Griffin, Michael F� �:������
� NIELSEN, ZEHE �UL 15 2014
.
& ANTAS, P.C. C�;��°� CLERK AttorneysacLaw
Michael J. Griffin 55 Wesc Monroe Screet
Direct Line: (312)635-1846 Suice r800
D�rect Fax: (312)264-6141 Chicago,Illinois 60603
Phone:(312)322-9900
E-Mail: mgri�nna.nzalaw.com FaX:�312)322�9977
www.nzalaw.com
July 15, 2014
Via Overnight Mail
City Clerk
310 City Hall
15 Kellogg Blvd., West
Saint Paul, MN 55102
Re: Our Client: American Zurich Insurance Company ("Zurich")
Their Insured: Douglas A. Carlson Development, Inc.
Claim No.: 5570120784
Date of Loss: 3/15/14
Location of Loss: 1554 Midway Pkwy, St. Paul,Minnesota
Our File No.: 34-484
�
i
Dear City Clerk:
�
Enclosed please find a Notice of Claitn to the City of Saint Paul,Minnesota. Please review
the attached and provide us with the City of Saint Paul's response to this claim. Thank you.
Very truly yours,
rTIELSEN, ZEHE& ANT� .C.
�
By: �
Michael J. Gri in '
MJG/ka
Encls.
R '
_.r
' NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota
Minnesota State Statute 466.05 states that"...every person...who claims damages from any municipality...shall cause to be presented to the
governing body of the municipality within 180 days after the alleged loss or injury is discovered a notice stating the time,place,and
circumstances thereof,and the amount of compensation or other relief demanded."
Please complete this form in its entirety by clearly typing or printing your answer to each question. If more space is
needed,attach additional sheets. Please note that you will not be contacted by telephone to clarify answers,so provide as
much information as necessary to explain your claim,and the amount of compensation being requested. You will receive a
written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on the
nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'.
SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK,
15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102
First Name Michael Middle Initial �• Last Name Griffin
Company or Business Name Nielsen, Zehe&Antas, P.C. on behalf of Zurich Insurance Company
Are You an Insurance Company? Yes/No If Yes,Claim Number� 5570120784
Street Address 55 West Monroe Street, Suite 1800
City Chicago State Illinois Zip Code 60603
Daytime Phone(312 ) 635-1846 Cell Phone(312 ) 806-9003 Evening Telephone(312 ) 635-1846
Date of Accident/Injury or Date Discovered 3/15/2014 Time am/pm
Please state,in detail,what occurred(happened), and why you are submitting a claim. Please indicate why or how you
feel the City of Saint Paul or its employees aze involved and/or responsible for your damages.
See Exhihit A
I
Please check the box(es)that most closely represent the reason for completing this form:
❑ My vehicle was damaged in an accident ❑ My vehicle was damaged during a tow
❑ My vehicle was damaged by a pothole or condition of the street ❑ My vehicle was damaged by a plow
� My vehicle was wrongfully towed and/or ticketed ❑ I was injured on City property
E�I Other type of property damage—please specify water damage to property
❑ Other type of injury—please specify
In order to process your claim vou need to include conies of all annlicable documents.
For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of
your claim. Documents WILL NOT be returned and become the property of the City. You are encouraged to keep a ',
copy for yourself befare submitting your claim form. '
O Property damage claims to a vehicle: two estimates for the repairs to your vehicle if the damage exceeds
$500.00; or the actual bills and/or receipts for the repairs
O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt
O Other property damage claims: two repair estimates if the damage exceeds $500.00; or the actual bills
and/or receipts for the repairs;detailed list of damaged items
O Injury claims: medical bills,receipts
O Photographs are always welcome to document and support your claim but will not be returned.
Page 1 of 2—Please complete and return both pages of Claim Form
- Failure to complete and return both pages will result in delay in the handling of your claim.
All Claims—ulease comnlete this section
Were there witnesses to the incident? Yes No Unknown (circle)
Provide their names,addresses and telephone numbers:
coo�.,h�h�+e
Were the police or law enforcement called? Yes No Unknown (circle)
If yes,what department or agency? Fire Department Case#or report# unknown
Where did the accident or injury take place? Provide street address,cross street,intersection,name of park or facility,
closest landmark,etc. Please be as detailed as possible. If necessary, attach a diagram.
���������l2�Park�•�a�., St Paul Il�����sota(former Chnlnm Fact cite)
Please indicate the amount you are seeking in compensation or what you would like the City to do to resolve this claim
to your satisfaction.$470��� ��
Vehicle Claims—please complete this section � check box if this section does not apolv
Your Vehicle: Year Make Model
License Plate Number State Color
Registered Owner
Driver of Vehicle
Area Damaged
City Vehicle: Year Make Model
License Plate Number State Color
Driver of Vehicle(City Employee's Name)
Area Damaged
Injurv Claims nlease complete this section �check box if this section does not aoulv
How were you injured?
What part(s)of your body were injured?
Have you sought medical treatment? Yes No Planning to Seek Treatment(circle)
When did you receive treatment? (provide date(s))
Name of Medical Provider(s):
Address Telephone
Did you miss work as a result of your injury? Yes No
When did you miss work? (provide date(s))
Name of your Employer:
Address Telephone
0 Check here if you are attaching more pages to this claim form. Number of additional pages 74
By signing this form,you are stating that all information you have provided is true and correct to the best
of your knowledge. Unsigned forms will not be processed.
Submitting a false claim can result in prosecution. Date form was completed ��15/2014
Print the Name of the Person who Completed this F • Michael J iffin
l
Signature of Person Making the Claim:
Revised February 2011
' EXHIBIT A
�
STATEMENT OF OCCURRUNCE
The building involved in this matter is the former Sholom East nursing home which had been
sold to Douglas A. Carlson Development, Inc. ("Carlson Development") under the Saint Paul
Vacant Building Program. At the time of the loss the subject building was vacant. The structure
is insured by American Zurich Insurance Company ("Zurich"). Prior to December 23, 2013,
Carlson Development instructed the City of Saint Paul to shut off all water service for the
building located at 1557 Midway Parkway, Saint Paul, Minnesota. On December 23, 2013, the
City of Saint Paul confirmed with Carlson Development that all of the water lines were off,
including the water lines on the west side of the building. On March 15, 2014, a six inch
diameter water line that serviced the west side of the building froze and expanded, causing the
mechanical joints of the pipe to disengagz in two locations, allowing substantial amounts of
water to flood the building. The City received a low pressure alert on their system on March 15tn
and traveled to the subject building, discovering the loss. They then notified Carlson
Development. The loss was caused by the failure of the City of Saint Paul to turn off the water
supply to the west side service line. As a result of this incident, Carlson Development submitted
a claim to Zurich for damages in the amount of$470,622.32. Pursuant to the applicable policy
of insurance, Zurich has made payments in the amount of $460,622.32, and has thereby been
subrogated to those damages. Carlson Development has suffered a$10,000 deductible loss.
WITNESSES
Douglas Carlson
Douglas A. Carlson Development, Inc.
25785 190t" St.NW
; Big Lake, MN 55309
� (320) 267-5250
j Daryl Linz
� Douglas A. Carlson Development, Inc.
� 25785 190th St.NW
� �ig Lake, MN 55309
4 (763)262-3272
(
� Rich Rowland
ISt. Paul Regional Water Services
375 Jackson Street
Suite 220
Saint Paul, MN 55101
(651) 266-1659
James Perucca
Saint Paul Fire Inspector
375 Jackson Street
Suite 220
� Saint Paul, MN 55101
(651)255-8996
i
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��, �] -�Q F�I��::I�T', ���r�:::.
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Insurance�laim 5570120784
ThyssenKrupp Elevator Elevator repair $ 46,261.00
Otto Drywall Drywall repair $ 25,000.00
Security Fire Sprinkler Fire pump replacement $ 62,187.00
City View Electric Inc Motor control center $ 248,430.00
Construction Heaters Inc Dehumidifiers rental $ 12,258.00
Mid-City Mechanical Corp Water Heater replacement $ 49,623.OQ
Go Fetsch Mechanical LLC Boiler replacement $ 212,soa.aa
Power House Inc. Generator $ 60,200.00
Doug Carlson Development Inc. Clean up/Dumpster $ 10,000.00
Doug Carlson Development Inc. {3}Walk-in cooler and freezer compressor $ 45,000.00
Total $ 771,059.00
Doug Carlson Development Inc. Profit 10% $ 77,105.90
Doug Carlson Development Inc. Overhead 1d� $ 77,105.90
$ 925,270.80
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Structure-Selected Locations
Damages Loc Bidg Address Insured Reserve Agreed Damages RCV Depreciation ACV
Anaiyzed Claimed Value Estimate
1554 Midway Parkway
St Paul,MN-55168
N 001 001 USA $925,270.00 $475,0OO.OQ $460,622.32 660704.30 $267,387.30 $393,317.00
Comments
Damages By Locations
Loc Bldg Address Insured Reserve Estimate Agreed Damages
Claimed Value
1554 Midway Parkway
St Paul,MN-55108
001 001 USA $925,270.00 $475,000.00 $460,622.32
Damage Summary
The insured has submitted invoices for the repairs to the covered locatirn.Several areas and components were damaged in the building and
require repairs/replacement.The building is 140,000 square feet and was brdcen up into 3 areas.Area A,is the west side ofthe building and is fhe
area where insured is claiming damages. The fire preventive system in Area A burst from freezing pipes.The water from the pipe damaged the
elevator,drywall,motor control center,electrical panel,water heaters,boilers,generator,and walk-in coder and freezer compressor in Area A.
The insured has submitted damages totaling 771,059.00 with out Overhead and Profit.Part ofthe Electrical damage the insured submitted was fa
ihe repa�s in Area C that were damaged frwn another cause and date of loss.I engaged an engineer to estimate and compare the insureds
damages to the insureds remodel budget.The Engineer has also completed his depreciation analysis on items he priced. Nis Depreciation
analysis used life expectancy based upon existing condition and can be found on the excel spreadsheet in the file.
See notes for complete damage summary.(Damages estimated baesd on insured bids and engineer's depreciation anaylsis)
Elevator damage: 29,606.00
Fire sprinkier system: 41,307.00
Electrical equipment: 88,583.00
Water heaters: 34,493.00
HVAC system: 121,020.00
Backup generator: 20,200.00
Drywail: 23,800.00
Dehumidifiers: 11,350.000-May need more time to mitigate.
Clean up/Dumpster 10,000.00
Freezer compressors: 12,958.00-
Total without O/P: 386,526.59
10%Overhead: 38,652.66
10%Profit: 38,652.66
Tax 6,790.41
Deductible: 10,000.00
Total to date: 460,622.32
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EvaluaUon Summary
3
The insured building suffered water damages from a leaking 6 inch diameter fire water service pipe in the Mechanical Equipment Room at the west
' end of the reported location.The damages have been documented and appended to file.The leak occurred on March 15,2014 when water n the fire
service pipe froze and expanded.Water discharged from the damaged pipe and onto the frcst floor of the building until the service valve in the street
was closed by the Utility Company.The building was unoccupied;however the insured did submit invoices for wak that was completed on a routine
basis that satisfles the ongoing consVuction additional conddion.The insured had no obligation under the�policy to drainttum off the fire water service
valve.All the claimed damages to date were caused by the discharged water from the fire water service valve.I engaged an engineer to inspect the
building and determine the pricing for the damaged mechanical equipment.The engineer noted HVAC,electrical,plumbing,and fire protection
equipment installed in the west end Mechanical equipment room were immersed in over two feet ofwater for an unknown duration oftime.Electrical
switchgear,a diesel-fired generator and the motors of various pumps,blowers,and burners were exposed to ttie water.When motor windings and
elecfical contact points are exposed to water/ice,the equ ipment service life is shortened due to carosion.Additionally,expansion and contraction of
components fran the wide temperature variations may loosen terminations and joints which then generate hot spots in equipment.The engineer
evaluated the insureds repair invoices and reported that all of Uie repair proposals seem tair and responsible for Uie scope of work,minus a few repairs
that were not from the reported cause of loss.The insured understood that the repairs would be made irom the damages resulting from Uie March 15,
2014,date of loss,which occurred from the fire water service system.
The insured is requesting to be reimbursed for the damaged mechanicai equipment,mitigation of the water,clean-up costs,overhead and profit,and
damages to drywall.The insureds pdicy has Existing Buildings or Structures coverage with a limit of$1,000,000.00.The property is scheduled under
the Builders Risk and Installation Form 40660.The 40660 dces not have a coinsurance requirement.The damages to 1he existing building will be
valued at Actual Cash Value.The engineer compiled a deprecation report to present an order of magnitude of the probable costs associated with the
replacement of the damaged equipment and systems.The insured has proven they have budgeted for overhead&profit;therefore they will be
awarded 20%on top of ttieir damages.AII conditions assessments were based upon visual observations of the equipment only.
Total damages:660,704.30
Dep re c iation:267,3 87.30
Before Tax Net Claim:386,526.59
10%Overhead:38,652.66
10%Profit:38,652.66
Tax:6,790.41
Subtotal:470,622.32
Deductible:10,000
Payment:$460,622.32
Salvage Summary
Claim has been referred to the salvage departrnent.The items have been damaged beyond repair and wouid cost more to remove then any
salvage potential.
Subrogation Summary
Referred to subrogation department per best practices when reserves are project over$100,000.00.
Resolutlon Summary
I have spoken with Doug Carlson and he is in agreement witfi Uie payment for$460,622.32,however he stated there may be some supplemental
costs for the dehumidiflers used fa the water mitigation.They rented units 4a 30 days and it may take a little extra time to get the moisture
completely out of the damaged areas.The dehumidifier cost fa 30 day rentel was 11,350.00.The dehumidifiers will not be used for anottier
complete 30 day cycle.Therefore,the supplemental payments will be less than$10,000.00.The Mortgagee listed on the pdicy is Sentry bank.
Payment will be addressed to the nsured and made out to Douglas A Carlson Development,Inc.&Sentry Bank.
>.
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Comments
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ThyssenKrupp Elevator Americas
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Work Order
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� Date: April 08, 2014 Purchaser: SHOLOM HOME EAST
I
j Building Name: SHOLOM HOME EAST Contact Name: Daryl linz
i Address: 1554 MIDWAY PKWY Titie: Project Manager
CitylSTlZIP: SAINT PAUL,MN 5510&24'!5 Address: 1554 MIDWAY PKWY
Contract#: CitylST/ZIP: SAINT PAUL, 55108-24t5
Phone: 1 320 3330796
� Purchaser authorizes ThyssenKrup�Elevator Corporation to perform the following described work on the follawing�ertical
, transportation equipment in the above building:
i
Leaks-Water Damage-
ThyssenKrupp Elevator will fumish the necessary labor, material,and permits in order to complete the following work on
hydraulic passenger elevators:
1. Replace the traveling cables on car 9 (Left�ar)
2. Replace the sub-flooring on car 1 (We do not believe that Car 2's flooring was damaged in the cab)—►f
subflooringlcab work need need to be replaced on car 2,we'!I provide additional proposal.
3. Repface the jack packing o�both cars
4. Paint and rustproof the pit and install any necessary p+ping
5. Replace the under car GFCI on car 1 (TKE is not responsible for GFCI's in the pit or machine room
6. Once the water is removed from the pit, we may need to re-determine exactly what wiring needs to be replaced, and
there could be additional work and proposals to follow
7. It is the responsibility of the purchaser to purchase cab flooring
"NOTE; Any additional work that will need to be completed will [�e provided on a separate proposal.
1
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ThyssenKrupp Elevator Americas ` �" _ � �
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Purchaser agrees to pay the sum of: Eorty Six Tho�sand Two Hundred Sjxtv One Dollars(546,261.00)excluding all
applicable taxes. Deiivery and shlpping is included.AI!work is to be performed during regular working days and
j hours, unless otF�erwise indi�ated herein. No permits or inspections by others are included in this work, unless
� othenr�ise indicated herein.
; Unless otherwise stated,you agree to pay as follows: SO%upon signed acceptance and 50%upon compfetion,
! To indicate acceptance of this work order,please sign and return one(1}original of this agreement to the address
' shown below. Upon receipt of your written authorization and required materials and/or supplies,we shall implement tlie
work order.
This Work Order is submitted for acceptance within 30 days from the date executed by ThyssenKrupp Elevator
Corporation.
Purchaser's acceptance of this Work Order togekher with the terms and conditions printed on subsequent pages hereof
and which are expressly made a part of this proposal and agreed to,will constitute exclusively and entirely the
agreement for the work herein described.All prior representations or agreements regarding this work,whether written or
verbal,will be deemed to be merged herein, and no other changes in or additions to this agreement will be recognized
unless made in writing and properly executed by both parties.This Work Order specifically contemplates work�utside
the scope of any maintenance contract currently in effect between the parties;any such contract shall be unaffected by
this Work Order.
No agent or employee shall have the authority to waive or modify any of the terms of this agreement without the written
approval of an authorized ThyssenKrupp Elevator Corporation manager_
ThyssenKrupp Elevator SHOLOM HUME EAST: ThyssenKrupp Elevator Corporation
Corporation: Approval:
BY� BY ..,...... BY� _-- -----
�Signature of ThyssenKrupp (Signature of (Signature of
Efevator Representative) Authorized Individual) Authorized Individual)
John Best
Scott McGregor (Print or Type iVame) Branch Manager
Sales Representative
scott.mcgregar@thyssen kru pp.com
(Print or Type Title)
(Date Submitted) (Date of Approval)� (Date of Approval)
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ThyssenKrupp Ele�ator Americas
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I Terms and Conditions:
i
� Th ssenKru Elevator does not assume an res onsibilit for an art of the vertical trans ortation e ui ment other than
� Y pP Y P Y Y P P 4 p
� the specific components that are described in this Work Order and then only to the extent ThyssenKrupp Elevator has
performed the work described above. No work, service,examination or liability on the part of ThyssenKrupp Elevator is
� intended, implied or included other than the work specifically described above. ThyssenKrupp Elevator Corporation has
made no examination of,and assumes no responsibility for,any part of the elevator equipment except that necessary to
� do the work described above. It is agreed that ThyssenKrupp Elevator does not assume possession or control of any part
� of the vertieal transportation equipment and that such remains Purchaser's exclusively as the owner,lessor,lessee,
I possessor, or rnanager thereof.
' ThyssenKrupp Elevator's performance of this Woric Order is contingent upon Purchaser furnishing ThyssenKrupp Ele�ator
with any necessary permission or priority required under the terms and conditions of ar�y and all government regulations
affecting the acceptance of this Work Order or the manufacture, delivery or installation of any equipment described in this
Work Order.
It is agreed that ThyssenKrupp Elevator's personnel shall be given a safe place in which to work and ThyssenKrupp
Elevator reserves the right to discontinue its worfc in the location above whenever, in its sole opinion, ThyssenKrupp
Elevator believes that any aspect of the location is in any way unsafe. Purchaser agrees that in the event asbestos
rnaterial is knowingly or unknowingly removed or distqrbed in any manner at the job site by parties other than employees
of ThyssenKrupp Elevator or its subcontractors,the work place will be monitored, and prior to and during ThyssenKrupp
Ele�ator's presence on the job, Purchaser will certify that asbestos in the environment does not exceed .01 fibers per cc
as tested by NIOSH 7400.In the event ThyssenKrupp Elevator's errzployees, or those of its su6contractors, are exposed
to an asbestos hazard, PCB's or other hazardous substances resulting from work af individuals other ihan ThyssenKrupp
Elevator or its subCOntractors, Purchaser agrees to indemnify,defend, and hold ThyssenKrttpp Elevator h�rmless from
any and all claims, demands,lawsuits, and proceedings brought against ThyssenKrupp Elevator or its employees ar
subcontractors resulting from such exposure.Purchaser recognizes that its obligation to ThyssenKrupp Eleva#or under
this clause includes payment of all attomeys'fees, court costs,judgments,settlements, interest and any other expenses
of litigation arising out of such claims or lawsuits. Removal and disposa{of asbestos containing rr�aterial is solely
Purchaser's responsibility.
Unless otherwise agreed, it is understood that the work described above will be performed during regular working hours of
the trades involved. If overtime is mutually agreed upon, an additional charge at ThyssenKrupp Elevator's usual rates for
such work shall be added to the price of this Work Order.
Ir consideration of ThyssenKrupp Elevator periorming the work described above Purchaser,to the fullest extent permitted
by law, expressly agrees to indemnify,defend, save harmless,discharge, release and forever acquit ThyssenlCrupp
Ele�ator, its employees, officers,agents, affiliates,and subsidiaries from and against any and all claims,demands, suits,
and proceedings brought against ThyssenKrupp Elevator,i#s empfoyees, officers, agents,affiliates and subsidiaries for
loss, property damage(including damage to the equipment which is the subject matter of this Work Order), personat injury
or death that are alleged to have been caused by Purchaser or any others in connection with the presence, use, misuse,
maintenance, installation, removal, manufacture, design,operation or condition of the vertical transportation equipment
that is the subject of this V�lork Order,or the associated areas surrounding such equipment. Purchaser's dury to in��emnify
does not apply to the extent that the loss, property damage(including damage to the equipment which is the subject
matter of this Work Order), personal injury or death is determined to be caused by or resufting fram the negligence of
ThyssenKrupp Elevator ardlor its employees. Purchaser recognizes that its obligation to ThyssenKrupp Elevator and its
employees, officers, agents,affiliates and subsidia►ies under this clause inctudes payment of all attorney's fees, court
costs,judgments, settlements,interest and any other expenses of li#igakion arising out of such claims or lawsuits.
Insurance. Purchaser expressly agrees to name ThyssenKrupp Elevator along with its officers,agents, affiliates and
subsidiaries as additional insureds in Purchaser's liability and any excess(umbrella�liability insurance policy(+es). 5uch
1
�
Th ssenKru Elevator Americas ` " � �
Y pP ,__..m. .... ..._...�._,...._.r :,��. ,
�
' insurance must insure 7'hyssenKrupp Eievator,along with its officers,agents,affiEiates and subsidiaries for those claims
and/or losses referenced in the above paragraph,and for claims andlor or losses arising from the sole nagligence or
responsibility af ThyssenKrupp Elevator�ncllor its officers,agents, affiliates and subsidiaries. Such insurance must
5pecify that its coverage is primary and non-COntributory. Purchaser hereby waives the right of subrogation.
4
1
� ThyssenKrupp Elevator shall not be liable for any loss,damage or defay caused by acts of government, labor,traubles,
! strikes, lockouts,fire,explosions,theft, riot,civil commotion,war, malicious mischief, acts of God, or any cause beyond its
; cantrol. ThyssenKrupp Elevator Corporation shall automatically receive an extension of time commensurate with any
delay regarding the work called for in this Work Order.
I In the event that this Work Qrder includes a safety test of any type or kind ThyssenKrupp Elevator shali not be responsible
for any damage to the equipment that is the subject matter of Uie test ot the associated building structure, any of its
contents or its appurtenances and Purchaser fully releases ThyssenKrupp Ele�ator from all sucfi darnage.
Should loss of or damage to ThyssenKrupp Elevato�'s rrtaterial,tools or work occur at the location that is the subject of
this Wark Order, Purct�aser shall compensate ThyssenKrupp Elevator therefore, unless such loss or damage results
solely trom ThyssenKrupp Elevator's own acts or omissions.
Purchaser agrees that all existing equipment removed by �hyssenKrupp Elevator in the performance of the work
described above shall become the exclusive property of Thyssen+frupp Elevator. Moreover,ThyssenKrupp Elevatnr
retains title to all equipment it supplies under this Work Order, and a security interest therein, (which, it is agreed, can be
removed tvithout material inji�ry to the real property)until a{I payments under the terms of this Work Order, including
deferred payments and any extension thereof(if applicablej,sha(I have been made. In the event of any default by
Purchaser in either the payment for work described in this Work�rder or under any other provision of this Work Order,
ThyssenKrupp Elevator may take immediate possession of the manner of its attachment to the real estate or the sale,
morigage,or lease of the real estate. Pursuant to the Uniform Commercial Code, at ThyssenKrupp Elevator's request,
Purchaser agrees to join with ThyssenKrupp Elevator Corporation in executing any fi�ancing or continuation statements,
which may be appropriate for ThyssenKrupp Elevator to fite in public offices in order to perfeck its security interest in such
equipment.
If any drawings, illustrations or descriptive matter are furnished with this Work Order,they are approximate and are
submitted only to sho+n�the gene�al style and arrangement of equipment heing offered.
Purchaser shail bear afl cost(s)for any reinspection of ThyssenKrupp Elevator's work due to ikems o�tside the scepe of
ihis Work Order or for ar:y inspection arising from the work of other trades requiring the assistance of ThyssenKrupp
Elevator.
Purchaser expressly agraes to re{ease and discharge ThyssenKrupp Elevator Corporation from any and all cEaims for
consequential,special or indirect damages arising out of the performance of this Work Order.
Ali applicable sales and use taxes, permit fees and licenses Imposed upon ThyssenKrupp Ele�ator as of the date that
ThyssenKrupp Elevator first offers this Work Order for Purchaser's acceptance are included in the Work Order price_
Purchaser agrees to pay,as an addition to the Work Order price,the amount of any additional taxes,fees or okher
charges exacted from Purchaser or ThyssenKrupp Elevator on acco�nt thereof, by any faw enaeted after the date that
ThyssenKrupp Elevator firsk offered this Work Order for Purchase�'s acceptance.
A service charge of 1'/2%per month, or the highest legal rate,whichever is less,shall apply to definquent accounts. In the
e�ent of any default of the payment provisions herein,Purchaser agrees to pay, in addition t�any defaulted amount, all
attorney fees, collection costs or court cosks in connection therewith.
I � � �
ThyssenKrupp Elevator Americas `� "'
s�.
__ ----_._ __.___ �.�.�
�
E
I
In the event a third party is retained to enforce,construe or defend any of the terms and condiGons of this Work Order or
to collect any monies due hereunder, either with or without litigation,the prevailing party shall be eniitled to�ecover all
costs and reasonable attomey's fees.
I Purchaser agrees that this Work Order shafl be construed and enforced in accordance with the laws of the state where '�
� the �ertit;al transportation equipment that is the subject of this Work Order is loc2ted and consents to jurisdiction of the
� courts, both state and Federal,of that as to all matters and disputes arising out of this Work Order. Purchaser further I
! agrecs to waive triaE by jury far all such matters and disputes. '
The rights of ThyssenKrupp Ele�ator under this Work Order shall be cumulative and the failure on the part of[he
; ThyssenKrupp Elevatar to exercise any rights given hereunder shall not operate to forfeit or waive any of said rights and
� any extension, indulgence or change by ThyssenKrupp Elevator in the method,mode or manner of payment or any of its
' other rights shall not be construed as a waiver of any of its rights under this Work Order.
In the event any portion of this Work�rder is deemed invalid or unenforceable by a court of law,such find+ng shall not
affect the validity or enforceability of any other portion of this Work Order.
7his Work Order shall be considered as ha�nng been dratted jointly by Purchaser and ThyssenKrupp Elevator and shall
not be construed or interpreted against eiEher Purchaser ar ThyssenKrupp Elevator by reason of either Purchaser or
ThyssenKrupp Elevator's role in drafting same.
In the e�ent Purchaser's acceptance of the work called for in this Work Order is in the form of a purchase order or other
kind of document,the provisions,terms and conditions of this Work Order shall exdusively govern the relationship
between ThyssenKrupp Elevator and Purchaser. �
� 4J8/Z014 Print
. 5ubject: Fw: 1554 Midway Parkway water main break
From: Daryl Linz (daryl�dougcarlsondev,com)
To: doug�dougcarisondev.com; elaine�dougcarisondev.com;
Date: Tuesday, April 8, 2014 9:33 AM
5ent from Yahoo Ma�on Andruui
From: Mi1ce Loren<mike@sfsprumkler.com>;
To: dayyl�u,douacarlsondcv.com <daryl��dougcarlsondcv.com>;
Subject: 1554 Midway Parkway watcr main b►•cak
Sent: Tuc, Apr $, 2014 2:03:31 PM
Daryl,
Following is our price to repair and replace the fdlowing items due to a water main break at 1554 Midway Parkway St
Paul MN .
-Remo�+e damaged fire pump, jockey pump and contrd panels and replace with new.
-Repair and replace broken valves, fittings and piping.
Abo�Labor and Materials.......................$62,187.00
Mike Loren
General Manager
Security Fire Sprinkler
Offi ce: 320-656-0847
Cell: 32a24&8705
Fax: 320-656-0312
about:hlank 1/1
Photo Sheet �nsured: Douglas A Carlson Development, Inc
, Claim#: 5570120784
Policy#: ECN 04386753
119
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of sprinkler system
equipment-submerged.
�'.
121
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of water main line which
separated in ceiling of inechanical room.
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Photo Sheet - 13- 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
z�
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103
� �,.���� Date Taken:3/20/2014
_ ��
Taken By: BBERSCHE
�".i Photo of air handling unit.Note water
line on bottom
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�.���' Date Taken:3/20/2014
4���;
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��^ � Close up photo of water line
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Photo Sheet -7- 3/21/2014
Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
106
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of water lines in mechanical room.
�"��`
�.,�+:
� �:��
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107
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of water lines in mechanical room.
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Photo Sheet -8- 3/21/2014
` Reference No. �94837
Attachment A-Photographs
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C�OSEf�V8�V2 Wlt�l '
fractured body at 'F` '9 C3:�'a`1
Pump Suction Inlet '
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—View of fire water piping and valve assembiy at inlet of fire pump.
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Fire Pump
` Suction Inlet Fracture Line `'�`r�
.�.,..,,._,,....m,,.................. -- -___.... _....,_.._.................
—Vfew of fractured vahre body at fire pump inlet.
��,;,•j
;'v`;; a Assocanres
o�+a��,;r,���aK i�azi A-11
' Reference No. 094837
Attachment A-Photographs
.,,,., •�
�� F�re Pump'�
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Jxkey Pump Motor
...... ,.,..._........
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—View of fire pump and jockey pump.
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4—View of flre pump and jockey pump motors below water immenion depth in '
rea'A'MER.
/'y,.
�4t�Sr;,�A�A.SSOC�ATES
o����n��+�m��n..��ou� A-12
� Reference No. 094837
Attachment A-Photographs
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7—View of ite covered pipe and valves above hot water storage tank f�Area`C'
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....................»,...........
—Vlew of ice on east exterior wall of Area'C MER.
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o�en M.a�,�i�.:.,.��ean i�o.0 A-24
Proposal
Page 1
1145 Snelling Ave.N
�� ClTY VfEW 5t.Paul,MN 55108
��
E L E CTR I C� �N C. Phone: (651)659-9496
FAX: (651}659-0905
Proposal Submitted To:
Douglas A Carlson Development Inc. Phone 763-262-3272
25785 190th Street NW Fax 763-445-2122
Big Lake, MN 55309 04JD412Q14
Traditions of St. Paul -Services
1554 Midway Parkway
St.Paul,MN
Disconnect and remove the water damaged services, motor control center and distribution panels.
Provide temporary power for electrical work during service change outs,
WEST MECHANICAL ROOM:
Furnish and Install 1 -4�d0 amp 1201Z08 volt three phase switchboard with main switches, open transition
automatic transfer switch and generator distribution sections and switches.
Furnish and Install 2-motor control centers tQ replace existing systems.
Furnish and Install 24-fusible combination motor starters.
Furnish and Install 1 -800 amp 120/208 volt kitchen distribution switchboard with new breakers.
EAST MECHANICAL ROOM:
Furnish and Install 1 - 1200 amp 120/208 volt three phase switchboard with 120D amp main disconnect and GFI
protection.
Furnish and Install 1 -1000 amp three phase Emergency Main Breaker
Furnish and Instafl 1 -1200 amp open transition automatic transfer switch feeding distribufion sections and
breakers.
Furnish and install 1 -new distribu#ion panel, 3-branch circuit panels, 5-wall disconnects and 2 -motor starters.
PERMIT INCLUDED
Notes
" This bid does not include any utility costs and assumes the metering equipment can remain inside.
* Proposal is based on utilizing the existing wire, conduits and boxes as is.
* No generator ar mechanical equipment wiring are included..
* This proposal assumes the work is to be performed during normal business hours.
' If additional damaged equipment/wire is discovered, additional charges will apply.
City View Electric Project Mgr: Galen Stickfort-galens a�cityviewelectric.com Bid Total: �248,430.00
flccepftllJCB O,f�PI'OpOS(!l:The proposed co�t and apeclficaliom hereln are eatlefactofy end are hereby aCCepled.Aulhoraalion ia 9ranted lo perfofm ae apecil6ed.fn Bipnlnp Ihie tkwmifH,both partiva
Co agree lo all lerma and cad0.ions aellorlh on all papes of Ihis documerk,indud'ug Terms a�ConditFxrs adached.My revlelons to apecificatlons or propoeed cosl shall be mede in wrilinp end aigned by
both paAies ee evldence of aqreement. PROPOSAI.DOL•S TOT RaCLUDb Ui1L17'Y CHARGES PROPUS�.EXPIR�S 70 llAYS PKOM'fHF.DA7R ABO�F.
Customef 919nalure Da1e Accepted
C{ty Vlew ElectAc,Inc„Authorized RepreaaMative Dats Aeeepted
oaoa�zo�a
Page 2-Final Page
TERMS AND CONDITIONS
1. The work authorized herein relates to the specifications on the front page of this Proposal ar
those attncl�ed heret�and does not cover prc-existing deficiencies.Progress payments wi[I be invoiced
periodically based upon the project.Upon completion of the project,a final invoice will be issued for the
reinaining balancc.Payments received later than forty-five(45)days after the fival invoice date wilt be subject to
late fees,as well as a montl�ly service charge of one and one-half percent(1-1/2%)of the outstattding balance.
You agree to pay City View Electric,Inc.'s attomeys'fees and court costs as incurred in collecting amounts owed
by you. The contract price is based on completion during normal business hours and you agree to provide access
to the job site as required for completion of the work.You agree to make available to City View Electric,Inc.'s
personnel daring the course of the work,electricity,water and toilet facilities.Any changes,addilions,deletions
to or from this Proposa]must be agreed to by both you and City View Electric, [nc. in writing.Any
reimbursement to you for deletions will be in an amount equal to the City View�lectric,Inc.`s projected cost for
said work.Any alteration or deviation from specifications in t6is Proposal involving extra costs wiil be executed
only upon written order,and will become an extra charge over and above the bid total shown on this Proposal.
2. The materials and workmanship furnished under this Proposal shall comply with#he rules and
regulations set forth in the National Electrical Code and all Stnte and Local regulations gaverning such work.The
prices quoted include reyuired insurance and permitlinspection fees. City View Electric,Ine.shall not be held
responsible or liable for any loss,damage,or dclay due to circumstances beyond its control.If you traasfer or
lose your interest in the project herein before the fu[fillment of tliis Proposal,the full unpaid amount of the
contract shall be due and payable immediately.All equipment and devices(excluding lamps and ballasts)
installcd under this proposal shall be guaranteed for one(1)year from the date of completion unless otherwise
noted,or in aceordance with the manufacturer's warranty.City View Electrec,lne.'s liAbility sh�ll be limited to �
the replacement of defective parts only. CTTY V�W ELECTRIC,INC. SHALL NOT BE RESPONSIBLE OR �
LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES.ALL OTHER WARRANTIES AItE
EXPRESSLY DISCLAIMED.Unless agreed to by City View Electric,Inc. in advance,warranty work performed
by others will not be paid for by City View Electric,Inc.Materials used are only covered by warranties, if any,
provided by manufaeturers or suppliers of such materials.City View Elech•ic,Ine.has no responsibility for
additionat work or services performed under a.ny agreement between you and the workmen or tradesmen or
subcontractors of City View Electric, Inc.
3. A lien may be placed on this property for non-payment for any work, labor or maferials.ANY
PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR
PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT
PAID FOR TF�CONTRIBUTIONS.UND�R NIINNESOTA LAW,YOU HAV�THC RIGHT TO PAY
PERSONS WHO SUPPLIED LABOR OR MATERIALS FOR THIS IMPROVEMENI'DIRECTLY AND
DEDUCT THIS AMOUNT FROM OUR CONTRACT PRICE,OR WI'THIiOLD THE AMOUNTS DUE THEM
FROM US UNTTL 120 DAYS ArTCR C�MPLETION OP THE IlVIl'ROVEMENT UNLESS WE GNE YOU
A LIEN WAIVER SIGNED BY YERSONS WHO SUPPLIED ANY LABOR OR MATERIAL FOR THE
IMPROVEIV�NT AND WI�O GAVE YOU TIMELY NOTICE.
4. This Proposal including all attachments hereto is the entire agreement between you and City
View Eleetric,Inc.
04/04/2014
. �•�:
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�3/2712�14 15:15 763786864� MID CITY MECHANICAL PAGE 01/01
� ��D-CITY M�C�ANICAL CaRP.
9103 DAV�'NPORT STREET N.E.* BLA1N�,MN 55449 *7C>3-786-8617 '�763-?36-RG4p FAX
CERTiF'�E�l S��/WBE&i.TNION CONT�CTQR
�ACSIMILE BID SHEET DATE _March 27, 2014 _
IMP�RTANT-PLEASE HAMDLE INiAAEDIATE�.Y!
Submitted ta: Carlson aexelvpment Job Name: Traditions
qtt�,; p�ry� Job Address: St. Paul, MN
Frorn: Jim Poser
We are pleased ta �ropos�for your consicieration the follQwing scope o�work
based on our design and specificatians.
Plu�ban� -�e�nr�ore and replace (2)�1.0. Smith 250—104 gallon �as water heate�s,
(2).A..O.Smith i99—$1 gallnn water heaters and (2) BT-100 water heaters.�n�cludes
disposa�af oId watet'heaters.
B{D AMOUNT: $ 49,623.00
Alternates:
Addendum�:
Exalusian.s.;
Contracts other then St�tldard AIA Subcontractor Agreement.
Paym�nt to be made as follows:
Net 30-bays
Conditions:All work bo be completed In a workman like manner BCCOrding to standard practices.Any akerations or
deviation from the plan involving eXkr�COSts will NOT be executed without a s(gned change prdar.All�gr�eAl�rtt9
eontingent upon Strikes,accidents or other delays boyond our GpntrDl-Qwne�t0 c�rry fire,tornado and other necessary
insurances.Dur woricers are fully covered by WoA�man's Compensation Insurance.In the event pf nOn-p8yment oi the
conVacted amount,Mid-City Mechanical shall have ihe rlght to re-imbursement of in#eresl,any legal fees,a 2�o monthiy
serviCe€e8 dntlJor any costs necessary to collect p2yment.Any oontract given to Mid•City Mechanicai fpr this proj2Ct i5 an
acceptance of th�se terms and COnd��ons listed abave.
Note�Thi�proposal may be withdrawn by us if nat aCCepted within 30 days.
Acceptanee of Prep�sal-7'I�e above priccs,spccificatinn5,and o�nditians arc S�tisfactory and are l,e�ehy
accepted. Y'ou arc eud,ori�ecl to ti,��wark as spccified. Paymen.t will be madc as outlined above.
Authoriz�d Signa#ure:
M�d�City Mechanical Corporation is a CERT��'ZED SSE/WSE &UNZON
CU�i'Z'RACTOR.
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• Refererxe No. 094837
Attachment A-Photographs
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�i�'��8 ASS,OL�ATES
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09463)MetAaMts)Assessm[nt letter i�U121 A-2$
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
134
Date Taken:3/20/2014
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Close up photo of water line separated at
elbow in auxiliary room.
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Date Taken:3/20/2014
Taken By: BBERSCHE
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Photo Sheet - 19- 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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- 122
A 9 Date Taken:3/20/2014
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Taken By: BBERSCHE
Photo of chiller motors submerged in
mechanical room.
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Date Taken:3/20/2014
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Photo Sheet - 14- 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
116
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Date Taken:3/20/2014
n Taken By: BBERSCHE
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Photo of control equipmentin
mechanical room.
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117
; Date Taken:3/20/2014
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,�° Photo of water line on ductwork.
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Photo Sheet - 12- 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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114
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Taken By: BBERSCHE
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room
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Photo Sheet - 11 - 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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Close up photo of first bank of
switchgear-note water line on bottom
row
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� Date Taken:3/20/2014
Taken By: BBERSCHE
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Photo of water heater equipment.
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Photo Sheet - 10- 3/21/2014
Estimate Go Fetsch Mechanical LLC
Proposed by:Andy Fetsch 9111 Davenportst NE
p-763-432-2291 Blaine, MN 55449
f-763-432-6108
COMPANY: Carlson Group PROJECT.• West Boiier room flood
ATTENTION:Daryl Linz DATE:4/1/14
Go Fetsch Mechanical is pleased to provide an estima�te for the NVAC work needed due
fio the water break and flood in the West Boiler room of the Traditions 8uilding.
Our price includes the following:
1) Demo, removal, and disposal of 2 old boilers, 4 oId pumps, and 2 oId air
com pressors.
2) Purchase, install, gas pipe, vent, and start up 2 new replacement boilers.
3) 2 new gas regulators.
4) Purchase, insta!!, and start up 2 new repolacement air com pressors.
Our price excludes:
IJ Electrica! Work
2)Roofing
3) Any concrete or block work needed to egt ti►e o/d boilers out fo the room and the
new borlers in.
4)New VFD's for pumps,
5)Air dryers for air compressors.
6)Refrigeration compressors and/or condensers.
7)a11 electrical work.
Brd Arnount:$212,100.00
* Notice this price does not include any electrical work.
* This bid maybe void if not accepted within 60 days.
� Reference No. 094837
Attachment A-Photographs
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—View of heating hot water zone pumps and domestic water heater in Area'C
MER.
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asra3�t�.cna�i nu.+:�oerrt►enu�+o�n A-27
• Reference No. 094837
Aitechment A-Photographs
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o��Mea�,►ssessMaw uner�+au A-14
� Reference No. 094837
Attachment A-Photographs
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6—Yiew of chitled water pump motar below water immersion depth in Area'A'
ER.
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PowerHouse Systerns, LLC Integrated Energ� Conservation
,
• 610 Hamel Road Solutions
Medina,MN 55340 Internet Data Center& Network
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Phone: 952-471-3030 Infrastructure Capabilities
Fax: 952-471-3036
jerrv(cr�powerhouse3.com Distributed Generation
�Y���:��,��:,�,' Web:www.powerhouse3.com Equipment Sales & Service
DATE: Apri19, 2014 Presented By_
Pages: 1
TO: Dave Carlson Jerry Ricke
RE:Generator quote
Thank you very much for the opportunity to help with your power needs_ PowerHouse Systems
offers the following proposal:
One{1}New Aksa 250 KW Diesel Standby Generator
-Perkins Diesel Tier rated engine
-Marathon generator end rated at 480V 3Ph 60 HZ
-Deep Sea Digital control panel
-Auto start stop controls
-UL 2200 listed and EPA cert.
-Sound attenuated enclosure
-Critical exhaust silencer, with flex, and rain cap
-24 hour double wall UL listed sub-base fuel tank
-Main line circuit breaker
-Batteries with rack and cables
-Battery charger
-Engine coolant heater
-Crane and rigging
-Start up a.nd training
-3 year warranty
Total your cost $53,95Q.00*
One (1)New Aksa 350KW Diesel Standby Generator
-Perkins Diesel Tier rated engine
-Marathon generator end rated at 480V 3Ph 60 HZ
-Deep Sea Digital control panel
-UL 2200 listed and EPA Cert.
-Auto start stop controls
-Sound attenuated enclosure
-Critical exhaust silencer,with flex, and rai.n cap
-24 hour double wall UL listed sub-base fuel tank
-Main line circuit breaker
-Batteries with rack and cables
-Battery charger
-Engine coolant heater
-Crane and rigging
-Start up and training
-3 year warranty
Total your cost $68,995.00*
One(1)New Aksa 515 KW Diesel Standby Generator
-Perkins Diesel Tier rated engine
-Marathon generator end rated at 480V 3Ph b0 HZ
-Deep Sea Digital control panel
-Auto start stop controls
-UL 2200 listed and EPA cert.
-Sound attenuated enclosure
-Critical exhaust silencer, with flex, and rain cap
-24 hour double wall UL listed sub-base fuel tank
-Main line circuit breaker
-Batteries with rack and cables
-Battery charger
-Engine coolant heater
-Crane and rigging
-Start up and training
-3 year wananty
Total your cost $91.995.Q0*
Removal of interior 350 KW Cummins diesel generator and exterior 250 KW Onan generator
-Remove and replace block wall
-Rigging old unit out of basement and onto main level
-Crane and freight
Total your cost $6,250.Q0*
�Price does not include tax. All units quoted are in stock. Freight is included.
Thank you again for the opportunity to help with your generator needs.
Kind regards,
Jerry Ricke
Photo Sheet �nsured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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Construction Heaters,Inc Proposal
8360 Commerce Drive
Chanhassen, MN 55317
(800)523-4328 Date: 4/3/2014
{952)448-6225 Campaign: SUM14
C�MRAIVIES �952)448-6829 Fax
� � �� _ �. www.chicompanies.com Quote No: RQ07103
Daryl Linz Project:
Doug Carlson Development, Inc. Assisted Living Project
25785- 190th St NW 1554 Midway Parkway
Big Lake, MN 55309-4624 St. Paul, MN
Dear Daryl Linz,
Thank you for the opportunity to submit this proposal for the above referenced project.
Rentalltems Actual Billing
# Model Description From-Thru Length Length Unk Price Extended Amt
15 R350 DrizAir350 Ref Dehu w/cad 4/15l2014-5/14/2014 30 DA 1 M030 $750.00!M030 $11,250.00
Drizair R350 Refigerent Dehumidifier 120v 10.5 amps
1 DEL-RENT Delivery 4/15/2014-4/15l2014 1 DA 1 DA $100.001 DA $100.00
$11,350.00
Special Notes:
All prices quoted do not include tax. Appiicable sales tax will be added at the time of invoicing. Tax rates will
be based on delivery location.
Sincerely, Member of AGC,ABC
�assacr�r�a e�x�.n�s
ANp CO1Y777AC7tN75,1N�
o .�a,,
�
StUBrt PySiCk F r�E���i
CHI Companies
www.chicompanies.com
Visit us online at www.chicompanies.com
Proposal Acceptance
Reserve your equipment now! Just send this form back to us so that we can reserve your equipment.
Please indicate a requested delivery date and a Purchase Order number if required.
Reference: RQ07103
Model Description Quantity From-Thru Extended Amt
Rental Items
R350 DrizAir350 Ref Dehu w/cord 15 4/15/2014-5/14/2014 $11,250.00
DEL-RENT Delivery 1 4/15/2014-4/15/2014 $100.00
Note:Applicable sales tax will be added at the time of involcing. Subtotal Before Sales Tax 511,350.00
If order is exempt from sales tax, please include exemption
certificate.
Retum bv Mail: Retum bv Fax:
CHI Companies (952)448-6829
8360 Commerce Drive
Chanhassen, MN 55317
These are the addresses we have on file, please make corrections if necessary.
Customer Information: Shipping Details:
Doug Carlson Development, Inc. Assisted Living Project
25785- 190th St NW 1554 Midway Parkway
Big Lake, MN 55309-4624 St. Paul, MN
763-262-3272 763-262-3272
Your salesperson is Stuart Pysick, please call him at(952)448-6225 or(800)523-4328 with any
questions.
Accepted By Delivery Date Requested Customer PO#
Please add any special requests or InstrucUons here:
Visit us online at www.chicompanies.com
� �
C7�]CC�:. INC.
RESIDENTIAL AND COMMERCIA
18440—163'"Street•Euc Rivert,M�NNeso7A�55330
763-263-0280 • Fax:763-263-0207
PROPOSAL SLBMIITED TO PHO\'E DATE
Doug Carlson Development 4nila
STREET JOB�iA:4iE
Traditlons
CITY,STATE and ZIP CODE JOB LOCATION
St.Paul,MN
ARCHITECT DATE OF PL�\S JOB PHO\�
We hereby submit specifications and estimates for:
DESCRIPTTON TOTAL
Water Damage Repair $25,004.00
- Demo attected drywall per walk through
- Repair and paint affected drywall
ACCEPTANCE OF PROPOSAL.
The above prices,speciYications and conditions are hereby accepted You are authorized to do the work as speci2ied Payment will
be made as outlined above.
Signature
Date of Acceptance Signature
Thank you for the opportunity to bid your drywall.
Kevin Otto Keith Otto Adam Makela
612-701-3026 612-701-3027 612-221-5570
_ DTL Impro�ements LLC I nvo ice
25785 190th St NW Date Invoice#
Big Lake,MN 55309
3J31/2014 I!16
Bill To
Dou�las A.C�tr)son Development,Inc.
Description Amount
Maintenance,monitoring,repain,snow removal Jan 2014-March 2014 3,750.00
Total $3,750.00
r __...�_. _ _ _ _
' DTL Improvements LI.0 �n V���+e
25785 190th St NW
Date Invoice#
Big Lake,MN 55309
t 2/26l2013 1]15
BiII To
Douglas A.Carlson Development,Inc.
Description Amount
Decemixr 2013 maintenan�e,monitoring,mectings,snow removal ],250.00
1032
""`D L Improvements LLC _- '1/6/2014
Date Type Reference original Amt. Balance Due - Discount Payment
12/26/2013 Bill 1915 7,250.00 12�0:00 9,25Q.Oa
=�_ Che�ek Amount 1,250_DO
KEein Bank 4,250.00
IIIIII1f111lI1 I I tll
.;�,e.,�.�.. ooe�z, ;:.�::>.,
I � i
� Photo Sheet �nsured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
� 127
Date Taken:3/20/2014
Taken By: BBERSCHE
Overview of basement hallway-adjacent
to mechanicalroom.
128
°-- Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of ineeting room adjacent to
mechanical room.Note significant water
on floor(now frozen).
,�,,j2;
Photo Sheet - 16- 3/21/2014
� Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
129
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo depicting water line in meeting
room.
,:�
131
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of office space in
basement-adjacent to mechanical room.
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Photo Sheet - 17- 3/21/2014
Photo Sheet Insured: Douglas A Carison Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of auxiliary room.Water main
enters building at corner of room(left,
background of photo).
132
Date Taken:3/20/2014
Taken By: BBERSCHE
Photo of waterline entering building in
auxiliary room.
�"�"
Photo Sheet - 18- 3/21/2014
� Photo Sheet tnsured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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140
Date Taken:3/20/2014
Taken By: BBERSCHE
� Photo of kitchen area.Note debris on
r' groundand significant equipment
throughout.
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�' ;" 141
Date Taken:3/20/2014
Taken By: BBERSCHE
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and equipment.
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Photo Sheet -20- 3/21/2014
' Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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142
Date Taken:3/20/2014
Taken By: BBERSCHE
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146
�� Date Taken:3/20/2014
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k � Photo of dining hall(adjacent to kitchen)
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Photo Sheet -21 - 3/21/2014
� Photo Sheet InsUred: Douglas A Carison Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
144
Date Taken:3/20/2014
��������, ' � .
4 �°�� � �`� Taken By: BBERSCHE
k,t���' ��`"" � °��`' � '
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,x ` .
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145
Date Taken:3/20/2014
Taken By: BBERSCHE
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Photo Sheet -22- 3/21/2014
/
� / �
REFRIGERATION
6325 WELCOME AVE N STE 200 � BROOKLYN PARK, MN 55429
(763) 231-8300 • FAX (763) 231-8320
www.southtownrefrigeration_com
Quotation
May 16, 2014
Bill To: Douglas A Carison Development Job Site: Douglas A Carison Development
Attn: Daryl Linz 1554 Midway Parkway
daryl@dou�carlsondev.com St. Paul, MN 55108
763-262-3272
Scope of work: Remove damaged compressor and condenser.
Install new compressor and condenser.
Quantity Description
Labor to remove and dispose of old refrigeration equipment and $6,040.00
1 install new equipment. Includes:electrical, disposal, delivery and
plumbing.
2 new compressors, 2 new condensers,with all the necessary $11,959.49
1 material
1 backup compressor with water coaled condenser $6,768.81
1
GrandTotal: "$24,768.30
NOTE: This quote does not include freight or tax.
Respectfully Submitted,
Ryan Welty
763-231-8300
Date: Accepted By:
Note: This proposal may be revoked if not accepted within thirty (30)days.
` Photo Sheet Insured: Douglas A Carlson Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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` Photo Sheet �nsured: Douglas A Carison Development, Inc
Claim#: 5570120784
Policy#: ECN 04386753
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Photo Sheet -6- 3/21/2014
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_ Reference No. 094837
Attachment A•Photographs
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