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SEH <br />Application for Payment <br />(Unit Price Contract) <br />No. 2-Final Payment <br />Eng_ Project No.: GEMLK 109096 <br />Location: Gem Lake, Minnesota <br />Contractor T.A. Schifsky & Sons, Inc. <br />2370 E. Hwy 36 <br />No. St. Paul, MN 55107 <br />Contract for Scheunernan Road Improvements <br />Application Date November 16th 2009. <br />Contract Date September 15, 2009 <br />Contract Amount $ 138.603.10. <br />For Period Ending. November 16th 2009. <br />item No. <br />Item <br />Uhit <br />Est. <br />Quantity: <br />Quantity to <br />Date <br />Unit Price. <br />Total Price <br />1 MOBILIZATION <br />2 TRAFFIC CONTROL <br />3 REMOVE BITUMINOUS. PAVEMENT <br />4 SAWING BITUMINOUS PAVEMENT <br />1 <br />1 <br />LS <br />LS <br />SY 1370 1374 <br />1 <br />$7,000.00 <br />1,400.00 <br />1.80 <br />$7,000.00 <br />$1,400.00 <br />$2,473.20 <br />(FULL DEPTH) LF 650 643 1,50 $964.50 <br />5 MILL BITUMINOUS PAVEMENT SY 2150 2007.1.55 $3,110.85 <br />6 REMOVE CONCRETE CURB LE 35 35 3.00 $105.00 <br />7 SALVAGE/ REINSTALL SIGN EA 2 2 90.00 5180.00: <br />8 DITCH GRADING LF 500 500 8.40 $4,200.00 <br />9 AGGREGATE BASE, CLASS.6 <br />(100% CRUSFIED) CY 110 394 1$.90 $7,446.60 <br />10 AGGREGATE SHOULDERING, <br />CLASS 3 (CV) CY 20 20 18.90 S378.00 <br />11 TYPE LV WEARING COURSE <br />MIXTURE <br />Ton 440 462. 58,00 $26,796.00 <br />12, TYPE LV NON -WEARING: COURSE <br />MIXTURE Ton 190 204,5 60.00 S12,270.00 <br />13 BITUMINOUS TACK COAT Galion 182. 180 2.80 $504.00 <br />14 8-INCH. CONCRETE VALLEY GUTTER SY 56. 81 77.00 $6,237.00 <br />15 PEDESTRIAN CURB RAMP <br />WITH TRUNCATED DOMES EA 2 '1 980.00 $980.00 <br />16. 12-INCH RCP APRON EA 1 '1 1,200.00 $1,200,00 <br />17 12-INCH RCP SEWER, CLASS V, <br />DESIGN 3006 LE 562 560. 24.00 S13,440.00 <br />Short Elliott Hendrickson Inc. Page 1 of 3 <br />