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4b <br />Terry B. Thompson, P.E. <br />Capital Projects Manager <br />Indian River County <br />Public Works Department <br />s 1840 25th Street <br />Vero Beach, FL 32960 <br />Project No. 93521 41st Street and 45th Street Improvements <br />SJRWMD Permit #40 -061 -0088G -ERP <br />Drnf—ain—I Gnnincarinn Rorviros thrnunh .luly 73 1999 <br />Contract <br />Less 10% Retainage <br />Total <br />Work Item <br />Amount <br />% Complete <br />To -Date <br />------ _ <br />17 <br />G <br />100.0% <br />(71..1(:1:., li,t)(1.11;F1 t.(:. <br />M.... <br />3,325.00 <br />(:nsulting Fn'ginecrs <br />a <br />!� <br />mon• Road. Smic 371) ■ Mailland. Florida 32751 <br />I��#)4 <br />411 7 7.6623 rax: <br />WC(;, Inc. Cornpariv <br />-� <br />' 1 1(,4 (4(17)539.11575 <br />I I- <br />. t <br />100.0% <br />H-nw:l: �%cgLagrl oaxom <br />Item 5 - Printing <br />350.00 <br />- <br />INVOICE <br />8,406.00 <br />Invoice # 180808 <br />8.406.00 <br />Total Original Contract <br />29 -Jul -99 <br />Terry B. Thompson, P.E. <br />Capital Projects Manager <br />Indian River County <br />Public Works Department <br />s 1840 25th Street <br />Vero Beach, FL 32960 <br />Project No. 93521 41st Street and 45th Street Improvements <br />SJRWMD Permit #40 -061 -0088G -ERP <br />Drnf—ain—I Gnnincarinn Rorviros thrnunh .luly 73 1999 <br />Total Earned this Contract <br />Contract <br />Less 10% Retainage <br />Total <br />Work Item <br />Amount <br />% Complete <br />To -Date <br />Item 1 - Project Supervision <br />1,743.00 <br />100.0% <br />1,743.001, <br />Item 2 - Plan Revisions <br />3,325.00 <br />100.0% <br />3.325.00' <br />Item 3 - Quantities <br />2,322.00 <br />100.0% <br />2,322.00 <br />Item 4 - Quality Assurance <br />666.00 <br />100.0% <br />666.00 <br />Item 5 - Printing <br />350.00 <br />100.0% <br />350.00 <br />8,406.00 <br />100.0% <br />8.406.00 <br />Total Original Contract <br />Amendment No. 1 - Design <br />4,132.00 <br />100.0% <br />4.132.00 <br />Amendment No. 1 - As-Builts <br />1,500.00 <br />100.0% <br />1.500.00 <br />Total Contract <br />14,038.00 <br />100.09% <br />14.038.00 <br />Total Earned this Contract <br />14.038 00 <br />Less 10% Retainage <br />0.00 <br />Less Previous Payments <br />11.284.20 <br />TOTAL NOW PAYABLE <br />2,753.80 <br />CERTIFICATION OF VENDOR <br />I certify that all items and amounts shown on the face of this request are correct: that all work has been <br />performed and/or materials supplied in full accordance with the terms and conditions of this contract between <br />Indian River County and Glace & Radcliffe, Inc. dated July 12, 1988, Supplemental Work Order No. 3 dated <br />December 7, 1993; that the items for which payment is requested have not been paid and there are no <br />vendor's, mechanic's or other liens or rights to liens or conditional sales contracts which should be satisfied <br />t' d <br />or discharged before suchpaymen is ma e. <br />By. � ,�, <br />Title: <br />Date:(. <br />Board of County Commission <br />Approved for Payment <br />August 17,1999 Date <br />Chairman <br />