HomeMy WebLinkAboutInv# APP 2- FINAL - AUM Construction, Inc. - 06/15/2023 (3)APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE 1 OF 2 PAGES
TO:City of Dania Beach PROJECT:CDBG 46-47 Solar Lights APPLICATION NO:Distribution to:
100 West Dania Beach Blvd 100 W. Dania Beach Blvd • OWNER
Dania Beach, FL 33004 Dania Beach, FL 33004 PERIOD FROM:5/1/2023 Engineer
TO:6/15/2023 • CONTRACTOR
•
FROM:AUM Construction, Inc.•
CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for Payment, as shown below, in connection with the Contract
Continuation Sheet, AIA Document G703, is attached.
CHANGE ORDER SUMMARY
Change Orders approved ADDITIONS DEDUCTIONS ORIGINAL CONTRACT SUM............................................................................373,620.00$
in previous months by
Owner Net Change by Change Orders......................................................................19,000.00$
TOTAL:-$ -$
Approved this Month CONTRACT SUM TO DATE............................................................................392,620.00$
Number Date Appr.
1 13,000.00$ TOTAL COMPLETED & STORED TO DATE.......................................................392,620.00$
2 6,000.00$ (Column G on G703)
RETAINAGE 10%...........................................................................................-$
TOTALS 19,000.00$ -$ or total in Column I on G703
Net change by Change Orders 19,000.00$ -$ TOTAL EARNED LESS RETAINAGE..................................................................392,620.00$
The undersigned Contractor certifies that to the best of the Contractor's knowledge,
information and belief the Work covered by this Application for Payment has been LESS PREVIOUS CERTIFICATES FOR PAYMENT.................................................347,958.00$
completed in accordance with the Contract Documents, that all amounts have been
paid by the Contractor for Work for which previous Certificates for Payment were CURRENT PAYMENT DUE...............................................................................44,662.00$
issued and payments received from the Owner, and that current payment shown
herein in now due.BALANCE TO FINISH, PLUS RETAINAGE........................................................
Subscribed and sworn to before me this ___ day of _____________,
Architect's Certificate For Payment Amount Certified: $72,067.41 44,662.00$
In accordance with the contract documents, based on on-site observations and the data comprising the above application, the undersigned certifies that, to his knowledge,
information and belief, the Work has progressed as indicated, the quality of Work is in accordance with the Contract Documents, and the Contractor is entitled to payment
of the amount certified.This certificate is not negotiable. The amount certified is payable only to the
Contractor names herein. Issuance and acceptance of payment are without
BY:_________________________________________DATE:________________________6/15/2023 predudice to any rights of the Owner or Contractor under this contract.
___________________ Date: ______6/15/23_____________
State of Florida; County of Broward
15 June
2023
FINAL
2023
-$
-$
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AIA DOCUMENT G703 PAGE 1 OF 2 PAGES
CONTINUATION SHEET AIA DOCUMENT G703
PROJECT:CDBG 46-47 Solar Lights APPLICATION NO: FINAL
100 W. Dania Beach Blvd PERIOD FROM:5/1/2023
Dania Beach, FL 33004 TO:6/15/2023
A B C D E F G H I
Item Description of Work Number Scheduled Bid
Rev Per change
Order Complete Work Completed Mat. Stored Total completed %Balance Retainage
No in Bid Value Previous App.This period This Period this period &stored to date to Finish
1 Mobilization 1 $ 2,500.00 2,500.00$ 2,500.00$ 100%-$ 1 2,500.00$ 2,500.00$ 100%-$ -$
2 Furnish and Install Solar Lights 36 $ 10,170.00 366,120.00$ 366,120.00$ 100%-$ 36 366,120.00$ 366,120.00$ 100%-$ -$
3 Owner's contingency 1 $ 5,000.00 5,000.00$ (5,000.00)$ 0%-$ -1 (5,000.00)$ -$ -$
4 Move Bases per resident Request 8 3,000.00$ 24,000.00$ 100%-$ 8 24,000.00$ 24,000.00$ -$ -$
373,620.00$ 387,620.00$ -$ 387,620.00$ -$ 392,620.00$ -$ -$