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DocuSign Envelope ID: 18BCC2EB-5C45-4AO3-BBDA-FOAFAF992DFC <br />NTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />containing Contractor's signed Certification is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />SUNRISE PAINTING <br />APPLICATION NO.: 4 <br />APPLICATION DATE: 04/20/20 <br />PERIOD TO: 04/30/20 <br />PROJECT NO.: 19520-0033 <br />A <br />B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM <br />DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIOUS <br />PRESENTLY <br />COMPLETED <br />% <br />BALANCE TO <br />RETAINAGE (IF <br />NUM <br />VALUE <br />APPLICATION (D <br />THIS PERIOD <br />STORED (NOT IN <br />AND STORED TO <br />(G + C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />1 <br />PAINTING <br />$407,750.00 <br />$89,000.00 <br />$71,500.00 <br />$160,500.00 <br />39.36% <br />$247,250.00 <br />$8,025.00 <br />2 <br />BOND <br />$5,000.00 <br />$5,000.00 <br />$5,000.00 <br />100.00% <br />$250.00 <br />1 <br />Painting (CO#1) <br />$10,000.00 <br />- <br />$10,000.00 <br />1 <br />Painting (CO #3) <br />($9,000.00) <br />($9,000.00) <br />($9,000.00) <br />100.00% <br />($450.00) <br />2 <br />Prime + Paint Joists (CO #2) <br />$63,800.00 <br />$30,000.00 <br />$30,000.00 <br />47.02% <br />$33,800.00 <br />$1,500.00 <br />PAYMENT TOTALS <br />$477,550.00 <br />$94,000.00 <br />$92,500.00 <br />$186,500.00 <br />39.05% <br />$291,050.00 <br />$9,325.00 <br />Page 1 of 1 <br />