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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 />2
<br />containing Contractor's signed Certification
<br />is attached.
<br />APPLICATION DATE: 07/22/20
<br />In tabulations below, amounts are stated
<br />to the nearest dollar.
<br />PERIOD TO:
<br />07/31/20
<br />Schwickert's Tecta America, LLC
<br />PROJECT
<br />NO.:
<br />19520-0033
<br />A
<br />B
<br />-
<br />C
<br />- -
<br />D
<br />E F
<br />G
<br />H
<br />I
<br />WORK COMPLETED
<br />MATERIALS
<br />TOTAL
<br />ITEM
<br />NUM
<br />DESCRIPTION OF WORK j
<br />SCHEDULED ; FROM PREVIOUS
<br />VALUE
<br />PRESENTLY
<br />STORED IN
<br />COMPLETED
<br />AND STORED TO
<br />%
<br />+ C)
<br />BALANCE TO
<br />FINISH
<br />RETAINAGE (IF
<br />APPLICATION
<br />(D
<br />THIS PERIOD (NOT
<br />(G
<br />(C - G)
<br />;VARIABLE RATE)
<br />+ E)
<br />D OR E)
<br />_ DATE
<br />3
<br />I 1
<br />; Insurance/Bonds
<br />$12,574 00 i
<br />$12,574.00
<br />-
<br />- $12 574 00 �
<br />100.00%
<br />l
<br />- f $628.70
<br />2
<br />= Shop Drawings
<br />$11,211.001
<br />$11,211.00 €
<br />- $11 211 00 %
<br />100.00%,
<br />$560.55
<br />3
<br />Mobilzation/Equipment
<br />$11,710.001
<br />-
<br />$11,710.00
<br />-_ $11,710.00
<br />100.00%
<br />' $585.50'
<br />4
<br />'Safety
<br />$9,311.00
<br />$9,311.00
<br />$9,311.00'
<br />100.00%
<br />$465.55
<br />5
<br />iWall Insulation/Z-Furring
<br />$10,888.001
<br />$10,888.00
<br />$10 888 001
<br />100.00%'
<br />$544.40
<br />Materials 3
<br />6
<br />= Wall Insulation/Z-Furring Labor 1
<br />$9,646 00 €
<br />$9,646.00
<br />- $9 646 00
<br />100.00%
<br />$482 30
<br />7
<br />) Solid Phenolic Rainsceen
<br />$33,465.001
<br />$33,465.00
<br />$33,465.00 i
<br />100.00%
<br />k $1,673.25
<br />Panels Materials
<br />. 8
<br />Solid Phenolic Rainsceen
<br />$11,282.001
<br />$11,282.00
<br />- $11,282.001
<br />100.00%,
<br />$564.10
<br />;Panels Labor
<br />9
<br />x Solid Phenolic Rainscreen
<br />i
<br />$17,619 00 I
<br />$17,619.00
<br />- $17 619 00'
<br />100.00%
<br />[ $880.95
<br />i Panel Flashing Materials
<br />110
<br />Solid Phenolic Rainscreen
<br />$8,113.00
<br />$8,113.00
<br />$8,113.00 I
<br />100.00%-
<br />$405.65
<br />Panel Flashing Labor j
<br />ill
<br />s ACM Fabrication Materials
<br />$20,003 00 r
<br />$20,003.00
<br />- $20 003 001
<br />100.00% 1
<br />E $1,000.15
<br />.12
<br />ACM Fabrication Labor
<br />$17,519 00
<br />$17,519.00
<br />- ` $17 519 00 I
<br />100.00% 3
<br />$875.95
<br />13
<br />ACM Flashing Materials
<br />$5,419 00 1
<br />$5,419.00
<br />$5,419.00 j
<br />100.00%;
<br />$270.95"
<br />14
<br />€ ACM Flashing Labor
<br />$4,923 00 `
<br />$4,923.00
<br />- $4,923.001
<br />100.00% 1
<br />$246.15
<br />15
<br />ACM Inst. Materials hat
<br />(
<br />$7 241.00 i
<br />,
<br />$7 241.00
<br />- 7 241.00 I
<br />$
<br />100.00%
<br />$362.05
<br />j
<br />/fasteners/etc.)
<br />16
<br />ACM Inst. Labor
<br />$6,491 001
<br />$6,491.00
<br />- $6 491 00
<br />100.00%
<br />j
<br />$324.55 ]
<br />17
<br />1 $5,000 Allowance per Contract
<br />$5,000.00 „
<br />$5,000.00
<br />- $5,000.00 i
<br />100.00%
<br />$250.00 I
<br />1
<br />I
<br />Metal Wall Panels (CO #1) ?
<br />($10,955.00)
<br />-
<br />($10,955.00)
<br />($10,955.00) ]
<br />100.00% €
<br />($547.75)
<br />1
<br />j Metal Wall Panels (CO #2)
<br />$5,315 36
<br />-
<br />$5,315.36
<br />$5,315.361
<br />100.00% E
<br />$265.77
<br />1
<br />Metal Wall Panels (CO #3)
<br />($5,000.00)
<br />-
<br />($5,000.00)
<br />($5,000.00)
<br />100.00% `
<br />- ($250.00)
<br />1
<br />Metal Wall Panels (CO #4) i
<br />($5,602.75)
<br />-
<br />($5,602.75)
<br />($5,602.75)
<br />100.00% E
<br />3 ($280.14)
<br />PAYMENT TOTALS
<br />$186,172.61 '
<br />$23,785.00'
<br />$162,387.611
<br />$186,172.611
<br />100.00%
<br />$9,308 631
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