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DocuSign Envelope ID: 18BCC2EB-5C45-4AO3-BBDA-FOAFAF992DFC <br />CONTINUATION 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 />23 <br />Microprocessor <br />$85,000.00 <br />- <br />$85,000.00 <br />24 <br />Equipment Room Pipes/Valves <br />$100,000.00 <br />$100,000.00 <br />$100,000.00 <br />100.00% <br />$5,000.00 <br />/Tanks and Fittings <br />25 <br />Equipment Room Piping Labor <br />$140,000.00 <br />$140,000.00 <br />$140,000.00 <br />100.00% <br />$7,000.00 <br />26 <br />Ammonia Piping Labor <br />$170,000.00 <br />$70,000.00 <br />$100,000.00 <br />$170,000.00 <br />100.00% <br />$8,500.00 <br />27 <br />Equipment Room Insulation <br />$85,000.00 <br />- <br />$85,000.00 <br />and Labor <br />28 <br />Labeling/Painting/Water <br />$40,000.00 <br />$40,000.00 <br />Treatment <br />29 <br />Refrigerants and Fluids <br />$60,000.00 <br />- <br />$60,000.00 <br />30 <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 #2 <br />31 <br />1 Removal of Sand Floor System <br />$30,000.00 <br />1 <br />$30,000.00 <br />1 <br />$30,000.00 <br />1 100.00%1 <br />1 $1,500.00 <br />PAYMENT TOTALS <br />$2,162,742.00 <br />$1,717,742.00 <br />$175,000.00 <br />$1,892,742.00 <br />1 87.52% <br />$270,000.00 <br />1 $94,637.10 <br />Page 2 of 2 <br />