09.d3 2024 Street Crack Filling and Seal Coat Project - Contractor's Request for Payment No 1
14727 209 th St. N., Scandia, Minnesota 55073
Phone (651) 433 -2274 Fax (651) 433 -5112 http://www.ci tyof scandia .com
July 16, 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 Crack Filling and Seal Coat Project
Dear Mayor and Council:
Enclosed please find Contractor’s Request for Payment No. 1, for the 2024 Crack Filling and Seal
Coat Project. We recommend the council approve the Contractor’s Request for Payment No. 1
and pay $247,820.80 to Pearson Bros. Inc. This amount includes work required to route and
seal cracks, and seal coat the roads in this year’s project. 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 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.:0N1.133753
Engineer:Bolton &Menk,Inc.Engineer's Project No.:
Contractor:Pearson Bros.,Inc.Agency's Project No.:
Project:2024 Crack Filling and Seal Coat Project
Contract:
Application No.:1 Application Date:7/10 /2024
Application Period:From 6/24/2024 to 7/10/2024
1.Original Contract Price $419,363.00
2.Net change by Change Orders $-
3.Current Contract Price (Line 1 +Line 2)$-419,363.00
4.Total Work completed and materials stored to date
{Sum of Column G Lump Sum Total and Column J Unit Price Total)$260,864.00
5.Retainage
a.5%X $260,864.00 Work Completed $13,043.20
b.X $-Stored Materials $-
c.Total Retainage (Line 5.a +Line 5.b)$13,043.20
6.Amount eligible to date (Line 4-Line 5.c)$247,820.80
7.Less previous payments
8.Amount due this application $...247,820.80
9.Balance to finish,including retainage (Line 3-Line 4)$158,499.00
Contractor's Certification
The undersigned Contractor certifies,to the best of its knowledge,the following:
(1)AII previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2)Title to all Work,materials and equipment incorporated in said Work,or otherwise listed in or covered by this Application for
Payment,will pass to Owner at time of payment free and clear of all liens,security interests,and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens,security interest,or encumbrances);and
{3)All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
Contractor:Pearson Bros.,Inc.
Signature:
~Ab±es.Date:7-10-302«
Name:Title:}cs'4
Recommended by Bolton &Menk,Inc.Approved by City of Scandia
By:452$By:
Name:Name:
Title:shh '.Title:
7/»/»z ,I'
Date:Date:
I I
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 06/24/24 to 07/10/24
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)
($)
1 1.00 LS 20,000.00 20,000.00 - 0.75 15,000.00 15,000.00 75% 5,000.00
2 1.00 LS 20,000.00 20,000.00 - 0.50 10,000.00 10,000.00 50% 10,000.00
3 63,000.00 GAL 2.51 158,130.00 - 42,000.00 105,420.00 105,420.00 67% 52,710.00
4 1,950.00 TN 95.00 185,250.00 - 1,200.00 114,000.00 114,000.00 62% 71,250.00
5 4,500.00 LBS 4.00 18,000.00 - 4,111.00 16,444.00 16,444.00 91% 1,556.00
6 64,225.00 LF 0.28 17,983.00 - - - - 17,983.00
419,363.00$ -$ 260,864.00$ -$ 260,864.00$ 62% 158,499.00$
BITUMINOUS MATERIAL FOR SEAL COAT
Contract Information
BASE BID TOTAL:
Bid Item
No.
ROUTE & SEAL CRACKS
PAVEMENT MARKING LINES - PAINT
Application Date:Application Period:Application No.:
BASE BID
MOBILZATION
TRAFFIC CONTROL
Contractor:
Contract:
Previous Estimate
07/10/24
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)
($)
Project:
SEAL COAT AGGREGATE, FA-2 MODIFIED
Progress Estimate - Unit Price Work
City of Scandia
Bolton & Menk, Inc.
Pearson Bros., Inc.
2024 Crack Filling and Seal Coat Project
Owner:0N1.133753
Engineer:
Unit Price
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 1