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4.3. SR 06-20-2016City of Elk — River Request for Action To Item Number Mayor and City Council 4.3 Agenda Section Meeting Date Prepared by ConsentJune 20, 2016 Justin Femrite P.E., City Engineer Item Description Reviewed by Pay Estimates Lori Ziemer, Finance Director Reviewed by Cal Portner City Administrator Action Requested Approve, by motion, the pay estimates as detailed below Background/Discussion The following pay estimates have been reviewed and found to be accurate and in accordance with the approved contract. Financial Impact PROJECT WNWF Improvements Eastern Area Trail and Mobility Attachments ■ Pay Estimates PAY EST. # CONTRACTOR 19 Rice Lake Construction Group 1 US Sitework AMOUNT $224,529.99 $207,243.93 P a w E A E U a r NaA f RE] • BCS L_TCN & M r-= N K Consulting Engineers & Surveyors " 12224 Nicollet Avenue • Burnsville, MN 55337 Phone (952) 890-0509 • Fax (952) 890-8065 www.bolton-menk.com June 7, 2016 Mr. Justin Femrite, P.E. City Engineer City of Elk River 13065 Orono Parkway Elk River, MN 55330 RE: Elk River WWTF WWTF Improvements Project Project No.: T21.106811 Dear Justin: NG® Please find enclosed Pay Application No. 19 for the above referenced project. I have reviewed the Pay Application and find it to be complete and in order. I recommend that payment be made in the amount shown. If you agree, please sign and return one signed copy to the Contractor with payment and one to me for our files. If you have any questions on the above, please call. Sincerely, BOLTON & MENK, INC. -e---A 7 Seth A. Peterson, P.E. Project Manager Ce: Tej Bala, Bolton & Menk, Inc. Enclosures GAE1k River\121.106811_Ramsey\8_ Construction Phase\Pay Requests\Pay app 19\Femrite pay app 19.docx DESIGNING FOR A BETTER TOMORROW Bolton & Menk is an equal opportunity employer Contractor's Application For Payment No. 19 is approved by: Approved by: (Finance Director) Funding Agency (if applicable) EJCDC No. C-620 (2002 Edition) Prepared by the Engineers' Joint Contract Documents Committee and mclorxd by the Associated General Contractan of America and the Construction Specifications rnstifisO. (Date) (Date) Application Period To: 5/31/2016 Application Date: 5/31/2016 To (Owner): City of Elk River From (Contractor): Rice Lake Construction Group Via (Engineer): Balton & Menk, Inc. Project: Wastewater Treatment Facility Improvements 2014 Contract: All Construction Owner's Contract No.: Contractor's Project No.: 1422 Application for Payment Change Order Summary Approved Change Orders 1. ORIGINAL CONTRACT PRICE $16,525,200.00 Number Additions Deductions 2. Net change by Change Orders $259,991.59 1 $ 259,991.59 3. CURRENT CONTRACT PRICE (Line 1 t 2) $16,785,191.59 4. TOTAL COMPLETED AND STORED TO DATE (Column F on Progress Estimate) $13,899,995.83 5. RETAINAGE: a. 5% x $13,899,995.63 Work Completed $694,999.79 b. 5% x $0.00 Stored Materials $0.00 c. Total Retainage (Line 5a + Line 5b) $694,999.79 S. AMOUNT ELIGIBLE TO DATE (Line 4 - Line 5c) $13,204,996.04 7. LESS PREVIOUS PAYMENTS (Line 6 from prior Application) $12,980,466.05 TOTALS $259,991.59 $0.00 8• AMOUNT DUE THIS APPLICATION $224,529.99 8. BALANCE TO FINISH, PLUS RETAINAGE NET CHANGE BY (Column G on Progress Estimate+ Line 5 above) $3,580,195.55 CHANGE ORDERS $259,999.59 Contractor's Certification The undersigned Contractor certifies that (1) all previous progress Payment of: $224,529.99 payments received from Owner on account of Work done under the (Line 8 or other - attach explanation of other amount) Contract have been applied on account to discharge Contractor's legitimate obligations incurred in connection with Work covered by prior Applications for Payment; (2) title of ail Work, materials and equipment is recommended by: l tulle 7, 2016 incorporated in said Work or otherwise listed in or covered b this 7y Application for Payment will pass to Owner at time of payment free and (Eingineer) (Date) dear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to Owner indemnifying Owner against any $224, 529.99 such Liens, security interest or encumbrances); and (3) all Work Covered Payment of: by this Application for Payment is in accordance with the Contract (Line 8 or other - attach explanation of other amount) Documents and is not defective, is approved by: Approved by: (Finance Director) Funding Agency (if applicable) EJCDC No. C-620 (2002 Edition) Prepared by the Engineers' Joint Contract Documents Committee and mclorxd by the Associated General Contractan of America and the Construction Specifications rnstifisO. (Date) (Date) Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Coniractor: Rice Lake Construction Group Enaineer: Bolton & Menk, Inc. Application Number 19 Date of application 6131/2016 Work completed through: 513112016 Pay Item Number Item Description B Scheduled Value C From Previous Application (C+D) D E Total Completed This Period Materials Presently and Stored to Date Stared (not in Col D) (C + D + E) % (� Balance to Finish 01001 Performance Bond $230,186.00 $230,186.00 5230,186.00 100.00 $0.00 01002 Insurance $161,171.00 $161,171.00 $161,171.00 100.00 $0.00 01003 01004 Mobilization Demobilization $635,41B.001 $30,000.00 $635,418.00 $0.00 $635,418,00 $0.00 100-001 0,001 $0.00 $30,000.00 01005 Project Allowances $540,367.04 $0.00 $0.00 0.00 $540,367.04 01005.1 01005.2 Submittal Exchange Building Permit $9,795.00 $29,530.04 $9,795.00 $29,530,04 $9,795.00 $29,530.04 100,00 1$0.00 100.00 $0,00 01005.3 Lift Station SCADA System Allowance $230,000.00 $242,268.59 $242,268.59 105.33 ($12,288.59) 01005.4 COP#01 - Automatic Door Operators $5,963.20 $5,963.20 $5,963.20 100.00 $0.00 01005.5 COP#02 - Overflow for Biosclids Holding Tank $2,787.42 $2,787.42 $2,787.42 100.00 $0.00 01005.6 COP403 - Additional Window in Door 1126 $323.84 $323.84 $323.84 100.00 $0.00 01005.7 COP#04 - Delay Costs IN C01 BELOW 01005.8 COP905 - Revised Plans $49,5109.90 $0.00 $15,204.99 $15,204.99 30.71 $34,304.91 01005.9 01005.10 COP#06 - Black Material COP#07 - Slide Gate 16 $106,703.90 $5,361.91 $106,703.90 $5,361.91 $106,703.90 $5,361.91 100.00 100.00 $0.00 $0.00 01005.11 COP#08 - Aeration Basin Sumps $10,693.54 $10,693.54 $10,693.54 100.00 $0.00 01005.12 COP409 - Biosolids OH Doors $37,350.46 $37,350.46 $37,350.46 100.00 $0.00 01005.13 01005.14 OOP#10- Aeration Pipe Drop Legs OOP#11 - Viton Gaskets ($3,500,80) $11,424.54 ($3,500.80) $11,424.54 ($3,500.80) $11,424.54 100.00 100.00 $0.00 $0.130 01005.15 01005.16 COP#12 - Supernatant MH Vent COP#13 - Disinfection Channel Gate $3,686.92 ($1,500.00) $3,686.92 ($1,500.00) $3,686.92 ($1,500.00) 100.00 100.00 $0.00 $0.00 01005.17 01005.18 01005.19 01005.20 01005.21 01005.22 COP#14 - Washer/Dryer Hookups COP#15 - Dumpster Rails COP#16 - Retaining Wali COP#17 - Additional Hydrant & Paving COP#18 - Meter Manhole COP#19 - LS Stairs $3,515.73 $20,796.71 $10,236.72 $10,437.29 $17,695-94 ($9,420.00) $0.00 $20,796.71 $10,236.72 $0.00 $17,695.94 ($9,420.00) $0.00 $20,796.71 $10,236.72 $0,00 $17,695.94 ($9,42000) 0.00 100.00 0.00 0.00 100.00 100.00 $3,515.73 $0.010 $0.00 $10,437,29 $0.00 $0.00 01005.23 COP#20 - Yard Hydrants $6,169.00 $6,169.00 $6,169.00 100.00 $0.00 01005.24 CDP#21 - Seal Fail Modules $5,125.94 $5,125.94 $5,125-94 100.00 $0.00 01005.25 COP#22-Sand Filter Roof $1,802.00 $1,802.00 $1,802.00 100.00 $0.00 01005.26 COP#23-Aeration Basin Lights $4,167.00 $4,167.00 $4,167.00 100.00 $0.00 0100527 COP#24 - Lockers $0.00 $0.00 $0.00 #DIV101 $0.00 01005.28 OP#25 - Parapet at RASIWAS Bldg $861.00 $861.00 $861.00 100.00 $0.00 01005.29 COP#26 - Field Order 19 $4,996.90 $4,996.90 $4,996.90 100.00 $0.00 Page 2 of 7 Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Contractor: Rice Lake Construction Group Engineer: Bolton & Menk, Inc. Application Number 19 Date of application 613112016 Work completed through: 5/31/2016 Pay Item Number Item Description B Scheduled Va$ue C From Previous Application (C+D) D E This Period Materials Presently Stored (not in Col D) Total Completed and Stored to Date (C + D + E) % (E) Balance to Finish 01005.30 COP427 - Field Order 20 $5,255.62 $5,255,62 $5,255.62 100.00 $0.00 01005.31 COP428 - Field Order 22 $11,637.96 $11,637.96 $11,637.96 100.00 $0.00 01005.32 JCOP#29 - Field Order 23 $10,217.14 $10,217.14 $10,217.14 100.001$0.00 01005.33 COP#30 - Field Order 26 $22,043.01 $22,043.01 $22,043.01 100.00 $0-00 01005.34 COP#31 - Field Order 25 $3,538.55 $0.00 0.00 $3,538.55 01005.35 COP932- Field Order 18 $4,187.88 $4,187.88 $4,187.86 100.00 $0.00 01005,36 COP433 - Trickling Filter Disposal Costs $0.00 #DIV10! $0-00 01005.37 COP#34 - Field Order 24 $17,91833 $0.00 0,00 $17,918.33 01005,38 COP#35-Additional Demo $6,175.22 $6,175.22 $6,175.22 100.00 $0.00 01005.39 COP#36 - Reaction Tank Drains $1,645.15 $1,645,15 $1,645.15 100.00 $0.00 01005.40 COP#37 - Retaining Wall Credit -$1,000.00 $0.00 0.00 ($1,000.00) 02060 Demolition of Existing Facilltles/Pavement 02060.1 Main Building $40,000,00 $40,000.00 $40,000.00 100.00 $0.00 02060.2 Blower Building $15,000-00 $15,000.00 $15,000.00 100.00 $0-00 02060,3 Aeration Tank $20,000.00 $20,000.00 $20,000-00 100-00 $0.00 02060.4 Trickling Filters & Pump Station $45,000.00 $27,500.00 $17,500.00 $45,000.00 100.00 $0-00 02060.5 Final Clarifier Sludge Wet Well $10,000.00 $10,000,00 $10,000.00 100,00 $0.00 02060.6 Pavement $10,510.00 $10,510.00 $10,510,00 100.00 $0.00 02140 Bypass Pumping $75,000.00 $75,000,00 $75,000.00 100.00 $0.00 02220 Earthwork 02220.1 New Aeration Basins $355,815.00 $355,815.00 $355,815.00 100,00 $0-00 022202 New Proposed Aerated Biosolids Control Bldg 2 $65,000.00 $65,000.00 $65,000.00 100.00 $0.00 02220.3 New RASlWAS Building $58,000.00 $58,000.00 $58,000.00 100,00 $0.00 02220.4 New Operations Building $85,000.00 $0.00 $0.00 0.00 $65,000.00 02650 Site Piping 02550.1 -Purchase $690,000.00 $679,500.00 $679,500.00 98.48 $10,500,00 02550.2 -Install $426,947.00 $387,500.00 $20,000.00 $407,500.00 95.45 $19,447,00 02600 Bituminous PavementfClass 6/Sidewalks $149,490.00 $5,000.00 $5,00000 3.34 $144,490,00 02830 Chain Link Fence & Gates $18,890.00 $10,000.00 $10,000.00 52-94 $8,890,00 02836 Retaining Walls $25,000,00 $0.00 $0.00 0.00 $25,000.00 02920 Seeding/Landscaping $16,000.00 $0.00 $0.00 0.00 $16,000.00 03200 Concrete Reinforcement 03200.1 -Purchase $661,997.00 $635,000.00 $635,000.00 95.92 $26,997.00 032002 -Install $312,165.00 $300,488.00 $300,488.00 96.26 $11,677.00 Page 3 of 7 Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Contractor: Rice Lake Construction Group Engineer: Bolton & Menk, Inc. Application Number 19 Date of application 5!3112016 Work completed through: 513112016 Pay Item Number Item Description B Scheduled Value C From Previous Application (C+D) D E Total Completed This Period Materials Presently and Stared to Date Stored (not in Col D) (C + D + E) % (F) Balance to Finish 03300 Concrete Work 03300.1 -Aeration Basin $1,190,000.00 $1,190,000.00 $1,190,000.00 100.00 $0,00 03300.2 -RASIWAS Building $215,000.00 $215,000.00 $215,000.00 100.00 $0.00 03300.3 -Aerated Biosolids Control Bldg No. 2 $110,000.00 $110,000.00 $110,000-00 100.00 $0.00 03300.4 -Operations Building $148,000.00 $0.00 $0.00 0.00 $148,000.00 03300.5 -Generator & Transformer Pads $20,000,00 $20,000.00 $20,000.00 100.00 $0.00 03400 Precast Walls & Plank $1,062,500.00 $871,250.00 $871,250.00 82-00 $191,250.00 04810 Masonry $75,000.00 $75,000.00 $75,000.00 100.00 $0.00 05500 Misc. Metals 05500.1 -Purchase $200,000.00 $200,000.00 $200,000,00 100,00 $0.00 05500.2 -Install $95,000.00 $95,000.00 $95,000,00 100.00 $0.00 06100 Carpentry 06100.1 -Purchase $18,000.00 $15,000.00 $15,000.00 83.33 $3,000.00 06100.2 -Install $22,000.00 $16,000.00 $16,000.00 72.73 $6,000.00 07150 Dampproofrng $31,638.00 $31,638.00 $31,638.00 100.00 $0.00 07535 Roofing $235,078.00 $116,000.00 $118,000.00 50.20 $117,078.00 07900 Caulking $26,870.00 $17,500.00 $17,500.00 65.13 $9,370.00 08110 Doors & Frames 08110.1 -Purchase $57,780.00 $40,000.00 $40,000.00 69.23 $17,780.00 08110,2 -Install $35,000.00 $15,000.00 $15,000.00 42.86 $20,000.00 08360 Upward Acting Sectional Doors $36,600.00 $8,400.00 $8,400.00 22.95 $28,200.00 08500 Windows $25,000.00 $5,560.00 $5,560.00 22.24 $19,440.00 08800 Steel Studs/Gypsum $22,869.00 $3,500.00 $3,500.00 15.30 $19,369.00 09310 CeramielResilient Tile $30,000.00 $12,000.00 $12,000.00 40.00 $18,000.00 09610 Acoustical Ceiling $6,500.00 $0.00 $0.00 0.00 $6,500.00 09900 Painting $373,921.00 $314,500.00 $10,000.00 $324,500.00 86.78 $49,421.00 10110 Marker BoardslToilet Compartmentsfroilet Accessories 10110.1 -Purchase $8,000.00 $0.00 $0.00 0.00 $8,000.00 10110.2 -Install $3,000.00 $0.00 $0.00 0.00 $3,000.00 10250 Safety Devices 10250.1 -Purchase $10,000.00 $0.00 $0.00 0.00 $10,000.00 10250.2 -Install $3,500.00 $0.00 $0.00 0-00 $3,500-00 10505 Metal Lockers 10505.1 -Purchase $10,000.00 $0.00 $0.00 0,00 $10,000.00 Page 4 of 7 Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Contractor: Rice Lake Construction Group Engineer: Bolton & Menk, Inc. Application Number Date of application 513112016 Work completed through: 513112016 Pay Item Number Item Description B Scheduled Value C From Previous Application (C+D) D E This Period Materials Presently Stored (not in Col D) Total Completed and Stored to Date (C + D + E) % (F) Balance to Finish 10505.2 -Install $4,000-00 $0.00 $0.00 0-00 $4,DOO.00 11280 Hydraulic Gates 11280.1 -Purchase $50,000.00 $50,000.00 $50,000,00 100.001$0.00 11280.2 -Install $20,000.00 $20,000,00 $20,000.00 100100 $0.00 11311 Submersible Centrifugal Pumps 11311.1 -Purchase $276,668.00 $264,924.60 $264,924.60 95.00 $13,943.40 11311.2 -Install $25,000.00 $22,500.00 $22,500.00 90.00 $2,500.00 11345 Chlorination & Dechlorination Eq. 11345-1 -Purchase $330,000.00 $273,386.25 $40,113.75 $313,500.00 95.00 $16,500,00 11345.2 -Install $20,000.00 $0.00 $20,000.00 $20,000.00 100.00 $0.00 11351 Clarifier Equipment 11351.1 -Purchase $15,000.00 $13,507.74 $1,492.26 $15,000.00 100.00 $0.00 11351.2 -Install $12,000.00 $12,000.00 $12,000.00 100.00 $0.00 11366 Screw Press 11356.1 _Purchase $575,000.00 $575,000,00 $575,000.00 100.00 $0.00 11356.2 -Install $25,000,00 $25,000.00 $25,000.00 100.00 $0.00 11374 Fine Pore Aeration Equipment 11374.1 -Purchase $100,000.00 $100,000.60 $100,000.00 100.00 $0.00 11374.2 -Install $75,000.00 $50,000.00 $50,000.00 66.67 $25,000.00 11375 Blower System (PD wlEnclosure) 11375.1 -Purchase $180,000.00 $180,000.00 $180,000.00 100.00 $0.00 11375.2 -Install $30,000.00 $15,000,00 $15,000.00 50.00 $15,000.00 11376 Hybrid Blower System (Alt. No. 2) 11376.1 -Purchase $270,000.00 $270,000.00 $270,000.00 100,00 $0.00 113762 -install $25,000.00 $25,000.00 $25,000,00 100.00 $0.00 11385 Coarse Bubble Aerobic Digester Mixing System 11385.1 -Purchase $65,000.00 $61,750.00 $61,750.00 95.00 $3,250.00 11385.2 -Install $40,000.00 $25,000-00 $25,000.00 62.50 $15,000.00 11386 Rapid Mixers 11386.1 -Purchase $26,000.00 $24,700.00 $24,700.00 95.00 $1,300.00 11386.2 -Install $3,500.00 $3,500.00 $3,500.00 100-00 $0.00 11367 Submersible Mixers 11387.1 -Purchase $75,000.00 $71,250-00 $71,250.00 95.00 $3,750.00 11387.2 -Install $12,000,00 $8,500.00 $8,500.00 7083 $3,500,00 Page 5 of 7 Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Contractor: Rice Lake Construction Group Engineer Bolton & Monk, Inc. Application Number Date of application 613112016 Work Completed through: 613112016 Pay Item Number Item Description B Scheduled Value C From Previous Application (C+D) D E This Period Materials Presently Stored (not in Col D) Total Completed and Stored to Date (C + D + E) % U Balance to Finish 11636 Phosphorus Analyzer 11636.1 -Purchase $26,000.00 $16,500.00 $8,200.00 $24,700.00 95.00 $1,300-00 11636.2 -Install $5,000.00 $0.00 $5,000.00 $5,000,00 100,00 $0.00 12346 Casework/Lab Eq. $45,000.00 $4,000.00 $4,000.00 8.89 $41,000.00 13126 Circular Tank Covers 13126.1 -Purchase $292,837-00 $0.00 $0.00 0.00 $292,837.00 13126.2 -Install $75,00000 $0.00 $0.00 0.00 $75,000-00 14300 Hoists & Cranes 143001 -Purchase $40,000.00 $0,00 $0.00 0.00 $40,000.00 14300.2 -Install $12,000.00 $0.0o $0.00 0.00 $12,000.00 14500 Material Handling Equipment 14500.1 -Purchase $10,000.00 $0.00 $0.00 0.00 $10,000.00 14500.2 4nstall $2,500.00 $0.00 $Q.00 000 $2,500,00 14600 Conveyance Equipment 14600.1 -Purchase $135,000.00 $135,000.00 $135,000.00 100.00 $0.00 14600.2 -Install $22,250.00 $22,250.00 $22,250.00 100,00 $0.00 14621 Power Winch 14621.1 -Purchase $20,000.00 $20,000.00 $20,000-00 100.00 $0-00 14621.2 -Install $3,000.00 $3,000.00 $3,000.00 100.00 $0.00 15060 Process Piping 15060,1 -Purchase $650,000.00 $614,000.00 $614,000.00 94.46 $36,000.00 15060.2 -Install $200,000,00 $187,500.00 $187,500.00 93.75 $12,500.00 16100 Valves 15100.1 -Purchase $265,000.00 $265,000.00 $265,000.00 100.00 $0.00 15100.2 -Install $110,000.00 $93,000,00 $93,000.00 84.55 $17,000.00 16300 Fire Protection $45,000.00 $0.00 $0.00 0.00 $45,000.00 16400 Plumbing 15400.1 -Copper Piping 15400.1 .1 -Purchase $45,000.00 $36,250.00 $36,250.00 80.56 $8,750.co 15400.1.2 -Install $1o0,o00.00 $84,00000 $84,000,00 84,00 $16,000,00 15400.2 -Chemical Piping 15400.2 ,1 -Purchase $18,000.00 $12,000.00 $6,000.00 $18,000.00 100.00 $0,00 15400,2.2 -Install $22,000.00 $14,000.00 $8,000 00 $22,000-00 100.00 $0.00 15400.3 -Waste & Vent Piping Page 6 of 7 Project: Wastewater Treatment Facility Improvements 2014 Owner: City of Elk River Application Number 19 Contractor: Rice Lake Construction Group Date of application 5/3112016 Engineer: Bolton & Menk, Inc. Work completed through: 513112016 Pay Item Number item Description B Scheduled Value C From Previous Application (C+D) D This Period E Materials Presently Stored (not in Col D) Total Completed and Stored to Date (C + D + E) % (F) Balance to Finish 15400.3.1 -Purchase $30,000.00 $27,000.00 3327,000.00 90.00 $3,000.00 15400.3.2 -Install $62,000.00 $55,800.00 $55,800.00 90.00 $6,200.00 16480 JPackaged Compressed Air System 15480.1 -Purchase $5,000.00 $5,000.00 $5,000.00 100.00 $0.00 15480.2 -install $1,500.00 $1,500.00 $1,500.00 100.00 $0.00 16500 HVAC 15500.1 Equipment $286,200.00 $177,227.50 $177,227.50 61.92 $108,972.50 15500.2 Labor $169,020.00 $80,874.00 $80,874.00 47.85 $88,146.00 15500.3 Duct Insulation $24,780.00 $4,460.40 $4,460.40 18.00 $20,319,60 15500.4 Test & Balance $5,000.00 $0,00 $1,500-00 $1,500.00 30.00 $3,500.00 15950 HVAC Controls $67,400.00 $32,000.00 $32,000.00 47.48 $35,400.00 16000 Electrical 16000.1 General Provisions $55,000.00 $42,680.00 $2,600.00 $45,280.00 82.33 $9,720.00 16000,2 Basic Materials and Methods $265,000.00 $180,320.00 $4,900.00 $185,220.00 69.89 $79,780.00 16000.3 Motors $32,000.00 $22,865.00 $1,130,00 $23,995.00 74.98 $8,005.00 16000.4 Power Generation System $414,000.00 $414,000.00 $414,000.00 100.00 $0.00 16000.5 Electrical Distribution $385,000.00 $369,040.00 $369,040.00 95.85 $15,960.00 16000.6 Lighting $85,000.00 $45,450.00 $45,450.00 53.47 $39,550.00 16000.7 Special Systems $24,000.00 $9,960.00 $800.00 $10,760.00 44.83 $13,240.00 16000.8 Starters and MotorControi $330,000.00 $296,400.00 $13,600.00 $310,000.00 93.94 $20,000.00 16000.9 Instrumentation and Control $480,000.00 $418,550.00 $4,400.00 $422,950.00 88.11 $57,050.00 Change Order No. 1 $259,991.59 $259,991.59 $259,991.59 100.00 $0.00 $16,785,191.59 $13,663,648.47 $236,347.36 $om $13,899,995.83 82.81 $2,885,195.76 F,JCDC No. C-620 (2002 Edition) Prepared by the Engineers' Joint Contract Documents Committee and endorsed by the Associated General Contractors of America and the Construction Specifications institute. Page 7 of 7 CONTRACTOR'S PAY REQUEST DISTRIBUTION: EASTERN AREA TRAIL AND MOBILITY IMPROVEMENTS CONTRACTOR (1) CITY OF ELK RIVER OWNER (1) SP 204-090-003; MINN. PROJ. NO. TA 7115 (269) ENGINEER (1) BMI PROJECT NO. N15.108488 BONDING CO. (1) TOTAL AMOUNT BID PLUS APPROVED CHANGE ORDERS $529,645.30 TOTAL, COMPLETED WORK TO DATE $218,151.51 TOTAL, STORED MATERIALS TO DATE $0.00 DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED $0.00 TOTAL, COMPLETED WORK & STORED MATERIALS $218,151.51 RETAINED PERCENTAGE ( 5%) $10,907.58 TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) $0.00 NET AMOUNT DUE TO CONTRACTOR TO DATE $207,243.93 TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $0.00 PAY CONTRACTOR AS ESTIMATE NO. 1 $207,243.93 Certificate for Partial Payment I hereby certify that, to the best of my knowledge and belief, all items quantities and prices of work and material shown on this Estimate are correct and that all work has been performed in full accordance with the terms and conditions of the Contract for this project between the Owner and the undersigned Contractor, and as amended by any authorized changes, and that the foregoing is a true and correct statement of the contract amount for the period covered by this Estimate. Contractor: ZfRiver,_MN55330 ework 83rd Circle NW, Suite B Bya Name Title Date CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: ENGINEER: BOLTON & MENK, INC__ 7533 SUNWOOD DRIVE, SUITE 206, RAMSEY, MN 55303 41 By 41"r 17 ✓ , PROJECT MANAGER CODY HOLMES, P.E. 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