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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:0N1.125241 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 - - 4.00 3,008.48 3,008.48 100% - 10,455.23 7,446.75 10,455.23 10,455.23 - 219,093.96 226,643.46 238,142.08 238,142.08 (19,048.12)86 1.00 LS 18,000.00 18,000.00 1.00 18,000.00 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 - - 792.40 935.03 935.03 100% (2.83)90 54.00 SY 19.72 1,064.88 325.00 6,409.00 325.00 6,409.00 6,409.00 602% (5,344.12)91 5.00 HOUR 160.45 802.25 55.00 8,824.75 55.00 8,824.75 8,824.75 1100% (8,022.50)92 4,074.00 SY 2.05 8,351.70 - - 2,422.00 4,965.10 4,965.10 59% 3,386.60 93 408.00 GAL 1.81 738.48 - - 300.00 543.00 543.00 74% 195.48 94 736.00 TON 93.00 68,448.00 647.00 60,171.00 657.00 61,101.00 61,101.00 89% 7,347.00 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 1.09 3,421.50 3,421.50 109% (293.99)97 1.00 LS 1,515.43 1,515.43 - - 1.45 2,197.37 2,197.37 145% (681.94)98 6.00 EACH 111.06 666.36 4.80 533.09 5.80 644.15 644.15 97% 22.21 99 15.00 LF 55.16 827.40 15.00 827.40 15.00 827.40 827.40 100% - 108,280.93 100,188.87 111,277.82 111,277.82 (2,996.89)100 61.00 SY 19.72 1,202.92 325.00 6,409.00 325.00 6,409.00 6,409.00 533% (5,206.08)101 91.00 CY 44.12 4,014.92 270.00 11,912.40 306.00 13,500.72 13,500.72 336% (9,485.80)102 - CY 44.12 - - - - - - - 103 81.00 CY 19.68 1,594.08 306.00 6,022.08 306.00 6,022.08 6,022.08 378% (4,428.00)104 4.00 TON 200.00 800.00 - - 77.25 15,450.00 15,450.00 1931% (14,650.00)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 1.00 426.20 426.20 100% - 109 880.00 LF 30.08 26,470.40 898.00 27,011.84 898.00 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% - 46,716.37 62,389.37 79,427.69 79,427.69 (32,711.32)113 5.00 EACH 501.41 2,507.05 5.00 2,507.05 5.00 2,507.05 2,507.05 100% - 114 764.00 LF 10.03 7,662.92 764.00 7,662.92 764.00 7,662.92 7,662.92 100% - REMOVE CASTING & RINGS (STORM)TOTAL PART 2C: WATERMAINPART 2D: STORM SEWERSEAL 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 STREETTYPE 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)TOTAL PART 3B: SANITARY SEWERPART 3C: STORM SEWER1-1/4" HDPE, DR11, SANITARY SERVICE STUB WITH CURB IN-LINE FLUSHING STATIONEND FLUSHING STATIONREMOVE DRAINAGE STRUCTUREREMOVE PIPE SEWER (STORM)TYPE 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 EXCAVATION (REMOVED)STABILIZING AGGREGATEUnit 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: 58DDED19-3DCF-4E7C-AF93-E81317655BAE
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