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Home My WebLink About2017-04-17-J01P Fox Creek Trunk Sewer Phase 3_Pmt Est 11 N-0, Waukee �f�1► THE KEY TO GOOD LIVING AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: April 17, 2017 AGENDA ITEM: Consideration of approval of Partial Payment Estimate No. 1 to Graff Excavating, Inc. for the Fox Creek Trunk Sewer — Phase 3 Project in the amount of $146,786.68 FORMAT: Consent Agenda SYNOPSIS INCLUDING PRO & CON: Partial Payment No. 3 is for the period February 21, 2017 to April 7, 2017. FISCAL IMPACT INCLUDING COSTMENEFIT ANALYSIS: $146,786.68 COMMISSION/BOARD/COMMITTEE COMMENT: Graff Excavating, Inc. has requested Payment Estimate No. 1 for the work completed on the Fox Creek Trunk Sewer — Phase 3 Improvements project in the amount of $146,786.68. Veenstra & Kimm, Inc. has reviewed the payment estimate and recommends payment. STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Partial Payment No. 1 ATTACHMENTS: I. Partial Payment No. I II. Letter of Recommendation PREPARED BY: Beth Richardson/Rudy Koester REVIEWED BY: John Gibson PUBLIC NOTICE INFORMATION — NAME OF PUBLICATION: DATE OF PUBLICATION: VEENSTRA & ICI INCm 30M V WWown Parkway - West Des Moines, lows 50266-1320 515-225-SM.515-225-7M (FAY • 888-241-WW (WATS) April 12, 2017 John R. Gibson Director of Public Works City of Waukee 805 University Avenue Waukee, Iowa 50263 WAUKEE, IOWA FOX CREEK TRUNK SEWER — PHASE 3 PAY ESTIMATE NO. 1 Enclosed are three copies of Pay Estimate No. 1 for work on the Fox Creek Trunk Sewer — Phase 3 project, under the contract between the City of Waukee and Graff Excavating, Inc. dated February 21, 2017. The partial payment estimate is for the period February 21, 2017 to April 7, 2017. We have checked the estimate and recommend payment to Graff Excavating, Inc. in the amount of $146,786.68. Please sign all copies of Pay Estimate No. 1 in the space provided and return one signed copy of the partial payment estimate to our office. Please forward one signed copy of Pay Estimate No. 1 with payment to Graff Excavating, Inc. Pay Estimate No. 1 is for the installation of 15-inch sanitary sewer pipe and three manholes. If you have any questions, please contact us at 225-8000. VEENSTRA & KIMM, INC. 40'tk-�-V 4aL Forrest S. Aldrich FSA:dml 275278 Enclosures cc: Graff Excavating, Inc. w/enclosure Becky Schuett, City of Waukee w/enclosure Rudy Koester, City of Waukee w/enclosure West Des Moines, dA • C.oradvdlle,. M . Mason City, 11 • Sioux City, M • Rock ishnd, dL • Springfield, iL • Liberty, 140 Date: April 11, 2017 VEENSTRA & KIMM, INC. 3000 WeMro Parkway Wert Des Moines, Iowa 50266-1320 515,VS40W 5IS 5484WAx% RO&M-S000(WArS) PAY ESTIMATE NO. 1 Project Title FOX CREEK TRUNK SEWER - PHASE 3 Contractor Graff Excavating, Inc. CITY OF WAU KEE, IOWA 803 East State Street Toledo, Iowa 52342 Original Contract Amount & Date February 21, 2017 $583,778.00 Pay Period February 21, 2017 to April 7, 2017 I BID ITEMS Description Unit Estimated ' Quantity Unit Price Extended Price Quantity Complete Value Completed 1.1 Mobilization LS 1 $ 21,000.00 $ 21,000.00 0.50 $ 10,500.00 1.2 Erosion Control & SWPPP LS 1 $ 4,000.00 $ 4.000.00 0.50 $ 2,000.00 Seeding LS 1 $ 19,000.00 $ 19,000.00 0 $ 16' Access Drive Gate EA 5 $ 1,000.00 $ 5,000.00 0 $ r1.4 Field Drain Lines LF 160 $ 20.00 $ 3,200.00 60 $ 1.200.00 8" PVC Sanitary SewerPi 7e in Place LF 35 $ 77.00 $ 2,695.00 0 $ - 12" PVC Sanitary Sewer _ Pipe in Place LF 757 $ 80.00 $ 60,560.001 0 $ - 1.8 15" PVC Sanitary Sewer Pipe in Place LF 3,793 $ 86.00 $ 326,198.00 580 $ 49,880.00 1.9 15" Sanitar Sewer Au,gered I in Place in Steel Casing LF 90 $ 445.00 $ 40,050.00 0 $ 1.10 48" SW 301 Manholes EA 17 $ 4,675.00 $ 7%475.00 3 $ 14,025.00 1.11 48" Manhole Extra Depth VF 120 $ 155.00 $ 18,600.00 0 $ - 1.12 Connection to Existing Manhole 1 $ 4,000.00 $ 4,000.00 0 $ PEA $ 563,778.00 $ 77,605.00 TOTAL CONTRACT V-K Job No.275278 MATERIALS STORED SUMMARY •Number of Description Units Unit Price Extended Cost $ 3,745.00 Manhole Cast]nps 14 $ 267.50 15"Coupling 1 $ 150.00 $ 150.00 Casing Spacers 23 $ 75.00 $ 1,725.00 Casing End Seals .2 $ 50.00 $ 100.00 15" Pipe 1,700 $ 14.25 $ 24,225.00 12" Pipe 767 $ 8.75 $ 6,711.25 Chimney Seals 14 $ 275.00 $ 3,850.00 Manholes 12 $ 3,033.42 . $ 36,401.04 $ $ $ - $ - b $ $ $ $ $ $ $ 76,907.29 $ TOTAL MATERIALS STORED V-K Job No. 275278 SUMMARY Contract Price Value Completed Original Contract Price $583,778.00 $ 77,605.00 Approved Change Orders (list each) TOTAL ALL CHANGE ORDERS $ - $ - Revised Contract Price $ 583,778.00 $ 77,605.00 $ 76,907.29 $ 154 512.29 1 Materials Stored Value of Completed Work and Materials Stored Less Retained Percemige'(5%) $ 7,725.61 Net Amount Due This Estimate $ 146 786.68 Less Estimate(s) Previously Approved No.1 No.2 No.3 No.5 No.6 No. 7 No. 8 No. 9 Less Total Pay Estimates Previously Approved $ - Amount Due This Estimate $ 146,786.68 The amount $ 146,786.68 is recommended for approval for payment in accordance with the tems of the contract. Quantities Complete Submitted By: Recommended By: Approved By: Graff Excavating, Inc. Veenstra & Kimm, Inc. City of Waukee, Iowa Signature Signature Signature Title Title Title 17 Date Date Date V-K Job No. 275278 MSUPPLY, WATMWORKS INVOICE JBM Pwk Ca nt mut St. Lowy' PP." IMI EM GRAFF EXCAVATING INC an 8D3ESTATE ST ' TOLEDO LA 52342-1842 bwafm* kwaim Ddi 3199147 Accounts 25rum SRI" Rep CHRISMPHER RICHTM Phom # 6154864M Bavich 0 223 Gdmm, [A TOW A"U!*Qu% liD.SUPPI-Y WATERWORIM L7D. PO BOX20M 8T Lounk No t*14$ Shipped to: ASHWORTH RD & SE WACO PL MIKE GRAFF 641-75045M WAUKEF- [A CUSTOMERJOB- %AUKEE FOXCREEKTRUNK_. Thw* you for to apportun1w to gem youl We nppmdmb your pwmwL 'llaffib6braff baft8hWW"C=WmWrP0-# ibbNam Job$ BillafladIng Shipped Via Invoice i 2I27J17 3=17 2017 FOX CREEK TRUNK WALIKES CARREMI)SUPPLY G628473 prodpd 90" Qumft price UM Extended Price OrftW Sh"W BID. 0405TR112 8X12.5' PVC TRUSS PIPE (G) 38 38 4.50000 FT 1711.00 BID S" 130 2708CTR 8 PVC TRUSS SIN CAP 7 7 10.0W00 EA 70.00 BID SEQ# 150 2715CTR IS PVC TRUSS END CAP 1 1 45.00000 EA 45.00 BID SEQ# 250 /M14791675 1-7a"0W,` EA #-, Now M14791678 aI; SO i-vab-0064,01— !wkwaffOr- TSF1247 4mp=Trgp ONLY 267.50000 EA 75=1247 DEETER 1247 S-SEAL COVER ONLY 15 16 NIC EA BIDSEQ#400 76FCRI916F 1911TEM"m 76pSX15T ITPRESS SEAL 22LPSX-20D 1 1 160.00DD0 EA 150.00 15"TRUSSAG'DIP BID SE3# 520 78MHEXT368 38' FACT CHMY SEAL SSLEEVE 275.00DOD EA -4.97409 SEAL SPANS W-6.T OF CHIMNEY 78MHEANDBOT40 344W E)Cr CHMY SEAL BTM BAND 17 17 NIC EA 78MHBANDTOP3440 34-W E)(T CHMY SEAL TOP RAND 17 17 WC EA ammm CONTINUED... Page 1 of 2 INVOICE WATERWORKS Sales Rapp CHRIS'IOPHERRMTER Phones &199664M ® sam 9fen+60.3223 X� z�LN-+t�� a a•: it a?'..` a' a.J a ��$.� +},h#''��-,I�c _ =YWATFRWORK$ LTD. f61� PO WK211S66 eTto118 0002146 5U11 M60A26 EDDS7X 166966ES78666&A 82pW66fim6190QI •.t .-':.r :....,.. . p��ltUry�yldl)91t14u1(f�4��hrnfl�i+�IitllniF�4h ehfpped b: GRAFF EXCAVATING ING ASHWORTH RD & BE WACO PL 803 E STATE .ST Mom GRAFF 641-ro" B6 TOLEDO IA 52342-1842 WAUKEE. LA CUSTOMER JOB- WAUKEE FOX CREEKTRUNK •---• Thenkyou.farthsopporbut toeemyowmappadeeeyourpmWpq>nsanL -- Demeyd'dared ,Ddr$Npped�GuelenierPCi-Job.Now .Jobs .-6M'dfLtdInp ShbpedYia. .UNOIWO 2MViT 3/10117 2017. FOXCREEKTRUNK WAUKEE DIRECT G828482 oAmn* ProdiaACodg. OgaFejprtfon fhdsld $RfPp�? . �4 r f3me%d!dP,ce HD SUPPLY WATERWORKS PO#-8025060 0415TR12 .1lOdLBS.TAFb$',x.6J 38Q.Q;. .0Ef3.: ^Oi •t42tr.:..Pt. 33;3e&:W .fsQ�rs�aa_®: 0412TR12 12X12.6 PVC TRUSS PIPE (G) Papatbea Bmw Expedites delivery. - Save trees. -Go GREEN. },' 763 763 8.76000 FT .00 HDSU LY. Lvdllpolaee Iedfarla�MY�sWe� R fir.. •. ,1�;. ouver. 0.00 '[o 1ET96 4d-e+tir Twe .mil . 0..00 _.: • :e:..'. i:Sa:y : w.:if.:� .:je: :�-Ys.aYi`:' .. / ';'��. _.G:.c....ca,..__._ ., Si�aY�' i :A.a_.�:3X.�'=�;� Thiatnneadlonh6WelaW by and whjeetm HO Si6gly Wal�vahs'efadeM fe11De end rondaleur, thick sn hwmpere0ed by Wasp and aepepled, To YeeleW6eMla tamr nldPM+avWtww.vdrrafa.Wr�pyynndT�mC. DWIM21 Page 1 of i Ship TO. hp: 1 of 2 Invoice invoke Date. MR00009463 3f23l2017 DwDoh 4/23/2017 ForINT& Ordw#: 771704&Ml CmtenerP0t . Cntemer #. 540225 OdhoryOrder#c DMOOOOM72 Omff ExcovetloB.Im 803 E. StIM Shut Toledo IA 52342 Waukee, a - Fox Creek Truk Sewer Ph 9 �a 4w.0 BBL P2 S 48x4.o BBL P2 S 480.0 Cone 27mEcc P2 S G4sketP248 inch MH Comeotor A Lok 455 MH Combat A-Lok 570 4W.0 Monolnl/2 P2 S SAMH-S 48x4.0 BBL P2 8 48x3.6 Cone 27in Fcc P2 S Gasket P2 48 inch MH Comwonor A-Lok 320 M1i co®aoor A -Lek 570 4W.0 MomInl/2 P2 S (BiD7) DM000MM72 1.00 3AD 132.00 396.00 0% 132.00 396.00 DM00D0287372 1.00 4.00 132.00 528.00 0% 132.00 528.00 DM0000287372 LLD 3.00 MOD 396.OD 0% 132.00 .00 DM0000287372 3.00 0.00 0.00 0.00 0% 0.00 0.00 DMODOMM72 1.00 0.00 125.00 125.00 0% 125.00 125.00 DM00D0287372 2,00 D.00 160.00 320.00 0% 160.OD 320M DMOD002 372 IM 0.00 1,135.00 1,135.00 0% 1,135.00 1,135.00 Db8)OWM372 2.00 8.00 132.00 1,056A0 0% 132.00 1,056.00 DM0000297372 1.00 3.00 132 OD 396A0 0% 132.00 396.00 DM00002M72 3.00 0.00 0.00 O.OD 0% 0.00 0.00 DMOD00287372 2 00 0.00 95.00 190.00 0% 95.00 I90.00 DMW00297372 2.00 OAD 160.00 320.00 0% 160.00 320.0D DM0000287372 1.00 0.00 1,135.00 1,135.00 0% 1,135.OD 1,135.00 Forterm Canaim Prtximba im dha Frwiarm pbv X pennant Pam 2of2 iovd= am dse Net 30lays Retail But iDW 5,997.00 PntD=AmamhamaiMectw1112%FmmccChKPPcmmffi Dkcount 0.00 Net Price 5,997.00 Pteasa maM aura your amount balance is brorght cunard and In FreWd OMP 0.00 Oood fig• Misc 0.00 Product ratunro or standard Nsou must be made within s 6 mover Prepaid Amount 0.00 period. lA E=npt Garernmerrt 0.DW % 0.00 Please contact me with any bona or should you need anything Net Total $5,997.00 Jahn Sharp... John.Sharpebriarrebp corn or 783894.3252 Due Dais 4M3WT To arwss pmparnear. piurdatadr tb paraan and raWm vdh m.01A. FoAmre Pipe & Precast REMIT TO: FW*KM Pipe & Praaast P O Box 740MOS Chicago, IL 80674 M99 Graf E>ing, Inc Cusivmcr* 540225 Ineoioe: NOL00009463 Invoice Data 3/23/2017 Iae Datr~ 4129/2017 AmotmtDue: Arnmat Bocloaed: 95y97A0; Forsana Cone Products. Inc dba Forte ra Pipe A Precast i 1� �o�c�eRRu� Gaff gxcavatio8, Inc 803 H. State Short Toledo lA 52342 Pqa 1 of 2 Invakm MR00009476 InvoiaDatx wV2017 Doe Data 40"17 F. tWm pcdw #: 7717046M1i1 Caa6amaer Po #c CmW w t. 540225 Daltvary (kda #k DMOD00287610 SNP To. Waukee,_ 1A - Fox Crook Tnmk Sewer Ph 3 - SAW/ 48x3.0 HBL P2 S DM0000287610 1.00 3.00 132.00 396.00 0% 132.00 6.00 48xCO HBL P2 S DMOD00297610 2.00 9.00 132.00 1,056.00 0% 132.00 1,056.00 486.0 Cam 27in Bee P2 S D?ADM87610 1.00 3.00 132-W 396.00 0% 132.00 MOO Gaakd P2 48 iwh DM0000287610 4-00 0.00 0.00 0.00 0% 0.00 0.00 Mg Cam mctm A-Lok 570 DM0000297610 2.00 0.00 160.00 320.00 0% 16D.00 320.00 48x5.O Mommlal/M S DM0000297610 1.00 0.00 1,135.00 1,135A0 0% 1,135.00 1.135.00 SAM&8 48x3.0 BBL P2 S DM0o00287610, I-M 3.00 132.00 396.00 0% 132.00 396.00 48x5.0 BBL'P2 S DMDOOD287610 2.00 10.00 132.00 1,320.00 0% 132.00 1�320.00 48x3.O Monmia1/2 P2 8 DMO000297610 1.00 0.00 871.W MOO 0% 871.00 871.00 48x3.0 Cone 27m Hoc P2 S DM0000287610 Loo 3.00 132.00 396.00 0% 132.00 396.00 . GasketP2 48 inch DMOD00297610 4.00 0.00 0.00 0.00 0% 0.00 0.00 MHCooaectcr A-Lok570 DMOD002876LO 2.00 0.00 160.00 320.00 0% 160.00 320.00 SAMH-4 GaWmt P2 49 inch DM0000287610 2.00 0.00 0.00 0.00 0% 0.00 0.00 Fmtterm Conaem Products, Inc dba Forftm Pipe & Precast Papa 2of2 krvoicea are dueNct 30 Daya Wall 3ubhntel 6,80s.00 Part Due AmD=uamsubject m112%FiesmmamrPer —tll Discount Net Price Q.OD 6,806.OD Ptar s meta aura your accwxd balance is brought amrant and In FrOW Charge 0.00 good slendbrg. Woo Charges 0.00 Product returns of standard Items must be made within a 6 m0nih Preps Amount 0.00 Period. A Exempt Caovemment 0.000 % 0.00 Plaeae rxstat me wnh any questions or should you need anyfty NatTold $11.W OD John Sharp... JOhn.Btunp@brmrrebp.aom or783-694-3282 Due Dots 418412017 To wwn pmpraadr, Pym Odech 211 PM M etc Nk m aM mnamas Fortema Pipe & Precast REMIT TO: For1wra Pips & Precast P O Box T4008199 Chicago, 6.6f16748199 Graff Excavating, Inc C nOo!nw#. 540225 Invoice: MROOM9476 InvoiceDaW 3242017 Dee Date•. 4242017 AmmmtDee: AmountliacloN& s6pue Forlarra Concrete Product, Inc dba Fortema Pipe & Precast Page: 1 of 2 Invoke: MROOD09493 ImokeDaW 3282017 I! IFOR1'ERRW Du Date: 4282017 Fwtw a Order 0: 7717046MHI Ceatema' PO il: Caammwtk 540225 Ddivtay Oyler #- DMp0009.87855 Gaff Tucaveting. I= 803 S. Stye Street Toledo IA 52342 SMp To: Waukee, fA - Fox Cteek TrU* Sewer Ph 9 480.0 BBL P2 S 48x5.0 BBL P2 S 48x3.0 Come 27 a P.cc P2 8 Gaaket P2 48 inch MH Coonamr A -Colt 570 48x3.0 ManobM P2 S SAMH-1 480.0 BBL P2 S 480.0 Cone 27inP.ac P2 S GeaketP248 inch SAMH-10 48x4.0 BBL P2 S 48x5.0 DBL P2 S 4W.0 Con 271a Ec c P2 S GeakctP2 48 inch MHCcmoeclar A-Lok320 MEComccctor A4Ak570 48x3.0 Monolml2 P2 S DMWW287855 1.00 3" 132.00 396.OD 0% 13200 396.00 DM0000297US 4.00 20.00 132.00 2,640.00 0% 13200 2,640.0D DM00D0287855 1.00 3.00 132.00 396.00 0% 132.00 396.00 DM0000287855 6.00 0.00 0.00 0.00 0% 0.00 0.00 DM0000287855 2.00 0.00 160.00 320.00 0% 160.00 320.00 DMOOD0297855 LOD 0.00 871.00 871.00 0% 871.00 87I.00 DMD00028MO 3.00 1100 132.00 1,594.00 0% 132.00 1,584.00 DM000029MO 1.00 3.00 132.00 396.00 0% 132.00 396.00 DM0000287858 4.00 0.00 0.00 0.00 0% 0.00 0.00 DM0000287855 1.00 4.00 132.00 528.00 0% 132.00 528.00 DM0000287855 2.00 10.00 13200 1,320.00 0% 132.00 1,320.00 DMOD00297955 LOD 3.00 132.00 396M 0% 132.00 396.00 DM0000287855 4,00 0.00 0.00 0.00 0% 0.00 0.00 DM0000287855 1,00 0.00 95.00 95.00 0% 95.00 95.DO DM00002VM 2.00 0.00 160.00 320.00 0% 160.00 320.00 DM0000287858 1.00 0.00 871,00 871.00 0% 871.00 871.00 FOrlana Conaele Pm&icts, Inc dba Forlana Plpe 8, Precast PW s otz Tavaim am due Net 30 Days Retail Subtotal 10,133.00 Prat DueAmum*aeKdOMto112%Fm =C.bWper mosth Dlsmurd O.DO Net Price 10,133.00 Please maim awe your account baMnce Is brought cunant and In Freight awrge 0.00 good standbag. Mlac Charges D.00 Product ratans of abriderd Poems must be made within a 0 moth prepaid M=rt 0.00 Period. IA Exempt Govommert D.DOQ % D•00 phase contact me wM Wry Questions or should you read an rlg Not Total g10,133A0 .I" Shea .. john-Sharp@Oflsr�mn or 703404-37.5Z Due Dds � 412Bn0t 7 7bwearwePr OmAOm* I l l tbPCmmxwnmwwmenaarm FWWM Pipe & Precast REMIT M Forbara Pips & Precast P O Boat 74006199 Chicago, IL 00ti744N99 Groff Fxwvaft, Inc Catomw#; 540225 lavoloe: h It00009493 hwoiwDeto: 3/102017 DwD&u-- 4202017 AmaudDm AmoantEndoae& S1e,mao �— Fo+lurra Concrots Products, Inc dba Forisrra Pipe & Precast tt I� FolkToRskir GraffBxaavatin8, los 803 H Shto Shear Toledo IA 52342 emu.. r... wmed a IA . Fer Craad(. Tnink Sewer Ph 3 PW 1 oft lavokm JAROOD09510 byalmDarr: MA"17 Dae Data- 4/30017 Fattens order #: 7717046MBI ca omarPo#. Castaum N. 540225 Ddhatyordgfk DM M287626 48x4.0 BBL P2 S DM0000287626 1.00 4.00 132.00 s2uw um AJ•.w I.,...... 48x5.0 BBL P2 S DMOOOMS76M 1.00 5.00 132.00 660AD 0% 132.00 660.D0 48x3.0Cow 2TMEccP2S DM0000287626 1.00 3A0 132.00 396.00 0% 132.00 396.00 GeaketP2 48 mab DMDOOO 7626 3.00 0.00 0.00 0.00 0% 0.00 0.00 MH Conucmr A-Lok 570 DMODDOU7626 2.00 0.00 MOM 320A 0% 160.00 320.00 SAMH-13 48x5.0 BBL P2 8 DM0000287626 2.00 10.00 132.00 1,20.00 0% 132.00 1,320.00 48x3.0 Cone 27mBec P2 S DMOOD0297626 1.00 3.00 132.00 396.00 0% 132.00 396.00 Gasket P248bob DMD00MV626 3.00 0.00 0.00 0.00 00/i 0.00 0.00 MH Connwtor A-Lok 320 DM0000297626 1.00 0.00 95.00 95.00 0% 95.00 95.00 MH Coaraanr Aa ok 570 DIMDOMV626 2.00 0.00 160.00 320.00 0% 160.00 320.00 48x3.0MoaolninP2S DNIOODM97626 1.00 0.00 971.00 871.00 OYo 871A0 971.00 SAM -1 MHConnectar A-Lok320 DM0000297626 1.00 0.00 95.00 95.00 0% 95.00 95.00 MECamnaeoor A-Lok570 DND000287626 2.00 0.00 160.00 320.00 09A 160.00 320.00 480.5 Mmolnl/2 P2 S DM0000287626 LOD 0.00 937.00 937.00 0% 937.00 937.00 Forkmm Comets Products, Inc dbe Forborra Pipe & Precast Pest: 2 of2 hwoj smedwWdWDays ROWSuhbW 6,256.00 PDueAm untsamsubjecttoI M%FsrmoeCbUPPermomh Dlecount 0.00 set Net Price 6,258.00 pWww mdoa eons your account btWatns is brotght OwT*M and in Fit ChOW 0.00 good standing. hfilcOMOVINS 0.00 Product rebrrrrs of tsfnd"d hams must be made wWdn a 6 month Pmpaid Amount 0.00 period. a Boampt Gammment 0.000 % 0.00 Please contact me with arty queWone or should you r and ww m9 Net Told vwl " John Sharp ... Jotur.8herpQfortartebP-con or 76&aM-W52 Due Debra 4001MY To mom proper trndt, tbwm dmwh this pmem ad nstun weh amlmmce Fatorro Pipe & Precamt REMIT TO: Forwm Pipe a Pracw P O Boot 7199 Chicago, IL 606744799 Graff E=ovadrg, Inc comma#: 540225 lavoioe: M900009510 Im =Dsm: 35M17 Due Date: 4l304017 Amount Dam �I AmoemBn A=d'' Fartenn VAwwwAft Prroi,,r:ta inr eihn Rrj.. t]r.n a o.e,n+.d I FORTBRRK Ship TV. G(aff Esaavaft Iw 803 8. State Sheet Toledo IA 52342 Wauf % L4 - Fox Creek Tnmk Samar Ph 3 48x4.0 BBL P2 S 48x3.0 Cam 27m Bm P2 S Gasket P2 48 incb MEConamtor MLok570 48x3.0 Momlala P2 S SM H-16 48x5.0 BBL P2 S 48x3.0 Conk 27ic P= P2 S GasicetP248 inch MH ComwoWr A Lak455 480.0 MonoloM P2 S SAME:--17 48x5.0 BBL P2 S 48x3.0 Cone 27in Bm P2 S GadmtP2 48 inch SAMR 14 480.0 Monolnln P2 s DM0000287617 DMOW0297617 DMM297617 DMO D=617 DMOD00287617 DNEDDD297617 DMODD0297617 DM0000297617 DM0000297617 DM0000297617 DMOD00287617 DM0000287617 DMOOOD287617 DMOB00297617 Pair 1 of 2 LtvoSee: bg=09515 Woke Date: 3131fMI7 Due Daw 413WMI? Ferterm Order#. 7717046MHI c x memo#: Cotmw #: 540225 Ddtmyorder#: DM0000297617 2.00 9.00 132.00 L056.00 0% 1.00 3.00 112.00 396.OD 0% 3.00 OAD 0.00 0.00 0% 2.00 0.00 160.00 320A 0% 1.00 D.00 871M 871.00 0% 1,00 5.00 132.00 660.00 0% 1.00 3.00 132M 396.00 0% 2M 0.00 0.00 0.00 0% 2.00 0.00 W.00 250.00 0% 1,00 0.00 871.00 871.00 0% 2.00 I0.00 moo 020_00 0% 1.00 3.00 132.00 396A0 01A 3.00 0.00 0.00 MOD 0% 1.00 0.00 871.DO 871.00 0% 132.00 132.00 0.00 160.00 871.00 132.00 132 00 0.00 125.00 971.00 132.00 132A 0.00 871A 1,056.00 396.00 0.00 320.00 971.00 660.00 396.00 0.00 250.00 271.00 1,320.00 396.00 0.00 871.00 Fortum ConQale Products. Inc dba FOdetm Pore & pmcast Pqw 2 of 2 Retell Subtulal 7,407.00 Invaica am due Nct 30 Dar 0.00 PwtDacAmounha =bledtoll/2%FtW=CbOWPer`� �� Not Price 7,407.00 Please make give yow account balance M brought current and In FmW chorea 0.00 good xbv df . MWc Charges 0.00 tut be made within a 6 month Prepaid Amount 0.00 Product returns of at OOm Items m U4 f 0.000 96 0.00 period. 57,407:00 Nat Total Please contact me with at1Y quae0one or should you need enylhurg Due Dow 4190IY017 John Sharp .. John.Sherp@fortenabP-`0rn or 7$3Z To umn Paper credit p1mm dandh Ws podfon and Mum vM r"MMw s Forhm Pipe & Precast REMIT TO: Formrra Pipe & Precast . P O Box 74696199 Chicago, L 69674.6199 Graff Excavating, Inc voice; I R00009515 bavoiaeDate: w3112017 Due Dam: 45MO17 Amount Due: 57,407.00 AmoumFaCloaed — ._..._„ � 0..,.1-1- 1n rihn Frvq Pine & PrecaWl