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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 />N
<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-2.2.5
<br />BITUMINOUS PATCH SPECIAL (STREET)
<br />35.00
<br />SQYD
<br />32.81
<br />1,148.35
<br />307.00
<br />10,072.67
<br />1
<br />10,072.67
<br />877%
<br />(8,924.32)
<br />CO-2.2.6
<br />MILL BITUMINOUS SURFACE (1.5")
<br />7,680.00
<br />SQYD
<br />1.25
<br />9,600.00
<br />7,840.00
<br />9,800.00
<br />9,800.00
<br />102%
<br />(200.00)
<br />CO-2.2.7
<br />TYPE SP 9.5 WEARING COURSE MIXTURE (2,C)
<br />680.00
<br />TON
<br />58.58
<br />39,834.40
<br />676.91
<br />39,653.39
<br />39,653.39
<br />100%
<br />181.01
<br />CO-2.2.8
<br />4" CONCRETE WALK
<br />1,530.00
<br />SO FT
<br />5.89
<br />9,011.70
<br />1,445.00
<br />8,511.05
<br />8,511.05
<br />94%
<br />500.65
<br />CO-2.2.9
<br />7" CONCRETE WALK
<br />480.00
<br />SO FT
<br />7.49
<br />3,595.20
<br />343.00
<br />2,569.07
<br />2,569.07
<br />71%
<br />1,026.13
<br />CO-2.2.10
<br />CONCRETE CURB & GUTTER DESIGN B618
<br />670.00
<br />LIN FT
<br />27.82
<br />18,639.40
<br />550.00
<br />15,301.00
<br />15,301.00
<br />82%
<br />3,338.40
<br />CO-2.2.11
<br />7" CONCRETE VALLEYGUTTER
<br />300.00
<br />SO FT
<br />7.49
<br />2,247.00
<br />100.00
<br />749.00
<br />749.00
<br />33%
<br />1,498.00
<br />CO-2.2.12
<br />TRUNCATED DOMES
<br />70.00
<br />SO FT
<br />107.00
<br />7,490.00
<br />47.39
<br />5,070.73
<br />5,070.73
<br />68%
<br />2,419.27
<br />CO-2.2.13
<br />TRAFFIC CONTROL
<br />1.00
<br />LUMP SUM
<br />1,515.91
<br />1,515.91
<br />1.001
<br />1,515.91
<br />1,515.91
<br />100%
<br />CO-2.2.14
<br />COMMON TOPSOIL BORROW (LV)
<br />200.00
<br />CU YD
<br />37.45
<br />7,490.00
<br />61.00
<br />2,284.45
<br />2,284.45
<br />31%
<br />5,205.55
<br />CO-2.2.15
<br />FERTILIZER TYPE 3
<br />75.00
<br />POUND
<br />1.00
<br />75.00
<br />45.00
<br />45.00
<br />45.00
<br />60%
<br />30.00
<br />CO-2.2.16
<br />SEEDING
<br />0.20
<br />ACRE
<br />871.88
<br />174.38
<br />0.10
<br />87.19
<br />87.19
<br />50%
<br />87.19
<br />CO-2.2.17
<br />SEED MIXTURE 25-151
<br />15.00
<br />POUND
<br />7.72
<br />115.80
<br />15.00
<br />115.80
<br />115.80
<br />100%
<br />CO-2.2.18
<br />HYDRALUIC BONDED FIBER MATRIX
<br />400.00
<br />POUND
<br />1.67
<br />668.00
<br />115.00
<br />192.05
<br />192.05
<br />29%
<br />475.95
<br />CO-2.2.19
<br />4" SOLID LINE MULTI-COMPONENET(WHITE)
<br />2,210.00
<br />LIN FT
<br />0.27
<br />596.70
<br />2,353.00
<br />635.31
<br />635.31
<br />106%
<br />(38.61)
<br />CO-2.2.20
<br />4" SOLID LINE MULTI-COMPONENET(YELLOW)
<br />2,090.00
<br />LIN FT
<br />0.27
<br />564.30
<br />2,136.00
<br />576.72
<br />576.72
<br />102%
<br />(12.42)
<br />CO-2.2.21
<br />4" BROKEN LINE MULTI -COMPONENT (YELLOW)
<br />450.00
<br />LIN FT
<br />0.27
<br />121.50
<br />420.00
<br />113.40
<br />113.40
<br />93%
<br />8.10
<br />CO-2.2.22
<br />4" DOUBLE SOLID LINE MULTI -COMPONENT (YELLOW)
<br />300.00
<br />LIN FT
<br />0.54
<br />162.00
<br />300.00
<br />162.00
<br />162.00
<br />100%
<br />CO-2.2.23
<br />PAVEMENT MESSAGE MULTI -COMPONENT
<br />150.00
<br />SO FT
<br />6.28
<br />942.00
<br />154.50
<br />970.26
<br />970.26
<br />103%
<br />(28.26)
<br />Change Order Totalsl
<br />$ 588,309.33
<br />1
<br />$ 685,865.22
<br />$
<br />$ 685,865.22
<br />117%
<br />$ (97,555.89)
<br />Original Contract and Change Orders
<br />Project Totals $ 5,352,341.56 1 $ 5,080,283.29 $ $ 5,080,283.29 1 95% $ 272,058.27
<br />EJCDC C-620 Contractor's Application for Payment
<br />Unit Price (c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved. 4 of 4
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