10.d2 2022 Street Improvement Project - Contractor's Request for Payment No 5 Final
14727 209 th St. N. PO Box 128 , Scandia, Minnesota 55073
Phone (651) 433 -2274 Fax (651) 433 -5112 http://www.ci.scandia.mn.us
August 15, 2023
Honorable Mayor and City Council
City of Scandia
14727 209th Street N.
Scandia, MN 55073-8503
Re: Contractor’s Request for Payment No. 5 & Final
2022 Street Improvement Project
Dear Mayor and Council:
Enclosed please find Contractor’s Request for Payment No. 5 & Final, for the 2022 Street
Improvement Project. We recommend the council approve the Contractor’s Request for Payment
No. 5 & Final and pay $13,596.49 to Astech Surface Technologies Corporation. This amount
includes work performed completing the punchlist. This request includes withholding 0%
retainage.
Please call me at (612) 597-7140 if there are any questions or concerns regarding this
Contractor’s Payment request.
Sincerely,
Ryan J. Goodman, P.E.
City Engineer
Enclosures: Contractor’s Request for Payment No. 5 & Final, IC 134s, Lien Waivers
From
1.
2.
3.
4.
5.
a.X
b.X
c.
6.
7.
8.
9.
Name:Name:
Date:
By:
Title:
By:
Title:
Amount due this application
Contractor:
677.38$
Approved by Owner
The undersigned Contractor certifies, to the best of its knowledge, the following:
(1) All previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2) Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for
Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances);
and
(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective; and
(4) The provisions of M. S. 290.92 have been complied with and that all claims against me by reason of the Contract have been
Recommended by Engineer
Name:Title:
Date:
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
Contractor's Certification
Date:
Signature:
Work Completed
Stored Materials
Total Retainage (Line 5.a + Line 5.b)
Amount eligible to date (Line 4 - Line 5.c)
Less previous payments
$ 453,216.25
$ -
-$
-$
13,596.49$
439,619.76$
-$
453,216.25$
Contractor:
Engineer:
Project:
0N1.124723
Contractor's Application for Payment
Application No.:5
City of Scandia
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
Bolton & Menk, Inc.
2022 Street Improvement Project
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
Application Period:
Contract:
Owner:
Balance to finish, including retainage (Line 3 - Line 4)
7/5/2023
Application Date:7/5/2023
453,893.63$
-$
453,216.25$
453,893.63$
Retainage
Current Contract Price (Line 1 + Line 2)
Net change by Change Orders
12/1/2023 to
Original Contract Price
Total Work completed and materials stored to date
(Sum of Column G Lump Sum Total and Column J Unit Price Total)
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.
Contractor's Application for Payment
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
5 and Final From 12/01/23 to 07/05/23
A C D E F F1 F2 G H I J K L
Item Quantity Units
Unit Price
($)
Value of Bid Item
(C X E)
($)
Quantity Previous
Estimate
Value Previous
Estimate
Estimated
Quantity
Incorporated in
the Work
Value of Work
Completed to Date
(E X G)
($)
1 1.00 LUMP SUM 17,800.00 17,800.00 1.00 17,800.00 1.00 17,800.00 17,800.00 100% -
2 1.00 LUMP SUM 1,320.00 1,320.00 1.00 1,320.00 1.00 1,320.00 1,320.00 100% -
3 1.00 LUMP SUM 7,000.00 7,000.00 1.00 7,000.00 1.00 7,000.00 7,000.00 100% -
4 1.00 EACH 27.50 27.50 1.00 27.50 1.00 27.50 27.50 100% -
5 5.00 EACH 200.00 1,000.00 - - - - - 1,000.00
6 184.00 LIN FT 13.20 2,428.80 178.00 2,349.60 178.00 2,349.60 2,349.60 97% 79.20
7 1.00 EACH 1,100.00 1,100.00 1.00 1,100.00 1.00 1,100.00 1,100.00 100% -
8 66.00 LIN FT 3.00 198.00 66.00 198.00 66.00 198.00 198.00 100% -
9 16,680.00 SQ YD 1.00 16,680.00 16,741.00 16,741.00 16,741.00 16,741.00 16,741.00 100% (61.00)
10 60.00 SQ YD 13.20 792.00 174.80 2,307.36 174.80 2,307.36 2,307.36 291% (1,515.36)
11 62.00 LIN FT 22.00 1,364.00 62.00 1,364.00 62.00 1,364.00 1,364.00 100% -
12 310.00 LIN FT 18.92 5,865.20 310.00 5,865.20 310.00 5,865.20 5,865.20 100% -
13 50.00 LIN FT 30.80 1,540.00 73.00 2,248.40 73.00 2,248.40 2,248.40 146% (708.40)
14 30.00 CU YD 35.00 1,050.00 45.00 1,575.00 45.00 1,575.00 1,575.00 150% (525.00)
15 280.00 CU YD 27.50 7,700.00 84.00 2,310.00 84.00 2,310.00 2,310.00 30% 5,390.00
16 840.00 SQ YD 1.65 1,386.00 - - - - - 1,386.00
17 1,500.00 CU YD 18.81 28,215.00 1,200.00 22,572.00 1,200.00 22,572.00 22,572.00 80% 5,643.00
18 16,680.00 SQ YD 0.88 14,678.40 16,741.00 14,732.08 16,741.00 14,732.08 14,732.08 100% (53.68)
19 660.00 TON 26.40 17,424.00 291.93 7,706.95 291.93 7,706.95 7,706.95 44% 9,717.05
20 5.00 TON 44.00 220.00 17.69 778.36 17.69 778.36 778.36 354% (558.36)
21 5.00 TON 44.00 220.00 5.03 221.32 5.03 221.32 221.32 101% (1.32)
22 10.00 TON 44.00 440.00 22.60 994.40 22.60 994.40 994.40 226% (554.40)
23 1,510.00 TON 76.45 115,439.50 1,631.12 124,699.12 1,631.12 124,699.12 124,699.12 108% (9,259.62)
24 2,020.00 TON 75.24 151,984.80 2,009.21 151,172.96 2,009.21 151,172.96 151,172.96 99% 811.84
25 1,170.00 GAL 3.19 3,732.30 850.00 2,711.50 850.00 2,711.50 2,711.50 73% 1,020.80
26 60.00 SQ YD 57.20 3,432.00 114.00 6,520.80 114.00 6,520.80 6,520.80 190% (3,088.80)
27 1.00 EACH 550.00 550.00 1.00 550.00 1.00 550.00 550.00 100% -
28 160.00 LIN FT 45.65 7,304.00 153.00 6,984.45 153.00 6,984.45 6,984.45 96% 319.55
29 44.00 LIN FT 48.40 2,129.60 44.00 2,129.60 44.00 2,129.60 2,129.60 100% -
30 2.00 EACH 550.00 1,100.00 4.00 2,200.00 4.00 2,200.00 2,200.00 200% (1,100.00)
31 86.00 LIN FT 52.80 4,540.80 86.00 4,540.80 86.00 4,540.80 4,540.80 100% -
32 3.00 EACH 1,100.00 3,300.00 3.00 3,300.00 3.00 3,300.00 3,300.00 100% -
33 40.00 LIN FT 99.00 3,960.00 40.00 3,960.00 40.00 3,960.00 3,960.00 100% -
34 2.00 EACH 1,705.00 3,410.00 2.00 3,410.00 2.00 3,410.00 3,410.00 100% -
35 1.00 EACH 1,980.00 1,980.00 1.00 1,980.00 1.00 1,980.00 1,980.00 100% -
36 1.00 EACH 200.00 200.00 1.00 200.00 1.00 200.00 200.00 100% -
37 14.00 EACH 126.50 1,771.00 14.00 1,771.00 14.00 1,771.00 1,771.00 100% -
38 400.00 LIN FT 3.85 1,540.00 560.00 2,156.00 560.00 2,156.00 2,156.00 140% (616.00)
39 30.00 CU YD 55.00 1,650.00 174.00 9,570.00 174.00 9,570.00 9,570.00 580% (7,920.00)
40 1,200.00 SQ YD 4.40 5,280.00 1,200.00 5,280.00 1,200.00 5,280.00 5,280.00 100% -
41 100.00 SQ YD 4.40 440.00 100.00 440.00 100.00 440.00 440.00 100% -
42 2,140.00 LIN FT 1.44 3,081.60 2,140.00 3,081.60 2,140.00 3,081.60 3,081.60 100% -
43 18.75 SQ FT 71.50 1,340.63 12.50 893.75 12.50 893.75 893.75 67% 446.88
446,615.13 446,762.75 446,762.75 - 446,762.75 100% (147.62)
44 10.00 CU YD 38.50 385.00 10.00 385.00 10.00 385.00 385.00 100% -
45 1.00 EACH 3,300.00 3,300.00 1.00 3,300.00 1.00 3,300.00 3,300.00 100% -
Work
Completed
and Materials
Stored to Date
(H + I)
($)
Contract Information
Bid Item
No.
CLEARING AND GRUBBING
REMOVE SIGN AND POST
REMOVE BITUMINOUS PAVEMENT - DRIVEWAY
SALVAGE AND REINSTALL MAILBOX
REMOVE STORM PIPE/CULVERT
REMOVE STORM SEWER STRUCTURE AND SALVAGE CASTING
Application Date:Application Period:Application No.:
MOBILIZATION
BASE BID:
B
Original Contract
% of
Value of
Item
(J / F)
(%)
Balance to Finish
(F - J)
($)
Work Completed
Materials Currently
Stored (not in G)
($)
CLEAN PIPE CULVERT
DITCH GRADING
SEDIMENT REMOVAL
TRAFFIC CONTROL
Description
27" DIA STORM SEWER CATCH BASIN AND SALVAGED
INLET PROTECTION
CULVERT END PROTECTION
BIOLOG
TOPSOIL BORROW
12" CMP, APRON (DRIVEWAY)
15" RC PIPE (CLASS 5)
15" RC PIPE APRON (CLASS 5)
24" RC PIPE, CULVERT (CLASS 3)
24" RC PIPE APRON (CLASS 3)
CONSTRUCT DRAINAGE STRUCTURE, DESIGN 48-4020
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2022 Street Improvement Project
Owner:
0N1.124723Engineer:
Contractor:
Project:
Contract:
Previous Estimate
07/05/23
BITUMINOUS MATERIAL FOR TACK COAT
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C) -
BITUMINOUS FLUME
SURMOUNTABLE CURB & GUTTER
12" CMP, CULVERT (DRIVEWAY)
SAWING BITUMINOUS PAVEMENT - FULL DEPTH
RECLAIM BITUMINOUS PAVEMENT (8" THICK)
AGGREGATE SURFACING, 3/4" MINUS LIMESTONE -
AGGREGATE SURFACING, 1/2" MINUS TRAP ROCK -
AGGREGATE SURFACING, CLASS 5
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C)
TYPE SP 12.5 LOWER WEARING COURSE MIXTURE (3,C)
SUBGRADE EXCAVATION
GEOTEXTILE FABRIC, TYPE V
HAUL AWAY EXCESS RECLAIMED MATERIAL TO CITY GRAVEL
TOLERANCE RECLAIM
AGGREGATE SHOULDERING
COMMON EXCAVATION
TURF RESTORATION, SEED MIX 35-241 AND BLANKET
TURF RESTORATION, SEED MIX 25-151 AND BLANKET
4" DOUBLE YELLOW LINE, MULTI COMP
SIGN PANELS, TYPE C
COMMON EXCAVATION
TOTAL BASE BID
ALTERNATE 1:
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 2
Contractor's Application for Payment
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
5 and Final From 12/01/23 to 07/05/23
A C D E F F1 F2 G H I J K L
Item Quantity Units
Unit Price
($)
Value of Bid Item
(C X E)
($)
Quantity Previous
Estimate
Value Previous
Estimate
Estimated
Quantity
Incorporated in
the Work
Value of Work
Completed to Date
(E X G)
($)
Work
Completed
and Materials
Stored to Date
(H + I)
($)
Contract Information
Bid Item
No.
Application Date:Application Period:Application No.:
B
% of
Value of
Item
(J / F)
(%)
Balance to Finish
(F - J)
($)
Work Completed
Materials Currently
Stored (not in G)
($)Description
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2022 Street Improvement Project
Owner:
0N1.124723Engineer:
Contractor:
Project:
Contract:
Previous Estimate
07/05/23
46 45.00 SQ YD 3.30 148.50 45.00 148.50 45.00 148.50 148.50 100% -
47 18.00 CU YD 110.00 1,980.00 17.00 1,870.00 17.00 1,870.00 1,870.00 94% 110.00
48 1.00 EACH 750.00 750.00 1.00 750.00 1.00 750.00 750.00 100% -
49 70.00 LIN FT 5.50 385.00 - - - - - 385.00
50 12.00 SQ YD 27.50 330.00 - - - - - 330.00
7,278.50 6,453.50 6,453.50 - 6,453.50 494% 825.00
- - - - - - -
453,893.63$ 453,216.25$ 453,216.25$ -$ 453,216.25$ 89% 677.38$ TOTAL BASE BID + ALTERNATE 1
EROSION CONTROL BLANKET, CATEGORY 25
TOTAL ALTERNATE 1
GEOTEXTILE FILTER, TYPE IV
HAND-PLACED RIPRAP CL. II
PERMANENT INLET PROTECTION
SEDIMENT CONTROL LOG WOOD TYPE
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 2