HomeMy WebLinkAbout1995 - Contractors request for payment/-
1
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
MEMORANDUM
Date: December 21, 1995
To: Joel Haniford, Finance Director
From: Richard B. Votapka, P.E.
Public Works Director Jgv
Subject: Barber St. Sports Complex, Center Core Improvements
Jack Regan Masonry, Inc., has completed the concrete walkways
for the subject project on December 20, 1995. Jack Regan has
submitted his first, only, and final payment request in the amount
of $17,717.63. I have checked and verified the quantities and
costs and found all to be in order. I have also prepared a
Requisition for Purchase Order. Please process this as soon as
possible. Call Jack Regan at 589-3088 so he can pick up his check.
Attachments
RV/dl
cc: File
.-.
(Pity of Sebastian
Florida
S;9lYCRAUVEM REQUESTFOR PAYMEM'
N"im, Q(' I!fsjccl Barber Street Sorts Complex -Center Core Inp= ments
IPaymput Estimate No. One and Final
1'or Period De 12 199 5 t- Dec 20 129 .5
C ER11 ICATIOTI OF CONTRALTO
� g 1 certify that all ileummid amounls shown nn the face of this estimate 11,1 me
e
m all work has been performed and/or materials supplied ill frill aceoidauce will) (Ile (el ou; nod
conditions of (his contract belwem - THE CITY OF SEBASTIAN-(Ownci) and
�s _JACK REGAN MASONRY INC (Coolraclor) dated DDCEM M 8, 1995 ; Ilial
the ilenrs for which payment is requested have not been paid nod Ihere are no vendor's.
mechanic's, or other liens or rights to liens or coudilioonl sales coolracls which should be
sari tied or discharged before such payment is made.
REGAN PRESIDENT
An
(Notaryy Public) Title: %
hAVPnry iYltehr/le rn r )ate:_ /L Z/- 95
concel: lhal
Cl -A 'IFICATIO-SLf--((i'►N` S7'R-UCTI(I L�(iIL` l -7R
I certify (hs( I have checked and verified this Estimate# 1_ nod Ilial to (he best o1' my
knowledge nod belief, it is a tnie and correct statement of work perfrnmed nod omleiials
supplied by the Contractor, and that the Cmrtrnclor's certified slnlement of Ibis accraod and
�l a amour due him is correct.
SFt�nGm�y----------
I'illc__ ul{ucWo2KS—�i/l6uirL Dnte__Der . -24 " L11457
Page I of 4
'1SHAAIS
ANALYSIS OF ADJl1S'lTD CONTRACT 1'O DATE:
L
Original Contract Amoun
17,717.63t $--_--- --_
2
Ne( 'Total of Chnoge Orders to Coolract
+/- 0.-
..3.
3.
Adjusted Contract Amount to Dole
$. 17717.63_
ANALYSIS
OF WORK PERFORMED:
L
Cos( of Original Contract Work to Date
$-17,7]7.63
2.
1;x1ra Woik Performed to Dale
1 0
3.
'Total Cost of Woik Performed to Date
$ 17171.7.63
4.
Less_9_1/9 Retainage of Work Perfixmed
$. _�
5.
'Total Cost of Materials Stored
$_...__._. . .
6.
Less 0 90 Retainage of Stored Materials
7.
Net Amoual Eanred oo Contract Woik to Dale
Less Retainage (Summation of 3,4,5, nod 6)
$ 17,717.63
8.
Less: Amount Paid oo Previous Estimates
- 0
Am000t Owed on Previous Gslimates
-_0— _._.
9.
BALANCE bUC TMS ESTIMATE #ONE AND FINAL
$ 17,717.63
C ER11 ICATIOTI OF CONTRALTO
� g 1 certify that all ileummid amounls shown nn the face of this estimate 11,1 me
e
m all work has been performed and/or materials supplied ill frill aceoidauce will) (Ile (el ou; nod
conditions of (his contract belwem - THE CITY OF SEBASTIAN-(Ownci) and
�s _JACK REGAN MASONRY INC (Coolraclor) dated DDCEM M 8, 1995 ; Ilial
the ilenrs for which payment is requested have not been paid nod Ihere are no vendor's.
mechanic's, or other liens or rights to liens or coudilioonl sales coolracls which should be
sari tied or discharged before such payment is made.
REGAN PRESIDENT
An
(Notaryy Public) Title: %
hAVPnry iYltehr/le rn r )ate:_ /L Z/- 95
concel: lhal
Cl -A 'IFICATIO-SLf--((i'►N` S7'R-UCTI(I L�(iIL` l -7R
I certify (hs( I have checked and verified this Estimate# 1_ nod Ilial to (he best o1' my
knowledge nod belief, it is a tnie and correct statement of work perfrnmed nod omleiials
supplied by the Contractor, and that the Cmrtrnclor's certified slnlement of Ibis accraod and
�l a amour due him is correct.
SFt�nGm�y----------
I'illc__ ul{ucWo2KS—�i/l6uirL Dnte__Der . -24 " L11457
Page I of 4
Enter'Cotal Amount to Date Under Une Item 3. "Total Cost of WorK Perfomed to Date" on Page '
Page 2 of d
City of Sebastian
Florida
CONTRACTOR'S REQUEST FOR PAYMENT
Name
and Location of Project
Barber Street
Sports COnplex Center Cove 7ntproverrents
Date submatea:
December 21,
1995
Name
and Address of Owner.
City
of Sebastian, 1225 Main St, Sebastian F1 32958
Name
and address of contractor.
Jack Regan Plasonry Inc.,
P.O. Box 780533, Sebastian Fl 32978-0533
Estimate s 1 for pend December 12,
199 5 to December
20 1995
and Fires\
SUMMARY OF QUANTITIES
THIS PERIOD
TO DATE
ITEM
NO, DESCRIPTION OF ITEM
QUANTITYUNIT
UNIT PRICE
QUANTITY AMOUNT
QUANTITYTOTAL AMOUNT PERCENT
COM.
1.
12.5' Wide Center
Core Walkways .
50
IF
$26.00/LF
Same Same
Same
$1300.00
100%
2.
12' Wide Center Conc
Walkway
315
LF
$25.04/LF
Same Sarre
Same
7887.60
100%
3.
6' Wide N&S Conc
Walkway
325
LF
$10.14/LF
Same Sarre
Same
3295.50
1008
4.
5' Wide Bleacher
Conc Walkways
140
LF
$ 8.48/LF
Same Sarre
Same
1183.20
100%
5.
5' Wide "Y" Conc
Walkway
200
Sr
$ 1.69/LF
Satre Same
Same
338.00
100%
6.
4' Wide Conc Walkways 85
IT
$ 6.76/LF
Same Same
Same
574.60
1008
7.
61x6' Handicap
Viewing Area
8
EA
$60.84/FA
Same Same
Same
486.72
100%
8.
61x10' Press Box
Landing
4
EA
$84.50/EA
Same Same
Same
338.00
100%
9.
Trench Drain W/C.I.
Covers
25
LF
$86.00/LF
Same Same
Same
2150.00
100%
10.
Conc Drainage F11mle
LS
$160.00 LS
Same Sarre
Same
160.00
100%
TOTAL.......
$17717.63
10ox
Enter'Cotal Amount to Date Under Une Item 3. "Total Cost of WorK Perfomed to Date" on Page '
Page 2 of d
EMERGENCY PURCHASE
DATE REQUIRED: 19/22/9
DATE SUBMITTED: 12/21 /95
CITY OF SEBASTIAN
1225 Main Street
Sebastian, FL 32958
REQUISITION
For Finance Office Use Only
Funds Available
Funds Not -Available
Budgeted
Not Budgeted
--- 1._U I IIYl1
1. Department Public Works/Eng-Admin- 6. Work/Job#
2. Individual Requesting Richard B. Votopka 7. Project ID# ST -1-95
3. Department Head (approval) R.Q VF64a-IL� 8. Account # 001-30-590-632
4. Final Approval
5. Disapproved
(return to requestor)
9. Purchase Order #
10. Stock Item
11. Immediate Use
Ov""CJI CV VCIVVVIS
NAME Jack Regan Masonry Inc.
ADDRESS P. 0. Box 780533
CITY Sebastian STATE FL Zip 32978-0533
Pink copy to be retained by Requestor