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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 />APPLICATION DATE: 07/17/20
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />PERIOD TO:
<br />07/31/20
<br />Design Electric, Inc
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D
<br />E
<br />F G
<br />H
<br />WORK COMPLETED
<br />j
<br />MATERIALS TOTAL
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED FROM PREVIOUS
<br />j
<br />PRESENTLY COMPLETED I
<br />%
<br />BALANCE TO
<br />RETAINAGE (IF
<br />NUM
<br />VALUE APPLICATION (D
<br />;STORED NOT IN AND STORED TO
<br />THIS PERIOD (
<br />G + C I
<br />( ) =
<br />FINISH C - G
<br />( )
<br />VARIABLE RATE )
<br />i
<br />+ E)
<br />D OR E) DATE
<br />1
<br />Electrical (CO #2)
<br />$1,340.581
<br />$1,340.58
<br />$1,340.581
<br />100.00% 1
<br />$67.03
<br />1
<br />? Electrical (CO #3)
<br />$1,582.00
<br />$1,582.00
<br />I
<br />$1,582.00
<br />100.00%
<br />$79A0
<br />1
<br />) Electrical (CO #4)
<br />($24,378.00) i
<br />($24,378.00) E
<br />($24,378.00)
<br />100.00% `
<br />($1,218.90)
<br />1
<br />Electrical (CO #5)
<br />($12,693 73) 3
<br />($12,693.73)
<br />($12,693 73) ;
<br />100.00%
<br />i
<br />($634.69)
<br />1
<br />' Electrical (CO #6)
<br />$396.52
<br />$396.52 1
<br />$396 52
<br />100.00% -
<br />$19.83
<br />1
<br />Electrical (CO #7)
<br />$2,162 06 I
<br />$2,162.06
<br />$2 162 06 =
<br />100.00%
<br />$108.101
<br />1
<br />Electrical (CO #8)
<br />$7,694 97
<br />$7,000.00
<br />$694.97
<br />$7,694.97 1
<br />100.00%
<br />$384.75
<br />1
<br />Electrical (CO #10)
<br />$5,773 48 I°
<br />$5,773.48
<br />( $5,773.46
<br />100.00%
<br />$288.67
<br />12
<br />Joist Work - Electrical (CO #9)
<br />$24,561.00 l
<br />$20,000.00
<br />$4,561.00
<br />$24 ,561.001
<br />100.00%
<br />[
<br />$1,228.05
<br />1
<br />)Electrical (CO #7)
<br />$1,036.41 �
<br />$1,035.41 _
<br />- $1,035.41 =
<br />100.00%=
<br />$51.77
<br />1
<br />j Electrical (CO #7)
<br />$12,342.68 [
<br />$12,342.68 3
<br />$12,342.68 ,
<br />100.00%
<br />f
<br />$617.13 }
<br />1
<br />Electrical (CO #7)
<br />$1,170 60
<br />$1,170.60 i
<br />$1 170 60
<br />100.000%
<br />f
<br />$58.53 1
<br />1
<br />Electrical (CO #7)
<br />($7,396 86)
<br />($7,396.86)'
<br />($7,396 86)
<br />100.00% 1
<br />($369.84)
<br />1
<br />Electrical (CO #11)
<br />$42,232 20 €
<br />$35,000.00
<br />$7,232.20
<br />$42 232.20 1
<br />100.00%
<br />$2,111.61
<br />1
<br />`. Electrical (CO #12)
<br />$12,952.00 1
<br />$10,000.00
<br />$2,952.00
<br />$12,952.00 '
<br />100.00%,
<br />$647.60 )
<br />1
<br />Electrical (CO #13)
<br />$1,677.13 i
<br />$1,677.13
<br />_
<br />$1,677.13
<br />100.00%
<br />$83.86
<br />i 1
<br />Electrical (CO #14)
<br />$9,491.86 _
<br />$9,491.86
<br />1
<br />f Electrical (CO #15)
<br />$1,044.26 E
<br />$835.41
<br />€ $835411
<br />80.00%
<br />$208.85 1
<br />$41.77
<br />11
<br />1 Electrical (CO #15)
<br />$5,221.531
<br />$4,177.231
<br />$4,177.231
<br />80.00%
<br />$1,044.301
<br />$208.86
<br />11
<br />[ Electrical (CO #16)
<br />$3,536.881
<br />$2,829.50
<br />i $2,829.501
<br />80.00% _
<br />$707.38 1
<br />$141.48 1
<br />PAYMENT TOTALS ;
<br />$1,877,606.06 C
<br />$1,812,065.36 1
<br />$50,186.371
<br />- $1,862,251.73 i
<br />99.18% ,
<br />$15,354.33 €
<br />$93,112 58
<br />Page 2 of 2
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