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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
<br />is attached.
<br />APPLICATION DATE: 07/24/20
<br />In tabulations below, amounts are stated
<br />to the nearest dollar.
<br />PERIOD TO:
<br />07/31/20
<br />Sentra-Sofa Sheet Metal Inc.
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D j
<br />E F i
<br />t
<br />G
<br />H
<br />s
<br />I
<br />WORK COMPLETED MATERIALS
<br />TOTAL
<br />I
<br />ITEM
<br />NUM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />VALUE :APPLICATION
<br />FROM PREVIOUS
<br />(D
<br />PRESENTLY COMPLETED
<br />THIS PERIOD STORED (NOT IN AND STORED TO _
<br />%
<br />(G + C) I
<br />BALANCE TO
<br />FINISH (C - G)
<br />RETAINAGE (IF
<br />VARIABLE RATE)
<br />+ E)
<br />D OR E)
<br />DATE
<br />1
<br />Mobilization - Labor
<br />$5,000.00 3
<br />$5,000.00 1
<br />-
<br />$5,000.001
<br />100.00% l
<br />$250.00 i
<br />2
<br />Mobilization -Material
<br />$2,500.00
<br />$2,500.00
<br />$2,500.00 ?
<br />100.00% F
<br />-,
<br />$125.00
<br />3
<br />HVAC Demo - Labor
<br />$15,000.00.$15,000.00
<br />$15,000.00
<br />100.00%!
<br />-
<br />$750.00
<br />4
<br />HVAC Demo - Material
<br />$5,000.00 l
<br />$5,000.00,
<br />$5,000.00
<br />100.00% {
<br />-
<br />3
<br />$250.00
<br />5
<br />230593 Test and Balance
<br />$22,000.001
<br />-
<br />-
<br />$22,000.00
<br />3
<br />6
<br />530700 Insulation
<br />$32,000.00
<br />$26,000.001
<br />$6,000.00 _
<br />$32,000.00 ®
<br />100.00% ;,
<br />-
<br />$1,600.00
<br />7
<br />232300 Refrigeration Piping
<br />$55,000.00
<br />$49,700.001
<br />$5,300.001
<br />$65,000.001
<br />100.00%
<br />-_
<br />$2,750.001
<br />18
<br />250900Controls
<br />$230,000.00'
<br />$159,734.003
<br />$57,144.00
<br />$216,878.00
<br />94.29% €
<br />$13,122.00'
<br />$10,843.90
<br />9
<br />233000 Ductwork - Labor
<br />$75,000.00
<br />$75,000.00
<br />-
<br />$75,000.00 1
<br />100.00%
<br />,
<br />-1
<br />$3,750.001
<br />10
<br />233000 Ductwork -Material
<br />$23,300.001
<br />$23,300.00
<br />- _ -
<br />I
<br />$23,300.00'
<br />100.00% ,
<br />-
<br />$1,165.00
<br />11
<br />j 233000 Misc Round - Labor 1
<br />$8,000.00 j
<br />$8,000.001
<br />$8,000.001
<br />100.00% 1
<br />- _
<br />$400.00
<br />12
<br />233000 Misc Round -Material
<br />$4,500.00=
<br />$4,500.00 s
<br />-
<br />t
<br />$4,500.00
<br />100.00%
<br />- ,
<br />$225.00 j
<br />13
<br />s
<br />233000 Spiral Pipe - Labor I
<br />$84,500.001
<br />$84,500.00 F
<br />- - _
<br />$84,500.001
<br />100.00%
<br />-
<br />$4,225.00 .
<br />14
<br />233000 Spiral Pipe - Material
<br />$45,000.00
<br />$45,000.00
<br />-
<br />$45,000.00
<br />100.00%
<br />-
<br />$2,250.00
<br />15
<br />233000 Fabric Duct - Labor
<br />$2,500.00
<br />$2,500.001
<br />- (
<br />$2,500.00
<br />100.00%
<br />-
<br />$125.00 1.
<br />16
<br />233000 Fabric Duct - Material
<br />$4,000.00 =
<br />$41000.00 3
<br />-
<br />$4,000.001
<br />100.00%
<br />-
<br />$200.00
<br />17
<br />233423 Fans/Hoods - Labor I
<br />$10,000.00 j
<br />$10,000.00 `
<br />-
<br />$10,000.00
<br />100.00% [
<br />_
<br />-
<br />$500.00
<br />18
<br />1233423 Fans/Hoods — Material
<br />$22,000.001
<br />$22,000.001
<br />-_ t
<br />$22,000.00
<br />100.00%
<br />-
<br />$1,100.00
<br />233616 VAV Boxes - Labor
<br />$8,000.00j
<br />$8,000.00 I19
<br />01
<br />100.00%
<br />$400.00 .
<br />20
<br />1233616 VAV Boxes - Material
<br />$24,000.001
<br />$24,000.00
<br />-
<br />$24,000.00
<br />100.00%
<br />-
<br />$1,200.00
<br />21
<br />233713 Grilles/Registers -
<br />$17,000.00 3
<br />$17,000.00'
<br />-? (
<br />$17,000.00
<br />100.00%
<br />- I
<br />$850.00
<br />Labor
<br />1
<br />22
<br />1233713 Grilles/Registers - _
<br />$30,000.001
<br />$30,000.001
<br />$30,000.00'
<br />100.00% [
<br />- I
<br />$1,500.00
<br />Material
<br />?
<br />I
<br />23
<br />1236213 ACCU - Labor
<br />$4,000.00
<br />$4,000.00 ?
<br />$4,000.00
<br />100.00% _
<br />$200.00
<br />24
<br />236213 ACCU -Material
<br />$80,000.00 1
<br />$80,000.00
<br />- -
<br />$80,000.00
<br />100.00% "
<br />- I
<br />$4,000.00
<br />25
<br />= 237400 Rooftop Units - Labor f
<br />$44,000.001
<br />$44,000.001
<br />j
<br />_
<br />-- }
<br />$44,000.00
<br />i
<br />100.00% 1
<br />-
<br />,
<br />$2,200.001
<br />26
<br />237400 Rooftop Units -
<br />$445,500.001
<br />$445,500.00 i
<br />- _
<br />$445,500.00'
<br />100.00%
<br />- _
<br />$22,275.001
<br />I Material I
<br />PAYMENT TOTALS �
<br />$1,873,377.331
<br />$1,769,131.331,
<br />$68,444.00 , -1
<br />$1,837,575.33
<br />98.09% '
<br />E35,802.001
<br />$91,878.77
<br />Page 1 of 3
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