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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 />High Five Erectors II, Inc.
<br />APPLICATION NO.: 6
<br />APPLICATION DATE: 04/24/20
<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 />051200 Structural Steel
<br />$129,841.00
<br />$129,841.00
<br />$129,841.00
<br />100.00%
<br />$6,492.05
<br />2
<br />052100 Steel Joists
<br />$100,523.00
<br />$100,523.00
<br />$100,523.00
<br />100.00%
<br />$5,026.15
<br />3
<br />053100 Steel Decking
<br />$45,888.00
<br />$45,888.00
<br />$45,888.00
<br />100.00%
<br />$2,294.40
<br />4
<br />055000 Metal Fabrications
<br />$8,508.00
<br />-
<br />$8,508.00
<br />5
<br />055100 Metal Pan Stairs
<br />$43,996.00
<br />$10,999.00
<br />$10,999.00
<br />$21,998.00
<br />50.00%
<br />$21,998.00
<br />$1,099.90
<br />6
<br />055213 Pipe & Tube Railings
<br />$71,614.00
<br />$21,484.00
<br />$21,484.00
<br />30.00%
<br />$50,130.00
<br />$1,074.20
<br />7
<br />Allowance
<br />$30,000.00
<br />$15,438.15
<br />$422.00
<br />$15,860.15
<br />52.87%
<br />$14,139.85
<br />$793.01
<br />8
<br />Bond
<br />$5,380.00
<br />$5,380.00
<br />-
<br />$5,380.00
<br />100.00%
<br />$269.00
<br />1
<br />Structural Steel Erection (CO
<br />$4,190.00
<br />$4,190.00
<br />$4,190.00
<br />100.00%
<br />$209.50
<br />#1)
<br />1
<br />Structural Steel Erection (CO
<br />($6,888.15)
<br />($6,888.15)
<br />($6,888.15)
<br />100.00%
<br />($344.41)
<br />#2)
<br />1
<br />Structural Steel Erection (CO
<br />$500.00
<br />$500.00
<br />$500.00
<br />100.00%
<br />$25.00
<br />#3)
<br />1
<br />Structural Steel Erection (CO
<br />$672.00
<br />$672.00
<br />$672.00
<br />100.00%
<br />$33.60
<br />#4)
<br />1
<br />Structural Steel Erection (CO
<br />$3,000.00
<br />$3,000.00
<br />$3,000.00
<br />100.00%
<br />$150.00
<br />#5)
<br />1
<br />Structural Steel Erection (CO
<br />$8,650.00
<br />$8,650.00
<br />$8,650.00
<br />100.00%
<br />$432.50
<br />#6)
<br />PAYMENT TOTALS
<br />1 $445,873.85
<br />$309,543.00
<br />$41,555.00
<br />1 $351,098.00
<br />1 78.74%
<br />$94,775.85
<br />1 $17,554.90
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