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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From08/01/22to 09/09/22AC D EFF1F2GHIJKLItem 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)($)1 1.00 LUMP SUM 5,192.00 5,192.00 0.50 2,596.00 1.00 5,192.00 5,192.00 100% - 2 1.00 LUMP SUM 6,500.00 6,500.00 0.50 3,250.00 1.00 6,500.00 6,500.00 100% - 3 4,844.00 LIN FT 22.30 108,021.20 - - 4,869.19 108,582.95 108,582.95 101% (561.75)4 4,844.00 LIN FT 6.23 30,178.12 4,740.00 29,530.20 4,899.00 30,520.77 30,520.77 101% (342.65)5 6.00 EACH 200.00 1,200.00 6.00 1,200.00 6.00 1,200.00 1,200.00 100% - 6 61.00 EACH 75.00 4,575.00 - - 65.00 4,875.00 4,875.00 107% (300.00) 155,666.32 36,576.20 156,870.72 - 156,870.72 101% (1,204.40)7 1.00 LUMP SUM 1,200.00 1,200.00 0.50 600.00 1.00 1,200.00 1,200.00 100% - 8 2,580.00 LIN FT 22.30 57,534.00 - - 2,580.00 57,534.00 57,534.00 100% - 9 2,580.00 LIN FT 6.23 16,073.40 2,580.00 16,073.40 2,580.00 16,073.40 16,073.40 100% - 10 3.00 EACH 200.00 600.00 3.00 600.00 3.00 600.00 600.00 100% - 11 32.00 EACH 75.00 2,400.00 - - 32.00 2,400.00 2,400.00 100% - 77,807.40$ 17,273.40$ 77,807.40$ -$ 77,807.40 100%-$ 233,473.72$ 53,849.60$ 234,678.12$ -$ 234,678.12$ 101% (1,204.40)$ BASE BID + ALTERNATEProgress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.Hydro-Klean, LLC2022 Sewer Lining ProjectOwner:0C1.127373Application Date:Application Period:Application No.:Engineer:Contractor:Project:Contract:09/09/22ROBOTICALLY REINSTATE LATERALSTRIM PROTRUDING TAPSROBOTICALLY REINSTATE LATERALSTRAFFIC CONTROLPrevious EstimateBASE BID TOTALALTERNATE: MCMENEMY ST8" CIPP LINING (6.0 MM LINER)CLEANING & TELVISINGALTERNATE TOTALBBASE BID% of Value of Item (J / F)(%)Balance to Finish (F - J)($)MOBILIZATIONTRAFFIC CONTROLDescriptionWork CompletedMaterials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.8" CIPP LINING (6.0 MM LINER)CLEANING & TELVISINGTRIM PROTRUDING TAPSUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 1DocuSign Envelope ID: 402FC226-3748-4138-A60E-6749EA21D1B0
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