CF-Sandy Station-CS 860807 CITY OF COPPELL
PAYMENT AUTHORIZATION MEMO
Pay To:
Charge To:
{Dept. No. - Expense Code)
Amount: ~
Explanation:
~ ~ / ..... ~ /,; · ,~ , r,* ~'/ ~ ;/ ACCOUNTING USE ONLY
Approved for payment
~eeommended For Payment By: Date Paid
~ ~'; ~~~ ~', Check Num~r
' ~ ' (~pt. Head) ' -
~ Invoice No.
GINN, INC. CONSULTING ENGINEERS
July 30, 1986
Mr. Ed Powell, City Engineer
P.O. Box 478
Coppell, TX 75019
Re: Sandy Lake Road Pump Station Improvements
Dear Mr. Powell:
Enclosed are three copies of Application for Payment No. 2 in
the amount of $17,086.40 from Onyx Construction Co.,
representing work performed on the above referenced project
through July 18, 1986.
We have reviewed this application and recommend that payment in
full be made at this time.
Sincerely,
H. Wayne Ginn, P.E.
/sr
Enclosure
cc: Onyx Construction Co.
Randy Fleming
Kevin Peiffer
16135 Preston Road · Suite 106 · Dallas, Texas 75248 · Phone 214/386-6611
Application for Payment
PAYMENT REQUEST NO. TwO SHEET 1 OF 3
FOR WORK COMPLETED THROUGH THE DATE OF: July ~8, 1986
PROJECT TITLE: $*~%'~Y L~ ROAD PU~ STATION ~PROV~N'~S DATE: July 20, 1986
LOCATION: Coppell, Texas
DESCRIPT~N: Install one ~00 HP motor ~d p~p w/ electrical appurten~ces
OWNER/ENGINEER INFORMATION: CONTRACTOR INFORMATION:
CONTRACTOR: O~v-~ Construction Co., Inc.
OWNER: Fity of Co?pel] ADDRESS: P.O. Box 18765
ADDRESS: p.g. Rr¥~-d7R CITY/STATE: Ft. ~rtlh: ~ 76~48
C~Y/STATE: Coppell, Texas 75019 CO.ACT ~RSON: R. ~. Josserand
CO. ACT ~ER~ON: Ed Powell ~H~E ~.: (817) 439-3335
462-0022
~HONE ~.:
~RA~CE CO:: ~ited Fidelity
ENG~EER: G~, INC., ADDRE~:
CON.TING ENGINEERS
AD~E~: 16 1 ~ ~RE~TON ~AD, C~Y/~TATE:
~UITE 106
CI~/STATE: DALLAS, TEXA~ ~DIHG AGE~: Highl~ds ~de~miter~
CO'ACT PER~ON: Kevin Peiffer AD~E~: 600 Jefferso~
~H~E ~.: (214) 386-6611 CITY/~TATE: Ho~ton, ~ 77002
CONTRACT HO · CONTRACT DATE: PROJECT NO.:
TOTAL ORIGINAL CONTRACT AMOUNT: $ 45,960.00
TOTAL CHANGE ORDERS: 3 AMOUNT: $ 7 ~ 268. O0
TOTAL CONTRACT AMOUNT TO DATE: $ 53,228.00
NOTICE TO PROCEED DATE: ~,~a¥ ]9; 19R6 COMPLETION TIME: 4.5 CALENDAR DAY8
CONTRACT COMPLETION DATE: July 2, 1986
PERCENT TIME ELAPSED: 100 ~ PERCENT WORK COMPLETED:, 91 ~
'r~LEP~ONE ONYX CONSTRUCTION CO. INC.
439-3335
430- I 800 GENERAL CONT~iACTOR & EQUIPMENT RENTAL
P O. BOX IB-/~3
FORT WORTH. TEXAS '/6118
HAME OF PROJECT City. of Coppell Existing Pump Station Improvements
ESTIMATE PERIOD: FROM May 28, 1986 TO July 18, 1986
[ONTRACTOR ONYX CONSTRUCTION CO., INC.
CONTRACT AMOUNT S 45,960.00 AMOUNT ESTIMATE 48 652 O0
Change order 831.O0 ; '
CHANGE ORDER # 2 1,861.00 RETAINAGE 5%
~ ~ 32 60
TOTAL CONTRACT AHOUNT ,.r. 7~ nO ?9 133 O0
"';" .... LESS PREVIOUS PYMTS - , ·
TOTAL THIS ESTIMATE 17,086.40
I
DESCR I PT ! ON UNIT CONTRACT _WjDRK DONE AMOUNT
PRICE PRICE .~) DATE
Electrical C.I.P. (i'ncl. ~nstrumen-
ration) 15,500,00 100 15 ,S00. O0
High service pump w/motor (IOOHP)
w/appurten. 20,210,00 100 20,2 10. O0
12" D.I. flanged Class 51 C.I.P. 4,100100 100 4,100.00
12" 90o D.~, long tad. base bend
(flanged) C.I.P. 750.00 lO0 750.00
12" x 10" reducer D.I. (flanged)C.I.P, 500.00 100 SO0.O0
10" x 90° bend D.I. (flanged) C.I.P. 300,00 100 3OO.00
10" gate valve D.I. {flanged) C.I.P. 900,00 100 900.o0
10" check valve D.I'. (flanged) C.I.P. 2,500.00 lO0 2,500.00
Pressure gauge (0-200 psi) 200.00 100 200.00
q" air release valve C.I.P. 1,000.00 lO0 i,ooo.oo
Change Order No. 1
Install 12" Valve & Box 831.0 100 831.00
Change Order 2 1,861.0 100 1,861.00
R.E. ~TJ~SSERAND ,
Sec.//Treas.
PROJECT: SANDY LAKE ROAD FUMP STATION IMPROVEMENTS SHEET 3 OF 3
PAYMENT NO. '~0
Accompanying Documentation: GROSS AMOUNT DUE ......... $ 48,652.00
LESS 5 % RETAINAGE ..... $ 2,432.60
AMOUNT DUE TO DATE ....... $ 46,219.40
LESS PREVIOUS PAYMENTS... $ 29,133.00
AMOUNT DUE THIS APPLICATION $ 17,086.40
REVIEWED BY: /¢'/? DATE:
BY: ~'~ --'~.-~' /~..'/// DATE:
CHECKED
CONTRACTOR'S CERTIFICATION:
The undersigned CONTRACTOR certifies that (1) all previous progress payments received f~.)m
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 with Work covered
by prior Applications for Payment numbered I through ~ inclusive; and (2) title tc
all materials and equipment incorporated 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).
/ /
t/ CONTRACTOR
ENGINEER'S RECOMENDATION:
This Application (with accompanying documentation) meets the requirements of the
Contract Documents and payment of the above AMOUNT DUE THIS APPLICATION is recomended.
,::~? / / IgNCINEER
Owl~.qq'S Alqq~OVAL: r.
Approved for pa~went on ~ ~>' of f~,~-~~ ~ .... . 19.,~ ..