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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From06/02/25to 06/30/25A 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)($)Contract InformationBid Item No.Application Date:Application Period:Application No.: 07/14/25B% of Value of Item (J / F)(%)DescriptionWork CompletedPrevious EstimateBalance to Finish (F - J)($)Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. dba Minnesota Paving & Materials2025 Street ImprovementsOwner:24X.135772Engineer:Contractor:Project:Contract:113 16.00 LF 86.55 1,384.80 - 16.00 1,384.80 1,384.80 100% - 1,384.80 - 1,384.80 1,384.80 100% - 114 108.00 SF 10.00 1,080.00 - - - - 1,080.00 115 19.00 LF 13.87 263.53 - - - - 263.53 116 19.00 LF 30.08 571.52 - - - - 571.52 117 57.60 SF 10.03 577.73 - - - - 577.73 118 16.00 SF 75.21 1,203.36 - - - - 1,203.36 119 1.00 EA 450.60 450.60 - 1.00 450.60 450.60 100% - 120 517.00 LF 1.99 1,028.83 - - - - 1,028.83 121 14.00 LF 2.50 35.00 - - - - 35.00 122 5.00 SY 4.69 23.45 - - - - 23.45 123 590.00 SY 7.68 4,531.20 - 590.00 4,531.20 4,531.20 100% - 124 29.50 CY 37.63 1,110.09 - - - - 1,110.09 125 590.00 SY 2.50 1,475.00 - 590.00 1,475.00 1,475.00 100% - 126 110.00 TON 108.00 11,880.00 - 110.00 11,880.00 11,880.00 100% - 127 80.00 CY 36.99 2,959.20 - - - - 2,959.20 128 890.00 SY 1.28 1,139.20 - - - - 1,139.20 129 500.00 LF 3.45 1,725.00 - 497.00 1,714.65 1,714.65 99% 10.35 30,053.71 - 20,051.45 20,051.45 67% 10,002.26 31,438.51$ -$ 21,436.25$ -$ 21,436.25$ 68% 9,991.91$ 827,983.26$ 333,565.20$ 496,002.43$ -$ 496,002.43$ 60% 331,970.48$ PROJECT TOTALREMOVE BITUMINOUS PAVEMENT - TRAILSUBGRADE EXCAVATION (SPOT CORRECTION)FINISH GRADING - TRAILTYPE SP 9.5 WEARING COURSE MIX - TRAILCOMMON TOPSOIL BORROWSEED MIX RT, FERTILIZER, HYDRAULIC MULCHCHANGE ORDERS TOTALBASE BID + CHANGE ORDERTRUNCATED DOMESSTORM DRAIN INLET PROTECTIONMACHINE SLICED SLIT FENCESAWCUT BITUMINOUS PAVEMENTREMOVE BITUMINOUS PAVEMENT4" CONCRETE SIDEWALK REMOVE & REPLACEREMOVE CURB AND GUTTER (SPOT REPAIR)CONCRETE CURB AND GUTTER (SPOT REPAIR)6" CONCRETE PEDESTRIAN CURB RAMPCHANGE ORDERSCHANGE ORDER NO. 1 TOTAL:CHANGE ORDER NO. 215" RCP PIPE CLASS VCHANGE ORDER NO. 2 TOTAL:SEDIMENT CONTROL LOG TYPE WOOD FIBERCHANGE ORDER NO. 1Unit 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: B4E8DAA9-5362-47D2-9D39-6A9FA1443BD2
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