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9.c1 Pay Request No 2 Final-Scandia Parking Lot Improvements 14727 209 th St. N. PO Box 128 , Scandia, Minnesota 55073 Phone (651) 433 -2 274 Fax (651 ) 433 -5112 http://www.ci.scandia.mn.us November 10, 2020 Honorable Mayor and City Council City of Scandia 14727 209th Street N. Scandia, MN 55073-8503 Re: Pay Request No. 2 & Final Public Works – Fire & Rescue Parking Lot Improvements Dear Mayor and Council: We recommend the City approve Contractor’s Pay Request No. 2 & Final in the amount of $3,994.91 to Bluhm Construction for the services they provided on the above referenced project. The request includes payment of their retainage. IC-134 are attached for final closeout. If you have any questions, please feel free to contact me at (612) 597-7140. Sincerely, Ryan J. Goodman, P.E. City Engineer Enclosures: Pay Request No. 2 & Final, IC-134s lDatt, 1a!2gl2a2o -O\TR.\CTOR'S P.\\' REOL EST Pa,v Requcst lrtr. 2 & Final ottblfu llhrls - Firt & Retutc PnrAing Lot Inpnttcnrcnts . ity of Scandia. I\'{r- Ftrr Pr:riod Ending: 1A/29/2020 )\'tl Projcct No. Nl3,l109?6 )riginal Contract Amount 551,748.75 Extra Work Aoproved bv Public Works 51,O00.00 levised Contract Amount $57,748.7s -ompleted Work to Date 562,39s.94 ;tored Materials on Hand 50.0o iub-Total 562.395.e4 letained Percentase oo/o So.oo )e.irction 9o.oo iquidated Damage5 50.00 fotal s62,395.94 fotal Amount Paid on Previous Estimates ss8,401.03 \mount Due Contractor This Pay Request 53,994.91 Certificate for Findl PaVment lhcrebycertifVthat.tothcbcstofmyknowlcdtscJndbclicf, allilcmsquantiticsandpricca ofworkandn\Jtcrialshownon thisEslinratcarccsrrcct*dthatallworkha5bcct pcrfc.mcd an full rccord!n.c wilh thr t(ms and coildition! of thc Contrnct for thi! project bctwcen thc owncr and lhc undcrsigarcd Contractol, ilnd 05 omcndcd bY any a!thorized LhanEe5. dnd that thc fo.cgoing i! a truc and (otrcct ltatcftcnt of thc afrounl for thc findl Estimrtc, that lhc provision! ol M. 5. 290.92 haYc bccn clmpliLd with dnd thlt a!l clnims against mc by rcJlon oa thc contract havc bccn paid or lalisfddotily 5ccurcd. /cd for Plymcnl: Construction, lnc. N. Lakes rtdil afr, MN 55045 (l.k D , F\ ^\.^, ?*s,i'&nt .rd ,ild Approvcd ar to iilic5 dnd Anlount: n & Mcnlt lnc. County Rgod D Eost ew@d. MN 55J09 Sip,naturr Printcd Namc and Titlc 'ovcd for Paymcf,t: of Scdndia, MN Partial Pay Estimate No.: 2 & FinalPUBLIC WORKS - FIRE & PARKING LOT IMPROVEMENTSCITY OF SCANDIA, MNBMI PROJECT NO. N13.120976WORK COMPLETED THROUGH OCTOBER 29, 2020ITEM UNITESTIMATEDESTIMATEDESTIMATEDESTIMATEDESTIMATEDNO.ITEMPRICEQUANTITYAMOUNTQUANTITYAMOUNTQUANTITYAMOUNTBASE QUOTE1MOBILIZATION/TRAFFIC CONTROL$750.001.00LS$750.00LS$0.001.00LS$750.002SAWING BITUMINOUS PAVEMENT - FULL DEPTH$4.0075LF$300.00LF$0.00160.00LF$640.003REMOVE BITUMINOUS PAVEMENT - FULL DEPTH$3.00300SY$900.00SY$0.0069.00SY$207.004REMOVE CONCRETE PAVEMENT - FULL DEPTH$3.0060SY$180.00SY$0.0060.00SY$180.005REMOVE CONCRETE CURB & GUTTER$3.0080LF$240.00LF$0.0080.00LF$240.006MILL BITUMINOUS 1" DEEP$1.404700SY$6,580.00SY$0.004,700.00SY$6,580.007COMMON EXCAVATION$9.50100CY$950.00CY$0.0040.00CY$380.008AGGREGATE BASE, CLASS 5$16.25175TN$2,843.75TN$0.0061.35TN$996.949MUD JACKING CONCRETE SLAB$50.0015SY$750.00SY$0.0015.00SY$750.0010TYPE SP 9.5 WEARING COURSE MIXTURE (2,B)$95.00370TN$35,150.00TN$0.00459.20TN$43,624.0011BITUMINOUS MATERIAL FOR TACK COAT$4.00250GAL$1,000.00GAL$0.00400.00GAL$1,600.0012CONCRETE VALLEY GUTTER$58.5030SY$1,755.00SY$0.008.00SY$468.0013CONCRETE CURB & GUTTER, B618$35.0010LF$350.00LF$0.0045.00LF$1,575.00Extra Work - Storage Area Paving14TYPE SP 9.5 WEARING COURSE MIXTURE (2,B)$95.0010.53TN$1,000.00Extra Work 15Subbase Repair$3,405.001.00LS$3,405.00TOTAL BASE QUOTE:$51,748.75$0.00$62,395.94ESTIMATEDAS BIDPREVIOUS ESTIMATECOMPLETED TO DATE Contractor Affidavit Submitted Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number:1-707-079-968 Submitted Date and Time:4-Sep-2020 2:24:00 PM Legal Name:BLUHM CONSTRUCTION INC Federal Employer ID:41-1893170 User Who Submitted:kirk12 Type of Request Submitted:Contractor Affidavit Affidavit Summary Affidavit Number:1415143424 Minnesota ID:3662059 Project Owner:CITY OF SCANDIA Project Number:2188 Project Begin Date:20-Jul-2020 Project End Date:28-Jul-2020 Project Location:SCANDIA FIRE & RESCUE -15040 SCANDIA TRAIL N, SCANDIA, MN 55073 Project Amount:$58,990.94 Subcontractor Summary Name ID Affidavit Number APEX CONTRACTING LLC 5340778 1750687744 LAKES AREA MUDJACKING ***-**-4949 1788960768 MID STATE RECLAMATION 1719563 1315266560 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 this page for your records using the print or save functionality built into your browser. From: MN Revenue e-Services <eservices.mdor@state.mn.us> Sent: Thursday, August 27, 2020 5:08 AM To: Brenda Petsch <brendap@midstatecompanies.com> Subject: Your Recent Contractor Affidavit Request This email is an automated notification and is unable to receive replies. Contractor Affidavit Completed Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number:1-004-976-416 Submitted Date and Time:27-Aug-2020 5:07:35 AM Legal Name:MID STATE RECLAMATION INC Federal Employer ID:39-1727526 User Who Submitted:brendapetsch Type of Request Submitted:Contractor Affidavit Affidavit Summary Affidavit Number:1315266560 Minnesota ID:1719563 Project Owner:CITY OF SCANDIA Project Number:14610 Project Begin Date:21-Jul-2020 Project End Date:21-Jul-2020 Project Location:SCANDIA FIRE & RESCUE Project Amount:$5,500.00 Subcontractors: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. --------- Forwarded message ---------- From: MN Revenue e-Services <eservices.mdor@state.mn.us> Date: Aug 27, 2020 10:00 AM Subject: Your Recent Contractor Affidavit Request To: matt.concrete68@yahoo.com Cc:  This email is an automated notification and is unable to receive replies. Contractor Affidavit Completed Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number:0-630-946-080 Submitted Date and Time:27-Aug-2020 10:00:09 AM Legal Name:APEX CONTRACTING LLC Federal Employer ID:82-3654211 User Who Submitted:Apex Const 120617 Type of Request Submitted:Contractor Affidavit Affidavit Summary Affidavit Number:1750687744 Minnesota ID:5340778 Project Owner:BLUHM CONSTRUCTION INC Project Number:2188 Project Begin Date:20-Jul-2020 Project End Date:20-Jul-2020 Project Location:15040 SCANDIA TRAIL N Project Amount:$3,500.00 Subcontractors: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.