HomeMy WebLinkAboutInv# Pay App 11-Final - VERCETTI ENTERPRISES LLC - 03/31/2025APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF TWO PAGES
Dania Beach -I.T.Parker
TO OWNER City of Dania Beach PROJECT:Community Center APPLICATION NO:11 - Final
Renovation
PERIOD TO:12/31/2024
FROM CONTRACTOR:VIA ARCHITECT:
Vercetti Enterprises Saltz-Michelson
PROJECT NOS:
Distribution to:
OWNER
ARCHITECT
CONTRACTOR
CONTRACT FOR:Renovation of existing Community Center
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.
CONTRACT DATE:
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
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 $755,671.00
2.Net change by Change Orders $84,026.26
3.CONTRACT SUM TO DATE (Line 1 ±2)$839,697.26
4.TOTAL COMPLETED &STORED TO $839,697.26
DATE (Column G on G703)
5.RETAINAGE:
a.0%of Completed Work $$0.00
(Column D +E on G703)
b.%of Stored Material $Included in above
(Column F on G703)
Total Retainage (Lines 5a +5b or
Total in Column I of G703)$0.00
6.TOTAL EARNED LESS RETAINAGE $839,697.26
(Line 4 Less Line 5 Total)
7.LESS PREVIOUS CERTIFICATES FOR
PAYMENT (Line 6 from prior Certificate)$818,704.83
8.CURRENT PAYMENT DUE $1 20,992.43 1
9.BALANCE TO FINISH,INCLUDING RETAINAGE $0.00
(Line 3 less Line 6)
CHANGE ORDER SUMMARY ADDITIONS deductions
Total changes approved
in previous months by Owner $84,026.26 $0.00
Total approved this Month $0.00 $0.00
TOTALS $84,026.26 $0.00
NET CHANGES by Change Order $84,026.26
CONTRACTOR:
By:Danial Vercetti Date:1/3/2025
State of:Florida
Subscribed and sworn to before me this
Notary Public:
My Commission expires:
County of:Miami-Dade
day of 1/3/2025
SAMANTHABUNCO I
Notary Public State of Florida ।
Commissiont HH 391320
i My Comm.Expires Apr 26,2027
,Bonded through National Notary Assn.I
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents,based on on-site observations and the data
comprising the application,the Architect certifies to the Owner that to the best of the
Architect's knowledge,information and belief the Work has progressed as indicated,
the quality of the Work is in accordance with the Contract Documents,and the Contractor
is entitled to payment of the AMOUNT CERTIFIED.
AMOUNT CERTIFIED $$20,992.43
the amount applied.Initial all figures on this
changed to conform with tified.)2Date:
not negotiable.The AMOUNT CERTIFIED is payable only to the
(Attach explanai
Application and
ARCHITECT:/
By:
This Certificate!
Contractor named herein.Issuance,payment and acceptance of payment are without
prejudice to any rights of the Owner or Contractor under this Contract.
CONTINUATION SHEET AlA DOCUMENT G703 PAGE TWO OF TWO PAGES
AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,containing
Contractor's signed certification is attached.
In tabulations below,amounts are stated to the nearest dollar.
Use Column I on Contracts where variable retainage for line items may apply.
APPLICATION NO:11 - Final
APPLICATION DATE:1/3/2025
PERIOD TO:12/31/2024
A B c D E F G H I J
ITEM
NO.
DESCRIPTION OF WORK SCHEDULED
VALUE
WORK COMPLETED MATERIALS
PRESENTLY
STORED
(NOT IN
D OR E)
TOTAL
COMPLETED
AND STORED
TO DATE
(D+E+F)
%
(G *C)
BALANCE
TO FINISH
(C-G)
RETAINAGE
(IF VARIABLE
RATE)
FROM PREVIOUS
APPLICATION
(D +E)
THIS PERIOD
1 General Conditions
Mobilization /Skilled Labor /Surveys /
Dumpsters /Equipment Rental /Protection /
$111,973.00 $111,973.00 $0.00 $111,973.00 100.00%$0.00 $0.00
2 Clean-up $51,920.00 $51,920.00 $0.00 $51,920.00 100.00%$0.00 $0.00
3 Demolition $33,417.00 $33,417.00 $0.00 $33,417.00 100.00%$0.00 $0.00
4 Concrete and Masonry $2,500.00 $2,500.00 $0.00 $2,500.00 100.00%$0.00 $0.00
5 Structural Steel and Mise.Metals $3,490.00 $3,490.00 $0.00 $3,490.00 100.00%$0.00 $0.00
6 Carpentry $32,721.00 $32,721.00 $0.00 $32,721.00 100.00%$0.00 $0.00
7 Doors &Frames $25,900.00 $25,900.00 $0.00 $25,900.00 100.00%$0.00 $0.00
8 Finishes $122,170.00 $122,170.00 $0.00 $122,170.00 100.00%$0.00 $0.00
9 Glazing $68,688.00 $68,688.00 $0.00 $68,688.00 100.00%$0.00 $0.00
10 Painting &Stucco $42,450.00 $42,450.00 $0.00 $42,450.00 100.00%$0.00 $0.00
11 Awning Fabric Replacement $2,500.00 $2,500.00 $0.00 $2,500.00 100.00%$0.00 $0.00
12 BBQ -Allowance $10,000.00 $10,000.00 $0.00 $10,000.00 100.00%$0.00 $0.00
13 Mechanical $26,789.00 $26,789.00 $0.00 $26,789.00 100.00%$0.00 $0.00
14 Electrical $61,523.00 $61,523.00 $0.00 $61,523.00 100.00%$0.00 $0.00
15 Plumbing $63,113.00 $63,113.00 $0.00 $63,113.00 100.00%$0.00 $0.00
16 Fire Alarm $15,000.00 $15,000.00 $0.00 $15,000.00 100.00%$0.00 $0.00
17 Bond $11,532.00 $11,532.00 $0.00 $11,532.00 100.00%$0.00 $0.00
18 General Liability Insurance $10,112.00 $10,112.00 $0.00 $10,112.00 100.00%$0.00 $0.00
19 OH&P $59,873.00 $59,873.00 $0.00 $59,873.00 100.00%$0.00 $0.00
20
21 Add/Alt -Change Order
22 CO #01 -Pergolas &BBQ $45,385.21 $45,385.21 $0.00 $45,385.21 100.00%$0.00 $0.00
23 CO #02 -Additional Items $13,424.28 $13,424.28 $0.00 $13,424.28 100.00%$0.00 $0.00
24 CO #03 -LV Gutter &Ext.Lights $7,118.42 $7,118.42 $0.00 $7,118.42 100.00%$0.00 $0.00
CO #04 -Add.Work $18,098.35 $18,098.35 $0.00 $18,098.35 100.00%$0.00 $0.00
25
GRAND TOTALS $839,697 $839,697.26 $0.00 $0.00 $839,697.26 100%$0.00 $0.00
Waiver and Release Upon Progress Payment
State of Florida
County of Miami Dade
The undersigned, in consideration of the sum of $ hereby waives and releases
its lien and right to claim a lien for labor, services, or materials furnished through on the
following described property. As well as releases any and all claims against City of Dania Beach, Florida
and Suntex Harbour Towne Marina.
This waiver and release does not cover any retention or labor, services, or materials furnished after the
date specified.
Owner: City of Dania Beach, Florida
Property: 901 NE 3rd St Dania Beach, FL 33004
Folio No. 50-423-516-0010
VERCETTI ENTERPRISES, LLC
Address: 7296 SW 48th Street, Miami, FL 33155
Sign: ____________________________
Print: ____________________________
Title: ____________________________
Sworn to and subscribed before me this ____ day of _____________, 20___, by ___________________.
Personally Known ____ OR Produced Identification ____
Type of Identification Produced_____________________
___________________________________
Signature of Notary Public - State of Florida
Print or Stamp Commissioned Name of Notary Public
Conditional Waiver and Release Upon Final Payment
State of Florida
County of Miami Dade
The undersigned, in consideration of the final sum $ hereby waives and releases its lien
and right to claim a lien for labor, services, or materials furnished through on the following
described property. As well as releases any and all claims against City of Dania Beach, Florida and Suntex
Harbour Towne Marina. This release is contingent upon payment of said amounts in cleared funds.
Owner: City of Dania Beach, Florida
Property: 901 NE 3rd St Dania Beach, FL 33004
Folio No. 50-423-516-0010
Company: VERCETTI ENTERPRISES, LLC
Address: 7296 SW 48th Street, Miami, FL 33155
Sign: ____________________________
Print: ____________________________
Title: ____________________________
Sworn to and subscribed before me this ____ day of _____________, 20___, by ___________________.
Personally Known ____ OR Produced Identification ____
Type of Identification Produced_____________________
___________________________________
Signature of Notary Public - State of Florida
Print or Stamp Commissioned Name of Notary Public