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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.:5 & FINAL From09/08/22to 01/09/22ACDEFF1F2GHIJKLItem 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)($)Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application No.:Previous Estimate01/09/22B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedApplication Date:Application Period:Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest Inc., dba Minnesota2022 Street ImprovementsOwner:0N1.125241Engineer:Contractor:Project:Contract: 563,579.67 254,032.13 476,160.35 476,160.35 87,419.32 229,193.51 222,419.81 225,337.15 225,337.15 3,856.36 219,093.96 226,643.46 238,142.08 238,142.08 (19,048.12) 259,984.25 248,123.63 290,126.83 290,126.83 (30,142.58) 53,785.83 15,026.51 46,049.54 46,049.54 7,736.29 563,579.67 254,032.13 476,160.35 476,160.35 87,419.32 1,325,637.22$ 966,245.55$ 1,275,815.95$ -$ 1,275,815.95$ 96%49,821.27$ 236 198.00 CY 85.00 16,830.00 - - 198.00 16,830.00 16,830.00 100% - 237 169.00 TON 125.00 21,125.00 - - 169.00 21,125.00 21,125.00 100% - 238 1.00 LS 600.00 600.00 - - 1.00 600.00 600.00 100% - 239 36.00 TON 45.00 1,620.00 - - 35.16 1,582.20 1,582.20 98% 37.80 240 1.00 LS 7,600.00 7,600.00 - - 1.00 7,600.00 7,600.00 100% - 241 1.00 LS 6,050.00 6,050.00 1.00 6,050.00 1.00 6,050.00 6,050.00 100% - 53,825.00$ 6,050.00$ 53,787.20$ -$ 53,787.20$ 100%37.80$ 242 629.00 CY 85.00 53,465.00 - - 629.00 53,465.00 53,465.00 100% - 243 1.00 LS 1,000.00 1,000.00 1.00 1,000.00 1.00 1,000.00 1,000.00 100% - 54,465.00$ 1,000.00$ 54,465.00$ -$ 54,465.00$ 100%-$ 1,433,927.22$ 1,384,068.15$ -$ 1,384,068.15$ 97%49,859.07$ PART 3 - RYAN DRIVETOTAL PROJECT BIDCHANGE ORDER NO. 2CHANGE ORDER 1 TOTALSUMMARYPART 1 - YORKTON RIDGEPART 2 - MAPLE LANECHANGE ORDER 2 TOTALTOTAL BASE BID + CHANGE ORDERS NO. 1 & NO. 2RYAN DRIVE - FLY ASH HARDENED SOILRYAN DRIVE - GATE VALVE REPAIRCHANGE ORDER NO. 1RYAN DRIVE - CONTAMINATED MATERIAL REMOVALRYAN DRIVE - LEVELING COURSE PAVINGRYAN DRIVE - CONTAMINATED TIMBERSRYAN DRIVE - AGGREGATE SHOULDERING WOODLYNN AVE - CONTAMINATED MATERIAL REMOVALWOODLYNN AVE - RAILROAD TIESPART 4 - WOODLYNN AVENUE (WEST)PART 5 - WOODLYNN AVENUE (EAST)TOTAL PART 5: WOODLYNN AVENUE (EAST)Unit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.7 of 7
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