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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:6 & Final From10/05/24to 12/02/24A C D E F F1 F2 G H I J K L Item 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)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.Miller Excavating, Inc.2024 Street ImprovementsOwner:200-101-0120N1.12537524-PW42Engineer:Contractor:Project:Contract:12/02/24B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)Application Date:Application Period:Application No.:DescriptionWork CompletedMaterials Currently Stored (not in G)($)Previous EstimateWork Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.90 3.00 EA 163.27 489.81 3.00 489.81 3.00 489.81 489.81 100% - 91 3.00 EA 719.56 2,158.68 3.00 2,158.68 3.00 2,158.68 2,158.68 100% - 92 4.00 EA 540.62 2,162.48 3.00 1,621.86 3.00 1,621.86 1,621.86 75% 540.62 4,810.97 4,270.35 4,270.35 4,270.35 540.62 1,001,807.96$ 919,582.87$ 935,814.89$ 935,814.89$ 93% 65,993.07$ 93 1.00 LS 2,883.75 2,883.75 1.00 2,883.75 1.00 2,883.75 2,883.75 100% - 94 1.00 LS 4,400.32 4,400.32 1.00 4,400.32 1.00 4,400.32 4,400.32 100% - 95 680.00 CY 36.89 25,085.20 184.00 6,787.76 184.00 6,787.76 6,787.76 27% 18,297.44 96 80.00 LF 56.26 4,500.80 30.00 1,687.80 30.00 1,687.80 1,687.80 38% 2,813.00 97 1.00 LS 439.24 439.24 1.00 439.24 1.00 439.24 439.24 100% - 98 4.00 EA 154.59 618.36 2.00 309.18 2.00 309.18 309.18 50% 309.18 99 880.00 LF 10.86 9,556.80 880.00 9,556.80 880.00 9,556.80 9,556.80 100% - 100 2,350.00 SY 6.89 16,191.50 3,492.57 24,063.80 3,492.57 24,063.80 24,063.80 149% (7,872.30)101 340.00 CY 47.15 16,031.00 - - - - - 16,031.00 102 3.00 MGAL 140.89 422.67 - - - - - 422.67 80,129.64 50,128.65 50,128.65 50,128.65 30,000.99 1,081,937.60 969,711.52 985,943.54 - 985,943.54 95,994.06 103 1.00 LS 9,967.00 9,967.00 1.00 9,967.00 1.00 9,967.00 9,967.00 100% - 104 32.00 LF 1.76 56.32 32.00 56.32 32.00 56.32 56.32 100% - 105 2,620.00 SY 6.38 16,715.60 2,620.00 16,715.60 2,620.00 16,715.60 16,715.60 100% - 106 2,620.00 SY 3.75 9,825.00 2,620.00 9,825.00 2,620.00 9,825.00 9,825.00 100% - 107 20.00 CY 38.74 774.80 66.64 2,581.49 66.64 2,581.49 2,581.49 333% (1,806.69)108 530.00 TON 114.00 60,420.00 612.37 69,810.18 612.37 69,810.18 69,810.18 116% (9,390.18)109 1.00 LS 2,748.00 2,748.00 1.00 2,748.00 1.00 2,748.00 2,748.00 100% - 110 1.00 LS 1,000.00 1,000.00 1.00 1,000.00 1.00 1,000.00 1,000.00 100% - 111 1,550.00 LF 5.68 8,804.00 1,600.00 9,088.00 1,600.00 9,088.00 9,088.00 103% (284.00)112 3.00 EA 154.63 463.89 4.00 618.52 4.00 618.52 618.52 133% (154.63)113 6.00 EA 154.63 927.78 - - - - - 927.78 114 1,920.00 SY 2.99 5,740.80 3,721.00 11,125.79 3,721.00 11,125.79 11,125.79 194% (5,384.99)115 60.00 CY 47.16 2,829.60 20.00 943.20 20.00 943.20 943.20 33% 1,886.40 120,272.79 134,479.10 134,479.10 134,479.10 (14,206.31)116 170.00 SF 16.00 2,720.00 296.00 4,736.00 296.00 4,736.00 4,736.00 174% (2,016.00)117 66.00 SF 75.00 4,950.00 54.00 4,050.00 54.00 4,050.00 4,050.00 82% 900.00 7,670.00 8,786.00 8,786.00 8,786.00 (1,116.00)118 1.00 EA 12,200.00 12,200.00 1.00 12,200.00 1.00 12,200.00 12,200.00 100% - 119 12.00 LF 150.00 1,800.00 12.00 1,800.00 12.00 1,800.00 1,800.00 100% - 14,000.00 14,000.00 14,000.00 14,000.00 - PART 4 - SANITARY SEWERPART 4 - SANITARY SEWER TOTAL:TOTAL BASE BID:CHANGE ORDERSPART 5 - MNNR DITCH GRADINGPART 5 - MNNR DITCH GRADING TOTAL:TOTAL BASE BID + ALTERNATE:BLANKET CATEGORY 20, SEED MIX 34-181, AND FERTILIZERCOMMON TOPSOIL BORROWWATER (TURF ESTABLISHMENT)CHANGE ORDER NO. 2 TOTAL:CHANGE ORDER NO. 3CHANGE ORDER NO. 1 TOTAL:CHANGE ORDER NO. 2COMMON TOPSOIL BORROW6" CONCRETE WALK - PEDESTRIAN RAMPTRUNCATED DOMES6' DIA MANHOLE WITH TOPSLAB18" RC PIPEEROSION CONTROL SUPERVISORSILT FENCE TYPE MSSTORM DRAIN INLET PROTECTIONCULVERT END PROTECTIONHYDROMULCH, SEED MIX 25-131 AND FERTILIZERREMOVE BITUMINOUS PAVEMENT - TRAILFINISH GRADING - TRAILAGGREGATE BASE CLASS 5TYPE SP 9.5 WEARING COURSE MIX (2,C) - TRAILTRAFFIC CONTROLMOBILIZATIONSAWCUT BITUMINOUS PAVEMENTCHANGE ORDER NO. 1COMMON EXCAVATION (EXCESS DITCH MATERIAL)CLEAN (JET/VAC) CULVERT LINETRAFFIC CONTROLCULVERT END PROTECTIONDITCH GRADINGREMOVE CASTING (SANITARY)CASTING ASSEMBLY (SANITARY)ADJUST FRAME & RING CASTING W/ INFI SHIELD (SANITARY)MOBILIZATIONCLEARING AND GRUBBINGALTERNATECHANGE ORDER NO. 3 TOTAL:Unit 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: 3FD52EC2-113E-47E2-998E-542900EAE514
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