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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:77 3.00 EACH 1,036.62 3,109.86 3.00 3,109.86 3.00 3,109.86 3,109.86 100% - 78 9.00 EACH 2,253.34 20,280.06 8.00 18,026.72 8.00 18,026.72 18,026.72 89% 2,253.34 33,633.72 31,380.38 31,380.38 31,380.38 2,253.34 79 5.00 EACH 233.26 1,166.30 5.00 1,166.30 5.00 1,166.30 1,166.30 100% - 80 4.00 EACH 689.94 2,759.76 4.00 2,759.76 4.00 2,759.76 2,759.76 100% - 81 1.00 EACH 1,055.82 1,055.82 1.00 1,055.82 1.00 1,055.82 1,055.82 100% - 82 2.00 LF 694.95 1,389.90 2.00 1,389.90 2.00 1,389.90 1,389.90 100% - 83 1.00 EACH 852.40 852.40 1.00 852.40 1.00 852.40 852.40 100% - 84 1.00 EACH 222.57 222.57 1.00 222.57 1.00 222.57 222.57 100% - 85 4.00 EACH 752.12 3,008.48 - - - - - 3,008.48 10,455.23 7,446.75 7,446.75 7,446.75 3,008.48 219,093.96 157,328.36 226,643.46 226,643.46 (7,549.50)86 1.00 LS 18,000.00 18,000.00 0.25 4,500.00 1.00 18,000.00 18,000.00 100% - 87 12.00 TREE 100.28 1,203.36 17.00 1,704.76 17.00 1,704.76 1,704.76 142% (501.40)88 12.00 TREE 100.28 1,203.36 17.00 1,704.76 17.00 1,704.76 1,704.76 142% (501.40)89 790.00 LF 1.18 932.20 - - - - - 932.20 90 54.00 SY 19.72 1,064.88 - - 325.00 6,409.00 6,409.00 602% (5,344.12)91 5.00 HOUR 160.45 802.25 - - 55.00 8,824.75 8,824.75 1100% (8,022.50)92 4,074.00 SY 2.05 8,351.70 - - - - - 8,351.70 93 408.00 GAL 1.81 738.48 - - - - - 738.48 94 736.00 TON 93.00 68,448.00 - - 647.00 60,171.00 60,171.00 88% 8,277.00 95 7.00 TON 200.00 1,400.00 - - - - - 1,400.00 96 1.00 LS 3,127.51 3,127.51 0.64 2,014.12 0.64 2,014.12 2,014.12 64% 1,113.39 97 1.00 LS 1,515.43 1,515.43 - - - - - 1,515.43 98 6.00 EACH 111.06 666.36 - - 4.80 533.09 533.09 80% 133.27 99 15.00 LF 55.16 827.40 15.00 827.40 15.00 827.40 827.40 100% - 108,280.93 10,751.04 100,188.88 100,188.88 8,092.05 100 61.00 SY 19.72 1,202.92 - - 325.00 6,409.00 6,409.00 533% (5,206.08)101 91.00 CY 44.12 4,014.92 - - 270.00 11,912.40 11,912.40 297% (7,897.48)102 81.00 CY 44.12 3,573.72 - - - - - 3,573.72 103 81.00 CY 19.68 1,594.08 - - 306.00 6,022.08 6,022.08 378% (4,428.00)104 4.00 TON 200.00 800.00 - - - - - 800.00 105 8.00 TON 200.00 1,600.00 - - - - - 1,600.00 106 1.00 EACH 777.19 777.19 1.00 777.19 1.00 777.19 777.19 100% - 107 7.00 SY 60.17 421.19 7.00 421.19 7.00 421.19 421.19 100% - 108 1.00 EACH 426.20 426.20 - - 1.00 426.20 426.20 100% - 109 880.00 LF 30.08 26,470.40 880.00 26,470.40 898.00 27,011.84 27,011.84 102% (541.44)110 3.00 EACH 1,409.97 4,229.91 3.00 4,229.91 3.00 4,229.91 4,229.91 100% - 111 1.00 EACH 3,428.64 3,428.64 1.00 3,428.64 1.00 3,428.64 3,428.64 100% - 112 1.00 EACH 1,750.92 1,750.92 1.00 1,750.92 1.00 1,750.92 1,750.92 100% - 50,290.09 37,078.25 62,389.37 62,389.37 (12,099.28)TOTAL PART 3B: SANITARY SEWER1-1/4" HDPE, DR11, SANITARY SERVICE STUB WITH CURB IN-LINE FLUSHING STATIONEND FLUSHING STATIONTYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)CONNECT TO EXISTING SANITARY MANHOLEINSULATION, 4" THICKRECONSTRUCT MANHOLE BENCH & INVERT2" ID HDPE, DR11, SANITARY FORCEMAIN (DIRECTIONAL REMOVE BITUMINOUS PAVEMENTCOMMON EXCAVATIONSUBGRADE EXCAVATIONSTABILIZING AGGREGATETYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)TRAFFIC CONTROLEROSION CONTROL SUPERVISORSTORM DRAIN INLET PROTECTIONFLOTATION SILT CURTAINPART 3B: SANITARY SEWERTOTAL PART 3A: STREETSREMOVE BITUMINOUS DRIVEWAY PAVEMENTSTREET SWEEPER (WITH PICKUP BROOM)MILL BITUMINOUS SURFACE (2.0")BITUMINOUS MATERIAL FOR TACK COATTYPE SP 9.5 WEARING COURSE MIXTURE (3,C)SEAL CATCH BASIN (FLEX-SEAL)MOBILIZATIONCLEARINGGRUBBINGSAW CUT BITUMINOUS (FULL DEPTH)NEW RINGS AND CASTING, R-3067 (STORM)NEW RINGS AND CASTING, R-1733 (STORM)RECONSTRUCT DRAINAGE STRUCTUREINSTALL 12" HIGH (2' X 3') RISER SECTIONSEAL MANHOLE (INFI-SHIELD)TOTAL PART 2D: STORM SEWERPART 3: RYAN DRIVEPART 3A: STREETSTOTAL PART 2: MAPLE LANE - JACKSON STREETREMOVE AND REPLACE GATE VALVE BOXREMOVE AND REPLACE FITTING BOLTSREMOVE CASTING & RINGS (STORM)TOTAL PART 2C: WATERMAINPART 2D: STORM SEWERUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.3 of 7DocuSign Envelope ID: 6B869C52-ED0E-458A-B56D-3089AF31D6F0
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