ITEM 3.9A Northwood Parkti t.
F
Otsego
MINNESOTA !
DEPARTMENT INFORMATION
Request for
City Council Action
ORIGINATING DEPARTMENT:
REQUESTOR:
MEETING DATE:
Administration
Adam Flaherty, Finance Director
November 28, 2016
PRESENTER(s):
REVIEWED BY:
ITEM #:
Consent Agenda
3.9A
AGENDA ITEM DETAILS
RECOMMENDATION:
It is recommended by staff that the City Council approve the 4th & Final Pay Request for the Northwood
Park project.
ARE YOU SEEKING APPROVAL OF A CONTRACT? IS A PUBLIC HEARING REQUIRED?
No No
BACKGROUND/JUSTIFICATION:
The pay request includes work completed through September 30, 2016. This is the final pay request.
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. 4
onQQl1Rl1 P nnn-rinni
Please word motion as you would like it to appear in the minutes.
-Motion to approve Pay Request #4 for the Northwood Park project in the amount of $33,374.64 to G.L.
Contracting, Inc.
BUDGET INFORMATION
FUNDING: BUDGETED:
Park Development Fund Yes
203-45210-530
APPLICATION AND CERTIFICATE FOR PAYMENT
To (OWNER): City of Otsego
8899 Nashua Avenue NE
Otsego MN 55330
PROJECT; Otsego Northwood Park
Otsego MN
CONTRACTOR'S APPLICATION FOR PAYMENT
FROM (CONTRACTOR): G.L. CONTRACTING INC.
4300 Willow Drive
Medina NN 55340 9701
CHANGE ORDER SUMMARY
Change Orders approved in
previous months by Owner
TOTAL:
ADDITIONS
7,550.00
DEDUCTIONS
-6,857,25
Subsequent
Change Orders
600.00-
Number
Date Approved
4
09/30/16
TOTALS:
7,550.00
7,457.25-
Net change by Change Orders 92.75
The undersigned Contractor oertifies that to the best of the
Contractor's knowledge, information and belief the Work covered
by this Application for Payment has been completed in accordance
with the Contract Documents, that all amounts have been paid by
the Contractor for Work for which previous Certificates for
Payment were issued and payments received from the Owner, and
that current payment shown herein is now due.
Page 1
DATE: 09/30/16
APPLICATION NO: A16652-4 (4)
PERIOD FROM: 00/01/16 TO: 09/30/16
CONTRACT FOR ,
CONTRACT DATE
Distribution; OWNER
_ CONTRACTOR
Application is made for Payment, as shown below, in connection
with the Contract. Continuation sheet is enclosed.
1. ORIGINAL CONTRACT SUM ......................... 385,547.65
2. Net change by Change Orders ................... 92.75
3. CONTRACT SUM TO DATE (Line 1 + 2)............. 385,640,40
(Column C)
4. TOTAL COMPLETED & STORED TO DATE .............. 385,640.40
(Column G)
5. LESS RETAINAGE:
a. .00 -% of Completed Work,. 00
($ Column D + E Less Sales Tax)
b. .00 * of Stored Material, .00
(W Column F)
Total Retainage (Line Be + 5b or Column i).... .00
6. TOTAL EARNED LESS RETAINAGE (Line 4 - 5)...... 305,640.40
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT.....,.. 352,265.76
(Line 6 from prior Certificate)
S. CURRENT BALANCE DUE (Line 6 - 7).............. 33,374.64
9. BALANCE TO FINISH + RETAINAGE (Line 3 - 6).... .00
State of; S " N County of: K4 Nn tt ' (I
: G.L. CO CTING INC. Subscribed and savor to be�foFe, ma this ujiday of f&l ,20��
//. Notary Public: ,ti}n-
Date: t (� My Commission expires: / / / Gj
ARCHITECT'S CERTIFICATE FOR 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.
Amount Certified ................................
(Attach explanation if certified & application amounts differ)
ARCHITECT �-
r ,
Eyl r Date: I� !.(
This Cer4ifi ate'!s not negotiable. The AMOUNT CERTIFIED is
payable only to the Contractor named herein. Issuance, payment
and acceptance of payment are without predjudice to any rights
of the Owner or Contractor under this Contract.
DOUGLAS JAMES SWANSON
NOTARY PUBLIC
MINNESOTA
My COMMIASIon Expues Jon, 31.2019
APPLICATION AND CERTIVXCATg FOR PAYMENT (CONTINUATION SHEET)
CONTRACTOR: G,L. CONTRACTING INC. PROJECT: Otsego Northwood Park
4300 Willow Drive Otsego hQ1
Medina MN 55340 9701
Page 1
DATE: 09/30/16
Application No: A16652-4
Period From: 08/01/16 To: 09/30/16
Contract Date 00/00/00 Code: A16652
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
to Finish
Total
No.
Description Of 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
13
Remove Concrete Pavement
1,295
1,295
1,295
100.0
14
Remove Bit. Pavement
270
270
270
100.0
Section 2-Earthwork
21
Eathwork
50,002
50,002
50,002
100.0
22
F&I 6" ag-lime
15,638
15,638
15,638
100.0
23
6" agg pav
876
876
876
100.0
24
12" planting soil
8,296
8,296
8,296
100,0
25
Rook Construction Entrance
2,698
2,698
2,698
100.0
Section 3-Utilities
31
4"pexf drain
2,510
2,510
2,510
100.0
32
4" PVC Drain
2,540
2,540
2,540
100.0
33
PVC Cleanout Assy.
445
445
445
100.0
34
Adjust and Replace Casting
656
656
656
100.0
35
F&I 12" RCP
6,479
6,479
6,479
100.0
36
F&I 15" RCP
7,906
7,906
7,906
100.0
37
F&I Storm I-M
1,457
1,457
1,457
100.0
38
F&I 2X3 CB
3,535
3,535
3,535
100.0
39
F&I 4" DIP and 1" Type K stub
3,707
3,707
3,707
100.0
Section 4-33ituminous and Conor
41
Bit Pavement fox Parking area
27,709
27,709
27,709
100.0
42
Bit. Trails
67,804
67,804
67,804
100.0
43
Bit. Pavement for court
11,850
11,858
11,858
100.0
44
B612 Curb and Gutter
11,934
11,934
11,934
100.0
45
6" Concrete Cross Gutter
3,814
3,814
3,014
100.0
46
61IX18" Concrete Play Cont.Curb
8,317
8,317
8,317
100.0
47
16" Wide Concrete Maint, strip
1,388
1,380
1,388
100.0
48
4" Thick Concrete Paving
35,209
35,209
35,209
100.0
49
Striping Complete
4,181
4,181
4,181
100.0
50
Truncated Domes
5,104
5,104
5,104
100,0
51
Section 5/Install Drink Fount
10,325
10,325
10,325
100.0
52
Chain Link Backstop Fence
6,579
6,579
6,579
100.0
53
S' Chainlink Fence
1,594
1,594
1,594
100.0
54
15' Long Players Bench
2,509
2,509
2,509
100.0
55
Raised Garden Beds
2,230
2,230
2,230
100,0
56
Basketball Outfit
4,795
4,795
4095
100.0
57
Trash Receptacle
2,453
2,453
2,453
100.0
58
Cedar Split Rail Fence
2,921
2,052
870
2,922
100.0
59
Picnic Table
10,459
9,860
599
10,459
100.0
60
Game 'Table
10,905
10,905
10,905
100.0
61
Grill
725
725
725
100,0
62
Dog waste bag dispenser
446
446
446
100.0
APPLICATION AND CERTIFICATE FOR PAYMENT (CONTINUATION SHEET)
CONTRACTOR: G.L. CONTRACTING INC, PROJECT: Otsego Northwood Park
4300 Willow Drive Otsego DS1
Medina MN $5340 9701
Page 2
DATE: 09/30/16
Application No: A16652-4
Period From: 08/01/16 To: 09/30/16
Contract Date ; 00/00/00 Code: A16652
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
$
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
Section 6-Turf Establishment
65
Type A Seed Mix
6,857
6,857
6,857
100.0
Section 7 -Site Electrical
71
Electrical System
10,871
1,087
9,784
10,871
100.0
80
Alt 1 Concrete Piers
9,368
9,368
9,368
100.0
100
CO#1 Remove Type A Seed
-6,857
-6,857
-6,057
100.0
101
CO#2 Additional Site Grading
4,950
4,950
4,950
100.0
102
CO#3 Remove and Replace Concre
2,600
2,600
2,600
100.0
103
CO#4 Deduct Picnic Install
- 600
- 600
- 600
100.0
TOTAL
385,640
370,807
14,034
385,691
10010