4.3 SR 06-20-2023Request for Action
To Item Number
Ma Tor and CinT Council 4.3
Agenda Section Meeting Date Prepared by
Consent June 20, 2023 Ryan Sandhoefner, Engineer 1
Item Description Reviewed by
Payr Estimates ustin Femrite P.E., Public WoYks Director
Reviewed by
Cal Portner, Ci r Administrator
Action Requested
Approve, byT motion, the pay estimates detailed below.
Background/Discussion
The following pay estimates have been reviewed and found to be accurate and in accordance with approved
contracts.
Financial Impact
Pro'ect Pa Estimate # Contractor Amount
Citv Hall Reroof 2— Partial Pa1meY West Construction $296,987.10
2023 Street Improvements 1— PaYtial NoYth Vallev Inc. $1,624,782.65
Mission/Policy/Goal
OpportunityT to live, `vork, and p1ayT.
Attachments
Pay Estimate 2— Pa1meY West Construction
Pay Estimate 11 — EbeYt Construction
The Elk River Vision
A 2a�elcolning co�nlnunity 2a�ith T evolutiona� y and spizzted T esou� cefulness, exceptional
se�vice, and coln�nunity engagelnent that encou�ages and ins�iz•es pTo�pe�zty.
rowEREo ar
�I'1 ����
Up�iited.• August 2020
���/� T �
� ��� 1 Document G702� - � 992
Application and Certificate for Payment
TO OWNER: City of Elk River PROJECT:
] 3065 Orono Parkway
Elk River, MIV 55330
FROM Palrner West Construction Company, VIA
CONTRACTOR: Inc. ARCHITECT:
14595 James Road
Rogers, MN 55374
�Ik River City HatI Reroof
13065 Orono Parkway
E1k River, MN 55330
CCINTRACTOR'S APPLICATION FOR PAYMENT
Application is made for paytnent, as shown below, in connection with the Contract.
AIA Duoumenl G7Q3�, CuutinuaLii�n Slieet, i� aLLaclieil.
1. ORIGINAL CONTRAGT SUM ...............................................................
2. NET CHANGE BY CHANGE ORDERS .......................�........................
3. CONTRACT SUM TO DATE (Line 1 t 2) ...........................................
4. TOTAL COMPLETED & STORED TO DATE (Column G on G703)
5. RETAINAGE:
a. S.OQ % of Completed Work
$853,IQ0.00
$0.00
$853,100.00
$685,741.00
(Column D + E on G703) $34,287,05
b. 0 % of Stored Material
(Column F oo G7�3)
Total Retainage (L'mes Sa+Sb or Total in Colu�n I of G703)
8. TOTAL EARNED LESS RETAINAGE .....................
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT
(Line 6 from prior Certificate)
8. CURRENT PAYMENT DUE ................................
9. BALANCE TO FtNISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
Cod e: 292-4-1600-4530
� vv��
APPLICATION N0: 002 Distribution to:
PERIQD T0: May 31, 2023 OWNER: ❑
CONTRACT FOR: Roofng ARCHITECT: ❑
CONTRAC7 DATE: January 17, 2023 �pNTRACTOR; ❑
PROJECT NOS: / 23-103 /
FIELD: ❑
OTHER:�
Thc undersigned Contractor certifies that to the best of the Contractor's knowledge,
inforniation and heiief the Work covered by this Applicatian for Payment has been
completed in accordance with the Contract Documents, that all amounts have been paifl
by the Contractor for Work for which previous Certificates for Payment were issued and
payments received from the Owner, and that current payment shown herein is now due.
CONTRAC R•
By: � Date: May 23, 2023
State of: M
County of: Hannepin
Subscribed and sw m to before ��� RENEE WRIGHT
me this �? 3` `day of �Y�s¢c.� ,.��'J �"�;=, Notary Public
`��'��= Mknnesota
:� +1�.t .s�=
$o.00 NotaryPubl��`- ��'F��u.-�.•• NfyCGmmissionE�p�resJanuary31,2024
•,....,,..,
........ $34,287.05 My Commission expires: p� � g���i��
......... $6s�,453.95 ARCHITECT'S CERTIFIGATE FOR PAYMENT
In accordance with the Contract Dacuments, based on on-site observations and the data
....,.... �354,466.85 comprising this application, the Architect certifies to the �wner that to the best of the
Architect's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Coutractor is
� 1 d f h A T CERTIFIED
.. �296,987.] p'�ntrt e to payment o t e MOLTN .
AMOUNTCERTIPIE� ...................a.................................................................. �296,487.1fl
$201,64bA5 (Rttack explanarion if amount cert�ed ddffers from the amount applied. Initia! a!1 fig�ires ora this
Applicatian artd on ahe Contirt�ation Sheet that are changed to conform with the amount certified.)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHETECT:
Total chan�es approved in previous months by Owner $0.00 S0.00 $y: Date�
Total approved this Month $0.00 50.00
TO'TALS $0.00 50.06 This Certifacate is not negotiable. The AMOUlVT CBRTIFIflD is payable only to the Contractor
named herein. issuance, payment and acceptance of payment are without prejudice to any rights of
� E'C CHANCsES b Chan e Order $0.00 the Owner or Co�ttactoi uhdei' this Contract.
AIA Document G702 — 1992. Copyright OO 1953, 1363, 1965, 7979, 1978, 1983 antl 1992. All rigAts reservetl. "The American Institute oi Architects," "American InstiWFe of Architects," "AIA," the AIA Logo, and "AIA
Contract DoCumeRts° afe t�ademafks of The American InstiWte of Architects. This document was produced at 15:�6:07 CT on 05/23/2023 under Order No.3'104237269 which expires on 08/2 012 0 2 3, is not for resale,
is licensed for one-time use only, and may only be used in accordance with the AIA Contrac[ Documents'B Terms of Service. To report copyright violations, e-mail docinfo@aiaconhacts.com.
User Notes: (3B9ADA50)
���r� T �
R ��J lA Document G703° -1992
Con#inuation Sheef
AlA Document U702�, Applicatlon and Certification Y`or Payment, or U732TM, APPLICATION N0:
Applicatiun and Certificate Cor Payment, C�nstruction Manager ds Adviser Edition, APPLICATION DATE:
containing Contractor's signed certification is attached. PERIOD T0:
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0:
A B C D � F G
WORKCOMPLETED �,qTERIALS TOTAL
ITEM DESCRTPTION OF SCHEDULED ���M PRESENTLY COMPLETED AND %
NO. WORK VALUE PREVIOUS THIS PERIOD STORED STORED TO DATE (G-C)
APPLICATION {NOT IN D OR E) (D + E+ F)
D+E
001 Roofan Labor 342,230.00 34,223.00 205,338.0� 0.00 239,561.00 70.pi
002 Roofin Maf7 338,900.06 338,900.00 0.00 0.00 338,900.00 100.01
003 Sheet Metal MaYI 75200.00 0.00 75200.00 0.00 75200.00 IOO.Oi
005
Lighlning
16,570.
o.
0.00
o.ao
o.00
o.00
o.00
o.00
o.00
o.00
0
0
0
0
0
0
0
0
0
TOTAL
o.00
o.ao
0.00
741.00
o.00
o.00
May 23, 2023
YIay 31, 2023
Z3-103 Palmer West Construction
H I
BALANCE TO RETAINAGE
FINISH (IF VARIABLE
(C - G) RATE)
102.669.00 11.978.05
[�
o.00
o.—oo
o.00
o.00
o.00
o.oa
$167
AIA Document G703 — 1992. CopyrighE OO 19fi3, 1965, 7966, '1967,1970, 1978, 1983 and'1992. All rights reserved. "The American InstituEe of Archilects;' "American Institute of Arohitects," "AIA," the AIA Logo, and
"AIA Contraet Documents" are trademarks of The American Institute of Architects. This document was producetl at 15:13:56 CT on 05123/2023 under Order No.3104237269 which expires on 0 812 0202 3, is not for �
resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents� Terms vf Service. To repart copyrighi violatians, e-mail docinfv@aiacontracts.com.
User NoSes: (3B9ADAB6)
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: Bolton & Menk, Inc. Engineer's Project No.: OR1.128082
Contractor: North Valley Inc. Agency's Project No.:
Project: 2023 Street Improvements Project
Contract:
Application No.: 1 Application Date: 6/1/2023
Application Period: From 5/1i2023 to 5/31/2023
1. Original Contract Price $ 5,433,358J1
2. Net change by Change Orders $ -
3. Current Contract Price (Line 1+ Line 2j $ 5,433,358J1
4. Total Work completed and materials stored to date
{Sum of Column G Lump Sum Total and Column J Unit Price Total) $ 1,71Q297.53
5. Retainage
a. 5% X$ 1,71Q297,53 Work Completed $ 85,514.88
b. X $ - Stored Materials $ -
c. Total Retainage (Line 5.a + Line 5.b) $ $5,514.88
6. Amount eligible to date (line 4- Line 5.c) $ 1,624,782.65
7. Less previous payments
8. Amount due this application $ 1,624,782.65
9. Balance to finish, including retainage (Line 3- Line 4) $ 3,723,061.18
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 Applitation for Payment is in accordance with the Contract Dotuments and is not defective.
Contractor: North Valley inc.
Signature: Date: June 6, 2023
Name: Timothy P. Erickson Tisie: Secretary/Treasurer
Recommended by Engineer Approved by Owner
By: °A°""'jt�� By: �l�%J'LLG�
Name: Jason W. Cook, PE Name: Justin Femrite
Title: Project Manager Title: Chlef
Date: 6/1/2023 Date: 6-6-23
Code: 401-4-8080-4530
EJCDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professionai Engineers for EJCDC. All rights reserved.
Estimate - Unit Price Work
Applica[ion Period: From OS/O1/23 [o OS/31/23 Applica[ion Da[e: 06/O1/23
C D E F F3 F2 G H I 1 K
Conhactlnformation PreviousEstimate WorkCompleted
Owner: CiryofElkRiver Owner'sProjec[No.:
Engineer: Bolton&Menk,lnc. Engineer'sProjec[No.: OR1128082
Con[rac[or: Nor[hValleYlnc. Con[racror'sProjec[No.:
Project 20235treetlmprovemenlsProject AgencYSProjec[No.:
Con[rac[:
Applica[ion No.: 1
A B
Bid Item
No. Descrip[ion
1 MOBILIZATION
2 CLEARING
3 GRUBBING
4 REMOVESTRUCTURE
5 REMOVEHYDRANT
6 REMOVESIGN
� REMOVE CONCRETE CURB & GUTTER
g REMOVEBITUMINOUSNRB
9 REMOVEPIPESEWERS
'm
m
m
�
Contractor's Application for
WorkComplered %of
Estimated ValueofWork andMaterials Valueof
ValueofBidltem Quantiry CompletedtoDate MaterialsCurrentlYStored StoredtoDate Item
Uni[Price (CXE) Quan[i[YPrevious ValuePrevious Incorpora[edin (EXG) (no[inG) (X+I) (1/F)
Item Quantiry Units ($) ($) Estimate Estimate the Work ($) ($) ($) (%)
Orieinal Con[rac[
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✓AGE 5 RESTORE IRRIGATION SYSTEM
N ISH AND INSTALL SPRINKLER HEAD
✓AGE & REINSTALL MEDIAN DELIN IATORS
✓AGE & REINSTALL SIGN
✓AGE & REINSTALLFENCE
✓AGE & REINSTALL GATE
rIMON EXCAVATION (CV) (P)
GRADE EXCAVATION (EV)
ID EXCAVATION (EV)
LORATORY EXUVATION
_C7 GRANUTAR BORROW (CV)
✓AGED AGGREGATE FROM STOCKPILE (CV) (P)
iREGATE SURFAONG (CV) QA55 2
IDOM RIPRAP M55 IV
L DEPTH REMMAT ION (10")
1MINOUS PATCH SPEOAL (DRIVEWAY/TRAIL)
1MINOUS PATCH SPEOAL (STREET)
L BITUM INOUS SURFACE (TAPER 1.25" - 0")
L BITUMINOUS SURFACE (1.5")
- SP 9.5 W EARING COURSE M IXTURE (2,C)
- SP 125 NON WEARING COURSE MIXTURE (2,C)
ICRETE FLUME
RC PIPE APRON ( W ITH TRASH GUARD)
RC PIPE SE W ER M55 V
RC PIPE SE W ER M55 V
RC PIPE SE W ER M55 V
RC PIPE SE W ER M55 V
KHEAD STORM PIPE
INECT TO EXISTING STORM SEWER
& ABANDON PIPE
ITARY SE W ER SERVICE REPAIR
ITARY SE WER SERVICE REPAIR (ROOT DAMAGE)
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EJCDC C£20 Contacror's Application for PaYm ent
UnitPnce (c)2018National5ocieryofProfessionalEngineersforFJCDC Alingh6reserved. 1 of2
Progress Estimate - Unit Price Work Contractor's Application for Payment
Owner: CiryofElkRiver Owner'sProjec[No.:
Engineer: Bolton&Menk,lnc. Engineer'sProjec[No.: OR1128082
Con[rac[or: Nor[hValleYlnc. Con[racror'sProjec[No.:
Project 20235treetlmprovemenlsProject AgencYSProjec[No.:
Con[rac[:
Applica[ion No.: 1 Applica[ion Period: From OS/Ol/23 [o OS/31/23 Applica[ion Da[e: 06/O3/23
A B C D E F F3 F2 G H I 1 K
Conhactlnformation PreviousEstimate WorkCompleted
WorkComplered %of
Estimated ValueofWork andMaterials Valueof
ValueofBidltem Quantiry CompletedtoDate MaterialsCurrentlYStored StoredtoDate Item
Bidl[em Uni[Price (CXE) Quan[i[YPrevious ValuePrevious Incorpora[edin (EXG) (no[inG) (X+I) (1/F)
No. Descrip[ion I[em Quan[iN Uni[s ($1 ($1 Es[ima[e Es[ima[e [he Work ($1 ($1 ($1 (%1
TO EXISTING WATERMAIN
I RIf� 111 i I:i�] 0[� 4T]
DRAINAGE STRUC7URE DESIGN 48-4020
DRAINAGE STRUC7URE DESIGN 48-4022
DRAINAGE SKIMMER STRUCTURE (]2")
WALK
RETE NRB 5 GUTTER DESIGN B618
RETE NRB & GUTTER DESIGN SPECI
�NCRETE VALLEY GUTTER
CATED DOMES
�IINOUS NRB
�ATE MAILBOX
=1C CONTROL
PANELS TYPE C
]8
]9 SILTFENCE,TYPEMS
80 SEDIMEMCONTROLLOGTYPEWOODCHIP
81 COMMONTOPSOILBORROW(LV)
82 FERTILIZERTYPE3
83 SEEDING
84 SEEDMIXTURE25-151
85 SEEDMIXTURE35-641
86 HYDRAULICBONDEDFIBERMATRIX
g� lANDSCAPINGMULCH
gg 24"SOLIDLINEMULTI-COMPONENT(WHITE)
89 CROSSWALKMULTI-COMPONENT(WHITE)
9f1 PAVEMENT MESSAGE MULTI-COMPONENT
23.00 EACH
]]8.00 LIN FT
1]0.00 LIN FT
045.00 N YD
963.00 POUND
2.90 ACRE
]54.00 POUND
6.00 POUND
623.00 POUND
5.00 N YD
6].00 LIN FT
6]8.00 50 FT
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