Art3_Redlands_FY13_BikePed_OBTIII_Inv16_230726_CLOSED
City of
REDLANDS
Incorporated 1888
Municipal Utilities & Engineering Department
35 Cajon Street, Suite 15A
Redlands, CA 92373
909-798-7698
July 25, 2023
Ginger Koblasz
San Bernardino County Transportation Authority
1170 W. 3rd Street, 2nd Floor
San Bernardino, CA 92410-1715
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 #16 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 #16 is in the amount of $296,420.46.
Attached are the following documents for your review and processing:
1. Reimbursement Request
2. Backup Documentation
3. Backup Summary
4. Photos of Completed Project
5. Certification of Completion
If you have any questions, please contact me at 909-798-7584 Ext. 4.
Sincerely,
Gerard Nepomuceno
Civil Engineer
JOHN R. HARRIS
Director
City of Redlands Date:7/25/2023
Please see below instructions and checkmark the items included in your submittal.
1.
2.
3.
4.
5.
6.
7.Photos of Completed Project (completed projects only) – required when project is complete
and should be attached to final reimbursement request.
Award is for an ATP Safe Routes to School (SRTS) program project, not a SRTS infrastructure
project.
Necessary staff time directly related to in-house completion of design, right-of-way
acquisition, or construction including inspection and/or construction management.
Note: No travel costs or per diems allowed for staff time
Backup Summary itemizing reimbursement request expenses.
Certification of Completion (completed projects only) – prior to filing the final request for
reimbursement, written verification of project completion by the agency’s Authorized Agent is
required (see Authorizing resolution above). Sample language is available upon request.
Claimant:
Authorizing Resolution (one-time submission) – required within SIX months of the project
award by SBCTA Board or prior to requesting reimbursement of funds, whichever comes first.
Resolution should authorize the filing of the claim form, authorize the submission of
reimbursement requests and designate the individuals authorized to certify project completion
(Authorized Agent). Sample language is available upon request.
Claim Form (one-time submission) – required prior to, or along with, your first reimbursement
request.
Reimbursement Request Form (as needed) – this form is required every time a
reimbursement is requested. Please note, progressive payments are only eligible on awards over
$200,000 and local match share percentage must be met regardless of reimbursement amount
requested.
Backup Documentation (required with Reimbursement Request Form) – invoices, paychecks,
purchase orders, etc. to support both the reimbursement and match amounts noted on the
Reimbursement Request Form. Please note, staff administration and/or contract project
management expenses are NOT eligible match expenses. However, staff expenses may qualify for
local match under select circumstances. Please identify whether supporting documentation
includes staff expenses under one of the following allowable conditions:
Project Title:
Date Recipient's Name Brief Description of Purchase Amount
(include proof of payment)
3/14/23 Deark E&C Inc Construction - Check # 225853 150,018.30$
4/28/23 Deark E&C Inc Construction - Check #227764 159,592.40$
5/30/23 Deark E&C Inc Construction - Check #228457 39,119.80$
348,730.50$
Orange Blossom Trail Phase 3
Total
VENDOR NUMBER VENDOR NAME
INVOICEAMOUNTINVOICE DATE INVOICENUMBER DESCRIPTION
PO#:
MP
Pay To
The
Order Of
Vendor Number
225853 04/06/2023 $150,018.30
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
03/14/2023 6 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $150,018.30
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
225853
Check Date
04/06/2023
DEARK E&C INC1830 W 147TH STGARDENA, CA 90249
$150,018.30*** One Hundred And Fifty Thousand And Eighteen Dollars And Thirty 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:
04-04-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
04-15-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 6 9. Original Contract Work Completed to Date $614,404.00
2. Payment Period Beginning Date 02/01/2023 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 02/28/2023 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $157,914.00 12. Total Work Completed to Date (sum lines
9+10+11)$614,404.00
5. Less Retention $7,895.70 13. Total Retention Held to Date $30,720.20
6. Current Payment Due $150,018.30 14. Total Work to Date, Less Retention (line
12 minus Line 13)$583,683.80
7. Balance to Finish $167,992.00 15. Less Previous Certificates for Payment $433,665.50
8. Percentage Paid to Date, Including this
Period 78.5 16. Current Due this Payment Request (Line
14 minus Line 15)$150,018.30
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, Mar 15 2023 10:30 AM
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, Mar 15 2023 10:39 AM
Sean Lee, Accountant | Mar 14 2023 12:28 pm City Engineer: Goutam Dobey, Mar 16 2023 09:53 AM
Payment Application Report: Payment Number P 6
Payment Date From: 02-01-2023 To: 02-28-2023 Payment Total: 157,914.00
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 22,896.00 $5.50 $125928.00 100.0
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 / 1200 1,200.00 $12.00 $14400.00 58.7
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 / 2 0.00 $2,000.00 $0.00 50.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 2500 2,404.00 $3.00 $7212.00 100.0
17 Overlay variable thickness pavement SF 108 108 0 / 0 108.00 $36.00 $3888.00 100.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 350 235.00 $14.00 $3290.00 100.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 70 47.00 $68.00 $3196.00 100.0
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 / 2 0.00 $2,000.00 $0.00 100.0
24 6-Inch Mow Curb LF 4956 4956 0 / 4956 0.00 $8.50 $0.00 100.0
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 / 0.5 0.00 $16,500.00 $0.00 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 / 8.5 0.00 $1,400.00 $0.00 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
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702
TO (OWNER):City of Redlands PROJECT:APPLICATION NO:6 Distribution to:
35 Cajon St #200 Orange Blossom Trail Phase 3
Redlands, CA 92373 PERIOD TO:2/1/23 - 2/28/23
FROM:DEARK E&C, INC VIA (ARCHITECT):
(CONTRACTOR)1830 W. 147th St PROJECT NO:S241001
Gardena, CA 90249
Deark Project No:PG 22-1 CONTRACT DATE:06/20/22
CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached
CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM ........................................................$782,396.00
Change Orders approved in previous months by ADDITIONS DEDUCTIONS 2. Net change by Change Orders .....................................................................................$0.00
the Owner 3. CONTRACT SUM TO DATE (Line 1+2) $782,396.00
Approved this Month 4. TOTAL COMPLETED & STORED TO DATE ........................................................$614,404.00
Number Date Approved (Column G on G703)
$0.00 5. RETAINAGE
a. 5% of Completed Work (Column D+E on G703)$30,720.20
b. 5% of Stored Material (Column F on G703)$0.00
Total Retainage (Line 5a + 5b or Total in Column I of G703)$30,720.20
6. TOTAL EARNED LESS RETAINAGE ..................................................$583,683.80
(Line 4 less Line 5 Total)
TOTALS $0.00 $0.00 7. LESS PREVIOUS CERTIFICATES FOR
Net change by Change Orders PAYMENT (Line 6 from prior Certificate)..................................................$433,665.50
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 8. CURRENT PAYMENT DUE ....................................................................$150,018.30
and belief the Work covered by this Application for Payment has been completed in accordance 9. BALANCE TO FINISH, PLUS RETAINAGE $198,712.20
with the Contract Documents, that all amounts have been paid by the Contractor for Work for (Line 3 less Line 6)
which previous Certificates for Payment were issued and payments received from the Owner, State of: California County of: Los Angeles
and that current payment shown herein is now due.
CONTRACTOR:Deark E&C, Inc Subscribed and sworn to before me this day of 2022
Notary Public:
My Commission expires:
By:Date:03/14/23
Sean Lee AMOUNT CERTIFIED
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT:
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data comprising By: Date:
the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
information and belief the Work has progressed as indicated, the quality of the Work is in accordance Contractor named herein. Issuance, payment and acceptance of payment are without
with the Contract Documents, and the Contractor is entitled to payment of AMOUNT CERTIFIED prejudice to any rights of the Owner or Contractor under this Contract.
Sean Lee
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:6
Contractor's signed Certificate is attached APPLICATION DATE:3/14/2023
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:2/1/2023 ~ 2/28/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
1 Mobilization 1 LS 37,000.00$ 37,000.00$ 37,000.00 -$ 1.00 37,000.00$ 100.00% -$ 1,850.00$
2 Erosion control plan 1 LS 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
3 Traffic control plan 1 LS 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ 825.00$
4 Construction surveying 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ 410.00$
5 Clearing and grubbing 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ 410.00$
6 Grading 1 LS 24,000.00$ 24,000.00$ 24,000.00 -$ 1.00 24,000.00$ 100.00% -$ 1,200.00$
7 4-inch asphalt concrete pavement over 12-
inch native 22,896 SF 125,928.00$ 125,928.00$ 125,928.00$ 22896.00 1.00 125,928.00$ 100.00% -$ 6,296.40$
8 Bike trail signage, striping, and markings 1 LS 19,000.00$ 19,000.00$ -$ 0.00 -$ 0.00% 19,000.00$ -$
9 30-inch x 30-inch inlet grate 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
10 Tree rail PVC fence 2,488 LF 79,616.00$ 79,616.00$ 79,616.00 -$ 1.00 79,616.00$ 100.00% -$ 3,980.80$
11 Decorative concrete 4,091 SF 49,092.00$ 49,092.00$ 14,400.00 14,400.00$ 1200.00 0.59 28,800.00$ 58.67% 20,292.00$ 1,440.00$
12 Adjust manhole 2 EA 4,000.00$ 4,000.00$ -$ 0.00 -$ 0.00% 4,000.00$ -$
13 Truncated domes 270 SF 16,200.00$ 16,200.00$ -$ 0.00 -$ 0.00% 16,200.00$ -$
14 Construct ADA curb rmaps Type 1 4 EA 8,000.00$ 8,000.00$ 4,000.00 -$ 0.50 4,000.00$ 50.00% 4,000.00$ 200.00$
15 Construct ADA curb ramps Type 2 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
16 Grind and overlay variable thickness
pavement 4,904 SF 14,712.00$ 14,712.00$ 7,500.00 7,212.00$ 2404.00 1.00 14,712.00$ 100.00% -$ 735.60$
17 Overlay variable thickness pavement 108 SF 3,888.00$ 3,888.00$ 3,888.00$ 108.00 1.00 3,888.00$ 100.00% -$ 194.40$
18 4-inch concrete side walk 585 SF 8,190.00$ 8,190.00$ 4,900.00 3,290.00$ 235.00 1.00 8,190.00$ 100.00% -$ 409.50$
19 6-inch concrete curb gutter 117 LF 7,956.00$ 7,956.00$ 4,760.00 3,196.00$ 47.00 1.00 7,956.00$ 100.00% -$ 397.80$
20 Install 24-inch RCP 33 LF 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ 825.00$
21 Grouted Rip-Rap 14 CY 11,200.00$ 11,200.00$ 10,000.00 0.89 10,000.00$ 89.29% 1,200.00$ 500.00$
22 Tubular steel gate 4 EA 4,000.00$ 4,000.00$ -$ 0.00 -$ 0.00% 4,000.00$ -$
23 Precast concrete litter receptacle 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ 200.00$
24 6-inch mow curb 4956 LF 42,126.00$ 42,126.00$ 42,126.00 -$ 1.00 42,126.00$ 100.00% -$ 2,106.30$
25 Street crossing monument sign 3 EA 24,600.00$ 24,600.00$ 8,200.00 -$ 0.33 8,200.00$ 33.33% 16,400.00$ 410.00$
26 Trail head mounment sign 1 EA 16,500.00$ 16,500.00$ 8,250.00 -$ 0.50 8,250.00$ 50.00% 8,250.00$ 412.50$
27 Install 4-inch atrium drain 1 EA 1,650.00$ 1,650.00$ 1,650.00 -$ 1.00 1,650.00$ 100.00% -$ 82.50$
28 Install 4-inch PVC pipe 7 EA 4,200.00$ 4,200.00$ 4,200.00 -$ 1.00 4,200.00$ 100.00% -$ 210.00$
29 "No dumping drains to Ocean" stencil 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ 200.00$
30 Bio retintion basin 155 LF 31,000.00$ 31,000.00$ 31,000.00 -$ 1.00 31,000.00$ 100.00% -$ 1,550.00$
31 Concrete swale 2478 LF 27,258.00$ 27,258.00$ 27,258.00 -$ 1.00 27,258.00$ 100.00% -$ 1,362.90$
32 Concrete island 300 SF 11,400.00$ 11,400.00$ -$ 0.00 -$ 0.00% 11,400.00$ -$
33 Warning sign 12 EA 7,920.00$ 7,920.00$ -$ 0.00 -$ 0.00% 7,920.00$ -$
34 Install no left turn 1 EA 1,600.00$ 1,600.00$ -$ 0.00 -$ 0.00% 1,600.00$ -$
35 Install reflective delineator Type E 26 EA 7,800.00$ 7,800.00$ -$ 0.00 -$ 0.00% 7,800.00$ -$
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:6
Contractor's signed Certificate is attached APPLICATION DATE:3/14/2023
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:2/1/2023 ~ 2/28/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
36 Paint yellow themoplastic striping 384 LF 7,680.00$ 7,680.00$ -$ 0.00 -$ 0.00% 7,680.00$ -$
37 Trench drain 12 LF 4,080.00$ 4,080.00$ 4,080.00 -$ 1.00 4,080.00$ 100.00% -$ 204.00$
38 Precast removable bollard 11 EA 15,400.00$ 15,400.00$ 11,900.00 -$ 0.77 11,900.00$ 77.27% 3,500.00$ 595.00$
39 Unforeseen work 1 LS 75,000.00$ 75,000.00$ 50,250.00 -$ 0.67 50,250.00$ 67.00% 24,750.00$ 2,512.50$
40 Demobilization 1 LS 10,000.00$ 10,000.00$ -$ 0.00 -$ 0.00% 10,000.00$ -$
TOTALS 782,396.00$ -$ 782,396.00$ 456,490.00$ 157,914.00$ 614,404.00$ 167,992.00$ 30,720.20$
CHANGES
SUBTOTALS -$ -$ -$ -$ -$ -$ -$ -$
Sean Lee Date: 3/14/2023
Contractor Authorized Signature Printed Name
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): $_____________________________
(4) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
02/28/2023
CITY OF REDLANDS
150,018.30
DEARK E&C, INC
ACCOUNTANT
03/14/2023
Sean Lee
Date:3/14/2023 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:78.53%Total Work Billed to Date 614,404.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 30,720.20$
Previous Amount Paid 433,665.50$
MPPR Number 6
Invoice Date 3/14/2023 Billed This Period 157,914.00$
Change Orders This Period -$
Invoice Number 6 Less 5% Retention This Period 7,895.70$
Net Payment 150,018.30$
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 3/14/2023 157,914.00$ 7,895.70$ 150,018.30$
7 -$ -$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 614,404.00$ -$ 30,720.20$ 583,683.80$
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
INVOICEAMOUNTINVOICE DATE INVOICENUMBER DESCRIPTION
PO#:
MP
Pay To
The
Order Of
Vendor Number
227764 06/15/2023 $159,592.40
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
04/28/2023 7 ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $159,592.40
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
U.S. Bank, N.A., 800 Nicollet Mall
BC-MN-H20I, Minneapolis, MN 55402
90-3582/1222 | 153210005234
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
Management Serv./Finance Director
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
227764
Check Date
06/15/2023
DEARK E&C INC1830 W 147TH STGARDENA, CA 90249
$159,592.40*** One Hundred And Fifty-Nine Thousand Five Hundred And Ninety-Two Dollars And Forty Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ ]FINAL PAYMENT [ X ]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:
04-04-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
04-17-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number P 7 9. Original Contract Work Completed to Date $782,396.00
2. Payment Period Beginning Date 03/01/2023 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 04/30/2023 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $167,992.00 12. Total Work Completed to Date (sum lines
9+10+11)$782,396.00
5. Less Retention $8,399.60 13. Total Retention Held to Date $39,119.80
6. Current Payment Due $159,592.40 14. Total Work to Date, Less Retention (line
12 minus Line 13)$743,276.20
7. Balance to Finish $0.00 15. Less Previous Certificates for Payment $583,683.80
8. Percentage Paid to Date, Including this
Period 100.0 16. Current Due this Payment Request (Line
14 minus Line 15)$159,592.40
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, May 16 2023 10:38 AM
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, May 16 2023 01:32 PM
Sean Lee, Accountant | May 11 2023 05:29 pm City Engineer: Goutam Dobey, May 16 2023 01:34 PM
Payment Application Report: Payment Number P 7
Payment Date From: 03-01-2023 To: 04-30-2023 Payment Total: 167,992.00
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 / 22896 0.00 $5.50 $0.00 100.0
8 Bike Trail Signage, Striping, and
Markings LS 1 1 0 / 0 1.00 $19,000.00 $19000.00 100.0
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 / 2400 1,691.00 $12.00 $20292.00 100.0
12 Adjust Manhole EA 2 2 0 / 0 2.00 $2,000.00 $4000.00 100.0
13 Truncated Domes SF 270 270 0 / 0 270.00 $60.00 $16200.00 100.0
14 Construct ADA Curb Ramps Type 1 EA 4 4 0 / 2 2.00 $2,000.00 $4000.00 100.0
15 Construct ADA Curb Ramps Type 1A EA 1 1 0 / 1 0.00 $8,000.00 $0.00 100.0
16 Grind and Overlay Variable Thickness
Pavement SF 4904 4904 0 / 4904 0.00 $3.00 $0.00 100.0
17 Overlay variable thickness pavement SF 108 108 0 / 108 0.00 $36.00 $0.00 100.0
18 4-Inch Concrete Side Walk SF 585 585 0 / 585 0.00 $14.00 $0.00 100.0
19 6-Inch Concrete curb gutter LF 117 117 0 / 117 0.00 $68.00 $0.00 100.0
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 1.50 $800.00 $1200.00 100.0
22 Tubular Steel Gate EA 4 4 0 / 0 4.00 $1,000.00 $4000.00 100.0
23 Precast Concrete Litter Receptacle EA 2 2 0 / 2 0.00 $2,000.00 $0.00 100.0
24 6-Inch Mow Curb LF 4956 4956 0 / 4956 0.00 $8.50 $0.00 100.0
25 Street Crossing Monument Sign EA 3 3 0 / 1 2.00 $8,200.00 $16400.00 100.0
26 Trail Head Monument Sign EA 1 1 0 / 0.5 0.50 $16,500.00 $8250.00 100.0
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 / 0 300.00 $38.00 $11400.00 100.0
33 Warning Sign EA 12 12 0 / 0 12.00 $660.00 $7920.00 100.0
34 Install No Left Turn EA 1 1 0 / 0 1.00 $1,600.00 $1600.00 100.0
35 Install Reflective Delineator Type E LS 26 26 0 / 0 26.00 $300.00 $7800.00 100.0
36 Paint Yellow Thermoplastic Striping LF 384 384 0 / 0 384.00 $20.00 $7680.00 100.0
37 Trench Drain LF 12 12 0 / 12 0.00 $340.00 $0.00 100.0
38 Precast Removable Bollard EA 11 11 0 / 8.5 2.50 $1,400.00 $3500.00 100.0
39 Unforeseen Work LS 1 1 0 / 0.67 0.33 $75,000.00 $24750.00 100.0
40 Demobilization LS 1 1 0 / 0 1.00 $10,000.00 $10000.00 100.0
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702
TO (OWNER):City of Redlands PROJECT:APPLICATION NO:7 Distribution to:
35 Cajon St #200 Orange Blossom Trail Phase 3
Redlands, CA 92373 PERIOD TO:3/1/23 - 4/20/23
FROM:DEARK E&C, INC VIA (ARCHITECT):
(CONTRACTOR)1830 W. 147th St PROJECT NO:S241001
Gardena, CA 90249
Deark Project No:PG 22-1 CONTRACT DATE:06/20/22
CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached
CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM ........................................................$782,396.00
Change Orders approved in previous months by ADDITIONS DEDUCTIONS 2. Net change by Change Orders .....................................................................................$0.00
the Owner 3. CONTRACT SUM TO DATE (Line 1+2) $782,396.00
Approved this Month 4. TOTAL COMPLETED & STORED TO DATE ........................................................$782,396.00
Number Date Approved (Column G on G703)
5. RETAINAGE
a. 5% of Completed Work (Column D+E on G703)$39,119.80
b. 5% of Stored Material (Column F on G703)$0.00
Total Retainage (Line 5a + 5b or Total in Column I of G703)$39,119.80
6. TOTAL EARNED LESS RETAINAGE ..................................................$743,276.20
(Line 4 less Line 5 Total)
TOTALS $0.00 $0.00 7. LESS PREVIOUS CERTIFICATES FOR
Net change by Change Orders PAYMENT (Line 6 from prior Certificate)..................................................$583,683.80
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 8. CURRENT PAYMENT DUE ....................................................................$159,592.40
and belief the Work covered by this Application for Payment has been completed in accordance 9. BALANCE TO FINISH, PLUS RETAINAGE $39,119.80
with the Contract Documents, that all amounts have been paid by the Contractor for Work for (Line 3 less Line 6)
which previous Certificates for Payment were issued and payments received from the Owner, State of: California County of: Los Angeles
and that current payment shown herein is now due.
CONTRACTOR:Deark E&C, Inc Subscribed and sworn to before me this day of 2022
Notary Public:
My Commission expires:
By:Date:04/28/23
Sean Lee AMOUNT CERTIFIED
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT:
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data comprising By: Date:
the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
information and belief the Work has progressed as indicated, the quality of the Work is in accordance Contractor named herein. Issuance, payment and acceptance of payment are without
with the Contract Documents, and the Contractor is entitled to payment of AMOUNT CERTIFIED prejudice to any rights of the Owner or Contractor under this Contract.
Sean Lee
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:7
Contractor's signed Certificate is attached APPLICATION DATE:4/28/2023
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:3/1/2023 ~ 4/20/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
1 Mobilization 1 LS 37,000.00$ 37,000.00$ 37,000.00 -$ 1.00 37,000.00$ 100.00% -$ 1,850.00$
2 Erosion control plan 1 LS 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
3 Traffic control plan 1 LS 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ 825.00$
4 Construction surveying 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ 410.00$
5 Clearing and grubbing 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ 410.00$
6 Grading 1 LS 24,000.00$ 24,000.00$ 24,000.00 -$ 1.00 24,000.00$ 100.00% -$ 1,200.00$
7 4-inch asphalt concrete pavement over 12-
inch native 22,896 SF 125,928.00$ 125,928.00$ 125,928.00 -$ 1.00 125,928.00$ 100.00% -$ 6,296.40$
8 Bike trail signage, striping, and markings 1 LS 19,000.00$ 19,000.00$ 19,000.00$ 1.00 1.00 19,000.00$ 100.00% -$ 950.00$
9 30-inch x 30-inch inlet grate 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
10 Tree rail PVC fence 2,488 LF 79,616.00$ 79,616.00$ 79,616.00 -$ 1.00 79,616.00$ 100.00% -$ 3,980.80$
11 Decorative concrete 4,091 SF 49,092.00$ 49,092.00$ 28,800.00 20,292.00$ 1691.00 1.00 49,092.00$ 100.00% -$ 2,454.60$
12 Adjust manhole 2 EA 4,000.00$ 4,000.00$ 4,000.00$ 2.00 1.00 4,000.00$ 100.00% -$ 200.00$
13 Truncated domes 270 SF 16,200.00$ 16,200.00$ 16,200.00$ 270.00 1.00 16,200.00$ 100.00% -$ 810.00$
14 Construct ADA curb rmaps Type 1 4 EA 8,000.00$ 8,000.00$ 4,000.00 4,000.00$ 2.00 1.00 8,000.00$ 100.00% -$ 400.00$
15 Construct ADA curb ramps Type 2 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ 400.00$
16 Grind and overlay variable thickness
pavement 4,904 SF 14,712.00$ 14,712.00$ 14,712.00 -$ 1.00 14,712.00$ 100.00% -$ 735.60$
17 Overlay variable thickness pavement 108 SF 3,888.00$ 3,888.00$ 3,888.00 -$ 1.00 3,888.00$ 100.00% -$ 194.40$
18 4-inch concrete side walk 585 SF 8,190.00$ 8,190.00$ 8,190.00 -$ 1.00 8,190.00$ 100.00% -$ 409.50$
19 6-inch concrete curb gutter 117 LF 7,956.00$ 7,956.00$ 7,956.00 -$ 1.00 7,956.00$ 100.00% -$ 397.80$
20 Install 24-inch RCP 33 LF 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ 825.00$
21 Grouted Rip-Rap 14 CY 11,200.00$ 11,200.00$ 10,000.00 1,200.00$ 1.50 1.00 11,200.00$ 100.00% -$ 560.00$
22 Tubular steel gate 4 EA 4,000.00$ 4,000.00$ 4,000.00$ 4.00 1.00 4,000.00$ 100.00% -$ 200.00$
23 Precast concrete litter receptacle 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ 200.00$
24 6-inch mow curb 4956 LF 42,126.00$ 42,126.00$ 42,126.00 -$ 1.00 42,126.00$ 100.00% -$ 2,106.30$
25 Street crossing monument sign 3 EA 24,600.00$ 24,600.00$ 8,200.00 16,400.00$ 2.00 1.00 24,600.00$ 100.00% -$ 1,230.00$
26 Trail head mounment sign 1 EA 16,500.00$ 16,500.00$ 8,250.00 8,250.00$ 0.50 1.00 16,500.00$ 100.00% -$ 825.00$
27 Install 4-inch atrium drain 1 EA 1,650.00$ 1,650.00$ 1,650.00 -$ 1.00 1,650.00$ 100.00% -$ 82.50$
28 Install 4-inch PVC pipe 7 EA 4,200.00$ 4,200.00$ 4,200.00 -$ 1.00 4,200.00$ 100.00% -$ 210.00$
29 "No dumping drains to Ocean" stencil 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ 200.00$
30 Bio retention basin 155 LF 31,000.00$ 31,000.00$ 31,000.00 -$ 1.00 31,000.00$ 100.00% -$ 1,550.00$
31 Concrete swale 2478 LF 27,258.00$ 27,258.00$ 27,258.00 -$ 1.00 27,258.00$ 100.00% -$ 1,362.90$
32 Concrete island 300 SF 11,400.00$ 11,400.00$ 11,400.00$ 300.00 1.00 11,400.00$ 100.00% -$ 570.00$
33 Warning sign 12 EA 7,920.00$ 7,920.00$ 7,920.00$ 12.00 1.00 7,920.00$ 100.00% -$ 396.00$
34 Install no left turn 1 EA 1,600.00$ 1,600.00$ 1,600.00$ 1.00 1.00 1,600.00$ 100.00% -$ 80.00$
35 Install reflective delineator Type E 26 EA 7,800.00$ 7,800.00$ 7,800.00$ 26.00 1.00 7,800.00$ 100.00% -$ 390.00$
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:7
Contractor's signed Certificate is attached APPLICATION DATE:4/28/2023
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:3/1/2023 ~ 4/20/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
36 Paint yellow themoplastic striping 384 LF 7,680.00$ 7,680.00$ 7,680.00$ 384.00 1.00 7,680.00$ 100.00% -$ 384.00$
37 Trench drain 12 LF 4,080.00$ 4,080.00$ 4,080.00 -$ 1.00 4,080.00$ 100.00% -$ 204.00$
38 Precast removable bollard 11 EA 15,400.00$ 15,400.00$ 11,900.00 3,500.00$ 2.50 1.00 15,400.00$ 100.00% -$ 770.00$
39 Unforeseen work 1 LS 75,000.00$ 75,000.00$ 50,250.00 24,750.00$ 0.33 1.00 75,000.00$ 100.00% -$ 3,750.00$
40 Demobilization 1 LS 10,000.00$ 10,000.00$ 10,000.00$ 1.00 1.00 10,000.00$ 100.00% -$ 500.00$
TOTALS 782,396.00$ -$ 782,396.00$ 614,404.00$ 167,992.00$ 782,396.00$ -$ 39,119.80$
CHANGES
SUBTOTALS -$ -$ -$ -$ -$ -$ -$ -$
Sean Lee Date: 4/28/2023
Contractor Authorized Signature Printed Name
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): $_____________________________
(4) Contract rights, including (A) a right based on rescission, abandonment, or breach of
contract, and (B) the right to recover compensation for work not compensated by the payment.
Signature
Claimant's Signature:
Claimant's Title:
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
04/20/2023
CITY OF REDLANDS
159,592.40
DEARK E&C, INC
ACCOUNTANT
04/28/2023
Sean Lee
Date:5/8/2023 Account Number 241400-8405-S241001
Contractor:PO No.22212412
PO Date 6/28/2022
1830 W 147th Street Notice to Proceed 6/20/2022
Gardena, CA 90249
Date Amount
Pay To:Original Contract 782,396.00$
Contract Amendment #1
Total Contract 782,396.00$
Precentage of Work Completed to Date:100.00%Total Work Billed to Date 782,396.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date 39,119.80$
Previous Amount Paid 583,683.80$
MPPR Number 7
Invoice Date 4/28/2023 Billed This Period 167,992.00$
Change Orders This Period -$
Invoice Number 7 Less 5% Retention This Period 8,399.60$
Net Payment 159,592.40$
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 3/14/2023 157,914.00$ 7,895.70$ 150,018.30$
7 5/8/2023 167,992.00$ 8,399.60$ 159,592.40$
8 -$ -$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 782,396.00$ -$ 39,119.80$ 743,276.20$
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
INVOICEAMOUNTINVOICE DATE INVOICENUMBER DESCRIPTION
PO#:
MP
Pay To
The
Order Of
Vendor Number
228457 07/06/2023 $39,119.80
CHECK NUMBER CHECK DATE CHECK AMOUNT
200982 DEARK E&C INC
05/30/2023 R1 R) ORANGE BLOSSOM TRAIL PHASE III PROJECT S241001 $39,119.80
22212412 - MUNICIPAL UTIL & ENGINEERING
VOID IF NOT CASHED WITHIN SIX MONTHS
U.S. Bank, N.A., 800 Nicollet Mall
BC-MN-H20I, Minneapolis, MN 55402
90-3582/1222 | 153210005234
VOID
CITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDLANDSCITYOFREDL…
Management Serv./Finance Director
P.O. Box 3005
Redlands, CA 92373
200982
Check Number
228457
Check Date
07/06/2023
DEARK E&C INC1830 W 147TH STGARDENA, CA 90249
$39,119.80*** Thirty-Nine Thousand One Hundred And Nineteen Dollars And Eighty Cents ***
PAGE:1 OF 1
APPLICATION AND CERTIFICATE FOR PAYMENT
City of Redlands
35 Cajon St
Redlands, CA 92373
PROGRESS PAYMENT [ ]FINAL PAYMENT [ ]FIRST AND FINAL PAYMENT [ ]RETENTION PAYMENT [ X ]
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:
04-04-2023
Additional Days Per Change Order:
0 days
Current Contract Completion Date:
04-17-2023
Payment Information this Period Cumulative Payment Information
1. Payment Application Number R 1 9. Original Contract Work Completed to Date $782,396.00
2. Payment Period Beginning Date 06/20/2022 10. Change Order Work Completed to Date $0.00
3. Payment Period Ending Date 05/24/2023 11. Contract Amendment Work Completed to
Date $0.00
4. Total Amount Requested this Pay Period $39,119.80 12. Total Work Completed to Date (sum lines
9+10+11)$782,396.00
5. Less Retention $0.00 13. Total Retention Held to Date $0.00
6. Current Payment Due $39,119.80 14. Total Work to Date, Less Retention (line
12 minus Line 13)$782,396.00
7. Balance to Finish $0.00 15. Less Previous Certificates for Payment $743,276.20
8. Percentage Paid to Date, Including this
Period 100.0 16. Current Due this Payment Request (Line
14 minus Line 15)$39,119.80
Certification Approved For Processing
Submitted and Agreed to By:Inspector: Frannie Fox, May 30 2023 03:53 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, Jun 13 2023 07:37 AM
Sean Lee, Accountant | May 30 2023 11:51 am City Engineer: Goutam Dobey, Jun 13 2023 07:39 AM
Payment Application Report: Payment Number R 1
Payment Date From: Jun 20 2022 To: May 24 2023 Payment Total: 39,119.80
Retention Payment
Retention Withheld to Date 39,119.80
Retention Paid to Date 0.00
Remaining Retention Withheld to Date 39,119.80
Retention Amount to Release Now 100.0 % | $ 39,119.80
Retention Amount this Payment 39,119.80
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702
TO (OWNER):City of Redlands PROJECT:APPLICATION NO:8 - Retention Distribution to:
35 Cajon St #200 Orange Blossom Trail Phase 3
Redlands, CA 92373 PERIOD TO:6/20/22 - 4/20/23
FROM:DEARK E&C, INC VIA (ARCHITECT):
(CONTRACTOR)1830 W. 147th St PROJECT NO:S241001
Gardena, CA 90249
Deark Project No:PG 22-1 CONTRACT DATE:06/20/22
CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached
CHANGE ORDER SUMMARY 1. ORIGINAL CONTRACT SUM ........................................................$782,396.00
Change Orders approved in previous months by ADDITIONS DEDUCTIONS 2. Net change by Change Orders .....................................................................................$0.00
the Owner 3. CONTRACT SUM TO DATE (Line 1+2) $782,396.00
Approved this Month 4. TOTAL COMPLETED & STORED TO DATE ........................................................$782,396.00
Number Date Approved (Column G on G703)
5. RETAINAGE
a. 5% of Completed Work (Column D+E on G703)$0.00
b. 5% of Stored Material (Column F on G703)$0.00
Total Retainage (Line 5a + 5b or Total in Column I of G703)$0.00
6. TOTAL EARNED LESS RETAINAGE ..................................................$782,396.00
(Line 4 less Line 5 Total)
TOTALS $0.00 $0.00 7. LESS PREVIOUS CERTIFICATES FOR
Net change by Change Orders PAYMENT (Line 6 from prior Certificate)..................................................$743,276.20
The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 8. CURRENT PAYMENT DUE ....................................................................$39,119.80
and belief the Work covered by this Application for Payment has been completed in accordance 9. BALANCE TO FINISH, PLUS RETAINAGE $0.00
with the Contract Documents, that all amounts have been paid by the Contractor for Work for (Line 3 less Line 6)
which previous Certificates for Payment were issued and payments received from the Owner, State of: California County of: Los Angeles
and that current payment shown herein is now due.
CONTRACTOR:Deark E&C, Inc Subscribed and sworn to before me this day of 2022
Notary Public:
My Commission expires:
By:Date:05/24/23
Sean Lee AMOUNT CERTIFIED
(Attach explanation if amount certified differs from the amount applied for.)
ARCHITECT:
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data comprising By: Date:
the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
information and belief the Work has progressed as indicated, the quality of the Work is in accordance Contractor named herein. Issuance, payment and acceptance of payment are without
with the Contract Documents, and the Contractor is entitled to payment of AMOUNT CERTIFIED prejudice to any rights of the Owner or Contractor under this Contract.
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:
Contractor's signed Certificate is attached 5/24/2023
In tabulations below, amounts are stated to the nearest dollar.6/20/2023 ~ 4/20/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
8 - Retention
APPLICATION DATE:
PERIOD TO:
1 Mobilization 1 LS 37,000.00$ 37,000.00$ 37,000.00 -$ 1.00 37,000.00$ 100.00% -$ -$
2 Erosion control plan 1 LS 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ -$
3 Traffic control plan 1 LS 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ -$
4 Construction surveying 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ -$
5 Clearing and grubbing 1 LS 8,200.00$ 8,200.00$ 8,200.00 -$ 1.00 8,200.00$ 100.00% -$ -$
6 Grading 1 LS 24,000.00$ 24,000.00$ 24,000.00 -$ 1.00 24,000.00$ 100.00% -$ -$
7 4-inch asphalt concrete pavement over 12-
inch native 22,896 SF 125,928.00$ 125,928.00$ 125,928.00 -$ 1.00 125,928.00$ 100.00% -$ -$
8 Bike trail signage, striping, and markings 1 LS 19,000.00$ 19,000.00$ 19,000.00 -$ 1.00 19,000.00$ 100.00% -$ -$
9 30-inch x 30-inch inlet grate 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ -$
10 Tree rail PVC fence 2,488 LF 79,616.00$ 79,616.00$ 79,616.00 -$ 1.00 79,616.00$ 100.00% -$ -$
11 Decorative concrete 4,091 SF 49,092.00$ 49,092.00$ 49,092.00 -$ 1.00 49,092.00$ 100.00% -$ -$
12 Adjust manhole 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ -$
13 Truncated domes 270 SF 16,200.00$ 16,200.00$ 16,200.00 -$ 1.00 16,200.00$ 100.00% -$ -$
14 Construct ADA curb rmaps Type 1 4 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ -$
15 Construct ADA curb ramps Type 2 1 EA 8,000.00$ 8,000.00$ 8,000.00 -$ 1.00 8,000.00$ 100.00% -$ -$
16 Grind and overlay variable thickness
pavement 4,904 SF 14,712.00$ 14,712.00$ 14,712.00 -$ 1.00 14,712.00$ 100.00% -$ -$
17 Overlay variable thickness pavement 108 SF 3,888.00$ 3,888.00$ 3,888.00 -$ 1.00 3,888.00$ 100.00% -$ -$
18 4-inch concrete side walk 585 SF 8,190.00$ 8,190.00$ 8,190.00 -$ 1.00 8,190.00$ 100.00% -$ -$
19 6-inch concrete curb gutter 117 LF 7,956.00$ 7,956.00$ 7,956.00 -$ 1.00 7,956.00$ 100.00% -$ -$
20 Install 24-inch RCP 33 LF 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ -$
21 Grouted Rip-Rap 14 CY 11,200.00$ 11,200.00$ 11,200.00 -$ 1.00 11,200.00$ 100.00% -$ -$
22 Tubular steel gate 4 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ -$
23 Precast concrete litter receptacle 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ -$
24 6-inch mow curb 4956 LF 42,126.00$ 42,126.00$ 42,126.00 -$ 1.00 42,126.00$ 100.00% -$ -$
25 Street crossing monument sign 3 EA 24,600.00$ 24,600.00$ 24,600.00 -$ 1.00 24,600.00$ 100.00% -$ -$
26 Trail head mounment sign 1 EA 16,500.00$ 16,500.00$ 16,500.00 -$ 1.00 16,500.00$ 100.00% -$ -$
27 Install 4-inch atrium drain 1 EA 1,650.00$ 1,650.00$ 1,650.00 -$ 1.00 1,650.00$ 100.00% -$ -$
28 Install 4-inch PVC pipe 7 EA 4,200.00$ 4,200.00$ 4,200.00 -$ 1.00 4,200.00$ 100.00% -$ -$
29 "No dumping drains to Ocean" stencil 2 EA 4,000.00$ 4,000.00$ 4,000.00 -$ 1.00 4,000.00$ 100.00% -$ -$
30 Bio retention basin 155 LF 31,000.00$ 31,000.00$ 31,000.00 -$ 1.00 31,000.00$ 100.00% -$ -$
31 Concrete swale 2478 LF 27,258.00$ 27,258.00$ 27,258.00 -$ 1.00 27,258.00$ 100.00% -$ -$
32 Concrete island 300 SF 11,400.00$ 11,400.00$ 11,400.00 -$ 1.00 11,400.00$ 100.00% -$ -$
33 Warning sign 12 EA 7,920.00$ 7,920.00$ 7,920.00 -$ 1.00 7,920.00$ 100.00% -$ -$
34 Install no left turn 1 EA 1,600.00$ 1,600.00$ 1,600.00 -$ 1.00 1,600.00$ 100.00% -$ -$
35 Install reflective delineator Type E 26 EA 7,800.00$ 7,800.00$ 7,800.00 -$ 1.00 7,800.00$ 100.00% -$ -$
CONTINUATION SHEET AIA DOCUMENT G703
AIA DOCUMENT G703, APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER:
Contractor's signed Certificate is attached 5/24/2023
In tabulations below, amounts are stated to the nearest dollar.6/20/2023 ~ 4/20/2023
Use Column I on contracts where variable retainage for line items may apply. ARCHITECTS PROJ NO:
A B B-1 B-2 C C.1 C.2 D E E.1 F G H I
Item Description of Work Quantity Unit Scheduled Approved Current Completed Total % Balance Retainage
No. Value Change Contract From Previous This Period Quantity Quantity Completed (G/C) to Finish
Orders Amount Application this period to Date and Stored (C - G)
to Date (C+C1) (D +E) to Date
WORK COMPLETED
8 - Retention
APPLICATION DATE:
PERIOD TO:
36 Paint yellow themoplastic striping 384 LF 7,680.00$ 7,680.00$ 7,680.00 -$ 1.00 7,680.00$ 100.00% -$ -$
37 Trench drain 12 LF 4,080.00$ 4,080.00$ 4,080.00 -$ 1.00 4,080.00$ 100.00% -$ -$
38 Precast removable bollard 11 EA 15,400.00$ 15,400.00$ 15,400.00 -$ 1.00 15,400.00$ 100.00% -$ -$
39 Unforeseen work 1 LS 75,000.00$ 75,000.00$ 75,000.00 -$ 1.00 75,000.00$ 100.00% -$ -$
40 Demobilization 1 LS 10,000.00$ 10,000.00$ 10,000.00 -$ 1.00 10,000.00$ 100.00% -$ -$
TOTALS 782,396.00$ -$ 782,396.00$ 782,396.00$ -$ 782,396.00$ -$ -$
CHANGES
SUBTOTALS -$ -$ -$ -$ -$ -$ -$ -$
Sean Lee Date: 5/24/2023
Contractor Authorized Signature Printed Name
CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT
California Civil Code Section 8136
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:
Conditional Waiver and Release
This document waives and releases lien, stop payment notice, contract rights, and
payment bond rights the claimant has for labor and service provided, and equipment and
material delivered, to the customer on this job. 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:
Disputed claims for extras in the amount of: $
Signature
Claimant's Signature:
Claimant's Title:
Rev. 1.0.3 7/17/2012
Date of Signature:
DEARK E&C, INC
CITY OF REDLANDS
ORANGE BLOSSOM TRAIL PHASE 3
CITY OF REDLANDS
CITY OF REDLANDS
39,119.80
DEARK E&C, INC
PROJECT MANAGER
5/24/2023
Sean Lee
Date:6/13/2023 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:100.00%Total Work Billed to Date 782,396.00$
Percentage of Change Orders Billed to Date:0.00%Total Change Orders -$
Total Retention to Date -$
Previous Amount Paid 743,276.20$
MPPR Number 8
Invoice Date 5/24/2023 Billed This Period 39,119.80$
Change Orders This Period -$
Invoice Number 8 - Retention Less 5% Retention This Period -$
Net Payment 39,119.80$
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 3/14/2023 157,914.00$ 7,895.70$ 150,018.30$
7 5/8/2023 167,992.00$ 8,399.60$ 159,592.40$
8 6/13/2023 -$ (39,119.80)$ 39,119.80$
9 -$ -$
10 -$ -$
11 -$ -$
12 -$ -$
13 -$ -$
14 -$ -$
15 -$ -$
16 -$ -$
17 -$ -$
18 -$ -$
19 -$ -$
20
Total 782,396.00$ -$ -$ 782,396.00$
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
Alabama St Entrance Alabama St Crossing with stamped
concrete and pedestrian refuge
Kansas St Entrance
e
Tennessee St Entrance
Ty pical Trail section – 12’ asphalt
path, v-gutter, PVC fence, and PCC
mow curb
Ty pical Trail section – 12’ asphalt
path, bio retention basin, grouted
rip rap PVC fence, and PCC mow
curb
Catch basin and trench drain. Reinforced concrete pipe and riprap
Tennessee St crossing with
stamped concrete
Reinforced concrete pipe and riprap