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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
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<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 />CO-1.2.19
<br />ISTORM DRAIN INLET PROTECTION
<br />1.00
<br />EACH
<br />101.65
<br />101.65
<br />-
<br />-
<br />-
<br />101.65
<br />CO-1.2.20
<br />SILT FENCE, TYPE MS
<br />300.00
<br />LIN FT
<br />3.74
<br />1,122.00
<br />1,122.00
<br />CO-1.2.21
<br />COMMON TOPSOIL BORROW (LV)
<br />365.00
<br />CU YD
<br />37.45
<br />13,669.25
<br />567.00
<br />21,234.15
<br />21,234.15
<br />155%
<br />(7,564.90)
<br />CO-1.2.22
<br />FERTILIZER TYPE 3
<br />240.00
<br />POUND
<br />1.00
<br />240.00
<br />76.00
<br />76.00
<br />76.00
<br />32%
<br />164.00
<br />CO-1.2.23
<br />SEEDING
<br />0.80
<br />ACRE
<br />871.88
<br />697.50
<br />0.48
<br />418.50
<br />418.50
<br />60%
<br />279.00
<br />CO-1.2.24
<br />SEED MIXTURE 25-151
<br />144.00
<br />POUND
<br />7.72
<br />1,111.68
<br />178.00
<br />1,374.16
<br />1,374.16
<br />124%
<br />(262.48)
<br />CO-1.2.25
<br />HYDRAULIC BONDED FIBER MATRIX
<br />2,800.00
<br />POUND
<br />1.67
<br />4,676.00
<br />2,955.00
<br />4,934.85
<br />4,934.85
<br />106%
<br />(258.85)
<br />CO-1.2.26
<br />4"SOLID LINE MULTI-COMPONENT(WHITE)
<br />1,900.00
<br />LIN FT
<br />0.27
<br />513.00
<br />1,525.00
<br />411.75
<br />411.75
<br />801
<br />101.25
<br />CO-1.2.27
<br />PAVEMENT MESSAGE MULTI -COMPONENT
<br />14.00
<br />SO FT
<br />6.28
<br />87.92
<br />14.00
<br />87.92
<br />87.92
<br />100%
<br />CO-1.3.1
<br />REMOVE SIGN
<br />1.00
<br />EACH
<br />82.50
<br />82.50
<br />1.00
<br />82.50
<br />82.50
<br />100%
<br />-
<br />CO-1.3.2
<br />SALVAGE CASTING
<br />6.00
<br />EACH
<br />285.00
<br />1,710.00
<br />4.00
<br />1,140.00
<br />1,140.00
<br />67%
<br />570.00
<br />CO-1.3.3
<br />REMOVE CURB & GUTTER
<br />675.00
<br />LIN FT
<br />7.05
<br />4,758.75
<br />1,577.00
<br />11,117.85
<br />11,117.85
<br />234%
<br />(6,359.10)
<br />CO-1.3.4
<br />REMOVE CONCRETE PAVEMENT
<br />410.00
<br />SO FT
<br />1.05
<br />430.50
<br />2,597.00
<br />2,726.85
<br />2,726.85
<br />633%
<br />(2,296.35)
<br />CO-1.3.5
<br />REMOVE CONCRETE NOSE
<br />200.00
<br />SO FT
<br />8.50
<br />1,700.00
<br />90.00
<br />765.00
<br />765.00
<br />45%
<br />935.00
<br />CO-1.3.6
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (4,F)
<br />(203.00)
<br />TON
<br />65.43
<br />(13,282.29)
<br />(13,282.29)
<br />CO-1.3.7
<br />TYPE SP 12.5 NON WEARING COURSE MIXTURE (4,C)
<br />(127.00)
<br />TON
<br />58.83
<br />(7,471.41)
<br />(7,471.41)
<br />CO-1.3.8
<br />CONNECTTO EXISTING STORM SEWER
<br />3.00
<br />EACH
<br />897.35
<br />2,692.05
<br />3.00
<br />2,692.05
<br />2,692.05
<br />100%
<br />CO-1.3.9
<br />CONSTRUCT DRAINAGE STRUCTURE DESIGN SPECIAL
<br />11.40
<br />LIN FT
<br />1,072.50
<br />12,226.50
<br />11.00
<br />11,797.50
<br />11,797.50
<br />96%
<br />429.00
<br />CO-1.3.10
<br />CASTING ASSEMBLY (STORM MANHOLE)
<br />3.00
<br />EACH
<br />951.50
<br />2,854.50
<br />3.00
<br />2,854.50
<br />2,854.50
<br />100%
<br />CO-1.3.11
<br />CASTING ASSEMBLY(SALVAGED STORM MANHOLE)
<br />1.00
<br />EACH
<br />835.00
<br />835.00
<br />1.00
<br />835.00
<br />835.00
<br />100%
<br />CO-1.3.12
<br />CASTING ASSEMBLY(SALVAGED CATCH BASIN)
<br />4.00
<br />EACH
<br />745.00
<br />2,980.00
<br />4.00
<br />2,980.00
<br />2,980.00
<br />100%
<br />CO-1.3.13
<br />4" CONCRETE WALK
<br />3,035.00
<br />SO FT
<br />5.89
<br />17,876.15
<br />4,053.00
<br />23,872.17
<br />23,872.17
<br />134%
<br />(5,996.02)
<br />CO-1.3.14
<br />CONCRETE CURB & GUTTER DESIGN B618
<br />870.00
<br />LIN FT
<br />27.87
<br />24,246.90
<br />657.00
<br />18,310.59
<br />18,310.59
<br />76%
<br />5,936.31
<br />CO-1.3.15
<br />CONCRETE MEDIAN NOSE -SPECIAL
<br />125.00
<br />SO FT
<br />15.00
<br />1,875.00
<br />60.00
<br />900.00
<br />900.00
<br />48%
<br />975.00
<br />CO-1.3.16
<br />COMMON TOPSOIL BORROW (LV)
<br />160.00
<br />CU YD
<br />37.45
<br />5,992.00
<br />32.001
<br />1,198.40
<br />1,198.40
<br />20%
<br />4,793.60
<br />CO-1.3.17
<br />FERTILIZER TYPE 3
<br />45.00
<br />POUND
<br />1.00
<br />45.00
<br />30.00
<br />30.00
<br />30.00
<br />67%
<br />15.00
<br />CO-1.3.18
<br />SEEDING
<br />0.15
<br />ACRE
<br />871.88
<br />130.78
<br />0.15
<br />130.78
<br />130.78
<br />100%
<br />CO-1.3.19
<br />SEED MIXTURE 25-151
<br />27.00
<br />POUND
<br />7.72
<br />208.44
<br />27.00
<br />208.44
<br />208.44
<br />100%
<br />CO-1.3.20
<br />HYDRAULIC BONDED FIBER MATRIX
<br />525.00
<br />POUND
<br />1.67
<br />876.75
<br />876.75
<br />CO-1.3.21
<br />4"SOLID LINE MULTI-COMPONENT(WHITE)
<br />(290.00)
<br />LIN FT
<br />0.27
<br />(78.30)
<br />(78.30)
<br />CO-1.3.22
<br />PAVEMENT MESSAGE MULTI -COMPONENT
<br />(30.00)
<br />SO FT
<br />6.28
<br />(188.40)
<br />(188.40)
<br />CO-2.1.1
<br />MOBILIZATION
<br />1.00
<br />LUMP SUM
<br />57,098.70
<br />57,098.70
<br />1.00
<br />57,098.70
<br />57,098.70
<br />100%
<br />CO-2.1.2
<br />GEOTEXTILE FABRIC TYPE S
<br />2,835.00
<br />SQYD
<br />3.95
<br />11,198.25
<br />3,457.00
<br />13,655.15
<br />13,655.15
<br />122%
<br />(2,456.90)
<br />CO-2.1.3
<br />COMMON EXCAVATION (P) (EV)
<br />630.00
<br />CU YD
<br />15.41
<br />9,708.30
<br />998.00
<br />15,379.18
<br />15,379.18
<br />158%
<br />(5,670.88)
<br />CO-2.1.4
<br />SALVAGED AGGREGATE FROM STOCKPILE (CV)
<br />630.00
<br />CU YD
<br />19.35
<br />12,190.50
<br />714.00
<br />13,815.90
<br />13,815.90
<br />113%
<br />(1,625.40)
<br />CO-2.1.5
<br />FULL DEPTH RECLAMATION (8")
<br />5,000.00
<br />SQYD
<br />4.21
<br />21,050.00
<br />4,917.00
<br />20,700.57
<br />20,700.57
<br />98%
<br />349.43
<br />CO-2.1.6
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (2,C)
<br />735.00
<br />TON
<br />58.58
<br />43,056.30
<br />787.97
<br />46,159.28
<br />46,159.28
<br />107%
<br />(3,102.98)
<br />CO-2.1.7
<br />TRAFFIC CONTROL
<br />1.00
<br />LUMP SUM
<br />974.52
<br />974.52
<br />1.00
<br />974.52
<br />974.52
<br />100%
<br />CO-2.1.8
<br />STORM DRAIN INLET PROTECTION
<br />6.00
<br />EACH
<br />101.65
<br />609.90
<br />-
<br />-
<br />-
<br />609.90
<br />CO-2.1.9
<br />SILT FENCE, TYPE MS
<br />2,675.00
<br />LIN FT
<br />3.74
<br />10,004.50
<br />1,935.56
<br />7,238.99
<br />7,238.99
<br />72%
<br />2,765.51
<br />CO-2.1.10
<br />COMMON TOPSOIL BORROW (LV)
<br />160.00
<br />CU YD
<br />53.25
<br />8,520.00
<br />240.00
<br />12,780.00
<br />12,780.00
<br />150%
<br />(4,260.00)
<br />CO-2.1.11
<br />FERTILIZER TYPE 3
<br />120.00
<br />POUND
<br />1.00
<br />120.00
<br />240.00
<br />240.00
<br />240.00
<br />200%
<br />(120.00)
<br />CO-2.1.12
<br />SEEDING
<br />0.40
<br />ACRE
<br />871.88
<br />348.75
<br />0.96
<br />837.00
<br />837.00
<br />240%
<br />(488.25)
<br />CO-2.1.13
<br />SEED MIXTURE 25-151
<br />48.00
<br />POUND
<br />7.72
<br />370.56
<br />125.00
<br />965.00
<br />965.00
<br />260%
<br />(594.44)
<br />CO-2.1.14
<br />HYDRALUIC BONDED FIBER MATRIX
<br />1,600.00
<br />POUND
<br />1.67
<br />2,672.00
<br />3,360.00
<br />5,611.20
<br />5,611.20
<br />210%
<br />(2,939.20)
<br />CO-2.2.1
<br />MOBILIZATION
<br />1.00
<br />LUMP SUM
<br />33,154.00
<br />33,154.00
<br />1.00
<br />33,154.00
<br />33,154.00
<br />100%
<br />-
<br />CO-2.2.2
<br />REMOVE CURB & GUTTER
<br />670.00
<br />LIN FT
<br />7.05
<br />4,723.50
<br />550.00
<br />3,877.50
<br />3,877.50
<br />82%
<br />846.00
<br />CO-2.2.3
<br />REMOVE CONCRETE PAVEMENT
<br />2,000.00
<br />SQ FT
<br />1.05
<br />2,100.00
<br />1,516.00
<br />1,591.80
<br />1,591.80
<br />7691.
<br />508.20
<br />CO-2.2.4
<br />IRELOCATE SPRINKLER SYSTEM (PER HEAD)
<br />1 5.001
<br />EACH
<br />1 53.50
<br />1 267.50
<br />1 7.001
<br />374.50
<br />1
<br />1 374.50
<br />140%
<br />(107.00)
<br />EJCDC C-620 Contractor's Application for Payment
<br />Unit Price (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. 3 of 4
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