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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 Estimate85 3,487.00 CY 21.72 75,737.64 2,369.00 51,454.68 2,976.00 64,638.72 64,638.72 85% 11,098.92 86 4,809.00 CY 11.42 54,918.78 4,358.50 49,774.07 4,955.00 56,586.10 56,586.10 103% (1,667.32)87 270.00 CY 75.22 20,309.40 43.40 3,264.55 159.40 11,990.07 11,990.07 59% 8,319.33 88 903.00 CY 23.40 21,130.20 1,486.62 34,786.91 1,774.62 41,526.11 41,526.11 197% (20,395.91)89 5.00 EACH 2,547.40 12,737.00 4.00 10,189.60 4.00 10,189.60 10,189.60 80% 2,547.40 90 4.00 EACH 2,898.42 11,593.68 2.93 8,492.37 2.93 8,492.37 8,492.37 73% 3,101.31 91 2.00 EACH 3,099.00 6,198.00 5.36 16,610.64 5.36 16,610.64 16,610.64 268% (10,412.64)92 6.00 EACH 381.11 2,286.66 6.00 2,286.66 6.00 2,286.66 2,286.66 100% - 93 250.00 LF 25.07 6,267.50 249.00 6,242.43 249.00 6,242.43 6,242.43 100% 25.07 94 792.00 LF 52.15 41,302.80 739.00 38,538.85 739.00 38,538.85 38,538.85 93% 2,763.95 95 162.00 LF 64.19 10,398.78 122.00 7,831.18 122.00 7,831.18 7,831.18 75% 2,567.60 96 61.00 LF 73.21 4,465.81 127.00 9,297.67 127.00 9,297.67 9,297.67 208% (4,831.86)97 5.00 EACH 3,239.41 16,197.05 4.00 12,957.64 4.00 12,957.64 12,957.64 80% 3,239.41 98 5.00 EACH 4,583.31 22,916.55 5.00 22,916.55 5.00 22,916.55 22,916.55 100% - 99 2.00 EACH 5,716.60 11,433.20 2.00 11,433.20 2.00 11,433.20 11,433.20 100% - 100 1.00 EACH 4,011.65 4,011.65 1.00 4,011.65 1.00 4,011.65 4,011.65 100% - 101 170.00 CY 130.38 22,164.60 179.70 23,429.29 179.70 23,429.29 23,429.29 106% (1,264.69)102 32,500.00 SF 4.83 156,975.00 - - - - - 156,975.00 103 950.00 SF 17.96 17,062.00 1,365.00 24,515.40 1,365.00 24,515.40 24,515.40 144% (7,453.40)104 216.00 SF 43.63 9,424.08 209.00 9,118.67 209.00 9,118.67 9,118.67 97% 305.41 105 1,520.00 LF 41.53 63,125.60 1,594.32 66,212.01 1,594.32 66,212.01 66,212.01 105% (3,086.41)106 10.00 EACH 582.44 5,824.40 2.00 1,164.88 2.00 1,164.88 1,164.88 20% 4,659.52 107 30.00 EACH 698.93 20,967.90 8.66 6,054.83 8.66 6,054.83 6,054.83 29% 14,913.07 108 3,000.00 LF 2.04 6,120.00 8,288.00 16,907.52 8,288.00 16,907.52 16,907.52 276% (10,787.52)109 200.00 MGAL 97.18 19,436.00 - - - - - 19,436.00 110 670.00 SY 1.93 1,293.10 314.00 606.02 314.00 606.02 606.02 47% 687.08 111 5,230.00 SY 1.93 10,093.90 5,189.00 10,014.77 5,189.00 10,014.77 10,014.77 99% 79.13 112 790.00 SY 5.63 4,447.70 361.00 2,032.43 361.00 2,032.43 2,032.43 46% 2,415.27 113 2,060.00 SY 8.70 17,922.00 1,921.00 16,712.70 1,921.00 16,712.70 16,712.70 93% 1,209.30 694,678.88 483,986.84 519,447.63 519,447.63 175,231.25 1,706,439.22 1,526,781.41 1,595,383.21 1,595,383.21 111,056.01 114 (32,500.00) SF 4.83 (156,975.00) - - - - - (156,975.00)115 700.00 TON 98.00 68,600.00 717.00 70,266.00 717.00 70,266.00 70,266.00 102% (1,666.00) (88,375.00) 70,266.00 70,266.00 70,266.00 (158,641.00)1,618,064.22$ 1,597,047.41$ 1,665,649.21$ -$ 1,665,649.21$ 103% (47,584.99)$ 116 59.00 EACH 125.00 7,375.00 59.00 7,375.00 59.00 7,375.00 7,375.00 100% - 117 32.00 EACH 225.00 7,200.00 32.00 7,200.00 32.00 7,200.00 7,200.00 100% - 118 17.00 EACH 325.00 5,525.00 17.00 5,525.00 17.00 5,525.00 5,525.00 100% - 119 1.00 LUMP SUM 8,920.00 8,920.00 1.00 8,920.00 1.00 8,920.00 8,920.00 100% - 120 6.00 HOUR 200.00 1,200.00 6.00 1,200.00 6.00 1,200.00 1,200.00 100% - 121 7,150.00 POUND 2.25 16,087.50 16,836.00 37,881.00 20,063.00 45,141.75 45,141.75 281% (29,054.25)46,307.50$ 68,101.00$ 75,361.75$ -$ 75,361.75$ 163% (29,054.25)$ TOTAL ALTERNATE BID 1TOTAL PART 5: SIDEWALKTOTAL BASE BIDALTERNATE BID 1TYPE SP 9.5 WEARING COURSE MIXTURE (2,B) - TRAIL (NEW 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, TRM CAT 1, SEED MIX 35-241, FERTILIZER4" WALK (QUANTITY DEDUCTION)CHAIN LINK FENCE - BLACK VINYL - 48" HEIGHTCONIFEROUS TREE, 6' HT B&BDECIDUOUS TREE 1.5" CAL B&BSIL FENCE TYPE MACHINE SLICEDWATER FOR TURF ESTABLISHMENTCONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4020RANDOM RIPRAP CL III.4" CONCRETE WALK6" CONCRETE PEDESTRIAN RAMPTRUNCATED DOMES15" RC PIPE CLASS V18" RC PIPE CLASS V2'X3' CB, INCL CSTG AND AJD RINGS (DETAIL STO-5)4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGS 4' DIA STORM SEWER CBMH, INCL CSTG AND ADJ RINGS W/ 15" RC APRON18" RC APRON6" PERFORATED CLEANOUT6" PERFORATED DRAIN TILE12" RC PIPE CLASS VEXCAVATION - COMMONCOMMON EMBANKMENTFINE FILTER EMBANKMENT MODIFIED - FILTRATION BASININSTALL SALVAGED EXCESS RECLAIM MATERIAL (AGGREGATE 12" RC APRONTOTAL BASE BID + ALTERNATE BID 1CHANGE ORDER 1 TOTALBASE BID + ALTERNATE 1 + CHANGE ORDER 1TREE TRIMMINGTEMPORARY HYDRAULIC MATRIXCHANGE ORDER 1REMOVE 6" DIAMETER AND SMALLER TREESREMOVE 7" TO 11" DIAMETER TREESREMOVE 12" TO 24" DIAMETER TREEGENERAL BRUSH CLEARINGUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.3 of 4DocuSign Envelope ID: B31C83B0-1048-4B11-A7D0-B663BF480C36
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