Art3_Redlands_FY13_BikePed_OBTIII_Inv15_230307_CLOSEDTDA Article 3: Claims/Change Request
Type of Request TDA Article 3: Claims
Project Title Orange Blossom Trail Phase Ill
Project Type Bike and Pedestrian Project
Contact Name Gerard Nepomuceno
Agency Redlands
Contact Phone 9097987584 x4
Contact Email gnepomuceno@cityofredlands.org
Type of Claim Reimbursement Request
Reimbursement Request
Reimbursement
Request Form
Backup
Documentation
Completion
Verification (if
applicable)
Minute Action Item (if
applicable)
Photos (for
completed projects)
Other
Reimbursement Forms.pdf
Backup Documents.pdf
327.68KB
5.15MB
On hold pending possible Board approval of scope
reduction. Waiting to hear back re how much of project
has been completed as of this invoice which brings
project to 89.3% expended.
-Ginger (3/13/23)
March 6, 2023
Ginger Koblasz
City of REDLANDS Incorporated l 888
Municipal Utilities & Engineering Department
35 Cajon Street, Suite ISA
Redlands, CA 923 73
909-798-7698
San Bernardino County Transportation Authority
1170 W. 3rd Street, 2nd Floor
San Bernardino, CA 92410-1715
JOHN R. HARRIS
Director
ORANGE BLOSSOM TRAIL PHASE III PROGRESS PAYMENT REQUEST #15
Ms. Koblasz,
City of Redlands submits to San Bernardino County Transportation Authority (SBCTA) progress
payment request #15 for Phase III of the Orange Blossom Trail. City Resolution No. 7299, adopted
on July 16, 2013, accepted Transportation Development Act Article 3 grant funding in the amount
of $918,722.00 and allocated $162,128.00 of City's Palmetto Grove Fund to be used as the grant
match. Progress payment request #15 is in the amount of $375,160.47.
Attached are the following documents for your review and processing:
1. Reimbursement Request
2. Backup Documentation
3. Backup Summary
If you have any questions, please contact me at 909-798-7584 Ext. 4.
Sincerely,
Gerard Nepomuceno
Civil Engineer
Project Title:
Date Recipient's Name Brief Description of Purchase Amount
include proof of payment)
10/19/21 SBFCD SBFCD Permit - Check # 12061 7,700.00$
8/30/22 Deark E&C Inc Construction - Check #219872 65,949.00$
10/12/22 Deark E&C Inc Construction - Check #220907 96,786.00$
11/9/22 Deark E&C Inc Construction - Check #222587 117,095.10$
12/12/22 Deark E&C Inc Construction - Check #223846 98,131.20$
2/8/23 Deark E&C Inc Construction - Check #224701 55,704.20$
441,365.50$
Orange Blossom Trail Phase 3
Total
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
MP
Pay To
The
Order Of
Vendor Number
12061 11/04/2021 $7,700.00
CHECK NUMBER CHECK DATE CHECK AMOUNT
3137 SAN BERNARDINO COUNTY FLOOD
CONTROL DISTRICT
09/27/2021 3-501/2.04 PERMIT# P-32016055 FILE# 3-501/2.04 $7,700.00
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
3137
Check Number
12061
Check Date
11/04/2021
SAN BERNARDINO COUNTY FLOODCONTROLDISTRICTDEPARTMENTOFPUBLICWORKSATTNADMINISTRATIVESERVICES825ETHIRDSTREETROOM201SANBERNARDINO, CA 92415-0000
7,700.00*** Seven Thousand Seven Hundred Dollars And Zero Cents ***
PAGE:1 OF 1
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
PO #:
MP
Pay To
The
Order Of
Vendor Number
219872 09/15/2022 $65,949.00
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
08/30/2022 1 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $65,949.00
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
219872
Check Date
09/15/2022
DEARK E&CINC1830W147THSTGARDENA, CA 90249
65,949.00*** Sixty-Five Thousand Nine Hundred And Forty-Nine Dollars And Zero Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ X ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ ]
CONTRACTOR Deark E&C, Inc.PROJECT TITLE Orange Blossom Trail Phase 3
ADDRESS 1830 W 147th Street, Gardena, CA 90249 PROJECT NUMBER S241001 BID NO. / JOB NO. S241001
PHONE NUMBER (424) 344-2380 EMAIL djin@dearkec.com CLERKS DOC NUMBER OA NUMBER
CONTACT NAME Dong K Jin PURCHASE ORDER NUMBER 22212412 VENDOR NUMBER 200982
CONTRACT SUMMARY
Original Contract Amount:
782,396.00
Approved Change Orders:
0.00
Approved Contract Amendments:
0.00
Current Contract Amount:
782,396.00
Original Contract Completion Date:
10-16-2022
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
10-16-2022
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 1 9. Original Contract Work Completed to Date $69,420.00
2. Payment Period Beginning Date 06/20/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 08/30/2022 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $69,420.00 12. Total Work Completed to Date (sum lines
9+10+11)$69,420.00
5. Less Retention $3,471.00 13. Total Retention Held to Date $3,471.00
6. Current Payment Due $65,949.00 14. Total Work to Date, Less Retention (line
12 minus Line 13)$65,949.00
7. Balance to Finish $712,976.00 15. Less Previous Certificates for Payment $0.00
8. Percentage Paid to Date, Including this
Period 8.9 16. Current Due this Payment Request (Line
14 minus Line 15)$65,949.00
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Aug 31 2022 03:39 PM
I certify that to the best of my knowledge and belief, all items of work for which payment is being
requested have been completed in accordance with the terms of the contract, and that no part of the
amount requested has been received.
Construction Manager: Kyle Wagner, Sep 01 2022 01:44 PM
Sean Lee, Accountant | Aug 30 2022 05:02 pm City Engineer: Goutam Dobey, Sep 01 2022 04:02 PM
Payment Application Report: Payment Number P 1
Payment Date From: 06-20-2022 To: 08-30-2022 Payment Total: 69,420.00
Item #Description Unit of
Measure
Original
Bid Quantity
Current
Bid Quantity
Previous Pay
Pending/Approved
Qty this
Period
Unit Cost Total Cost Percent
Complete
1 Mobilization LS 1 1 0 / 0 1.00 $37,000.00 $37000.00 100.0
2 Erosion Control Plan LS 1 1 0 / 0 1.00 $8,000.00 $8000.00 100.0
3 Traffic Control Plan LS 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
4 Construction Surveying LS 1 1 0 / 0 1.00 $8,200.00 $8200.00 100.0
5 Clearing and Grubbing LS 1 1 0 / 0 1.00 $8,200.00 $8200.00 100.0
6 Grading LS 1 1 0 / 0 0.33 $24,000.00 $7920.00 33.0
7 4-inch Asphalt Concrete Pavement Over
12-inch Native SF 22896 22896 0 / 0 0.00 $5.50 $0.00 0.0
8 Bike Trail Signage, Striping, and Markings LS 1 1 0 / 0 0.00 $19,000.00 $0.00 0.0
9 30-inch X 30-inch Inlet Grate EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
10 Three Rail PVC Fence LF 2488 2488 0 / 0 0.00 $32.00 $0.00 0.0
11 Decorative Concrete SF 4091 4091 0 / 0 0.00 $12.00 $0.00 0.0
12 Adjust Manhole EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
13 Truncated Domes SF 270 270 0 / 0 0.00 $60.00 $0.00 0.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 0 0.00 $2,000.00 $0.00 0.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 0 0.00 $3.00 $0.00 0.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 0.00 $36.00 $0.00 0.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 0 0.00 $14.00 $0.00 0.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 0 0.00 $68.00 $0.00 0.0
20 Install 24-Inch RCP LF 33 33 0 / 0 0.00 $500.00 $0.00 0.0
21 Grouted Rip-Rap CY 14 14 0 / 0 0.00 $800.00 $0.00 0.0
22 Tubular Steel Gate EA 4 4 0 / 0 0.00 $1,000.00 $0.00 0.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
24 6-Inch Mow Curb LF 4956 4956 0 / 0 0.00 $8.50 $0.00 0.0
25 Street Crossing Monument Sign EA 3 3 0 / 0 0.00 $8,200.00 $0.00 0.0
26 Trail Head Monument Sign EA 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
27 Install 4-Inch atrium drain EA 1 1 0 / 0 0.00 $1,650.00 $0.00 0.0
28 Install 4-Inch PVC pipe EA 7 7 0 / 0 0.00 $600.00 $0.00 0.0
29 "No Dumping Drains to Ocean" stencil.EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
30 Bio Retention Basin LF 155 155 0 / 0 0.50 $200.00 $100.00 0.3
31 Concrete Swale LF 2478 2478 0 / 0 0.00 $11.00 $0.00 0.0
32 Concrete Island SF 300 300 0 / 0 0.00 $38.00 $0.00 0.0
33 Warning Sign EA 12 12 0 / 0 0.00 $660.00 $0.00 0.0
34 Install No Left Turn EA 1 1 0 / 0 0.00 $1,600.00 $0.00 0.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 0.00 $300.00 $0.00 0.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 0.00 $20.00 $0.00 0.0
37 Trench Drain LF 12 12 0 / 0 0.00 $340.00 $0.00 0.0
38 Precast Removable Bollard EA 11 11 0 / 0 0.00 $1,400.00 $0.00 0.0
39 Unforeseen Work LS 1 1 0 / 0 0.00 $75,000.00 $0.00 0.0
40 Demobilization LS 1 1 0 / 0 0.00 $10,000.00 $0.00 0.0
Sean Lee
Date:9/1/2022 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:8.87%Total Work Billed to Date 69,420.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 3,471.00$
Previous Amount Paid
MPPR Number 1
Invoice Date 8/30/2022 Billed This Period 69,420.00$
Change Orders This Period -$
Invoice Number 1 Less 5% Retention This Period 3,471.00$
Net Payment 65,949.00$
MPPR No.Process
Date
Billed
Amount
Change Order Paid
This Period Retention Net Payment
1 9/1/2022 69,420.00$ 3,471.00$ 65,949.00$
2 -$ -$
3 -$ -$
4 -$ -$
5 -$ -$
6 -$ -$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 69,420.00$ -$ 3,471.00$ 65,949.00$
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
ORANGE BLOSSOM TRAIL PHASE III
Project No. S241001
DEARK E&C INC
Same as Above
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
PO #:
MP
Pay To
The
Order Of
Vendor Number
220907 10/20/2022 $96,786.00
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
10/12/2022 2 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $96,786.00
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
220907
Check Date
10/20/2022
DEARK E&CINC1830W147THSTGARDENA, CA 90249
96,786.00*** Ninety-Six Thousand Seven Hundred And Eighty-Six Dollars And Zero Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ X ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ ]
CONTRACTOR Deark E&C, Inc.PROJECT TITLE Orange Blossom Trail Phase 3
ADDRESS 1830 W 147th Street, Gardena, CA 90249 PROJECT NUMBER S241001 BID NO. / JOB NO. S241001
PHONE NUMBER (424) 344-2380 EMAIL djin@dearkec.com CLERKS DOC NUMBER OA NUMBER
CONTACT NAME Dong K Jin PURCHASE ORDER NUMBER 22212412 VENDOR NUMBER 200982
CONTRACT SUMMARY
Original Contract Amount:
782,396.00
Approved Change Orders:
0.00
Approved Contract Amendments:
0.00
Current Contract Amount:
782,396.00
Original Contract Completion Date:
02-03-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
02-03-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 2 9. Original Contract Work Completed to Date $171,300.00
2. Payment Period Beginning Date 08/31/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 09/30/2022 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $101,880.00 12. Total Work Completed to Date (sum lines
9+10+11)$171,300.00
5. Less Retention $5,094.00 13. Total Retention Held to Date $8,565.00
6. Current Payment Due $96,786.00 14. Total Work to Date, Less Retention (line
12 minus Line 13)$162,735.00
7. Balance to Finish $611,096.00 15. Less Previous Certificates for Payment $65,949.00
8. Percentage Paid to Date, Including this
Period 21.9 16. Current Due this Payment Request (Line
14 minus Line 15)$96,786.00
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Oct 13 2022 04:27 PM
I certify that to the best of my knowledge and belief, all items of work for which payment is being
requested have been completed in accordance with the terms of the contract, and that no part of the
amount requested has been received.
Project Manager: Gerard Nepomuceno, Oct 17 2022 09:11 AM
Sean Lee, Accountant | Oct 12 2022 04:24 pm City Engineer:
Payment Application Report: Payment Number P 2
Payment Date From: 08-31-2022 To: 09-30-2022 Payment Total: 101,880.00
Item #Description Unit of
Measure
Original
Bid Quantity
Current
Bid Quantity
Previous Pay
Pending/Approved
Qty this Period Unit Cost Total Cost Percent
Complete
1 Mobilization LS 1 1 0 / 1 0.00 $37,000.00 $0.00 100.0
2 Erosion Control Plan LS 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
3 Traffic Control Plan LS 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
4 Construction Surveying LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
5 Clearing and Grubbing LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
6 Grading LS 1 1 0 / 0.33 0.67 $24,000.00 $16080.00 100.0
7 4-inch Asphalt Concrete Pavement Over
12-inch Native SF 22896 22896 0 / 0 0.00 $5.50 $0.00 0.0
8 Bike Trail Signage, Striping, and Markings LS 1 1 0 / 0 0.00 $19,000.00 $0.00 0.0
9 30-inch X 30-inch Inlet Grate EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
10 Three Rail PVC Fence LF 2488 2488 0 / 0 800.00 $32.00 $25600.00 32.2
11 Decorative Concrete SF 4091 4091 0 / 0 0.00 $12.00 $0.00 0.0
12 Adjust Manhole EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
13 Truncated Domes SF 270 270 0 / 0 0.00 $60.00 $0.00 0.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 0 0.00 $2,000.00 $0.00 0.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 0 2,500.00 $3.00 $7500.00 51.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 0.00 $36.00 $0.00 0.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 0 0.00 $14.00 $0.00 0.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 0 0.00 $68.00 $0.00 0.0
20 Install 24-Inch RCP LF 33 33 0 / 0 15.00 $500.00 $7500.00 45.5
21 Grouted Rip-Rap CY 14 14 0 / 0 0.00 $800.00 $0.00 0.0
22 Tubular Steel Gate EA 4 4 0 / 0 0.00 $1,000.00 $0.00 0.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
24 6-Inch Mow Curb LF 4956 4956 0 / 0 2,000.00 $8.50 $17000.00 40.4
25 Street Crossing Monument Sign EA 3 3 0 / 0 0.00 $8,200.00 $0.00 0.0
26 Trail Head Monument Sign EA 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
27 Install 4-Inch atrium drain EA 1 1 0 / 0 0.00 $1,650.00 $0.00 0.0
28 Install 4-Inch PVC pipe EA 7 7 0 / 0 7.00 $600.00 $4200.00 100.0
29 "No Dumping Drains to Ocean" stencil.EA 2 2 0 / 0 2.00 $2,000.00 $4000.00 100.0
30 Bio Retention Basin LF 155 155 0 / 0.5 100.00 $200.00 $20000.00 64.8
31 Concrete Swale LF 2478 2478 0 / 0 0.00 $11.00 $0.00 0.0
32 Concrete Island SF 300 300 0 / 0 0.00 $38.00 $0.00 0.0
33 Warning Sign EA 12 12 0 / 0 0.00 $660.00 $0.00 0.0
34 Install No Left Turn EA 1 1 0 / 0 0.00 $1,600.00 $0.00 0.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 0.00 $300.00 $0.00 0.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 0.00 $20.00 $0.00 0.0
37 Trench Drain LF 12 12 0 / 0 0.00 $340.00 $0.00 0.0
38 Precast Removable Bollard EA 11 11 0 / 0 0.00 $1,400.00 $0.00 0.0
39 Unforeseen Work LS 1 1 0 / 0 0.00 $75,000.00 $0.00 0.0
40 Demobilization LS 1 1 0 / 0 0.00 $10,000.00 $0.00 0.0
7/1/12
UNCONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
NOTICE TO CLAIMANT: THIS DOCUMENT WAIVES AND RELEASES LIEN, STOP
PAYMENT NOTICE, AND PAYMENT BOND RIGHTS UNCONDITIONALLY AND
STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. THIS
DOCUMENT IS ENFORCEABLE AGAINST YOU IF YOU SIGN IT, EVEN IF YOU
HAVE NOT BEEN PAID. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL
WAIVER AND RELEASE FORM.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Through Date:
Unconditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has
for labor and service provided, and equipment and material delivered, to the customer on this job through
the Through Date of this document. Rights based upon labor or service provided, or equipment or
material delivered, pursuant to a written change order that has been fully executed by the parties prior to
the date that this document is signed by the claimant, are waived and released by this document, unless
listed as an Exception below. The claimant has received the following progress payment:
Exceptions
This document does not affect any of the following:
1) Retentions.
2) Extras for which the claimant has not received payment.
3) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
08/30/2022
65,949.00
ACCOUNTANT
10/12/2022
Sean Lee
7/1/12
CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT'S LIEN, STOP PAYMENT
NOTICE, AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT.
A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT
THE CLAIMANT HAS RECEIVED PAYMENT.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Through Date:
Conditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has
for labor and service provided, and equipment and material delivered, to the customer on this job through
the Through Date of this document. Rights based upon labor or service provided, or equipment or
material delivered, pursuant to a written change order that has been fully executed by the parties prior to
the date that this document is signed by the claimant, are waived and released by this document, unless
listed as an Exception below. This document is effective only on the claimant's receipt of payment from
the financial institution on which the following check is drawn:
Maker of Check:
Amount of Check: $
Check Payable to:
Exceptions
This document does not affect any of the following:
1) Retentions.
2) Extras for which the claimant has not received payment.
3) The following progress payments for which the claimant has previously given a conditional waiver
and release but has not received payment:
Date(s) of waiver and release:________________________________________
Amount(s) of unpaid progress payment(s): $_____________________________
4) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
09/30/2022
CITY OF REDLANDS
96,786.00
DEARK E&C, INC
ACCOUNTANT
10/12/2022
Sean Lee
Date:10/17/2022 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:21.89%Total Work Billed to Date 171,300.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 8,565.00$
Previous Amount Paid
MPPR Number 2
Invoice Date 10/12/2022 Billed This Period 101,880.00$
Change Orders This Period -$
Invoice Number 2 Less 5% Retention This Period 5,094.00$
Net Payment 96,786.00$
MPPR No.Process
Date
Billed
Amount
Change Order Paid
This Period Retention Net Payment
1 9/1/2022 69,420.00$ 3,471.00$ 65,949.00$
2 10/17/2022 101,880.00$ 5,094.00$ 96,786.00$
3 -$ -$
4 -$ -$
5 -$ -$
6 -$ -$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 171,300.00$ -$ 8,565.00$ 162,735.00$
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
ORANGE BLOSSOM TRAIL PHASE III
Project No. S241001
DEARK E&C INC
Same as Above
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
PO #:
MP
Pay To
The
Order Of
Vendor Number
222587 12/15/2022 $117,095.10
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
11/09/2022 3 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $117,095.10
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
222587
Check Date
12/15/2022
DEARK E&CINC1830W147THSTGARDENA, CA 90249
117,095.10*** One Hundred And Seventeen Thousand And Ninety-Five Dollars And Ten Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ X ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ ]
CONTRACTOR Deark E&C, Inc.PROJECT TITLE Orange Blossom Trail Phase 3
ADDRESS 1830 W 147th Street, Gardena, CA 90249 PROJECT NUMBER S241001 BID NO. / JOB NO. S241001
PHONE NUMBER (424) 344-2380 EMAIL djin@dearkec.com CLERKS DOC NUMBER OA NUMBER
CONTACT NAME Dong K Jin PURCHASE ORDER NUMBER 22212412 VENDOR NUMBER 200982
CONTRACT SUMMARY
Original Contract Amount:
782,396.00
Approved Change Orders:
0.00
Approved Contract Amendments:
0.00
Current Contract Amount:
782,396.00
Original Contract Completion Date:
02-03-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
02-03-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 3 9. Original Contract Work Completed to Date $294,558.00
2. Payment Period Beginning Date 10/01/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 11/09/2022 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $123,258.00 12. Total Work Completed to Date (sum lines
9+10+11)$294,558.00
5. Less Retention $6,162.90 13. Total Retention Held to Date $14,727.90
6. Current Payment Due $117,095.10 14. Total Work to Date, Less Retention (line
12 minus Line 13)$279,830.10
7. Balance to Finish $487,838.00 15. Less Previous Certificates for Payment $162,735.00
8. Percentage Paid to Date, Including this
Period 37.6 16. Current Due this Payment Request (Line
14 minus Line 15)$117,095.10
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Nov 23 2022 04:24 PM
I certify that to the best of my knowledge and belief, all items of work for which payment is being
requested have been completed in accordance with the terms of the contract, and that no part of the
amount requested has been received.
Project Manager: Gerard Nepomuceno, Nov 23 2022 04:28 PM
System Admin, PM | Nov 23 2022 04:11 pm City Engineer: Goutam Dobey, Nov 23 2022 04:30 PM
Payment Application Report: Payment Number P 3
Payment Date From: 10-01-2022 To: 11-09-2022 Payment Total: 123,258.00
Item #Description Unit of
Measure
Original
Bid Quantity
Current
Bid Quantity
Previous Pay
Pending/Approved
Qty this Period Unit Cost Total Cost Percent
Complete
1 Mobilization LS 1 1 0 / 1 0.00 $37,000.00 $0.00 100.0
2 Erosion Control Plan LS 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
3 Traffic Control Plan LS 1 1 0 / 0 1.00 $16,500.00 $16500.00 100.0
4 Construction Surveying LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
5 Clearing and Grubbing LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
6 Grading LS 1 1 0 / 1 0.00 $24,000.00 $0.00 100.0
7 4-inch Asphalt Concrete Pavement Over
12-inch Native SF 22896 22896 0 / 0 0.00 $5.50 $0.00 0.0
8 Bike Trail Signage, Striping, and Markings LS 1 1 0 / 0 0.00 $19,000.00 $0.00 0.0
9 30-inch X 30-inch Inlet Grate EA 1 1 0 / 0 0.50 $8,000.00 $4000.00 50.0
10 Three Rail PVC Fence LF 2488 2488 0 / 800 500.00 $32.00 $16000.00 52.3
11 Decorative Concrete SF 4091 4091 0 / 0 0.00 $12.00 $0.00 0.0
12 Adjust Manhole EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
13 Truncated Domes SF 270 270 0 / 0 0.00 $60.00 $0.00 0.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 0 0.00 $2,000.00 $0.00 0.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 2500 0.00 $3.00 $0.00 51.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 0.00 $36.00 $0.00 0.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 0 0.00 $14.00 $0.00 0.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 0 0.00 $68.00 $0.00 0.0
20 Install 24-Inch RCP LF 33 33 0 / 15 0.00 $500.00 $0.00 45.5
21 Grouted Rip-Rap CY 14 14 0 / 0 12.50 $800.00 $10000.00 89.3
22 Tubular Steel Gate EA 4 4 0 / 0 0.00 $1,000.00 $0.00 0.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 0 1.00 $2,000.00 $2000.00 50.0
24 6-Inch Mow Curb LF 4956 4956 0 / 2000 2,000.00 $8.50 $17000.00 80.7
25 Street Crossing Monument Sign EA 3 3 0 / 0 1.00 $8,200.00 $8200.00 33.3
26 Trail Head Monument Sign EA 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
27 Install 4-Inch atrium drain EA 1 1 0 / 0 1.00 $1,650.00 $1650.00 100.0
28 Install 4-Inch PVC pipe EA 7 7 0 / 7 0.00 $600.00 $0.00 100.0
29 "No Dumping Drains to Ocean" stencil.EA 2 2 0 / 2 0.00 $2,000.00 $0.00 100.0
30 Bio Retention Basin LF 155 155 0 / 100.5 54.50 $200.00 $10900.00 100.0
31 Concrete Swale LF 2478 2478 0 / 0 2,478.00 $11.00 $27258.00 100.0
32 Concrete Island SF 300 300 0 / 0 0.00 $38.00 $0.00 0.0
33 Warning Sign EA 12 12 0 / 0 0.00 $660.00 $0.00 0.0
34 Install No Left Turn EA 1 1 0 / 0 0.00 $1,600.00 $0.00 0.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 0.00 $300.00 $0.00 0.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 0.00 $20.00 $0.00 0.0
37 Trench Drain LF 12 12 0 / 0 0.00 $340.00 $0.00 0.0
38 Precast Removable Bollard EA 11 11 0 / 0 0.00 $1,400.00 $0.00 0.0
39 Unforeseen Work LS 1 1 0 / 0 0.13 $75,000.00 $9750.00 13.0
40 Demobilization LS 1 1 0 / 0 0.00 $10,000.00 $0.00 0.0
7/1/12
CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT'S LIEN, STOP PAYMENT
NOTICE, AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT.
A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT
THE CLAIMANT HAS RECEIVED PAYMENT.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Through Date:
Conditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has
for labor and service provided, and equipment and material delivered, to the customer on this job through
the Through Date of this document. Rights based upon labor or service provided, or equipment or
material delivered, pursuant to a written change order that has been fully executed by the parties prior to
the date that this document is signed by the claimant, are waived and released by this document, unless
listed as an Exception below. This document is effective only on the claimant's receipt of payment from
the financial institution on which the following check is drawn:
Maker of Check:
Amount of Check: $
Check Payable to:
Exceptions
This document does not affect any of the following:
1) Retentions.
2) Extras for which the claimant has not received payment.
3) The following progress payments for which the claimant has previously given a conditional waiver
and release but has not received payment:
Date(s) of waiver and release:________________________________________
Amount(s) of unpaid progress payment(s): $_____________________________
4) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
11/09/2022
CITY OF REDLANDS
117,095.10
DEARK E&C, INC
ACCOUNTANT
11/23/2022
Sean Lee
Date:11/23/2022 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:37.65%Total Work Billed to Date 294,558.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 14,727.90$
Previous Amount Paid 162,735.00$
MPPR Number 3
Invoice Date 11/9/2022 Billed This Period 123,258.00$
Change Orders This Period -$
Invoice Number 3 Less 5% Retention This Period 6,162.90$
Net Payment 117,095.10$
MPPR No.Process
Date
Billed
Amount
Change Order Paid
This Period Retention Net Payment
1 9/1/2022 69,420.00$ 3,471.00$ 65,949.00$
2 10/17/2022 101,880.00$ 5,094.00$ 96,786.00$
3 11/21/2022 123,258.00$ 6,162.90$ 117,095.10$
4 -$ -$
5 -$ -$
6 -$ -$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 294,558.00$ -$ 14,727.90$ 279,830.10$
Same as Above
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
ORANGE BLOSSOM TRAIL PHASE III
Project No. S241001
DEARK E&C INC
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
PO #:
MP
Pay To
The
Order Of
Vendor Number
223846 02/02/2023 $98,131.20
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
12/12/2022 4 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $98,131.20
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
223846
Check Date
02/02/2023
DEARK E&CINC1830W147THSTGARDENA, CA 90249
98,131.20*** Ninety-Eight Thousand One Hundred And Thirty-One Dollars And Twenty Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ X ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ ]
CONTRACTOR Deark E&C, Inc.PROJECT TITLE Orange Blossom Trail Phase 3
ADDRESS 1830 W 147th Street, Gardena, CA 90249 PROJECT NUMBER S241001 BID NO. / JOB NO. S241001
PHONE NUMBER (424) 344-2380 EMAIL djin@dearkec.com CLERKS DOC NUMBER OA NUMBER
CONTACT NAME Dong K Jin PURCHASE ORDER NUMBER 22212412 VENDOR NUMBER 200982
CONTRACT SUMMARY
Original Contract Amount:
782,396.00
Approved Change Orders:
0.00
Approved Contract Amendments:
0.00
Current Contract Amount:
782,396.00
Original Contract Completion Date:
02-03-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
02-06-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 4 9. Original Contract Work Completed to Date $397,854.00
2. Payment Period Beginning Date 11/10/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 11/30/2022 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $103,296.00 12. Total Work Completed to Date (sum lines
9+10+11)$397,854.00
5. Less Retention $5,164.80 13. Total Retention Held to Date $19,892.70
6. Current Payment Due $98,131.20 14. Total Work to Date, Less Retention (line
12 minus Line 13)$377,961.30
7. Balance to Finish $384,542.00 15. Less Previous Certificates for Payment $279,830.10
8. Percentage Paid to Date, Including this
Period 50.9 16. Current Due this Payment Request (Line
14 minus Line 15)$98,131.20
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Jan 19 2023 02:57 PM
I certify that to the best of my knowledge and belief, all items of work for which payment is being
requested have been completed in accordance with the terms of the contract, and that no part of the
amount requested has been received.
Project Manager:
Sean Lee, Accountant | Jan 19 2023 10:51 am City Engineer: Goutam Dobey, Jan 19 2023 03:20 PM
Payment Application Report: Payment Number P 4
Payment Date From: 11-10-2022 To: 11-30-2022 Payment Total: 103,296.00
Item #Description Unit of
Measure
Original
Bid Quantity
Current
Bid Quantity
Previous Pay
Pending/Approved
Qty this Period Unit Cost Total Cost Percent
Complete
1 Mobilization LS 1 1 0 / 1 0.00 $37,000.00 $0.00 100.0
2 Erosion Control Plan LS 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
3 Traffic Control Plan LS 1 1 0 / 1 0.00 $16,500.00 $0.00 100.0
4 Construction Surveying LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
5 Clearing and Grubbing LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
6 Grading LS 1 1 0 / 1 0.00 $24,000.00 $0.00 100.0
7 4-inch Asphalt Concrete Pavement Over
12-inch Native SF 22896 22896 0 / 0 0.00 $5.50 $0.00 0.0
8 Bike Trail Signage, Striping, and Markings LS 1 1 0 / 0 0.00 $19,000.00 $0.00 0.0
9 30-inch X 30-inch Inlet Grate EA 1 1 0 / 0.5 0.50 $8,000.00 $4000.00 100.0
10 Three Rail PVC Fence LF 2488 2488 0 / 1300 1,188.00 $32.00 $38016.00 100.0
11 Decorative Concrete SF 4091 4091 0 / 0 0.00 $12.00 $0.00 0.0
12 Adjust Manhole EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
13 Truncated Domes SF 270 270 0 / 0 0.00 $60.00 $0.00 0.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 0 0.00 $2,000.00 $0.00 0.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 0 0.00 $8,000.00 $0.00 0.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 2500 0.00 $3.00 $0.00 51.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 0.00 $36.00 $0.00 0.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 0 0.00 $14.00 $0.00 0.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 0 0.00 $68.00 $0.00 0.0
20 Install 24-Inch RCP LF 33 33 0 / 15 18.00 $500.00 $9000.00 100.0
21 Grouted Rip-Rap CY 14 14 0 / 12.5 0.00 $800.00 $0.00 89.3
22 Tubular Steel Gate EA 4 4 0 / 0 0.00 $1,000.00 $0.00 0.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 1 0.00 $2,000.00 $0.00 50.0
24 6-Inch Mow Curb LF 4956 4956 0 / 4000 0.00 $8.50 $0.00 80.7
25 Street Crossing Monument Sign EA 3 3 0 / 1 0.00 $8,200.00 $0.00 33.3
26 Trail Head Monument Sign EA 1 1 0 / 0 0.00 $16,500.00 $0.00 0.0
27 Install 4-Inch atrium drain EA 1 1 0 / 1 0.00 $1,650.00 $0.00 100.0
28 Install 4-Inch PVC pipe EA 7 7 0 / 7 0.00 $600.00 $0.00 100.0
29 "No Dumping Drains to Ocean" stencil.EA 2 2 0 / 2 0.00 $2,000.00 $0.00 100.0
30 Bio Retention Basin LF 155 155 0 / 155 0.00 $200.00 $0.00 100.0
31 Concrete Swale LF 2478 2478 0 / 2478 0.00 $11.00 $0.00 100.0
32 Concrete Island SF 300 300 0 / 0 0.00 $38.00 $0.00 0.0
33 Warning Sign EA 12 12 0 / 0 0.00 $660.00 $0.00 0.0
34 Install No Left Turn EA 1 1 0 / 0 0.00 $1,600.00 $0.00 0.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 0.00 $300.00 $0.00 0.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 0.00 $20.00 $0.00 0.0
37 Trench Drain LF 12 12 0 / 0 12.00 $340.00 $4080.00 100.0
38 Precast Removable Bollard EA 11 11 0 / 0 5.50 $1,400.00 $7700.00 50.0
39 Unforeseen Work LS 1 1 0 / 0.13 0.54 $75,000.00 $40500.00 67.0
40 Demobilization LS 1 1 0 / 0 0.00 $10,000.00 $0.00 0.0
Date:1/19/2023 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:50.85%Total Work Billed to Date 397,854.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 19,892.70$
Previous Amount Paid 279,830.10$
MPPR Number 4
Invoice Date 12/12/2022 Billed This Period 103,296.00$
Change Orders This Period -$
Invoice Number 4 Less 5% Retention This Period 5,164.80$
Net Payment 98,131.20$
MPPR No.Process
Date
Billed
Amount
Change Order Paid
This Period Retention Net Payment
1 9/1/2022 69,420.00$ 3,471.00$ 65,949.00$
2 10/17/2022 101,880.00$ 5,094.00$ 96,786.00$
3 11/21/2022 123,258.00$ 6,162.90$ 117,095.10$
4 1/19/2023 103,296.00$ 5,164.80$ 98,131.20$
5 -$ -$
6 -$ -$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 397,854.00$ -$ 19,892.70$ 377,961.30$
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
ORANGE BLOSSOM TRAIL PHASE III
Project No. S241001
DEARK E&C INC
Same as Above
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICEDATEINVOICENUMBERDESCRIPTION
PO #:
MP
Pay To
The
Order Of
Vendor Number
224701 03/02/2023 $55,704.20
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
02/08/2023 5 ORANGE BLOSSOM TRAIL PHASE III PROJ S241001 PMT 5 $55,704.20
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
Union Bank, N.A., 1980 Saturn Street,
Monterey Park, CA 91755
90-4150/1222 | 9080000828
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
City Treasurer
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
224701
Check Date
03/02/2023
DEARK E&CINC1830W147THSTGARDENA, CA 90249
55,704.20*** Fifty-Five Thousand Seven Hundred And Four Dollars And Twenty Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ X ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ ]
CONTRACTOR Deark E&C, Inc.PROJECT TITLE Orange Blossom Trail Phase 3
ADDRESS 1830 W 147th Street, Gardena, CA 90249 PROJECT NUMBER S241001 BID NO. / JOB NO. S241001
PHONE NUMBER (424) 344-2380 EMAIL djin@dearkec.com CLERKS DOC NUMBER OA NUMBER
CONTACT NAME Dong K Jin PURCHASE ORDER NUMBER 22212412 VENDOR NUMBER 200982
CONTRACT SUMMARY
Original Contract Amount:
782,396.00
Approved Change Orders:
0.00
Approved Contract Amendments:
0.00
Current Contract Amount:
782,396.00
Original Contract Completion Date:
02-03-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
02-07-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 5 9. Original Contract Work Completed to Date $456,490.00
2. Payment Period Beginning Date 12/01/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 01/31/2023 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $58,636.00 12. Total Work Completed to Date (sum lines
9+10+11)$456,490.00
5. Less Retention $2,931.80 13. Total Retention Held to Date $22,824.50
6. Current Payment Due $55,704.20 14. Total Work to Date, Less Retention (line
12 minus Line 13)$433,665.50
7. Balance to Finish $325,906.00 15. Less Previous Certificates for Payment $377,961.30
8. Percentage Paid to Date, Including this
Period 58.3 16. Current Due this Payment Request (Line
14 minus Line 15)$55,704.20
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Feb 09 2023 02:25 PM
I certify that to the best of my knowledge and belief, all items of work for which payment is being
requested have been completed in accordance with the terms of the contract, and that no part of the
amount requested has been received.
Project Manager: Gerard Nepomuceno, Feb 09 2023 03:11 PM
Sean Lee, Accountant | Feb 08 2023 03:38 pm City Engineer: Goutam Dobey, Feb 09 2023 05:01 PM
Payment Application Report: Payment Number P 5
Payment Date From: 12-01-2022 To: 01-31-2023 Payment Total: 58,636.00
Item #Description Unit of
Measure
Original
Bid Quantity
Current
Bid Quantity
Previous Pay
Pending/Approved
Qty this Period Unit Cost Total Cost Percent
Complete
1 Mobilization LS 1 1 0 / 1 0.00 $37,000.00 $0.00 100.0
2 Erosion Control Plan LS 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
3 Traffic Control Plan LS 1 1 0 / 1 0.00 $16,500.00 $0.00 100.0
4 Construction Surveying LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
5 Clearing and Grubbing LS 1 1 0 / 1 0.00 $8,200.00 $0.00 100.0
6 Grading LS 1 1 0 / 1 0.00 $24,000.00 $0.00 100.0
7 4-inch Asphalt Concrete Pavement Over
12-inch Native SF 22896 22896 0 / 0 0.00 $5.50 $0.00 0.0
8 Bike Trail Signage, Striping, and Markings LS 1 1 0 / 0 0.00 $19,000.00 $0.00 0.0
9 30-inch X 30-inch Inlet Grate EA 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
10 Three Rail PVC Fence LF 2488 2488 0 / 2488 0.00 $32.00 $0.00 100.0
11 Decorative Concrete SF 4091 4091 0 / 0 1,200.00 $12.00 $14400.00 29.3
12 Adjust Manhole EA 2 2 0 / 0 0.00 $2,000.00 $0.00 0.0
13 Truncated Domes SF 270 270 0 / 0 0.00 $60.00 $0.00 0.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 0 2.00 $2,000.00 $4000.00 50.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 0 1.00 $8,000.00 $8000.00 100.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 2500 0.00 $3.00 $0.00 51.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 0.00 $36.00 $0.00 0.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 0 350.00 $14.00 $4900.00 59.8
19 6-Inch Concrete curb gutter LF 117 117 0 / 0 70.00 $68.00 $4760.00 59.8
20 Install 24-Inch RCP LF 33 33 0 / 33 0.00 $500.00 $0.00 100.0
21 Grouted Rip-Rap CY 14 14 0 / 12.5 0.00 $800.00 $0.00 89.3
22 Tubular Steel Gate EA 4 4 0 / 0 0.00 $1,000.00 $0.00 0.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 1 1.00 $2,000.00 $2000.00 100.0
24 6-Inch Mow Curb LF 4956 4956 0 / 4000 956.00 $8.50 $8126.00 100.0
25 Street Crossing Monument Sign EA 3 3 0 / 1 0.00 $8,200.00 $0.00 33.3
26 Trail Head Monument Sign EA 1 1 0 / 0 0.50 $16,500.00 $8250.00 50.0
27 Install 4-Inch atrium drain EA 1 1 0 / 1 0.00 $1,650.00 $0.00 100.0
28 Install 4-Inch PVC pipe EA 7 7 0 / 7 0.00 $600.00 $0.00 100.0
29 "No Dumping Drains to Ocean" stencil.EA 2 2 0 / 2 0.00 $2,000.00 $0.00 100.0
30 Bio Retention Basin LF 155 155 0 / 155 0.00 $200.00 $0.00 100.0
31 Concrete Swale LF 2478 2478 0 / 2478 0.00 $11.00 $0.00 100.0
32 Concrete Island SF 300 300 0 / 0 0.00 $38.00 $0.00 0.0
33 Warning Sign EA 12 12 0 / 0 0.00 $660.00 $0.00 0.0
34 Install No Left Turn EA 1 1 0 / 0 0.00 $1,600.00 $0.00 0.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 0.00 $300.00 $0.00 0.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 0.00 $20.00 $0.00 0.0
37 Trench Drain LF 12 12 0 / 12 0.00 $340.00 $0.00 100.0
38 Precast Removable Bollard EA 11 11 0 / 5.5 3.00 $1,400.00 $4200.00 77.3
39 Unforeseen Work LS 1 1 0 / 0.67 0.00 $75,000.00 $0.00 67.0
40 Demobilization LS 1 1 0 / 0 0.00 $10,000.00 $0.00 0.0
7/1/12
CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT
NOTICE: THIS DOCUMENT WAIVES THE CLAIMANT'S LIEN, STOP PAYMENT
NOTICE, AND PAYMENT BOND RIGHTS EFFECTIVE ON RECEIPT OF PAYMENT.
A PERSON SHOULD NOT RELY ON THIS DOCUMENT UNLESS SATISFIED THAT
THE CLAIMANT HAS RECEIVED PAYMENT.
Identifying Information
Name of Claimant:
Name of Customer:
Job Location:
Owner:
Through Date:
Conditional Waiver and Release
This document waives and releases lien, stop payment notice, and payment bond rights the claimant has
for labor and service provided, and equipment and material delivered, to the customer on this job through
the Through Date of this document. Rights based upon labor or service provided, or equipment or
material delivered, pursuant to a written change order that has been fully executed by the parties prior to
the date that this document is signed by the claimant, are waived and released by this document, unless
listed as an Exception below. This document is effective only on the claimant's receipt of payment from
the financial institution on which the following check is drawn:
Maker of Check:
Amount of Check: $
Check Payable to:
Exceptions
This document does not affect any of the following:
1) Retentions.
2) Extras for which the claimant has not received payment.
3) The following progress payments for which the claimant has previously given a conditional waiver
and release but has not received payment:
Date(s) of waiver and release:________________________________________
Amount(s) of unpaid progress payment(s): $_____________________________
4) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
01/31/2023
CITY OF REDLANDS
55,704.20
DEARK E&C, INC
ACCOUNTANT
02/08/2023
Sean Lee
Date:2/9/2023 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:58.35%Total Work Billed to Date 456,490.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 22,824.50$
Previous Amount Paid 377,961.30$
MPPR Number 5
Invoice Date 2/8/2023 Billed This Period 58,636.00$
Change Orders This Period -$
Invoice Number 5 Less 5% Retention This Period 2,931.80$
Net Payment 55,704.20$
MPPR No.Process
Date
Billed
Amount
Change Order Paid
This Period Retention Net Payment
1 9/1/2022 69,420.00$ 3,471.00$ 65,949.00$
2 10/17/2022 101,880.00$ 5,094.00$ 96,786.00$
3 11/21/2022 123,258.00$ 6,162.90$ 117,095.10$
4 1/19/2023 103,296.00$ 5,164.80$ 98,131.20$
5 2/9/2023 58,636.00$ 2,931.80$ 55,704.20$
6 -$ -$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 456,490.00$ -$ 22,824.50$ 433,665.50$
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
ORANGE BLOSSOM TRAIL PHASE III
Project No. S241001
DEARK E&C INC
Same as Above