|
DocuSign Envelope ID: B21CAEBD-7600-4BB5-BB91-7BFCFA6AOB90
<br />CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />14
<br />containing Contractor's signed Certification is attached.
<br />APPLICATION DATE:
<br />09/17/20
<br />In tabulations
<br />below, amounts are stated to the nearest dollar.
<br />PERIOD
<br />TO:
<br />09/30/20
<br />WEIDNER MECHANICAL
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D E
<br />F
<br />G
<br />H
<br />I
<br />WORK COMPLETED
<br />MATERIALS
<br />TOTAL
<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />FROM PREVIOUS
<br />PRESENTLY
<br />COMPLETED
<br />%
<br />BALANCE TO
<br />RETAINAGE (IF
<br />NUM
<br />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 />1
<br />10.105 Bond
<br />$10,333.00
<br />$10,333.00
<br />$10,333.00
<br />100.00%
<br />$516.65
<br />2
<br />10.109 Allowance
<br />$7,500.00
<br />$7,500.00
<br />$7,500.00
<br />100.00%
<br />$375.00
<br />3
<br />10.115 Pipe & Fittings
<br />$235,689.00
<br />$235,689.00
<br />$235,689.00
<br />100.00%
<br />$11,784.45
<br />4
<br />10.119 Drains & Carriers
<br />$47,196.00
<br />$47,196.00
<br />$47,196.00
<br />100.00%
<br />$2,359.80
<br />5
<br />10.123 Pumps & Tanks
<br />$5,400.00
<br />$5,400.00
<br />$5,400.00
<br />100.00%
<br />$270.00
<br />6
<br />10.127 Water Heaters
<br />$82,739.00
<br />$82,739.00
<br />$82,739.00
<br />100.00%
<br />$4,136.95
<br />7
<br />10.137 Plumbing Fixtures &
<br />$79,004.00
<br />$79,004.00
<br />$79,004.00
<br />100.00%
<br />$3,950.20
<br />Trim
<br />8
<br />10.139 Misc Plumbing
<br />$42,488.00
<br />$42,488.00
<br />$42,488.00
<br />100.00%
<br />$2,124.40
<br />9
<br />11.185 Labor - Plumbing
<br />$560,753.00
<br />$560,753.00
<br />$560,753.00
<br />100.00%
<br />$28,037.65
<br />10
<br />30.300 Digging/Backfill
<br />$37,034.00
<br />$37,034.00
<br />$37,034.00
<br />100.00%
<br />$1,851.70
<br />11
<br />30.325 Rentals
<br />$13,000.00
<br />$13,000.00
<br />$13,000.00
<br />100.00%
<br />$650.00
<br />12
<br />30.360 Pipe Covering
<br />$84,864.00
<br />$84,864.00
<br />$84,864.00
<br />100.00%
<br />$4,243.20
<br />1
<br />Plumbing (CO #1)
<br />$7,430.00
<br />$7,430.00
<br />$7,430.00
<br />100.00%
<br />$371.50
<br />1
<br />Plumbing (CO #2)
<br />($2,203.00)
<br />($2,203.00)
<br />($2,203.00)
<br />100.00%
<br />($110.15)
<br />1
<br />Plumbing (CO #3)
<br />($2,980.00)
<br />($2,980.00)
<br />($2,980.00)
<br />100.00%
<br />($149.00)
<br />1
<br />Plumbing (CO #4)
<br />$2,506.00
<br />$2,506.00
<br />$2,506.00
<br />100.00%
<br />$125.30
<br />1
<br />Plumbing (CO #5)
<br />$10,815.00
<br />$10,815.00
<br />$10,815.00
<br />100.00%
<br />$540.75
<br />1
<br />Plumbing (CO #6)
<br />$1,338.00
<br />$1,338.00
<br />$1,338.00
<br />100.00%
<br />$66.90
<br />1
<br />Plumbing (CO #7)
<br />$15,209.00
<br />$15,209.00
<br />$15,209.00
<br />100.00%
<br />$760.45
<br />1
<br />Plumbing (CO #8)
<br />$2,645.00
<br />$2,645.00
<br />$2,645.00
<br />100.00%
<br />$132.25
<br />1
<br />Plumbing (CO #9)
<br />$10,615.00
<br />$10,615.00
<br />$10,615.00
<br />100.00%
<br />$530.75
<br />1
<br />Plumbing (CO #10)
<br />$25,562.00
<br />$25,562.00
<br />$25,562.00
<br />100.00%
<br />$1,278.10
<br />1
<br />Plumbing (CO #6)
<br />$2,041.00
<br />$2,041.00
<br />$2,041.00
<br />100.00%
<br />$102.05
<br />1
<br />Plumbing (CO #11)
<br />$26,547.00
<br />$26,547.00
<br />$26,547.00
<br />100.00%
<br />$1,327.35
<br />1
<br />Plumbing (CO #12)
<br />$1,943.00
<br />$1,943.00
<br />$1,943.00
<br />100.00%
<br />$97.15
<br />1
<br />Plumbing (CO #13)
<br />$6,842.00
<br />$6,842.00
<br />$6,842.00
<br />100.00%
<br />$342.10
<br />1
<br />Plumbing (CO #14)
<br />$771.00
<br />$771.00
<br />$771.00
<br />100.00%
<br />$38.55
<br />1
<br />Plumbing (CO #15)
<br />$1,020.00
<br />$1,020.00
<br />$1,020.00
<br />100.00%
<br />$51.00
<br />Page 1 of 2
<br />
|