Item 3.4 Fire and Emergency Services Facility Project Pay Application 3
Request for
City Council Action
DEPARTMENT INFORMATION
ORIGINATING DEPARTMENT REQUESTOR: MEETING DATE:
Emergency Services Emergency Services Director Rausch March 24, 2025
PRESENTER(s) REVIEWED BY: ITEM #:
Consent
Kraus-Anderson
City Administrator/Finance Director Flaherty
3.4 – Pay Application for the
Emergency Services Facility
STRATEGIC VISION
MEETS: THE CITY OF OTSEGO:
Is a strong organization that is committed to leading the community through innovative communication.
Has proactively expanded infrastructure to responsibly provide core services.
X Is committed to delivery of quality emergency service responsive to community needs and expectations in a
cost-effective manner.
Is a social community with diverse housing, service options, and employment opportunities.
Is a distinctive, connected community known for its beauty and natural surroundings.
AGENDA ITEM DETAILS
RECOMMENDATION:
City staff is recommending City Council approval of Pay Application #3 for the Fire & Emergency Services Facility project.
ARE YOU SEEKING APPROVAL OF A CONTRACT? IS A PUBLIC HEARING REQUIRED?
No No
BACKGROUND/JUSTIFICATION:
The amounts requested for Pay Application #3 are consistent with the work progress to date, have been signed by each
respective contractor, and reviewed and signed by the City’s Architectural and Construction Management consultants.
There are 3 individual contractors included within Pay Application #3 for a total of $9,984.50:
• Tim’s Construction Group, LLC ($7,505.00)
• Grazzini Brothers and Company ($617.50)
• Masters Plumbing Heating & Cooling LLC ($1,862.00)
In accordance with Minnesota Statute, the City is withholding the maximum of 5% retainage of work completed, which
amounts to $6,419.90 at this time.
SUPPORTING DOCUMENTS ATTACHED:
• Pay Application #3
POSSIBLE MOTION
PLEASE WORD MOTION AS YOU WOULD LIKE IT TO APPEAR IN THE MINUTES:
Motion to approve Pay Application #3 in the amount of $9,984.50 for work completed on the Fire & Emergency Services
Facility project
BUDGET INFORMATION
FUNDING: BUDGETED:
Fund 446 – Fire & Emergency Services Facility Yes
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��:J-lll\. Document G732 ™ -2019
Application and Certificate for Payment, Construction Manager as Adviser Edition
TO OWNER:PROJECT:APPLICATION NO:1 DISTRIBUTION TO:
PERIOD TO:
FROM
CONTRACTOR:
VIA CONSTRUCTION CONTRACT DATE:
OWNER
CONSTRUCTION MANAGER
ARCHITECT
CONTRACTOR
FIELD OTHER
MANAGER: KRAUS-ANDERSON CONSTRUCTION PROJECT NOS:
CONTRACT FOR: VIA ARCHITECT: Wold Architects & Engineers
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is made for payment. us shown below. i 11 connection 1vith the Contract. AIA Document G7Q.FM, Continuation Sheet. is attached.
1. ORIGINAL CONTRACT SUM.
2.NET CHANGES IN THE WORK ..
3. CONTRACT SUM TO DATE (Line I ± 1J ...
. . . .
4. TOTAL COMPLETED AND STORED TO DATE fCo/1m111 (i 011 (i703J ....
5. RETAINAGE:
a.5 ••ot Completed Work
(C 0/1111111 D + E 011 G 703) S
b. 0 •• of Stored Material
(Coltm111 F 011 (j 703; s
Total Rctuinagc (Lines 5a + 5b. or Total i11 Co/1111111 / 011 G703).. ...
6. TOTAL EARNED LESS RETAINAGE................. ...... ..............
(l.ine -I 111 i1111 s Line 5 7iital}
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT ...
(l.ine 6 ji·om prior Certijicnte)
8. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(l.i11e 3 111 i11m l.i11e f,J
SUMMARY Of CHANGES IN THE WORK
Total chanites appro\'ed in pre,·ious months by Owner
Total appnwed this month. including Constmction Chaniie Directi,·es TOTALS NET CIIANGES IN THE WORK
·······•····•····"·-------
....�....
ADDITIONS DEDUCTIONS s $
s $ S s s
The undersigned Cont ractor certilies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Pa�·ment has been completed in accordance with the Contr;ict Documents, that all amounts ha,·e been paid b1· the Contractor for Work for which pre,·ious Certilicatcs for Payment were issued and paYments received from the Owner, and that current payment shown herein is now due .
Subsc,i bed and sworn to before
me this 7.J day of ·s 2. 0 2_3
Notary Public:
M,· Commission expires:
CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on ernluations of the Work and the data compris ing this application, the Construction Manager and Architect certifi, to the Owner that to the best of their knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance \I ith the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTlfIED
AMOUNT CERTIFIED ................................... . ........ $ -------------(.�lfnch e.,1,/mll1tio11 if a,11ow11 cerr!fied di.ffi.irs /nm, rite n1110111lf applied Initial all.fig11res 011 !his
App/icnlio11 mu/ 011 the C 011limwtio11 Sltt:1,1 that are changed to co11fom1 wilh lite a111011111 cerr/{ted;
CONSTRUCTION MANAGER:
Uate: By: _,.,. ........... -,....---------------------------------ARCHITECT: (/\'QT£: (f 111111!iple co!lfmclors are respo11siblefor pe,fommting portions of the
Project, tltc Archilec1'.s C ertiflcatio11 is 1101 req11ired)
By: ----------------------------------------------Date: -------------This Certificate is not negotiable. The AMOUNT CERT IFIED is payable only to the Contractor named herein. Issuance, pa�·ment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract.
AtA Document G732 "" -2019. Copyright«:> 1992, 2009, and 2019 by The American Institute of Architects. All rights reserved. WARNING r, ·, AIA 0, ,r 11t .,, r otec d 1,y U S r opyri<JM L ,., a ,d Int , 11 !1011�1 r, ... ati0s. Un;101t 11 Pd ri:>p ocfuct101 ;.1r 1st1 butio11 , , th◄s AIA Doc 1 11 nt or �ny p, ti• n of ,t, ma, 1 es ult in '5e· re d ,. l c rnnin,11 pi 1,,ttie� ;)1 d Wt hf' pro�i•cu•ed tc the 111; � irnut 1 t 1t pn 1t 11ndPr t' , ,1w. This document was created on 06I01 /2022 14.51 ·24 under the terms or AIA Documents on Demand® Ord er No 2114329591 . and •s not for resale. This document •s li censed by The American lnst•tLte of Architects ror on e-time use only and may not be reJl(oduced prior to •ts completion
City of Otsego13400 90th Street NEOtsego, MN 55330
City of Otsego New Fire Station
14499 75th Street NE
Otsego, MN 55330
140,000.00
140,000.00
395.00
7,505.00
Tim's Construction Group11025 255th Ave NW Zimmerman MN 55398
9 B Tile
2/25/2025
24th February 2025
7,900.00
3/3/2025
7,505.00
WS 09-B
132,495.00
0.00
395.00
7,505.00
0.00
MM
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
3/7/2025 | 12:37 PM CST
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
3/3/2025
617.50
650.00
32.50
32.50
617.50
617.50
MM
29,082.50
WS 09-H
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
3/7/2025 | 12:37 PM CST
0.00 0.00 0% 0.00
Changes to the
submittals line
was requested by
the PM.
900.00
32.50650.00 650.00 2.00%29,050.00
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
3/3/2025
1,862.00
WS 23-B
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
3/7/2025 | 12:37 PM CST
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927
Docusign Envelope ID: 043EFE2C-A864-4943-9082-2E8823591927