Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2026-03-16 I01H_02 Waukee Public Safety Building_Pmt Est 27
AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: March 16, 2026 AGENDA ITEM:Consideration of approval of Payment Estimate No. 27 (Combined) for the Waukee Public Safety Building Project in the amount of $238,994.70. FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: The new Public Safety Building (Station 92) is substantially completed and the building is now fully occupied by both the Police and Fire Departments. Pay Estimate 27 for the Waukee Public Safety Building project relates to costs primarily associated with the release of retainage for the project. The building is considered 99.97% complete. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS: Payment Estimate No. 27 is in the amount of $238,994.70. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve Pay Estimate No. 27 ATTACHMENTS: I. Pay Estimate No. 27 PREPARED BY:Brad Deets, City Administrator REVIEWED BY: PUBLIC NOTICE INFORMATION – NAME OF PUBLICATION: DATE OF PUBLICATION: I1H2 Document G736™ – 2009 Project Application and Project Certificate for Payment, Construction Manager as Adviser Edition AIA Document G736 – 2009 (formerly G722™CMa – 1992). Copyright © 1981, 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 16:14:52 ET on 03/11/2026 under Order No.4104251064 which expires on 12/31/2026, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA47) 1 APPLICATION NO:27 Distribution to:TO OWNER:City of Waukee 230 W. Hickman Road Waukee, IA 50263>>>>> PROJECT: Waukee Public Safety Building 815 NW 20th Street Waukee, IA 50263>>>>> PERIOD TO: February 28, 2025 ATTENTION: Brad Deets VIA CONSTRUCTION MANAGER:Ryan Companies US, Inc.PROJECT NOS:6173-000 / 21841001 OWNER: CONSTRUCTION MANAGER: ARCHITECT: OTHER : PROJECT APPLICATION FOR PAYMENT PROJECT CERTIFICATE FOR PAYMENT Application is made for Payment, as shown below, in connection with the Project. AIA Document G737™–2009, Summary of Contractors' Applications for Payment, is attached. 1. TOTAL CONTRACT SUMS (Item A Totals)28,868,514.50 2. TOTAL NET CHANGES BY CHANGE ORDERS (Item B Totals)440,698.27 3. TOTAL CONTRACT SUM TO DATE (Item C Totals)29,309,212.77 In accordance with the Contract Documents, based on evaluation of the Work and the data comprising this Application, the Construction Manager certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Construction Manager recommends to the Owner and Architect that the Contractors be paid the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. 4. TOTAL COMPLETED & STORED TO DATE (Item F Totals)29,301,455.37 5. RETAINAGE (Item H Totals)75,233.76 6. LESS PREVIOUS TOTAL PAYMENTS (Item I Totals)28,987,226.91 TOTAL OF AMOUNTS CERTIFIED ...........................................................238,994.70 7. CURRENT PAYMENT DUE (Item J Totals)238,994.70 CONSTRUCTION MANAGER: By:Date:The undersigned Construction Manager certifies that to the best of its knowledge, information and belief this Project Application for Payment is an accurate compilation of the Contractors' Applications for Payment, attached hereto. CONSTRUCTION MANAGER: By:Date: State of: In accordance with the Contract Documents, based on evaluation of the Work, the data comprising this Application, and the Construction Manager's recommendation, the Architect certifies to the Owner that to the best of its knowledge, information and belief the Work has progressed as indicated; the quality of the Work is in accordance with the Contract Documents; and the Contractors are entitled to payments of the AMOUNTS set forth in the attached Summary of Contractors' Applications for Payment. County of: ARCHITECT: Subscribed and sworn to before me this day of By:Date: Notary Public: My Commission expires: Document G737™ – 2009 Summary of Contractors' Applications for Payment, Construction Manager as Adviser Edition AIA Document G737 – 2009(formerly G723™CMa – 1992). Copyright © 1992 and 2009. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 16:14:48 ET on 03/11/2026 under Order No.4104251064 which expires on 12/31/2026, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADAAA) 1 APPLICATION NO.:27 APPLICATION DATE:March 11, 2026 AIA Document G732, Application and Certificate for Payment, has been completed by each Contractor. The content of those G732 forms is summarized below.PERIOD FROM:February 01, 2026 PERIOD TO:February 28, 2026 In tabulations below, amounts are in US dollars.PROJECT NOS.:Ryan Co.: 6173-000 /OPN: 21841001 0 A B C D E F G H I J K L DESCRIPTION OF WORK CONTRACTOR'S NAME ORIGINAL CONTRACT SUM NET CHANGES IN THE WORK CONTRACT SUM TO DATE WORK IN PLACE TO DATE STORED MATERIALS (Not in D or I) TOTAL COMPLETED AND STORED TO DATE (D + E) RETAIN- AGE % RETAINAGE AMOUNT PREVIOUS PAYMENTS CURRENT PAYMENT (F – H – I) BALANCE TO FINISH (C – F) % COMPL. (F ÷ C) General Const DDVI 2,905,000.00 142,548.85 3,047,548.85 3,047,548.85 0.00 3,047,548.85 0.00%0.00 2,894,673.98 152,874.87 0.00 100.00% Building Concrete Jordison Const 1,271,000.00 -1,563.00 1,269,437.00 1,269,437.00 0.00 1,269,437.00 0.00%0.00 1,269,437.00 0.00 0.00 100.00% Precast Material Enterprise Precast 1,833,316.00 -2,822.13 1,830,493.87 1,830,493.87 0.00 1,830,493.87 0.00%0.00 1,830,493.87 0.00 0.00 100.00% Steel Material TSF Structures 1,932,100.00 6,640.00 1,938,740.00 1,938,740.00 0.00 1,938,740.00 0.00%0.00 1,938,740.00 0.00 0.00 100.00% Erection Northwest Steel 1,064,188.00 13,560.00 1,077,748.00 1,077,748.00 0.00 1,077,748.00 0.00%0.00 1,077,748.00 0.00 0.00 100.00% Metal Panels Forman Ford 575,239.00 0.00 575,239.00 575,239.00 0.00 575,239.00 0.00%0.00 575,239.00 0.00 0.00 100.00% Roofing Academy Roofing 998,000.00 5,530.75 1,003,530.75 1,003,530.75 0.00 1,003,530.75 0.00%0.00 1,003,530.75 0.00 0.00 100.00% Glass & Glazing Ford Metro 1,069,100.00 2,740.33 1,071,840.33 1,071,840.33 0.00 1,071,840.33 0.00%0.00 1,071,840.33 0.00 0.00 100.00% Overhead Doors Skold Door 310,000.00 1,346.00 311,346.00 311,346.00 0.00 311,346.00 0.00%0.00 311,346.00 0.00 0.00 100.00% Frame & Drywall Hilsabeck Schacht 2,562,500.00 49,158.98 2,611,658.98 2,611,658.98 0.00 2,611,658.98 0.00%0.00 2,611,658.98 0.00 0.00 100.00% Fire Protection Elite Fire Sprinkler 364,700.00 0.00 364,700.00 364,700.00 0.00 364,700.00 0.00%0.00 364,700.00 0.00 0.00 100.00% Mech & Plumbing Kruck Plumbing 5,947,000.00 67,676.51 6,014,676.51 6,014,676.51 0.00 6,014,676.51 0.00%0.00 6,014,676.51 0.00 0.00 100.00% Elec & Comm Van Maanen 4,711,425.00 233,320.85 4,944,745.85 4,944,745.85 0.00 4,944,745.85 0.00%0.00 4,904,745.85 40,000.00 0.00 100.00% Audio-Visual TriCity Electric 602,832.00 -4,351.00 598,481.00 598,481.00 0.00 598,481.00 0.00%0.00 598,481.00 0.00 0.00 100.00% Earthwork Wenthold 803,330.50 379.00 803,709.50 804,050.10 0.00 804,050.10 5.00%40,202.51 763,847.60 0.00 -340.60 100.04% SWPPP Absolute 155,000.00 -95,391.00 59,609.00 51,511.00 0.00 51,511.00 5.00%2,575.55 47,929.40 1,006.05 8,098.00 86.41% Site Concrete Jordison Const 1,110,000.00 26,594.13 1,136,594.13 1,136,594.13 0.00 1,136,594.13 0.00%0.00 1,136,594.13 0.00 0.00 100.00% Landscape & Irrig Alpha Landscapes 653,784.00 -4,670.00 649,114.00 649,114.00 0.00 649,114.00 5.00%32,455.70 571,544.51 45,113.79 0.00 100.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% 0.00 0.00 0.00 0.00 0.00 0.00 0.00%0.00 0.00 0.00 0.00 0.00% TOTALS $28,868,514.50 $440,698.27 $29,309,212.77 $29,301,455.37 $0.00 $29,301,455.37 0.26%$75,233.76 $28,987,226.91 $238,994.71 $7,757.40 99.97% Waukee Public Safety Building: Pay Application No. 27 Pay Apps Due to Ryan Co: 2/23/2026 Pay Apps Due to OPN: 3/06/2026 Council Packet Info to Waukee: 3/11/2026 by midnight Council Approval: 3/16/2026 Payment Due to Prime C ontractors no later than: 3/19/2026 Prime Contractors Current (less retainage) Bid Package #1: General C onstruction (DDVI)152,874.87 Bid Package #2: Building C oncrete (Jordison Construction) Bid Package #3: Precast Material (Enterprise Precast) Bid Package #4: Steel Material & Misc. Metals (TSF Structures) Bid Package #5: Precast & Steel Erection (Northwest Steel) Bid Package #6: Metal Panels (Forman Ford) Bid Package #7: Roofing (Academy Roofing) Bid Package #8: Glass & Glazing (Ford Metro) Bid Package #9: Overhead Doors (Skold Door) Bid Package #10: Framing, Drywall & Ceilings (Hilsabeck Schacht) Bid Package #11: Fire Protection (Elite Fire Sprinkler) Bid Package #12: Mechanical & Plumbing (Kruck Plumbing & Heating) Bid Package #13: Electrical & Communications (Van Maanen Electric)40,000.00 Bid Package #14: Audio-Visual (Tri-C ity Electric) Bid Package #15: Earthwork & Utilities (Wenthold Excavating) Bid Package #16: SWPPP (Absolute Group)1,006.05 Bid Package #17: Site Concrete (Jordison Construction) Bid Package #18: Landscaping & Irrigation (Alpha Landscapes)45,113.79 Pay Application Subtotal 238,994.71 Document G706® – 1994 Contractor's Affidavit of Payment of Debts and Claims AIA Document G706 – 1994. Copyright © 1970 and 1994. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:04:22 ET on 09/25/2025 under Order No.4104251064 which expires on 10/22/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes:(3B9ADA50) 1 PROJECT:(Name and address)ARCHITECT’S PROJECT NUMBER: Waukee Public Safety 21841001 815 NW 20th St Waukee, IA 50263 CONTRACT FOR: Bid Package #1: General Construction TO OWNER: (Name and address)CONTRACT DATED: 12.18.2023 City of Waukee 230 Hickman Rd Waukee, IA 50263 OWNER: ARCHITECT: CONTRACTOR: SURETY: OTHER: STATE OF: Iowa COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR:(Name and address) 1.Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose Indicate Attachment Yes No DDVI Inc PO Box 743 Indianola, IA 50125 BY: The following supporting documents should be attached hereto if required by the Owner: (Signature of authorized representative) 1.Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. (Printed name and title) 2.Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. Subscribed and sworn to before me on this date: Notary Public: 3.Contractor's Affidavit of Release of Liens (AIA Document G706A). My Commission Expires: Bond Number: S041552 Employers Mutual Casualty Company 700 Walnut Street Des Moines, IA 50306 September 25, 2025 Employers Mutual Casualty Company E.A. von Harz, Attorney-in-Fact E.A. von Harz In an amount not exceeding Twenty Five Million Dollars ...........................................................................................................................................................................$25,000,000.00 22nd September 2022 22nd September 2022 22nd September 2022 B024400-NA A1419 988 A 000000 25th September 2025 January 27th, 2026 Public Works Director City of Waukee 805 University Avenue Waukee, IA 50263 Re: Waukee Public Safety Bid Package #13 Electrical and Communications The purpose of this letter is to request release of retained funds on the above listed project and to provide the sworn statement below. “Ten calendar days prior to filing this request, notice was given as required by paragraphs “f” and “g” of section 26.13 of the Iowa Code to all known subcontractors, sub-subcontractors and suppliers.” Please reach out with any questions. Sincerely, Nathan Van Maanen President Van Maanen Electric, Inc Document G706® – 1994 Contractor's Affidavit of Payment of Debts and Claims AIA Document G706 – 1994. Copyright © 1970 and 1994. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:02:58 ET on 09/25/2025 under Order No.4104251064 which expires on 10/22/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes:(3B9ADA57) 1 PROJECT:(Name and address)ARCHITECT’S PROJECT NUMBER: Waukee Public Safety 21841001 815 NW 20th St Waukee, IA 50263 CONTRACT FOR: Bid Package #13: Electrical & Communications TO OWNER: (Name and address)CONTRACT DATED: 12.18.2023 City of Waukee 230 Hickman Rd Waukee, IA 50263 OWNER: ARCHITECT: CONTRACTOR: SURETY: OTHER: STATE OF: Iowa COUNTY OF: Dallas The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR:(Name and address) 1.Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AIA Document G707, Consent of Surety, may be used for this purpose Indicate Attachment Yes No Van Maanen Electric, Inc. 500 Iowa Speedway Dr. Newton, IA 50208 BY: The following supporting documents should be attached hereto if required by the Owner: (Signature of authorized representative) 1.Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. (Printed name and title) 2.Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. Subscribed and sworn to before me on this date: Notary Public: 3.Contractor's Affidavit of Release of Liens (AIA Document G706A). My Commission Expires: Bond Number: B0350739 The Cincinnati Insurance Company PO Box 145496 Cincinnati, OH 45250 January 16, 2026 The Cincinnati Insurance Company Elizabeth Anne von Harz, Attorney-in-Fact 16th January 2026 APPLICATION AND CERTIFICATION FOR PAYMENTAPPLICATION AND CERTIFICATION FOR PAYMENTAPPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF TWO PAGES TO OWNER:APPLICATION NO:6 Distribution to: City of Waukee Waukee Public Safety Bldg INVOICE NO:223-10 OWNER 230 W Hickman Rd Intersection of T Ave & Douglas PkwyIntersection of T Ave & Douglas Pkwy ARCHITECT Waukee, IA 50263 Waukee, IA 50263 PERIOD TO: 2/28/2026 CONTRACTOR FROM CONTRACTOR: Alpha Landscapes LLC 5145 NW Beaver Drive PROJECT NO: Johnston, IA 50131 CONTRACT FOR: Landscaping CONTRACT DATE: 12/18/2023 CONTRACTOR'S APPLICATION FOR PAYMENTCONTRACTOR'S APPLICATION FOR PAYMENTCONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, The undersigned Contractor certifies that to the best of the Contractor's knowledge, The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract.Application is made for payment, as shown below, in connection with the Contract.Application is made for payment, as shown below, in connection with the Contract.information and belief the Work covered by this Application for Payment has beeninformation and belief the Work covered by this Application for Payment has beeninformation and belief the Work covered by this Application for Payment has been Continuation Sheet, AIA Document G703, is attached.Continuation Sheet, AIA Document G703, is attached.completed in accordance with the Contract Documents, that all amounts have been paid by completed in accordance with the Contract Documents, that all amounts have been paid by completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and the Contractor for Work for which previous Certificates for Payment were issued and the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due.payments received from the Owner, and that current payment shown herein is now due.payments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM $653,784.00 2. Net change by Change Orders $(4,670.00)CONTRACTOR: 3. CONTRACT SUM TO DATE (Line 1 ± 2) 3. CONTRACT SUM TO DATE (Line 1 ± 2) $649,114.00 4. TOTAL COMPLETED & STORED TO4. TOTAL COMPLETED & STORED TO $649,114.00 DATE (Column G on G703)By: Date:2/16/2026 5. RETAINAGE: a.a.5 % of Completed Work $32,455.70 State of: Iowa County of: Polk (Column D + E on G703) b.b.0 % of Stored Material $ (Column F on G703) Total Retainage (Lines 5a + 5b or Total in Column I of G703) $32,455.70 ARCHITECT'S CERTIFICATE FOR PAYMENTARCHITECT'S CERTIFICATE FOR PAYMENTARCHITECT'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE 6. TOTAL EARNED LESS RETAINAGE $616,658.30 In accordance with the Contract Documents, based on on-site observations and the dataIn accordance with the Contract Documents, based on on-site observations and the dataIn accordance with the Contract Documents, based on on-site observations and the data (Line 4 Less Line 5 Total)comprising the application, the Architect certifies to the Owner that to the best of thecomprising the application, the Architect certifies to the Owner that to the best of thecomprising the application, the Architect certifies to the Owner that to the best of the 7. LESS PREVIOUS CERTIFICATES FOR7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work has progressed as indicated, Architect's knowledge, information and belief the Work has progressed as indicated, Architect's knowledge, information and belief the Work has progressed as indicated, PAYMENT (Line 6 from prior Certificate) PAYMENT (Line 6 from prior Certificate) $571,544.51 the quality of the Work is in accordance with the Contract Documents, and the Contractorthe quality of the Work is in accordance with the Contract Documents, and the Contractorthe quality of the Work is in accordance with the Contract Documents, and the Contractor 8. CURRENT PAYMENT DUE $45,113.79 is entitled to payment of the AMOUNT CERTIFIED.is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE 9. BALANCE TO FINISH, INCLUDING RETAINAGE $32,455.70 (Line 3 less Line 6)AMOUNT CERTIFIED . . . . . . . . . . . $AMOUNT CERTIFIED . . . . . . . . . . . $45,113.79 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS (Attach explanation if amount certified differs from the amount applied. Initial all figures on this(Attach explanation if amount certified differs from the amount applied. Initial all figures on this(Attach explanation if amount certified differs from the amount applied. Initial all figures on this Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amount certified.)Application and onthe Continuation Sheet that are changed to conform with the amount certified.)Application and onthe Continuation Sheet that are changed to conform with the amount certified.) in previous months by Owner $8,683.00 ($13,353.00)ARCHITECT: Total approved this Month $0.00 $0.00 By: Date: TOTALS $8,683.00 ($13,353.00)This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without Contractor named herein. Issuance, payment and acceptance of payment are without Contractor named herein. Issuance, payment and acceptance of payment are without NET CHANGES by Change Order ($4,670.00)prejudice to any rights of the Owner or Contractor under this Contract.prejudice to any rights of the Owner or Contractor under this Contract. AIA DOCUMENT G702 · APPLICATION AND CERTIFICATION FOR PAYMENT · 1992 EDITION · AIA · ©1992AIA DOCUMENT G702 · APPLICATION AND CERTIFICATION FOR PAYMENT · 1992 EDITION · AIA · ©1992AIA DOCUMENT G702 · APPLICATION AND CERTIFICATION FOR PAYMENT · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee. My Commission expires: 9/10/2028 Notary Public: Laurel Stephens Subscribed and sworn to me this 16th day of February, 2026.Subscribed and sworn to me this 16th day of February, 2026. PROJECT: VIA ARCHITECT: AIA DOCUMENT G703 PAGE TWO OF TWO PAGES AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:6 Contractor's signed certification is attached.APPLICATION DATE:2/16/2026 In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:2/28/2026 Use Column I on Contracts where variable retainage for line items may apply.PROJECT NO: A B D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE NO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G ÷ C)TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C - G)RATE) (D + E)(NOT IN TO DATE D OR E)(D+E+F)5% 1 Planting $307,470.00 $307,470.00 $0.00 $0.00 $307,470.00 100%$0.00 $15,373.50 2 Biocell Excavation $11,880.00 $11,880.00 $0.00 $0.00 $11,880.00 100%$0.00 $594.00 3 Geotextile Fabric $1,260.00 $1,260.00 $0.00 $0.00 $1,260.00 100%$0.00 $63.00 4 Choker Layer 3"$2,250.00 $2,250.00 $0.00 $0.00 $2,250.00 100%$0.00 $112.50 5 Biocell Soil 42" $19,475.00 $19,475.00 $0.00 $0.00 $19,475.00 100%$0.00 $973.75 6 Weed Barrier $4,500.00 $4,500.00 $0.00 $0.00 $4,500.00 100%$0.00 $225.00 7 Trap Rock $2,160.00 $2,160.00 $0.00 $0.00 $2,160.00 100%$0.00 $108.00 8 Steel Edging $24,200.00 $24,200.00 $0.00 $0.00 $24,200.00 100%$0.00 $1,210.00 9 Hardwood Mulch $25,920.00 $25,920.00 $0.00 $0.00 $25,920.00 100%$0.00 $1,296.00 10 Rubber Mulch $20,370.00 $20,370.00 $0.00 $0.00 $20,370.00 100%$0.00 $1,018.50 11 Sod $47,310.00 $47,310.00 $0.00 $0.00 $47,310.00 100%$0.00 $2,365.50 12 Low-grow Turf Seed $9,300.00 $5,734.80 $3,565.20 $0.00 $9,300.00 100%$0.00 $465.00 13 Native Tall Grass Prairie Seed $29,150.00 $8,990.95 $20,159.05 $0.00 $29,150.00 100%$0.00 $1,457.50 PAGE TOTALS $505,245.00 $481,520.75 $23,724.25 $0.00 $505,245.00 100%$0.00 $25,262.25 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's Authenticity AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5232 G703-1992 AIA DOCUMENT G703 PAGE TWO OF TWO PAGES AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:6 Contractor's signed certification is attached.APPLICATION DATE:2/16/2026 In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:2/28/2026 Use Column I on Contracts where variable retainage for line items may apply.PROJECT NO: A B D E F G H I ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGE NO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G ÷ C)TO FINISH (IF VARIABLE APPLICATION STORED AND STORED (C - G)RATE) (D + E)(NOT IN TO DATE D OR E)(D+E+F)5% 1 Rain Garden Seed $1,520.00 $1,520.00 $0.00 $0.00 $1,520.00 100%$0.00 $76.00 2 Hydromulch $45,444.00 $21,680.05 $23,763.95 $0.00 $45,444.00 100%$0.00 $2,272.20 3 Recp. Blanket Type 2.D $21,600.00 $21,600.00 $0.00 $0.00 $21,600.00 100%$0.00 $1,080.00 4 Irrigation $56,975.00 $56,975.00 $0.00 $0.00 $56,975.00 100%$0.00 $2,848.75 5 Change Order 1 - Insurance Change $0.00 $0.00 $0.00 $0.00 $0.00 0%$0.00 $0.00 6 Temp. Irrigation for 30 Days $23,000.00 $23,000.00 $0.00 $0.00 $23,000.00 100%$0.00 $1,150.00 7 Change Order 2 ($11,860.00)($11,860.00)$0.00 $0.00 ($11,860.00)100%$0.00 ($593.00) 8 Change Order 3 $7,950.00 $7,950.00 $0.00 $0.00 $7,950.00 100%$0.00 $397.50 9 Change Order 4 $733.00 $733.00 $0.00 $0.00 $733.00 100%$0.00 $36.65 10 Change Order 5 ($1,493.00)($1,493.00)$0.00 $0.00 ($1,493.00)100%$0.00 ($74.65) 11 12 13 PAGE TOTALS $143,869.00 $120,105.05 $23,763.95 $0.00 $143,869.00 100%$0.00 $7,193.45 GRAND TOTALS $649,114.00 $601,625.80 $47,488.20 $0.00 $649,114.00 100%$0.00 $32,455.70 Users may obtain validation of this document by requesting of the license a completed AIA Document D401 - Certification of Document's Authenticity AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5232 G703-1992 Certificate Of Completion Envelope Id: 19F69297-366A-4620-9EF2-6A8287673B7C Status: Completed Subject: Complete with Docusign: Pay App No. 27_Project Manual.pdf Source Envelope: Document Pages: 24 Signatures: 2 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 208.76.191.38 Record Tracking Status: Original 3/11/2026 4:53:24 PM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 2600:1014:b1a2:5c40:c021:534:9999:d072 Signed using mobile Sent: 3/11/2026 4:55:23 PM Viewed: 3/11/2026 5:16:00 PM Signed: 3/11/2026 5:16:05 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Aaron Twedt atwedt@opnarchitects.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 140.82.188.2 Sent: 3/11/2026 5:16:08 PM Viewed: 3/12/2026 8:29:32 AM Signed: 3/12/2026 8:29:54 AM Electronic Record and Signature Disclosure: Accepted: 3/12/2026 8:29:32 AM ID: 1fe132d2-9af3-4527-a0d9-57c4a992a286 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/11/2026 4:55:23 PM Certified Delivered Security Checked 3/12/2026 8:29:32 AM Envelope Summary Events Status Timestamps Signing Complete Security Checked 3/12/2026 8:29:54 AM Completed Security Checked 3/12/2026 8:29:54 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-boxnextto‘Iagreeto useelectronicrecordsandsignatures’beforeclicking‘CONTINUE’withintheDocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-boxnextto‘Iagreetouseelectronicrecordsandsignatures’before clicking‘CONTINUE’withintheDocuSignsystem. By selecting the check-box next to ‘Iagreetouseelectronicrecordsandsignatures’,youconfirm that: You can access and read this Electronic Record and Signature Disclosure; and You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc..