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- -, <br /> 0 <br /> APPLICATION FOR PAYMENT NO, 3 <br /> To Indian River County (OWNER) <br /> Contract for Baytree Marbrisa, and Seagrape Trail Dune Restoration <br /> OWNER' S Contract No . 03103 ENGINEER' s Project No . <br /> For Work accomplished through the date of <br /> February 20, 2004 (Final Release of Retainage) <br /> Contractor' s Schedule of Values Work Completed <br /> ITEM <br /> Unit Price Quantity Amount Quantity Amount <br /> Mobilization/Demobilization $ 9, 850 . 00 1 L . S . $ 9, 850 . 00 100 % $ 9, 850. 00 <br /> Furnish & Deliver Sand $ 6 . 75 17,350 Tons $ 117, 112 . 50 100 % $ 117, 112. 50 <br /> Place and Grade Sand $ 3 . 60 17, 350 Tons $ 62 ,460. 00 100 % $ 62 ,460 . 00 <br /> Site Restoration $ 17,350. 00 1 L . S . $ 17,350. 00 100 % $ 179350. 00 <br /> Total (Orig . Contract) $2069772 . 50 <br /> C . O . No . 1 <br /> C . O . No . 2 <br /> Accompanying Documentation: GROSS AMOUNT DUE $_206, 772 . 50 <br /> Henry Fischer & Sons, Inc . Invoice <br /> No . 15042 (Final Release of <br /> Retains eg_Request) LESS _ % RETAINAGE $ 0 <br /> AMOUNT DUE TO DATE $ 206, 772 . 50 <br /> LESS PREVIOUS $ 186 ,095 .25` <br /> PAYMENTS <br /> AMOUNT DUE THIS $ 20, 677 . 25_ <br /> APPLICATION <br /> CONTRACTOR' S Certification: <br /> The undersigned CONTRACTOR certifies that : ( 1 ) all previous progress payments received from <br /> OWNER on account of Work done under the Contract referred to above have been applied to <br /> discharge in full all obligations of CONTRACTOR incurred in connection with Work covered by <br /> prior Applications for Payment numbered 1 through I inclusive ; (2) title to all Work, materials and <br /> APPLICATION FOR PAYMENT AP-2 <br />