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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:4 From08/01/25to 11/25/25A 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)($)Progress Estimate - Unit Price WorkCity of Little CanadaBolton & Menk, Inc.OMG Midwest, Inc. dba Minnesota Paving & Materials2025 Street ImprovementsOwner:24X.135772Engineer:Contractor:Project:Contract:Previous EstimateBalance to Finish (F - J)($)Materials Currently Stored (not in G)($)Work Completed and Materials Stored to Date (H + I)($)DescriptionWork CompletedContract InformationBid Item No.Application Date:Application Period:Application No.:01/05/26B% of Value of Item (J / F)(%)113 16.00 LF 86.55 1,384.80 16.00 1,384.80 16.00 1,384.80 1,384.80 100% - 1,384.80 1,384.80 1,384.80 1,384.80 100% - 114 108.00 SF 10.00 1,080.00 180.00 1,800.00 180.00 1,800.00 1,800.00 167% (720.00)115 19.00 LF 13.87 263.53 24.00 332.88 24.00 332.88 332.88 126% (69.35)116 19.00 LF 30.08 571.52 24.00 721.92 24.00 721.92 721.92 126% (150.40)117 57.60 SF 10.03 577.73 99.00 992.97 99.00 992.97 992.97 172% (415.24)118 16.00 SF 75.21 1,203.36 16.00 1,203.36 16.00 1,203.36 1,203.36 100% - 119 1.00 EA 450.60 450.60 1.00 450.60 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 50.00 125.00 50.00 125.00 125.00 357% (90.00)122 5.00 SY 4.69 23.45 40.00 187.60 40.00 187.60 187.60 800% (164.15)123 590.00 SY 7.68 4,531.20 596.00 4,577.28 596.00 4,577.28 4,577.28 101% (46.08)124 29.50 CY 37.63 1,110.09 - - - - - 1,110.09 125 590.00 SY 2.50 1,475.00 590.00 1,475.00 590.00 1,475.00 1,475.00 100% - 126 110.00 TON 108.00 11,880.00 110.00 11,880.00 110.00 11,880.00 11,880.00 100% - 127 80.00 CY 36.99 2,959.20 38.00 1,405.62 38.00 1,405.62 1,405.62 48% 1,553.58 128 890.00 SY 1.28 1,139.20 898.00 1,149.44 898.00 1,149.44 1,149.44 101% (10.24)129 500.00 LF 3.45 1,725.00 497.00 1,714.65 637.00 2,197.65 2,197.65 127% (472.65) 30,053.71 28,016.32 28,499.32 28,499.32 95% 1,554.39 31,098.31$ 29,401.12$ 29,884.12$ -$ 29,884.12$ 96% 2,027.04$ 827,643.06$ 728,103.87$ 774,511.68$ -$ 774,511.68$ 94% 53,944.23$ CHANGE ORDER NO. 115" RCP PIPE CLASS VCHANGE ORDER NO. 2 TOTAL:SEDIMENT CONTROL LOG TYPE WOOD FIBERPROJECT 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. 2Unit 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: F16BAAF5-ECAA-45D9-BB74-D748A6D16A7F
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