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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From06/07/23to 07/06/23AC 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)($)Contract InformationBid Item No.Application Date:Application Period:Application No.:Previous Estimate07/06/23B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedMaterials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.Albrecht CompanyPioneer Park ImprovementsOwner:0T6.124526Engineer:Contractor:Project:Contract:50 500.00 LIN FT 11.00 5,500.00 - - - - 5,500.00 51 1,500.00 LIN FT 4.00 6,000.00 - - - - 6,000.00 52 500.00 LIN FT 3.50 1,750.00 - - - - 1,750.00 53 2,700.00 LIN FT 2.00 5,400.00 - - - - 5,400.00 54 885.00 LIN FT 5.00 4,425.00 - - - - 4,425.00 55 1.00 EACH 2,500.00 2,500.00 - - - - 2,500.00 56 1.00 LUMP SUM 12,500.00 12,500.00 - - - - 12,500.00 57 1.00 EACH 2,500.00 2,500.00 - - - - 2,500.00 58 3.00 EACH 2,500.00 7,500.00 - - - - 7,500.00 59 1.00 EACH 2,000.00 2,000.00 - - - - 2,000.00 60 6.00 EACH 1,000.00 6,000.00 - - - - 6,000.00 61 3.00 EACH 6,500.00 19,500.00 - - - - 19,500.00 62 3.00 EACH 1,500.00 4,500.00 - - - - 4,500.00 63 1.00 LUMP SUM 5,000.00 5,000.00 - - - - 5,000.00 64 590.00 CU YD 32.25 19,027.50 - - - - 19,027.50 65 170.00 CU YD 32.25 5,482.50 - - - - 5,482.50 66 190.00 CU YD 36.50 6,935.00 - - - - 6,935.00 67 30.00 CU YD 90.00 2,700.00 - - - - 2,700.00 68 18.00 CU YD 175.00 3,150.00 - - - - 3,150.00 69 1,000.00 SQ FT 1.50 1,500.00 - - - - 1,500.00 70 160.00 LN FT 25.00 4,000.00 - - - - 4,000.00 71 8.00 EACH 850.00 6,800.00 - - - - 6,800.00 72 7.00 EACH 750.00 5,250.00 - - - - 5,250.00 73 48.00 EACH 60.00 2,880.00 - - - - 2,880.00 74 527.00 EACH 25.00 13,175.00 - - - - 13,175.00 75 990.00 SQ YD 12.00 11,880.00 - - - - 11,880.00 76 2,470.00 SQ YD 3.00 7,410.00 - - - - 7,410.00 77 1.00 LUMP SUM 22,500.00 22,500.00 - - - - 22,500.00 78 1.00 EACH 5,750.00 5,750.00 - - - - 5,750.00 79 5.00 EACH 172.00 860.00 - - - - 860.00 80 230.00 LN FT 50.00 11,500.00 - 226.00 11,300.00 11,300.00 98% 200.00 81 150.00 LN FT 175.00 26,250.00 - - - - 26,250.00 1,010,402.50$ 60,350.00$ 87,950.00$ -$ 87,950.00$ 9% 922,452.50$ 82 1.00 LUMP SUM (6,500.00) (6,500.00) - - - - (6,500.00)83 7.00 EACH (3,000.00) (21,000.00) - - - - (21,000.00)84 1.00 LUMP SUM (3,500.00) (3,500.00) - - - - (3,500.00)85 17.00 EACH (600.00) (10,200.00) - - - - (10,200.00) - - - - (41,200.00)$ -$ -$ -$ -$ (41,200.00)$ 969,202.50$ 60,350.00$ 87,950.00$ -$ 87,950.00$ 9% 881,252.50$ TOTALCHANGE ORDER TOTALBASE BID + CHANGE ORDERCHANGE ORDERSREMOVE PLAYGROUNDPRECAST CONCRETE FOOTINGSINSTALL DRINKING FOUNTAINSURFACE MOUNT SITE FURNISHINGS (FURNISHED BY BASE BID TOTALELECTRICAL - SECURITY LIGHTELECTRICAL - SECURITY CAMERA LIGHT POLE AND FOOTINGELECTRICAL - INSTALL CAMERA AND GFCI ON EXISTING POLEELECTRICAL - SHELTER LIGHTS (TIMED)ELECTRICAL - PUSHBUTTON FOR SHELTER LIGHTSELECTRICAL - 1-1/2" PVC CONDUITELECTRICAL - #3 AWG COPPER CONDUCTORELECTRICAL - #6 AWG COPPER CONDUCTORELECTRICAL - #10 AWG COPPER CONDUCTORELECTRICAL - FIBER CABLELOAM TOPSOIL BORROW (LV) - PLANTING BEDSFILTER TOPSOIL BORROW (LV) - RAIN GARDENSMULCH MATERIAL TYPE 6 - SHREDDED HARDWOOD MULCH, ROCK MULCH, 6" DEPTHLANDSCAPE FABRICELECTRICAL - GFCI IN COLUMNSELECTRICAL - GFCI PEDESTALELECRICAL - HANDHOLE ELECTRICAL - WATER FEATURE CONNECTIONCOMMON TOPSOIL BORROW (LV) - TURF ESTABLISHMENT2" HDPE WATER SERVICE LINESDECORATIVE FENCE CURBSOD TYPE LAWNMNDOT SEED MIX 25-151IRRIGATION SYSTEMDRAINAGE MANHOLE (STO-10)INFILTRATION AREA DRAIN (8" NYLOPLAST W/ DOME LANDSCAPE EDGINGDECIDUOUS OVERSTORY TREESORNAMENTAL TREESDECIDUOUS SHRUBPERENNIALS/ORNAMENTAL GRASSESUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 2DocuSign Envelope ID: 1FD3B9F9-6ECB-46AB-9855-F139B27803DF
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