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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 is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />APPLICATION DATE: 06/25/20 <br />PERIOD TO: <br />07/31/20 <br />SKOLD SPECIALTY CONTRACTING, LLC <br />PROJECT NO.: <br />19520-0033 <br />A B C <br />D [ <br />E <br />F <br />G <br />H <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM SCHEDULED <br />DESCRIPTION OF WORK FROM PREVIOUS <br />1 <br />PRESENTLY <br />COMPLETED % € <br />BALANCE TO <br />RETAINAGE (IF <br />NUM i VALUE i APPLICATION (D <br />THIS PERIOD <br />STORED (NOT IN <br />AND STORED TO (G + C) % <br />FINISH (C - G) <br />VARIABLE RATE) <br />i <br />+ E) <br />D OR E) <br />DATE <br />1 1 Material $46,415.00 <br />$5,325.00 <br />$28,000.00 <br />$6,69000; <br />$40,015,00 86.21%1 <br />$6,40000 <br />$2,000.75 <br />2 (Installation $15,345.00; <br />$3,250.00 <br />$7,945.00 <br />[ <br />$11,195.00 72.96% <br />$4,150.00 <br />$559.75 <br />1 Overhead Coiling Door (CO #1) ` ($8,500.00) <br />- <br />- <br />- <br />($8,500 00) <br />1 Overhead Coiling Door (CO #2) $350.00 <br />- <br />- <br />- - <br />$350.00 <br />PAYMENT TOTALS $53,610.001 <br />$8,575.00€ <br />$35,945.00 <br />$6,690.001 <br />$51,210.00 95.52%1 <br />$2,400.00 i <br />$2,560.50 <br />Page 1 of 1 <br />