205-CPH-Payment Request 01
CITY OF SANFORD RECLAIMED WATER DISTRIBUTION SYSTEM
CONTRACT III
Page 2 of 4 Pages
APPLICATIONS AND CERTIFICATE FOR PAYMENT, containing CONTRACT NUMBER: CPH 50602.25
CONTRACTOR'S Signed Certification is attached. DER 586100
APPLICATION NUMBER: k
·
~XD DESCRIPTION OF WORK WORK COMPLETED
ITEM DESCRIPTION QUANITY UNIT PRICE SCHEDULED QUANITY PREVIOUS QUANITY THIS STORED TOTAL COMPLETED BALANCE ·
VALUE APPLICA. APPLICA. MATERIALS AND STORED
01 MObilization/
Bonds LS 47~000.00 47,000.00 75% 33750,00 0.00 -. 33,750.00 13.250100
02 18" Bq~L 4432LF 34.50 152,904.00
03 16" B~TL 25871LF 31.50 814,936.50
04 14" ~ 4652LF 28.50 132,582.00 l~.~_~n
05 12" I{~TL ' 32935LF 21.00 691,635.00
06 8" Bv'fL 4691 LF 16.00 70,365.00 , 70=~.00
07 FITtINGS 51 ~ 3,500.00 180,075.00 1~.07~_~
08 18" BFV 7 EA 2,500.00 17,500.00 17.500_~
09 16" BFV 16 EA 2,000.00 32,000.00
10 14" BFV 3 EA 1,750.00 5,250.00 .< 5~250.00
11 12" GV 17 EA 1,150.00 19,550.00
(~] 8" GV 5 EA 750.00 3,750.00
_ Jack & BOre
18" Carrier &
30" Casing Pipe
A. Sheet 14 LS 13,000.00 13,000.00 ~3.000,00
B. Sheet 15 LS 34,000.00 34,000.00 34.000.0~
t 4 Jack & Bore
16" Carrier &
28" Casing Pipe
A. Sheet 3 LS 10,000.00 10,000.00 ln_nnn fin
B. Sheet 6 LS 15,000.00 15~000.00 l~,nnN NN
C. Sheet 8 LS 17,000.00 17,000.00 ]7~00fi.00
15 Jack &BOre
14" Carrier &
24" Casing Pipe
A. Sheet 9 LS 9,000.00 9,000.00 9,000.00
B. Sheet 9 LS 13,500.00 13,bOU.O0 13~500.00
C. Sheet 10 i LS 16,200.00 16,200.00 16,200.00
CITY OF SANFORD RECLAIMED WATER DISTRIBUTION SYSTEM
CONTRACT III
Page 3 of 4 Pages
APPLICATIONS AND CERTIFICATE FOR PAYMENT, containing CONTRACT NUMBER: CPH 50602.25
CONTRACTOR'S Signed Certification is attached. DER 586100
APPLICATION NUMBER: 1 '
DESCRIPTIO OF wORE wORE CO. PLETEB
ITEM DESCRIPTION QUANITY UNIT PRICE SCHEDULED QUANITY PREVIOUS QUANITY THIS STORED TOTAL COMPLETED BALANCE .
VALUE APPLICA. APP CA. MATERIALS AND STORED
16 Jack & Bore
12" Carrier &
22" Casing Pipe
A. Sheet 11 LS 16,000.00 16,000.00 16,000.00
B. Sheet 17 LS 9,000.00 9,000.00 9,000.00
C. Sheet 17 LS 14,400.00 14,400.00 14~00.00
D. Sheet 19 LS 10,800.00 10,800.00 ..... 10~800.00
E. Sheet 20 LS 10,400.00 10,400.00 10~00.00
F. Sheet 21 LS 11,500.00 11,500.00 11,500.00
G. Sheet 21 LS 8,050.00 8,050.00 8~050.00
H. Sheet 21 LS 4,600.00 4,600.00 4,600.00
I. Sheet 21 LS 8,050.00 8,050.00 8,050.00
J. Sheet 22 LS 12,800.00 12,800.00 12,800.00
s~ll PRV 1 EA 4,500.00 4,500.00 4,500.00
18 CanalCrossing
17&92/Mill Crk LS 22,000.00 22,000.00 22~000.00
19 CanalCrossing
Mang/Mill Crk LS 17,000.00 17,000.00 17,000.00
20 CanalCrossing
Sta 334+70 /
334+90 LS 5,500.00 5,500.00 5,500.00
21 CanalCrossing
Sta 393+50 /
394+00 LS 7,500.00 7,500.00 7~500.00
22 CanalCrossing
Sta 10+70 /
11+50 LS 6,900.00 6,900.00 6,900.00
CITY OF SANFORD RECLAIMED WATER DISTRIBUTION SYSTEM
CONTRACT III
Page 4 of 4 Pages
APPLICATIONS AND CERTIFICATE FOR PAYMENT, containing CONTRACT NUMBER: CPH 50602.25
CONTRACTOR'S Signed Certification is attached. DER 586100
APPLICATION NUMBER: 1~
(~iD DESCRIPTION OF WORK WORE COMPLETED
ITEM DESCRIPTION QUANITY UNIT PRICE SCHEDULED QUANITY PREVIOUS QUANITY THIS STORED TOTAL COMPLETED BALANCE .
VALUE APPLICA. APPLICA MATERIALS AND STORED
23 CanalCrossing
Sta36+30 /
36+90 LS 6,900.00 6,900.00 6r900.00
24 CanalCrossing
Sta 114+00 /
114+60 LS 6,800.00 6,800.00 6,800.00
25 R & R Pavenent 6728LF 21.00 141,288.00 141,288.00
26 R & R Curb &
Gutter 1097 I~ 8.00 8,776.00 8r776.00
27 R & R Drive 2598 LF 25.00 64,950.00 64,950.00
28 R & R Sidewalk 2262LF 8.00 18,096.00 18,096.00
29 Grass &Mulch
_0 Restoration 18300 LF 1.00 18,300.00 18,300.00
Sodding 42500IY 3.00 127,500.00 127,500.00
31 Traffic Control LS 15,000.00 15,000.00 15,000.00
32 Fencer & R 100LF 5.00 500.00 500.00
33 6" Vinyl Tape 146000I~ 0.15 21,900.00 ............. 21,900.00
34 6" Metallic Ta 73000LF 0.10 7,300.00 7,300.00
35 Polyethiene
Encase of DIP 2000 LF 1.00 2,000.00 2~000.00
36 Pi~ine Stabi 5000LF 5.00 25,000.00 25,000.00
37 Point of Connec
A. 2" POC 2EA .500.00 1,000.00 1,000.00
B. 3" POC 6EA 1,000.00 6,000.00 6,000.00
C. 4" ~OC 10 ~R 1,500.00 15,000200 .... 15,000.00
D. 6" POC 3 BR 1,750.00 '5,250.00 5,250.00
" E. 8" PCC 1 EA 2,000.00 2,000.00 2,000.00
3~ SteelCasing 60LF '50.00 3,000.06 3,000.00
T(7IRLS $2,927,057.50
SECTION 00680
CONTRACTOR'S APPLICATION FOR PAYMENT
PAYMENT REQUEST N.O. 1
DER PROJECT NO. 586100
CPH PROJECT NO. 506~-~5
CITY OF SANFORD-- WASTEWATER TREATMENT PLANT IMPROVEMENTS - CONT.~ACT ONE
FINANCE ACCOUNT NO.
CONTRACTOR ELKINS CONSTRUCTORS,. INC-
CONTRACT DATE September 22, '1988 COMPLETION DATE November 15, 1989
APPLICATION DATE Ocotber 30,. 1988 FOR PERIOD ENDING October 25, 1988
STATEMENT OF WORK
Original Contract Price $ 3,.926,,300.00 Work to Date $ 166,.800.00
Net'Cha,nc~e.Order 0.00 Amount Retained 16,680.00
:C:urrent'Co~traet Price 3,926,300.00 Subtotal 150,120.00
· W6~-k to 'be-,'bb~'e 36759,500.00 Previous Pay-
,.:.':: .... - ments Approved 0.00
Amount Due This
P aymen t 150,120. O0
I hereby certify that the labor and materials listed on this request for
payment have been, used in the construction of this work or that all material s
included in this request for payment and not yet incorporated into the ::!::,
construction are now on the site or stored at an approved location; and payment
received from the last request for payment has been used to make payments to
all first tier subcontractors and suppliers except as listed below.
DATED October 25, 1988 198 ELKINS CONSTRUCTORS, INC.
Cyo ntractor ) t//xj/" +:'
to: <Namee >
Batty L. Allred - President ':~'
ELKINS CONSTRUCTORS, INC. .:.:::
P.O. Box 2396 '::.!'i
Jac]csonville,, FL 32203
:::i:
00680-1 '
SECTION 00663
FORM OF CONTRACTOR'S PARTIAL RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS, that the undersigned,
ELKINS CONSTRUCTORS,, INC. in
consideration of partial payment in the sum of $ 150,,120.00 , receipt whereof
iS hereby acknowledged, and other valuable considerations and benefits to the
undersigned accruing, do hereby waive, release and quit claim all liens, lien
rights, claims or demands of every kind whatsoever which the undersigned now
has, or may hereafter have, against that certain real estate and the
improvements thereof, s~tuated in Seminole County, Florida, and legally
described as:
City of Sanford - Wastewater Treatment Plant improvements, on account of
work and labor performed, and/or materials furnished in, to, or about the
construction of any building or buildings situated thereon, oF in improving
said property above described, or any part thereof.
It being the understanding of the undersigned that this is a Partial Waiver
and Release of Lien which the undersigned has against the premises described
herein, only to the extent of the payments specified and only for materials
furnished or work done up until October 25A 1988 (but not releasing or waiving
DATE
charges for changes, additions, or extras), the undersigned warrants that no
assignment of said liens or claims, nor the right to perfect a lien against
said real estate, by virtue of the accrual of said payment, has or will be
made, and that the undersigned has the right to execute this Partial Waiver and
Release, and that all laborers employed by the undersigned, and all bills for
materials and supplies furnished by others to the undersigned in connection
with the construction of improvements upon the aforesaid premises, to the
extent of the paS~nent herein referred to~ have been fully paid.
tN WITNESS WHEREOF I/we have executed this instrument under seal
this 25th day of October , 19 88 .
~ ~~S
Barry L. lred - President~
(SEAL) , ~= -s'
WITNESSES:
END OF SECTION
00663-1 '=!
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'BILLING NO. 1 PERIOD: FROH OCT. 11 1988 TO OCT. 25 1988
CITY OF SANFORD WWTP IMPROVEMENTS CONTRACT I
SHEET
ZNSTRUMENTATION 208700.00 .00 ~ 0
PAINTING 4500.00 .00 0
ELECTRICAL 33500.00,, .00 0 0
INSTRUMENTATION 32900.00 .00 0 0
,GENERAL CONDITIONS,
BONDS 30000.00 30000.00[ 30000.00~ 30000 100
INSURANCE 20000.00 20000.00] 20000.00~ 20000p 100
GENERAL CONDITIONS 86000.00 25800.00~ 25800.00~ 25800[ 30
MOBILIZATION 45000.00 45000.00[ 45000.00~ 45000~
DEMOBILIZATION 5000.00 .00~ 0[ 0
TOTAL 3926300.08~ .00[ 166800.00 166800.00~ .00 4
~PREVIOUS ~ CURRENT TOTAL [STORED AMOUNT PERCENT
WORK COMPLETED ~MATERIALS TO DATE COMPLETE
d7