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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:7 From11/01/23to 11/28/23A 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)($)1 1.00 LS 43,600.00 43,600.00 1.00 43,600.00 1.00 43,600.00 43,600.00 100% - 2 51.00 EACH 220.00 11,220.00 51.00 11,220.00 51.00 11,220.00 11,220.00 100% - 3 14.00 EACH 95.28 1,333.92 14.00 1,333.92 14.00 1,333.92 1,333.92 100% - 4 14.00 EACH 40.12 561.68 14.00 561.68 15.00 601.80 601.80 107% (40.12)5 430.00 LF 2.67 1,148.10 536.00 1,431.12 536.00 1,431.12 1,431.12 125% (283.02)6 470.00 LF 2.67 1,254.90 444.00 1,185.48 553.00 1,476.51 1,476.51 118% (221.61)7 80.00 LF 5.00 400.00 146.00 730.00 255.00 1,275.00 1,275.00 319% (875.00)8 240.00 SY 7.74 1,857.60 442.00 3,421.08 442.00 3,421.08 3,421.08 184% (1,563.48)9 70.00 SY 17.12 1,198.40 189.00 3,235.68 189.00 3,235.68 3,235.68 270% (2,037.28)10 30.00 SY 15.69 470.70 16.00 251.04 16.00 251.04 251.04 53% 219.66 11 10.00 SY 28.34 283.40 21.00 595.14 21.00 595.14 595.14 210% (311.74)12 27.00 SY 15.69 423.63 43.00 674.67 43.00 674.67 674.67 159% (251.04)13 1,850.00 LF 3.27 6,049.50 2,896.00 9,469.92 2,896.00 9,469.92 9,469.92 157% (3,420.42)14 1,193.00 CY 22.22 26,508.46 1,849.00 41,084.78 2,164.00 48,084.08 48,084.08 181% (21,575.62)15 210.00 CY 30.35 6,373.50 301.28 9,143.81 350.51 10,638.00 10,638.00 167% (4,264.50)16 344.00 CY 6.05 2,081.20 1,153.00 6,975.65 1,691.00 10,230.55 10,230.55 492% (8,149.35)17 1,655.00 CY 9.38 15,523.90 1,175.00 11,021.50 1,897.00 17,793.86 17,793.86 115% (2,269.96)18 330.00 CY 21.69 7,157.70 - - - - - 7,157.70 19 210.00 CY 30.71 6,449.10 - - - - - 6,449.10 20 752.00 CY 13.89 10,445.28 1,109.00 15,404.01 1,372.00 19,057.08 19,057.08 182% (8,611.80)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)22 7,100.00 LF 0.71 5,041.00 - - - - - 5,041.00 23 860.00 GAL 2.01 1,728.60 725.00 1,457.25 725.00 1,457.25 1,457.25 84% 271.35 24 1,590.00 TON 98.00 155,820.00 1,388.60 136,082.80 1,386.60 135,886.80 135,886.80 87% 19,933.20 25 70.00 TON 225.00 15,750.00 79.00 17,775.00 81.00 18,225.00 18,225.00 116% (2,475.00)26 1,590.00 TON 95.00 151,050.00 1,381.00 131,195.00 1,400.60 133,057.00 133,057.00 88% 17,993.00 27 7,100.00 LF 16.75 118,925.00 6,989.00 117,065.75 6,989.00 117,065.75 117,065.75 98% 1,859.25 28 2,100.00 LF 13.91 29,211.00 2,111.00 29,364.01 2,111.00 29,364.01 29,364.01 101% (153.01)29 195.00 SY 69.69 13,589.55 336.00 23,415.84 336.00 23,415.84 23,415.84 172% (9,826.29)30 45.00 SY 123.05 5,537.25 - - - - - 5,537.25 31 174.00 SY 196.93 34,265.82 219.00 43,127.67 219.00 43,127.67 43,127.67 126% (8,861.85)32 10.00 SY 62.61 626.10 - - 10.00 626.10 626.10 100% - 33 14.00 EACH 145.42 2,035.88 14.00 2,035.88 14.00 2,035.88 2,035.88 100% - 34 1.00 LS 2,808.15 2,808.15 0.75 2,106.11 0.75 2,106.11 2,106.11 75% 702.04 35 14.00 EACH 225.66 3,159.24 35.27 7,959.25 36.27 8,184.91 8,184.91 259% (5,025.67)36 64.00 SF 58.17 3,722.88 56.00 3,257.52 56.00 3,257.52 3,257.52 88% 465.36 37 1.00 LS 3,225.26 3,225.26 0.50 1,612.63 0.50 1,612.63 1,612.63 50% 1,612.63 38 40.00 HR 1.00 40.00 - - - - - 40.00 39 22.00 EACH 149.93 3,298.46 27.00 4,048.11 27.00 4,048.11 4,048.11 123% (749.65)40 500.00 LF 3.17 1,585.00 1,562.00 4,951.54 1,692.00 5,363.64 5,363.64 338% (3,778.64)41 500.00 CY 38.57 19,285.00 1,205.00 46,476.85 1,379.00 53,188.03 53,188.03 276% (33,903.03)42 3,280.00 SY 1.93 6,330.40 1,096.00 2,115.28 1,096.00 2,115.28 2,115.28 33% 4,215.12 43 2,860.00 SY 1.93 5,519.80 3,800.00 7,334.00 3,800.00 7,334.00 7,334.00 133% (1,814.20)44 280.00 SY 5.63 1,576.40 - - - - - 1,576.40 45 370.00 SY 8.70 3,219.00 458.00 3,984.60 458.00 3,984.60 3,984.60 124% (765.60)46 160.00 MGAL 97.18 15,548.80 14.00 1,360.52 14.00 1,360.52 1,360.52 9% 14,188.28 47 4,270.00 LF 0.81 3,458.70 4,262.00 3,452.22 4,262.00 3,452.22 3,452.22 100% 6.48 TRM CAT 1, SEED MIX 35-241, FERTILIZERWATER FOR TURF ESTABLISHMENT4" DOUBLE PAVEMENT MARKING - PAINTSEDIMENT CONTROL LOGS, TYPE COMPOSTCOMMON TOPSOIL BORROW (LV)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, INSTALL SIGN TYPE CSIGN TYPE CEROSION CONTROL SUPERVISORSKIDSTEER WITH OPERATORSTORM DRAIN INLET PROTECTIONCONCRETE VALLEY GUTTERPAVER DRIVEWAYGRAVEL DRIVEWAYINSTALL MAILBOX & SUPPORTTRAFFIC CONTROLTYPE SP 9.5 WEARING COURSE MIXTURE (2, E] DRIVEWAYTYPE SP 12.5 NON WEARING COURSE MIXTURE (3,C)CONCRETE CURB AND GUTTER DESIGN B618CONCRETE CURB AND GUTTER DESIGN - RIBBON6" CONCRETE DRIVEWAY PAVEMENTREMOVE BITUMINOUS DRIVEWAY PAVEMENTREMOVE CONCRETE DRIVEWAY PAVEMENTINSTALL SALVAGED EXCESS RECLAIM MATERIAL (AGGREGATE FULL DEPTH RECLAMATIONJOINT ADHESIVE (MASTIC)BITUMINOUS MATERIAL FOR TACK COATTYPE SP 9.5 WEARING COURSE MIXTURE (3, C]EXCAVATION - SUBGRADE CORRECTIONCOMMON EMBANKMENTSALVAGE RECLAIM FOR REUSEHAUL EXCESS RECLAIM MATERIAL OFFSITESTABILIZING AGGREGATE - SUBGRADE CORRECTIONEXCAVATION - COMMONProgress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. Minnesota Paving & MaterialsTwin Lake Boulevard ImprovementsOwner:0N1.12537623-04Engineer:Contractor:Project:Contract:11/30/23PART 1: STREETSBBASE BID% 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.SALVAGE MAIL BOX & SUPPORTSALVAGE SIGNREMOVE GRAVEL DRIVEWAYREMOVE PAVER DRIVEWAYREMOVE CONCRETE PAVEMENT (VALLEY GUTTER)REMOVE BITUMINOUS CURBSAWING BITUMINOUS PAVEMENT (FULL DEPTH)SAWING BITUMINOUS DRIVEWAY PAVEMENT (FULL DEPTH)SAWING CONCRETE DRIVEWAY PAVEMENT (FULL DEPTH)Application Date:Application Period:Application No.:MOBILIZATIONGRUBBINGPrevious EstimateUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 4DocuSign Envelope ID: B31C83B0-1048-4B11-A7D0-B663BF480C36
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