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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