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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