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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 />Schwickert's Tecta America, LLC
<br />APPLICATION NO
<br />APPLICATION DATE: 04/22/20
<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 />Insurance/Bonds
<br />$12,574.00
<br />$12,574.00
<br />$12,574.00
<br />100.00%
<br />$628.70
<br />2
<br />Shop Drawings
<br />$11,211.00
<br />$11,211.00
<br />$11,211.00
<br />100.00%
<br />$560.55
<br />3
<br />Mobilzation/Equipment
<br />$11,710.00
<br />-
<br />$11,710.00
<br />-
<br />4
<br />Safety
<br />$9,311.00
<br />$9,311.00
<br />5
<br />Walllnsulation/Z-Furring
<br />$10,888.00
<br />$10,888.00
<br />Materials
<br />6
<br />Wall Insulation/Z-Furring Labor
<br />$9,646.00
<br />$9,646.00
<br />7
<br />Solid Phenolic Rainsceen
<br />$33,465.00
<br />$33,465.00
<br />Panels Materials
<br />8
<br />Solid Phenolic Rainsceen
<br />$11,282.00
<br />$11,282.00
<br />Panels Labor
<br />9
<br />Solid Phenolic Rainscreen
<br />$17,619.00
<br />$17,619.00
<br />Panel Flashing Materials
<br />10
<br />Solid Phenolic Rainscreen
<br />$8,113.00
<br />$8,113.00
<br />Panel Flashing Labor
<br />11
<br />ACM Fabrication Materials
<br />$20,003.00
<br />$20,003.00
<br />12
<br />ACM Fabrication Labor
<br />$17,519.00
<br />$17,519.00
<br />13
<br />ACM Flashing Materials
<br />$5,419.00
<br />$5,419.00
<br />14
<br />ACM Flashing Labor
<br />$4,923.00
<br />$4,923.00
<br />15
<br />ACM Inst. Materials (hat
<br />$7,241.00
<br />$7,241.00
<br />/fasteners/etc.)
<br />16
<br />ACM Inst. Labor
<br />$6,491.00
<br />$6,491.00
<br />17
<br />$5,000 Allowance per Contract
<br />$5,000.00
<br />$5,000.00
<br />1
<br />Metal Wall Panels (CO #1)
<br />($10,955.00)
<br />-
<br />($10,955.00)
<br />PAYMENT TOTALS
<br />1 $191,460.00
<br />$23,785.00
<br />1 $23,785.00
<br />1 12.42%
<br />$167,675.00
<br />$1,189.25
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