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Contractor's Application for Payment
<br />Owner's Project No.:
<br />Engineer's Project No.:
<br />Agency's Project No.:
<br />1 From 09/10/25 to 09/30/25
<br />A C D E F F1 F2 G H I J K L
<br />Item Quantity Units
<br />Unit Price
<br />($)
<br />Value of Bid Item
<br />(C X E)
<br />($)
<br />Quantity Previous
<br />Estimate
<br />Value Previous
<br />Estimate
<br />Estimated
<br />Quantity
<br />Incorporated in
<br />the Work
<br />Value of Work
<br />Completed to Date
<br />(E X G)
<br />($)
<br />1 1.00 LS 97,500.00 97,500.00 - 0.50 48,750.00 48,750.00 50% 48,750.00
<br />2 1.00 LS 42,500.00 42,500.00 - 0.50 21,250.00 21,250.00 50% 21,250.00
<br />3 5.00 EA 500.00 2,500.00 - 5.00 2,500.00 2,500.00 100% -
<br />4 2.00 EA 200.00 400.00 - - - - 400.00
<br />5 340.00 LF 3.00 1,020.00 - - - - 1,020.00
<br />6 1.00 LS 10,000.00 10,000.00 - 1.00 10,000.00 10,000.00 100% -
<br />7 1.00 LS 7,000.00 7,000.00 - 1.00 7,000.00 7,000.00 100% -
<br />8 1.00 LS 10,000.00 10,000.00 - - - - 10,000.00
<br />9 10.00 LF 50.00 500.00 - - - - 500.00
<br />10 2.00 EA 500.00 1,000.00 - - - - 1,000.00
<br />11 2.00 EA 4,000.00 8,000.00 - - - - 8,000.00
<br />12 1.00 EA 8,000.00 8,000.00 - - - - 8,000.00
<br />13 1.00 EA 8,000.00 8,000.00 - - - - 8,000.00
<br />14 4,700.00 LBS 1.00 4,700.00 - - - - 4,700.00
<br />15 2,790.00 LF 193.00 538,470.00 - 1,900.00 366,700.00 366,700.00 68% 171,770.00
<br />16 100.00 LF 330.00 33,000.00 - - - - 33,000.00
<br />17 1.00 EA 35,500.00 35,500.00 - - - - 35,500.00
<br />18 2.00 EA 19,400.00 38,800.00 - - - - 38,800.00
<br />19 10.00 SY 100.00 1,000.00 - - - - 1,000.00
<br />20 180.00 TN 20.00 3,600.00 - - - - 3,600.00
<br />21 6.00 EA 220.00 1,320.00 - - - - 1,320.00
<br />22 1.00 EA 1,100.00 1,100.00 - - - - 1,100.00
<br />23 355.00 LF 8.00 2,840.00 - 355.00 2,840.00 2,840.00 100% -
<br />24 1.00 LS 4,000.00 4,000.00 - - - - 4,000.00
<br />25 216.00 LF 50.00 10,800.00 - - - - 10,800.00
<br />26 88.00 LF 80.00 7,040.00 - - - - 7,040.00
<br />27 1.00 EA 4,000.00 4,000.00 - - - - 4,000.00
<br />28 50.00 LF 30.00 1,500.00 - - - - 1,500.00
<br />29 200.00 LF 520.00 104,000.00 - - - - 104,000.00
<br />30 2.00 EA 5,900.00 11,800.00 - - - - 11,800.00
<br />31 30.00 CY 150.00 4,500.00 - - - - 4,500.00
<br />32 2.00 EA 500.00 1,000.00 - - - - 1,000.00
<br />33 670.00 LF 4.00 2,680.00 - 440.00 1,760.00 1,760.00 66% 920.00
<br />34 1,030.00 SY 19.00 19,570.00 - 1,000.00 19,000.00 19,000.00 97% 570.00
<br />35 240.00 SY 23.00 5,520.00 - 200.00 4,600.00 4,600.00 83% 920.00
<br />36 50.00 LF 86.00 4,300.00 - - - - 4,300.00
<br />37 40.00 SY 196.00 7,840.00 - - - - 7,840.00
<br />38 3.00 EA 300.00 900.00 - - - - 900.00
<br />39 10.00 TN 50.00 500.00 - - - - 500.00
<br />40 240.00 TN 30.00 7,200.00 - - - - 7,200.00
<br />41 360.00 TN 30.00 10,800.00 - - - - 10,800.00
<br />42 700.00 TN 30.00 21,000.00 - - - - 21,000.00
<br />43 40.00 TN 145.00 5,800.00 - - - - 5,800.00
<br />44 140.00 TN 130.00 18,200.00 - - - - 18,200.00
<br />45 140.00 TN 125.00 17,500.00 - - - - 17,500.00
<br />46 80.00 GAL 4.00 320.00 - - - - 320.00
<br />47 180.00 CY 15.00 2,700.00 - - - - 2,700.00
<br />48 1,080.00 SY 3.00 3,240.00 - - - - 3,240.00
<br />49 650.00 SY 3.00 1,950.00 - - - - 1,950.00
<br />Contract Information
<br />Bid Item
<br />No.
<br />INLET PROTECTION (CATCH BASIN)
<br />INLET PROTECTION (CULVERT)
<br />REMOVE GATE VALVE & BOX
<br />CUT AND PLUG 8" FORCEMAIN
<br />SILT FENCE, MACHINE SLICED
<br />CLEARING
<br />GRUBBING
<br />Application Date:Application Period:Application No.:
<br />MOBILIZATION
<br />10/01/25
<br />B
<br />BASE BID
<br />% of
<br />Value of
<br />Item
<br /> (J / F)
<br />(%)
<br />Balance to Finish
<br />(F - J)
<br />($)
<br />CONNECT TO EXISTING 10" FORCEMAIN
<br />CONNECT TO EXISTING 12" FORCEMAIN
<br />DUCTILE IRON FITTINGS
<br />TRAFFIC CONTROL
<br />Description
<br />Work Completed
<br />Materials Currently
<br />Stored (not in G)
<br />($)
<br />Work
<br />Completed
<br />and Materials
<br />Stored to Date
<br />(H + I)
<br />($)
<br />Progress Estimate - Unit Price Work
<br />City of Lake Elmo
<br />Bolton & Menk, Inc.
<br />A-1 Excavating LLC
<br />I-94 Lift Station Forcemain Replacement
<br />Owner:
<br />24X.138495
<br />138495
<br />Engineer:
<br />Contractor:
<br />Project:
<br />Contract:
<br />Previous Estimate
<br />REMOVE 90" CSP STORM SEWER PIPE
<br />SALVAGE AND REINSTALL STORM SEWER PIPE
<br />SALVAGE AND REINSTALL STORM SEWER STRUCTURE
<br />REMOVE AND REPLACE 4" PVC DRAINTILE
<br />72" RCP STORM SEWER, CLASS II
<br />BYPASS PUMPING
<br />REMOVE SANITARY SEWER PIPE
<br />GRANULAR BACKFILL
<br />OFF ROAD STRUCTURE MARKER
<br />SALVAGE AND REINSTALL SIGN
<br />REMOVE GUARDRAIL
<br />REMOVE CONCRETE HEADWALL
<br />16" HDPE DIPS DR 11 SANITARY FORCEMAIN, DIRECTIONAL
<br />16" DIP CL 52 SANITARY SEWER, INCL POLY WRAP
<br />5' DIAMETER SANITARY AIR RELEASE MANHOLE, INCL
<br />16" GATE VALVE AND BOX
<br />4" INSULATION
<br />REMOVE AND DISPOSE OF EXISTING BITUMINOUS
<br />REMOVE AND REPLACE CONCRETE CURB AND GUTTER
<br />REMOVE AND REPLACE CONCRETE DRIVEWAY
<br />REMOVE BOLLARD
<br />AGGREGATE BASE, CLASS 2
<br />72" RCP FLARED END SECTION
<br />RIPRAP CLASS III
<br />ADJUST MH CASTING
<br />SAWCUT BITUMINOUS PAVEMENT
<br />REMOVE AND DISPOSE OF EXISTING BITUMINOUS
<br />TYPE SP 12.5 BITUMINOUS NON-WEARING COURSE MIXTURE
<br />BITUMINOUS MATERIAL FOR TACK COAT
<br />TOPSOIL BORROW (LV)
<br />SEED MIXTURE RT & EROSION CONTROL BLANKET
<br />SEED MIXTURE RT & HYDRAULIC MATRIX MULCH
<br />AGGREGATE BASE, CLASS 5
<br />AGGREGATE BASE, CLASS 6
<br />SELECT GRANULAR BORROW
<br />TYPE SP 9.5 BITUMINOUS WEARING COURSE MIXTURE (2,B) -
<br />TYPE SP 9.5 BITUMINOUS WEARING COURSE MIXTURE (3,C) -
<br />Unit Price
<br />EJCDC C-620 Contractor's Application for Payment
<br />(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.1 of 2
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