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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