Owner: City of Chaska, 1 City Hall Plz., Chaska, mn 55318 Date: December 12, 2017 For Period: 12/1/2017 to 1/31/2018 Request No: 1 Contractor: Blackstone Contractors, LLC, 9520 County Rd. 19, Ste. D, Loretto, MN 55357 CONTRACTOR'S REQUEST FOR PAYMENT CHASKA VETERANS PARK IMPROVEMENTS STANTEC PROJECT NO. 193804020 SUMMARY 1 Original Contract Amount $ 1,758,963.27 2 Change Order - Addition $ 467,645.00 3 Change Order - Deduction $ 434,455.10 4 Revised Contract Amount $ 1,792,153.17 5 Value Completed to Date $ 0.00 6 Material on Hand $ 0.00 7 Amount Earned $ 0.00 8 Less Retainage 5% $ 0.00 9 Subtotal $ 0.00 10 Less Amount Paid Previously $ 0.00 11 Liquidated damages - $ 0.00 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 1 $ 0.00 Recommended for Approval by: STANTEC Approved by Contractor: BLACKSTONE CONTRACTORS, LLC Approved by Owner: CITY OF CHASKA Specified Contract Completion Date: Date:
PART 1 - SITE, WALKS, TRAILS: 1 MOBILIZATION LS 1 150000.00 $0.00 2 TRAFFIC CONTROL LS 1 4000.00 $0.00 3 REMOVE BITUMINOUS TRAIL PAVEMENT SY 690 8.00 $0.00 4 REMOVE CONCRETE SIDEWALK SF 1170 2.25 $0.00 5 CLEAR AND GRUB TREE EA 3 850.00 $0.00 6 TRANSPLANT TREE EA 16 245.00 $0.00 7 REMOVE BUSHES LS 1 1000.00 $0.00 8 SAWCUT BITUMINOUS (FULL DEPTH) LF 75 4.00 $0.00 9 SAWCUT CONCRETE (FULL DEPTH) LF 50 4.00 $0.00 10 COMMON EXCAVATION (EV) - SITE GRADING (INCLUDES PLANTING EXCESS) CY 850 30.00 $0.00 11 AGGREGATE BASE; CLASS 5, 100% CRUSHED TN 500 29.00 $0.00 12 TYPE SP 9.5 WEARING COURSE MIXTURE (2,B) TN 90 140.00 $0.00 13 BITUMINOUS PATCHING SY 20 55.00 $0.00 14 6" CONCRETE WALK SF 1350 7.00 $0.00 15 6" CONCRETE WALK SPECIAL SF 4360 8.50 $0.00 16 CONCRETE PLAYGROUND EDGER LF 50 20.00 $0.00 17 CONCRETE PAVER EDGE - AT LOWER FLAG CIRCLE SF 50 32.50 $0.00 18 CONCRETE STAIRS LS 1 10700.00 $0.00 19 CONCRETE FINISH 1 - SAND BLAST SF 3250 4.50 $0.00 20 CONCRETE FINISH 2 - WASHED AGGREGATE SF 750 3.60 $0.00 21 TRUNCATED DOMES SF 100 63.00 $0.00 22 CONCRETE PEDESTRIAN CURB RAMP SF 450 10.00 $0.00 23 DECOMPOSED GRANITE WALK SF 900 7.50 $0.00 24 ARCHITECTURAL PAVER -TYPE 1 (BUFF MIX ) SF 1460 31.25 $0.00 25 GRANITE PAVER- TYPE 1 SF 650 115.00 $0.00 26 GRANITE PAVER- TYPE 2 SF 120 115.00 $0.00 27 GRANITE PAVER - TYPE 3 SF 300 115.00 $0.00 28 LIMESTONE CLADDING AT PERGOLA LS 1 34645.00 $0.00 29 LIMESTONE CAPS AT PERGOLA SEATWALL EA 4 760.00 $0.00 30 STONE BENCH TYPE 1 EA 6 3555.00 $0.00 31 STONE BENCH TYPE 2 EA 5 2255.00 $0.00 32 STONE BENCH TYPE 3 EA 6 2000.00 $0.00 33 ENGRAVING ON BENCH TYPE 1 EA 6 2955.00 $0.00 34 ENGRAVING ON LIMESTONE AT SERVICE WALL EA 2 1000.00 $0.00 35 ENGRAVING ON SERVICE WALL GRANITE PANELS EA 17 225.00 $0.00 36 GRANITE CLADDING - MILITARY MONUMENT EA 6 6250.00 $0.00 37 GRANITE CLADDING - SERVICE WALL EA 2 30430.00 $0.00 38 F&I SIGN TYPE C SF 32 50.00 $0.00 39 TIMBER RETAINING WALL SF 40 85.00 $0.00 40 GROUND REINFORCEMENT MESH SY 450 29.50 $0.00 41 STORM DRAIN INLET PROTECTION EA 5 200.00 $0.00 42 ROCK CONSTRUTION ENTRANCE EA 1 4500.00 $0.00 43 ROCK DITCH CHECK EA 8 300.00 $0.00 44 SEDIMENT CONTROL LOG TYPE WOOD FIBER LF 200 4.00 $0.00 45 LOAM TOPSOIL BORROW (LV) CY 1100 37.50 $0.00 46 ROOTING TOPSOIL BORROW (LV) CY 20 40.00 $0.00 47 MNDOT SEED MIXTURE 25-151 AC 1.5 3200.00 $0.00 48 SODDING TYPE LAWN SY 150 26.25 $0.00 49 BONDED FIBER MATRIX SY 6000 1.05 $0.00 50 HYDRAULIC SOIL STABILIZER TYPE 6 SY 6500 0.63 $0.00 51 FERTILIZER LB 300 1.05 $0.00 52 EROSION CONTROL BLANKET, CATEGORY 3 SY 700 2.37 $0.00 53 WATER FOR TURF ESTABLISHMENT MGAL 10 90.00 $0.00 54 SILT FENCE, MACHINE SLICE LF 2100 2.10 $0.00 55 SILT FENCE, FLOATING LF 50 17.50 $0.00 56 MILITARY MONUMENT FOOTING AND CONCRETE CORE EA 6 3330.00 $0.00 57 PERGOLA WALL FOOTING AND CONCRETE CORE LS 1 32500.00 $0.00 58 ARCHERY STAND FOOTING EA 16 475.00 $0.00
59 FLAGPOLE TYPE 1, 50' EA 1 6800.00 $0.00 60 FLAGPOLE TYPE 2, 40' EA 2 5700.00 $0.00 61 FLAGPOLE TYPE 3, 30' EA 6 3950.00 $0.00 62 HAND RAIL LF 18 142.00 $0.00 63 PERGOLA - METAL WORK AND INSTALL LS 1 113500.00 $0.00 64 RP - RECEPTACLE PEDESTAL EA 5 220.00 $0.00 65 RPL - RECEPTACLE PEDESTAL WITH LIGHT EA 48 600.00 $0.00 66 HANDHOLES EA 13 365.00 $0.00 67 HANDHOLES AV EA 2 365.00 $0.00 68 RELOCATE SERVICE CABINET EA 1 3000.00 $0.00 69 LUMINAIRE TYPE TLC - MILITARY BRANCH INTERPRITIVE MONUMENT LIGHTS LF 24 250.00 $0.00 70 LUMINAIRE TYPE TLD - LIMESTONE BENCH LIGHTS LF 36 250.00 $0.00 71 LUMINAIRE TYPE TLE - SERVICE WALL LF 60 250.00 $0.00 72 LUMINAIRE TYPE FLA - LIGHTING AT FLAGS EA 21 2600.00 $0.00 73 RELOCATE LIGHTING UNIT EA 2 2625.00 $0.00 74 LUMINAIRE TYPE OMA - MILITARY BRANCH INTERPRITIVE MONUMENT LIGHTS EA 12 105.00 $0.00 75 ELECTRICAL CONNECTION - PERGOLA SIGN EA 1 235.00 $0.00 76 ELECTRICAL CONNECTION - COIN LIGHT BOX SIGN EA 4 135.00 $0.00 77 ELECTRICAL CONNECTION - COIN INTERPRETIVE SIGN LS 2 85.00 $0.00 78 ELECTRICAL CONNECTION - COIN PODIUM SIGN LS 1 150.00 $0.00 79 ELECTRICAL CONNECTION - LIGHTING UNITS PLA EA 7 315.00 $0.00 80 12" PLASTIC PIPE LF 50 20.00 $0.00 81 1.5" PVC SCHEDULE 40 CONDUIT LF 6003 3.68 $0.00 82 1" PVC SCHEDULE 40 CONDUIT LF 756 4.20 $0.00 83 0.75" PVC SCHEDULE 40 CONDUIT LF 45 3.15 $0.00 84 ONE CONDUCTOR #4 AWG WIRE LF 1020 2.63 $0.00 85 ONE CONDUCTOR #6 AWG WIRE LF 1725 2.37 $0.00 86 ONE CONDUCTOR #8 AWG WIRE LF 14136 2.10 $0.00 87 ONE CONDUCTOR #10 AWG WIRE LF 1111 1.58 $0.00 88 ONE CONDUCTOR #12 AWG WIRE LF 1143 1.35 $0.00 89 FIVE CONDUCTOR CABLE (2#12,1#12G,2/C#16 SHLD) LF 45 4.20 $0.00 90 TWO CONDUCTOR #16 SHIELDED CABLE LF 2040 4.20 $0.00 91 LED LETTERS - PERGOLA EA 22 452.00 $0.00 92 COIN LIGHT BOX SIGN EA 4 7300.00 $0.00 93 COIN INTERPRETIVE SIGN LS 2 9240.00 $0.00 94 COIN PODIUM SIGN LS 1 6200.00 $0.00 95 BRONZE MEDALION EA 6 4850.00 $0.00 TOTAL PART 1 - SITE, WALKS, TRAILS: $0.00 PART 2 - PARKING LOT: 96 REMOVE BITUMINOUS PAVEMENT SY 200 8.00 $0.00 97 REMOVE CONCRETE CURB AND GUTTER LF 325 5.00 $0.00 98 REMOVE STORM PIPE LF 125 70.00 $0.00 99 PAVEMENT MARKING REMOVAL LF 50 35.00 $0.00 100 SELECT GRANULAR BORROW (CV) CY 150 35.00 $0.00 101 COMMON EXCAVATION (EV) - PARKING LOT CY 320 30.00 $0.00 102 GEOTEXTILE FABRIC TYPE V SY 450 3.00 $0.00 103 AGGREGATE BASE; CLASS 5, 100% CRUSHED - PARKING LOT TN 150 26.00 $0.00 104 STREET SWEEPER (WITH PICK UP BROOM) HR 5 175.00 $0.00 105 4" THICK BITUMINOUS PAVEMENT, TYPE SP 9.5 (2,C) SY 330 42.00 $0.00 106 BITUMINOUS TACK COAT GAL 20 5.00 $0.00 107 CONCRETE PAVEMENT: 7" THICKNESS - DUMPSTER ENCLOSURE SF 360 10.00 $0.00 108 CONCRETE CURB AND GUTTER DESIGN B612 LF 200 28.00 $0.00 109 CONCRETE VALLEY GUTTER LF 190 29.00 $0.00 110 6" CONCRETE WALK SF 1550 7.00 $0.00 111 PLANTING MEDIA CY 24 70.00 $0.00
112 4" PE PERFORATED DRAIN TILE LF 80 10.00 $0.00 113 4" PERFORATED PVC DRAINTILE, SDR 26 LF 20 10.00 $0.00 114 CONNECT TO EXISTING STORM SEWER PIPE EA 2 1500.00 $0.00 115 48" DIA STORM SEWER MH, INC CASTING AND ADJ RINGS EA 3 7000.00 $0.00 116 18" RCP STORM SEWER, CLASS 5 LF 132 85.00 $0.00 117 4" SOLID LINE, PAINT LF 220 8.50 $0.00 118 CROSSWALK MARKING EPOXY SF 150 14.00 $0.00 119 PAVEMENT MARKING SYMBOL EA 5 345.00 $0.00 120 DECORATIVE TRASH RECEPTICAL ENCLOSURE LS 1 27000.00 $0.00 TOTAL PART 2 - PARKING LOT: $0.00 PART 3 - BUILDING IMPROVEMENTS: 121 NORTH ADDITION LS 1 57500.00 $0.00 122 SOUTH ADDITION LS 1 57500.00 $0.00 123 6" SDR 26 DRAIN TILE LF 100 19.00 $0.00 124 6" CLEAN OUT EA 1 200.00 $0.00 125 12" SUMP DRAIN BOX EA 4 375.00 $0.00 126 6" CONCRETE HEADWALL W/RODENT GUARD EA 3 510.00 $0.00 127 CABLE RAILING LF 44 215.00 $0.00 128 RANDOM RIPRAP CL II CY 10 100.00 $0.00 129 PANELBOARD EA 1 2625.00 $0.00 130 CONNECTION CABINET EA 1 1050.00 $0.00 131 LIGHTING CONTROL PANEL EA 1 630.00 $0.00 132 RECEPTALCE - BUILDING MOUNTED EA 4 210.00 $0.00 133 LUMINAIRE TYPE TLA - RAILING LIGHTING AT DECK BASE BID LF 22 250.00 $0.00 134 LUMINAIRE TYPE HB6 - BUILDING MOUNTED DOWN LIGHTS EA 8 750.00 $0.00 135 LUMINAIRE TYPE OKA - BUILDING MOUNTED WALL LIGHT EA 1 1100.00 $0.00 136 2" PVC SCHEDULE 40 CONDUIT LF 25 7.35 $0.00 137 1.5" EMT CONDUIT LF 510 6.30 $0.00 138 0.75" EMT CONDUIT LF 290 5.25 $0.00 139 ONE CONDUCTOR #3/0 AWG WIRE LF 75 21.00 $0.00 140 ONE CONDUCTOR #1 AWG WIRE LF 90 12.60 $0.00 141 ONE CONDUCTOR #4 AWG WIRE LF 160 4.20 $0.00 142 ONE CONDUCTOR #6 AWG WIRE LF 175 3.15 $0.00 143 ONE CONDUCTOR #8 AWG WIRE LF 1080 2.10 $0.00 144 ONE CONDUCTOR #10 AWG WIRE LF 140 1.58 $0.00 145 ONE CONDUCTOR #12 AWG WIRE LF 990 1.58 $0.00 146 TWO CONDUCTOR #16 SHIELDED CABLE LF 240 4.20 $0.00 TOTAL PART 3 - BUILDING IMPROVEMENTS: $0.00 ALTERNATE 1 - BUILDING DECK (ADD): 147 DECK 1 - NORTHEAST SF 176 33.00 $0.00 148 DECK 2 - SOUTHEAST SF 240 33.00 $0.00 149 DECK 3 - SOUTH SF 176 33.00 $0.00 150 CABLE RAILING LF 34 215.00 $0.00 151 LUMINAIRE TYPE TLA - RAILING LIGHTING AT DECK ALTERNATE LF 81 250.00 $0.00 152 0.75" PVC SCHEDULE 40 CONDUIT LF 20 2.10 $0.00 153 ONE CONDUCTOR #12 AWG WIRE LF 60 1.35 $0.00 TOTAL ALTERNATE 1 - BUILDING DECK (ADD): $0.00
ALTERNATE 2- PARKING LOT TURN AROUND PAVEMENT (PRICE DIFFERENCE FROM BITUMINOUS PAVEMENT - ITEM 95): 154 CONCRETE PAVEMENT; 7" THICKNESS SY 330 38.50 $0.00 TOTAL ALTERNATE 2- PARKING LOT TURN AROUND PAVEMENT (PRICE DIFFERENCE FROM BITUMINOUS PAVEMENT - ITEM 95): $0.00 ALTERNATE 3 - ARCHERY RANGE (ADD): 155 ARCHERY STAND LS 1 27000.00 $0.00 156 ARCHERY FENCING/NETTING LF 90 180.00 $0.00 TOTAL ALTERNATE 3 - ARCHERY RANGE (ADD): $0.00 ALTERNATE 5 - PAVILION AREA (ADD): 176 REMOVE CONCRETE WALK SF 420 4.50 $0.00 177 6" CONCRETE WALK SF 250 14.00 $0.00 178 CONCRETE SPECIAL FINISHING - STAR EA 1 4600.00 $0.00 179 ORNAMENTAL FENCE LF 66 78.75 $0.00 180 TRELLIS EA 1 18000.00 $0.00 181 TRELLIS FOOTINGS LS 1 3500.00 $0.00 182 6" CONCRETE WALK SF 670 8.50 $0.00 TOTAL ALTERNATE 5 - PAVILION AREA (ADD): $0.00 CHANGE ORDER NO. 1 1 ARCHITECTURAL PAVER -TYPE 1 (BUFF MIX ) SF 1460 (31.25) $0.00 2 2 INCH GRANITE PAVER - TYPE 4 SF 1642 90.00 $0.00 3 GRANITE PAVER - TYPE 1 SF 650 (115.00) $0.00 4 GRANITE PAVER - TYPE 1, 2" THICKNESS SF 468 110.00 $0.00 5 GRANITE PAVER - TYPE 2 SF 120 (115.00) $0.00 6 GRANITE PAVER - TYPE 2, 2" THICKNESS SF 151 100.00 $0.00 7 GRANITE PAVER - TYPE 3 SF 300 (115.00) $0.00 8 GRANITE PAVER - TYPE 3, 2" THICKNESS SF 278 90.00 $0.00 9 ENGRAVING ON BENCH TYPE 1 EA 6 (2955.00) $0.00 10 ONSITE SANDBLASTING BENCH TYPE 1 EA 6 920.00 $0.00 11 GROUND REINFORCEMENT MESH SY 450 (29.50) $0.00 12 COIN INTERPRETIVE SIGN LS 2 (9240.00) $0.00 13 REMOVE STORM PIPE LF 125 (70.00) $0.00 14 CONNECT TO EXISTING STORM SEWER PIPE EA 2 (1500.00) $0.00 15 48" DIA STORM SEWER MH, INC CASTING AND ADJ RINGS EA 3 (7000.00) $0.00 16 18" RCP STORM SEWER, CLASS 5 LF 132 (85.00) $0.00 17 HANDHOLES EA 4 (365.00) $0.00 18 ELECTRICAL CONNECTION - COIN INTERPRETIVE SIGN LS 2 (85.00) $0.00 19 1.5" PVC SCHEDULE 40 CONDUIT LF 725 (3.68) $0.00 20 1" PVC SCHEDULE 40 CONDUIT LF 123 (4.20) $0.00 21 ONE CONDUCTOR #8 AWG WIRE LF 2240 (2.10) $0.00 22 TWO CONDUCTOR #16 SHIELDED CABLE LF 405 (4.20) $0.00 23 CONCRETE PAVEMENT: 7" THICKNESS - DUMPSTER ENCLOSURE SF 100 10.00 $0.00 24 DECORATIVE TRASH RECEPTICAL ENCLOSURE LS 1 (27000.00) $0.00 25 DECORATIVE TRASH RECEPTICAL ENCLOSURE, MODIFIED LS 1 36150.00 $0.00 26 NORTH ADDITION LS 1 (57500.00) $0.00 27 NORTH ADDITION - MODIFIED LS 1 84250.00 $0.00 28 SOUTH ADDITION LS 1 (57500.00) $0.00 29 SOUTH ADDITION - MODIFIED LS 1 84250.00 $0.00 30 LUMINAIRE TYPE HB6 - BUILDING MOUNTED DOWN LIGHTS EA 4 750.00 $0.00 31 1.5" EMT CONDUIT LF 280 6.30 $0.00 32 ONE CONDUCTOR #4 AWG WIRE LF 80 4.20 $0.00
33 ONE CONDUCTOR #6 AWG WIRE LF 260 3.15 $0.00 34 ONE CONDUCTOR #8 AWG WIRE LF 740 2.10 $0.00 35 DECK 1 - NORTHEAST, ADDITIONAL SF SF 64 33.00 $0.00 36 DECK 3 - SOUTH SF 176 (33.00) $0.00 37 CABLE RAILING - ADDITIONAL LF LF 14 215.00 $0.00 38 LUMINAIRE TYPE TLA - RAILING LIGHTING AT DECK ALTERNATE LF 18 250.00 $0.00 39 6" CONCRETE WALK SF 250 (14.00) $0.00 40 CONCRETE SPECIAL FINISHING - STAR EA 1 (4600.00) $0.00 41 ORNAMENTAL FENCE LF 66 (78.75) $0.00 TOTAL CHANGE ORDER NO. 1 $0.00 TOTAL PART 1 - SITE, WALKS, TRAILS: $0.00 TOTAL PART 2 - PARKING LOT: $0.00 TOTAL PART 3 - BUILDING IMPROVEMENTS: $0.00 TOTAL ALTERNATE 1 - BUILDING DECK (ADD): $0.00 TOTAL ALTERNATE 2- PARKING LOT TURN AROUND PAVEMENT (PRICE DIFFERENCE FROM BITUMINOUS PAVEMENT - ITEM 95): $0.00 TOTAL ALTERNATE 3 - ARCHERY RANGE (ADD): $0.00 TOTAL ALTERNATE 5 - PAVILION AREA (ADD): $0.00 TOTAL CHANGE ORDER NO. 1 $0.00 WORK COMPLETED TO DATE: $0.00
PROJECT PAYMENT STATUS OWNER CITY OF CHASKA STANTEC PROJECT NO. 193804020 CONTRACTOR BLACKSTONE CONTRACTORS, LLC CHANGE ORDERS No. Date Description Amount 1 12/4/2017 This Change Order provides for additional work on $33,189.90 this project. See Change Order Total Change Orders $33,189.90 PAYMENT SUMMARY No. From To Payment Retainage Completed 1 12/01/2017 01/31/2018 Material on Hand Total Payment to Date Original Contract $1,758,963.27 Retainage Pay No. 1 Change Orders $33,189.90 Total Amount Earned Revised Contract $1,792,153.17 Contract Summary Base Bid Alt 1 Alt 2 $1,613,456.77 $47,219.00 $12,705.00 Alt 3 $43,200.00 Alt 5 $42,382.50 Change Order No. 1 Deducts ($434,455.10) Change Order No. 1 Add $467,645.00 Total $1,792,153.17