed 1 Start 11 -30 -91 $134,306.72 $7,068.78 $130,555.50 2 11 -30 -91 12 -31 -91 95,494.00 12,094.78 191,895.50 3 12 -31 -91 1 -31 -91 32,746.03 13,818.25 276,365.00 4 1 -31 -91 3 -4 -92 4,845.00 14,073.25 276,365.00 5 3 -4 -92 3 -31 -92 15,295.47 14,878.28 297,565.50 6 3 -31 -92 4 -30 -92 21,476.68 16,008.60 320,172.50 7 4 -30 -92 5 -31 -92 42,491.60 18,245.00 364,900.50 8 5 -31 -92 7 -15 -92 50,811.86 8,111.58 405,578.94 9 7 -15 -92 11 -13 -92 18,787.71 0.00 416,255.07 10 Total Payment to Date $416,255.07 Original Contract $388,366.00 Retainage, Payment No. 9 & Final 0.00 Change Orders 18,488. Total Amount Earned $416,255.07 Revised Contract $406,854.57 34123.RFP RP -6 PROJECT: Shallow Water Recreation Pool (name, address) 4301 Xylon Avenue North New Hope, MN 55428 TO (Owner) F L CONTRACTOR: City of New Hope 4401 Xylon Avenue North New Hope, MN 55428 7 ARCHITECT'S PROJECT NO: CONTRACT FOR: Shallow Water Recreation Pool CONTRACT DATE Associated Pool Builders, Inc. 1500 Industrial Drive P.O. Box 2318 Bismarck, ND 58502 10th day of duly In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) Ohio Farmers Insurance Company Norwest Insurance N.D. P.O. Box 2108 SURETY COMPANY, Fargo, ND 58107 On bond of (here insert name and address of Contractor) Inc. Associated Pool Builders, 1500 Industrial Drive CONTRACTOR, P.O. Box 2318 Bismarck, ND 58502 hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Owner) City of New Hope 4401 Xylon Avenue North OWNER, New Hope, MN 55428 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this Attest: (Seal) : September 23, 1991 1992 nhin Surety Company I Si nature of Authorized Representative f ichard A. Wallet Title Contract Bond Underwriting Manager M AUTI u sh uld sign an original AIA d current which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced. NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 . CONSENT OF SURETY COMPANY TO FINAL PAYMENT . APRIL 1970 EDITION ' AIA ONE PAGE © 1970' THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal prosecution. 4401 Xyion Avenue North New Hope, Minnesota 55428 Phone: 531 -5100 FAX (612) 531 -5174 March 1, 1993 Associated Pool Builders 7887 Fuller Road Suite 110 Eden Prairie, MN 55344 SUBJECT: CHANGE ORDER NO. 4 - IMPROVEMENT PROJECT 476 Enclosed are two fully executed copies of the above - referenced Change Order for your records. Please forward one copy to your bonding company. The change order was approved on February 22, 1993, by the New Hope City Council. If you have any questions, please contact me. Sincerely, Valerie Leone City Clerk enc. cc: City Engineer Family Styled City For Family Living