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Payment No. 1 ~Post, Buckle~ Schuh & Jernigan, Inc. ~ CONSULTING ENGINEERS and PLANNERS 10 PALMS PLAZA. HOMESTEAD. FLORIDA 33030.6094 . 305/248,4750 . TELEX 808435 June 29, 1983 Mr. Edw8trd L. Stickney, Director Monroe County Public Works Department P. O. Box 1029 Key West, Florida 33040 RE: .~_2proval of Application for Payment # 1 - Cross Key Waterway Dear Mr. Stickney: We enclose herewith our Approval of Payment #1 from Brewer Company of Florida Construc1tion, Inc., for their current work on the above project. Very truly yours, POST, BUCKLEY, SCHUH &. JERNIGAN, INC. AS MONROE COUNTY CONSULTING ENGINEERS By:i~s1~ Project Manager HLS/jrg 401-o02.2~3 Enclosure cc: Brewer Company of Florida, Inc. Danny Kolhage w/o Kermit Lewin w/o . /7~ ;l/f.3.. ~-<".-., APPROVED C:_....L, -_.--.f". b3 . ".,0,.,... ,'" '.,... '. . . '. ~ BOOK..- ....-... ..,.., ,.". APPROVAL OF PAYMENT No. 1 .- Owner's Project No. Engineer's Project No. 401-002.29 Project: Paving & Grading Improvements Cross Key Waterway Estates Sub. Contractor: Brewer Co. of Flori da Contract Date: June 3, 1983 Contract For: Pav; ng & Gradi ng Improvements Cross Key Waterway Estates Sub. Application Date: June 30, 1983 Application Amount: $ 72,280.52 For Period Ending: June 30, 1983 TO: Edward L. Stickney, Director Monroe County"Publ ic Works Department A ttached hereto is the Contractor's Application for Payment for work accomplished under the above contract through the date indicated above. Accompanying the Application is the Contractor's Affidavit stating that all previous payments to him under the eontract have been applied by him to discharge in full all of his obligations in connection with the work covered by all prior Applications for Payment. In accorda.nce with above contract, the undersigned approves payment to the Contractor of the Amount Due as shown below. Date: June 30, 1983 POST, BUCKLEY, SCHUH &. JERNIGAN, INC. as MONROE COUNTY CONSULTING ENGINEERS By,-lte~~ STATEMENT OF WORK Original Contract Price $153,247.75 Work to Date $ 80,311 . 69 Net Change Order $ -0- Materials Stored on Site $ -0- Current Contract Price $ 153,247.75 $ 72,936.06 Sub Total $ 80,311.69 $ 8.031.17 $ 72,280.52 Actual Progress Scheduled Progress Contract Time Provided Total Elaps1ed Time Total Elapsed Time 60 % Complete 40 % Complete 180 Days 27 Days 15 % A mount Retained (10%) Sub Total Work to be done Previous Payments Approved $ -0- Amount Due This Payment $ 72.280...52 Scheduled Contract _ Completion Date November 30, 1983 Form CA-04 Rev. 5/16/83 rage 1 of 3 APPLICA'l'ION j"OR rAYMEN'r NO. 1 CONTRACTOR: PROJECT NAME: PROJECT NUl'vlBER: Brewer Company of Florida Cross Key Waterway 401-002.29 OWNER: Monroe County, Florida PERIOD ENDING. June 30, 1983 DA'I'E I June 28, 1983 o l~l1 L', L ULE AMOUNT EARNEiJ TO DA 'l'E ~ Item DE!scription Unit r er-I No. of Item Quantitv Unit Price Amount Quantitv Amount cent 1. Maintenance of traffic Is 1 Is 19,500. Is 14,625. 75 2. Ba:se Course 27,640sy sy 2.87 79,326. BO 22,112s ~3461. 44 80 I 3. I" Aspha It 25, OOOsY..... sy 1. 50 37,500. -0- -0- -0- 4. Widen George St. & Church hill Downs 1,265 sy sy 3.87 4,895.5) 575 sy 2,225.25 45 (base) I 4A Surfacing George St. & Churchill -0-1 DO\fflS -0- -0- I I 5. OvE~r1ay of I Boyd Dr. -0- -0- -0-, I I I I I I TOT A L~ $80,311.69 I Attachment No. 1 F'age 1 of J \i'I'I.It:ATION FIll{ l'AYHJ.Nl NO. l'I"I'd Nl>. 401-002.29 Project Name: Paving _ and gradin9 Improvements Cross I<eY_!"~1::~r~ay Estates Owner: Ml~nro~_ County Contractor: Br~~er_ C9mpany of Jf10r ida, Inc. 1. Value of original cuntra!"t work pt.'rfarmed to datt': ~Q!lt~~9 2. Extrll work performed tu date; $ -0- 3. Materials accepted .:111.1 ~tored at site: $ -0- 4. Gross value lo dale; -~ s ~_O~ ~:t ~_? 9 (-) $ 8,031.17 5. Ten pe rcen t rt't a i lied: 6. N('t a,mount du.' l(J da l ,,: $ 72,280.52 ( - ) S -0- 7. Less i previ oUs net amOlllll: 8. Balance due tor thl:, 1'.lYJllf'nt s }22-?_80_~_?~ Note: This ApplicatIon mllst ht-' -irCOmpallll'd with llif' Certification of Con- tractor Form. Il.<~4 401-002.17 ~;. ~...",...~..-;- eEl<']l f' J ( AT II..... I'~ dJ~li{l\.:T()R ^(COrdlng to the IH'St ,d III V 1.1;1>\, It (1).;(' "rid he: II certify L,dl .) II : I /'III~; and amounts ~;"()\oIn on \ p P I i l'.l t 1 (\ n f'lr l'aV!nl'llt ~" ,I rp corrl'ct I h It ,J J I \oIork ha s been jJer/ormeo .JI. d / (J I ma t t' rid I s supp] It,d III t 1111 accordance "" I l j, lht' lpnns a nri elm,lll ions of thiS (1)1I11;I('l, cia t ,'.1 1<) hClwe"( (OI.'l1t'l Lind The Brewer Company of Fla. Inc. lCCHilractor further It'Jtlfy that III Illst 01[101 1.1\.,JlllJ hills ,1,.;d'IISl the uwkrsiglll'd :Jnd his subcontractors dnd ;';f'l)l1t'I'~, 1,,[ lat.c'! mat"r I.d and equipnlt'nt pm- pl(lYt"~ in the performanc{' 01 tl'ls Coutrad have Deen pilld 1.1 full dccordanu' with tht>ir' terms anti ,ondit:oDS; that ..Ill taxes ImpUsl'd by Chapter 212, FIOt,- ioa Statutes (Sales and U:;!, TdX ^It). ;j~ ilml'ndcd. h,IVI' Ilt'cn paid <lnd dlS- chargt'o; and th.Jt thpn' ill(, 110 Venrj", ':" ~l(>ch"nll"s or utt.t'r Liens or rIghts I,) J ipns "r condIt iOllal :;a]p:, COllI r.II'!S ',.,.hid, ShOiJ!(dj~hue. sat~ ipd or dis- ,Larged hefore such PdynH'II! j" "'.idf'. .' ~ Ii It. June 2], 1983 ('>lllr 1\ t'II Walter R. Brewer ST,\TL llF Fla. C' 'I.IN' Y OF Dade :;s !)"r:'IlI"dly ,1;';""',11 ;1. , ',I !. J', 27 <1,1 v ,II June ] !~3 . walter R. Brewer KlI",",'lI (ur mad,. kno\,Jn) to me to Le tilt' Assistant Vice President ( ()~lIe r) ',I I'tlll I ) (Cprl'lI!";lt!' Officer - Givt, Tit1l'1 or The Bre,...er Company of Fla. Inc. Cont rdctor(s I. \oIlJo sllhscribf"l 1'1 tlll' ,l!",V,' i'L;1 "'lffiPllt 111 illY pr!':-.ence, if~ V ~(2/7'~~~ h .-. u --.. --.. -- -(-1?--~~~ ~()t.try Puhl ic (Type Name) Pearl V. McAleer ~ly (""Illlll';sioll L:..:pil!'s: ..' 19 TlI(' C'lnl pll('.ttion jlll i' !',<II III l' ! Ill:, ':" r I " 1,.1 I" .III': ,It l.tl'h it to l'.teli IIp- 1(, " 40 I-()(JL. t 7