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Contractor's Application for Payment
<br />Owner's Project No.:
<br />Engineer's Project No.:
<br />Agency's Project No.:
<br />3 From 07/01/23 to 07/31/23
<br />A C D E F F1 F2 G H I J K L
<br />Item Quantity Units
<br />Unit Price
<br />($)
<br />Value of Bid Item
<br />(C X E)
<br />($)
<br />Quantity Previous
<br />Estimate
<br />Value Previous
<br />Estimate
<br />Estimated
<br />Quantity
<br />Incorporated in
<br />the Work
<br />Value of Work
<br />Completed to Date
<br />(E X G)
<br />($)
<br />1 1.00 LS 60,000.00 60,000.00 0.50 30,000.00 0.92 55,200.00 55,200.00 92% 4,800.00
<br />2 2.00 EACH 1,885.40 3,770.80 4.51 8,503.15 4.51 8,503.15 8,503.15 225% (4,732.35)
<br />3 2.00 EACH 1,604.59 3,209.18 - - - - - 3,209.18
<br />4 1.00 EACH 1,504.31 1,504.31 - - - - - 1,504.31
<br />5 30.00 LF 29.08 872.40 - - - - - 872.40
<br />6 1,512.00 LF 14.54 21,984.48 2,145.00 31,188.30 2,145.00 31,188.30 31,188.30 142% (9,203.82)
<br />7 57.00 LF 25.07 1,428.99 152.00 3,810.64 152.00 3,810.64 3,810.64 267% (2,381.65)
<br />8 422.00 LF 2.37 1,000.14 411.00 974.07 411.00 974.07 974.07 97% 26.07
<br />9 300.00 SY 9.61 2,883.00 141.00 1,355.01 141.00 1,355.01 1,355.01 47% 1,527.99
<br />10 120.00 SY 13.78 1,653.60 272.33 3,752.75 272.33 3,752.75 3,752.75 227% (2,099.15)
<br />11 90.00 SY 22.46 2,021.40 256.00 5,749.76 256.00 5,749.76 5,749.76 284% (3,728.36)
<br />12 48.00 SF 24.94 1,197.12 - - 90.00 2,244.60 2,244.60 188% (1,047.48)
<br />13 7,210.00 SY 3.00 21,630.00 - - 7,263.00 21,789.00 21,789.00 101% (159.00)
<br />14 578.00 CY 30.00 17,340.00 455.25 13,657.50 455.25 13,657.50 13,657.50 79% 3,682.50
<br />15 396.00 CY 30.00 11,880.00 933.25 27,997.50 933.25 27,997.50 27,997.50 236% (16,117.50)
<br />16 94.00 CY 30.00 2,820.00 35.00 1,050.00 35.00 1,050.00 1,050.00 37% 1,770.00
<br />17 35.00 HOUR 160.46 5,616.10 4.00 641.84 4.00 641.84 641.84 11% 4,974.26
<br />18 102.00 MGAL 15.00 1,530.00 - - - - - 1,530.00
<br />19 7,207.00 SY 5.00 36,035.00 - - 7,263.00 36,315.00 36,315.00 101% (280.00)
<br />20 1,884.00 SY 3.25 6,123.00 - - 1,884.00 6,123.00 6,123.00 100% -
<br />21 5,379.00 LF 0.80 4,303.20 - - 5,429.00 4,343.20 4,343.20 101% (40.00)
<br />22 655.00 GAL 2.00 1,310.00 5.00 10.00 805.00 1,610.00 1,610.00 123% (300.00)
<br />23 1,293.00 TON 112.00 144,816.00 38.50 4,312.00 982.10 109,995.20 109,995.20 76% 34,820.80
<br />24 24.00 TON 205.00 4,920.00 64.72 13,267.60 64.72 13,267.60 13,267.60 270% (8,347.60)
<br />25 1,291.00 TON 105.00 135,555.00 - - 894.50 93,922.50 93,922.50 69% 41,632.50
<br />26 1,490.00 LF 29.75 44,327.50 1,936.00 57,596.00 1,936.00 57,596.00 57,596.00 130% (13,268.50)
<br />27 90.00 SY 95.04 8,553.60 256.00 24,330.24 256.00 24,330.24 24,330.24 284% (15,776.64)
<br />28 30.00 SY 137.08 4,112.40 61.00 8,361.88 61.00 8,361.88 8,361.88 203% (4,249.48)
<br />29 164.00 LF 12.25 2,009.00 181.00 2,217.25 181.00 2,217.25 2,217.25 110% (208.25)
<br />30 1.00 EACH 531.96 531.96 1.00 531.96 1.00 531.96 531.96 100% -
<br />31 1.00 LS 11,500.00 11,500.00 0.59 6,785.00 0.98 11,270.00 11,270.00 98% 230.00
<br />32 1.00 ALLOW 3,500.00 3,500.00 - - 1.00 3,500.00 3,500.00 100% -
<br />33 1.00 LS 3,000.00 3,000.00 0.50 1,500.00 0.89 2,670.00 2,670.00 89% 330.00
<br />34 1.00 LS 1.00 1.00 - - - - - 1.00
<br />35 19.00 EACH 260.00 4,940.00 15.20 3,952.00 15.20 3,952.00 3,952.00 80% 988.00
<br />36 420.00 LF 2.26 949.20 - - - - - 949.20
<br />37 80.00 LF 5.52 441.60 160.00 883.20 160.00 883.20 883.20 200% (441.60)
<br />38 20.00 CY 154.78 3,095.60 20.00 3,095.60 20.00 3,095.60 3,095.60 100% -
<br />39 79.00 CY 72.85 5,755.15 146.00 10,636.10 146.00 10,636.10 10,636.10 185% (4,880.95)
<br />40 687.00 SY 26.58 18,260.46 252.00 6,698.16 252.00 6,698.16 6,698.16 37% 11,562.30
<br />41 175.00 SY 3.26 570.50 525.00 1,711.50 525.00 1,711.50 1,711.50 300% (1,141.00)
<br />42 453.00 SY 2.96 1,340.88 472.97 1,400.00 472.97 1,400.00 1,400.00 104% (59.12)
<br />43 44.00 LF 2.26 99.44 561.00 1,267.86 561.00 1,267.86 1,267.86 1275% (1,168.42)
<br />44 22.00 LF 4.51 99.22 175.00 789.25 175.00 789.25 789.25 795% (690.03)
<br /> 608,491.23 278,026.13 584,401.62 584,401.62 96% 24,089.61
<br />45 6.00 EACH 300.86 1,805.16 8.00 2,406.88 8.00 2,406.88 2,406.88 133% (601.72)
<br />PART 1: STREETS
<br />TOTAL PART 1: STREETS
<br />PART 2: SANITARY SEWER
<br />Contract Information
<br />Bid Item
<br />No.
<br />REMOVE MANHOLE
<br />REMOVE PIPE APRON
<br />REMOVE BITUMINOUS DRIVEWAY PAVEMENT
<br />REMOVE CONCRETE DRIVEWAY PAVEMENT
<br />SALVAGE AND REINSTALL DRIVEWAY PAVERS
<br />FINISH GRADING
<br />SUBGRADE EXCAVATION (SPOT CORRECTION)
<br />REMOVE SEWER PIPE (STORM)
<br />REMOVE CURB & GUTTER (SPOT REPAIR)
<br />REMOVE EXISTING CORRUGATED METAL PIPE
<br />Application Date:Application Period:Application No.:
<br />Engineer:
<br />Contractor:
<br />Project:
<br />Contract:
<br />Previous Estimate
<br />07/31/23
<br />B
<br />BASE BID
<br />% of
<br />Value of
<br />Item
<br /> (J / F)
<br />(%)
<br />Balance to Finish
<br />(F - J)
<br />($)
<br />MOBILIZATION
<br />CLEARING AND GRUBBING
<br />Description
<br />Work Completed
<br />Materials Currently
<br />Stored (not in G)
<br />($)
<br />Work
<br />Completed
<br />and Materials
<br />Stored to Date
<br />(H + I)
<br />($)
<br />Progress Estimate - Unit Price Work
<br />City of Little Canada
<br />Bolton & Menk, Inc.
<br />OMG Midwest, Inc. dba. Minnesota Paving & Materials
<br />2023 Street Improvements
<br />Owner:
<br />0N1.127995
<br />23-01, 23-02, 23-03, 23-05
<br />TYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)
<br />CONCRETE CURB & GUTTER - SURMOUNTABLE (HAND
<br />6" CONCRETE DRIVEWAY PAVEMENT
<br />8" CONCRETE VALLEY GUTTER
<br />BITUMINOUS CURB
<br />SAWCUT BITUMINOUS PAVEMENT
<br />REMOVE BITUMINOUS PAVEMENT
<br />MILL BITUMINOUS SURFACE (2")
<br />JOINT ADHESIVE (MASTIC)
<br />BITUMINOUS MATERIAL FOR TACK COAT
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (3,C)
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (2,E), DRIVEWAY
<br />SUBGRADE CORRECTION - CLASS 5
<br />SELECT GRANULAR BORROW (CV)
<br />STREET SWEEPER (WITH PICKUP BROOM)
<br />WATER
<br />FULL DEPTH RECLAMATION
<br />STORM DRAIN INLET PROTECTION
<br />SILT FENCE, TYPE MS
<br />SEDIMENT CONTROL LOG TYPE STRAW
<br />EXCAVATE SEDIMENT AT FES
<br />FILTER TOPSOIL BORROW (LV)
<br />BITUMINOUS FLUME
<br />TRAFFIC CONTROL
<br />RAILROAD FLAGGING
<br />EROSION CONTROL SUPERVISOR
<br />STABILIZED CONSTRUCTION EXIT
<br />REMOVE FRAME AND RING CASTING (SANITARY)
<br />SODDING TYPE LAWN
<br />BLANKET CATEGORY 20, SEED MIX 35-241
<br />FLEXTERRA HYDROMULCH, SEED MIX 25-151, FERTILIZER
<br />4" SOLID LINE PAINT
<br />4" DOUBLE SOLID LINE PAINT
<br />Unit Price
<br />EJCDC C-620 Contractor's Application for Payment
<br />(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 2
<br />DocuSign Envelope ID: C994DA10-F5B2-401B-A955-E395C1A77BBC
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