HomeMy WebLinkAboutInv# APP 2 - MILLS ELECTRIC SERVICE - 11/30/2024APPLICATION AND CERTIFICATE FOR PAYMENT
AIA DOCUMENT G702
ONE OF TWO
TO: City of Dania Beach
Application No.
100 W Dania Beach Blvd
Dania Beach, FL 33004
PERIOD TO:
PROJECT No.:
FROM: Mills Electric
Contract No.
830 NW 57th Ct
Ft Lauderdale, FL 33309
PROJECT TITLE: Solar Light Panel Replacement
CONSTRUCTION MANAGER -ADVISER EDITION
0
2 Distribution to:
11 /30/2024 OWNER
61600 CONSTRUCTION
2024-00000241 MANAGER
ARCHITECT
W XXXXX CONTRACTOR
N
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract, information and belief the Work covered by this Application for Payment has been
Continuation Sheet, AIA Document G703, is attached. 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 Issued and
payments received from the Owner, and that current payment shown herein is now due.
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
3. CONTRACT SUM TO DATE (Line 1 ±2)
4. TOTAL COMPLETED R STORED TO DATE
(Column G on G702)
5. RETAINAGE:
a. 5 % of Completed Work
(Column D + E on G703)
b. 0 % of Stored Material
(Column F on G703)
Total Retainage (Lines 5a + 5b or
Total in Column I of G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 less Line 5 Total)
PAYMENT (Line 6 from prior Certificate)
B. CURRENT PAYMENT DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Line 6)
in previous months by Owner
Total approved this Month
TOTALS
NET CHANGES by Change Orde
$ 371,726.25
$ 0.00
$ 371,726.25
$136,094.56
$6, 804.73
$
SUB — CONTRACTOR
By:
State of: Florida County of: Broward • �rAT. �e Tammy Lerner
0 1-G
Subscribed and sworn to before me this_day of �Tc�vemher 2024 =r1 °_ Comm.: HH 44207�I
Notary P blic: =�j.Ahl Expires: Jan. 5, 2028
n.
Notary public - State of Floric
$6,804.73
Dmmy Lerner My Commission Expires: 1/5/2028
$
CERTIFICATE FOR PAYMENT
$129,289.83
In accordance with the Contract Documents, based on onsite observations and the data
comprising this application, the Construction Manager and Architect certify to the Owner that to
$68,553.39
of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED
$60,736.44
$242,436.42
AMOUNT CERTIFIED ................$
i
(Attach explanation if amount certified differs from the amount applied for. Initial all figures on
ADDITIONS
DEDUCTIONS
this Application and on the Continuation Sheet that changed to conform to the amount certified.)
CONSTRUCTION MANAGER:
0.00
By: Date:
0.00
ARCHITECT:
By: Date:
0.00
This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor
named herein. Issuance, payment and acceptance of payment are without prejudice to any
rights of the Owner or Contractor under this Contract.
0.00
AIA DOCUMENT G7VBCMa • APPUCATIONAND CERTIFICATION FOR PAYMENT- CONSTRUCTION MANAGER -ADVISER EDITION • 1992 EDITION - AIA • 01992
THEAMERICAN INSTITUTE OFARCHTECTS,1745 NEW YORKAVE.,N.W., WASHNGTON, DC WD05-5792.Usets may oaalnvardafon of Ws do—rt by teq—Urg of iM kensee a ro pleted AM DocumeM D40i- Cedilcale of AMMMcty.
070210.1a 1992
C^
Dincer Akin Ozaydin, RE
Deputy Public services Director/City Engineer
ITEM
DESCRIPTION OF WORK
SCHEDULED
WORK BILLED
WORK BILLED
MATERIALS
TOTAL
%
BALANCE TO
RETAINAGE
NO.
VALUE
FROM PREV
THIS PERIOD
STORED THIS
COMPLETED
(G/
FINISH (C-G)
APPLICATION
PERIOD
AND STORED
C)
(D+E+F)
TO DATE
D+E+F)
1
SOLAR PANELS
257,250.00
52,000.00
46,191.02
0.00
98,191.02
38
159,058.98
4,909.55
2
INSTALLATION
96,775.00
20,161.46
17,742.08
0.00
37,903.54
39
58,871.46
1,895.18
3
CONTINGENCY
17,701.25
0.00
0.00
0.00
0.00
0
17,701.25
0.00
371,726.25 1 72,161.46 1 63,933.10 1 0.00 1 136,094.56 1 37 1 235,631.69 6,804.73
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