3/7/2016 9:44:53 AM
10/1/2015 3:27:54 AM
Official Document Type
Agenda Item Number
Final Payment Application #4
US 1 from South Relief Canal to 9th St. (Oslo Road)
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SECTION 00622 - Contractor' s Application for Final Payment <br /> Application for Payment No , 4 . <br /> For Work Accomplished through the period of February 1 , 2008 through March 16 2009 <br /> r <br /> To : INDIAN RIVER COUNTY ( OWNER ) <br /> From : DERRICO CONSTRUCTION CORPORATION ( CONTRACTOR ) <br /> Contract : UCP # 2952 <br /> Project : US1 from The South Relief Canal to 1500 Feet South of 9`h Street ( Oslo Rd . ) Conflicts with <br /> FDOT Drainage <br /> OWNER ' s Contract No . WIP # 47123536 - 044699- 07522 ENGINEER ' s Contract No . <br /> ENGINEER <br /> ( 1 ) Attach detailed schedule and copies of all paid invoices , <br /> 1 . Original Contract Price : $ 122 , 231 . 45 <br /> 2 . Net change by Change Orders and Written Amendments ( + or - ) : $ 10 , 740 . 42 <br /> 3 . Current Contract Price ( 1 plus 2 ) : $ 132 , 971 . 87 <br /> 4 . Total completed and stored to date : $ 1329971 . 87 <br /> 5 . Retainage ( per Agreement ) : <br /> 0 % of completed Work : $ 0 <br /> 0 % of retainage : $ 0 <br /> Total Retainage : $ 0 <br /> 6 . Total completed and stored to date less retainage (4 minus 5 ) : $ 132 , 971 . 87 <br /> 7 . Less previous Application for Payments : $ 92 , 548 . 67 <br /> 8 . DUE THIS APPLICATION ( 6 MINUS 7 ) : $40 , 423 . 20 <br /> CONTRACTOR' S CERTIFICATION : <br /> I hereby certify that the labor and materials listed on this request for payment have been used in the construction <br /> of this work and payment <br /> received from the last request for payment has been used to make payments to all subcontractors , laborers , material <br /> men and suppliers , except <br /> as noted below . <br /> The acceptance of final payment shall be and shall operate as a release of the OWNER from all claims and <br /> all liability to the CONTRACTOR [) <br /> other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or <br />furnished in connection with <br /> 00622 - Contractor's Application for Final Payment - Per Marian r� <br /> 00622 - 1 �J <br /> Y :\Projects\08-363 Oslo Road IRC Labor Contract\Payment Applications\00622 - Contractor's Application for Final Payment - Per Manan .doc Rev. 05/01 <br /> ATTACHMENT 1� <br />
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