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Contractor's Application for Final Payment
<br />Owner: City of Elk River Owner's Project No.: R13.121582
<br />Engineer: Jason W. Cook, P.E. Engineer's Project No.: R13.121582
<br />Contractor: North Valley Inc. Contractor's Project No.:
<br />Project: 2021 Street Improvements
<br />Contract:
<br />Application No.: 7 - Final Application Period: From 10/30/21 to 11/30/21 Application Date: 11/30/21
<br />A
<br />B
<br />C D E F
<br />G H
<br />I
<br />J
<br />K
<br />L
<br />Bid Item No.
<br />Description
<br />Contract
<br />Information
<br />Work
<br />Completed
<br />Materials
<br />Currently Stored
<br />(not in G)
<br />($)
<br />Work Completed and
<br />Materials Stored to
<br />Date
<br />(H + 1)
<br />($)
<br />%of
<br />Value of
<br />Item
<br />(J / F)
<br />(%)
<br />Difference from Bid (F -J)
<br />($)
<br />Item quantity
<br />Units
<br />Unit Price
<br />($)
<br />Value of Bid Item
<br />(C X E)
<br />($)
<br />Estimated
<br />quantity
<br />Incorporated in
<br />the Work
<br />Value of Work
<br />Completed to Date
<br />(E X G)
<br />($)
<br />50
<br />ITRAFFIC CONTROL
<br />1.00
<br />LUMP SUM
<br />15,515.34
<br />15,515.34
<br />1.00
<br />15,515.34
<br />15,515.34
<br />100%
<br />51
<br />SIGN PANELS TYPE C
<br />30.00
<br />SO FT
<br />53.50
<br />1,605.00
<br />34.00
<br />1,819.00
<br />1,819.00
<br />113%
<br />(214.00)
<br />52
<br />RELOCATE SIGN
<br />2.00
<br />EACH
<br />160.50
<br />321.00
<br />9.00
<br />1,444.50
<br />1,444.50
<br />450%
<br />(1,123.50)
<br />53
<br />STABILIZED CONSTRUCTION EXIT
<br />8.00
<br />LUMP SUM
<br />535.01
<br />4,280.08
<br />5.00
<br />2,675.05
<br />2,675.05
<br />63%
<br />1,605.03
<br />54
<br />STORM DRAIN INLET PROTECTION
<br />85.00
<br />EACH
<br />101.65
<br />8,640.25
<br />189.00
<br />19,211.85
<br />19,211.85
<br />222%
<br />(10,571.60)
<br />55
<br />SILT FENCE, TYPE MS
<br />780.00
<br />LIN FT
<br />3.74
<br />2,917.20
<br />808.00
<br />3,021.92
<br />3,021.92
<br />104%
<br />(104.72)
<br />56
<br />COMMON TOPSOIL BORROW (LV)
<br />1,273.00
<br />CU YD
<br />37.45
<br />47,673.85
<br />1,568.00
<br />58,721.60
<br />58,721.60
<br />123%
<br />(11,047.75)
<br />57
<br />FERTILIZER TYPE 3
<br />1,095.00
<br />POUND
<br />1.00
<br />1,095.00
<br />1,000.00
<br />1,000.00
<br />1,000.00
<br />91%
<br />95.00
<br />58
<br />SEEDING
<br />3.20
<br />ACRE
<br />871.88
<br />2,790.02
<br />4.90
<br />4,272.21
<br />4,272.21
<br />153%
<br />(1,482.19)
<br />59
<br />SEED MIXTURE 25-151
<br />566.00
<br />POUND
<br />7.72
<br />4,369.52
<br />1,019.501
<br />7,870.54
<br />7,870.54
<br />180%
<br />(3,501.02)
<br />60
<br />HYDRAULIC BONDED FIBER MATRIX
<br />10,920.00
<br />POUND
<br />1.67
<br />18,236.40
<br />12,097.00
<br />20,201.99
<br />20,201.99
<br />111%
<br />(1,965.59)
<br />61
<br />LANDSCAPE ROCK
<br />39.00
<br />CU YD
<br />80.25
<br />3,129.75
<br />29.00
<br />2,327.25
<br />2,327.25
<br />74%
<br />802.50
<br />62
<br />4"SOLID LINE MULTI-COMPONENT(WHITE)
<br />17,825.00
<br />LIN FT
<br />0.27
<br />4,812.75
<br />17,962.00
<br />4,849.74
<br />4,849.74
<br />101%
<br />(36.99)
<br />63
<br />4" SOLID LINE MULTI -COMPONENT (YELLOW)
<br />6,105.00
<br />LIN FT
<br />0.27
<br />1,648.35
<br />6,561.00
<br />1,771.47
<br />1,771.47
<br />107%
<br />(123.12)
<br />64
<br />24"SOLID LINE MULTI-COMPONENT(WHITE)
<br />678.00
<br />LIN FT
<br />7.56
<br />5,125.68
<br />733.50
<br />5,545.26
<br />5,545.26
<br />108%
<br />(419.58)
<br />65
<br />4" BROKEN LINE MULTI -COMPONENT (WHITE)
<br />5,470.00
<br />LIN FT
<br />0.27
<br />1,476.90
<br />5,600.00
<br />1,512.00
<br />1,512.00
<br />102%
<br />(35.10)
<br />66
<br />4" BROKEN LINE MULTI -COMPONENT (YELLOW)
<br />2,279.00
<br />1 LIN FT
<br />0.27
<br />615.33
<br />2,691.00
<br />726.57
<br />726.57
<br />118%
<br />(111.24)
<br />67
<br />4" DOUBLE SOLID LINE MULTI -COMPONENT (YELLOW)
<br />11,457.00
<br />LIN FT
<br />0.54
<br />6,186.78
<br />10,548.00
<br />5,695.92
<br />5,695.92
<br />92%
<br />490.86
<br />68
<br />CROSS WALK MULTI-COMPON ENT (WHITE)
<br />5,434.00
<br />SQ FT
<br />4.65
<br />25,268.10
<br />4,422.00
<br />20,562.30
<br />20,562.30
<br />81%
<br />4,705.80
<br />69
<br />IPAVEMENT MESSAGE MULTI -COMPONENT
<br />1,525.00
<br />SO FT
<br />6.28
<br />9,577.00
<br />1,493.001
<br />9,376.04
<br />9,376.04
<br />98%
<br />200.96
<br />Original Contract Totalsl
<br />$ 4,764,032.23
<br />1
<br />1 $ 4,394,418.07
<br />$
<br />$ 4,394,418.07
<br />92%
<br />$ 369,614.16
<br />Change Orders
<br />CO-1.1.1
<br />MOBILIZATION
<br />1.00
<br />LUMP SUM
<br />19,000.00
<br />19,000.00
<br />1.00
<br />19,000.00
<br />19,000.00
<br />100%
<br />CO-1.1.2
<br />REMOVE GATE VALVE & BOX
<br />1.00
<br />EACH
<br />3,465.00
<br />3,465.00
<br />1.00
<br />3,465.00
<br />3,465.00
<br />100%
<br />CO-1.1.3
<br />10" PIPE PLUG
<br />1.00
<br />EACH
<br />550.00
<br />550.00
<br />1.00
<br />550.00
<br />550.00
<br />100%
<br />CO-1.1.4
<br />REMOVE AND REPLACE VALVE BOX
<br />21.00
<br />EACH
<br />2,134.00
<br />44,814.00
<br />24.00
<br />51,216.00
<br />51,216.00
<br />114%
<br />(6,402.00)
<br />CO-1.1.5
<br />ADJUSTVALVE BOX
<br />(22.00)
<br />EACH
<br />124.74
<br />(2,744.28)
<br />(2,744.28)
<br />CO-1.1.6
<br />SEAL DRAINAGE STRUCTURE (CATCH BASIN CHIMNEY SEAL)
<br />14.00
<br />EACH
<br />400.00
<br />5,600.00
<br />23.00
<br />9,200.00
<br />9,200.00
<br />164%
<br />(3,600.00)
<br />CO-1.1.7
<br />SEALDRAINAGE STRUCTURE (MANHOLE CHIMNEY SEAL)
<br />9.00
<br />EACH
<br />400.00
<br />3,600.00
<br />71.00
<br />28,400.00
<br />28,400.00
<br />789%
<br />(24,800.00)
<br />CO-11.8
<br />EXTERIOR PIPE GROUT REPAIR
<br />1 1.001
<br />EACH
<br />850.00
<br />850.00
<br />4.00
<br />3,400.00
<br />3,400.00
<br />400%
<br />(2,550.00)
<br />CO-1.2.1
<br />MOBILIZATION
<br />1.00
<br />LUMP SUM
<br />18,963.00
<br />18,963.00
<br />1.00
<br />18,963.00
<br />18,963.00
<br />100%
<br />-
<br />CO-1.2.2
<br />CLEARING
<br />0.10
<br />ACRE
<br />10,000.00
<br />1,000.00
<br />0.10
<br />1,000.00
<br />1,000.00
<br />100%
<br />CO-1.2.3
<br />GRUBBING
<br />0.10
<br />ACRE
<br />10,000.00
<br />1,000.00
<br />0.10
<br />1,000.00
<br />1,000.00
<br />100%
<br />CO-1.2.4
<br />REMOVE CURB AND GUTTER
<br />35.00
<br />LIN FT
<br />7.05
<br />246.75
<br />205.00
<br />1,445.25
<br />1,445.25
<br />586%
<br />(1,198.50)
<br />CO-1.2.5
<br />COMMON EXCAVATION (P)
<br />400.00
<br />CU YD
<br />15.41
<br />6,164.00
<br />400.00
<br />6,164.00
<br />6,164.00
<br />100%
<br />CO-1.2.6
<br />SUBGRADE EXCAVATION (EV)
<br />75.00
<br />CU YD
<br />23.29
<br />1,746.75
<br />134.40
<br />3,130.18
<br />3,130.18
<br />179%
<br />(1,383.43)
<br />CO-1.2.7
<br />SELECT GRANULAR BORROW (CV)
<br />75.00
<br />CU YD
<br />25.94
<br />1,945.50
<br />1,945.50
<br />CO-1.2.8
<br />SALVAGED AGGREGATE FROM STOCKPILE (CV)
<br />305.00
<br />CU YD
<br />19.35
<br />5,901.75
<br />622.00
<br />12,035.70
<br />12,035.70
<br />204%
<br />(6,133.95)
<br />CO-1.2.9
<br />AGGREGATE SURFACING CLASS 2
<br />15.00
<br />CU YD
<br />74.96
<br />1,124.40
<br />1,124.40
<br />CO-1.2.10
<br />BITUMINOUS PATCH SPECIAL (DRIVEWAY/TRAIL)
<br />15.00
<br />SO YD
<br />38.58
<br />578.70
<br />101.00
<br />3,896.58
<br />3,896.58
<br />673%
<br />(3,317.88)
<br />CO-1.2.11
<br />BITUMINOUS PATCH SPECIAL (STREET)
<br />132.00
<br />SO YD
<br />32.81
<br />4,330.92
<br />176.00
<br />5,774.56
<br />5,774.56
<br />133%
<br />(1,443.64)
<br />CO-1.2.12
<br />M I LL BITU M I NOU S SU RFACE(1.5")
<br />3,150.00
<br />SO YD
<br />1.25
<br />3,937.50
<br />3,120.00
<br />3,900.00
<br />3,900.00
<br />99%
<br />37.50
<br />CO-1.2.13
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (2,C)
<br />763.00
<br />TON
<br />75.85
<br />57,873.55
<br />833.50
<br />63,220.98
<br />63,220.98
<br />109%
<br />(5,347.43)
<br />CO-1.2.14
<br />7" CONCRETE WALK
<br />100.00
<br />SO FT
<br />7.49
<br />749.00
<br />78.00
<br />584.22
<br />584.22
<br />78%
<br />164.78
<br />CO-1.2.15
<br />CONCRETE CURB & GUTTER DESIGN B612
<br />35.00
<br />LIN FT
<br />27.50
<br />962.50
<br />205.00
<br />5,637.50
<br />5,637.50
<br />586%
<br />(4,675.00)
<br />CO-1.2.16
<br />TRAFFIC CONTROL
<br />1.00
<br />LUMP
<br />MP SUM
<br />825.00
<br />825.00
<br />1.00
<br />825.00
<br />825.00
<br />100%
<br />-
<br />CO-1.2.17
<br />SIGN PANELS TYPE C
<br />2.70
<br />1 SO FT
<br />53.50
<br />144.45
<br />144.45
<br />CO-1.2.18
<br />RELOCATE SIGN
<br />5.001
<br />EACH
<br />1 160.50
<br />1 802.50
<br />1 -
<br />i -
<br />i
<br />i -
<br />i
<br />1 802.50
<br />EJCDC C-620 Contractor's Application for Payment
<br />Unit Price (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. 2 of 4
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