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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 />Rink-Tec International Inc.
<br />APPLICATION NO.: 9
<br />APPLICATION DATE: 04/21/20
<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 />Bonding/Insurance/Permits
<br />$60,000.00
<br />$60,000.00
<br />$60,000.00
<br />100.00%
<br />$3,000.00
<br />2
<br />Mobilization
<br />$35,000.00
<br />$35,000.00
<br />$35,000.00
<br />100.00%
<br />$1,750.00
<br />3
<br />Reclaim & Demo Equipment
<br />$20,000.00
<br />$20,000.00
<br />$20,000.00
<br />100.00%
<br />$1,000.00
<br />Room #1
<br />4
<br />Rink #1 Saw Cutting/Removal
<br />$60,000.00
<br />$60,000.00
<br />$60,000.00
<br />100.00%
<br />$3,000.00
<br />5
<br />Rink #1 Mains & Insulation
<br />$40,000.00
<br />$40,000.00
<br />$40,000.00
<br />100.00%
<br />$2,000.00
<br />6
<br />Rink #1 Subfloor System
<br />$15,000.00
<br />$15,000.00
<br />$15,000.00
<br />100.00%
<br />$750.00
<br />7
<br />Rink #1 Granular & Fine
<br />$30,000.00
<br />$30,000.00
<br />$30,000.00
<br />100.00%
<br />$1,500.00
<br />Grading
<br />8
<br />Rink #1 Floor Insulation
<br />$44,000.00
<br />$44,000.00
<br />$44,000.00
<br />100.00%
<br />$2,200.00
<br />9
<br />Rink #1 Chairs/Vapor Barrier
<br />$35,000.00
<br />$35,000.00
<br />$35,000.00
<br />100.00%
<br />$1,750.00
<br />/Expansion
<br />10
<br />Rink #1 Rebar/Mesh
<br />$40,000.00
<br />$40,000.00
<br />$40,000.00
<br />100.00%
<br />$2,000.00
<br />11
<br />Rink #1 Headers & Tubing
<br />$100,000.00
<br />$100,000.00
<br />$100,000.00
<br />100.00%
<br />$5,000.00
<br />12
<br />Rink #1 Concrete Placement
<br />$90,000.00
<br />$90,000.00
<br />$90,000.00
<br />100.00%
<br />$4,500.00
<br />/Finishing
<br />13
<br />Rink #2 Mains & Insulation
<br />$40,000.00
<br />$40,000.00
<br />$40,000.00
<br />100.00%
<br />$2,000.00
<br />14
<br />Rink #2 Subfloor System
<br />$15,000.00
<br />$15,000.00
<br />$15,000.00
<br />100.00%
<br />$750.00
<br />15
<br />Rink #2 Granular & Fine
<br />$30,000.00
<br />$30,000.00
<br />$30,000.00
<br />100.00%
<br />$1,500.00
<br />Grading
<br />16
<br />Rink #2 Floor Insulation
<br />$44,000.00
<br />$44,000.00
<br />$44,000.00
<br />100.00%
<br />$2,200.00
<br />17
<br />Rink #2 Chairs/Vapor Barrier
<br />$35,000.00
<br />$35,000.00
<br />$35,000.00
<br />100.00%
<br />$1,750.00
<br />/Expansion
<br />18
<br />Rink #2 Rebar/Mesh
<br />$40,000.00
<br />$40,000.00
<br />$40,000.00
<br />100.00%
<br />$2,000.00
<br />19
<br />Rink #2 Headers & Tubing
<br />$100,000.00
<br />$100,000.00
<br />$100,000.00
<br />100.00%
<br />$5,000.00
<br />20
<br />Rink #2 Concrete Placement
<br />$90,000.00
<br />$90,000.00
<br />$90,000.00
<br />100.00%
<br />$4,500.00
<br />/Finishing
<br />21
<br />Compressor/Chiller/Pumps
<br />$349,742.00
<br />$349,742.00
<br />$349,742.00
<br />100.00%
<br />$17,487.10
<br />/Condenser
<br />22
<br />MCC/Electrical
<br />$120,000.00
<br />$95,000.00
<br />$25,000.00
<br />$120,000.00
<br />100.00%
<br />$6,000.00
<br />PAYMENT TOTALS
<br />$2,162,742.00
<br />$1,717,742.00
<br />$175,000.00
<br />$1,892,742.00
<br />87.52%
<br />$270,000.00
<br />$94,637.10
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