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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 />11 <br />containing Contractor's signed Certification is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />APPLICATION DATE: 07/28/20 <br />PERIOD TO: <br />07/31/20 <br />Summit Companies <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D <br />E <br />F <br />G <br />H <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM <br />_ DESCRIPTION OF WORK <br />SCHEDULED ;FROM PREVIOUS <br />PRESENTLY <br />COMPLETED <br />% <br />BALANCE TO <br />t' RETAINAGE (IF <br />NUM 1 <br />VALUE APPLICATION <br />ION (D _ <br />THIS PERIOD STORED(NOTIN <br />AND STORED TO <br />(G + C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />i <br />D <br />1 Labor <br />$87,885 00 i, <br />$83,490.75 s <br />$4,394.25 <br />$87,885 00 <br />100.00% <br />$4,394.27 <br />2 Material <br />$111,200.00 1' <br />$105,640.00 <br />$5,560.00 <br />$111,200 00' <br />100.00% <br />$5,560.00 <br />3 Design <br />$31,200.00 <br />$31,200.00 € <br />j <br />$31,200 00 <br />100.00% <br />$1,560.00 <br />4 =Fabrication <br />$20,200.00 <br />$19,190.00 <br />$1,010.00 <br />$20,200.00 <br />100.00% <br />$1,010.00 <br />15 € Bonds <br />$6,000.00 <br />$6,000.00 1 <br />$6,000.00 <br />100.00% - <br />- $300.00 <br />1 'Fire Protection (CO #1) <br />$11,955.00 <br />$11,955.00 1 <br />$11,955.001 <br />100.00% <br />$597.76' <br />3 1 Fire Protection (CO #2) <br />$5,952.00 <br />$5,952.00 <br />$5,952.001 <br />100.00% <br />- <br />1 Fire Protection (CO #3) <br />$3,955 00, <br />$3,955.00 <br />? <br />$3,955 00 <br />100.00% <br />1 Fire Protection (CO #4) <br />$1,475.00 g <br />$1,475.00 <br />$1,475.00 <br />100.00% <br />{ - <br />PAYMENT TOTALS 1 <br />$279,822 00' <br />$261,430.75 <br />$18,391.251 <br />$279,822 00' <br />100.00% <br />- $13,422.03 <br />Page 1 of 1 <br />