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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 />10/19/20
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />PERIOD
<br />TO:
<br />10/31/20
<br />Design Electric, Inc
<br />PROJECT NO.:
<br />19520-0033
<br />A B
<br />C
<br />D E
<br />F
<br />G
<br />H
<br />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
<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 Electrical (CO #4)
<br />($24,378.00)
<br />($24,378.00)
<br />($24,378.00)
<br />100.00%
<br />($1,218.90)
<br />1 Electrical (CO #5)
<br />($12,693.73)
<br />($12,693.73)
<br />($12,693.73)
<br />100.00%
<br />($634.69)
<br />1 Electrical (CO #6)
<br />$396.52
<br />$396.52
<br />$396.52
<br />100.00%
<br />$19.83
<br />1 Electrical (CO #7)
<br />$2,162.06
<br />$2,162.06
<br />$2,162.06
<br />100.00%
<br />$108.10
<br />1 Electrical (CO #8)
<br />$7,694.97
<br />$7,694.97
<br />$7,694.97
<br />100.00%
<br />$384.75
<br />1 Electrical (CO #10)
<br />$5,773.48
<br />$5,773.48
<br />$5,773.48
<br />100.00%
<br />$288.67
<br />2 Joist Work - Electrical (CO #9)
<br />$24,561.00
<br />$24,561.00
<br />$24,561.00
<br />100.00%
<br />$1,228.05
<br />1 Electrical (CO #7)
<br />$1,035.41
<br />$1,035.41
<br />$1,035.41
<br />100.00%
<br />$51.77
<br />1 Electrical (CO #7)
<br />$12,342.68
<br />$12,342.68
<br />$12,342.68
<br />100.00%
<br />$617.13
<br />1 Electrical (CO #7)
<br />$1,170.60
<br />$1,170.60
<br />$1,170.60
<br />100.00%
<br />$58.53
<br />1 Electrical (CO #7)
<br />($7,396.86)
<br />($7,396.86)
<br />($7,396.86)
<br />100.00%
<br />($369.84)
<br />1 Electrical (CO #11)
<br />$42,232.20
<br />$42,232.20
<br />$42,232.20
<br />100.00%
<br />$2,111.61
<br />1 Electrical (CO #12)
<br />$12,952.00
<br />$12,952.00
<br />$12,952.00
<br />100.00%
<br />$647.60
<br />1 Electrical (CO #13)
<br />$1,677.13
<br />$1,677.13
<br />$1,677.13
<br />100.00%
<br />$83.86
<br />1 Electrical (CO #14)
<br />$9,491.86
<br />$9,491.86
<br />$9,491.86
<br />100.00%
<br />$474.59
<br />1 Electrical (CO #15)
<br />$1,044.26
<br />$1,044.26
<br />$1,044.26
<br />100.00%
<br />$52.21
<br />1 Electrical (CO #15)
<br />$5,221.53
<br />$5,221.53
<br />$5,221.53
<br />100.00%
<br />$261.08
<br />1 Electrical (CO #16)
<br />$3,536.88
<br />$3,536.88
<br />$3,536.88
<br />100.00%
<br />$176.84
<br />1 Electrical (CO #17)
<br />$2,741.41
<br />$2,741.41
<br />$2,741.41
<br />100.00%
<br />$137.07
<br />1 Electrical (CO #18)
<br />$1,389.62
<br />$1,389.62
<br />$1,389.62
<br />100.00%
<br />$69.48
<br />1 Electrical (CO #19)
<br />$356.00
<br />$356.00
<br />$356.00
<br />100.00%
<br />$17.80
<br />1 Electrical (CO #19)
<br />$1,759.00
<br />$1,759.00
<br />$1,759.00
<br />100.00%
<br />$87.95
<br />1 Electrical (CO #20)
<br />$2,591.14
<br />$2,591.14
<br />$2,591.14
<br />100.00%
<br />$129.56
<br />1 Electrical (CO #21)
<br />$12,128.20
<br />$12,128.20
<br />$12,128.20
<br />100.00%
<br />$606.41
<br />1 Electrical (CO #22)
<br />$2,260.09
<br />$2,260.09
<br />$2,260.09
<br />100.00%
<br />$113.00
<br />PAYMENT TOTALS
<br />$1,900,831.52
<br />$1,898,571.43 $2,260.09
<br />$1,900,831.52
<br />100.00%
<br />$95,041.56
<br />Page 2 of 2
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