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7.d2 Bliss Lift Station Control Panels Pay Request No 2 and FinalQ& MLENK Real People. Real Solutions. June 10, 2020 Honorable Mayor and City Council 14727 2091h Street N Scandia, MN 55073 RE: Bliss Lift Station Control Panels Pay Request No 2 and Final Dear Mayor and Council: 2035 County Road D East Maplewood, MN 55109-5314 Ph: (651) 704-9970 Fax: (651) 704-9971 Bolton-Menk.com Enclosed please find Contractor's Request for Payment No. 2 and Final in the amount of $10,300 to Innovo Automation for the services they provided on the above referenced project. The retainage has been reduced to 0% as this is the last pay estimate for the project. Also included are the contractor's and sub -contractor's IC -134's affidavits of tax withholding and the corresponding lien waivers. Please call me at (612) 597-7140 if you have any questions or concerns regarding this contractor's pay request. Sincerely, Ryan J. Goodman, P.E. City Engineer Enclosure: Contractor's Request for Payment No. 2 and Final, IC -134's, Lien Waivers H:\SCND\N13118296\7-Construction\E-PayApplications\PayApp 2 (Final)\Mayor and City Council _RJG^Bliss Lift Station Control Panels Pay Request No 2 and Final.docx Bolton & Menk is an equal opportunity employer. ININ11014101 AUTOMATION Innovo Automation 6845 20th Avenue S, Suite 140 Centerville, MN 55038-7761 BILL TO INV DATE DUE DATE 5/8/2020 5/8/2020 City of Scandia Adam Hawkinson 14727 209th Street North Scandia, MN 55073 ................................................................................................................................................... YOUR PO/ORDER # REPRESENTATIVE ...................................................................:.......................................................... i .................. CPK SHIP TO City of Scandia Adam Hawkinson 14727 209th Street North Scandia, MN 55073 Invoice ...................................... TERMS Due on Receipt 11495 OTHER INFORMATION 20000 QTY r UOM r ITEM DESCRIPTION ....................5.......................................................................................................................................................................................... Project Lift stations 1 & 2 Per quote created by Dustin Kemmis Previous Invoice: Completion of work performed by Innovo Automation as of :3/11/20 (90%) - 11472 (PAID) - Both lift stations are installed on new concrete pads and excavation for new piping has been installed. - Both lift stations have been powered and are currently running the stations through the regular PLC programming with relay back up. - Lift stations are currently signaling alarms on the old system (dialer at LS2, buzzer and beacon at LS1). - Both sites have antennas mounted and wired as well as all SCADA radio systems installed waiting for final programming. - LS1 has had old float system removed from well, new float installed. - Both lift stations have generator receptacles mounted and wired in. $92,700.00 UNIT PRICE EXTENSION Thank you! ....................................................................................................................................................................... AMOUNT DUE Please remit payment to Innovo Automation address above. ........................................................................................................................................................................:........................................................................................................: www.innovoautomation.com BBB Member Since 2004 US DOLLARS `•. :......................................................................................................................................................................................................................................... i..... On late payments, the contract price shall, without prejudice to Seller's right to immediate payment, be increased by 1.5% per month on the unpaid balance, but not to exceed the maximum permitted by law. ...................................................................................................................................................................................................................................................................................6 ININ11014101 AUTOMATION Innovo Automation 6845 20th Avenue S, Suite 140 Centerville, MN 55038-7761 BILL TO INV DATE DUE DATE 5/8/2020 5/8/2020 City of Scandia Adam Hawkinson 14727 209th Street North Scandia, MN 55073 ................................................................................................................................................... YOUR PO/ORDER # REPRESENTATIVE ...................................................................:.......................................................... i .................. CPK SHIP TO City of Scandia Adam Hawkinson 14727 209th Street North Scandia, MN 55073 Invoice ...................................... TERMS Due on Receipt 11495 OTHER INFORMATION 20000 QTY r UOM r ITEM DESCRIPTION E...................5...................:..........................................E........................................................................................................................ 1 Sales Current Invoice: - SCADA programming for alarms and other communications to master need to be downloaded, tested and verified for information (3/11/20-3/13/20). - Need to make program adjustments to master location screen for new alarming on LS1 & LS2. - Need to remove floats from LS2 well. - Official hand over/start up and training to happen 3/16/20 along with operations manual and laminated final drawing set placed in the enclosures. Project Total: $103,000.00 CITY OF SCANDIA Signature of Agreement: BOLTON & MENK, INC. Signature of Agreement: UNIT PRICE EXTENSION 10,300.00: 10,300.00 Thank you! ....................................................................................................................................................................... AMOUNT DUE $10.300.00: Please remit payment to Innovo Automation address above. E........................................................................................................................................................................d........................................................................................................5 www.innovoautomation.com BBB Member Since 2004 Tax ID No. 37-1800745 US DOLLARS `•. ..............................................................................................................................................................................................................................................................................i On late payments, the contract price shall, without prejudice to Seller's right to immediate payment, be increased by 1.5% per month on the unpaid balance, but not to exceed the maximum permitted by law. .................................................................................................................................................................................................................................................................................... 6/5/2020 https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/c-/p6p8Sh9FX2g45XrRgeQHww_?FILE= Print2&PARAMS= 113870679596... ,Mlj DEPARTMENT OF REVENUE Contractor Affidavit Submitted Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: 1-666-350-624 Submitted Date and Time: 5 -Jun -2020 10:18:48 AM Legal Name: COMPLETE INGROUND SYSTEMS LLC Federal Employer ID: 27-3714385 User Who Submitted: 1802965 Type of Request Submitted: Contractor Affidavit Affidavit Summary Affidavit Number: 1432559616 Minnesota ID: 1802965 Project Owner: CITY OF SCANDIA Project Number: 1093 Project Begin Date: 20 -Nov -2019 Project End Date: 05 -Dec -2019 Project Location: 19189 LAYTON AVE. N MARINE ON THE ST CROIX MN Project Amount: $7,625.00 Subcontractors: No Subcontractors Important Messages A copy of this page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email) withhold ing.tax@state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday. Please print this page for your records using the print or save functionality built into your browser. https://www.mndor.state.mn. us/tp/eservices/_/Retrieve/0/c-/p6p8Sh9FX2g45XrRgeQHww_? FI LE_=Print2&PARAMS_=1138706795962652135 1 /1 M � DEPARTMENT OF REVENUE RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS Date: �Q 15j `LOZc The undersigned hereby acknowledges receipt of the sum of S �� �Q J I. ❑ as partial payment for labor, skill and material fumished 2, E2 as payment for all labor, /s�kill and material furnished or to be furnished (except the sum of l(02 R • 0 I retainage or holdback) t CuE Fuf, a6m+-Ovq(nC- 3. ❑ as full and final payment for all labor, skill and material fitmished or to be furnished to the following described real property: (legal description, street address or project name) and for value received hereby waives all rights acquired by the undersigned to file or record mechanic's lien against said real property for labor, skill or material furnished to said real property (only for the amount paid if Box I is checked, and except for retainage shown if Box 2 is checked). The undersigned affirms that all material furnished by the undersigned has been paid for, and all subcontractors employed by the undersigned have been paid in full, EXCEPT: INSTRUCTIONS: Please complete and sign this lien salver on the line above. Once it has been fully signed, please return this orteinal. slered II " wa'ver to us in the enclosed self-addressed stnm sed em elope. If you have any questions, plenseeall nt (o SYa3�J-COO 'J�(O. Thankyou. >i;�lilil1 tjvk l I\/1()hiI:, :jf)�.liIII 0Y