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DocuSign Envelope ID: 27E728AB-E76104D8D-81346-447BC430C75D <br />!CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />7 <br />containing Contractors signed Certification <br />is attached. <br />APPLICATION DATE: 07120120 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD <br />TO: <br />07/31120 <br />SUNRISE PAINTING <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D <br />- ----- ------- <br />E <br />F <br />G <br />H <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM <br />DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIO us <br />PRESENTLY <br />COMPLETED <br />% <br />BALANCE TO <br />RETAINAGE (IF <br />NU M <br />VALUE <br />APPLICATION (D <br />THIS PERIOD <br />STORED NOT IN <br />1 AND STORED TO <br />(G C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />1 PAINTING <br />$407,750.00 <br />$375,500�00 <br />$2,75100 <br />$378,250.00 <br />92.77% <br />$29,500.00 <br />$184912.50'. <br />12 '6OND <br />$5,000.00 <br />$5,000.001 <br />$5,000.00 <br />100.00% <br />$250.00 <br />1 Painting (CO #1) <br />$10,000.00 <br />$10,000.00 <br />$10,000.00 <br />100.00% <br />$500.001 <br />1 Painting (CO #3) <br />($9,000.00) <br />($9,000.00) <br />($9,000.00) <br />100.00%' <br />($450.00) <br />Prime + Paint Joists (CO #2) <br />$63,800.00 <br />$60,000.00' <br />$3,800.00. <br />$63,800.00 <br />100.00%'E <br />$3,190�001 <br />I Painting (CO #4) i <br />($1,863.00) <br />($1,86100) 1 <br />($1,863.00) <br />10100% <br />i <br />($93.15) <br />I Painting (CO #5) <br />$13,100.00 <br />$13,100.00 <br />$13,100.00 <br />100.00% <br />$655.001. <br />Painting (CO #6) <br />$6,100.00 <br />$6,100.001 <br />$6,100.00 <br />100.00%' <br />$305.00 <br />1 Painting (CO #6) <br />$5,269.00 <br />$5,269.00. <br />$5,269.00 <br />100.00% <br />$263.45' <br />1 Painting (CO #7) <br />($10,000.00) <br />($10,000.00) <br />($10,000.00) <br />100.00% <br />($500.00)1 <br />PAYMENT TOTALS <br />$490,156.001 <br />$429,637.001 <br />$31,019.001- <br />$460,656.00 <br />93.98% <br />$29,500.001 <br />$23,032.80 <br />Page 1 of 1 <br />