09.d3 2024 Street Improvement Project - Contractor's Request for Payment No 1
14727 209 th St. N., Scandia, Minnesota 55073
Phone (651) 433 -2274 Fax (651) 433 -5112 https://www.cityofscandia.com
May 21, 2024
Honorable Mayor and City Council
City of Scandia
14727 209th Street N.
Scandia, MN 55073-8503
Re: Contractor’s Request for Payment No. 1
2024 Street Improvement Project
Dear Mayor and Council:
Enclosed please find Contractor’s Request for Payment No. 1, for the 2024 Street Improvement
Project. We recommend the council approve the Contractor’s Request for Payment No. 1 and pay
$88,168.80 to Asphalt Surface Technologies Corporation. This amount includes work required
to mobilize, install traffic control, perform removals, and place erosion control. This request
includes withholding 5% retainage.
Please call me at (651) 308-1491 if there are any questions or concerns regarding this
Contractor’s Payment request.
Sincerely,
Isiah C. Bubany, P.E.
Project Engineer
Enclosures: Contractor’s Request for Payment No. 1
Contractor's Application for Payment
Owner:City of Scandia Owner's Project No.:
Engineer:Bolton &Menk,Inc.Engineer's Project No.:ONl.131876
Contractor:Asphalt Surface Technologies Corporation Agency's Project No.:
Project:2024 Street Improvement Project
Contract:
Application No.:1 Application Date:4/26/2024
Application Period:From 4/5/2024 to 4/26/2024
1.Original Contract Price $2,440,745.12
2.Net change by Change Orders $258,351.54
3.Current Contract Price (Line 1 +Line 2)$2,699,096.66
4.Total Work completed and materials stored to date
(Sum of Column G Lump Sum Total and Column J Unit Price Total)$92,809.26
5.Retainage
a.5%X $92,809.26 Work Completed $4,640.46
b.X $-Stored Materials $-
c.Total Retainage (Line 5.a +Line 5.b)$4,640.46
6.Amount eligible to date (Line 4-Line 5.c)$88,168.80
7.Less previous payments
8.Amount due this application $88,168.80
9.Balance to finish,including retainage (Line 3-Line 4)$2,606,287.40
Contractor's Certification
The undersigned Contractor certifies,to the best of its knowledge,the following:
(1)All previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2)Title to all Work,materials and equipment incorporated in said Work,or otherwise listed in or covered by this Application for
Payment,will pass to Owner at time of payment free and clear of all liens,security interests,and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens,security interest,or encumbrances);and
(3)AII the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
Contractor:Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
Signature:-Date:5-220)4
Name:lase Orshag:Title:op2 i he,lit
Recommended by Bolton &Menk,Inc.Approved by City of Scandia
By:£4 By:
Name:1 al he4,Name:
Title:"g4,e Title:
Date:Date:->-2o {
EJCDC C-620 Contractor's Application for Payment
(c)2018 National Society of Professional Engineers for EJCDC.All rights reserved.
Contractor's Application for Payment
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
1 From 04/05/24 to 04/26/24
A C D E F F1 F2 G H I J K L
Item Quantity Units
Unit Price
($)
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 112,000.00 112,000.00 - 0.50 56,000.00 56,000.00 50% 56,000.00
2 1.00 LUMP SUM 3,300.00 3,300.00 - 0.50 1,650.00 1,650.00 50% 1,650.00
3 1.00 LUMP SUM 5,000.00 5,000.00 - - - - 5,000.00
4 8.00 EACH 990.00 7,920.00 - 7.00 6,930.00 6,930.00 88% 990.00
5 1.00 EACH 660.00 660.00 - - - - 660.00
6 10.00 EACH 302.50 3,025.00 - - - - 3,025.00
7 4.00 EACH 440.00 1,760.00 - - - - 1,760.00
8 3.00 EACH 209.00 627.00 - - - - 627.00
9 2.00 EACH 195.80 391.60 - - - - 391.60
10 40.00 LIN FT 12.10 484.00 - - - - 484.00
11 627.00 LIN FT 11.88 7,448.76 - - - - 7,448.76
12 1.00 EACH 242.00 242.00 - - - - 242.00
13 2.00 EACH 286.00 572.00 - - - - 572.00
14 35.00 EACH 170.50 5,967.50 - - - - 5,967.50
15 2.00 EACH 550.00 1,100.00 - - - - 1,100.00
16 200.00 SQ YD 13.22 2,644.00 - - - - 2,644.00
17 232.00 LIN FT 3.50 812.00 - - - - 812.00
18 71,260.00 SQ YD 0.84 59,858.40 - 7,126.00 5,985.84 5,985.84 10% 53,872.56
19 727.00 LIN FT 3.08 2,239.16 - 409.00 1,259.72 1,259.72 56% 979.44
20 190.00 LIN FT 5.50 1,045.00 - 195.00 1,072.50 1,072.50 103% (27.50)
21 1,405.00 LIN FT 16.80 23,604.00 - - - - 23,604.00
22 640.00 CU YD 22.00 14,080.00 - - - - 14,080.00
23 2,600.00 CU YD 16.50 42,900.00 - - - - 42,900.00
24 770.00 CU YD 31.90 24,563.00 - - - - 24,563.00
25 7,130.00 SQ YD 1.10 7,843.00 - - - - 7,843.00
26 2,300.00 CU YD 24.64 56,672.00 - - - - 56,672.00
27 560.00 TON 26.07 14,599.20 - - - - 14,599.20
28 71,260.00 SQ YD 1.10 78,386.00 - - - - 78,386.00
29 3,180.00 TON 31.46 100,042.80 - - - - 100,042.80
30 20.00 TON 44.80 896.00 - - - - 896.00
31 50.00 TON 44.80 2,240.00 - - - - 2,240.00
32 390.00 TON 35.00 13,650.00 - - - - 13,650.00
33 540.00 SQ YD 49.50 26,730.00 - - - - 26,730.00
34 6,900.00 TON 88.11 607,959.00 - - - - 607,959.00
35 11,500.00 TON 86.26 991,990.00 - - - - 991,990.00
36 5,590.00 GAL 3.30 18,447.00 - - - - 18,447.00
37 200.00 SQ YD 44.00 8,800.00 - - - - 8,800.00
38 3.00 EACH 1,727.00 5,181.00 - - - - 5,181.00
39 398.00 LIN FT 50.60 20,138.80 - - - - 20,138.80
40 24.00 EACH 467.50 11,220.00 - - - - 11,220.00
41 274.00 LIN FT 67.10 18,385.40 - - - - 18,385.40
42 15.00 EACH 1,382.70 20,740.50 - - - - 20,740.50
43 1.00 EACH 1,457.50 1,457.50 - - - - 1,457.50
44 45.00 EACH 71.50 3,217.50 - - - - 3,217.50
45 1.00 EACH 1,980.00 1,980.00 - - - - 1,980.00
46 1.00 EACH 3,245.00 3,245.00 - - - - 3,245.00
47 1.00 EACH 5,313.00 5,313.00 - - - - 5,313.00
48 1.00 EACH 605.00 605.00 - - - - 605.00
49 76.00 EACH 220.00 16,720.00 - 18.00 3,960.00 3,960.00 24% 12,760.00
Contract Information
Bid Item
No.
CLEARING AND GRUBBING
REMOVE TREE
SALVAGE PIPE CULVERT
REMOVE STORM PIPE/CULVERT
REMOVE TRASH GUARD
REMOVE CONCRETE APRON
REMOVE METAL APRON
REMOVE STUMP
SALVAGE AND REINSTALL MAILBOX
SALVAGE AND REINSTALL DELINEATOR
Application Date:Application Period:Application No.:
Engineer:
Contractor:
Project:
Contract:
Previous Estimate
04/26/24
B
BASE BID
% of
Value of
Item
(J / F)
(%)
Balance to Finish
(F - J)
($)
MOBILIZATION
TRAFFIC CONTROL
Description
Work Completed
Materials Currently
Stored (not in G)
($)
Work
Completed and
Materials
Stored to Date
(H + I)
($)
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2024 Street Improvement Project
Owner:
0N1.131876
GEOTEXTILE FABRIC, TYPE V NON-WOVEN
HAUL AWAY EXCESS RECLAIM MATERIAL TO CITY GRAVEL
AGGREGATE BASE, CLASS 5
TOLERANCE RECLAIM (P)
AGGREGATE SHOULDERING, CLASS 2 LIMESTONE
SALVAGE CASTING
SALVAGE METAL APRON
TELEVISE STORM PIPE
DITCH GRADING
SALVAGE AND REINSTALL RECLAIM MATERIAL (P)
SUBGRADE EXCAVATION (EV)
COMMON EXCAVATION (LV)
REMOVE DRAINAGE STRUCTURE
REMOVE BITUMINOUS PAVEMENT - DRIVEWAY
SAW CUT BITUMINOUS PAVEMENT - FULL DEPTH
RECLAIM BITUMINOUS PAVEMENT (8" THICK) (P)
CLEAN PIPE CULVERT
TYPE SP 12.5 LOWER WEARING COURSE MIXTURE (3,C)
BITUMINOUS MATERIAL FOR TACK COAT
TYPE SP 9.5 WEARING COURSE MIXTURE (3,B) - DRIVEWAY
CONNECT TO EXISTING STORM SEWER
15" CMP, CULVERT (DRIVEWAY)
AGGREGATE SURFACING, 3/4" MINUS LIMESTONE -
AGGREGATE SURFACING, 1/2" MINUS TRAP ROCK -
AGGREGATE SURFACING CLASS 5
BITUMINOUS PATCH SPECIAL
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C)
27" DIA STORM SEWER CBBH, INCL NEW CSTG (DETAIL H)
4' DIA STORM SEWER MH, INCL SALVAGED CSTG (STO-3)
5' DIA STORM SEWER CBMH, INCL SALVAGED CSTG (DETAIL G)
ADJUST SALVAGED SAN MH CSTG, INCL HDPE RINGS
CULVERT END PROTECTION
15" CMP, APRON (DRIVEWAY)
15" RC PIPE (CLASS 5)
15" RC PIPE APRON
21" RC PIPE APRON
STRUCTURE MARKER
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 3
Contractor's Application for Payment
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
1 From 04/05/24 to 04/26/24
A C D E F F1 F2 G H I J K L
Item Quantity Units
Unit Price
($)
Value of Bid Item
(C X E)
($)
Quantity Previous
Estimate
Value Previous
Estimate
Estimated
Quantity
Incorporated in
the Work
Value of Work
Completed to Date
(E X G)
($)
Contract Information
Bid Item
No.
Application Date:Application Period:Application No.:
Engineer:
Contractor:
Project:
Contract:
Previous Estimate
04/26/24
B
% of
Value of
Item
(J / F)
(%)
Balance to Finish
(F - J)
($)Description
Work Completed
Materials Currently
Stored (not in G)
($)
Work
Completed and
Materials
Stored to Date
(H + I)
($)
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2024 Street Improvement Project
Owner:
0N1.131876
50 2.00 EACH 200.00 400.00 - - - - 400.00
51 400.00 LIN FT 4.95 1,980.00 - 1,168.00 5,781.60 5,781.60 292% (3,801.60)
52 10.00 CU YD 115.50 1,155.00 - - - - 1,155.00
53 20.00 CU YD 115.50 2,310.00 - - - - 2,310.00
54 770.00 CU YD 44.00 33,880.00 - - - - 33,880.00
55 950.00 SQ YD 4.40 4,180.00 - - - - 4,180.00
56 3,670.00 SQ YD 4.40 16,148.00 - - - - 16,148.00
57 19,500.00 LIN FT 0.82 15,990.00 - - - - 15,990.00
2,434,745.12 - 82,639.66 - 2,352,105.46
58 1.00 LUMP SUM 6,000.00 6,000.00 - - - - 6,000.00
6,000.00 - - - 6,000.00
2,440,745.12$ -$ 82,639.66$ -$ 82,639.66$ 3%2,358,105.46$
59 1.00 EA 209.00 209.00 - - - - 209.00
60 184.00 LF 11.88 2,185.92 - - - - 2,185.92
61 8.00 EA 170.50 1,364.00 - - - - 1,364.00
62 252.00 LF 3.50 882.00 - - - - 882.00
63 7,940.00 SY 0.84 6,669.60 - 7,940.00 6,669.60 6,669.60 100% -
64 214.00 LF 3.08 659.12 - - - - 659.12
65 85.00 LF 16.80 1,428.00 - - - - 1,428.00
66 290.00 CY 16.50 4,785.00 - - - - 4,785.00
67 800.00 SY 1.10 880.00 - - - - 880.00
68 350.00 CY 24.64 8,624.00 - - - - 8,624.00
69 7,940.00 SY 1.10 8,734.00 - - - - 8,734.00
70 390.00 TN 31.46 12,269.40 - - - - 12,269.40
71 20.00 TN 44.80 896.00 - - - - 896.00
72 40.00 TN 35.00 1,400.00 - - - - 1,400.00
73 60.00 SY 49.50 2,970.00 - - - - 2,970.00
74 770.00 TN 88.11 67,844.70 - - - - 67,844.70
75 1,280.00 TN 86.26 110,412.80 - - - - 110,412.80
76 630.00 GAL 3.30 2,079.00 - - - - 2,079.00
77 34.00 LF 46.20 1,570.80 - - - - 1,570.80
78 2.00 EA 302.50 605.00 - - - - 605.00
79 30.00 LF 50.60 1,518.00 - - - - 1,518.00
80 2.00 EA 467.50 935.00 - - - - 935.00
81 64.00 EA 67.10 4,294.40 - - - - 4,294.40
82 4.00 EA 1,382.70 5,530.80 - - - - 5,530.80
83 9.00 EA 71.50 643.50 - - - - 643.50
84 1.00 EA 665.50 665.50 - - - - 665.50
85 15.00 EA 220.00 3,300.00 - 15.00 3,300.00 3,300.00 100% -
86 1.00 EA 200.00 200.00 - 1.00 200.00 200.00 100% -
87 70.00 CY 44.00 3,080.00 - - - - 3,080.00
88 300.00 SY 4.40 1,320.00 - - - - 1,320.00
89 90.00 SY 4.40 396.00 - - - - 396.00
TURF RESTORATION, SEED MIXTURE (25-131), AND BLANKET
TURF RESTORATION, SEED MIXTURE (35-241), AND BLANKET
4" DOUBLE YELLOW LINE, MULTI COMP
CLEARING AND GRUBBING
SALVAGE CASTING
STORM DRAIN INLET PROTECTION
BIOLOG
RANDOM RIP RAP CLASS II
RANDOM RIP RAP CLASS III
COMMON TOPSOIL BORROW (LV)
ALTERNATE 1
BASE BID TOTAL
ALTERNATE 1 TOTAL
CHANGE ORDER 1
BASE BID + ALTERNATE 1 TOTAL
DITCH GRADING
SUBGRADE EXCAVATION
GEOTEXTILE FABRIC, TYPE V NON-WOVEN
HAUL AWAY EXCESS RECLAIMED MATERIAL TO CITY GRAVEL
TOLERANCE RECLAIM (P)
REMOVE STORM PIPE/CULVERT
REMOVE METAL APRON
SAW CUT BITUMINOUS PAVEMENT - FULL DEPTH
RECLAIM BITUMINOUS PAVEMENT (8" THICK) (P)
CLEAN PIPE CULVERT
TYPE SP 12.5 LOWER WEARING COURSE MIXTURE (3,C)
BITUMINOUS MATERIAL FOR TACK COAT
12" CMP, CULVERT
12" CMP, APRON
15" CMP, CULVERT (DRIVEWAY)
AGGREGATE SHOULDERING, CLASS 2 LIMESTONE
AGGREGATE SURFACING, 1/2" MINUS TRAP ROCK -
AGGREGATE SURFACING, CLASS 5
BITUMINOUS PATCH SPECIAL
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C)
CULVERT END PROTECTION
STORM DRAIN INLET PROTECTION
COMMON TOPSOIL BORROW (LV)
TURF RESTORATION, SEED MIXTURE (25-131), AND BLANKET
TURF RESTORATION, SEED MIXTURE (35-241), AND BLANKET
15" CMP, APRON (DRIVEWAY)
15" RC PIPE (CLASS 5)
15" RC PIPE APRON
STRUCTURE MARKER
ADJUST SALVAGED STRM CB CSTG, INCL HDPE RINGS
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 3
Contractor's Application for Payment
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
1 From 04/05/24 to 04/26/24
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)
($)
Contract Information
Bid Item
No.
Application Date:Application Period:Application No.:
Engineer:
Contractor:
Project:
Contract:
Previous Estimate
04/26/24
B
% of
Value of
Item
(J / F)
(%)
Balance to Finish
(F - J)
($)Description
Work Completed
Materials Currently
Stored (not in G)
($)
Work
Completed and
Materials
Stored to Date
(H + I)
($)
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2024 Street Improvement Project
Owner:
0N1.131876
258,351.54$ -$ 10,169.60$ -$ 10,169.60$ 4%248,181.94$
2,699,096.66$ -$ 92,809.26$ -$ 92,809.26$ 3%2,606,287.40$ PROJECT TOTAL
CHANGE ORDER 1 TOTAL
BASE BID, ALTERNATE 1 + CHANGE ORDER 1
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.3 of 3