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DocuSign Envelope ID: 27E728AB-E761-4D8D-81346-447BC430C75D
<br />CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />9
<br />containing Contractor's signed Certification is attached.
<br />APPLICATION DATE:
<br />07/22/20
<br />In tabulations below, amounts are stated
<br />to the nearest dollar.
<br />PERIOD TO:
<br />07/31/20
<br />Top -All Roofing, Inc
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D
<br />E
<br />F G
<br />H
<br />I
<br />'
<br />WORK COMPLETED
<br />MATERIALS TOTAL
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED ' FROM PREVIOUS
<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) i
<br />FINISH (C - G)
<br />VARIABLE RATE)
<br />4
<br />'
<br />+ E)
<br />D OR E) DATE
<br />1
<br />I Material Insulation
<br />$384,950.00
<br />$384,950.00 f
<br />- t $384,950.00
<br />100.00%
<br />$19,247.50
<br />2
<br />Material Vapor Barrier
<br />$50,600 00
<br />$50,600.00 E
<br />-
<br />I $50,600.00
<br />100.00%
<br />$2,530.001
<br />3
<br />= Material EPDM & Accessories
<br />$195,960.00
<br />$195,960.00 i
<br />$195,960.00 j
<br />100.00%
<br />$9,798.00
<br />4
<br />Material Sheet Metal
<br />$32,040.00
<br />$32,040.00 1
<br />-
<br />- I $32,040.00
<br />100.00%
<br />$1,602.00 3
<br />5
<br />Labor Insulation
<br />$80,070.00 ;
<br />$80,070.00 `
<br />-
<br />$80,070.00 j
<br />100.00% E
<br />$4,003.50
<br />16
<br />i Labor Vapor Barrier
<br />$21,110.001
<br />$21,110.00 r
<br />-_
<br />$21,110.00
<br />i
<br />100.00%1
<br />$1,055.50
<br />7
<br />I Labor EPDM &Accessories
<br />$148,060.00
<br />$148,060.00 i
<br />-
<br />$148,060.00 ]
<br />100.00% ;
<br />$7,403.00
<br />8
<br />Labor Sheet Metal
<br />$29,900.00
<br />$29,900.00 E
<br />-
<br />- $29,900.00?
<br />100.00%
<br />$1,495.00
<br />9
<br />' Allowance for Conditions
<br />$45,000.00 ;
<br />$45,000.00 €
<br />-
<br />- $45,000.00
<br />100.00%
<br />$2,250.00
<br />10
<br />' Bonding
<br />$33,000.00'
<br />$33,000.00
<br />-
<br />- $33,000.00
<br />100.00%
<br />$1,650.00
<br />1
<br />:Roofing (CO #1)
<br />$2,060 00
<br />$2,060.00
<br />- $2,060.00
<br />100.00%1
<br />$103.00 3
<br />1
<br />' Roofing (CO#2)
<br />($12,00000)
<br />($12,000.00)
<br />-3
<br />- ($12,000.00)?
<br />100.00%
<br />,
<br />($600.00)
<br />1
<br />Roofing (CO #3)
<br />$1,560 00 `
<br />$1,560.00 i
<br />-
<br />- $1,560.00
<br />100.00%1
<br />$78.00
<br />1
<br />'Roofing (CO #4)
<br />($12,208 62) i
<br />($12,208.62) €
<br />-
<br />($12,208.62)
<br />100.00%
<br />($610.43)
<br />1
<br />Roofing (CO #5)
<br />$470.00 I
<br />$470.00 f
<br />- $470 00 ;
<br />100.00%
<br />i $23.50
<br />1
<br />Roofing (CO #6)
<br />($2,000.00) €
<br />($2,000.00) `
<br />- ($2,000 00)
<br />100.00%
<br />($100.00) j
<br />1
<br />° Roofing (CO #7)
<br />$220 00 G
<br />$220.00
<br />- $220 00
<br />100.00%
<br />$11.00
<br />1
<br />Roofing (CO #8)
<br />$4,637 00
<br />-
<br />$4,637.00
<br />- $4,637.00
<br />100.00% 1
<br />$231.85 l
<br />PAYMENT TOTALS j
<br />$1,003,428 38
<br />$998,571.38
<br />$4,857.001
<br />$1,003,428.38
<br />100.00% [
<br />- $50,171.42
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