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CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />containing Contractor's signed Certification is attached.
<br />In tabulations below, amounts are stated to the nearest dollar
<br />High Five Erectors ll, Inc.
<br />A I B C f
<br />ITEM DESCRIPTION OF WORK SCHEDULED
<br />NUM VALUE
<br />1
<br />051200 Structural Steel
<br />$129,841.00
<br />2
<br />052100 Steel Joists
<br />$100,523.00
<br />3
<br />053100 Steel Decking
<br />$45,888.00
<br />4
<br />055000 Metal Fabrications
<br />$8,508.00
<br />5
<br />055100 Metal Pan Stairs
<br />$43,996.00
<br />6
<br />055213 Pipe & Tube Railings
<br />$71,614.00
<br />7
<br />Allowance
<br />$30,000.00
<br />8
<br />Bond
<br />$5,380.00
<br />1
<br />Structural Steel Erection (CO
<br />$4,190.00
<br />#1)
<br />1
<br />Structural Steel Erection (CO
<br />($6,888.15)
<br />#2)
<br />1
<br />Structural Steel Erection (CO
<br />$500.00
<br />#3)
<br />1
<br />Structural Steel Erection (CO
<br />$672.00
<br />#4)
<br />1
<br />Structural Steel Erection (CO
<br />$3,000.00
<br />#5)
<br />1
<br />Structural Steel Erection (CO
<br />$8,650.00
<br />#6)
<br />1
<br />Structural Steel Erection (CO
<br />$600.00
<br />#7)
<br />1
<br />Structural Steel Erection (CO
<br />$1,200.00
<br />#7)
<br />1
<br />Structural Steel Erection (CO
<br />$3,040.00
<br />#8)
<br />1
<br />Structural Steel Erection (CO
<br />$1,752.00
<br />#9)
<br />1
<br />Structural Steel Erection (CO
<br />($303.85)
<br />#10)
<br />1
<br />Structural Steel Erection (CO
<br />$4,217.00
<br />#10)
<br />PAYMENT TOTALS
<br />$457,223.00
<br />APPLICATION NO.: 10
<br />APPLICATION DATE: 08/20/20
<br />PERIOD TO: 08/31/20
<br />PROJECT NO.: 19520-0033
<br />D E F G H I
<br />WORK COMPLETED MATERIALS TOTAL
<br />FROM PREVIOUS
<br />APPLICATION (D THIS PERIOD
<br />+ E)
<br />$129,841.00
<br />PRESENTLY
<br />STORED (NOT IN
<br />D OR E)
<br />COMPLETED
<br />AND STORED TO
<br />DATE
<br />$129,841.00
<br />%
<br />(G = C)
<br />BALANCE TO
<br />FINISH (C - G)
<br />RETAINAGE (IF
<br />VARIABLE RATE)
<br />100.00%
<br />$6,492.05
<br />$100,523.00
<br />$100,523.00
<br />100.00%
<br />$5,026.15
<br />$45,888.00
<br />$45,888.00
<br />100.00%
<br />$2,294.40
<br />$8,508.00
<br />$8,508.00
<br />100.00%
<br />$425.40
<br />$43,996.00
<br />$43,996.00
<br />100.00%
<br />$2,199.80
<br />$71,614.00
<br />$71,614.00
<br />100.00%
<br />$3,580.70
<br />$30,000.00
<br />$30,000.00
<br />100.00%
<br />-
<br />$1,500.00
<br />$5,380.00
<br />$5,380.00
<br />100.00%
<br />-
<br />$269.00
<br />$4,190.00
<br />$4,190.00
<br />100.00%
<br />-
<br />$209.50
<br />($6,888.15)
<br />($6,888.15)
<br />100.00%
<br />-
<br />($344.41)
<br />$500.00
<br />$500.00
<br />100.00%
<br />-
<br />$25.00
<br />$672.00
<br />$672.00
<br />100.00%
<br />-
<br />$33.60
<br />$3,000.00
<br />$3,000.00
<br />100.00%
<br />-
<br />$150.00
<br />$8,650.00
<br />$8,650.00
<br />100.00%
<br />-
<br />$432.50
<br />$600.00'
<br />$600.00
<br />100.00%
<br />-
<br />$30.00
<br />$1,200.001
<br />$1,200.00
<br />100.00%
<br />-
<br />$60.00
<br />$3,040.00
<br />$3,040.00
<br />100.00%
<br />-
<br />$152.00
<br />$1,752.00
<br />$1,752.00
<br />100.00%
<br />-
<br />$87.60
<br />($303.85)
<br />($303.85)
<br />100.00%
<br />-
<br />($15.19)
<br />$4,217.00 -
<br />$4,217.00
<br />100.00%
<br />-
<br />$210.85
<br />$456,379.00 $844.00
<br />$457,223.00
<br />j 100.00% -I
<br />$22,861.15
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