9.h 2017 Seal Coat Contractors Request for Paymen...
h:\scnd\n13113369\1_corres\c_to others\mayor and city council_rjg^2017 seal coat contractors request for payment no 2 & final.docx
December 12, 2017
Honorable Mayor and City Council
14727 209th St N
Scandia, MN 55973
RE: Contractor’s Request for Payment No. 2 & Final
2017 Seal Coat Project
Dear Mayor and Council:
Enclosed please find Contractor’s Request for Payment No. 2 & Final for Pearson Bros., Inc. for the
services they provided on the above referenced project. The contractor has completed the seal coat in
accordance with plans and specifications.
We recommend the Council approves the Contractor’s Request for Payment No. 2 & Final and pay
$7,329.10 to Pearson Bros., Inc. for the work performed. The request includes payment of their
retainage. IC-134s and lien waivers are enclosed for final closeout.
Please call me at 612-597-7140 if you have any questions or concerns regarding this Contractor’s
payment request.
Sincerely,
Ryan J. Goodman, P.E.
City Engineer
Enclosure: Contractor’s Pay Request for Payment No. 2 & Final, IC-134s, Lien Waivers
CONTRACTOR'S PARTIAL PAY REQUEST DISTRIBUTION:
2017 Seal Coat Project CONTRACTOR (1)
City of Scandia, MN OWNER (1)
BMI PROJECT NO. N13.113369 ENGINEER (1)
BONDING CO. (1)
TOTAL AMOUNT BID $104,704.00
TOTAL, COMPLETED WORK TO DATE $96,885.60
TOTAL, STORED MATERIALS TO DATE $0.00
DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00
TOTAL, COMPLETED WORK & STORED MATERIALS $96,885.60
RETAINED PERCENTAGE (0%)$0.00
TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS)$0.00
NET AMOUNT DUE TO CONTRACTOR TO DATE $96,885.60
TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $89,556.50
PAY CONTRACTOR AS ESTIMATE NO.2 & Final $7,329.10
Certificate for Final Payment
I hereby certify that, to the best of my knowledge and belief, all items quantities and prices
of work and material shown on this Estimate are correct and that all work has been
performed in full accordance with the terms and conditions of the Contract for this project
between the Owner and the undersigned Contractor, and as amended by any
authorized changes, and that the foregoing is a true and correct statement of the amount
for the Final Estimate, that the provisions of M. S. 290.92 have been complied with and that
all claims against me by reason of the Contract have been paid or satisfactorily secured.
Contractor:Pearson Bros., Inc.
11079 Lamont Ave NE
Hanover, MN 55341
By
Name Title
Date
CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT:
ENGINEER: BOLTON & MENK, INC., 2035 COUNTY RD D EAST MAPLEWOOD, MN 55109
By , CITY ENGINEER
Date
APPROVED FOR PAYMENT:
OWNER:City of Scandia, MN
By
Name Title Date
Partial Pay Estimate No.:2 & Final2017 Seal Coat ProjectCity of Scandia, MNBMI PROJECT NO. N13.113369WORK COMPLETED THROUGH NOVEMBER 7, 2017ITEM UNITESTIMATEDESTIMATEDESTIMATEDESTIMATEDESTIMATEDNO.ITEMPRICEQUANTITYAMOUNTQUANTITYAMOUNTQUANTITYAMOUNT1MOBILIZATION$6,000.001LS$6,000.00LS$0.001LS$6,000.002TRAFFIC CONTROL$5,100.001LS$5,100.00LS$0.001LS$5,100.003BITUMINOUS MATERIAL FOR SEAL COAT$3.0024300GAL$72,900.00GAL$0.0022690GAL$68,070.004SEAL COAT AGGREGATE, FA-2 (MOD) - TRAP ROCK$20.00900TN$18,000.00TN$0.00755TN$15,100.0054" DOUBLE SOLID LINE YELLOW - PAINT$0.406760LF$2,704.00LF$0.006539LF$2,615.60TOTAL AMOUNT:TOTAL AMOUNT:$104,704.00$0.00$96,885.60AS BIDPREVIOUS ESTIMATECOMPLETED TO DATEESTIMATED
1lVAIVE~ AND R~L~ASE C!F LIEN
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(vendor}
~ C • the fnllawing product: ~'~,s .. z.
~contrac~or)
said pursuant to 801./invoiceJ~ick~t numb~r(s} [~172y L.~ ~J? ~4._.(~z i 4IZ~~i..~...
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fic~r ~~e during the Zt~1'7 construction season for use in the consxru~ctian of
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(►vendor)
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wh:~r~~~F I~ h~r,~F~y acknawl~d~~e.d, d~(es) f~ereby waive and release any and ill
Inns, or right to claim of lien, on the p:roject~and premise, under ar~y law,
corrim~n or sta~u~C~ry, on a~~vun~C ~~ labor or materla{s, ar both, heretofore or
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1
Jacob Guzik
Subject:FW: Your Recent Contractor Affidavit Request
Contractor Affidavit Completed
Thank you, your Contractor Affidavit has been approved.
Confirmation Summary
Confirmation Number: 1-812-604-096
Submitted Date and Time: 11-Dec-2017 12:37:06 PM
Legal Name: PEARSON BROS INC
Federal Employer ID: 41-1751395
User W ho Submitted: mhallich
Type of Request Submitted: Contractor Affidavit
Affidavit Summary
Affidavit Number: 805707776
Minnesota ID: 1232027
Project Owner: CITY OF SCANDIA
Project Number: 4246
Project Begin Date: 11-Dec-2017
Project End Date: 11-Dec-2017
Project Location: CITY OF SCANDIA
Project Amount: $96,883.00
Subcontractor Summary
Name ID Affidavit Number
AAA STRIPING SERVICE CO. 6290097 1262952448
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