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Home My WebLink About1996.05.21_OPWA AgendaPUBLIC NOTICE OF THE MEETING OF THE OWASSO PUBLIC WORKS AUTHORITY TYPE OF MEETING: Regular DATE: May 21, 1996 TIME: 7:00 p.m. PLACE: Council Chambers, Owasso Community Center Notice and Agenda filed in the office of the City Clerk and posted on the City Hall bulletin board at 4:00 p.m. on Friday, May 17, 1996. MarciakBoutwell, City derk AGENDA 1. Call to Order 2. Invocation 3. Flag Salute 4. Roll Call 5. Request Approval of the Minutes of May 7, 1996 Regular Meeting. Attachment #5 Owasso Public Works Authority May 21, 1996 Page 2 6. Request Approval of Claims Attachment #6 7. Consideration and Appropriate Action Relating to a Request for Final Acceptance of Work Performed Under Contract #4, Phases I & II for Manhole and Sewer Line Replacement, Between the City of Owasso /Owasso Public Works Authority and Manhole Recovery Systems Inc, and Authorization for Final Payment and Release of Retainage to the Contractor. Mr Groves Attachment #7 Staff will recommend Trustee acceptance of the work performed under the contract, and IL that final payment be authorized to include any retainage held by the City /OPWA. 8. Report from OPWA Manager I 9. Report from OPWA Attorney Owasso Public Works Authority May 21, 1996 Page 3 10. Report from OPWA Trustees 11. Unfinished Business 12. New Business 13. Adjournment OWASSO PUBLIC WORKS AUTHORITY MINUTES OF REGULAR MEETING Tuesday, May 7, 1996 The Owasso Public Works Authority met in regular session on Tuesday, May 7, 1996 in the Council Chambers at the Owasso Community Center per the Notice of Public Meeting and Agenda posted on the City Hall bulletin board at 4:00 p.m. on Friday, May 3, 1996. ITEM 1: CALL TO ORDER Vice Chairperson Ewing called the meeting to order at 7:38 p.m. ITEM 2: INVOCATION The invocation was ven g i during he City Council meeting preceding this meeting. 1P ITEM 3: FLAG SALUTE The flag salute was held during the City Council meeting. ITEM 4: ROLL CALL PRESENT ABSENT Danny Ewing, Vice Chairperson Mary Lou Barnhouse, Trustee Michael Helm, Trustee Joe Ramey, Trustee Tracy Standridge, Trustee STAFF Rodney J Ray, City Manager Ronald D Cates, Authority Attorney Marcia Boutwell, Authority Secretary A quorum was declared present. ITEM 5: ELECTION OF CHAIRPERSON Mr Ramey nominated Mr Ewing as Chairperson. Seconded by Mr Helm. AYE: Ramey, Helm, Barnhouse Standrid e, Ewin g NAY: None Motion carried 5 -0. Owasso Public Works Authority May 7, 1996 ITEM 6: ELECTION OF VICE CHAIRPERSON Chairman Ewing nominated Mr Ramey as Vice Chair. Seconded by Mr Helm. 6L AYE: Ewing, Helm, Barnhouse, Standridge, Ramey ' NAY: None Motion carried 5 -0. 1 ITEM 7: REQUEST APPROVAL OF THE MINUTES OF APRIL 16 1996 REGULAR ■M MEETING. Mr Helm moved to approve the minutes as written, by reference hereto; seconded by Ms Barnhouse. AYE: Helm, Barnhouse, Standridge, Ramey, Ewing NAY: None Motion carried 5 -0. ' ITEM 8: REQUEST APPROVAL OF CLAIMS Mr Ramey moved, seconded by Ms Barnhouse, to approve the following claims as submitted: (1) OPWA Fund $56,736.78; (2) OPWA Capital Improvement Fund $27,851.94; (3) Interfund Transfers $34,233.17; (4) Payroll #1 $22,928.64; (5) Payroll #2 $20,815.01. AYE: Ramey, Barnhouse, Helm, Standridge, Ewing NAY: None Motion carried 5 -0. ITEM 9: REPORT FROM OPWA MANAGER Mr Ray announced that there would be a reception immediately following the OPWA meeting to welcome new Councilor Tracy Standridge and Economic Development Director Angela Henderson. ITEM 10: REPORT FROM OPWA ATTORNEY No report. 2 Owasso Public Works Authority May 7, 1996 ITEM 11: REPORT FROM OPWA TRUSTEES No report. ITEM 12: UNFINISHED BUSINESS John Groth asked if there would be public meetings relative to the status of the golf course. Mr Ray said that both OPWA and OPGA, where this item will be discussed, are public and are posted. ITEM 13: NEW BUSINESS None. ITEM 14: ADJOURNMENT Mr Helm moved, seconded by Mr Ramey, to adjourn. AYE: Helm, Ramey, Barnhouse, Standridge, Ewing NAY: None Motion carried 5 -0 and the meeting was adjourned at 7:40 p.m. Marcia Boutwell, Authority Secretary Danny Ewing, Chairperson t w CTTY OF OWASSn nWASSn PTJRT,TC WnPT(S ATITT4nRTTY 5/17/96 9:10:35 A/P (-T -ATMS REPORT AP.APVR PAGF: 1.0 PO # VF.NT)nR nF,(;CRTPTTnN AmmINT ---- - - - - -- ------------------- - - - - -- ------------------- - - - - -- ------- - - - - -- OPWA ADMTNTSTRATTON ------------------------ - - - - -- 960001 US TFT.F /PASF; TN(-. 960004 RONAT.T) T) CATFS 960129 ATXT WTRFT.FSS SFRVT('FS 96 ?044 CSC CRF,T)TT SF,RVTCFS, TNC 96 ?229 AT.TFRNATTVF FNVTRONMF.NTS 96 ? ?R9 nKT,A NATTTRAT. SPAS 96 ? ?90 PSn 962 ?97 SnTJTNWF,STF,RN RF,T,T, TF,I,F, DEPARTMENT TOUT, = = = =) WATER ------------------------ - - - - -- 9AO001 TTS TF.T.R /PArF., TN(. 961.495 HTTSHF,S T,TTMRFR CS) 967010 YALE ITNTFnRM RENTAL 962046 CTTY OF TTIT SA 967124 T)FRFK RAVFRT 962136 .TOHNNY RnrFRS 962137 RRAD SPARKMAN 9A71 RR OSCAR MCT,ATJRTN 967140 TYRONE T)TNKTNS 962152 WATER PRODUCTS TNC 967156 ROAD RORTNG SPF.CTAT.TST 9671.67 Sin SYSTEMS 962168 CTTY GARAGE 96 ?179 ESTER TNC, 9A ? 916 WATER PRODUCTS INC 962 96R WATER PRnDT1CTS TNC 96? ?90 PSO 962 291 smITHWFSTF,RN RF,T,T, TFT,F, 962?9? SOITTHWF.STFRN RFT.T. TRT.. DEPARTMENT TnTAT, = = = =) WASTEWATER TREATMENT PLANT ------------------------ - - - - -- PASFR Ti(;F. RFTATNER PHnNF. TTSF -CARR COT ,T ,ECT TnNS DRAT T)TR TRATNTNG 4/9A USE 11/99 TTSA(iF 4/96 PT,F,XAR PA(',F.R TTSR RFPATR STTPPT,TRS TTNTFnRM CT-PAN /RENT 4/96 WATER PTTRCHASF MF.TF.R RRADTNG, METER RF,AnTNG METER RF.AMNS, METER RFAT)TNS MFTFR RFADTNS; MF,TF,R SF,T MATF,RTAT,S ROAD ROPER- 11?TH;IAT14 FTTFT, 4/9A RFPATR PARTS 4/9A WEED CHFMTCAT,S WATER MF.TFRS 1 ?/5/95 METER SFT MATFRTAT.S 11/9.9 ITSA(CF 5/96 NnN- PT,FYAR 4/9A PT.FYAR 960001 ITS TFT.F /PARE; TNC, PAGER TTSF. 96,1495 HTTS;HF,S T,TTMRF,R CST RFPATR STTPPT,TFS 961552 T=HC, TNC, ENS, SFRVT('.FS 1 2/5/95 9A1 357 SHERRY T,ARnRATnRTF,S, TNC. ANNTTAT, RT,TTT)SF, ANAT,YRTS 961 953 TNFTT.rn T)Ft,jRFMnNT_ TNC, TTV TAMPS ?/ ?0/9A 14,80 700.00 ?R. ?6 75.00 119. ?5 26,57 99.35 108, ?3 1.,A?6.41 79.60 R.4R 94.40 A7,1112,0R 94.35 ?.05,50 480.60 1389 , R5 430.A5 7A9,51 3RA.00 ?06.74 SA. 5() 86,25 1,5'9,00 903.A? 115.60 6q.00 ?4.06 72,984.79 14.30 9.95 3,00n,n0 9g5,00 3,150.00 CTTY or nWASSn nWASSn PTIRT.TC WTIRXS ATTTHnRTTY 5/17/96 9;10;85 A. /P CT,ATMS RF,PnRT APAPVR PAGE: 1.1 Pn # V,F.N11nR T1.F.SCRTPTTnN AMOUNT --------- - - - - -- ------------------- - - - - -- ---- --- - - - - -- 9A ?010 YAJ.F TTNTFnRM RF.NTAT. TTNTFnRM CT.FAN /RENT 962094 WASTE, MANAGEMENT or nXT,A TTPPTNG FEES 96 2157 MARTFC SYSTEMS J.TFT STATTnN RFPATR 962167 Gn SYSTEMS FTJF,i, 4/9A 96 7168 (:TTY GARAGE RFPATR PARTS 4/9A 9A 21A8 CTTY GARAGE RFPATR PARTS 4/96 96 2179 FSTFS INC. WEFT) CHFMT('AJ.S 962777 NORTIA13 TNC TRACTNfi DYE, 962271 IWISTRTAT. Mf1TnR SFRVTC.F.. FMFR RFPATR -T.TFT STATTnN 962994 Psn 11/95 USAGE 962291 SOUTHWESTERN RFJ.J. TF.J.F 5 /9A NnN- Pi.FXAR 9A2792 SOUTHWESTERN RRIJ, TFT,F 4/9A PT,FXAR DEPARTMENT TnTAT, = = = =) RF.FTISF COT.J.RCTTONS ------------------------ - - - - -- 96 ?010 YAT.F TTNTFnRM RF.NTAT. 967445 13PT 96 ?094 WASTE MANAGEMENT or OXT.A 9621.46 .TnFS PRTNT SHOP 96?167 GO SYSTEMS 9621A8 CTTY GARAGE 967168 CITY CARASF 96 7214 ,TTM T,ANG'S TJPHOT,STFRY DEPARTMENT TOTAT, = = = =) RPCVCJ.F. CENTER ------------------------ - - - - -- TTNTFnRM CT.FAN /RENT cnMM REFUSE TTPPTNC, FF.F.S NnT,TDA.Y NnTTCF /PnT,YCARTS FTIFT. 4/9A RFPATR PARTS 4/96 RFPATR PARTS 4/9A RF,Cnm SF,ATS /T,nDAT, 96 010 YAJ.F. TTNTFnRM RENTAL TTNTFnRM CT.F.AN /RENT 962045 RFT CnMM RFFTTSF 96 094 WASTE. MANAGFMF.NT or 010 -A TTPPTNG, FFF.R 962167 fin SYSTEMS FTIF1, 4/9A 96 2290 PRO 11/95 USAGE 967 297 ;nTJTRWFSTFRN RF,T,T, TRT.F, 4/96 PT,FXAR DEPARTMENT TOTAT, = = = =) FUND TnTAT, = = = =) 87. A0 ?75.63 500.00 117,90 14 ?.3? 1.?.34 86.25 1.89.64 ?,(100.00 5,0 ?.5.41 317,15 48.12 15,911 ,A7 41.60 1.9,965,14 38A, RA 61,65 512. S7 96.75 8 ?9.98 40.04 70,954.11 18.40 3, ?50.71. 4RR.98 140.05 85.99 94.06 3,919.1.9 115,389.87 n 1. OTTY OF OWASSO nPWA rAPTTAT, TMPRnVF,MF,NT MIND 5/17/96 9:10:85 A/P C7.ATMS RFPnRT APAPVR PAGE k Pn # VF,NnnR nFI;C:RTPTTnN AMnT1NT ---- - - - - -- -- ----------------- - - - - -- ------------------- - - - - -- ------- - - - - -- WASTEWATER ------------------------ - - - - -- 960157 T.G. FXC:AVATTNG SEWER 1•TNF RFHAR PHASE TT 1491716.99 960243 FHC TNC;. WWTP DF,STAN- 5/16/95 21106.00 DEPARTMENT TnTAT, =___> 151197.2,99 FUND TnTAT, ___ => 151 =9 ?2,99 17 OWASSO PUBLIC WORKS AUTHORITY PAYROLL PAYMENT REPORT PAY PERIOD ENDING 05/11/96 APPROVE 05/21/96 Chairman Trustee Trustee OVERTIME TOTAL DEPARTMENT EXPENSES EXPENSES Water 251.27 2,995.13 Refuse 0.00 4236.83 OPWA Capital Improvement APPROVE 05/21/96 Chairman Trustee Trustee MEMORANDUM TO: RODNEY J. RAY CITY MANAGER FROM; DOUG GROVES /A ENGINEERING TEC SUBJECT: FINAL ACCEPTANCE - CONTRACT 4 OF MANHOLE AND SEWER LINE REPLACEMENT PROJECT (MANHOLE RECOVERY SYSTEMS, INC.) 1 DATE: May 15, 1996 BACKGROUND: On April 18, 1995, Council awarded a contract to Manhole Recovery Systems Inc. in the amount of $132,224.00. The contract is one of the four contracts awarded for the manhole and sewer line replacement project. The work area was divided based on the funding source: Phase 1 (funded by CDBG grant) is the area of town lying south of Second Street and Phase 2 is the area north of Second Street to Nineteenth Street. This portion of the overall replacement project was designed to consist of rehabilitation to approximately 300 manholes. Many different types of repairs were scheduled throughout the project to restore structural integrity to old brick manholes, reduce infiltration, and provide proper access to manholes previously covered. This work proceeded after the majority of sewer line replacement was completed by other contractors. The notice to proceed was issued on October 12, 1995 with a 180 day completion date of April 26, 1996. Manhole Recovery Systems, Inc. immediately began work following the notice. Work progressed satisfactorily and was completed in late April. On May 3, 1996, the final inspection was held and punch list items were provided to the contractor. All punch list items have been completed (see attached). FINAL CONSTRUCTION COST: Staff has monitored the progress of work and overall costs as the work has been conducted. The original contract amount of $132,224.00 consisted of $12,235.00 in Phase 1 and $119,989.00 in Phase 2. In the submitted final pay request, the actual total for all work completed is $1149797.00. Page2 Final acceptance of Manhole & Sewer Line Replacement Project The difference in cost is due to unit price quantity adjustments between those originally estimated by the design engineer and those actual materials required during construction due to changes in the types of repairs necessary. These changes resulted in costs savings of $17,427.00. FINAL PAY REQUEST: The final pay request, based upon total actual costs of construction, has been submitted in the amount of $1,674.95 for Phase 1 and $13,384.05 for Phase 2. The total pay request is $15,059.00, consisting of $3,977.00 in unit price items and $11,082.00 in retainage (10% of the submitted contract pay items). FUNDING SOURCE: The Phase 1 portion of this contract is funded by a grant from the Oklahoma Department of Commerce. Phase 2 is funded using loan funds from the Oklahoma Water Resources Board (OWRB). RECOMMENDATION: Staff recommends Council acceptance, release of retainage and authorization for final payment to Manhole Recovery Systems, Inc. in the amount of $15,059.00. ATTACHMENTS: 1. Final pay request from Manhole Recovery Systems, Inc. 2. Final Punch List APPLICATION AND CERTIFICATE FOR PAYMENT TO (Owner): CITY OF OWASSO FROM (Contractor): MANHOLE RSCOVM.Y 9yeTEMS, wo. P.O. Box 10M MIDWEST CITY, OK M40 PROTECT: Menholm B 5ewerline Replacement CONTRACT FOR: Contract No. 4 Phe6® I Page One of 1 Contract Date: A p r i l 18 , 19 9 5 Application Date: December 6, 1995 Period To:May 15, 1996 Distribution To: Owner Architect Contractor Engineer CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with tine Contract. Continuation sheet is attached, 1. Original Contract Sum $_ __ 122235.00 2. Net Change by Change Orders $ 3. Contract Sum to Date (Line 1 & 2) $ 16, 749.50 4. Total Completed & Stored to Date $ 16,749.50 (Column 0 on Continuation Sheet) 5. Retainage: a. 0 % of Completed Work $ 0 (Column D & E on Continuation Sheet) - R NAL b. 0 'Yo of Stored Material $ -0- (Column F on Continuation Sheet) Total Retainage (Line 5a & 5b) $ o Aw 6. 7. Total Earned Less Retainage $ 16 ; 749.50 (Line 4 less Line 5 Total) Less Previous Certificates *for Payment $ 15 , 074 , ss AGRFFMFNT 0994 00300 - 9 or 15 8. CURRUM PAYME T DUE 9. Balance to P• inisk Plus Retainage $ o (Line 3 less Line 6). CHANGE ORDgR SUMMARY: ADDITIONS DEDUCTIONS Change Orders approved in previous months by OWN-ER TOTALS $ $ Approved this month Number Date Approved TOTALS $ $ Net change by Change Orders The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor,zlation and belief, the WORK covered by this Application for Payment has been completed ill - accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from u1c: Owner, and that current payment shown herein is now due. - CONTRAMR: By:- - Date: May 15, 1996 Fred L. KrapFF STATE OP OKLAHOMA COUNTY OF Ck 1 ahoma ) SS Subscribed and sworn to before me this 15th day of Mey 96 19 (SEAL) MY Commission Expires: 4 -s -99 Notary Public L 0994 _AGRLrMrt�g, 00300 - 10 of 15 ARCH MCI" S / ENGINEER'S CERTIFICATE FOR pA'YMENT In accordance with the contract documents, based on on -site observations and the data comprising the above-application, the Architect/Engineer certifies to the Owner that to the best of the Architect's /Engineer's lmowledge, information and belief, the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the'amount certified. AMOUNT CERTIFIED $ 12 674.95 (Attach Explanation if amount certified differs from the amount applied for.) ,1RCHITECT / ENGINEER: _ city of O w a s s o By, Data: May 16, 1996 This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the coiitr-aCtor named herein. Issuance, payment and acceptance of payment without prejudice to any rights of the Owner or Contractor under this Contract. 0994 00300 - 11 of 15 CONTINUATION SHBZr Page 4 of 6 Application and Certification for P attached. ayment, contaiaing Contractor's signed Certification is Application Number: 2 Application Date: D e c e m b e r 89 1 9 e S Period To; May 15, 1996 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts wlu;ru variable retainage for line items may apply. N' C D E (cont) ITEM DESCR.7noN SCMMULM) NO. OF WORK VALUII WORK COMPu rm WORK COMPLIirEA FROM FI2BVIOUS THIS PrRIOD APPLICATION ATTACHED MATERIALS TOTAL COMPLETED PIWSM'rMY STORM A D STORED (NOT TN D OR S) TO DATE (arc) NOTE-: At bottom of each column, run totals. 0994 EN 00300 12 of 15 Manhole Recovery Systems, Inc. Fred L. Krapff — A B C 0 E tFTEM DESCRIPTION SCHEDULED WORK COMPLETED WORK COMPLETED OF WORK VALUE FROM PREVIOUS THIS PERIOD APEILICATION A TYPE 8 REPAIR 445.00 is 10 TYPE C REPAIR 290. 0 10 0 TYPE 0 REPAIR 200.0;, 2 0 0 TYPE E REPAIR Soo. 1 0 E TYPE 6 REPAIR 300.Q 2 0 F TYPE H REPAIR 2300.p 0. 0 G TYPE J REPAIR as 49.7 0 H TYPE K REPAIR 150. 3 0 TYPE L REPAIR io Z.O. 3 0 i TYPE 0 REPAIR .. 20 0 TYPE M REPAIR 0 I MATERIALS PRESENTLY STORED (NOT IN 0 OR E) MM I I 1 -0- I I I 1,,CO3MPLETE0 DA' TE 0 DIP" 00 so Do VC 100% 4W 100% BALANCE RETAINAG-c- TO FINISH (C-G) 'I P.O. Box 10582 • Midwest City, Oklahoma 73140 • 405-733-9682 CLAIM OR INVOICE AFFIDAVIT STATE OF OYLAxOMA COUNTY OF 0k1g )SS � The undersigned (Architect, Contractor, Supplier, Engineer or Supervisory Official), of lawful age, being first duly sworn, on oath says that this (Invoice, Claim or Contract) is true and correct. Afl~iant further states that the (work, services or materials) as shown by this Invoice or Claim have been (completed or supplied) in accordance with the Plans Specifications, orders or requests furnished to the affiant. Affiant further states that (s)he has made no payment, nor given, nor donated, or agreed to pay, give, or donate, either directly or indirectly, to any electcci official, officer, or employee of the State, County, or City of money or any other thing of valur.� to obtain payment or the award of this contract. Contractor or Supplier IVSS Subscribed and sworn to before me this day of — May Notary Public My Commission Expires: 4 -5 -99 Architect, Engineer or other Supervisory Official 19_ Subscribed and sworn to before me this day of Notary Public My Commission Rxpires: NOTE: Strike out words not appropriate and sign appropriate signature line. Architect, Engineer approval is not.required for Contractor or Supplier Affidavit. ' 69 9 4 AGREEMPNT 00300 - 13 of 15 APPLICATION AND CERTIFICATE FOR PAYMENT TO (Owner): CITY OF OWASSO 10 FROM (Conti LE RECOVERY BY9MMS, INC. P.O. BOX 10882 MIDWEST CITY, ox 78140 PROTECT: MANHOLE AND SEWERLINE REPLACEMENT CONTRACT FOR: contract No. 4 Pheae II Page One of 1 Contract Date: Apr f 1 18, 1225 Application Date: 0 a o a m b e r 8, 19 9 5 Period To:. May 15, 19 s 6 Distribution To: Owner Architect Contractor Engineer CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation sheet is attached. 1. Original Contract Sum $ 1 1 s, o e s. o 0 2. Net Change by Change Orders $ -0- 3. Contract Sum to Date (Luce 1 & 2) $ 1 i s . 9 8 S . 0 0 4. Total Completed & Stored to Date $ 96,047.50 (Column G on Continuation Sheet) 5. Retainage: a..Q % of Completed Work $ o (Column D & B on Continuation Sheet) - FINAL b. 0 % of Stored Material $ -0- (Column F on Continuation Sheet) Total Retainage (Line 5a & 5b) $ 0 6. Total Earned Less Retainage $ S8 047.50 (Line 4 less Line 5 Total) 84 663.45 7. Less Previous Certificates for Payment $ ' AGREEMENT 0994 00300 - 9 of 15 8. CURRENT PAYMENT DUB 9. Balance to Finish, Plus Retainage $ d (Line 3 less Line 6). CHANGE ORDER SUMMARY: ADDITIONS DEDUCTIONS Change Orders approved in previous months by OWNER TOTALS Approved this month Number Date Approved TOTALS Net change by Change 'Orders $ The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief, the WORK covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: By. Fred L KrepFf Date: Mav 15. 996 STATE OF OKLAHOMA ) COUNTY OF _ _ Okl mhoms SS Subscribed and sworn to before me this 15th day of May 19 96 (SEAL) Notary Public My Commission Expires: a - s - 9 9 0994 EEMENT 00300 - 10 of 15 ARCHITECT'S / ENGINEER'S CHERTIFICATE FOR PAYMENT In accordance with the contract documents, based on on -site observations and the data comprising the above- application, the Architect/&gineer certifies to the Owner that to the best of the Architect's/Eagineer's knowledge, information and belief, the Work has progressed as indicated, the quality of the 'W'ork is in accordance with the Contract Documents, and the Contractor is entitled to payment of the 'amount certified. AMOUNT CERTIFIED $_ 13,384.05 (Attach Explanation if amount certified differs from the amount applied for.) ARCHITECT / ENGINEER: City o P o w e a m o By: Date: M 19 This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the contractor named herein. Issuance, payment and acceptance of payment without prejudice to any rights of Oie Owner or Contractor under this Contract. AGREEMENT 0994 00300 - 11 of 15 CONTINUATION SHEET Page 4 of 6 Application and Certification for Payment, containing Contractor's signed Certification is attached. Application Number: _ F i n a l Application bate: Period To: 5 - 1.5 - 9 5 In tabulations below, amounts are stated to the nearest dollar. Use Column I on Contracts where variable retaina:ge for line items may apply. A g C D B (cunt) -• ITEM DESCREPTION SCHEDULI) WORK COMPLM= WORK COMPLETED NO. OF WORK ' YALUH FROM ?MIOUS Tills PMUOD APPLICATION SEE ATTACHED MATMUALS P=BNTLY STORED TOTAL COMPL13TED % AND STORED 9ALANcil PMAINAaB (NOT IN D OR ED (a/c) TO DATE TO FiN]sH (A +E +F) (C-M NOTE: At bottom of each column, run totals. 0994 AGREEMENT 00300 - 12 of 15 �- Manhole Recovery Systems, Inc. ' Fred L. Kra ff P MATERIALS TO 1 `'"3`Qay:pLETED PRESENTLY STORED A. (NOT IN 0 OR E so 00 _oa . -o c 75. 00 ` 200. 00 -0- t 98,047.50 70 100% BALANCE RETAINAGE TO FINISH (C -G) O p 0 0 0 0 0 0 0 0 0 0 0 0 a ITEM ND. DESCRIPTION SCHEDULED OF WORK WORK COMPLETED 0 WORK COMPLE ----0 a ,...., -.... VALUE FROM PREVIOUS THIS PERIOC APPLICATION Barricades /signs 435 A Type B Re air ,. ,.4. 53 12 B Type C Re air �.;'' :;:.. p .,. s.,. -.:. . X9.0. ". 00 37 S O Type D Repair p.:. „� 20.0.00. '.. 48 6 0 Type G Repairs �.....<. /;~`..: 300. 00.. 10 0 E F Type J Repair ';r.;',. 85.00 '. 392.3 p Type K Repair 0 Type L Repair p %, 100.00 5 0 H 1% :?• .. Type M Repair;�ta:� 500.00 0 I Type N Repair; +, - -: - 75.00 1 Type 0 Repa i ry�� °:. ;: 200. 00 1 0 MATERIALS TO 1 `'"3`Qay:pLETED PRESENTLY STORED A. (NOT IN 0 OR E so 00 _oa . -o c 75. 00 ` 200. 00 -0- t 98,047.50 70 100% BALANCE RETAINAGE TO FINISH (C -G) O p 0 0 0 0 0 0 0 0 0 0 0 0 a 0 0 0 0 0 ----0 a 0 0 P.O. Box 10582 • Midwest City, Oklahoma 73140 405- 733 -9682 14 11 A.PFIDA3= STATE OF OKLAHOMA } COUNTY OF Oklahoma ) SS The undersigned (Architect, Contractor, Supplier, Engineer or S age, being first duly sworn, on oath says that this 30� O�� }► of lawful correct. Affmt further states that the (work, service`s orimaterial )s as or swn by Contract) true and or Clam have been (completed or supplied) in accordance with the Plans, Specifications, this Invoice or requests furnished to the afflant. Affiant further states that Whe has ma o payment, nor given, nor donated, or agreed to pay, give, or donate, either directly or indirectly, to any elected official, officer, or employee of the State, County, or City of money or an other thing to obtain payment or the award of this contract. y ng of value Contractor or Supplier Subscribed and sworn to before me this i 5th day of M� 19 9s Y y INotary Public My Commission Facpires: 4-5-99 Architect, Engineer or other Supervisory Official Subscribed and sworn to befor e me this day of 19� Notary Public My Commission Expires: NOTE: Strike out words not appropriate and sign appropriate signature line. Architect, Engineer approval is not.required.for Contractor or Supplier Affidavit. I 099 4 00300 - 13 of ENT 15 MANHOLE AND SEWER LINE REPLACEMENT PROJECT - CONTRACT IV MANHOLE RECOVERY SYSTEMS, INC. INSPECTION PUNCH LIST MAY 3,19% ITEM COMPLETED 1. MH #23 - Remove debris in trough 5 -16-96 2. MH #140 - Rake, smooth, and reseed around manhole 5 -16-96 3. MH #157 - Backfill around manhole 5 -16-96 4. MH #179 - Repair damage to chimney 5 -16-96 5. MH #187 - Replace concrete under fence and repair fence 5 -16-96 6. MH #199A - Remove debris from bench area 5 -16-96 7. MH #218A - Perform type C repair( raise 12 ") 5 -16 -96 8. MH #239 - Remove debris in trough 5 -16-96 9. MH #257 - Backfill around manhole 5 -16-96 10. MH #258B - Reinstall concrete under fence 5 -16-96 11. MH #263 - Remove debris from bench area 5 -16-96 OWASSO PUBLIC WORKS DEPARTMENT ENGINEERING DIVISION Doug Groves Engineering Technician