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CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />3 <br />containing Contractor's signed Certification is attached. <br />APPLICATION DATE: 07/27/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD <br />TO: <br />09/01/20 <br />Custom Caseworks <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D <br />E F <br />G <br />H <br />I <br />WORK COMPLETED MATERIALS <br />TOTAL <br />ITEM <br />SCHEDULED <br />FROM PREVIOUS <br />PRESENTLY <br />COMPLETED <br />% <br />BALANCE TO <br />RETAINAGE (IF <br />NUM DESCRIPTION OF WORK <br />VALUE <br />APPLICATION (D <br />THIS PERIOD STORED NOT IN <br />AND STORED TO <br />(G = C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />D OR E) <br />DATE <br />1 Architectural Casework Supply <br />$41,622.99 <br />$41,622.99 <br />$41,622.99 <br />100,00% <br />- <br />$2,081.15 <br />2 Architectural Casework Install <br />$15,185.90 <br />$15,185.90 <br />$15,185,90 <br />100.00% <br />- <br />$759.30 <br />3 Solid Surface & Quartz Supply <br />$47,559.60 <br />$47,559.60 <br />$47,559.60 <br />100.00% <br />- <br />$2,377.98 <br />& Install <br />4 Stainless Steel Countertops <br />$7,897.33 <br />$7,897.33 <br />$7,897.33 <br />100.00% <br />- <br />$394.87 <br />(Qty 4) - John Wiecht Park <br />5 Claridge Prefeb Trophy Cases <br />$15,652.18 <br />$15,652.18 <br />$15,652.18 <br />100.00% <br />- <br />$782.61 <br />6 5K Allowance <br />$5,000.00 <br />$5,000.00 <br />$5,000.00 <br />100.00% <br />- <br />$250.00 <br />1 Millwork (CO #1) <br />$6,141.84 <br />$6,141.84 <br />$6,141.84 <br />100.00% <br />- <br />$307.09 <br />1 Millwork (CO #2) <br />$150,588.00 <br />$128,877.30 <br />$21,710.70 <br />$150,588.00 <br />100.00% <br />- <br />$7,529.40 <br />1 Millwork (CO #3) <br />($5,000.00) <br />($5,000.00) <br />($5,000.00) <br />100.00% <br />- <br />($250.00) <br />1 Millwork (CO #4) <br />$2,145.00 <br />$2,145.00 <br />$2,145.00 <br />100.00% <br />- <br />S107.25 <br />PAYMENT TOTALS <br />$286,792.84 <br />$262,937.14 <br />$23,855.701 <br />$286,792.84 <br />100.00% <br />$14,339.65 <br />Page 1 of 1 <br />