Emad Hanna
From: Monique Harry
Sent: Wednesday, October 27. 2010 11:20 AM
To: Emad Hanna
Subject: Phillip Mark Req 2
Attachments: Phillip Mark Req 2 - 1010.pdf
Emad
Attached for payment via CHECK Phillip Mark Req in the amount $14,500.00. Project 1010 Code 03-351.
Monique
EFTA00609120
LSJ CONSTRUCTION
Subcontractor Payout
Project: Mechanical Desal October 25, 2010
Trade: Concrete-Formwork
c I z-riegm c-okr- Requisition #02
Subcontractor Phillip Mark
Insurance ex•iration: March 1, 2011
Invoice # Requisition #02
Phase # 03-351
Original Contract Sum: $45,825.37
Change Orders Submitted & Approved: $2,307.77
New Change Orders: $0.00
Total Work Contracted to Date: $48,133.14
Total Work Completed to Date: 60% $29,000.00
Less Retainage: $0.00
Total Payments Made to Date: $14,500.00 s/
Total Current Payment Due: --.
$14,500.00 6\1
Balance to Finish including Retainage: $19,133.14
Sales Tax Liability:
install only I tax
a. Subcontractor/Supplier is liable, explaii
included in contract
b. Non-resident Subcontractor/Supplier Bond Applicable:
c. Use Tax to be paid by our company:
d. Shipping None
Total Outlays for this contract incl. Sales or Use Tax: $29,000.00
JEE approval attached Invoice Attached
YES NO YES NO
X X
Submitted Bill Approved by: Gary
Signed: Signed:
Date: October 26, 2010 Date: October 26, 2010
Approved by: Emad Approved by:
Signed: Signed:
Date: Date:
tta-se P041 VIA cd-i-ec-K,
EFTA00609121
LSJ CONSTRUCTION
Project Mechanical Cosal
ubconlraclor lull legal name. Phap Mack Dale Revised October 25, 2010
Phase %I 03-351
Trade: Cistern Coating
Invoke a Re uisition //02
Insurance expiration I.Mar• I I Payment
Partial Final
X
AMOUIll Retainer Due Paid Date Paid Check. Balance
InvoicetRege Dale C/O
Contract Arnourd 09110110 45,825.37
COin 10/25110 2.307.77
COQ —
con
COQ
COQ
14.500.00 0.00 14.60000 14.50000 0.00
Requisition NI 10/13/10
1023110 14,500.00 0.00 14.503.00 14.50000
Requisition N2
- 0.00
Requisition #3
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
Contract Amount • Phase
Contract Cistern Coatings 45.825.37
CON1 Matt QM coatings 2.307.77 Desolation
COQ Description
COM Description
COM Description
COE Descnpbon
Contracted To Date 48.133.14
Balance of Contract wtRetainago 19.133.14
EFTA00609122
Phillip Mark Sub-Contractor /O -Li "IC-)
LICENSED
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TILING • PAIN I iNG • SWIRIING POOLS FINISH WORK
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EFTA00609123
Phillip Mark Sub-Contractor
LICENSED
/
GENERAL au,LoEtt • CISTERN CLEANING • ROOFS
TILING • PAINTING • SWINIING POOLS FINISH WORK
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EFTA00609124
PROJECT NO. 1010
LSJ, LLC Mechanical Building Desal
CODE AMOUNT
CONTRACT CHANGE ORDER CC
To (Contractor) Phillip Mark DATE
Name and Location of Project. LSJ — Mechanical Budding Desal CO No 01 1 Date 10/25/10
THE CONTRACT IS CHANGED AS FOLLOWS:
Description of Change Change in
PR and/or CCD # Contract Amount
(if applicable)
Additional coatings above overflow pipe $9,000.00
03-351
03-351 Materials purchased by LSJ, deduct ($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 contract is unchanged. The revised date of Substantial Completion, therefore, is
all provisions of the contract will apply
November 26. 2010. This document shall become an amendment to the contract and
hereto.
for additional time or
This Change Order constitutes a complete and final resolution of all claims of the contractor
Order.
additional compensation related to or affected by work that is the subject of this Change
LW.
No Contract wi be binding upon SJ, LLC until signed by an authorized representative of LSJ
Date
LSJ, LLC
RACTOR Date
ACCEPTED BY CO
JUSTIFICATION FOR CHANGE:
Additional coatings above overflow pipe to allow additional cistern capacity
Mark'
materials purchased by LSJ for use by Phillip Mark, at his request. Price of materials initially included in Phillip
contract.
EFTA00609125