ITEM 3.4B Pay Request #3 Northwood Parkly
ot leF o
MINNESOTA V
DEPARTMENT INFORMATION
Request for
City Council Action
ORIGINATING DEPARTMENT:
REQUESTOR:
MEETING DATE:
Administration
Adam Flaherty, Finance Director
September 26, 2016
PRESENTER(s):
REVIEWED BY:
ITEM #:
Consent Agenda
City Administrator Johnson
3.413
AGENDA ITEM DETAILS
RECOMMENDATION:
It is recommended by staff that the City Council approve Pay Request #3 for the Northwood Park project
in the amount of $17,390.19 to G.L. Contracting, Inc.
ARE YOU SEEKING APPROVAL OF A CONTRACT?
IS A PUBLIC HEARING REQUIRED?
No
No
BACKGROUND/JUSTIFICATION:
The pay request includes work completed through August 31, 2016. The City is withholding a 5%
retainage of work completed ($18,540.34).
The pay request has been reviewed by Tim Wold with SRF Consulting Group, Inc. Tim has signed the
Architect's Certificate for Payment section of the pay request, and thereby is recommending payment to
the contractor.
SUPPORTING DOCUMENTS: ATTACHED NONE
• Pay Request No. 3
POSSIBLE MOTION
Please word motion as you would like it to appear in the minutes.
-Motion to approve Pay Request #3 for the Northwood Park project in the amount of $17,390.19 to G.L.
Contracting, Inc.
BUDGET INFORMATION
FUNDING: BUDGETED:
Park Development Fund Yes
203-45210-530
APPLICATION AND CERTIFICATE FOR PAYMENT
TO (OWNER): City of Otsego
8899 Nashua Avenue NE
Otsego MN 55330
PROnelf: Otsego Northwood Park
Otsego MN
CONTRACTOR'S APPLICATION FOR PAYMENT
FROM (CONTRACTOR): G.L. CONTRACTING INC.
4300 Willow Drive
Medina MN 55340 9701
CHANGE ORDER SUMMARY
Change Orders approved in
previous months by Owner
TOTAL:
ADDITIONS
-7,650.00
DEDUCTIONS
-6,857.25
Subsequent
Change Orders
Number
Date Approved
TOTALS:
7,550.00
6,857.25-
Net change by Change orders 692.75
The undersigned Contractor certifies that to the best of the
Contractor's knowledge,,information and belief the Work covered
by this Application for Payment has been completed in accordance
with the Contract Documents, that all amounts have been paid 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.
L, CONTBheTIVG INC.
By
Date:
ARCHITECT'S CERTIFICATE MR PAYMENT
In accordance with the Contract Documents, based on -site
observations and the data comprising the above application,
the Architect certifies to the Owner 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 Contractor
is entitled to payment of the AMOUNT CERTIFIED,
Page 1
DATE: 08/25/16
APPLICATION NO: A16652-3 (3)
PERIOD FROM: 07/01/16 TO: 0031/16
CONTRACT FOR .
CONTRACT DATE :
Distribution: OWNER
CONTRACTOR
Application is made for Payment, as shown below, in connection
with the Contract. Continuation sheet is enclosed,
1, ORIGINAL CONTRACT SUM ......................... 385,547.65
2. Net change by Change Orders ................... 692.75
3. CONTRACT SUM TO DATE (Line 1 + 2)............. 386,240.40
(column C)
4. TOTAL COMPLETED & STORED TO DATE .............. 370,806.10
(Column G)
5. LESS RETAINAGE:
a. 5,00 4 of Completed Work.. 18,540.34
(% Column D + E Less Sales Tax)
b. 00 t of Stored Material, 00
(* Column F)
Total Retainage (Line 5a + 5b or Column I).... 18,540.34
6. TOTAL EARNED LESS RETAINAGE (Line 4 - 5)...... 352,265.76
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT........ 334,815.57
(Line 6 from prior Certificate)
8, CURRENT BALANCE DUE (Line 6 - 7).............. 17,390,19
9. BALANCE TO FINISH + RETAINAGE (Line 3 - 6).... 33,974.64
State of: �+,/����� County of: 1/xpA¢pv+....
Subscribed and swot a before me this'ff'�day of �yj ,?.0/�
Notary Public:
My Commission expires: / /Fii
Amount Certified.... lott t. W ..........
(Attach explanation if certified & application amounts differ)
ARCHITECT;
By; ° ®e Date: e
This Cart ate is not negotiable. The AMOUNT CER IFI D is
payable only to the Contractor named herein. Issuance, payment
and acceptance of payment are without predjudiee to any rights
of the Owner or Contractor under this Contract.
DOUGLAS JAMES SWANSON
NOTARY PUBLIC
MINNESOTA
Vy COMM16110n Expire$ Jan. 31, 2010
M
APPLICATION AND CERTIFICATE FOR PAYMENT (CONTINUATION SHEET)
CONTRACTOR: G.L. CONTRACTING INC. PROJECT: Otsego Northwood Park
4300 Willow Drive Otsego bJN
Medina MN 55340 9701
Page 1
DATE: 08/25/16
Application No: A16652-3
Period From: 07/01/16 To: 07/31/16
Contract Date 00/00/00 Code; A16652
Contract For
A
H
C
D
E
F
G
H
I
Work Completed
Materials
Total
Presently
Completed
From Prev
Stored
and stored
Balance
Current
Item
Scheduled
Application
This
(Not in
To Date
&
to Finish
Total
No,
Description 0£ Work
Value
(D+E)
Period
D or E)
(D+E+F)
(G/C)
(C-G)
Retainage
Section 1- Site Survey/Removal
12
Remove Concrete Curb/Gutter
960
960
960
100.0
40
13
Remove Concrete Pavement
1,295
1,295
1,295
100.0
65
14
Remove Bit, Pavement
270
270
270
100.0
13
Section 2-Earthwork
21
Eathwork
50,002
50,002
50,002
100.0
2,500
22
F&I 6" ag-lime
15,639
15,638
15,638
100.0
782
23
6" agg pav
876
876
876
100.0
44
24
12" planting soil
0,296
8,296
8,296
100.0
415
25
Rock Construction Entrance
2,698
2,698
2,698
100.0
135
Section 3-Utilities
31
4"pert drain
2,510
2,510
2,510
100.0
126
32
4" PVC Drain
2,540
2,540
2,540
100.0
127
33
PvC Cleanout Assy.
445
445
445
100.0
22
34
Adjust and Replace Casting
656
656
656
100.0
33
35
F&I 12" RCP
6,479
6,479
6,479
100.0
324
36
F&i 15" RCP
7,906
7,906
7,906
100.0
395
37
F&I Storm MH
1,457
1,457
1,457
100.0
73
38
Far 2X3 CH
3,535
3,535
3,535
100.0
177
39
F&I 4" DIP and 1" Type A stub
3,707
3,707
3,707
100.0
185
Section 4-Bituminous and Coner
41
Bit Pavement for Parking area
27,709
20,769
6,940
27,709
100.0
1,385
42
Bit. Trails
67,804
67,804
67,804
100.0
3,390
43
Bit. Pavement for court
11,058
11,858
11,858
100.0
593
44
B612 Curb and Gutter
11,934
11,934
11,934
100.0
597
45
6" Concrete Cross Gutter
3,814
3,814
3,814
100.0
191
46
6"X18" Concrete Play Cont.Curb
8,317
8,263
54
8,317
100.0
416
47
16" Wide Concrete Maint, Strip
1,388
1,386
1,388
100.0
69
48
4" Thick Concrete Paving
35,209
351209
35,209
100.0
1,7;60
49
Striping Complete
4,181
4,181
50
Truncated Domes
5,104
5,104
5,104
100.0
255
51
Section 5/Install Drink Fount
10,325
10,325
10,325
100.0
516
52
Chain Link Backstop Fence
6,579
6,579
6,579
100.0
329
53
8' Chainlink Fence
1,594
1,594
1,594
100.0
80
54
15, Long Players Bench
2,509
2,509
2,509
100.0
125
55
Raised Garden Beds
2,230
2,230
2,230
100.0
111
56
Basketball Outfit
4,795
4,795
4,795
100.0
240
57
Trash Receptacle
2,453
2,453
2,453
100.0
123
58
Cedar Split Rail. Fence
2,921
2,052
2,052
70.2
869
103
59
Picnic Table
10,459
9,860
9,860
94.3
599
493
60
Game Table
10,905
10,905
10,905
100.0
545
61
Grill
725
725
725
100.0
36
62
Dog waste bag dispenser
446
446
446
100.0
22
APPLICATION AND CERTIFICATE FOR PAYMENT (CONTINUATION SHEET)
CONTRACTOR; G.L. CONTRACTING INC. PROJECT: Otsego Northwood Park
4300 Willow Drive Otsego MN
Medina NN 55340 9701
Page 2
DATE; 08/25/16
Application No: A16652-3
Period From; 07/01/16 To; 07/31/16
Contract Date ; 00/00/00 Code; A16662
Contract For .
A
B
C
D
E
F
G
H
I
Work Completed
Materials
Total
Presently
Completed
From Prev
Stored
and stored
Balance
Current
Item
Scheduled
Application
This
(Not in
To Date
B
to Finish
Total
No.
Description Of Work
Value
(D+E)
Period
D or E)
(D+E+F)
(G/C)
(C-G)
Retainage
63
Metal Bench
15,922
15,922
15,922
100.0
796
Section 6-Turf Establishment
65
Type A Seed Mix
6,857
6,857
Section 7 -Site Electrical
71
Electrical System
10,871
1,087
1,087
10.0
9,784
54
80
Alt 1 Concrete Piers
9,360
9,368
9,368
100.0
468
100
CO#1 Remove Type A Seed
-6,857
-6,857
101
CO#2 Additional Site Grading
4,950
4,950
4,950
100.0
248
102
C043 Remove and Replace Conore
2,600
2,600
2,600
100.0
130
TOTAL
386,240
352,501
18,306
370,807
96.0
15,433
18,539