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DocuSign Envelope ID: BCE22727-B3F4-40B7-AA4D-8AA95B6A8D07
<br />CONTINUATION SHEET
<br />APPLICATION AND CERTIFICATION FOR PAYMENT,
<br />APPLICATION NO.:
<br />16
<br />containing Contractor's signed Certification
<br />is attached.
<br />APPLICATION DATE: 11130120
<br />In tabulations below, amounts are stated to the nearest dollar.
<br />PERIOD TO:
<br />11/30/20
<br />WEIDNER MECHANICAL
<br />PROJECT NO.:
<br />19520-0033
<br />A
<br />B
<br />C
<br />- - - - - ----------
<br />D E
<br />-
<br />F
<br />G
<br />H
<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 RE' rAINAGE (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 />0 OR E)
<br />DATE
<br />1
<br />10.105 Bond
<br />$10,333.00
<br />$10,333.00
<br />$10,333001
<br />100.00%1
<br />.2
<br />10.1109AIlowance
<br />i $7,500.001
<br />$7.500.00
<br />$7,500.001
<br />100.00%1
<br />3
<br />10.115 Pipe &Fittings
<br />$23568900
<br />$235,689.00
<br />$235,689.00
<br />100.00%-
<br />.4
<br />10.119 Drains & Carriers
<br />$47,196.00
<br />$47,196.00
<br />$47,196.00
<br />100.00% 1
<br />15
<br />10.123 Pumps & Tanks
<br />$5,400.00
<br />$5,400.00
<br />I
<br />$5.400.00
<br />100.00%
<br />16
<br />10.127 Water Heaters
<br />$82,739.00
<br />$82,739,00
<br />$82,739.00
<br />100.00%9
<br />17
<br />10.137 Plumbing Fixtures &
<br />i $79,004.00
<br />$79,004.00
<br />$79,004.00
<br />100.00%1
<br />1 Trim
<br />10.139 Misc Plumbing
<br />100.00%1
<br />8
<br />$42,488.00
<br />$42,488.00.
<br />$42,488.00
<br />9
<br />11.185 Labor - Plumbl ng
<br />$560,753.002
<br />$560,753.001
<br />$560,753.00
<br />100.00%1
<br />10
<br />130.300 Digging/Backfill
<br />$37,034.00
<br />$37,034.00'
<br />$37,034.001
<br />100.00%
<br />11
<br />130.325 Rentals
<br />$13,000.001
<br />$13,000.00
<br />$13,00.00
<br />100.00%
<br />112
<br />130.360 Pipe Covering
<br />$84.864.00.
<br />I
<br />$84,864.00
<br />$84,664.001
<br />i
<br />100.00%
<br />1
<br />Plumbing (CO #1)
<br />$7,430.001
<br />$7,430.00.
<br />$7,430.00
<br />100.00%
<br />I
<br />Plumbing (CO #2)
<br />($2,203.00)
<br />($2,203.00)l
<br />tt
<br />($2,203,00)
<br />100.00%.
<br />Plumbing (CO #3)
<br />($2,980.00)1
<br />($2,980.00)
<br />($2,980.00)
<br />1100.00%,
<br />1
<br />Plumbing (CO #4)
<br />$2,506.00
<br />$2.506.00
<br />$2,506.00
<br />100.00%
<br />1
<br />3Plumbing (CO #5)
<br />$10,815.00
<br />$10,815.00
<br />$10,815.00
<br />100.00%1
<br />I
<br />Plumbing (CO #6)
<br />$1,338.00
<br />$1,338.00
<br />$1,330.00
<br />100.00%2
<br />1
<br />Plumbing (CO #7)
<br />$15,209.00
<br />$15,209.00
<br />$15,209.00
<br />100.00%1
<br />1
<br />Plumbing (CO #8)
<br />$2,645.00.
<br />$2,645.001
<br />$2,645.00
<br />100.00%
<br />1
<br />Plumbing (CO #9)
<br />$10,615.00 i
<br />$10,615.00
<br />$10,615.00
<br />100.00%
<br />1
<br />Plumbing (CO #10)
<br />$25, 562.001
<br />$25,562.00
<br />$25,562.0 0
<br />1 00. 00%
<br />1
<br />Plumbing (CO #6)
<br />$2,041.001
<br />$2,041.00
<br />$2,041.00
<br />100.00%1
<br />I
<br />Plumbing (CO # 11)
<br />$26,547.001
<br />$26,547.00
<br />$26,547.00
<br />100.00%
<br />I
<br />Plumbing (CO #112)
<br />$1,943.00.
<br />$1,943.00
<br />$1,943.00
<br />100.00%'
<br />1
<br />Plumbing (CO #13)
<br />$6,842.00
<br />$6,842001
<br />$6,842.00
<br />100.00%
<br />I
<br />Plumbing (CO #14)
<br />$771.00
<br />$771.00
<br />$771.00
<br />100.00%
<br />1
<br />Plumbing (CO #15)
<br />$1,020.009
<br />$1,020.001
<br />3
<br />$1,020.002
<br />100.00%
<br />Page 1 of 2
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