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Contractor's Application for Payment <br />Owner. <br />City of Elk River <br />Owner's Project No.: <br />Engineer: <br />Bolton & Menk, Inc. <br />Engineer's Project No.: OR1.128082 <br />Contractor: <br />North Valley Inc. <br />Contractor's Project No.: <br />Project: <br />2023 Street Improvements Project <br />Agency's Project No.: <br />Contract: <br />Application No.: 10 Application Period: From 08/12/24 to 12/05/24 Application Date: 12/05/24 <br />Work Completed <br />°hot <br />E-imated <br />alueofWork <br />V.'...'.."' <br />and Materials <br />Value of <br />Value of Bid Item <br />Qua nthy <br />Completed to Date <br />Materials Currently Stored <br />Stored to Date <br />Item <br />Bid Item <br />Unit Price <br />(C%E) <br />Quantity Previous <br />Value Previous <br />Incorporated in <br />(E%G) <br />(not in G) <br />(H+I) <br />(1/F) <br />No. <br />Description <br />Item Quantity <br />Units <br />($) <br />($) <br />Estimate <br />Estimate <br />the Work <br />($) <br />($) <br />($) <br />(b) <br />Change Orders <br />F• F <br />����- <br />BITUMINOUS <br />M ILL BITUMINOUS SURFACE (1.5") <br />• CO CRETEWALK���- <br />PAVEMENT MARKING SPECIAL <br />ffrs�. <br />SANITARY SEWER SERVICE REPAIR <br />OEM M., <br />.. <br />� <br />Original Contract and Change Orders <br />Project Totals $ 5,820,012.59 1 1 $ 5,656,161.07 $ 5,784,866.17 $ $ 5,]80,866.1] 1 99% <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 3 <br />Page 184 of 273 <br />