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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 />1 From 05/01/24 to 05/31/24 <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 />($)Description <br />Work Completed <br />Materials Currently <br />Stored (not in G) <br />($) <br />Progress Estimate - Unit Price Work <br />City of Little Canada <br />Bolton & Menk, Inc. <br />Miller Excavating, Inc. <br />2024 Street Improvements <br />Owner: <br />200-101-012 <br />0N1.125375 <br />24-PW42 <br />Engineer: <br />Contractor: <br />Project: <br />Contract: <br />Previous Estimate <br />06/03/24 <br />B <br />% of <br />Value of <br />Item <br /> (J / F) <br />(%) <br />Balance to Finish <br />(F - J) <br />($) <br />Work <br />Completed <br />and Materials <br />Stored to Date <br />(H + I) <br />($) <br />Contract Information <br />Bid Item <br />No. <br />Application Date:Application Period:Application No.: <br />90 3.00 EA 163.27 489.81 - - - - 489.81 <br />91 3.00 EA 719.56 2,158.68 - - - - 2,158.68 <br />92 4.00 EA 540.62 2,162.48 - - - - 2,162.48 <br /> 4,810.97 - - - 4,810.97 <br />1,001,807.96$ -$ 103,495.67$ 103,495.67$ 10% 898,312.29$ <br />93 1.00 LS 2,883.75 2,883.75 - - - - 2,883.75 <br />94 1.00 LS 4,400.32 4,400.32 - - - - 4,400.32 <br />95 680.00 CY 36.89 25,085.20 - - - - 25,085.20 <br />96 80.00 LF 56.26 4,500.80 - - - - 4,500.80 <br />97 1.00 LS 439.24 439.24 - - - - 439.24 <br />98 4.00 EA 154.59 618.36 - - - - 618.36 <br />99 880.00 LF 10.86 9,556.80 - - - - 9,556.80 <br />100 2,350.00 SY 6.89 16,191.50 - - - - 16,191.50 <br />101 340.00 CY 47.15 16,031.00 - - - - 16,031.00 <br />102 3.00 MGAL 140.89 422.67 - - - - 422.67 <br /> 80,129.64 - - - 80,129.64 <br /> 1,081,937.60 - 103,495.67 - 103,495.67 978,441.93 <br />103 1.00 LS 9,967.00 9,967.00 - 0.50 4,983.50 4,983.50 50% 4,983.50 <br />104 32.00 LF 1.76 56.32 - - - - 56.32 <br />105 2,620.00 SY 6.38 16,715.60 - - - - 16,715.60 <br />106 2,620.00 SY 3.75 9,825.00 - - - - 9,825.00 <br />107 20.00 CY 38.74 774.80 - - - - 774.80 <br />108 530.00 TON 114.00 60,420.00 - - - - 60,420.00 <br />109 1.00 LS 2,748.00 2,748.00 - 0.50 1,374.00 1,374.00 50% 1,374.00 <br />110 1.00 LS 1,000.00 1,000.00 - - - - 1,000.00 <br />111 1,550.00 LF 5.68 8,804.00 - 1,600.00 9,088.00 9,088.00 103% (284.00) <br />112 3.00 EA 154.63 463.89 - - - - 463.89 <br />113 6.00 EA 154.63 927.78 - - - - 927.78 <br />114 1,920.00 SY 2.99 5,740.80 - - - - 5,740.80 <br />115 60.00 CY 47.16 2,829.60 - - - - 2,829.60 <br /> 120,272.79 - 15,445.50 15,445.50 104,827.29 <br />116 170.00 SF 16.00 2,720.00 - - - - 2,720.00 <br />117 66.00 SF 75.00 4,950.00 - - - - 4,950.00 <br /> 7,670.00 - - - 7,670.00 <br />118 1.00 EA 12,200.00 12,200.00 - - - - 12,200.00 <br />119 12.00 LF 150.00 1,800.00 - - - - 1,800.00 <br /> 14,000.00 - - - 14,000.00 <br />PART 4 - SANITARY SEWER <br />PART 4 - SANITARY SEWER TOTAL: <br />TOTAL BASE BID: <br />CHANGE ORDERS <br />PART 5 - MNNR DITCH GRADING <br />PART 5 - MNNR DITCH GRADING TOTAL: <br />TOTAL BASE BID + ALTERNATE: <br />BLANKET CATEGORY 20, SEED MIX 34-181, AND FERTILIZER <br />COMMON TOPSOIL BORROW <br />WATER (TURF ESTABLISHMENT) <br />CHANGE ORDER NO. 2 TOTAL: <br />CHANGE ORDER NO. 3 <br />CHANGE ORDER NO. 1 TOTAL: <br />CHANGE ORDER NO. 2 <br />COMMON TOPSOIL BORROW <br />6" CONCRETE WALK - PEDESTRIAN RAMP <br />TRUNCATED DOMES <br />6' DIA MANHOLE WITH TOPSLAB <br />18" RC PIPE <br />EROSION CONTROL SUPERVISOR <br />SILT FENCE TYPE MS <br />STORM DRAIN INLET PROTECTION <br />CULVERT END PROTECTION <br />HYDROMULCH, SEED MIX 25-131 AND FERTILIZER <br />REMOVE BITUMINOUS PAVEMENT - TRAIL <br />FINISH GRADING - TRAIL <br />AGGREGATE BASE CLASS 5 <br />TYPE SP 9.5 WEARING COURSE MIX (2,C) - TRAIL <br />TRAFFIC CONTROL <br />MOBILIZATION <br />SAWCUT BITUMINOUS PAVEMENT <br />CHANGE ORDER NO. 1 <br />COMMON EXCAVATION (EXCESS DITCH MATERIAL) <br />CLEAN (JET/VAC) CULVERT LINE <br />TRAFFIC CONTROL <br />CULVERT END PROTECTION <br />DITCH GRADING <br />REMOVE CASTING (SANITARY) <br />CASTING ASSEMBLY (SANITARY) <br />ADJUST FRAME & RING CASTING W/ INFI SHIELD (SANITARY) <br />MOBILIZATION <br />CLEARING AND GRUBBING <br />ALTERNATE <br />CHANGE ORDER NO. 3 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.3 of 4 <br />DocuSign Envelope ID: D4F0E498-3363-4DA9-9CFD-AF26210A7479