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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:1 From06/17/25to 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)($)1 1.00 LS 37,000.00 37,000.00 - 0.50 18,500.00 18,500.00 50% 18,500.00 2 1.00 LS 3,350.00 3,350.00 - 0.50 1,675.00 1,675.00 50% 1,675.00 3 4,290.00 LF 2.25 9,652.50 - 457.00 1,028.25 1,028.25 11% 8,624.25 4 120.00 LF 5.00 600.00 - - - - 600.00 5 31.00 EA 100.00 3,100.00 - 5.00 500.00 500.00 16% 2,600.00 6 140.00 HR 200.00 28,000.00 - - - - 28,000.00 7 70.00 MGAL 44.00 3,080.00 - - - - 3,080.00 8 1.00 EA 1,030.00 1,030.00 - - - - 1,030.00 9 34.00 EA 412.00 14,008.00 - - - - 14,008.00 10 8.00 HR 515.00 4,120.00 - - - - 4,120.00 11 59.00 EA 154.50 9,115.50 - 7.00 1,081.50 1,081.50 12% 8,034.00 12 59.00 EA 77.25 4,557.75 - 7.00 540.75 540.75 12% 4,017.00 13 4.00 EA 283.25 1,133.00 - - - - 1,133.00 14 3.00 EA 283.25 849.75 - 1.00 283.25 283.25 33% 566.50 15 10.00 EA 334.75 3,347.50 - - - - 3,347.50 16 89.00 SF 78.30 6,968.70 - - - - 6,968.70 17 8.00 EA 335.00 2,680.00 - - - - 2,680.00 18 2,570.00 CY 20.00 51,400.00 - - - - 51,400.00 19 3,670.00 SY 3.25 11,927.50 - - - - 11,927.50 20 840.00 SY 3.95 3,318.00 - - - - 3,318.00 21 7,190.00 SY 9.00 64,710.00 - - - - 64,710.00 22 3.00 EA 1,250.00 3,750.00 - 3.00 3,750.00 3,750.00 100% - 23 2.00 EA 405.00 810.00 - - - - 810.00 24 16.00 EA 550.00 8,800.00 - 3.00 1,650.00 1,650.00 19% 7,150.00 25 436.00 LF 13.00 5,668.00 - 14.00 182.00 182.00 3% 5,486.00 26 100.00 LF 4.00 400.00 - - - - 400.00 27 20.00 LF 65.00 1,300.00 - - - - 1,300.00 28 6.00 HR 450.00 2,700.00 - - - - 2,700.00 29 1.00 EA 850.00 850.00 - - - - 850.00 30 300.00 LF 13.50 4,050.00 - - - - 4,050.00 31 7.00 EA 640.00 4,480.00 - 3.00 1,920.00 1,920.00 43% 2,560.00 32 1.00 EA 1,400.00 1,400.00 - - - - 1,400.00 33 1.00 EA 2,300.00 2,300.00 - - - - 2,300.00 34 12.00 EA 2,585.00 31,020.00 - 3.00 7,755.00 7,755.00 25% 23,265.00 35 10.00 EA 3,135.00 31,350.00 - - - - 31,350.00 36 1.00 EA 4,685.00 4,685.00 - - - - 4,685.00 37 2.00 EA 3,885.00 7,770.00 - - - - 7,770.00 38 40.00 LF 62.00 2,480.00 - - - - 2,480.00 39 132.00 LF 65.00 8,580.00 - - - - 8,580.00 40 620.00 LF 66.00 40,920.00 - - - - 40,920.00 41 388.00 LF 71.00 27,548.00 - 14.00 994.00 994.00 4% 26,554.00 42 2.00 EA 825.00 1,650.00 - - - - 1,650.00 43 4.00 EA 1,200.00 4,800.00 - - - - 4,800.00 44 2.00 EA 1,300.00 2,600.00 - - - - 2,600.00 45 37.00 CY 125.00 4,625.00 - - - - 4,625.00 46 1,085.00 LF 1.90 2,061.50 - 274.00 520.60 520.60 25% 1,540.90 47 330.00 LF 4.65 1,534.50 - 168.00 781.20 781.20 51% 753.30 48 470.00 SY 2.50 1,175.00 - 139.60 349.00 349.00 30% 826.00 49 240.00 SY 10.50 2,520.00 - 186.60 1,959.30 1,959.30 78% 560.70 Contract InformationBid Item No.SILT FENCE, TYPE MACHINE SLICESEDIMENT CONTROL LOG, TYPE WOOD FIBERTREE TRIMMINGSALVAGE AND REINSTALL MAILBOXCATCH BASIN INLET PROTECTIONSTREET SWEEPING (WITH PICKUP BROOM)WATER FOR DUST CONTROLApplication Date:Application Period:Application No.:MOBILIZATION07/01/25BBASE BID% of Value of Item (J / F)(%)Balance to Finish (F - J)($)Work CompletedMaterials Currently Stored (not in G)($)TEMPORARY MAILBOXSALVAGE AND REINSTALL ADDRESS POSTSALVAGE AND REINSTALL SIGN AND POSTTRAFFIC CONTROLDescriptionREMOVE AND DISPOSE OF EXISTING STORM SEWER PIPEREMOVE AND DISPOSE OF EXISTING DRAIN TILE PIPEREMOVE AND REPLACE DRAIN TILE PIPEPOTHOLE EXISTING SANITARY SEWER SERVICEROTATE TOP SLAB OF EXISTING STORM STRUCTURECLEARINGGRUBBINGSEED SOUTHERN TALLGRASS ROADSIDE AND EROSION SODDING TYPE LAWNSALVAGE AND REINSTALL MANHOLE CASTING W/ NEW SALVAGE AND REINSTALL CATCH BASIN CASTING W/ NEW REMOVE AND DISPOSE OF EXISTING STORM SEWER SALVAGE AND REINSTALL SIGN PANEL ON NEW POSTSIGN PANELS TYPE CSTREET NAME BLADEWork Completed and Materials Stored to Date (H + I)($)Progress Estimate - Unit Price WorkCity of Lake ElmoBolton & Menk, Inc.Valley Paving, Inc.2025 Street and Utility ImprovementsOwner:24X.362150137240Engineer:Contractor:Project:Contract:Previous EstimateTOPSOIL BORROW (LV)SEED TURFGRASS AND EROSION CONTROL BLANKET4' DIA CBMH WITH CASTING PER DETAIL 4065' DIA CBMH WITH CASTING PER DETAIL 4064' DIA MH WITH CASTING PER DETAIL 40918" CS PIPE CULVERT12" RCP STORM SEWER, CLASS 5DITCH GRADINGCONNECT EXISTING STORM PIPE TO NEW STRUCTURECONNECT PIPE TO EXISTING STRUCTURECORE DRILL CONNECTION TO EXISTING STRUCTURE (18" 2' X 3' CATCH BASIN PER DETAIL 404RIPRAP W/ FABRIC, CLASS IIISAWCUT BITUMINOUS PAVEMENTSAWCUT CONCRETE PAVEMENTREMOVE AND DISPOSE OF BITUMINOUS PAVEMENT REMOVE AND DISPOSE OF CONCRETE PAVEMENT 15" RCP STORM SEWER, CLASS 518" RCP STORM SEWER, CLASS 518" CS PIPE APRON12" RC FLARED END SECTION18" RC FLARED END SECTION Unit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.82 of 85
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