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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 09/04/25 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 16,423.00 16,423.00 - 0.50 8,211.50 8,211.50 50% 8,211.50 <br />2 2.00 EA 812.00 1,624.00 - 2.00 1,624.00 1,624.00 100% - <br />3 2.00 EA 812.00 1,624.00 - 2.00 1,624.00 1,624.00 100% - <br />4 70.00 LF 2.00 140.00 - 40.00 80.00 80.00 57% 60.00 <br />5 10.00 LF 4.00 40.00 - - - - 40.00 <br />6 40.00 LF 6.00 240.00 - 40.00 240.00 240.00 100% - <br />7 250.00 SY 5.00 1,250.00 - 250.00 1,250.00 1,250.00 100% - <br />8 15.00 SY 18.00 270.00 - 15.00 270.00 270.00 100% - <br />9 1,470.00 SY 3.00 4,410.00 - 1,470.00 4,410.00 4,410.00 100% - <br />10 130.00 CY 17.00 2,210.00 - - - - 2,210.00 <br />11 130.00 CY 21.00 2,730.00 - - - - 2,730.00 <br />12 300.00 CY 29.00 8,700.00 - 217.00 6,293.00 6,293.00 72% 2,407.00 <br />13 320.00 TON 26.00 8,320.00 - 344.23 8,949.98 8,949.98 108% (629.98) <br />14 370.00 TON 112.00 41,440.00 - 189.04 21,172.48 21,172.48 51% 20,267.52 <br />15 120.00 GAL 2.00 240.00 - - - - 240.00 <br />16 10.00 SY 90.00 900.00 - 10.00 900.00 900.00 100% - <br />17 260.00 SY 78.00 20,280.00 - - - - 20,280.00 <br />18 290.00 SF 17.00 4,930.00 - - - - 4,930.00 <br />19 20.00 SF 85.00 1,700.00 - - - - 1,700.00 <br />20 700.00 LF 27.00 18,900.00 - 698.00 18,846.00 18,846.00 100% 54.00 <br />21 40.00 LF 35.00 1,400.00 - 20.00 700.00 700.00 50% 700.00 <br />22 180.00 SF 17.00 3,060.00 - 150.00 2,550.00 2,550.00 83% 510.00 <br />23 1.00 LS 528.00 528.00 - 0.50 264.00 264.00 50% 264.00 <br />24 1.00 EA 34.00 34.00 - - - - 34.00 <br />25 40.00 SF 48.00 1,920.00 - - - - 1,920.00 <br />26 500.00 LF 4.00 2,000.00 - 500.00 2,000.00 2,000.00 100% - <br />27 3.00 EA 154.00 462.00 - 3.00 462.00 462.00 100% - <br />28 10.00 HR 182.00 1,820.00 - 1.00 182.00 182.00 10% 1,638.00 <br />29 5.00 CY 128.00 640.00 - 3.83 490.24 490.24 77% 149.76 <br />30 170.00 CY 54.00 9,180.00 - 37.50 2,025.00 2,025.00 22% 7,155.00 <br />31 750.00 SY 8.00 6,000.00 - - - - 6,000.00 <br />32 850.00 LF 3.00 2,550.00 - - - - 2,550.00 <br />33 80.00 SF 13.00 1,040.00 - - - - 1,040.00 <br />34 2.00 EA 132.00 264.00 - - - - 264.00 <br />167,269.00$ -$ 82,544.20$ -$ 82,544.20$ 49%84,724.80$ BASE BID TOTAL <br />Bid Item <br />No. <br />SAWCUT CONCRETE PAVEMENT <br />REMOVE CONCRETE CURB AND GUTTER <br />REMOVE BITUMINOUS PAVEMENT <br />Application Date:Application Period:Application No.: <br />BASE BID <br />MOBILIZATION <br />CLEARING <br />Contract: <br />Previous Estimate <br />10/01/25 <br />B <br />% of <br />Value of <br />Item <br /> (J / F) <br />(%) <br />Balance to Finish <br />(F - J) <br />($)Description <br />Work Completed <br />Materials Currently <br />Stored (not in G) <br />($) <br />Work <br />Completed and <br />Materials <br />Stored to Date <br />(H + I) <br />($) <br />Contract Information <br />GRUBBING <br />SAWCUT BITUMINOUS PAVEMENT <br />Progress Estimate - Unit Price Work <br />City of Lake Elmo <br />Bolton & Menk, Inc. <br />Miller Excavating Inc. <br />Reid Park Parking Lot Improvements <br />Owner: <br />25X.138288 <br />138288 <br />Engineer: <br />Contractor: <br />Project: <br />TRAFFIC CONTROL <br />REMOVE SIGN <br />BITUMINOUS MATERIAL FOR TACK COAT <br />PATCH BITUMINOUS STREET <br />5" CONCRETE WALK <br />6" CONCRETE PEDESTRIAN RAMP <br />TRUNCATED DOMES <br />REMOVE CONCRETE SIDEWALK <br />RECLAIM EXISTING BITUMINOUS AND BASE MATERIAL <br />CONCRETE CURB & GUTTER DESIGN B418 <br />CONCRETE CURB & GUTTER DESIGN B618 <br />6" CONCRETE FLUME <br />SUBGRADE CORRECTION <br />SELECT GRANULAR BORROW (CV) <br />COMMON EXCAVATION <br />AGGREGATE BASE, CLASS 5 <br />TYPE SP 9.5 BITUMINOUS WEARING COURSE (3,F) <br />SIGN PANEL TYPE C <br />SILT FENCE TYPE MACHINE SLICED <br />4" SOLID LINE WHITE - MULTI COMP <br />CROSSWALK - MULTI COMP (GR) <br />PAVEMENT MESSAGE (HANDICAP SYMBOL) <br />STORM DRAIN INLET PROTECTION <br />STREET SWEEPER (WITH PICK UP BROOM) <br />RANDOM RIP RAP CLASS III <br />TOPSOIL BORROW <br />SEED TURFGRASS AND EROSION CONTROL BLANKET <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 1