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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:8 & Final From11/28/23to 02/26/25A 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)($)Work Completed and Materials Stored to Date (H + I)($)Contract InformationBid Item No.Application Date:Application Period:Application No.:Previous Estimate02/26/25B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)DescriptionWork CompletedMaterials Currently Stored (not in G)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. dba Minnesota Paving & MaterialsTwin Lake Boulevard ImprovementsOwner:0N1.12537623-04Engineer:Contractor:Project:Contract:1,664,371.72$ 1,741,010.96$ 1,779,679.97$ -$ 1,779,679.97$ 107% (115,308.25)$ 122 56.00 LF 214.50 12,012.00 56.00 12,012.00 56.00 12,012.00 12,012.00 100% - 123 1.00 LS 4,646.40 4,646.40 1.00 4,646.40 1.00 4,646.40 4,646.40 100% - 124 1.00 EACH 8,237.00 8,237.00 1.00 8,237.00 1.00 8,237.00 8,237.00 100% - 125 60.00 LF 105.60 6,336.00 60.00 6,336.00 60.00 6,336.00 6,336.00 100% - 126 3.00 EACH 2,100.00 6,300.00 3.00 6,300.00 3.00 6,300.00 6,300.00 100% - 127 914.00 LF 3.17 2,897.38 954.00 3,024.18 954.00 3,024.18 3,024.18 104% (126.80)128 309.00 LF 2.04 630.36 309.00 630.36 309.00 630.36 630.36 100% - 41,059.14$ 41,185.94$ 41,185.94$ -$ 41,185.94$ 100% (126.80)$ 1,705,430.86$ 1,782,196.90$ 1,820,865.91$ -$ 1,820,865.91$ 107% (115,435.05)$ BASE BID + ALTERNATE 1 + CHANGE ORDER 1 + CHANGE ORDER 2PROJECT TOTALFLUSHING HYDRANTSEDIMENT CONTROL LOG WOOD FIBERCHANGE ORDER 2REMOVE AND REPLACE 29" SPAN RC PIPE-ARCHRECONSTRUCT SANITARY MANHOLE36” STORM JETTING AND TELEVISINGCONSTRUCTION ENTRANCESILT FENCECHANGE ORDER 2 TOTALPROJECT TOTALUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.4 of 4Docusign Envelope ID: B782F36C-D945-4928-B457-275B7976588D
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