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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 07/16/25 to 08/29/25 <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 77,889.40 77,889.40 - 0.50 38,944.70 38,944.70 50% 38,944.70 <br />2 1.00 LS 78,500.00 78,500.00 - 0.50 39,250.00 39,250.00 50% 39,250.00 <br />3 1.00 EA 150.00 150.00 - 1.00 150.00 150.00 100% - <br />4 1,016.00 LF 2.30 2,336.80 - 600.00 1,380.00 1,380.00 59% 956.80 <br />5 200.00 LF 3.25 650.00 - 25.00 81.25 81.25 13% 568.75 <br />6 1.00 LS 1,500.00 1,500.00 - 1.00 1,500.00 1,500.00 100% - <br />7 1.00 LS 500.00 500.00 - 1.00 500.00 500.00 100% - <br />8 7.00 EA 357.14 2,499.98 - 3.00 1,071.42 1,071.42 43% 1,428.56 <br />9 3.00 EA 400.00 1,200.00 - - - - 1,200.00 <br />10 1.00 LS 5,369.00 5,369.00 - - - - 5,369.00 <br />11 1.00 EA 3,274.41 3,274.41 - - - - 3,274.41 <br />12 1.00 EA 1,959.68 1,959.68 - - - - 1,959.68 <br />13 4.00 EA 1,819.36 7,277.44 - 2.00 3,638.72 3,638.72 50% 3,638.72 <br />14 1,608.00 LBS 10.00 16,080.00 - 900.00 9,000.00 9,000.00 56% 7,080.00 <br />15 1.00 EA 5,900.00 5,900.00 - - - - 5,900.00 <br />16 10.00 LF 100.99 1,009.90 - 5.00 504.95 504.95 50% 504.95 <br />17 100.00 LF 80.92 8,092.00 - - - - 8,092.00 <br />18 3,925.00 LF 52.65 206,651.25 - 3,971.00 209,073.15 209,073.15 101% (2,421.90) <br />19 3,155.00 LF 69.77 220,124.35 - 700.00 48,839.00 48,839.00 22% 171,285.35 <br />20 643.00 LF 77.00 49,511.00 - 296.00 22,792.00 22,792.00 46% 26,719.00 <br />21 20.00 LF 81.27 1,625.40 - 20.00 1,625.40 1,625.40 100% - <br />22 1.00 EA 28,822.57 28,822.57 - 1.00 28,822.57 28,822.57 100% - <br />23 5.00 EA 9,246.68 46,233.40 - 3.00 27,740.04 27,740.04 60% 18,493.36 <br />24 1.00 EA 22,996.81 22,996.81 - - - - 22,996.81 <br />25 643.00 LF 5.38 3,459.34 - - - - 3,459.34 <br />26 1.00 EA 2,693.62 2,693.62 - 1.00 2,693.62 2,693.62 100% - <br />27 2.00 EA 2,870.79 5,741.58 - 2.00 5,741.58 5,741.58 100% - <br />28 1.00 EA 3,861.17 3,861.17 - 1.00 3,861.17 3,861.17 100% - <br />29 1.00 EA 5,975.85 5,975.85 - 1.00 5,975.85 5,975.85 100% - <br />30 1.00 LF 404.50 404.50 - - - - 404.50 <br />31 1.00 EA 7,321.12 7,321.12 - 1.00 7,321.12 7,321.12 100% - <br />32 1.00 LF 1,806.28 1,806.28 - - - - 1,806.28 <br />33 15.00 LF 74.51 1,117.65 - 15.00 1,117.65 1,117.65 100% - <br />34 500.00 LF 117.65 58,825.00 - 260.00 30,589.00 30,589.00 52% 28,236.00 <br />35 10.00 LF 69.10 691.00 - 10.00 691.00 691.00 100% - <br />36 1.00 EA 644.66 644.66 - 1.00 644.66 644.66 100% - <br />37 1.00 EA 751.72 751.72 - 1.00 751.72 751.72 100% - <br />38 60.00 LF 5.37 322.20 - - - - 322.20 <br />39 10.00 SF 177.18 1,771.80 - - - - 1,771.80 <br />40 50.00 LF 62.31 3,115.50 - - - - 3,115.50 <br />41 1.00 EA 4,444.07 4,444.07 - - - - 4,444.07 <br />42 460.00 LF 3.91 1,798.60 - 200.00 782.00 782.00 43% 1,016.60 <br />43 910.00 SY 8.33 7,580.30 - 600.10 4,998.83 4,998.83 66% 2,581.47 <br />44 10.00 LF 32.04 320.40 - - - - 320.40 <br />45 440.00 CY 27.13 11,937.20 - - - - 11,937.20 <br />46 220.00 TN 43.64 9,600.80 - - - - 9,600.80 <br />47 100.00 TN 57.08 5,708.00 - - - - 5,708.00 <br />48 550.00 TN 20.03 11,016.50 - - - - 11,016.50 <br />49 30.00 TN 134.93 4,047.90 - - - - 4,047.90 <br />Contract Information <br />Bid Item <br />No. <br />INLET PROTECTION <br />SILT FENCE, MACHINE SLICED <br />BYPASS PUMPING <br />CONNECT TO EXISTING FORCEMAIN <br />SEDIMENT CONTROL LOG, TYPE WOOD FIBER <br />CLEARING <br />GRUBBING <br />Application Date:Application Period:Application No.: <br />MOBILIZATION <br />09/05/25 <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 />DISCONNECT 6" FORCEMAIN FROM 16" FORCEMAIN <br />CONNECT EXISTING PIPE TO NEW STRUCTURE <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 />GM Contracting, Inc. <br />Stillwater Area School District Utility Improvements <br />Owner: <br />24X.134951 <br />134951 <br />Engineer: <br />Contractor: <br />Project: <br />Contract: <br />Previous Estimate <br />TELEVISING <br />CONNECT TO EXISTING 12" WATERMAIN <br />6" GATE VALVE AND BOX <br />8" GATE VALVE AND BOX <br />12" GATE VALVE AND BOX <br />TRANSPLANT TREE <br />SALVAGE AND REINSTALL SIGN <br />8" PVC SANITARY SEWER, SDR 26 <br />4" PVC SANITARY SEWER SERVICE <br />4' DIAMETER SANITARY AIR RELEASE MANHOLE, INCL <br />4' DIAMETER SANITARY MANHOLE, INCL CASTING AND <br />7' DIAMETER SANITARY MANHOLE, INCL CASTING AND <br />COAT MANHOLE <br />6" DIP SANITARY SEWER FORCEMAIN, CL 52, INCL <br />8" PVC SANITARY FORCEMAIN, C900, OPEN CUT <br />8" HDPE SANITARY FORCEMAIN, DR 11, DIRECTIONAL DRILL <br />10" HDPE SANITARY FORCEMAIN, DR 11, DIRECTIONAL DRILL <br />1" WATER SERVICE <br />1" CORPORATION STOP <br />1" CURB STOP AND BOX <br />GRANULAR MATERIAL BEDDING <br />CONCRETE HYDRANT SPLASH PAD <br />VALVE BOX EXTENSION <br />HYDRANT <br />HYDRANT EXTENSION <br />6" DIP WATER MAIN, CL 52, INCL POLYWRAP <br />12" DIP WATER MAIN, CL 52, INCL POLYWRAP <br />COMMON EXCAVATION (EV) <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 />SALVAGE AND REINSTALL STORM SEWER PIPE <br />SALVAGE AND REINSTALL STORM SEWER STRUCTURE <br />SAWCUT BITUMINOUS PAVEMENT <br />REMOVE AND DISPOSE OF EXISTING BITUMINOUS <br />REMOVE AND REPLACE CONCRETE CURB AND GUTTER <br />Unit Price <br />EJCDC C-620 Contractor's Application for Payment <br />(c) 2018 National Society of Professional Engineers for EJCDC. 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