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RESOLUTION NO. 2022-43
RESOLUTION NO. 2022-43 RESOLUTION TO APPROVE PAY APPLICATION NO. 10 FROM SCHRADER EXCAVATING & GRADING CO. FOR THE 2021 SANITARY SEWER & WATER 1VIAIN EXTENSIONS PROJECT WHEREAS, the City Council of Fairfax, Iowa has contracted with Schrader Excavating & Grading Co. for the 2021 Sanitary Sewer & Water Main Extensions project; and WHEREAS, Hall & Hall Engineers has recommended approval of Pay Application No. 10 from Schrader Excavating & Grading Co. for a current payment due of $56,454.16. NOW, THEREFORE, BE IT RESOLVED, by the City Council of the City of Fairfax, Iowa, to approve Pay Application No. 10 fioin Schrader Excavating & Grading Co. for the 2021 Sanitaiy Sewer & Water Main Extensions project and issue a check for $56,454.16. BE IT FUI�THER RESOLVED, by the Fairfax City Council of the City of Fairfax, Iowa, that the Mayor and City Clerk/Treasurer are hereby authorized ai7d directed to execute said resolution. Passed and approved this l Ot�' day of May, 2022. AYES: Nurre, Daly, Pacha, Volk, and Wainwright NAYS: None � � ur11e11 G. Frieden, Mayor ATTEST: /� � � ) ����r i( � ,- l' �. _ Cy,� thia Stiinson, City Clerk/Treasurer .mdt � t ��a �� t * � % t.: - '� � j �, ` �-'T . , �� .� T � � �� �....�, - �, £ APPLICAT[QN AND CERTIF[CAT(ON FOR PAYMENT �zr� UoczJM�r�Tc7o2 �ACE, �r 5 ro coNTanc7�ox: ;ity Of FairFa:c 100 8Uth St Ct �airfaY IA 52228 �ROM COiVTRACT'OR: ichrader Excavating & Cirading Co. YLR10D TO: PR07EC"f' 1��03 10 Dishibntionto: �Jon Larson, [tatl & Hall 0 May I, 2022 � � � z.r.o�Ex ;ON'PRACT I�Oit: CONTRACT r�ATL-;: �ONTRACTOR�S APPLICATION FOR PAYM�NT '11�eundersipnedContracrorcertitiesth�trotheUestof'theComractor'siueowledge, 1p�tlicafion is made Por payment, as shown below, in comiection with the Contract. iufi�rmation aud helief tl�e Work covered by th'vs Application for Payment hes br.en ;ontumotion Sheet, AIA Doewnen[ G703, is uitaehed. cm»pleled in eccordanv� with lhe Conlract llceumenis, �hat nli aznouNs fiave been pnid Up ilie Contraclor fur Work for which previous Certitic�tes For Payment were issued and payments received 4om the Owner, and that current payment shown herein is now due. . ORT�INAL CONTRACT SI1M :. Net cltangc by Change Ordcrs �. L:ON"112 ACf SLM TO DATL (Line 1 i 2) ,. 'I'O'I'AL COMPLETGD & STORI"sD'CO DATE (Colunm G on G703) �. R6TAINAGE: a. 5 % ofCompleted Work lCufurtm D+H on G703} b. 5% of Stored Material (Cotu�mi P on �703) Total Retxinage (Lines Sa+Sb or PROJ�CT: lAPPLICA'I'ION NO Faicfax Sewer & Water 3',xt. $ 1,81.9.7.03.tiS S 19,066.G4 � ],R4A,27U.?.) $ 1,8A8,27029 $ 92,�t13.51 $ 0.00 -rar�t ;� cai�ma i �e c�o3� ;. 'tOTEV, EARNED I,$SS R$TAIVAGE (Line A I.ess l,ine 5 Total) '. LESS PRF,VIOUS CERTIFICATSS F012 FAYM$N7' (Line 6 from prior Ccrlificate) ;. CUR1LCiN7'PAYMEN'PDUfi �. I3AI,ANCE'I'0 F�INISH, INCLi.IDING I2E'I'laINAGE (I,ine 3 tess Line 6) 5 92,4 t3.51 Y� 1,755,R5(.7R R L,69),d02.62 $ SG,J54.1G $ 92,d13.51 CON"CRACTOR: �`�.S.a^"r i--., / �y 13Y. � � Datc: J 'l,.L " 7��...i<� Haile�tY��� ,'rojectAss�s[ t � State of:� � y9�. / .� � County oti L, i'1/'j Subscribe`d'an orn u befur�„e�n¢ this (p •" � day of � �� �+d ��" Notary Public: Tdy C�>mmissioii expire~`"s� ' -� „2-� ,� �,,, — �„n �, DAV1D R. STUER ARCHIT CT'S ER IFICATE F R PA aN�unros�onex���es z tn accordance with [I�e Contract Ducurnents, based on on-sife observeti �n� 23, 2024 comprisu�g the application, die Architect certifies to fhe Owner Ihat to fhe best of (ha ' Arcliiteet's kno�vledge, infom�ation u�d belief ihe Work has progressed as n�dicated, the qunlity of tUe Work is 'v� accordance with ti�e Contracl Docuinents, and the CoNractor is enlitled �o pnyment oi'[lie AMOC)N"C Cfilt7'1PtEll. �,Moun�rc�K�rtF�n:D...........� 5��,��°�.1� I�lAIJ �E ORDER SUtvIMARY AllllIT10NS DEDUC7'IONS /dllnch explmrn/iort if nntoanl cer7rJied d Jers ji�au the mnmutl appTted. 7nilin! nll figrr�'ex on tht.c Total changes approved dpp/icallon and arUie Caatint+trllav Shve! lhnt are changedlo cottform ivilh the aniotrn! ew7rjied.J in previous months b Otivner 520,265.89 �0,00 AItCHIT&CT: '1'oial approved tliis Month $I,19925) BY: � p� ' Date: �'" �"� �- TOTALS �t9,066.G4 $0.00 'Phis Certifi a[e is not negotiabla. 'Phe A1v10UN7' CfiRTll�i13D is pr�yable only to the Cantractor n�ned herein. lssuance, payment aud acceptaz�ce ofp�yment are w�t6out NL1' CI-L4NGES by Change Order $19,066.6a prejudice tu any rights oP the Owner or Coii�ractor under tliis Conaact. .IA DOCIJMF.NT G70? � APPLICATION ANU CLRTIFICATION FOR PAYMENT � i 892 EDITION �!ilA - G'�td92 ': HE AM,ERICAN INSTITUTE OF rWGHRFC7S, 7735 fdEVJ YORK AU[., N.W.; WASHMGTON, DC 20a06.5492 Jsers may obtain validation of this document by roquesting a completed AIA Docwnent D407 - Certification of DocumenYs Authenticity from the Licensee. Fairfax Sewer & Water Ext. CONTII�UATION SHEET Ar�z�ocUN1�N7�<��03 P��EZOFS����S AIA Document G702, APPI.ICATION AND CHRTIFICA'1'ION POR PAY�4ENI', contai��ing APPLICATION NO: 10 Contractor's signed certifcation is attached. � APPI..ICATTON DATF,: 5/6/202? In tllnilations below, amounts are stated to the nearest dolla3. PERIOD "I'O: 5/ 1/7.07_7 Use Coluntn ] ou Contr�cts wherc variable retainagc for linc items may �ppfy. ARCHITEC'I"S PROJFCT NO: 21.QA8 p C3 C D G P G li I ITGM DLSC[21P"PIONOPWORK SCIiEllUL�D WURKCOMPL67�FU MATER)ALS TOTAL % $A4ANCH RETNNAGE NO, VALUF, PROM PR6V10US TIf1S PSRIOD PRBSENTLY COMPL6TED (G = C) TO PRJISH (IP VARi,1DLH APPLICATION STOP.F.,D AND S'CORED (C - G) I2ATE) (D+E) (NOT[N TODATB D OR G) (D+64F) 001 Clearing & Grubbing 6,700.00 6,700.00 0.00 0.00 6,700.00 100.00% 0.00 335.00 002 Strip, Stockpile & Respread Top Soil 16,775.00 16,775.00 0.00 0.00 16,775.00 100.00% 0.00 83t3.75 003 Strip, Stockpile & Respread Top Soil 165.00 165.D0 0.00 0.00 165.00 100.00% 0.00 II25 004 Respread Top Soil 893.75 0.00 £i93.75 0.00 E39375 100.00°/ 0.00 44.69 005 Excavation Class 10 10,260.00 10,260.00 0.00 0.00 10,260.00 100.00% 0.00 513.00 006 Subgrade Preperation 4,620.00 4,620.00 0.00 0.00 4,620.00 100.00% --- 0.00 231.00 007 Subgrade Treatment, Geogrid 8,197.00 8,197.00 0.00 0.00 8,197.00 100,Qpb/ .y ��.,,0:4P;• ::�' . 409.85 008 SubbaseModified9" 33,753.40 33,753.40 0.00 0.00 33,753.40 1006�,� : = 0.00 '1,687.67 009 Subbase Modified 4" 773.50 773.50 0.00 0.00 773.50 100.00% �-",' "0.00 "' 38.68 010 Subbase Class A 3" 16,21620 16,2i620 D.00 0.00 16,216.20 100.00°/ 0.00 810.81 Ol l Removal Of Pipe Culverts HDPE 24" 296.00 296.00 0.00 0.00 296.00 100.00°/ 0.00 14.80 Oi2 Removal Of Pipe Cuiverts HDPE 95" a04.75 804.75 0.00 D.00 804.75 100.00% 0.00 40.24 O13 Removal Of Pipe Culverts RCP 12" 240.50 240.50 0.00 0.00 240.50 10D.00% 0.00 12.03 Ol�l Removal Of Pipe Culverts RCP 15" 231.25 23125 0.00 0.00 231.25 100.00°/ 0.00 11.5G 015 Removal Of Pipe Culverts RCP 18" 194.25 19425 O.OD 0.�0 194.25 100.00"/ 0.00 9.71 01G Removal Of Pipe Culverts CMP 15" 231.25 231.25 Q.00 0.00 231.25 100.00°/ 0.00 11.56 017 Removal Of Pipe Culverts CMP 18" 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00% 0.00 88.80 018 Removal Of Pipe Culverts CMP 24" 222.00 222.00 0.00 0.00 222.00 100.00% 0.00 11.10 019 Removal Of Pipe Culveris CMP 30" 148.00 1A8.00 0.00 0.00 148.00 100.00% 0.00 7.40 020 Site Dewatering Along Fairiax Road, Lefebu 250,000.00 250,000.00 0.00 0.00 250,OOD.00 100.00 % 0.00 12,500.00 021 Site Dewatering Along Southview, Williams 20,500.00 20,500.00 0.00 0.00 20,500.00 100.00°/ 0.00 1,025.00 022 Trench Foundation 16,000.00 12,761.60 3,23II.40 0.00 16,000.00 100,00% 0.00 800.00 023 Replacement Of Unsui(able Backfill 5,250.00 0.00 5,250.00 0.00 5,250.00 100.00 % 0.00 262.50 024 Replacement Of Unsuitable Backfill 7,437.50 0.00 7,437.50 0.00 7,437.50 100.00% 0.00 371.88 025 Sanitary Sewer Trenched 6" PVC 258.00 258.00 0.00 0.00 258.00 100.00 % 0.00 12.90 026 Sanitary SewerTrenched 8" PVC 1,470.00 1,470.00 0.00 �.00 1,470.00 100.00% 0.00 73.50 027 Sanitary SewerTrenched 10" Truss 1,456.00 1,456.00 0.00 0.00 1,956.00 100,00% 0.00 72.b0 023 Sanitary Sewer Trenched 12" PVC 88,768.00 88,76£3.00 0.00 0.00 £3£3,768.00 100.00% 0.00 A,438.40 029 Sanitary Sewer Trenched 12" PVC 270.00 270.00 0.00 0.00 270.00 100.00 % 0.00 13.50 030 Sanitary Sewer Trenched 15" PVC 14,596.00 14,596.00 0.00 0.00 1 3,596.00 100.00% 0.00 729.80 03 t Sanitary Sewer'irenched 18" PVC 520.00 520.00 0.00 0.00 520.00 100.00°/ 0.00 26.00 032 Sanitary SewerTrenched 21" pVC 37,791.00 37,791.00 0.00 0.00 37,791.00 100.00% 0.00 1,889.55 TOTAL - PG 1 546,814.35 529,994.70 16,819.65 0.00 546,814.35 0.00 27,340.72 Fairfax Sewer & Water Ext. CONTINUATION SHEET fizr� DocUNrcNTG7o3 PAGF.3 OFS PAGES AlA Documeut G702, APPLICA7'ION ANll CERTI�[CATION POR PAYMENT, cout�ining APPLICATION NO: 10 Cmitractor's signed certification is aliached. Al'PI.,ICA"PION llATF.,: 5/ 6/ 2 022 In tnbuln[ions below, Tmounts are stated ro Ilte ncarest doll�r. PGI2IOD TO: 5/1 /2022 Use Column I on Contracts wl�erc variable retainagc for line itcros may appty. ARCiII"I�GCT'S PROJEC'1' N0: 21.048 A � C D E F G H I ITBM DESCRIPTION OF WORK SCI-�DULED �VORK COMPI BTHb IviAT8RIAI,S "IOTAL % BALANCG RETAINAGF NO. VALUF PROM PRFVIOUS Tt[IS PF.RIOD PRGStiNPLY COMPLETGD (G *C) TO PINISH (IF VARIABLE APPUCATION STOREU AIdDSTOR6U (GG) RA'I'E) (D+Ii) (1JOTIN TODATE U OR L'-) (U+E+P) 33 Sanitary Sewer Trenched 24" PVC 204,680.00 204,660.00 0.00 0.00 204,660.00 100.00% 0.00 10,?34.00 34 Sanitary Sewer Trenchless W/ Casing 24" 108,000.00 108,000.00 0.00 0.00 108,000.00 100.00% 0.00 5,400.00 35 Removal Of Sanitary Sewer Trenched S" PV 161.00 161.00 0.00 0.00 161,00 100.00 % 0.00 8.05 36 Pipe Culvert Trenched HDPE 15" 1,073.00 1,073.00 0.00 0.00 1,073.00 100.00% 0.00 53.65 37 Storm Sewer Trenched HDPE 24" 2,610.00 2,610.00 0.a0 O.DO 2,610.00 100.00 % 0.00 130.50 38 Pipe Culvert7renched RCP 1:i' 8.176.00 8,178.00 0.00 0.00 t3,178.00 100.00% 0.00 408.90 39 Pipe CulvertTrenched RCP 18" 1,564.00 1,564.00 0.00 0.00 1,564.00 100.00% 0.00 78.20 40 Siorm Sewer Trenched Arch Pipe 36" 4,236.00 4,236.00 0.00 0.00 4,236.00 100.00 % 0.00 211.80 41 Pipe CulvertTrenched CMP 15" 1,2A2.00 1,242.00 0.00 0.00 1,242.00 100.00% 0.00 62.10 42 Pipe Culvert Trenched CMP 18" 9,950.00 9,950.00 0.00 0.00 9,950.OQ 100.00% 0.00 497.50 43 Pipe Culvert 7renched CMP 30" 5,582.50 5,582.50 0.00 0.00 5,582.50 100.00% 0.00 279.13 44 Pipe Culvert Trenched 15" Temp 5,600.00 800.00 4,II00.00 0.00 5,600.00 100.00 % 0.00 280.00 45 Pipe Apron RCP 36" Arch 1,700.00 1,700.00 0.00 0.00 1,700.00 100.00"/0 0.00 85.00 46 Pipe Apron CMP 30" 1,260.00 1,260.00 0.00 0.00 1,260.00 100.00% 0.00 63.00 47 PipeApron RCP 15" 1,500.00 1,500.00 0.00 0.00 1,500.00 100.00% 0.00 75.00 48 Footing For Pipe Apron 36" 450.00 450.00 0.00 0.00 450.00 100.00% 0.00 22.50 49 Water Main Trenched DIP 12" II2,144.00 82,144.OD 0.00 0.00 82,144.00 100.00% 0.00 4,107.20 50 Weter Main Trenched C900 12" 199,69025 199,690.7.5 0.00 0.00 199,690.25 100.00% 0.00 9,984.51 5t Connect To Existing Water Main 8" 2,500.00 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 125.OD 52 Connect To Exisling Water Main 12" 2,100.00 2,100.00 0.00 0.00 2,100.00 100.00% 0.00 105.00 53 Water Main Trenchless W/ Casing 12" 70,000.00 70,000.00 0.00 0.00 70,000.00 100.00% 0.00 3,500.00 54 Water Main Trenchless W! Casing 12" 70,000.00 70,000.00 0.00 0.00 70,000.00 100.00% 0.00 3,500.00 55 Flushing Device 12" 700.00 700.00 0.00 0.00 700.00 100.00% 0.00 35.00 56 Fitting Bend 12" 7,245.00 7,245.00 0.00 0.00 7,2�l5.00 100.00 % 0.00 362.25 57 Fitting Tee 12" 900.00 900.00 0.00 0.00 900.00 100.00"/0 0.00 45.00 S8 Fittingl'ee12" 375.00 375.OD 0.00 0.00 375.00 100.00% 0.00 18.75 59 Filting Cross 12" 6%0.00 670.00 0.00 O,OD 670.00 100.00% 0.00 33.50 60 Filting Reducer 12" 1F15.00 185.00 0.00 0.00 185.00 100.00% 0.00 9.25 61 Gale Valve 12" 31,200.00 31,200.00 0.00 0.00 31,200.00 100.00% 0.00 1,5�0.00 (,2 Fire Hydrant Asseinbly 49,500.06 49,500.00 0.00 0.00 49,500.00 100.00% 0.00 2,475.00 63 ManholeSanitary48" 26,425.00 26,425.00 0.00 0.00 26,A25.00 100.00% 0.00 1,321.25 6�1 Manhole Sanita 48" 14,000.00 14,000.00 0.00 O.QO 14,000.00 100.00% 0.00 700.OQ Subtotals 1,462,235.10 1,440,615.45 21,619.65 0.00 1,467,235.10 100.00% 0.00 73,111.76 Fairfax Sewer & Water Ext. CONTINUATION SHEET �I��ocUM�,vTc�o3 PAGE40FSPAGFS AIA Document G702, APPLICATION AND CERTTFICATION POR PAYtvIENT, camnining API'LICATION NO: 10 Conirnctor's sigued certi5cation is attael�ed. APPLICA"PION DATE: 5/ 6/ 2 02 2 In l�bulations Uelow, amounts are stated to tl�e nearest dollur. PLRIOD 'r0: 5/ 1/ 2.0'L 2 Usc Colunm I on Contracts wl�ere variable retainage for line items may apply. F1RC]-3[TCCT'S PROJECT N0: 21.048 A B C ll E F G H I ITEM DESCRIPTION OF WORK SCFIEDIJI.,F.D R'ORK COMPLGTP•.D MATFRIALS TOTAL % BALNIC& PSTASNAGF, NO. VALIIG GROMPREVIOUS 'fHISPLRIOD PRliS1�N7'LV COMPI,G:1'}iD (G*C) "fOPINISII (IFVN21AI3LB APPLICA7'[ON Si'ORGD ANUSTORED (C-G) RA"PE) (D + F,) (NOT 1N TO DATE D OR E) (�+1:�P) 65 Sani�ary Manhole 48" 6,II50.00 6,II50.00 0.00 0.00 6,850.00 100.00% 0.00 342.50 G6 Sanitary Manhole 48" 5,500.00 5,500.00 0.00 O.DO 5,500.00 100.00 % 0.00 275.00 67 Sanitary Manhole 60" 9,625.00 9,625.00 0.00 0.00 9,625.00 100.00% 0.00 48125 G8 Storm Manhole Shallow 6x7 £3,100.00 8,100.00 0.00 0.00 8,100.00 100.00% 0.00 405.00 69 Internal Drop Conneclion 1,250.00 1,250.00 0.00 0.00 1,250.00 100.00% 0.00 62.50 70 Manhole Adjustment 30.00 30.00 0.00 0.00 30.00 100.00 % 0.00 1.50 71 Connect io [xisting Sanitary Sewer Manhoi 13,725.00 £3,725.00 0.00 0.00 8,725.00 100.00°/o 0.00 43G25 72 Pavemenf HMA A" 7,575.00 7,575.00 0.00 0.00 7,575.00 100.00 % 0.00 378.75 73 Removal Of Shared Path PCC 52.00 52.00 0.00 0.00 52.00 100.00% 0.00 2.60 7A Removal Of Driveway PCC 246.00 246.00 0.00 0.00 246.00 100.00% 0.00 12.30 75 Removal Of DrivewayAsphalt 1A6.00 146.00 0.00 0.00 146.00 100.00% 0.00 7.30 76 Removal Of Driveway Granular 244.00 244.00 0.00 0.00 244.00 10D.00% 0.00 12.20 77 Removaf Of Driveway Granular 4,600.00 �,600.00 0.00 0.00 h,600.00 100.00% 0.00 230.00 73 Shared Path �sphalt Miilings 104.00 104.00 0.00 0.00 104.00 100.00% 0.00 5.20 79 DrivewayPCC6" 11,070.00 11,070.00 D.00 0.00 11,070.00 100.00% D.00 553.50 80 priveway HMA 6" 4,745.00 4,745.00 0.00 0.00 4,745.00 100.00% 0.00 237.25 31 DrivewayClassAStone6" 1,372.50 1,372.50 0.00 0.00 1,372.50 100.00% 0.00 68.63 87. Drivaway Class A Stone 8" 17,391.00 17,391.00 0.00 0.00 17,391.00 100.D0% 0.00 869.55 83 Driveway 2" Roadstone 8" 9,052.50 9,052.50 0.00 0.00 �J,052.50 10D.00°/ 0.00 452.63 84 Driveway Asphalt Millings 6" 587.50 587.50 D.00 0.00 587.50 100.00% 0.00 29.38 RS Pavenient Removal Seal Coai & Subbase 7,700.00 7,700.00 0.00 0.00 7,700.00 100.00% 0.00 385.00 86 Pavement Removal Asphall & Subbase 505.00 505.00 0.00 �.00 505.00 100.00 % 0.00 25.25 87 SealCoat 20,299.50 20,299.50 0.00 0.00 20,299.50 100.OD% 0.00 1,014.98 38 Tentporary Traffic Confrol 6,65Q.00 6,650.00 0.00 0.00 6,650.00 100.00% 0.00 332.50 S9 Conventional Seeding Type 1 3,091.50 0.00 3,891.50 0.00 3,891.50 100.00% 0.00 194.58 90 Conventional Seeding Type 2 4,704.00 0.00 4,704.00 0.00 4,704.00 100.00% 0.00 235.20 91 Eroision Control Mulching 3,562.50 3,562.50 0.00 0.00 3,562.50 100.00% 0.00 i78.13 92 Warranty 1,075.00 0.00 1,075.00 O.DO 1,075.00 100.00% 0.00 53.75 93 SWPPP 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 100.00 94 Removal & Reinstallation Class D Eroision 1,189.50 1,189.50 0.00 0.00 1,189.50 100.00% 0.00 59.48 95 Filter Sock 12" 650.25 65025 0.00 0.00 650.25 100.00 % 0.00 32.51 96 Filier Sock Removal 244.80 0.00 244.80 0.00 244.80 100.00% 0.00 12.24 Subtotals 1,611,972.65 1,5a0,437.70 31,534.95 0.00 1,611,972.65 100.00% 0.00 60,598.63 Fairfax Sewer & Water Ext. CONTINUATION SHEET ,�r� DocUM�NTc�o3 PAGL-5 OPS VAGES AlA Docoment G702, APPLICATION AND CERTIFICA7'ION FOR PAYMliNT, co�uaining tV�I'LICATION N0: 10 Coniractor's signed certi6cation is zttached. APPLIC�ITION DATE: 5/ 6/ 2 02 2 Ui tabnlations below, amounts are stated tu the nenrest dollar. PERIOD TO: 5/ 1/2022 Use Colanvt I on Contracis wl�ere vnriable re�ainage for line ilems may apply. ARCHI'T73CT'S PRO.iECT N0: 21 A48 A D C D E P G }I I ]TEM DC•SCRIP'fION Or W012X SCHf:UULHD WORK COMPLE7'FU MAT�RIALS 'I'OTAL % DALANCE RL7'AfNAGL NO. VALUF PROM PRBVIOIIS TIiIS PLRIOD PRLSCiN'I'LY COMPLLTED (G � C) '1'OFMISH (1F VARIADLE APPUCAI'ION S"IORI�D ANUS'TORED (C-G) RA'fE) (D+E) (NO'I'1N TODATE D OR G) (DrH+I�) 97 Temperary RECP Type 16 1,875.00 0.00 1,875.00 0.00 1,£175.00 100.00% 0.00 93.75 98 Watde9" 774.00 774.00 0.00 0.00 774.00 100.00% 0.00 38.70 99 Wa(lle Removal 258.00 0.00 258.00 0.00 258.00 100.00% 0.00 12.90 100 1" Clean Stone 65.00 0.00 65.00 0.00 65.00 100.00% 0.00 3.25 101 SiltFence 4,139.50 350.00 3,789.50 0.00 4,139.50 100.00% 0.00 206.98 t02 Silt Fence Removal Of Sediment 3,165.50 0.00 3,165.50 0.00 3,165.50 100.00% 0.00 158.28 103 Silt Fence Removal Of Device 730.50 62A0 668.50 0.00 730.50 100.00% 0.00 38.53 104 InlelProteclion 1,459.50 1,167.00 29250 0.00 1,459.50 100.00% 0.00 72.9D 105 Inlet Protec�ion Maintenance 451.50 0.00 451.50 0.00 451.50 100.00 % 0.00 22.58 ]OG DusfControl 1,095.00 0.00 1,095.00 0.00 1,095.00 100.00% 0.00 54.75 107 Barbed Wire Fonce 623.50 0.00 823.50 0.00 823.50 100.00% 0.00 41.16 108 Removal Of Fence 1f34.00 184.00 o.OD 0.00 184.00 1D0.00% 0.00 9.20 109 Modular Block Wall 1,080.00 1,080.00 0.00 0.00 1,080.00 100.00 % 0.00 54.00 1l0 Mobilizafion 140,000.00 130,588.00 9,412.00 o.00 140,000.00 100.00% 0.00 7,000.00 11I Granular Shoulders Type B 1A,975.00 14,925.00 0.00 0.00 14,925.00 100.00% 0.00 746.25 112 Temporary Roadway Surface 17,835.00 10,641.27 7,193.73 0.00 17,II35.00 100.00% 0.00 891.75 1l3 Temporary Roadway SurFace 17,690.00 17,690.00 0.00 0.00 17,690.00 100.00 % 0.00 884.50 I(4 Staging & Laydown 5,000.00 5,OOD.00 0.00 0.00 5,000.00 100.00% 0.00 250.00 115 Sign Removal & Reinstall 4,225.00 4,7_�5.00 0.00 0.00 4,225.00 100.00% 0.00 211.25 116 Pof Hole Utiilities 1,455.00 1,455.00 0.00 0.00 1,455.00 100.00% 0.00 72.75 117 ITC 1 7,000.00 7,000.00 0.00 0.00 7,000.00 100.00 % 0.00 350.00 118 ITC 2 2,482.50 2,482.50 0.00 0.00 2,482.50 100.00% 0.00 124.13 t l9 ITC 3 10,783.39 10,783.39 0.00 D.00 10,7II3.39 100.00% 0.00 539.17 l20 ITC 4- Milestone 30,000.00 0.00 30,000.00 0.00 30,000.00 100.00 % 0.00 1,500.00 12( ContrectDeducts (31,19925) 0.00 (31,i99.7_5) 0.00 (31,199.25) 100.00% 0.00 (1,559.96) 122 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 l23 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 124 0.00 0.00 0.00 0.04 0.00 0.00% D,00 0.00 I25 0.00 0.00 0.00 0.00 0.00 0.00 % 0.00 0.00 12G 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 127 0.00 0.00 0.00 0.00 0.00 0.00 % 0.00 0.00 128 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 GRANDTOTALS 1,046,270.29 1,788,844.86 59,425.43 0.00 1,848,270.29 100.00% 0.00 92,433.51 4PPLIGATION AND CERTIF1CATiON FOR PAYM�NT ro con•��RAc�rox: :ity Of FaicPas 10D SOth S[ Ct 'uirFax IA 52228 �ROM COIVTRACTOR: ;chrader �acavatiug & Grading Co. :ONTTL�CT FOR; PR0.7t;CT: I�air£ax Sewei°& WaterExf. �ONTRACT�R'S APPLICATION FOR PAYMENT 1pplication ➢s made for payment, as shotwi beloiv, in cotutection with the Contract. ;ontinuetion Sheet, AfA Document G703, is attached. , 012IC°iIMALCON7RACCSUM :. Net change by Changc Orde, s ,. CONT2ACT S[JM TO DA"Tf: (Line 1 t 2) �. TOTAL COMPLETLiU & S'COI2}3D 1'O DATG (Co(unm G on G703) �. RP"I'AINAG7;: a. 0"/o of Cmnuleted 4Vork $ (Colunm U + r on (i703) b. 0"/o of Stored Ma(erial $ (Colunm P on U703) 'I'otal Retainage (Lines Sa �i- Sb �r Total u� Colu�mi 1 uf G703) � �. TOTAL �ARNED LTs'SS RE"ti�INAGE (L'uie 4 Le;ss l.ine 5 Ta1a1) ", LCiSS YRLVtOi)S CB12TII�ICATES FOR. YAYMENT (Line ( from prior Cerfi6cate) �. CURRI;N'CPAYMENTDCJF. �. IIALAA�CF.'I'O F1N1SN, INCLUDING RBTAiNAGE (Line 3 less l.ine 6} . $ I,A29,203.65 $ 19,OGG.6�1 S 1,8�l8,2�0.29 $ 1,848,270.29 0.00 D.00 S 0.00 $ 1,848,276.29 % 1,7SS,R5G.7R $ 92,413.51 $ OAO L:HAA'(iE ORDti}2 SUMh'iAl2Y ADDPCIONS EUUCTIONS Total chw�ges approved in revious months by O�vner $19,066.64 $O.UO 7btal approved Uiis Montl� $0.00 TOTAI.S $19,666.64 $0.00 NGT CILINGES by Change Order b19,066.6d AIA DOCUMEN'1' (i702 ance � oF Al'PLICA'PTON NO Pinal Retainage PI3RIOD'I'O: May I, 2022 PROJEC'I' NOS: 21.048 CONTi2ACT DATE: Disbibution to� �Jon I,arson, H�II & Hal! � 0 � � The undersip.,ited Contrnctor certifies thzt to the best of tl�e Cattractor's luwwledge, infonnution nnd hetief [he W�rk cove�ed Uy lhis Applicatioe� for Payment has Ueen wmpleted in accordanae with ihz Cot�tract Docnmems, that ulf amom�ts have been paid 6y the Contrnctor for Work for which previous Cenificutes ior Payment were issued and payments rece;ived from the Owner, and ihat cunent payment sho��,•n herein is now due. CON17tAC1'OR: t� p r. � f i7Y.�� `�l,a�}��� �t }..�3..�v 4 i'� Date: � `(,fj "' :"i�a,..i^�-t�• Ilailey�3wye rojectrlssist:uu� S[ate oE. �..(J lA:�f1�- �(,� Counn� of: Z�'� n� b.� � Subsry iUed an a i ro b� �j — day of � y 1/ Nota Yublic: My Commission expires: �Y ,.'L"� �� 'Z-� +*"� °°e ���i ARCH T CT'S CERTIFIC TE FOR PA ��a�nzzs; in accordance with the Contrnct Docnmen[s, based on oo-site observ. tiodS`Ydid ihe� ��P�res '�+Wrth 2J, 2024 comprising the applicaFion, the Arc}titcct certifies to ihe Owner that to tlic est o Architect's knowledge, 'vifonnation cmd belief'the Work has p�ugressed as indicated, fhe quaEity of the Work is in acco�danee with the Contr�c[ llocuments, and the ConL�acror is entitled to payment of lhe AMOIINT CF,RTiFBD. ��tour�T crc�Tu�eD . . . . . . . . . . . � L y03. .57 {.4�lach eap/nnntron ijanto��n1 certifiecf rl�ersJl•om �lie nmormi npplietL Leitia! atlfi�n�es ori Uvs Applicntion axd nnlhe Conliroxr�lion Sheei �{rnt m�e changed 10 co� ja�•at wPlh !he nerount certified.J ARCI IITECT� BY �✓/ � � � Date: �"` �" ��.. Tlilc Cert�cat�otiable. 'Che AMOGNT CERTIIIBD is payable only to the Cmrtractor nameU 0erem. lssua�ice, payment and accepfance ol payment arc w��hout prejudice to n�ry �igtrts uf the Osvner or Contractor under �l�is Coniract. .IA DOCUh'.ENl' G702 � APpIICATiOtt ANU CER7IFlCATiOtd FOR PAYtAENT � 73�J2 EDITIO� - AIA � 01992 THE AMERICAN INSTIIUIE OF ARCI IITLCTS, 1735 NLW YORKAVE.� N.W., WASNINGTON, OC 2000&5CJ2 Jsers may obfein validation of this document by requesting a completed AIA Document D401 - Certification of DocumenYs Authenticity from the Licenseo. Fairfax Sewer & Water Ext. CONTINUATION ShIEET �I�Docun���vr�c�os PAGE20FSPAGFS AIA Docament G702, APPLICATION AND C�R"CIFICATION FOR PAYMIiNT, cartaining APPLICA'PION NO: Pinal Ret�inage Conlractor's signed certifrcation is attachcd. APPLTCATION DATE: 5/ 6/ 2 0 2 2 In tabi�lations belo�v, amouNs are seated to Ihe nearest dollar. P�R[OD TO: 5/ 1/2 077. Use Columii 7 on Contracts where variable retainage Pm line items may apply. AIZCHI"S'ECT'S PROJLC"I' NO: 21.048 n � c n � r• � F� i 1"1'L'M DBSCRIN7'ION 0� WORK SCHL'UUL[iD WORK COMPLGTED MA'I'E321ALS 'i'0'I'nL % E3ALANCL' R6TAlNAGE Np, VALUH FROM PRHVIOUS 9'HIS PERIOD PRBSENTLY COMPLE1'ED (G �� C) 1'O PINISH (IP VARIAI3LF. APPI.ICATION STORF.0 AND STORBD (C - G) 1ZATF•.) (D + G) (NOT IN 'CO DA'1'E D OR E) (D+��-i�P) 001 Clearing & Gnibbing 6,700.00 6,700.00 0.00 0.00 6,700.00 100.00% 0.00 0.00 002 Strip, Stockpile & Respread Top Soil 16,775.00 16,775.00 0.00 0.00 16,775.00 100.00% 0.00 O.OD 003 Strip, Stockpile & Respread Top Soil 165.00 165.00 0.00 0.00 165.00 100.00% 0.00 0.00 004 Respread Top Soil 893.75 893.75 0.00 0.00 893.75 100.00% 0.00 0.00 005 Fxcavation Class 10 10,260.00 10,260.00 0.00 0.00 10,260.00 100.00% 0.00 0.00 00G Subgrade Preperation 4,620.00 4,620.00 0.00 0.00 4,620.00 100.00% �.:.0.00� ': 0.00 007 Subgrade TreaUnent, Geogrid II,197.00 8,197.00 0.00 0.00 8,197.00 100,00% O.DO 0.00 D03 Subbase Modified 9" 33,753.40 33,753.40 0.00 0.00 33,753.40 100.00% `�`' " 0,00 . 0.00 �i4i.',:: 009 Subbase Modified 4" 773.50 773.50 0.00 0.00 773.50 100.00% -- 0.00 0.00 O(0 Subbase Class A 3" 16,216.20 16,216.20 0.00 0.00 16,216.20 100.00% 0.00 0.00 Ol1 Removal Of Pipe Culverts HUpE 24" 296.00 296.00 0.00 0.00 296.00 100.00% 0.00 0.00 0l2 Removal Of Pipe Culverts HDPE 15" 804.75 804.75 0.00 0.00 80�.�5 100.00% 0.00 0.00 013 Removal Of Pipe Culveits RCP 12" 240.50 240.50 0.00 0.00 240.50 100.00% 0.00 0.00 Otd Removal Of Pipe Culverts RCP 15" 231.?_5 231.25 0.00 0.00 231.25 100.00% 0.00 0.00 015 Reinovai Of Pipe Culverts RCP 1 S" 194.25 194,25 0.00 0.00 194.25 100.00% 0.00 0.00 O1G Reinoval Of Pipe Culverts CMP 15" 231.25 231.25 0.00 0.00 231.25 100.00% 0.00 0.00 017 Removal Of Pipe Culverts CMP 18" 1,776.00 1,776.00 0.00 0.00 1,776.00 100.00% 0.00 0.00 018 Removal Of Pipe Cuiverts CMP 24" 222.00 222.00 0.00 0.00 222.OQ 100.00% 0.00 0.00 019 Removal Of Pipe Culverts CMP 30" 14II.00 148.00 0.00 0.00 148,00 100.00% 0.00 0.00 020 Site Dewatering Along Fairfax Road, Lefebu 250,000.00 '250,000.00 0.00 0.00 250,000.00 100.00% 0.00 0.00 021 Site Dewatering Along Southview, Williams 20,500,00 '20,500.00 0.06 0.00 2Q500.00 100.00% 0.00 0.00 022 Trench Foundation 16,000.00 16,000.00 0.00 0.00 16,000.00 10Q.00°/ 0.00 0.00 023 Replacement Of Unsuitable Backiill 5,250.00 5,250.00 0.00 0.00 5,250.00 100.00% 0.00 0.00 024 Replacement Of Unsuitable Backfill 7,437.50 7,437.50 0.00 0.00 7,437.50 100.00% 0.00 0.00 025 Sanitary Sewer Trenched G" PVC 25II.00 258.00 0.00 0.00 258.00 100.00% 0.00 0.00 026 Sanitary SewerTrenched S" PVC 1,470.00 1,470.00 0.00 0.00 1,470.00 100.00% 0.00 0.00 027 Sanitary Sewer Trenched 10" Truss 1,456.00 1,456.00 0.00 0.00 1,456.00 100.00°/ D.00 0.00 028 Sanitary Sewer 7renched 12" PVC 88,768.00 88,768.00 0.00 0.00 88,768.00 100.00% 0.00 0.00 029 Saniiary Sewer Trenched 12" PVC 270.00 270.00 0.00 0.00 270.00 100.00% 0.00 0.00 030 Sanitary Sewer Trenched 15" PVC 14,596.00 14,596.00 0.00 0.00 14,596.00 100.00% 0.00 0.00 031 Sanitary Sewer Trenched 18" PVC 520.00 520.00 O.OQ 0.00 520.00 100.00 % 0.�0 0.00 032 Sanitary Sewer Trenched 21" PVC 37,791.00 37,799.00 0.00 0.00 37,791.00 100.00 % 0.00 0.00 TOTAL - PG 1 546,£314.35 596,814.35 0.00 0.00 546,814.35 0.00 0.00 Fairfax Sewer & Water Ext. CONTINUATION SHEET fir�DocUnaLNTc�o3 NA6E30FSPA,�S AiA Document G702, APPLICATION AND CGRTII�ICATION PQR PAYMEN'P, containing APYI,ICA7'ION NO: Fina! Retainage Coutractor's signcd ccrtification is •t.ttached. A PI'LICATION DATL: 5/ 6/?_ 0 22 In tabnlations below, amounts ure stated to die neares[ dollu. PLRIOD TO: 5/ 1/2022 Usc Cohnnn I on Contracts where variable refaint��;e for line items may apply. AI2CHITFCT'S PI20J�CT N0: 21.045 A B C D P � Ci I7 I ITLM DLSCR]P7'ION OF WOIU: SCHEDIJI.HD WORK COMPLIITED MATERIALS 7'O"CAI. °/a BALANCF. RBi'NNAGE NO. VALUE FROM PREVIOUS TH1S PGRIOD PRESENTLY COT/PLETGD (G �<� C} 'TO PiMSH (ll� VAPIA[3LL APPLiCA'PION STORGD AND STORED (C - G) RA'PE) (D+G) (NOTIN T011A'fE D OR ti) (D+E+1') 33 Sanitary Sewer Trenched 24" PVC 204,660.00 204,680.00 0.00 0.00 204,680,00 100.00% 0.00 Q00 34 Sanitary Sewer Trenchless W/ Casing 24" 108,000.00 108,000.00 0.00 0.00 108,000.00 100.00 % 0.00 0.00 35 Removal Of Sanitaiy Sewer Ttenched 8" PV 161.00 161.00 0.00 0.00 161.00 100.00% 0.00 0.00 ;b Pipe CulvertTrenched HDPE 15" 1,073.00 1,073.00 0.00 0.00 1,073.06 100.00% 0.00 0.00 37 Storm SewerTrenched HDPE 24" 2,610.00 2,610.00 0.40 0.00 2,610.00 100.00% 0.00 0.00 38 Pipe Culvert Trenched RCP 15" 8,178.00 8,178.00 0.00 0.00 8,178.00 100.00% 0.00 0.00 39 Pipe Culverl7renched RCP 18" 1,564.00 1,564.OD 0.00 0.00 1,564.00 100.00% 0.00 0.00 40 Sform Se��+er Trenched Arch Pipe 36" 4,236.00 4,236.00 0.00 0.00 4,236.OD 100.00% 0.00 0.00 A l Pipe Culvert Trenched CMP 15" 1,242.00 1,242.00 0.00 0.00 1,242.00 100.00% 0.00 0.00 42 Pipe Culvert Trenched CMP 18" 9,950.00 9,950.00 0.00 0.00 9,950.00 100.00% 0.00 0.00 43 Pipe Culvert Trenched CMP 30" 5,582.50 5,582.50 0.00 0.00 5,582.50 100.00% 0.00 0.00 4�1 Pipe Culvert Trenched 15" Temp 5,600.00 5,600.00 0.00 0.00 5,600.00 100.00% 0.00 0.00 AS PipeApronRCP36"Arch 1,700.00 1,700.00 0.00 0.00 1,700.00 100.00% 0.00 0.00 4G Pipe Apron CMP 30" 1,260.00 1,260.00 0.00 0.00 1,260.00 100.60% 0.00 0.00 47 Pipe Flpron RCP 15" 1,500.00 1,500.00 0.00 0.00 1,500.00 100.00% 0.00 0.00 4R Footing For Pipe Apron 36" 450.00 450.00 0,00 0.00 450.00 100.00% 0.00 0.00 49 Water Main Trenched DIP 12" 82,144.00 82,144.00 0.00 0.00 II2,144.00 100.00% 0.00 0.00 50 Water Main 7renched C900 12" 199,69025 199,690.25 O.DO 0.00 199,69025 100.00% 0.00 0.00 51 Connect To Existing Water Main 8" 2,500.00 2,500.00 0.00 0.00 2,500.00 100.00% 0.00 0.00 52 Connect To Existing Water Main 17" 2,100.00 2,100.00 0.00 0.00 2,100.D0 100.00% 0.00 0.00 53 Water Main Trenchless W/ Casing 12" 70,000.00 70,000.00 0.00 0.00 70,000.00 100.00 % 0.00 0.00 54 Water Main Trenchless W/ Casing 12" 70,000,00 70,000.00 0.00 0.00 70,000.00 100.00% 0.00 0.00 55 Flushing Device 12" 700.00 700.00 0.00 0.00 700.00 100.00% 0.00 0.00 56 Fitting aend 12" 7,245.00 7,7_45.00 0.00 0.00 7,245.00 100.00% 0.00 0.00 57 Fitting Tee 12" 900.00 900.00 0.00 0.00 900.00 100.00 % 0.00 0.00 SS Fitting Tee 12" 375.00 375.00 0.00 0.00 375.00 100.00% 0.00 0.00 SJ Fitting Cross 12" 670.00 670.00 0.00 0.00 670.00 100.00% 0.00 0.00 GO Fitting Reducer 12" 185.00 1£75.00 0.00 0.00 185.00 100.00°/ 0.00 0.00 61 Gate Valve 1?" 31,200.00 31,2D0.00 0.00 0.00 31,200.00 100.00% 0.00 0.00 62 Fire HydrantAssembly 49,500.00 49,500.00 0.00 0.00 4�J,500.OD 100.00% 0.00 0.00 G3 Manhole Sanitary 48" 26,425.00 26,425,00 0.00 0.00 26,425.00 100.00 % 0.00 0.00 64 M2nhole Sanita 48" 14,000.00 14,OOO.DO 0.00 0.00 14,000.00 100.00% 0.00 O.OD Subtotais 1,462,235.10 1,462,235.10 0.00 0.00 1,462,235.10 100.00% O.Op 0.00 Fairfax Sewer & Water Ext. CONTINUATION SHEET ,�r,�z�ocuNr�NTG�o3 ���«oFs����ts AIA Document G702, APPLICA7'ION AND CLRTIFICATION FOR PAYIvIF.,NT, containing APPLICATION NO: I�in11 Retainage Contrac�oi's signed certi6cetion is nUached. APPLICA770N DA'TEi: 5/6/202'L ln tabulations below, amounls are stated to Oic nairest dollar. PEI2SOD TO: 5/1 /2022 Use Colum�i I on Co��treets wUcre varinbte ce��in�ge f'or line items may apply. ARCHI"�'CCT'S PROJ.F.C'C NO: 2 L048 q 13 C D G P G 1�1 1 ffEM DPSCRIPTION OT WOR}: SCtTEDULED N'ORKCOMPI,ETED MATERIAI.S 'POTAL % k3AI,ANCE RE'PAINAGE NO. VA1.UE PFOMYREVIOUS TI{ISP6RIOD PRESHNTLY COMIPI,ETED (G<-C) TOFII�RSH (Q'VAI2IABLG APpLICATION STORED AND STOREI� (C - C) RA7'I') (ll �c- E) (NOT iN TO DATE D OR H) (D+E�b�) 65 Sanitary Manhole 4£t" 6,850.00 6,850.00 0,00 0.00 6,850.00 100.D0% 0.00 0.00 66 Sanitary Manhole 48" 5,500.00 5,500:00 0.00 0,00 5,500.00 100.00% 0.00 0.00 67 Sanitary Manhole 60" 9,625.00 9,G25.00 0.00 0.00 9,625.00 100.00% 0.00 0.00 68 Slorm Manhole Sliallo�v 6x/ 8,100.00 8,100.00 0.00 0.00 8,100.00 100.00% 0.00 0.00 G9 Internal Drop Connection 1,?_50.00 1,250.00 O.OD 0.00 1,250.00 100.00% 0.00 0.00 70 Manhole Adjusfinent 30.00 30.00 0.00 0.00 30.00 100.00% 0.00 0.00 7! Connect to Existing Sanitary Sewer Manhol 8,725.00 8,725.00 0.00 0.00 8,725.00 100.D0% D.00 0.00 77. Pavemenf HMA 4" 7,575.00 7,575.00 0.00 0.00 7,575.00 100.00% 0.00 0.00 73 Removal Of Shared Paih PCC 52.00 52.00 0.00 D.00 52.00 100.00% 0.00 0.00 74 Removal Of Driveway PCC 24G.00 246.00 0.00 0.00 246.00 100.00% 0.00 0.00 75 RemovalOfDrivewayAsphalt 146.00 1A6.00 0.00 0.00 146.00 100.00% 0.00 0.00 76 Removal Of Driveway Gra�ular 244.00 244.D0 D.00 0.00 244.00 100.00 % 0.00 0.00 77 Removal Of Driveway Granular 4,600.00 4,600.00 0.00 0.00 A,600.00 100.00% 0.00 0.00 73 Shared Path Asphalt Millings 104.00 104.00 0.00 0.00 104.D0 100.00% 0.00 0.00 79 Driveway PCC 6" 91,070.00 11,070.00 0.00 0.00 11,070.00 100.00% 0.00 0.00 30 Driveway 11MA 6" 4,745.00 4,745.00 0.00 0.00 4,745.00 10Q.00 % 0.00 0.00 R1 DrivewayClassAStone6" 1,372.50 1,372.50 0.00 0.00 1,372.50 100.00% 0.00 O.DO 82 Driveway Class A Stone 8" 17,391.00 17,391.00 0.00 0.00 17,391.00 100.00% 0.00 0.00 R3 Driveway?"Roadstone£3" 9,052.50 9,052.50 0.00 0.00 9,052.50 100.00% 0.00 0.00 84 Driveway Asphalt Millings 6" 587.50 5ft7.50 0.00 0.00 5II7.50 100.00 % D.00 0.00 85 Pavement Removai Seal Coat & Subbase 7,700.00 7,700.00 0.00 0.00 7,700.00 100.00 % 0.00 D.00 ftG Pavement Removal Asphait & Subbase 505.00 505.00 0.00 o.00 505.00 100.00% O.OD 0.00 87 Seal Coat 20,299.50 20,299.50 0.00 0.00 20,?_99.50 100.00 % 0.00 0.00 88 'iemporary Traffic Control 6,650.00 G,650.00 0.00 0.00 6,650.00 100.00 % 0.00 0.00 A9 Conventional Seeding 7ype 1 3,891.50 3,891.50 0.00 0.00 3,891.54 100.00% 0.00 OAO 90 ConveniionalSeeding Type 7_ 4,704.00 4.7D4.00 0.00 0.00 4,704.00 100.00% 0.00 O.OD 9] Eroision Control Mulching 3,562.50 3,562.50 0.00 0.00 3,562.50 100.00% 0.00 0.00 <J2 Warranty 1,075.00 1,075.00 0.00 0.00 1,075.00 100.00% 0.00 0.00 93 SWPPP 2,000.00 2,000.00 0.00 0.00 2,000.00 100.00% 0.00 0.00 94 Removal & Reinstallation Class D Eroision 1,189.50 1,189.50 0.00 0.00 1,189.50 i00.00 % O.DO � 0.00 95 Filler Sock 12" 650.75 650.25 0.00 0.00 650.25 100.00% 0.00 0.00 9G Filter Sock Removal 244.80 244.80 0.00 0.00 244.80 100.00 % 0.00 0.00 Subtotals 1,611,972.65 1,611,97'2.65 0.00 0.00 1,611,972.65 100.00% 0.00 0.00 Fairfax Sewer & Water Ext. CONTINUATION SHEET f�l�vocUNrh;rv�rc�o3 �A��SOF,nA�Fs AIA Document G702, APYI.iCATION AND CE2TIFICAT[ON FOR PAY1vIENT, containing APPLICATION N0: Final Retaiu�gc Contractor's sigued certifi cation is attached. APPLI CATION DATE: 5/ 6/ 2 0 2 2 I�� Inbulations below, amounts are s�ated to the nearesl dollm�. PBRIOD TO: 5/ 1/ 2.0'L 2 Use Colunnt I on Contracts where variable reloinage fa line items may apply. ARCFIITECT'S PROJECT N0: 21.048 p 13 C U H F G H I ITCM DESCRiPTIONOP\VORK SCIIEDUI.ED WORKCOMPLGTBD MATF.2IALS TOTAL % DALf+NCH RS;7"AINAGL i�p_ VALUH FROMPRGV[OUS "I�HISPGRIOCJ FRESGNTLV COMPLN7'E� (G �-C) 'fO1�INISI-7 (IFVAIt7AL�LF,' APPLICA7'ION S'I'ORED ANU STORED (C - G) RATE) (U+ti) (NOTIN 'PODATG D OR b) (D+E+P) 97 Temperary RECP Type 18 1,875.00 1,875.00 0.00 0.00 1,875.00 100.00% 0.00 0.00 JS Wattle 9" 774.00 774.00 0.00 0.00 774.00 100.00% 0.00 0.00 99 Wattle Removal 258.00 258.00 0.00 0.00 258.00 100.00% 0.00 0.00 100 1" Clean Stone 65.00 65.00 0.00 0.00 65.00 100,00 % O.OD 0.00 IQ] SiltFence 4,139.50 4,139.50 0.00 0.00 4,139.50 100.00% 0.00 0.00 102 Siit Fence Removal Of Sediment 3,165.50 3,165.50 0.00 0.00 3,165.50 100.00% 0.00 0.00 103 Silt Fence Removal Of Device 73D.50 730.50 0.00 0.00 730.50 100.00% 0.00 0.00 104 InletProtection 1,A59.50 1,459.50 0.00 0.00 1,A59.50 100.00% 0.00 0.00 105 Inlef Protection Maintenance 451.50 451.50 0.00 0.00 451.50 100.00 % O.OD 0.00 ]OG Dust Control 1,095.00 1,095.00 0.00 0.00 1,095.00 100.00°/ 0.00 O.DO ]07 Barbed Wire Fence 823.50 823.50 0.00 0.00 823.50 100.00% 0.00 0.00 ]OS Removal Of Fence 184.00 184.00 0.00 0.00 184.00 100.40% 0.00 0.00 ]09 Modular f3lock Wall 1,0£30.00 1,Ofi0.00 0.00 0.00 1,OEi0.00 100.00% 0.00 0.00 I10 Mobilization 140,D00.00 140,000.00 0.00 0.00 140,000.00 100.00% 0.00 0.00 111 G�anula� Shoulders Type 8 14,925.00 14,925.00 0.00 0.00 14,925.00 100.00% 0.00 0.00 112 Temporary Roadway Sudace 17,835.00 17,835.00 0.00 0.00 17,835.00 100.00% 0.00 0.00 l l3 Temporary Roadveay Surface 17,690.00 17,690.00 0.00 0.00 17,690.00 100.00% 0.00 0.00 114 Staging & Laydown 5,000.00 5,000.00 0.00 0.00 5,000.00 100.00% 0.00 0.00 715 Sic�n Removal & Reinstall 4,225.00 4,225.00 0.00 0.00 4,225.00 100,00% 0.00 0.00 116 Pol Hole lltiilities 1,455.D0 1,455.00 0.00 0.00 1,455.00 100.00% 0.00 0.00 ]t7 ITC1 7,000.00 7,000.00 0.00 0.00 7,000.00 100.00% 0.00 0.00 118 ITC 2 2,482.50 2,482.50 0.00 0.00 2,482.50 100.00% 0.00 0.00 179 ITC 3 10,783.39 10,783.39 0.00 a.00 10,783.39 100.00% 0.00 0.00 120 ITC 4- Milestone 30,000.00 30,000.00 0.00 0.00 30,000.00 100.00 % 0.00 0.00 121 Contract Deducis (3I,19925) (31,159.25) 0.00 0.00 (31,199.25) 100.00% O.QO 0.00 �22 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 �23 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 �Zq 0.00 0.00 0.00 O.DO 0.00 0.00% 0.00 0.00 �15 0.00 D.00 0.00 0.00 0.00 0.00% 0.00 0.00 �2� 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 �2� 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 �zs o.00 o.00 o.00 o.ao o.00 o.00i o.00 o.00 GRAND TO7ALS 1,848,270.29 1,848,270.29 0.00 0.00 1,E34f1,270.79 100.00% 0.00 0.00