The URL can be used to link to this page

5.g) Bolton & Menk-Final Payment (2012 Uptown Improvement Project) A • - BOLTON 8� M �N K , i N� . Consulting Engineers & Sunreyors ' 2035 County Road D East•Suite B•Maplewood,MN 55109-5314 Phone(651)704-9970� Fax(651)704-9971 www.bolton-menk.com October 8,2013 Honorable Mayor and City Council 14727 209�'Street N Scandia,MN 55073 RE: Contractor's Reyugst for Payment No.3 & FINAL 2012 Uptown W W System Improvements ProjectNo.: N11.104656 Dear Mayor and Council: Enclosed please find Contractor's Request for Payment No. 3 and FINAL for Septic Check for the services they provided un lhe abuve reI'erenced project. This request includes payment of their retainage. All work has been completed as required by the Contract.IC-134's and Lien Waivers are attached for final closeout. [f the Council chooses to approve a payment for this project,it would be appropriate to approve Contractor's Request for Payment No.3 and FINAL and pay$3,176.69 to Septic Check for the work performed. Please call me at 612-597-7140 if you have any questions or concerns regarding this Contractor's payment request. Sincerely, BOLTON& MENK, INC. r Q"_'�' �irv-r�*-w-� Ryan J. Goodman, P.E. City Engineer Ettclosures DESIGlyING FOR A BEi7�R �OMORROW Bolton&Menk is an equal opportunity employer � Partial Pav Estimate No.: 3 and Final D15TRIBUTtON: 2012 UPTOWN WW SYSTEM IMPROVEMENTS CONTRACTOR(1) CITY OF SCANDIA, MN OWNER(1) BMI PROJECT NO. N11.104656 ENGINEER(1) BaNDING CO. (1) WORK COMPLETED THROUGH Se tember 20, 2013 $124,943.25 TOTAL,COMPLETED WORK TQ DATE $127,067.50 OTAL., STOFtED MATERIALS TO DAT� •� DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00 OTAL, COMPIETED WORK& STORED MATERIALS $727 067.50 RETAINED PERCENTAGE ( 0.0% ) �.00 TOTAL AMOUNT OF OTHER PAYMENfiS OR(DEDUCTIONS) $0.00 NET AMOUNT DUE TO CONTRACTOR TO DATE $127 067.50 OTAL AMOUNT PAIp ON PR�VIOUS ESfiIMATES $123,890•81 RAY CONTRAC7"QR A� �STIMATE NO. � 3 and Fin�l � $3,176.69 erti icate for Final ayment I hersby certify that, to the best of my knowledge and bel�ef, all items quantities �nd prices of work and material shown on this Estimate are correct and that�II work has been performed in full acco�dance with the terms and cor�ditions of the Contract for this praject b�tween the Owner and the undersigned Cqntr�etor, and as amended by�ny authorized changes, and that the foregqing is a true and corr�ct statemen#of the amount for the �inal �stimate, that ths prpvisions of M. S. 290.9� have besn c�mplied yyjth and tl��t all �laims agai�st me by teasorl of the Con�raet h�Ye �en paid or s�ti�f�cto�jly sec4red. Cpntr�ctor; Septie CheGk 6074 Keysto�e Road ilaca, M 5635� � P� � i/ B _ � � � � � � y ame it e Date �b_ `TIES AND AM : _ _ _ EI�IGIN��R: �OLi"�3N & AAEI�K, INC., 2Q35 COUNTY ROAQ 0 E,AST, 6UITE�, �yIAP�.EWJOOQ, MN fib�p� �y , C�TY�Nf�IN��R Ryan J. Go4�ima�,P.�. _ _ __.,... Date P ED FOR � M�NT:__" - - - -- . . ._ � .._.�. __. �31(VNER: CITY O� S�A�DI�i By _ � . _ ___ �� Title - -J� Date And , .. __�. _ _ _ _. a e Ti (e�' D te - -- - , ..�...k.a..�.�.__,.�_,...,.,.,. _ � __. - p o�$0000000$0000g000g000�g oo n �� o000000000a000�000��g��g N� � ' O�O�O�O O O O O O�Y N ln O O c`�h(O �1 �� OfV tnl��V fh�h�htON.- O d:�OfO�f��nf�fA < OOaO �O �+CiN��NN�tp N��<"1N��N�NCVe��d� �a} �" fA fA.fA fR fA Ki 69 iA tA Vi fA f9 K V f')f9 �1 M� � 1�[�� fA f9 w 0 tnV)fACJ)V>YtLfnYU)Q>'ILLLILLL.IL�VJV)V)V)UILQ V)fq � J J J J J f q J J(q J W l q J J J J J J J J J Q J��J J J �� O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O�O O O O O C7 O O O O �O��O�^N�(�O<NaC�� oNfV N� N � 0 0 o O O o p O o o O o 0 0 0 0 0 0 0 0 0 p 0 0 0 0 O O O O O O S O O O O O O O O O O O O O O O O�O O O � O�O�C�OOO OOOOOOOO M��OO c0O Nm ►A O O O O O O�O O f N CO�O O l7 f��p O�K1 O �� Jjj ON1n 1��<l'�hh I��ON.- O <� O�D.-fOtnl�01 O CO � �N ��N N�t0(V W f9 fA/h N u7 N T N N (A tA i9 [O i� tA(fl V/ MK MtA ViHH Vit9Hi�� f9� N N � . !Af/!fAlAfA?'LLfn}fnQ 1'LLLL LL LLLLQ fq(A(n(nULLQ 2' htn J J J J J fA.�J fA J�J,�(q J J J J J W J J J J a(-7 W �W J J W 2 � �Nu��O�f�N��QN�[7N� �c��N W � O ap p F U 00000� 0000000000S88SoSgSig go N 00000roo�0000000 �F O O O O O N O O M O O O O O O O O C J M��-O O W O (V�D � � O 4�O �Cl O h O O�O O�O�0 D O N N O l`7 1�(p O O O O C O l D O N 1n f�1n 01 f0 1A M 1n f��N OD tD C 07 f0 f0 e-(O�� 00 CO � �N �� N�1[i N��N N 0)N fV a� � a � �A M tA V►W �i!if! (A fA f9�!!i�Y��fA fR Vi tV N � tqtqv7t11(n>litq�lAQ�u.lilililLQrnlnlQCqUtLQ N(n � J J J J J(n J J(n J(�](n J J J J_l W J J J J Q J LLI J J �� tOc�+1�t0`r a�t�0 tt�NN�� fVlO N r� �� 00 O� � O O O O O N O O�O O O O O O O o S O O O O O N O O P OOOOONOO CMOO V'aDCD(V�p 00c��Cl �00 fV O N aO G O�O�O NOchOON �t �A�tfoOMl�(O0O(AO � � �� O N �f�tn fA fA�t7 K!� fA�FH(fl V!tp c�(O r-(O 4e}'1 N N aD a0 � � ��M3EAU► f9 �4� d►KO�Q c'�7 MfA � �� a �� _ � - _ _ M Y �� O j � Q �� p� �W �J w p� V� < y O ¢ 1- a o�� ¢� � a � p.V ac� � ��m gm W Za0 �o o W � O W Y Q N �Za z� } ZQ = 7d. = � N, awa Q ya�F- r� . w Y ��a ~Z wmao� Z3 O 4�! � Q��U tAZ� W ��`zF-Y FY Q F Z 2 2 0 � Za��WUW. aZ� aaa�Z�� ^�-�� ,�; � �' m �"=i�xm�zbWWW ��o�� z �� x �ma°e0� U�v�- �[� �zr=rJa O a � c7 0� v�? gF-w>cw a3�w- ¢ww ww � W g o Z�� wa3�wazcWnoi��vizZ v Zz z a z wp� w¢ o w O y y � �o�aw �►-¢��v�F-> �<}}mUr �O-' i,ir �o e' d- � W Q'� LL J J a � J� �J.) N � z o ��zj��QZ�c��v��d' aJ��zZa Z�C� w JLLIY a �- W�o�zz Qo �-� o 1� � a p F. �QO>OOp�FZOLLO¢¢Hf-000U� W 0: o0 tp o = w m W �� zza = �cnrnzz _ oowwJ� w000 � 2 Z F- -� ��JWQWt11W�QO_ uJ' ' ' QQ [VO�JW- O 3 < (� a rcl-CJ�tn� a'�OGCnUc �iV vcotn(nr .- V W Ntq? �' •� < � O � ' O W p. LL O U 7 O a Y �� -Nch V�nlOha00)� �Nc7v �A�Or�aOrno Nc7�f� QN[V � �N N N N N N �0 r � o � x a Nc> � � � ii F� � lL�l IPYI�1 ..1�111�._I�IfYIr/11WIVILLISI.I1`1`I!'!'1�t� Iv,l�l ll 1 I""1 I I`!1/vl 1 M � MN e-Services Page 1 of 1 � � � ' " '. �au.' _ `�:.'�. . !:fi %! °. _,►,. Contractor Affidavit Submitted Thenk you,your Contractor Aifidavit has been approved. Confirmation Summary Confirmatlon Number: 0-378•730-240 3ubmitled Date and Tima 18-Sep-2013 122):55 PM lepal Name: WEX COMP/11NIES INC Federal Employer 10: 71-0959921 User Who Submitted: Septiccheck Typ•of Request Submitted: Cw�tractor Affidavit Affidavit Summary Affldavit Number. 1783169024 AcCount Mtxnber: 8944873 Pro�ect Owner: CI'fY OF SCANQIA Project Number: N11.7p4656 Projed Begin Dete: 07-Nov-2012 Project End Oate� 18-Sep•2(113 Project Loeation: 2012 UPTOWN WW SYSTEM IMPROVEMENTS Pro�ectAmount: 5127,067.50 Subcontractor Summary Name ID Af(Wavtt Ntunbef PREFER PAVIfJG 5158082 462946904 OLSONS SEWER SERVICE 6283256 1099694080 GRfWITE LEDGE ELECTRICAI CONTRACTORS,iNC 4796775 1883176860 Important Messages A copy oi this page must be provided to the conRractor w yoyernment�gency ihat qired you. COntaCt US If you need[uriher assistance,contact our Withholding Tax Oivision at(Metro Area)651-282-9999,(Greater Minnesoca)800-657- 3�94,(TTY Users)Cali 711 fof Minnesota Relay,or(email)Withh0lding.taxc�3tate.mn.us.Business hours are 8:00 a.m.•4:3p p.m. Monday;Friday. How to View and Print this Request You cen see copiQs of your requests by going to th,e Hi T .To print or Qm�il e copy of this confirmatipn page,dick one ot the buttons below. �Pnnter FroeM Email Ma .._ GI e . https://www.mndor.state.mn.us/tp/eservices/ / 9/l8/2013 �v, 14, 2012 10;30AM Granite ledge Electric No, 5409 paN: lofl � MINNESOTA� REVENU6 � 'Y'our Contcactor A�`idavit requtst is Approved,A copy of this page MUST bc provided ta the contractor ' or government agency that hired you. � Submitted Dato and Time; 14-Nov-2012 10:22:25 AM ' Confirmation Number: 1-872-113-920 Name: GRAMTE LEDGE ELECTkiCAL CONTRC INC ID; 4796'715 A!'i3davit Numbers 188317696q Project Owner; CI�Y OF SC�►NDTA Project Number: N11.104656 Projcct Hegin Date: 10/4/2012 Project End Date: 10/9/2012 Project Location: 2012 Ul'TOW'N W"W SYSTEIv�IMPROVEMENT Project Amount; 53,700.00 Subcontractors: No Subcontractors � You can always see copies of your ti�ansactions by going to youc Requests tabyour Home page.For a paper copy of tlus confirmation,cliek on the "printer�'riendly View" button. please�•int tliis confi�•mation�a�e for your rccords using the print or save ftinctionality built into your bro�rser. i � � � � i i . ! RECEIPT AND WAIVER OF MECHANIC'S LIEN RiGHTS 9/18/13 Vendor: Granite Ledge Electrical Contractors 15436 130�h Street Foreston MN 56330 The undersigned hereby acknowledge recelpt of the sum of 3 700 as fuil and final payrt�ent for all fabor, skili and materlal furnished to the following described real propQrty: Ciry of Scandia 2012 Uptown WW System Improvements Granite Ledge Invofce �BM12293 ; and for the value received hereby waives ali rights acqulred by the undersigned to fite or � record mechanic`s Ilens against said real property for labor, skill or mate�ial furnished to said real property. The undersigned affirms that all materiai furnished by Ihe undersigned has bsen pafd for. By;:� _ /,�?r ��r� , Tltle: �.�� Date:��//3 �� Shelley Larson From: Lee Weigt <lee@olsonsinthepink.com> Sent: Wednesday, November 14,2012 3:01 PM Ta; Shelley Larson Subjec�t: Emailing:retrieve.htm Qi�t'Al Your Contractor Affidavit request is Approved. A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 14-1Yov-2012 2:59:39 PM Confirmation Number: 1-430-335-�44 1Vame: OLSONS SEWER SERVICE INC �: 6283256 Affidavit Number: 1099694080 Project Owner: CITY OF SCAIVDIA Projeet Number: Iv11,104656 Project Begin Date: 10/1/2012 Project End Date; 10/5/2012 Project Location: CITY OF SCANDIA Project Amount: $1,968.00 Subcontractors: No Subcontractors You�an always see capies of your transactions by going to your Requests tabyour Home page. For a paper copy of this confircnation,ctick on the "Printer Friendiy View" button.</ Please print this confirmation nas�e for your records using the print or save functionality built into your browser. 1 RECEIPT AND iNAIVER OF MECHANIC'S LI�N RIGHTS 9/18/13 Vendor: Olson's Sewer Service, Inc 17638 Lyons Street NE Forest Lake MN 55025 The undersigned hereby acknowledge receipt of the sum of i 96 �s(ufi and iinal payment For all labor, skill and material furnished to the following described real property: City af Scandia 2012 Uptown WW System improvements Olson's Sewer Servlce invoices �77695 and 77756 and for the value received hereby waives ail rights acquired by the undersigned to flle or record mechanic's Ilens against said real property for iabor, skill or materiai furnished to said real Rroperty, The undersigned affirms that all material furnished by the undersigned has been paid for. By� L�ee v► • l,c�e�� Title: �+�-�Y�P81G�!.�� oAt�: aa f c � 1�.�� 3 Page 1 of 1 MINNES07'A• iZEVENUE Your Contractor Affidavit request is Approved. A copy of this page MUST be provided to the contractor or government agency that hired you. Submitted Date and Time: 14-Nov-2012 10:12:04 AM Confirmation Number: I-120-416-000 Name: PREFER PAVING INC 1D: 5158082 Affidavit Number: �62946304 Project Owner: CITY OF SCANDIA Project Number: N 11.104656 Proj�ct Begin Date: 10/16/2012 Project End Date: 10/16/2012 Project Location: 2012 UPTOWN WW SYSTEM IMPROVEMENTS SCANDIA Project Amoun#: $3,500.00 Subcontractors: No Subcontractors You can always see copies of your transactions by going to your Requests tabyour Hortle page. For a paper copy of this confirmation,ctick on the "Printer Friendly View" button. Please �i.�iHt_i�is c��fu��t�atian�a�c f�r your records using the print or save functionality buitt into your browser. v LL https://ww�v.mndor.state.mn.us/tp/retrieve?type=PrintFriend&key 1=2048354$t b&key2=... 11/14/2012 MECHANIC'S LEIN WAIVER Dated: Wednesday,November 14,2012 The undersigned hereby acknowledges receipt of thc amount of 3500.00 in full payment up to above date,for all equipment,labor, material,services and skill furnished for and/or to the foltowing described real property: 2012 Uptown WW System Improvement ScAndja MN 55073 1, as partial payment for labor,skill and material furnishcd. Payment of$ has been received. 2, as payment for�Il labor,skilt and material furnished or to be furnished(except thc sum of retainage or hpldb�ck. 3. x as full final payment for all tabor,skill and material furnisheci or to bc furnished. NOTE: This Mechanic Lien is only valid when checWpayment clears bank. Further,the undersigneci far value received hereby waives atl right acquired by it to tile or record mechanic' liens against the above real property,t'or equipment,labor,mAterial, services,and skill furnished for and/or to thc above reat property up to the above date;and indemni�es and holds harmless against loss or damage anyone relying on this waiver,against etaims by it,its employees,subcnntractors and suppliers. Check or circle type of company Sole Proprietorship/Individual MECHANIC'S LEIN WAIVER 15 VAi.lD WHEN CNCCK�S DELIVERED AND HAS CLEARED BANK. _X Corporation Partnersfiip Limited Liebility Ppi�tnership T Limifed Liability Coptpany I3 ' n d e fcl efer Pavin & Rea Mix Inc (Name o company) NOTE: 1. This waiver is in full to the above date. 2. t�is waivcr d4es not apply to equipment,labor,material,services,and skill fur�nished after the above date. 3. This is an unconditioqal w$iver,and any ckance,atterations or conditions made to the rrinted form�ill not be valid nor has any force or effect. 4. �f executed by a Sole Pro�rietorship it must be signecl by the owaer,if by a Corporation it must bc signed by an oificer, if by a Partnership it mush be signed by the partner,and if by a Limited Liability Company it should be signed by the manager. � .a xr.._.......a...a w.. .. �n�n Vrne�Y�PiAPY�I��\ n nn�� n��vvur.0 nv u�c uwue�. u u• n . CONTRACTOR'S PAY REQUEST DISTRlBUTION: 2012 UPTOWN WW SYSTEM IMPROVEMENTS CONTRAC70R(1) CITY OF SCANDIA, MN OWNER(1) BMl PROJECT NO. N11.104656 ENGINEER(1) BONDING CO. (1) TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $124,943.25 TOTAL, COMPLET�D WORK TO DATE $127 067.50 TOTAL, STORED MATERIALS TO DATE ��•� DEDUCTION FOR STORED MATERIA�S US�D IN WORK COMPLET�D $0.00 TOTAL, COMPLETED WORK& STORED MATERIALS $127,067•54 RETAINED P�RCENTAGE ( 2.5% ) $3,176.69 TOTAL AMOUNT OF OTH�R PAYMENTS OR(DEDUCTIONS) $�� NET AMOUNT pUE TO CONTRACTOR TO DATE $123,890,$1 TOTAL AMOUNT PAID ON PREVIOU$ �ST�MATES 120,714.13 PAY CONTRACTOR!1S ESTIMATE NO. 2 $3,176.fi8 Certificate for Partial Payment I hereby certify that, to the peSt of my knowledge and belief, all items quantities 8nd prices of work and material shown on this €stimate are correet and that all work has been performed in#ull accordance with the terms and condi�ons of the Contract for this project between the Owner and the undersigned Contractor, and �s amended by any authorized changes, and that the for�going is a true and correct statement of the co�tract amaunt fo�the pe�ioc�cpvered by this Estimat�. ContractQr: Septic CheCk 6094 Keystone Road Milaca, MN 5635� sy _� _ �___. _ .___. Name Titl� Da�e �HE�h ANp APPROVEp AS , �UANTITIE�AIyD AIVIOU►VT: -' � ENCIN�ER: BOLTON � MENK, INC., 2035 C�OU�ITY ROAD D EASfi, SUITE B, M��w000, IyIN 65109 gy � � , PRO.�ECT €NGINE€R �RIAN P. MALM, P._. Date ,4�'PRO"S7�L��PAYI�AENT: �`� "._._ _ _ _ _ �.... _ ._ __�._� OWN�R: GITY OF SCANp�A �Y Nar�e —� � � — . �'itle � --- Date And Narr�. _ �__ � _ ,,,.., _ ...��e _�.y.� Date , 0000000000$0000000 0 og � �� i 0000000000 00 �1� O O O O O O O O O C O O O O O p O q(�1 1n'' O OD O N OD 1� �Z O u�O 1 n O�[f O O O O O O V�CO a d 8 M�f D�� a� ON�111��R1�7N1� �AhfON O ID �D �.� �N ��NN�<ON��C7N �N�Ns�N�� aD P �� E9 Vf/A fH Vi t9M MNf VftAMt9 V►W � eN- w fAlAfQN W�ILfAYf/)4�LLLLLLLLLL!{fAfqfAfAUILq (A(A JJ JJ J(AJJfnJ{Lf/JJ J JJ J LU JJJ_!Q JLLl JJ � �� O O O O O p pp O O O O O O O O O O O O O[�O O O O O O O O S O O O 00 O O O O O O�00 O O o�n o 0 0 0 �o��o�t�ui�ci�rio�cim�ir- �o�N N� N N (O�iN � o$og�8g0000gg000�0000000�g g$ n Op O Op C Op O Cp 8 p O o O C C O G Q P 7�� G�p C N d�pO h(p � ��A�tll�(h1n0�00 V'N OD�SSM I�f0��11n� �c0 O � O N I� f� P<O N�O Q� t0 r' t0 1�O) ((j � �N ��NN��p Nwp�<`'�N �(v rn N N p� �p N �. V)N tA V!f9 fA lA W iA(H 4►K IH�fM9� (A� � N � V)tA(A fq tA S��i tq T tq a T LL lL u..1L tL a�tA �A U N CA � J J J J J(n J J(A J W(n J J J J J W J J�J Q� J J �� S�r N��Q N�1n� �M tO N � p fV � a OOOOO NOO�OOOOOOOOOOOS OO47S OO N O O o 0 0(V G O l'7 O O�O O O O O O M LL�•" O�GD g N �D M �� O�O�Of�00m00 � 000�['1fV Of'��DO O m�0 4 oN�[i1�u70�tOui��nl� N aOtOYO�tO�O�tO� �O aOcO O� �� fV �� N��N M iA fA N N < iH�V!�H fA h �� K y�fA tA tA 1A Vf f9 V!fA IA V! � � N � fAlAMf�[A�'litqYfqQ�LLILILLLLL.q(AfAfn(/)ULL4 (n!A �� JJJJ J(qJJ(nJiy�J J J J JwJ JJJ Q J u� JJ �� o.- �ro�no��nc�v� �cv�cr r� ��c�, �o � � �,� o �� O O O O O N O O�O O O O O O O O S O O O O O N O O O 00000 fV OOfM O� aC aDNdDOOM��O C fV O N O�O �O r N O f7 O N Q��O O lh I�tp O O W O � �� O N � f�u7 f9 Vf�fA��K�fA fA f9(p t0�(O�Ci� N 00 a� � M�tA fAfA (A �M lH�p�N f7�(A � Mt(N M�fA 'L Y p2 pZ Z a. 7 �> > v OZ OW < W U�Q V� < �W Zw p � J�Q' �� , f' a �ac� ac� w �?°° �m � �a� a� � fQ p�wQ �¢ m `�' ¢Zw � `arrz- �� w N � Ya�a ~Z wmap� p� �r � Z�j�U z�� '�g�t-Y r-Z � � � �ap°'�ia� �a�g aaZNa�� ~ ,w � � z��Ncr�W �zv�w �aza�U �v ; ¢ m> >�c�=0°f=zaww� c7o�� Z �►- ,� �e � o°°a�i�g�z�Waa��zf-wW o Ww � � � Z��i=��~zwa�'.'�' w �zoim�N�zZ � Zz � = Opoaw��a��cwn��rnU��Q wF � �� F FV�N WmlAHO>'�yUW QQYT"JQ�V�Z� � QJ � � z o ��zj� .�u�QZQW��r��a c��zWa 7 �ca.7 � � Q O � J��L�O>��Z O O O Q Q~FZ=�O$C��LL�y j �W O O O Z J O�J W QW W W�QOair)li(A(AQQNO`-'JW JJ p p� Q- � � � � �Fc,�v��lYCmtnt�'v �N`v`aov��-� vWtAVJ� O .-v �► � � � p W � �) � Y -�� Nc'7� �tD1�o0O�� Nt+f �7�c1t0ht0OfNNN�N N � N N a � � � � �x � � r � ....� ini-i_.�.—��i�iu.ioii�i��ri��c��-i>i�i.:��-�i�i�� i...i.-i i i'��i i •