HomeMy WebLinkAboutInv# PAY APP 4 - CANSECO ELECTRICAL CONTRACTORS - 12/08/2024APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702
N:1 CANSECO
STATE CERTIFIED EC 913001295
Physical Add: 2385 NW 70th AVE- Unit A3. Miami, FL 33122
Mailing Add: 8567 Coral Way #395. Miami, FL 33155
Tel (305) 265-9909 Fax (305) 265-9945
www.cansecoelectric.com
JOB: Directional Boring and Electrical Utility Installation Project (ITB No. 22-030)
Project Address- Griffin rd. (East i95, West i95, SW32Ave, SW42Terr)
RPQ. Number: ITB No. 22-030 Send Invoice Mail: aP0)daniabeachfl.nov
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............................
Change orders approved in previous months:
Additions
$0.00
Deductions
$0.00
A proved this month:
Number
Date Approved
1
6/6/2023
$58,190.00
2
8/11/2023
$93,836.61
Subtotal change orders approved this month:
$152,026.61
$0.00
Total change orders to date:
$152,026.61
$0.00
1. Original contract sum
$195,000.00
2. Net change by change orders (Total additions - deductions above)
$152,026.61
3. Contract sum to date (line 1+2)
$347,026.61
4. Total completed and stored to date: 76%
$263,026.61
5. Retainage:
a. 0 % of completed work: $0.00
b. 0 % of stored material: $0.00
Total retainage
$0.00
6. Total earned less retainage (line 4 less total of line 5)
$263,026.61
7. Less previous invoices for payment (line 6 from prior invoice)
$249,875.28
8. Current payment due
$13,151.33
9. Balance to finish, plus retainage (line 3 less line 6)
$84,000.00
I�f�`_'_.�„� Page 1 of
Dincer Akin Ozaydin, RE
Deputy Public Services Director/City Engineer
ACCREDITED
1_1
BUSINESS
Owner: City of Dania Beach Public Services Department
Address: 1201 Stirling Road
City, State, Zip: Dania Beach, FL 33004
Owner Accounting: City of Dania Beach Finance Department
Appl. & Cert. For Payment No. # 4 Retainage
Invoice Period: 11/01/2023 to 12108/2023
The Contractor certifies that to the best of his/her knowledge the work covered by this invoice has
been completed in accordance with the Con ract Documents.
Sub -Contractor: Canseco Electrical Cgh ractors, Inc.
By: Ramon J Canseco, Direct a� & Date: 212 e 2 m
State of: Florida �i6lN�it;�rjf Dpde
Subscribed and sworn t fore me this month anc�'•y1�Q��', 2024.
Notary Public: ti�
:N
jV r QhAKAISS10N e
My Commission expires: UX IR S 4-25-2027
Authority Having Jurisdiction (AHJ)'s verificati PC''ri°''P�F
In accordance with the Contract Documents and bas�tfW,FRY .. ztl�ons, the AHJ certifies
to the Owner that to the best of the AHJ's knowledge, the woil2Tid5'p'rogressed as indicated, the
quality of the work is in accordance with the Contract Documents, and the Contractor is entitled to
payment of the amount approved below.
Amount approved: $
(Attach explanation if amount differs from the amount applied for)
Authority Having Jurisdiction:
By:
Date:
EJ CANSECO
STATE CERTIFIED EC 913001295
2385 NW 70th AVE- UnitA03. Miami, FL 33122
JOB:
ADDRESS:
Project No.:
APPLICATION FOR PAYMENT
CANSECO ELECTRICAL CONTRACTOR'S, INC.
No.
Application #: 4- Retainage
Today's Date: 1/0/1900
Invoice period: 11/01/2023 to 12/0812023
D. .. n _. n
E _ _ _ _ _ _
Work completed Materials Total
From This presently completed
previous period stored & stored
application (pl(not D or E) to date
(D+E+F)
Item
No.
Description
of work
Scheduled
value
%
(G/C)
Balance
to finish
(C - G)
Retainage
General 1 Line items
1
Exhibit D Griffin ! 42nd Terr - $50,000.00
2
Under round Conduit
$30,000.00
$30,000.00
$0.00
$0.00
$30,000.00
100%
$0.00
$0.00
3
Electrical Wiring & rough -in
$14,000.00
$14,000.00
$0.00
$0.00
$14,000.00
100%
$0.00
$0.00
4
Install Panels - Pedestal
$6,000.00
$0.00
$0.00
$0.00
$0.00
0%
$6,000.00
$0.00
5
Exhibit E Exhibit H (Griffin / 32nd Ave)- $25,000.00
6
Underground Conduit
$10,000.00
$10,000.00
$0.00
$0.00
$101,000.00
100%
$0.00
$0.00
7
Electrical Wiring & rough -in
$9,000.00
$9,000.00
$0.00
$0.00
$9,000.00
100%
$0.00
$0.00
8
Install Panels - Pedestal
$6,000.00
$0.00
$0.00
$0.00
$0.00-
0%
$6,000.00
$0.00
9
Exhibit H Griffin / West of 195)- $25,000.00
10
Underground Conduit
$9,000.00
$9,000.00
$0.00
$0.00
$9,000.00
100%
$0.00
$0.00
11
Electrical Wiring & rough -in
$10,000.00
$10,000.00
$0.00
$0.00
$10,000.00
100%
$0.00
$0.00
12
Install Panels - Pedestal
$6,000.00
$0.00
$0.00
$0.00
$0.00
0%
$6,000.00
$0.00
13
Exhibit I (Griffin / East of )95)- $35,000.00
14
Underground Conduit
$16,000.00
$16,000.00
_
$0.00
$0.00
$0.00
$16,000.00
$13,000.00
100%
100%
$0.00
$0.00
$0.00
$0.00
15
Electrical Wiring & rough -in
$13,000.00
$13,000.00
$0.00
16
Install Panels - Pedestal
$6,000.00
$0.00
$0.00
$0.00
$0.00
0%
$6,000.00
$0.00
Sub Total Others Change Orders & Fees
$136,000.00
$111,000.00
$0.00
$0.00
$111,000.00
82%
$24,000.00
$0.00
order#1 -Additional linear footage D,E
$58,190.00
$58,190.00
$0.00
$0.00
$58,190.00
100%
$0.00
$0.00
r1917Change
Change order #2 -Site restoration H & temp meters
$93,836.61
$10,000.00
$50,000.00
$93,836.61
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$93,836.61
$0.00
100%
0%
$0.00
$10,000.00
$0.00
$0.00
Permitting Allowance
20 Contingency Allowance
$0.00
$0.00
0%
$50,000.00
$0.00
Sub -Total Change Orders & Other Fees
$212,026.61
$152,026.61
$0.00
$0.00
$152,026.61
72%
$60,000.00
r $0.00
Total
$347,026.61
$263,026.61
$0.00
$0.00
$263,026.61
76% $84,000.00
1 $0.00
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