D00828 ��
_ - City Clerk
_ - Finance Dept.
_ - Dept. Accounting (Civic Center)
� - Engineer (HGA)
_ - Contractor
_ - Project Manager (CPMn
CITY OF SAINT PAUL - OFFICE OF TAE MAYOR
ADMINISTRATIVE ORDER
for
CONTRACT CHANGE AGREEMENT NO. CPl.
•
\ J
ADMINISTRATIVE ORDER, Whereas, additions which proved to be necessary to the Improvement described
as Saint Paul Civic Center Expansion. CP-1 Demolition. Excavarion & Bridge Construction
laiown as Contract L City Project No.014440 Edwazd Kraemer & Sons, is composed of the following:
1. Rebuild water tuluiel per Contractor Proposal (CP) #C124R (I-IGA RFP N21)
Reason: Water tunnel too close to bridge tunnel and collapsed. Repair requireA.
2. Site light fixtures at Wilkins Auditorium per CP #C1.36 (HGA RFP #33).
Item 1 only. Item 2 not accepted (conduit at bridge).
Reason: Site security
3. Sidewalk work: Remove concrete at Seventh and Kellogg, prepare for asphalt
a[ crossover.
Reason: Concrete-safery issue; crossover required for client access.
4. Deduct for material failure per Mn/DOT recommendation dated 10/20/95.
Reason: Sand not up m Mn/DOT spec.
�• f
. 1 •
�. �i
Total
$12,493J8
3,399.60
1,33130
(684.00)
$16,540.68
ORDERED, That the City of Saint Paul, through its Mayor, approves the foregoing additions made in accordance with the
specificalions in the sum of $ 16.540.68 said amount to be added to the lump sum consideration nazned in the
contract, l�own as contract L- and which amount is to be fwanced from:
930-903Q0-0898-00000 Civic Center Expansion Fund.
f-1� i9�
19_
U 19�
3�1,� 19�
Edwud Kraemer & Sons
Conuactor
By
Assistant to the Mayor
Director of Civ c Center
���
nr� �te�t
c
�OSZ� '�
�� � DATE IN IATED O
,,� �'�o s GREEN SHEET N- 3,4907
INITIAUDATE INITIALIDATE -�
DEPARTMENT DIRE � CRY CAUNCIL _
� s � O � NUY FOR CIN ATtORNEY 7� J� CI CLEflK _
�
ROVfING � BUDGET DIRECfO N. 8 MGT. SEPVICES
ORDER Z
f�IMAYOR(ORASSISTANn � ,.���y����,-�
�6R+
(CUP ALL LOCATIONS FOR SIGNATURE) '� co n�
. n �. na,n c: a
TOTAL # OF SIGNATURE PAGES
�h�ti es�d�.f �g -� r 4��aarc� #`.caEmtif Co.t�ca�t �o � C��i� Ccn�-f 4,it�a2s`,�'I
_ PLANNING CqMMISSION _ CIVIL SERVICE COMMISSION
__ CIB COMMflTEE X S4 �dY1S��
_ STAFF _
_ �ISTRICTCOURT _
SUPPOflTS WHICH CAUNCIL O&IECTIVEI
PERSONAL SERVICE CONTRAC7S MUST ANSWEH TME FOLLOWING UUESTIONS:
1. Has this Oe�on/firm ever worked under a contrect for Mis department? -
YES NO
2. Has ihis pereon/firm ever been a city employee?
YES NO
3. Does this personfltrm possess a skifl not normalry possessed by any currem city ampiqree?
YES NO
Explain all yes anawers on separate sheet ana attaeh to green sheet
PROBLEM, ISSUE, OPPORTUNI7V (Who. What, When, Where. why):
�4 l�F� G4�� �c �S'cttif 't�c ��-�'at �
CM v'�'s� �'��
JAN i 6 �g96
��f,'yn�`R.+'�a:s� �i i'�l✓:a
����"����'�
JAN 12 1996
C�`�� � �r ������Y
�t�CEIVE�
JAN 2 51996
CITY G�.ER9�
�TALAMOUNTOFTRANSACTION$ l��s`��'�� CO57/REVENUEBUDGE7ED(CIpCLEONE) VES NO
FUNDI(dG SOURCE C��d �� IfC �A1� Ca���,l� Qe�-FS�� ACTIVITV NUMBER �— �� "�1YJ3OD "Da58
FINANCIAL INFORMATION: (EXPLAIN) „j j � �
u��
. ��2g
GONTi#�CT STA'Ti13
C J
•
PROJECT: Saint Paul Civic Center
Expansion Project
Saint Paul, Minnesota
CONTRACTOR Edward Kraemer & Sons
1020 West Cliff Road
Burnsville, MN 55337
OriginalContractAmount: $5,317,785.70
O No.
C1.1
C12
C1.3
C1.4
C1.5
C1.6
C1.7
C1.8
C1.9
Subtotal
Deduct Add
14,844.30
7,144.85
28,810.80
9,928.70
24,241.68
96,260.00
38,228.40
58,261.10
16,540.68
00 $294.220.51
DATE ISSUED:
CONTRACT NO.:
CONTRACT TITLE:
CONTRACT DATE:
22 December 1995
CP-1
Demolition, Excavation &
Bridge Construction
29 March 1995
Net Amount of Contract
including this Change Order: $5,612,006.21
C�
�
•
•
(7�M �`����
CQ>N:TRAt:CTOR'S PROPOSAL
Contractor Proposal No.: /l(i
Project: Saint Paul Civic Center
Contract No.:
A change in the scope of the work is requested as indicated below:
It is requested the completion date be i) extended, () decreased, 1) unchanged by _
calendar days. The adjusted completion date will be
2. Description of the change: (Refer to drawings, specifications, addenda, if applicable).
(Reference RFP No.: �=- \<_<!—: CCD No.: : FO No.: )
3. Basjs of payment: (Check one) �°
�Firm price for performing this change is ....................................5 12 yq3
Adequate supporting details and information (Increased Deduct)
must be attached to allow Owner to evaluate.
() Time and material per contract, but not to exceed S
( 1 Actual cost at completion of work $
Actian Recommended: (Check one)
() Change wilt not be made. Explain:
i�
CPMI Job No.: 3225
�Proceed on the following basis:
�¢�s indicated above, change and basis of payment is acceptable.
() Change is acceptabie, basis of payment is not acceptable.
() Basis of payment shali be S
() The following modification is recommended:
( 1 Change in completion date is accepted.
() Change is acceptab{e with no change in price.
(} Change is acceptable with no change in completion date.
Reason for Change:
() Design Change () Client Request b�Field Condition
i 1 Suggested by Contractor () Design Omission or Other (explain}
3. Is this a part of the originaal contract scope? (} YES �NO
4. Is Contractor's Estimate attached? �I�YES ( 1 NO
5. A/E consulted. �YES ( ) NO
Prepared by: , C- CPM11
�
Date:�L�[�-c�-
7�
Approved by �. tHGA) Date:
Approved by C� Owner) Date:
C
Approved by: �Owner) Date:
cc: Chris Hansen Bake Baker Mike Pederson Dick Zehring
Eriks Ludins 3225- 3225- BL
.�
6 ��9� ;
��
SAINT PAUL CIVIC CENTER EXPANSION
Submitted by: °._.�.+�-:'�-"� Y.sr�-•. , S�k: > Date: C L� �
Contractor
�'� • i�
lJ
�
` �
BREAKDOWN SHEET
CONTRACTOR'S PROPOSAL
SA1NT PAUL CiVIC CENTER EXPANSION
LABOR, MATERIAL & EQUIPMENT
OIRECT EMPLOYEE LABOR
MATERIALS & EQUIPMENT INCORPORATED
TOTAL LAB & MATERIAL & EQUIPMENT
l5% FEE
TOTAL LABOR, MATERIAL, EQUIP., & FEE '
SUBCONTRACTORS
5% FEE
TOTALSUBCONTRACTORS &FEE
OTHER COSTS
TRAVEL & SUBSISTENCE
MATERIALS & EQUIPMENT NOT INCORPORATED
RENTALS
TAXES
PERMITS & LICENSE FEES
UTILfT1ES, FUEL, FACILITIES AT SfTE
INCIDENTALEXPENSES
BOND & INSURANCE PROVISIONS
TOTALOTHER COSTS
TOTALOFCHANGEPROPOSAL
S � �L=�
s� SFs' s=
s 9$y�=
s J y 7c��
$ 7)ZO
c
C .�b �
S
$
S
S
S
S
S
0
s l�3]? �-
$ ��'�(o =u
. i
sIZy93�'
SAINT PAUL CIVIC CENTER EXPANSION
• St. Paul Civic Center Demolition, Excavation and Bridge Construction
, Cost Breakdown for Water Tunnel Work �$��
• 1
� � � , ,75"
•
��
MATERIAL �,' R�'K.' = 3. == t �=F -� � y
Concrete �
Roof 9 CY & Wails 7 CY = 16 CY @$60.00 ,......$ 960.�0 L c�
oK-
Rebar
26 #8 @ 8'-0" X 2.67 = 555.36
9#5 @ 32'-0" X 1.043= 30�.38
34 #7 @ 9'-0" X 2.044= 625.46
16 #6 @ 14'-0" X 1.502= 336.45
1818 LBS @ $0.30 . . . . . . $
2 Bags grout @ $45.00 EA . . . . . . . . . . . . . . . . . . . . $
1 Diamond Blade @ $280.00 . . . . . . . . . . . . . . . . . . $
Misc. LumbeNPlywood . . . . . . . . . . . . . . . . . . . . . . . $
Total Material . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
545.30 �i�
90.00 ���
280.00
350.00
2,225.30 or�
2. EQl31PMENT 2 Q � ,
American R213 20T Crane 24 Hrs. @$80.00/Hr ...$ 1,920.00
IR 150 Air Compressor 16 Hrs. @ $20.00/Hr. . . . . . . $ 320.00
3/4T Chevy Pickup 8 Hrs. @ $15.00/Hr . . . . . . . . . . $ 120.00
Total Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,360.00
3, LABOR
a.) Cut keyway and drill dowel holes:
2 masons @ 8 Hrs Ea. = 16 Hrs. X$20.94/Hr ..$
b.) Chip sidewal8,rock for roof slab shelf:
2 laborers @ 24 Hrs. Ea. = 48 Hrs. X$15.00/Hr. $
c.) Form, pour, strip walls/roof:
2 laborers @ 24 Hrs. Ea. = 48 Hrs. X$15.00/Hr. $
2 carpenters @ 24 Hrs. Ea. = 48 Hrs. X$20.60/Hr $
Total Raw Labor . . . . . . . . . . . . . . . . . . . . . . . . .
x Taxes and Insurance (67%) . . . . . . . . . . . . . . .
Subtotal ................................
� � It�
335.04
720.00
720.00
988.80
... $ 2,763.84
... $ 1,851.77
. . . $ 4,615.61
Fringes
`�a � 16 Hrs. @ $5.48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 87.68
48 Hrs. @ $4.12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 197.76
�� �96 Hrs. @ $3.70 . . . . . . . . . . . . . . . . . . . . . . . . . . $ 355.20
d� Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 640.64
Total Labor Including Taxes, Ins. & Fringes . . . . . . . $ 5,256.25 -= ��o -
�
32°�rr�
- � St. Paui Civic Center Demolition, Excavation and Bridge Construction
. Cost Breakdown for Water Tunnel.Work �
(Cont.)
�
4. SUBWORK _
J & L Rebar - 20 man hours x $56.00 . . . . . . . . . . . . $ 1,120.00 . �
TOTAL EKS WORK . . . . . . . . . . . . . . . . . . . . . . . . . $ 9,841.5 = '�
TOTAL SUB WORK . . . . . . . . . . . . . . . . . . . . . . . . . $ 1 1�0.0'0
$ 10,961.55
X 15% EKS markup . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,644.23
GRAND TOTAL . . . . . . . . . . . . . . . . . . . . . . . $�9N. 8�
� � F � Y - r�r� �� � �y
� �o'�'�
��� ;
•
•
� ��y=t�i g• �'>� ,,
��,�--,�._ H
i
�
LJ
Action Recommended: (Check one)
() Change will not be made. Explain:
Contractor Proposaf hfo.: � `.�
Project: Saint Paul Civic Center
A change in the scope of the work is requested as indicated below:
C Q N: T R:A".Cl' O R' S
1. It is requested the completion date be t) extended, () decreased, (�7 unchanged by _
calendar days. The adjusted completion date wili be
2. Description of the change: (Refer to drawings, specifications, addenda, if applicabie).
(Reference RFP No.: �=.\3b � CCD No.: • FO No.: i
`JI'IL UGNT -�'1Gn�S G� t�t��LKWS
3. Basis of paymen2: (Check one) �°
t�YFirm price for performing this change is ....................................5 3�l
Adequate supporting details and information ncreased Deduct)
must 6e attached to allow Owner to evaluate.
() Time and material per contract, but not to exceed $
() Actual cost at completion of work 5
Submitted by: t-O'�1�0 �!�-��z� �� `
Contractor
Contractor
1
2.
3.
4.
5.
�Proceed on the following hasis:
�As indicated above, change and basis of payment is acce{
() Change is acceptabte, basis of payment is not acceptable,
( 1 Basis of payment shail be S
( i The following modification is reaommended:
() Change in completion date is accepted.
() Change is acceptable with no change in price.
( 1 Change is acceptable with no cfiange in completi�
Reason for Change: S�Uj��yN
() Design Change �Client Request ( Fiel11 Condition
() Suggested by Contractor () Design Omission or Other (explain)
Is this a part of the originaal contract scope?
Is Contractor's Estimate attached?
A
( ) YES
�.YES
Date:�L
CPMI .lob f�Y6.: 3225
�NO
{�NO
ONO
j�m �--
��Zg
� r �
f
�� I
��
�� �%
,II O
n �U
���-
��
n date� � �
\" �� �
��
��,
��/��
V
� F/1 . .
Prepared
Approved
• Approved
Appraved by:
cc: Chris k
Eriks Ludins 3225-
Mike Pederson Dick
3225- Sl
SAINT PAUL CIVIC CENTER EXPANSION
f�
/ \
.
� ��
1�.!
f1 : .
�..
•
� �
J
BREAKDOWN SHEET
CONTRACTOR'S PROPOSAI
SAINT PAUL CIVIC CENTER EXPANSION
LABOR, MATERIAL & EQUIPMENT
DIRECT EMPLOYEE IABOR
MATERIALS & EQUIPMENT INCORPORATED
TOTAL LAB & MA7ERIAL & EQUIPMENT
15% FEE
TOTAL I..ABOR, MATERIAL, EQUIP., & FEE
SUBCONTRACTORS L�,ys l}J.�� . .
_,��
5°!o FEE
TOTAISUBCONTRACTORS & FEE
OTHER COSTS
TRAVEL & SUBStSTENCE
MATERIALS & EQUIPMENT NOT INCORPORATED
RENTALS
TAXES
PERMITS & LICENSE FEES
UTIlIT1ES, FUEI, FAClLIT{ES AT S1TE
INCIDENTAL EXPENSES
BOND & INSURANCE PROVISIONS
TOTAL OTHER COSTS
TOTAL OF CHANGE PROPOSAL
S
s 8�ae-5 C 190�
S
GV
S 2 —
$ 13 � b,�
S
S
S
5
S
S
S
S
E
=��g3o c
`'''� 7 U �'
`v +
�
Ssz �
� ��
ssz
( 0
S Z� ° r� 4- l
,, , z
��
$-� 1 �
SAINT PAUL CIVIC CENTER EXRANSION
.. FBQ� EGAN COk1PANIES -_ -
.
•
CJ
{TUE)11,28'�� ::":53 /ST,D7:51/ N0,3300000-235 P, 216,..
- -- -
_._ T_.,_. . _ ._. _ . __:: `: -: �-
- ' - - LW � /--b - -- - --- -
�d11 � QEC�'1C8I �Of1�1YdC�qfS, ti�1C.
13avember 28, 1995
Edward Kracmer and Sans, Inc.
1o2a west Ciiff Road
BurnsYille, Minaesota 5:737
Atcn: lerrY Volz
RE: CP-1, St. Paul Civio Centar Expansior
RFP C1.36
pear Jerry:
We are pleased to prooide this proposal c•; furnish and
instail cwo a" PvC coated rigid ateel cor',its suspended
ander the bridge. Priee inciudas condui�. hot dipped
galoaniaed bridge hangers, anchors, expae°��n fittin8s and
other necessarY fztt3ngs. Materials and ;�stailation are per
gFP C1.36 and Minnesota D sedtms�S43f523At,nQoztation (MnDOT)
standards. Pr3ce as prop
zn the inzerest af keeping casts down, I crn proposing an
alternative oi a"Fiiament-Wound Reinforce�l Ther�+osetting
Resin Conduft" (FRS Duct► in tieu of she P��c coated rigid
steel Conduit. MnDOT allow5 use of this conduit if� blCidge
electricai systems snd mav meet your neeas for this use- i
have enclosed a copy of che specificaCions from another
project for your reference Price fos use of the FRE duct is
SZ(,Z06,0o.
Our p7Capo5$ to provide three S00 wsit quartz flood lights at
Wilkins is $2,73Z.00. This Arice does noc inolude.lift
rental {60' saorkel lift)-
Please note delivery for bridge conduit componants is
approximately three to four weeks aftes auchoriZation to
proceed and approx=mately to three weeks for installation.
Pif.�e5 do nOt inctud.e any markup Edward Kraemer may be
entitled to. If yon have anY 4uestions or need additional
information, feel free to caii me at (6121 591-5�35.
nceraiy po .
' �. —
U iel E. slling
project Manager
7100 Bte ��Y `Sin��,ca s'atxT
Alinna�p
Tcl (6L) 5i�i-3(3l
Fax <gLl S9t•au60
���
�`
�
-.r�
�
�
�
�
��.Y
t�`
Comrnc�aG [°dnsn &
Z� � (7ucdaac F1<ctrital
'L�O '1; CO4lTJ�CIM.3 v,J�CLT�Ct•
3 ��
� �2
i
1n f.qu.1 OpPOrtvnicr ErtPloyrrlCuMrhnor.
�
U
•
•
, � � �52�
� ._ . ; .
��'��a �7��3
It is requested the completion date be f 1 extended, ( 1 decreased, I� unchanged 6y _
calendar days. The adjusted completion date will be
Description of the change: (Refer to drawings, specifications, addenda, if applicable).
(Reference RFP No.: � CCD No.: � FO (Vo.: 1
S/DEL�%/-��I� C�A1G�E7�E ¢3�MO✓/�L� �'� 1 l�s�'/fft�7� T G�SS6Y�'7
Contractor Proposal No.: . "h : �
Project: Saint Paul Civic Center
Contract No : CQ- i
A change in the scope of the work is requested as indicated below:
2.
3.
Adequate supQorting details and inform2tior.
must be attached to allow Owner to evaluate.
H'llme and material per contract, but not to exceed
S 1 Actual cost at completion of work
Basis of payment: (Check one)
(�m price for performing this change is ..............................
QN"TH.AC-TOR'S PROPOSAL
.....s �1 3�
ncrease Deduct!
Submitted by: �-O.�rraicr.a Wtta �Sw:.� Date: �\��a.-
Contractor
Contractor
2.
FOR
Action Recommended: (Check one)
() Change will not be made. Expiain:
CPMI Job No.: 3225
�Proceed on the foUowing 6asis:
�As indicated above, change and basis of payment is acceptable.
() Change is acceptable, basis of payment is not accepta6le.
S) Sasis of payment sfiafl be $
() The folibwing modification is recommended:
() Change in compfetion date is accepied.
i 1 Change is acceptable with no change in price.
( l Cha�ge is accepiable with no change in completion date.
Reason for Change:
( ) Design Change �.Ciient Request `�Field Condition
( 1 Suggested by Contractor (� Design Omission or Other (explain)
3. Is this a patt of the originaa� contraci scope? () YES �NO
4. is Contractor's Estimate attached? ES {) NO
5. A/E consutted. YES {) NO
Prepared by: � CPMq
Approved by �d. /' 1 �i (HGAI
/ U � � �T,
Approved by `� Owner)
�
Date: f� '� �"��
Date•
Approved by: (Owner) Date:
cc: Chris Hansen Bake Baker Mike Pederson Dick Zehring
Eriks Ludins 3225- 3225- BL
�
SA1NT PAUL CIViC CENTER EXPANSION
�� j �
��
•
��
BREAKDOWN SHEET
CONTRACTOR'S PROPOSAL
SAINT PAUL CIVIC CENTER EXPANSION
LABOR, MATER(AL & EQU(PMENT
DIRECT EMPLOYEE LABOR
MATERIALS & EQUIPMEN7 INCORPORATED
TOTAL LAB & MATERYAL & EQUIPMENT
l.�i% FEE
TOTAL LABOR, MATERIA�, EQUIP., & FEE
SUBCONTRACTORS
5% FEE
TOTALSUBCONTRACTORS & FEE
OTHER COSTS
TRAVEL & SUBSiSTENCE
MATERIALS & EQUIPMENT NOT INCORPORATED
RENTAIS
TAXES
PERMITS & LICENSE FEES
UTILITIES, FUEL, FAC1lITIES AT SITE
fNCIDENTAL EXPENSES
BOND & INSURANCE PROVfStONS
TOTALOTHER COSTS
TOTAL OF CHANGE PROPOSAL
S
S
S
S
S � Z�'� . qo
s �3 • �
$
S
S
S
S
5
S
$
S
s ��3 31 .3'a
5
S
SAINT PAUI CIVIC CENTER EXPANSION
•
�a r
•
' 1\
AMES CONSTRUCTION, INC.
14420 COUNTY ROAD 5
BURNSVILLE, MINNESOTA 55306
(612) 435-7106 • FAX 435-7142
��4�
C
�°�acrt� _
•
November 20, 1995
Edward Kraemer & Sons, Inc.
1020 West Cliff Road
Burnsville, Minnesota 55337 ,� ����5
�;-x, /N n
Attention: Jerry Volz, Regional Manager �O� � ��L G�'����
-( �//���C�='G
Subject: Grading & Removals for Crosswalk /� rn �`1 ✓ ��l
Saint Paul Civic Center Bxpansion �� _�v � J
CP-i Demo, Excavation & Bridge Construction L��'�3 �
Deaz 7etry:
We have recently compieted some extra work done on a time and materiai basis as dixected by
Mark Gunderson of CPMI. This work was invoived preparing the grade for a crosswalk on the
north side of Kellogg Boulevard near the CPMI trailers. This work inciuded cutting and
removing additionai concrete sidewalk, grading for a new bitunuuous sidewalk, and placing a
new 4" PVC pipe. Please find attached the field work order for this work. Following is a
tabulation of the cost.
Labor & Eaunt 11/13 11114 11(15 11/16 Total Rate Extension
Bobcat 4.0 3.5 7.5 $50.00 $375.00
Conerete Saw 4.0 4.0 $30.00 $120.00
Foreman 2.0 2.0 $50.00 $100.00
Laborer 4.0 4.0 8.0 $27.22 $217.76
Laborer 4.0 4.0 8.0 $27.22 $217.76
Subtotal $1,030.52
aterial
Concrete Dump Charges
12.0 $6.00 $72.00
Subtotal $72.00
Total with 15% Mark-Up $1,257.90
The total cost of this additional work is $1,267.90. It is our request that a change order be issued
for this amount. If there are any quesrions, please give me a cail.
• Sincerely,
1-=� `�,�-�
Michael Moeiler
Project Manager.
M Equa! �PPo,ru^tN Employer
OFFICES IN: DENVER, COLORADO • PHOENLY, ARiZONA • SALT LAKE CITY, UTpH
•
AMES CONSTRUCTION INC.
14420 County Rd. 5
P.O. Box 1137
Burnsville, Minn. 55337
Telephone (6121435-7106
FIELD WORK ORDER
(FOR EXTRA WORK, TIME & MATERIAL WORK, AND BACKCHARGES)
Date l�/J''�� T.s�iP� `� �cr'75
Bill to
r.m��
Address
ProjectNo.qS�aZ�d,3 ProjectName Sf /"/9J� �!/�i'�. G!�^J�i�
� Kifi�f+0(.lGi %h�iS,�.Lar.a
Location of Work Performed 3 � ��- � �� .�n TH S� J�`tf
Naxure of Work Performed � e� f- �SMaJs! /fa j QA !' 6.uc�2ST r'�A�3� 1 t�i% G�SS uJAL�� �-+
/'.(�9Gd 'il�� p�G X S�O �
EMPLOYEE
� /19,1'r/RLld
's1.L�RiO'�
9.J ficrSS�n..° ✓
EMPLOVEE EQUIP. NO.
TRADE
EQUIPMENT
DESCR IPTION
GRi
RATE
r •
�� � ��
TOTAL
LABOR SUB TOTAL
AL
RATE I TOTAI,
HOURS
MATERIALSUBTOTAL
WORK AUTHORIZED BV (SIGNATURE)
•
� RK RDER EPARED B
LABOR SUB TOTAL
EQUIPMENT SUS TOTAL
PROFIT AT %& O.H. AT %
TOTAI BILLED
Wti1TE-T�CUST�MER YE�L�W-MP�S.ACC�UNTING PINK•FIELOOFFICE
EQUIPMENT SUB TOTA4
MATERIAL & OTHER CHARGES
�{n/DOT 24570 (Rev. 3/91)(Ocig: Grcen)
��� �� �-
MINNESOTA DEPARTMENT OF'TRP.NSPORTATION
MATERIALS ENG[NEERING
� MpTERIAIS DiSPOSITiONJFtECOMMENDATION FORMS
8 �_ G2s�y Da[eA at Laboracory /a zo �
�P� pated at Fietd /o /y gr
C�rr oF ST. I�ANL
TO:
FROM:
Materials Engineer. Ma[erials & Research Lab., Maplewood
J�•� �R,
Resident Engineer
Repty Date /b Pi 9�`
jJicK .C�9�rij-
�NO�
--Feb No. Yz A S,
SUB.TEGT: Material Failure on S�Nd ~ Z �a %4'si
t. The material was: _ Not Used
X Us�a
Used for B� •
DBU< f.�)'3G> �f/b9 �S.rn�o /e Y.> Quanuty Represeated 34 °�'. j!r
2 Sample taken [rom B'�'rcrf l�evO�,c � ���'s'T� ^'� #�
3. Sample location �
4. Type of failure - Test results/Specification requiremenu
_,S'� No - a T�S �-/��« � P�-s�-,
�S oy _. 3.0 %- Pcc. ,3/ � T/s /NC�uo s f} td.s`
g�rcN /foPPf2 ��6RA�✓ct
5. How has this material or the resu vrork performed to date7
• /�a P2oBLSMJ lT�9'v� .�dJEn/ �6POGi �"/�
6. Were additional samp(es taren? Nv
Date and Test No.
7. Ex�pl steps takon to prevent a ra'ucreace of th�is and any mrrxti�e mcasures. ��
C.SMIr ,v8 J QU/1"4iN �-"� T/1- �c.f{ l.�itS �YaT/�i60 •
Coastroaion Remazks // /6s. SA.�o�Y. a' 390 eY. s _ ZZ 8 T�✓ �i3ic�nr�. .5�9-••��
Materiak Speciatist Recommeadatlon:
cc: Assiscant Districe En�neer
Discrict Materials F_ngincer
Project Engineer
Rep �D /v i 9
' //o ../ /�s
lt Cou cT�e r
� ,� oF GkS�. �� .
Q Over
�
. , . ,. ,
�,e:;.F,sor
M 2 o Minnesota Department ot Transportation
�F�, Q � Office of Materiats Research and Engineering
r oc ra�
�Weekly Certified Ready Mix Pfant Report
Plant c eM SYo/Je �
L�st all S P. used dunng ihe week
week End�ng 10 - Z I- 9.�
Source Fme Aggregate 5 tf i e,17 - 4 re y c t-e ✓ D P�t �
Source Coarse Aggregate '� r ' �� P'� �
Source Coacse Aggregate: P�t �
Source Coarse Aggregate P�� #
Source Coarse Aggregale. P�� �
82c
��
Source Cemem: 1� /3 F A r t - c A N A 1t X R t 2 , ` 7" d r K 2 Y Source Fiy Ash.
SourceA.E.A.: t+1 r G cr4err �CALS - bNtAVR - iP t000 SourceAdmixture: K/ �r.�-rn�� cdeh,`c�tc._
trj1TA7NYD (7
SUN MON TUE N/ED THUR FRI SAT
Date � ° - � 9
k oE C.Y. Produced 4 5 0
# of Producet Gradations l P � 5 a A
S.P.
Mix Designation
Date/Time of Batch
Totat Free H�0 in A
Mix H�OiC.Y.
Total H,0/C.Y.
z
11
z
2 °0.5
Fine Aggregate Audit
Date a-�9
FAN Z
318" � ()�
ri4
HS
#16 ��]
HSO
k100
N200
FMNJM
INSP
Coarse Aggregate Audit
Date e _
CA1f 4.2 R
7 7/2"
1 1/4
7" j
3!4" '
57a'
k4 �
INSP Y �I'