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DocuSign Envelope ID: BCE22727-B3F4-40B7-AA41168AA95B6A8D07 <br />CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />3 <br />containing Contractor's signed Certification is attached. <br />APPLICATION DATE* 11/30/20 <br />In tabulations below, amounts are stated to the nearest dollar, <br />PERIOD TO: <br />11/30/20 <br />Greenscape Companies, INC <br />PROJECT NO.: <br />19520-0033 <br />A B. <br />C <br />D E <br />F <br />G <br />H I <br />WORK COMPLETED j'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) j <br />+ E) <br />D OR E) <br />DATE <br />- <br />1 3 Planting of trees and shrubs [ <br />$23,000.00 <br />- <br />$23,000.00 6 <br />$23,000 00 <br />100.00% 1 <br />2 (Irrigation i <br />$47,000.00 <br />$47,000.00 <br />$47,000.00 <br />100.00°,6 <br />- - <br />(3 :Seed <br />$26,500.00 <br />$26,500.00 � <br />- <br />$26,500.00 r <br />o <br />100.00 % <br />-� <br />-� <br />-� <br />6 <br />( <br />-� <br />7 <br />110 <br />13 <br />14 <br />15 <br />� <br />1 Lions Landscaping (CO #1) <br />$160.00 <br />$180.00 <br />$180.00 <br />100.00% ( <br />T 1 ( Lions Landscaping (CO #2) <br />($2,200.00 <br />($2,200.00 ) - <br />_ <br />($2,200.00 ) <br />� <br />100.00%= <br />12 Multipurpose Landscaping <br />($5,000.00) 1 <br />($5,000.00) , - <br />- ( <br />($5,000.00) 1 <br />100.00% <br />(CO #3) <br />1 Lions Landscaping (CO #4) <br />$1,980.00 = <br />$1,980.001 <br />$1,980.001 <br />100.00% <br />- <br />PA01.1-1 IMTALS <br />$91,460.001 <br />E <br />$89,480.00� $1,960.00i <br />$91,460.001, <br />10000% <br />-3 <br />Page 1 of 1 <br />