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Home My WebLink About2005-287 'rl - II ' c�nwwar ►aahnlrs� �r ,► _ 790 N . E . 48" Street , Pompano Beach , Florida 33064 Application for Payment No . 1 . FWAL For Work Accomplished through the period of Mal/ 171h through June 17th 2005 To : Indian River County (OWNER) From : The Danella Companies , Inc. , Utilities Labor Contractor Project Name : Chesser' s Gap Force Main Bypass along CR 512 COUNTY WIP NO . : 471 . 26836-044699 ENGINEER OF RECORD : Gordon E . Sparks , P . E . . 1 . Original Contract Price : $ 14 , 148 , 36 2 . Net change by Change Orders and Written Amendments ( + or - ) : ($2 , 872 . 60 ) 3 . Current Contract Price ( 1 plus 2 ) : $ 17 , 020 . 96 4 . Total completed and stored to date $ 17 , 202 , 96 5 . Retainage ( per Agreement) : 0 % of completed Work : N/A 0 % of stored material : N/A Total Retainage : N/A 6 . Total completed and stored to date less retainage (4 minus 5 ) : $ 172020 . 96 7 . Less previous Application for Payments : $0 . 00 8 . DUE THIS APPLICATION (6 MINUS 7) : 17 020 . 96 (°') 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 ( NTRA By: 1 r , State of County of Subscribed and sworn to before m s .�0 .7H day of , / 2vc S NICHOLAS J . FIDUCCIA Notary Public NOTARY PUBLIC - STATE OFFIARIDA COMMISSION N DD136M My Commission expires : SONDE PES M THRRU 14 &WINW-NOTARYI Page 1 of 2 Z:Uob Folders\Indian River County\Annual Contract\Chesser's Gap\Npplication for Payment - Chesser's Gap.doc Rev. 07/01 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. Dated Z / 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 � � 2 7 O l tNRG NST / ENGINEER) SIGNATURE Accompanying Documentation : Itemized List of Labor Bid Items * * END OF SECTION Page 2 of 2 Z:\Job Folders\Indian River County\Annual Contract\Water Services\IRC - 00622 - Application for Payment Grovenor.doc Rev. 07/01 CM1 z GAP p 790 N.E. 48th Street - Pompano Beach, Florida 33064 .caa+aerrrar«rr�xs. raivv+c_ Indian River County Department of Utilities COST ESTIMATE and CONTRACTOR'S BID ITEM LIST Project: IRC - Chesser's Gap 6" Force Main CHANGE ORDER Description: WIP #471-26836-044699 5-Jul-05 LABOR COSTS Bid Bid Item Estimated Unit of Labor Unit Total Labor Item No. Description Quantity , Measure Price Price 77 Mobilization 1 4% 642 .30 78 Demobilization 1 1 % 160.58 79 Maintenance of Traffic 1 1 % 160. 58 04c Install 8 " HDPE Horiz. Directional Drill 400 LF $22 .00 8,800.00 06 Install MRJDI Fittings 0. 50 Tons $ 1 ,665 .001 832 .50 31f Install 8 " PVC Force Main 10 LF $6 .50 65 .00 13c Ta 8" Main for Installation of Assembly 1 EA $650.00 650.00 Ila Install Wet Ta Assembly 8 " & 8" 1 EA $900.00 900.00 9 Make Connections to Existing 1 EA. $795 .00 795 .00 Main/Structure 44 Core Drill MH & Install Expansion Boot 1 EA. $ 550 .00 550.00 72 Load and Haul Debirs 3 CY $350.00 1 ,050 .00 23 Potholes 6 EA. $200.00 1 ,200 .00 73a Topsoil & Sod 450 SY $2 .70 1 ,215 .00 Subtotal Subtotal Sewer System Labor 16,057 .50 Subtotal Subtotal Sewer System Labor, Mob., 963 .46 Demob . SubTotal Labor Cos $17,020.96 TOTAL PROJECT COST CMsw Gap MV Ab SECTION 00450 CHANGE ORDER FORM CHANGE ORDER NO . 01 DATE : August 2005 CONTRACTOR: The Danella Companies , Inc . OWNER : INDIAN RIVER COUNTY AGREEMENT DATE : April 5 , 2005 PROJECT NAME : Chesser' s Gap Force Main Bypass Along CR 512 The following changes are hereby made : 1 ) Change all references to 6" force main to 8" force main and fittings as a result of field conditions actually encountered Original CONTRACT PRICE (LABOR ONLY) $ 14 . 148 . 36 Current CONTRACT PRICE ADJUSTED by previous CHANGE ORDER $ N/A Net Increase (Decrease) Resulting from this CHANGE ORDER $ 29872 . 60 The current CONTRACT PRICE including this CHANGE ORDER $ 17 , 020 . 96 ORIGINAL CONTRACT TIME : 30days No . Days 30 Current CONTRACT TIME adjusted by previous CHANGE ORDER No . Days N/A Net Increase ( Decrease) Resulting from this CHANGE ORDER No . Days 30 Current CONTRACT TIME Including this CHANGE ORDER No . Days 60 CHANGES ORDERED : I . GENERAL This change order is necessary to cover changes in the work to be performed under this Contract. The ANNUAL LABOR CONTRACT AND SPECIFICATIONS apply to and govern all work under this change order. Il . REQUIRED CHANGES Increase/decrease certain item quantities to reflect actual field conditions III . JUSTIFICATION To complete construction of force main bypass to eliminate sewage backup condition at the Elk's Lodge on Fleming Street in Sebastian Attachment 1 Funds for the project have been approved by the BCC from the Utilities Department Repair and Replacement Sewer Fund Account No . 471 - 26836-044699 Change Order Form 00450 - - 1 - C:\DOCUME- 1\NFIDUC— I\LOCALS-1\Temp\notes6030C8\00450 - Change Order Form.doc 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 , Indi River County, FI a Change (s ) Ordered By : Gordon Sparks IV Arlt RMENTAL ENGINEER RECOMMENDED BY : Gordon Sparks ACCEPTED BY : DEPARTMENT OF UTILITY SERVICES The Danella Companies , Inc . Engineer : Gorcfn Spar C ntr ctor By ' �/ B : /Z z aa� Y Signature & 16ate Signature & Date Title : Environmental Engineer Title : Ily APPR'VED _BY : INDIAN RIVER COUNTY, FLORIDA It I 'Thomas 3 • Lowther , Chairman , Board of County Commissioners BC ' A p- (ov6d, :` � August 23 , *2005 of SECTION r• Change Order Foam 00450 - - 2 - CADOCUME— I \NFIDUC— I \LOCALS— I \Temp\notes6030C8\00450 - Change Order Form-doe