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Home My WebLink About2007-392 SECTION 00622 - Contractor's Application for Final Payment Application for Payment No. 3 - FINAL . For Work Accomplished through the period of 10-01 -07 through 11 -02-07 To : Indian River County (OWNER) From : Underground Utilities Inc (CONTRACTOR ) Contract: Labor Contract Bid No . 2007026 Project : CR 512 Utility Conflict Resolutions for 10" and 12" OWNER's Contract No . WIP No . 471 -23536-044699-06543 ENGINEER's Contract No . 2952 ENGINEER Gordon Sparks P . E . . ( 1 ) Attach detailed schedule and copies of all paid invoices . 1 . Original Contract Price : $51 , 554 . 36 2 . Net change by Change Orders and Written Amendments (+ or $2 , 530 . 84 3 . Current Contract Price ( 1 plus 2) . $54 , 085 . 20 4 . Total completed and stored to date : $54 , 085 . 20 5 . Retainage ( per Agreement): 100% of completed Work : $54 , 085 . 20 5% of retainage : N/A Total Retainage : N/A 6 . Total completed and stored to date less retainage (4 minus 5 ): $54 , 085 . 20 L7 . Less previous Application for Payments : $46 , 527 . 81 8. DUE THIS APPLICATION 6 MINUS 7) : JL557 . 39 CONTRACTOR'S CERTIFICATION : I hereby certify that the labor and materials listed on this request for payment have been used in the construction of this work and payment received from the last request for payment has been used to make payments to all subcontractors, laborers, material men and suppliers, except as noted below. The acceptance of final payment shall be and shall operate as a release of the OWNER from all claims and all liability to the CONTRACTOR Y AAAA - 00622 - Contractor's Application for Final Payment - 11 -7-07.doc p 00622 - 1 (� _ F:AUlilitiesWTILITV - ENGINEERINGAProjects - Utility Construction PermitsVIRC - CR 512 & CR 510 Utility Conflicts by nacelle UCP #283]VNAA - 00822 - Contractors Application for Fina l Payment - ll -]-07.ran Rev. 05/01 J Attachment 1 , � � other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or furnished in connection with this Work and for every act and neglect of the OWNER and others relating to cr arising out of this Work. Any payment , however, final or otherwise , shall not release the CONTRACTOR or his sureties from anv obligations under the Contract Documents or the Payment and Performance Bonds . / Dated /(PONTf�OR) By: &LA_ e State of FIIMd a- County of T,-, NG Subscribeo and sw rn to before me this day Of o� D p M" CONSTANCE W. YOUNG 1 rA• is _ MY COMMISSION DD 608243 n c ✓ 1 �S b— *� tr• gs EXPIRES: October 23, 2010 Notary Public BondedIDvNolary Publk Untleiwrners My Commission expires : D Q--3r a-�5 c�- bl D CERTIFICATION OF ARCHITECT OR CONSULTING 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 perfo med and/or material upplied by the Contractor. Dated � �l O ' 4 a� (ARetitTECT / ENGINEEK 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 / (ARC TECT / ENGINEER IGNATURE Accompanying Documentation : 0CR 512 - Contractor's Application for Final Payment - Per Marian C9Dowments and Settings\George FrenchlDesktoplCR 5121CR 512 - Coniractole Applicelion for Final Payment - Per Marian doc - 2.doc Rev. 05/01 LABOR CONTRACTOR's REQUEST for PAYMENT No 3 IOU% FINAL UNDERGROUND UTILITIES INC. Project CR 512 Utility Conflict Resolutions for 10" and 12" 390 21st ST. SE Force Main under Change Order No. 1 VERO BEACH, FLORIDA, 32962 Description UCP 91952 Account Number W.I.P. No. 471-235336-044699-06543 772-291-7113 November 6, 2007 LABOR COSTS FF Hem O. 1 lerti Estimated Unit of Unit TOTAL D¢SCrI tion Quantiry I Measure I Price. COST >> Mobilization, Demobilization & MOT 2,080.20 + + ( orce a n nsta m 180 50.00 be _ to . + +6�-:( z+ orce aln nsta In en- .l 120 60.00 0 7— nhn s 3 .0 Ons 4000.00 Iwoemove an 1s ose o Ipe t vou ' 320 4.00 nits an emove .lne . to on , me i es estralnnt ,xlst 1 1 , 100.00 �e111ALao don o,CajoVV J .aje . Jop on jz rm, intoes Kestrainat mist 0 4,200.()0 17e Insta I " NRS GV& B 2 300.00 600.00 1 nste ULA 500.00 - e nsta orce mn 60 12.00 720.00 Install 12" [VC Porte Main 20 15.00 Potholes 30 1 150.00 Load & Haul debris to Landfill 3.0 on 35 ,00 Install 4" Air Release Valve and Manhole Structure on Water Main 0 800.00 0.00 T71> _ower Ip�f'-Te ry �xcavattoo ter estrammg -rook, 400 20.00 8.000.00 Do cnsrty est en Ioctof 48 150.00 7,200.00 u tots Suhlotnl Water Svstem Labor --gUlYtOlaT Subtotal Water Svstcm Labor Mob Demob, Mot once 1RCDUS Continecncy Account owance cct. Total - Total Completed to Datcl 00% 54,08520 Approscd by : — Dale- O Total Retains a Held 2,70426 lu('U hTwpioc Ron Le Leh, e. 'I otal Paid to Date 46, 27. Total hrvoice Amount plus Rcleinagc 557 9 Submitted by Date-10/19/2007— ( (Intractor ate10/19/2007Cuntracmr Untlerpound 1h1li0rn 6m Approved by _ _ Dare Attachment I ItCIIltngmccn (iordonll. sparksP.U. _ ane' 1 SECTION 00450 CHANGE ORDER FORM CHANGE ORDER NO . 01 DATE: 11 /02/07 CONTRACTOR: Underground Utilities Inc. OWNER: INDIAN RIVER COUNTY AGREEMENT DATE : May 15 2007 PROJECT NAME : CR 512 and CR510 Utility Conflict Resolution The following changes are hereby made: 1 ) Increase the Contract Amount to include . . Original CONTRACT PRICE $ 51 , 554 . 36 Current CONTRACT PRICE ADJUSTED by previous CHANGE ORDER $ 51 . 554. 36 Net Increase (Decrease) Resulting from this CHANGE ORDER $ 2 , 530 . 84 The current CONTRACT PRICE including this CHANGE ORDER $ 54 , 085 .20 ORIGINAL CONTRACT TIME: No. Days N/A Current CONTRACT TIME adjusted by previous CHANGE ORDER No . Days N/A Net Increase (Decrease) Resulting from this CHANGE ORDER No . Days 0 Current CONTRACT TIME Including this CHANGE ORDER No . Days NIA CHANGES ORDERED : I . GENERAL This change order is necessary to increase the cost of the project due to unexpected pipes pipe sizes removal of existing pipe lowering existing pipe and lack of valves ll . REQUIRED CHANGES Increased construction line items III . JUSTIFICATION To finish utility relocates to accomplish a timely completion of CR 512 improvements Funds for the project have been approved by the BCC from the Utilities Department R&R Fund . 4712353604469906543 Attachment 2 CLunpe OrJvr form 00 9911 -- 1 - 1 Lli l ilicsR IT I I II Y - LNG 6 F LRIN(i 'ru]cc is - I .It TI COnelruclu Icm'es.IRC - (RS12 & CR >l0Ullt (onllin. be Dnclla L ( P a_A .I TIAA (ha nDC ON.r Ni INocni .r9. _OU1dx 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 RECOMMENDED BY: ACCEPTED BY: DEPARTMENT OF UTILITY SERVICES CONTRACTOR /0 By: 3OJ By: gnature & Date, Go on Sparks Signat a Date, U derground Utilities , Inc. Title: Environmental Engineer Title : President APPROVED BY: INDIAN RIVER COUNTY FLORIDA Owner B . . . . ,y Sandra L .` 9owd?n Chairman Board of.County Commissioners * ` END OF SECTION Chance order Fnrm noisu z - - F 'IrliliesIII ILIF) ENG INR FRIN(".Prireems Util it) ( oirertictiull Perm it, IR( ('R 512dt CR 5 I II U(I - ( mlliels heDani I ( P f2Ni1AAA - ChnnuaUN N, IOamber10 200]-doe