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Item 3.3 Fire Station Facility Project Pay Application 11 Request for City Council Action DEPARTMENT INFORMATION ORIGINATING DEPARTMENT REQUESTOR: MEETING DATE: Public Safety Interim Fire Chief Scott November 24, 2025 PRESENTER(s) REVIEWED BY: ITEM #: Consent Kraus-Anderson City Administrator/Finance Director Flaherty 3.3 – Pay Application for the Fire Station 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 recommend City Council approval of Pay Application #11 for the Fire Station project. ARE YOU SEEKING APPROVAL OF A CONTRACT? IS A PUBLIC HEARING REQUIRED? No No BACKGROUND/JUSTIFICATION: The amounts requested for Pay Application #11 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 nine individual work scope requests included within Pay Application #11 for a total of $876,519.90: Voss Plumbing & Heating of Paynesville, Inc. $185,317.92 Spartan Steel Erectors, Inc. $9,884.99 BCI Construction, Inc. $82,804.51 Roof Tech, Inc. $111,583.44 Brothers Fire Protection Co. $21,488.29 Masters Plumbing Heating & Cooling LLC $221,326.25 Klein Electric, Inc. $53,649.68 Belair Builders, Inc. $132,901.47 Voss Plumbing & Heating of Paynesville, Inc. $57,563.35 In accordance with Minnesota Statute, the City is withholding the maximum of 5% retainage of work completed, which amounts to $368,452.04 at this time. SUPPORTING DOCUMENTS ATTACHED: • Pay Application #11 POSSIBLE MOTION PLEASE WORD MOTION AS YOU WOULD LIKE IT TO APPEAR IN THE MINUTES: Motion to approve Pay Application #11 in the amount of $876,519.90 for work completed on the Fire Station project. BUDGET INFORMATION FUNDING: BUDGETED: Fund 446 – Fire Station Facility Yes AIA® DOCUMENT G736 - 2009Project Application and Project Certificate for Payment, Construction Manager as Adviser EditionCity Of Otsego New Fire StationPROJECT:City Of Otsego APPLICATION NO: 1114499 75th St Ne New Fire StationPERIOD TO: 10/31/2025OWNEROtsego, MN 55330 Otsego, MNPROJECT NO: 2410290CONSTRUCTION MANAGERARCHITECTVIA CONSTRUCTIONAdam FlahertyMANAGER:Kraus-Anderson Construction Co. PROJECT APPLICATION FOR PAYMENTPROJECT CERTIFICATE FOR PAYMENTApplication is made for Payment, as shown below, in connection with the Project. AIADocument G737-2009, Summary of Contractors' Applications for Payment, is attached.1. TOTAL CONTRACT SUMS (Item A Totals)$14,018,369.002. TOTAL NET CHANGES BY CHANGES IN THE WORK (Item B Totals)$34,939.693. TOTAL CONTRACT SUM TO DATE (Item C Totals) $14,053,308.694. TOTAL COMPLETED & STORED TO DATE (Item F Totals)$7,369,040.785. RETAINAGE (Item H Totals)$368,452.04 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals)$6,124,068.847. CURRENT PAYMENT DUE (Item J Totals)$876,519.90 TOTAL OF AMOUNTS CERTIFIED…………………….. $876,519.90The undersigned Construction Manager certifies that to the best of its knowledges, information CONSTRUCTION MANAGER: Kraus-Anderson Construction Companyand belief this Project Application for Payment is an accurate compilation of the Contractors'Applications for Payment, attached hereto. By: _______________________________________ Date: 11/10/25CONSTRUCTION MANAGER: Kraus-Anderson Construction CompanyBy:_________________________________________________________Date:11/10/25State of: MinnesotaCounty of: HennepinSubscribed and sworn to before me this 10th day of November, 2025ARCHITECT: Wold Architects & EngineersNotary Public: By: _______________________________________ Date: My Commission expires: January 31, 2029AIA DOCUMENT G736 - 2009 (formerly G722/CMa - 1992). COPYRIGHT © 1981,1992 and 2009 by The American Institute of Architects.Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's AuthenticityTO OWNER:ATTENTION: DISTRIBUTION TO:In accordance with the Contract Documents, based evaluation of the Work and the data comprising this Application, the Construction Manager certified to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Construction Manager recommends to the Owner and Architect that the Contractors be paid the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment.In accordance with the Contract Documents, based evaluation of the Work and the data comprising this Application, the Construction Manager's recommendation, the Architect certifies to the Owner, that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Contractors are entitled to payments of the AMOUNTS set for in the attached Summary of Contractors' Applications for Payment.Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST AIA DOCUMENT G737 - 2009Summary of Contractors' Applications for Payment, Construction Manager as Adviser EditionAIA Document G732, Application and Certificate for Payment, hasAPPLICATION NO.:11been completed by each Contractor. The content of those G732APPLICATION DATE:10/31/2025forms is summarized belowPERIOD FROM:10/1/2025Otsego Fire StationPERIOD TO:10/31/2025PROJECT NOS.:2410290A B C D E F G H IJK LSTORED TOTALMATERIALS COMPLETED ANDCURRENTBALALANCE %ORIGINAL NET CHANGES IN CONTRACT SUM WORK IN PLACE (Not in D or I) STORED TO DATE RETAINAGE RETAINAGE PREVIOUSPAYMENTFINISH COMPL.DESCRIPTION OF WORK CONTRACTOR'S NAMECONTRACT SUM THE WORK TO DATE TO DATE(D + E) %AMOUNTPAYMENTS(F - H - I)(C - F) (F / C)WS-01J Final Cleaning Prime Solutions, LLC DBA Prime Construction Solutions $35,000.00 $0.00 $35,000.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$35,000.00 0%WS-03A Concrete & Masonry Package Voss Plumbing & Heating Of Paynesville, Inc $767,212.00 $4,810.50 $772,022.50 $496,094.50 $0.00 $496,094.50 5.00% $24,804.73 $285,971.85$185,317.92$275,928.00 64%WS-03B Precast Structural Concrete Molin Concrete Products Company $1,456,510.00 ($1,865.00) $1,454,645.00 $1,454,645.00 $0.00 $1,454,645.00 5.00% $72,732.25 $1,381,912.75$0.00$0.00 100%WS-03D Specially Finished Concrete Quality Cleaning Inc, DBA QC Companies $26,625.00 $0.00 $26,625.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$26,625.00 0%WS-05A Structural Steel Material Only JRK Steel, Inc $575,531.00 $0.00 $575,531.00 $373,972.00 $0.00 $373,972.00 5.00% $18,698.60 $355,273.40$0.00$201,559.00 65%WS-05B Structural Steel Erection Spartan Steel Erectors, Inc $150,000.00 $1,405.25 $151,405.25 $122,805.25 $0.00 $122,805.25 5.00% $6,140.26 $106,780.00$9,884.99$28,600.00 81%WS-06A/07F/09A Carpentry, Metal Panels, Drywall BCI Construction, Inc $1,030,000.00 $0.00 $1,030,000.00 $382,463.05 $0.00 $382,463.05 5.00% $19,123.14 $280,535.40$82,804.51$647,536.95 37%WS-07H Roofing Package Roof Tech, Inc $755,620.00 $15,341.51 $770,961.51 $629,491.26 $0.00 $629,491.26 5.00% $31,474.57 $486,433.25$111,583.44$141,470.25 82%WS-07K Joint Sealants Carciofini Company $41,900.00 $0.00 $41,900.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$41,900.00 0%WS-08A Doors, Frames, and Hardware Contract Hardware Co., Inc $284,972.00 $0.00 $284,972.00 $146,549.00 $0.00 $146,549.00 5.00% $7,327.45 $139,221.55$0.00$138,423.00 51%WS-08D/08E Four Fold Doors/Sectional Overhead Door Crawford Door Sales Company Twin Cities, Inc $458,540.00 $0.00 $458,540.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$458,540.00 0%WS-08F Exterior Glass & Glazing Northern Glass & Glazing $358,700.00 $0.00 $358,700.00 $38,570.00 $0.00 $38,570.00 5.00% $1,928.50 $36,641.50$0.00$320,130.00 11%WS-09B Tile Tim's Construction Group, LLC $140,000.00 $0.00 $140,000.00 $7,900.00 $0.00 $7,900.00 5.00% $395.00 $7,505.00$0.00$132,100.00 6%WS-09C Ceiling & Acoustical Treatment Sonus Interiors, Inc $148,000.00 $0.00 $148,000.00 $2,000.00 $0.00 $2,000.00 5.00% $100.00 $1,900.00$0.00$146,000.00 1%WS-09D Flooring Resilient & Carpet M.C.I., Inc, DBA Multiple Concepts Interiors $53,764.00 $0.00 $53,764.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$53,764.00 0%WS-09H Fluid Applied Flooring Grazzini Brothers & Company $29,700.00 $0.00 $29,700.00 $650.00 $0.00 $650.00 5.00% $32.50 $617.50$0.00$29,050.00 2%WS-09K Wall Covering & Painting Henkemeyer Coatins, Inc $124,210.00 $0.00 $124,210.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$124,210.00 0%WS-12C Manufactured Casework Woodside Industries, Inc $272,575.00 $0.00 $272,575.00 $15,859.85 $0.00 $15,859.85 5.00% $792.99 $15,066.86$0.00$256,715.15 6%WS-21A Fire Supression Brothers Fires Protection Co. DBA Brothers Fire & Security $133,600.00 $0.00 $133,600.00 $36,942.25 $0.00 $36,942.25 5.00% $1,847.11 $13,606.85$21,488.29$96,657.75 28%WS-23B Combined Mechanical Masters Plumbing Heating & Cooling, LLC $3,135,000.00 $2,441.55 $3,137,441.55 $1,354,030.50 $0.00 $1,354,030.50 5.00% $67,701.53 $1,065,002.72$221,326.25$1,783,411.05 43%WS-26A Electrical Klein Electric, Inc $1,693,205.00 ($24,669.00) $1,668,536.00 $747,021.07 $0.00 $747,021.07 5.00% $37,351.06 $656,020.33$53,649.68$921,514.93 45%WS-31A Site Clearing & Earthwork Belair Builders, Inc. DBA Belair Sitework Services $1,429,318.00 $37,474.82 $1,466,792.82 $1,377,838.05 $0.00 $1,377,838.05 5.00% $68,891.90 $1,176,044.68$132,901.47$88,954.77 94%WS-32A Asphalt Paving Omann Contracting Companies, Inc $189,800.00 $0.00 $189,800.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$189,800.00 0%WS-32B Concrete Paving Voss Plumbing & Heating Of Paynesville, Inc $340,687.00 $0.00 $340,687.00 $182,209.00 $0.00 $182,209.00 5.00% $9,110.45 $115,535.20$57,563.35$158,478.00 53%WS-32F Landscaping Grennscape Companies, Inc $387,900.00 $0.00 $387,900.00 $0.00 $0.00 $0.00 5.00% $0.00 $0.00$0.00$387,900.00 0%$14,018,369.00 $34,939.63 $14,053,308.63 $7,369,040.78 $0.00 $7,369,040.78 5.00% $368,452.04 $6,124,068.84 $876,519.90 $6,684,267.85 52.4%AIA DOCUMENT G737 - 2009 (formlerly G723CMa - 1992) · Copyright ©1992 and 2009 by The Amiercan Institutue of Architects.Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's AuthenticityTOTALSDocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/10/2025185,317.92471,289.77185,317.92WS 03-ADocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B APPLICATION AND CERTIFICATION FOR PAYMENT,Construction Manager as Adviser Edition TO FROM CONTRACTOR: Spartan Steel Erectors,Inc. PO Box 215 Mound,MN 55364 Contract for Bid Steel ErectionPackage: PROJECT:Otsego Fire Station VIA CONSTRUCTION MANAGER:Kraus Anderson VIA ARCHITECT: APPLICATION NO:2508-4 PERIOD TO:10.31.25 CONTRACT FOR: CONTRACT DATE: PROJECT NOS: AIA DOCUMENT (3732 -2009 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR FIELD CONTRACTOR'S APPLICATION FOR PAYMENTApplicationismadeforpayment,as shown below,in connection with the Contract. Continuation Sheet,AIA DocumentG703,is attached. 1.ORIGINAL CONTRACT SUM 2.NET CHANGE BY CHANGE ORDERS 3.CONTRACT SUM TO DATE (Line 1 ±2) 4.TOTAL COMPLETED &STORED TO DATE (Column G on G703) 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 pai 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. 6,140.26 s s s 150,000.00 1,405.25 151,405.25 122,805.25 6,140.26 116,664.99 106,780.00 9,884.99 34,740.26 DEDUCTIONS 1,405.25 CONTRACTOR. State of: Date:1 16 County of:5.RETAINAGE: a. b. 5 %of Completed Work (Column D +E on G703) o %of Stored Material (Column F on G703) Total Retainage (Lines 5a +5b or Total in Column I of G703) Subscribed and sworn to before me this t S day Notary Public-—.ZUZ-C-CA—•- My Commission expires: CERTIFICATE FOR PAYMENT In accordance with the Contract Documents,based on on-site observations and the data compnsmg the 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. 6.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 FINISH,INCLUDING RETAINAGE (Line 3 minus Line 6) CHANGE ORDER SUMMARY Total changes approved in previous months by Owner Total approved this Month TOTALS NET CHANGES by Change Order AMOUNT CERTIFIED 9,884.99 s ADDITIONS 1,405.25 (Attach explanation ifamount certified differsfrom the amount applied.Initial all figures on this Application and onthe Continuation Sheet that are changed to conform with the amount certified.) CONSTRUCTION MANAGER: By:Date: AIA DOCUMENT G702 APPLICATION AND CERTIFICATION FOR PAYMENT •1992 EDITION -AIA 01992 ARCHITECT:(NOTE:If Multiple Prime constractors are responsible for performing portions Of the Project,the Architect's Certification IS not required.) Date: This Certificate is not negotiable.The AMOUNT CERTIFIED is payable only to the Contractor named herein.Issuance,payment and acceptance ofpayment are without prejudice to any rights of the Owner or Contractor under this Contract. THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N.w.,WASHINGTON,DC 20006-5292 Users may obtain validation of this document by requesting a completed AIA Document D401 -Certification of Document's Authenticity from the Licensee. 11/10/2025 WS 05-B City of Otsego Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/18/2025 | 10:19 AM CST KRAUS ANDERSON Architect: Owner: Project Name:Otsego Fire Station G703 APPLICATION FOR PAYMENT SCHEDULE -G703 SPARTAN STEEL ERECTORS,INC. APPLICATION NO:2508-4 APPLICATION DATE: PERIOD TO: PROJECT NOS: 10/15/2025 10/31/2025 WORK COMPLETED ITEM NO. 001 002 003 004 005 006 007 SCHEDULED VALUE $6,000.00 $60,000.00 $40,000.00 $900.00 $25,000.00 $10,000.00 $1,405.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $151,405.25 FROM PREVIOUS MATERIALSTHISPRESENTLY TOTAL COMPLETED AND STORED TO DATE (D+E+F) $6,000.00 $60,000.00 $40,000.00 $9,000.00 $5,000.00 $1 ,400.oo $1 ,405.25 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $122,805.25 RETAINAGE BALANCE TO (IF VARIABLEDESCRIPTIONOFWORK Bonds Structural -erection labor Joists -erection labor Deck -erection labor Misc.Metals -erection labor Allowance -erection labor co #1 TOTAL APPLICATION STOREDAPPLICATION $6,000.00 $60,000.00 $31,000.00 $5,000.00 $1,400.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $112,400.00 PERIOD $0.00 $0.00 $9,000.00 $0.00 $0.00 $0.00 $1 ,405.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $10,405.25 (NOT IN D OR $0.00 $0.00 Page 1 100.00% 100.00% 100.00% 100.00% 20.00% 14 100.00% #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! #DIV/O! 0.811102984 FINISH $0 00 $0.00 $0.00 $0.00 $20,000.00 $8,600.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $28,600.00 RATE) 50/0 $300.00 3,000.00 $2,000 00 $450.00 $250.00 $70.00 $70.26 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0 00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6,140.26 Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Construction Manager:11/10/202582,804.51WS 06-AWS 07-FWS 09-ADocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/10/2025Construction Manager:111,583.44WS 07-HDocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Construction Manager:11/10/202521,488.29City of OtsegoWS 21-ADocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/10/2025221,326.251,065,002.721,286,328.97WS 23-BDocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/10/2025Construction Manager:WS 26-ADocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITION AIA DOCUMENT G702/CMa (Instruction on reverse side)PAGE ONE OF TWO PAGES PROJECT: City of Otsego New Fire Station APPLICATION NO.: 7 Distribution to: 14499 57th Street NE PERIOD TO: 10/31/2025 OWNER Otsego, MN 55330 PROJECT NOS.: ARCHITECT CONTRACTOR FROM CONTRACTOR: Belair Builders, Inc. dba Belair Sitework Services CONTRACT DATE: 11/15/24 2200 Old Highway 8 NW New Brighton, MN 55112 BELAIR JOB NO.: 40590-30/50 VIA CONSTRUCTION MANAGER: Kraus-Anderson Minneapolis CONTRACT FOR: Earthwork & Site Utilities VIA ARCHITECT: Wold Architects & Engineers Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1.ORIGINAL CONTRACT SUM 1,429,318.00$ 2.Net Change By Change Orders 37,474.82$ CONTRACTOR: 3.CONTRACT SUM TO DATE (Line 1 +/- 2)1,466,792.82$ By: __________________________________________________________ Date: __10/24/25________________ 4.TOTAL COMPLETED & STORED TO DATE 1,377,838.05$ (Column G on G703) State of: Minnesota 5.RETAINAGE:County of: Ramsey a. 5% of Completed Work 68,891.90$ Subscribed and sworn to before (Columns D + E on G703) me this 24th day of October, 2025. b. 5% of Stored Material Notary Public: (Column F on G703) My Commission expires: 1/31/2027 Total Retainage (Line 5a + 5b or Total in Column I of G703) 68,891.90$ 6.TOTAL EARNED LESS RETAINAGE 1,308,946.15$ (Line 4 less Line 5 Total) 7.LESS PREVIOUS CERTIFICATES FOR PAYMENT 1,176,044.68$ (Line 6 from prior Certificate) 8.CURRENT PAYMENT DUE 132,901.47$ 9.BALANCE TO FINISH, INCLUDING RETAINAGE AMOUNT CERTIFIED $ (Line 3 less Line 6) 157,846.67$ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS CONSTRUCTION MANAGER: Total changes approved in By: __________________________________________________________ Date: ________________________ previous month by Owner ARCHITECT: Total approved this Month 15,678.82 By: __________________________________________________________ Date: ________________________ TOTALS 37,474.82 - NET CHANGES by Change Order 37,474.82 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. Jennifer Lee CERTIFICATE FOR PAYMENT CONTRACTOR'S APPLICATION FOR PAYMENT 21,796.00 In accordance with the Contract Documents, based on on-site observations and the data comprising this application, the Construction Manager and Architect certify 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 with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 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. (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that changed to conform to the amount certified.) 11/10/2025 132,901.47 To: City of Otsego WS 31-A Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/18/2025 | 10:19 AM CST CONTINUATION SHEET PAGE TWO OF TWO PAGES AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION NO.: containing Contractor's signed Certification, is attached.APPLICATION DATE:10/24/25 In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:10/31/25 Use Column I on Contracts where variable retainage for line items may apply.CUSTOMER PROJECT NO: A B C D E F H I MATERIALS TOTAL ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAINAGE NO.DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORED %TO (IF VARIABLE (D + E)(NOT IN TO DATE (G / C)FINISH RATE) D OR E)(D + E + F)(C - G) EARTHWORK 500 Flag Pole Furnish & Install 3,632.00 3,632.00 3,632.00 100.00% - 181.60 600 Work Scope Allowance 20,000.00 2,472.80 2,472.80 12.36% 17,527.20 123.64 315 Equipment Moves 59,650.00 59,650.00 59,650.00 100.00% - 2,982.50 320 Erosion Control 80,406.00 72,205.00 4,853.00 77,058.00 95.84% 3,348.00 3,852.90 325 Site Demolition & Clearing 21,682.00 21,682.00 21,682.00 100.00% - 1,084.10 330 Site Grading 211,704.00 196,884.72 7,419.28 204,304.00 96.50% 7,400.00 10,215.20 350 Structure Excavation and Backfill 30,407.00 30,407.00 30,407.00 100.00% - 1,520.35 351 Building Pad Class 5 Cushion 43,275.00 30,915.00 12,360.00 43,275.00 100.00% - 2,163.75 352 Building Sand Subbase for Draintile at Doors & Footed Stoops 30,694.00 30,694.00 30,694.00 100.00% - 1,534.70 355 Site Finishing 359,657.00 246,502.25 68,154.00 314,656.25 87.49% 45,000.75 15,732.81 360 Temp. Construction Fabric - 7 rolls - - 0.00% - - 361 Temp. Construction 3-inch Rock - 1,051 ton - - 0.00% - - 362 Temp. Construction 3/4-inch to 1 1/2-inch Rock - 525 ton - - 0.00% - - UTILITIES 400 Mobilization 3,178.00 3,178.00 3,178.00 100.00% - 158.90 405 Removals 3,437.00 3,437.00 3,437.00 100.00% - 171.85 410 Sanitary Sewer 46,008.00 46,008.00 46,008.00 100.00% - 2,300.40 415 Watermain 311,733.00 311,733.00 311,733.00 100.00% - 15,586.65 420 Storm Sewer 203,551.00 203,551.00 203,551.00 100.00% - 10,177.55 425 Trench Drain (Supply Only) 304.00 304.00 304.00 100.00% - 15.20 CO 001 -Additional Tree Removal 5,380.00 5,380.00 5,380.00 100.00% - 269.00 CO 002 -Change FES with Riprap to FES with ACM 16,416.00 16,416.00 16,416.00 100.00% - 820.80 CO 003 - RFI 036 Updated Schedule - No Cost - - - 0.00% - - CO 004 - Extend Excavation for Watermain Connection 15,678.82 - 0.00% 15,678.82 - 1,466,792.82 1,237,941.77 139,896.28 - 1,377,838.05 93.94% 88,954.77 68,891.90 AIA DOCUMENT G703 (Instructions on reverse side) WORK COMPLETED G 6 Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B 11/10/202557,563.35WS 32-BCity of OtsegoDocusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B11/18/2025 | 10:19 AM CST Docusign Envelope ID: B6BC1DAC-3CB3-4314-80D4-D4984717D77B