09.c2 2022 Street Improvement Project - Contractor's Request for Payment No 4 Signed by Contractor1P�
1
1
SCANDIA
November 30, 2022
Honorable Mayor and City Council
City of Scandia
14727 209"' Street N.
Scandia, MN 55073-8503
Re: Contractor's Request for Payment No. 4
2022 Street Improvement Project
Dear Mayor and Council:
Enclosed please find Contractor's Request for Payment No. 4, for the 2022 Street Improvement
Project. We recommend the council approve Contractor's Request for Payment No. 4 and pay
$14,162.83 to Astech Surface Technologies Corporation. This amount includes work performed
on site restoration, signage and striping. This request includes withholding 3% retainage.
Please call me at (612) 597-7140 if there are any questions or concerns regarding this
Contractor's Payment request.
Sincerely,
Ryan J. Goodman, P.E.
City Engineer
Enclosures: Contractor's Request for Payment No. 4
14727 209`h St. N. PO Box 128, Scandia, Minnesota 55073
Phone (651) 433-2274 Fax (651) 433-5112 http://www.ci.scandia.mn.us
Contractor's Application for Payment
Owner: City of Scandia Owner's Project No.:
Engineer: Bolton & Menk, Inc. Engineer's Project No.: ON1.124723
Contractor: Asphalt Surface Technologies Corporatior Agency's Project No.:
Project: 2022 Street Improvement Project
Contract:
Application No.: 4 Application Date: 11/30/2022
Application Period: From 10/1/2022 to 11/30/2022
1. Original Contract Price $ 453,893.63
2. Net change by Change Orders $ -
3. Current Contract Price (Line 1 + Line 2) $ 453,893.63
4. Total Work completed and materials stored to date
(Sum of Column G Lump Sum Total and Column J Unit Price Total) $ 453,216.25
5. Retainage
a. 3% X $ 453,216.25 Work Completed $ 13,596.49
b. X $ - Stored Materials $ -
c. Total Retainage (Line 5.a + Line 5.b) $ 13,596.49
6. Amount eligible to date (Line 4 - Line 5.c) $ 439,619.76
7. Less previous payments $ 425,456.93
8. Amount due this application $ 14,162.83
9. Balance to finish, including retainage (Line 3 - Line 4) $ 677.38
Contractor's Certification
The undersigned Contractor certifies, to the best of its knowledge, the following:
(1) All previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2) Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for
Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances);
and
(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective
Contractor: Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
Signature: - Date: S
Name: u1) &4 00, Title:
U AWL --
Recommended by Engineer Approved by Owner
By: By:
Name: Name:
Title: Title:
Date: Date:
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.
Progress Estimate - Unit Price Work
contractor's Application for Pavmertt
Owner:
Engineer:
Contractor:
Project:
Contract:
Cityof Scandia
Bolton & Menk, Inc.
Asphalt Surface Technologies Corporation a/k/a ASTECH Corp.
2022 Street Improvement Project
Owner's Project No.:
Engineer's Project No.: ON1.124723
Agency's Project No.:
Application Na: 4 Application Period:
From 10/01/22
to
11/30/22
Application Date:
11/30/22
A
B
C D
E
F
F1
F2
G
H
I
J
K
L
Bid Item
No.
Description
Contract
Information
Previous
Estimate
Work Completed
Materials Currently
Stored (notin G)
($)
Work
Completed
and Materials
Stored to Date
(H+I)
($)
% of
Value of
Item
(1/F)
(%)
Balance to Finish
(F - J)
($)
Item Quantity
Units
Unit price
($}
Value of Bid Item
(CXE)
($)
Quantity Previous
Estimate
Value Previous
Estimate
Estimated
Quantity
Incorporated In
the Work
Value of Work
Completed to Date
(EXG)
($)
Original
Contract
BASE BID:
1
MOBILIZATION
1.00 LUMP SUM17,000.00
800.00
17,800.00
1.00
17,800.00
1.00
17,800.00
17,800.00
100%
2
TRAFFIC CONTROL
1.00 LUMPSUM320.00
1,320.00
1.00
1,320.00
1.00
1,320.00
1,320.00
100%
3
CLEARING AND GRUBBING
1.00 LUMP SUM
7,000.00
1.00
7,000.00
1.00
7,000.OD
7,000.00
100%
4
REMOVE SIGN AND POST
1.00 EACH
27.50
27.50
1.00
27.50
27.50
100%
5
SALVAGE AND REINSTALL MAILBOX
5.00 EACH200.00
1,000.00
6
REMOVE STORM PIPE/CULVERT
164.00 LIN FF13.20
2,428.80
178.00
2,349.60
178.00
2,349.60
2,349.60
97%
79.20
7
REMOVE STORM SEWER STRUCTURE ANDSALVAGE CASTING
1.00 EACH
1,100.00
1,100.00
1.00
1,100.00
1.00
1,100.00
1,100.00
100%
8
SAWING BITUMINOUS PAVEMENT - FULL DEPTH
66.00 LIN FT
3.00
198.00
66.00
198.00
66.00
198.00
198.00
100%
9
RECLAIM BITUMINOUS PAVEMENT ($"THICK)
16,680.00 SQYD
1.00
16,680.00
16,741.00
16,741.00
16,741.00
16,741.00
16,741.00
100%
(61.00)
10
REMOVE BITUMINOUS PAVEMENT -DRIVEWAY
60.00 SQYD
13.20
792.00
174.80
2,307.36
174.80
2,307.36
2,307.36
291%
(1,515.36)
11
CLEAN PIPE CULVERT
62.00 UN FT
22.00
1,364.00
62.00
1,364.00
1,364.00
100%
12
DITCH GRADING
310.00 UN FT
18.92
5,865.20
310.00
5,865.20
310.00
5,865.20
5,865.20
100%
13
SEDIMENT REMOVAL
50.00 UN FT
30.80
1,540.00
73.00
2,248.40
73.00
2,248.40
2,248.40
146%
(708.40)
14
COMMON EXCAVATION
30.00 CU YD
35.00
1,050.00
45.00
1,575.00
45.00
1,575.00
1,575.00
150%
(525.00)
15
SUBGRADE EXCAVATION
280,00 CU YD
27.50
7,700.00
84.00
2,310.00
84.00
2,310.00
2,310.00
30%
5,390.00
16
GEOTEXTILE FABRIC, TYPE V
840.00 SQYD
1.65
1,386.00
1,386.00
17
HAUL AWAY EXCESS RECLAIMED MATERIAL TO CITY GRAVEL
1,500.00 CU YD
18.81
28,215.00
1,200.00
22,572.00
1,200.00
22,572.00
22,572.00
80%
5,643.00
18
TOLERANCE RECLAIM
16,680.00 SQYD
0.88
14,678.40
16,741.00
14,732.08
16,741.00
14,732.08
14,732.08
100%
(53.68)
19
AGGREGATE SHOULDERING
660.00 TON
26.40
17,424.00
291.93
7,706.95
291.93
7,706.95
7,706.95
44%
9,717.05
20
AGGREGATE SURFACING, 3/4" MINUS LIMESTONE-
5.00 TON
44.00
220.00
17.69
778.36
17.69
778.36
778.36
354%
(558.36)
21
AGGREGATE SURFACING, 1/2" MINUS TRAP ROCK-
5.00 TON
44.00
220.00
5.03
221.32
5.03
221.32
221.32
101%
(1.32)
22
AGGREGATE SURFACING, CLASS S
10.00 TON
44.00
440.00
22.60
994.40
22.60
994.40
994.40
226%
(554.40)
23
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C)
1,510.00 TON
76.45
115,439.50
1,631.12
124,699.12
1,631.12
124,699.12
124,699.12
109%
(9,259.62)
24
TYPE SP 12.5 LOWER WEARING COURSE MIXTURE (3,C)
2,020.00 TON
75.24
151,984.80
2,009.21
151,172.96
2,009.21
151,172.96
151,172.961
99%
811.84
25
BITUMINOUS MATERIAL FOR TACK COAT
1,170.00 GAL
3.19
3,732.30
850.00
2,711.50
850.00
2,711.50
2,711.50
73%
1,020.80
26
TYPE SP 9.5 UPPER WEARING COURSE MIXTURE (3,C)-
60.00 SQYD
57.20
3,432.00
114.00
6,520.80
114.00
6,520.80
6,520.80
190%
(3,088.80)
27
BITUMINOUS FLUME
1.00 EACH
550.00
550.00
1.00
550.00
1.00
550.00
550.00
100%
28
SURMOUNTABLE CURB &GUTTER
160.00 LIN FT
45.65
7,304.00
153.00
6,984.45
153.00
6,964.45
6,984.45
96%
319.55
29
12 -CMP, CULVERT (DRIVEWAY)
44.00 UN FT
48.40
2,129.60
44.00
2,129.60
44.00
2,129.60
2,129.60
100%
30
12 -CMP, APRON(DRIVEWAY)
2.00 EACH
550.00
1,100.00
4.00
2,200.00
4.00
2,200.00
2,200.00
200%
(1,100.00)
31
15" RC PIPE (CLASS 5)
86.00 1 UN FT
52.80
4,540.80
86.00
4,540.80
86.00
4,540.80
4,540.80
SDD%
32
15"RC PIPE APRON (CLASS S)
3.00 EACH
1,100.00
3,300.00
3.00
3,300.00
3.00
3,300.00
3,300.00
100%
33
24" RC PIPE, CULVERT (CLASS 3)
40.00 LIN FT
99.00
3,960.00
40.00
3,960.00
40.00
3,960.00
3,960.00
100%
34
24" RC PIPE APRON (CLASS 3)
2.00 EACH
1,705.00
3,410.00
2.00
3,410.00
2.00
3,410.00
3,410.00
100%
35
27' DIA STORM SEWER CATCH BASIN AND SALVAGED
1.00 EACH
1,980.00
1,980.00
1.00
1,980.00
1.00
1,980.00
1,980.00
100%
36
INLET PROTECTION
1.00 EACH
200.00
200.00
1.00
200.00
IAO
200.00
200.00
100%
37
CULVERT END PROTECTION
14.00 EACH
126.50
1,771.00
14.00
1,771.00
14.00
1,771.00
1,771.00
100%
38
BIOLOG
400.00 LIN FT
3.85
1,540.00
560.001
2,156.00
560.00
2,156.00
2,156.00
140%
(616.00)
39
TOPSOIL13ORROW
30.00 CU YD
55.00
1,650.00
174.00
9,570.00
174.00
9,570.00
9,570.00
580%
(7,920.00)
40
TURF RESTORATION, SEED MIX 35-241 AND BLANKET
1,200.00 SQYD
4.40
5,280.00
1,200.00
5,280.00
1,200.00
5,280.00
5,280.00
100%
41
TURF RESTORATION, SEED MIX 25.151 AND BLANKET
100.00 SQYD
4.40
440.00
100.00
440.00
100.00
440.00
440.00
100%
42
4" DOUBLE YELLOW LINE, MULTI COMP
2,140.00 UN FT
1.44
3,081.60
2,140.00
3,081.60
3,081.60
100%
43
SIGN PANELS, TYPE C
18.75 SQ FT
71.50
1,340.63
12.50
893.75
893.75
67%
446.88
TDTAL BASE BID
446,615.13
441,395.90
446,762.75
446,762.75
100%
(147.62)
ALTERNATE L•
44
COMMON EXCAVATION
10.00 CU YD
38.50
385.00
10.00
385.00
10.00
385.00
385.00
100%
45
CONSTRUCT DRAINAGE STRUCTURE, DESIGN 48-4020
1.00 EACH
3,300.00
3,300.00
1.00
3,300.00
1.00
3,300.00
3,300.00
100%11
FJCDC C-620 Contractor's Application for Payment
Unit Price (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. 1 of 2
Progress Estimate - Unit Price Work
Cnntrartnr'c Cnnliratinn fnr Cl
Owner:
Engineer:
Contractor:
Project:
Contract:
Cityof Scandia
Balton & Menk, Inc.
AsphaltSurface Technologies Corporation a/k/a ASTECH Corp.
2022 Street Improvement Project
Owner's Project No.:
Engineer's Project No.:
Agency's Project No.:
0141.124723
Application No.: 4 Application Period:
From 10/01/22
to
11/30/22
Application Date:
11/30/22
A
t- B
C D
E
F
F1
F2
G
H
1
J
K
L
Bid Item
No.
`-`
Description
Contract Information
Value
Unit Price
Item Quantity Units ($)
of Bid Item
(C X E)
(S)
Previous
Quantity Previous
Estimate
Estimate
Value Previous
Estimate
Work Completed
Estimated Value of Work
Quantity Completed to Date
Incorporated in (E X G)
the Work ($)
Materials Currently
Stored (not in 6)
($)
Work
Completed %of
and Materials Value of
Stored to Date Item Balance
(H + 1) (1 / F)
($) (%)
to Finish
(F - J)
($)
46
GEOTEXTILE FILTER, TYPE IV
45.00 SQYD
3.30
148.50
45.00
148.50
45.00
":48.50
148.50
100%
47
HAND -PLACED RIPRAP CL. II
18.00 CU YD
110.00
1,980.00
17.00
1,870.00
17.00
1,870.00
1,870.00
94%
110.00
48
IPERMANENT INLET PROTECTION
1.00 EACH
750.00
750.00
1.00
750.00
1.00
750.00
750.00
100%
49
SEDIMENTCONTROL LOG WOOD -TYPE
70.00 LIN FF
5.50
385.00
385.00
50
EROSION CONTROL BLANKET, CATEGORY 25
12.00 SQ YD
27,50
330.00
330.00
TOTAL ALTERNATE I
7,278.50
6,453.50
6,453.50
6AS3.50
494%
825.00
TOTAL BASE BID+ALTERNATE 1 $
453,893.63
$ 447,849.40
$ 453,216.25
$
$ 453,216.25
89% $
677.38
EJCDC C-620 Contractor's Application for Payment
Unit Price (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. 2 of 2