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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:1 From05/02/22to 05/24/22AC D E F F1 F2 G H I J K LItem Quantity UnitsUnit Price($)Value of Bid Item(C X E)($)Quantity Previous EstimateValue Previous EstimateEstimated Quantity Incorporated in the WorkValue of Work Completed to Date(E X G)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest Inc., dba Minnesota Paving & Materials2022 Street ImprovementsOwner:0N1.12524122-02, 22-03, 22-04, 22-05B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedApplication No.:Engineer:Contractor:Project:Contract:Previous Estimate05/26/22Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application Date:Application Period:232 35.00 LF 20.06 702.10 - - - - 702.10 233 111.00 LF 4.51 500.61 - - - - 500.61 234 138.00 CY 35.00 4,830.00 - - - - 4,830.00 235 633.00 SY 5.01 3,171.33 - - - - 3,171.33 21,168.05 - - - 21,168.05 563,579.67 - 5,214.69 5,214.69 558,364.98 229,193.51 - 89,170.57 89,170.57 140,022.94 219,093.96 - 80,991.67 80,991.67 138,102.29 263,557.97 - 7,909.52 7,909.52 255,648.45 53,785.83 - - - 53,785.83 563,579.67 - 5,214.69 5,214.69 558,364.98 1,329,210.94$ -$ 183,286.45$ -$ 183,286.45$ 14% 1,145,924.49$ SUMMARYPART 1 - YORKTON RIDGEPART 2 - MAPLE LANEPART 3 - RYAN DRIVEPART 4 - WOODLYNN AVENUE (WEST)PART 5 - WOODLYNN AVENUE (EAST)TOTAL PART 5: WOODLYNN AVENUE (EAST)6" PVC PIPE DRAIN SDR 35SILT FENCE TYPE MACHINE SLICEDCOMMON TOPSOIL BORROW (LV)HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, PART 5F: TRAIL EXTENSION & RETENTION SWALETOTAL BASE BIDUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.7 of 7DocuSign Envelope ID: 5D72E17F-2AF9-4804-871E-38455659CC43