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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From07/01/23to 07/28/23AC 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)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application Date:Application Period:Application No.:Previous Estimate07/28/23B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedMaterials Currently Stored (not in G)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. Minnesota Paving & MaterialsTwin Lake Boulevard ImprovementsOwner:0N1.12537623-04Engineer:Contractor:Project:Contract:87 270.00 CY 75.22 20,309.40 - - - - 20,309.40 88 903.00 CY 23.40 21,130.20 - - - - 21,130.20 89 5.00 EACH 2,547.40 12,737.00 - - - - 12,737.00 90 4.00 EACH 2,898.42 11,593.68 - - - - 11,593.68 91 2.00 EACH 3,099.00 6,198.00 - - - - 6,198.00 92 6.00 EACH 381.11 2,286.66 - - - - 2,286.66 93 250.00 LF 25.07 6,267.50 - - - - 6,267.50 94 792.00 LF 52.15 41,302.80 - 46.00 2,398.90 2,398.90 6% 38,903.90 95 162.00 LF 64.19 10,398.78 - - - - 10,398.78 96 61.00 LF 73.21 4,465.81 - - - - 4,465.81 97 5.00 EACH 3,239.41 16,197.05 - - - - 16,197.05 98 5.00 EACH 4,583.31 22,916.55 - - - - 22,916.55 99 2.00 EACH 5,716.60 11,433.20 - - - - 11,433.20 100 1.00 EACH 4,011.65 4,011.65 - - - - 4,011.65 101 170.00 CY 130.38 22,164.60 - - - - 22,164.60 102 32,500.00 SF 4.83 156,975.00 - - - - 156,975.00 103 950.00 SF 17.96 17,062.00 - - - - 17,062.00 104 216.00 SF 43.63 9,424.08 - - - - 9,424.08 105 1,520.00 LF 41.53 63,125.60 - - - - 63,125.60 106 10.00 EACH 582.44 5,824.40 - - - - 5,824.40 107 30.00 EACH 698.93 20,967.90 - - - - 20,967.90 108 3,000.00 LF 2.04 6,120.00 - 7,774.00 15,858.96 15,858.96 259% (9,738.96)109 200.00 MGAL 97.18 19,436.00 - - - - 19,436.00 110 670.00 SY 1.93 1,293.10 - - - - 1,293.10 111 5,230.00 SY 1.93 10,093.90 - - - - 10,093.90 112 790.00 SY 5.63 4,447.70 - - - - 4,447.70 113 2,060.00 SY 8.70 17,922.00 - - - - 17,922.00 694,678.88 - 124,378.72 124,378.72 570,300.16 1,706,439.22 11,220.00 407,575.02 407,575.02 1,298,864.20 114 (32,500.00) SF 4.83 (156,975.00) - - - - (156,975.00)115 700.00 TON 98.00 68,600.00 - - - - 68,600.00 (88,375.00) - - - (88,375.00)1,618,064.22$ 11,220.00$ 407,575.02$ -$ 407,575.02$ 25% 1,210,489.20$ 116 59.00 EACH 125.00 7,375.00 59.00 7,375.00 59.00 7,375.00 7,375.00 100% - 117 32.00 EACH 225.00 7,200.00 32.00 7,200.00 32.00 7,200.00 7,200.00 100% - 118 17.00 EACH 325.00 5,525.00 17.00 5,525.00 17.00 5,525.00 5,525.00 100% - 119 1.00 LUMP SUM 8,920.00 8,920.00 1.00 8,920.00 1.00 8,920.00 8,920.00 100% - 120 6.00 HOUR 200.00 1,200.00 6.00 1,200.00 6.00 1,200.00 1,200.00 100% - 121 7,150.00 POUND 2.25 16,087.50 - 3,700.00 8,325.00 8,325.00 52% 7,762.50 46,307.50$ 30,220.00$ 38,545.00$ -$ 38,545.00$ 83% 7,762.50$ 1,664,371.72$ 41,440.00$ 446,120.02$ -$ 446,120.02$ 27% 1,218,251.70$ PROJECT TOTALCHANGE ORDER TOTALBASE BID + ALTERNATE 1 + CHANGE ORDER 1TREE TRIMMINGTEMPORARY HYDRAULIC MATRIXCHANGE ORDERREMOVE 6" DIAMETER AND SMALLER TREESREMOVE 7" TO 11" DIAMETER TREESREMOVE 12" TO 24" DIAMETER TREEGENERAL BRUSH CLEARINGTOTAL BASE BID + ALTERNATE BID 1FINE FILTER EMBANKMENT MODIFIED - FILTRATION BASININSTALL SALVAGED EXCESS RECLAIM MATERIAL (AGGREGATE 12" RC APRON15" RC PIPE CLASS V18" RC PIPE CLASS V2'X3' CB, INCL CSTG AND AJD RINGS (DETAIL STO-5)4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGS 4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGS W/ 15" RC APRON18" RC APRON6" PERFORATED CLEANOUT6" PERFORATED DRAIN TILE12" RC PIPE CLASS VCHAIN LINK FENCE - BLACK VINYL - 48" HEIGHTCONIFEROUS TREE, 6' HT B&BDECIDUOUS TREE 1.5" CAL B&BSIL FENCE TYPE MACHINE SLICEDWATER FOR TURF ESTABLISHMENTCONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4020RANDOM RIPRAP CL III.4" CONCRETE WALK6" CONCRETE PEDESTRIAN RAMPTRUNCATED DOMESTOTAL ALTERNATE BID 1TOTAL PART 5: SIDEWALKTOTAL BASE BIDALTERNATE BID 1TYPE SP 9.5 WEARING COURSE MIXTURE (2,B) - TRAIL (NEW HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, HYDRAULIC MATRIX TYPE MULCH, SEED MIX 35-241, EROSION CONTROL BLANKET CAT 3N, SEED MIX 34-261, TRM CAT 1, SEED MIX 35-241, FERTILIZER4" WALK (QUANTITY DEDUCTION)Unit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.3 of 3DocuSign Envelope ID: D17A109B-F622-4608-ADEA-F18CC54657C6
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