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HomeMy WebLinkAbout1999-218i 11 INDIAN RIVER COUNTY, FLORIDA AUG j I ,-i99 L APPLICATION FOR PAYMENT NO.35— DEPT. , PROJECT NO:9623 ACCOUNT NO:315.-'10-572-068.09 PROJECT: WABASSO CAUSEWAY PARK BEAUTIFICATION PROJECT CONTRACTOR NAME/ADDRESS: �iYL'\�i �Y��\� C� t7f �7Y�^� tom✓) _ APPLICATION DATE: I ►o I�� _ FOR PERIOD ENDING_(ollrt�( STATEMENT OF WORK Original Contrail Price $ c�lQ3. Materials StId $_ — 0 — Net Change Orders $ �;2, 4QQ (Attach detailed schedule and paid invoices) Current Contract Price $ • ` ZVotal Word/Materials to Date $oi(o5,_801,ga Work to Date: Less 10% Retainage $ Under Original Contract $ Sub Total $'2iq �•9D Under Change Order $�ICfE • (oa. Less Prior Payments $ --:):E!J9 , Q, +� Percent of Work Completed to Date 4/0 BALANCE DUE THIS PAYMENT G Contractors Certification The undersigned CONTRACTOR hereby certifies that all items and amounts on the face of this application for payment are correct; that all work has been performed and/or matenals supplied in full accordance with the terms and conditions of the contract. The undersigned CONTRACTOR hereby swears under penalty of perjury that (1) all previous progress payments received from the OWNER on account of work performed under the contract referred to above have been applied by the undersigned to discharge in full all obligations of the undersigned incurred in connection with work covered by prior Applications for Payment under said contract, being Applications for Payment numbered 1 through -� - inclusive; and (2) all materials and equipment incorporated in said project or otherwise listed in or covered by this Application for Payment are free and clear of all liens, claims. security interests and encumbrances Dated 2 �t� 1pfi R)<AV- '�C�Y�z' c- ni01AN IVER COUNTY PUWI wOWO BY:_��<;%J✓�! APPROVED GATE (Nam le) OrRt; �� `' `' DIV. HEAD j / P.O. • i G,.:_,� , 51 =S'E 19!1�1 personally appeared vho being duly sworn, deposes and says that (so Is the FACTOR above mentions, that (s&executed the above nt on behalf of said CONTRACT bar o tthal+ of-�►i® corr t d complete aunty Commission Apprtivery for Pavnrent Notary Public --------_---- -- ----- My Commission Expires,2 �,�1 9 D_�te A:'NI.Ii ATION F09 PAYMENT Ar I FINAL PAYMENT CONTRACTOR STATE OF FLORIDA COUNTY OF Personally before me the undersigned officer, authorized by the laws of said state to administer oaths, comes A �rr-*r �rZ�- who on oath says: That he is the Contractor with whom Indian River County, Florida, a political subdivision of said state, did on the IG day of C-::) S? 1 9TJ enter into a contract for the performance of certain work, more particularly described as follows: WABASSO CAUSEWAY PARK BEAUTIFICATION PROJECT County Project No. 9623 Affiant further says that said construction has been completed and the contract therefore fully performed and final payment is now due and that all liens contracting directly with or directly employed by such contractor have been paid in full EXCEPT: Name Description Amount who have not been paid and who are due the amount set forth. WITNESS: (Corporate Seal) AWOZA/BROTHERS CORPORAIM . K��bscri astor) By:Sb and sworn to before me this IC5" Day ofG �• 1 IAttest: Notary Publi`3�,Ay��`s G"G ..� fIGi iva at Large My Commission expires:z � Not 0HICIA KY. A ROSEMARYFERRINO ry yp p �v Name of No t ed or anted N(YrARYPUBIIC'sTATEGFF" "4 COMMISSION NO. CCWM6 Y E MM @ON EXP. MAY nM I herewith acknowledge receipt of Final Payment on above and do hereby certify that I have no claims against the owner of said property %% Contractor !NA1 PAYMVNI FP I X)s Artazoza Bros., Corp. 15901 S,W. 242 Street, Homestead, Florida 33031 - (305) 246-3223 - Fax (305) 246-0481 Mailing address - P.Q. Box 924890, Princeton, Florida 33092 .................... Atit� .91i.-1:�� 1t10t�; `REQ': Wabasso Causeway Indian River County 1840 25th Street Vero Beach, Florida 32960 Job Name: Wabasso Causeway Indian River County Project No. 9623 Including c/o #1 Item Qtv. nwsrrintinn 'r- n�•e r i.,;• • r • , n- . CU1 82 Coccoloba uvifera Ea 0.00 82.00 $ 150.00 $ 12,300.00 CU2 32 Coccoloba uvifera Ea 0.00 32.00 $ 50.00 $ 1,600.00 LL 8 Ligustrum Lucidum Ea 0.00 8.00 $ 350.00 $ 2,800.00 SP 346 Sabal Palmetto Ea 0.00 346.00 $ 160.00 $ 55,360.00 TSP 14 Sabal Palmetto Ea 0.00 14.00 $ 200.00 T-2. 800. 00 WR c/o#1 61 Washingtonia 8' & 10' CT Ea 0.00 61.00 $ 200.00 $ 12,200.00 WR c/o# i 72 Washingtonia 12' & 14' CT Ea 0.00 72.00 $ 250.00 $ 18,000.00 WR c/o#1 61 Washingtonia 16'& 20' CT Ea 0.00 61.00 $ 325.00 $ 19,825.00 WR 14 Washingtonia 22'& 24" CT Ea 0.00 14.00 $ 375.00 $ 5,250.00 IVN 196 Llex voimitoria Ea 0.00 196.00 $ 5.00 $ 980.00 SB 916 Spartina Bakerii Ea 0.00 91600 $ 6.00 $ 5,496.00 ST 164 Sophora Tomentosa Ea 0.00 164.00 $ 6.00 $ 984.00 HD 246 Helianthus did itis Ea 0.00 246.00 $ 2.25 1 $ 553.50 GP 223 Gallardia Pulchella Ea 0.00 223.00 $ 3.00 $ 669.00 MC 6601 Muhlenbergia Ea 0.00 6,601.00 $ 2.75 $ 18.152.75 SF 144055 Cynodon dactylon SF 0.00 144,055.00 $ 0.31 $ 44,657.05 CY c/0#1 599 Florimulch CY 0.00 599.00 $ 13.00 $ 7,787.00 96 Cao Rock Roulderc96-uu $ 1b 00 $ 7,200 00 16 Cap Rock Boulders 000 16.00 $ 75 00 $ 1,200.00 c/o #1 1 Terrasorb LS 0 00 1 00 $ -3,50000 $ 3,500.00 1 Mobilization LS 0.00 1 00 $ 10,000.00 $ 10.000.00 c/o #1 1 Earthwork/Sae Preparation LS 0.00 1 00 $ 2,50000 $ 2.50000 1 Traffic Control / Safety LS 0 00 1 00 $ 3.00000 $ 3,000 00 c/o #1 1276 Instal! Shrub, 3 gallon EA 0 00 1.276 00 $ 4 00 $ 5,104.00 clo #1 7070 Install Ground Cover, 1 gallon EA 0 00 7,070 00 S 2 00 $ 14.140 00 599 1 Install Mulch CY 000 59900 $ 12 27 $ 7,34_9:§2 cio #1 12 Relocate Palm EA 000 1200 $ 20000 $ 2.400 00 Total Cornpleted & Billed: $ 265,807.92 Payments Received To Date: S X39,227.12 M Retention ^ ».IS