ST8503-CS 880830 OelGINAL
ED BELL CONSTRUCTION COMPLY; ; ~ ........ : :-'P::::-. ~
APPLI~TION FOR PAINT
~ OCT I219~
PAINT ~Q~ST NO. 12 (Twelve & Final) SHEET 1 OF 5
FOR WO~ CO~.~TED ~OUG~ T~ DATE OF: Auqust 30~-1988 ~
PROJECT TITLE:BETHEL SCHOOL ROAD IMPROVEMENTS DATE:September 13, 1988
LOCATION: Heartz Road East to Moore
DESCRIPTION: Paving and Drainaqe Improvements
OWNER/ENGINEER INFORMATION: CONTRACTOR INFORMATION:
OWNER: City of Coppell CONTRACTOR:Ed Bell Construction Co.
ADDRESS: 255 Parkway Blvd ADDRESS: P.O. Box 540787
CITY/STATE: Coppell, TX 75019 CITY/STATE: Dallas, TX 75354-0787
CONTACT PERSON:Alan Ratliff, CONTACT PERSON:Luther Salonen,
City Manager Assistant Controller
PHONE NO. (214) 462-0022 PHONE NO. (214) 556-1475
ENGINEER: Ginn, Inc. INSURANCE Ce. Federal Insurance Co.
Consulting Engineers
ADDRESS: 17103 Preston Road ADDRESS: 717 N. Harwood, #300
Suite #100, LB-118 CITY/STATE: Dallas, TX 75201-6502
CITY/STATE: Dallas, TX 75248
CONTACT PERSON: Gabe Favre BONDING AGENT:Collier Cobb & Asso.
PHONE NO: (214) 248-4900 ADDRESS: P.O. Box 821129
CITY/STATE: Dallas, TX 75382
CONTRACT NO.: CONTRACT DATE: 7-20-87 PROJECT NO.: 257
TOTAL ORIGINAL CONTRACT AMOUNT:$ 618,526.94
TOTAL CHANGE ORDERS: AMOUNT: $ -0-
·
NOTICE TO PROCEED DATE:9-1-87 COMPLETION TIME:300 CALENDAR DAYS
CONTRACT COMPLETION DATE: June 26, 1988
PERCENT TIME ELAPSED: 100 % PERCENT WORK COMPLETED: 100 %
';ROJ~T: BETHEL SCHOOL ROAD SHEET 2 OF 5
PAYMENT NO. 12(TWELVE)&FINAL
i QUANTITY AMOUNT
i PAY i i
I ITEM i OESCRIPTION[ PLAN UNIT I TO UNIT TO
I. NO. I QUANTITY I DATE PRICE DATE
I
I
.................................................................................1o2.o CLEARIN~ A, 0 ,RU,BINO ~0.00 EA 30.00 i~;i~;;
104.2 REMOVE OLD CONC./ASPH. 285.00 SY 275.17 $6.66 $1,832.63
I
~:~- ~-~~ ...................... ~:~- ~ ........... ~:~ ...... ~:~-J ............
162.0 BLK. SODDING/EROS. CONTROL 11610.00 SY
11040.00 $2.06 $22,742.40
248.0 FLEX. BASE TY.A,GR,CL.i 60.00 CY 61.15 $30.00 $1,834.50
260.0 LIME TRMT.-MAT'L IN PLACE S.S. 1015.00 SY 991.93 $1.80 $1,785.47
262.0 LIME TRMT.-BASE COURSE -MAIN 12464.00 SY 12453.73 $1.80 $22,~16.71
!
264.1 HYORATEO LIME/SLURRY(IT260) S.S. 13.50 TONS 13.39
$965.02
264.2 HYDRATED LI~E/SLURRY(IT260)-MAIN 16B.00 TONS 162.75 $?2.0? $11,729.39
340.1 HMACP. 5" THK. TYPE O 92.50 TONS 92.50 $?0.46 $6,517.55
360.2 CONC. CURB, 6"THK. 3000 PSi 4823.00 LF 4517.40 $1.00 $4,517.40
o~.~iRCBC (4 X 2 ) ~57.00JLF I 156.00 $93.60 $14,60i.60
~64.2 21' RCP, CLASS ill 10.00 LF j 10.00 $34.32 $343.20
' PAGE TOTAL $422,798.87
3 OF 5
PROJECT: BETHEL SCHOOL ROAO ......................
.............................................. 12(TWELYE)&FINAL
PAY i j QUANTITY AMOUNT
ITEM I DESCRIPTION I PLAN UNIT TO UNIT TO
NO. j J QUANTITY DATE PRICE UATE
...... ~Z~-I~;;~;~T[-T~2;~iT;;~ ...................... l:~;- [2 ....... I ...... l:~-
...... i;~:;- ~[~;;~;-T~[~T:-;: ...................... ;~:~- ~ ............ ;~T~-
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...... ~;~:F ~-;~[~T:-;:-~;~;;: ................ ~:~F ~; .......... ~--~:~-
...... ~;~:Fi~Fi~T:-iF ..................... i~:~- ~ ............ i~:~-i-il:;;;:~-l .........
...... ~;~:~-I~;-;~[~T:-i~:-;;~;~: ............... ;:~- ~ ............. ~:~-i-ii:~:~;-j .........
475.2 FN-N HEAONALL (8 X 4 RCBC) [ 1.00 E1 1.00 $3,328.00 $3,328.00
479.1 AOJUST MANHOLES 3.00 EA 3.00 $241.30 $723.90
530.0 CONCR. WALK, 4", 2500 PSI 1500.00 SY i450.00 $18.45 $26,7§7.00
530.1 CONCR. OR.,5"THK,W/CURBS 1550.00 SY 1560.00 $16.23 $25,318.80
530.2 CONCR. DR.,5' BEYOND ROW 285.00 SY 271.12 $15.23 $4,400.28
...... ~:~- ~:-~-~[~:-~--T~: .............. ~:~- ~ ............. ~:;~ ..... ~;T~-
...... ....................... ............ ....
I
...... ;~:~- ~[~;~T;;[-~;~ ......................... i:~-'[~ ............. i:~-l-;~:;~;:;F~ ..........
...... ;~:;- ~J~T-~T~TT-;~T~-;X~;~ .............. i;:~-'~ ............ i~:~-I ....
582.2 IRELOCATE EXIST. WV & PH 2.00 EA ;:~
.................................................................582.3 LOWER EXIST. 8' NATER MAIN ! 310.00 ~ } ..... ~;~:~
i ............ ~ .............. : ...................................................
j 582.6 [LOWER EXIST. 6' WATER MN. i 30.00 LF 113.65 $46.80 $5,318.82
............ J
' 5~1.0STONE ............................................................ ~ACING k 80.DO SY ;~;~
666.0 THERMOPLASTIC MARKINGS(STOP) 310.00 LF i 169.00 $6.08
............................................ .............................................
..............................................................................
PAGE TOTAL 171524.85
PROJECT: SETHEL SCHOOL ROAD 4 OF 5
12(TWELVE)&FINAL
PAY J j j QUANTITY J AMOUNT
iTEH i DESCRIPTION i PI..AN UNIT DATE UNIT TO
NO. i QUANTITY DATE j PRICE DATE
I I I $o.oo
......................~,~O~T,A~~::::_:~::~: ........................ ,) ............................... ~ .................... .
F.C. ~4 8" GATE VALVE j 2.00 EA 2.00 $575.00 $i,150.00
~.~.~-1 ............................................................................. S,R~ACE ~RAI,S~.00 EA ~T3~ i333T33-} ............
F.C. )6-1 DRIVEWAY SLEEVES 400.00 LF 442.50 $1.75 $774.38
F.C. ~?-l RETAINING WALL 1.00 EA i.O0 $500.00 $500.00
F.C.~II-1 12'RCP 1.00 LS 1.00 $2,160.00 I $2,160.00
FC ~12 RIP-RAP i.00 LS 1.00 $635.00 { $635.00
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............ { ....... ........................................... I ................................
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I I { PAGE TOTAL $10,224.88
GROSS AMOUNT DUE $604,546.59
PROJECT: Bethel Sc~ool Road SHEET ~ OF
PAYMENT NO.12(Twelve)
Accompanying Documentation: Gross Amount Due ......... $ .604,546.59
Less 5 % Retainage ..... $ 0.00
Amount Due to Date ....... $ 604,546.59
Less Previous Billings...$ 573,647.24
Amt. Due This Application. S. 30,899.35
REVIEWED BY: .~c~.~_ ~j DATE:
CONTRACTOR'S CERTIFICATION:
The undersigned CONTRACTOR certifies that (1) all previous progress
payments received from OWNER on account of Work done under the
Contract referred to above have been applied to discharge in full all
obligations of CONTRACTOR incurred in connection width Work covered by
prior Applications for Payment number 1 through~inclusive, and
(2) title to all materials and equipment incorp6rated in said Work or
otherwise listed in or covered by this Application for Payment will
pass to OWNER at time of payment free and clear of all liens, claims,
security interests and encumbrances (except such as covered by Bond
acceptable to OWNER).
Da~e~S~~~9~ Ed Bell Construction Company
~ X~ My Commission apires 04-18-1992 ~ By
~ ~ /~ . ~ .~ Lbther ~a~onen
ENGINEER'S RECOMMENDATION:
This Application (with accompanying documentation) meets the
requirements of the Contract Documents and payment of the above
AMOUNT DUE THIS APPLICATION is recommended.
Dated ~.,~, /7 , 19 ~Y ' Ginn, Inc.
ENGINEER
OWNER'S APPROVAL:
Pay request received by .
Approved for payment on day of , 19__.
B~
OWNER TITLE
City of Coppell