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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 07/29/23 to 09/01/23 <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 43,600.00 43,600.00 0.75 32,700.00 1.00 43,600.00 43,600.00 100% - <br />2 51.00 EACH 220.00 11,220.00 51.00 11,220.00 51.00 11,220.00 11,220.00 100% - <br />3 14.00 EACH 95.28 1,333.92 14.00 1,333.92 14.00 1,333.92 1,333.92 100% - <br />4 14.00 EACH 40.12 561.68 - - - - - 561.68 <br />5 430.00 LF 2.67 1,148.10 397.00 1,059.99 397.00 1,059.99 1,059.99 92% 88.11 <br />6 470.00 LF 2.67 1,254.90 271.00 723.57 432.00 1,153.44 1,153.44 92% 101.46 <br />7 80.00 LF 5.00 400.00 113.00 565.00 113.00 565.00 565.00 141% (165.00) <br />8 240.00 SY 7.74 1,857.60 395.00 3,057.30 439.00 3,397.86 3,397.86 183% (1,540.26) <br />9 70.00 SY 17.12 1,198.40 72.00 1,232.64 72.00 1,232.64 1,232.64 103% (34.24) <br />10 30.00 SY 15.69 470.70 16.00 251.04 16.00 251.04 251.04 53% 219.66 <br />11 10.00 SY 28.34 283.40 - - - - - 283.40 <br />12 27.00 SY 15.69 423.63 31.00 486.39 43.00 674.67 674.67 159% (251.04) <br />13 1,850.00 LF 3.27 6,049.50 2,484.00 8,122.68 2,616.00 8,554.32 8,554.32 141% (2,504.82) <br />14 1,193.00 CY 22.22 26,508.46 1,553.00 34,507.66 1,849.00 41,084.78 41,084.78 155% (14,576.32) <br />15 210.00 CY 30.35 6,373.50 - - - - - 6,373.50 <br />16 344.00 CY 6.05 2,081.20 897.00 5,426.85 1,153.00 6,975.65 6,975.65 335% (4,894.45) <br />17 1,655.00 CY 9.38 15,523.90 615.00 5,768.70 1,175.00 11,021.50 11,021.50 71% 4,502.40 <br />18 330.00 CY 21.69 7,157.70 - - - - - 7,157.70 <br />19 210.00 CY 30.71 6,449.10 - - - - - 6,449.10 <br />20 752.00 CY 13.89 10,445.28 - - 1,109.00 15,404.01 15,404.01 147% (4,958.73) <br />21 16,800.00 SY 2.76 46,368.00 16,880.00 46,588.80 16,880.00 46,588.80 46,588.80 100% (220.80) <br />22 7,100.00 LF 0.71 5,041.00 - - - - - 5,041.00 <br />23 860.00 GAL 2.01 1,728.60 - - - - - 1,728.60 <br />24 1,590.00 TON 98.00 155,820.00 - - 3.60 352.80 352.80 155,467.20 <br />25 70.00 TON 225.00 15,750.00 - - - - - 15,750.00 <br />26 1,590.00 TON 95.00 151,050.00 - - - - - 151,050.00 <br />27 7,100.00 LF 16.75 118,925.00 - - 6,914.00 115,809.50 115,809.50 97% 3,115.50 <br />28 2,100.00 LF 13.91 29,211.00 - - 2,111.00 29,364.01 29,364.01 101% (153.01) <br />29 195.00 SY 69.69 13,589.55 - - 108.00 7,526.52 7,526.52 55% 6,063.03 <br />30 45.00 SY 123.05 5,537.25 - - - - - 5,537.25 <br />31 174.00 SY 196.93 34,265.82 - - - - - 34,265.82 <br />32 10.00 SY 62.61 626.10 - - - - - 626.10 <br />33 14.00 EACH 145.42 2,035.88 - - - - - 2,035.88 <br />34 1.00 LS 2,808.15 2,808.15 0.50 1,404.08 0.75 2,106.11 2,106.11 75% 702.04 <br />35 14.00 EACH 225.66 3,159.24 - - - - - 3,159.24 <br />36 64.00 SF 58.17 3,722.88 - - - - - 3,722.88 <br />37 1.00 LS 3,225.26 3,225.26 - - - - - 3,225.26 <br />38 40.00 HR 1.00 40.00 - - - - - 40.00 <br />39 22.00 EACH 149.93 3,298.46 7.00 1,049.51 27.00 4,048.11 4,048.11 123% (749.65) <br />40 500.00 LF 3.17 1,585.00 1,562.00 4,951.54 1,562.00 4,951.54 4,951.54 312% (3,366.54) <br />41 500.00 CY 38.57 19,285.00 - - - - - 19,285.00 <br />42 3,280.00 SY 1.93 6,330.40 - - - - - 6,330.40 <br />43 2,860.00 SY 1.93 5,519.80 - - - - - 5,519.80 <br />44 280.00 SY 5.63 1,576.40 - - - - - 1,576.40 <br />45 370.00 SY 8.70 3,219.00 - - - - - 3,219.00 <br />46 160.00 MGAL 97.18 15,548.80 - - 14.00 1,360.52 1,360.52 9% 14,188.28 <br />47 4,270.00 LF 0.81 3,458.70 - - - - - 3,458.70 <br />Work <br />Completed <br />and Materials <br />Stored to Date <br />(H + I) <br />($) <br />Contract Information <br />Bid Item <br />No. <br />SALVAGE MAIL BOX & SUPPORT <br />SALVAGE SIGN <br />REMOVE GRAVEL DRIVEWAY <br />REMOVE PAVER DRIVEWAY <br />REMOVE CONCRETE PAVEMENT (VALLEY GUTTER) <br />REMOVE BITUMINOUS CURB <br />SAWING BITUMINOUS PAVEMENT (FULL DEPTH) <br />SAWING BITUMINOUS DRIVEWAY PAVEMENT (FULL DEPTH) <br />SAWING CONCRETE DRIVEWAY PAVEMENT (FULL DEPTH) <br />Application Date:Application Period:Application No.: <br />MOBILIZATION <br />GRUBBING <br />Previous Estimate <br />09/05/23 <br />PART 1: STREETS <br />B <br />BASE BID <br />% of <br />Value of <br />Item <br /> (J / F) <br />(%) <br />Balance to Finish <br />(F - J) <br />($)Description <br />Work Completed <br />Materials Currently <br />Stored (not in G) <br />($) <br />Progress Estimate - Unit Price Work <br />City of Little Canada <br />Bolton & Menk, Inc. <br />OMG Midwest, Inc. Minnesota Paving & Materials <br />Twin Lake Boulevard Improvements <br />Owner: <br />0N1.125376 <br />23-04 <br />Engineer: <br />Contractor: <br />Project: <br />Contract: <br />TYPE SP 9.5 WEARING COURSE MIXTURE (2, E] DRIVEWAY <br />TYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C) <br />CONCRETE CURB AND GUTTER DESIGN B618 <br />CONCRETE CURB AND GUTTER DESIGN - RIBBON <br />6" CONCRETE DRIVEWAY PAVEMENT <br />REMOVE BITUMINOUS DRIVEWAY PAVEMENT <br />REMOVE CONCRETE DRIVEWAY PAVEMENT <br />INSTALL SALVAGED EXCESS RECLAIM MATERIAL (AGGREGATE <br />FULL DEPTH RECLAMATION <br />JOINT ADHESIVE (MASTIC) <br />BITUMINOUS MATERIAL FOR TACK COAT <br />TYPE SP 9.5 WEARING COURSE MIXTURE (3, C] <br />EXCAVATION - SUBGRADE CORRECTION <br />COMMON EMBANKMENT <br />SALVAGE RECLAIM FOR REUSE <br />HAUL EXCESS RECLAIM MATERIAL OFFSITE <br />STABILIZING AGGREGATE - SUBGRADE CORRECTION <br />EXCAVATION - COMMON <br />INSTALL SIGN TYPE C <br />SIGN TYPE C <br />EROSION CONTROL SUPERVISOR <br />SKIDSTEER WITH OPERATOR <br />STORM DRAIN INLET PROTECTION <br />CONCRETE VALLEY GUTTER <br />PAVER DRIVEWAY <br />GRAVEL DRIVEWAY <br />INSTALL MAILBOX & SUPPORT <br />TRAFFIC CONTROL <br />TRM CAT 1, SEED MIX 35-241, FERTILIZER <br />WATER FOR TURF ESTABLISHMENT <br />4" DOUBLE PAVEMENT MARKING - PAINT <br />SEDIMENT CONTROL LOGS, TYPE COMPOST <br />COMMON TOPSOIL BORROW (LV) <br />HYDRAULIC MATRIX TYPE MULCH, SEED MIX 25-151, <br />HYDRAULIC MATRIX TYPE MULCH, SEED MIX 35-241, <br />EROSION CONTROL BLANKET CAT 3N, SEED MIX 34-261, <br />Unit Price <br />EJCDC C-620 Contractor's Application for Payment <br />(c) 2018 National Society of Professional Engineers for EJCDC. 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