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HomeMy WebLinkAbout2005-345 Na 1 _ • m 1001 W . Cypress Creek Rd , Suite 300 .. . : ;.. , . Ft . Lauderdale , Florida 33309 Application for Payment No . 1 _ For Work Accomplished through the period of September 1 st through September 15th , 2005 . To : Indian River County ( OWNER) From : The Danella Companies , Inc . , Utilities Labor Contractor Project Name : Best Car Wash FM Relocation COUNTY WIP NO . : UCP # 2665 ENGINEER OF RECORD : Gordon E . Sparks , P . E . . 1 . Original Contract Price : $21 , 999 . 52 2 . Net change by Change Orders and Written Amendments ( + or - ) : - 31664 . 65 3 . Current Contract Price ( 1 plus 2 ) : $ 18 , 334 . 87 4 . Total completed and stored to date (*) : $ 18 , 334 . 87 5 . Retainage ( per Agreement) : 0 % of completed Work : $0 . 00 0 % of stored material : $ 0 . 00 Total Retainage : $0 . 00 6 . Total completed and stored to date less retainage (4 minus 5 ) : $ 18 , 334 . 87 7 . Less previous Application for Payments : $0 . 00 8 . DUE THIS APPLICATION ( 6 MINUS 7 ) : $$ 181334 . 87 (*) If applicable, an Itemized list of labor and/or materials furnished and installed I s attached. CONTRACTOR' S CERTIFICATION : The undersigned CONTRACTOR certifies that ( 1 ) all previous progress payments received from OWNER on account of Work done under the Contract referred to above have been applied on account to discharge CONTRACTOR ' s legitimate obligations incurred in connection with Work covered by prior Applications for Payment numbered 1 through 2 inclusive ; ( 2 ) title of all Work , materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of payment free and clear of all Liens , security interests and encumbrances ( except such as are covered by a Bond acceptable to OWNER indemnifying OWNER against any such Lien , security interest or encumbrance ) ; ( 3 ) all Work covered by this Application for Payment is in accordance with the Contract Documents and not defective and (4) If this Periodic Estimate is for a Final payment to project or improvement , I further certify that all persons doing work upon or furnishing materials or supplies for this project or improvement under this foregoing contract have been paid in full , and that all taxes imposed by No . 212 Florida Statutes , ( Sales and Use Tax Act , as Amended ) have been paid and discharged , and that I have no claims against the OWNER . —� Dated J ( CONTRACTOR ) By : ,, State of L"A — n County of �> �t� J� NICHOLAS J. FIDUCCIA Subscribed and sworn to b forewwe this P40TA <YPUeuc - STATE Or : _ .: •tnA day of I � , . ° �aes""nDD01"_ : Notary Public DOM= TURU 141WP Page 1 of 2 Y:\Job Folders\Indian River County nnual Contract\Best Car Wash\IRC - 00622Application for Payment Best Car Wash. doc Rev. 07/01 Attachment 1 My Commission expires : �� ; Z �' 2 a © CERTIFICATION OF ENGINEER (WHERE APPLICABLE ): I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial Payment ; that to the best of my knowledge and belief it is a true and correct statement of the work performed and/or material supplied by the Contractor. r . Dated -{ARGHfTE46T / ENGINEER ) SIGNATURE CERTIFICATION OF ENGINEER / INSPECTOR .• I have checked the estimate against the Contractor's Schedule of Amounts for Contract Payments and the notes and reports of my inspections of the project . It is my opinion that this statement of work performed and/or materials supplied is accurate , that the Contractor is observing the requirements of the Contract , and that the Contractor should be paid the amount requested above . Dated -. ARCHIMCT / ENGINEER ) SIGNATURE Accompanying Documentation : Itemized List of Labor Bid Items * * END OF SECTION * * Page 2 of 2 Y:\Job Folders\Indian River CountylAnnual Contract\Best Car Wash\IRC - 00622Application for Payment Best Car Wash .doc Rev. 07/01 SECTION 00450 CHANGE ORDER FORM CHANGE ORDER NO . 01 DATE; March 29 , 2005 CONTRACTOR : The Danella Companies Inc OWNER : INDIAN RIVER COUNTY AGREEMENT DATE : August 9 . 2005 PROJECT NAME : Best Car Wash Force Main Replacement The following changes are hereby made : 1 ) Decrease the Contract Amount and Time to reflect actual field construction time and quantities Original CONTRACT PRICE $.21 . 999 . 52 Current CONTRACT PRICE ADJUSTED by previous CHANGE ORDER $ N/A Net Increase ( Decrease ) Resulting from this CHANGE ORDER $ (3 , 664 . 65 ) The current CONTRACT PRICE including this CHANGE ORDER $ 18 . 334 . 87 ORIGINAL CONTRACT TIME : 7 days No . Days 7 Current CONTRACT TIME adjusted by previous CHANGE ORDER No . Days 60 Net Increase ( Decrease ) Resulting from this CHANGE ORDER No . Days 53 Current CONTRACT TIME Including this CHANGE ORDER No . Days 60 CHANGES ORDERED : 1. GENERAL This change order is necessary to reflect the actual work and resulting costs and time Performed under this Contract to construct the proiect II . REQUIRED CHANGES Decrease construction items and Increase time III . JUSTIFICATION To allow FDOT to construct improvements to US 1 Funds for the proiect have been approved by the BCC from the Utilities Department R& R Fund , Account No . 471 Attachment 2 00450 - - 1 - Change Order Fortn C:\DOCUMB- 1 \NFIDUC- 1 \LOCALS- 1 \Temp\notes6030C8\- 1634388. 1 IV. WAIVER This Change Order constitutes full and mutual accord and satisfaction for the adjustment in contract price or time as a result of increases or decreases in costs and/or time of performance caused directly and indirectly from the change . This Change Order represents an equitable adjustment to the contract and CONTRACTOR hereby waives all rights to file a claim on this Change Order after it is properly executed . V. APPROVAL AND CHANGE AUTHORIZATION Acknowledgements : The aforementioned change , and work affected thereby, is subject to all provisions of the original contract not specifically changed by this Change Order; and , It is expressly understood and agreed that the approval of the Change Order shall have no effect on the original contract other than matters expressly provided herein . Change Order Request By : Gordon Sparks Department of Utility Services , Indian River County , Florida Change (s ) Ordered By : Gordon Sparkstie MOAN, ENTAL ENG NEEN RECOMMENDED BY : Gordon Sparks ACCEPTED BY: DEPARTMENT OF UTILITY SERVICES Engineer: Gordon Sparks The Danella Companies , Contractor � /�� � - By . . : r By . 1 - Signature ,& Date i s Signature & Date Title : Environmental Engineer Title : APPROVED Br INDIAN RIVM_COUNTY ' FLORIDA Thomas S . Lowther, Chairman Board of County Commissioners BCC Approved : October 11 , 2005 * * END OF SECTION 00450 - - 2 - Change Order Foam C: ADOCOMB— I ANFIDUC- 1 ALOCALS- 1 ATempAnotes6030C8\- 1634388. 1