9.c1 Engineer 2020 Streets Pay Request No 3 and FINALQBOLTON
& MENK
Real People. Real Solutions.
July 9, 2020
Honorable Mayor and City Council
14727 2091h Street N
Scandia, MN 55073
RE: 2020 Street Improvements
Contractor's Request for Payment No. 3 and FINAL
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 Request for Payment No. 3 and FINAL for the work performed by
Valley Paving, Inc. completed through July 3, 2020 on the 2020 Street Improvements Project. Retainage
has been reduced to 0% as the project has been completed and this is the final request for payment.
Also included are the IC134's affidavits of tax withholding, and corresponding lien waivers. We
recommend the Council approves the request for payment in the amount of $3,529.38.
Valley Paving Inc. began the project in late April with the culvert and ditch clean and reclamation of
Lofton Ave and 209th St. Paving of the base course on both streets along with the milling and paving of
Mayberry was completed the first week of May. The wear on both Lofton and 209th was completed by
mid -may with restoration being completed shortly after the wear and shouldering was placed.
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 Request for Payment No. 3 and FINAL, IC134's, Lien Waivers
H:\SCND\N13118530\7-Construction\E-PayApplications\CounciI Letters\Mayor and City Council_RJG^2020 Streets Pay Request No 3 and FINAL.docx
Balton & Menk is an equal
Date:
7/8/2020
CONTRACTOR'S PAY REQUEST Pay Request No.
3 and FINAL
2020 Street Improvements
City of Scandia, MN For Period Ending:
7/3/2020
BMI Project No. N13.118530
Original Contract Amount
$505,848.00
Approved Change Orders
$0.00
Revised Contract Amount
$505,848.00
Completed Work to Date
$352,937.77
Stored Materials on Hand
$0.00
Sub-Total
$352,937.77
Retained Percentage 0%
$0.00
Deduction
$0.00
Liquidated Damages
$0.00
Total
$352,937.77
Total Amount Paid on Previous Estimates
$349,408.39
Amount Due Contractor This Pay Request
$3,529.38
Certificate for Partial 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
contract amount for the period covered by this Estimate.
Approved for Payment:
Valley paving, Inc. Signature
Date
880013th Avenue E
Shakopee, MN 55379
Printed Name and Title
Checked and Approved as to
Quantities and Amount: Signature
Date
Bolton & Menk, Inc.
2035 County Road D East
Maplewood, MN 55109 Printed Name and Title
Approved for Payment:
City of Scandia
Name Title
Date
Partial Pay Estimate No.: 3 and FINAL
2020 STREET IMPROVEMENTS
CITY OF SCANDIA, MN
BMI PROJECT NO. N13.118530
WORK COMPI FTFI) THROUGH .IUI Y 3. 2020
1
MOBILIZATION
$13,000.00
1.00 LUMP SUM
$13,000.00
0.90 LUMP SUM
$11,700.00
1.00 LUMP SUM
$13,000.00
2
TRAFFIC CONTROL
$3,700.00
1 LUMP SUM
$3,700.00
0.90 LUMP SUM
$3,330.00
1.00 LUMP SUM
$3,700.00
3
CLEARING AND GRUBBING
$1,000.00
1 LUMP SUM
$1,000.00
1.00 LUMP SUM
$1,000.00
1.00 LUMP SUM
$1,000.00
4
SAWING BITUMINOUS PAVEMENT -FULL DEPTH
$2.50
300
LIN FT
$750.00
204.00
LIN FT
$510.00
204.00
LIN FT
$510.00
5
REMOVE BITUMINOUS DRIVEWAY PAVEMENT
$3.50
600
SQ YD
$2,100.00
110.00
SQ YD
$385.00
110.00
SQ YD
$385.00
6
REMOVE CONCRETE RUBBLE
$33.25
40
CU YD
$1,330.00
30.00
CU YD
$997.50
30.00
CU YD
$997.50
7
CLEAN PIPE CULVERT
$18.001
700
LIN FT
$12,600.00
276.00
LIN FT
$4,968.00
276.00
LIN FT
$4,968.00
8
MILL BITUMINOUS 1.5' FULL WIDTH
$0.36
25800
SQ YD
$9,288.00
25,800.00
SQ YD
$9,288.00
25,800.00
SQ YD
$9,288.00
9
BITUMINOUS RECLAMATION 8" DEEP
$1.00
4600
SQ YD
$4,600.00
4,600.00
SQ YD
$4,600.00
4,600.00
SQ YD
$4,600.00
10
COMMON EXCAVATION
$51.75
120
CU YD
$6,210.00
0.00
CU YD
$0.00
0.00
CU YD
$0.00
11
SUBGRADE EXCAVATION
$51.75
250
CU YD
$12,937.50
0.00
CU YD
$0.00
0.00
CU YD
$0.00
12
SUBGRADE PREPARATION
$0.70
4500
SQ YD
$3,150.00
4,600.00
SQ YD
$3,220.00
4,600.00
SQ YD
$3,220.00
13
AGGREGATE SHOULDERING, CLASS 5
$28.00
400
TON
$11,200.00
150.00
TON
$4,200.00
400.00
TON
$11,200.00
14
AGGREGATE BASE, CLASS 5
$29.001
300
TON
$8,700.00
20.00
TON
$580.00
145.95
TON
$4,232.55
15
AGGREGATE SURFACING, TRAP ROCK
$45.00
100
TON
$4,500.00
20.00
TON
$900.00
33.88
TON
$1,524.60
16
AGGREGATE SURFACING, LIMESTONE
$50.00
100
TON
$5,000.00
40.00
TON
$2,000.00
56.31
TON
$2,815.50
17
TYPE SP 9.5 WEARING COURSE MIXTURE 3,C
$72.50
440
TON
$31,900.00
335.00
TON
$24,287.50
462.00
TON
$33,495.00
18
TYPE SP 12.5 NON WEARING COURSE MIXTURE 3,C
$67.75
730
TON
$49,457.50
420.00
TON
$28,455.00
591.95
TON
$40,104.61
19
TYPE SP 9.5 WEARING COURSE MIXTURE 3,B
$65.15
3100
TON
$201,965.00
2,225.00
TON
$144,958.75
2,891.39
TON
$188,374.06
20
TYPE SP 9.5 WEARING COURSE MIXTURE 3,B - PATCHING
$85.50
850
TON
$72,675.00
31.90
TON
$2,727.45
31.90
TON
$2,727.45
21
BITUMINOUS MATERIAL FOR TACK COAT
$2.351
2150
GAL
$5,052.50
1,200.00
GAL
$2,820.00
1,350.00
GAL
$3,172.50
22
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE 3,B - DRIVEWAY
$90.00
150
TON
$13,500.00
0.00
TON
$0.00
30.00
TON
$2,700.00
23
DITCH GRADING
$12.15
250
LIN FT
$3,037.50
620.00
LIN FT
$7,533.00
620.00
LIN FT
$7,533.00
24
24" CM PIPE APRON W/ TRASH GUARD FOR HDPE
$1,500.00
1
EACH
$1,500.00
1.00
EACH
$1,500.00
1.00
EACH
$1,500.00
25
CULVERT END PROTECTION/INLET PROTECTION
$91.00
45
EACH
$4,095.00
21.00
EACH
$1,911.00
21.00
EACH
$1,911.00
26
TOPSOIL BORROW
$78.00
50
CU YD
$3,900.00
0.00
CU YD
$0.00
0.00
CU YD
$0.00
27
RANDOM RIP RAP, CLASS 3
$115.00
40
CU YD
$4,600.00
16.00
CU YD
$1,840.00
20.50
CU YD
$2,357.50
28
TURF PREPARATION WITH SEED MIX 35-241
$2.001
1500
SQ YD
$3,000.00
0.00
SQ YD
$0.00
422.00
SQ YD
$844.00
29
EROSION CONTROL BLANKET, CATEGORY 3
$4.00
1500
SQ YD
$6,000.00
0.00
SQ YD
$0.00
422.00
SQ YD
$1,688.00
30
4" DOUBLE YELLOW LINE, MULTI COMP
$0.50
10200
LIN FT
$5,100.00
0.00
LIN FT
$0.00
10,179.00
LIN FT
$5,089.50
TOTAL BASE BID:
$505,848.00
$263,711.20
$352,937.77
Page I of 1
xEPARTA ENT
OF REVENUE
Contractor Affidavit Submitted
Thank you, your Contractor Affidavit has been approved.
Confirmation Summary
Confirmation Number: 0-096-080-160
Submitted Date and Time: 8 -Jul -2020 7:17:55 AM
Legal Name: VALLEY PAVING INC
Federal Employer ID: 41-1348160
User Who Submitted: ValleyPavingTax
Type of Request Submitted: Contractor Affidavit
Affidavit Summary
Affidavit Number:
1492934656
Minnesota ID:
5565541
Project
Owner:
CITY OF SCANDIA
Project
Number:
2020 STIR
Project
Begin Date:
24 -Apr -2020
Project
End Date:
04 -Jun -2020
Project
Location:
CITY OF SCANDIA
Project
Amount:
$352,937.77
Subcontractor Summary
Name ID Affidavit Number
CENTRAL LANDSCAPING INC 7663076 101867520
RITTER & RITTER SEWER SERVICE 2825000 21045248
WARNING LITES OF MINNESOTA 3086922 1887723520
SUPERIOR TRAFFIC CONTROL LLC 4396051 506863616
Important Messages
A copy of this page must be provided to the contractor or government agency that hired you.
Contact Us
If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email)
withhold ing.tax@state.mn.us, Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday.
Please print this paUe for your records using the print or save functionality built into your browser.
https;//www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/c-/hatc961TZo7GD_yDw_fXhA_... 7/8/2020
ti (Al tr<"citor AkIIe o]�I�rH QAlD niu4t0
Thank you, your Contractor AfBdavil has been approved.
Confirmation Summary
Confirmation Number:
Submitted Dale and Time:
Legal Name:
Federal Employer ID:
User Who Submitted:
Type of Request Submitted:
Affidavit Summary
Affidavit
Number:
Minnesota
ID:
Project
Owner:
Project
Number:
Project
Begin Date:
Project
End Date:
Project
Location:
Project
Amount:
Subcontractors:
1.812-926-752
6 -Jul -2020 5:47:43 PM
CENTRAL LANDSCAPING INC
41-0968934
RobinA
Contractor Affidavit
101867520
7663076
CITY OF SCANDIA
20.16
16 -May -2020
04 -Jun -2020
MISC STREETS SCANDIA
$4,676.50
No Subcontractors
Important Messages
A copy of this page must be provided to the contractor or government agency [hat hired you,
Contact Us
If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email)
withholding.tax@state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday • Friday.
Please pr r t 's gage for your records using the print or save funcllonality built Into your browser.
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Confirmation Summary
Confirmation Number:
Submitted Date and Time:
Legal Name:
Federal Employer ID:
User Who Submitted:
Type of Request Submitted:
Affidavit Summary
Affidavit Number:
Minnesota ID:
Project Owner:
Project Number:
Project Begin Date:
Project End Date:
Project Location:
Project Amount:
Subcontractors:
1-132-503-328
23 -Jun -2020 4:03:14 PM
WARNING LITES OF MINNESOTA INC
36-4762529
wbengtson
Contractor Affidavit
1$87723520
3086922
CITY OF SCANDIA
2020 ST IMP
19 -May -2020
19 -May -2020
SCANDIA
$5,384.13
No Subcontractors
lmporiant Messages
A copy of this page must be provided to the contractor or government agency that hired you.
Contact Us
If you need furt
her assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email)
withholding.tax@state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday -Friday.
Please print this page for your records using the print or save functionality built into your browser.
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Page 1 of 1
Thank you, your Contractor Affidavit has been approved.
Confirmation Summary
Confirmation Number:
Submitted Date and Time:
Legal Name:
Federal Employer ID:
User Who Submitted:
Type of Request Submitted:
Affidavit Summary
Affidavit Number:
Minnesota ID:
Project Owner:
Project Number:
Project Begin Date:
Project End Date:
Project Location:
Project Amount:
Subcontractors:
1-174-483-232
7 -Jul -2020 7:11:40 PM
SUPERIOR TRAFFIC CONTROL LLC
81-1433702
Su periortraffichh
Contractor Affidavit
4396051
CITY OF SCANDIA
N/A
27 -Apr -2020
01 -Jun -2020
SCANDIA 2020 ST PROJECT
$2,985.00
No Subcontractors
Important Messages
A copy of this page must be provided to the contractor or government agency that hired you.
Contact Us
If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or (email)
withholding.tax@state.mn.us. Business hours are 8:00 a.m, - 4:30 p.m. Monday - Friday.
Please print tills cape for your records using the print or save functionality built into your browser.
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LLE
VIN
JRATED
8800 13th AVENUE EAST
SHAKOPEE, MN 55379
PHONE (952) 445-8615
FAX (952) 445-0355
www.valleypaving.com
RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS
The undersigned hereby acknowledges receipt of the sum of:
CHECK ONLY ONE
1.) [ ] as partial payment for labor, skill and material furnished
2020
2.) [ ] as payment for all labor, skill and material furnished or to be furnished
(except the sum of $ retainage or holdback)
3.) [X] as full and final payment for all labor, skill and material furnished or to
be furnished to the following described real property:( legal description,
street address or project name)
2020 Street Improvement Project /City of Scandia Minnesota
$352,937.77
and for value received hereby waives all rights acquired by the undersigned to file or
record mechanic's liens against said real property for labor, skill or material furnished
to said real property (only for the amount paid if Box 1 is checked, and except for
retainage shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, and all subcontractors employed
by the undersigned have been paid in full, EXCEPT:
NOTE: If this instrument is executed by a
corporation, it must be signed by an officer,
and of exectued by a partnership, it must
be signed by a partner.
Secretary
(Title)
8800 13th Ave. E.
(Address)
Shakopee, MN 55379
Affirmative Action /Equal Opportunity Employer
A VETERAN OWNED COMPANY
8800 13th AVENUE EAST
SHAKOPEE, MN 55379
PHONE (952) 445-8615
FAX (952) 445-0355
www.valleypaving.com
RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS
Dated
The undersigned hereby acknowledges receipt of the sure of:
C�1xil`.HPI�•L�7r•1
1,) [ ] as partial payment for labor, skill and material furnished
2020
2.) [) as payment for ail labor, skill and material furnished or to be furnished
(except the sum of $ _ retainage or holdback)
3.) [XJ as full and final payment for all labor, skill and material furnished or to
be furnished to the following described real property:( legal description,
street address or project name)
Final Payment for the The City of Scandia
2020 Scandia Streets Project /VPI #20-16
$4,682,00
and for value received hereby waives all rights acquired by the undersigned to file or
record mechanic's liens against said real property for labor, skill or material furnished
to said real property (only for the amount paid if Box 1 is checked, and except for
retainage shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, and all subcontractors employed
by the undersigned have been paid in full, EXCEPT:
NOTE: If this instrument is executed by a
corporation, It must be signed by an officer,
and of exectued by a partnership, it must
be signed by a partner.
Affirmative Action /Equal Opportunity Employer
A VETERAN OWNED COMPANY
1 C:11 2 MR7rZ' rk N'iV
8800 13th AVENUE EAST
SHAKOPEE, MN 55379
PHONE (952) 445-8615
FAX (952) 445-0355
www.valleypaving.com
RECEIPT AND WAIVER OF MECHANIC'S LIEN RIGHTS
Dated
The undersigned hereby acknowledges receipt of the sum of:
CHECK ONLY ONE
1.) [ J as partial payment for labor, skill and material furnished
2a2o
2.) [ J as payment for all labor, skill and material furnished or to be furnished
(except the sum of $ retainage or holdback)
full and final payment for all labor, skill and material furnished or to
be furnished to the following described real property:( legal description,
street address or project name)
Final Payment for the The City of Scandia
2020 Scandia Streets Project /VPI #20-16
$5,384.13
and for value received hereby waives all rights acquired by the undersigned to file or
record mechanic's liens against said real property for labor, skill or material furnished
to said real property (only for the amount paid if Box 1 is checked, and except for
retainage shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, and all subcontractors employed
by the undersigned have been paid in full, EXCEPT:
NOTE: If this instrument is executed by a
corporation, it must be signed by an officer,
and of exectued by a partnership, It must
be signed by a partner.
Warning Lites of Min
-r t pt
Title)
�(0 Ave )VI
A 1M)
Affirmative Action /Equal Opportunity Employer
Illli,�l[t�It�i�lfi= t� ic7 {�����t��tl
8800 13th AVENUE EAST
ShIAKOPEE, MN 55379
PHONE (952) 44.5x•8615
1=AX (952) 445-0355
www.val Icypaving.com
Rf;CEIpT ANl7 WAIVED OF fUIECi•JANIC'S LIEN I�IGhfl'S
30_Jun � 2p2U
The undersigned hereby acknowledges receipt of the sum of; $4,fi7fi.�D
CHECK ONLY ONE
1.) [ ] as partial payment for labor, skill and material furnished
2.) (] as payment for all labor, skill and material furnished or to be furnished
(except the sum of $... retainage or holdback)
3,} [X] as full and final payment for all labor, skill and material furnished or to
be furnished to the following described real property;( legal description,
street address or project name)
Final Payment of $233.83 to be Paid When Valley Paving Receives
Final Payment from the The City of Scandia for the
2020 Scandia Streets Project
and for value received hereby waives all rights acgt.iired by the undersigned to file or
record mechanic's liens against said real property for labor, skill or material furnished
to said real property (only for the amount paid if Box 1 is checked, and except for
retainage shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, and all subcontractors employed
by the undersigned have been paid in full, EXCEPT:
NOTE: If this instrument is executad by a
corporation, it must be signed by an officer,
and of exectued by a partnership, it must
be signed by a partner.
AJf(rm�tive Action /Equal Opportunity Employer
a vet•€sato WHO cnttnraNv
8800 13th AVENUE FAST
SHAKOPEE, MN 55379
PHONE (952) 445.8615
FAX (952) 445-0355
www, val leypaving.com
RECEIPT AND WAIVER 01= MECHANIC'S LIEN RIGHTS
IJated 30 -Jun 2020
The undersigned hereby acknowledges receipt of the sum of:
CHECK ONLY ONE
1.) [) as partial payment for labor, skill and material furnished
2,) [ j as payment for all labor, skill and material furnished or to be furnished
(except the sum of $ retainage or holdback)
3.) [Xj as full and final payment for all labor, skill and material furnished or to
be furnished to the following described real property:( legal description,
street address or project name)
Final Payment for the The City of Scandia
2020 Scandia Streets Project /VPI #2Q-16
and for value received hereby waives all rights acquired by the undersigned to file or
record mechanic's liens against said real property for labor, skill or material furnished
to said real property (only for the amount paid if Box 1 is checked, and except for
retainage shown if Box 2 is checked). The undersigned affirms that all material
furnished by the undersigned has been paid for, and all subcontractors employed
by the undersigned have been paid in full, EXCEPT:
NOTE: If this instrument is executed by a
corporation, it must be signed by an officer,
and of exectued by a partnership, it must
be signed by a partner.
SuperioXTraffic Control
0 L)Ylt.�''
(Title)
—dddr ss)
�1 y �ttA jJ 61
Affirmative Action /Equal Opportunity Employer
A VETERAN OWNED COMPANY