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PAYMENT APPLICATION NO.2 CONTRACT SUALM ARY: • 1 - Original contract amount.......................................... .......... ...... $570.547.33 2 - Additions approved to date(Itemize)(Nos. none 1 ........ .. ........ . .. ............ .. $ 0 3 - Deductions approved to date(Itemize)(Nos. none 1 ..... ..... .. ... .... ... . .. .. .. ... .... $ 0 4 - Revised contract amount to date ...................................... ............ ..... $570.547.33 STATUS OF ACCOUNT: 5 - Contract amount to date.. ... .... ........ ............... ..... .... .. . $ 570.547.33 6 - Value of completed work to date ...... ... ......... ...... ........ ... .. .. .. ..... ........ $525.930.22 7 - Material stored on site(Attach Schedule)............................ .. . . . . ... .. ......... $ NA 8 - Less 5 per cent retained ....... .................. ...... . ... ...... . ..... ..... $_26.296.51 9 - Total earned less retained amount................. ...... ....... .......... . .. .. ....... ... $499.633.71 10 - Total of estimates previously approved .... ...................... ..... . ... .. .. .. ........ $332.450.13 11 - Amount due this estimate .... ............ ...... .......... . ...... ...... . . .. . . ......... $ 167.183.58 APPROVAL OF FIELD SUPERVISOR CERTIFICATE OF CONTRACTOR: I (We) certify that all work for which this request for payment made has been completed in full, according to the plans and Date specifications and terms of the contract documents. I (We) also certify that payment has been made for all just claims for labor, material and services in connection with the work performed on all APPROVAL OF ENGINEER: preceding estimates. The work of the project and this estimate have been examined d e amount shown is recommended for payment. NORTHDALE CONSTRUCTION CO..INC. Firm Name Signature / Signature Date � Date "� l