HomeMy WebLinkAbout2004 InvoicesJLFAkTHE LPA GROUP INCORPORATED
Transportation Consultants
12000 RESEARCH PARKWAY, SUITE I S2 ■ ORLANDO, FL 32E
July 9, 2004
Mr. Jason Milewski
Airport Manager
1225 Main Street
Sebastian, FL 32958
/rJ
f L
1
lei
Subject: Sebastian Municipal Airport (X26)
Application and Certificate for Payment
Application #2
Dear Mr. Milewski:
Attached you will find one (1) copy of the Application and Certificate for
Payment No. #2 in the amount of $50,940..
If you have any questions or need additional information, please do not
hesitate to contact me at 407-306-0200.
Sincerely,
THE LPA GRO INCORPORATED
M C. J sen, P.E.
Project Manager
cc: Mohsen Mohammadi, LPA
File (TA412014.4p)
ATLANTA ■ BATON ROUGE ■ CHARLESTON ■ CHARLOTTE a COLUMBIA ■ GREENSBORO ■ GULFPORT a JACKSONVILLE
KNOXVILLE a LITTLE ROCK a MOBILE ■ ORLANDO a RALEIGH ■ RICHMOND ■ SARASOTA ■ TALLAHASSEE ■ TAMPA ■ WEST PALM BEACH
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 2 PAGES
TO OWNER: City of Sebastian PROJECT: Sebastian Administration APPLICATION NO.: TWO Distribution to:
1225 Main Street PERIOD TO: 28 -Jun -04 OWNER
Sebastian, FI 32958 PROJECT NOS.: 84001 Engineer
FROM CONTRACTOR: Holland Builders of South Florida, Inc CONTRACTOR
4860 NE 12th Avenue VIA Engineer: The LPA Group, Inc CONTRACT DATE: 513104
Ft. Lauderdale, FL 33334
CONTRACT FOR: Design / Build Construction Services
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor-
Application is made for payment, as shown below, in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed
Continuation Shoot, AIA Document G703, is attached. in accordance with the Contract Documents, that all amounts have been paid by the
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
3. CONTRACT SUM TO DATE
$1,850,480.00
(Line 1 +/- Line 2) $1,850,480.00
4. TOTAL COMPLETED & STORED TO DATE
(COLUMN G ON G703)
5. RETAINAGE:
a. % of Completed Work $14,911.40
(COLUMNS D +E ON G703)
b. % of Stored Material
$149.114.00
Contractor for Work for which previous Certificates for Payment were issued and pay-
ments received from teh Owner, and that current payment shown herein is now due.
CONTRA {7 LL VD II DERS OF SOUTH FLORIDA, INC.
By: Date: �—
I
State of Florida
County of Broward
n
Subscribed and sworn to before me this 2wL J day of AI_i____.2a34,.
Notary Public: _ �s
My Commission Expires:
HOLLY J. BETZ
Ky �� MY COMMISSION # DD 124240
""'OF �Oa EXPIRES: December 19, 2004
(COLUMN F ON G703)
ADDITIONS
ARCHITECT'S CERTIFICATE FOR FSA
Total Retainage (Line 5a + 5b or
$14,911.40
In accordance with the Contact Documents, based on on-site observations and the data
Total in Column I of G703)
comprising this application, the Architect certifies to the Owner that to the best of the
6. TOTAL EARNED LESS RETAINAGE
$134,202.60
Architect's knowledge, information and belief the Work has progressed as indicated, the
(Line 4 Less Line 5 Total)
quality of the Work is in accordance with the Contract Documents, and the Contractor is
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT
$83,262.60
is entitled to payment of the AMOUNT CERTIFIED.
501 94 %
(Line 6 from prior certificate)
AMOUNT CERTIFIED .....................................$
8. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
$50,940.
$1,716,277.40
(Attach explanation if amount ce fied differs from the amount applied for. Initial
this
all figures on this plication d on the Continuation Sheet that are changed to
(Line 3 Less Line 6)
conform to the ce ' ed.)
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in
previous months by Owner
Total Approved This Month
TOTALS
NET CHANGES by Change Order
ARCHI T
B y: f
e— ---4,
This certificate is na neQotiable. The AMOUNT
Contractor named herein. Issuance, payment and at
prejudice to any rights of the Owner or Contractor un
Date:Z�10�
nce
Inc.
JUL - 6 2004
r, LPA GROUP JNC
Orlando Offke
CONTINUATION SHEET
AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,
containing Contractor's signed Certification, is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items apply.
Page 2 of 2 pages
APPLICATION NO: TWO
APPLICATION DATE:
PERIOD TO: June 28, 2004
ARCHITECTS PROJECT NO.:
A
B
C
D I E
F G
H
I
WORK COMPLETED
MATERIALS
TOTAL
FROM PREVIOUS
ITEM
DESCRIPTION OF WORK
SCHEDULED
PRESENTLY
COMPLETED
BALANCE
RETAINAGE
NO.
VALUE
APPLICATION
THIS PERIOD
STORED
AND STORED
%
TO
(IF VARIABLE
(D + E)
(NOT IN
TO DATE
(G ! C)
FINISH
RATE)
D OR E
D+E+F)
(C -G)
1
General Conditions
262,375.00
62,100.00
25,000.00
87,100.00
33.20%
175,275.00
8,710.00
2
Sitework
387,050.00
0.00
0.00
0.00
0.00%
387,050.00
0.00
3
Concrete
82,000.00
0,00
0.00
0.00
0,00%
82,000.00
0.00
4
Masonry
68,000.00
0.00
0.00
0.00
0.00%
68,000.00
0.00
5
Metals
31,498.00
0.00
0.00
0.00
0.00%
31,498.00
0.00
6
Woods & Plastics
29,950.00
0.00
0.00
0.00
0.00%
29,950.00
0.00
7
Thermal & Moisture
100,000.00
0.00
0.00
0.00
0.00%o
100,000.00
0.00
8
Doors & Windows
96,150.00
0.00
0.00
0.00
0.00%
96,150.00
0.00
9
Finishes
150,437.00
0.00
0.00
0.00
0.00%
150,437.00
0.00
10
Specialties
22,598.00
0.00
0.00
0.00
0.00%
22,598.00
0.00
11
Equipment
87,500.00
0.00
0.00
0.00
0.00%
87,500.00
0.00
12
Special Construction
40,000.00
0.00
23,000.00
23,000.00
57.50%n
17,000.00
2,300.00
13
Plumbing
54,000.00
0.00
0.00
0.00
0.00%
54,000.00
0.00
14
HVAC
60,500.36
0.00
0.00
0.00
0.00%
60,500.36
0.00
15
Fire Sprinkler System
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
16
Electrical
188,874.00
0.00
3,500.00
3,500.00
1.85%
185,374.00
350.00
17
Contractor's Fee
167,543.64
8,410.00
5,100.00
13,510.00
8.06%
154,033.64
1,351.00
18
Bond
22,004.00
22,004.00
0.00
22,004.00
100.00%
0.00
2,200.40
19
Builder's Risk Insurance
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
TOTALS
1,850,480.00
92,514.00
56,600.00
0.00
149,114.00
1,701,366.00
14,911.40
INVOICE
Holland Builders of S. Fla, Inc
44860 NE 12th .Ave
Ft. Lauderdale, Fl 33334
Invoice no: TWO - Draw 4 2
Date: 28 -Jun -04
Owner: City of Sebastian
Address: 1225 Main Street
Phone:454-771-2210 Fax:954-771-5080 City, St, Zip: Sebastian, F132958
Job no/name: Sebastian Administration
QtY
Descri `tion
This Period
Com `Ieted
Total to date';
Infrastructures = $650,240.00
$31,050.00
$53,705.20
$84,755.220
Water Services = $100,000.00
$0.00
Sanitary Services = $150,000.00
$0.00
Buildings = $ 650,240.00
$25,550.00
$38,809.20
$64,359.20
Architectural &. Engineering = $150,000.00
$0.00
Security Wiring and Devices = $150,000.00
$4.00
Contract Total $1,850,480.00
Sub Total
$149,114.40
Contract Total
$1,850,480.00
Completed and Stored to Date
$149,114.40
Work Completed This Period
$56,600.00
Less Retainage (10%)
$5,660,00
Balance to Finish, Including Retainage
$1,701,365.60
Total Amount Due This Draw: $50,940.00
July 6, 2004 Page 1 of 2
Jansen, Mark
From: Jim Kelly [Jim@hollandbuilders.com]
Sent: Tuesday, July 06, 2004 9:55 AM
To: Jansen, Mark
Cc: jmilewski@cityofsebastian.org; alan@ceblock.com; mosby001@yahoo.com
Subject: RE: X26 Administration Building Progress //J 1 5 tis ' fl0j��`''t/
!'Ofpn t
July 6, 2004a pt/°i�'"t
Ref: Pay request 1 Project Meeting etc 5"��'�
To: LPA Group
Mark,
We have submitted p requests (Request # 1 ) for soft costs accrued to date such as Architectural &
Engineering, Surve , Testing, Project Management, Mobilization, etc. Pay (Request # 2) which is in the pipe line
for submittal is f9P11he Police Evidence Compound (Metal Building) which is bein delivered o 12th of Jul . 4
My cut off dan the office here for pay requests is the 15th of each month with a payables projection through the
end of each month. LPA / City should receive from our office for review the pay requests from accoun mg y e
o eac month for processing and disbursement.
On June 281h we received notice of approval from SJWMD for this project. Copy of the SJWMD permit is to be
faxed to you today.
Drawings are at 90% this week for internal review and value engineering. After we complete our own review we
will then submit to the City 1 LPA the 90% design set for you review and any comments. Hopefully LPA and the
City will be able to turn the plans around in a short period of time. C.E. Block has been meeting with Jason and
the City on an as need basis for any comments as it relates to the overall design criteria and space planning
requirements of the project.
The Building Department has given us verbal approval to submit and review the site and foundation plans only at
this time. We would like to move forward and apply for foundation permits later this week with your approval.
Foundation work will start on the Police Evidence Building as soon as the City has the building pad prepared. The
Administration Building will follow soon there after once we have FAA approval.
On Friday July 9th at 10:00 a.m. at Jason's office we are having a coordination meeting with the City Highway
Dept. Reference there scope of work as it relates to the contract. Monday the 12th we are starting layout of the
ponds, and rough staking of the buildings 1 parking area's so that the City may start there portion of the site work.
If you have any questions or concerns please contact me as soon as possible.
Thanks,
Jim
P.S. We missed you at the ground breaking ceremony?
Holland Builders, Inc
Jim Kelly, Project Manager Const.
(0) 954-771-2210 ext.22
(F) 954-771-5080
(M) 954-410-3373
email - jim@hollandbUilders.con3
7/9/2004
July 6, 2004
Web - www.hollandsheltair.com
-----Original Message -----
From: Jansen, Mark [mailto.MJansen@lpagroup.com]
Sent: Monday, July 05, 2004 1:57 PM
To: Jason Milewski (E-mail)
Cc: Jim Kelly; Prieto, Fernando
Subject: X26 Administration Building Progress
Jason,
Page 2 of 2
Prior to reviewing and approving further pay applications for the X26 Administration Building,
recommend the City of Sebastian/LPA review the plans to backcheck them with the criteria package. I
also recommend this review take place prior to any construction.
To date, LPA has seen nothing except the proposal package and electronic files provided by Mosby and
Associates (last week), which have been "unofficially" transmitted for LPA to reference while working on
the Administration Building Apron.
Also, it may be good to have a progress meeting/conference call to bring everyone up to speed after the
holiday.
Thanks,
Mark
Mark C. Jansen, P.E.
THE LPA GROUP INCORPORATED
12000 Research Parkway STE 152/Orlando, FL 32826
407-306020010460 (fax)
7/9/2004
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 2 PAGES
TO OWNER: City of Sebastian PROJECT: Sebastian Administration APPLICATION NO.: THREE Distribution to:
1225 Main Street PERIOD TO: 31 -Jul -04 OWNER
Sebastian, FI 32958 PROJECT NOS.: 84001 Engineer
FROM CONTRACTOR: Holland Builders of South Florida, Inc CONTRACTOR
4860 NE 12th Avenue VIA Engineer: The LPA Group, Inc CONTRACT DATE: 513104
Ft. Lauderdale, FL 33334
_CONTRACT FOR: Design 1 Build Construction Services
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, infor-
Application is made for payment, as shown below, in connection with the Contract. mation and belief the Work covered by this Application for Payment has been completed
Continuation Sheet, AIA Document G703, is attached.
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
3. CONTRACT SUM TO DATE
$1.850.480.00
(Line 1 +1- Line 2) $1,850,480.00
4. TOTAL COMPLETED & STORED TO DATE $184,664.00
(COLUMN G ON G703)
5. RETAINAGE:
a. % of Completed Work $18,486.40
(COLUMNS D +E ON G703)
b. % of Stored Material
(COLUMN F ON G703)
Total Retainage (Line 5a + 5b or
Total in Column I of G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT
(Line 6 from prior certificate)
8. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 Less Line 6)
in accordance with the Contract Documents, that all amounts have been paid by the
Contractor for Work for which previous Certificates for Payment were issued and pay-
ments received from teh Owner, and that current payment shown herein is now due.
CONT. COR=H0hLAN[](_QUI�D ���SOUTH FLORIDAINCB : �C`�` Date: t
Y
State of Florida
County of Broward
f
Subscribed and sworn to before me this2l day of JIAV 2004.
Notary Public:
My Commission Expires: 12,01-7 2004
ARCHITECT'S CERTIFICATE FOR PAYME
$18,486.40 In accordance with the Contact Documents, based on on-site
�,r ft
% HOLLY J. BETZ
MY cOMMISSION # DD 124240
to -^--c. nn.mher t9, 2004
,-WO-3-NOTARY FL NOrarY Se-- & Baxfing. Inc.
comprising this application, the Architect certifies to the Owner that to the best of the
$166,377.60 Architect's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Contractor is
$134,202.60 is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED .....................................$
$32,175.00 (Attach explanation if amount certified differs from the amount applied for. Initial
$1,684,102.40 all figures on this Application and on the Continuation Sheet that are changed to
conform to the amount certified.)
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in
previous months by Owner
Total Approved This Month
TOTALS
NET CHANGES by Change Order
ARCHITECT:
By:
Date:
This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein. Issuance, payment and acceptance of payment are with
prejudice to any rights of the Owner or Contractor under this Contract.
- CGNTINUATION SHEET
AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,
containing Contractor's signed Certification, is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items apply.
APPLICATION NO.
APPLICATION DATE:
PERIOD TO:
ARCHITECTS PROJECT NO.:
Page 2 of 2 pages
THREE
July 25, 2004
July 31, 2004
A
B
C
D I E
F G
H
I
WORK COMPLETED
MATERIALS
TOTAL
FROM PREVIOUS
ITEM
DESCRIPTION OF WORK
SCHEDULED
PRESENTLY
COMPLETED
BALANCE
RETAINAGE
NO.
VALUE
APPLICATION
THIS PERIOD
STORED
AND STORED
%
TO
(IF VARIABLE
(D + E)
(NOT IN
TO DATE
(G I C)
FINISH
RATE)
D ORE
D+E+F
C -G
1
General Conditions
262,375.00
87,100.00
12,500.00
99,600.00
37.96%
162,775.00
9,960.00
2
Sitework
387,050.00
0.00
20,000.00
20,000.00
5.17%
367,050.00
2,000.00
3
Concrete
82,000.00
0.00
0.00
0.00
0.00%
82,000.00
0.00
4
Masonry
68,000.00
0.00
0.00
0.00
0.00%
68,000.00
0.00
5
Metals
31,498.00
0.00
0.00
0.00
0.00%
31,498.00
0.00
6
Woods & Plastics
29,950.00
0.00
0.00
0.00
0.00%
29,950.00
0.00
7
Thermal & Moisture
100,000.00
0.00
0.00
0.00
0.00%
100,000.00
0.00
8
Doors & Windows
96,150.00
0.00
0.00
0.00
0.00%
96,150.00
0.00
9
Finishes
150,437.00
0.00
0.00
0.00
0.00%
150,437.00
0.00
10
Specialties
22,598.00
0.00
0,00
0.00
0.00%
22,598.00
0.00
11
Equipment
87,500.00
0.00
0.00
0.00
0.00%
87,500.00
0.00
12
Special Construction
40,000.00
23,000.00
0.00
23,000.00
57.50%
17,000.00
2,300.00
13
Plumbing
54,000.00
0.00
0.00
0.00
0.00%
54,000.00
0.00
14
HVAC
60,500.36
0.00
0.00
0.00
0.00%
60,500.36
0.00
15
Fire Sprinkler System
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
16
Electrical
188,874.00
3,500.00
0.00
3,500.00
1.85%
185,374.00
350.00
17
Contractor's Fee
167,543.64
13,510.00
3,250.00
16,760.00
10.00%
150,783.64
1,676.00
18
Bond
22,004.00
22,004.00
0.00
22,004.00
100.00%
0.00
2,200.40
19
Builder's Risk Insurance
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
TOTALS
1,850,480.00 1
149,114.00 1
35,750.00
0.00
184,864.00
1,665,616.00
18,486.40
Contractor's Invoice
Holland Builders of South Florida, Inc
4860 NE 12th Avenue
Fort Lauderdale, Fl 33334
(P) 954-771-22101954-771-5080 (F)
Application #: THREE
Application date: 25 -Jul -04
Invoice period: June to July 2004
Item
No.
Description
of work
Scheduled
value
Work comp leted
Materials
presently
stored
(not D or E)
Total
completed
& stored
to date
(D+E+F)
%
(GIC)
Balance
to finish
(C - G)
Retainage
From
previous
application
(D+E)
This
period
1
Infrastructures
$650,240.00
$84,755.20
$21,625.00
$106,380.20
16%
$543,859.80
$10,638.02
2
Water Services
$100,000.00
$0.00
$0.00
$0.00
0%
$100,000.00
$0.00
3
Sanitary Services
$150,000.00
$0.00
$0.00
$0.00
0%
$150,000.00
$0.00
4
Buildings
$650,240.00
$64,359.00
$14,125.00
$78,484.00
12%
$571,756.00
$7,848.40
5
Architectural & Engineering
$150,000.00
$0.00
$0.00
$0.00
0%
$1501000.00
$0.00
6
Security Wiring & Devices
$150,000.00
$0.00
$0.00
$0.00
0%
$150,000.00
$0.00
Totals
$1,850,480.00 1 $149,114.20 1 $35,750.00
$0.00 1 $184,864.20 1 1 $1,665,615.80 J $18,486.42
APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF 2 PAGES
TO OWNER: City of Sebastian PROJECT: Sebastian Administration APPLICATION NO.: THREE Distribution
1225 Main Street PERIOD TO: 31 -Jul -04 OWNE 'RECEIVE]
Sebastian, FI 32958 PROJECT NOS.: 84001 Engine: r
FROM CONTRACTOR: Holland Builders of South Florida, Inc CONT CTC R
4860 NE 12th Avenue VIA Engineer: The LPA Group, Inc CONTRACT DATE: 513/04 JUL 2 2 2004
Ft. Lauderdale, FL 33334 RECEIVED
CONTRACT FOR: Design I Build Construction Services GROUP -0
CONTRACTOR'S APPLICATION FOR PAYMENT The un�q n t arf f r certifies that to the best of the Contractor's k owls a infoQrtgndo OtFke
Application is made for payment, as shown below, in connection with the Contract. mation belief the rWoorkk covered by this Application for Payment has been completed
Continuation Sheet, AIA Document G703, is attached. in acco��++���i77�Td'�'rZi tact Documents, that all amounts have been paid by the
ibt�8MA�8Fk4A6XRRAR3us Certificates for Payment were issued and pay -
1. ORIGINAL CONTRACT SUM $1,850,480.00 ments received from teh Owner, and that current payment shown herein is now due.
2. Net change by Change Orders
3. CONTRACT SUM TO DATE (Line 1 +/- Line 2) $1,850,480.00
4. TOTAL COMPLETED & STORED TO DATE $184,864.00
(COLUMN G ON G703)
5. RETAINAGE:
a. % of Completed Work $18,486.40
(COLUMNS D +E ON G703)
b. % of Stored Material
(COLUMN F ON G703)
Total Retainage (Line 5a + 5b or
Total in Column I of G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT
(Line 6 from prior certificate)
8. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 Less Line 6)
CON CTOR: OL AND U RS OF SOUTH FLORIDA I INC.
By: u Date: `i -
State of Florida
County of Broward
F
S
Subscribed and sworn to before me this zi day of g
Notary Public: 1 rjAm
My Commission Expires: j -240
ARCHITECT'S CERTIFICATE FOR PAYME
�P''*� HOLLY J. BETZ
MY COMMISSION # DD 124240
�4FOrfl9� EXPIRES: Decernber 19, 2004
ice & aot6ng. Inc.
$18,486.40 In accordance with the Contact Documents, based on on-site observations and the data
comprising this application, the Architect certifies to the Owner that to the best of the
$166,377.60 Architect's knowledge, information and belief the Work has progressed as indicated, the
quality of the Work is in accordance with the Contract Documents, and the Contractor is
$134,202.60 is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED.......
$32,175 AO
$1,684,102.40
CHANGE ORDER SUMMARY
ADDITIONS
DEDUCTIONS
Total changes approved in
previous months by Owner
Total Approved This Month
TOTALS
NET CHANGES by Change Order
(Attach explanation if amo nt certified differs from the amount applied for. Initial
all figures on this pplica on and on the Continuation Sheet that are changed to
conform to the punt rtiffed.)
ARCH1
By: Date: J T
11
This certificate is no negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein, Issuance, payment and acceptance of payment are with
prejudice to any rights of the Owner or Contractor under this Contract.
CONTINUATION SHEET
AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,
containing Contractor's signed Certification, is attached.
In tabulations below, amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items apply.
APPLICATION NO:
APPLICATION DATE:
PERIOD TO:
ARCHITECTS PROJECT NO.:
Page 2 of 2 pages
THREE
July 25, 2004
July 31, 2004
A
B
C
D I E
F G
H
I
WORK COMPLETED
MATERIALS
TOTAL
ITEM
DESCRIPTION OF WORK
SCHEDULED
PRESENTLY
COMPLETED
BALANCE
RETAINAGE
FROM PREVIOUS
NO.
VALUE
APPLICATION
THIS PERIOD
STORED
AND STORED
%
TO
(IF VARIABLE
(D + E)
(NOT IN
TO DATE
(G! C)
FINISH
RATE)
D ORE
D+E+F
C -G
1
General Conditions
262,375.00
87,100.00
12,500.00
99,600.00
37.96%
162,775.00
9,960.00
2
Sitework
387,050.00
0.00
20,000.00
20,000.00
5.17%
367,050.00
2,000.00
3
Concrete
82,000.00
0.00
0.00
0.00
0.00%
82,000.00
0.00
4
Masonry
68,000.00
0.00
0.00
0.00
0.00%
68,000.00
0.00
5
Metals
31,498,00
0.00
0.00
0.00
0.00%
31,498.00
0.00
6
Woods & Plastics
29,950.00
0.00
0.00
0.00
0.00%
29,950.00
0.00
7
Thermal & Moisture
100,000.00
0.00
0.00
0.00
0.00%
100,000.00
0.00
8
Doors & Windows
96,150.00
0.00
0.00
0.00
0.00%
96,150.00
0.00
9
Finishes
150,437.00
0.00
0.00
0.00
0.00%m
150,437.00
0.00
10
Specialties
22,598.00
0.00
0.00
0.00
0.00%
22,598.00
0.00
11
Equipment
87,500.00
0.00
0.00
0.00
0.00%
87,500.00
0.00
12
Special Construction
40,000.00
23,000.00
0.00
23,000.00
57.50%
17,000.00
2,300.00
13
Plumbing
54,000.00
0.00
0.00
0.00
0.00%
54,000.00
0.00
14
HVAC
60,500.36
0.00
0.00
0.00
0.00%
60,500.36
0.00
15
Fire Sprinkler System
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
16
'Electrical
188,874.00
3,500.00
0.00
3,500.00
1.85%
185,374.00
350.00
17
Contractor's Fee
167,543.64
13,510.00
3,250.00
16,760.00
10.00%
150,783.64
1,676.00
18
Bond
22,004.00
22,004.00
0.00
22,004.00
100.00%
0.00
2,200.40
19
Builder's Risk Insurance
0.00
0.00
0.00
0.00
0.00%
0.00
0.00
TOTALS
1,850,480.00 1
149,114.00 1
35,750.00
0.00
184,864.00
1,665,616.00
1 18,486.40
Contractor's Invoice
Holland Builders of South Florida, Inc
4860 NE 12th Avenue
Fort Lauderdale, Fl 33334
(F) 954-771-2210 / 954-771-5080 (F)
Application #: THREE
Application date: 25 -Jul -04
Invoice period: June to July 2004
Item
No.
Description
of work
Scheduled
value
Work cam leted
Materials
presently
stored
(not D or E)
Total
completed
& stored
to date
(D+E+F)
%
(G/C)
Balance
to finish
(C - G)
Retainage
From
previous
application
(D+E,)
This
period
1
Infrastructures
$650,240.00
$84,755.20
$21,625.00
$106,380.20
16%
$543,859.80
$10,638.02
2
Water Services
$100,000.00
$0.00
$0.00
$0.00
0%
$100,000.00
$0.00
3
Sanitary Services
$150,000.00
$0.00
$0.00
$0.00
0%°
$150,000.00
$0.00
4
Buildings
$650,240.00
$64,359.00
$14,125.00
$78,484.00
12%
$571,756.00
$7,848.40
5
Architectural & Engineering
$150,000.00
$0.00
$0.00
$0.00
0%
$150,000.00
$0.00
6
Security Wiring & Devices
$150,000.00
$0.00
$0.00
$0.00
0%
$150,000.00
$0.00
Totals 1 $1,850,480.00 1 $149,114.20 1 $35,750.00
$0.00 1 $184,864.20 1 1 $1,665,615.80 1 $18,486.42