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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 />Ebert Construction
<br />APPLICATION NO.:
<br />9
<br />APPLICATION DATE:
<br />08/19/20
<br />PERIOD TO:
<br />08/31/20
<br />PROJECT NO.:
<br />19520-0033
<br />A B C D I E F 1 G H
<br />WORK COMPLETED
<br />MATERIALS
<br />7 TOTAL
<br />ITEM DESCRIPTION OF WORK SCHEDULED
<br />PRESENTLY
<br />COMPLETED
<br />%
<br />I BALANCE TO
<br />RETAINAGE (IF
<br />FROM PREVIOUS
<br />NUM VALUE
<br />APPLICATION (D THIS PERIOD
<br />STORED (NOT IN
<br />AND STORED TO
<br />(G + C)
<br />FINISH (C - G)
<br />VARIABLE RATE)
<br />+ E)
<br />D OR E)
<br />DATE
<br />$250.00
<br />1 Bonds, Insurance, Mobilize $5,000.00
<br />$5,000.00 -
<br />$5,000.00
<br />100.00%
<br />2 General Conditions $21,000.00
<br />$21,000.00 -
<br />$21,000.00
<br />100.00%
<br />$1,050.00
<br />3 Allowance $50,000.00
<br />$40,107.75 $9,892.25
<br />$50,000.00
<br />100.00%
<br />$2,500.00
<br />4 061000 Rough Carpentry M $59,700.00
<br />$59,700.00 -
<br />$59,700.00
<br />100.00%
<br />$2,985.00
<br />5 061000 Rough Carpentry L $153,000.00
<br />$153,000.00 -
<br />-
<br />$153,000.00
<br />100.00%
<br />$7,650.00
<br />6 061753 Shop Fam Wood $3,000.00
<br />$3,000.00 -
<br />-
<br />$3,000.00
<br />100.00%
<br />$150.00
<br />Trusses
<br />7 064216 Wood Paneling $135,000.00
<br />$135,000.00 -
<br />-
<br />$135,000.00
<br />100.00%
<br />$6,750.00
<br />8 072119 Foamed -In -Place $17,000.00
<br />$17,000.00 -
<br />-
<br />$17,000.00
<br />100.00%
<br />$850.00
<br />Insulation
<br />9 081113 HM Doors and Frames $81,000.00
<br />$81,000.00 -
<br />-
<br />$81,000.00
<br />100.00%
<br />$4,050.00
<br />10 097733 FRP $4,500.00
<br />$4,500.00 -
<br />-
<br />$4,500.00
<br />100.00%
<br />$225.00
<br />11 101100 Visual Display Boards $7,800.00
<br />$7,800.00 -
<br />-
<br />$7,800.00
<br />100.00%
<br />$390.00
<br />12 102600 Wall and Corner $7,000.00
<br />$7,000.00 -
<br />-
<br />$7,000.00
<br />100.00%
<br />$350.00
<br />Guards
<br />13 105113 Metal Lockers $2,800.00
<br />$2,800.00 -
<br />-
<br />$2,800.00
<br />100.00%
<br />$140.00
<br />1 Carpentry (CO #1) $416.90
<br />$416.90i
<br />-
<br />$416.90
<br />100.00%
<br />$20.85
<br />1 Carpentry (CO #2) $1,559.58
<br />$1,559.58
<br />-
<br />$1,559.58
<br />100.00%
<br />$77.98
<br />1 Carpentry (CO #3) ($3,720.00)
<br />($3,720.00)',
<br />-
<br />($3,720.00)
<br />100.00%
<br />($186.00)
<br />1 Carpentry (CO #4) ($15,000.00)
<br />($15,000.00)
<br />-
<br />($15,000.00)
<br />100.00%
<br />($750.00)
<br />1 Carpentry (CO #5) ($3,000.00)
<br />($3-000.00-
<br />-
<br />($3,000.00)
<br />100.00%
<br />($150.00)
<br />1 Carpentry (CO #6) ($10,534.48)
<br />1 ($10,534.48)
<br />-
<br />($10,534.48)
<br />100.00%
<br />($526.72)
<br />1 Carpentry (CO #7) $2,076.80
<br />$2,076.80
<br />-
<br />$2,076.80
<br />100.00%
<br />$103.84
<br />1 Carpentry (CO #8) ($7,892.25)
<br />($7,892.25)
<br />-
<br />($7,892.25)
<br />100.00%
<br />-
<br />($394.61)
<br />1 Carpentry (CO #9) ($291.70)
<br />($291.70)
<br />-
<br />($291.70)
<br />100.00%
<br />($14.58)
<br />1 Carpentry (CO #9) $6,226.61
<br />$6,226.61
<br />-
<br />$6,226.61
<br />100.00%
<br />$311.33
<br />PAYMENT TOTALS j $516,641.46
<br />$517,164.23
<br />($522.77)
<br />$516,641.46
<br />100.00%
<br />$25,832.09
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