Laserfiche WebLink
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 />Peterson Companies, Inc <br />APPLICATION NO.: 2 <br />APPLICATION DATE: 04/29/20 <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 />Survey and Layout <br />$2,875.00 <br />$2,875.00 <br />$2,875.00 <br />100.00% <br />$143.75 <br />2 <br />Concrete Maintenance Strip <br />$23,272.50 <br />$20,945.25 <br />$20,945.25 <br />90.00% <br />$2,327.25 <br />$1,047.26 <br />3 <br />Chain Link Fences and Gates <br />$47,698.50 <br />$23,849.25 <br />$4,769.85 <br />$28,619.10 <br />60.00% <br />$19,079.40 <br />$1,430.96 <br />- Labor <br />4 <br />Chain Link Fences and Gates <br />$53,072.00 <br />$26,536.00 <br />$26,536.00 <br />$53,072.00 <br />100.00% <br />$2,653.60 <br />- Materials <br />1 <br />Chain Link Fence (CO#4) <br />$17,600.00 <br />$7,355.50 <br />$2,889.00 <br />$10,244.50 <br />58.21% <br />$7,355.50 <br />$512.23 <br />PAYMENT TOTALS <br />$144,518.00 <br />$60,615.75 <br />$55,140.10 <br />$115,755.85 <br />80.10% <br />$28,762.15 <br />$5,787.80 <br />Page 1 of 1 <br />