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CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO.: 2 <br />containing Contractor's signed Certification is attached. APPLICATION DATE: 08/20/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD TO: 08/31/20 <br />Midwest Specialty Maintenance, Inc. PROJECT NO.: 19520-0033 <br />A B C D E F G H <br />WORK COMPLETED MATERIALS TOTAL <br />ITEM SCHEDULED FROM PREVIOUS PRESENTLY COMPLETED % BALANCE TO RETAINAGE (IF <br />NUM DESCRIPTION OF WORK VALUE STORED (NOT IN AND STORED TO (G = C) FINISH (C - G) VARIABLE RATE) <br />APPLICATION (D THIS PERIOD D OR E) DATE <br />1. ) <br />001 Post Construction Final $70,525.00 $42,315.00 $28,210.00 $70,525.0 1100.00% - $3,526.2, <br />Cleaning - Multipurpose Bldg, <br />General Interior <br />002 Post Construction Final <br />$8,526.00 <br />$6,395.00 <br />Cleaning - Multipurpose Bldg, <br />Interior & Exterior Windows <br />003 Post Construction Final <br />$1,600.00 <br />Cleaning - Lions Park <br />1 Final Cleaning (CO #1) <br />$376.00 <br />PAYMENT TOTALS <br />I $81,027.00 <br />$48,710.00 <br />$2,131.00 <br />$1,600.00 <br />$376.00 <br />$32,317.00 - <br />$8,526.00 <br />100.00% 1 <br />$1,600.00 100.00% <br />$376.00 100.00% <br />$81,027.00 100.00% <br />$426.30 <br />$80.00 <br />$18.80 <br />- $4,051.35 <br />Page 1 of 1 <br />