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SUPPLEMENTAL PAYMENT REQUEST ¢' � ''3335 Penmyfv°nf°Ave.N S,. Oyft°l, MN 55437 ,- 763-545-3557 COMPANIES Owner: Bill To: Elk River Municipal Utilities RJM Construction 1705 Main Street 830 Boone Ave N Elk River, MN 55330 Golden Valley, MN 55427 Attn: Justin Rice DESCRIPTION OF WORK PERFORMED: Pricing for PR #13 Date: I to 1 12/2/2022 1 Job # 2117 SPR NO: 020 Project Name: Elk River Municipal Utility Location/Stationing: Elk River, MN Plan Page: Soil Type: Present at Site: Work Requested By: RJM Construction Weather: Field Order No.: Temp: Team Leader: LABOR MATERIALS Labor Reg Hours Reg Rate OT Hours OT Rate Per Diem Rate Per Diem Total Material Inc. Tickets/Invoices Units UOM UnitPrice Total Brandon W 16.0 $ 111.00 $ - $ $ pLaborTotal Concrete Structures 1.0 LS $ 8 183.86 $ 8,183.86 Ken R 15.0 $ 92.00 $ - $ $ Fuel 190.0 Gal $ 5.00 $ 950.00 Jerem D 15.0 $ 92.00 $ - $ $ Dewaterin 1.0 LS $13342.00 $ 13,342.00 Don S 15.0 $ 89.00 $ - $ $ ,. Rock 4.0 Load $ 800.00 $ 3,200.00 John B 15.0 $ 89.00 $ - $ $ $ 1,335.00 Preservers/Skimmers 1.0 LS $ 22 536.87 $ 22,536.87 Galen K 1.0 $ 111.00 $ - $ $ $ 111.00 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total $ $ 7,317.00 $ $ EQUIPMENT $ $ Equipment Model Reg Hours Reg Rate Stdby Hours Std by Rate Total $ $ $ $ $ $ $ $ Excavator 15.0 $ 215.00 $ 3,225.00 $ $ Excavator 4.0 $ 215.00 $ 860.00 Total $ 48,212.73 Skidsteer 7.0 $ 85.00 $ 595.00 SUBCONTRACTORS AND OUTSIDE SERVICES Compactor 8.0 $ 87.00 $ 696.00 0 EA $ $ - Fuel Truck 1.0 $ 165.00 $ 165.00 0 EA $ $ $ $ 0 EA $ $ $ $ 0 EA $ $ $ $ 0 EA $ $ $ $ 0 EA $ $ $ $ 0 EA $ $ $ $ 0 EA $ $ $ $ 01 EA $ $ Total $ 5,541.00 Total $ OTHER SUMMARY Description Units UM Rate Total Sub -total Labor $ 7,317.00 0.0 HR $ $ Sub -total Subsistence $ 0.0 HR $ $ Sub -total Equipment $ 5,541.00 0.0 HR $ $ Sub -total Other $ 0.0 HR $ $ Sub -total Material $ 48,212.73 0.0 HR $ $ Sub -total Subs/Outside Services $ 0.0 HR $ $ Excise Tax 0.000%1 $ 0.0 HR $ $ 'Sub/Outside Services Mark-up 0.0% $ 0.0 HR $ $ Profit and Overhead - Combined 10.0 % $ 6,107.07 0.0 HR $ $ 'Additional Bond Expense $ Total $ TOTAL AMOUNT DUE 1 $ 67,177.80 Schedule extended days, due to this request. Authorized Signature: F-x-]PCO AP CB OB Date: intemal Admin. Use Onty SPR Control # 2117-020 116