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HomeMy WebLinkAboutAgreement_General_12/20/1994_Palm Beach Co. 1861D 0 INTERLOCAL AGREEMENT THIS INTERLOCAL AGREEMENT, made and entered into this day of n F C 2 Q Wl- , 1994, by and between PALM BEACH COUNTY, a political subdivision of the State of Florida ( "County ") and the VILLAGE OF TEQUESTA, FLORIDA, a municipal corporation ( "Village "). W I T N E S S E T H WHEREAS, the County intends to construct a branch library to be known as Tequesta Branch Library (the "Facilities "), and WHEREAS, the parties desire to share in the cost of land acquisition, design and construction of said Facilities; and C WHEREAS, Section 163.01, Florida Statutes, known as the "Florida Interlocal Cooperation Act of 1969 authorizes local governmental units to make the most efficient use of their powers to their mutual advantage and thereby to provide services and facilities in a manner and pursuant to forms of governmental organization that will accord best with geographic, economic, population and other factors influencing the needs and development of local communities. NOW, THEREFORE, in consideration of the mutual covenants, promises and representations contained herein, the parties hereto agree as follows: foe C Section 1: GENERAL 1.01 The purpose of this Agreement is to provide for the funding, land acquisition, design, and construction of a branch library (the "Project "). The Project will be constructed by the Village pursuant to plans provided by the County. Upon Substantial Completion, the Project will be leased to the County for operation by the Palm Beach County Library Taxing District. 1.02 The Village will lease tine co��,rleted Pr-j--+ to County pursuant to a Lease Agreement between the parties of Aden date herewith. The property upon which the Project is situated is legally described in Exhibit A attached hereto. The lease will commence upon Substantial Completion of the Project as defined in Section 2.05. 1.03 The Village acknowledges that the County has introduced it to the basic terms of this Agreement in December 1993, and that the actions of the Village since that time until the date of the execution of this Agreement were made with full knowledge of the County's expectations and requirements which are documented by this Agreement. 1.04 The County will have no contractual obligation to any contractor of the Village with regard to the Project and shall communicate with the Village's contractors only through the Village. The County shall, however, be named as an intended third party beneficiary to all contracts of the Village related to this Project. 1.05 This Agreement refers to and places total responsibility for performance of its various obligations and requirements on the Village. It is the Village's sole decision as to the method and means of accomplishing said obligations and requirements. Notwithstanding the above, the County holds the Village solely responsible for compliance with this Agreement, and the Village acknowledges same. 1.06 The Village represents that the Work required by this Agreement was procured pursuant to the Village's and all applicable, procurement requirements. Any disputes, claims, or liability that may arise as a- result of the Village's procurement of its contractors is solely the responsibility of the Village, and the Village shall hold the County harmless for same. Section 2: DESIGN AND CONSTRUCTION 2.01. Scope The scope of work to be completed pursuant to this Agreement is the land acquisition, design, construction administration, and construction of a fully functional and operating Library. The Library is to be constructed in strict accordance with the design and construction documents provided to the Village on 1/10/94 and 1/20/94, and as modified by the site plan dated 11/7/94 and provided to the Village on 11/28/94. Said drawings transmitted on 1/10/94 and 1/20/94 are listed and dated in Exhibit E. The Village is solely responsible for the site adaptation of these documents 2 for construction of same on the site chosen by the Village. The County will cooperate with the Village in the site adaptation of the construction documents. The Work performed pursuant to this Agreement excludes furniture and library equipment. All expenses eligible for reimbursement and associated with completing this scope are identified in Exhibit B. 2.02 Architect of Record The Architect of Record for this project is Dean B. Ellis, AIA, whose is currently employed by Palm Beach County. The County and the Village both acknowledge that Mr Ellis' responsibilities as Architect of Record are separate and distinct from those of the County's Project Representative. As is standard in the industry, the Architect of Record's decision in specific areas is final. Those areas include, but are not limited to; 1. The review and approval of all proposed substitutions as defined in Section 2.04 of this Agreement; 2. The review, approval, and certification of the General Contractor's monthly pay applications as defined in Section 3.02 of this Agreement; and 3. The certification of Substantial Completion as defined in Section 2.05 of this Agreement; and 4. The certification of Final Acceptance as defined in Section 2.06 of this Agreement; 5. The review and resolution of any dispute which may arise from the design documents for this project; 6. Any other matter which falls within the purview of the expertise of the Architect of Record. The County represents that it will not exercise undue influence on the Architect of Record with regard to these issues. The Village represents that it understands that decisions on these matters, by the Architect of Record are final. All correspondence pertaining to matters described in this section shall be directed to the Architect of Record with a copy to the County's Project Representative. 2.03 Project Representatives 3 The County's Project Representative is Richard J. Tuttle, P.E., Director, Capital Improvements Division, FPD &C. All correspondence to the County, except for the correspondence relating to subjects discussed in Section 2.02 shall be directed to Mr. Tuttle's attention. The County's Project Representative is responsible for all matters pertaining to the implementation of this Agreement. The Village's Project Representative is Tom Bradford, Village Manager. All correspondence to the Village shall be directed to his attention. The Village's Project Representative shall have authority to sign the invoices for reimbursement presented to the County. 2.04 Substitutions Prior to proposing any substitute item, the Village shall satisfy itself and be required to establish that the item proposed: 1. is, of equal or superior quality to that specified; 2. will fit into the space allocated; 3. affords comparable ease of operation, maintenance and service; 4. is of comparable appearance, longevity and suitability for the climate; 5. by reason of cost savings, reduced construction time, or similar demonstrable benefit, will be in the County's interest; 6. will in no way detrimentally impact the project schedule and /or completion date. Any item produced by a manufacturer other than those specified, or of brand name or model number other than specified or of generic species other than those specified will be considered a substitution. The burden of proof of the equality of a proposed substitution for a specified item shall be upon the Village. The Village shall support its request with sufficient test data and other means to permit the Architect of Record to make a fair and equitable decision on the merits of the proposal with regard to said proposed 4 substitution. The Village shall submit drawings, samples, data and certificates and any additional information as may be required by the Architect of Record for proposed substitute items. The Architect of Record will be the sole judge of whether the proposed substitution is equal in quality, utility and economy to that specified. The Village shall allow 15 days for the Architect of Record to review all requests for substitution. In addition, all requests for substitutions with submittal data must be made at least twenty (20) days prior to the date that the Village must order, purchase or release for manufacture or fabrication the proposed item. Materials and methods proposed as substitutions for specified items shall be supported by certification of their approval for use by any or all governmental agencies having jurisdiction over use of specific material or method. Substitutions may not be permitted in those instances where the products are designed to match artistic design, specific function or economy of maintenance. Approval of a substitution shall not relieve The Village from responsibility for compliance with all requirements of this Agreement. The Village shall coordinate the substitution with all trades and bear the expense for any changes in the work that are the direct or indirect result of any substitutions. If the Architect of Record rejects the Village's proposed substitute item on the first submittal, the Village may make only one additional request for substitution in the same category. On the second request, and all future requests, the Village shall bear the costs associated with submittal review which shall be deducted from the County's $506,000 funding limit. 2.05 Substantial Completion It is a requirement of this Agreement that the Project be utilized by the County and other contractors hired by the County for the purpose intended, prior to Final Acceptance. This utilization is herein referred to as Beneficial Occupancy. The date at which the County receives Beneficial Occupancy is referred to as Substantial Completion. This date is critical since it 5 enables the County to coordinate other multiple prime construction contracts which are dependent on the work of this Agreement and are independently scheduled for completion upon Substantial Completion of the Project. Achievement of Substantial Completion requires certification and acceptance by the Architect of Record that the work, including all civil, structural, architectural, mechanical, electrical is substantially complete, and that all systems are operating properly. In addition, the Village must deliver all required manuals and record drawings and specifications in accordance with Section 2.051 of this Agreement. The aforementioned is required so that the Facility can be used for the purpose intended. The County will be responsible for security maintenance and utility costs for the Facility from and after the date it has been certified as Substantially Complete. When the Village considers the project Substantially Complete pursuant to the terms of this Agreement, it shall notify the Architect of Record and the County's Project Representative in writing and request a Substantial Completion Walk - Through. The following items shall be completed prior to requesting a Substantial Completion Walk - Through, and shall be considered as conditions precedent to Substantial Completion. 1. All general construction completed and the project components shall be clean, and all systems fully functional. 2. All mechanical and electrical work substantially complete, fixtures in place, connected, cleaned and ready for use. 3. All electrical circuits shall be scheduled in panels, and all panels and disconnect switches properly labeled. 4. All painting shall be completed; all signs installed. 5. All floors, glass and metal work shall be cleaned. 6. All finish hardware shall be installed, and all 6 doors shall be in good working order. 7. Project site shall be cleared of the Contractor's excess equipment, storage shacks, trailers, and /or building supplies. All temporary construction shall be removed. 8. All operations and maintenance manuals for all equipment shall have been submitted. 9. Manufacturers' certifications and warranties shall be delivered to the County. 10. All operations and maintenance training related literature, software and back -up disks shall have been provided to the County. A video tape of the training shall also be provided. 11. All required spare parts as well as any special measuring devices and tools shall have been provided to the County. 12. All air and water balancing reports shall have been submitted. 13. All keys and blanks shall have been provided. 14. Receipt of Certificate of Occupancy. 15. All trash, debris, etc., shall be removed from the project site. All "Punch List" items (work which is incomplete, unfinished or unsatisfactory) recorded as a result of the Substantial Completion Walk - Through are to be corrected by the Village within 30 calendar days of said Walk Through. Correction of said items are a condition precedent to Final Acceptance. Additionally, prior to substantial completion, the project record drawings and specifications shall be submitted in accordance with Section 2.051 of this Agreement. 2.051 Record Drawings and Specifications A. Drawings: 1. Progress Records - During construction, Village shall keep a marked -up and up-to- date set of drawings showing as -built conditions on the site as an accurate record 7 of all deviations between work as shown and work as installed. These drawings shall be available to the County for inspection at any time. 2. Final Records - Prior to the Final Acceptance, Village shall furnish to the County a complete set of mylar marked -up as- builts with RECORD clearly printed on each sheet. B. Specifications: 1. Progress Records - During construction, The Village shall keep a marked -up and up -to -date set of specifications showing as -is conditions on the site annotated to clearly indicate all substitutions that are incorporated into the work. Where selection of more than one product is specified, annotation shall show which product was installed. These specifications shall be available to the County for inspection at any time. 2. Final Records - Prior to Final Acceptance, The Village shall furnish to the County a complete set of marked -up as -built specifications with RECORD clearly printed on cover. C. Manuals: 1. Manuals - Prior to the Substantial Completion, The Village shall furnish to the County three complete sets of manuals and applicable operating instructions as referenced in technical specifications. 2. Unless otherwise specified, manuals to be bound in 3 -ring binder with contents clearly indicated on outside cover. D. Endorsement: 1. The Village shall sign each final record drawing and the cover of the record specifications and shall note thereon that deviations and annotations are complete and accurate. 2. The Village shall, at its expense, and prior to Final Acceptance furnish to the County final record 8 drawings and specifications. 3. The Village shall provide a signed and notarized affidavit indicating that no asbestos containing materials were used or installed during the course of construction as a condition precedent to Final Acceptance. E. Fixed Asset Equipment and Fixture Information: 1. The Village shall provide' the County with a list of each piece of equipment having an individual value greater than $500.00 prior to Final Acceptance. The list shall include, at a minimum; a) the name, make and model number, b) the quantity installed, and 3) the value of the equipment. 2.06 Final Acceptance When the Village considers that all work pursuant to this Agreement is complete and all conditions precedent to Final Acceptance have been met, the Village shall so inform the County in writing, and request a Final Acceptance Walk - Through. Accordingly, when items on the punch list as recorded at the Substantial Completion Walk - Through have been corrected (including a satisfactory review of the HVAC test and balance report and subsequent modifications) and the County is satisfied that all work pursuant to this Agreement is completed in accordance with the requirements of this Agreement, the County shall notify the Village of same in writing. Neither final acceptance of the Work, nor any provision of the Contract Documents and this Agreement shall relieve the Village of any responsibility for defective or deficient materials or work. If, within one (1) year or as provided for elsewhere in this Agreement or technical specifications after Substantial Completion, any of the Work is found to be defective, deficient or not in accordance with this Agreement, the Village shall correct, remove and replace it promptly after receipt of a written notice from the County and shall correct and pay for any damage to other Work resulting in therefrom. 2.07 Liquidated Damages In the event that the Village fails to achieve 9 Substantial Completion, as provided in Section 2.05, by January 1, 1996, both the Village and the County agree that the County will suffer damages as a result of said late completion. Furthermore, both the County and the Village agree that at the date of execution of this Agreement it is difficult, if not impossible, to determine the actual damages that will result. Therefore, the Village and the County agree that in the event that certification of Substantial Completion is not achieved by January 1, 1996, the County shall be entitled to Liquidated Damages in the amount of $200.00 /day until such time that the Village does achieve certification of Substantial Completion for this project in accordance with the terms and conditions of this Agreement. Should the Village fail to achieve Final Acceptance, as provided in Section 2.06, within thirty days from the date of Substantial Completion, the Village and the County agree that the County will suffer damages, the amount of which is difficult to ascertain, and that the County shall be entitled to $200.00 /day as Liquidated Damages for each calendar day beyond thirty days after the certification of Substantial Completion. The County will cause any contractors retained by the County and performing work after Substantial Completion to coordinate with the Village's contractors in the performance of their remaining punch -list work so that the Project may achieve Final Acceptance as expeditiously as possible. Liquidated Damages due the County may be deducted from any monies due the Village, or may be collected directly from the Village. 2.08 warranty All materials and equipment incorporated into any work covered by this Agreement shall be new and, where not specified, of the highest grade of quality for their intended use, and all workmanship shall be in accordance with construction practices acceptable to the County. Unless otherwise provided in this Agreement, the Village warrants all equipment, materials, and labor furnished or performed under this Agreement, against defects in design, materials and workmanship for a period equal to the statute of limitations for such claims or twelve months, which ever is 10 longer, (unless longer guarantees or warranties are provided for elsewhere in this Agreement in which case the longer periods of time shall prevail) from Substantial Completion, regardless of whether the same were furnished or performed by the Village, the Contractor or by any of its subcontractors of any tier. Upon receipt of written notice from the County of any defect in any such equipment, materials, or labor during the applicable warranty period, due to defective design, materials or workmanship, the affected item or parts thereof shall be redesigned, repaired or replaced by The Village at a time and in a manner acceptable to the County. The Village warrants such redesigned, repaired or replaced work against defective design, materials and workmanship for an additional period of twelve months from and after the date of Certification of Substantial Completion. Should the Village fail to promptly make the necessary redesign, repair, replacement and tests, the County may perform or cause to be performed the same at the Village's expense. The Village shall perform such tests as the County may require to verify that such redesign, repairs and replacements comply with the requirements of this Agreement. All costs incidental to such redesign, repair, replacement and testing, including the removal, replacement and reinstallation of equipment and materials necessary to gain access, shall be borne exclusively by the Village. The Village shall be liable for the satisfaction and full performance of the warranties as set forth herein and any damage to other parts of the Work caused by the Village's failure to perform pursuant to this section. The Village shall commence work to remedy or replace the defective, deficient work within five (5) calendar days after receiving written (including transmittals by FAX) notice from the County. However, all repairs to natural gas, telephone, radio, computer security, water, electric, air conditioning and all emergency services shall be commenced within twelve (12) hours of notification, or by 7:00 a.m., whichever is earlier. If the Village fails to remedy or remove or replace that work or material which has been found to be defective, then the County may remedy or 11 replace the defective or deficient work the Village's expense. The Village shall complete the repairs in an expeditious manner befitting the nature of the deficiency. The Village shall immediately pay the expenses incurred by the County for remedying the defects. If the County is not paid within ten (10) calendar days, the County may pursue any and all legal remedies it may have against The Village. The Village is required to provide a designated telephone number for warranty related emergencies which occur outside the normal workday. The Village is solely responsible for ensuring that all warranty work is completed in the manner described above. If the County agrees, in writing, a subcontractor may be the point of contact for notices regarding warranty items, but such agreement shall not absolve The Village of its responsibility. 2.09. Permits The Village will secure all necessary permits (including providing any required notifications) to construct the Project. The County agrees to request the transfer and application of fees previously paid to Loxahatchee River Environmental Control District (ENCON) , Tequesta Water Department, and Tequesta Department of Community Development in support of completion of the contract by the Village. The County makes no representations as to the amount of such fees previously paid by the County that will be applied toward this Project. Any additional fees required to these or other regulatory agencies are eligible Project expenses. 2.10. Easements All easements required in support of the Facilities shall be the responsibility of the Village to secure and record. Such easement shall be sufficiently wide to accommodate repair, renewal and replacement of any improvements to be located within such easement. All costs associated with the preparation of the easement documents will be included in the Project cost and paid for from Project funds. 2.11. Codes and Regulations It The construction contract for the Project shall meet all applicable federal, state and municipal statutes, ordinances and regulations necessary to qualify for federal, state, county and 12 local funding as a public project. 2.12 County Requested Change Orders The County shall have the right to request changes in the scope of work defined in Section 2.01, as adopted for this site by the Village, and shall be referred to as County Requested Changes. ' County requested changes will be submitted to the Village's Project Representative in the necessary detail to adequately describe the change being requested. The Village will respond to the County within five (5) working days with all costs associated with the requested change. If the County desires to proceed with the change, the County will, within five (5) working days, provide the Village with a County Requested Change Order fully executed by the Director, Facilities Planning, Design & Construction. Compensation for the change shall be in accordance with Section 3.05. The Village is only required to process changes requested and approved by the County until the cumulative value of all County requested changes reach $25,000. If the cumulative value of the County requested change work exceeds $25,000, the Village can decide whether to process the change request, and that decision is final. Section 3. FUNDING 3.01. The County shall contribute up to $506,000 towards the costs for the land acquisition, design and construction of the Project (see Exhibit "B "). County acknowledges and agrees that the first $506,000 of costs for the Project shall be funded by the County. Any costs incurred in connection with the Project in excess of $506,000 shall be the sole responsibility of the Village. The County agrees to make payment on a monthly basis, upon receipt of an invoice and fully executed Application and Certificate for Payment in the form attached hereto as Exhibit "C" from Village specifying the Project costs incurred by the Village during the preceding month. Any payment required to be made by County hereunder shall be paid within fourteen (14) days of receipt from the Village of an invoice and fully executed pay application. 3.02 The Village shall submit an invoice, no more frequently than once a month, in the amount equal to the amount shown, certified and approved for payment on the Application and 13 Certificate for Payment. The invoice from the Village shall include an authorized signature from the Village requesting reimbursement. The County shall not expend any more than 90% of its funds until final acceptance. The remaining 10% will be paid pursuant to Section 3.03. ' 3.03 The Village may make application for release of retainage after submittal of a Final Waiver and Release of Claim (see Exhibit D) and upon Final Acceptance. 3.04 The County reserves the right to withhold or delay payment to the Village based on; 1) the failure of the Village to secure the approval and certification of the Architect of Record on the pay application, or 2) by the Village's non - compliance with the terms and conditions of this Agreement. The County is no way liable for any damages (relating to both time and money) resulting from the County's delay or withholding of payment pursuant to this Section. 3.05 The Village acknowledges that the County's total funding obligation of $506,000 includes a 5% construction contingency and that the County has the right to request change orders in an amount not to exceed $25,000, without affecting a increase to the reimbursement cap. The Village shall process and include in the Project any County requested changes with a cumulative value of up to $25,000, as long as no time extensions are associated with such requests. If the cumulative value of County requested changes exceeds $25,000 and the Village agrees to proceed with the change request, the reimbursement cap contained in Section 3.01 will be increased dollar for dollar for each dollar in excess of $25,000. The County shall not request any changes to the scope of work that affect the Village's critical path schedule. 3.06 If the Village does not, for any reason, achieve Substantial Completion and Final Acceptance by October 1, 1996; in addition to Liquidated Damages, the Village will reimburse the County for all funds previously provided up to $506,000. The Village's time period for performance under this Section 3.06 only shall be extended by delays in construction due to force majeure, specifically limited to fire, hurricane, civil unrest and other catastrophic events. 14 3.07 The Village agrees that it shall not charge the County any additional charges, fees or assessments for the construction of related facilities contemplated by this Agreement. 3.08 The Village agrees that all funding provided by the County pursuant to this Agreement shall be used solely for the purposes set forth in this Agreement. Section 4: OWNERSHIP OF IMPROVEMENTS The Village shall retain sole ownership of the Project, which upon Substantial Completion thereof, shall be leased to the County pursuant to a Lease Agreement between the parties of given date herewith. Section 5: PUBLICITY AND ADVERTISEMENTS The Village's contractors shall not make any announcement or release any information or publish any photographs concerning this PROJECT or any part thereof to any member of the public, press or any official body, unless prior written consent is obtained from the County. Section 6: NOTICES Any notice given pursuant to the terms of this Agreement shall be in writing and done by Certified Mail, Return Receipt Requested. The effective date of such notice shall be the date of receipt, as evidenced by the Return Receipt. All notices shall be addressed to the following: As to the County: Robert Weisman, County Administrator 301 North Olive Avenue West Palm Beach, Florida 33401 Audrey Wolf, Director Facilities Planning Design & Construction 3323 Belvedere Road, Building 503 West Palm Beach, FL 33406 With a copy to: Steve Calamusa, Assistant County Attorney 301 North Olive Avenue West Palm Beach, Florida 33401 As to the Village: Thomas Bradford, Village Manager Village of Tequesta P.O. Box 3273 Tequesta, Florida 33469 -0273 Section 7: APPLICABLE LAW /ENFORCEMENT COSTS This section shall be governed by the laws of the State of 15 Florida. In the event that any action, or suit proceeding is commenced with respect to the interpretation or enforcement of this agreement, the prevailing party in such action, suit, or proceeding shall be entitled to recover all costs, expense and fees including, without limitation, reasonable attorney's fees, incurred by such party in connection therewith. IN WITNESS WHEREOF, the parties have cause this agreement to be executed on the day and year first above written. ATTEST: PALM BEACH COUNTY, FLORIDA: BY ITS BOARD OF COUNTY COMMISSIONERS DOROTHY H. WILKEN a 4A��- .. , Deputy Clerk '•c' °, hair ATTEST: �-, VILLAG F TEQUESTA, FLORIDA By: (''� f ° ° a "� ' sic � •��'`-'_. APPROVED AS TO FORM AND APPROVED AS TO FORM AND LEGAL SUFFICIENCY: ZLAL SUFFICIENCY: County Attorney it age Attorney 12/05/94 R 9 T 18610 f: \user \sbobo \intagt.vot DEC 2 0 1994 16 EXHIBIT "A LEGAL DESCRIPTION OF PREMISES A PARCEL OF LAND LYING IN SECTION 30, TOWNSHIP 40 SOUTH, RANGE 43 EAST, PALM BEACH COUNTY, FLORIDA BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS; I ` COMMENCING FROM THE NORTHWEST CORNER OF THE SOUTHWEST ONE QUARTER OF SAID SECTION 30, BEAR N 89 49' 04" E, ALONG THE NORTH LINE OF SAID SOUTHWEST ONE QUARTER A DISTANCE OF 953.24 FEET TO THE INTERSECTION WITH THE EAST RIGHT -OF -WAY LINE OF OLD DIXIE HIGHWAY, AN 80 FOOT RIGHT -OF -WAY AS NOW LAID OUT AND IN USE; THENCE BEAR S 22 41' 51" E, ALONG SAID EAST RIGHT -OF -WAY LINE, A DISTANCE OF 421.37 FEET TO THE POINT OF BEGINNING; THENCE CONTINUE S 22 41' 51" E, ALONG SAID RIGHT -OF -WAY LINE, A DISTANCE OF 175.00 FEET THENCE BEAR N 67 18' 09" E, A DISTANCE OF 266.00 FEET; THENCE BEAR N 22 41' 51" W, ALONG A LINE PARALLEL TO THE SAID EAST RIGHT -OF- WAY LINE OF OLD DIXIE HIGHWAY, A DISTANCE OF 175.00 FEET; THENCE BEAR S 67 18' 09" W, A DISTANCE OF 266.00 FEET TO THE POINT OF BEGINNING. CONTAINING 1.069 ACRES MORE OR LESS (46,550 SQ. FT.) EXHIBIT B ELIGIBLE PROJECT EXPENSES The following are a list of costs that will be considered eligible costs for reimbursement, however, the total reimbursement shall not exceed the funding limit established in Section 3. LAND ACQUISITION Survey Fees Geotechnical Fees Appraisal Fees Purchase Price Closing Costs DESIGN Engineering and Architectural Fees Construction Administration Fees Survey Fees Geotechnical Fees Environmental Consulting Fees CONSTRUCTION Construction Costs Permit Fees The items specifically exclude any costs associated with the involvement of the Village of Tequesta or Palm Beach County Staff or other Village or County resources. 17 c� V APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 (Instructions on reverse side) P +GE UNE of TO (OVVNERI: PROJECT: APPLICATION NO: Distribution to: O� %INER PERIOD TO: = ARCHITECT . = CONTRACTOR FROM (CONTRACTOR): VIA (ARCHITECT): ARCHITECT'S PROJECT NO: _ ( CONTRACT FOR::, CONTRACT DATE: R Application Is made for Payment, as shown below, in connection with the Contrac:. CONTRACTOR'S APPLICATION FOR PAYMENT Continuation sheet AIA Document G703 is att CHANGE ORDER - SUMMARY .1. ORIGINAL CONTRACT SUM ....................... S Change Orders approved in ADDITIONS DEDUCTIONS 2. Net change by Change Orders ................:.... S previous months by Owner 3. CONTRACT SUM TO DATE (Line 1 = 2) .............. S TOTAL 4. TOTAL COMPLETED & STORED TO DATE............ S N (Column G on G703) Approved this Month 5. RETAINAGE: Number Date Approved a _ of Completed Work S v (Column D +E on G703) F b..— °a of Stored Material S t–+ - (o H (Column F on 703 t �. Total Retainage (Line 5a +5b or w 5 - TOTALS Total in Column I of G703) . .................... Net change by Chance Orders 6. TOTACEARNED LESS RETAINAGE ................... 5 j The undersigned Contractor certifies that to the best of the Contractor's knowledge, (Line 4 less Line 5 Total) information and belief *the Work covered by this Application for Payment has been 7. LESS PREVIOUS CERTIFICATES FOR completed in accordance with the Contract Documents, that all amounts have been .. PAYMENT (Line 6 from prior Certificate) ......... S paid by the Contractor for Work for which previous Certificates for Payment were 8. CURRENT PAYMENT DUE .......................... S issued and payments received from the Owner, and that current payment shown g BALANCE TO FINISH, PLUS RETAINAGE ............. S herein is now due. (Line 3 less Line 6) CONTRACTOR: State of: County of: Subscribed and sworn to before me this day of 9 t ! Notary Public: B Date: My Commission expires: AMOUNT CERTIFIED.. • • • • • • ...... • S ARCHITECT'S CERTIFICATE FOR PAYMENT (Attach explanation if amount certified differs from the amount applied ior.) In accordance with the Contract Documents, based on on -site observations and the ARCHITECT: data comprising the above application, the Architect certifies to the Owner that to•the _._ best of the Architect's knowledge, information and belief the Work has progressed as B Dace: indicated, the quality of the Work is in accordance with the Contract Documents, and This Certificate is not negotiable. The AMOUNT CERTIFIED is payable onl%- to the the Contractor is entitled to payment of the AMOUNT CERTIFIED. Contractor, named herein. Issuance, payment and acceptance of payment are without ice t any rights of the 0wner or Contractor under t� ontract. - _.. _.. -.._ .._..�._.. -... .•...�•... -... 1-1 0— ruT. uw 10A1 rn1T1(1N • AIA• - -t 1gA1 °nn ,ori CONTINUATION SHEET AIA DOCUMENT G703 (instructions on reverse side) PAGE OF PAC "$ AIA Document G702. APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: Contractor's signed Certification is attached. APPLICATION DATE: In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: Use Column I on Contracts where variable retainage for line items may apply. ARCHITECTS PROJECT NO: A B I C ( D ! E I F G H I ITEM OESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL , B ALA NCE RETAINAGE C14 NO. VALUE PERI00 PRESENTLY COMPLETED (G C) TO FINISH FROM PREVIOU THIS N STORED AND STORED (C - G) APPLICATION (NOT IN TO DATE ( D +E) O OR E) (O +E +F) U E- H PQ � i� W i• I t I � ' - - ..... r - <.... c.r,•rc cno o•V'ICIM • „IV lacl MITInM • AtAt • t. IOII __. - - __