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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 />SKOLD SPECIALTY CONTRACTING, LLC <br />APPLICATION NO <br />APPLICATION DATE: 04/16/20 <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 />Material <br />$46,415.00 <br />$5,325.00 <br />$5,325.00 <br />11.47% <br />$41,090.00 <br />$266.25 <br />2 <br />Installation <br />$15,345.00 <br />$3,250.00 <br />$3,250.00 <br />21.18% <br />$12,095.00 <br />$162.50 <br />1 <br />Overhead Coiling Door (CO #1) <br />($8,500.00) <br />- <br />($8,500.00) <br />- <br />PAYMENT TOTALS <br />$53,260.00 <br />$8,575.00 <br />$8,575.00 <br />r 16.10% <br />$44,685.00 <br />$428.75 <br />Page 1 of 1 <br />