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4.1. SR 08-17-2020
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4.1. SR 08-17-2020
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12/23/2020 4:23:36 PM
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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 />7 <br />containing Contractor's signed Certification is attached. <br />APPLICATION DATE: 07/20/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD TO: <br />07/31/20 <br />SUNRISE PAINTING <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />� <br />WORK COMPLETED <br />MATERIALS <br />TOTAL I <br />ITEM DESCRIPTION OF WORK <br />NUM <br />SCHEDULED ;FROM PREVIOUS <br />VALUE APPLICATION (D <br />THIS PERIOD <br />PRESENTLY <br />STORED (NOT IN <br />COMPLETED <br />_ AND STORED TO <br />% <br />(G + C) <br />BALANCE TO <br />FINISH (C - G) <br />RETAINAGE (IF <br />VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />1 ; PAINTING <br />$407,750.00 <br />$375,500.00 <br />$2,750.00 <br />$378,250.00 <br />92.77% <br />$29,500.00' <br />$18,912.50 <br />12 BOND j <br />I <br />$5,000.00 <br />$5,000.00 <br />$5,000.00 <br />° <br />100.00 /° <br />$250.00 a <br />3 <br />1 Painting (CO #1) <br />$10,000.00 <br />$10,000.00 <br />$10,000.00' <br />100.00% <br />$500.00 <br />1 ; Painting CO #3 <br />$9 000.00 i <br />$9 000.00 i <br />9 000.00 <br />100.00%, <br />2 =' Prime + Paint Joists (CO #2) 1 <br />$63,800 00 = <br />$60,000.00 <br />$3,800.00 <br />$63 800 00 1 <br />100.00%' <br />$3,190.00 <br />1 ! Painting (CO #4) <br />($1,863.00) <br />($1,863.00) € <br />($1,863.00)' <br />100.00%1' <br />($93.15); <br />1 j Painting (CO#5) <br />$13,100.00 <br />$13,100.00 <br />$13,100.00 <br />100.00% <br />$655.00 <br />1 ' Painting (CO #6) <br />$6,100.00 <br />$6,100.00 <br />$6,100.00 - <br />100.00% 1 <br />$305.00 <br />1 1 Painting (CO #6) j <br />$5,269.001 <br />$5,269.00 <br />$5,269.001 <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) , <br />' PAYMENT TOTALS <br />$490,156.00 ? <br />$429,637.00E <br />$31,019.00 <br />- <br />$460,656.00 <br />93.98% <br />$29,500.00 <br />-- <br />$23,032.80 <br />Page 1 of 1 <br />
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