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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)($)BASE BID1 1.00 LS 3,259.04 3,259.04 - 0.50 1,629.52 1,629.52 50% 1,629.52 2 1.00 LS 1,828.87 1,828.87 - - - - 1,828.87 3 9.00 EA 183.63 1,652.67 - 5.60 1,028.33 1,028.33 62% 624.34 4 30.00 HR 185.51 5,565.30 - - - - 5,565.30 5 1.00 LS 25,000.00 25,000.00 - 0.50 12,500.00 12,500.00 50% 12,500.00 6 620.00 LF 13.87 8,599.40 - 512.00 7,101.44 7,101.44 83% 1,497.96 7 317.00 LF 2.50 792.50 - 160.00 400.00 400.00 50% 392.50 8 58.00 LF 4.22 244.76 - - - - 244.76 9 72.00 SY 3.01 216.72 - 174.00 523.74 523.74 242% (307.02)10 54.00 SY 12.90 696.60 - - - - 696.60 11 40.00 SY 13.25 530.00 - 88.00 1,166.00 1,166.00 220% (636.00)12 50.00 SY 20.24 1,012.00 - - - - 1,012.00 13 54.00 MGAL 15.00 810.00 - - - - 810.00 14 1.00 LS 2,005.56 2,005.56 - - - - 2,005.56 15 1.00 LS 250.70 250.70 - - - - 250.70 16 1.00 LS 150.42 150.42 - - - - 150.42 17 75.00 CY 55.65 4,173.75 - - - - 4,173.75 18 370.00 CY 29.47 10,903.90 - - - - 10,903.90 19 370.00 CY 15.00 5,550.00 - - - - 5,550.00 20 4,202.00 SY 6.45 27,102.90 - - - - 27,102.90 21 4,202.00 SY 2.10 8,824.20 - - - - 8,824.20 22 175.00 CY 2.44 427.00 - - - - 427.00 23 2,641.00 LF 0.80 2,112.80 - - - - 2,112.80 24 300.00 GAL 2.01 603.00 - - - - 603.00 25 94.00 SY 42.00 3,948.00 - - - - 3,948.00 26 440.00 TON 102.00 44,880.00 - - - - 44,880.00 27 650.00 TON 93.00 60,450.00 - - - - 60,450.00 28 620.00 LF 30.08 18,649.60 - 541.00 16,273.28 16,273.28 87% 2,376.32 29 50.00 SY 135.38 6,769.00 - - - - 6,769.00 30 355.00 SF 10.03 3,560.65 - - - - 3,560.65 31 30.00 SF 75.21 2,256.30 - - - - 2,256.30 32 55.00 CY 74.00 4,070.00 - 34.00 2,516.00 2,516.00 62% 1,554.00 33 440.00 SY 15.00 6,600.00 - - - - 6,600.00 34 6.00 MGAL 281.28 1,687.68 - - - - 1,687.68 265,183.32 - 43,138.31 43,138.31 16% 222,045.01 35 1.00 EA 404.08 404.08 - - - - 404.08 36 1.00 EA 404.08 404.08 - - - - 404.08 37 5.00 EA 174.13 870.65 - - - - 870.65 38 5.00 EA 1,184.44 5,922.20 - - - - 5,922.20 39 5.00 EA 308.45 1,542.25 - - - - 1,542.25 9,143.26 - - - 9,143.26 40 3.00 EA 397.89 1,193.67 - - - - 1,193.67 1,193.67 - - - 1,193.67 Contract InformationBid Item No.STORM DRAIN INLET PROTECTIONSTREET SWEEPER (WITH PICKUP BROOM)REMOVE BITUMINOUS PAVEMENT - DRIVEWAYREMOVE BITUMINOUS PAVEMENT - TRAILMOBILIZATIONREMOVE CONCRETE CURB AND GUTTER (SPOT REPAIR)SAWCUT BITUMINOUS PAVEMENTApplication Date:Application Period:Application No.:TRAFFIC CONTROL07/14/25PART 1 - STREETSB% of Value of Item (J / F)(%)EROSION CONTROL SUPERVISORDescriptionWork Completed6" CONCRETE PEDESTRIAN CURB RAMPTRUNCATED DOMESCOMMON TOPSOIL BORROWSODDING TYPE LAWNAPPLICATION OF WATER FOR TURF ESTABLISHMENTPART 1 - STREETS TOTALPART 2 - SANITARY SEWERTYPE SP 9.5 WEARING COURSE MIXTURE (2,C) (PATCHING)TYPE SP 9.5 WEARING COURSE MIXTURE (3,C)TYPE SP 12.5 WEARING COURSE MIXTURE (3,C)CONCRETE CURB AND GUTTER (SPOT REPAIR)6" CONCRETE DRIVEWAYPrevious EstimateSAWCUT CONCRETE PAVEMENTEDGE MILL BITUMINOUS SURFACEBalance to Finish (F - J)($)Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)REMOVE CONCRETE PAVEMENT - DRIVEWAYWATERGRUBBINGProgress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. dba Minnesota Paving & Materials2025 Street ImprovementsOwner:24X.135772Engineer:Contractor:Project:Contract:FULL DEPTH RECLAIMATIONFINISH GRADINGSALVAGE AND INSTALL EXCESS RECLAIM MATERIAL JOINT ADHESIVE (MASTIC)BITUMINOUS MATERIAL FOR TACK COATCLEARING AND GRUBBINGTREE TRIMMINGCOMMON EXCAVATION - TRAILSUBGRADE EXCAVATION (SPOT CORRECTION)SUBGRADE CORRECTIONPATCH DOGHOUSE (SANITARY)RECONSTUCT INVERT (SANITARY)CHIMNEY SEAL (INFI-SHIELD)NEW RINGS AND CASTING (SANITARY)REMOVE FRAME AND RING CASTING (SANITARY)PART 2 - SANITARY SEWER TOTALPART 3 - WATERMAINPART 3 - WATERMAIN TOTALADJUST VALVE BOXUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 4Docusign Envelope ID: B4E8DAA9-5362-47D2-9D39-6A9FA1443BD2
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