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Contractor's Application for PaymentOwner's Project No.:Engineer's Project No.:Agency's Project No.:2 From09/01/25to 09/30/25A 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)($)Contract InformationBid Item No.Application Date:Application Period:Application No.:10/01/25B% of Value of Item (J / F)(%)Balance to Finish (F - J)($)Work CompletedMaterials Currently Stored (not in G)($)DescriptionWork Completed and Materials Stored to Date (H + I)($)Progress Estimate - Unit Price WorkCity of Lake ElmoBolton & Menk, Inc.GM Contracting, Inc.Stillwater Area School District Utility ImprovementsOwner:24X.134951134951Engineer:Contractor:Project:Contract:Previous Estimate50 210.00 TN 143.72 30,181.20 - - 226.24 32,515.21 32,515.21 108% (2,334.01)51 5.00 TN 135.05 675.25 - - 247.71 33,453.24 33,453.24 4954% (32,777.99)52 50.00 GAL 8.00 400.00 - - 60.00 480.00 480.00 120% (80.00)53 870.00 CY 37.52 32,642.40 - - 379.50 14,238.84 14,238.84 44% 18,403.56 54 5,690.00 SY 5.70 32,433.00 - - - - - 32,433.00 55 10.00 HR 150.00 1,500.00 - - 2.00 300.00 300.00 20% 1,200.00 56 55.00 LF 3.60 198.00 - - - - - 198.00 57 133.00 LF 3.60 478.80 - - - - - 478.80 58 121.00 LF 4.00 484.00 - - - - - 484.00 59 28.00 LF 25.40 711.20 - - - - - 711.20 1,044,814.00$ 500,081.40$ 1,028,369.29$ -$ ########### 98% 16,444.71$ 60 57.00 HRS 544.67 31,046.19 - - - - - 31,046.19 61 57.00 HRS 163.16 9,300.12 - - - - - 9,300.12 62 1.00 LS 8,524.03 8,524.03 - - - - - 8,524.03 63 1.00 LS 37,986.00 37,986.00 - - - - - 37,986.00 64 7.00 DAYS 456.00 3,192.00 - - - - - 3,192.00 - - - - 90,048.34$ -$ -$ -$ -$ 90,048.34$ 1,134,862.34$ 500,081.40$ 1,028,369.29$ -$ ########### 91% 106,493.05$ PROJECT TOTALCHANGE ORDER TOTAL NO. 1BASE BID + CHANGE ORDERADDITIONAL DEWATERING EQUIPMENTCHANGE ORDER NO. 1LABOREQUIPMENTRENTAL EQUIPMENTDEWATERING EQUIPMENT (2 WEEKS)BASE BID TOTALSTREET SWEEPER WITH PICK UP BROOM4" MULTI-COMPONENT SOLID LINE - WHITE4" MULTI-COMPONENT SOLID LINE - YELLOW6" MULTI-COMPONENT SOLID LINE - WHITE24" MULTI-COMPONENT SOLID LINE - YELLOWTYPE SP 9.5 BITUMINOUS WEARING COURSE MIXTURE (3,C) TYPE SP 12.5 BITUMINOUS WEARING COURSE MIXTURE (3,C) BITUMINOUS MATERIAL FOR TACK COATTOPSOIL BORROW (LV)SEED MIXTURE RT & EROSION CONTROL BLANKETUnit PriceEJCDC C-620 Contractor's Application for Payment(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.2 of 2