HomeMy WebLinkAboutInv# APP#1 - MAN-CON, INCORPORATED - 05/30/2021APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702
TO OWNER:PROJECT:Southeast 2nd Ave and Southeast 7th Street Water Main Replacement
MAIL:City of Dania Beach Finance Department City of Dania Beach Public Services
Attn: Accounts Payable Attn: Fernando Rodriquez
100 West Dania Beach Blvd. 1201 Stirling Road
Dania Beach, Florida 33004 Dania Beach, FL 33004
EMAIL: ap@daniabeachfl.gov APPLICATION NO.: 1 Distribution to:
PERIOD FROM: NTP OWNER
FROM: MAN-CON, INCORPORATED PERIOD TO: 5/31/2021 E.O.R
3460 SW 11 STREET PROJECT # :CONTRACTOR Man-Con, Inc.
DEERFIELD BEACH, FL 33442 CONTRACT DATE:
954-432-0230 PO NO.
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.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-
1. ORIGINAL CONTRACT SUM 2,163,955.20 ments received from the Owner, and that current payment shown herein is now due.
2. Net change by Change Orders CONTRACTOR:
3. CONTRACT SUM TO DATE (Line 1 + 2)2,163,955.20 By:Date:6/25/2021
Anthony Mancini, Vice-President
4. TOTAL COMPLETED & STORED TO DATE 112,500.00 State of: Florida
(Column G on G703)County of: Broward
Subscribed and sworn to before
5. RETAINAGE:
me this day of
a.5%of Completed Work 5,625.00
(Columns D + E on G703)Notary Public:
b. 10% of Stored Material My Commission Expires:
(Column F on G703)
Total Retainage (Line 5a + 5b or ENGINEER'S CERTIFICATE FOR PAYMENT
Total in Column I of G703)5,625.00
In accordance with the Contract Documents, based on on-site observations and the data
6. TOTAL EARNED LESS RETAINAGE:106,875.00 comprising this application, the Engineer certifies to the Owner that to the best of the
(Line 4 less Line 5 Total)Engineer'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
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT is entitled to payment of the AMOUNT CERTIFIED.
(Line 6 from prior Certificate)-
AMOUNT CERTIFIED $106,875.00
8. CURRENT PAYMENT DUE 106,875.00 (Attach explanation if amount certified differs from the amount applied for. Initial
all figures on this Application and on Continuation Sheet that are changed to
9. BALANCE TO FINISH, INCLUDING RETAINAGE conform to the amount certified.)
(Line 3 less Line 6)2,057,080.20 ARCHITECT/ENGINEER:
By:Date:
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved in Project Manager:
previous months by Owner By:Date:
Total approved this Month This Certificate is not negotiable. THE AMOUNT CERTIFIED is payable only to the Con-
TOTALS - - tractor named herein. Issuance, payment and acceptance of payment are without
NET CHANGES by Change Order - prejudice to any rights of the Owner or Contractor under this Contract.
G702-1992
25th June, 2021
8/21/22
CONTINUATION SHEET Seminole Park Site Development PAGE 2 OF 5 PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION No.: 1
containing Contractor's signed Certification, is attached.PERIOD TO: 5/31/2021
Use Column I on Contracts where retainage for the items may apply.PROJECT NAME:
PROJECT #:
BID NO.
B C D E G H I
TOTAL
QUANTITY QUANTITY TOTAL $ AMOUNT $ AMOUNT COMPLETED
COMPLETED COMPLETED QUANTITY COMPLETED COMPLETED AND STORED %BALANCE RETAINAGE
Section Title Qty Unit Unit Price Total Cost PREVIOUS THIS COMPLETED PREVIOUS PERIOD THIS $ AMOUNT COMPLETED TO FINISH AMOUNT
Item No.Description Estimated
Quantity
Unit of
Measure Unit Price Extended Price
PERIOD PERIOD TO DATE PERIOD PERIOD TO DATE
I.GENERAL
1.01 General Requirements 1 LS $185,000.00 185,000.00 0.50 0.50 - 92,500.00 92,500.00 50.00%92,500.00 4,625.00
1.02 Mobilization and Demobilization 1 LS $35,000.00 35,000.00 0.50 0.50 - 17,500.00 17,500.00 50.00%17,500.00 875.00
1.03 Stormwater Pollution Prevention 1 LS $10,000.00 10,000.00 0.10 0.10 - 1,000.00 1,000.00 10.00%9,000.00 50.00
1.04 Maintenance of Traffic 1 LS $12,500.00 12,500.00 0.10 0.10 - 1,250.00 1,250.00 10.00%11,250.00 62.50
1.05 Permitting Allowance 1 AL $5,000.00 5,000.00 0.05 0.05 - 250.00 250.00 5.00%4,750.00 12.50
247,500.00 - 112,500.00 112,500.00 45.45%135,000.00 5,625.00
II.UTILITIES
2.01 12" C-900 PVC Water Main 6,800 LF 69.00 469,200.00 - - - - 0.00%469,200.00 -
2.02 12" DIP Water Main 480 LF 90.00 43,200.00 - - - - 0.00%43,200.00 -
2.03 8" C-900 PVC Water Main 420 LF 56.00 23,520.00 - - - - 0.00%23,520.00 -
2.04 8" DIP Water Main 45 LF 65.00 2,925.00 - - - - 0.00%2,925.00 -
2.05 6" C-900 PVC Water Main 260 LF 53.00 13,780.00 - - - - 0.00%13,780.00 -
2.06 6" DIP Water Main 325 LF 60.00 19,500.00 - - - - 0.00%19,500.00 -
2.07 4" DIP Water Main 35 LF 66.00 2,310.00 - - - - 0.00%2,310.00 -
2.08 3" HDPE Water Main 10 LF 119.00 1,190.00 - - - - 0.00%1,190.00 -
2.09 2-1/2" HDPE Water Main 20 LF 71.00 1,420.00 - - - - 0.00%1,420.00 -
2.10 2" HDPE Water Main 300 LF 46.00 13,800.00 - - - - 0.00%13,800.00 -
2.11 12"x12" DIP Cross 1 EA 824.00 824.00 - - - - 0.00%824.00 -
2.12 12"x8" DIP Cross 1 EA 593.00 593.00 - - - - 0.00%593.00 -
2.13 12"x6" DIP Cross 2 EA 524.00 1,048.00 - - - - 0.00%1,048.00 -
2.14 12"x12" DIP Tee 3 EA 588.00 1,764.00 - - - - 0.00%1,764.00 -
2.15 12"x8" DIP Tee 5 EA 485.00 2,425.00 - - - - 0.00%2,425.00 -
2.16 12"x6" DIP Tee 42 EA 437.00 18,354.00 - - - - 0.00%18,354.00 -
2.17 12"x4" DIP Tee 2 EA 433.00 866.00 - - - - 0.00%866.00 -
2.18 8"x8" DIP Tee 2 EA 319.00 638.00 - - - - 0.00%638.00 -
2.19 8"x6" DIP Tee 2 EA 281.00 562.00 - - - - 0.00%562.00 -
2.20 6"x6" DIP Tee 2 EA 229.00 458.00 - - - - 0.00%458.00 -
2.21 12" DIP 90° Bend 1 EA 399.00 399.00 - - - - 0.00%399.00 -
2.22 8" DIP 90° Bend 2 EA 214.00 428.00 - - - - 0.00%428.00 -
2.23 6" DIP 90° Bend 37 EA 155.00 5,735.00 - - - - 0.00%5,735.00 -
GENERAL SUBTOTAL
WORK COMPLETED
Contract Items Schedule of Values
AIA DOCUMENT G703- Continuation Sheet for G702 6/25/2021 2
CONTINUATION SHEET Seminole Park Site Development PAGE 3 OF 5 PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION No.: 1
containing Contractor's signed Certification, is attached.PERIOD TO: 5/31/2021
Use Column I on Contracts where retainage for the items may apply.PROJECT NAME:
PROJECT #:
BID NO.
B C D E G H I
TOTAL
QUANTITY QUANTITY TOTAL $ AMOUNT $ AMOUNT COMPLETED
COMPLETED COMPLETED QUANTITY COMPLETED COMPLETED AND STORED %BALANCE RETAINAGE
Section Title Qty Unit Unit Price Total Cost PREVIOUS THIS COMPLETED PREVIOUS PERIOD THIS $ AMOUNT COMPLETED TO FINISH AMOUNT
Item No.Description Estimated
Quantity
Unit of
Measure Unit Price Extended Price
PERIOD PERIOD TO DATE PERIOD PERIOD TO DATE
WORK COMPLETED
Contract Items Schedule of Values
2.24 12" DIP 45° Bend 81 EA 371.00 30,051.00 - - - - 0.00%30,051.00 -
2.25 8" DIP 45° Bend 2 EA 197.00 394.00 - - - - 0.00%394.00 -
2.26 6" DIP 45° Bend 11 EA 143.00 1,573.00 - - - - 0.00%1,573.00 -
2.27 8"x6" DIP Reducer 4 EA 157.00 628.00 - - - - 0.00%628.00 -
2.28 12" DIP Plugs and Caps 4 EA 738.00 2,952.00 - - - - 0.00%2,952.00 -
2.29 8" DIP Plugs and Caps 1 EA 638.00 638.00 - - - - 0.00%638.00 -
2.30 6" DIP Plugs and Caps 50 EA 600.00 30,000.00 - - - - 0.00%30,000.00 -
2.31 2" Plugs and Caps 22 EA 624.00 13,728.00 - - - - 0.00%13,728.00 -
2.32 12" DIP Gate Valve 23 EA 3,442.00 79,166.00 - - - - 0.00%79,166.00 -
2.33 8" DIP Gate Valve 4 EA 3,859.00 15,436.00 - - - - 0.00%15,436.00 -
2.34 6" DIP Gate Valve 47 EA 3,456.00 162,432.00 - - - - 0.00%162,432.00 -
2.35 4" DIP Gate Valve 2 EA 1,250.00 2,500.00 - - - - 0.00%2,500.00 -
2.36 2-1/2" Curb Stop with Valve Box 1 EA 1,750.00 1,750.00 - - - - 0.00%1,750.00 -
2.37 2" Curb Stop with Valve Box 24 EA 1,400.00 33,600.00 - - - - 0.00%33,600.00 -
2.38 Cut-In and Connect to Existing 4" to 12" Water Main 35 EA 3,500.00 122,500.00 - - - - 0.00%122,500.00 -
2.39 Cut-In and Connect to Existing 2" to 3" Water Main 25 EA 1,583.00 39,575.00 - - - - 0.00%39,575.00 -
2.40 Fire Hydrant Assemblies 20 EA 3,000.00 60,000.00 - - - - 0.00%60,000.00 -
2.41 Bacteriological Sample Points 30 EA 250.00 7,500.00 - - - - 0.00%7,500.00 -
2.42 1" Single, Short Water Services 16 EA 1,400.00 22,400.00 - - - - 0.00%22,400.00 -
2.43 1" Single, Long Water Services 13 EA 1,400.00 18,200.00 - - - - 0.00%18,200.00 -
2.44 2" Double, Short Water Services 21 EA 2,000.00 42,000.00 - - - - 0.00%42,000.00 -
2.45 2" Double, Long Water Services 5 EA 2,200.00 11,000.00 - - - - 0.00%11,000.00 -
2.46 Deflections Under Unforeseen Utility Conflicts 2 EA 20,000.00 40,000.00 - - - - 0.00%40,000.00 -
2.47 Point Repairs for Sanitary Sewer Mains 10 EA 2,784.00 27,840.00 - - - - 0.00%27,840.00 -
2.48 Point Repairs for Sanitary Sewer Laterals 20 EA 1,425.00 28,500.00 - - - - 0.00%28,500.00 -
2.49 Remove Existing Water Main 200 LF 15.00 3,000.00 - - - - 0.00%3,000.00 -
2.50 Remove Existing Fire Hydrant Assemblies 12 EA 805.00 9,660.00 - - - - 0.00%9,660.00 -
2.51 Remove Existing Valve Nuts and Boxes 15 EA 735.00 11,025.00 - - - - 0.00%11,025.00 -
2.52 Cut, Cap, Grout, and Abandon Existing Water Main 7,630 LF 4.00 30,520.00 - - - - 0.00%30,520.00 -
1,473,507.00 - - - - - - - 1,473,507.00 - UTILITIES SUBTOTAL
AIA DOCUMENT G703- Continuation Sheet for G702 6/25/2021 3
CONTINUATION SHEET Seminole Park Site Development PAGE 4 OF 5 PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION No.: 1
containing Contractor's signed Certification, is attached.PERIOD TO: 5/31/2021
Use Column I on Contracts where retainage for the items may apply.PROJECT NAME:
PROJECT #:
BID NO.
B C D E G H I
TOTAL
QUANTITY QUANTITY TOTAL $ AMOUNT $ AMOUNT COMPLETED
COMPLETED COMPLETED QUANTITY COMPLETED COMPLETED AND STORED % BALANCE RETAINAGE
Section Title Qty Unit Unit Price Total Cost PREVIOUS THIS COMPLETED PREVIOUS PERIOD THIS $ AMOUNT COMPLETED TO FINISH AMOUNT
Item No. Description
Estimated
Quantity
Unit of
Measure Unit Price Extended Price
PERIOD PERIOD TO DATE PERIOD PERIOD TO DATE
WORK COMPLETED
Contract Items Schedule of Values
III.ROADWAY
3.01 1" Type SP-9.5 Asphalt Milling and Resurfacing 10,875 SY 11.00 119,625.00 - - - - 0.00% 119,625.00 -
3.02 4" Thick Sidewalk 133 SY 54.00 7,182.00 - - - - 0.00% 7,182.00 -
3.03 Asphalt Driveway Restoration 34 SY 77.00 2,618.00 - - - - 0.00% 2,618.00 -
3.04 Concrete Driveway Restoration 10 SY 167.00 1,670.00 - - - - 0.00% 1,670.00 -
3.05 Type F Curb and Gutter Replacement 38 LF 60.00 2,280.00 - - - - 0.00% 2,280.00 -
3.06 Asphalt Speed Tables 2 EA 4,013.00 8,026.00 - - - - 0.00% 8,026.00 -
3.07 Remove and Replace Bollards 7 EA 901.00 6,307.00 - - - - 0.00% 6,307.00 -
3.08 Solid Traffic Stripe (24" White) - Thermoplastic 454 LF 10.00 4,540.00 - - - - 0.00% 4,540.00 -
3.09 Solid Traffic Stripe (12" White) - Thermoplastic 246 LF 2.75 676.50 - - - - 0.00% 676.50 -
3.10 Solid Traffic Stripe (6" Double Yellow) - Thermoplastic 1,500 LF 2.75 4,125.00 - - - - 0.00% 4,125.00 -
3.11 Solid Traffic Stripe (6" White) - Thermoplastic 65 LF 1.50 97.50 - - - - 0.00% 97.50 -
3.12 Solid White Arrow - Thermoplastic 1 EA 95.00 95.00 - - - - 0.00% 95.00 -
3.13 Retro-Reflective Pavement Markers 132 EA 6.50 858.00 - - - - 0.00% 858.00 -
3.14 Single Post with Signs and Plaques (up to 12 SF total)3 EA 3,500.00 10,500.00 - - - - 0.00% 10,500.00 -
3.15 Brick Paver Crosswalks and Speed Tables 93 SY 209.25 19,460.00 - - - - 0.00% 19,460.00 -
3.16 Removal of Existing Pavement Markings and Signage 1 LS 35,085.00 35,085.00 - - - - 0.00% 35,085.00 -
3.17 Landscape Removal 1 LS 23,080.00 23,080.00 - - - - 0.00% 23,080.00 -
246,225.00 - - - - - - - 246,225.00 -
TOTAL COST 1,967,232.00 - - - - 112,500.00 112,500.00 1,854,732.00 5,625.00
ROADWAY SUBTOTAL
AIA DOCUMENT G703- Continuation Sheet for G702 6/25/2021 4
CONTINUATION SHEET Seminole Park Site Development PAGE 5 OF 5 PAGES
AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT,APPLICATION No.: 1
containing Contractor's signed Certification, is attached.PERIOD TO: 5/31/2021
Use Column I on Contracts where retainage for the items may apply.PROJECT NAME:
PROJECT #:
BID NO.
B C D E G H I
TOTAL
QUANTITY QUANTITY TOTAL $ AMOUNT $ AMOUNT COMPLETED
COMPLETED COMPLETED QUANTITY COMPLETED COMPLETED AND STORED %BALANCE RETAINAGE
Section Title Qty Unit Unit Price Total Cost PREVIOUS THIS COMPLETED PREVIOUS PERIOD THIS $ AMOUNT COMPLETED TO FINISH AMOUNT
Item No.Description Estimated
Quantity
Unit of
Measure Unit Price Extended Price
PERIOD PERIOD TO DATE PERIOD PERIOD TO DATE
WORK COMPLETED
Contract Items Schedule of Values
CONTINGENCY
- - - - - #DIV/0!- -
- - - - - #DIV/0!- -
- - - - - #DIV/0!- -
- - - - - #DIV/0!- -
196,723.20 - - - 0.00%- -
TOTAL COST AND CONTINGENCY 2,163,955.20 - - - - 112,500.00 112,500.00 5.20%1,854,732.00 5,625.00
TOTAL CONTINGENCY
AIA DOCUMENT G703- Continuation Sheet for G702 6/25/2021 5