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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
<br />Contractor's signed Certification
<br />is attached.
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />APPLICATION DATE: 07/24/20
<br />PERIOD
<br />TO:
<br />07/31/20
<br />Sentra-Sots Sheet Metal Inc.
<br />PROJECT NO.:
<br />19520-0033
<br />s
<br />A
<br />i B
<br />C
<br />D
<br />E F
<br />G
<br />H
<br />I
<br />WORK COMPLETED MATERIALS
<br />TOTAL
<br />ITEM
<br />NUM
<br />( DESCRIPTION OF WORK
<br />SCHEDULED FROM PREVIOUS
<br />PRESENTLY
<br />COMPLETED
<br />%
<br />BALANCE TO
<br />RETAINAGE (IF
<br />VALUE APPLICATION (D _
<br />THIS PERIOD f STORED (NOT IN 1
<br />AND STORED TO
<br />(G + C)
<br />FINISH (C - G)
<br />VARIABLE RATE)
<br />1
<br />+ E)
<br />D OR E)
<br />DATE
<br />27
<br />1238100 Packaged AC Units - _
<br />$6,000.00
<br />$6,000.00
<br />$6,000.00
<br />100.00% `
<br />$300 00
<br />Labor
<br />(28
<br />238100 Packaged AC Units -
<br />$25,000.00
<br />i
<br />$25,000.00
<br />3
<br />( l
<br />$25,000.00
<br />°
<br />100.00 /°
<br />$1,250.00
<br />Material
<br />E i
<br />-
<br />Ij
<br />.
<br />29
<br />238419 Desiccant Dehumid
<br />$40,000.00
<br />$40,000.00
<br />- -
<br />$40,000.00
<br />100.00%
<br />- _
<br />$2,000.00
<br />Units - Labor
<br />3
<br />30
<br />238419 Desiccant Dehumid i
<br />i Units - Material
<br />$300,000 00 F
<br />$300,000.00 ;
<br />$300 000 00
<br />°
<br />100.00 /°
<br />$15,000.00
<br />31
<br />232100 Hydronic Piping
<br />$80,000.001
<br />$80,000.00
<br />132
<br />Mobilization - Labor
<br />$1,000.001
<br />$1,000.00 j
<br />$1,000.00
<br />100.00%
<br />$50.00
<br />133
<br />Mobilization - Material
<br />$500.00 1
<br />$500.00
<br />$500.00 i
<br />100.00%]$25.00
<br />I
<br />134
<br />Ductwork - Labor
<br />$2,500.001
<br />$2,500.00
<br />$2,500.001
<br />100.00%,$125.00
<br />35
<br />I Ductwork -Material ?
<br />$500 00 1
<br />$500.00
<br />$500 00
<br />100.00%
<br />$25.00
<br />36
<br />;,Grilles/Registers -Labor 1
<br />$500 00
<br />$500.001
<br />-
<br />$500.00 1
<br />100.00% .
<br />$25.00
<br />37
<br />Grilles/Registers -Material
<br />$200.001
<br />$200.00 r
<br />-1
<br />$200.00
<br />100.00% 1
<br />-
<br />$10.00
<br />38
<br />l Fans - Labor
<br />'51,000.00
<br />$1,000.00'
<br />$1,000.00
<br />100.00% (
<br />$50.00
<br />139
<br />Fans -Material
<br />I
<br />$1,000.00
<br />$1,00o.00
<br />E$1,000.00
<br />100.00%1
<br />$50.00
<br />140
<br />Permit
<br />$20,000.00
<br />$20,000.00 _
<br />$20,000.00
<br />100.00% _
<br />$1,000.00 t
<br />1
<br />HVAC (CO #1)
<br />$7,692 93
<br />$7,692.93
<br />t
<br />$7 692 93 I
<br />100.00%
<br />$384.65
<br />1
<br />HVAC (CO #2)
<br />$2,751 00
<br />$2,751.00 ;
<br />-
<br />$2 751 00 ?
<br />o
<br />100.00 /o s
<br />- �
<br />$137.55
<br />1
<br />HVAC (CO #3)
<br />$49,987.00
<br />$49,987.00
<br />$49,987.00 1
<br />100.00% ;
<br />$2,499.35 3
<br />1
<br />HVAC (CO #4)
<br />($17,750.00) 1
<br />($17,750.00)
<br />- ]
<br />($17,750.00) _
<br />100.00% t
<br />($887.50)
<br />1
<br />HVAC (CO #5)
<br />$7,784.00
<br />$7,784.00 ?
<br />- -
<br />$7,784.00
<br />100.00%
<br />-'
<br />$389.20
<br />t 1
<br />HVAC (CO #6)
<br />$4,485.00 1
<br />$4,485.00
<br />$4,485.00 [
<br />100.00% ,
<br />$224.25
<br />1
<br />I HVAC (CO #7)
<br />$3,750.00 €
<br />$3,750.00
<br />$3,750.00
<br />100.00%
<br />i
<br />$187.50
<br />1
<br />HVAC (CO #8)
<br />$12,276.00
<br />$12,276.00 ,
<br />$12,276.00
<br />100.00% 1
<br />$613.80
<br />1
<br />;HVAC (CO #9)
<br />$9,166.00'
<br />$9,166.00
<br />$9,166.00
<br />o
<br />100.00 /o
<br />$458.301
<br />1
<br />= HVAC (CO #10)
<br />$8,718.00 3
<br />$8,718.00 j
<br />$8,718.001
<br />100.00% 3
<br />i
<br />$435.90 ,
<br />.1
<br />;HVAC (CO #11)
<br />$2,673.40 €
<br />$2,673.40 1
<br />$2,673.40 f
<br />100.00% 1
<br />E$133.67
<br />1
<br />HVAC (CO #12)
<br />$5,164.00
<br />$5,164.00
<br />-'
<br />$5,164.001
<br />100.00% _
<br />E
<br />$258.20
<br />PAYMENT TOTALS,
<br />$1,873,377.33
<br />$1,769,131.33
<br />$68,444.00 -1
<br />$1,837,575.331
<br />98.09%1
<br />$35,802.001
<br />$91,878.77
<br />Page 2 of 3
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