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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 />5 <br />containing Contractor's signed Certification <br />is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />APPLICATION DATE: 07/20/20 <br />PERIOD TO: <br />07/31/20 <br />Peterson Companies, Inc <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D E <br />F <br />G <br />H <br />' I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIOUS ' <br />PRESENTLY <br />COMPLETED <br />% i <br />BALANCE TO <br />RETAINAGE (IF <br />NUM <br />VALUE <br />APPLI (D THIS PERIOD <br />STO IN AND SDTORE D TO <br />(G + C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />i <br />+AETIION <br />DEOR EOT <br />.ATE <br />1 Survey and Layout <br />$4,310.00 I <br />$4,310.00 - <br />- <br />$4,310.00 [ <br />100.00% <br />- $215.51 <br />2 Athletic Equipment - Labor <br />$27,489.00 <br />$27,489.00 - <br />- <br />$27,489.00 1 <br />100.00%= <br />$1,374.45 <br />3 € Athletic Equipment - Materials <br />$68,608.00 <br />$68,608.00 - - <br />$68,608.00 <br />100.00% <br />$3,430.40 <br />14 j Scoreboard - Labor <br />$11,420.00 [ <br />$11,420.00 - <br />$11 420 00 , <br />100.00% <br />$571.00 <br />5 Scoreboard - Materials <br />I <br />$22,128.00 k <br />$22,128.00 € <br />$22,128.00; <br />100.00% <br />$1,106.401 <br />1 Athletic Equipment (CO #1) <br />$29,154.00 s <br />$29,154.00 € <br />$29,154.00 <br />100.00% _ <br />$1,457.70 <br />1 Athletic Equipment (CO #2) <br />$7,150.00 <br />i <br />$7,150.00 ( <br />$7,150.00 1 <br />E <br />100.00% E <br />$357.50 <br />1 ' Athletic Equipment (CO #3) <br />$3,315.91 1 <br />$3,315.91 I <br />$3,315.91 <br />100.00% [ <br />$165.80 j <br />] 1 Athletic Equipment (CO #4) <br />$1,601.93 =, <br />- € $1,601.93 <br />$1,601.93 <br />100.00% [ <br />$80.10 <br />I PAYMENT TOTALS <br />i <br />$175,176.841 <br />$173,574.91 $1,601.931 <br />$175,176.841 <br />100.00% <br />- $8,758.86 <br />Page 1 of 1 <br />