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CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />13 <br />containing Contractor's signed Certification is attached. <br />APPLICATION DATE: <br />10/22/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD <br />TO: <br />10/31/20 <br />Summit Companies <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C <br />D E <br />F <br />G <br />H I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIOUS <br />PRESENTLY <br />COMPLETED <br />% <br />BALANCE TO 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) VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />1 Labor <br />$87,885.00 <br />$87,885.00 <br />$87,885.00 <br />100.00% <br />2 Material <br />$111,200.00 <br />$111,200.00 <br />$111,200.00 <br />100.00% <br />3 Design <br />$31,200.00 <br />$31,200.00 <br />$31,200.00 <br />100.00% <br />4 Fabrication <br />$20,200.00 <br />$20,200.00 <br />$20,200.00 <br />100.00% <br />5 Bonds <br />$6,000.00 <br />$6,000.00 <br />$6,000.00 <br />100.00% <br />1 Fire Protection (CO #1) <br />$11,955.00 <br />$11,955.00 <br />$11,955.00 <br />100.00% <br />1 Fire Protection (CO #2) <br />$5,952.00 <br />$5,952.00 <br />$5,952.00 <br />100.00% <br />1 Fire Protection (CO #3) <br />$3,955.00 <br />$3,955.00 <br />$3,955.00 <br />100.00% <br />1 Fire Protection (CO #4) <br />$1,475.00 <br />$1,475.00 <br />$1,475.00 <br />100.00% <br />1 Fire Protection (CO #5) <br />$2,322.00 <br />$2,322.00 - <br />$2,322.00 <br />100.00% <br />1 Fire Protection (CO #6) <br />$400.00 <br />$400.00 <br />$400.00 <br />100.00% <br />PAYMENT TOTALS <br />$282,544.00 <br />$282,144.00 $400.00 <br />$282,544.00 <br />100.00% <br />Page 1 of 1 <br />