HomeMy WebLinkAboutInv# pay app#2 - A.D.A. Engineering, Inc. - 09/06/2021APPLICATION AND CERTIFICATE FOR PAYMENT
TO OWNER : City of Dania Beach Public Services Department PROJECT: OCEAN PARK INTERIM DRAINAGE IMPROVEMENTS
1201 Stirling Road
Dania Beach, FL 33004
Attn: Fernando Rodriguez CONTRACTOR: A.0.A. Engineering Inc. 8550 NW 33 ST, Suiic 202, Doral. FL33122
CONTRACTOR'S APPLICATION FOR PAYMENT CHANGE CHANGE ORDERS APPROVED IN PREVIOUS MONTHS BY OWNER TOTAL APPROVED THIS MONTH NUMBER I I NET CHANGE BY CHANGE ORDERS A/E : CRAVEN THOMPSON & ASSOCIATES, INC ADDITION DEDUCTION DATE APPROVED TOTALS $ $ s
The undcrsisncd Contractor ccr1ifics th..it to the best of the Contractor's knowledge. information and belief the work covered by this Application for Payment
has been completed in :i.cc:ord:mcc with the Contract Documents. that all amounts have been paid by the contractor for work which prevtOus Certificates for
Payment were issued and payments received from the Owner. and that current payment shown herein is now CONTRACTOR: A.D.A. ENGINEERING. INC BY: DATE: 9/19/2021
In accordance with the Contr3ct Documents. b.lscd on on.site observations and the data comprising the above application. the Architect certifies to the Owner
that to the best of the Architect's knowledge. inform3tion and belief the Work has progressed as indicated. the quality of the Work is in accord once
with the Contract Documents. and the Contractor is entitled to payment of the AMOUNT CERTIFIED.
AIA OOCUMENT G702 APPLICATION#: 2 PERIOD TO: 8n/21 to 9/6/21 DISTRIBUTION TO: ARCl·IITECT/ENGINEER CRAVEN THOMPSON & ASSOCIATED. INC. ADA PROJECT NO: CM04-0121-1 Application is made for P3yment. as shown below. in connection with the Contracts
Continuation Sheet. AIA Document G703. is attached. I. ORIGINAL CONTRACT SUM 2. NET CHANGE BY CHANGE ORDERS 3. CONTRACT SUM TO DA TE (Linc I + 2) $253.748.44 $253.748.44 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) $147.948.13 5. RETAINAGE: A. S% COMPLETED WORK (Column D + Eon G703)
B. 0% STORED MATL (Column Fon G703)
Total Rctainagc (Linc Sa+ Linc Sb or Total Column I ofG703)
6. TOTAL EARNED LESS RETAINAGE(Linc4. Linc 6)
7. LESS PREVIOUS CERTIFICATES FOR PAYMENT(Linc 6 from prior 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH (Linc 3 • Linc 6) STATE OF: FLORIDA COUNTY OF: MIAMI-DADE SUBSCRIBED ANO SWORN TO BEFORE ME THIS NOTARY PUBLIC: MY COMMISSION EXPIRES: AMMOUNT CERTIFIED: $7.397.41 $140.550.73 $82.898.56 $57.652.17 $105.800.31 $57,652.17 This Certificate is not negotiable. IFIED is paya61c only to the Con ctor
named herein. payment 3nd acceptance of p.1yment are without prejudic to any rights of the Owner
or Contractor under this contract.