HomeMy WebLinkAbout2009-099A SECTION 00622 - Contractor' s Application for Final Payment
Application for Payment No , 4 .
For Work Accomplished through the period of February 1 , 2008 through March 16 2009
r
To : INDIAN RIVER COUNTY ( OWNER )
From : DERRICO CONSTRUCTION CORPORATION ( CONTRACTOR )
Contract : UCP # 2952
Project : US1 from The South Relief Canal to 1500 Feet South of 9`h Street ( Oslo Rd . ) Conflicts with
FDOT Drainage
OWNER ' s Contract No . WIP # 47123536 - 044699- 07522 ENGINEER ' s Contract No .
ENGINEER
( 1 ) Attach detailed schedule and copies of all paid invoices ,
1 . Original Contract Price : $ 122 , 231 . 45
2 . Net change by Change Orders and Written Amendments ( + or - ) : $ 10 , 740 . 42
3 . Current Contract Price ( 1 plus 2 ) : $ 132 , 971 . 87
4 . Total completed and stored to date : $ 1329971 . 87
5 . Retainage ( per Agreement ) :
0 % of completed Work : $ 0
0 % of retainage : $ 0
Total Retainage : $ 0
6 . Total completed and stored to date less retainage (4 minus 5 ) : $ 132 , 971 . 87
7 . Less previous Application for Payments : $ 92 , 548 . 67
8 . DUE THIS APPLICATION ( 6 MINUS 7 ) : $40 , 423 . 20
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 [)
other than claims in stated amounts as may be specifically excepted by the CONTRACTOR for all things done or
furnished in connection with
00622 - Contractor's Application for Final Payment - Per Marian r�
00622 - 1 �J
Y :\Projects\08-363 Oslo Road IRC Labor Contract\Payment Applications\00622 - Contractor's Application for Final Payment - Per Manan .doc Rev. 05/01
ATTACHMENT 1�
this Work and for every act and neglect of the OWNER and others relating to or arising out of this Work . Any
payment , however , final or
otherwise , shall not release the CONTRACTOR or his sureties from any obligations under the Contract Documents or the
Payment and
Performance Bonds .
Dated 3 / 7 �7� t 'j Derrico Construction Corporation
( CONTRACTOR )
State of
County of
Subscribed and sworn, to before me this `% r4
day of ��� Y ° JEAN ROBERTSON
Nota PUbiIC i 1 � C�C i ' !A MY COMMISSION # DD775901
Notary / "'��`'� � `-7 " " 'f'` - �OfA� EXPIRES : Sept. 26. 2009
My Commission expires : ='z i ? L `� (407) 38&0153 Ronde Nouy Service,eom
CERTIFICATION OF A5 ! CT 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 performed and/or material supplied by the Contractor .
400�t '00
Dated
ffGT / ENGINEER ) SIGNATURE
CERTIFICATION OF ENGINEER / INSPAR :
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 7 / � Ply - 2 —
CT / ENGINEER) IGNATURE
Accompanying Documentation :
* * END OF SECTION
00622 - Contractor's Application for Final Payment - Per Marian
00622 - 2
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SUBCONTRACTOR 'S PAYMENT REQUEST
SUBMITTED BY : DERRICO CONSTRUCTION CORPORATION
Post Office Box 361177
Melbourne, FL 32936- 1177
SUBMITTED TO : INDIAN RIVER COUNTY DEPARTMENT OF UTILITIES
1801 27th Street
Vero Beach , FL 32960
PROJECT NAME : IRC - US1 from The South Relief Canal to 1500 Feet South of
9th Street SE ( Oslo Rd . ) Conflicts with FDOT Drainage
DESCRIPTION : UCP #2952, WIP #47123536 -044699 -07522
PERIOD ENDING : March 31 , 2009
PAY REQUEST: #4 - Final
ORIGINAL CONTRACT AMOUNT $ 1229231 .45
APPROVED CHANGE ORDERS $ 10 , 740 . 42
TOTAL REVISED CONTRACT $ 1321971 . 87
TOTAL COMPLETED TO DATE $ 132 , 971 . 87
MATERIALS STORED $ 0 . 00
TOTAL COMPLETED AND STORED $ 132 ,971 . 87
RETAINAGE ( 10 % ) $ 0 . 00
TOTAL EARNED LESS RETAINAGE $ 132 , 971 . 87
LESS BILLED ON PREVIOUS ESTIMATES $ 92 , 548 . 67
PAYMENT DUE $ 40 ,423.20
RELEASE
The undersigned certifies that all material , labor or services for which payment is requested
have been fully paid for ; and the above project cannot be liened or made claim to by
anyone who has furnished material , labor or services to the undersigned ; and the
undersigned hereby releases Indian River County
from further liability for materials , labor or services furnished by the undersigned through this
pay period .
This release becomes in full force and effect upon receipt by the undersigned of the
"current payment due" amount, shown above .
Date : , � fir, DERRICO CONSTRUCTION CORPORATION
John P . Robertson , President
STATE OF FLORIDA
COUNTY OF BREVARD
The foregoing instrument was acknowledged before me this /1 day of 2009 by
John P . Robertson , President of DERRICO CONSTRUCTION CORPORATION , a Florida
corporation , on behalf of the corporation . He is personally known to me and did take an oath .
My Commission Expires :
AOTARY PUBLIC
JEAN ROBERTSON
MY COMMISSION # DD475901
off@ EXPIRES: Sept. 26, 2009
Oi A
(407( 398-0153 Pr. ''")e Notary Service.com
SUBCONTRACTOR 'S PAYMENT REQUEST
APPLICATION NO: 4
RE : UCP #2952, WIP #47123536-044699-07522 CONTRACTOR: DERRICO CONSTRUCTION CORPORATION APPLICATION DATE: 3116/2009
IRC - US1 from The South Relief Canal to 1500 Post Office Box 361177 PERIOD FROM: 2/112009
Feet South of 9th Street SE (Oslo FI Melbourne, FL 32936-1177 PERIOD TO: 3/1612009
FII I
Corllf3tl Oorrtract Prav:ous GurrerN Quant Previous Cuhanf ToiBfs 'Sa)ance
#?es.¢f1 roD tlntu . Urt #;i!tice To1at .rQtN* Quan[ Ta Date Tout Tofal TdEi.ae fo5nish
63 Mobilization Demobilization , MOT 1 7 % 7,269. 50 7 ,269.50 1 01 1 7 .269.50 0001 7 , 269
. 50 0 . 00
06h 665+9.5.91 - 20" Water Main Install PE in Open Cut Trench 0 LF 110.00 0 .00 0 0 01 0 .00 0 .
00 0.00 0 . 00 '
7 Fittings 0 Tons 1 ,665.00 0.00 0 0 0 0 .00 0 . 00 0. 00 0 . 00
1 Do Remove and Dispose of Pie 18" through 20" 0 LF 27 .00 0-00 0 0 0 0 .00 0.00 0. 00
0. 00
15i Install and Remove Line Stop on 20" WM . includes Restratninq Exist 1 EA 18,000.00 18 000.00 0 1 1 0.00
18,000. 00 18,000.00 0 . 00
18h Install 20" NRS GV & B 0 EA 900 .00 0.00 0 0 0 0.00 0 .00 0 . 00 0 . 00
06q 661 + 13.61 IF 1B" Force Main Install 20" HDPE in Open -Cut Trench 80 LF 105.00 81400.00 80 0 80 8
400 .00 0 . 00 8,400. 00 O.OD
661 + 13. 61 IF 18" Force Main Install 20" HDPE in Open-Cut Trench 80 LF 70.00 57600 .00 80 0 80 51600.00 0.
00 51600.00 0,00
661 + 13.61 - 18" Force Main Install 20" HDPE in Open -Cut Trench 220 LF 175.00 38,500.00 220 0 220 38 ,500 00 0.
00 38,500.00 0 . 00
7 Fittings 1 Tons 1 ,665.00 1 ,665.00 1 1 0 1 11665. 00 0.00 1 ,665 .00 0 . 00
tOd Remove and Dispose of Pie 18' through 20" 80 LF 27.00 2 , 160.00 80 0 BO 2 , 160 .00 0.00
2116000 0 .00
15h Install and Remove Line Stopon 18" FM, includes Restrainin Exist 1 EA 16,375.00 16,375.00 1 0 1 16t375,00 0.
00 16,375. 00 0.00
18h Install 20" NRS GV & B 2 FA 900.00 11800.00 2 0 2 1180000 0 . 00 1 ,800.00 0.
00
86 16" Restraints 4 EA 650.00 2 600.00 4 0 4 2 ,600.00 0.00 2 600.00 0. 00
291 16" DR- 18 Pie 112 LF 26. 00 2F91 2,00 112 0 112 2 ,912.00 0.00 2 ,912. 00 0.00
12 Thrust Block 3 CY 300.00 900.00 3 0 3 900-00 0.00 900. 00 0. 00
Concrete for Thrust Block 1 LS 410 .36 410.36 1 0 1 410. 36 0 .00 410 .36 0 D
14 d 18" x 15" Saddle & Ta Valve 1 EA 1 ,300.00 11300.00 1 0 1 11300.00 0 .00 1
300.00 0. 00
14e 16" x 16" Saddle & Ta Valve 1 FA 1 ,300.00 1 ,300.00 1 0 1 1 ,300. 00 0.00 1
,300.00 0. 00
61a Well Point Each Teir Depth 1 LS 1 300 .00 1 ,300. 00 0 7 300 . 00 0, 00 1 ,300.00
0 .00
61b Add Points for Ion er area 30 EA 2000. 600.00 30 0 30 600 .00 0.00 600 .00
0 . 00
IF
60 Density Tesl and Proctor 16 EA 150.00 2 400-00 6 10 1 ( 900.00 1 ,500 .00 20400.00
0.00
58 Load & Haul Debris to Landfill 25 Ton 50. 00 1 ,250.00 25 0 25 11250,00 0 .00
1 ,250.00 0 . 00
22 Potholes 32 EA 220. 00 71040.00 32 0 32 71040+00 0.00 77040,00 000
45b Install 2" Air Release Valve and Manhole Structure on Water Main 0 FA 450.00 0.00 0 0 0 0.00 0 .00 0
00 0 . 00
45d Install 4" Air Release Valve and Manhole Structure on Sewer Main 1 FA 550.00 550.00 1 0 1 550.00 0.
00 550 .00 0. 00
48a Saw Cut, Remove ad Dispose of Asphalt 20 TON 25.00 500.00 0 20 20 0. 00 500.00 500.00 0
, 00
48c Install Asphaltic Cement-Type 5-3 AC IF 200 Tons or under 20 TON 150.00 39000.00 0 20 20 0.00
3,000. 00 3,000.00 0. 00
Asphalt Materials 20 TON 316.67 69333.40 0 20 20 0.00 6,333.40 61333, 40 0
.00
51a Install Asphaltic Concrete - Plowable Fill 4 SY 700.00 400.00 0 4 4 0. 00 400 .00 400 .00
0 .00
Concrete Materials 1 LS 406.61 406.611 0 1 1 0 . 00 406.61 406. 61 0 .00
Subtotal Sewer System Labor 115,062 .36
Subtotal Sewer System Labor Mob. , Demob. MOT 122,331 .86
IRCDUS Contin enc Account 1 Alow 10% 12 ,233. 19
TOTAL PROJECT 102,831 .86 30 140 .01 132 971 . 87 0 . 00
VALUE OF COMPLETED WORK 132,971 .87
Mate❑als Stored. MATERIALS STORED 0.00
TOTAL COMP & MAILS STORED 132 ,971 87
LESS RETAINAGE Ccii 0%
NET WORK TO DATE 1320971 57
LESS BILLED ON PREVIOUS EST 92 548.67
NET EARNED THIS ESTIMATE 40 423.20
CONTRACT RECONCILIATION
DERRICO CONSTRUCTION CORPORATION
Post Office Box 361177
Melbourne, FL 32936-1177
Phone : ( 321 ) 254-2291 Date: Job No. :
Fax : (321 ) 242 -7937 March 18 , 2009 08-383
Attention :
Gordon Sparks
RE :
Oslo Road & US1
INDIAN RIVER COUNTY Contract Reconciliation
1801 27th Street
Vero Beach 32960-3388
ltenr3t Quo iitt 1F it fleccri twit lltitP . . . PrtCe
CREDITS
06h 80 LF 665+ 95. 91 - 20" Water Main Install 24" HDPE in Op 110 . 00 $8 ,800. 00
7 1 Tons Fittings 12665.00 $ 1 , 665.00
10d 80 LF Remove and Dispose of Pie 18" through 20" 27. 00 $2 160. 00
15i 1 EA Install and Remove Line Stop an 20" WM , includes R 18 , 000.00 $ 18 ,000 .00
18h 2 EA Install 20" NRS GV & B 900. 00 $ 1 , 800 . 00
15h1 EA Install and Remove Line Stop on 18" FM , includes R 16 375. 00 $ 160375.00
45b 1 EA Install 2" Air Release Valve and Manhole Structure oi 450.00 $450 .00
1 LS IRCDUS Contingency Account 11 , 111 .95 $ 11 , 111 . 95
TOTAL CREDITS $60, 361 .95
ADDITIONAL ITEMS
06g 80 LF 661 + 13 . 61 - ( 18" Force Main) Install 20" HDPE in 0 70 . 00 $50600. 00
06g 220 LF 661 + 13 . 61 - 18" Force Main Install 20" HDPE in Op 175. 00 $ 38,500 . 00
86 4 EA 16" Restraints 650. 00 $2 , 600 .00
291 112 LF 16" DR- 18 Pie 26.00 $2 ,912 .00
12 3 CY Thrust Block 300. 00 $900.00
1 LS Concrete for Thrust Block 410. 36 $410. 36
14 d 1 EA 18" x 16" Saddle & Tap Valve 11300 . 00 $ 10300 . 00
14 e 1 EA 16" x 16" Saddle & Tap Valve 1 , 300. 00 $ 1 , 300. 00
61a 1 LS Well Point Each Tier Depth 11300.00 $ 1 , 300.00
611b 30 EA Add Points for longer area 20.00 $600. 00
r48a416 EA DensityTest and Proctor 150 . 00 $20400 .00
8
12 EA Potholes 220 .00 $2 ,640 . 00
20 TON : Saw Cut , Remove ad Dis ose of As halt 25. 00 $500 . 00
20 TON , Install Asphaltic Cement-Type S-3 AC - 200 Tons or i 150 . 00 $3 , 000.00
20 TON As halt Materials 316 . 67 $6 , 333. 40
51a 4 SY Install Asphaltic Concrete - Flowable Fill 100 . 00 $400 .00
1 LS Concrete Materials 406 . 61 $406 . 61
TOTAL ADDITIONAL ITEMS $71 , 102 . 37
TOTAL ADDITIONAL WORK - CREDITS $ 101740 . 42
Accep �' r
SIGNED: .
Signature John P. Robertson
Title