9.i 017 Spray Patching Pay Request No 1 & Final
H:\SCND\N15106565 - General\GENERAL - Streets & Addresses\2017 Spray Patching\Mayor and City Council_RJG^2017 Spray Patching Pay Request No 1 & Final.docx
December 11, 2017
Honorable Mayor and City Council
14727 209th Street N
Scandia, MN 55073
RE: 2017 Spray Patching Project
City of Scandia
Dear Mayor and Council:
Enclosed please find Contractor’s Pay Request No. 1 & Final for the services Fahrner Asphalt Sealers
provided on the 2017 Spray Patching Project. We recommend the Council approves the pay request in
the amount of $36,000.00. The request includes payment of their retainage.
All work has been completed in accordance with the plans and specifications. The contractor’s IC-134 is
also enclosed for final closeout.
Please call me this week at 612.597.7140 if you have any questions or concerns regarding this
contractor’s pay request.
Sincerely,
Ryan J. Goodman, P.E.
City Engineer
Enclosure: Contractor’s Pay Request No. 1 & Final and IC-134
CONTRACTOR'S FINAL PAY REQUEST DISTRIBUTION:
2017 Spray Patching CONTRACTOR (1)
City of Scandia, MN OWNER (1)
ENGINEER (1)
TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $36,000.00
TOTAL, COMPLETED WORK TO DATE $36,000.00
TOTAL, STORED MATERIALS TO DATE $0.00
DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00
TOTAL, COMPLETED WORK & STORED MATERIALS $36,000.00
RETAINED PERCENTAGE (0%)$0.00
TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS)$0.00
NET AMOUNT DUE TO CONTRACTOR TO DATE $36,000.00
TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $0.00
PAY CONTRACTOR AS ESTIMATE NO.1 & Final $36,000.00
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:Fahrner Asphalt Sealers
6615 U.S. Hwy 12 W
Eau Claire, WI 54703
By
Name Title
Date
CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT:
ENGINEER: BOLTON & MENK, INC., ENGINEERS, 2035 COUNTY RD D EAST MAPLEWOOD, MN 55109
By , CITY ENGINEER
Date
APPROVED FOR PAYMENT:
OWNER:City of Scandia, MN
By
Name Title Date
CONTRACTOR'S FINAL PAY REQUEST1& Final2017 Spray PatchingCity of Scandia, MNWork Completed Through November 7, 2017ITEM UNITESTIMATEDESTIMATEDESTIMATEDESTIMATEDESTIMATEDNO.ITEMPRICEQUANTITYAMOUNTQUANTITYAMOUNTQUANTITYAMOUNT1Spray Patch Area #1$2,400.001LS$2,400.000LS$0.001LS$2,400.002Spray Patch Area #2$4,000.001LS$4,000.000LS$0.001LS$4,000.003Spray Patch Area #3$16,600.001LS$16,600.000LS$0.001LS$16,600.004Spray Patch Area #6$1,600.001LS$1,600.000LS$0.001LS$1,600.005Spra Patch Area #7$1,000.001LS$1,000.000LS$0.001LS$1,000.006Spray Patch Area #8$6,400.001LS$6,400.000LS$0.001LS$6,400.007Spray Patch Area #9$4,000.001LS$4,000.000LS$0.001LS$4,000.00TOTAL AMOUNT:TOTAL AMOUNT:$36,000.00$0.00$36,000.00AS BIDPREVIOUS ESTIMATECOMPLETED TO DATEESTIMATED