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APPLICATION FOR PAYMENT NO, 3 <br />44 - <br />0 <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 />ITEM <br />Mobilization/Demobilization <br />Furnish & Deliver Sand <br />Place and Grade Sand <br />Site Restoration <br />Total (Orig. Contract) <br />C.O. No. 1 <br />C.O. No. 2 <br />Contractor's Schedule of <br />Unit Price <br />$ 9,850.00 <br />$ 6.75 <br />$ 3.60 <br />$ 17,350.00 <br />Accompanying Documentation: <br />Henry Fischer & Sons, Inc. Invoice <br />No. 15042 (Final Release of <br />Retains eg_Request) <br />CONTRACTOR'S Certification: <br />1 L.S. <br />17,350 Tons <br />17,350 Tons <br />1 L.S. <br />Values <br />:u6_i <br />$ 9,850.00 <br />$ 117,112.50 <br />$ 62,460.00 <br />$ 17,350.00 <br />$2069772.50 <br />GROSS AMOUNT DUE <br />LESS % RETAINAGE <br />AMOUNT DUE TO DATE <br />LESS PREVIOUS <br />PAYMENTS <br />AMOUNT DUE THIS <br />APPLICATION <br />Work <br />)uantity I Amount <br />100% $ 9,850.00 <br />100% $ 117,112.50 <br />100% $ 62,460.00 <br />100% $ 179350.00 <br />$ 206,772.50 <br />$ 206,772.50 <br />$ 186,095.25 <br />$ 20,677.25 <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 <br />AP -2 <br />