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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 START to 05/31/24 <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 />($) <br />B <br />% of <br />Value of <br />Item <br /> (J / F) <br />(%) <br />Balance to Finish <br />(F - J) <br />($)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 />Contract Information <br />Bid Item <br />No. <br />Application Date:Application Period:Application No.: <br />Engineer: <br />Contractor: <br />Project: <br />Contract: <br />Previous Estimate <br />05/31/24 <br />Progress Estimate - Unit Price Work <br />City of Arden Hills <br />Bolton & Menk, Inc. <br />S.M. Hentges & Sons, Inc. <br />2024 PMP Street & Utility Improvements <br />2024 PMP Street & Utility Improvements <br />Owner: <br />0T1.130168 <br />PW-24-0100 <br />50 16.00 LIN FT 420.00 6,720.00 - - - - 6,720.00 <br />51 33.00 EACH 1,125.00 37,125.00 - 8.00 9,000.00 9,000.00 24% 28,125.00 <br />52 5.00 EACH 810.00 4,050.00 - 1.00 810.00 810.00 20% 3,240.00 <br />53 1.00 EACH 5,990.00 5,990.00 - - - - 5,990.00 <br />54 1.00 EACH 2,650.00 2,650.00 - - - - 2,650.00 <br />55 4.00 EACH 160.00 640.00 - - - - 640.00 <br />56 8.00 EACH 2,400.00 19,200.00 - - - - 19,200.00 <br />57 650.00 LIN FT 82.00 53,300.00 - - - - 53,300.00 <br />58 543.00 LIN FT 82.00 44,526.00 - - - - 44,526.00 <br />59 9.00 LIN FT 750.00 6,750.00 - - - - 6,750.00 <br />60 1.00 LUMP SUM 12,400.00 12,400.00 - 1.00 12,400.00 12,400.00 100% - <br />61 6.00 EACH 1,850.00 11,100.00 - 6.00 11,100.00 11,100.00 100% - <br />62 1.00 EACH 7,150.00 7,150.00 - 1.00 7,150.00 7,150.00 100% - <br />63 5.00 EACH 835.00 4,175.00 - - - - 4,175.00 <br />64 19.00 EACH 460.00 8,740.00 - - - - 8,740.00 <br />65 4.00 EACH 890.00 3,560.00 - 5.00 4,450.00 4,450.00 125% (890.00) <br />66 2.00 EACH 3,230.00 6,460.00 - 2.00 6,460.00 6,460.00 100% - <br />67 3.00 EACH 4,200.00 12,600.00 - 3.00 12,600.00 12,600.00 100% - <br />68 2.00 EACH 7,000.00 14,000.00 - 2.00 14,000.00 14,000.00 100% - <br />69 4.00 EACH 1,000.00 4,000.00 - 4.00 4,000.00 4,000.00 100% - <br />70 171.00 LIN FT 48.00 8,208.00 - 168.00 8,064.00 8,064.00 98% 144.00 <br />71 12.00 LIN FT 150.00 1,800.00 - 12.00 1,800.00 1,800.00 100% - <br />72 39.00 LIN FT 220.00 8,580.00 - 43.00 9,460.00 9,460.00 110% (880.00) <br />73 625.00 LIN FT 51.00 31,875.00 - 704.00 35,904.00 35,904.00 113% (4,029.00) <br />74 12.00 SQ YD 115.00 1,380.00 - - - - 1,380.00 <br />75 353.00 LB 19.00 6,707.00 - 426.00 8,094.00 8,094.00 121% (1,387.00) <br />76 46.00 EACH 950.00 43,700.00 - - - - 43,700.00 <br />77 58.00 EACH 980.00 56,840.00 - 22.00 21,560.00 21,560.00 38% 35,280.00 <br />78 2.00 EACH 770.00 1,540.00 - - - - 1,540.00 <br />79 4.00 LIN FT 610.00 2,440.00 - - - - 2,440.00 <br />80 8.00 LIN FT 405.00 3,240.00 - 3.81 1,543.05 1,543.05 48% 1,696.95 <br />81 26.00 LIN FT 540.00 14,040.00 - 6.37 3,439.80 3,439.80 25% 10,600.20 <br />82 81.00 LIN FT 500.00 40,500.00 - 39.65 19,825.00 19,825.00 49% 20,675.00 <br />83 7.00 LIN FT 845.00 5,915.00 - - - - 5,915.00 <br />84 9.00 LIN FT 1,770.00 15,930.00 - - - - 15,930.00 <br />85 19.00 EACH 460.00 8,740.00 - - - - 8,740.00 <br />86 8.00 EACH 6,800.00 54,400.00 - - - - 54,400.00 <br />87 68.00 CU YD 200.00 13,600.00 - - - - 13,600.00 <br />88 80.00 SQ FT 16.80 1,344.00 - - - - 1,344.00 <br />89 4,565.00 SQ FT 2.20 10,043.00 - - - - 10,043.00 <br />90 12.00 EACH 9.00 108.00 - - - - 108.00 <br />91 1,002.00 LIN FT 23.50 23,547.00 - 717.00 16,849.50 16,849.50 72% 6,697.50 <br />92 722.00 LIN FT 42.00 30,324.00 - - - - 30,324.00 <br />93 2,172.00 LIN FT 38.50 83,622.00 - 1,436.00 55,286.00 55,286.00 66% 28,336.00 <br />94 250.00 SQ YD 91.00 22,750.00 - 229.00 20,839.00 20,839.00 92% 1,911.00 <br />95 18.00 SQ YD 125.00 2,250.00 - 9.00 1,125.00 1,125.00 50% 1,125.00 <br />96 36.00 SQ FT 55.00 1,980.00 - - - - 1,980.00 <br />97 4.00 EACH 300.00 1,200.00 - - - - 1,200.00 <br />98 1.00 LUMP SUM 10,200.00 10,200.00 - 0.75 7,650.00 7,650.00 75% 2,550.00 <br />99 2.50 SQ FT 35.00 87.50 - - - - 87.50 <br />REINSTATE LATERALS <br />SEWER PIPE GROUTING <br />LINING SEWER PIPE 12" <br />LINING SEWER PIPE 12" (STORM) <br />CEMENTITIOUS LINING SANITARY MANHOLE <br />65" SPAN RC PIPE-ARCH SEWER CL IIIA <br />CONNECT TO EXISTING STORM SEWER <br />CONNECT TO EXISTING MANHOLES (STORM) <br />SANITARY SEWER SPOT REPAIR <br />JOINT SEALING SANITARY MANHOLE <br />1" CORPORATION STOP <br />6" GATE VALVE & BOX <br />8" GATE VALVE & BOX <br />12" GATE VALE & BOX <br />1" CURB STOP & BOX <br />TEMPORARY WATER SERVICE <br />CONNECT TO EXISTING WATERMAIN <br />HYDRANT <br />VALVE BOX <br />ADJUST VALVE BOX <br />DUCTILE IRON FITTINGS <br />CASTING ASSEMBLY (SANITARY) <br />CASTING ASSEMBLY (STORM) <br />ADJUST FRAME & RING CASTING (STORM) <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN H <br />1" TYPE PE PIPE <br />6" WATERMAIN DUCTILE IRON CL 52 <br />12" WATERMAIN DUCTILE IRON CL 52 <br />8" PVC WATERMAIN (C900) <br />4" POLYSTYRENE INSULATION <br />GROUT CATCH BASIN OR MANHOLE <br />SAFL BAFFLE <br />RANDOM RIPRAP CLASS III <br />6" CONCRETE WALK <br />3" BITUMINOUS WALK <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN SPECIAL (2'X3' <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4020 <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN 48-4022 <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN 60-4020 <br />CONSTRUCT DRAINAGE STRUCTURE DESIGN 96-4020 <br />7" CONCRETE VALLEY GUTTER <br />TRUNCATED DOMES <br />INSTALL MAILBOX SUPPORT <br />TRAFFIC CONTROL <br />SIGN PANELS TYPE C <br />DRILL & GROUT REINF BAR (EPOXY COATED) <br />CONCRETE CURB & GUTTER DESIGN B618 <br />CONCRETE CURB & GUTTER DESIGN B618 (SPOT) <br />CONCRETE CURB & GUTTER DESIGN SPECIAL <br />6" CONCRETE DRIVEWAY PAVEMENT <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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