HomeMy WebLinkAbout2004-050APPLICATION FOR PAYMENT NO, 3
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To Indian River County (OWNER)
Contract for Baytree Marbrisa, and Seagrape Trail Dune Restoration
OWNER'S Contract No. 03103 ENGINEER's Project No.
For Work accomplished through the date of
February 20, 2004 (Final Release of Retainage)
ITEM
Mobilization/Demobilization
Furnish & Deliver Sand
Place and Grade Sand
Site Restoration
Total (Orig. Contract)
C.O. No. 1
C.O. No. 2
Contractor's Schedule of
Unit Price
$ 9,850.00
$ 6.75
$ 3.60
$ 17,350.00
Accompanying Documentation:
Henry Fischer & Sons, Inc. Invoice
No. 15042 (Final Release of
Retains eg_Request)
CONTRACTOR'S Certification:
1 L.S.
17,350 Tons
17,350 Tons
1 L.S.
Values
:u6_i
$ 9,850.00
$ 117,112.50
$ 62,460.00
$ 17,350.00
$2069772.50
GROSS AMOUNT DUE
LESS % RETAINAGE
AMOUNT DUE TO DATE
LESS PREVIOUS
PAYMENTS
AMOUNT DUE THIS
APPLICATION
Work
)uantity I Amount
100% $ 9,850.00
100% $ 117,112.50
100% $ 62,460.00
100% $ 179350.00
$ 206,772.50
$ 206,772.50
$ 186,095.25
$ 20,677.25
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 to
discharge in full all obligations of CONTRACTOR incurred in connection with Work covered by
prior Applications for Payment numbered 1 through I inclusive; (2) title to all Work, materials and
APPLICATION FOR PAYMENT
AP -2
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, claims, security interest and
encumbrances (except such as are covered by Bond acceptable to OWNER indemnifying OWNER
against any such lien, claim, security interest or encumbrances); and (3) all Work covered by this
Application for payment is in accordance with the Contract Documents and not defective as that term is
defined in the Contract Documents.
Dated February 28, , 20&1 2004
By:
HENRY FISCHER & SONS, INC.
CONTRACTOR
(Authorized Signature)
Payment of the above AMOUNT DUE THIS APPLICATION is recommended.
Dated - A44I . r _,I qIF
ENGINEER
By: r
CJ .
(Aut o ed Signature)
EJCDC No. 1910-8-E (1990) Edition)
Prepared by the Engineers Joint Contract Documents Committee and endorsed by The Associated General Contractors of America.
-x.:._.._
d Indiar, Enver County
Approved
Date
Administration
3 (D D
Budget
Co. Attorney
C
Risk Management.
Department
C
t nivss€oro
Board of County Commission
Approved for Payment
marchh 1A, 2nnd Date
arol i ne D. Ginn, thairman
INDIAN RIVER COUNTY PUBLIC WnRKS
ii r?7ACCT. #
APPLICATION FOR PAYMENT AP -2
APPROVED
DATE
DIRECTORT
DIV. HEAD
ii r?7ACCT. #
APPLICATION FOR PAYMENT AP -2
FROM -,o IRC ENV HEALTH FAX NO. : 5617947447 Mar. 01 2004 10:37AM P6
FINAL PAYMENT
STATE OF FLORIDA
COUNTY C.)1'
Personally before me the undersigned officer, authorized by the laws of said state to administer
oaths, conies • 1' i S Y , who on oath says:
That he/she is the CO ACTOR with whom Indian River County, Florida, a political
subdivision of said state, did on the day of., 2003, enter into a contract for the '
performance of certain work, more particularly'described as follows:
BAYTREE, MARBRISA, AND SEAGRAPE TRAII. DUNE RESTORATION PROJECT
INDIAN RIVER COUNTY PROJECT #03103
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 by Subcontractors, persons or
organizations who have either contracted directly with or who are directly employed by such
contractor have been paid in full EXCEPT:
.riation/Ainount '
who have not been paid and who are due the amount set forth.
���5
Qo,n's rc�
Subscribed and sworn to before me this �_ day of Mc-kx='�*V\ q
My Commission Expires: aS — O 1—O u (Notary Seal) qA -.v
Name of Notary typed or printed _..:__ MY COMMISSION !`
:DDI 1489 E�lpi�ES:';<1 r �•; i..;
May i, .2006'
FitP y F'N. BONDED7FPjJjR0Y NC 1"C
1 herewith acknowledge receipt of Final Payment on above and id %ereb ce >t 1 nave no . .
claims against the owner of said property.
(CONTRACTOR)
FINAL PAYMENT FP4
COASTALTECH COASTAL • ENVIRONMENTAL • CIVIL • ENGINEERING.AND PLANNING
COASTAL TECHNOLOGY CORPORATION 3625 20TH STREET. VERO BEACH, FLORIDA 32960-2409
PHONE: (7721 562-8580 • FAX: 1772) 562-8432
87403.00
James Gray, Jr.
County Coastal Engineer
Indina River County
184025 th Street
Vero Beach, Florida 32960
March 5, 2004
RE: Baytree, Marbrisa, Seagrape Trail Dune Restoration Project
Indian River County Project No. 03103
Dear Mr. Gray:
At your request, we have reviewed, approved and signed the attached Application for Payment No. 3
submitted to Indian River County (County) by the Contractor, Henry Fischer & Sons, Inc. (Fischer)
for work associated with the above referenced project. We recommend partial payment to Fischer for
100% completion of the project in the amount of $206,772.50 less previous payments for a total final
payment for Application for Payment No. 3 in the amount of $20,677.25.
This recommendation for final payment is in accordance with the Contract Documents and based
upon our limited site observation, our understanding of the site observations by County staff
(certified by Indian River County in the attached, February 24, 2004 letter) , and review of the
"weight ticket' summary provided by County staff. Based upon the above, Fischer has furnished,
delivered and placed the required quantity of 17,350 tons of sand in accordance with the Contract
Documents.
Should you have any questions concerning the above recommendation or require additional
information, please contact me at 562-8580.
Sincerely,
COASTAL TECH
St4hen W. Bo f ng, P.E.
Project Manager
Attachments: Application For Payment No. 3
Indian River County Certification of Completion letter, dated February 24, 2004
cc: Lee Cockey — Marbrisa Homeowners Association
Gayle Legore — Baytree Condominium Association
Michael P. Walther, P.E. - Coastal Tech
VERO BEACH • MELBOURNE • SARASOTA • AUSTIN
EOOAL OPPOR""TYMFFIRMUTNE ACTION EMPLOYER