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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 />Metro Utilities, Inc <br />APPLICATION NO.: 5 <br />APPLICATION DATE: 04/24/20 <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 />Mobilization/Bond <br />$24,500.00 <br />$24,500.00 <br />$24,500.00 <br />100.00% <br />$1,225.00 <br />2 <br />Watermain <br />$75,800.00 <br />$72,920.15 <br />$2,879.85 <br />$75,800.00 <br />100.00% <br />$3,790.41 <br />3 <br />Sanitary Sewer <br />$37,200.00 <br />$30,400.00 <br />$6,800.00 <br />$37,200.00 <br />100.00% <br />$1,860.00 <br />4 <br />Storm Sewer <br />$448,500.00 <br />$446,520.00 <br />$1,980.00 <br />$448,500.00 <br />100.00% <br />$22,425.00 <br />1 <br />Site Utilities (CO #1) <br />$4,249.30 <br />$4,249.30 <br />$4,249.30 <br />100.00% <br />$212.47 <br />1 <br />Site Utilities (CO #2) <br />$4,473.94 <br />$4,473.94 <br />$4,473.94 <br />100.00% <br />$223.00 <br />1 <br />Site Utilities (CO #3) <br />$12,559.33 <br />$12,559.33 <br />$12,559.33 <br />100.00% <br />$628.00 <br />1 <br />Site Utilities (CO #2) <br />$1,441.00 <br />$1,441.00 <br />$1,441.00 <br />100.00% <br />$72.00 <br />1 <br />Site Utilities (CO #2) <br />$10,313.58 <br />$10,313.58 <br />$10,313.58 <br />100.00% <br />$516.00 <br />PAYMENT TOTALS <br />$619,037.15 <br />$603,128.00 <br />$15,909.15 <br />$619,037.15 <br />100.00% <br />$30,951.88 <br />Page 1 of 1 <br />