HomeMy WebLinkAboutContract No. 2014-2604M. Magnuson Construction
17551 Barrington Ct.
Minnetonka, MN 55345
P 952.649.1887
F 952.937.0672
Bid
September 23, 2014
,attention: Joseph Kloiber, Finance Director
Citv of Columbia Heights
590 40"' Ave NE
Columbia Heights, Mhi 55421
Re: Heights Liquor Store —Maintenance Improvements
B2A # 1402
Item 1— Scope of Work
Clean existing Built -up hoof and provide a roof coating over the entire roof to saturate the old felts.
Broom off or use a power leaf blower to remove any loose debris.
Apply a coating of fibered roof coating to the entire root. ScalBest Professional Grade l" ibered Roof Coating; 4.75 — gallon pails or
equal. It is a rnLxture of liquid asphalt and fibers which bonds drying black and seals small cracks, joint, scams and nail holes.
Apply right to the edge of the perimeter flashing and edge on the north side.
Coverage is 30 -60 SF for felt roofs.
See attached roof plan.
Contractor permitted use of the Owners bathroom.
Warranty -- the Contractor does not have to provide a Nvanranty for this work. It is also not implied that there is a warranty. This is
Maintenance work_
No permit costs are included for this work.
Thanks,
Joseph P. Bean
M. Magnuson Construction
P 952.457.0320
Lump Such Cost $4,817
Four 'Thousand Eight Hundred Seventeen dollars
Are "Y'l C6r�
1f0
IN
LIABILITY
DATE ( DWM)
TYPE OF INSURANCE
10/1/2014
_
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(tes) must be endorsed If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER
American Agency, Inc.
5851 Cedar Lake Road
P 0 Box 1 6527
Minneapolis MN 55416
Kathy szFz -ey
PHONE (952) 545 -1230 FAX (95alsg -8733
L .kathy'fr @americanagenoymn.com
INSURERS) AFFORDING COVERAGE
NAIC0
INSURER A:Western Nat'l Mutual Ins Co
15377
ENSURED
Marge Magnuson Construction Company, Inc
17551 Barrington Court
INSURER S:
$ 5,000
INSURER C;
$ 1,000,000
INSURER D:
INSURER E:
$ 2,000,000
Minnetonka MN 55345
INSURER F:
$ 2,000,000
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDiNG ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I L SR
TYPE OF INSURANCE
POLICY U
PP10368860A
POLICHY EFF
J5J2014
POLICY P
J5/2015
LINTS
EACH OCCURRENCE_
-
$ 1,000,000
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CU4IMSMADE OCCUR
_
� � �
$ 100,000
MEDEXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GE N'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO. LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNEO SCHEDULED
AUTOS AUTOS
HIRED AUTOS X NON -OWNED
AUTOS
PP103657804
/5/2014
/5/2015
S
Ea ac o
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
X
2= G
$
Non Owned Combined Skyle
$ 1,000,000
A
X
UMBRELLA UAe
L64B
X
OCCUR
CLAIMS-MADE
P48100604304
/5/2014
/5/2015
EACH OCCURRENCE
$ 2,000,000
]JEXCESS
AGGREGATE
-
$ 2,000,000
D I X I RETENTION$ 10,00
$
•
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORWARTk'ERIEXECUTIVE Q
OFFICE MSER EXCLUDED?
(MyyaeenaadatderyIInnNH)
DESCRIPTION OF OPERATIONS bMow
NIA
V100449404
4/5/2014
/5/2015
WG STAT OTH-
Linn+ r•C
E.E.L. EACH ACCIDENT
$ 500 ,000
E.L. DISEASE - EA EMPLOYE
$ 500,000
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES lAtfach ACORD 901, Addit anal Remarks Schedule, if more space Is required)
Project Address; 5225 University Ave NE, Columbia Heights, MN
City of Columbia Heights.
590 40th Ave NE
Columbia Heights, MN 55421
ACORD 26 (2090106)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Starks /ARS
® 9988 -2090 ACORD CORPORAI ION. All rights raserverl
INS025(2oiaw.Di The ACORD name and logo are registered marks of ACORD
Enter your TIN in the appropriate box The TiN provided must match the name given on the "Name" tine
re avoid backup withholding. rieto For individuals,
sre d disregarded entity, is your social security number peg 3. For other r a
resident alien, sole proprietor, or disregarded enti#y, see ilia Part 1 instructions on page 3. For
entities, it is your employer identification number (EIN), If you do not have a number, see Now to f a
TIN on page 3.
Wang
Form
Employer fdennfication number - _..
Request for Taxpayer
Give Form to the
(Rev. August t )
Departrnent of the T reasury
Identification Number and Certification
requester. Do not
Internal Revenue Service
send to the (RS.
Na (as shown on your income tax return)
—
rwl w�G:j'.'1
N
Business aldtsr entity name, it different from above
N
rn
CO
°
o
Check appropriate box for federal tax classification:
Exemptions (see instructions):
w
❑ Individuallsole proprietor ❑ C Corporation K S Corporation ❑ Partnership ❑ Trust/estate
c
_o
n
o
[� Limited liability company. Enter the tax classification (C=C corporation, S=S co
corporation, P =partnership) ®
Exempt payee coda (if any)
Exemption from FATCA
y
reposing
c
ty
❑ Other (see instructions)
code (9 any)
iE
Address (number, street, and apt, or suite no..)
aquester's name and address
R (optional)
rz
5 5 1 B 4, IT
City, state, and ZIP code
M
List account number(s) hete (optional)
--
Enter your TIN in the appropriate box The TiN provided must match the name given on the "Name" tine
re avoid backup withholding. rieto For individuals,
sre d disregarded entity, is your social security number peg 3. For other r a
resident alien, sole proprietor, or disregarded enti#y, see ilia Part 1 instructions on page 3. For
entities, it is your employer identification number (EIN), If you do not have a number, see Now to f a
TIN on page 3.
I Social security number
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose
number to enter.
Employer fdennfication number - _..
Under penalties of perjury, I certify that:
The number shoavrn on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. I am a U.S. citt7en or other U.S. person (defined below), and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to Crackup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apple, For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IR.k), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the
instructions on page 3.
6g@ signature of a f) 6
Here U.s. person ®r <'•C+ a s/3 "i Date ►�
General Instructions
Section references are to the internal Revenue Code unless otherwise noted.
Future developments, The IRS has created a page on IRS.gov for information
about Form W -9, at wwwJrs.gov1w9. Information about any future developments
affecting Form W -9 (such as legislation enacted after we release it) will be posted
on that page.
Purpose of Form
A person who is required to file an information return with the IRS must obtain your
correct taxpayer identification number MN) to report, for example, income paid to
you, payments made to you in settlement of payment card and third party network
transactions, real estate transactions, mortgage interest you paid, acquisition or
abandonment of secured property, cancellation of debt, or contributions you made
to an IRA,
Use Form W -9 only if you are a U.S. person (including a resident alien), to
provide your correct TIN to the parson requesting it (the requester) and, when
applicable, to:
1. Certify that the TiN you are givi ig is correct (or you are waiting for a number
to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee, It
applicable, you are also certifying that as a U.S. person, your allocable share of
any partnership Income from a U,S, trade or business is not subject to ttw
withholding tax on foreign partners' share of effectively connected income, and
4, Certify that FATCA code(s) entered on this form (if any) indicating that you are
exempt from the FATCA reporting, is correct.
Note. If you are a U.S. parson and a requester gives you a form u her tin Form
W -9 to request your TIN, you must use the requester's farn'M it it is substantially
similar to this Form W -9.
Definition of a U.S. person. For federal tax purposes, you are considered a U.S.
person 4 you ere:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership. corporation, company, or association created or organized in the
United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701 -7).
Special rules for partnerships. Partnerships that conduct a trade or business in
the United States are generally required to pay a withholding tax under section
1446 on any foreign partners' share of effectively connected taxable income from
such business. Further, in certain cases where a Form W -9 has not been received,
the rules under section 1446 require a partnership to presume that a partner is a
foreign person, and pay 4he section 1446 withholding tax. Therefore, if you are a
U.S. person that is a partner in a partnership conducting a trade or business in the
United States, provide Form W -9 to the partnership to establish your U,S. status
and avoid section 1446 withholding on your share of partnership income.
Cat~ No. 1J?_31x .} -Tn W-9 (rtYv, 8 -2013)
From: Joseph. Kloiber @ci.coIumbia- heights.mn.us
Sent: Monday, September 29, 2014 4:34 PM
To: m .magnusonconstruction @gmail.com
Cc: Larry. Scott @ci.columbia- heights.mn.us; mod .feders @buetow2architects.com
Subject: FW: Heights Liquor Store - Maintenance Improvements start up
Attachments: Store3 Pro posal _Roof_Magnuson_092914.pdf, Store3Proposal _EastWall_Magnuson_
092914.pdf; fw9.pdf
To: Joe Dean, M. Magnuson Construction,
The City of Columbia Heights accepts your attached proposal for roof maintenance at our Heights Liquor store, located
at 5225 University Avenue NE. Our understanding is that since seasonal temperatures will soon be getting cooler, you
will attempt to complete this work as soon as practical. For access to the site, please contact our Liquor Operations
Manager, Larry Scott, at least one day in advance. His office telephone is 763- 706 -3819, his cell phone is 763 - 202 -5318,
and his email address is above.
The City of Columbia Heights also accepts your attached proposal for maintenance of the east basement wall at our
Heights Liquor store, located at 5225 University Avenue NE.
To validate your company as a vendor for the City, please complete and return the attached IRS Form w -9. If you have
any questions about the administrative aspects of our agreement, please contact me.
Joseph K• y,
Director Finance
a! • •
• 3) 706-36
From: Mod Feders [ma i Ito: mod.feders(a) buetow2a rch itects.com I
Sent: Monday, September 29, 2014 1:28 PM
To: Joseph Kloiber; Kevin Hansen
Subject: Fw: Heights Liquor Store - Maintenance Improvements start up
Hi Joseph,
Please see below on roof schedule.
Thanks, Mod
From: Joe Dean
Sent: Monday, September 29, 2014 9 :39 AM
To: Mod Feders
Subject: Re: Heights Liquor Store - Maintenance Improvements
••
1
Weather permitting, we would be ready to start the roof this week if they get the purchase order out. If it
works for the City, they could e-mail or fax it over to us to speed up the process.
Mike Dean
M. Magnuson Construction
P 952.649.1887
F 952.937.0672
4.4 f,I'V
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B11 BUETOW 2 ARCHITECTS, ING.
September 18, 2014
City of Columbia Heights
Request for Quotation
Project:
Heights Liquor Store- Maintenance improvements
5225 University Ave. NE
Columbia Heights, MN
B2A 9 1402
Item I- Scope of Work
Clean existing Built-up Roof and provide a roof coating over the entire roof to saturate the old
felts.
Broom off or use a power leaf blower to remove any loose debris.
Apply a coating of fibered roof coating to the entire roof. SealBest professional Grade Fibered Roof
Coating 4.75- gallon pails or equal. It is a mixture of liquid asphalt and fibers which bonds drying black
and seals small cracks, joint, scams and nail holes.
Apply right to the edge of the perimeter flashing and edge on the north side.
Coverage is 50-60 SF for felt roofs.
See attached roof plan.
Provide a Lump Sum Cost $
Item 2- Scope of Work
Reinforce existing east basement concrete block wall.
The existing 12 inch CMU east basement wall is 11 courses tall not including the bond beam. (See
attached drawings).
The wall has distress/cracks and the City desires it to be "reinforced".
Provide a #3 rebar or pencil dowel in cores that can be accessed without removing any existing
mechanical or electrical and then grout full.
Provide 3 Y2 X 3 !/2X 5/16 brick angles/ clip angles at the floor and use expansion anchors into the
existing concrete floor slab without removing any existing mechanical or electrical.
Provide a Lump Sum Cost $
- Do not include anything for permit cost as that would be a reimbursement from the City.
- Warranty- The Contractor does not have to provide a warranty for this work. It is also not
implied that there is a warranty. This is maintenance work.
- Contact Larry Scott (Manager) 763-706-3852 and leave a message as to when you will visit the
site.
Quotes- Use your standard proposal form. Address the quote to Joseph Kloiber, Finance Director,
City of Columbia Heights. E-mail quotes to pri or to noon
Thursday September 25, 2014. Question- contact Mod Feders email or 612-455-2626
BUETOW 2 ARCHITECTS, INC. AN ARCHITECTURAL SERVICES COMPANY
2905 OF-AN PARKWAY SUITE A MINNEAPOLIS MINNESOTA 55416 TELEPHONE (612) 455-2626BIl
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