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DocuSign Envelope ID: 27E728AB-E761-4D8D-8B46-447BC430C75D
<br />'CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />12
<br />containing Contractor's signed Certification is attached.
<br />APPLICATION DATE:
<br />07/22/20
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />PERIOD TO:
<br />07/31/20
<br />CROSSTOWN MASONRY, INCORPORATED
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D j
<br />E
<br />F G
<br />H ;
<br />I
<br />WORK COMPLETED
<br />MATERIALS TOTAL
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED FROM PREVIOUS i
<br />PRESENTLY COMPLETED
<br />%
<br />BALANCE TO
<br />RETAINAGE (IF ;
<br />NUM
<br />VALUE APPLICATION (D
<br />THIS PERIOD
<br />STORED (NOT IN AND STORED TO
<br />(G + C)
<br />FINISH (C - G) ;VARIABLE
<br />RATE )
<br />+ E)
<br />D OR E) DATE
<br />j
<br />1
<br />Footings & Foundation Labor
<br />$30,000.001
<br />$30,000.00
<br />$30,000.00'
<br />100.00%
<br />$1,500.00
<br />2
<br />Footings & Foundation Material
<br />$81000.00
<br />$8,000.00
<br />$8,000.00
<br />100.00%-
<br />$400.00
<br />3
<br />Above Grade CMU Labor
<br />$84,000.00
<br />$84,000.00 r
<br />t $84,000.00
<br />100.00%
<br />$4,200.00
<br />4
<br />Above Grade CMU Material
<br />$26,000.00
<br />$26,000.00 ?
<br />$26,000.00
<br />100.00% 1$1,300.00
<br />1.
<br />5
<br />Slab on Grade Labor
<br />$5,300 00
<br />$5,300.00 =
<br />$5,300.00 ?
<br />100.00%
<br />$265.00
<br />6
<br />Slab on Grade Material
<br />$4,200.00
<br />$4,200.00 5
<br />$4,200.00
<br />100.00%
<br />$210.00
<br />7
<br />Stone Piers Labor
<br />$17,000.00
<br />$17,000.00
<br />-(
<br />8
<br />' Stone Piers Material
<br />$10,000.00
<br />i
<br />i
<br />$10,000.00 !'
<br />-
<br />9
<br />= Dug Outs/Batting Cage Labor
<br />$41,000 00.
<br />$41,000.00 f
<br />$41,000.00'
<br />100.00%
<br />$2,050.00
<br />10
<br />Dug Outs/Batting Cage
<br />$28,000.00
<br />$28,000.00
<br />$28,000.00 ;
<br />100.00%
<br />$1,400.00'
<br />Material
<br />11
<br />Footings & Foundation Labor
<br />$415,000.00
<br />$415,000.00 '
<br />$415,000.00
<br />100.00%
<br />$20,750.00
<br />12
<br />Footings & Foundation Material
<br />$210,000.00 =
<br />$210,000.00'
<br />$210,000.00 ;
<br />100.00%
<br />$10,500.00
<br />13
<br />;Above Grade CMU Labor
<br />$812,000.00
<br />$812,000.00
<br />$812,000.00 :
<br />100.00%
<br />$40,600.00
<br />14
<br />;Above Grade CMU Material
<br />$348,000 00
<br />$348,000.00
<br />$348 000 00,
<br />100.00%
<br />$17,400.00
<br />15
<br />Slab on Grade Labor
<br />$236,000.00
<br />$236,000.00
<br />[. $236 000 00 ;
<br />100.00%
<br />$11,800.00 ,
<br />=16
<br />:Slab on Grade Material
<br />$210,000.00
<br />$210,000.00 -
<br />-
<br />i
<br />$210,000.00 ^^
<br />100.00% _
<br />$10,500.00
<br />17
<br />Slab on Deck Labor
<br />$140,000.00
<br />$140,000.00
<br />-
<br />$140,000.00 ,
<br />100.00% (
<br />$7,000.00
<br />j 18
<br />Slab on Deck Material
<br />$69,000 00
<br />$69,000.00
<br />-
<br />$69 000.00 I
<br />100.00%
<br />$3,450.00
<br />19
<br />Stoops Labor
<br />$8,000.00
<br />$8,000.00 _
<br />$8,000.00 j
<br />100.00%
<br />$400.00
<br />20
<br />Stoops Material
<br />$2,000.00 €
<br />$2,000.00.
<br />$2,000.00
<br />100.00%
<br />$100.00
<br />i 21
<br />Stone at Fireplace Labor
<br />$8,000.00 €
<br />$8,000.00
<br />@ $8,000.001
<br />100.00%
<br />$400.00 r
<br />I
<br />22
<br />Stone at Fireplace Material
<br />4
<br />$2,000.001
<br />$2,000.00
<br />E 7
<br />$2,000.001
<br />100.00%
<br />$100.00
<br />23
<br />Concrete Allowance
<br />$50,000.00 `
<br />$25,420.00
<br />$16,580.00
<br />i $42,000.001
<br />84.00%
<br />$8,000.00 °
<br />$2,100.00
<br />124
<br />Masonry Allowance 3
<br />$40,000 00
<br />$20,229.00
<br />$19,771.00
<br />$40,000.00
<br />100.00%
<br />$2,000.00
<br />125
<br />; Field House Labor i
<br />$70,000.00
<br />$70,000.00
<br />$70,000.001
<br />100.00%
<br />$3,500.00
<br />1 126
<br />Field House Material
<br />$18,000 00
<br />$18.000.00.
<br />$18,000.00'
<br />100.00%
<br />$900.00
<br />27
<br />;Bond
<br />$43,500.00 €
<br />$43,500.00'
<br />$43,500.001
<br />100.00%
<br />$2,175.00
<br />PAYMENT TOTALS;
<br />$2,923,223.00 E
<br />$2,880,598.00 =
<br />$7,625.00
<br />$2,888,223.001
<br />98.80%1
<br />$35,000.00 €
<br />$144,411.15
<br />Page 1 of 2
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