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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 />6 From 09/29/23 to 10/31/23
<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 />($)
<br />Progress Estimate - Unit Price Work
<br />City of Little Canada
<br />Bolton & Menk, Inc.
<br />OMG Midwest, Inc. Minnesota Paving & Materials
<br />Twin Lake Boulevard Improvements
<br />Owner:
<br />0N1.125376
<br />23-04
<br />Engineer:
<br />Contractor:
<br />Project:
<br />Contract:
<br />11/01/23
<br />B
<br />% of
<br />Value of
<br />Item
<br /> (J / F)
<br />(%)
<br />Balance to Finish
<br />(F - J)
<br />($)Description
<br />Work Completed
<br />Materials Currently
<br />Stored (not in G)
<br />($)
<br />Work Completed
<br />and Materials
<br />Stored to Date
<br />(H + I)
<br />($)
<br />Contract Information
<br />Bid Item
<br />No.
<br />Application Date:Application Period:Application No.:
<br />Previous Estimate
<br />1,664,371.72$ 1,303,016.46$ 1,665,148.41$ -$ 1,665,148.41$ 100% (776.69)$
<br />122 56.00 LF 214.50 12,012.00 56.00 12,012.00 56.00 12,012.00 12,012.00 100% -
<br />123 1.00 LS 4,646.40 4,646.40 1.00 4,646.40 1.00 4,646.40 4,646.40 100% -
<br />124 1.00 EACH 8,237.00 8,237.00 1.00 8,237.00 1.00 8,237.00 8,237.00 100% -
<br />125 60.00 LF 105.60 6,336.00 60.00 6,336.00 60.00 6,336.00 6,336.00 100% -
<br />126 3.00 EACH 2,100.00 6,300.00 3.00 6,300.00 3.00 6,300.00 6,300.00 100% -
<br />127 914.00 LF 3.17 2,897.38 954.00 3,024.18 954.00 3,024.18 3,024.18 104% (126.80)
<br />128 309.00 LF 2.04 630.36 309.00 630.36 309.00 630.36 630.36 100% -
<br />41,059.14$ 41,185.94$ 41,185.94$ -$ 41,185.94$ 100% (126.80)$
<br />1,705,430.86$ 1,344,202.40$ 1,706,334.35$ -$ 1,706,334.35$ 100% (903.49)$
<br />PROJECT TOTAL
<br />BASE BID + ALTERNATE 1 + CHANGE ORDER 1
<br />BASE BID + ALTERNATE 1 + CHANGE ORDER 1 + CHANGE ORDER 2
<br />PROJECT TOTAL
<br />FLUSHING HYDRANT
<br />SEDIMENT CONTROL LOG WOOD FIBER
<br />CHANGE ORDER 2
<br />REMOVE AND REPLACE 29" SPAN RC PIPE-ARCH
<br />RECONSTRUCT SANITARY MANHOLE
<br />36” STORM JETTING AND TELEVISING
<br />CONSTRUCTION ENTRANCE
<br />SILT FENCE
<br />CHANGE ORDER 2 TOTAL
<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.4 of 4
<br />DocuSign Envelope ID: 8A3ECF1B-B2B5-4B94-939B-BC37027CA07D
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