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CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />7
<br />containing Contractor's signed Certification is attached.
<br />APPLICATION DATE:
<br />11/05/20
<br />In tabulations
<br />below, amounts are stated to the nearest dollar.
<br />PERIOD
<br />TO:
<br />11/30/20
<br />Bituminous Roadways, Inc.
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />D E
<br />F
<br />G
<br />H 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 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
<br />Mobilization
<br />$16,425.00
<br />$16,425.00
<br />$16,425.00
<br />100.00%
<br />2
<br />Utility Patching
<br />$27,311.00
<br />$27,311.00
<br />$27,311.00
<br />100.00%
<br />3
<br />Lion Park Drive Grading
<br />$8,850.00
<br />$8,850.00
<br />$8,850.00
<br />100.00%
<br />4
<br />Lions Park Light Duty
<br />$21,107.00
<br />$21,107.00
<br />$21,107.00
<br />100.00%
<br />Bituminous
<br />5
<br />Lions Park Medium Duty
<br />$106,732.00
<br />$106,732.00
<br />$106,732.00
<br />100.00%
<br />Bituminous
<br />6
<br />Ice Arena Heavy Duty
<br />$97,750.00
<br />$97,750.00
<br />$97,750.00
<br />100.00%
<br />Bituminous
<br />7
<br />Ice Arena Aggregate Surfacing
<br />$15,735.00
<br />$15,735.00
<br />$15,735.00
<br />100.00%
<br />8
<br />Utility Adjustments in
<br />$8,250.00
<br />$8,250.00
<br />$8,250.00
<br />100.00%
<br />Pavement
<br />9
<br />Striping & Lot Marking
<br />$1,500.00
<br />$1,500.00
<br />$1,500.00
<br />100.00%
<br />10
<br />Traffic Signage
<br />$5,440.00
<br />$5,440.00
<br />$5,440.00
<br />100.00%
<br />11
<br />Allowance
<br />$15,000.00
<br />$15,000.00
<br />$15,000.00
<br />100.00%
<br />1
<br />Asphalt Paving (CO #1)
<br />$5,614.00
<br />$5,614.00
<br />$5,614.00
<br />100.00%
<br />1
<br />Asphalt Paving (CO #2)
<br />$1,650.00
<br />$1,650.00
<br />$1,650.00
<br />100.00%
<br />1
<br />Asphalt Paving (CO #3)
<br />($26,095.00)
<br />($26,095.00)
<br />($26,095.00)
<br />100.00%
<br />1
<br />Asphalt Paving (CO #4)
<br />($11,000.00)
<br />($11,000.00)
<br />($11,000.00)
<br />100.00%
<br />1
<br />Asphalt Paving (CO #5)
<br />($780.00)
<br />($780.00)
<br />($780.00)
<br />100.00%
<br />1
<br />Asphalt Paving (CO #6)
<br />$1,020.00
<br />$1,020.00
<br />$1,020.00
<br />100.00%
<br />PAYMENT TOTALS
<br />$294,509.00
<br />$293,489.00 $1,020.00
<br />$294,509.00
<br />100.00%
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