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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:0N1.12524140 1.00 EACH 4,995.42 4,995.42 1.00 4,995.42 1.00 4,995.42 4,995.42 100% - 41 1.00 EACH 1,055.82 1,055.82 1.00 1,055.82 1.00 1,055.82 1,055.82 100% - 42 3.00 EACH 689.94 2,069.82 3.00 2,069.82 3.00 2,069.82 2,069.82 100% - 43 4.00 EACH 752.12 3,008.48 4.00 3,008.48 4.00 3,008.48 3,008.48 100% - 44 1.00 EACH 172.49 172.49 1.00 172.49 1.00 172.49 172.49 100% - 15,408.93 15,368.85 15,368.85 15,368.85 40.08 229,193.51 222,419.81 225,337.15 225,337.15 3,856.36 45 1.00 LS 15,000.00 15,000.00 1.00 15,000.00 1.00 15,000.00 15,000.00 100% - 46 384.00 LF 12.86 4,938.24 773.00 9,940.78 773.00 9,940.78 9,940.78 201% (5,002.54)47 115.00 LF 2.48 285.20 276.00 684.48 276.00 684.48 684.48 240% (399.28)48 58.00 LF 6.97 404.26 12.00 83.64 12.00 83.64 83.64 21% 320.62 49 38.00 SY 19.72 749.36 90.00 1,774.80 90.00 1,774.80 1,774.80 237% (1,025.44)50 18.00 SY 29.45 530.10 - - - - - 530.10 51 8.00 SY 29.45 235.60 4.00 117.80 4.00 117.80 117.80 50% 117.80 52 142.00 CY 44.12 6,265.04 72.00 3,176.64 72.00 3,176.64 3,176.64 51% 3,088.40 53 8.00 CY 36.70 293.60 72.00 2,642.40 72.00 2,642.40 2,642.40 900% (2,348.80)54 4,238.00 SY 1.15 4,873.70 4,238.00 4,873.70 4,238.00 4,873.70 4,873.70 100% - 55 10.00 HOUR 160.45 1,604.50 3.00 481.35 3.00 481.35 481.35 30% 1,123.15 56 72.00 MGAL 0.01 0.72 - - 72.00 0.72 0.72 100% - 57 4,238.00 SY 4.00 16,952.00 4,238.00 16,952.00 4,238.00 16,952.00 16,952.00 100% - 58 8.00 SY 74.41 595.28 3.00 223.23 - - - 595.28 59 115.00 LF 1.00 115.00 2,600.00 2,600.00 2,600.00 2,600.00 2,600.00 2261% (2,485.00)60 297.00 GAL 1.81 537.57 400.00 724.00 400.00 724.00 724.00 135% (186.43)61 537.00 TON 95.00 51,015.00 497.00 47,215.00 497.00 47,215.00 47,215.00 93% 3,800.00 62 4.00 TON 320.00 1,280.00 10.27 3,286.40 27.29 8,732.80 8,732.80 682% (7,452.80)63 537.00 TON 90.00 48,330.00 470.00 42,300.00 470.00 42,300.00 42,300.00 88% 6,030.00 64 8.00 SQ FT 25.07 200.56 - - 30.00 752.10 752.10 375% (551.54)65 115.00 LF 27.03 3,108.45 773.00 20,894.19 773.00 20,894.19 20,894.19 672% (17,785.74)66 1.00 LS 1,797.03 1,797.03 0.50 898.52 1.00 1,797.03 1,797.03 100% - 67 1.00 LS 1,515.43 1,515.43 - - 1.00 1,515.43 1,515.43 100% - 68 1.00 LS 0.01 0.01 - - 1.00 0.01 0.01 100% - 69 9.00 EACH 111.06 999.54 9.00 999.54 9.00 999.54 999.54 100% - 70 56.00 CY 5.01 280.56 - - 20.00 100.20 100.20 36% 180.36 71 259.00 SY 15.04 3,895.36 249.00 3,744.96 249.00 3,744.96 3,744.96 96% 150.40 165,802.11 178,613.43 187,103.57 187,103.57 (21,301.46)72 5.00 EACH 233.26 1,166.30 5.00 1,166.30 5.00 1,166.30 1,166.30 100% - 73 5.00 EACH 1,055.82 5,279.10 5.00 5,279.10 5.00 5,279.10 5,279.10 100% - 74 5.00 LF 328.93 1,644.65 5.00 1,644.65 5.00 1,644.65 1,644.65 100% - 75 5.00 EACH 222.57 1,112.85 5.00 1,112.85 5.00 1,112.85 1,112.85 100% - 9,202.90 9,202.90 9,202.90 9,202.90 - 76 3.00 EACH 3,414.60 10,243.80 3.00 10,243.80 3.00 10,243.80 10,243.80 100% - 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 MOBILIZATIONREMOVE CONCRETE CURB & GUTTERSAW CUT BITUMINOUS (FULL DEPTH)SAWCUT CONCRETE (FULL DEPTH)REMOVE BITUMINOUS DRIVEWAY PAVEMENT4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGSNEW RINGS AND CASTING, R-1733 (STORM)NEW RINGS AND CASTING, R-3075 (STORM)SEAL CATCH BASIN (FLEX-SEAL)SEAL MANHOLE (INFI-SHIELD)PART 2A: STREETSPART 2: MAPLE LANE - JACKSON STREETTOTAL PART 1: YORKTON RIDGESTREET SWEEPER (WITH PICKUP BROOM)WATERFULL DEPTH RECLAMATION6" CONCRETE PAVEMENTJOINT ADHESIVE (MASTIC)REMOVE CONCRETE PAVEMENTREMOVE CONCRETE WALKSUBGRADE EXCAVATION (SPOT CORRECTION)STABILIZING AGGREGATE, CLASS 5 (SPOT CORRECTION)FINISH GRADINGCONCRETE CURB & GUTTER DESIGN SURMOUNTABLETRAFFIC CONTROLEROSION CONTROL SUPERVISORSTABILIZED CONSTRUCTION EXITSTORM DRAIN INLET PROTECTIONBITUMINOUS MATERIAL FOR TACK COATTYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TYPE SP 9.5 WEARING COURSE MIXTURE (2,E), DRIVEWAYTYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)4" CONCRETE WALKSEAL MANHOLE (INFI-SHIELD)REMOVE AND REPLACE HYDRANT AND VALVE BOLTSREMOVE AND REPLACE GATE VALVE BOXREMOVE AND REPLACE FITTING BOLTSFILTER TOPSOIL BORROW (LV)SODDING TYPE LAWNREMOVE FRAME AND RING CASTING (SANITARY)NEW RINGS AND CASTING (SANITARY)RECONSTRUCT SANITARY MANHOLETOTAL PART 2A: STREETSPART 2B: SANITARY SEWERTOTAL PART 2B: SANITARY SEWERPART 2C: WATERMAINTOTAL PART 1D: STORM SEWERUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 7DocuSign Envelope ID: 58DDED19-3DCF-4E7C-AF93-E81317655BAE
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