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Item 3.3 Fire Station Facility Project Pay Application 20 Request for City Council Action DEPARTMENT INFORMATION ORIGINATING DEPARTMENT REQUESTOR: MEETING DATE: Fire Fire Chief McCoy August 24, 2026 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 #20 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 #20 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 eight (8) individual work scope requests included within Pay Application #20 for a total of $224,084.79: Voss Plumbing & Heating $13,271.50 Spartan Steel Erectors, Inc. $10,469.74 Roof Tech, Inc. $4,168.60 Contract Hardware Co. $15,330.15 Masters Plumbing Heating & Cooling, LLC $10,289.52 Klein Electric, Inc. $15,826.91 Belair Sitework Services $62,870.30 Omann Contracting Companies, Inc. $91,858.07 In accordance with Minnesota Statute, the City is withholding up to the maximum of 5% retainage of work completed, which amounts to $624,093.05 at this time. SUPPORTING DOCUMENTS ATTACHED: • Pay Application #20 POSSIBLE MOTION PLEASE WORD MOTION AS YOU WOULD LIKE IT TO APPEAR IN THE MINUTES: Motion to approve Pay Application #20 in the amount of $224,084.79 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: 2014499 75th St Ne New Fire StationPERIOD TO: 7/31/2026OWNEROtsego, 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)$345,467.543. TOTAL CONTRACT SUM TO DATE (Item C Totals) $14,363,836.544. TOTAL COMPLETED & STORED TO DATE (Item F Totals)$14,264,175.385. RETAINAGE (Item H Totals)$624,093.05 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals)$13,415,997.547. CURRENT PAYMENT DUE (Item J Totals)$224,084.79 TOTAL OF AMOUNTS CERTIFIED…………………….. $224,084.79The 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: 08/06/26CONSTRUCTION MANAGER: Kraus-Anderson Construction CompanyBy:_________________________________________________________Date:08/06/26State of: MinnesotaCounty of: HennepinSubscribed and sworn to before me this 6th day of August, 2026ARCHITECT: 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: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT AIA DOCUMENT G737 - 2009Summary of Contractors' Applications for Payment, Construction Manager as Adviser EditionAIA Document G732, Application and Certificate for Payment, hasAPPLICATION NO.:20been completed by each Contractor. The content of those G732APPLICATION DATE:7/31/2026forms is summarized belowPERIOD FROM:7/1/2026Otsego Fire StationPERIOD TO:7/31/2026PROJECT 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 $35,000.00 $0.00 $35,000.00 5.00% $1,750.00 $33,250.00$0.00$0.00 100%WS-03A Concrete & Masonry Package Voss Plumbing & Heating Of Paynesville, Inc $767,212.00 $35,348.12 $802,560.12 $800,710.12 $0.00 $800,710.12 5.00% $40,035.51 $747,403.11$13,271.50$1,850.00 100%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 $4,640.00 $31,265.00 $31,265.00 $0.00 $31,265.00 5.00% $1,563.25 $29,701.75$0.00$0.00 100%WS-05A Structural Steel Material Only JRK Steel, Inc $575,531.00 ($5,439.00) $570,092.00 $560,842.00 $0.00 $560,842.00 5.00% $28,042.10 $532,799.90$0.00$9,250.00 98%WS-05B Structural Steel Erection Spartan Steel Erectors, Inc $150,000.00 $21,968.55 $171,968.55 $171,968.55 $0.00 $171,968.55 1.00% $1,719.69 $159,779.12$10,469.74$0.00 100%WS-06A/07F/09A Carpentry, Metal Panels, Drywall BCI Construction, Inc $1,030,000.00 $33,347.69 $1,063,347.69 $1,063,347.69 $0.00 $1,063,347.69 5.00% $53,167.41 $1,010,180.28$0.00$0.00 100%WS-07H Roofing Package Roof Tech, Inc $755,620.00 $37,696.05 $793,316.05 $793,316.05 $0.00 $793,316.05 5.00% $39,665.81 $749,481.64$4,168.60$0.00 100%WS-07K Joint Sealants Carciofini Company $41,900.00 $0.00 $41,900.00 $38,495.00 $0.00 $38,495.00 5.00% $1,924.75 $36,570.25$0.00$3,405.00 92%WS-08A Doors, Frames, and Hardware Contract Hardware Co., Inc $284,972.00 $26,566.00 $311,538.00 $311,538.00 $0.00 $311,538.00 5.00% $15,576.90 $280,630.95$15,330.15$0.00 100%WS-08D/08E Four Fold Doors/Sectional Overhead Door Crawford Door Sales Company Twin Cities, Inc $458,540.00 $0.00 $458,540.00 $458,540.00 $0.00 $458,540.00 5.00% $22,927.00 $435,613.00$0.00$0.00 100%WS-08F Exterior Glass & Glazing Northern Glass & Glazing $358,700.00 $9,814.04 $368,514.04 $368,514.04 $0.00 $368,514.04 5.00% $18,425.70 $350,088.34$0.00$0.00 100%WS-09B Tile Tim's Construction Group, LLC $140,000.00 $1,613.00 $141,613.00 $141,613.00 $0.00 $141,613.00 5.00% $7,080.65 $134,532.35$0.00$0.00 100%WS-09C Ceiling & Acoustical Treatment Sonus Interiors, Inc $148,000.00 $5,264.00 $153,264.00 $153,264.00 $0.00 $153,264.00 5.00% $7,663.20 $145,600.80$0.00$0.00 100%WS-09D Flooring Resilient & Carpet M.C.I., Inc, DBA Multiple Concepts Interiors $53,764.00 $2,515.32 $56,279.32 $56,279.32 $0.00 $56,279.32 0.00% $0.00 $56,279.32$0.00$0.00 100%WS-09H Fluid Applied Flooring Grazzini Brothers & Company $29,700.00 $0.00 $29,700.00 $29,700.00 $0.00 $29,700.00 5.00% $1,485.00 $28,215.00$0.00$0.00 100%WS-09K Wall Covering & Painting Henkemeyer Coatins, Inc $124,210.00 $18,010.00 $142,220.00 $132,220.00 $0.00 $132,220.00 5.00% $6,611.00 $125,609.00$0.00$10,000.00 93%WS-12C Manufactured Casework Woodside Industries, Inc $272,575.00 $5,459.25 $278,034.25 $278,034.25 $0.00 $278,034.25 0.00% $0.00 $278,034.25$0.00$0.00 100%WS-21A Fire Supression Brothers Fires Protection Co. DBA Brothers Fire & Security $133,600.00 $0.00 $133,600.00 $133,600.00 $0.00 $133,600.00 0.00% $0.00 $133,600.00$0.00$0.00 100%WS-23B Combined Mechanical Masters Plumbing Heating & Cooling, LLC $3,135,000.00 $65,783.67 $3,200,783.67 $3,142,497.17 $0.00 $3,142,497.17 5.00% $157,124.86 $2,975,082.79$10,289.52$58,286.50 98%WS-26A Electrical Klein Electric, Inc $1,693,205.00 $6,058.83 $1,699,263.83 $1,687,394.17 $0.00 $1,687,394.17 5.00% $84,369.72 $1,587,197.54$15,826.91$11,869.66 99%WS-31A Site Clearing & Earthwork Belair Builders, Inc. DBA Belair Sitework Services $1,429,318.00 $41,715.82 $1,471,033.82 $1,471,033.82 $0.00 $1,471,033.82 1.00% $14,710.34 $1,393,453.18$62,870.30$0.00 100%WS-32A Asphalt Paving Omann Contracting Companies, Inc $189,800.00 $9,287.71 $199,087.71 $199,087.71 $0.00 $199,087.71 5.00% $9,954.39 $97,275.25$91,858.07$0.00 100%WS-32B Concrete Paving Voss Plumbing & Heating Of Paynesville, Inc $340,687.00 $0.00 $340,687.00 $335,687.00 $0.00 $335,687.00 5.00% $16,784.35 $318,902.65$0.00$5,000.00 99%WS-32F Landscaping Grennscape Companies, Inc $387,900.00 $27,683.49 $415,583.49 $415,583.49 $0.00 $415,583.49 5.00% $20,779.17 $394,804.32$0.00$0.00 100%$14,018,369.00 $345,467.54 $14,363,836.54 $14,264,175.38 $0.00 $14,264,175.38 5.00% $624,093.05 $13,415,997.54 $224,084.79 $99,661.16 99.3%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: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 8/6/202613,271.50WS 03-ADocusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE APPLICATION AND CERTIFICATION FOR PAYMENT,Construction Manager as Adviser Edition TO FROM CONTRACTOR: Spanan 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:2508-10 PERIOD TO:7.16.26 CONTRACT FOR: CONTRACT DATE: PROJECT NOS: AIA DOCUMENTG732 -2009 Distribution to: OWNER CONSTRUCTION MANAGER ARCHITECT CONTRACTOR FIELD CONTRACTORS APPLICATION FOR PAYMENT Application is made for payment,as shown below,in connection with the Contract. Continuation Sheet,AIA Document G703,is attached. 1.ORIGINAL CONTRACT SUM 2.NET CHANGE BY CHANGE ORDERS 3.CONTRACT SUM TO DATE (Line 1 æ2) 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 paid 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. s 150.000.00 21,968.55 171,968.55 171.968.55 159,779.12 CONTRACTOR: State of:5.RETAINAGE: a. b. County of: %of Completed Work (Colum D +E on G703) %of Stored Material (Column F on G703) s s Total Retainage (Lines Sa +5b or Total in Column I ofG703) Subscribed and sworn to before me this day of 3kNotan,public <ØtZtZtZCZuMyCommissionexpires:9-0-7 CERTIFICATE FOR PAYMENT In accordance with the Contract Documents,based on on-site observations and the data comprising the application.the Architect certifies to the Ovvmer 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 PAYNIENT (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 CHANGESby Change Order AIA DOCUMENT G702 •APPLICATION AND CERTIFICATION FOR PAYMENT -1992 EDITION AIA AMOUNT CERTIFIED ADDITIONS 3.780.00 21,968.55 DEDUCTIONS s 21,968.55 (Attach explanation if amount 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: Date:By: ARCHITECT:(NOTE:If Multiple Prime constractors are responsible for performingportions of the Project,the Architect's Certification is not required.) Date.By: 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. THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE,N.vv.t 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. 8/6/2026 10,469.7410,469.74 MM WS 05-B City of Otsego 1 1,719.69 1,719.69 Holding 1% Until Closeouts Are Complete 170,248.86 1,719.69 Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 8/6/2026 | 2:41 PM CDT KRAUS ANDERSON Architect: Owner: Project Name:Otsego Fire Station G703 APPLICATION FOR PAYMENT SCHEDULE -G703 SPARTAN STEEL ERECTORS,INC. APPLICATION NO:2508-10 APPLICATION DATE: PERIOD TO: PROJECT NOS: 7/16/2026 7/31/2026 WORK COMPLETED ITEM NO. 001 002 003 004 005 006 007 008 009 010 011 012 013 014 SCHEDULED VALUE $6,000.00 $60,000.00 $40,000.00 $9,000.00 $25,000.00 $10,000.00 $1,405.25 $0.00 $3,720.00 $8,125.80 $126.50 $2,291.00 $2,520.00 $3,780.00 $171,968.55 FROM PREVIOUS APPLICATION $6,000.00 $60,000.00 $40,000.00 $9,000.00 $25,000.00 $10,000.00 $1,405.25 $0.00 $3,720.00 $8,125.80 $126.50 $2,291.00 $2,520.00 $0.00 $168,188.55 MATERIALSTHISPRESENTLYAPPLICATIONSTORED TOTAL COMPLETED AND STORED TO DATE (D+E+F) $6,000.00 $60,000.00 $40,000.00 $9,000.00 $25,000.00 $10,000.00 $1 ,405.25 $0.00 $3,720.00 $8,125.80 $126.50 $2,291.00 $2,520.00 $3,780.00 $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 $171 ,968.55 RETAINAGE BALANCE TO (IF VARIABLEDESCRIPTIONOFWORK Bonds Structural -erection labor Joists -erection labor Deck -erection labor Misc.Metals -erection labor Allowance -erection labor co co #2 CO #3 -COR #30 CO#5 co #6 co #7 co #8 TOTAL PERIOD $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 $3,780.00 $3,780.00 (NOT IN D OR $0.00 $0.00 Page I 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% 100.00% #DIV/O! 100.00% 100.00% 100.00% 100.00% 100.00% 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! FINISH $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 $000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 RATE) 5% $300.00 $3,000.00 $2,000.00 $450.00 $1 ,250.oo $500.00 $70.26 $0.00 $186.00 $406.29 $6.33 $114.55 $126.00 $189.00 $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 $8,598.43 Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 10WS 07-HConstruction Manager:8/6/20264,168.60Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT 10Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 10Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 78/6/202615,330.1515,330.15MMWS 08-ACity of Otsego280,630.95Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT 757,068.003,715.006,285.00295,401.0016,137.005,970.7515,330.15Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 8/6/202610,289.522,975,082.7910,289.52MMWS 23-BDocusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Construction Manager:8/6/2026WS 26-ADocusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE APPLICATION AND CERTIFICATE FOR PAYMENT CONSTRUCTION MANAGER-ADVISER EDITIONAIA DOCUMENT G702/CMa (Instruction on reverse side)PAGE ONE OF TWO PAGESPROJECT:City of Otsego New Fire StationAPPLICATION NO.: Distribution to:14499 57th Street NEPERIOD TO:7/31/2026 OWNEROtsego, MN 55330PROJECT NOS.:ARCHITECTCONTRACTORFROM CONTRACTOR: Belair Builders, Inc. dba Belair Sitework ServicesCONTRACT DATE: 11/15/242200 Old Highway 8 NWNew Brighton, MN 55112BELAIR JOB NO.:40590-30/50VIA CONSTRUCTION MANAGER: Kraus-Anderson MinneapolisCONTRACT FOR: Earthwork & Site UtilitiesVIA ARCHITECT: Wold Architects & EngineersApplication is made for payment, as shown below, in connection with the Contract.Continuation Sheet, AIA Document G703, is attached.1.ORIGINAL CONTRACT SUM1,429,318.00$ 2.Net Change By Change Orders41,715.82$ CONTRACTOR:3.CONTRACT SUM TO DATE (Line 1 +/- 2)1,471,033.82$ By: __________________________________________ Date: 7/23/20264.TOTAL COMPLETED & STORED TO DATE1,471,033.82$ (Column G on G703)State of: Minnesota5.RETAINAGE:County of: Ramseya. of Completed Work $ Subscribed and sworn to before(Columns D + E on G703) me this 23rd day of July, 2026.b. 5% of Stored MaterialNotary Public:(Column F on G703)My Commission expires:1/31/2027Total Retainage (Line 5a + 5b orTotal in Column I of G703)$ 6.TOTAL EARNED LESS RETAINAGE$ (Line 4 less Line 5 Total)7.LESS PREVIOUS CERTIFICATES FOR PAYMENT1,393,453.18$ (Line 6 from prior Certificate)8.CURRENT PAYMENT DUE$9.BALANCE TO FINISH, INCLUDING RETAINAGEAMOUNT CERTIFIED$(Line 3 less Line 6)$ CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONSCONSTRUCTION MANAGER:Total changes approved inBy: __________________________________________________________ Date: ________________________previous month by OwnerARCHITECT:Total approved this Month4,241.00 By: __________________________________________________________ Date: ________________________TOTALS41,715.82- NET CHANGES by Change Order41,715.82 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 underthis Contract.Jennifer LeeCERTIFICATE FOR PAYMENTCONTRACTOR'S APPLICATION FOR PAYMENT37,474.82 In accordance with the Contract Documents, based on on-site observations and the data comprising thisapplication, 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 theContract 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 theWork 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 wereissued 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 applicationand on the Continuation Sheet that changed to conform to the amount certified.)CONTRAAAAAAAAAACTOCTOCTCTOCTOCTOCTOCTOTOCTOCTOTTTR:By: _____________________________________________________________________________________________________SttfMiJennifer LeeTheundersigned ContractorcertifiesthattothebestoftWork covered by this Application for Payment has been cthatallamounts have been paid by the Contractor for Wissued and payments received from the Owner, and that curr23rd day of July, 222222222222026.Public:mmission expiresesessesesesesess::::1/31/2027TIFICATE FOR PAYMENT11114,710.3414,710.341,456,323.4862,870.30MM8/6/202662,870.3014,710.34WS 31-AHolding 1%UntilCloseouts AreCompleteTo: City of OtsegoDocusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT CONTINUATION SHEETPAGE TWO OF TWO PAGESAIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION NO.: containing Contractor's signed Certification, is attached.APPLICATION DATE:07/23/26In tabulations below, amounts are stated to the nearest dollar.PERIOD TO: 07/31/26Use Column I on Contracts where variable retainage for line items may apply.CUSTOMER PROJECT NO: AB CDEF HIMATERIALS TOTALITEMSCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAINAGENO. 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)EARTHWORK500 Flag Pole Furnish & Install 3,632.00 3,632.00 - 3,632.00 100.00% - 181.60 600 Work Scope Allowance 20,000.00 20,000.00 - 20,000.00 100.00% - 1,000.00 EWO28036 Re-Dig FootingsEWO28041 Trash Enclosure RevisionsEWO28225 R&R Casting @ Odean AveEWO28224 Relocate CB15 EWO28232 Concrete Stoop Removal315 Equipment Moves 59,650.00 59,650.00 - 59,650.00 100.00% - 2,982.50 320 Erosion Control 80,406.00 80,406.00 - 80,406.00 100.00% - 4,020.30 325 Site Demolition & Clearing 21,682.00 21,682.00 - 21,682.00 100.00% - 1,084.10 330 Site Grading 211,704.00 211,704.00 - 211,704.00 100.00% - 10,585.20 350 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 43,275.00 - 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 359,657.00 359,657.00 - 359,657.00 100.00% - 17,982.85 360 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% - - UTILITIES400 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 - - - - - - - CO 004 - Extend Excavation for Watermain Connection 15,678.82 15,678.82 - 15,678.82 100.00% - 783.94 CO 006 - PR 006, RFI 038 - No Cost - - - - - - CO 006 - Concrete Infill & Damaged Curb Stop Riser 4,241.00 - 4,241.00 4,241.00 100.00% - 212.05 AIA DOCUMENT G703 (Instructions on reverse side)WORK COMPLETEDG11Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE CONTINUATION SHEETPAGE TWO OF TWO PAGESAIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION NO.: containing Contractor's signed Certification, is attached.APPLICATION DATE:07/23/26In tabulations below, amounts are stated to the nearest dollar.PERIOD TO: 07/31/26Use Column I on Contracts where variable retainage for line items may apply.CUSTOMER PROJECT NO: AB CDEF HIMATERIALS TOTALITEMSCHEDULED FROM PREVIOUS PRESENTLY COMPLETED BALANCE RETAINAGENO. 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)AIA DOCUMENT G703 (Instructions on reverse side)WORK COMPLETEDG1,471,033.82 1,466,792.82 4,241.00 - 1,471,033.82 100.00% - 73,551.69 11Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE 8/6/202691,858.079,954.39WS 32-ACity of Otsego9,287.71199,087.71Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE8/6/2026 | 2:41 PM CDT Docusign Envelope ID: D0C85044-2917-82F1-81F9-94DBB5F4C8AE