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5.g) Contractors Request for Payment No 1_Peterson Excavating• BOLTON8.MBNK, INC© 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 October 13, 2015 Honorable Mayor and City Council 14727 209'h Street N Scandia, MN 55073 RE: Contractor's Request for Payment No. 1 Pilar Road N/Paris Ave N Ditching Improvements Project 2 Project No.: N13.110309 Dear Mayor and Council: Enclosed please find Contractor's Request for Payment No. l to Peterson Excavating for the services they provided on the above referenced project. 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 $17,525.00 to Peterson Excavating for the work performed. Please call me at 612-597-7140 if you have any questions or concerns regarding this Contractor's payment request. Sincerely, BOLTON & MENK, INC. 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: 13-Oct-15 CONTRACTOR'S PAY REQUEST Pilar Road N/Paris Ave NDitching Improvements Project 2 Pay Request No. 1 City of Scandia, MN For Period Ending: 13-Oct-15 Original Contract Amount $33,700.00 Approved Change Orders - Addition $0.00 Approved Change Orders - Deduction $0.00 Revised Contract Amount $33,700.00 Completed Work to Date $17,525.00 Stored Materials on Hand $0.00 Sub -Total $17,525.00 Retained Percentage 0% $0.00 Liquidated Damages $0.00 Total 1 $17,525.00 Total Amount Paid on Previous Estimates $0.00 Amount Due Contractor This Pay Request $17,525.00 Approved for Payment: Peterson Excavating Signature Date 2109 Ozark Court N Scandia, MN 55073 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, MN 55109 Printed Name and Title Approved for Payment: City of Scandia Name Title Date Partial Pay Estimate No.: PILAR ROAD N/PARIS AVE N DITCHING IMPROVEMENTS PROJECT 2 CITY OF SCANDIA, MINNESOTA WORK COMPLETED THROUGH OCTOBER 12, 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: 1 DITCHING IMPROVEMENTS - SEGMENT 1 $2,100.00 1.00 LS $2,100.00 0 LS $0.00 1 LS $2,100.00 2 DITCHING IMPROVEMENTS -SEGMENT 2 $1,600.00 1.00 LS $1,600.00 0 LS $0.00 1 LS $1,600.00 3 DITCHING IMPROVEMENTS - SEGMENT 3 $7,300.00 1.00 LS $7,300.00 0 LS $0.00 0 LS $0.00 4 DITCHING IMPROVEMENTS -SEGMENT 4 $2,850.00 1.00 LS $2,850.00 0 LS $0.00 1 LS $2,850.00 5 DITCHING IMPROVEMENTS -SEGMENTS $2,100.00 1.00 LS $2,100.00 0 LS $0.00 1 LS $2,100.00 6 DITCHING IMPROVEMENTS -SEGMENT 6 $8,075.00 1.00 LS $8,075.00 0 LS $0.00 0.5 LS $4,037.50 7 DITCHING IMPROVEMENTS -SEGMENT 7 $9,675.00 1.00 LS $9,675.00 0 LS $0.00 0.5 LS $4,837.50 TOTAL BASE BID: $33,700.00 $0.00 $17,525.00 TOTAL BASE BID: $33,700.00 $0.00 $17,525.00