EFTA00609120.pdf

Emad Hanna From: Sent: To: Subject: Attachments: Emad Monique Harry Wednesday, October 27. 2010 11:20 AM Emad Hanna Phillip Mark Req 2 Phillip Mark Req 2 - 1010.pdf Attached for payment via CHECK Phillip Mark Req Monique in the amount $14,500.00. Project 1010 Code 03-351. EFTA00609120 LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Concrete-Formwork c I z-riegm c-okr- Subcontractor Phillip Mark Invoice # Phase # Requisition #02 03-351 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: Sales Tax Liability: October 25, 2010 Requisition #02 Insurance ex•iration: March 1, 2011 $45,825.37 $2,307.77 $0.00 $48,133.14 60% $29,000.00 a. Subcontractor/Supplier is liable, explaii install only I tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: JEE approval attached YES NO X Submitted Bill Signed: Date: October 26, 2010 Approved by: Emad Signed: Date: $0.00 $14,500.00 s/ $14,500.00 6\1--. $19,133.14 None $29,000.00 YES X Invoice Attached NO Approved by: Gary Signed: Date: October 26, 2010 Approved by: Signed: Date: tta-se P041 VIA cd-i-ec-K, EFTA00609121 LSJ CONSTRUCTION Project Mechanical Cosal ubconlraclor lull legal name. Phap Mack Phase %I 03-351 Trade: Cistern Coating Invoke a Re uisition //02 Insurance expiration I.Mar• I I Payment Partial Final X InvoicetRege Dale C/O AMOUIll Retainer Due Paid Date Paid Check. Balance Contract Arnourd 09110110 45,825.37 COin COQ con COQ COQ 10/25110 2.307.77 — Requisition NI 10/13/10 14.500.00 0.00 14.60000 14.50000 0.00 14.50000 Requisition N2 1023110 14,500.00 0.00 14.503.00 Requisition #3 - 0.00 Requisition Skt 0.00 Requisition tf5 Requisition If6 • Reqursition #7 Requsition N8 - Reounilion #9 - Total _J 29.000.00 0.00 29,000.00 14.500.00 14.500.001 Dale Revised October 25, 2010 Contract Amount • Phase Contract CON1 COQ COM COM COE Cistern Coatings 45.825.37 Matt QM coatings 2.307.77 Desolation Description Description Description Descnpbon Contracted To Date Balance of Contract wtRetainago 48.133.14 19.133.14 EFTA00609122 Phillip Mark Sub-Contractor LICENSED L_LLUCR • CISTERN CI-CANING • ROOFS TILING • PAIN I iNG • SWIRIING POOLS FINISH WORK 1-1-1-6t-e 51:56time /O -Li "IC-) 4.11/V It/wAACE ,RN 1---etm)# /o/c2 • o b/61Ve EI0CKeT) \iv, \QS ts:cvl Coic k- oF -rAe cisf -(=yii (1,(4(7fri /7'y (.1e,mglktsir,ove- ct1-:7) +/-7-e—st-qvH›isic Oy, eati(=m1 comer' (6111 ekrok4v11) oFthe c,ts4,-erh• Goebel 4 CoGtf OF c,r9 TG,e:rose61I .90 De_ fol(0 WelD 09 1, Co OF (ikA"\ - "e- -1 4- 0Y03 -T22 -red m 'PR I i e Fog ct 5-6 ery+ i ) O° PQ evv-tckqe of -rEvvi covv1pLet-oP 17)‹re 6tc-e, Orw() OR 7\7\ EFTA00609123 Phillip Mark Sub-Contractor / LICENSED GENERAL au,LoEtt • CISTERN CLEANING • ROOFS TILING • PAINTING • SWINIING POOLS FINISH WORK N\10.1-6b. /vwn ,-j-kAtA4 e 5-6,1yti) /0 /O WoKK Co v\A elf( vN, te.9 CreiCKS tOrgh /--h) p^rc5kiG G ciniveot OF lro Q For/o G t i e l ) g 1 C 6 - , ' ( c F (dt-otie) ge.vowD 1--70 EA/ 4 74e celi;vi (;-'svy/ie ./-1-b) cl ;0 vi s To 1kt P Ice- FoR rNq Cu ork r.26-tch ct j 00(7) , CC )1,4) ''1itU EFTA00609124 LSJ, LLC CONTRACT CHANGE ORDER PROJECT NO. 1010 Mechanical Building Desal CODE AMOUNT CC DATE To (Contractor) Phillip Mark Name and Location of Project. LSJ — Mechanical Budding Desal CO No 01 1 Date 10/25/10 THE CONTRACT IS CHANGED AS FOLLOWS: PR and/or CCD # (if applicable) Description of Change Change in Contract Amount 03-351 03-351 Additional coatings above overflow pipe Materials purchased by LSJ, deduct $9,000.00 ($6,692.23) Original Contract Amount $45,825.37 Net Change by Previous Change Order(s) $ 0 Total Contract Amount Prior to this Change Order $45,825.37 Net increase in Contract Amount this Change Order $2,307.77 Revised Contract Amount $48,133.14 The time provided for completion in the November 26. 2010. This document shall hereto. contract is unchanged. The revised date of Substantial Completion, therefore, is become an amendment to the contract and all provisions of the contract will apply This Change Order constitutes a complete and final resolution of all claims of the contractor for additional compensation related to or affected by work that is the subject of this Change Order. No Contract wi be binding upon SJ, LLC until signed by an authorized representative of LSJ additional time or LW. LSJ, LLC Date ACCEPTED BY CO RACTOR Date JUSTIFICATION FOR CHANGE: Additional coatings above overflow pipe to allow additional cistern capacity materials purchased by LSJ for use by Phillip Mark, at his request. Price of materials initially included in Phillip Mark' contract. EFTA00609125