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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.:4 From07/25/22to 09/07/22AC 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)($)Application Date:Application Period:Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application No.:Engineer:Contractor:Project:Contract:Previous Estimate09/07/22B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedProgress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest Inc., dba Minnesota2022 Street ImprovementsOwner:0N1.125241151 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 2.00 353.36 353.36 67% 176.68 154 5.00 EACH 100.28 501.40 5.00 501.40 5.00 501.40 501.40 100% - 155 932.00 LF 1.18 1,099.76 555.00 654.90 555.00 654.90 654.90 60% 444.86 156 126.00 LF 6.97 878.22 - - 12.00 83.64 83.64 10% 794.58 157 21.00 SY 29.45 618.45 - - - - - 618.45 158 37.00 SY 29.45 1,089.65 43.00 1,266.35 50.11 1,475.74 1,475.74 135% (386.09)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 2,016.00 49,049.28 49,049.28 62% 30,023.22 161 325.00 CY 24.03 7,809.75 - - 31.00 744.93 744.93 10% 7,064.82 162 325.00 CY 15.47 5,027.75 356.00 5,507.32 356.00 5,507.32 5,507.32 110% (479.57)163 3,703.00 SY 2.10 7,776.30 39.20 82.32 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 2,081.00 40,246.54 40,246.54 105% (2,030.70)167 4,926.00 SY 2.20 10,837.20 - - 4,926.00 10,837.20 10,837.20 100% - 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 - - 461.00 41,490.00 41,490.00 80% 10,350.00 172 2.00 CY 4,462.55 8,925.10 - - 1.00 4,462.55 4,462.55 50% 4,462.55 173 341.00 SF 9.53 3,249.73 - - 278.00 2,649.34 2,649.34 82% 600.39 174 1.00 LS 3,640.19 3,640.19 - - 1.00 3,640.19 3,640.19 100% - 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 - - 1.00 1,515.43 1,515.43 100% - 178 1.00 LS 1.00 1.00 - - 1.00 1.00 1.00 100% - 179 9.00 EACH 111.06 999.54 - - 9.00 999.54 999.54 100% - 180 100.00 LF 3.26 326.00 - - 250.00 815.00 815.00 250% (489.00)181 143.00 CY 42.14 6,026.02 - - 98.00 4,129.72 4,129.72 69% 1,896.30 182 660.00 SY 5.01 3,306.60 - - 475.00 2,379.75 2,379.75 72% 926.85 183 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 89,932.55 196,833.84 196,833.84 170,257.32 186 1,294.00 LF 19.45 25,168.30 1,149.00 22,348.05 1,149.00 22,348.05 22,348.05 89% 2,820.25 187 101.00 LF 20.71 2,091.71 101.00 2,091.71 101.00 2,091.71 2,091.71 100% - 188 150.00 SY 99.68 14,952.00 93.00 9,270.24 120.00 11,961.60 11,961.60 80% 2,990.40 42,212.01 33,710.00 36,401.36 36,401.36 5,810.65 189 2.00 EACH 233.26 466.52 2.00 466.52 2.00 466.52 466.52 100% - 190 2.00 EACH 1,055.82 2,111.64 - - - - - 2,111.64 191 2.00 EACH 222.57 445.14 - - - - - 445.14 3,023.30 466.52 466.52 466.52 2,556.78 192 1.00 EACH 250.71 250.71 1.00 250.71 1.00 250.71 250.71 100% - 24" SOLID LINE PAINT4" SOLID LINE PAINTSTORM DRAIN INLET PROTECTIONSEDIMENT CONTROL LOG, TYPE WOOD CHIPCONCRETE CURB & GUTTER DESIGN B4128" CONCRETE VALLEY GUTTERREMOVE FRAME AND RING CASTING (SANITARY)REMOVE GATE VALVE AND BOXNEW RINGS AND CASTING (SANITARY)SEAL MANHOLE (INFI-SHIELD)COMMON 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 SUPERVISORWATERAGGREGATE BASE CLASS 5FULL DEPTH RECLAMATIONJOINT ADHESIVE (MASTIC)BITUMINOUS MATERIAL FOR TACK COATRAILROAD FLAGGINGGEOTEXTILE FABRIC TYPE 5STREET SWEEPER (WITH PICKUP BROOM)PART 5A: STREETSPART 5B: CURB & GUTTERPART 5B: CURB & GUTTERPART 5C: SANITARY SEWERPART 5C: SANITARY SEWERSAW CUT BITUMINOUS (FULL DEPTH)SAW CUT CONCRETE (FULL DEPTH)REMOVE CONCRETE PAVEMENTREMOVE CONCRETE WALKSELECT GRANULAR BORROWCLEARINGGRUBBINGREMOVE CONCRETE STEPSREMOVE BOLLARDSPAVEMENT MESSSAGE PAINTCONCRETE CURB & GUTTER DESIGN SURMOUNTABLESTABILIZED CONSTRUCTION EXITTRAFFIC CONTROL4" CONCRETE WALKCOMMON EXCAVATIONSUBGRADE EXCAVATIONSTABILIZING AGGREGATEPART 5D: WATERMAINUnit 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: 58DDED19-3DCF-4E7C-AF93-E81317655BAE
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