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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)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. Minnesota Paving & MaterialsTwin Lake Boulevard ImprovementsOwner:0N1.12537623-04Engineer:Contractor:Project:Contract:11/30/23B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)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.:Previous Estimate 797,066.26 798,106.11 831,247.12 831,247.12 (34,180.86)48 13.00 EACH 203.83 2,649.79 13.00 2,649.79 13.00 2,649.79 2,649.79 100% - 49 10.00 LF 30.09 300.90 10.00 300.90 10.00 300.90 300.90 100% - 50 1.00 EACH 2,888.39 2,888.39 2.00 5,776.78 2.00 5,776.78 5,776.78 200% (2,888.39)51 1.00 EACH 3,359.75 3,359.75 0.36 1,200.00 0.36 1,200.00 1,200.00 36% 2,159.75 52 10.00 LF 40.12 401.20 20.00 802.40 20.00 802.40 802.40 200% (401.20)53 13.00 EACH 995.13 12,936.69 12.00 11,941.56 12.00 11,941.56 11,941.56 92% 995.13 54 13.00 EACH 204.90 2,663.70 12.00 2,458.80 12.00 2,458.80 2,458.80 92% 204.90 55 3.00 EACH 817.37 2,452.11 3.00 2,452.11 3.00 2,452.11 2,452.11 100% - 56 1.00 EACH 351.02 351.02 - - - - - 351.02 28,003.55 27,582.34 27,582.34 27,582.34 421.21 57 2.00 EACH 3,309.61 6,619.22 2.00 6,619.22 2.00 6,619.22 6,619.22 100% - 58 2.00 EACH 5,114.85 10,229.70 2.00 10,229.70 2.00 10,229.70 10,229.70 100% - 59 1.00 EACH 4,061.79 4,061.79 2.00 8,123.58 2.00 8,123.58 8,123.58 200% (4,061.79)60 3.00 EACH 360.51 1,081.53 5.00 1,802.55 5.00 1,802.55 1,802.55 167% (721.02)61 1.00 EACH 9,186.67 9,186.67 1.00 9,186.67 1.00 9,186.67 9,186.67 100% - 62 230.00 LF 58.17 13,379.10 243.00 14,135.31 243.00 14,135.31 14,135.31 106% (756.21)63 10.00 LF 114.33 1,143.30 55.00 6,288.15 55.00 6,288.15 6,288.15 550% (5,144.85)64 180.00 SY 58.17 10,470.60 611.00 35,541.87 611.00 35,541.87 35,541.87 339% (25,071.27)65 350.00 LBS 17.05 5,967.50 187.00 3,188.35 187.00 3,188.35 3,188.35 53% 2,779.15 62,139.41 95,115.40 95,115.40 95,115.40 (32,975.99)66 3.00 EACH 421.22 1,263.66 2.00 842.44 2.00 842.44 842.44 67% 421.22 67 5.00 EACH 501.46 2,507.30 4.00 2,005.84 4.00 2,005.84 2,005.84 80% 501.46 68 210.00 LF 24.07 5,054.70 176.00 4,236.32 176.00 4,236.32 4,236.32 84% 818.38 69 2.00 EACH 2,186.35 4,372.70 2.00 4,372.70 2.00 4,372.70 4,372.70 100% - 70 1.00 EACH 2,066.00 2,066.00 1.00 2,066.00 1.00 2,066.00 2,066.00 100% - 71 1.00 EACH 7,060.50 7,060.50 1.00 7,060.50 1.00 7,060.50 7,060.50 100% - 72 253.00 LF 60.68 15,352.04 221.00 13,410.28 221.00 13,410.28 13,410.28 87% 1,941.76 73 227.00 LF 64.19 14,571.13 338.00 21,696.22 338.00 21,696.22 21,696.22 149% (7,125.09)74 33.00 LF 181.53 5,990.49 31.00 5,627.43 31.00 5,627.43 5,627.43 94% 363.06 75 3.00 EACH 3,149.14 9,447.42 3.00 9,447.42 3.00 9,447.42 9,447.42 100% - 76 2.00 EACH 4,282.43 8,564.86 3.84 16,444.53 3.84 16,444.53 16,444.53 192% (7,879.67)77 1.00 EACH 11,112.26 11,112.26 1.00 11,112.26 1.00 11,112.26 11,112.26 100% - 78 1.00 EACH 10,911.68 10,911.68 - - - - - 10,911.68 79 1.00 EACH 2,707.86 2,707.86 1.00 2,707.86 1.00 2,707.86 2,707.86 100% - 80 1.00 EACH 15,745.72 15,745.72 1.00 15,745.72 1.00 15,745.72 15,745.72 100% - 81 60.00 CY 130.38 7,822.80 40.00 5,215.20 40.00 5,215.20 5,215.20 67% 2,607.60 124,551.12 121,990.72 121,990.72 121,990.72 2,560.40 82 69.00 EACH 220.00 15,180.00 69.00 15,180.00 69.00 15,180.00 15,180.00 100% - 83 20.00 LF 24.07 481.40 81.00 1,949.67 81.00 1,949.67 1,949.67 405% (1,468.27)84 50.00 CY 45.13 2,256.50 - - - - - 2,256.50 CONSTRUCT DRAINAGE STRUCTURE DESIGN OCSRANDOM RIPRAP CLASS IIIGRUBBINGREMOVE SEWER PIPE (STORM)SALVAGE & REINSTALL RIPRAPTOTAL PART 4: STORM SEWERPART 5: SIDEWALKCONSTRUCT DRAINAGE STRUCTURE DESIGN 2'X3'CONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4022CONSTRUCT DRAINAGE STRUCTURE DESIGN 60-4022CONSTRUCT DRAINAGE STRUCTURE DESIGN 60-4020CONSTRUC DRAINAGE STRUCTURE DESIGN RAIN GUARDIAN15" RC APRON36" RC APRON12" RC PIPE SEWER CLASS V15" RC PIPE SEWER CLASS V36" RC PIPE SEWER CLASS IIIDIP FITTINGSREMOVE DRAINAGE STRUCTUREREMOVE PIPE APRONREMOVE STORM SEWER PIPE12" RC APRONADJUST GATE VALVE BOXHORIZONTAL WATERMAIN OFFSET8" WATERMAIN, C900 W/ TRACER WIRE12" WATERMAIN, DIP CL 52 INCL. POLY WRAP4" POLYSTYRENE NSULATIONPART 4: STORM SEWERTOTAL PART 3: WATERMAINRECONSTRUCT SANITARY MANHOLE RECONSTRUCT MANHOLE BENCH & INVERTSCONNECT TO EXISITING WATERMAIN8" GATE VALVE & BOX W/ LOCKING LID AND MUD PLUG8" GATE VALVE & BOXCONNECT TO EXISTING SANITARY PIPECONNECT TO EXISTING SANITARY STRUCTURE8" PVC SANITARY SEWER, SDR 35NEW RINGS AND CASTING (SANITARY)SEAL MANHOLE (INFI-SHEILD)TOTAL PART 2: SANITARY SEWERPART 3: WATERMAINREMOVE FRAME AND RING CASTING (SANITARY)REMOVE SEWER PIPE (SANITARY)TOTAL PART 1: STREETSPART 2: SANITARY SEWERUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 4DocuSign Envelope ID: B31C83B0-1048-4B11-A7D0-B663BF480C36
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