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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 />11
<br />containing Contractor's signed Certification
<br />is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />APPLICATION DATE:
<br />07/17/20
<br />PERIOD TO:
<br />07/31/20
<br />Design Electric, Inc
<br />PROJECT
<br />NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D
<br />E
<br />F G
<br />H
<br />WORK COMPLETED
<br />MATERIALS TOTAL
<br />ITEM
<br />NUM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />VALUE :APPLICATION
<br />FROM PREVIOUS
<br />THIS
<br />PRESENTLY COMPLETED
<br />STORED (NOT IN AND STORED TO
<br />% I
<br />(G + C)
<br />BALANCE TO
<br />FINISH (C - G)
<br />RETAINAGE (IF
<br />VARIABLE RATE)
<br />(D
<br />+ E)
<br />PERIOD
<br />D OR E) DATE
<br />Electrical (CO #2)
<br />$1,340.58
<br />$1,340.58 i
<br />-
<br />$1,340.58
<br />100.00% i
<br />$67 03
<br />I Electrical (CO #3) i
<br />$1,582.00
<br />1
<br />$1,582.00
<br />$1,582.00
<br />100.00%
<br />,
<br />$79.10
<br />1
<br />Electrical (CO #4) j
<br />_
<br />($24,378.00)
<br />($24,378.00)
<br />3 ($24,378.00)
<br />100.00%
<br />($1,218.90)
<br />1
<br />Electrical (CO #5)
<br />($12,69173) _
<br />($12,693.73) ?
<br />($12,693.73)'
<br />100.00% 1
<br />($634.69)
<br />1 1
<br />Electrical (CO #6)
<br />$396.52
<br />$396.52
<br />$396.52':.
<br />100.000/0
<br />$19.83
<br />1
<br />Electrical (CO #7)
<br />$2,162.06
<br />$2,162.06
<br />$2,162.06 E
<br />100.000
<br />$108.10
<br />1
<br />Electrical (CO #S)
<br />$7,694.97
<br />$7,000.00
<br />$694.97
<br />? $7,694.97
<br />100.00%
<br />$384.75
<br />1
<br />Electrical (CO #10)
<br />$5,773.48
<br />$5,773.48
<br />$5,773.481
<br />100.00%'
<br />$288.67
<br />2
<br />Joist Work ffi[efr€e, (CO #9i
<br />$24,561.00
<br />$20,000.001
<br />$4,561.00
<br />$24,561.00
<br />100.00% 1
<br />$1,228.05
<br />1
<br />Electrical (CO #7)
<br />$1,035.41 '
<br />$1,035.41
<br />(
<br />$1,035.41 `
<br />100.00% j
<br />$51.77
<br />1
<br />Electrical (CO #7)
<br />$12,342.68
<br />$12,342.68
<br />$12 342 68 I
<br />100.00%
<br />$617.13
<br />t
<br />Electrical (CO #7)
<br />$1,170.60 °
<br />$1,170.60
<br />$1 170 60 ,
<br />100.00%
<br />$58.53
<br />1
<br />Electrical (CO #7)
<br />($7,396.86)
<br />($7,396.86)
<br />($7,396 86) `
<br />100.00%
<br />($369.84) I
<br />Electrical (CO #11)
<br />$42,232.20 s
<br />$35,000.00
<br />$7,232.20
<br />$42 232 20
<br />100.00% 3
<br />$2,111.61 '
<br />1
<br />Electrical (CO #12)
<br />$12,952 00
<br />$10,000.00
<br />$2,952.00
<br />$12 952.00 `
<br />100.00%
<br />$647.60
<br />Electrical (CO #13)
<br />$1,677.131
<br />$1,677.13
<br />- $1 677 13 ;
<br />100.00%
<br />$83.86 ,
<br />1
<br />E Electrical (CO #14)
<br />$9,491 86
<br />_
<br />$9,491.86
<br />Electrical (CO #15)
<br />$1,044 26
<br />$835.41
<br />$835 41 ;,,
<br />80.00%
<br />$208.85
<br />$41.77 1
<br />'Electrical (CO #15)
<br />$5,221 53;
<br />$4,177.23
<br />- $4,177.231
<br />80.00%
<br />$1,044.301
<br />$208.86
<br />1
<br />Electrical (CO #16)
<br />$3,536.88
<br />-
<br />$2,829.50 L
<br />$2,829.50 j
<br />80.00% _
<br />$707.381
<br />$141.48
<br />PAYMENT TOTALS;
<br />$1,877,606.06
<br />$1,812,065.36
<br />$50,186.371
<br />$1,862,251.731
<br />99.18%.
<br />$15,354.33
<br />$93,112581
<br />Page 2 of 2
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