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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From07/16/24to 08/13/24A 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)($)1 1.00 LUMP SUM 12,500.00 12,500.00 0.33 4,125.00 0.66 8,250.00 8,250.00 66% 4,250.00 2 1.00 LUMP SUM 5,000.00 5,000.00 0.33 1,650.00 0.66 3,300.00 3,300.00 66% 1,700.00 3 4,553.00 LIN FT 40.00 182,120.00 - 4,579.00 183,160.00 183,160.00 101% (1,040.00)4 1,097.00 LIN FT 50.90 55,837.30 - 1,096.00 55,786.40 55,786.40 100% 50.90 5 5,650.00 LIN FT 6.33 35,764.50 6,733.00 42,619.89 6,733.00 42,619.89 42,619.89 119% (6,855.39)6 6.00 EACH 690.17 4,141.02 - - - - 4,141.02 7 95.00 EACH 45.00 4,275.00 - 32.00 1,440.00 1,440.00 34% 2,835.00 8 16.90 VF 316.33 5,345.98 - - - - 5,345.98 9 4.00 EACH 575.14 2,300.56 - - - - 2,300.56 10 7.00 EACH 460.11 3,220.77 - - - - 3,220.77 310,505.13$ 48,394.89$ 294,556.29$ -$ 294,556.29$ 95% 15,948.84$ MANHOLE REHABILITATION (1" CEMENTITIOUS)MANHOLE CHIMNEY SEALProgress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.Insituform Technologies USA, LLC2024 Sanitary Sewer RehabOwner:0C1.133275CLEANING & TELVISINGTRIM PROTRUDING TAPSROBOTICALLY REINSTATE LATERALSApplication Date:Application Period:Application No.:Previous Estimate08/13/24BBASE BID% of Value of Item (J / F)(%)Balance to Finish (F - J)($)MOBILIZATIONTRAFFIC CONTROLDescriptionWork CompletedBid Item No.8" CIPP LININGEngineer:Contractor:Project:Contract:BASE BID TOTAL:10" CIPP LiningMANHOLE WALL JOINT SEALMaterials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 1Docusign Envelope ID: EC2322B2-DB22-4654-AAE1-1A95373398BA
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