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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:0N1.125241115 1.00 EACH 2,122.97 2,122.97 1.00 2,122.97 1.00 2,122.97 2,122.97 100% - 116 8.00 LF 54.15 433.20 8.00 433.20 8.00 433.20 433.20 100% - 117 756.00 LF 65.18 49,276.08 756.00 49,276.08 756.00 49,276.08 49,276.08 100% - 118 3.00 EACH 777.19 2,331.57 3.00 2,331.57 3.00 2,331.57 2,331.57 100% - 119 4.00 EACH 5,302.90 21,211.60 4.00 21,211.60 5.00 26,514.50 26,514.50 125% (5,302.90)120 20.00 CY 195.55 3,911.00 - - - - - 3,911.00 121 4.00 EACH 549.04 2,196.16 - - 4.00 2,196.16 2,196.16 100% - 122 252.00 CY 39.45 9,941.40 - - 70.00 2,761.50 2,761.50 28% 7,179.90 123 2,262.00 SY 1.50 3,393.00 - - 2,111.00 3,166.50 3,166.50 93% 226.50 104,986.95 85,545.39 98,972.45 98,972.45 6,014.50 259,984.25 248,123.63 289,677.96 289,677.96 (29,693.71)124 1.00 LS 2,500.00 2,500.00 0.90 2,250.00 0.40 1,000.00 1,000.00 40% 1,500.00 125 152.00 LF 1.18 179.36 - - - - - 179.36 126 30.00 LF 6.97 209.10 - - - - - 209.10 127 95.00 LF 12.86 1,221.70 - - 23.00 295.78 295.78 24% 925.92 128 12.00 SY 29.45 353.40 - - - - - 353.40 129 3.00 HOUR 160.45 481.35 - - - - - 481.35 130 1,001.00 SY 2.75 2,752.75 - - - - - 2,752.75 131 152.00 SY 78.77 11,973.04 - - - - - 11,973.04 132 95.00 LF 1.20 114.00 - - - - - 114.00 133 71.00 GAL 1.81 128.51 - - - - - 128.51 134 127.00 TON 97.00 12,319.00 - - - - - 12,319.00 135 95.00 LF 27.03 2,567.85 - - 165.00 4,459.95 4,459.95 174% (1,892.10)136 1.00 LS 2,425.54 2,425.54 - - - - - 2,425.54 137 1.00 LS 1,515.43 1,515.43 - - - - - 1,515.43 138 3.00 EACH 111.06 333.18 2.60 288.76 2.60 288.76 288.76 87% 44.42 139 3.00 CY 75.00 225.00 - - - - - 225.00 140 23.00 SY 10.03 230.69 - - - - - 230.69 141 38.00 LF 2.51 95.38 - - - - - 95.38 142 56.00 SF 3.01 168.56 - - - - - 168.56 39,793.84 2,538.76 6,044.49 6,044.49 33,749.35 143 2.00 EACH 676.90 1,353.80 2.00 1,353.80 2.00 1,353.80 1,353.80 100% - 144 36.00 LF 20.06 722.16 36.00 722.16 36.00 722.16 722.16 100% - 145 36.00 LF 59.17 2,130.12 36.00 2,130.12 36.00 2,130.12 2,130.12 100% - 146 1.00 EACH 777.19 777.19 1.00 777.19 1.00 777.19 777.19 100% - 147 1.00 EACH 3,146.85 3,146.85 1.00 3,146.85 1.00 3,146.85 3,146.85 100% - 148 1.00 EACH 4,357.63 4,357.63 1.00 4,357.63 1.00 4,357.63 4,357.63 100% - 149 2.00 EACH 752.12 1,504.24 - - - - - 1,504.24 13,991.99 12,487.75 12,487.75 12,487.75 1,504.24 53,785.83 15,026.51 18,532.24 18,532.24 35,253.59 150 1.00 LS 20,000.00 20,000.00 0.90 18,000.00 1.00 20,000.00 20,000.00 100% - SAW CUT BITUMINOUS (FULL DEPTH)SAW CUT CONCRETE (FULL DEPTH)REMOVE CONCRETE CURB & GUTTERREMOVE CONCRETE PAVEMENTSTREET SWEEPER (WITH PICKUP BROOM)RANDOM RIP RAP CLASS IIICONIFEROUS TREE 6' HT B&BCOMMON TOPSOIL BORROW (LV)HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, MOBILIZATIONTRAFFIC CONTROLEROSION CONTROL SUPERVISORSTORM DRAIN INLET PROTECTIONCOMMON TOPSOIL BORROW (LV)MILL BITUMINOUS SURFACE (2.0")7" CONCRETE DRIVEWAY PAVEMENTJOINT ADHESIVE (MASTIC)BITUMINOUS MATERIAL FOR TACK COATTYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TOTAL PART 3C: STORM SEWERPART 4: WOODLYNN AVENUE (WEST)PART 4A: STREETSTOTAL PART 3: RYAN DRIVEPART 4B: STORM SEWERPART 5: WOODLYNN AVENUE (EAST)PART 5A: STREETS2'X3' CB, INCL CSTG AND AJD RINGS (DETAIL STO-5)4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGSSEAL CATCH BASIN (FLEX-SEAL)HYDROMULCH, SEED, FERTILIZER24" SOLID LINE PAINTPAVEMENT MESSSAGE PAINT REMOVE DRAINAGE STRUCTUREREMOVE SEWER PIPE (STORM)PART 4A: STREETSPART 4B: STORM SEWER12" RC PIPE SEWER CLASS VCONNECT TO EXISTING STORM SEWERCONCRETE CURB AND GUTTER DESIGN B61818" RCP FLARED END SECTION WITH TRASH GUARD12" RC PIPE SEWER CLASS V18" RC PIPE SEWER CLASS VCONNECT TO EXISTING STORM SEWER4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGSTOTAL PART 4: WOODLYNN AVENUE (WEST)MOBILIZATIONUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.4 of 7DocuSign Envelope ID: 58DDED19-3DCF-4E7C-AF93-E81317655BAE
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