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Contractor's Application for PaymentOwner's Project No.:22-02, 22-03, 22-04, 22-05Engineer's Project No.:Agency's Project No.:3 From06/25/22to 07/24/22AC 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)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest Inc., dba Minnesota2022 Street ImprovementsOwner:0N1.125241B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedApplication No.:Engineer:Contractor:Project:Contract:Previous Estimate08/02/22Materials 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 67,206.08 254,032.13 254,032.13 309,547.54 229,193.51 156,869.13 222,419.81 222,419.81 6,773.70 219,093.96 157,328.36 226,643.46 226,643.46 (7,549.50) 263,557.97 132,440.07 248,123.64 248,123.64 15,434.33 53,785.83 - 15,026.51 15,026.51 38,759.32 563,579.67 67,206.08 254,032.13 254,032.13 309,547.54 1,329,210.94$ 513,843.63$ 966,245.55$ -$ 966,245.55$ 73% 362,965.39$ 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 PROJECT BIDSUMMARYPART 1 - YORKTON RIDGEPART 2 - MAPLE LANEPART 3 - RYAN DRIVEPART 4 - WOODLYNN AVENUE (WEST)PART 5 - WOODLYNN AVENUE (EAST)Unit 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: 6B869C52-ED0E-458A-B56D-3089AF31D6F0
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