Imp. Proj. #495COUNCIL
Originating Department Approved for Agenda Agenda Section
Planning &
Development
Parks and Recreation / Item No.
By: Shari French I By: 1 8.7
RESOLUTION AWARDING CONTRACT FOR FRED SIMS/MEADOW LAKE PLAYGROUND
EQUIPMENT IMPROVEMENTS (IMPROVEMENT PROJECT 495)
At the May 26 Council meeting the City Council approved plans and
specifications for playground equipment improvements for Fred Sims
and Meadow Lake parks (Improvement Project 495).
There is $80,000 in CIP for this project.
Total bids were received on June 8, 1992 and will be available at
the June 8th Council meeting.
MOTTONBY SECOND BY
Im
Review: Administration:
Finance:
CITY OF NEW HOPE
RESOLUTION NO. 92- 111
RESOLUTION AWARDING CONTRACT FOR
FRED SIMS /MEADOW LAKE PLAYGROUND EQUIPMENT IMPROVEMENTS
(IMPROVEMENT PROJECT 495)
TO ARRIGONI BROTHERS AND CO. - $56,450
WHEREAS, pursuant to advertisement for bids for playground
equipment for Fred Sims /Meadow Lake parks, bids were
received, opened and tabulated according to law, and
the following bids were received complying with the
advertisement:
Contractors Total Bid
Alltech Engineering $70,468.00
Sunram Landscaping 58,055.00
Perkins Landscape 59,644.00
Shingobee Builders 77,689.00
Talberg Lawn & Landscape 61,116.53
Arrigoni Brothers Co. 56,450.00
WHEREAS, budgeted allocation allows total dispersion of $80,000
and
WHEREAS, it appears that Arrigoni Bros. Co. is the lowest
responsible bidder.
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of
New Hope, Minnesota:
1. the Mayor and City Manager are hereby authorized
and directed to enter into the attached contract
with Arrigoni Brothers Company in the name of
the City of New Hope for Fred Sims /Meadow Lake
Playground Equipment Improvements according to the
plans and specifications (for a total bid
cost of $56,450.00) therefore approved by the City
Council and on file in the office of the City Clerk.
2. The City Clerk is hereby authorized and directed to
return forthwith to all bidders the deposits made
with their bids, except that the deposits of the
successful bidder and the next lowest bidder shall
be retained until a contract has been signed.
Adopted by the City Council of the City of New Hope, Hennepin
County, Minnesota, this 8th day June, 19 2.
r S�
Mayor
Attest• Ze
• City Clerk
r Bonestroo
Rosene
Uf s Anderlik &
Associates
Engineers & Architects
Otto G. 8onestroo, PE.
Robert W. Rosen, PE
Joseph C. Anderlik, PE.
Marvin L. Sorvala, P.E.
Richard E. Turner. PE,
Glenn R. Cook, PE.
Thomas E. Noyes, PE.
Robert G. SWunlcht. P.E.
Susan M. Eberlin. C.P.A.
'Senior Consultant
Howard A. Sanford, P.E.
Keith A. Gordon, PE.
Robert R. Pfefferle. PE
Richard W. Foster P.E.
David O. Loskota. P.E.
Robert C. Russek. A.I.A.
Jerry A. Bourdon. PE.
Mark A. Hanson, P.E.
Michael T. Rauimann. P.E.
Ted K. Field, P.E.
Thomas R. Anderson, A.I.A.
Donald C. Burgardt. PE.
Thomas E. Angus. P.E.
Gary F Rylandec PE.
Ismael Martinez. PE.
Michael P Rau, PE.
Agnes M. Ring, A.LC.P.
Thomas W Peterson. PE.
Michael C. Lynch, PE.
James R. Maland, PE.
Jerry D. PetUSCh, PE.
Kenneth P Anderson. PE.
Mark R. Rolfs, PE.
Mark A. Seip. P.E.
Gary W, Monen, PE.
Daniel J. Edgerton. PE.
Philip J. Caswell. PE
Mark D. Wall.s, P.E.
Miles 8, Jensen, PE.
L. Phillip Gravel ill, P.E.
Karen L. Wiemerl, PE.
E Todd Foster. PE,
Kenn R. Yapp. PE.
Shawn D. Gustafson, P.E.
Cecilia Olivier. PE.
Charles A, Enckson
Leo M Pawwelsky
Harlan M. Olson
James F. Engelhardt
June 8, 1992
City of New Hope
4401 Xylon Ave. N.
New Hope, MN 55428
Attn: Mr. Daniel Donahue
Re: Fred Sims & Meadow Lake Park
Playground Equipment and Site Improvements
City Project No. 495 - Our File No. 34142
Dear Dan,
Bids were received June 8, 1992 for the above project. The low bid of the six bids received is
from Arrigoni Brothers and Co. with a total base bid of $56,450. The engineer's estimate and
budget amount for the work is $75,000. Arrigoni Brothers and Co. are a responsible contractor
and have done similar work in St. Paul.
It's recommended the contract be awarded to Arrigoni Brothers and Co. for $56,450.00. If you
have any questions, please feel free to contact me at this office.
Yours very truly,
BON STROO, R ENE, ANDERLIK & ASSOCIATES, INC.
Ma . Hanson
MAH:li
34142.cor
2335 West Highway 36 • St. Paul, Minnesota 55113 • 612- 636 -4600
8onestroo
Project Name Fred Sims & Meadow Lake Park Playground Equipment & Site Improvements
Rosen
Pro ect No. 495
, File No. 34142
Anderitk &
Associates
P J Mmnecu
ST. & Ard
St. Paul, , M
Bid Opening 11:30 a.m., C.D.S.T., Monday, June 8, 1992 Owner New Hope, MN
No. Item
Part 1 - Fred Sims
BID TABULATION
Tabulation 1 1 w Bids of d
Bid No. 1
Arrigoni Brothers
Company
Bid No. 2
Bid No. 3
Bid No. 4
Bid No. 5
Sunram Landscaping
Perkins Landscape
Talberg Lawn &
Alltech Engineering
15,664.00
Contractor
Landscape
Corp.
1,230.00
1,230.00
1,175.00
1,175.00
Unit
Unit
Unit
Unit
Price Total
Price Total
Price Total
Price Total
Unit
Unit Q - ty Price Total
1 Furnish & install playground structure
with handicap access ramp EA
2 Furnish and install tire swing EA
3 Furnish and install space arch climber EA
4 Furnish and install leg swing -
2 sections w/2 seats /section (1
enclosed tot seat) 8' high EA
1 13,000.00
13,000.00
12,900.00
12,900.00
13,862.00
13,862.00
12,752.00
12,752.00
15,664.00
15,664.00
1 1,150.00
1,150.00
1,230.00
1,230.00
1,175.00
1,175.00
1,257.66
1,257.66
1,260.00
1,260.00
1 620.00
620.00
750.00
750.00
750.00
750.00
736.31
736.31
715.00
715.00
1 1,450.00 1,450.00 1,650.00 1,650.00 1,575.00 1,575.00 1,684.00 1,684.00 1,625.00 1,625.00
34142.TAB
BT -1
Bid No. 1
Arrigoni Brothers
Company
No. Item
Unit
Unit Qty Price Total
5
Furnish and install police car
EA
6
Furnish and install backhoe digger
EA
7
Sand cover & spread existing sand
CY
8
Class 5 100% crushed aggregate base
TN
9
Type 41 bit. wear course (2" thick)
TN
10
Bituminous material for mixture
TN
11
Topsoil borrow
CY
12
Sod
SY
Bid No. 2 Bid No. 3 Bid No. 4
Sunram Landscaping Perkins Landscape Talberg Lawn &
Contractors Landscape
Unit Unit Unit
Price Total Price Total Price Total
Bid No. 5
Alltech Engineering
Corp.
Unit
Price Total
1
820.00
820.00
900.00
900.00
940.00
940.00
954.00
954.00
933.00
933.00
1
400.00
400.00
400.00
400.00
350.00
350.00
431.00
431.00
418.00
418.00
60
5.00
300.00
14.00
840.00
25.00
1,500.00
20.70
1,242.00
7.50
450.00
30
25.00
750.00
12.00
360.00
12.00
360.00
17.00
510.00
20.00
600.00
20
70.00
1,400.00
100.00
2,000.00
55.00
1,100.00
90.00
1,800.00
70.00
1,400.00
2
150.00
300.00
175.00
350.00
150.00
300.00
137.50
275.00
120.00
240.00
15
10.00
150.00
7.00
105.00
7.00
105.00
15.00
225.00
25.00
375.00
200
4.00
800.00
1.50
300.00
1.65
330.00
2.75
550.00
2.25
450.00
Total Part I - Fred Sims
$21,140.00 $21,785.00 $22,347.00 $22,416.97 $24,130.00
Part 2 - Meadow Lake
13 Remove existing bituminous surface SY 10 10.00 100.00 10.00 100.00 10.00 100.00 5.00 50.00 25.00 250.00
14 Remove existing playground equipment LS 1 200.00 200.00 400.00 400.00 300.00 300.00 350.00 350.00 500.00 500.00
34142.TAB B.I. -2
Bid No. 1 Bid No. 2 Bid No. 3
Arrigoni Brothers Sunram Landscaping Perkins Landscape
Company Contractors
No. Item
Unit
Unit Qty Price Total
15
b° PVC perforated drain pipe w /geotextile
500.00
28.00
fabric Type I & coarse filter aggregate
LF
16
Geotextile fabric, Type V
SY
17
Common excavation
LS
18
Modular block retaining wall (beige)
SF
19
Class 5 100% crushed aggregate base
TN
20
Type 41 bit. wear course (2" thick)
TN
21
Furnish and install 6' bench w/back
EA
22
Furnish & install playground structure
2,300.00
2,500.00
w/handicap access ramp
EA
23
Furnish and install tire swing
EA
24
Furnish and install space arch climber
EA
Unit Unit
Price Total Price Total
Bid No. 4 Bid No. 5
Talberg Lawn & Alltech Engineering
Landscape Corp.
Unit Unit
Price Total Price Total
100
5.00
500.00
28.00
2,800.00
15.00
1,500.00
11.75
1,175.00
12.00
1,200.00
580
1.00
580.00
1.50
870.00
1.25
725.00
1.10
638.0
1.85
1,073.00
1
2,000.00
2,000.00
2,300.00
2,300.00
2,500.00
2,500.00
2,500.00
2,500.00
6,500.00
6,500.00
500
13.00
6,500.00
12.00
6,000.00
14.50
7,250.00
14.00
7,000.00
16.90
8,450.00
45
22.00
990.00
12.00
540.00
12.00
540.00
15.00
675.00
20.00
900.00
20
70.00
1,400.00
100.00
2,000.00
55.00
1,100.00
71.50
1,430.00
70.00
1,400.00
2
350.00
700.00
300.00
600.00
285.00
570.00
370.00
740.00
350.00
700.00
1 13,000.00
13,000.00
12,900.00
12,900.00
13,862.00
13,862.00
12,752.00
12,752.00
15,664.00
15,664.00
1 1,150.00
1,150.00
1,230.00
1,230.00
1,175.00
1,175.00
1,257.66
1,257.66
1,260.00
1,260.00
1 620.00
620.00
750.00
750.00
750.00
750.00
736.31
736.31
715.00
715.00
34142.TAB BT-3
Bid No. 1 Bid No. 2 Bid No. 3
Arrigoni Brothers Sunram Landscaping Perkins Landscape
Company Contractors
No. Item
25 Furnish and install 3 leg swing -
Unit Unit Unit
Unit Qty Price Total Price Total Price Total
Bid No. 4 Bid No. 5
Talberg Lawn & Alltech Engineering
Landscape Corp.
Unit Unit
Price Total Price Total
Total Part i - Fred Sims 21,140.00 21,785.00 22,347.00 22,416.97 24,130.00
Total Part 2 - Meadow Lake 35,310.00 36,270.00 37,297.00 38,699.56 46,338.00
Total Base Bid $56,450.00 $58,055.00 $59,644.00 $61,116.53 $70,468.00
34142.TAB BT4
2 sections w/2 seats /section (1
enclosed tot seat) 8' high
EA
1
1,450.00
1,450.00
1,650.00
1,650.00
1,575.00
1,575.00
1,684.00
1,684.00
1,625.00
1,625.00
26
Furnish and install police car
EA
1
820.00
820.00
900.00
900.00
940.00
940.00
954.00
954.00
933.00
933.00
27
Furnish and install backhoe digger
EA
1
400.00
400.00
400.00
400.00
350.00
350.00
431.59
431.59
418.00
418.00
28
Sand cover
CY
180
15.00
2,700.00
8.50
1,530.00
15.00
2,700.00
20.70
3,726.00
7.50
1,350.00
29
Topsoil borrow
CY
100
10.00
1,000.00
7.00
700.00
7.00
700.00
15.00
1,500.00
25.00
2,500.00
30
Sod
SY
400
3.00
1,200.00
1.50
600.00
1.65
660.00
2.75
1,100.00
2.25
900.00
Total Part 2 - Meadow Lake
$35,310.00
$36,270.00
$37,297.00
$38,699.56
$46,338.00
Total Part i - Fred Sims 21,140.00 21,785.00 22,347.00 22,416.97 24,130.00
Total Part 2 - Meadow Lake 35,310.00 36,270.00 37,297.00 38,699.56 46,338.00
Total Base Bid $56,450.00 $58,055.00 $59,644.00 $61,116.53 $70,468.00
34142.TAB BT4
Bid No. l Bid No. 2 Bid No. 3 Bid No. 4 Bid No. 5
Bid Bond,
Five Percent
Five Percent
Five Percent
Five Percent
Cert. check,
Five Percent
Cash deposit
Firm
Arrigoni Brothers
Sunram Landscaping
Perkins Landscape
Talberg Lawn & Landscape
Alltech Engineering
Company
Contractors
Inc.
Corp.
By
Dennis J. Arrigoni
Lee W. Sunram
John Perkins Jr.
Mark Talberg
Steven Peterson
Title
President
Owner
Owner
President
Vice President
Address
817 Vandalia Street
7675 Troy Lane
5531 Eden Prairie Road
100 Wilshire Drived
815 East 79th Street
City, state,
St. Paul, MN
Maple Grove, MN
Minnetonka, MN
Minnetonka, MN
Bloomington, MN
Zip Code
55114
55369
55343
55343
55420
Telephone
645 -9321
420 -2140
612- 851 -9330
Fax No.
645 -9323
494 -3951
612- 851 -9519
34142.TAB BT -5
r
Bonestroo
Bidder ARRIGONI BROTHERS COMPANY Total B Bd
Address Telephone No. 645 -9321
917 Vnndn1Jn Street
AnderM a
Assodates
City, Fax. No. 645 -9323 12
u. ,n. `"""m`"
PROPOSAL
FRED SIMS AND MEADOW LAKE PARK
PILAYGROUND EQUIPMENT AND SffE IMPROVEMENTS
Honorable City Council
City of New Hope
4401 Xylon Avenue North
Minneapolis, Minnesota 55428
Dear Council Members:
D ,
Monday, June 8, 1992
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. — 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:
• . 16:
1 Furnish and install playground structure
with handicap access ramp
2 Furnish and install tire swing
3 Furnish and install space arch climber
4 Furnish and install 3 leg swing -
2 sections w /2seats /section (1
enclosed tot seat) 8' high
5 Furnish and install police car
EA 1 $ 13,000.00 $ 13,000.00
EA 1 $ 1,150.00 $ 1,150.00
EA 1 $ 620.00 $ 620.00
EA
1
$ 1,450.00
$ __L,450.00
EA
1
$ 820.00
$
820.00
34142TRO P_1
34142.PRO P_2
NO.
itcIn
Unit
Otp
unit Price
Total
25
Furnish and install 3 leg swing -
2 sections w /2seats /section (1
enclosed tot seat) 8` high
EA
1
1,450.00
1,450.00
26
Furnish and install police car
EA
1 $ __820
- 00
$
820.00
27
Furnish and install backhoe digger
EA
1 $ ___400.00
$
400.00
28
Sand cover
CY
180 $
15,00
$
2,700.00
29
Topsoil borrow
CY
100 $
10.00
$
1,000.00
30
Sod
SY
400 $
3.00
$
1,200.00
Total Part 2 - Meadow Lake
. ao
$
35.510.00
34142TRO P -3
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
$ , 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 Corporation)
President
Tide
Dennis J. Arrigoni
Printed Name of Signer
34142.PRO P_4
Arrigoni Brothers Company
817 Vandalia Street
St. Paul, MN 55114
Re: Fred Sims and Meadow Lake Park
Playground Equipment and Site Improvements
Project No. 445
Gentlemen:
Enclosed are five (5) copies of the contract documents between you and the City of
New Hope covering the above referenced project.
Please have your bonding company complete pages 51 through 61 of the Conditions of
the Contract. The insurance and indemnity requirements of pages 13, 14, 15, & 16
shall be provided.
After the bonding company has completed the documents, forward them to
Mr. Steve Sondrall, Attorney -at -law, Edinburgh Executive Office Plaza, 8525 Edinbrook
Crossing, Brooklyn Park, MN 55443 who will review them for the City of New Hope.
After the necessary City officials have
copies, one for your file and one for
retained by the City for their file, one
us for our file.
signed the contracts you will be sent two
your bonding company. One copy will be
by the attorney, and one will be sent to
Upon receipt of a signed contract and a filed Certificate of Insurance, approved by
the City Attorney, a pre - construction conference will be scheduled with you and the
City to review the project. After the pre- construction conference, you will be
issued a notice to proceed with the work as outlined in the plans and
specifications.
Yours very truly,
Enclosures: 5
Steve Sondrall, Attorney
CORRIOK LAW OFFICES, PA.
WILLIAM J. CORRICK
STEVEN A. SONDRALL, PA.
STEVEN A.SONDRALL
MICHAEL R, LAFLEUR
MARTIN P. MALECHA
WILLIAM C. STRAIT
July 20, 1992
CORMCK & SONDRALL
A PARTNERSHIP OF PROFESSIONAL CORPORATIONS
LAWYERS
Edinburgh Executive Office Plaza
8525 Edinbrook Crossing
Suite #203
Brooklyn Park, Minnesota 55443
TELEPHONE (612) 425-5671
FAX (612) 425-5867
Ms. Valerie Leone
City Clerk
City of New Hope
4401 Xylon Avenue North
New Hope, MN 55428
RE: City Project No. 495
Playground Equipment and Site Improvements
Dear Val:
LEGAL ASSISTANTS
LAVONNE E. KESKE
SHARON D. DERBY
Enclosed are the Contracts for the above-captioned improvement, all
of which have been reviewed and are in order from a legal
standpoint. I have also reviewed the Certificates of Insurance,
which are also in order from a legal standpoint.
Very truly yours,
N "'I
3
Martin P. Mal echa
s3m
Enclosures
4401 Xylon Avenue North New Hope, Minnesota 55428 Phone: 531 -5100 FAX (612) 531 - 5171
July 28, 1992
Arrigoni Brothers Co.
817 Vandalia Street
St. Paul, MN 55114
SUBJECT: PROJECT 495 (FRED SIMS /MEADOW LAKE PLAYGROUND EQUIPMENT AND
SITE IMPROVEMENTS)
Enclosed are two fully executed copies of the contract documents for New Hope
Project No. 495. One copy is for your records and the second copy should be
transmitted to your bonding company. Also enclosed is return of your bid bond.
A copy of the contract documents is on file with our City Engineer and City
Attorney.
Also enclosed is a "Withholding Affidavit for Contractors" (IC -134 form). We
cannot make final payment to contractors until this is approved by the Minnesota
Department of Revenue and submitted to our office (Minnesota Statute 290.97).
The form contains instructions for completion.
Sincerely,
Valerie Leone
City Clerk
enc.
cc: City Engineer
City Attorney
Family Styled City For Family Living
Originating Department
City Manager
Kirk McDonald
By: Management Assistant
Agenda Section
Consent
Item No.
6.7
MOTION APPROVING FINAL PA REQUEST TO RICHARD KNUTSON, INC. FOR 1992
LOCAL STREET RESURFACING AND UTILITY PROJECT (IMPROVEMENT PROJECT
NO. 485) IN THE AMOUNT OF $38,127.83
This is the final pay request for Richard Knutson, Inc. for the 1992 Local Street Resurfacing and
Utility Project (Improvement Project No. 485) in the amount of $38,127.83. The City Engineer
has indicated that the work on this project has been satisfactorily completed and recommends
approval of the pay request. The final amount is approximately 1. 49 % over the revised contract
amount due to minor differences between estimated quantities bid and actual quantities used.
Staff recommends approval of a motion approving the final pay request to Richard Knutson, Inc.
for the 1992 Local Street Resurfacing and Utility Project (Improvement Project No. 485) in the
amount of $38,127.83.
MOTION BY
TO:
Review:
Administration:
Approved for Agenda
Finance:
• I1
Otto G. Bonestroo, P.E.
Howard A. Sanford. P.E.
Michael P. Rau, PE.
Mark D. Wallis, P.E.
Robert W. Rosen. RE.*
Keith A. Gordon, P.E.
Philip J. Pyne, P.E.
Miles B. Jensen, P.E.
Joseph C. Anderlik, P.E.
Robert R. Pfefferle, P.E.
Agnes M. Ring, A.I.C.P.
L. Phillip Gravel ill, P.E.
Marvin L. Sonrala, PE.
Richard W. Foster, P.E.
Thomas W, Peterson, P.E.
Karen L. Wiemeri, P.E.
Richard E. Turner, P.E.
David O. Loskota. P.E.
Michael C. Lynch. P.E.
Gary D. Kristofitz, P.E.
Glenn R. Cook, P.E.
Robert C. Russek. A.I.A.
James R. Maland. P.E.
F Todd Foster, P.E.
Thomas E. Noyes, P.E.
Jerry A. Bourdon, P.E.
Jerry D. Pertzsch. P.E.
Keith R. Yapp, P.E.
Robert G. Schunicht, P.E.
Mark A. Hanson, P.E.
Kenneth P. Anderson, P.E.
Douglas J. Benoit P.E.
Susan M. Eberlin, C.P.A.
Michael T. Rautmann. P. E.
Mark R. Rolls. P.E.
Shawn D. Gustafson, P.E.
*Senior Consultant
Ted K. Field, PE:
Mark A. Seip, P.E.
Cecillo Olivier, P.E.
Thomas R. Anderson. A.I.A.
Gary W. Morien, P.E.
Charles A. Erickson
Donald C. Burgardt P.E.
Daniel J. Edgerton, P.E..
Leo M. Pawetsky
Thomas E. Angus. P.E.
Allan Rick Schmidt, P.E.
Harlan M. Olson
Ismael Martinez, P.E.
Philip J. Caswell. RE.'
James F. Engelhardt
March 3, 1994
Mr, Larry Watts
Finance Director
City of New Hope
4401 Xylon Ave. N.
New Hope, MN 55428
Re: 1992 Local Street Resurfacing's Utility Project
City Project No. 485
Our File No. 34144
Dear Larry:
Transmitted herewith are three (3) copies of Request for Payment No. 13 & Final, along with the
required signed Minnesota Withholding Form IC -134, for the above referenced project.
The work on this project has been satisfactorily completed and we recommend payment at this time.
The final amount is approximately 1.49% over the revised contract amount, due to minor differences
between estimated quantities bid and actual quantities used.
Should you have any questions regarding this project, please feel free to call.
Yours very truly,
BON S
TROO,RGSENE , ANDERLIK & ASSOCIATES, INC.
Mar A. Hanson
MAH: pr
Encl.
2335 West Highway 36 • St. Paul, MN 55113 • 612 -636 -4600
Bonestroo
®/J Rosen
Owner City of New Ilope, 4401 Xylon Av N, New Hope, MN 55428 Date February 14, 1994
now
" Anderlik &
Associates
For Period November 9 1993 to February 14 1994 Request No. 13 &Final
En s '"`"' s ,,,t
St. Paul, Minnesota
Contractor Richard Knutson, Inc., 12585 Rhode Island Av S, Savage, MN 55378
REQUEST FOR PAYMENT
1992 Local Street Resurfacing
Utility & Street Improvements
Project No. 485
File No. 34144
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 DUET HIS REQUEST FOR PAYMENT NO.
$ 1,711,360.55
$ 43,273.
$
$ 1,754,63
$ 1,780,729.14
$ 0.00
$ 1,780,729.14
$ 0.00
$ 1,780,729.14
$ 1,742,601.31
13 & Final $ 38,127.83
Recommended for Approval by:
IBONESTR O, ROSENE, DERLIK & ASSOCIATES, INC.
Approved by Contractor:
RICHARD KNUTSON, INC.
Specified Contract Completion Date:
October 17, 1992, .tune 1, 1993
Approved by Owner:
CITY OF NEW HOPE, MN
Date:
34144.RFP
No. Item
Part A - Street Reconstruction
1 Remove existing bituminous pavement
2 Remove existing concrete pavement
3 Remove existing concrete curb & gutter
4 Saw cut concrete driveway
5 Mill bituminous surface
6 Class 5, 100% crushed recycled aggregate
base (including excavation)
7 Class 5, 100% crushed quarry rock
(including excavation)
8 Type 31 bit. base course for patching
9 Type 31 bit. binder course for Ievefing
10 Type 41 bituminous wear course
11 Bituminous material for mixture
12 Bituminous material for tack coat
13 Concrete curb and gutter (patch)
14 B618 concrete curb and gutter
15 Concrete valley gutter (7" thick)
16 Reinforcing for concrete curb & gutter
17 3" thick wearing course for driveway
18 6" thick concrete driveway pavement
with 66 x 1010 mesh
19 Adjust gate valve and box
20 Adjust Ml I frame and casting
21 Remove existing bituminous pavement
from manhole cover and frame
22 Sod with 3" existing topsoil
23 Topsoil borrow (LV)
Total Part A - Street Reconstruction
Part B - Driveway Reconstruction
24 Remove concrete curb and gutter
25 Remove bituminous driveway pavement
26 Remove concrete driveway pavement
27 Saw cut concrete driveway
34144.RFP
Unit
SY
SY
LF
LF
SY
TN
TN
TN
TN
TN
TN
GL
LF
I.,F
SY
LF
SY
SY
FA
1?A
LA
SY
C
LF
SY
SY
LF
RP -1
Contract
Quantity
15,100
700
26,700
600
3.5,000
2,000
1,000
1,800
100
10,100
770
4,200
17,810
8,890
30
2,100
550
700
75
130
75
10,000
400
Unit Quantity
Price To Date
1.85 12,575.08
8.00
730
2.00
29,307.6
3.50
1,427
0.65
26,295
6.50
1,528.43
7.75
2,535.2
24.60
2,592.01.
24.60
2,742.25
16.20
9,647.77
110.00
530.63
1.05
5,155
7.25
15,076.5
5.25
15,750.5
30.00
1.00
2,120
7.30
420.2
23.00
730
150.00
76
225.00
128
50.00
62
2.00
19,302
8.00
Amount.
To Date
23,263.90
5,840.00
58,615.20
4,994 50
17,091.75
9,934.80
19.647.80
63,763.45
156,293.87
58,369.30
5,412.7.5
109,304.63
82,690.13
2.120.00
3,067.46
16,790.00
11,400.00
28,800.00
3,100.00
38,604.00
$719,103.52
1,500
2.00
350
700.00
1,400
2.00
1,524
3,048.00
1,100
8.00
1,075.66
8,605,28
600
3.50
783.5
2,742.25
Contract
Unit
Quantity
Amount
No. Item
Unit
Quantity
I'rice
To Date
To Date
28 Concrete curb and gutter at driveway
LF
1,500
8.25
2,676.5
22,081.13
29 Class 5, 100% crushed recycled aggregate
base for driveway (incl excavation)
TN
300
6.50
120.6
783,90
30 3" thick wearing course for driveway
SY
1.400
7.30
1,266.89
9,248.30
31 6" thick concrete driveway pavement
with 66 x 1010 mesh
SY
1,100
23.00
1,200
27-600_00__
Total Part B - Driveway Reconstruction
$74,808.85
Part C - Northwood Pkwy 32nd Av &
32nd Circle Driveway Reconstruction
32 Remove bituminous driveway pavement
SY
330
3.00
519.1
1,557.30
33 Remove concrete driveway pavement
SY
530
8.00
631.6
5,052.80
34 Saw cut concrete driveway pavement
LF
600
3.50
1,205.5
4,219.25
35 Cl. 5, 100 %n crushed, recycled aggregate
base for driveway (including excavation)
TN
300
6.50
230.41
1,497.67
36 3" thick wearing course for driveway
SY
330
7.30
310
2.263.00
37 6" thick concrete driveway pavement
with 66 x 1010 mesh
SY
530
23.00
671.38
Total Part C - Northwood Pkwy, 32nd Av
& 32nd Cir Driveway Reconstruction
$30,031.76
Part D - Northwood Pkwy Sanitary Sewer
38 Remove bituminous
SY
9,490
0.80
10.052.22
8,041.78
39 Remove concrete walk
SF
3.360
1.50
3,752.5
5,628.75
40 Sanitary sewer bypass pumping
US
1
39,625,00
1
39,625.00
41 Remove manhole
IAA
13
185.00
14
2,590.00
42 Remove 27" RCP sanitary sewer
LF
5
5.00
5
25.00
43 Remove 15" RCP sanitary sewer
LF
5
5.00
5
25.00
44 Remove 12" RCP sanitary sewer
LF
966
5.00
580
2.900.00
45 Remove 9" VCP sanitary sewer
LF
2,462
3.00
1,818
5,454.00
46 Remove 12" CIP water main
LF
20
5.00
47 Remove 6" CIP water main
LF
50
5.00
48 Plug 15" RCP sanitary sewer
LA
2
43.00
2
86.00
49 Plug 4" sewer service
IAA
3
2850
3
85.50
50 Salvage castings
LA
13
50.00
13
650.00
51 Transplant tree
I:A
6
300.00
6
1.800.00
34144.RFP
RP -2
No. item
52 10" PVC, SDR 35 san. sewer 8' -10' dp.
53 10" PVC, SDR 35 san. sewer 10' -t2' dp.
54 10" DIP, Cl. 50 san. sewer, 0' -10' deep
55 12" PVC, SDR 35, san. sewer 8' -10' dp.
56 12" PVC, SDR 35, san. sewer 10' -12' dp.
57 18" PVC, SDR 35, san, sewer 0' -8' dp.
58 18" PVC, SDR 35, san. sewer 8' -10' dp.
59 18" PVC, SDR 35, san. sewer 10' -12' dp.
60 20" DIP, Cl. 50, san. sewer 0' -8' deep
61 20" DIP, Cl. 52, sau. sewer 0' -8' deep
62 Connect to existing 9" VCP
63 18" x 4" wye
64 12" x 4" wye
65 10" x 4" wye
66 Manhole with salvaged casting
67 Manhole with R1642B casting
68 Manhole depth greater than 8'
69 Box culvert /Ml -I structure w /R1642 -A
casting & Type B lid
70 10" outside drop at MH
71 4" PVC, SDR 26 sewer service
72 Connect to exist. 4" sewer service
73 12" DIP, Class 52 water main
74 6" DIP, Class 52 water main
75 Fittings
76 Connect to existing 12" CIP
77 Connect to existing 6" CIP
78 Cl. 5, 100 % crushed, recycled agg. base
course (including excavation)
79 Type 31, bituminous base course
80 Type 41, bit. wear course for patch
81 Bituminous material for mixture
82 4" concrete walk
83 Televise sanitary sewer
84 Impr. pipe Ind. per 6" depth increment
34144.RFP RP -3
Contract
Unit
Quantity
Amount
Unit
Quantity
Price
To Date
To Date
LF
386
21.20
350
7,420.00
LF
892
23.20
918
21,297.60
I_F
50
23.90
20
478.00
LF
80
25.25
100
2,525.00
LF
1,054
26.00
1,034
26.884.00
LF
125
30.10
125
3,762.50
LF
495
32.80
591
19,384.80
LF
346
33.80
250
8,450.00
LF
608
39.35
616.6
24,263.21
LF
30
42.70
30
1,281.00
EA
8
435.00
7
3,045.00
EA
4
206.00
5.63
1,159.78
FA
22
71.00
31.58
2,242.18
EA
30
54.00
42.17
2,277.18
EA
3
50.00
1
50.00
EA
20
920.00
23
21,160.00
LF
38.5
68.50
40.3
2,760.55
LS
1
18,400.00
1
18,400.00
LF
15.0
178.00
15.4
2,741.20
LF
570
12.95
570
7381.50
IA
57
200.00
57
11,400.00
LF
20
62.90
LF
50
43.00
10
430.00
L13
2,650
0.80
428
342.40
EA
2
495.00
EA
5
425.00
TN
4,740
7.75
6,551
50,770.25
TN
1,310
14.80
1,310
19,388.00
TN
7
47.75
TN
66
110.00
65.5
7,205.00
SF
3,360
2.00
3,752.5
7,505.00
LF
4,000
0.25
4,013
1,003.25
LF
6,000
2.60
5,145
13377.00
34144.RFP RP -3
No.
Item
Contract
Unit
Quantity
Amount
Unit
Quantity
Price
To Date
To Date
85
Mechanical trench compactin
LF
4,706
0.10
4,103
__4.1.0,3.0_
Total Part D - Northwood Parkway
Sanitary Sewer
$355,705.73
Part E - Water Main Reconstruction
86
Remove bituminous
SY
1,540
3.00
2,745
8,235.00
87
Remove 6" CIP water main
LF
10
5.00
5
25,00
88
Salvage hydrant
EA
l
185.00
1
185.00
89
Salvage valve box
EA
3
25.00
3
75.00
90
6" DIP, Class 52 water main
LF
960
15.25
908.72
13,857.98
91
Fittings
LB
985
0.80
865
692.00
92
6 "x6' wet tap w /6" gate valve & box
EA
1
1,270.00
1
1270.00
93
Hydrant
EA
1
1,063.00
1
1,063.00
94
6" gate valve and box
EA
2
335.00
2
670.00
95
Connect to existing 6" CIP
EA
1
250.00
1
250.00
96
1" copper water service
I_F
125
14.55
100
1,455.00
97
1" corporation stop
EA
14
32.00
16
512,00
98
Connect to existing 1" water service
EA
14
210.00
16
3,360.00
99
Cl. 5, 100% crushed quarry rock
(including excavation)
TN
560
7.75
813.31
6,30115
100
Type 31, bit. base course for patch
TN
190
25.00
311.44
7,786.00
101
Bituminous material for mixture
TN
10
110.00
102
Impr. pipe Ind. per 6" depth increment
LF
500
2.60
103
Mechanical trench compaction
LF
1,085
0.10
1,048
Total Part E - Water Main Reconstruction
$45,843.93
Part F - Sanitary Sewer Repairs
104
Bituminous removal
SY
1,300
4.00
1,188.7
4,754.80
105
Repair 9" VCP san. sewer, 8' -14' dp.
LF
260
127.75
221
28,232.75
106
Repair 9" VCP san. sewer, 14' -18' dp.
LF
110
128.75
181
23,303.75
107
Connect to existing 9" VCP
EA
20
410.00
19
7,790.00
108
Connect 10" PVC to existing MLI
EA
13
420.00
2
840.00
109
Cl. 5, 100% crushed quarry rock
(including excavation)
'I'N
480
6.50
526.34
3,421.21
110
Type 31, bituminous base course patch
TN
160
24.20
168
4,065.60
34144.RFP
RP -4
34144.RFP RP -5
Contract
Unit
Quantity
Amount
No.
Item
Unit
Quantity
Price
To Date
To Date
111
Bituminous material for mixture
TN
8
110.00
Total Part F - Sanitary Sewer Repairs
$72,408.11
Part G - Storm Sewer
112
Remove structure
EA
37
185.00
32
5,920.00
113
Salvage casting
EA
42
50.00
40
2.000.00
114
Remove 12" RCP
LF
510
5.00
821
4.105.00
115
Remove 18" RCP
LF
275
5.00
264
1,320.00
116
Remove 36' RCP
LF
67
5.00
66
330.00
117
Remove bituminous
SY
5,880
0.95
5,462
5,188.90
118
Mill bituminous surface
SY
1,000
0.65
1,369
889.85
119
Remove concrete walk
SF
50
1.25
340
42.5.00
120
Grade overland drainage swale
32nd Ave. and Circle
LS
1
11,000.00
1
11,000.00
121
4" PE perforated pipe drain
LF
1,000
6.79
700
4,753.00
122
12" RCP, Class 5
LF
2,150
19.50
2,179
42,490.50
123
15" RCP. Class 5
LF
4,200
19.95
4,928.5
98.323.58
124
18" RCP, Class 5
LF
2,020
23.70
1,861
44,105.70
12.5
21" RCP, Class 5
LF
310
26.90
192.5
5,178.25
126
24" RCP, Class 3
LF
40
27.50
38
1,045.00
127
30" RCP, Class 3
I_F
130
36.30
141
5,118.30
128
42" RCP, Class 1
LF
70
59.65
66
3,936.90
129
21" RCP apron with trash guard
EA
1
810.00
1
810.00
130
30" RCP apron with trash guard
EA
1
1,135.00
1
1,135.00
131
Connect 4" PE draintile to ex. structure
BA
40
235.00
8
1,880.00
132
Connect 12 " -18" RCP to ex. structure
EA
6
310.00
21
6,510.00
133
Connect 21 " -24" RCP to ex. structure
FA
3
335.00
2
670.00
134
Connect 42" RCP to ex. structure
EA
1
570.00
1
570.00
135
Std. M14 w /RI642B cstg. (Plate 1 -10)
EA
23
1,010.00
26
26,260.00
136
Std. CI3MI -I w/R -3067V cstg, (Plate 1 -16)
EA
35
1,060.00
34
36,040.00
137
Std. CB w/R -3067V cstg. (Plate 1 -19)
EA
63
730.00
63
45,990.00
138
Dbl. CB w/R -3067V cstg. (Plate 1 -22)
EA
4
1,570.00
5
7,850.00
139
R -3067V grate
EA
9
85.00
9
765.00
140
R -3067V casting
EA
1
196.00
141
R- 1642B casting
EA
4
130.00
4
520.00
142
Adjust catch basin
EA
18
100.00
12
1,200.00
34144.RFP RP -5
Contract
Unit
Quantity
Amount
No.
Item
Unit
Quantity
Price
To Date
To Date
143
Repair structure
EA
10
720.00
2
1,440.00
144
Relocate catch basin
EA
2
820.00
2
1,640.00
145
Class 5, 100% crushed quarry rock
(including excavation)
TN
2,250
6.50
2,250
14,625.00
146
Type 31. Bit. base course for patch
TN
800
24.60
840
20.664.00
147
Type 41, bituminous wear course
TN
270
19.35
46.22
894.36
148
Bituminous material for mixture
TN
56
110.00
2.65
291.50
149
Bituminous material for tack coat
CiL
145
2.00
145
290.00
150
4" concrete walk
SF
50
2.00
340
680.00
151
Class 2 riprap w /gcotextile fabric
CY
10
47.00
10
470.00
152
Impr. pipe fnd. per 6" depth increment
LF
000
2.60
1,734
4.508.40
153
Mechanical trench compaction
LF
8,920
0.10
9,415
Total Part G - Storm Sewer
$412,774.73
Part H - Backyard Drainage
154
12" draintile
LF
770
19.05
824
15,697.20
155
Yard drain w/R1642 cstg. & Type C grate
EA
10
597.00
10
5.970.00
156
Remove 4" & 6" PVC
LF
160
14.80
157
Shape drainage Swale
LS
1
3,500.00
1
3,500.00
158
4" concrete Swale
SF
420
3.00
780
2,340.00
159
Sod with 3" existing topsoil
SY
950
2.00
160
Topsoil borrow (LV)
CY
100
8.50
240
_2.040.00 —_
Total Part II - Backyard Drainage
$29,547.20
Change Order No. 1
161
Propex 4553 non -woven fabric
SY
6,500
2.10
6,500
13,650.00
162
Hydrant relocation
IS
1
2,100.00
1
Total Change Order No. 1
$15,750.00
Change Order No. 2 - Drainage
Part A - 3501 Wisconsin Avenue
163
Mobilization
IS
1
1,500.00
1
1,500.00
164
12" PVC, SDR 35
LF
195
19.50
202
3,939.00
165
12" PVC perforated drainage pipe with
aggregate base & geotextile fabric
LF
200
19.05
221
4,210.05
166
MH 4' dia. w/R1642 frame type C grate
EA
1
1,060.00
1
1,060.00
34144.RFP
RP -6
34144.RFP RP -7
Contract
Unit
Quantity
Amount
No. Item
Unit
Quantity
Price
To Date
To Date
167 Yard drain 2' dia. w/R1642 frame type
C grate
FA
3
597.00
2
1,194.00
168 Connect to existing CBMH
EA
1
310.00
1
310.00
169 Remove existing concrete driveway pvtnt
SY
60
8.00
94.61
756.88
170 6" thick concrete driveway pavement
SY
60
23.00
94.61
2,176.03
171 Sod with existing topsoil
LP
900
2.00
172 Topsoil borrow
CY
80
8.56
173 Shape drainage Swale
LS
1
1,065.00
1
"Total Part A - 3501 Wisconsin Avenue
$16,210.96
Part B - 9209 Northwood Parkway
174 Mobilization
I-S
1
1,500.00
1
1,500.00
175 12" PVC perforated drainage pipe with
aggregate base & geotextile fabric
LF
230
19.05
207
3,943.35
176 Yard drain 2' dia. w/R1642 frame type
C grate
I
2
597.00
3
1,791.00
177 Connect to existing CBMI-i
GA
1
310.00
1
310.00
178 Sod with existing topsoil
LF
600
2.00
179 Topsoil borrow
CY
30
8.50
180 Shape drainage swale
I S
1
1,000.00
1
— 1..000.0(1__
Total Part B - 9209 Northwood Parkway
$8,544.35
Total Part A - 3501 Wisconsin Avenue
16.210.96
Total Part B - 9209 Northwood Parkway
__._.__..
8-544.35
"Total Change Order No. 2 - Drainage
$24,755.31
34144.RFP RP -7
No. Item
Total Part A - Street Reconstruction
Total Part I3 - Driveway Reconstruction
Total Part C - Northwood Pkwy, 32nd Av
& 32nd Circle Driveway Reconstruction
Total Part D - Northwood Parkway
Sanitary Sewer
Total Part L - Water Main Reconstruction
Total Part F - Sanitary Sewer Repairs
Total Part G - Storm Sewer
Total Part I-I - Backyard Drainage
Total Change Order No. I
Total Change Order No. 2
Total Work Completed to Date
Unit
Contract Unit
Quantity I'rice.
Quantity Amount
To Date To Date
719,103.52
74,808.85
30.031.76
355,705.73
45,843.93
72,408.11
412,774.73
29,547.20
15,750.00
_. - -_. - 24_754 31, --
$1,780,729.14
34144.RPP RP -8
PROJECT PAYMENT STATUS
Owner
City of New I -lope
Project
1992 Street Resurfacing
Project No.
485
File No.
34144
Contractor
Richard Knutson Inc.
CRANGE ORDERS
No. Date
Amount
1 2 -23 -93 Fabric & hydrant relocation
$15,750.00
2 5 -14 -94 Drainage improvements (q) 3501
Wis Avenue & 9209 Northwood Pkwy
$27,523.80
3
Total Change Orders - Add
$43,273,80
PAYMENT SUMMARY
No. Period
Payment
Retainage
Completed
1 Start 8 -31 -92
$225,172.80
$11,851.20
$237,024.00
2 8 -31 -92 10 -13 -92
384,336.26
32,079.42
641,588.48
3 10 -13 -92 11 -3 -92
519,701.02
59,432.11
1,188,642.19
4 11 -3 -92 1 -13 -93
177,192.69
68,758.04
1,375,160.81
5 1 -13 -93 2 -23 -93
1,938.00
68,860.04
1,377,200.81
6 2 -23 -93 3 -1 -93
14,962.50
69,647.54
1,392,950.81
7 3 -1 -93 6 -10 -93
242,583.33
82,415.08
1,648,301.68
8 6 -10 -93 7 -8 -93
96,861.54
87,513.06
1,750,261.20
9 7 -8 -93 8 -10 -93
19,000.00
88,513.06
1,770,261.20
10 8 -10 -93 9 -9 -93
53,107.84
35,405.22
1,770,261.20
11 9 -9 -93 10 -18 -93
4,826.45
35,503.72
1,775,186.15
12 10 -18 -93 11 -9 -93
2,918.88
35,563.29
1,778,164.60
13 11 -9 -93 2 -14 -94
38,127.83
0.00
1,780,729.14
Total Payment to Date
$1,780,729.14
Original Contract
1,711,360.55
Retainage, Payment No. 13 & Final
0.00
Change Orders
43,273.80
"Total Value Completed
$1,780,729.14
Revised Contract
1,754,634.35
34 144. RFP RP -9
?%Fo`m� 1�g�
IC -134
Rev. 11/90
437
Minnesota Department of Revenue
Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or any of its subdivisions can make final pa to contractors.
Company name
Richard Knutson, Inc.
Address
12585 Rhode Island Ave So.
City State Zip Code
Savage MN 55378
Please type or print clearly above. This will be your
m ailing label for returning the completed form.
Telephone number
( 612 890 -8811
Did you have employees work on this project? yes
If none, explain who did the work:
Minnesota to number
7319476
Month /year work began
7/92
Month /year work ended
11/93
Total contract amount:
17
Amount still due:
38,127.83
Project number:_6ity_ Pro ect485
_Projegfocation ;19.9 Local Street, Resurfac
Proiectowner. Citv of Ne , Hone
Address DeW (- HbP' eri r MN
Check the box that describes your involvement in the project and fill in all information requested in that category:
❑ Sole contractor
❑ Subcontractor
E2XPrime Contractor
If you are a subcontractor, fill in the name and address of the contractor that hired you:
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 Owne /Office
M onarch Turf & S upply 13481 No. 60th S tree t Stillwater, MN 55082
CR Fischer & Sons Inc. 3438 W. 151st St., Rosemount, MN 55068
Mids Reclamation, Inc. 12515 Pennsylvania Ave., Savage, PIN 55378
M idw es t Asphalt Cor P.O. Box 5477 Hopkin MN 553
Jay Brothers, Inc. 2209 Phelp Rd., H ugo, MN 55038
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,
/ a s1, a1u he pr / con I am a subc an d to a Title am a rime c ontractor, and to t he contractin agenc
sub co ntr actors if I . _ — _ g y,
Contractor
Date
T 3/4
For certification, mail original and one copy 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.
Sc,nature,tjf authorttf De it ent o u ti — —
Date
Stock No. 5000134
From : MONARCH TURF
0
IC- 134
nov. 11/90
PHONE No. : 612 486 0660 Mar. 1Q 1994 3:22PM F`011
Minnesota Department of Aevenuo
Withholding Affidavit for Contractors
Thic affidavit must b4) approved by thG Minnesota Dopattmrvit of Ravanim hAinrA the
Stato of Minno .rats any of its subdIvisions can make ��ntto qqqa
t ctorr.-
T,
Mirinesols ID numbor
T Turf and Landscape 42-&-94t`
1 13481 1 60th Straot m.rwiym,, wwl trepan
Stillwater, M%T 35082 10--9
stt%ti, yip tW" MgMI,+tVolty work ended
1 type Cx prini CIV-06y *hove. Th.1a MP be your
f1r1,-0V.n9 13IM41 itf YOtLIV'4ng that CQMP1qM&d f6riffi.
1'41.ptlonp numbor
Ox! you 11"wo onlployocm wor On thIs rlojoc!7
it IIXI{t, CKPIaln wt did tits wwk-
No—g pelforraed by partnerG
. 92 ° 7 Q-.— -
I MOO WIWI Mum:
Afownt still due;
.$
I
Northwood Parkway/ W-V Popp
Addiess
Check the b0X tha'descrIbe.9 your Involve In the project and fill in au information requested in that calegary:
L sole comractoi
"X: Subcontractor it ye.0 at v a tpjbuut ti actor, fill in the name and addre-B's of 016 contractor fiat Krod you
Richard imutson Corifstruutfuii Cu. r Iric. 12507, Rhode
5 5 3 7 8
Pflme Contravtor If you sut)C-Vi11TakAL1d out any vvoik on thI5 project, a: of your subcontractort, must file tho'r own
IC-i34 alfldavlhi d10 hdvtt thdlo (;eilillRd by the Depatti of Plevenu6 bcfott YOU VIM file your
tifildavit. Fur ea i you had, fill in the bvr>1rwe6r, information 6 and attnoh n 00py
of f-ach subcontractors ce IC: -1 34. (If you need more space, attaol i a saparate tll eet-')
Duslflec-"3 nallw Address Ownpr/Offkor
PI. Oeq',';. twulro tat Pnvc�n.uo to d4 km-kc# rArtimint information falafloig to this pro)@r Imiuding vending Coplo� of Ois fnrr-,,
11�v ILAt A p1ma '
aomtmoioc, 0A01 .. 01 n �tf Min ft e-.ro ,
AP . -2
F or mail original and one copy to;
05 0, c - r � t ti,
��
- =Derdi i fi ' ne t of rievenue, Butih tess Tani Tax Section
Mail staiiuii 6610, St. Paul, MN 55140-613,10
Ctp-rtlijCato of Compliance with Minnesota Inn omit Tax Withholding Law
l3ased on, records r�', ti ie Mirtnesoti Departniont of Revenue, I certify that the contraMor who has stgns(i lhlq cortificstOl hag
- -
luffilled all tho requiiements of KMr1p,5oLa Statutes 290 92 and 299.97 conceming the withholding of Min inc tax from
a;aq,n paid to employee- MlEjfing i.0 co! wrvices with the state of Minne-. and/or Its subdivisior.s.
rl t'roa »d
1 RECEIVED SEP 21
F
IC -134 Minnesota Department of Revenue
Rev. 11/90 Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesot or a ny of its subdivision can make fi pa to contractors.
Company name Minnesota ID number
MidState Reclamation, Inc. 17195
Address Month /year work began
12515 Pennsylvania Ave. 8/92
City State Zip Code Month /year work ended
s MN 55378 9/92
Please type or print clearly above. This will be your Total contract amount:
mailing label for return th e complete form 10,332.50
Telephone number Amount still due:
( 612) 89 -6795 0
Did you have employees work on this project? Yes Pro*e num ber : 4 3 7
If none, explain who did the work: Project location: New _ Hope , MN _
Project owner: Richard Kni Inc
Address 12585 Rhode Island Ave. So.
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
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.
- - - - - -- — — - - - - -- - --
ignature of authorized Department of Revenue official
S Date
- - --
Stock No. 5000134"
RFCFIVEDJAN05 1994
Form
Form Minnesota Department of Revenue
Rev. 11/90 Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or anv of it s subdivisions can make final oavment to contractors.
Company name
Minnesota ID number
MIDWEST ASPHALT CORPORATION
7252554
Month/year work began
Address
PO BOX 5477
September 1992
Month/year work ended
City State Zip Code
HOPKINS MN 55343
October 1993
Please type or print clearly above. This will be your
mailing label for returning the completed form.
Total contract amount:
$ 434 529.75
Telephone number
Amount still due:
i 612 ? 937 -8033 FAX (612) 9 37 -6910
$ 51,774.22
Did you ha'v'e Chic
If none, explain who did the work:
Prnin r number:
1992 L ocal St ree t I m_prp -, m_ nt s 41
Project location:
New Hope, MN —
Project owner:
City of New Hope
Yes
Address 4401
Xylon Ave., N., New Hope, MN 5
Check the box that describes your involvement in the project and fill in all information requested in that category:
❑ Sole contractor
Nk Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you:
Richard Knutson. Inca 12585 Rhode Island Avenue South, Savage. MN
❑ 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 IC434. (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.
Contra ors signature Title Date
r; Vice President December 23, 1993
For certification, mail original and one copy to:
:a Department of Revenue, Business Trust Tax Section
Mail Station 6610, St. Paul, MN 55146 -6610
485
5428
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 a 'zed Department of Re vial a Date
DEC
Stock No. 5000134
59
Form
IC -134
Rev. 11/90
R F G E IVES JAN 05 1994
Minnesota Department of Revenue
Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
Stntp of Minnesota nr anv of its suhrfivisinn z can makp final navmpnt tn cnntractnrs-
Company name
Minnesota 10 number
MIDWEST ASPHALT CORPORATION
7252554
Month/year work began
Address
PO BOX 5477
September 1992
Month/year work ended
city State Zip Code
HOPKINS MN 55343
October 1993
Please type or print clearly above. This will be your
mailing label for returning the completed form.
Total contract amount:
$ 434 529.75
Telephone number
Amount still due:
( 612 ) 937 -8033 FAX (612) 9 37 -6910
$ 51,774.22
Did you hwve 3imployeec .vo. or.. this project?
If none, explain who did the work:
froiect numb
1992 Local St I �l
Project location:
New Hope, MN
Project owner:
City of New Hope
Yes
Address 4401
Xylon Ave., N., New Hope, MN 5
Check the box that describes your involvement in the project and fill in all information requested in that category:
❑ Sole contractor
Qk Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you:
Richard Knutson. Inca 12585 Rhode Island Avenue South. Savaae. MN
❑ 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 yob had, fill in the business information below, and attach a copy
of each subcontractor's certified IC434. (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 orime contractor if I am a subcontractor, and to any subcontractors if I am a orime contractor. and to the contracting aaencv.
Contra or's signature Title Date
Vice President December 23, 1993
For certification, mail original and one copy to:
:a Department of Revenue, Business Trust Tax Section
Mail Station 6610, St. Paul, MN 55146 -6610
MR
5428
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 y0 Department of Revaauseicial r Date
--- Y- °������ - - - - -- _ ___ ----------- - - - - -- - - - - - -- D EC 9 x'.1993
Stock No. 5000134
DEC
' f k
Form
IC -134
Rev. 11/90
m
RE CE I VED OCT 051
Minnesota Department of Revenue
Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or any of its subdivisi ca n make final payment to contractors.
Company name
Jay Bros., Inc.
Address
2209 Phelps Road
City State Zip Code
Hug MN 55038
Please type or print clearly above. This will be your
mailing label for returning the completed for
Telephone number
( 612) 429 4363
Did you have employees work on this project? yes
If none, explain who did the work:
Minnesota to number
6964154
Month /year work began
August 1992
Month /year work ended
August 1992
Total contract amount:
3,160.00
Amount still due:
158.00
_Project numbe
Project loca Ne Hope M
Address New Hope MN
Check the box that describes your involvement in the project and fill in all information requested in that category;
❑ Sole contractor
ON Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you:
Richard Knutson _Inc. _- _12585_ Rhode __1s,land Avenue South _Sava MN 5 5378
El Prime Contractor If you subcontracted out any work on this ro'ect all of our subcont t Cl 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 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 subcontr if I am a prime contr and to the c ontracting agenc
- - --- - - -- - - - _
Contractor's signature Title Date
Sec /Treas Se 22, 1 993
For certification, mail original and one copy 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 uthorized Department of Revenfficial Date
Stock No. 5000134
p f y raC ors must l e t felr 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.)
B name Address Owner /Officer
Form
1C.1 34
Rev. 11/90
Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or an of its subdivisions can make final payment to contractors.
Company name
Jay Bros., Inc.
Address
2209 Phelps Road
City State Zip Code
Hugo MN 55038
Minnesota to number
6964154
Month/year work began
August 1992
Month/year work ended
August 1992
Please type or print clearly above. This will be your
mailing label fo returning the completed form.
Total contract amount:
3 ,160.00
Telephone number
(612 ) 429 4 363
Amount still due:
158.00
Did you have employees work on this project? yes
If none, explain who did the work:
Project num
Project location: New Hope MN
Projectowner• City of New Hope
Address New Hope MN
Check the box that describes your involvement in the project and fill in all information requested in that category:
Sole contractor
E3 Subcontractor If you are a subcontractor, fill in the name and address of the contractor that hired you:
Richard_ Knutson Inc. 12585 Rhode _Islan Avenue Sou th_ Savage MN 55378
❑ 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
RE CEIVED OCT 051993`
o Minnesota Department of Revenue
t 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,
blithe pri contractor if I am a subcontracto and to any subcontractors if I am a prime c ontractor, and to the contracting a
Contractor's signature Title
Date
�� - - - -- -- Se / Trews _ September 22, 1993
For certification, mail original and one copy 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 9yuthorized Department of Revenue tficial Date
r
Stock No. 5000134
n4
1994
Form �'�
Form Department of Revenue
Rev. 11/90 W ithholding f i vi for C ontracto rs
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or an of its subdivisions ca make final pa to contractors.
Company name Minnesota to number
(4nL(
Address Month /year work began
�' \ U r }} 3 C .
city State Zip Code Month /year work ended n
Please type or print clearly above. This will be your Total contract amount.
mailing label for returning the completed form v c
Telephone number Amount still due:
Did you have employees work on this project? Project number. �_�
Project location: )1-s � y)z-
If none, explain who did the work:
—�-
Address k
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:
Yl c . 1 �� ) 4>c ( i1 ?, (- TL
❑ 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 rime contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency_ _
-- -- - P - - -- - - - -- - - - _
Contractor 's (� Title Date
For certification, mail original and ohe copy 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.
of Re nue offic" I uate
FEB .18 1
Stock No. 5000134
° 1l E C V ED MAR 0 2 1994
rm
IC -134 Minnesota Department of Revenue
Rev. 11/90 t Withholding Affidavit for Contractors 0
This affidavit must be approved by the Minnesota Department of Revenue before the
State of Minnesota or any of its subdivisions can make final pa yment to contractors.
Company name Minnesota ID number
Address Month/year work began
34M W
City State Zi Code Monthtyear work ended (� nn
Please type or print clearly above. This will be your Total contract amount:
mailing label for returning the completed form. O ��
Telephone number Amount still due: ,�,,' �.j �}
f 1 ' t,:
Did you have employees work on this project?
If none, explain who did the work:
1.�
Address �f=EO 1 K V j on f-U)
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:
r \ I ch C l 1.61 1 n l (�jr— -Cn c j ` � j1 f ^� .1 G I1 d OtQ-e -- ,
❑ 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 na A ddress Owner /Off
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 rp ime contractor if I am a sub contractor, and to any subcontractors if I am a prime contractor, and to the contracting agency
Contractor's signature Title Date
For certification, mail original and o�e copy 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 thori�ed Departm tot Re �ohic ' � D ate
UU FEB 1 999
Stock No. 5000134
8onestroo
Bidde
® Rosene
Total Base Bill
Address Telephone No.
Anderiik
Associates s
�"`
City, State, Zip Faz. No.
FRED SIMS AND MEADOW LAKE PARK
PLAYGROUND EQUIPMENT AND SITE IMPROVEMENTS
PROJECT NO. 495
FILE NO. 34142
NEW HOPE, MINNESOTA
June 3, 1992
Opening Time: 11 :30 A.M., C.D.S.T.
Opening Date: Monday, June 8, 1992
Handicap Access Ramp: The plans and specifications require the "Handicap Access Ramp"
to be constructed at a 12:1 slope (8.33 %). The "Handicap Access Ramp" shall be
constructed at a 20:1 slope (5 %) to comply with the Americans with Disabilities Act (ADA).
Section 0231.3. MATERIALS: A "Space Out Climber" (Game Time No. 6485) shall be
constructed at Fred Sims, not a "Space Cube" (Game Time No. 3031) as listed under
Separate Items.
BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC.
2335 WEST TRUNK HIGHWAY 36
ST. PAUL, MINNESOTA 55113
34142.ADD
FRED SIMS AND MEADOW LAKE PARK PLAYGROUND EQUIPMENT
PROJECT NO. 495
FILE NO. 34142
NEW HOPE, MINNESOTA
1992
0231.
Recreational Facilities - Specific & General Requirements
2104.
Removing Miscellaneous Structures - Specific & Gen'l. Requirements
2105.
Excavation and Embankment - Specific & General Requirements
, 2211.
Aggregate Base - Specific & General Requirements
2331.
Plant Mixed Bituminous Pavement Specific & General Requirements
0411.
Modular Block Retaining Wall - Specific & General Requirements
2575.
Turf Establishment - Specific & General Requirements
24,000.
Sewers - Specific Requirements
Conditions of the Contract
Date: MI(V 28,1992 Reg. No. 14260
RM
IPA
Sealed bids will be received by the City of New Hope, Minnesota in the City Hall at 4401
Xylon Avenue until 11:30 A.M., C.D.S.T. on Monday, June 8,1992, 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:
tv 18W07MR
LUMP SUM Furnish and Install Playground Equipment with
Miscellaneous Site Imrovements and Correlated
Appurtenances.
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 Aew 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 checi
Contractors desiring a copy of the plans and specifications and proposal forms may obtain
them from the office of Bonestroo, Rosene, Anderhk & Associates, Inc., upon payment of
a deposit of $25.00. See "Information to Bidders"' for plari/specification deposit refund
policy.
i W ' OT-WW"All
of the City.
1. BID PROC.EDURE Each planholder has been furnished a specification, plan set and
two extra proposals. Bids shall be submitted on the sepaiate Proposal Form designated
"BID COPY" and Ile 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 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 riot 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 (if plans and specifications only, to those
planholders who return plans and specifications at least 48 ours before the bid-letting hour.
3. INDIVID1 JAI.. DRA"NINGS AND spL_(IFICATION 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 ($025) per sheet of specifications for which no refund will
be made.
Eonestroo
Rasene
Bidder Arrigoni Brothers Company Total Base Bid $55,45Q.OQ
WIN �
Address 817 Vandalia Street Telephone No. 645 -9321
Anaerk
Associ
"M ""
City, State, Zip St. Paul, MN 55114 Fax. No. 645 -9323
PROPOSAL
FRED SIMS AND MEADOW LAKE PARK
PLAYGROUND EQUIPMENT AND SITE IMPROVEMENTS
PROJECT NO. 495
FILE NO. 34142
NEW HOPE, MINNESOTA
1992
Honorable City Council
City of New Hope
4401 Xylon Avenue North
Minneapolis, Minnesota 55428
Dear Council Members:
Opening Time: 11:30 A.M., C.D.S.T.
Opening Date: M o n day, June 8, 1992
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. _Q_ 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 5511.3, as follows:
No. Item Unit Qty Unit Price Total Price
Part 1 - Fred Sims
1 Furnish & install playground structure
with handicap access ramp EA 1 $13,000.00 $13,000.00
2 Furnish and install tire swing EA 1 1,150.00 1,150.00
3 Furnish and install space arch climber EA 1 620.00 620.00
4 Furnish and install 3 leg swing -
2 sections w /2seats /section (1
enclosed tot seat) 8' high EA 1 1,450.00 1,450.00
34142.PRO P -1
No. Item
5 Furnish and install police car
6 Furnish and install backhoe digger
7 Sand cover & spread existing sand
8 Class 5 100% crushed aggregate base
9 Type 41 bit. wear course (2" thick)
10 Bituminous material for mixture
11 Topsoil borrow
12 Sod
Total Part 1. - Fred Sims
Part 2 - Meadow Lake
13 Remove existing bituminous surface
14 Remove existing playground equipment
15 6" PVC perforated drain pipe w /geotextile
fabric Type I & coarse filter aggregate
16 Gcotextile fabric, Type V
17 Common excavation
18 Modular block retaining wall (beige)
19 Class 5 100% crushed aggregate base
20 Type 41 bit. wear course (2" thick)
21 Furnish and install 6' bench w /back
22 Furnish & install playground structure
w /handicap access ramp
23 Furnish and install tire swing
24 Furnish and install space arch climber
Unit
Qty
Unit Price
Total Price
EA
1
$ 820.00
$ 820.00
EA
1
400.00
400.00
CY
60
5.00
300.00
TN
30
25.00
750.00
TN
20
70.00
1,400.00
TN
2
150.00
300,00
CY
15
10.00
150.00
SY
200
4.00
800.00
EA
1
13,000.00
$21,140.00
SY
10
$ 10.00
$ 100.00
LS
1
200.00
200,00
LF
100
5.00
500.00
SY
580
1.00
580.00
LS
1
2,000.00
2,000.00
SF
500
13.00
6,500.00
TN
45
22.00
990.00
TN
20
70.00
1,400.00
EA
2
350.00
700.00
EA
1
13,000.00
13,000,00
EA
1
1,150.00
1,150.00
EA
1
620.00
620.00
34142TRO P-2
No. Item Unit Qty Unit Price Total Price
25 Furnish and install 3 leg swing -
2 sections w /2seats /section (1
enclosed tot seat) 8' high
20 Furnish and install police car
27 Furnish and install backhoe digger
28 Sand cover
29 Topsoil borrow
30 Sod
Total Part 2 - Meadow Lake
Total Part 1 - Fred Sims
Total Part 2 - Meadow Lake
Total Base Bid
EA
1
$1,450.00
EA
1
820.00
EA
1
400.00
CY
180
15.00
CY
100
10.00
SY
400
3.00
$ 1,450.00
820.00
400.00
2,700.00
1,000.00
$34,310.00
$21,140.00
$34.31 -W
$55,450.00
34142TRO P -3
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 amount 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 Corporation)
Arrioni Brothers Company (An Individual)
Name of Bidder ( Partnershinl
(Signed) Dennis J. Arrigoni
Signer
President
Title
Dennis J. Arri oni
Printed Name of Signer
34142.PRO P -4
(INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGMENT)
STATE OF
COUNTY OF
ss
On the day of ' 19 before me,
a Notary Public within and for said county, personally appeared,
to me known to be the person(s) described in and who executed the foregoing instrument, as Principal(s), and ac-
knowledged to me that ,h executed the same as _h free act and deed.
Notary Public,
(Notarial Seal)
STATE OF M "
CORPORATE ACKNOWLEDGMENT
COUNTY OF
ass
On the day of /V E ' 19 -- ,before me
personally appeared - t r' , n r
to me known, who being by me duly sworn, did depose and say: that he resides in y - t; I" ki
that he is the p resident of the r 5 ®n . 1 �a'r (7
the corporation described in and which executed the foregoing instrument; that he knows the seal of said corpo-
ration; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board
of directors of said corporation; and that he signed his name ereto by like order.
I E . ALLEN
L NOTARV Puat.sc - r; ^Rr N'2SCTA
my Commission Fxplres duly 17,1 1 4 1 00 - 1
(Notarial Seal)
County,
My commission expires
Notary Public,
County,
My commission expires
ACKNOWLEDGMENT OF CORPORATE SURETY
STATE OF Minnesota )
COUNTY OF Ramsey ) ss
On this
16th
day of June '19 92 _ , before me
appeared Kurt e. Lund
to me personally known, who being by me duly sworn, did say that he is the aforesaid officer or attorney in fact
of the UNITED FIRE & CASUALTY COMPANY a corporation; that.,,the seal affixed to the foregoing instrument
is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corpora-
tion by the aforesaid officer, by authority of its board of directors; and the aforesaid officer acknowledged said
instrumen CpvH8 STI #� M g �@SEN aid corporation.
_r ... Rtf iil �.S7t6�Y: M. S��i'9JCSV
N OTARY PUBLIC-ftRINNES01A
' 6; A SEY �''�`` Notary Public,
p. My colPl!?:issson Exptfes
,U list 19, 199< County,
(Notarial Seal) My commission expires
UND - 2067 b (9 -78)
UNITED FIRE & CASUALTY COMPANY
_......_ HOME OFFICE — CEDAR RAPIDS, IOWA
CERTIFIED COPY OF POWER OF ATTORNEY .
(Original on file at Home Office of ompany — ee er i tca t
KNOW ALL MEN BY THESE PRESENTS, That the UNITED FIRE & CASUALTY COMPANY, a corporation duly
organized and existing under the laws of the State of Iowa, and having its principal office in Cedar Rapids, State of
Iowa, does make, constitute and appoint D.R. Dougherty, or Jack Cedarleaf II, or Jimmy G.
Cedarleaf, or R.J. Larsen, or E. Lange, or Christine M. Hansen, or Kurt C. Lundblad,
or C.A. Housh, All Individually.
of St. Paul, Minnesota
its true and lawful Attorneys) -in -Fact with power and authority hereby conferred to sign, seal and execute in its behalf
all lawful bonds, undertakings and other obligatory instruments of similar nature as follows:
- -Any and all bonds --
and to bind UNITED FIRE & CASUALTY COMPANY thereby as fully and to the same extent as if such instruments
were signed by the duly authorized officers of UNITED FIRE & CASUALTY COMPANY and all the acts of said
Attorney, pursuant to the authority hereby given are hereby ratified and confirmed.
The Authority hereby granted shall expire January 8 19 9 unless sooner revoked.
This power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted
by the Board of Directors of the Company on April 18, 1973.
"Article V — Surety Bonds and Undertakings."
Section 2, Appointment of Attorney -in -Fact. "The President or any Vice President, or any other officer of the Company, may,
from time to time, appoint by written certificates attorneys -in -fact to act in behalf of the Company in the execution of policies of
insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and
the Corporate seal, may he affixed by facsimile to any power of attorney or special power of attorney or certification of either
authorized hereby; such signature and seal, when so used, being adopted by the Company as the original signature of such officer and
the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually
affixed. Such attorneys -in -fact, subject to the limitations set forth in their respective certificates of authority shall have full power to
bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The
President or any Vice President, the Board of Directors or any other officer of the Company may at any time revoke all power and
authority previously given to any attorney -in -fact,
IN' WITNESS WHEREOF, the UNITED FIRE & CASUALTY COMPANY has caused these
;4 } "" � _ presents to be signed by its vice president and its corporate seal to be hereto affixed this
f CORPORATE` 8th day of January , A.D. 19 92
, BBAL UNITED FIRE & CASUALTY COMPANY
By ),� V?cVeAn'
State of Iowa, County of Linn, ss:
On this 8th day of January 1992 , before me personally came Maynard L. Hansen
to me known, who being by me duly sworn, did depose and say: that he resides in Cedar Rapids, State of Iowa; that he
is a Vice President of the UNITED FIRE & CASUALTY COMPANY, the corporation described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such
corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that
he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said
corporation.
oz ► "' ` °� R.G. HECKROTH Notary Public
MY COMMISSION EXPIRES
December 10, 1992 i My commission expires Dec. 10 ,19 92
RA W
CERTIFICATION
I, the undersigned officer of the UNITED FIRE & CASUALTY COMPANY, do hereby certify that I have compared
the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By -Laws of said Company
as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and
that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney
has not been revoked and is now in full force and effect.
� " In testimony whereof 1 have hereunto subscribed my name and affixed the cor-
cASU a,
r1 ~ ��Y- porate seal of the said
E CORPORATE
$SAL Company this 16th day of June 19 92
Secretary
(INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGMENT)
STATE OF
COUNTY OF
ss
)
On the day of , 19 before me,
a Notary Public within and for said county, personally appeared,
to me known to be the person(s) described in and who executed the foregoing instrument, as Principal(s), and ac-
knowledged to me that _he_ executed the same as ,h free act and deed.
Notary Public,
County,
(Notarial Seal) My commission expires.
CORPORATE ACKNOWLEDGMENT
STATE OF v „ t )
COUNTY OF f ° � - Q °` l ss
On the day of "` —� ``— , 19 before me
personally appeared ! : A
to me known, who being by me duly sworn, did depose and say: that he resides in
that he is the p resident of the y Y_ a r a_
the corporation described in and which executed the foregoing instrument; that he knows the seal of said corpo-
ration; that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the board
of directors of said corporation; and that he signed his narn hereto by like order.
CORI NE M. ALLEN
�i �C}Tl1RY PUBLIC h "9EJ�tStBTA
M S COUN
�y Commission E -v1res July 17. 599`7
(Notarial Seal)
Notary Public,
County,
My commission expires
ACKNOWLEDGMENT OF CORPORATE SURETY
STATE OF Minnesota
ss
COUNTY OF Ramsey )
On this 16th day of June ' 19 92 before me
appeared Kurt c. Lundblad
to me personally known, who being by me duly sworn, did say that he is the aforesaid officer or attorney in fact
of the UNITED FIRE & CASUALTY COMPANY a corporation; that.,the seal affixed to the foregoing instrument
is the corporate seal of said corporation, and that said instrument was signed and sealed in behalf of said corpora
tion by the aforesaid officer, by authority of its board of directors; and the aforesaid officer acknowledged said
instrument to be the free act and deed of said corporation.
C1-11-'1ST1i t Iva. ,i.fiti a
WARY Pt9�w &� €41f�1�t St�TR Z��
(� P} cb'Ly x:`311 TY
MnBt 19 92
UND - 2067 b (9 -78)
Notary Public,
County,
My commission expires
UNITED FIRE & CASUALTY COMPANY
HOME OFFICE — CEDAR RAPIDS, IOWA - -
Un CERTIFIED COPY OF POWER OF ATTORNEY .
(Original on file at Home Office of Company — See Certification)
KNOW ALL MEN BY THESE PRESENTS, That the UNITED FIRE & CASUALTY COMPANY, a corporation duly
organized and existing under the laws of the State of Iowa, and having its principal office in Cedar Rapids, State of
Iowa, does make, constitute and appoint D.R. Dougherty, or Jack Cedarleaf II, or Jimmy G..
Cedarleaf, or R.J. Larsen, or E. Lange, or Christine M. Hansen, or Kurt C. Lundblad,
or C.A. Housh, All Individually.
of St. Paul, Minnesota
its true and lawful Attorney(s) -in -Fact with power and authority hereby conferred to sign, seal and execute in its behalf
all lawful bonds, undertakings and other obligatory instruments of similar nature as follows:
- -Any and all bonds --
and to bind UNITED FIRE & CASUALTY COMPANY thereby as fully and to the same extent as if such instruments
were signed by the duly authorized officers of UNITED FIRE & CASUALTY COMPANY and all the acts of said
Attorney, pursuant to the authority hereby given are hereby ratified and confirmed.
The Authority hereby granted shall expire January 8 19 94 unless sooner revoked.
This power of Attorney is made and executed pursuant to and by authority of the following By -Law duly adopted
by the Board of Directors of the Company on April 18, 1973.
"Article V — Surety Bonds and Undertakings."
Section 2, Appointment of Attorney -in -Fact. "The President or any Vice President, or any other officer of the Company, may,
from time to time, appoint by written certificates attorneys -in -fact to act in behalf of the Company in the execution of policies of
insurance, bonds, undertakings and other obligatory instruments of like nature. The signature of any officer authorized hereby, and
the Corporate seal, may be affixed by facsimile to any power of attorney or special power of attorney or certification of either
authorized hereby; such signature and seal, when so used, being adopted by the Company as the original signature of such officer and
the original seal of the Company, to be valid and binding upon the Company with the same force and effect as though manually
affixed. Such attorneys -in -fact, subject to the limitations set forth in their respective certificates of authority shall have full power to
bind the Company by their signature and execution of any such instruments and to attach the seal of the Company thereto. The
President or any Vice President, the Board of Directors or any other officer of the Company may at any time revoke all power and
authority previously given to any attorney -in -fact.
IN WITNESS WHEREOF, the UNITED FIRE & CASUALTY COMPANY has caused these
presents to be signed by its vice president and its corporate seal to be hereto affixed this
CORPORATE 8th day of January A.D. 19 92
SEAL UNITED FIRE St CASUALTY COMPANY
oil 666111
By V
State of Iowa, County of Linn, ss:
On this 8th day of January 19 92 , before me personally came Maynard L. Hansen
to me known, who being by me duly sworn, did depose and say: that he resides in Cedar Rapids, State of Iowa; that he
is a Vice President of the UNITED FIRE & CASUALTY COMPANY, the corporation described in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such
corporate seal; that it was so affixed pursuant to authority given by the Board of Directors of said corporation and that
he signed his name thereto pursuant to like authority, and acknowledges same to be the act and deed of said
corporation.
R.G. HECKROTH Notary Public
MY COM MISS I ON ember 10, EXPIRES ; M commission e Dec. 10 ,19 92
* • December 10, 1992 y p
CERTIFICATION
I, the undersigned officer of the UNITED FIRE & CASUALTY COMPANY, do hereby certify that I have compared
the foregoing copy of the Power of Attorney and affidavit, and the copy of the Section of the By -Laws of said Company
as set forth in said Power of Attorney, with the ORIGINALS ON FILE IN THE HOME OFFICE OF SAID COMPANY, and
that the same are correct transcripts thereof, and of the whole of the said originals, and that the said Power of Attorney
has not been revoked and is now in full force and effect.
,N,�:trr►�, In testimony whereof I have hereunto subscribed my name and affixed the cor-
AN k''� porate seal of the said
�� CORPORATE ��
BSAL E Company this 16th day of June 19 92
�+ RYM6• `pip
! !!ltpNP
Secretary
.i X21
B—esfr.o
MEADOW LAKE PARK Flosene
MAYMOtM W"OYSAMM
Associates SL P..t Uf-f.
MY FFONECT No. 405
�n
a
1 8
IN
r
R
O
~ o
...... . ...
.
251
77
�R
CJ J 0
NEW
HOPE, MINNESOTA
B—esfr.o
MEADOW LAKE PARK Flosene
MAYMOtM W"OYSAMM
Associates SL P..t Uf-f.
MY FFONECT No. 405
1!
NEW HOPE, MINNESOTA
FFM SW PARK
R AYCAOM WOVEMEN 8
CRY "M ECP P! 40
Bonesfroo
mom Rosene
Ander!!k $
Associated
614- n & Archlt-l.
B4 PAW, Mlnnsnb
Mpwe4 M'Ibdwln
q
RODUCER
Zothschild Bell & Walseth, Inc
?.O. B 7128
3t. Paul, MN
55107 -0128
HONE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
--------------------------------------------------------------------- - - - - --
COMPANIES AFFORDING COVERAGE
-------------------- --- --------- ------------------- ---------------------------------------------------------------------------
NSURED COMPANY LETTER A Western National Ins. Co.
---------------------------------------------------------------------------
krrigoni Brothers Co mpany COMPANY LETTER B
)enn i s Arr i gon i - -------------------------------------------------------------------
317 Vandalia Street COMPANY LETTER C
;t. Paul MN ---------------------------------------------------------------------------
i5 114 COMPANY LETTER D
COMPANY LETTER E
:OVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES.
-------------------------------------------------------------------------------------------------------------------------------
TYPE OF INSURANCE I POLICY NUMBER POLDATEEFF I POLDATEEXP I LIMITS
- -------------------------------
GENERAL LIABILITY
1 [XJ COMPREHENSIVE FORM
[XI PREMISES /OPERATIONS
[ I UNDERGROUND EXPLOSION
& COLLAPSE HAZARD
[X) PRODUCTS /COMPLETED OPER.
EX) CONTRACTUAL
[X1 INDEPENDENT CONTRACTORS
[XI BROAD FORM PROPERTY DAMAGE
CM PERSONAL INJURY
. I AUTOMOBILE LIAB
rXi AuY AUTO
1[ I ALL OWNED AUTOS (PRIV PASS)
I[ I ALL OWNED AUTOS (OTHER THAN
PRIV PASS)
1[X1 HIRED AUTOS
([XI NON-OWNED AUTOS
[ ) GARAGE LIABILITY
I
-------------------------------
EXCESS LIABILITY
[XI UMBRELLA FORM-
[ I OTHER THAN UMBRELLA FORM
WORKERS' COMP
AND
EMPLOYERS' LIAB
-------------------------------
OTHER
BP 6206
07/01/9207/01/93
--------------- --- --
BODILY INJURY OCC.
BODILY INJURY - AGG_
PROP. DAMAGE OCC.
PROP. DAMAGE AGG.
-------------------
BI & PD COMB. OCC.
BI & PD COMB. AGG.
HERS. INJURY AGG.
BP 6206
---------------------------
BP 6206
BP 6206
BP 6206
07/01/92'
07/01/93
--- ---- ---- ---- ----- ---------
07/01/92 07/01/93
-------- ------- -------- - - - - --
07/01/92 07/01/93
07/01/92 07/01/93
30DILY INJURY
(PER PERSON)
------------------
30DILY INJURY
:PER ACCIDENT)
>ROPERTY
)AMAGE
IODILY INJURY &
IROPERTY DAMAGE
:OMBINED
!ACH OCCURRENCE
' STATUTORY LIMITS
ACH ACCIDENT
ISEASE-POL. LIMIT !
ISEASE -EACH EMP.
--------------
500,000
500,000
200,000
200,000
---- ----------
i00, 000
i00, 000
i00, 000
'00, 000
•------ - -- ----
-,000,000
------- - - - - --
L, 000,000
.00, 000
;00
00, 000
------------------------------------------------------------------------------------------------------------------------------
SCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS
RTIFICATE HOLDER <_ ______________________________> CANCELLATION
= SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE_ EX-
= PIRATION DATE THEREOF, THE ISSUING COMPANY WILL�D�cXMYOKMAIL 3 0
= DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
it of New Hope = XR45.�4�XX40,
40 Xylon Ave. _
ew Hope MN =------------------------- - - - - -- - - - - -. -. --- �-- -------------------
5428 = AUTHORIZED REPRESENTATIVE
)RD 25 (7/90) _ Kim Brown �/�1 7 r � -
COUNCIL
Originating Department
City Manager
Kirk McDonald
By : Management Assistant
• •
M
MOTION APPROVING FINAL PAY RE
AMOUNT OF $12 FOR FRED SIM
EQUIPMENT AND SITE IMPROVMENTS
Approved for Agenda
Agenda Section
Consent
Item No.
6.13
TO ARRIGONI BROTHERS CO. IN THE
PARK & MEADOW LAKE PARK PLAYGROUND
(IMPROVEMENT PROJECT NO. 495)
This is the third and Final Pay Request from Arrigoni Brothers Co. in the amount of $12,647.30 for
Fred Sims Park & Meadow Lake Park Playground Equipment & Site Improvements (Improvement
Project No. 495). The City Engineer reports that the work on this project has been satisfactorily
completed and recommends approval of the final payment. The original contract amount was $55,450
and the final amount is about 3.1 % over the contract amount due to minor differences between
estimated quantities bid and actual quantities used.
Staff recommends approval of a motion approving Final Pay Request to Arrigoni Brothers Co., in the
amount of $12,647.30 for the Fred Sims Park & Meadow Lake Park Playground Equipment & Site
Improvements (Improvement Project No. 495).
• Is :
TO:
Review: Administration: Finance:
December 17, 1992
City of New Hope
4401 Xylon Av N
New Hope, MN 55428
Attn: Mr. Larry Watts
Finance Director
Re: Fred Sims & Meadow Lake Park
Playground Equipment & Site Improvements
City Project No. 495
File No. 34142
Dear Larry:
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, PE.
Gary W. Morien, P.E.
Daniel J. Edgerton, P.E.
Daryl K. Kirschenman, PE.
Philip J. Caswell, P.E.
Mark D. Wallis, P.E.
Miles B. Jensen, PE.
L. Phillip Gravel III, PE.
Karen L. Wiemeri, PE.
Gary D. Kristofitz, PE.
F. Todd Foster, P.E.
Keith R. Yapp, P.E.
Shawn D. Gustafson, PE.
Cecilio Olivier, P.E.
Charles A. Erickson
Leo M. Pawelsky
Harlan M. Olson
James F. Engelhardt
Transmitted herewith are three (3) copies of Request for Payment No. 3 & Final along with
the required signed Minnesota Withholding Form IC -134 for the above mentioned project.
The work on this project has been satisfactorily completed and we recommend payment at
this time. The final amount is approximately 3.1 % over the contract amount due to minor
differences between estimated quantities bid and actual quantities used.
Should you have any questions regarding this project, please feel free to call.
Yours very truly,
BONE TROD;RO EN E, ANDERLIK & ASSOCIATES, INC.
Mark . Hanson
MAH:pah:enc
34142.COR
2335 West Highway 36 • St. Paul, Minnesota SS 113 • 612- 636 -4600
Otto G. Bonestroo, PE.
Howard A. Sanford P.E.
BB
® es &# r®®
Joseph C. Ander RE.
Robert R.
R®sene
Marvin L. S P.E.
Richard E. Turner, urner, PE.
Richard Foster, PE.
O. L
David oskota. P.E.
®
Anderlik &
E oyes, PE
Thomas E
Jerry AC Bourdon, RE,
A ssociates
Robert G. Schunicht. P.E.
Susan M. Eberlin, C.PA.
Mark A. Hanson, P.E.
Michael T Rautmann, P.E.
"Senior Consultant
Ted K. Field, P.E.
Engineers & Architects
Thomas R. Anderson, A.I.A.
Donald C. Burgardt, P.E.
Thomas E. Angus, P.E.
Ismael Martinez, P.E.
December 17, 1992
City of New Hope
4401 Xylon Av N
New Hope, MN 55428
Attn: Mr. Larry Watts
Finance Director
Re: Fred Sims & Meadow Lake Park
Playground Equipment & Site Improvements
City Project No. 495
File No. 34142
Dear Larry:
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, PE.
Gary W. Morien, P.E.
Daniel J. Edgerton, P.E.
Daryl K. Kirschenman, PE.
Philip J. Caswell, P.E.
Mark D. Wallis, P.E.
Miles B. Jensen, PE.
L. Phillip Gravel III, PE.
Karen L. Wiemeri, PE.
Gary D. Kristofitz, PE.
F. Todd Foster, P.E.
Keith R. Yapp, P.E.
Shawn D. Gustafson, PE.
Cecilio Olivier, P.E.
Charles A. Erickson
Leo M. Pawelsky
Harlan M. Olson
James F. Engelhardt
Transmitted herewith are three (3) copies of Request for Payment No. 3 & Final along with
the required signed Minnesota Withholding Form IC -134 for the above mentioned project.
The work on this project has been satisfactorily completed and we recommend payment at
this time. The final amount is approximately 3.1 % over the contract amount due to minor
differences between estimated quantities bid and actual quantities used.
Should you have any questions regarding this project, please feel free to call.
Yours very truly,
BONE TROD;RO EN E, ANDERLIK & ASSOCIATES, INC.
Mark . Hanson
MAH:pah:enc
34142.COR
2335 West Highway 36 • St. Paul, Minnesota SS 113 • 612- 636 -4600
JAY eoriestroo
® Rosene
Owner City of New Hope, 4401 Xylon Av N, New Hope, MN 55428 Date December 11, 1992
For Period October 1 1992 to December 1 1992 Request No. 3 &Final
s
Anderm &
Assoclates
` "
$1. P-4 min-
Contractor Arrigoni Brothers Co., 817 Vandalia St, St. Paul, MN 55114
REQUEST FOR PAYMENT
Fred Sims & Meadow Lake Park
Playground Equipment & Site Improvements
Project No. 495
File No. 34142
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. 3 & Final
$ 55,450.00
$ 55,450.00
$ 57,189.00
$ 0.00
$ 57,189.00
$ 0.00
$ 57,189.00
$ 44,541.70
$ 12,647.30
Approved by Owner:
CITY OF NEW HOPE, MN
Specified Contract Completion Date:
August 28, 1992
Date:
34142. RFP
No. Item
Part 1 - Fred Sims
1 Furnish & install playground structure
with handicap access ramp
2 Furnish and install tire swing
3 Furnish and install space arch clnnber
4 Furnish and install 3 leg swing -
2 sections w/2 seats /section (1
enclosed tot seat) 8' high
5 Furnish and install police car
6 Furnish and install backhoe digger
7 Sand cover & spread existing sand
8 Class 5 100% crushed aggregate base
9 Type 41 bit. wear course (2" thick)
10 Bituminous material for mixture
11 Topsoil borrow
12 Sod
Total Part 1 - Fred Sims
Part 2 - Meadow Lake
13 Remove existing bituminous surface
14 Remove existing playground equipment
15 6" PVC perforated drain pipe w /geotextile
fabric Type I & coarse filter aggregate
16 Geotextile fabric, Type V
17 Common excavation
18 Modular block retaining wall (beige)
19 Class 5 100 % crushed aggregate base
20 Type 41 bit. wear course (2" thick)
21 Furnish and install 6' bench w/back
22 Furnish & install playground structure
w/handicap access ramp
23 Furnish and install tire swing
24 Furnish and install space arch climber
25 Furnish and install 3 leg swing -
2 sections w/2 seats /section (1
enclosed tot seat) 8' high
34142.RFP
Contract Unit Quantity Amount
Unit Quantity Price To Date To Date
EA
1 13,000.00
1
13,000.00
EA
1 1,150.00
1
1,150.00
EA
1 620.00
1
620.00
EA
1
1,450.00
1
1,450.00
EA
1
820.00
1
820.00
EA
1
400.00
1
400.00
CY
60
5.00
60
300.00
TN
30
25.00
30
750.00
TN
20
70.00
20
1,400.00
TN
2
150.00
3.84
576.00
CY
15
10.00
10
100.00
SY
200
4.00
125
50000
EA
1
13,000.00
1
13,000.00
$21,066.00
SY
10
10.00
10
100.00
US
1
200.00
1
200.00
LF
100
5.00
100
500.00
SY
580
1.00
580
580.00
I .S
1
2,000.00
1
2,000.00
SF
500
13.00
417
5,421.00
TN
45
22.00
66
1,4.42.00
TN
20
70.00
34
2,380.00
EA
2
350.00
2
700.00
EA
1
13,000.00
1
13,000.00
EA
1
1,150.00
1
1,150.00
EA
1
620.00
1
620.00
EA 1 1,450.00 1
RP -1
1,450.00
Quantity Amount
To Date To Date
1
820.00
1
Contract
Unit
No.
Item
Unit
Quantity
Prig
26
Furnish and install police car
EA
1
820.00
27
Furnish and install backhoe digger
EA
1
400.00
28
Sand cover
CY
180
15.00
29
Topsoil borrow
CY
100
10.00
30
Sod
SY
400
3.00
Total Part 2 - Meadow Lake
Total Part 1 - Fred Sims
Total Part 2 - Meadow Lake
Total Work Completed to Date
Quantity Amount
To Date To Date
1
820.00
1
400.00
180
2,700.00
85
850.00
600
1,900 00
$36,123.00
21,066.00
36, 123-00
$57,189.00
34142.RFP RP -2
PROJECT PAYMENT STATUS
Owner
City of New Hope
Project
Playground Equip. & Site Improv.
Project No.
495
File No.
34142
Contractor
Arrigoni Bros. Co.
CHANGE ORDER
No. Date Amount
1
2
3
Total Change Orders - Add
PAYMENT SUMMARY
$57,189.00
Original Contract
$55,450.00
No. Period
Payment
Retainage
Completed
1 Start 9 -1 -92
$23,508.70
$1,237.30
$24,746.00
2 9 -1 -92 10 -1 -92
21,033.00
2,344.30
46,886.00
3 10 -1 -92 12 -1 -92
12,647.30
0.00
57,189.00
4
5
6
7
8
9
10
Total Payment to Date
$57,189.00
Original Contract
$55,450.00
Retainage, Payment No.
3 & Final 0.00
Change Orders
0.00
Total Value Completed
$57,189.00
Revised Contract
$55,450.00
34142.RFP RP -3
us' ego Trust Tax
v Fonn
' `Minnesota Department ofRevenue
|C-134
Rev. 9/89 Withholding Affidavit for Contractors
This affidavit must be approved by the Minnesota Department of Revenue before the
State o' Minnesota or any of its subdivisions can make final payment to contractors.
Company name
Address
Cit
DEC "��� / , / 199p
&RRZ COMPANY
817 Vao6aliu Street
St yaoI State Mn z* ,-^551I4
Minnesota ID number
Month/year work began
Month/year work ended
Total contract amount:
Telephone number Amount still due:
Did you have employees work on this project? Project number: 495
Yes
If none, explain who did the work: Project location: City of New Hope
Project owner: i
�ty_ of New Hope
Address
Check the box that describes your iinvolvement in the project and fill in all information requested in that category:
El Sole contractor
[]
Subcontractor If you are a subcontractor, fill in the name and address of the contrac that hired you:
EX Prime Contractor If you subcontracted out any work on this project, all of your subcontractors must file their own
IC-1 34 affidavits and have them certified by the Department of Revenue before you can file your
affidavit. For each subcontractor you had, fill in the 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 —
Asphalt Specialties Box 838 Lakeland MN 55043 Erik PgteLrson
I declare I that all information I hcve filled in on this form is true and I 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,
Title Date
kCont -c
x 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 2UO.82and 29O.87 concerning the withholding of Minnesota income tax from
wages paid to employees relating to contract services with the s te of Minnesota and/or its subdivisions.
3 Uimeo
Try 10
Fo rm Minnesota Department of Revenue j
Withholding C 1
Rev. 9/89
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
METRO LANDSCAPING (D3 1 6 y
Address Month /year work began
624 FERNDALE ST. OCT. 92
City State Zip Code Month /year work ended
MAPLEWOOD MN 55119 OC T 92
Total contract amount:
1087.00
Telephone number Amount still due:
( 612) 735 9 364 50.00
Did you have employees work on this project? Project number: 495
If none, explain who did the work: YES Project location: CITY OF NEW HOPE
Project owner: CTTY nF NF.W H(lPF
Address 4401 XYLON AV.
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:
ARRIGONI BROS. COMPANY 817 VANDALIA ST ST. PAUL MN 55114
❑ 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 1 have filled in on this form is true and complete to the best of my knowledge and belief. I authorize
the Department of Revenue to disclose pertinent information relating to this project, including sending copies of this form,
to the prime contractor if I am a subcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency.
Contractor's signature Title Date
ri
_
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 Lawn
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 p aid to employees relating to contract services with the state of Minnesota and /or its subdivisions.
Signature of authorized Department of Revenue official Da
.^ l ? A s 0 bEC 17 1992
Company name
Address
e )c F
City State Zip Code
BSc)
Please type or print clearly above. This will be your
mailina lab el for returnina the completed form.
Minnesota ID number
5pecll*,17C 0. ,
Month /year work began
Month /year work ended
o 17,
Total contract amount:
a
Amount still due: ; , _
Telephone number
( 6f, ) ' 1-36 -- .' ?J
Did you have employees work on this project?
If none, explain who did the work:
I
0
M
Project location: Q 6 °y P 1= )A.
Project owner: ' 7 a 1 4Z
Address,
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
I declare all forma' I h ve filled in on this form is true and complete to the best of my knowledge and belief. I authorize
t epa ent of venue o disclose pertinent information relating to this project, including sending copies of this form,
to a or' contractor' I am Aulilcontractor, and to any subcontractors if I am a prime contractor, and to the contracting agency.
Contractor's
For certification, mail original and one copy to:
Minnesota Department of Revenue, Business Trust Tax Section
Mail Station 6610, St. Paul, MN 55146 -6610
Date
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 nith th se of Minnesota and /or its subdivisions.
Signature of authorized
Date
DEC' 17 492
5000134