HomeMy WebLinkAboutInv# Pay App 12 - Burkhardt Construction - 06/09/2025Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT,containing APPLICATION NUMBER:12
Contractor's signed Certification is attached.APPLICATION DATE:06/05/2025
Use Column I on Contracts where variable retainage for line items apply.PERIOD:05/01/25 05/31/25
ARCHITECTS/ENGINEERS PROJECT NO:
Contract Lines
A B C D E F G H I
ITEM
NO.
COST
CODE DESCRIPTION OF WORK
SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED NOT
IN D OR E)
TOTAL
COMPLETED
AND STORED TO
DATE D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROM
PREVIOUS
APPLICATION
D E)
THIS PERIOD
1
2-00204
Mainten
ance of
Traffic
MAINTENANCE OF TRAFFIC $307,600.00 $141,496.00 $12,304.00 $0.00 $153,800.00 50.00%$153,800.00 $7,690.00
2
20-
21300
Clearing
Grubbin
g
DEMOLITION/CLEARING GRUBBING $303,576.70 $112,563.84 $0.00 $0.00 $112,563.84 37.08%$191,012.86 $5,628.19
3
20-
21400
Grading
EARTHWORK AND GRADING $683,845.00 $236,327.00 $0.00 $0.00 $236,327.00 34.56%$447,518.00 $11,816.35
4
20-
22000
Subgrad
e/Base
SUBGRADE,BASE,AND ASPHALT
CONSTRUCTION $
859,603.10 $51,976.50 $0.00 $0.00 $51,976.50 6.05%$807,626.60 $2,598.83
5
12-
01200
Furnishi
ngs
PLAYGROUND AREA $294,920.36 $144,061.57 $0.00 $0.00 $144,061.57 48.85%$150,858.79 $7,203.08
6
13-
01305
Swimmi
ng Pool
SWIMMING POOL $690,858.00 $275,451.85 $60,200.00 $0.00 $335,651.85 48.58%$355,206.15 $16,782.59
7
12-
01200
Furnishi
ngs
FURNISHINGS AND MISCELLANEOUS $1,220,819.40 $507,064.21 $0.00 $0.00 $507,064.21 41.53%$713,755.19 $25,353.21
8
10-
01015
Signage
PAVEMENT MARKINGS AND SIGNAGE $5,663.20 $0.00 $0.00 $0.00 $0.00 0.00%$5,663.20 $0.00
9
3-00300
Concret
e
SIDEWALK/CONCRETE CURB CONSTRUCTION $527,239.50 $0.00 $0.00 $0.00 $0.00 0.00%$527,239.50 $0.00
10
20-
28000
Water
Distributi
on
WATER SUPPLY $155,439.00 $135,874.00 $0.00 $0.00 $135,874.00 87.41%$19,565.00 $6,793.70
CONTINUATION SHEET DOCUMENT G703 Page 2 of 6
A B C D E F G H I
ITEM
NO.
COST
CODE DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED NOT
IN D OR E)
TOTAL
COMPLETED
AND STORED TO
DATE D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROM
PREVIOUS
APPLICATION
D E)
THIS PERIOD
11
2-00250
Storm
Drainag
e
STORM DRAINAGE $707,520.76 $351,340.65 $7,830.00 $0.00 $359,170.65 50.76%$348,350.11 $17,958.53
12
2-00281
Sewer
Service
SANITARY SEWER $53,704.00 $33,580.00 $0.00 $0.00 $33,580.00 62.53%$20,124.00 $1,679.00
13
16-
01600
Electrica
l
ELECTRICAL/STREETLIGHTING $1,543,924.02 $522,054.02 $88,270.00 $0.00 $610,324.02 39.53%$933,600.00 $30,516.20
14
2-00274
Utilities
FRANCHISE UTILITIES $28,400.00 $0.00 $0.00 $0.00 $0.00 0.00%$28,400.00 $0.00
15
13-
01300
Special
Construc
tion
VERTICAL CONSTRUCTION ELEMENTS $9,037,541.76 $5,905,408.39 $445,691.93 $0.00 $6,351,100.32 70.27%$2,686,441.44 $317,555.03
16
2-00270
Landsca
ping
LANDSCAPING $613,926.90 $52,800.00 $0.00 $0.00 $52,800.00 8.60%$561,126.90 $2,640.00
17
2-00265
Irrigation
IRRIGATION $173,500.00 $0.00 $0.00 $0.00 $0.00 0.00%$173,500.00 $0.00
18
17-
01701
Continge
ncy
UNUSED]CONSTRUCTION CONTINGENCY $145,363.06 $0.00 $0.00 $0.00 $0.00 0.00%$145,363.06 $0.00
19
17-
01701
Continge
ncy
CUD 1 MUCK REMOVAL FOR BUILDING PAD $157,229.75 $157,229.75 $0.00 $0.00 $157,229.75 100.00%$0.00 $7,861.49
20
17-
01701
Continge
ncy
CUD 2 GEOGRID FOR FIELDS AND COURTS $108,455.00 $108,455.00 $0.00 $0.00 $108,455.00 100.00%$0.00 $5,422.75
21
17-
01701
Continge
ncy
CUD 3 CITY CONTRACT CO 2 GEOGRID
COSTS TO BE ABSORBED THROUGH
OWNER'S CONTINGENCY OUTSIDE OF
CONTRACT]
108,455.00)($108,455.00)$0.00 $0.00 ($108,455.00)100.00%$0.00 ($5,422.75)
22
17-
01701
Continge
ncy
CUD 4 UPCHARGE CONCRETE FIBER
MATERIAL IN WALKS $
6,470.00 $6,470.00 $0.00 $0.00 $6,470.00 100.00%$0.00 $323.50
23
17-
01701
Continge
ncy
CUD 5 CITY CONTRACT CO 2 FIBER
COSTS TO BE ABSORBED THROUGH
OWNER'S CONTINGENCY OUTSIDE OF
CONTRACT]
6,470.00)($6,470.00)$0.00 $0.00 ($6,470.00)100.00%$0.00 ($323.50)
CONTINUATION SHEET DOCUMENT G703 Page 3 of 6
A B C D E F G H I
ITEM
NO.
COST
CODE DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY
STORED NOT
IN D OR E)
TOTAL
COMPLETED
AND STORED TO
DATE D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROM
PREVIOUS
APPLICATION
D E)
THIS PERIOD
24
17-
01701
Continge
ncy
CUD 6 BUTLER CPRS 1-#25 $83,621.00 $60,420.00 $0.00 $0.00 $60,420.00 72.25%$23,201.00 $3,021.00
25
17-
01701
Continge
ncy
CUD 7 BUILDING OVERHANG TO MEET ADA
REQUIREMENTS $
20,907.00 $0.00 $0.00 $0.00 $0.00 0.00%$20,907.00 $0.00
26
17-
01701
Continge
ncy
CUD 8 UPCHARGE FOR ADA PAVERS $2,500.00 $0.00 $0.00 $0.00 $0.00 0.00%$2,500.00 $0.00
27
17-
01701
Continge
ncy
CUD 9 CREDIT FOR NOT NEEDING
DRAINAGE WELL 2 ($
99,291.88)$0.00 $0.00 $0.00 $0.00 0.00%($99,291.88)$0.00
28
17-
01701
Continge
ncy
CUD 10 FPL NEW POWER SERVICE $6,460.00 $6,460.00 $0.00 $0.00 $6,460.00 100.00%$0.00 $323.00
29
17-
01701
Continge
ncy
CUD 11R2 MONUMENT SIGN ADDRESS
CHANGE $
2,465.07 $0.00 $0.00 $0.00 $0.00 0.00%$2,465.07 $0.00
30
17-
01701
Continge
ncy
CUD 12 BUTLER CPRS 28-#36 $40,746.00 $22,547.50 $0.00 $0.00 $22,547.50 55.34%$18,198.50 $1,127.38
31
20-
21000
General
Conditio
ns
GENERAL CONDITIONS $1,093,840.65 $503,166.70 $43,753.63 $0.00 $546,920.33 50.00%$546,920.32 $27,346.00
32
20-
21050
Construc
tion
phase
fee
CONSTRUCTION MANAGEMENT FEE $1,342,400.00 $617,504.00 $53,696.00 $0.00 $671,200.00 50.00%$671,200.00 $33,560.00
33
20-
21000
General
Conditio
ns
PROFIT $1,350,000.00 $621,000.00 $54,000.00 $0.00 $675,000.00 50.00%$675,000.00 $33,750.00
TOTALS:$21,354,322.35 $10,458,325.98 $765,745.56 $0.00 $11,224,071.54 52.56%$10,130,250.81 $561,203.58
Whole Change Order Packages
CONTINUATION SHEET DOCUMENT G703 Page 4 of 6
A B C D E F G H I
ITEM
NO.DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY STORED
NOT IN D OR E)
TOTAL COMPLETED
AND STORED TO DATE
D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROMPREVIOUS
APPLICATION
D E)
THIS PERIOD
34.1 1-00195 SHADES SHADE
SYSTEMS ($
72,961.45)($72,961.45)$0.00 $0.00 ($72,961.45)100.00%$0.00 ($3,648.07)
34.2
1-00195 PLAYGROUND
GAMETIME DOMINCA ($
95,067.54)($95,067.54)$0.00 $0.00 ($95,067.54)100.00%$0.00 ($4,753.38)
34.3
1-00195 SITE FITNESS
EQUIPMENT REP SERVICES ($21,235.00)($21,235.00)$0.00 $0.00 ($21,235.00)100.00%$0.00 ($1,061.75)
34.4
1-
00195 BENCH/BIKERACK/RECEP
TACLE FORMS SURFACES
87,329.00)($87,329.00)$0.00 $0.00 ($87,329.00)100.00%$0.00 ($4,366.45)
34.5
1-00195 TREE GRATE IRON AGE
DESIGNS ($
20,064.00)($20,064.00)$0.00 $0.00 ($20,064.00)100.00%$0.00 ($1,003.20)
34.6 1-00195 LOUNGE CHAIRS
SOURCE FURNITURE ($8,740.00)($8,740.00)$0.00 $0.00 ($8,740.00)100.00%$0.00 ($437.00)
34.7 1-00195 SCOREBOARD
DAKTRONICS ($
12,903.00)($12,903.00)$0.00 $0.00 ($12,903.00)100.00%$0.00 ($645.15)
34.8
1-00195 DRINKING FOUNTAIN
SHOWER MOST DEPENDABLE
FOUNTAINS
21,465.00)($21,465.00)$0.00 $0.00 ($21,465.00)100.00%$0.00 ($1,073.25)
34.9 1-00195 FLAG POLE POLE-TECH ($5,535.00)($5,535.00)$0.00 $0.00 ($5,535.00)100.00%$0.00 ($276.75)
34.10
1-00195 ARTIFICIAL TURF
ASTROTURF/SYNTHETIC TURF ($217,447.23)($217,447.23)$0.00 $0.00 ($217,447.23)100.00%$0.00 ($10,872.36)
34.11 1-00195 TABLE/UMBRELLA
LANDSCAPE FORMS ($
108,570.00)($108,570.00)$0.00 $0.00 ($108,570.00)100.00%$0.00 ($5,428.50)
34.12
1-00195 BASKETBALL HOOP
BSN SPORTS ($
3,775.98)($3,775.98)$0.00 $0.00 ($3,775.98)100.00%$0.00 ($188.80)
34.13
1-00195 BUTLER EDWARD DON
CO ($
25,530.14)($25,530.14)$0.00 $0.00 ($25,530.14)100.00%$0.00 ($1,276.51)
34.14
1-00195 BUTLER ALL
SPECIALTY SALES ($24,151.40)($24,151.40)$0.00 $0.00 ($24,151.40)100.00%$0.00 ($1,207.57)
34.15
1-00195 BUTLER INTERAKTIVO
SOLUTIONS ($
29,750.00)($29,750.00)$0.00 $0.00 ($29,750.00)100.00%$0.00 ($1,487.50)
34.16
1-00195 BUTLER XCEL FITNESS
PRODUCTS ($
71,270.00)($71,270.00)$0.00 $0.00 ($71,270.00)100.00%$0.00 ($3,563.50)
34.17
1-00195 BUTLER ATLANTIC
DOORS HARDWARE ($
83,439.26)($83,439.26)$0.00 $0.00 ($83,439.26)100.00%$0.00 ($4,171.96)
34.18 1-00195 BUTLER ATHLETIC
RESOURCES ($
61,916.70)($61,916.70)$0.00 $0.00 ($61,916.70)100.00%$0.00 ($3,095.84)
34.19
1-00195 BUTLER
PERFORMANCE SPORTS
SYSTEMS
33,525.47)($33,525.47)$0.00 $0.00 ($33,525.47)100.00%$0.00 ($1,676.27)
34.20 1-00195 BUTLER JC WHITE ($46,402.09)($46,402.09)$0.00 $0.00 ($46,402.09)100.00%$0.00 ($2,320.10)
35.1
2-00225 Sidewalks,Pads and Pool
Deck anticipate future sidewalk
repairs and add fiber filament into
6,500.00 $0.00 $0.00 $0.00 $0.00 0.00%$6,500.00 $0.00
CONTINUATION SHEET DOCUMENT G703 Page 5 of 6
A B C D E F G H I
ITEM
NO.DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED
MATERIALS
PRESENTLY STORED
NOT IN D OR E)
TOTAL COMPLETED
AND STORED TO DATE
D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROMPREVIOUS
APPLICATION
D E)
THIS PERIOD
the concrete for durability at minimal
cost.
35.2
2-00225 Pool Pump Room BCI
investigated this area during the
previous community center building
muck removal process and no muck
was discovered.No additional
charge.)
0.00 $0.00 $0.00 $0.00 $0.00 100.00%$0.00 $0.00
35.3
2-00225 Football Field and
Basketball Court install Mirafi
RS4801 geogrid fabric to extend the
lifespan of these surfaces.
108,455.00 $54,227.50 $0.00 $0.00 $54,227.50 50.00%$54,227.50 $2,711.38
35.4
20-21050 BCI Management Fee
5%per Contract)$
5,747.75 $1,839.28 $0.00 $0.00 $1,839.28 32.00%$3,908.47 $91.96
36.1 17-01701 3"Meter Fee $3,100.00 $0.00 $0.00 $0.00 $0.00 0.00%$3,100.00 $0.00
36.2 17-01701 2"Water Meter Fee $1,400.00 $0.00 $0.00 $0.00 $0.00 0.00%$1,400.00 $0.00
36.3 17-01701 5%BCI Fee $225.00 $0.00 $0.00 $0.00 $0.00 0.00%$225.00 $0.00
37.1
1-00195 ODP Credit 2 to adust for
material changes and credits ($
8,086.45)$0.00 $0.00 $0.00 $0.00 0.00%($8,086.45)$0.00
TOTALS:($933,736.96)($995,011.48)$0.00 $0.00 ($995,011.48)106.56%$61,274.52 ($49,750.57)
Grand Totals
A B C D E F G H I
ITEM
NO.
DESCRIPTION OF
WORK SCHEDULED VALUE
WORK COMPLETED MATERIALS
PRESENTLY
STORED NOT IN D
OR E)
TOTAL
COMPLETED
AND STORED TO
DATE D+E+F)
G C)
BALANCE
TO FINISH
C G)
RETAINAGEFROMPREVIOUS
APPLICATION
D E)
THIS PERIOD
GRAND TOTALS:20,420,585.39 $9,463,314.50 $765,745.56 $0.00 $10,229,060.06 50.09%$10,191,525.33 $511,453.01
DOCUMENT G703 APPLICATION AND CERTIFICATE FOR PAYMENT
CONTINUATION SHEET DOCUMENT G703 Page 6 of 6
Updated:06/05/25
OWNERS
CONTINGENCY
1,085,865.00$
CO # Date Description Approved Additions Approved Deductions ITEM NO. PAY APPLICATION
AMOUNT BILLED TO
DATE
RETAINAGE AMOUNT THIS
PAY
APPLICATION
OWNERS CONTINGENCY
BALANCE REMAINING
1 1/6/2025 ODP DEDUCT FOR MATERIAL ONLY (1,051,078.26)$
2 1/6/2025 MUCK MITIGATION 120,702.75$ 35.3/35.4 Pay App#10 (March 2025) 56,067.78$ 2,803.34$ 53,264.44$ 1,032,600.56$
3 4/3/2025 WATER METER FEES $ 4,725.00 36.1-36.3
4 5/2/2025 ODP DEDUCT FOR MATERIAL ONLY (8,086.45)$
5 5/30/2025 ADDITIONAL SWING SET
SUB TOTALS:125,427.75$ (1,059,164.71)$ 1,032,600.56$
TOTALS IN CHANGE ORDERS (933,736.96)$ 1,032,600.56$
CW Thomas Park
Owner's Contingency Use Log
PAY APPLICATION COVER PAGE
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO PROGRESS PAYMENT CONTRACTOR
SURETY
OTHER
Bond #30141834
PROJECT: CW-Thomas Park Park Improvements
Name, Address)
TO: City of Dania Beach
Owner) 100 W Dania Beach BLVD
Dania Beach, FL 33004
CONTRACTOR: Burkhardt Construction, Inc.
1400 Alabama Avenue, Suite 20
West Palm Beach, FL 33401-7048
In accordance with the provisions of the Contract between the Owner and the Contractor as
indicated above, the (here insert name and address of Surety Company)
Western Surety Company
151 N Franklin Street
Chicago, IL 60606, SURETY COMPANY,
on bond of (here insert name and address of contractor)
Burkhardt Construction, Inc.
1400 Alabama Avenue, Suite 20
West Palm Beach, FL 33401-7048, CONTRACTOR
hereby approves of the 727,458.28 USD progress payment to the Contractor, and agrees
that payment to the Contractor shall not relieve the Surety Company of any of its obligations to
here insert name and address of Owner)
City of Dania Beach
100 W Dania Beach BLVD
Dania Beach, FL 33004, OWNER
as set forth in said Company’s bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set it’s hand this 04 day of June 2025.
Western Surety Company
Surety Company
Signature of Authorized Representative
Layne Holmes, Attorney-In-Fact
Title and Florida Resident Agent
Go to www.cnasurety.com > Owner / ObligeeServices > Validate Bond Coverage,if you want to verify bond authenticity.
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
Know All Men By These Presents,That WESTERN SURETY COMPANY, a South Dakota corporation, is a duly organized and existing corporation
having its principal office in the City of Sioux Falls, and State of South Dakota, and that it does by virtue of the signature and seal herein affixed hereby
make, constitute and appoint
Michael Allen Holmes, James F Murphy, Layne Holmes, Michael Gorham, Individually
of Fort Lauderdale, FL, its true and lawful Attorney(s)-in-Fact with full power and authority hereby conferred to sign, seal and execute for and on its behalf
bonds, undertakings and other obligatory instruments of similar nature
In Unlimited Amounts -
and to bind it thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of the corporation and all the acts of said
Attorney, pursuant to the authority hereby given, are hereby ratified and confirmed.
This Power of Attorney is made and executed pursuant to and by authority of the By-Law printed on the reverse hereof, duly adopted, as indicated, by
the shareholders of the corporation.
In Witness Whereof, WESTERN SURETY COMPANY has caused these presents to be signed by its Vice President and its corporate seal to be
hereto affixed on this 14th day of June, 2021.
W E S T E R N S U R E T Y C O M P A N Y
Paul T. Bruflat, Vice President
ssStateofSouthDakota
County of Minnehaha
On this 14th day of June, 2021, before me personally came Paul T. Bruflat, to me known, who, being by me duly sworn, did depose and say: that he
resides in the City of Sioux Falls, State of South Dakota; that he is the Vice President of WESTERN SURETYCOMPANYdescribed in and which executed
the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed
pursuant to authority given by the Board of Directors of said corporation and that he signed his name thereto pursuant to like authority, and acknowledges
same to be the act and deed of said corporation.
My commission expires
March 2, 2026
M. Bent, Notary Public
CERTIFICATE
I, L. Nelson, Assistant Secretary of WESTERN SURETY COMPANY do hereby certify that the Power of Attorney hereinabove set forth is still in
force, and further certify that the By-Law of the corporation printed on the reverse hereof is still in force. In testimony whereof I have hereunto subscribed
my name and affixed the seal of the said corporation this day of
W E S T E R N S U R E T Y C O M P A N Y
L. Nelson, Assistant Secretary
Form F4280-7-2012
June 2025. 04
Authorizing By-Law
ADOPTED BYTHE SHAREHOLDERS OF WESTERN SURETY COMPANY
This Power of Attorney is made and executed pursuant to and by authority of the following By-Law duly adopted by the shareholders
of the Company.
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the
corporate name of the Company by the President, Secretary, and Assistant Secretary, Treasurer, or any Vice President, or by such other
officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer
may appoint Attorneys in Fact or agents who shall have authority to issue bonds, policies, or undertakings in the name of the Company.
The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the
corporation. The signature of any such officer and the corporate seal may be printed by facsimile.