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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 />($) <br />Contract Information <br />Bid Item <br />No. <br />Application Date:Application Period:Application No.:09/05/25 <br />B <br />% of <br />Value of <br />Item <br /> (J / F) <br />(%) <br />Balance to Finish <br />(F - J) <br />($)Description <br />Work Completed <br />Materials Currently <br />Stored (not in G) <br />($) <br />Work <br />Completed <br />and Materials <br />Stored to Date <br />(H + I) <br />($) <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 />50 210.00 TN 143.72 30,181.20 - - - - 30,181.20 <br />51 5.00 TN 135.05 675.25 - - - - 675.25 <br />52 50.00 GAL 8.00 400.00 - - - - 400.00 <br />53 870.00 CY 37.52 32,642.40 - - - - 32,642.40 <br />54 5,690.00 SY 5.70 32,433.00 - - - - 32,433.00 <br />55 10.00 HR 150.00 1,500.00 - - - - 1,500.00 <br />56 55.00 LF 3.60 198.00 - - - - 198.00 <br />57 133.00 LF 3.60 478.80 - - - - 478.80 <br />58 121.00 LF 4.00 484.00 - - - - 484.00 <br />59 28.00 LF 25.40 711.20 - - - - 711.20 <br />1,044,814.00$ -$ 500,081.40$ -$ 500,081.40$ 48% 544,732.60$ BASE BID TOTAL <br />STREET SWEEPER WITH PICK UP BROOM <br />4" MULTI-COMPONENT SOLID LINE - WHITE <br />4" MULTI-COMPONENT SOLID LINE - YELLOW <br />6" MULTI-COMPONENT SOLID LINE - WHITE <br />24" MULTI-COMPONENT SOLID LINE - YELLOW <br />TYPE SP 9.5 BITUMINOUS WEARING COURSE MIXTURE (3,C) <br />TYPE SP 12.5 BITUMINOUS WEARING COURSE MIXTURE (3,C) <br />BITUMINOUS MATERIAL FOR TACK COAT <br />TOPSOIL BORROW (LV) <br />SEED MIXTURE RT & 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.2 of 2