4.2 SR 11-20-2023Request for Action
To Item Number
Ma Tor and CinT Council 4.2
Agenda Section Meeting Date Prepared by
Consent NovembeY 20, 2023 Ryan SandhoefneY, EngineeY 1
Item Description Reviewed by
Payr Estimates ustin Femrite P.E., Public WoYks Director
Reviewed by
Cal Portner, Ci r Administrator
Action Requested
Approve, byT motion, the pay estimates detailed below.
Background/Discussion
The following payT estimates have been reviewed and found to be accurate and in accordance with approved contracts.
Financial Impact
PROJECT
Rolling Hills Sewer Extension
Houlton Bank Protection
Public SafetyT Reroof
2023 Street Improvements
Pay Est. #
1 — Partial
3 — Final
3 — Partial
6 — Partial
Contractor
NoYthdale Construction
JK Landscape Construction
Granite Cit�r Roofing Inc
NoYth Valley Inc.
Amount
$1,070,681.23
$4,578.75
$64,607.60
$698,002.17
Mission/Policy/Goal
OpportunityT to live, work, and pla�r.
Attachments
■ Pay Estimate 1— Northdale Construction
■ PayT Estimate 3— JK Landscape Construction
■ Pay Estimate 3— GYanite Cityr Roofing Inc
■ Pay Estimate 6— NoYth Valley Inc.
The Elk River Vision P 0 w E R E o a r
A 2a�elcolning co�nlnunity 2a�ith Tevolutiona�y and spizzted Tesou�cefulness, exceptional ������
se�vice, and coln�nunity engagelnent that encou�ages and ins�iz•es pTo�pe�zty. Up�iited.• August 2020
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: Bolton & Menk, inc. Engineer's Project No.: OR1.129209
Contractor. Northdale Construction Company Agency's Project No.:
Projed: Rolling Hilis Sewer Extension
Contract:
Application No.: 1 Application Date: 10/27/2023
Application Period: From 9/25/2023 to 10/27/2023
1. Original Contract Price $ :I,:Z11,923:51:;
2. Net change by Change Orders $ -
3. Current Contract Price (Line 1+ Line 2) � $ 1;7iY;923:51 ;
4. Total Work completed and materials stored to date
(Sum of Column G Lump Sum Total and Column J Unit Price Total) $ 1;127,032Y$�;; !
5. Retainage
. _ . . __ ____
a. 5% X$:1;127;032;87;;. Work Completed $ . ;56,351;5z4;
b. X $ ._ ': > Stored Materials $
c. Total Retainage (Line 5.a + Line 5.b) $ `;;56,35L:64:::
6. Amount eligible to date (Line 4- Line 5.c) $ 1;070;681:23:"
7. Less previous payments
S. Amount due this application $:;;= :, r:1;070;681:23::;i
9. Balance to finish, including retainage (Line 3- Line 4) $ 554,84Q;G4:;
Contractar's Certification
The undersigned Contractor certifies, to the best of its knowledge, the following:
(1) All previous progress payments received from Owner on account of Work done under the Contract have besn applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2} Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for
Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances); and
(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
Contractor:
. -
Signature: �a�� Y —� �%i "a-✓
Name: , �p/,�� �p�s�} Title: ��j����
Recommended by Engineer Approved by Ow�er
i
� � ��
By: � By:
Name: Jason Cook Tlame: Brandon Wisner
Title: Project Engineer Title: Engineering Project Manager
Date: 10/27/2023 Date: 10/31 /2023
Code:4a6-4-8040-4530
E1CDC Gfi20 Contrac[or's Application for Payment
(c) 2018 National Society of Professional Engineers for EICDC. All rightr resenred.
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19512 HUBBLE ROAD
CLEARWATER, MN 55320
CONTRACTOR #: BC631037
GENERAL CONTRACTOR:
City of Elk River � ~
13065 Orono Parkway NW
Elk River, MN 55330
DAN DUGGAN
(320) 330-�$44
dan@jklandscape.com
INV[�ICE
PROJECT ID: DATf
2023-0272 � 11/10/2023
_ _____f �
DESCRfPTION
PROJECT ID 2023-0272 � v
2.YEAR WARRANTY AND MAINTENANCE, INCLUDE -
$10,000.00
BEGINNING INVOICE / ESTIMATE #:6309 BALANCE _
$272,652.60
Mobilization (Lump Sum)
Maint. & Restoration of Haul Roads (Lump Sum)
Clearing and Grubbing (Lump Sum)
Excavation-Common {CY)
Common Embankment (CY)
Floating Silt Curtain Type Moving Water (LF)
Subsoiling (AC)
Soil Bed Prep (AC)
Seed Mixture 21-111(LBS)
Seed Mixture 35-221(LBS)
Mowing (AC)
Weed Spraying (AC)
Weed 5pray Mixture (GAL)
Rolled Erosion Prevention Category 25 (SY)
Seeding (AC) - **34,848 sq ft**
Toewood Bench (LF)
PERMIT FEES: MPCA Confirm #:MNPPCA000083253
Pmt Amt:$40U + Service Fee:$8.60 = Total:$408.60
MN Pollution Control Agency
Confirmation Number: MNPPCA000083253
Payment Amount: $400.00
Service Fee: $8.60
Total Amount: $408.60
�-�� -���,~-���
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0
0
0
1
1
1
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2,061
273
0.8
0.8
80
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2
0.5
0.5
3,874
0.8
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1
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Page
I PROJECT ADDRE55:
� -- - -- - - - �--- - � - -- -
CITY OF ELK RIVER
HOULTON CONSERVATION AREA
BANK PROTECTION
MISSISSIPPI SITE
Elk River, MN 55330
� RATE AMOUNT TOTAL %COMPLETfD TOTAL $ DUE
15,000.0C
9,250.0C
1,500.0C
7.7�
7.7�
35.OL
2,500.00
2,500.00
3.00
40.OG
500.OQ
600.00
100.00
4.00
4,500.00
82.50
408.60
15,000.00
9,250.00
1,500.00
62,705.25
15,972.75
9,555.00
2,000.00
2,U00.00
240.00
1,200.00
1,000.00
300.00
50.00
15,496.00
3,600.00
91,575.00
408.60
100.009'0
100.00 %
100.00%
100.00%
100.00�
100.00%
100.009�
100.00 %
100.00�
100.00%
100.00%
1U0.00%
100.009�
100.00%
100.00%
10U.00�
100.009�
0.00
0.00
0.00
15,000.00
9,250.00
1,500.00
62,705.25
15,972.75
9,555.00
2,000.00
2,000.00
240.00
1,200.00
1,000.00
300.00
50.00
15,496.00
3,600.00
91,575.00
408.60
0.00
TOTAL ESTIMATE: � $ 272,652.60
PAYMENTS / CREDIT: - $268,073.85
FINAL BALANCE DUE: $ 4,578.75
� ; ���� ������ �
. �_
���_ � _� — COt�1SiRllCi1�N —
19512 HUBBLE ROAD
CLEARWATER, MN 55320
. CONTRACTOR #: BC631037
� GENERAL CONTRAC'fOR: �
City of Elk River - - - - - -- - -- — ---
13065 Orono Parkway NW
Elk River, MN 55330
�ESCRIPTION
CHANGE ORDER (6-22-23) - EROSION BLANKET Paid
7/21/2023 Ck #:124917 $25,000
.. . _
CHANGE ORDER (8-10-23) - ADDITIQNAL CLEARING &
GRUBBING
CHANGE ORDER (8-28-23) STRAW, BLOWING STRAW,
AND STAKES
***PAID - EROSION BLANKET - 7/21/2023
Check #:124917; $25,000.00
***PAID - PROGRESS PAYMENT - 9/21/2023
Check #:125517; $150,688.39
***PAID - PROGRESS PAYMENT -10/16/2023
CHeck #:125758; $92,385.46
DAN DUGGAN
(32Q) �30-8844
dan@jkiandscape.com
an
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0
0
Page
INU'C]i�E
� --
! PROJECTID: DATE
I 2023-0272 � 11/10/2023
� PROJECT ADDRES5:
CITY OF ELK RIVER
HOULTON CONSERVATION AREA
BANK PROTECTION
MISSISSIPPI SITE
Elk River, MN 55330
. RA7E� AMOUNT � TOTAL % COMPLETED TOTAL $ DUE
25,000.00 25,000.00 100.009� 0.00 '
7,200.00 7,200.00 100.009� 0.00
8,600.00 � 8,600.00
100.00%
TOTAL ESTIMATE:
PAYMENTS / CREDIT:
FINAL BALANCE DUE:
0.00
$ 272,652.60
- $268,073.85
$ 4,578.75
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Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: Bolton & Menk, inc. Engineer's Project No.: OR1.128082
Contractor: North Valley inc. Agency's Project No.:
Project: 2023 Street improvements Project
Contract:
Application No.: 6 Application Date: 11/6/2023
Application Period: From 10/2/2023 to 11/3/2023
1. Original Contract Price $ 5,433,358.71
2. Net change by Change Orders $ 75,713.40
3. Current Contract Price (Line 1+ Line 2) $ 5,509,072.11
4. Total Work completed and materials stored to date
(Sum of Column G lump Sum Total and Column J Unit Price Total) $ 4,993,579.12
5. Retainage
a. 5% X$ 4,993,579.12 Work Completed $ 249,678.96
b. X $ - Stored Materials $ -
c. Total Retainage (Line 5.a + Line S.b) $ 249,678.96
6. Amount eligible to date (Line 4- Line 5.c) $ 4,743,900.16
7. Less previous payments $ 4,045,897.99
8. Amount due this application $ 698,002.17
Contractor's Certification
The undersigned Contractor certifies, to the best of its knowledge, the following:
(1) All previous progress payments received from Owner on account of Work done under the Contract have been applied on
account to discharge Contractor's legitimate obligations incurred in connection with the Work covered by prior Applications for
Payment;
(2) Title to all Work, materials and equipment incorporated in said Work, or otherwise listed in or covered by this Application for
Payment, will pass to Owner at time of payment free and clear of all liens, security interests, and encumbrances (except such as
are covered by a bond acceptable to Owner indemnifying Owner against any such liens, security interest, or encumbrances); and
(3) All the Work covered by this Application for Payment is in accordance with the Contract Documents and is not defective.
Contractor: North Valley Inc.
Signature: � Date: J/���Z �
Name: �'...�-�-- ���e� S Title: /� ✓t�`%
.
Recommended by Engineer Approved by Owner
gY; �-..W. � BY. �GJn�
Name: lason W. Cook, PE Name: Justin Femrite
Title: Project Manager Title: Chief
Date: 11/7/2023 �ate: 11-8-23
Code: 401-4-8080-4530
E1CDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for EJCDC. All rights reserved.
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: 8olton & Menk, Inc. Engineer's Project No.: OR1.128082
Contractor: North Valley Inc. Contrector's Project No.:
Project: 2023 Street Improvements Project Agency's Project No.:
Contract:
No.: 6 Application From 10/02/23 to 11/03/23 Application Date: 11/06/23
B C D E F Fl F2 G H I 1 K
Contrect Information Previous Estimate Work Completed
Bid Item
No. Description Item Quantity Units
1 M081LIZATION 1.00 LUMP SUM
2 CLEARIN6 7.00 TREE
3 6RU881N6 7.00 TREE
4 REMOVE STRUCTURE 9.00 EACH
5 REMOVE HYDRANT 11.00 EACH
6 REMOVE SI6N 14.00 EACH
7 REMOVE CONCRETE CURB & 6UTTER 2,072.00 LIN FT
8 REMOVE 81TUMINOUS CURB 9,850.00 LIN FT
9 REMOVE PIPE SEWERS 150.00 LIN FT
10 REMOVE WATERMAIN 4,491.00 LIN FT
11 REMOVE CONCRETE PAVEMENT 5,276.00 SQ FT
12 REMOVE POLES 2.00 EACH
13 SALVA6E & RESTORE IRRI6ATION SYSTEM 11.00 EACH
14 FURNISH AND INSTALL SPRINKLER HEAD 117.00 EACH
15 SALVA6E & REINSTALL MEDIAN DELINIATORS 105.00 LIN FT
16 SALVA6E & REINSTALL SI6N 35.00 EACH
17 SALVA6E & REINSTALL FENCE 40.00 LIN FT
18 SALVA6E & REINSTALL 6ATE 1.00 EACH
19 COMMON EXCAVATION (CV) (P) 9,962.00 CU YD
20 SU86RADE EXCAVATION (EV) 800.00 CU YD
21 POND EXCAVATION (EV) 457.00 CU YD
22 EXPLORATORY EXCAVATION 10.00 HOURS
23 SELECT 6RANULAR 80RROW (CV) 800.00 CU YD
24 SALVA6ED A66RE6ATE FROM STOCKPILE (CV) 4,022.00 CU YD
25 A66RE6ATE SURFACIN6 (CV) CLASS 2 30.00 CU YD
26 RANDOM RIPRAP CLASS IV 55.00 CU YD
27 FULLDEPTHRECLAMATION(10") 28,159.00 SQYD
28 81TUMINOUS PATCH SPECIAL 875.00 SQ YD
29 81TUMINOUS PATCH SPECIAL (STREET) 11,996.00 SQ YD
30 MILL 81TUMINOUS SURFACE (TAPER 125" - 168,680.00 LIN FT
31 MILL8ITUMINOUSSURFACE(1.5") 11,406.00 SQYD
32 TYPE SP 9.5 WEARIN6 COURSE MIXTURE (2,C) 26,869.00 TON
33 TYPE SP 12.5 NON WEARIN6 COURSE 4,220.00 TON
34 CONCRETE FLUME 3.00 EACH
35 24" RC PIPE APRON (WITH TRASH 6UARD) 2.00 EACH
36 12" RC PIPE SEWER CLASS V 95.00 LIN FT
37 15" RC PIPE SEWER CLASS V 190.00 LIN FT
38 21" RC PIPE SEWER CLASS V 363.00 LIN FT
39 24" RC PIPE SEWER CLASS V 148.00 LIN FT
40 BULKHEAD STORM PIPE 4.00 EACH
41 CONNECTTOEXISTIN6STORMSEWER 8.00 EACH
42 FILL&ABANDONPIPE 208.00 LINFT
43 SANITARYSEWERSERVICEREPAIR 5.00 EACH
Unit Price
WorkCompleted %of
Estimated Value of Work and Materials Value of
Value of Bid Item Quantity Completed to Date Materials Currently Stored Stored to Date Item
Unit Price (C X E) Quantity Previous Value Previous Incorporated in (E X G) (not in G) (H+ I) (1 / F)
($) ($) estimate estimate the work ($) ($) ($) (%)
Original Contrect
190,171.88 190,171.88 0.75 142,628.91 1.00 190,171.88 190,171.88 100%
321.26 2,248.82 9.00 2,891.34 9.00 2,891.34 2,89134 129%
107.09 749.63 9.00 963.81 9.00 963.81 963.81 129%
374.81 3,373.29 7.00 2,623.67 8.00 2,998.48 2,998.48 89%
428.35 4,711.85 10.00 4,283.50 10.00 4,283.50 4,283.50 91%
26.77 374.78 33.00 883.41 33.00 883.41 883.41 236%
7.29 15,104.88 2,130.00 15,527.70 2,371.00 17,284.59 17,284.59 114%
1.07 10,539.50 1,585.00 1,695.95 1,585.00 1,695.95 1,695.95 16 %
21.42 3,213.00 173.00 3,705.66 173.00 3,705.66 3,705.66 115%
3.21 14,416.11 4,578.00 14,69538 4,578.00 14,69538 14,695.38 102%
1.51 7,966.76 5,563.00 8,400.13 5,563.00 8,400.13 8,400.13 105%
535.44 1,070.88 - - - - -
481.90 5,300.90 - - - - -
139.21 16,287.57 17.00 2,366.57 17.00 2,366.57 2,366.57 15%
107.09 11,244.45 105.00 11,244.45 105.00 11,244.45 11,244.45 100 %
160.63 5,622.05 6.00 963.78 6.00 963.78 963.78 17%
53.54 2,141.60 - - 45.26 2,42322 2,423.22 113%
2,891.38 2,891.38 - - 1.00 2,891.38 2,89138 100%
27.83 277,242.46 5,614.00 156,237.62 9,962.00 277,242.46 277,242.46 100%
27.83 22,264.00 172.00 4,786.76 245.00 6,818.35 6,81835 31%
21.42 9,788.94 458.00 9,81036 458.00 9,810.36 9,81036 100%
535.44 5,354.40 - - - - -
23.38 18,704.00 172.00 4,02136 255.00 5,961.90 5,961.90 32%
13.21 53,130.62 2,582.00 34,108.22 6,041.00 79,801.61 79,801.61 150%
67.47 2,024.10 14.00 944.58 14.00 944.58 944.58 47%
128.51 7,068.05 25.50 3,277.01 45.50 5,847.21 5,847.21 83%
1.30 36,606.70 39,816.00 51,760.80 39,816.00 51,760.80 51,760.80 141%
33.89 29,653.75 379.40 12,857.87 1,513.40 51,289.13 51,289.13 173%
3133 375,834.68 8,304.00 260,164.32 8,304.00 260,164.32 260,164.32 69%
0.54 91,087.20 152,110.00 82,139.40 152,110.00 82,139.40 82,139.40 90%
1.38 15,740.28 10,773.00 14,866.74 10,773.00 14,866.74 14,866.74 94%
84.57 2,272,311.33 22,642.50 1,914,876.23 22,860.50 1,933,312.49 1,933,312.49 85%
7837 330,721.40 2,965.50 232,406.24 4,416.50 346,121.11 346,121.11 105%
535.44 1,606.32 1.00 535.44 3.00 1,606.32 1,60632 100%
4,283.52 8,567.04 2.00 8,567.04 2.00 8,567.04 8,567.04 100%
66.93 6,358.35 20.00 1,338.60 87.00 5,822.91 5,822.91 92%
74.96 14,242.40 - - 192.00 14,39232 14,392.32 101%
94.24 34,209.12 363.00 34,209.12 363.00 34,209.12 34,209.12 100%
128.51 19,019.48 148.00 19,019.48 148.00 19,019.48 19,019.48 100%
267.72 1,070.88 5.00 1,338.60 5.00 1,338.60 1,338.60 125%
1,606.32 12,850.56 7.00 11,244.24 9.00 14,456.88 14,456.88 113%
19.28 4,010.24 140.00 2,699.20 140.00 2,699.20 2,699.20 67%
1,070.88 5,354.40 5.00 5,354.40 5.00 5,354.40 5,354.40 100%
E1CDC C-620 Contractor's Application for Payment
(c) 2018 National Society of Professional Engineers for E1CDC. All rights reserved. 1 of 4
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: 8olton & Menk, Inc. Engineer's Project No.: OR1.128082
Contractor: North Valley Inc. Contrector's Project No.:
Project: 2023 Street Improvements Project Agency's Project No.:
Contract:
No.: 6 Application From 10/02/23 to
B C D E
Contract Information
Bid Item
No. Description
44 SANITARY SEWER SERVICE REPAIR (ROOT
45 TEMPORARY WATER SERVICE
46 CONNECT TO EXISTIN6 WATER SERVICE
47 CONNECTTO EXISTIN6 WATERMAIN
48 ADIUST VALVE 80X
49 REMOVE & REPLACE VALVE 80X
50 6" WATERMAIN DUCTILE IRON CL 52
51 8" WATERMAIN DUCTILE IRON CL 52
52 10" WATERMAIN DUCTILE IRON CL 52
53 6" 6ATE VALVE & 80X
54 8" 6ATE VALVE & 80X
55 10" 6ATE VALVE & 80X
56 HYDRANT
57 WATERMAIN FITTIN6S
58 ADIUSTCASTIN6(MANHOLE)
59 ADIUST CASTIN6 (CATCH BASIN)
60 CASTIN6ASSEMBLY
61 CONSTRUCT DRAINA6E STRUCTURE (2'X3')
62 CONSTRUCT DRAINA6E STRUCTURE DESI6N
63 CONSTRUCT DRAINA6E STRUCTURE DESI6N
64 CONSTRUCT DRAINA6E SKIMMER STRUCTUR
65 4" CONCRETE WALK
66 6" CONCRETE WALK
67 6" CONCRETE DRIVEWAY PAVEMENT
68 CONCRETE CURB & 6UTTER DESI6N 8412
69 CONCRETE CURB & 6UTTER DESI6N 8618
70 CONCRETE CURB & 6UTTER DESI6N SPECIAL
71 7" CONCRETE VALLEY 6UTTER
72 TRUNCATED DOMES
73 81TUMINOUSCURB
74 RELOCATE MAIL80X
75 TRAFFIC CONTROL
76 SI6N PANELS TYPE C
77 STA8ILIZED CONSTRUCTION EXIT
78 STORM DRAIN INLET PROTECTION
79 SILT FENCE, TYPE MS
80 SEDIMENTCONTROLLO6TYPEWOODCHIP
81 COMMON TOPSOIL 80RROW (LV)
82 FERTILIZERTYPE3
83 SEEDIN6
84 SEED MIXTURE 25-151
85 SEED MIXTURE 35-641
86 HYDRAULIC 80NDED FIBER MATRIX
87 LANDSCAPIN6 MULCH
88 24" SOLID LWE MULTI-COMPONENT (WHITE)
Item Quantity Units
6.00 EACH
1.00 LUMP SUM
57.00 EACH
4.00 EACH
70.00 EACH
14.00 EACH
150.00 LIN FT
3,607.00 LIN FT
715.00 LIN FT
10.00 EACH
7.00 EACH
2.00 EACH
10.00 EACH
2,480.00 POUND
164.00 EACH
29.00 EACH
21.00 EACH
49.90 LIN FT
28.00 LIN FT
19.90 LIN FT
1.00 LUMP SUM
1,743.00 SQ FT
4,248.00 SQ FT
12,799.00 SQ FT
9,314.00 LIN FT
1,105.00 LIN FT
1,250.00 LIN FT
844.00 SQ FT
546.00 SQ FT
9,950.00 LIN FT
64.00 EACH
1.00 LUMP SUM
156.00 SQ FT
3.00 EACH
23.00 EACH
1,778.00 LIN FT
170.00 LIN FT
1,045.00 CU YD
963.00 POUND
2.90 ACRE
754.00 POUND
6.00 POUND
9,623.00 POUND
5.00 CU YD
67.00 LIN FT
Unit Price
6,771.99
1,177.97
2,677.20
240.95
1,981.13
74.96
91.02
101.73
2,516.57
3,533.90
4,926.05
7,228.44
12.85
408.93
626.46
1,247.57
540.79
68536
733.55
8,204.95
5.35
6.43
7.50
17.13
27.84
27.84
16.06
53.54
3.21
187.40
6,491.55
58.90
535.44
240.95
1.98
3.21
49.97
1.07
42835
5.14
42.56
1.45
69.61
6.96
11/03/23 Application Date: 11/06/23
F F1 F2 G H I 1 K
Previous Estimate Work Completed
WorkCompleted %of
Estimated Value of Work and Materials Value of
Value of Bid Item Quantity Completed to Date Materials Currently Stored Stored to Date Item
(C X E) Quantity Previous Value Previous Incorporated in (E X G) (not in G) (H + I) (1 / F)
($) estimate estimate the work ($) ($) ($) (%)
6,425.28 15.00 16,063.20 17.00 18,204.96 18,204.96 283%
26,771.99 1.00 26,771.99 1.00 26,771.99 26,771.99 100%
67,144.29 25.00 29,449.25 56.00 65,96632 65,96632 98%
10,708.80 4.00 10,708.80 4.00 10,708.80 10,708.80 100%
16,866.50 32.00 7,710.40 32.00 7,710.40 7,710.40 46%
27,735.82 4.00 7,924.52 4.00 7,924.52 7,924.52 29%
11,244.00 134.00 10,044.64 134.00 10,044.64 10,044.64 89%
328,309.14 3,765.00 342,69030 3,765.00 342,690.30 342,69030 104%
72,736.95 676.00 68,769.48 676.00 68,769.48 68,769.48 95%
25,165.70 10.00 25,165.70 10.00 25,165.70 25,165.70 100%
24,737.30 8.00 28,271.20 9.00 31,805.10 31,805.10 129%
9,852.10 2.00 9,852.10 2.00 9,852.10 9,852.10 100%
72,284.40 10.00 72,284.40 10.00 72,284.40 72,284.40 100%
31,868.00 2,327.00 29,901.95 2,281.00 29,310.85 29,310.85 92%
67,064.52 116.00 47,435.88 154.00 62,975.22 62,975.22 94%
18,167.34 25.00 15,661.50 33.00 20,673.18 20,673.18 114%
26,198.97 9.00 11,228.13 19.00 23,703.83 23,703.83 90%
26,985.42 8.80 4,758.95 46.70 25,254.89 25,254.89 94%
19,190.08 23.20 15,900.35 28.00 19,190.08 19,190.08 100%
14,597.65 23.60 17,311.78 23.60 17,311.78 17,311.78 119%
18,204.95 1.00 18,204.95 1.00 18,204.95 18,204.95 100%
9,325.05 367.00 1,963.45 1,358.00 7,26530 7,265.30 78%
27,314.64 1,485.00 9,548.55 2,585.00 16,621.55 16,621.55 61%
545.70
25536
953.35
348.05
46632
192.00 59,817.96 9,232.00 158
228.00 34,187.52 1,352.00 37
889.00 24,749.76 889.00 24
401.00 6,440.06 603.00 9
352.00 18,846.08 474.00 25
)50.00 6,580.50 2,050.00 6
1.00 187.40 30.00 5
0.75 12,368.66 1.00 16
1.00 535.44 1.00
4.00 963.80 4.00
)06.00 1, 991.88 1,006.00 1
266.00 853.86 359.00 1
913.00 45,622.61 1,496.00 74
L55.00 1, 235.85 1,155.00 1
330 1,413.56 330 1
903.00 4,641.42 903.00 4
7.00 297.92 7.00
i 50.00 16,747.50 11, 550.00 16
5.00 348.05 5.00
96
535.44
963.80
991.88
15239
297.92
747.50
348.05
37
96
535.44
963.80
297.92
747.50
348.05
E1CDC C-620 Contractor's Application for Payment
Unit Price (c) 2018 National Society of Professional Engineers for E1CDC. All rights reserved. 2 of 4
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: 8olton & Menk, Inc. Engineer's Project No.: OR1.128082
Contractor: North Valley Inc. Contrector's Project No.:
Project: 2023 Street Improvements Project Agency's Project No.:
Contract:
Application No.: 6 Application From 10/02/23 to 11/03/23 Application Date: 11/06/23
A B C D E F Fl F2 G H I 1 K
Contract Information Previous Estimate Work Completed
Bid Item
No. Description Item Quantity Units
89 CROSSWALKMULTI-COMPONENT(WHITE) 678.00 SQFT
90 PAVEMENT MESSA6E MULTI-COMPONENT 1.00 EACH
Unit Price
($)
5.89
107.09
Contrect Total�
WorkCompleted %of
Estimated Value of Work and Materials Value of
Value of Bid Item Quantity Completed to Date Materials Currently Stored Stored to Date Item
(C X E) Quantity Previous Value Previous Incorporated in (E X G) (not in G) (H + I) (1 / F)
($) Estimate Estimate the Work ($) ($) ($) (%)
107.09
358.71
E1CDC C-620 Contractor's Application for Payment
Unit Price (c) 2018 National Society of Professional Engineers for E1CDC. All rights reserved. 3 of 4
Contractor's Application for Payment
Owner: City of Elk River Owner's Project No.:
Engineer: 8olton & Menk, Inc. Engineer's Project No.: OR1.128082
Contractor: North Valley Inc. Contrector's Project No.:
Project: 2023 Street Improvements Project Agency's Project No.:
Contract:
Application No.: 6 Application From 10/02/23 to 11/03/23 Application Date: 11/06/23
A B C D E F Fl F2 G H I 1 K
Contract Information Previous Estimate Work Completed
Bid Item
No. Description
CO-1 WATSON CIRCLE PATCH
CO-2.1 REMOVE 12" STORM PIPE
CO-2.2 18" RCP STORM PIPE
CO-23 CONNECT TO EX MH
CO-2.4 81TUMINOUS STREET PATCH
CO-2.5 REMOVE & REPLACE CURB & 6
CO-2.6 M081LIZATION
CO-2J TRAFFIC CONTROL
CO-2.8 6RATED CASTIN6 LID
CO-2.9 CLEAR & 6RU8 TREE
CO-2.10 R3501-TBCASTIN6ASSEMBLY
Item Quantity � Units
1.00 LUMP SUM
271.00 LIN FT
271.00 LIN FT
2.00 EACH
400.00 SQ YD
20.00 LIN FT
1.00 LUMPSUM
1.00 LUMPSUM
1.00 EACH
4.00 EACH
2.00 EACH
Unit Price
23.00
96.00
025.00
3133
35.13
125.00
450.00
397.35
675.00
512.00
WorkCompleted %of
Estimated Value of Work and Materials Value of
Value of Bid Item Quantity Completed to Date Materials Currently Stored Stored to Date Item
(C X E) Quantity Previous Value Previous Incorporated in (E X G) (not in G) (H + I) (1 / F)
($) estimate estimate the work ($) ($) ($) (%)
Change Orders
8,483.45 1.00 8,483.45 1.00 8,483.45 8,483.45 100%
6,233.00 271.00 6,233.00 271.00 6,233.00 6,233.00 100%
26,016.00 271.00 26,016.00 271.00 26,016.00 26,016.00 100%
8,050.00 2.00 8,050.00 2.00 8,050.00 8,050.00 100%
12,532.00 400.00 12,532.00 400.00 12,532.00 12,532.00 100%
702.60
9,125.00 1.00 9,125.00 1.00 9,125.00 9,125.00 100%
450.00 1.00 450.00 1.00 450.00 450.00 100%
397.35 1.00 397.35 1.00 397.35 39735 100%
2,700.00 4.00 2,700.00 4.00 2,700.00 2,700.00 100%
1,024.00 2.00 1,024.00 2.00 1,024.00 1,024.00 100%
$ 75,713.40 $ 75,010.80 $ 75,010.80 $ - $ 75,010.80 99%
Original Contract and Change Orders
.11 S 4.258.839.99 S 4.993.579.12 S - S 4.993.579.12
E1CDC C-620 Contractor's Application for Payment
Unit Price (c) 2018 National Society of Professional Engineers for E1CDC. All rights reserved. 4 of 4