5.h) Contractors Request for Payment No 1-Lilleskogen• = BOLTON 8. M F:= N K , I NC-
Consulting Engineers & Surveyors
2035 County Road D East • Suite B • Maplewood, MN 55109-5314
Phone (651) 704-9970 • Fax (651) 704-9971
www.bolton-menk.com
September 10, 2015
Honorable Mayor and City Council
14727 209`h Street N
Scandia, MN 55073
RE: Contractor's Request for Payment No. 1
Lilleskogen Park Improvements
Project No.: N15.106565
Dear Mayor and Council:
Enclosed please find Contractor's Request for Payment No. 1 for T.A. Schifsky & Sons, Inc. for the
services they provided on the above referenced project. This request includes all work on the project
except for the striping within the project area.
If the Council chooses to approve a payment for this project, it would be appropriate to approve
Contractor's Request for Payment No. 1 and pay to $30,360.10 T.A. Schifsky & Sons, Inc. for the
work performed. The request includes withholding 5% retainage.
Please call me at 612-597-7140 if you have any questions or concerns regarding this Contractor's
payment request.
Sincerely,
B4,J,OLTON & MENK, INC.
A-�`
Ryan J. Goodman, P.E.
City Engineer
Enclosure: Contractor's Request for Payment No. 1
DESIGNING FOR A BETTER TOMORROW
Bolton & Menk is an equal opportunity employer
Date: 9/10/2015
PRIVATELY
BID
CONTRACTOR'S PAY REQUEST
Lilleskogen Park Improvements
Pay Request No. 1
City of Scandia, MN
Consultant Project No. N15.106565
For Period Ending 91912015
Original Contract Amount
$40,475.00
Approved Change Orders - Addition
($2,575.00)
Approved Change Orders - Deduction
$0.00
Revised Contract Amount
$37,900.00
Completed Work to Date
$31,958.00
Stored Materials on Hand
$0.00
Sub -Total
$31,958.00
Retained Percentage 5%
$1 597.90
Liquidated Damages
$0.00
Total
$30,360.10
Total Amount Paid on Previous Estimates
$0.00
Amount Due Contractor This Pay Request
$30,360.10
Approved for Payment:
T.A. Schifsky & Sons, Inc.
Signature Date
2370 Hwy 36 E
N. St. Paul, MN 55109
Printed Name and Title
Checked and Approved as to
Quantities and Amount:
Signature Date
Bolton & Menk, Inc.
2035 County Road D East, Suite B
Maplewood, MN55109
Printed Name and Title
Approved for Payment:
City of Scanida
Kristina Handt
City Administrator Date
Partial Pay Estimate No.:
Lilleskogen Park Improvements
City of Scandia, MN
BMI Project No. N15.106565
WORK COMPLETED THROUGH SEPTEMBER 9. 2015
ITEM
NO. ITEM
UNIT
PRICE
AS BID
PREVIOUS ESTIMATE
COMPLETED TO DATE
ESTIMATED
QUANTITY
ESTIMATED
AMOUNT
ESTIMATED
QUANTITY
ESTIMATED
AMOUNT
ESTIMATED
QUANTITY
ESTIMATED
AMOUNT
BASE BID:
ALTERNATE NO. 1 - LILLESKOGEN PARK IMPROVEMENTS
1 Mobilization
$5,000.00
1.00
LS
$5,000.00
0.00
LS
$0.00
1.00
LS
$5,000.00
2 Traffic Control
$1,200.00
1.00
LS
$1,200.00
0.00
LS
$0.00
0.50
LS
$600.00
3 Subgrade Preparation
$1.00
810.00
SY
$810.00
0.00
SY
$0.00
810.00
SY
$810.00
4 Aggregate Base, Class 5
$15.00
230.00
TN
$3,450.00
0.00
TN
$0.00
234.20
TN
$3,513.00
5 Concrete Curb & Gutter B618
$20.00
280.00
LF
$5 600.00
0.00
LF
$0.00
269.00
LF
$5,380.00
6 6" Concrete Sidewalk, Class A
$53.00
75.00
SY
$3,975.00
0.00
SY
$0.00
67.00
SY
$3,551.00
7 Pedestrian Curb Ramp
$8.00
45.00
SF
$360.00
0.00
SF
$0.00
45.00
SF
$360.00
8 Truncated Domes
$50.00
8.00
SF
$400.00
0.00
SF
$0.00
8.00
SF
$400.00
9 Bituminous Material for Tack Coat
$1.00
40.00
GAL
$40.00
0.00
GAL
$0.00
0.00
GAL
$0.00
10 Type SP 9.5 Wearing Course Mixture 2,C
$83.00
180.00
TN
$14,940.00
0.00
TN
$0.00
148.00
TN
$12,284.00
11 Inlet Protection
$125.00
1.00
EA
$125.00
0.00
EA
$0.00
0.00
EA
$0.00
12 Hydraulic Matrix Type Hydraulic Mulch
$2.50
150.00
SY
$375.00
0.00
SY
$0.00
0.00
SY
$0.00
13 Seed Mixture 25-131
$10.00
10.00
LB
$100.00
0.00
LB
$0.00
0.00
LB
$0.00
14 Common Topsoil Borrow LV
$30.00
50.00
CY
$1,500.00
0.00
CY
$0.00
0.00
CY
$0.00
15 4" Solid Line White - Epoxy
$4.00
210.00
LF
$840.00
0.00
LF
$0.00
0.00
LF
$0.00
16 Pavement Message(Handicap Symbol) - Epoxy
$280.00
1.00
EA
$280.00
0.00
EA
$0.00
0.00
EA
$0.00
17 Silt Fence
$3.00
260.00
LF
$780.00
0.00
LF
$0.00
0.00
LF
$0.00
18 Remove Timber Retaining Wall
$600.00
1.00
LS
$600.00
0.00
LS
$0.00
0.00
LS
$0.00
19 Sediment Control Log
$5.00
20.00
LF
$100.00
0.00
LF
$0.00
12.00
LF
$60.00
TOTAL BASE BID:
$40,475.00
$0.00
$31,958.00
CHANGE ORDER NO. 1:
PART 1-DEDUCT
Hydraulic Matrix Type Hydraulic Mulch
$2.50
-150.00
SY
$375.00
0.00
SY
$0.00
0.00
SY
$0.00
Seed Mixture 25-131
$10.00
-10.00
LB
$100.00
0.00
LB
$0.00
0.00
LB
$0.00
Common Topsoil Borrow LV
$30.00
-50.00
CY
$1,500.00
0.00
CY
$0.00
0.00
CY
$0.00
Remove Timber Retaining Wall
1 $600.00
-1.00
LS
$600.00
0.00
LS
$0.001
0.00
LS
$0.00
TOTAL CHANGE ORDER:
($2,575.00)
$0.00
$0.00
TOTAL BASE BID PLUS CHANGE ORDER NO. 1:
$37,900.00
$0.00
$31,958.00