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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:0N1.125241193 3.00 EACH 501.41 1,504.23 3.00 1,504.23 3.00 1,504.23 1,504.23 100% - 194 51.00 LF 20.06 1,023.06 51.00 1,023.06 51.00 1,023.06 1,023.06 100% - 195 25.00 LF 72.20 1,805.00 25.00 1,805.00 25.00 1,805.00 1,805.00 100% - 196 33.00 LF 87.25 2,879.25 33.00 2,879.25 33.00 2,879.25 2,879.25 100% - 197 3.00 EACH 7,917.27 23,751.81 3.00 23,751.81 3.00 23,751.81 23,751.81 100% - 198 1.00 EACH 4,436.18 4,436.18 1.00 4,436.18 1.00 4,436.18 4,436.18 100% - 199 3.00 EACH 867.44 2,602.32 3.00 2,602.32 3.00 2,602.32 2,602.32 100% - 200 5.00 EACH 2,418.80 12,094.00 7.00 16,931.60 7.00 16,931.60 16,931.60 140% (4,837.60)201 5.00 EACH 1,036.62 5,183.10 7.00 7,256.34 7.00 7,256.34 7,256.34 140% (2,073.24)202 6.00 EACH 2,265.37 13,592.22 5.00 11,326.85 5.00 11,326.85 11,326.85 83% 2,265.37 203 200.00 LB 11.03 2,206.00 200.00 2,206.00 200.00 2,206.00 2,206.00 100% - 71,327.88 75,973.35 75,973.35 75,973.35 (4,645.47)204 1.00 EACH 501.41 501.41 1.00 501.41 1.00 501.41 501.41 100% - 205 3.00 EACH 233.26 699.78 3.00 699.78 3.00 699.78 699.78 100% - 206 58.00 LF 15.04 872.32 58.00 872.32 58.00 872.32 872.32 100% - 207 1.00 EACH 2,122.97 2,122.97 1.00 2,122.97 1.00 2,122.97 2,122.97 100% - 208 80.00 LF 30.08 2,406.40 80.00 2,406.40 80.00 2,406.40 2,406.40 100% - 209 140.00 LF 22.06 3,088.40 193.00 4,257.58 193.00 4,257.58 4,257.58 138% (1,169.18)210 1.00 EACH 460.29 460.29 2.00 920.58 2.00 920.58 920.58 200% (460.29)211 77.00 LF 51.14 3,937.78 77.00 3,937.78 77.00 3,937.78 3,937.78 100% - 212 35.00 LF 60.17 2,105.95 35.00 2,105.95 35.00 2,105.95 2,105.95 100% - 213 43.00 LF 65.18 2,802.74 43.00 2,802.74 43.00 2,802.74 2,802.74 100% - 214 1.00 EACH 576.62 576.62 1.00 576.62 1.00 576.62 576.62 100% - 215 2.00 EACH 576.62 1,153.24 2.00 1,153.24 2.00 1,153.24 1,153.24 100% - 216 2.00 EACH 1,055.82 2,111.64 2.00 2,111.64 2.00 2,111.64 2,111.64 100% - 217 1.00 EACH 689.94 689.94 1.00 689.94 1.00 689.94 689.94 100% - 218 1.00 EACH 1,639.61 1,639.61 1.00 1,639.61 1.00 1,639.61 1,639.61 100% - 219 15.00 LF 942.03 14,130.45 15.00 14,130.45 15.00 14,130.45 14,130.45 100% - 220 10.00 LF 961.11 9,611.10 10.00 9,611.10 10.00 9,611.10 9,611.10 100% - 221 1.00 EACH 1,228.45 1,228.45 1.00 1,228.45 1.00 1,228.45 1,228.45 100% - 222 7.00 EACH 752.12 5,264.84 - - - - - 5,264.84 223 2.00 EACH 222.57 445.14 - - - - - 445.14 224 20.00 CY 145.41 2,908.20 15.00 2,181.15 15.00 2,181.15 2,181.15 75% 727.05 58,757.27 53,949.71 53,949.71 53,949.71 4,807.56 225 140.00 CY 21.03 2,944.20 - - 312.00 6,561.36 6,561.36 223% (3,617.16)226 1.00 LS 735.94 735.94 - - 1.00 735.94 735.94 100% - 227 30.00 TON 39.07 1,172.10 - - 45.00 1,758.15 1,758.15 150% (586.05)228 7.00 GAL 1.81 12.67 - - - - - 12.67 229 12.00 TON 250.00 3,000.00 - - 19.00 4,750.00 4,750.00 158% (1,750.00)230 12.00 TON 250.00 3,000.00 - - - - - 3,000.00 231 2.00 EACH 549.55 1,099.10 - - 2.00 1,099.10 1,099.10 100% - 232 35.00 LF 20.06 702.10 - - 46.00 922.76 922.76 131% (220.66)233 111.00 LF 4.51 500.61 - - 80.00 360.80 360.80 72% 139.81 234 138.00 CY 35.00 4,830.00 - - - - - 4,830.00 235 633.00 SY 5.01 3,171.33 - - 315.00 1,578.15 1,578.15 50% 1,593.18 21,168.05 - 17,766.26 17,766.26 3,401.79 SEAL CATCH BASIN (FLEX-SEAL)SEAL MANHOLE (INFI-SHIELD)RANDOM RIP RAP CLASS IIIREMOVE HYDRANT & VALVEREMOVE HYDRANT LEAD6" WATERMAIN DUCTILE IRON CL 528" WATERMAIN DUCTILE IRON CL 52HYDRANT AND GATE VALVE ASSEMBLY8" GATE VALVE AND BOXCONNECT TO EXISTING WATERMAINREMOVE AND REPLACE GATE VALVE BOLTSCOMMON EMBANKMENT - TRAIL (CV)RETENTION SWALE GRADINGAGGREGATE BASE CLASS 5 - TRAIL6" PVC CLEANOUT FOR ROOF DRAIN CONNECTION12" RC PIPE SEWER CLASS VREMOVE AND REPLACE GATE VALVE BOXREMOVE AND REPLACE FITTING BOLTSDUCTILE IRON FITTINGSREMOVE DRAINAGE STRUCTUREREMOVE CASTING & RINGS (STORM)REMOVE PIPE SEWER (STORM)18" RCP FLARED END SECTION WITH TRASH GUARD4" PERF PVC DRAIN TILE, SDR 356" SOLID PVC DRAIN TILE, SDR 356" PVC PIPE DRAIN SDR 35SILT FENCE TYPE MACHINE SLICEDCOMMON TOPSOIL BORROW (LV)HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, PART 5D: WATERMAINPART 5E: STORM SEWERPART 5E: STORM SEWERPART 5F: TRAIL EXTENSION & RETENTION SWALEPART 5F: TRAIL EXTENSION & RETENTION SWALEBITUMINOUS MATERIAL FOR TACK COATTYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)6" DRAIN GRATE15" RC PIPE SEWER CLASS V18" RC PIPE SEWER CLASS VCONNECT TO EXISTING STORM SEWERCONNECT TO EXISTING STORM STRUCTURENEW RINGS AND CASTING, R-1733 (STORM)NEW RINGS AND CASTING, R-3517 (STORM)4' DIA. TOP SLAB W/ 27" DIA. OPENING2'X3' CB, INCL CSTG AND AJD RINGS (DETAIL STO-5)4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGS RECONSTRUCT DRAINAGE STRUCTUREUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.6 of 7DocuSign Envelope ID: 58DDED19-3DCF-4E7C-AF93-E81317655BAE
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