Okaloosa County BOCC — February 18, 2014 — CCIFinalInvoice

NAME OF PRO.IECT: Duke Field SCADA Fiber Optic Link j. CONTRACTORS NAME: CCI Systems, Inc. ADDRESS: 105 Kent Lane CCI JOB NO. Iron Mountain, MI49801 . PERIODIC ESTIMATE NO. : _ _ _ FOR PERIOD: July 19, 2013 TO: December 18, 2013 SUBSTANTIAL COMPLETION DATE: _S..:.!eP:. :. te=--m-=.be-=-r.. .;.17.:. .!.,-=2.:. .: 10-=..3_ _ _ _ _ _ _ _ _ _ __ FINAL COMPLETION DATE: _Ja=-n...::.ua=-ry!.....30~,2:.:.0_14~_~_ _~_ _ _ _ _ __ JOB NO. 41·449 ITEM COMPLETED TOTAL COST DESCRIPTION FINAL OTY. &UNIT UNIT PRICE NO. UNITS COMPLETED Mobilization, Bonds &Insurance LS $ 10,228.39 $ 10,228.39 2 Coordination of Work LS $ 23,889.73 $ 23,889.73 Clean and proof existing empty segmentrs of 3 2" conduit and furnish and install pull tape within conduit 37,208 LF $ 0.75 37,208 $ 27,906.00 Fumish and install 96 strand fiber optic cable in existing empty 2" conduit and pull box 4 system, insluding all splice enclosures, fusion splices, maintenance loops, seals, duct plugs, detectable pull tape, testing and all other appurtenances. 39,274 LF $ 2.31 39,274 $ 90,722.94 5 Furnish and install new Pull Box 3 EA $ 2,211.52 3 $ 6,634.56 6 Fumish and install new Splice Box 2 EA $ 866.05 2 $ 1,732.10 TOTAL COST COMPLETED $ 161,113.72 )f Page 1 of 2  a Original contract amount ................................................................................._$'--_.,;..;16'-':3t-':.5~18:.;..O::-:8=- j' b Plus: Additions scheduled in change orders ........................................................____$;. ;1.:,.38;;,.;.:7.,;. ;5;,. . c Less: Deductions scheduled in change orders...... to'........... ......................................"...._~($~2.:.;;.54...;..3~.~11~) d Adjusted contract amount to date... '" ......... ;............. ~... :........................................,;$'--_..;,;16;.,;.1.:.;;.1..;"13;;,.;..7;,,,,;;2;;,.. ANALYSIS OF WORK PERFORMED: a Total Cost of work performed to date ................................................................. $ 161.113.72 b Stored materials .............................................................................................~$:-_,,:,::-:-:-:-:-=::- c Subtotalof(c)and(d) ..................................................................................... $ 161.113.72 d Less: Amount retained in accordance with contract terms .................................................................. . e Net amount earned on contract work to date............ .......................... ................. $ 161.113.72 f Less: Amount of previous payments .................................................................._$;.-_..,...,....,...,.....,."..,...,:­ 9 BALANCE DUE THIS PAYMENT ...................................................................... $ 161,113.72 CERTIFICATION OF CONTRACTOR: According to the best of my knowledge and belief, I certify that aliltems and amounts shown on the face of this Periodic Estimate for Partial Payments are correct; that all work has been performed and/or materials supplied in full accordance with the requirements of the referenced contract, and I or duly authorized deviations, substitutions, alterations, and/or additions; that the foregoing is a true and correct statement of the contract amount up to and including the last day of the period covered by this Periodic estimate; that no part of the "Balance Due this Payment" has been received, and that the undersigned and his subcontractors have complied with all the labor provisions of said contract. CCI Systems, Inc. DATE: )-/5 -/~I CERTIFICATION OF ENGINEER: I certify that I have checked the above Periodic Estimate for Partial Payment and that to the best of my knowledge and belief it is a true and correct statement of work performed and I or material supplied by the Contractor; and that partial payment claim and requested by the Contractor is correctly computed on the basis of work performed and lor material. Polyengineering, Inc. DATE: /- 27-1'1 AUTHORIZED REPRESENTj\TIVE Page 2of2