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5.d 2018 Spray Patching Pay Request No 1 & FinalQBOLTON ENK Real People. Real Solutions. July 12, 2018 Honorable Mayor and City Council 14727 2091h Street N Scandia, MN 55073 RE: 2018 Crack Filling Project City of Scandia, MN Dear Mayor and Council: 2035 County Road D East Maplewood, MN 55109-5314 Ph: (651) 704-9970 Fax: (651) 704-9971 Bolton-Menk.com Enclosed please find Contractor's Pay Request No. 1 for the work performed by SealTech, Inc. completed through June 30, 2018 on the 2018 Crack Filling Project. We recommend the Council approves the pay request in the amount of $9,800.00. Please call me at 612.597.7140 if you have any questions or concerns regarding this contractor's pay request. Sincerely, Bolton & Menk, Inc. Ryan J. Goodman, P.E. City Engineer Enclosure: Contractor's Pay Request No. 1 & Final H:\SCND\NI3116202\1-Corres\C-To Others\Mayor and City Council_RJG^2018 Streets Pay Request No 1 & Final.docx Bolton & Menk is an equal opportunity employer. Date: 3 -Jul -18 CONTRACTOR'S PAY REQUEST 2018 Crack Fill Pay Request No. 1 & Final City of Scandia, MN BMI Project No. N13.116202 For Period Ending: 6/30/2018 Original Contract Amount 59,800.00 Approved Change Orders $0.00 Revised Contract Amount $ 9,800.00 Completed Work to Date $9,800.00 Stored Materials on Hand $0.00 Sub -Total $9,800.00 Retained Percentage 0% $0.00 Deduction S0.00 Liquidated Damages 50.00 Total S 9,800.00 Total Amount Paid on Previous Estimates S 0.00 Amount Due Contractor This Pay Request -1--s9,800.00 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. r �0' /,/" Seal Tech, Inc. Signa ate r 743 Pioneer Tri SE V I Cambridge, MN 55008 V-44 t+ Printed N arb a and Title Checked and Approved as to'�!`�t Quantities and Amount: Signature Date Bolton & Menk, Inc. 2035 County Road D East46ai �'� ✓r12o� yip �,� Maplewood, MN 55109 Printed Name and Title Approved for Payment: City of Scadia, MN Name Title Date Partial Pay Estimate No.: 2018 CRACK FILL CITY OF SCANDIA, MINNESOTA BMI PROJECT NO. N13.116202 W nRK r..nKAPI PTpn THR(II IrH Nino n gniR 1 & Final ITEM NO. ITEM UNIT PRICE AS BID PREVIOUS ESTIMATE COMPLETED TO DATE ESTIMATED ESTIMATED ESTIMATED ESTIMATED QUANTITY AMOUNT QUANTITY AMOUNT ESTIMATED ESTIMATED QUANTITY AMOUNT 1 TRAFFIC CONTROL 1 $500.00 1 LS $500.00 LS so -001 1 LS $500.00 2 ROUTE AND SEAL 1 $1.551 6000 LBS $9,300.001 LBS $0.001 6000 LBS $9,300.00 TOTAL BASE BID, $9,800.00 $0.00 $9,800.001