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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:150 1.00 LS 20,000.00 20,000.00 - - 0.90 18,000.00 18,000.00 90% 2,000.00 151 5.00 EACH 802.26 4,011.30 5.00 4,011.30 5.00 4,011.30 4,011.30 100% - 152 5.00 EACH 401.13 2,005.65 3.00 1,203.39 3.00 1,203.39 1,203.39 60% 802.26 153 3.00 EACH 176.68 530.04 - - 2.00 353.36 353.36 67% 176.68 154 5.00 EACH 100.28 501.40 - - 5.00 501.40 501.40 100% - 155 932.00 LF 1.18 1,099.76 - - 555.00 654.90 654.90 60% 444.86 156 126.00 LF 6.97 878.22 - - - - - 878.22 157 21.00 SY 29.45 618.45 - - - - - 618.45 158 37.00 SY 29.45 1,089.65 - - 43.00 1,266.35 1,266.35 116% (176.70)159 2,222.00 TON 13.53 30,063.66 - - - - - 30,063.66 160 3,250.00 CY 24.33 79,072.50 - - 1,613.00 39,244.29 39,244.29 50% 39,828.21 161 325.00 CY 24.03 7,809.75 - - - - - 7,809.75 162 325.00 CY 15.47 5,027.75 - - 356.00 5,507.32 5,507.32 110% (479.57)163 3,703.00 SY 2.10 7,776.30 - - 39.20 82.32 82.32 1% 7,693.98 164 20.00 HOUR 160.45 3,209.00 - - - - - 3,209.00 165 139.00 MGAL 46.11 6,409.29 - - - - - 6,409.29 166 1,976.00 TON 19.34 38,215.84 - - 988.00 19,107.92 19,107.92 50% 19,107.92 167 4,926.00 SY 2.20 10,837.20 - - - - - 10,837.20 168 3,082.00 LF 0.69 2,126.58 - - - - - 2,126.58 169 319.00 GAL 1.81 577.39 - - - - - 577.39 170 576.00 TON 97.00 55,872.00 - - - - - 55,872.00 171 576.00 TON 90.00 51,840.00 - - - - - 51,840.00 172 2.00 CY 4,462.55 8,925.10 - - - - - 8,925.10 173 341.00 SF 9.53 3,249.73 - - - - - 3,249.73 174 1.00 LS 3,640.19 3,640.19 - - - - - 3,640.19 175 1.00 ALLOW 7,500.00 7,500.00 - - - - - 7,500.00 176 9.00 SF 150.42 1,353.78 - - - - - 1,353.78 177 1.00 LS 1,515.43 1,515.43 - - - - - 1,515.43 178 1.00 LS 1.00 1.00 - - - - - 1.00 179 9.00 EACH 111.06 999.54 - - - - - 999.54 180 100.00 LF 3.26 326.00 - - - - - 326.00 181 143.00 CY 42.14 6,026.02 - - - - - 6,026.02 182 660.00 SY 5.01 3,306.60 - - - - - 3,306.60 183 48.00 LF 2.51 120.48 - - - - - 120.48 184 645.00 LF 0.60 387.00 - - - - - 387.00 185 56.00 SF 3.01 168.56 - - - - - 168.56 367,091.16 5,214.69 89,932.55 89,932.55 277,158.61 186 1,294.00 LF 19.45 25,168.30 - - 1,149.00 22,348.05 22,348.05 89% 2,820.25 187 101.00 LF 20.71 2,091.71 - - 101.00 2,091.71 2,091.71 100% - 188 150.00 SY 99.68 14,952.00 - - 93.00 9,270.24 9,270.24 62% 5,681.76 42,212.01 - 33,710.00 33,710.00 8,502.01 189 2.00 EACH 233.26 466.52 - - 2.00 466.52 466.52 100% - 190 2.00 EACH 1,055.82 2,111.64 - - - - - 2,111.64 PART 5: WOODLYNN AVENUE (EAST)PART 5A: STREETSPART 5A: STREETSPART 5B: CURB & GUTTERPART 5B: CURB & GUTTERPART 5C: SANITARY SEWERSAW CUT BITUMINOUS (FULL DEPTH)SAW CUT CONCRETE (FULL DEPTH)REMOVE CONCRETE PAVEMENTREMOVE CONCRETE WALKSELECT GRANULAR BORROWMOBILIZATIONCLEARINGGRUBBINGREMOVE CONCRETE STEPSREMOVE BOLLARDSPAVEMENT MESSSAGE PAINTCONCRETE CURB & GUTTER DESIGN SURMOUNTABLESTABILIZED CONSTRUCTION EXITTRAFFIC CONTROL4" CONCRETE WALKWATERAGGREGATE BASE CLASS 5FULL DEPTH RECLAMATIONJOINT ADHESIVE (MASTIC)BITUMINOUS MATERIAL FOR TACK COATCOMMON EXCAVATIONSUBGRADE EXCAVATIONSTABILIZING AGGREGATEGEOTEXTILE FABRIC TYPE 5STREET SWEEPER (WITH PICKUP BROOM)STORM DRAIN INLET PROTECTIONSEDIMENT CONTROL LOG, TYPE WOOD CHIPCOMMON TOPSOIL BORROW (LV)HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, TYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)CONCRETE STEPSSIGN TYPE CEROSION CONTROL SUPERVISORRAILROAD FLAGGINGCONCRETE CURB & GUTTER DESIGN B4128" CONCRETE VALLEY GUTTERREMOVE FRAME AND RING CASTING (SANITARY)NEW RINGS AND CASTING (SANITARY)24" SOLID LINE PAINT4" SOLID LINE PAINTUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.5 of 7DocuSign Envelope ID: 6B869C52-ED0E-458A-B56D-3089AF31D6F0
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