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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:5 From09/01/23to 10/18/23A C 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)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.Albrecht CompanyPioneer Park ImprovementsOwner:0T6.124526Engineer:Contractor:Project:Contract:Previous Estimate10/18/23B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedMaterials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application Date:Application Period:Application No.:87 1.00 LUMP SUM 30,055.00 30,055.00 - - - - 30,055.00 30,055.00$ -$ -$ -$ -$ 30,055.00$ 88 1.00 LS 36,515.00 36,515.00 - - - - 36,515.00 89 1.00 LS 3,500.00 3,500.00 - - - - 3,500.00 90 90.00 LIN FT 75.00 6,750.00 - - - - 6,750.00 91 320.00 CU YD 31.63 10,121.60 - - - - 10,121.60 92 190.00 CU YD 20.00 3,800.00 - - - - 3,800.00 93 200.00 CU YD 35.00 7,000.00 - - - - 7,000.00 94 1,074.00 SQ YD 6.60 7,088.40 - - - - 7,088.40 95 160.00 TON 150.00 24,000.00 - - - - 24,000.00 96 650.00 SQ FT 16.50 10,725.00 - - - - 10,725.00 97 112.00 SQ FT 85.00 9,520.00 - - - - 9,520.00 98 1.00 EACH 1,925.00 1,925.00 - - - - 1,925.00 99 12.00 LF 198.00 2,376.00 - - - - 2,376.00 100 2.00 EACH 2,062.50 4,125.00 - - - - 4,125.00 101 252.00 SQ FT 10.00 2,520.00 - - - - 2,520.00 102 50.00 LF 75.00 3,750.00 - - - - 3,750.00 103 2,830.00 SY 3.00 8,490.00 - - - - 8,490.00 104 1,400.00 LF 4.75 6,650.00 - - - - 6,650.00 105 50.00 CU YD 35.48 1,774.00 - - - - 1,774.00 106 39.00 EACH 70.00 2,730.00 - - - - 2,730.00 107 14.00 CU YD 90.00 1,260.00 - - - - 1,260.00 108 270.00 LN FT 25.00 6,750.00 - - - - 6,750.00 161,370.00$ -$ -$ -$ -$ 161,370.00$ 1,222,796.50$ 301,209.00$ 709,424.00$ -$ 709,424.00$ 58% 513,372.50$ BASE BID + CHANGE ORDER 1-4CHANGE ORDER NO. 3SOLAR LIGHTS AND KIOSK PADCHANGE ORDER NO. 3 TOTALCHANGE ORDER NO. 4MOBILIZATIONCHANGE ORDER NO. 4 TOTALTRAFFIC CONTROLREMOVE & REPLACE CONCRETE CURB AND GUTTERCOMMON EXCAVATION (EV, P) - TOPSOIL STRIPPING AND COMMON EXCAVATION (EV, P) AGGREGATE BASE (CV) CLASS 5 SUBGRADE PREPARATION (NEW TRAIL ALIGNMENT)TYPE SP 9.5 WEARING COURSE MIXTURE (2,B)6" CONCRETE PEDESTRIAN CURB RAMPTRUNCATED DOMESADJUST MANHOLE CASTING TO FINISH GRADE12" RCP STORM SEWER12" FLARED END SECTIONCROSSWALK BLOCK MARKING, PAINTSALVAGE AND REINTSALL CHAIN LINK FENCING (IF HYDROMULCH, SEED MIX 25-131, FERTILIZERBIOLOGSLOAM TOPSOIL BORROW (LV) - PLANTING BEDS#5 CONTAINER - ARBORVITAE HOLMSTRUPMULCH MATERIAL TYPE 6 - SHREDDED HARDWOOD MULCH, LANDSCAPE EDGINGTOTALUnit 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: C547D3FD-3A00-4B07-A465-43055258AFD6
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