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Home My WebLink AboutRESOLUTION NO. 2017-80 RESOLUTION NO. 201.7-80 RESOLUTION TO APPROVE PAY APPLICATION NO. 5 (FINAL) FROM CORNERSTONE EXCAVATING, INC. FOR THE 2016 SANITARY SEWER MAIN EXTENSION PROJECT IN FAIRFAX IOWA WHEREAS, the City Council of Fairfax, Iowa has contracted with Cornerstone Excavating, Inc. for the 2016 Sanitary Sewer Main Extension Project within the corporate limits; and WHEREAS, Hall and Hall Engineers, Inc., has recommended approval of Pay Application No. 5 (Final) from Cornerstone Excavating, Inc. for a current payment due of $10,000.00. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Fairfax, Iowa,to approve Pay Application No. 5 (Final) from Cornerstone Excavating,Inc. for the 2016 Sanitary Sewer Main Extension Project and issue a check for$10,000.00 after 30 (thirty) days have elapsed from this date. BE IT FURTHER RESOLVED, by the Fairfax City Council of the City of Fairfax, Iowa, that the Mayor and City Clerk/Treasurer are hereby authorized and directed to execute said resolution. Passed and approved this 12th day of September, 2017. AYES: Beer, Kell, Volk, and Wainwright NAYS: None ABSENT: Daly Burnell G. Frieden, Mayor ATTEST: q C}�n iia Stimson, bty Clerk/Treasurer e I 4 j g' fix; 4 } i�"VrS3P� a1'�� ,gbh APPLICATION FOR PAYMENT APPLICATION NO, 05 Project: 2016 Sanitary Sewer Main Extension in the City of Fairfax, Linn Cott qty, Iowa Contractor: Cornerstone Excavating, Inc. 1320 West Main Street RO, Box 928 Washington, Iowa 52353 Owner: City of Fairfax, Iowa Original Contract Amount: $902,61530 Revised Contract Amount; $894,776,30 Date, September 5, 2017 The Contractor noted above, in accordance with the provisions of the contract documents, hereby requests approval of this application for payment on the following estimates of contract work completed: Original Contract Work Completed $885,758.75 Materials Stored On Site Change Orders: 1. July 12, 2016 $ (20,9%00) 2 August 9, 2016 $ 11,571.50 3 September 13, 2016 $ 1,545,50 Total Change In Contract Amount from Change Orders $ (7,839.00) Total Change Order Work Completed(INCLUDES INCENTIVE PAYMENTS) $ 34,374.20 Total Complete and Stored to Date $ 920,132.95 Retainage RELEASED $ - Total Complete and Stored to Date Less Retainage $ 920,132.95 Less Previous Payments $ 910,132.95 Current Payment Due $ 10,000.00 Distribution: Owner-Engineer_Contractor -Other The C'ouncit-Approved Chiartge Ordef I doctiments confainetJ a$60,00�-rror. Theamorna of ltea� C-0,1-2 was supposed to 4e($772,00),but wa,,5,hown,anti approvedas ($722,00), ffn'a difference.or$60.00. The tonal Change Order I arnount Au3tik'I have, been($20,966AQ1 instead of($20,906)as shown, on Change Order 1. Page 1 of 3 CONTRACTOR'S CERTIFICATION: The undersigned Contractor certifies, tothe best of the Contractor's knowledge, thattheabove information and estimated values of completed work covered on this Application for Payment have been completed in accordance with the provisions of the Contract Documents, that all amounts have been paid by the Contractor for work for which previous Applications for Payment have been made and payments received from the Owner, and that the current payment billing requested is now due. Contractor'mAu<h By: Date: ENGINEER`S/ARCH|TECT,S RECOMMENDATION: |naccordance with the provisions ofthe Contract Documents and based onthe Engineer'oA\rohihaot'aon- site obyervaUunaofthevvo/kino|uded |nth|aApp|icmt|onforPaymentondbaaodunthe Engineer's/Architect's review of this Application for Payment including the accompanying supporting data, and to the best of the Engineer's knowledge, information and belief, the work included in this Application for Payment is completed substantially in conformance with the Contract Documents and payment by the Owner iohereby recommended. Engineer's/Architect's Date: CITY OF FAlRFAX PAYMENT RECOMMENDATION: Payment to the Contractor is hereby recommended based on the Application for Payment submitted by the Contractor and the Engineer'm/Arohitect'mrecommendation. City ufFairfax Authorized Representative: By: Date: ATTACHMENTS REQUIRED: 1. Line Item Schedule of Contract Values Summary, Amounts Completed This Period, and Amounts Completed ToDate. Recommend use nfAIA Document G7O3. 2. Lina |bam Schedule of Contract Materials Stored and Values (if applicable), ACCOUNTING USE ONLY: - -----'-----`------ — - - � -----'-----` -----`-----'------ - - � -----'-----`------ Page 2of3 APPLICATION FOR PAYMeNT APPLICATION NO,05 Pt}ecY. ZO+ri"avxury rexar I".LLf(MFSi!ik2'a.J.t:�'"*.t't+ rt Nm CSr vi F.3Msx,G+mC M.Iw:a rorxnz:ar •ra �u r urr.�aw.�.. EnR;•n,a,: r+�a n�csc.b.'e.ice' Ra++eed cem.am. nx geR4J7e;ar kem fwm NU11 bat IHm OsccA9Nlan Vnks M. S um Pike T.N Cwarakq , A-, Q-wv e�Tn�m `r,c-'EN x __a,114-i � t5 1 s a8 4�0 0 S J aJ iG01 irmu - azs,Yra. L? a 450000 'GT.SW 05 100 LJJO.W iW-LG 015 91 -0-it& i-Ml si 7E9.G3 Q= 2AYJ 1,.ilii f L+Y%di inf T-1, ,I+l9l hrTce +F Ra NRfiO $PO.tg4+A li N. sow a wim oc�l IT E Q CxkW 4 .W t f." (J 01 ,J2 dw&etsn6sam Ssnar •Rom 4f Ei} AS S2 fANJ.W i.+U ARS 2403 IT Te4yx Nar'eds�,aM fdAc ar_R{' Ors SiImoi 0:1) 6tl CQ 000 50.00 000% OJktlfS >k^'al �Y 0 Ol4W0i "fa1¢ae8 a*W Mdtstia iBJ 6 + 82 35,Ph0A0 �neg) tlyu JtkY 5£,iYAW 1010,00% _� riNF.cYO/9 SU C:as S¢wi Psw=«a. M 0i(Gz3G Wnu cxw*mY Raafl AR's"MG» 4V ZlD 8&H)00 uW gt](fl 2T0lYJ &54903 W@1% fa +ocs xro,��*n x 4w r,c o tJ :�wr wrE, aT�s aw 51 Im s acm aaewua ams sow rill.!! s1,llem rreera 0+nv?M z W E.OH lron5br*n 3axw 3xwa<s4 {A x 003 W 61.060:w 4O W J W 52.OJ:i 00 I W W, -- 'aa of ErsNvg Stan 3sav se.,i l:Ja'a+ OJ10.dJ k tx`xAc%fE>I h4a bY4'6sw LF ?0 56i)l16D 0En'S 0390 b040 443000 53769e J s s I cs .a Em-y I'«H waxka eee,..�, alaaa3 aro'�T4 o.,w«ta�o�c,�r,.+ u' Iza ssioca n,r sow ow 6oW uoaw fl- Y 2A pT1U0-0: ASJ T d� l.: I 5 s,900>M 94,9W QD .f Lbi S1W 4UJ 94 9W 60 0OA 0ltWSb aa3ar i4L+zym'+0' IIYY.aW ' Id4 b km0 SJ P3Fi e0 9300 213 J3 819➢Y 1q JJd.590 s 8(+LiA50 as6W'n. Ph P% 'ea Tai SY Ti0 6 625 st,?oz GO Oitl soM N100 51,7025 162.m VI- W-, cY YA 6 YEW 61-ow ow 60403 sill 10000 1030 n is 0y IN.9 CY .6 2] f 54 t?_.'S'i 1 7lm 1 1 .i It 02 t-0 n§a Faa x. P'n L 231 S 6Ttd1 tY aW 216 Si 4P0. tS9fY 'x%! StxK}i Srwes Max Ja"(�ka� lF ree0 5 Ri< - } 1 I 73 02 } T' to 4.a sxwrr' tt 3,HA fi 4454 S�SJ,tSSW Ct f� W.W 2f95(7 5;'A1.4CS.W iW.OV% DL'�'wi9i 'Ty`a"t>sws 9}Y.(I+ffW=.a2''%`Y`1•arn C4 J S765W V)W YL10 $mN IWW% C«mx<ma�.HifdaMn f2,t'eEabf d ?E6•(n0 i 5sav Saiz.{6'Gn CSNJ&(Yn :1a AM+i £a3 I $ 4lS. 6435W ow $000 ICJ 443500 IW-OObi 02.30&AI az xce: s.l a Txm.' w EA SSSS YJ'0 0(5 PJ GJ 190 6�"s,+➢J loo(*% b ISN+L. �1 S 555 W SI R190P-t1 suwa rtanzcas fC'FaN,B ta+wcaRe�w3 f:A 5 S.MSG9 .015] ptW w 1(4 WWII") iww% 6);445:-0 Svaa fie+vsss T]Rava1 E� 8 +YNS fp 5 if DYf IN O:Ydt vO e» a cu EA 3a. GW g776W 0w sow 300 0,775.W JO7U0% aa.SwUrYJ»e FR 4.Y5000 1 i .'J 4231$49 5aawMiN 'W}. EA 6 ➢,S SA 5'51X+ Ufl7+ i- Y5! 1 _ 5l 01A0.91 Sa+sr Srxw+Am'dr+w'o Csa l 5 9+7 W 11 - J I1 olx5 S0 EA Is 1R'k 40 St,@ w OW $0%5 105 S9AWW Iwo*% W 62 01 9wm Scxw RL.vn RCP/1su m'+R'Oa lF 3. « J 6d J i Sd 1 0)140.'0 iron Piro.Ca�'11'Czai t) t 330. 5240 ap Wi OW �N� 0. 3X C24Y%}°fa T=erew tuzl¢skJf 3�1 Amc) E0. b 5.0038.00 ,PYSW !tW sow I s''ow Ix` 103.0303 P. :cr mn�I s+r-„Li reo tF men S 2215 SJg20 b3 I)W W t0'I IX+ 9q 3Wr5 241:5°/ Ra'rbxte6,txmFS G,a,6iqpu'C.Md B. Sv +)0 519,52103 11"Al to 00 2SS d5 S7n.1"&J 15;1 eYA2i' 9 t TFeef:l Trail 6 Nfu^ a0 ,4 5Y r5 S i`2 J` U(g+ �;o3J�.xnY+4a wa egLtN. 6 ckgng S;„xr r8! (Cwrtrrjancy 8'x1 ,�r I55 SI,W"a slfl sow 0D0 SOW 000% 0 6 It br -4ka'n J , IA S� M..1`0T d�.t18 CAs M�tE +9 9Y,1C➢33%9 a!Xi 6U A19 8.t'd kti,�X'Oa PJ LP2(A�6 irtXp-12 e iq seal M. v A- x.�w Ai R' FuW Fa�:s ,� +Y<p sY1101,0 57 WW 124W SI_IJO.CO 1WW�e +N 5 _ se'E1(Y35 Y eiS.td Bxe.:a5ta.snr 4'^�*"! �, z S +rsW Worn 0'.47 sow 2w moo mwW TOTAL-. 60.003 DATE: IS MATERJALS STOWED ON SITE JTEM �O ,. UNITS QUANTITY TOTAL MATERIALS STOREO 04 WFRiCE Ply1 UNIT N S cHAJtQ£QROERs I i;C@NT.9V DJs1NCENNV£S tMv PMotl ��Y 1a OaH __ NO. DeasxEF4b» .. Urti UMt FAae TOUIu Qsu+YP Alrta+xN Qw/.uky Amaurst `a Caxyn9oLJ C01.1 t bEliax.4lt a+ .".s,y tv �" " tF y i"Nm S1,indRC ¢(ni�' k9p 10.00 1 d/2d0 iW. J sna.V _- f"' 0 rf_ Wl1 a b.ix3 too L r CCY13 aN0 P.n � tS �Si"�,141: £!.9560, A t+a SO,pO 1.00 .880.00 100.6Uk GPz.i 63b4 9 rani musn Cxvvi t5I MM M7 ¢YYU 65 .00 4.00 SSD. 100, ____ s r,6.roow tI1,11 n_a � _- so 1 , Y. fauwrca N4Y 0aa r br � _ 0T5 frS G:»C. 6s Sts+ _ _ 1.iy4xSfl 0.28 61b48.w .(00O0W ° &f£ ')ADl;vT .fr'3Ufi Gf WyAu» Woo .1420 (St.684.807 1WO% ftiCEti M1'E PdRI -roles Da-+x -�� FA 0 51 idAC �'S3U}' a 5803.00 ow 6""00 o oa AIMNAL CONTRACT MATERIALS STOREO ON SITE 154.374.30_ TOTAL CHANOE ORDER WORT(COMPLETED __......�.._.. �RSLEFS£D §0 RETAINAGE 020.15:STOTAL LEsSRETFQNAOG MAINTENANCE BOND Dond No. IAC585829 kNOW ALL MEN BY THESE PRESENTS: That, Cornerstone Excavating, Inc. of Washington, Iowa as Principal,and the Merchants Bonding Company(Mutual) as Surety, are held and firmly bound unix City of Fairfax, IA in the penal suns of Nine Hundred Twenty Thousand One Hundred Thirty-two And ($ $920,132.95 } Qollars,lawful money of the United StAtes of America,for the payment of which,well and truly to be made, the Principal and Surety hind themsclves;their and each of their heirs,executors,administrators,successot's and assigns,jointly and Severally,firmly by these presents, Whereas.the said Principal entered inro a certain contract.with City of Fairfax, IA To furnish all the material and labor necessary for the constructiun of 2016 Sanitary Sewer Interceptor Main Extension, Fairfax,IA-Contract No.6950-15-06DS in Fairfax, Iowa In conformity with certain specifications,,and Whereas,a further condition of said contract is that the said Ptincipaa should furn4h A bond in indemnity,guaranteeing to remedy any defects in workmanship or materials that may develop in sAid work within a period of Four(4) years from the date of acceptance of the work under said contract;and Whereas,the said Merchants Bonding Company(Mutual) for a valuabie consideration, has agreed tn.join with said Principal in such bond or guarantee,indemnifying said City of Fairfax,IA Now,therefore,the condition of chis obligation is such,that if the said Principal shall,At his own cost And expose,remedy anv and all defects that may develop in said work within the period of Four(4) 1 yearn from the date of acceptance of the work under said contract,by reason of bad workmanship or poor material used in the construction of said work,and shall keep all Work in continuous gond repair during said period,and shall in all ether respects.comply with all the terms and conditions of said contract with respect to maintenance,and repair of said work,then this obligation to he null and void-otherwise to be and remain in full force And virtue in law. In'4' jtness whereof, we have hereunto set out, hands and scats this 7th day of September 9 2017 , Corqe,rstone Excavating, Inc. ,--,A I'ri c` a 13y: Mercha t ondin mpany(Mutual) ret _511orney-in-Fac MER.CHANT� BONDING COMPANY,. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,individually, Anne Crowner;Brian M Deimedy;Cindy Bennett;Craig E Hansen;Dione R Young;Jay D Freiermuth;Jody Decker;Kathleen Brewer;Kevin J Knutson;Michelle R Gruis;Shirley S Bartenhagen;Stacy Venn;Tim McCulloh their true and lawful Attorney(s)-in-Fact, to sign its name as surety(ies) and to execute, seal and acknowledge any and all bonds, undertakings, contracts and other written instruments in the nature thereof, on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company (Mutual) on April 23, 2011 and amended August 14, 2015 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 16,2015. "The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof." "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and aut hority hereby given to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 5th day of April 2017 """SNow ON`''• ....... "p.�, A�''••, .•'ANG Cp'•. 'RP OR 0*. •Q��PQ '�q• MERCHANTS BONDING COMPANY(MUTUAL) A�-,Cj �� '•2. �;�Q '��. ,�• MERCHANTS NATIONAL BONDING,INC. :Q:` •Z:� �: • 2003 :,�: :y 1933 e: By //////�� '.�J> •• ;,,?�.: .••� .. .•`:�a•: President STATE OF IOWA ••,�`'"' '•'"""''' ••••"`••• COUNTY OF DALLAS ss. On this this 5th day of April 2017 before me appeared Larry Taylor, to me personally known, who being by me duly sworn did say that he is President of MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate Seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ALICIA K.GRAM q v Commission Number 767430 r My Commission Expires �[ r April 1,2020 =^•�' '` Notary Public (Expiration of notary's commission does not invalidate this instrument) I,William Warner,Jr.,Secretary of MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 7th day of September 2017 ............ G 2003 y W 1933 Y. Secretary �. vv POA 0018 (3/17) °""..... Oj '•" IN IN IN CornerStone 1320 WPO Boz 28928 MINNIE EXCAVATING INC■ PWashington 52353 mimmmu hone: (319)655 3-3957 MUMMEM WASHINGTON, IOWA Fax: (319)653-9067 FINAL LIEN WAIVER _ Team Services has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: Fairfax, Iowa (Address) for the project. 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. it] 2-12c�,1k. _ Team Services Cory�e..�.a.n. (Date) ( Company Name) gy: -- nature) 1w (Title) CornerStone 1320 West Main St PO Box 928 M 0 U11 Nk X Cy �/ 7 Washington IA 52353 CAVAI NG.M., Phone: (319)653-3957 WASHINGTON, IOWA Fax: (319)653-9067 FINAL LIEN WAIVER Wendling Quarries Inc- has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc, in the construction upon the property located at: Fairfax, Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. Wendling Quarries I c (Date) (Comp me) c By:--( �_ 4� (Title) __ all Cornerstone 1320 West Main St PO Box 928 WasEXCAVATING one:( 19)ton 5 52353 INC.■ Phone:(319)653-3957 INSIVOINE WASHINGTON, IOWA Fax:(319)653-9067 FINAL LIEN WAIVER Forterra Building Products has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: Fairfax, Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. Forterra Building Products (Date) (Company Name By: (Signatur _� (Title) Nov. 3. 2016 8, 21AM No. 2659 P, 1 ■■ CornerStone 1320West 2 MEMO ��yy��!! ��// *`` PO Box 928 ngton IA 52353 ■■■■■ EXCAYAl INGAC■ Phone,(319)53-3957 ■■0■■■ WASHINGTON, IOWA Fax:(319)8534067 FINAL LIEN WAIVER Life Time Fence Company, Inc. has received payment in full for all labor,material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: Fairfax, Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Nance of Property Owner) does hereby release and waive any and all claims,liens,and lien rights,of any kind, nature, or description whatsoever,against said property and the Owner thereof,and against said Contractor. 3 Life Time Fence_GaMpany, Inc. (Date) (C te) By: (SIgr�Bture) (retie) . Cornerstone 1320 West Main St 0HE ��''{�/(�'1� PO Box 928 on IA 52353 E EXCAVATINGAM Phone:'(319)653-3957 WASHINGTON, IOWA Fax: (319)653-9067 FINAL LIEN WAIVER E & F Paving Company, LLC has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: Fairfax, Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. No u e mb e, 3. Q-01 b E & F Paving Company, LLC (Date) (Company Name) By: 101 aLLOQQ IM (Signature) (Titl Im 59 M CornerStone 1320 West Main St PO Box 928 &manA �!� /� Washington IA 52353 EXCAVAT ING INV, Phone: (319)653-3957 " WASHINGTON, IOWA Fax: (319)653-9067 FINAL LIEN WAIVER HD Supply Waterworks ta"k has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: _Fairfax, Iowa _ (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. L/ "' ( � HD Supply Waterworks (Date) ( ompany Name) (Si(,nat+re)) (Title) t 1320 West Main St CornerStone PO Box 928 Washington [A 52353 EXCAVATINGINC, Phone.(319)663-3957 WASHINGTON, IOWA Fax:(319)653-9W7 FINAL LIEN WAIVER Advanced Traffic Control has received payment in full for all labor, material, supplies, (Name of Sub Contiector) or equipment supplied to Cornerstone.Excavating, Inc. in the construction upon the property located at Fairfax, Iowa (Address) for the project 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2. 2016 (Name otProperty Owner) does hereby release and waive any and all claims, liens,and lien rights,of any kind, nature, or description,whatsoever, against said prq)erty and the Owner thereof, and against said Contractor. Advanced Traffic Control (Date) (Company Name) By: ign� ur'e) (Title) CornerStone 1320 West Main St PO Box 928 Washington IA 52353 tX CAVATINUNC. Phone:(319)653-3957 Z- WASHINGTON, IOWA Fax:(319)653-9067 FINAL LIEN WAIVER Gingerich Well & Pump Service has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: Fairfax, Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and C4 of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof,and against said Contractor. 11/7!16 Gingerich Well & Pump Service (Date) ompany Name) (Signature) Busimn-Wpinacier (Title) 1320 West Main St CornerStone PO Box 928 1A 52353 NZINEE EXCAVATING.M. P one:'ngton(319)53-3957 I MIN M N WASHINGTON, IOWA Fax:(319)653-9067 FINAL LIEN WAIVER Stevens Erosion Control has received payment in full for all labor, material, supplies, (Name of Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc, in the construction upon the property located at: Fairfax, Iowa .._.(Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax _ dated November 2, 2016 _ (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights, of any kind, nature, or description whatsoever, against said property and the Owner thereof, and against said Contractor. (P Stevens Erosion Control G D t( (Company a) ( p y N me) By: (Si ature� OF (Title) W 1320 West Main St so C o r no rSto n e PO Box 928 Washington IA 52353 Phone:(319)653-3957 WASHINGTON, IOWA Fax:(319)653-9067 FINAL LIEN WAIVER The Driller, LLC has received payment in full for all labor, material,supplies, (Name �� Sub Contractor) or equipment supplied to Cornerstone Excavating, Inc. in the construction upon the property located at: -_—_---Fairfax,Iowa (Address) for the project: 2016 Sanitary Sewer Interceptor Main Extension Project and furnished in the execution and fulfillment of contract between said Contractor and City of Fairfax dated November 2, 2016 (Name of Property Owner) does hereby release and waive any and all claims, liens, and lien rights,of any kind,nature, or description whatsoever,against said property and the Owner thereof, and against said Contractor. (1-71ko ,,-.,-The Driller,LLC (Date) (Company Name) ILI By: (Signature-) v4 oftJ (Ti4)