Payment No. 3
p
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Post, Buckle~ Schuh & Jernigan, Inc.
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CONSULTING ENGINEERS and PLANNERS
10 PALMS PLAZA, HOMESTEAD, FLORIDA 33030-6094 . 305/248-4750 . TELEX 808435
June 4, 1982
Mr. Edward L. Stickney, Director
Monroe County Public Works Department
Public Services Building
Wing II - Stock Island
Key West, Florida 33040
Dear Mr. Stickney:
We have reviewed the enclosed application for payment #3 from The Brewer Co. of
Fla. Inc. for improvements to Old 4A Little Torch Key, and find it to be correct as to
work completed, and recommend payment in the amount of $92,064.16.
We have negotiated an agreement with the contractor for his extra work in roadway
excavation, and fill material, in the amount of $32,386.96, this amount is included in
payment #3.
To bring the contract up to date and to pay the contractor for his extra work, we are
enclosing change order #1 for your signature.
Very truly yours,
~~~
H. Le Swanson, P .E.
HLS/sm
401-002.11
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COUNTY hTlY.
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CONTRACTOR:
Page 1
of 3
APrLICATION FOR I'AYiIlEN'I' NO.
3.
The Brewer Company of Florida, Inc.
-
PROJECT NUMBER:
PROJECT NAr~: Paving, Grading, & Drainage Improvements, Old 4A Road
OWNER:
F'ERIOD ENDING I
Monroe County, FloridJ.
DATEl 1 June 1982
AMOU EARNED TO DATE
r ~ r-
Unit Amount Amount cent
870 C.Y. 10.0 8700'.0 870 8700. 100%
Item Description
No. of Ite:n
1. Roadway
Excavation
la. Roadway
Excavation
Overrun
2. Fill Mat'1.
2a. Fill Mat'l.
Overrun
3.
6" Limerock
Base
'4.
1 1/2" Type
S-l Asphalt
5.
Concrete
(Class B)
1994 C.Y.
10005 9,149.55 100%
1994 9,940.00 100%
10005 C.Y.
9.91 9149.5
1256 C.Y.
9. 9 12446.96.
1256 2,446.96 100%
22500 S.Y.
20520 1 3,900.00 100%
3.50 8750.0
22500 8,750.00 100%
20520 S.Y.
23 C.Y. 200.00 4600.
23 4,600.00 100%
* To be adj sted by a ount
reuseable to be det rmine
APPROVED O~J
BOOK
1-
f exca ated m teria1 th t is
by th Engin ere
_L
-- - - ...- - ~-_. -----. _._--
- _ ____ _~_7!_4J3.f?._51
377 ,486.51
AtLtchm(!nt :JJ. 1
l'+ige 1 ) 1
APPLICATION FOR PAYMENT NO.3
Project No.
.
Project Name: _!>~.YingLg!"_ading, & Drainage Improvements, Old 4A Road
Owner:
MQn~oe County. Florida
Contractor: _~_he__~-.!"ewer~ompany of F lor ida, Inc.
1. Value of original contract work performed to date:
2. Extra work performed to date:
3. Materials dccepted ,md stored at site:
4. Gross value to date:
5. Ten percent retained:
6. Net amount due to date:
7. Less; previous net amount:
8. Balance due for this payment:
Note: This Application must be accompanied with the Certification of Con-
tractor Form.
IG-24
401-002.1t
CERTIFICATION 01-' CONTRACTOR
According to the best of my knowledge and belief, I certify that all
items and amounts shown on Application for Payment No. ~ are correct, that
all work has been performed and/or materials supplied in full accordance with
the terms and conditions of this Contract, dated 9-22- ,1981, between
_____.M..Oilroe COJJ.I1_tYL._Florida
(Owner)
>
and The Brewe~_Co~p-~~yof Florida, Inc.
(Cont ractor)
I further certify that all just and lawful bills against the undersigned
and his subcontractors :In.t suppliers for labor, material and equipment em-
ployed in the performance of this Contract have been paid in full accordance
with their terms lfld conditions; that all taxes imposed by Chapter 212, Flor-
ida Statutes (Sa l.~s and Use Tax Act), as amended, have been paid and dis-
charged; and that Lhere dre no Vendor's, Mechanic's or' other Liens or rights
to liens or cund'ti"oal :;ales contracts which should be satisfied or dis-
charged before :,!, 'I f"1ynlt'nt is made. The Brewer Company )otl?lorida, Inc.
Date: _2June 1982 Contractor: c;i:~0-
W.R.Brewer,
Ass1t. Vice-President
STATE OF Florida
COUNTY OF Dade )
Personally l.,),.,rt'd twfore me this 2nd day of
June
, 19 82,
_____~alt.!3r R. Brewer_____ known (or made known) to me to be the
---( Own~r)
Ass istant _y.:J:g~-Pr~_~J_~~nt
(Partner) (Corporate Officer - Give Title)
of ____1'.he_,8%ewer Compan.:~~_9_f_F lo!:'Ma-'-.:rnc ~____
Contractods) ,
who subscribe:i .Ll! :;~,)_ (- ~ll the above instrument in my presence.
~~~QW~ Na~..c.....-.R.Qherts
c.::Jtary Publ ic - (Type N::llTl~) : .
My Commission Expires:
Notary Public State Df Aorida at Large.
My CDmmissiDn Expires April 22. 1983. 19
Tile Contractor shall execute this Certificate dnd attach it to each Ap-
plication For Payment.
IG-25
401-002.1t