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Contractor's Application for Payment <br />Owner: City of Elk River Owner's Project No.: <br />Engineer: 8olton & Menk, Inc. Engineer's Project No.: OR1.128082 <br />Contractor: North Valley Inc. Contrector's Project No.: <br />Project: 2023 Street Improvements Project Agency's Project No.: <br />Contract: <br />Application No.: 6 Application From 10/02/23 to 11/03/23 Application Date: 11/06/23 <br />A B C D E F Fl F2 G H I 1 K <br />Contract Information Previous Estimate Work Completed <br />Bid Item <br />No. Description Item Quantity Units <br />89 CROSSWALKMULTI-COMPONENT(WHITE) 678.00 SQFT <br />90 PAVEMENT MESSA6E MULTI-COMPONENT 1.00 EACH <br />Unit Price <br />($) <br />5.89 <br />107.09 <br />Contrect Total� <br />WorkCompleted %of <br />Estimated Value of Work and Materials Value of <br />Value of Bid Item Quantity Completed to Date Materials Currently Stored Stored to Date Item <br />(C X E) Quantity Previous Value Previous Incorporated in (E X G) (not in G) (H + I) (1 / F) <br />($) Estimate Estimate the Work ($) ($) ($) (%) <br />107.09 <br />358.71 <br />E1CDC C-620 Contractor's Application for Payment <br />Unit Price (c) 2018 National Society of Professional Engineers for E1CDC. All rights reserved. 3 of 4 <br />