09.d3 Street Crack Filling and Seal Coat Project - Contractor's Request for Payment No 2
14727 209 th St. N., Scandia, Minnesota 55073
Phone (651) 433-2274 Fax (651) 433-5112 http://ww w.cityofscandia.com
August 20, 2024
Honorable Mayor and City Council
City of Scandia
14727 209th Street N.
Scandia, MN 55073-8503
Re: Contractor’s Request for Payment No. 2
2024 Crack Filling and Seal Coat Project
Dear Mayor and Council:
Enclosed please find Contractor’s Request for Payment No. 2, for the 2024 Crack Filling and Seal
Coat Project. We recommend the council approve the Contractor’s Request for Payment No. 2
and pay $110,073.91 to Pearson Bros. Inc. This amount includes work required to seal coat the
roads in this year’s project. This request includes withholding 5% retainage.
Please call me at (612) 597-7140 if there are any questions or concerns regarding this
Contractor’s Payment request.
Sincerely,
Ryan J. Goodman, P.E.
City Engineer
Enclosures: Contractor’s Request for Payment No. 2
From
1.
2.
3.
4.
5.
a.X
b.X
c.
6.
7.
8.
9.
Name:Chad Quigley Name:
Pearson Bros., Inc.
Contractor's Certification
Date:
By:
Title:
By:
Title:
The undersigned Contractor certifies, to the best of its knowledge, the following:
(1) All previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2) Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for
Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances);
and
(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
8/14/2024
Signature:
Approved by City of ScandiaRecommended by Bolton & Menk, Inc.
Name:
Date:
Title:
18,836.56$
-$
110,073.91$
247,820.80$
18,836.56$
Work Completed
Stored Materials
Total Retainage (Line 5.a + Line 5.b)
Amount eligible to date (Line 4 - Line 5.c)
Less previous payments
5% $ 376,731.27
$ -
357,894.71$
Amount due this application
Contractor:
Balance to finish, including retainage (Line 3 - Line 4)42,631.73$
Date:
Construction Manager
Contractor:
Engineer:
Project:
0N1.133753
Contractor's Application for Payment
Application No.:2
City of Scandia
Pearson Bros., Inc.
Bolton & Menk, Inc.
2024 Crack Filling and Seal Coat Project
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
Application Period:
Contract:
Owner:
8/9/2024
Application Date:8/14/2024
419,363.00$
-$ Net change by Change Orders
7/10/2024 to
Original Contract Price
376,731.27$
419,363.00$
Retainage
Current Contract Price (Line 1 + Line 2)
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.:
2 From 07/10/24 to 08/09/24
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)
($)
1 1.00 LS 20,000.00 20,000.00 0.75 15,000.00 1.00 20,000.00 20,000.00 100% -
2 1.00 LS 20,000.00 20,000.00 0.50 10,000.00 1.00 20,000.00 20,000.00 100% -
3 63,000.00 GAL 2.51 158,130.00 42,000.00 105,420.00 59,477.00 149,287.27 149,287.27 94% 8,842.73
4 1,950.00 TN 95.00 185,250.00 1,200.00 114,000.00 1,800.00 171,000.00 171,000.00 92% 14,250.00
5 4,500.00 LBS 4.00 18,000.00 4,111.00 16,444.00 4,111.00 16,444.00 16,444.00 91% 1,556.00
6 64,225.00 LF 0.28 17,983.00 - - - - - 17,983.00
419,363.00$ 260,864.00$ 376,731.27$ -$ 376,731.27$ 90% 42,631.73$
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
08/14/24
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