CORDOVA PALMS
Community Development District
APRIL 13, 2022

AGENDA

Cordova Palms Community Development District 475 West Town Place, Suite 114
St. Augustine, Florida 32092 www.CordovaPalmsCDD.com

April 6, 2022

Board of Supervisors
Cordova Palms Community Development District
Call in #: 1-913-227-1201 Code: 410226

Dear Board Members:

The Cordova Palms Community Development District Meeting is scheduled to be held Wednesday, April 13, 2022 at 10:00 a.m. at the offices of Governmental Management Services, LLC, 475 West Town Place, Suite 114, St. Augustine, Florida 32092.
Following is the agenda for the meeting:

Call to Order

Public Comment

Financing Matters for Phase 2
Consideration of Supplemental Investment Banking Agreement with MBS Capital Markets

Presentation of Preliminary Numbers

Consideration of Authorizing Staff and Consultants to Proceed with the Issuance of the Series 2022 Bonds

Approval of Minutes of the February 9, 2022 Meeting

Consideration of Resolution 2022-06, Changing the Designated Registered Office

Consideration of Resolution 2022-07, Adopting Amended Prompt Payment Policies

Staff Reports
District Counsel

District Engineer
Ratification of Work Authorization No. 2 for Phase 2 Consulting Engineering Services

Requisition Summary

District Manager

Financial Reports
Financial Statements as of February 28, 2022

Ratification of Funding Request No. 10

Consideration of Funding Request No. 11

Supervisor Requests and Audience Comments

Next Scheduled Meeting – May 9, 2022 at 10:00 a.m. at the offices of Governmental Management Services, LLC, 475 W. Town Place, Suite 114, St. Augustine, Florida 32092

Adjournment

THIRD ORDER OF BUSINESS

A.

SUPPLEMENT TO INVESTMENT BANKING AGREEMENT DATED JUNE 2, 2021 REGARDING BOND ISSUANCES BY CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

April 13, 2022

Board of Supervisors
Cordova Palms Community Development District

Dear Supervisors:

MBS Capital Markets, LLC (“Underwriter”) and the Board of Supervisors of the Cordova Palms Community Development District (“District”) entered into an Investment Banking Agreement effective June 2, 2021 (“Agreement”) wherein the District engaged the Underwriter to provide investment banking services for the District. The purpose of this letter is to supplement the Agreement by specifying the particular planned transaction currently being contemplated by the District for which such investment banking services are to be provided by the Underwriter.

The District is considering the issuance of its Special Assessment Revenues Bonds (Phase 2) in 2022 for the purpose of acquiring/constructing public infrastructure improvements for the Cordova Palms Development Phases 3 and 4. It is the District’s intent to engage the Underwriter to provide investment banking services for this transaction.

The scope of services to be provided in a non-fiduciary capacity by the Underwriter for this transaction will include those listed below.

Advice regarding the structure, timing, terms, and other similar matters concerning the particular municipal securities described above.
Preparation of rating strategies and presentations related to the issue being underwritten.
Preparations for and assistance with investor “road shows,” if any, and investor discussions related to the issue being underwritten.
Advice regarding retail order periods and institutional marketing if the District decides to engage in a negotiated sale.
Assistance in the preparation of the Preliminary Official Statement, if any, and the final Official Statement.
Assistance with the closing of the issue, including negotiation and discussion with respect to all documents, certificates, and opinions needed for the closing.

Member: FINRA/SIPC

3414 W. BAY TO BAY BLVD., UNIT #3 TAMPA, FLORIDA 33629
PHONE: 813.281.2700

152 LINCOLN AVENUE WINTER PARK, FLORIDA 32789
PHONE: 407.622.0130

1005 BRADFORD WAY
KINGSTON, TENNESSEE 37763
PHONE: 865.717.0303

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Coordination with respect to obtaining CUSIP numbers and the registration with the Depository Trust Company.
Preparation of post-sale reports for the issue, if any.
Structuring of refunding escrow cash flow requirements, but not the recommendation of and brokerage of particular municipal escrow investments.

All other terms of the Agreement shall remain in effect, including specifically the Disclosures Concerning the Underwriter’s Role Required by MSRB Rule G-17 which is again being provided in Exhibit A hereto. By execution of this supplement to the Agreement you are acknowledging receipt of the same.

This supplement to the Agreement shall be effective upon your acceptance and shall remain in effect until such time as the financing described herein has been completed or the Agreement is terminated as provided in Section 3 of the Agreement.

Sincerely,
MBS Capital Markets, LLC

Rhonda Mossing

Rhonda Mossing Managing Partner

Approved and Accepted By:	 	

Title:	 	

Date:	 	

Tampa, FL  Winter Park, FL  Kingston, TN

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EXHIBIT A

Disclosures Concerning the Underwriter’s Role

MSRB Rule G-17 requires an underwriter to deal fairly at all times with both municipal issuers and investors.

The underwriter’s primary role is to purchase the Bonds with a view to distribution in an arm’s-length commercial transaction with the Issuer. The underwriters has financial and other interests that differ from those of the District.

	Unlike a municipal advisor, the underwriter does not have a fiduciary duty to the District under the federal securities laws and are, therefore, is required by federal law to act in the best interests of the District without regard to their own financial or other interests.

The underwriter has a duty to purchase the Bonds from the Issuer at a fair and reasonable price but must balance that duty with their duty to sell the Bonds to investors at prices that are fair and reasonable.

The underwriter will review the official statement for the Bonds in accordance with, and as part of, its respective responsibilities to investors under the federal securities laws, as applied to the facts and circumstances of this transaction.

Disclosure Concerning the Underwriter’s Compensation

The underwriter will be compensated by a fee and/or an underwriting discount that will be set forth in the bond purchase agreement to be negotiated and entered into in connection with the issuance of the Bonds. Payment or receipt of the underwriting fee or discount will be contingent on the closing of the transaction and the amount of the fee or discount may be based, in whole or in part, on a percentage of the principal amount of the Bonds. While this form of compensation is customary in the municipal securities market, it presents a conflict of interest since the underwriter may have an incentive to recommend to the District a transaction that is unnecessary or to recommend that the size of the transaction be larger than is necessary.

Conflicts of Interest

The Underwriter has not identified any additional potential or actual material conflicts that require disclosure including those listed below.

Payments to or from Third Parties. There are no undisclosed payments, values, or credits to be received by the Underwriter in connection with its underwriting of this new issue from parties other than the District, and there are no undisclosed payments to be made by the Underwriter in connection with this new issue to parties other than the District (in either case including payments, values, or credits that relate directly or indirectly to collateral transactions integrally related to the issue being underwritten). In addition, there are no third-party arrangements for the marketing of the District’s securities.

Tampa, FL  Winter Park, FL  Kingston, TN

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Profit-Sharing with Investors. There are no arrangements between the Underwriter and an investor purchasing new issue securities from the Underwriter (including purchases that are contingent upon the delivery by the District to the Underwriter of the securities) according to which profits realized from the resale by such investor of the securities are directly or indirectly split or otherwise shared with the Underwriter.

Credit Default Swaps. There will be no issuance or purchase by the Underwriter of credit default swaps for which the reference is the District for which the Underwriter is serving as underwriter, or an obligation of that District.

Retail Order Periods. For new issues in which there is a retail order period, the Underwriter will honor such agreement to provide the retail order period. No allocation of securities in a manner that is inconsistent with a District’s requirements will be made without the District’s consent. In addition, when the Underwriter has agreed to underwrite a transaction with a retail order period, it will take reasonable measures to ensure that retail clients are bona fide.

Dealer Payments to District Personnel. Reimbursements, if any, made to personnel of the District will be made in compliance with MSRB Rule G-20, on gifts, gratuities, and non-cash compensation, and Rule G-17, in connection with certain payments made to, and expenses reimbursed for, District personnel during the municipal bond issuance process.

Disclosures Concerning Complex Municipal Securities Financing

Since the Underwriter has not recommended a “complex municipal securities financing” to the Issuer, additional disclosures regarding the financing structure for the Bonds are not required under MSRB Rule G-17.

Tampa, FL  Winter Park, FL  Kingston, TN

FOURTH ORDER OF BUSINESS

MINUTES OF MEETING
CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

The regular meeting of the Board of Supervisors of the Cordova Palms Community Development District was held on Wednesday, February 9, 2022 at 10:00 a.m. at the offices of Governmental Management Services, LLC, 475 West Town Place, Suite 114, St. Augustine, Florida 32092.

Present and constituting a quorum were:

Louis Cowling	Chairman
Andrew Charlson	Supervisor
Ken Brown	Supervisor
Joyce Conway	Supervisor

Also present were:

Daniel Laughlin	District Manager
Wes Haber	District Counsel (by phone)
Scott Wild	District Engineer
Chad Sigmon	Dream Finders Homes

The following is a summary of the discussions and actions taken at the February 9, 2022 meeting. An audio copy of the proceedings can be obtained by contacting the District Manager.

FIRST ORDER OF BUSINESS	Roll Call
Mr. Laughlin called the meeting to order at 10:00 a.m.

SECOND ORDER OF BUSINESS	Public Comment
There being no members of the public present, the next item followed.

THIRD ORDER OF BUSINESS	Approval of Minutes
December 8, 2021 Board of Supervisors Meeting
There were no comments on the minutes.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor the December 8, 2021 Board of Supervisors meeting minutes were approved.

December 15, 2021 Continued Meeting

February 9, 2022	Cordova Palms CDD

There were no comments on the minutes.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor the December 15, 2021 continued meeting minutes were approved.

FOURTH ORDER OF BUSINESS	Ratification of England Thims & Miller
Work Authorization for Consulting Services Related to the Amenity Center and Dog Park Projects
Mr. Wild noted this work authorization is for the design and permitting of the amenity center. The total fee is $84,625.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor the work authorization for England Thims & Miller consulting services related to the amenity center and dog park was ratified.

FIFTH ORDER OF BUSINESS	Consideration	of	Resolution	2022-04,
Ratifying Actions Related to the Issuance of the Series 2021 Bonds
Mr. Haber reminded the Board that a resolution was previously adopted that delegated authority to the Chair, other officers and staff to prepare, revise and sign the required documents in order to issue the bonds. This resolution ratifies those actions now that the bonds have been issued.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor Resolution 2022-04, ratifying actions related to the issuance of the Series 2021 bonds was approved.

SIXTH ORDER OF BUSINESS	Consideration	of	Bids	for	Phase	2
Construction Services
Mr. Wild informed the board that two complete bids were received from AJ Johns and Vallencourt, and a partial bid was received from Smith Trucking. Copies of the bids were included in the agenda package for the board’s review. Mr. Wild recommended ranking Smith Trucking #1, Vallencourt #2, and AJ Johns #3 for the Part 2 Earthwork.

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February 9, 2022	Cordova Palms CDD

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor adopting the engineer’s scoring for the Part 2 Earthwork portion was approved with staff authorized to send notice of intent to award letters and enter into a contract with Smith Trucking.

Mr. Wild presented his score sheet for Part 1 Earthwork and noted only AJ Johns and Vallencourt were considered for this portion. He recommended ranking Vallencourt #1 and AJ Johns #2.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor adopting the engineer’s scoring for the Part 1 Earthwork portion was approved with staff authorized to send notice of intent to award letters and enter into a contract with Vallencourt.

SEVENTH ORDER OF BUSINESS	Consideration	of	Resolution	2022-05,
Recognizing	a	Contribution	to	Offset Assessments
Mr. Haber reminded the Board that the assessment methodology that was approved for the Series 2021 bond issuance contemplated that there would be a contribution in lieu of assessments for the portion of the District that did not have debt assessments levied against it. This resolution is the first step in recognizing that contribution. The portion of the contribution that has been partially satisfied is $1,794,961.30. The remaining contribution obligation is
$574,600. He also noted the remaining portion of a Department of Transportation agreement exceeds $574,600, so when the project is complete the Board will recognize the remainder of that project to offset the remainder of the contribution amount.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor Resolution 2022-05, recognizing a contribution to offset assessments was approved.

EIGHTH ORDER OF BUSINESS	Ratification of Assignment of Vallencourt
Agreements for Eastern Lots, Collector Road and Western Lots
Mr. Haber informed the Board that because the District did not yet have bond monies, the developer entered into agreements for the eastern lots, Collector road and western lots. The agreements have been assigned to the CDD. The developer will be reimbursed for the amounts they paid under the agreements via requisition.

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February 9, 2022	Cordova Palms CDD

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor assignment of the Vallencourt agreements for the eastern lots, Collector Road and western lots was ratified.

NINTH ORDER OF BUSINESS	Staff Reports
District Counsel
There being nothing to report, the next item followed.

District Engineer
Ratification of Requisition Nos. 1-8
Mr. Wild gave a brief overview of requisition numbers one through eight, copies of which were included in the agenda package.

On MOTION by Mr. Cowling seconded by Ms. Conway with all in favor requisition numbers one through eight were ratified.

Consideration of Requisition No. 9
Mr. Wild gave a brief overview of requisition number nine, a copy of which was included in the agenda package.

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor requisition number nine was approved.

District Manager
There being nothing to report, the next item followed.

TENTH ORDER OF BUSINESS	Financial Reports
Financial Statements as of December 31, 2021
Copies of the financial statements were included in the agenda package for the board’s

review.

Consideration of Funding Request Nos. 8 and 9
Mr. Laughlin noted funding request number eight totals $6,102.16 and funding request

number nine totals $4,834.80.

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February 9, 2022	Cordova Palms CDD

On MOTION by Mr. Cowling seconded by Mr. Brown with all in favor Funding Request Nos. 8 and 9 were approved.

ELEVENTH ORDER OF BUSINESS	Supervisors’	Requests	and	Audience
Comments
There being none, the next item followed.

TWELFTH ORDER OF BUSINESS	Next Scheduled Meeting – March 9, 2022 at
10:00 a.m. at the offices of Governmental Management Services, LLC, 475 West Town Place, Suite 114, St. Augustine, Florida 32092

THIRTEENTH ORDER OF BUSINESS	Adjournment

On MOTION by Ms. Conway seconded by Mr. Cowling with all in favor the meeting was adjourned

Secretary/Assistant Secretary	Chairman/Vice Chairman

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FIFTH ORDER OF BUSINESS

RESOLUTION 2022-06

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT DESIGNATING A REGISTERED AGENT AND REGISTERED OFFICE OF THE CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT.

WHEREAS, Cordova Palms Community Development District (the “District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes, being situated entirely within St. Johns County, Florida; and

WHEREAS, the District is statutorily required to designate a registered agent and a registered office location for the purposes of accepting any process, notice, or demand required or permitted by law to be served upon the District in accordance with Section 189.014(1), Florida Statutes.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT:

SECTION 1. Wesley Haber of Kutak Rock LLP is hereby designated as the Registered Agent for the Cordova Palms Community Development District.

SECTION 2. The District’s Registered Office shall be at the office of Kutak Rock LLP, 107 West College Avenue, Tallahassee, Florida 32301.

SECTION 3. In accordance with Section 189.014, Florida Statutes, the District’s Secretary is hereby directed to file certified copies of this Resolution with St. Johns County and the Florida Department of Economic Opportunity.

SECTION 4. This Resolution shall become effective immediately upon adoption and any provisions of any previous resolutions in conflict with the provisions hereof are hereby superseded.
PASSED AND ADOPTED this 13th day of April, 2022.

ATTEST:	CORDOVA	PALMS	COMMUNITY DEVELOPMENT DISTRICT

Secretary/Assistant Secretary	Chairperson, Board of Supervisors

4894-3601-3837.1

SIXTH ORDER OF BUSINESS

RESOLUTION 2022-07

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT ADOPTING PROMPT PAYMENT POLICIES AND PROCEDURES PURSUANT TO CHAPTER 218, FLORIDA STATUTES; PROVIDING A SEVERABILITY CLAUSE; AND PROVIDING AN EFFECTIVE DATE.

WHEREAS, the Cordova Palms Community Development District (the “District”) is a local unit of special-purpose government created and existing pursuant to Chapter 190, Florida Statutes, being situated entirely within St. Johns County, Florida; and

WHEREAS, Chapter 218, Florida Statutes, requires timely payment to vendors and contractors providing certain goods and/or services to the District; and

WHEREAS, the Board of Supervisors of the District (“Board”) accordingly finds that it is in the best interest of the District to establish by resolution Prompt Payment Policies and Procedures as may be amended or updated from time to time for immediate use and application.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT:

SECTION 1. The Prompt Payment Policies and Procedures attached hereto as Exhibit A are hereby adopted pursuant to this Resolution as necessary for the conduct of District business. The Prompt Payment Policies and Procedures shall remain in full force and effect until such time as the Board may amend or replace them; provided, however, that as the provisions of Chapter 218, Florida Statutes, are amended from time to time, the attached Prompt Payment Policies and Procedures shall automatically be amended to incorporate the new requirements of law without any further action by the Board. The Prompt Payment Policies and Procedures hereby adopted supplant and replace any previously adopted Prompt Payment Policies and Procedures.

SECTION 2. If any provision of this Resolution is held to be illegal or invalid, the other  provisions shall remain in full force and effect.

SECTION 3. This Resolution shall become effective upon its passage and shall remain in effect unless rescinded or repealed.
PASSED AND ADOPTED this 13th day of April, 2022.
ATTEST:	CORDOVA PALMS COMMUNITY
DEVELOPMENT DISTRICT

Secretary/Assistant Secretary	Chairperson, Board of Supervisors
Exhibit A:	Prompt Payment Policies and Procedures

4880-6268-0602.1

EXHIBIT A

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

Prompt Payment Policies and Procedures
In Accordance with the Local Government Prompt Payment Act Chapter 218, Part VII, Florida Statutes

April 13, 2022

4880-6268-0602.1

Cordova Palms Community Development District Prompt Payment Policies and Procedures
Table of Contents
Purpose	1
Scope	1
Definitions	1
Agent	1
Construction Services	1
Contractor or Provider of Construction Services	1
Date Stamped	1
Improper Invoice	2
Improper Payment Request	2
Non-Construction Goods and Services	2
Proper Invoice	2
Proper Payment Request	2
Provider	2
Purchase	2
Vendor	2
Proper Invoice/Payment Request Requirements	3
General	3
Sales Tax	3
Federal Identification and Social Security Numbers	3
Proper Invoice for Non-Construction Goods and Services	3
Proper Payment Request Requirements for Construction Services	4
Submission of Invoices and Payment Requests	4
Calculation of Payment Due Date	5
Non-Construction Goods and Services Invoices	5
Payment Requests for Construction Services	6
Resolution of Disputes	7
Dispute Between the District and a Provider	7
Dispute Resolution Procedures	7
Purchases Involving Federal Funds or Bond Funds	8
Requirements for Construction Services Contracts – Project Completion; Retainage	8
Late Payment Interest Charges	9
Related to Non-Construction Goods and Services	9
Related to Construction Services	9
4880-6268-0602.1

Report of Interest	9

4880-6268-0602.1

Purpose
In accordance with the Local Government Prompt Payment Act (Chapter 218, Part VII, Florida Statutes) (“PPA”), the purpose of the Cordova Palms Community Development District (“District”) Prompt Payment Policies and Procedures (“Policies & Procedures”) is to provide a specific policy to ensure timely payment to Vendors and Contractors (both hereinafter defined) providing goods and/or services to the District and ensure the timely receipt by the District of goods and/or services contemplated at the time of contracting. Please note that the PPA, like any statute or law, may be amended from time to time by legislative action. These Policies & Procedures are based on the statutory requirements as of the date identified on the cover page of this document. By this reference, as applicable statutory provisions subsequently change, these Policies & Procedures shall automatically be amended to incorporate the new requirements of law. These Policies & Procedures are adopted by the District to provide guidance in contracting matters. Failure by the District to comply with these Policies & Procedures shall not expand the rights or remedies of any Provider (hereinafter defined) against the District under the PPA. Nothing contained herein shall be interpreted as more restrictive on the District than what is provided for in the PPA.

Scope
These Policies & Procedures apply to all operations of the District, including Construction Services and Non-Construction Goods and Services, as applicable.

Definitions

Agent
The District-contracted architect, District-contracted engineer, District Manager, or other person, acting on behalf of the District, which is required by law or contract to review invoices or payment requests from Providers (hereinafter defined). Such individuals/entities must be identified in accordance with §218.735 (1), Fla. Stat., and further identified in the relevant agreement between the District and the Provider.

Construction Services
All labor, services, and materials provided in connection with the construction, alteration, repair, demolition, reconstruction, or other improvement to real property that require a license under parts I and II of Chapter 489, Fla. Stat.

Contractor or Provider of Construction Services
The entity or individual that provides Construction Services through direct contract with the District.

Date Stamped
Each original and revised invoice or payment request received by the District shall be marked electronically or manually, by use of a date stamp or other method,

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4880-6268-0602.1

which date marking clearly indicates the date such invoice or payment request is first delivered to the District through its Agent. In the event that the Agent receives an invoice or payment request, but fails to timely or physically mark on the document the date received, “Date Stamped” shall mean the date of actual receipt by the Agent.

Improper Invoice
An invoice that does not conform to the requirements of a Proper Invoice.

Improper Payment Request
A request for payment for Construction Services that does not conform to the requirements of a Proper Payment Request.
Non-Construction Goods and Services
All labor, services, goods and materials provided in connection with anything other than construction, alteration, repair, demolition, reconstruction, or other improvements to real property.

Proper Invoice
An invoice that conforms to all statutory requirements, all requirements of these Policies and Procedures not expressly waived by the District and any additional requirements included in the agreement for goods and/or services for which the invoice is submitted not expressly waived by the District.

Proper Payment Request
A request for payment for Construction Services which conforms to all statutory requirements, all requirements of these Policies & Procedures not expressly waived by the District and any additional requirements included in the Construction Services agreement for which the Payment Request is submitted not expressly waived by the District.

Provider
Includes any Vendor, Contractor or Provider of Construction Services, as defined herein.

Purchase
The purchase of goods, materials, services, or Construction Services; the purchase or lease of personal property; or the lease of real property by the District.

Vendor
Any person or entity that sells goods or services, sells or leases personal property, or leases real property directly to the District, not including Construction Services.

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4880-6268-0602.1

Proper Invoice/Payment Request Requirements

General
Prior to Provider receiving payment from the District, Non-Construction Goods and Services and Construction Services, as applicable, shall be received and performed in accordance with contractual or other specifications or requirements to the satisfaction of the District. Provision or delivery of Non-Construction Goods and Services to the District does not constitute acceptance for the purpose of payment. Final acceptance and authorization of payment shall be made only after delivery and inspection by the Agent and the Agent’s confirmation that the Non- Construction Goods and Services or Construction Services meet contract specifications and conditions. Should the Non-Construction Goods and Services or Construction Services differ in any respect from the specifications, payment may be withheld until such time as the Provider takes necessary corrective action. Certain limited exceptions which require payment in advance are permitted when authorized by the District Board of Supervisors (“Board”) or when provided for in the applicable agreement.

Sales Tax
Providers should not include sales tax on any invoice or payment request. The District’s current tax-exempt number is 85-8018438512C-3. A copy of the tax- exempt form will be supplied to Providers upon request.

Federal Identification and Social Security Numbers
Providers are paid using either a Federal Identification Number or Social Security Number. To receive payment, Providers should supply the District with the correct number as well as a proper Internal Revenue Service W-9 Form. The District Manager shall treat information provided in accordance with Florida law.

Providers should notify the District Manager when changes in data occur (telephone: (904) 940-5850, email: dlaughlin@gmsnf.com).

Proper Invoice for Non-Construction Goods and Services
All Non-Construction Goods and Services invoiced must be supplied or performed in accordance with the applicable purchase order (including any bid/proposal provided, if applicable) or agreement and such Non-Construction Goods and Services quantity and quality must be equal to or better than what is required by such terms. Unless otherwise specified in the applicable agreement, invoices should contain all of the following minimum information in order to be considered a Proper Invoice:
Name of Vendor
Remittance address

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4880-6268-0602.1

Invoice Date
Invoice number
The “Bill To” party must be the District or the Board, or other entity approved in writing by the Board of the District Manager
Project name (if applicable)
In addition to the information required in Section IV.D.1-6 above, invoices involving the purchase of goods should also contain:
A complete item description
Quantity purchased
Unit price(s)
Total price (for each item)
Total amount of invoice (all items)
The location and date(s) of delivery of the goods to the District
In addition to the information required in Section IV.D.1-6 above, invoices involving the purchase of services should also contain:
Itemized description of services performed
The location and date of delivery of the services to the District
Billing method for services performed (i.e., approved hourly rates, percentage of completion, cost plus fixed fee, direct/actual costs, etc.)
Itemization of other direct, reimbursable costs (including description and amount)
Copies of invoices for other direct, reimbursable costs (other than incidental costs such as copying) and one (1) of the following:
Copy of both sides of a cancelled check evidencing payment for costs submitted for reimbursement
Paid receipt
Waiver/lien release from subcontractor (if applicable)
Any applicable discounts
Any other information or documentation, which may be required or specified under the terms of the purchase order or agreement

Proper Payment Request Requirements for Construction Services
Payment Requests must conform to all requirements of Section IV, A-D above, unless otherwise specified in the terms of the applicable agreement or purchase order between the District and the Provider.

Submission of Invoices and Payment Requests

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4880-6268-0602.1

The Provider shall submit all Invoices and Payment Requests for both Construction Services and Non-Construction Goods and Services to the District’s Agent as provided in the purchase order or agreement, as applicable, and to the District Manager as follows:

Submit the invoice and/or payment request, with required additional material and in conformance with these Policies and Procedures, by mail, by hand delivery, or via email (Note: email is the preferred method for receipt of Non-Construction Goods and Services invoices).

Mailing and Drop Off Address
Cordova Palms Community Development District c/o Governmental Management Services
475 West Town Place, Suite 114 St. Augustine, FL 32092

Email Address
dlaughlin@gmsnf.com

Calculation of Payment Due Date

Non-Construction Goods and Services Invoices

Receipt of Proper Invoice
Payment is due from the District forty-five (45) days from the date on which a Proper Invoice is Date Stamped.

Receipt of Improper Invoice
If an Improper Invoice is received, a required invoice is not received, or invoicing of a request for payment is not required, the time when payment is due from the District is forty-five (45) days from the latest date of the following:
On which delivery of personal property is fully accepted by the
District;
On which services are completed and accepted by the District;
On which the contracted rental period begins (if applicable); or
On which the District and the Vendor agree in a written agreement that provides payment due dates.

Rejection of an Improper Invoice
The District may reject an Improper Invoice. Within ten (10) days of receipt of the Improper Invoice by the District, the Vendor must be notified that the invoice is improper and be given an opportunity to correct the deficient

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4880-6268-0602.1

or missing information, remedy the faulty work, replace the defective goods, or take other necessary, remedial action.
The District’s rejection of an Improper Invoice must:
Be provided in writing;
Specify any and all known deficiencies; and
State actions necessary to correct the Improper Invoice.

If the Vendor submits a corrected invoice, which corrects the deficiencies specified in the District’s written rejection, the District must pay the corrected invoice within the later of: (a) ten (10) business days after date the corrected invoice is Date Stamped; or (b) forty-five (45) days after the date the Improper Invoice was Date Stamped.

If the Vendor submits an invoice in response to the District’s written rejection which fails to correct the deficiencies specified or continues to be an Improper Invoice, the District must reject that invoice as stated herein.

Payment of Undisputed Portion of Invoice
If the District disputes a portion of an invoice, the undisputed portion shall be paid in a timely manner and in accordance with the due dates for payment as specified in these Policies & Procedures.

Payment Requests for Construction Services

Receipt of Proper Payment Request
The time at which payment is due for Construction Services from the District is as follows:

If an Agent must approve the payment request before it is submitted to the District Manager, payment (whether full or partial) is due twenty-five (25) business days after the payment request is Date Stamped. The Provider may send the District an overdue notice. If the payment request is not rejected within four
(4) business days after Date Stamp of the overdue notice, the payment request shall be deemed accepted, except for any portion of the payment request that is fraudulent, misleading or is the subject of dispute.

The agreement between the District and the Provider shall identify the Agent to which the Provider shall submit its payment request, or shall be provided by the District through a separate written notice no later than ten (10) days after contract award or notice to

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4880-6268-0602.1

proceed, whichever is later. Provider’s submission of a payment request to the Agent shall be Date Stamped, which shall commence the time periods for payment or rejection of a payment request or invoice as provided in this section.

If, pursuant to contract, an Agent is not required to approve the payment request submitted to the District, payment is due twenty
(20) business days after the payment request is Date Stamped unless such payment request includes fraudulent or misleading information or is the subject of dispute.

Receipt and Rejection of Improper Payment Request
If an Improper Payment Request is received, the District must reject the Improper Payment Request within twenty (20) business days after the date on which the payment request is Date Stamped.
The District’s rejection of the Improper Payment Request must:
Be provided in writing;
Specify any and all known deficiencies; and
State actions necessary to correct the Improper Invoice.

If a Provider submits a payment request which corrects the deficiency specified in the District’s written rejection, the District must pay or reject the corrected submission no later than ten (10) business days after the date the corrected payment request is Date Stamped.

Payment of Undisputed Portion of Payment Request
If the District disputes a portion of a payment request, the undisputed portion shall be paid in a timely manner and in accordance with the due dates for payment as specified in this section.

Resolution of Disputes

If a dispute arises between a Provider and the District concerning payment of an invoice or payment request, the dispute shall be resolved as set forth in §218.735, Fla. Stat., for Construction Services, and §218.76, Fla. Stat. for Non-Construction Goods and Services.

Dispute between the District and a Provider
If a dispute between the District and a Provider cannot be resolved following resubmission of a payment request by the Provider, the dispute must be resolved in accordance with the dispute resolution procedure prescribed in the

7
4880-6268-0602.1

construction contract, if any. In the absence of a prescribed procedure in the contract, the dispute must be resolved by the procedures specified below.

Dispute Resolution Procedures

If an Improper Payment Request or Improper Invoice is submitted, and the Provider refuses or fails to submit a revised payment request or invoice as contemplated by the PPA and these Policies and Procedures, the Provider shall, not later than thirty (30) days after the date on which the last payment request or invoice was Date Stamped, submit a written statement via certified mail to the Agent, copying the District Manager, specifying the basis upon which the Provider contends the last submitted payment request or invoice was proper.

Within forty-five (45) days of receipt by the Agent and District Manager of the disputed, last-submitted payment request or invoice, the Agent and/or District Manager shall commence investigation of the dispute and render a final decision on the matter no later than sixty (60) days after the date on which the last-submitted payment request or invoice is Date Stamped.

With regard to contracts executed on or after July 1, 2021, if the District does not commence the dispute resolution procedure within the time provided herein, a Provider may give written notice via certified mail to the Agent, copying the District Manager, of the District’s failure to timely commence its dispute resolution procedure. If the District fails to commence the dispute resolution procedure within 4 business days after receipt of such notice, any amounts resolved in the Provider’s favor shall bear mandatory interest, as set forth in section 218.735(9), Florida Statutes, from the date on which the payment request or invoice containing the disputed amounts was Date Stamped. If the dispute resolution procedure is not commenced within 4 business days after receipt of the notice, the objection to the payment request or invoice shall be deemed waived. The waiver of an objection pursuant to this paragraph does not relieve a Provider of its contractual obligations.

Absent a written agreement to the contrary, if the Provider refuses or fails to provide the written statement required above, the Agent and/or District Manager is not required to contact the Provider in the investigation. In addition, and absent a written agreement to the contrary, if such written statement is not provided, the District may immediately contract with third parties to provide the goods and services subject to the dispute and deduct the costs of such third party purchases from amounts owed to the Provider.

8
4880-6268-0602.1

The Board shall approve any decision of the District Manager to contract with a third party which would result in: 1) an expenditure above what is budgeted for the Construction Services or Non-Construction Services; or 2) an expenditure which exceeds the original contract amount for the Construction Services or Non-Construction Services by more than ten percent (10%) or Ten Thousand Dollars ($10,000).

A written explanation of the final decision shall be sent to the Provider, via certified mail, within five (5) business days from the date on which such final decision is made. A copy of the written explanation of the final decision shall be provided to the Chairperson of the Board simultaneously with the certified mailing to the Provider.

If a Provider does not accept in writing the final decision within five (5) days after receipt by the Provider, the District may immediately contract with third parties to provide the goods and services subject to the dispute and deduct the costs of such third party purchases from amounts owed to the Provider. If the costs of the third party purchases exceed the amount the District owes to the Provider, the District may seek to recover such excess from the Provider in a court of law or as otherwise provided in an agreement between the District and the Provider. Nothing contained herein shall limit or affect the District’s ability to enforce all of its legal and contractual rights and remedies against the Provider.

Purchases Involving Federal Funds or Bond Funds

When the District intends to pay for a purchase with federal funds or bond funds, the District shall make such purchases only upon reasonable assurances that federal funds or bond funds sufficient to cover the cost will be received. When payment is contingent upon the receipt of bond funds, federal funds or federal approval, the public procurement documents and any agreement with a Provider shall clearly state such contingency. (§218.77, Fla. Stat.).

Requirements for Construction Services Contracts – Project Completion; Retainage

The District intends to follow the PPA requirements for construction project completion and retainage, including, but not limited to, §218.735 (7) and (8), Fla. Stat.

Late Payment Interest Charges

Failure on the part of the District to make timely payments may result in District responsibility for late payment interest charges. No agreement between the District and

9
4880-6268-0602.1

a Provider may prohibit the collection of late payment interest charges allowable under the PPA as mandatory interest. (§218.75, Fla. Stat.).
Related to Non-Construction Goods and Services
All payments due from the District, and not made within the time specified within this policy, will bear interest, from thirty (30) days after the due date, at the rate of one percent (1%) per month on the unpaid balance. The Vendor must submit a Proper Invoice to the District for any interest accrued in order to receive the interest payment. (§218.735(9), Fla. Stat.).

An overdue period of less than one (1) month is considered as one (1) month in computing interest. Unpaid interest is compounded monthly. The term one (1) month means a period beginning on any day of a month and ending on the same day of the following month.
Related to Construction Services
All payments for Construction Services that are not made within the time periods specified within the applicable statute, shall bear interest from thirty (30) days after the due date, at the rate of one percent (1%) per month for contracts executed on or before June 30, 2021, and at the rate of two percent (2%) per month for contracts executed on or after July 1, 2021, or the rate specified by agreement, whichever is greater. §218.735(9), Fla. Stat. The Provider must submit a Proper Payment Request to the District for any interest accrued in order to receive the interest payment. An overdue period of less than one (1) month is considered as one (1) month in computing interest. (§218.74 (4), Fla. Stat.).

Unpaid interest is compounded monthly. The term one (1) month means a period beginning on any day of a month and ending on the same day of the following month.
Report of Interest
If the total amount of interest paid during the preceding fiscal year exceeds $250, the District Manager is required to submit a report to the Board during December of each year, stating the number of interest payments made and the total amount of such payments. (§218.78, Fla. Stat.).

10
4880-6268-0602.1

SEVENTH ORDER OF BUSINESS

B.

1.

22-091
CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT WORK AUTHORIZATION NO. 2
CORDOVA  PALMS PHASE 2 CEI SERVICES

Scope of Work
England, Thims & Miller, Inc. (ETM) shall provide general consulting engineering services for the Cordova Palms Community Development District as directed by the Board of Supervisors or their designee. General consulting services shall include, but not be limited to:

TASK I- LIMITED CONSTRUCTION ADMINSTRATION SERVICES
ETM proposes to perform limited construction administration for Phase 2 throughout  the construction  and closeout phase of the project. This task includes the following services :

Shop Drawing Review	5. Certification to St. Johns County
As-Built Review	6. Review of Contractors Pay Requests
Regulatory Agency Required Inspections	7. Assistance with St. Johns County
Certification to SJRWMD	8. Certificat ion to COSA

FEE	HOURLY
{HOURLY BUDGET ESTIMATE= $4,085.00/MONTH)
(NOT TO EXCEED $61,275.00 OVER A 15-MONTH PERIOD WITHOUT FURTHER AUTHORIZATION)

BASIS OF ESTIM ATE
Prin cipal-Exec. Vice President	4.0 hours/month @ $320/hour	=	$1,280.00	
Project Manager	4.0 hours/month @ $190/hour	=	$ 760.00	
Engineer	10.0 hours/month@ $165.00/hour	=	$1,650.00	
Inspector	1.0 hour/month @ $125.00/hour	=	$ 125.00	
Administrative Support	3.0 hours/month @ $90.00/hour	=	$ 270.00	
		TOTAL	$4,085.00	

TASK II - PROGRESS MEETINGS
ETM will coordinate and conduct progress meetings with the contractor throughout the construction and closeout of the project.

FEE	HOURLY
{HOURLY BUDGET ESTIMATE= $1,080.00/MONTH)
(NOTTO EXCEED $16,200.00 OVER A 15-MONTH PERIOD WITHOUT FURTHER AUTHORIZATION)

BASIS OF ESTIMATE
Pri ncipal-Exec . Vice President	1.0 hour/month @ $320/hour	=	$ 320.00	
Project Manager	2.0 hour/month @ $190/hour	=	$ 380.00	
Engineer	1.0 hour/month @ $165.00/ hour	=	$ 165.00	
Inspector
Administrative Support	1.0 hour/month @ $125.00/hour
1.0 hour/month@ $90.00/hour	=
=	$  125.00
s 90.00	
TOTAL	$1,080.00	

TASK 111- OWNER REQUESTED PLAN REVISIONS

ETM will design any requested plan revisions and process them for approval by St. Johns County and COSA. Because of the uncertainty of the amount of revisions, we propose to perform this task hourly, with an estimated budget amount.

FEE	HOURLY
(NOT TO EXCEED $10,000.00 WITHOUT FURTHER AUTHORIZATION)

T:\2021\21-211\CDD\WORK AUTHOR/ZATIONS\Work Auth No. 2 - Cordova Palms Phase 2 CEl.dac

TASK IV - REIMBURSABLE EXPENSES

Costs such as final printing, telephone, delivery service, mileage, and travel shall be invoiced at direct cost .

Budget Estimate	$3,500.00

	FEE SUMMARY		
		FEE AMOUNT	
TASK I	LIMITED CONSTRUCTION ADMINISTRATION SERVICES	$61,275.00	
TASK II	PROGRESS MEETINGS	$16,200.00	
TASKIII	OWNER REQUESTED PLAN REVISIONS	$10,000.00	
TASK IV	REIMBURSABLE EXPENSES	$ 3,500.00	
	TOTAL FEE SUMMARY	$90,975.00	

BASIS OF ESTIMATED FEE
CEO/CSO .....................................  ............................. .......................... .......
President...................................................................................................
Executive  Vice President.........................................................................
Vice   President    ..........................................................................................
Senior Engineer/ Senior Project Manager ...........................................
Project Manager .....................................................................................
Director....................................................................................................
Engineer....................................................................................................
Assistant Project Manager .....................................................................
Senior Planner /Planning Manager .......................................................
Planner......................................................................................................
CEI Project Manager................................................................................
CEI Senior Inspector ................................................................................
CEI  Inspector  ..........................................................................................
Senior  Landscape Architect...................................................................
Landscape   Architect................................................................................
Senior Technician.....................................................................................
GIS  Developer/  Senior  Analyst..............................................................
GIS     Analyst    ............................................................................................
Senior Engineering Designer/ Senior LA Designer...........................
Engineering Intern .................................................... ............................
Engineering/Landscape Designer.........................................................
CADD/GIS   Technician..............................................................................
Administrative Support...........................................................................

$375.00/Hr.
$330.00/Hr.
$320.00/Hr.
$257.00/Hr.
$205.00/Hr.
$190.00/Hr.
$175.00/Hr.
$165.00/Hr.
$155.00/Hr.
$190.00/Hr.
$155.00/Hr.
$175.00/Hr.
$155.00/ Hr.
$125.00/ Hr.
$175.00/ Hr.
$160.00/ Hr.
$155.00/ Hr.
$170.00/ Hr.
$140.00/Hr.
$160.00/Hr.
$140.00/ Hr.
$140.00/ Hr.
$125.00/ Hr.
$90.00/Hr.

w ,.\\

Cost such as subconsultants, printing, telephone, delivery service, mileage and travel shall be invoiced at direct costs plus 15%.
App,oval	C}	1

Submitted by: - fa'-_. · _A_·	­
England, Thims & Miller, Inc.

Date:	3/10	I 2022

T:\2021\21-211\CDD\WORK AUTHORIZATIONS\ Work Auth No. 2 - Cordova Po/ms Phase 2 CEI.doc

Date : --'---+/  ;/_()
7

 	J, 2022

2.

REQUISITION SUMMARY	

CORDOVA PALMS CDD	
			BOND SERIES:		
			2021 ACQUISITION AND CONSTRUCTION ACCOUNT		
			13-Apr-22		
	
Date	Req #	Payee	Description of Payment	Amount	
TO BE RATIFIED	
2/10/2022	10	Smith Trucking Company	Cordov Phase 2 Lot Development - Application for Payment No. 2 (Jan 2022)	$	140,310.00	
2/28/2022	11	Vallencourt	Cordova Palms Phase 1 - Eastern Lots – Contractor Payment Application 7763-7 (Feb 2022)	$	89,849.05	
3/1/2022	12	Vallencourt	Cordova Palms Phase 1 - Western Lots and Connector – Contractor Payment Application 7764-7 (Feb 2022)	$	450,620.34	
AMOUNT TO BE RATIFIED	$	680,779.39	
	
Date	Req #	Payee	Description of Payment	Amount	
TO BE APPROVED	
3/8/2022	13	ETM	Amenity Center and Dog Park (WA#1) Invoice 201727 (Feb 2022)	$	19,078.00	
3/10/2022	14	Kutak Rock LLP	Counsel Services - Invoice 3009846 (Jan 2022)	$	2,590.00	
4/4/2022	15	Vallencourt	Cordova Palms Phase 1 - Western Lots and Connector – Contractor Payment Application 7826-8 (Mar 2022)	$	720,142.95	
4/4/2022	16	Vallencourt	Cordova Palms Phase 1 - Eastern Lots – Contractor Payment Application 7827-8 (Mar 2022)	$	292,914.76	
4/4/2022	17	Kutak Rock LLP	Counsel Services - Invoice 3022828 (Feb 2022)	$	1,190.00	
AMOUNT TO BE APPROVED	$	1,035,915.71	
	
TOTAL AMOUNT TO BE APPROVED April 13, 2022	$	1,716,695.10	

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):

Requisition Number: 10
Name of Payee:	Smith Trucking Company
51 Ellis Street Suite 101 St. Augustine, FL 32095

Amount Payable:	$ 140,310.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Phase 2 Lot Development– Application for Payment No. 2 (Jan 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

P A.w

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Cons ulting Engineer February 10, 2022

Smith Trucking Company, Inc.
51 Ellis Street
Suite 101
St. Augustine, FL 32095

Invoice

Date	Invoice #	
2/4/2022	83934-RFP2	

Bill To

DREAM FINDERS HOMES, LLC 8226 PHILIPS HIGHWAY
SUITE 290
JACKSONVILLE, FL 32256

	P.O. No.	Terms	Project	
		Net 30	Lot Development	
Description	Qty	Rate	Amount	
Clear and Grub Strip Site
Removal of Strippings NPDES
Mobilization
Retainage		77,400.00
7,875.00
61,250.00
1,875.00
7,500.00
-15,590.00	77,400.00
7,875.00
61,250.00
1,875.00
7,500.00
-15,590.00	
		Subtotal	
$140,310.00	
		(6.5%)	
$0.00	
		Total	
$140,310.00	
		Payments/C redits	
$0.00	
		Balance Due	
$140,310.00	

EXHIBIT "B" - CONTRACTOR'S REQUEST FOR PAYMENT SUMMARY *	
* ATTACH TO CONTRACTOR'S ORIGINAL INVOICE	Page 1 of 1 	
	COMMUNITY:	 Cordova Phase 2 Lot Development	
	PO:	 		
	COMMUNITY #:	 		
	CONTRACT NUMBER:	 		
FROM:	REQUEST FOR PAYMENT #:	 	2 	
Smith Trucking Company			
51 Ellis Steet Suite 101			
St. Augustine, FL 32095	WORK COMPLETED THROUGH:	2/4/2022	
CONTRACTOR VENDOR #			
CONTRACT SUMMARY:
1. ORIGINAL CONTRACT LUMP SUM . . . . . . . . . . . . . . . . . . . . . . . . .	 	$364,426.50 
2. Net Change by Change Orders to Date. . . . . . . . . . . . . . . . . . . . . . .	$0.00
3. REVISED LUMP SUM TO DATE (Line 1 plus 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	 	$364,426.50 
PAYMENT RELEASE SUMMARY:
(NOTE: ALL DOLLAR AMOUNTS INCLUDE RETAINAGE)
4. PREVIOUS PAYMENT RELEASES PAID . . . . . . . . . . . . . . . . . . . . . .	$ 	114,879.00 
PAYMENT RELEASES IN PROCESS:

THIS PAYMENT RELEASE

REQUEST # 		$		 REQUEST # 		$		 REQUEST # 		$		 REQUEST # 	2	$ 	155,900.00 

TOTAL PAYMENT RELEASE REQUEST TO DATE (Sum lines 4, 5, 6 ) . . . . . . . . . . . . . . .	$ 	270,779.00 
CONTRACT BALANCE:
8. CONTRACT AMOUNT REMAINING ( Line 3 minus 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$ 	93,647.50 
RETAINAGE RELEASE SUMMARY:
9. PREVIOUS RETAINAGE HELD . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	$  	
10. RETAINAGE RELEASED TO DATE . . . . . . . . . . . . . . . . . . . . . . . . . .	$  	
RETAINAGE RELEASE REQUEST IN PROCESS:				$	 REQUEST #	 	$  	
REQUEST #	 	$  	
REQUEST #	 	$  	

RETAINAGE THIS PAYMENT RELEASE

REQUEST #

 	2	$ 	15,590.00 

13. NET RETAINAGE HELD TO DATE (Sum Lines 9, 11, 12 minus 10 ) . . . . . . . . . . . . . . . .	$ 	15,590.00 

$

140,310.00

Request Amount Less Retainage

14.

The undersigned Contractor certifies that to the best of the Contractor's knowledge, information	
and belief the Work covered by this Request for Payment has been completed in accordance with the	
Contract Documents and the requirements of all the governing authorities, that all amounts have been paid	
by the Contractor for Work which previous Requests for Payment were issued and payments received	
from Toll, and that current payment shown herein is now due.	
CONTRACTOR:			
By:  		Date:	2/4/2022	
Name (typed): David Napier			
Title: Project Manager			

BOND/ESCROW/LC RELEASE APPLIED	Yes	No	If no - why not?  	

THE BEST OF MY KNOWLEDGE, THE WORK HAS BEEN COMPLETED AS INDICATED, AND THE CONTRACTOR IS OWED PAYMENT OF $140,310.00.

Scott A Wild, P.E.
Executive Vice President, Shareholder	February 10, 2022

SMITH TRUCKING COMPANY INC.
E X H I B I T  " B "
L U M P  S U M  C O N T R A C T  P A Y M E N T  R E L E A S E  S C H E D U L E
PAYMENT REQUEST #	2

JOB:    Cordova Phase 2 Lot Development	PAGE 2 OF 2_
PO:
CONTRACT DATE:

					CONTRACT RELEASE	PREVIOUS PAYMENT	CURRENT PAYMENT	TOTAL PAYMENT RELEASE		
					QTY & UNIT PRICE	RELEASE REQUEST	RELEASE REQUEST	REQUESTS TO DATE		
#	COST	CONTRACT ITEM	UNIT	A	B	C	D	E = D x B	F	G = F x B	H = D + F	I = H x B	J= H / A	
	CODE			QTY	UNIT	TOTAL	QTY	TOTAL	QTY	TOTAL PAYMENT	QTY	TOTAL	%	
					RELEASE PRICE	RELEASE PRICE		PREVIOUS PAID		REQUEST		COST	COMP.	
	2196	Clear and Grub	Acre	45.30	$4,300.00	$194,790.00	22.65	$97,395.00	18.00	$77,400.00	40.65	$174,795.00	90%	
	2196	Strip Site	Acre	45.30	$350.00	$15,855.00	0.00	$0.00	22.50	$7,875.00	22.50	$7,875.00	50%	
	2196	Removal of Stripping Material	Acre	48,519.00	$2.50	$121,297.50	0.00	$0.00	24,500.00	$61,250.00	24,500.00	$61,250.00	50%	
	2196	Silt Fence	LF	8,742.00	$2.00	$17,484.00	8,742.00	$17,484.00	0.00	$0.00	8,742.00	$17,484.00	100%	
	2196	NPDES	Per	1.00	$7,500.00	$7,500.00	0.00	$0.00	0.25	$1,875.00	0.25	$1,875.00	25%	
	2196	Mobilization	Per	1.00	$7,500.00	$7,500.00	0.00	$0.00	1.00	$7,500.00	1.00	$7,500.00	100%	
														
	TOTAL	SUB TOTAL				$364,426.50		$114,879.00		$155,900.00		$270,779.00		
	Change Order	

		SUB T O T A L :				$0.00		$0.00		$0.00		$0.00	#DIV/0!	
														
		TOTAL				$364,426.50		$114,879.00		$155,900.00		$270,779.00		
	
The above listed quantities and unit prices are for partial payment release purposes only. The Contract Amount is the Lump Sum Amount(s) contained herein which may not be exceeded at any time.	

CONTRACTOR: Smith Trucking CONTACT / PHONE: (904) 940-1226 CONTRACTOR VENDOR

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 11
Name of Payee:
Vallencourt Construction Co., Inc.

ACH & Wire Instructions:
Receiving Bank: Synovus Bank 1148 Broadway
Columbus, GA 31901
ABA Routing Number: 061100606 Beneficiary Name: Vallencourt Construction Co, Inc.
449 Center St. Green Cove Springs, FL 32043 Account Number: 1011287909

Amount Payable:	$89,849.05

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Palms Phase 1 - Eastern Lots and Connector Contractor Payment Application 7763-7 (Feb 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Cons ul ti ng Engineer

February 28, 2022

Marcus Mclnarnay, President

Mike Vallencourt II, Vice President

Mike Vallencourt Sr., Chairman

J. Daniel Vallencourt, Vice President

Construction Co. Inc.

INVOICE

Stan Bates P.E., Vice President

Date : 02/18/22	Period To:	2/28/2022

To: Dream Finders Homes
14701 Philips Highway, Suite 300

Invoice #: VCC Pro ject # :

7763

2021-39

Jacksonv  ille, FL. 32256	Application #:	7 (Eastern )

Attn.: Shawn Budd

Project Descript ion: CordovaPalms Phase1 - Eastern Lots

ORIGINALCONTRACT AMOUNT .......................................................................................................................................	$3,744,936.16	
CHANGEORDERSTO DATE_..... _    _    _    _    _    _    _    _    _    _    _	_        	_    _    _    _    _    _	$	
REVISED CONTRACT AMOUNT......•..............._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	$	3,744,936.16	
PERCENTAGECOMPLETc..----------	63.21%
WORKCOMPLETETODATE........................................................................... .................................................................................	
$	2,367,291.26	
STORED MATERIALS.. ..........................................................................................................................	$	
TOTAL COMPLETED& STORED............................................................................. .	$	2,367,291.26	
LESSRETAINAGE......•..............................•.....---	.........................	$	236,729.13	
TOTALEARNEDLESS RETAINAGE	$	2,130,562.14	
LESS PREVIOUS BILLINGS...... ......................................................................................................	$	2,040,713.09	
UHKt I UUt---  -  -  -  -  -  -  -	$	89,849.05	

Acco unt summary:	Sales	Sales
This Period	To Date

Gross:	99,832.27	2,367,291.26	
Retai nage:	9,983.23	236,729.13	
Net:	89,849.05	2,130,562.14	

449 Center Street, Green Cove Springs, FL 32043 I (904) 291-9330 I VALLENCOURT.COM

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 12
Name of Payee:
Vallencourt Construction Co., Inc.

ACH & Wire Instructions:
Receiving Bank: Synovus Bank 1148 Broadway
Columbus, GA 31901
ABA Routing Number: 061100606 Beneficiary Name: Vallencourt Construction Co, Inc.
449 Center St. Green Cove Springs, FL 32043 Account Number: 1011287909

Amount Payable:	$450,620.34

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Palms Phase 1 - Western Lots Lots and Connector Contractor Payment Application 7764-7 (Feb 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

February 28, 2022

450,620.34

03/01/2022

ScheduleofContractValues

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Cordova PalmsPhase I -WesternLotsandConnector Dream FindersHomes

AIPUCA1ION NU BER, 7764-7 (Western) AIPUC.\TIONOA!l.      02/18/22
PEilOOTO,	02/28/22 VCCPROJECTI,   2021-39

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		s	20,000.00 $	15,80,000   $	560.00		s	!6J60.00	8216	$	3,64.000     S	1,636.00	
			12446,73 $	6,411.79   $	1,382.97		l	7,79.476	63%	I	4,651.79 S	779.48	
			304012.27 $	I	76,37293.		I	76J79,23	2516	I	227,633.05 $	7,637.29	
			145088,71 $	119,182.46  $	9,758.18		I	128,940.64	89%	$	16,14&01   S	12,894.06	
			35350 !	I		$		$	35,35.000 !	
			7186.878 I	49,601.80  I	5,95 58		s	SSSS8J8	77%	I	16,309.5-0  S	SS55,84	
			40208,96 S	mm,   s	692.91		s	38SI,S2S	96%	$	1,693.71 S	3 5153	
			431,96 $	3,587.45 $		$	3,58.475	83%	$	732.15  S	358,75	
			20658.S I	I		I		I	206, 5.850 S	
			3062.7  S	l		$		$	3,06.720 $	
			13078.73 $	$		I		I	13,078.73  I	
			6429.1 S	s		I		I	6,429.10 I	
			5143.28 S	$		I		$	5,143.28 I	
			14688.04 S	I		s		$	14,688.04 I	
			
60000 S	
38,0000. 0  $	13,200.00		
I	51,20000.	
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$	8200,00 5	5,120.00	
			16ll57.6 $	2,685.96  !	1,342.98		s	4,028.94	25%	I	12,086.82   i 	4028.9	
			792385.59 S	s	89,911.46		s	89,9ll.46	11%	I	702,474.13  I	8,991.15	
			95837S9S,$	35,19999. 8 I	118,12530		I	470,12S.29	49%	$	488,254.26 S	47,01253	
			53025 $	$		I		$	53,02.500   S	
			84422.245 $	422,867.69 5		$	422,867.69	SO%	I	421,3.5764   S	42,2867. 7	
			86474.806 I	440S97.19   I	1837,93.66		$	623,97.685	7216	$	240,77121  S	62J97,69	
		20222 $	I		$		I	20,22150 S	
		14096 $	s		I		$	14,095.80 !	
		41276  I	s		s		I	41,275,99 S	
		1 2858$	I		I		I	12258,19 S	
		18966  I	$		s		$	18,96.583   S	
		52336  I	s		$		$	52 3.il 5	

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Mike Vi)ll ncourt Sr., Ch;"1rm an

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M i ke  Vallencourl II, Vice Prt>side ti! J. Daniel Vallencourl, Vice r resi t.lcnt Stan Bates PE.,Viet> Prt•::,tfe nl

To:
Mdress:

-r;,..-	Conbct

P•J<d-  '""'"""'"'I	SidN_,
Ptoj<dloa""' St	BidOilte: 1/21{l(Jll

Items   llemDe,(ripljoo	EstimltolQu,ntilyUnit	UnltPric,    Total Prkt	lllr-'""ll!d

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ToalQtr	Biilfflllm\lontll

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Collector
Mobiliution And tePreparation

Tl bM""	Qty.	THO!•	liol<	T""• Ccmplttt

1111	Golet,jf.ollllnl	t.OOLS	Sltl'00.00	$ll,OOl.00	I	I  >	)	U,UJIJ.W   )     U, WJ.W        IWO
400	t.OOLS	S7f11JJ1J	17,00l.OO	lJ.l,11)	u.,	IJ,        }	)OU.UV  )	l,M     ,W         l            jJl1J.W	<llil

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TotalPrktforabo" 0l.M obiliutiooAndSiteP	Jtems:	$20,000.00	s	560.00  S     15,S0M0  !   16)60.00      Bl

JOO	--Carjlal<e	9.00 Ill	S50lJli	",517.14	IW	'	)     '	)W.UO  )	l,lllt." )     t,l1).JU	:.o1I

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9.0011:l	SIi!.!!	$1,919.19	)	• •	fl ':11      )	,J'N,):)    )         ),l,/'14<1          .,
Total Prktfor1bo,eOl,Sloonw,lerl'ollutioo-Plonll•ns,	112,4%.73	!	1)8!.9  7  $	6,411.79  S    7,791.76    13

OlRoadwayConstruction
rm	!llel-	ll.lXlfACH	Sll!.98	$1,919.71	'"'	u	) '

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Ill!	f;,allffisoltMl-c.l	I.IXILS	Sll,a)l.29	$11 29	u	u  '	)	''

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5ll.lXISY	Sl.54	ll.035.SO	u	u '	'	'	A

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130!	S.bd-	4.L'E,IXISY	1 7.61	s l!.65	, ).W	u	""u' ')

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ll0!	--R,111.0	1,lOI.IXISY	11nm	SIJ,06105	u

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1401	nl•mllll.Ol	l, IXISY	119.19	15,042.91	u	u )	)	1/11
140.l	r-111>)	l,470.IXISY	11>19	551)09.:1	ltl/,)lJ	u	II)/.  )         l.U/1..l)   )	)        IJ,11J/j	"W
1407	6'CMll!d°"""S..i!ab!fl•IA•ea)	110.IXISY	Sl&91	" ,051111	u	u >	)	)	1/11

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150l	J'--lllSP95(lo!IJl)	l,470.IXISl	Sill	S1,8\88.JO	u	u  '	)	)	u,,

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1505	11/1'--(!UJIJl)	1)05.IXI SY	513.69	$17,  .15	u	u   '	)	ll1I

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1505	ll/1'--11lSPU5(1"1Jl)	l,111.IXISY	SIM4	m,96uo	u	u'	)	'	u,,

1518	TICIO>al	l,411.IIISY	SOW	Sl,00.IXI	u	u )	)	1/11
lllXI	Sitlql_,,.("""'i<>ad)	1.IXILS	SJ2,69957	11 &99.57	u	u .	)	'	u

18)$	lf O/SOI.C•ll  fl.1<!	l,Ci>IXIIF	Sl5.19	$31,361.!5	ll/0>.W	u	,.,,'	)UO/..\) )

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2000

1117	-

4,115.IXISY	SOW	Sl.865.IXI	u	u )	>	'	1111

5,150.IXISF	54.ll	Olllll	u	u '	)

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2005	IJ)J.Hmop	i.lXlfACH	S2l9.98	$1,IJ!1.8	u	u )
2006	IJ)J....	151.IXISF	1 111	15 .111	u	u )

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Total Pmfonbo,e OS.Roadw•rConstnKtion1-	SlOlfoJW	I    76)79l.l   !	S   76,37923      25%

265.IXIIF	S19ll	15,0llll	_,,

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l018	Cmblll!tl·l Deep	J.IXlfACH	S!,lro,l5	S6,t$l.21	I	I   >	'	o.utRl.l) )

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YM    111.C.,initOi'Deep		1.IXl fACH	1 5,833.41             $5,88l.ll				I		I  >	)	),l:ltlMJ >    )     .41     IWO 3075         5'oolT"	12.00001		S4W.8'J	s5,llll.88	•U4		j,,0	II >      J,/ IJ:I        )	J,tll ),U   >   ),)JU,Ol:I    IWO l07I         -SObslmWets	440.IXIIF			SlU9         115,)51.W		m,    m.t    )	)	),l}bO,Uj   )         )	Hll
)184        lfRCl'Oi'Deep	117.IXIIF	116.72     $10,116.21	Ill	UI  >	)	IU,l+o..l4   >    l+J, I      ♦     IWO

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)191        l!'RCPOi'Deep	l ll,IXI IF	$i5JI         5211):a  ))	JI!	JII  .)	)	t lJ,jl.A:IJU  )     ill,JUl:UU         IWO

)192	lrRCPH'Dol>	40.IXIIF	$76.l9	$3,!IIS.W	41/ '

3199	l4'RCl'H'Dol>	22,IXIIF	Sl,47	11,rn.11	"'

)198	l4'RCPOi'Dol>	l!llXIIF	184.99	115,46.1.11	11'1 '

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l2!II	1r RC11119	J.lllfACH	S959Jl	59 .)2	IW	u	I  >	"'' 'J.,\l   )	• 'J)';Jt

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lll9	llllcl(); SO,,,D,i>	815.IXIIF	Sl.911	$1,662.!I)	u	u •	)
l2«I	TiS!n	l75.IXIIF	$4	$4,llXI.IXI	u	U>	)	'

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Total Pric<lor1bo,e09.SlolmDraioagtSyst"'ll<ffl<	$145,08&71	!	9,758.18 S ll9,18!.46 S 118,940.61 m

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10. Roadway Underdrain
lll1	Rl>dwa!""'""'•(lllsi!olld)	1,(00.fW	Sll.35	m,iso.oo	u	u •

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TO!OI Pric!fo<I     I lloodw,yUndetd• in	$35,350.00	I	s	s	OIi

II.City OISt.Augustine Wate,Oistn'bution System

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7011	16'M:!SPIC.Wite-MI	141.00	$9!.14	$14))1)JO	uw	m	I♦)

1'.C:JlUU ) HdJU.iU IUl/ll

7011	U'tR!SM 'ti'ate'	lf<lOO	$ .ll	$1,480.00	eHU	/D0.

I_, >	1l'JDIJ   )	i.))IHU   >    '1, ffll.W        I,U,l,/l.l

/015	fDUBF'>l:W"""'"	10.00	$10.70	!41(00
7010	lrloilP.e<oms	&OOE/,OI	16«,67	S4 1lJ6	uw

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7011	ll"Joil<-	6.00E/,QI	Sll9.16	Sj l974.96	J,Jt

LU.t!J.'11)   )	/ .'II;   )         l',1♦1",KI       IUl/ll
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1094.0S   If Ga\tl'M	l,OOE/,QI	!S,lBlll	lal8116	UJ/U	I	I   >	•	tl,ltll        )	tlU D IUl/ll

1005	1r Gatt.,.	I.OOE/,QI	!l,610.10	0 ,61   10	1J,41f	U,\tl   >	'	1,1,;a,) ) 1,IJ

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1008	i ' Gai!IM	lOOE/,OI	$ .SI	,1/ll Ol	"·"	l,).'10 )

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1101	foil	I.OOE/,QI	$619,91	1,19.91

,U...U.l	IJ.!J) )	''	JI.UU   )	JI.W	>'II

1101	t«nWttb	I.OOE/,QI	Slli.76	Sl!o76

1/, 'Wj  )	'	Jtl).04)	"'"'	4""

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110!	vai..a.1..i...	4.00E/,QI	ll'ilJl	$76118	1.':ll	J,'14)	jro.41 )
71115	fl"'9i!)m	1.l!) E/,QI	$1,4215. 7	$1,124.57	U.41S	IUtl  >	'	01:u.N   >

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71115	fl<lt/O<lrJ	l,OOE/,QI	Sl,163.91	$75,17]6	U,'/0	U,'1tl >	>	j,b  Jj  J/    )         J,01$.J/	40

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71@	lh    ll  Tet	1.00El,QI	SZ181ll	,181ll	U,\kl	I	I>	'	t,ti»JI  >    t,IWl       JW,,

7111	lh 6' Tee	1.00E/,OI	s1.nu  9	$11,21.89	uw

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7119	121r1«	LOO E/,QI	Sl,Dl911	Sl,029.ll

7156	lf Boill	4.00E/,QI	$1,417.14	$1 16	l.'tt	l,'tt  >	>	t .t,mKl      >    l.tL>Uo

7114	f908oJd	lOOE/,QI	onsa	S745J6	u.

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7157	ll458oid	l.OOEl,QI	$817.11	$1,71414	IJ,':11)

7191	ll ()p	LOOEl,QI	11+1.ll	.ll	U.41S	t!, t!J )	)	l lJJ/    )	WJ/
n11	l\r,d\ll<bW,.Miil	l15.00	Sl.11	SlS5.71	0	u ,	>	'	11'11

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1148	lllslq&Bl', b Wa:.Malo	lll.00	!Ml	llOUS	0	u )	>
7149	lm   Wtt Teslf« WmMM	n 1.0011	!0.55	$17l75	0	u ,	,

1111
1,1,1,1.

71511	T larwa:eM¥i	n 1.oolf	1t11	1,8,71	0	u   '	)	'
Toto!PnaIO!111o,t II,CJtyOf SLlugustiotWaterDistrillltiooSyst,ffl II""  :	171,167.88	I S.ISi.58 S 49,601.80 S 55 18.38 17ll

!l CityOfSLAugl/!lineGravity SinltarySewerSystem
!OOl	°""'" Seo>	15l.001f	$10.IXI	$),(!60.00	uw	l>J

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11116	Ttpel -       8•1Ud,i	1.00E/,QI	$1,94lll	18,94151	.(JI	J	J  '	>	tltlf+l.)J  ))     tlt':14L.ll   IW'II
11118	Ttpel,.""1ell·l4'dol	1.00E/,QI	$11,811.)7	1ll,81lJ7	vw	J	J  '	>	lLtli>.JI    .)     IJ,tll)J /       um
41157	lilol-	lH <d<,p	1.00E/,QI	15,181.	IS,181.li	uw	J	I  >	>	.HllJti  >    ) ,IIHJ  O    IU\111

11111-	'

-Tl!>ll<	l.OOEl,QI	!ll l.67	$!45.01	ho	0,)4	j   '	,   fl'1i,.\j .1    )	!)iJU  ')     111).!Jl   11.111,
4001	l.lXIE/,OI	1217.97	$713.91	uw	J	j'	IWJI   >	(IJ. ':11   IIAlft
110\	IU    165-    Wao  l  l1 DE,p	IOJ.OOlf	$51.Sl	$11,19.59	u.w	l UJ	11/J  ,	>	),/l'f,l'j)       l.11       IW,,

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4114	f  M,,....1 110op	50,00!f	JO.JI	W67.50	u.w	)IJ	)IJ    >	l,101W,
1144	M!ll<S...	lll.0011	$)$1	1)91.ll	u	V I
414;	TITot S...lll<I	153.00lf	S7.l0	$1,10,6111	0	u  '	'

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1111

TO!OIPric!foullo,tll. CilylllSLl ugustintG  (rtysi,;t,tyS...,5'"'111118M:	$40,!0U6	I	691.91   S      l7 llJ4  S   38,515.15    19'1

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13. CityOfSLAugustine f«ttMainSysl!m

6112'	1· i.t   -	l.OOEl,QI	!116.67	$410.01	j I	'	' '	.iu.u1   )	t/WJI        IUl/ll'

6015	6'F'>l:IIU!Foa""'	71.00lf	16	$1,561.11	-1111	I),	)	l ,      .:,u    )         l,      .)U        IUl/ll

·

6155	6' (ap	I.OOE/,OI	SlBJ.70	Sl8170	IU,111	I	L  >	'	JIU,/IJ > ""''" IUl/ll

61l1J	6'458oid	l.OOEl,QI	$584.12	$1,1 14	UJ>j	'	',	)	l,l    .t 4    )        l,IIN,H	IUl/ll
6181       1.,.....8<>	I.OOE/,QI	$31&16	$l!o76	u	u   '	)	)	11'11
6183	-ruFoa,,..	71.00	!19. 0	s1mo	u	u   '	>	'	,.

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6185    _	..,   Totb foa Wa	71.00	!0-611	145.00	u	u   '
6185      -	TOIb  r«ttIOil	71.0011	SUI	!158.25	u	u  '

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Tcullrictfo<> ll.ClyOfSLlugustloelotteMilil!jstefflltom:	$4,319.96	s	s	3,187.45 I 3,587.45 8311

It IrrigationSlefflsAnd Electrical/Telepllone/CAlVCordult
11001.l!l        9Jl401'1: l.5'	moo	Sl OO	! 5,000.00	u	u '
11001,0l  9Jl40F'>t	r	moo	$11.63	0,1 11,00	i	u  '

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11001.o\  9Jl40F'>t!ieMsf	151.00!f	$19ll	,1117.lO	u	u >
1100I	9Jl40F'>t i'	1511,00!f	90	! 7,711,IXI	u	u ,

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TotalPtluI    abo,t14, ril>tlOnSlefflsAnd &dri<al/T!lelloa</CITVCondllitllfflls:	!29,651.S0	I	$	l	Oli

I   SeelingAndMulmng AndSod

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12115	!ii!IIO >tSoo	3115.00IY	!Ht	$82),50	u	u >	>	>	u
121);	111;1110 111ys«d.,; Hltl\	4,665.00IY	$0.45	! Ul9.211	u	u '	>	u,
TO!OIPrictlO!abffltts..ll111AndM'1<111\iAlldSodl18M:	!l,Oil.70	l	s	s	Oli

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16.Testi"l
1110	-l>o>lyl	!.OOlS	lllPll.7J	SIJ,078.Jl	'	u >	)	'

17.Pmlg AndDraillageAs·Buills
5111	p.,,,qa,il)ailig<'61W41>	
l.llllS	
16,429.10	
$6,429.10	
V	
TolJIPrlttf,o, t,o,,17.Pa,ing AndDloi111g<As-a.,1ts11	,ms;	$6 29.10		
II. Waterr«cemainAndSewerAs•Builts
IOO	... ,foulnai\U!Sbliol• S...-'69.o	

1,00lS	

55,10.21	

$5,llll!	

V	

Tota1Pricef0fi bottt6.Testinglttms:	!13,07l73	I	I	s	Ill

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Payment AndPertoonace Bond

1.00lS	514,!Slt>I	514,18&1>!	u	U l	
orn,,c,IO<dI-	$14,181.04		I	

101	"'°""l-8:llds
Total Prlttforoba<elO. h-pne,t AndPerf

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TotalPrlttl0<1bo¥t le<torn-	5696,354.M

Western
MobiliLltion AndSlte Preparalion

100	-.iCoolii:<>	1.00lS	5<0,000.00	$<0,000.00	
400	s..e,;,i	I.OOlS	510,0000. 0	Sl0,000.00	

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41/,UW.W

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TolJIPrlttfo,,t,o,,01.MoboulionAndSileP"""1ion!tens;	$!(1,000,00	I    13100.00 I	iaooo.oo s 51,200.00	85

04.Stormwattrl'ollulionP!ffll1tion Plan
JOO

!LOO	IIOJ.116	56,036.72	·'·"'	l	J   l	) V,1l}b   )	1.IJUC>,li	t .lll	ll

l04	-R,J,,lilg	!LOO	l!l9.9l	SI0,079-01

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TolJIPrittlor1bM04,StormWiletl'ol!utiooP-	lunl,.,,,:	$16,115.16	I	134296  S	2,685.96  S     4.02&94	25

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1.00lS	m,16l.!9	526, .19

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ll,OOE/OI	1179,95	559,3!.	l .l,l\l

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14-07	6'CMledC-,,8a•l-lml	4SS.OOSY	514.16	Si,670.JO

1401	l'tillooct(U))	17,lOI.IO SY	Stl <O	sm,m.oo

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1501	l/f/.sjt.al-lD5P95(2'dUIJ	17,llO.IIO SY	15.67	$l7,ll7.!0	u	u  '	)	'	l 11'11

ISOJ	t'A51M"-111>Si'll.l(l<UI)	17,llO.OOSf	S7 5	Sll0,766-SO	u	U l	)

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17,JIOO. O SY	IMO	110.m. oo	u   '	l

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1518	fdCoa!	17,IJO.IIISY	S0,6'1	110)78.111	u	U  l	)	l	Ill>

!JOO	15'/'l(W-)	!.OOlS	$14,!118.55	5149,00.IS	' '	'

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100!	I  MfflCwlI Gd!>	ll ,M01.11	ll.34	5114,Jll.60	HtVJAI	u	""' )   JI,/	)

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1000	Sile,ol,	l,L'!l.0051'	S4.l8	• 966.60	u	' '	)	'l	Ult

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2005	>.OA""'	190.0051'	SJ6JXI	$6,&\0.00	)	l
Tol>IPrittf   •m   08.Roadw,1COnstrudioollons:	ll!l,315.59	s    899. 11.4! S	I    89,911.4!      111
I
09.Stonn DrainageSystem

lOOl	°"""'si..1, o

l.S .111	!19.ll	s61,J0).!8	\.\HljJ	u	J)        )	Ol1Jl)l.tlll   )	l Oll.,JUl.11!1

lOlll	T)pe'Flal<l!-rl><;>	1.11100	$6,985.26	$6.!iS.26	UJJ	ljJj )	)	t..1u:i.1,  >   t,W),14  '""'
JIJ1l	llll''flal<ll llll<!p	1.11100	$10,151.93	SI015l.93	UJj	"''	,	.uw.1,    >    JJ)IJ,14        ""

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JOl9	CIIIINetl IZO.,,	LOOEIOI	$9)84Jl	11 161.16	u.oo	
3040	OILClll,_,o.'o.,,	l.0000	IS,88MI	Sll,766.81	U.00	

JOI)	0,,lal<IH'O,,,	lOOOO	$4,411.18	IJS,299.81	l o!
lOl8	o,,1a1<1 1ao.,,	10.0000	SIMJI	S60.&).l50	jJ

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3041	Oll.Cllllole!H'O,,,	4.0000	51,176.65	sJl,-	
JOO	Oll. Coblole!Ha O,,,	1.0000	11,757.26	$l,)5).l6	
3054	llMS.-o.'O,,,Hu,vtl\ T""	1.00 00	514,111).20	114,llO.lO	

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JO))	ln   F	1)<000	134.89	S4l.l6l.60	""·'	41/U  >	)	lt ,l/ b.Y'I   >   14,lf o.'N        I"!""''

)))I	Slnlopld)ls:m!AO	OOE!Of	$460.89	118,431.60	""	u., )	l	billtl.1,f ) b.Ut!J, I)

3055	Qm!S.-H'D!$Hw/UIISTDIS	I.OOE!Of	$1 L16	S16,5llJ6

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m;	·"'••m•-	1.00001	$1,315.22	11,J!l.ll	,Jl
7	3.0000I	$1,llll.l3	15,911.69

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lll89	ll'-Eod-	1.00001	,141.11	S4,54Ul
3164	lf![P ll!<p	lll.0011	162.54	$14,l&I.ZII

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3192	lr![PW'll!<p	71l001/	$7i.5J	s  .   .14	'1b.1'	.Ub.    )	' 11.m.u > ILl'JIJI

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3111	l>RO'W'°"P	61.0011	Sll.\11	S5,!H.00
31116	l>![Pl•lfll!<p	29.0011	$17.l!	Sl,m,11

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3193	l!'![P lrll!<p	l7i.OOII	S71.9!	$12/,EI.II	w.•u	"""

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3lll	l4'11J>W'll!<p	241.IXIII	llll,66	lll,&l!.116	101.41

3191	14'![]> 0.,	11.IXIII	$19.iS	Sl,671,88	!1.41

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4,m) .,)t     )	l,WJ/ > J,0/0,ljtl 11Mb

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lllXI	lfl[P lfll!<p	510.0011	m.11	lii,81110	f III	"I.J	)IU  )	t!U'l.':I)  )	tt,ll!IJ.ll) -lal,:liJ,ltJ JIMb

ll07	'YIIIJ> lfO.,	1,100.0011	Sll9,78	Sll91,!11.00	j/, U'J
'YIIIJ>l 110.,	10.0011	Sl4i.70	llo,26900

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lll2	Jl'![P  o,,p  IISCYd-fil	5580011	$164,93	SlOl,1911
3113	l6'![PW' °"Pw/lSCYd foollltll	!llOOII	!lO!J3	llO,EOl.87

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m,	ll'RCFHf°"P	0011	1155.54	117,591.24	1 1'!	IW',R!	)	l),f1JQ.4J)       ll./UO.H
ms	Jl'l[Pl t1°"P	164,0011	1170.17	131,llll!	"111	01J,ll  J	)	IU3. .ll,/l    )      IIJ,m.ll
3lll	4l ![Pl t11l!<p	ir.1.0011	!llt ,76	133,884.111	Hil<LU	:,l,lj	IOJ )	U,iU.(  )	Jl,lt:ll,'111 l Jj 41 JIMb

ll61	Jl'![Pll,j	1.00001	1159.31	S!Jl	u	u )	•	>
Jm	Pla'<lo.tS...DrOI	4,)Sl.lXIII	Sl.911	Sl,lll.111	I	u   '	•	)

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JllO	JV51l>m lil	4,)Sl.lXIII	H.!O	!ll ll.411	'	u ,	•	•	1111
TolJIPticefo<>i>o,e_09,	Dl>ffl09'Syst,mlltms:	1958,379.SS	!     ll llilO  S      3519,99.98   S   410,12529         4911

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1014	fDRIIMW..  Mai	2,0450.011	SlO.n	161!,M.65	'"	'1111.0 }

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7109	16,llTee	1.0000I	ll,l8JJ1	1,1ru1
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7159	rl5Bold	5.0000I	Hn.45	Sl,361.21

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WAIVER AND RELEASE OF LIEN CONDITIONAL UPON PROGRESS PAYMENT

The undersigned lienor, upon payment from the lienee, of the sum of	$450,620.34	, hereby waives and releases its lien and right to claim a lienincluding all claims, change orders,or demands whatsoever for labor,services, or materials
furnished through,	February 28, 2022	on the job of	Dream Finders Homes
to the following described property :

Project: Location: Invoi ce#:

Cordova Palms Phase1 - Western Lots a City of St August ine

7764-7 (Western)

This waiver and release does notcoverany labor.services. or mater ials furn ished after the datespecified. The undersigned represents that he/she is an authorized agent of Lienor and has authority to execute thisWaiver and Release of Lien on behalf of Lienor .

Date d on:	February 18, 202 2

Lie nor 's Name:
Address:

Phone:

By:
Printed Name:
Titl e:

Vallenco urt Constru ction Co., Inc.

P.O. Box 188 9

Gr een Cove Springs, FL 32043 904-291-9330

Ch	

Project Manager

STATE OF FLORIDA
COUNTY OFCLAY

The foregoing instrument was acknowledged  before me this	18th	day of byChri st ian Tay lor of Valle nco urt Cons truction Co., lnc.,a Florida corporation , on behalfof the corporation.

February

Personally known	X	or Produced Identification	Type of Identification

; ( .•- ·,,• ....

ri

i'   No tar, :    .le · State of Florida

MAii! A VA OES

, ; r,_ f.!.)/,i	My Comn:. Ex ire; :;8: 8, 2025
Bonded throu9h /idtior¼.. ot¼rf A1sn. ,

,, .,.  'II'.;/

C omir.•1Hf or:   -1-,

'65052

SEAL

NOT£ ;   Thisisost:otutory ferrn prescribed bySection 713.ZO, florldaSt:ot(Jces{1996, )
£JfectiveOccoher 1, 1996 1 a person maynot requirea lienoru, furnisha wai cr
or re/easeof lienthoi rsdlfftrent from the statutory form.

APPLICATION AND CERTIFICATE	fOR PAVM.ENT	AIA DOCUMiiNT G702	(Instructions	011 reveT"Se si	.cle)	PAGE	

T  O:   Dream  Findel's  Homes 14701Phili s High.way, Suite 3M jacksonville, fL. 32256

FROM: Vallenoourt Construction Company, Irie _
P.O. BoK 1889
Green Cove Springs, Fl. 32043

PROJECT: Cordova Palms Phase 1 - Eastern 1ots

APJ>l,ICATION NO: 7763·7 (Eastern D.istri bu tion to:
PERWDT O:   02/ 28/ 22	[Xl OWNER
[l( ] ENGINEER
[X] G.C.

GENERAL CONTRACTORS PROJECT MO:
VALI..ENCOU'RT PROJECT NO: 2921 -39

CONTRACTOR'S APPUCATION FOR PAYMENT

Application is made for P'ayment, as shown below , In corrnectlon witn the Con tra ct.

CHANGE ORDER SUMMARY	
Change Orders app raved in
previous months by Owner
TOTAL	ADDITIONS

I	DEDUCTIONS	
Ap proved tllis Mo nth			
Number	I			
1				
2				
3				
4				
5				

TOTALS	$	-	$	-	
Net change by Change Orders	s	

Continua,tion Sheet, AlA Doc;ume nt G7 03, is attached

l. ORIGINALCON'TRACTSUM ...............................................................................................
2.. Net changi, by Change Orders...................- ........................... ............................
J . CONTRACT SUM T O DATE (Line 1 +- 2).....................·-·······"•·····..····•····.................
4.  TOTAL COMP  RTEI) & STORBD TO DATE........-. ....._. ... ... .............................
(Column G i:,n G703)
.RE TAINAG E:

s		3 ,744 ,936.16 
s
$	3,744 .936.16

$ 	2,367,291.26 

. 10 % of Completed Work $
(Column D + Eon G7(>3)
_    %  of Stored Materials$ 	_
(Column Fon G703) Tolal Reta:ln,ige (Lille Sa+ Sil or

 	236,729.13

Total in Column 1 of G71H).............-.....·- ·- ···· ·······..·.·..·........
6. 'TOTAL EARN l!D I..ESS RETA[N AGE:················-······.............................-....................
Tile  undersigned  Contractor  oertifies  thatlo  thebest of  the Contractot's  knowledge,	(Line 4 Less Line 5 Tota l)
i11formalion and belief the Work covered by this ApplicalJi.on for Paymeiu has been	7.  LESS PREVIOUS C ERTIP'ICATES FOR
PAYM8N1' [.line 6 frnrn priQr Certi:t'icace•). .- .... .......... ........ 	_
8, CURRENT PAYMENT D Ull.....................................-. . ............................................... ........
iss ed and payments  received form  the Owner, and  tha	9 . BALANCE TO FINlSH, PL.US RE'JAINAGE'....._......._.... ..... ........................................

$ .	Z36, 729 .13
$	2,130,562.14

$	Z,040, 7,l   W 9
$	89,849 .05
$	1,&14, 37 4.02 

il.erei   a is 110w due.	r- - - - -

.'(:·L..m_i _e_3_. _le_s _s _L_in_e_6..:;_l

_ _ _ _

_ _ _

_ _ _ _

_ _ _ _

_ _ _

_ _ _ _

_ _ _ _

CONTRACTOR:

By;	L.,,,.£,,,zjq .,

Chrislian Taylor

Date:

tate of;	FLORIDA	County of: CW\ V

2/1812022

18 th	dayaf	F'ebruary, 2022

ENGINllER'S CERTlflJCATE FORPAVMllNT
In accordance with the Contract Do cumen ts, based on on-site ob.servations. and !he
data comprising the above applic,H i on, the Arc hitect certifies to l'he Owner that ta the

AMOUNT CEIi.Ti FIED..................-......................-...-......................-............-....	........._..$    89,849.05
unt certified differs from the amount appliied for.)

best of the Architect's lmowl,edge, informalima and be lier the Work has progressed as

By :._    -f+l!	µ..>-	:.<L--

-	-	Date: 2/28/22

indicated,the quality of the Worksi In accordance with the Co,ntract Documents, and

the Contractor Is entitled to payment of the AMOUNT CERT I F]ED

Contraictor named he:rein. Iss uance , paym e nt .and acceptance □f payment are without
prejl.ldtce many rights of tile Owaer a,r Contractor  under thts Contract.

AM. DOCTIMENTG702'"APl'UCATIONANDCERTCFICATE FOR PAYMENT * MAY 1983 EDlTION " AJA" @1983
TIIE Al-1[.RICAN I NSTITIITE OF ARCHITliCTS, 173S NEW YOUR AVll NIJE, N. W., WASH I NGTON D.C:. :W006	G702·1986

Schedule of Contract Values

!IAlloa", "°'GlO  AIIIJCATIOIA. DCIRTl!lCATEFORAPYMOO,conoini,g

r.. • •<10/s,;,.d(o;flotiono ...W,

lit b.tions bt!ow, amou tsartslatedtcthou: tstdollw

l!R'C.olllr.llll011Cotitrwwhtrtmi11   rt1aNgeforlllleittmsr11ay1ppl)'.

CordovaPalmsPhase I•EasternL-0 Dream finders Homes

APPUCAllONIVMB!l, 77-637(Eastern)
APPUCATIONOA	02/18/22
0010,	02/28/22
VC(PiOl!Cll.	20213-9

C	D	E	F	G	H	I
SOl!.D.U..IID.	-  -  ·oo:coMlltD	MAT!lJ.Ul	TOTAL	'	BAI.A.'ia	IElAl!iMii
--	r       1u	"'""""	l  .._,	IUll Dfl
FIOllPRtllOOS	TllP!IIIO	STot!O	A.mTOkm	(C I
"""""	\l.lf.flt.	!011.\T!
(Ml	, ,,	1•••0	
67000$	26,81,00 l	6,90.00	$	33,710.00	SO%	$	33,290.00 S	3,371.00	
16115.76 S	6,714.90 l	1,342.98	s	8,057.88	50%	s	8,0758.8  S	805,79	
582184.911 S	52,503$6 l	52,071.90	l	104 75.76	18%	s	477,60.921 S	10,457.58	
794901.07 $	682,485.35 S		$	682,485.35	86%	$	111,415.71 l	68,248.54	
53025 $	s		s			s	53,025,00   l		
756045.04 S	500 06.95 S		$	500,506.95	66%	s	255,538.09  S	500, 50.69	
712447.93 S	627,730,70 l	30,902,08	$	658,632.78	92li	s	53,815.11 l	65,863.28	
621805.5S1
2022L5 S
10038 $	370,707.23 S
s
s	8,615.31	s
l
$	379.322.54	61%	s
l
s	242,482.97  S
202, 2150 l
10,038.00  S	37,932.21	
3401 7 $	s		$			s	34,01 70 5		
11572.37 $	$		$			s	11 72.37 l		
1748.714 $	s		l			s	17,4871.4 l		
48075.16 I	s		s			$	48,0756.1S		

A
/TOI
"'

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,.
,.

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IIUfM0011zanonan s1errep
w,   .>wnnwaterronunonrrevenoonrian
1vvonOc1C1way    1..onstruchon
1w,,wnn uramage, ysmtt
IU1Vl\lldi.lWay  Umlerttram
,m

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/,

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JI.

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1; ,

TI:

'"" w,xurav1cy,ewmystem
,rn w"'''"'M.ain)ysttm
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1u1,,ee, mgana Mu1ccrngana ,oo
IUI DIesang
1u11  avmgana uram,ge11S••u111s 1u10narer1iorcemampewern,·      UIIG
'",'" amy eniana rmormance °"""

!TOTAL	····- ····>	3,744,9361.6 Is     2,26,475.899I s	99,03,221I s	2,367.291.26 I 63.2111 I s    1.377,644.90 I s      2l6,n9.t3

Marcus Mc lnarnay, P1• s1d · n!
Mike V.allencourl Sr. Ch;iir,n;i

,.	lltiffl--

Addi,,.,	-....

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Sido.!e: 4/l(\'lOOI

, """'"'" St,..,.

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fH  !

a	[;
Construction Co. Inc.

M ike   Vallem::ourl II, Vu.:.t'   Pr»s 1dt-nl
J  O.anfol Vallr-ncourl, V•CC' Pr C's1	dl'n 	
Stan Bales P.E, V1Cl' Prl':.:1dcn1		

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ndl  ltnll	Qly,	Tt-ibte	Billing,	To-ditt	C6aip!ftt

-

Eastern
OLMobilization AndSite Preparation
!Ill

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Tot>IPric,f  a°"'  OL Moliflw>n AndSil!Pr,pa'11ioalt,rn,:	$67,000.00	!	6,9000,0  S      26,810,00  I   33,110.00       51111

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--

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2006	>J>AIW	96.11111	SJ6.00	Sl,42Ml	u	u  '	)	'	1lll
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l075      !lm!Top-	40.lllOOi	s<I0.89        $1,8lli !ll	u	u )	)	11!1
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4111	f!Ml6S-Hii> °"P	l  W	Sl0.40	Sll.lll.80	l'ltO)I	liu,♦lo	111)1 )	O,;lJto  )	1,1.M.'r.l)    J£.IJ£.at       !WI!
4lll	l'SM26S-"'°"H'°"P	l,297,00	Ill.	142,lJOJl	Ji..,/	1m   >	)	4l,iJ  UiJ.(   )     4£,iJUJl	IWII

--

410	8'$Ml6S-   Hii> l °"P	364.00	SlS.26	m.a .64	JO ♦	Joi    )	)	ll, t!J+.o4   )    W114.D4     lUIIJI

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M,l.,,t,l   >    1:m':l,.')tl       lWII

1111	8' SM26S- Miil1 110.,	ll0,00	S4JJ5	S5 l5.SO	!JI/	rn, >	)	)PJ U  )      ).0.,).)IJ        IUIIJI

1141	"""rus..r	1,/17.00	51.91	$9,17ll6

"u	u )	'	)	' \Ill

4H5

150.0000\	11,olUl	Sl   ll,00	I.,	1111 >	'   l tt ,l1U,W   )   ltt JIU;tll	!J'I'>

ill5	!'SMM e,orHii>12-l!Oe,i	169.00	Jl	,119.58
ml	nots-Mao	25.00	!ll.19	S56l.l5

11%	lVTestSewe'!Vil	t 711.00	17.IO	Sll,166-40	Ull,'1Utl	m,-,oo >	'	J,Jlfl./l ) I.Jl/1.ll	4
TctalPri<!t,,1 bo,e lt  CJlyOfst   ll,g"'1in,GoiityS,nit,  S..,,Systtmllons:	171 147,IJ	s   30,!0l.08  S    6277,30,70  S  658,632.78 	9111

5001	l°"'l!f«r,,Clll,\	1.0015	5191,1&11	$191,1&11	""

CityOfSLAugustine forteMainsystem
u	u )	)	)
5003	°"'"Ill-	1.0015	ll!.364.oJ	$29,364.oJ	l	I  >	)	,.SM,U.3     )      l'1JbWj       !Ullll
50!6	U'IS!lbll)11W,,,,,,"""'H<aYyllllOT"'	1.0000\	5127,lOI.IS	1517,lOI.IS	"'	Ub   >	'   m1o,rn.11  )   JtD.Omu	Ml

601J	r -	s.00001	Sl!l l6	5990.81	'	'	)'

6014	f P/C  llfo<dla•	260.00	Sll.lO	.00	IOJ	"''

)	LW) lfPJl,W ]Mt

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u.,.	1.00001	Sl,OlO.fll	SlPl0.00	I	I l	)	11. mur,  )    l)JlWJ':I     IW'/0
6071	.......v.......	1,0000!	Sl,611.ll	llJl	l.J	u	I  >	11,btl..U    )	)          llbll..il         IW'/1

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6071

"r'o".";,".,'.'-

1,00001	16,795.13	$6;7!1.Sl	I	I  >	)	Dil'1tUU	D,/';M,1	IW,,
1.00001	Sl,JSl.71	Sl,J88.71	u	u   '	)	)	1111

...,ea._	u )	•

6076	f l\lj ..	J.00001	5Ui&71	57)66.8	u	u  '	)	)	in,

6lll	f!lllle!!	SO. OfAOI	SSll.61	51,lll .lS	)	' '	•

60i1I	I.OOOOI	Sl\llll	1761.28	u	)	!Ill
tl4JJ)  )     U4J.L3     lUIIJI

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u   '	•

6119	f6Beol	I.OOOOI	1714.68	11,169.36	'	'     )	•	l Jo  )    J,)O'l,Jb     JUll!I

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1111

•

6115	fll.lBeol	IJXiOOI	1781.!II	Sl,56l«. l
6181	loaltllnia<	1.0000I	!lii.71	Slii.76

'V	'u,  '	•

'·""""' ) 1,>oJ-"' lUIIJI

61&]	l'lll<iel<fwllio	260.00	$1.90	s .oo
6181	looltlln T..  bfw""'	lE0.00	S0.60	Sl .00 	V

u )	)	)

"1/"l!

6156	_,  .. 111rw""	26000	Sl.11	$5486. 0	"	u   '	'	•	1/o
Totol Priceforli>M It CityOfstAuglll!ln,F0tttMainSystn11•••  '	$621,!0l.51	I	8.61531  S      370,707ll   S   379322.54	61

ll001.0I   !ll<<GP/ClleM!,lS	JOO.OOU	11000	Sl,®00	u   '	'

It IrrigationSleeves AndEledrial/TeleplioM/CAlVConduit
u	)
11001.0l    !ll<<Gr.tlleM!.r	J00,00	11563	S4,689.00	u	u,	•	)
11001.04     !ll<<GPIClleM!,<'	25'l00	119.ll	1 4,1117S.II	V	u   '	)

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u,i

I

11001.     lOi«IP/ClleM!,6'	l!llOOU	Sll.!11	1 7,725,00	V	V l	l	')

'!11

Tol>lf>ricefor1bcwtlt  [ITil,tion Sl,ews/Jld! lectrial/T	/CA1VCondultn.. s:	121) 21.50	l	I	s

' I fl'II

IS,Seeding AndMulding AndSod
1205	dWl'flal	1,m oosr	Sl.70	13;1 00	'

u •	)	)	,,.

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llm	R9'1«wr,s..,nllildl	13 .00St	$0.41	16,gs .oo	•	)	1111
Tol>ff>ricef or,bcwtl S,  lffdlngAndHuldllngAndSodl llms:	! l1 31.00	!	s	s	OIi

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1ll0	£,:;,,ol°"5it(1estillg{i-)	1.001.1	rnPl6.70	llml , !J-0	'

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IOl	Poiig.. ll<ltqA,!Mll	1.0015	$ll,5n.l7	$11,l)lJJ	u )	'	'	Ul\

18,Water -illAndSewer A5·Builts	I

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500	W.,,,fot""llllSlali>llllfS.,,,A!	1.0015	$17f, fiJI	117,417,11	u	' )	)	'	u,i

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WAIYER AND RELEASE OF LIEN CONDITIONAL UPON PROGRESS PAYMENT

The undersigned lienor, upon payment from the lienee,of the sum of	$89,849.05	, hereby waives and releases
its lien and right to claim a lien including all claims, change orders,or demandswhatsoever for labor,services, or materials furnished through,	February 28, 2022	on the job of	Dream Finders Homes
to the following described property :

Project: Location: Invoice#:

Cordova PalmsPhase1 - Eastern Lots

City of St. Augustine

7763-7 (Eastern)

This waiver and release does notcover any labor,services, or materials furnished after the date specified. The undersigned represents thatne/she isan authorized agent oflienor andhasauthority to execute thisWaiver and Release of Lien on behalf of Lienor.

Dated on:	February 18, 2022

Lienor's Name:
Address:

Phone:

By:
Printed Nam e:
Title:

Yallencourt Construction Co., Inc.

P.O. Box 1889
Green Cove Springs, FL 32043 904-291-9330

Project Manager

STATE OF FLORIDA COUNTY OF CLAY

The foregoing instrument was acknowledged before me this	 	18th		day of by Christian Taylorof Vallencou rt Construction Co., lnc.,a Florida corporation, on behalf of the corporation.

February

Perso nally known	 	X		or Produced Identification	 		Type of Identification

_'W/ /	Commission • rlH 165052

··•.?. ...   ··    My Comm. Expires Dec 8,  2D2,
Bonded tt,roughNatior.al  Notary Assn.

Public • State of

-	.	Notary MARIA VALDES Fiorica

\' \

-•_-!_,_  .- .,_\

	 SEAL
NOT£, T/lisis a sta1Utory form prescribed by Se<tion 71320,.F/orida Stawees{1996}, EffectiveOctober1. 1996,a person may not require a litmor l<l furnisha waiver or releaseof lien thatisdifferent fromthe statutoryfenn.

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):

Requisition Number: 13
Name of Payee:	England-Thims & Miller, Inc.
First Citizens
ABA Routing #053100300 Jacksonville, FL
Account #9061592290 - England, Thims & Miller, Inc.

Amount Payable:	$ 19,078.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Palms CDD-Amenity Center and Dog Park (WA#1) Invoice 201727
(Feb 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

By:		 Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer
February 10, 2022

Cordova Palms Community Development District	March 02, 2022		
c/o GMS, LLC	Project No:	21434.00000	
Town Center 1 at World Golf Village	Invoice No:	0201727	
475 West Town Place, Suite 114			
St. Augustine, FL 32092			

Project	21434.00000	Cordova Palms CDD-Amenity Center and Dog Park (WA#1)
Professional Services rendered through February 26, 2022

Task	01-04	Lump Sum Services

Contract
Task	Amount	Percent Complete	Earned To Date	Previously
Billed	Current Billed	
1.SJC Master Development Plan	6,250.00	50.00	3,125.00	0.00	3,125.00	
2.Final Construction Docs-SJC/COSA Civil	51,375.00	40.00	20,550.00	5,137.50	15,412.50	
3.Code Landscape Plan	4,250.00	0.00	0.00	0.00	0.00	
4.Permit Coordination	20,250.00	0.00	0.00	0.00	0.00	
Total Fee	82,125.00	23,675.00	5,137.50	18,537.50	
	Total Fee	18,537.50	
		Total this Task	$18,537.50	
Task	XP	Expenses			
Expenses			
Other Taxes & Licenses
Total Expenses		470.00
1.15 times	470.00	540.50	
	Current	Prior	To-Date	
Total Billings	540.50	0.00	540.50	
Contract Limit		2,500.00	
Remaining		1,959.50	
		Total this Task	$540.50	

Invoice Total this Period		$19,078.00	

Outstanding Invoices

Number	Date	Balance	
0201313	2/2/2022	5,137.50	
Total		5,137.50	

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):

Requisition Number: 14

Name of Payee:	Kutak Rock LLP
Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha Kutak Rock LLP
A/C # 24690470
Reference: Invoice No. 3009846
Client Matter No. 4823-3

Amount Payable:

$ 2,590.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Counsel Services – Invoice 3009846 (Jan 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

By:		 Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

February 2, 2022

K U T A K R O C K L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

March 3, 2022

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3009846 Client Matter No. 4823-3

Mr. Jim Perry Cordova Palms CDD
Governmental Management Services - North Florida Suite 114
475 West Town Place
St. Augustine, FL 32092	Invoice No. 3009846
4823-3

Re:	Project Construction

For Professional Legal Services Rendered

01/03/22	W. Haber	0.70	245.00	Prepare  requisition  for  2021 Bonds
and confer with Wild regarding same	
01/05/22	W. Haber	0.90	315.00	Review	correspondence	regarding	
				contract status and prepare plan on	
				recognizing contribution	
01/06/22	W. Haber	1.60	560.00	Prepare documents for contribution	
				and correspondence regarding same	
01/12/22	W. Haber	1.40	490.00	Review and revise contribution and	
				assignment documents; confer with	
				Mr. Wild regarding same	
01/14/22	W. Haber	0.90	315.00	Review	and	revise	assignment	
documents; confer with Mr. Wild regarding exhibits for same
01/17/22	W. Haber	0.80	280.00	Review	and	revise	assignment
documents for Vallencourt contract
01/24/22	W. Haber	0.60	210.00	Review	and		respond	to correspondence	regarding	contract
assignment	
01/25/22	W. Haber	0.20	70.00	Confer with Mr. Wild regarding	
				assignment documents	
01/26/22	W. Haber	0.30	105.00	Confer with Mr. Wild regarding	

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

KUTAK ROCK LLP
Cordova Palms CDD March 3, 2022
Client Matter No. 4823-3 Invoice No. 3009846
Page 2

contribution; review requisitions

TOTAL HOURS	7.40
TOTAL FOR SERVICES RENDERED	$2,590.00
TOTAL CURRENT AMOUNT DUE	$2,590.00

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 15
Name of Payee:
Vallencourt Construction Co., Inc.

ACH & Wire Instructions:
Receiving Bank: Synovus Bank 1148 Broadway
Columbus, GA 31901
ABA Routing Number: 061100606 Beneficiary Name: Vallencourt Construction Co, Inc.
449 Center St. Green Cove Springs, FL 32043 Account Number: 1011287909

Amount Payable:	$720,142.95

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Palms Phase 1 - Western Lots Lots and Connector Contractor Payment Application 7826-8 (Mar 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

By:		 Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

April 4, 2022

Mike Vallencourt Sr., Chairman

Marcus Mclnarnay, President

INVOICE

Mike Vallencourt II, Vice President J. Daniel Vallencourt, Vice President Stan Bates P.E., Vice President

Date: 03/22/22	PeriodTo:	3/ 31/ 2022	Invoice #:	7826

To: Dream Finders Homes
14701 Philips Highway, Suite 300

VCC Project#:

2021-39

Jacksonv ille, FL. 32256	Application#: 8 (Western)
Attn.: Shawn Budd
Project Description: Cordova Palms Phase 1 • Western Lots and Connector

ORIGINAL CONTRACT AMOUNT 	 	
CHANGEOROERSTOOATe-  -     -     -     -     -     -     -     -     -     -     -     -     -     -     -     -     -     -     -  · 	$

$4,444,984.71

REVISEDCONTRACTAMOUNT 	

$	4,444,984 .71

PERCENTAGECOMPLET&-----------
WORK COMPLETE TODATE...........
STORED MAT ERIALS...............................................................

62 .7 5%

$	2,789,404.78
$

 	_

TOTALCOMPI.ETF.D & STORED...............................................,..	_

LESS RETAINAGE............	······················•···•·•.•.···· 	,..
TOTALEARNED LESS RETAINAGE.............................
LESS PREVIOUS BILLINGS......

CURRENT DUE.............................................................................................................................................................................. ..

$	2,789,404.78
$	278,940.48
$	2,510,464.30
$	1,790,321.34

$	720,142.95

AccountSummary:	Sales	Sales
This Period	To Date

Gross:	800,158.84	2,789.404.78	
Retainage:	80,015.88	278,940.48	
Net:	720,142.95	2,510,464.30	

449 Center Street, Green Cove Springs, FL 32043 I {904) 291-9330 I VALLENCOURT.COM

APPLICATION  AND CERTIFICATE  FORPAYMllNT	AIA DOCUMENT G702	 	 (ln,s_tr'   	ns on!    verse  _s  ldeJ  	PAGE

TO: Dream Finders Homes
14 701 Philips Highway, Suite 300
Jac-ksor;vi.lle, FL. 32256

FROM: Yallenco 11rt Cons rr uct lon Company, Jnc.
P.O. Box 1889
Green Cove Sp.ri ngs, FL 3 2043

PROJECT; Cordova Pa.lms Phas e 1 - Western Lots and Gom1ect i;r

AP PLI CAT ION #:	7826 -8 (',Vesterr D lstributim1 to:
PERIOEI TO:  03/31/22	[){J OWNER
[X] ENGINEER
[X] G.C.

GENERAL CONTRACTORS PROJECT NO:
VALLENCOURT PROJECT NO 2021·39

CHANGE ORDER SUMMARY	
Change Orders approved in prevfous month:iby Owner
r m·AL	ADDITIONS	DE.	IDUCTIO NS	
			
Approved this Month				
Numbe,	'	I			
1				
	.2				
3				
4				
5				

I		
T OTALS	$	.	s	.	
Net change by Chang e Ord ers		$	-	
The u.		

CONTRACTOR'S A PPLICATJON FOR PAYMENT

App lica tio i.s made far Payme nt, as s how n be low, i n com1ection ,,..it!, t e Contra ct. Continua tion Sheet, AIA Document G703 , is attached

1. ORIGINAL CONTRACT SUM..... ... ............. ... ... ..............-....·········- ······ ······..·••••· ·····

s  	   4,444,9847. 1

2.  Net cl1.a nge  by Change Orde :r:s.......-  -  ·-··-··· ...···........- ................. ... . . . . .._..... .......
.	3, CONTRACT SUM TO DATE (Une 1 +- 2)............... ..·-····..-...................... .................
4. TOTAL COMPI.ETllD & STORlm TO DATK... ... . . . . .. ............ . ... ... ............
(C olumn G on G7 03 )
RETAJNAGE:

s 	
s 	4,444-,984.71
$	2,789;104. 78

10 % of Completed Work S
(C@lumnJ .l +  Eon    G703)
_% of St!l red Materials$ 	_
(Col umn Fon G703) Tota1Re tai11a ge (Lin e Sa + 5b or

 	1 78,940 .4 8

.
ndersi gned. Contractor certifies that to the best of the Contractor's know l edge, info  r mation  and  belie f the  Work cover·ed  by this.A, p p  lic a tio11 for Payment has been

Total in Column l ofG703)... . . . . . . ............ ..... . . .... . ........
6. TOTAL EARNED LESS RETAINAGE:......... .... .................................... ... ...................
(Line 4 Les Line 5 Total)
Ll?SS PREVIOUS CERl'IFICATES FOR

$	278,940 .48
$	2,510,464.10

completed in c1coordance wit h the Con tr act Documen ts. that all amounts have b . n

11

paid by the Contractor for Work for which pr,eviou s Certill    ':.t_ · !. ¥,Ine nt sho"i!Al\h ol. VA LDES 	8
is s ued and   payments  received  form the: Ow ner,  and that cu	t	lobt1WJ1F'ubtk • Sta te ol f l0nda9

PAl'MBloH ( Line 6 from pd or Certi fica te) . .. . . ....... ........... ... ....................... _...   $	1, 790, 3213 4 URRENT PAYMENT DUE............. ... . ................. ....... ..........._ ................ .. .... . .....	$		72  0,142 .95
ALAN CE TO FINISH, PLUS RETAlNAG E.......................................................... ........	$	1,93-4,520,  41

hereh1 is now  d;ie.	ti	:;.t	Com rnis   i  oo    Ii HH 105052	( Lln e ·3 Jess Line 6)

5w.

-'·    Of "'-':"-·'a	My Co!llm. Expire  Dec S,  202•  !-  l' -_   -    -    -----'-   -   -   -   -   -   "-  -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -   -

_...,,.	,Christian T.;iylor

.--..

....Boosedt  rn ,Ol!g    a  tl Ol'lat   tfotary Assd     e of:	FLORIDA	.  Counl:y of:     CLAY
scr i be d  ml	to be  fore		/- : 
Notary Pub hc;	j)(lJ!. 

22nd	day of	March.2022

By	 	

Date	3122/ 20 22

My Com.mi ssion 1:K pires: 12/08/2025

ENG INEE R'S CE'IIT!F'ICATE FOR PAYMENT

AMOUN T CERTlf lED................ .......................... ................._._.............. .	.......... .......$	720,142.95

In acco rdanre wilh the Contract Dm: um ents , based on. on-site observations and the data compris ing the above appli cation , the Arch Hec t cer tifies to the Owner ihatto the

(Atta ch explanation if amou :t" tified differs-from the amount applied for.)

\J

EN:GIN RliR: ]	1

best of the  Arc hn ect's  .know ledge,. i nfo rm a:tio n and  beli•e  f th e Work has p•rogressed as und k  a red,  the  quality oft:he Work is in  a cco rdance   witb the Contract Docu  men ts, and the Contra eot or is e ntitle d to fa)lfflent of the AMOUNT CBRTIFnrn

By:	 	A·	Da te : 4/4/2022
Th.is Certificate is not negotiable. The AMOUNT CBR,T f'lED i s payable only to the Contrnctor m1moo herein, Iss uan ce, payment and acreptance of payment are without prejudice to any rights ofthe Own .e r or Con trac l.o•r u nd er thi.s Comtract

Al/I DOCUMBN"J'G7O2* APPLJCA'FIONAND CERTIFJCATE FOR PAYMENT' MAY 19 83 EDITION • AfA• @ 1983
THE AMERICAN JNSTIT l! Te OF AR.ClllTe CTS, 1735 NEW YOUR AYE.NU£, N.W., WASHCNGTO N D.C. 200 05	G702-19S6

Schedule of Contract Values

AIA-	GlO<,\IFIJCATIONANOCEXTIACAraFORfA\1100,"' taJlinJ
Contractc.f'ssitfltdCt111fiatio1tisaua:itd.

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30401227 S
14508.781  S
35350 S
7186.788  S
40208.96 I
4319.96 S
2065&5 l
3062.7 S
1307R73  I
6429.1 I
5143.28 S
14681!.04  S

76,379.23   S
128,940.64  S
s
55,558.38  $
38,5152.5  S
358.745 S
s
s
$
$
s
s

41)31.80
10,285.57

14,688-04

s s s s s s s s
I
$
I
s

117,711.02    3914
139,22 21  96%

14,688.04

100%

s s s s
I I I
s
s
I I
$

186)01.25 S
5,86250   S
35)50.00 S
1 590.0 I
1,693.71 $
34.575 S 20,65.850   $ 3,06.720 I 13 7&73 S
6.429.10 I
5,1432.11  I
$

11,77l10
13,922.62

14,450.50

70,008.88

97%

/,
..
'·
IU,

38,155.25 96%

7,00.089
3$5l 53
397.42

"T,I

013COSA Force MainSyitem
iu,      tmgaaoni teevesan,""'",..1, 111pnone/1.A iv  1.0noun
015Seedingand MulchingandSod
IUIO tesong

38,676

3,974.21

92%

"Tl,    1u11t a  ngaiilllJramageI\S-ou11

7,J

1uu1 'lalfr]Forcme a1fi]SewerAS•ooucs

7l   ,  ,    u,lfl'aymeiiTa!TTll'elformanc"e Joiio
IWe.Tsern

1,468.80

,
-,,

T,

llJIIDlijojltzalionanam r rep
'""' '"'rmwa1er roauuonrrmn11on ran
1uudKoaawayton)1Illmon

,. 1u111Roaaway unaeroratn

- i.

1U1N,wrm uramage1yitem

b.     1u1, w>ni'OtaDlrnatm ystem
IVlL \,l/J t\!JraVl,y JCWfrlys1em
1v1 t 1mgaaon lleeves anu r.1c\.l111:31/1eiepnon1e\J\   1v LOnoun
'"" ""mgana MUKmo g,an .,.,.
IUlhtl!Sllng
UITPav,ngarITTJramagell.TTullls UllrWalef/fO!Cematn{'e\YetJ\S·DUills
u,v PaymentanorerrormanceISomJ

60000 S
16115.76 S
792385.59 I
95837955 I
53025 l
844222.45 I
864748.06 I
20222 S
14096 I
41276 S
12858 S
18966 S
52336 $

51,2000. 0  I
4,028.94   S
89,911.46 S
470,125.29  I
s
4228, 67.69 I
623,9765.8 I
I I
s
$
s s

1,000.00
1)42.98
10559W
356)90,57

200,40,375

s
I
$
$
$
I
s s s s s
I
$

5 200.00 87
5)71.92   33%
195,5.0647    25%
8265, 1.586     86%

6232, 75.04

74%

/,
.
JU.

623,976.85 72%

$
s s s
I I
$
$
s
I
I
s

7,80.000   I
10,7438.4 S
596 77.96  S
131$6169 $
53,025.00   S
220,947.41   I
240,771.21 $
20.22150 $
14,095.80  S
41,275,9'1  $
12$58.19 $
18,96m5     I
I

5,220.00
53,719
19550.76
826, 51.59

62J27.50
62,3976. 9

Tl ,

TI.

TI.

14.

52,336.13

52,336.IJ

1011% I

5,23161

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004Storm• ter Pollution Prevention P n		1244m s	7,194.76	I	1) 82.97	s	9,177.13	14%	$	3,296.00 I	917.77	

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01. Mobilization AndSilePreparation
100	G!nol!Codbs	wm	m,00000	$13,000.00

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400	5"""'9	LOO	17,00000	11.00000	U.Utl

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ToolPrittfM,t,o,e01. MoblfwtionMdSittPr!piotion n,.,,,	120,000.00	I	S6MO I	16,36.00 S 16,9200.-0 85

JOO	HP!lS""11Contl,-,	9.00111)	1\0l	«,127.«	I.W	
304	HP!lSRep,1ill	9,00111)	$819,91	11,919.19	j	

04,Stormwater Pollution Prefflttion Plan

TolJIPrlttfor1boie04.Sloon-   l'ollutlon-	.,, n,,.,,

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1,llii5,00SY	17,61	SJ0,931.S	"'"'

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l518       Taor.at	lilUOOSY	$0,60	$1/,61.00	u	u )	)	)	'Ill
1700         lll<illllS,. PJlill)	1.00	Sll,!991, 7    112,699.51	u	u )	)	""

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2006	ADAMalS	155.005.'	1 .Dl	SS,580.00	u	u '	
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11)31$0 S   76,37913 S 117,713.0l	3i,\

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J02I	Qool""'Of°"'	7.0000!	Sl,327.66	lll,l!l.il	I	I )	)	lJ,l'tJ.0/.)       lj,(1J. l

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3027	Clrb""'H'°"'	2.0000i	",◄1 2.18	111,11.96	)	tl,J;IH,'10   l    tlilu.4,'10
3028	c.b  ""° Ja [>\?	1.0000!	$6,(lllll	16,IIIJ.21	I   >	)	b,utlU.ll    l        O,     .l')

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3040	Oliwl>1'1!10f°"I	l.0000!	!S,18111	15,18141	I	I   )	)	.41)   ).l:W,41
)J	12.0000!	1%11.19	15,Sl0.61	1'	"  )	)	.SU.Ol:I)  l,)JU,tl!S
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)184	1rRO>OfOoi	lll.00	IS.JI	11,01◄6.2◄	Ill	Ill      >	)	ltJ.ltl)l4   >   IU,141:lJ'.4

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ll!l	lfRO>H'°"I	40.00	Sl!J9	13,0SS.60

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3199	ll'RO>H'D«p	S.00	$8>47	$19,lll,l21	"'	ll'J  )	)	l'l,'JU.I)  > 1'1.iJll.ll

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7021	17Jott-	6.0000	ll29J6	Sl,97136	•	,'

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70ll	6'Glt,""'	l.0000
llOl	s...,_,,..	1,00EAOI	1619.91	1619.91

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7192	1.0000	$4il.S).	™4.ll	1Lt

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TotalP!ic,tf  i,,,,ILCityOfSt1,g,11i"WilerOi>tibution Syst<,n!Ions:	171,167.11	l     14  50.50  S      SS,SS8J8 I   700, 08,88       9'/1\
1i CityOf SLAugustineGmlly SanitarySewerS)stem
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1015	T}IJOl-8•1(1doe9	1,0000	ll,!lltsl	Sl,94t51	I	I  >	)	<1'.11lJI     )    li'11l,)1
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Viii	R,rglioli'<dHa,lx>ll-lfilo;>	I.OO EAOI	$5,111.36	S5l,!I.J6	I	I  >	)	),JtllJO   l        WIJJO

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1144	lltndlllt.<S.W.	153.00 V	$3.	SSlW	u

,'	41111.)U  ,)        l,lO/.)U        ,vu,;

4116	TVT'"S-"'"'	m.oov	lll	$11,01.EO	u	,'

'	)	'11"1'1

TotalP!lctfou 1>o,e1t a-,OfS1. IJ,g,slineGrnit-,5'nitarrs.w.ts,,ton_  ,	!40,l0!.9i	l	s l8,S15l5 I l8,S1S.l5 9611
11 CityOf st,AugustineForetMainS)stem
61115	rn   t  lll!SFottl!lil	.oov	520.16	$1,561.50	I)	I)    '	)	l.:>01.ll.l   )         l,:>b4..:iU        IWJt

!024	r10o1"""""	J.OOE.IDI	11 .67	mv.01

,J	J   l

,'	Ml.ul)	/U,Ui	ll!J'II

6120	rlle..	tOOOOI	$551.	Sl,16921

' '	,

1.10'.f.li    1        1.lb':l.a.

,Jl.!J,'I.I

6151	rc.i,	LOO EAOI	$l8J.70	l lSl.70	I >

jGJ./U  )	J,t!S /U

6111	Wltil,atBoii	I.OOEAOI	llU.71	Sl!67. 6	h•t.1
61Sl	l'Jncj(Mfw,..	150.0 V	11.90	!112.50

'u	' '

ltle-11)  )	)	JIIO.l tl ll!J'II
)	)

' '	'	'

611i	tc:altW'"'TestbktteMil	li.0011	S0.611	,oo	u	u ''	'	'	"01'1
6116	"'""'T'"iltfw...	r,.oo v	$W	115!.ll	u	\I'll
Total Pm  for,i,,,,UCityOfSl.A,g,st;o,r....Hoifls,,tonlt<fflS:	$4)11.96	s	186.76   I	3,581 5  I     3,974ll	92,i

.

14.IrrigationSleeYes And Electrial/Telep,one/CAlVCOnduit
1100!.0l     rol10!'.<:	2S	500.0011	$100	$5,IXMI	u	,'

'	)	I ,.

1100!.lll  &:K111!'.<: r	200.00V	Sli6J	sw oo	u

'	I

$),121.00	u

'

1100I      rol40!'.<: f	250.00 lf	Sl9.D	14,807.50	u	u  '	)

1100!.06  &:K40!'.<: 6'	250.00 lf

'	'	)

'

I      11,1
)	'.i,i,.

TotalP!k,foboitll lrrigatlon -   And EKtriol/Tel$horre/CA1VConduitlions:	$206,58.50	l	s	I	0
1 SttdingAndMulching AndSod

'	'

llOS	bJlld"'ISol	.115.00SY	,vo	$Ill.SO	u •	)	.,,.
1	.   d"ll  s..dll!dH.tl\	l,ii5.005Y	$Ml	12.ll!lll	u	u   '	)	)	vi
TotalP!lctfor,i,,,,It S!olint AndHukhlnt AndSod n...	$ 06t70	I	s	s	0

Testir,g

'

1110	Ellttio<rt0....,1 (0:l«b,)	lOOtS	Sll,018.71	Sll,01.783	u	u  '	'	""
To!JIPrictfor,b<w<16,Tl!!tinglton,1	lll ,07&13	I	I	!	OIi

Paring AndDrainage As-&il1s
500	PM!q.-d ""9'Ma.ll	1.0015	16,129.10	11,429.10	u	u )	'	)	uw
To!JIPrictfor, .,,.17, P>vlngIndD,ani ,g,ls·iulltsllenu;	$6)29.10	l	s	l	Oil
1& Waterfoltemam AndSewer As· lluilts
500	w.. ,,_	lll-	•  r...Mu.	1.0015	S5,113.li	1,m11	u	u )	)	'	11'11
l otJIPrictfor, bolell, W,t,rforton,JolndS.W,,As-M tsltonl,	SS,11118	I	I	!	Ol!
20.Paymen,t_And,P_trteonnaac-eB.o.nd

l'J1

1.0015	lll,68&0!		111,618.04	ll ,111	V	j    '		1•.W11.u   )	) lMtlW4 lUll'II Tot,IPrictfor,.,,. 20, P,yo,,t W Pol°"""' lord!"""'		114,118.IM				s  14.6811.0l I	I 14,688.04 IOOli

-

Western
01.NobililalionAndSlte
100
s.,,,;,g

Tot,IPiictforabo,ec.Ii«tor1ton1,	ll! JSUI

'"'"""'

1.0015	SI0,00000	SlO,OOOOO	l    l	'	4U,WJ.W )

......,,.

lt/llll

IOO

1.0015	Sl0.00000	Sl0,000.00	""'	"·"'	Ubl l	1.ANUUV )	IUW,W   >	Ol'l'I

llOOHO	SS39.9l	Sl O .OI	J	.)	dlY'U   >	J  /0   )       JJ)'j.otl	JJ
TolJI Prictfor, boY!OtS!onnwil!rPollotion P""'  tlooPl>ol t,ms:	Sll,IIS.76	I	IJ4"98  l	4,028.94  I      SJ71.92      3311

-	.

lolJIPrictlot1boY!O!. MolillltiollW Silt epimionI-	$60,00II.OO	s	IWIIOII S Sil 00.00 I Sl.200,00 81

04, stonnwat,r l'vllution P!fflntion Plan

'""

ll>I

JOO	-""'	ll.OOHO	SSOJ.	16,036.71	I.JU	J

,	'"'"'. i;,IN,UI   )       m1t,l4	J'"

08, Roadway Consbuction

1111	fr -..-°"	1.0015	Sll,163.19	Sli,!ol.19	u	u )	)

6i1I	.....!<lb\	llOOOOi	Sl19.9a	S5,9.jl	"	" '	)	M'NJO)      M'll,:,Y	,.
1301	SobyaoeforSl!t,,,)	lJS.OOS'I	sJ.	Slll.!O	u	u   '	)	')	""

,.,,,,,'

lll>I	Swioi!ll:ir4lbl	11,305.00	S755	Slll,JOl.75	11!4) /	/llJo.l>	l t)l)t.)   )        WN).11   )	)j,(J).)  )    /Q. UII     .",".
1402	ri.m(ID)	17,llOOO	Sl2.IO	Qll,412.00	'l 'P ,)11	u	/U44l\l    )	)       HJttJU	J ,.,

1502	l/<'1!,t,1Pf-lll5P!5(lodlll)	17,lll OO	$5.67	597;17.IO	u

'	)

llOJ	6'  0ml0l""""S.,(Wzel"8a)	455.00	1!4.6!	11.1ro.JO	u	uu ,'	'	)	""

1503	J" l-lllSPll.S(lSIIII)	17,lll OO	S7jilj	1120,76.SO	u	u ,	)	'

"lll'l

-

'

1517	flil<liliecct	17,lllOO	SQ.60	$10,18.00	u	u  '	)	>
IS!!	!«IC«<	17,lllOO	SQ.60	$10,l78.00	u	u   '	)
1700	lllJ,<(W"""i	1.0015	$14,9\'tll	111,1'!151	u	u >	)	)

"IJ"'ll

11)11	1r....r11ur...	12,II0.00	19.34	1111.)11.60	"""'	"""	l tH  )	tl,t      • t,     ,)	.H,l) O.IJU   >   -411,UIL	•">"

'	•

1000

1,091.005.'	S4l8	58,966.60	y	u >

)	111\

1005	IJJJ.IW:api!a<	ll.0000!	Ql!.98	Q - 76	y	u ,	V'
100S	ADJ.....	190.005.'	SJ6.00	16,!ilOO	y	u >	>	)	Ill';
Tot,I Pri<eforabov,08RoadwayConslNdioo ltflnse	1791,31!.59	I     10ii%.17  I	8'l,91L46 I 19S.501.64	2511

JOOl	°"'"'g,,.°""	1.s .00	$19.22	S68,lll7.!S	""	m1 ,	• t,IJ,JIJ/lJU > OIIJU/,itl

09.Stonn Drainage S-,stem

3000	Tr,t'l"ldelH'°"I	J.0000!	S-98 5,26	16,985.26	""	IIJJ	I  I	'Lt,r,,l.l t    )	l,JU).t• ) tl, ,lO

'l"U"ll"tl

w	Tr,t'l"ldell   ll°"I	1.0000!	SIO,ISl,9J	S!0,151.93

..	.

,V..,h./	11.J>	I  >	o.tllJU'I   )	J,J)l/.14   )      IU.m ,'IJ

3026	C.,t"' °"'	4.0000!	sJ.)11.66	Sll,JIQ64
3027	c.lln>!H'°"I	aoooo	S4,41ll8	slS,299.14	),Ji:)

,!JI

'	a.,uw  >	i,j_'ll,) J    )        l HU.O,
' >	t.)	)	!1$':I)  )   J),l'N.tl½

''""""""

JOll	Olllnl!t81·0Dop	l  OO E/IJI	S6   l5	!60,812.SO	Odil	JJ	IU  l	¾11,/.}f,O!j   )	lU,Ub4,tU   )
J/Jl9	Ollln>tl ll°"I	l.OOE/IJI	$9,21\.IJ	Sll,568.26	IJ.I	"'°	I   >      tHW.IJ   >	C,ll/,)J    )

-1.,",,'..",,

''""""""

JOll	iXiC.,llilOa.il ll<!p	I.OOf/lJ!	59,717.26	$97,57.26	U.JJ	tW !I	'	J,l l'I. ) J,m ,':IU "

JOI!	iXiC.,l>l!IH"ll<!p	4.00 00<	58,111.61	Sll,7116.60	I.JI	IJl  >	'	l /'l,U  )    IU.l'IU!J	ii•

J04I)	iXiC.,lol! Oe,p	l.OOE/IJI	Sl,183.11	m,766.12	•- ll	U.00	I  >	WW!.J   )	J iU!I > 11.lbO.IIL

'I"U"ll"tl

C•••15>M...  »'D«p1"v,IIIIIT..	LOOOOi	S11,820.20	Sl1,l20.20	IIJJ	IIJ.l  l	)	4.,,.,., )   ♦.INUbl	iJ
JOSS	"""'-H'll<!p1"v,llllST..	1.00 001	116,S2Ll6	Sll,121.16	U.JJ	1w   ,	'	),4)L.U.      )       :>.OLJJ	,i,

'	)il !IM I	J,ll+,IIJ

l061	,..._H'Dop	l.OOf/lJ!	17)1 ll	SIS,620.64	U,oo	U.00 l
J075	S,,,.Top	40-0000,	$4o0.89	Sll,4JS.60	IJ.I	IU    '

>	JJ.
'	O,ua.1,/)) O.Ull.>.fl "

'JJn	-.,s,.,r.,,"""	1)40.00	lll.89	S43 J.60	o.;o.	4{//J	mu ,	U l$0.D!   )	H,l/C."1) \j,..!OU,U

3(65	lf M   fl'ldSetlill	ioof/lJ!	SS61.J6	11.nin	lt . t,,,	U,00	L> >	llJ .:i,t )

"' ' "' >

IJ LU4

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J(li6	11"-Eoo-	UXIOO	Sl,39111	11,)9511	"'	u.u.

!Ji/ )    '	)1'    )	\o!J,il    >    L\11..  1

"'	SJ	! IJl,J1   )	,,.

,,

m	H....,Eoo_,	J.0000	1v io.n	$5,!l'l.69	!.lO	U',fi	l .l )  .)	wnt.N  >	Lll !. '1J   >     j     j,Ut	,",".
JG-Eoo-	5.0000	l)fl486l	SIO)IJ.10	iV	I.,	J.I   >	U  J£l t1  )	S,J iJlW   )     l,t,Ol,JJ
JOi9	-Eoo-	1.0000	$4,541.41	14,lit.41	U..	U,/)	U'mO. I    )        S1 Wb.Vb
JIM	lrlll' Oo,p	1110.011	S!l54	Sl4,JM.IO	♦ IV	/),'i	1/U l	1,kW.Vf    )	i,fto.1'1 ) IU,.S UIJ It

JI!,	lr lll'i·l °"l>	.0011	!87.l!	lt5Jl.41

,,,.,.,

JIii	lr lll'H'Oo,p	6!.0011	1&4.00	15,124.00	01	01 '	'	).ll ♦,W > ).l t,,l)tl """

l/ 0  }	l	1Ld4tl) ll,!Jblf,t!S l!MI

N	11 l

LJJU1 > L SU I

J191	tr llJ>H' °"P	718.0011	!76.IJ	154,94t54

ll  D'.14	1-, '	lt  .UIJ't..)CI   ')	,1,m.u  >   j ) , l\)j,tll

'"M""il

Jl!l	tr llJ>H °"l>	176.0011	!11.91	Sll.$48

Jl!i	ll"IIJ> °"l>	41.0011	!89.18	ll ,6 88

"'1'

,t l

,'	j,tJ/11.tRI ) ),0 1 0-.tlll w, .

)199	lflll'H'Oo,p	14!.IXIII	191).66	111,849.06	Ill	m .l

ll.11+'1,Ub > ! li!W:IJJO

llOO	ll"R(H  l  °"l>	5! 0011	1918. 1	l\5,8ll.10
llOI	JO'IIJ>l·l °"l>	1,llll.0011	1119.78	1119,78).00	...;.114,IJU

,",".

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) JU	l	l J,JU   )   40.lltJ.IU
I UW l	lU\3.ll   >     '1 J44,tltj   >  11':l,/ l:IU.UU

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JO'IIJ> t  ll °"P	10.0011	S1%I.O	110)69.00	U'IU	.,.1	/U	J..l)'HJ    >	0.'11!1,,,      )      I U,to'1U,U

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Jlll	J6"11J>   Oo,pl!/IISCYd -	fl	5 .0011	l!M.9)	l! Ol,191194	JU4.'f'+	l J.UI	»> l	"fJ,jOI O•·         )	'1,ttlJJ,I\       )    IW,1'11J,'1i
Jill	l6"11J>H'   °"Pw/15CYd flloeblefl	99.0011	Illa!)	llO,oOl.87	'MU >	'N   I	ll),ltt•H    )	1,':l>f.'IO   >   lO,bUill l
Jl14	J6' 11J>l·ll  °"l>	306.0011	Sl5.554	147,595.14	l!J).I)!	"""'	'" '	·  Gt>i:J,01  )	1) ,/ IXl,♦.l    )      ,i  ,m  .l \

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lilU'O

Jl15	l6"11J> l  111><p	181.0011	Sl70.17	m;11.11	WaJ	O,J..II,

'" '	lU.'thl,ja    )	lU,JJV l ) J1,Jlt.£D

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Jlll	IIJ>l l11>,p	150.0011	1111.78	lll,884.IXI

,'"'

I	JJ      .!:IIJ  ,)       j.)         .t!IJ

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,

JIii	1.0000!	ffll.31	ffllJl	u  '	,

36"1<'.1"'9	u	I
im	PltrllCMSbmDori	l,lil.OOU	11.'II	18,lll.lll	u	u, ,'

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Ult

'

JIii)	lY     Ckall	1.JiJ,001/	14.Wl	11l Ja"1	u

l	VII
I

Tctl1Priafo,ot,o,,09,Sto,m0,, "'9eiyst,n,Il!ms:

1958,J79.5S	I Jl6J9()i7 ! 410,llS ! 816.511.86 MIi

RoadwayUndermin
JIil	_,,_	(Bilild !i!)	1,I00.0011	ll5J5	Sll,ol.l00	u	u  '	I	l	••
Teti!Pria,'"     boveIO. Road"'Y Undeid!omIt,ms:	15\ DlSD. O	I	!	!	IX!

CityOfSt. Augumne Wat,rDistributionSyslem

""

7011	16"IIUiPl(WI"'...	l!QOOII	l!l14	l+l,lll.40	,1u 3	•   W.t.lfi'W   )     W,W,tu     !WW
7011	ll"lliti Pl(WMMIII	l,Oll0. 011	157.14	1175,991.IO	1B'1hl	WM	lOJl:I	:i .lJ0.14    )	M,4/) ,I      )     i.'1,)'1l,Jl	1lll',
7114	i' llll!Pl(W"'11\ao	toi5.0011	llOJI	16l,91U5	1)0	"11.0	W1'.lJ  >     d .lll/.ti     >      JUJl,U.t:1$   >   ),!,411 ,',l	II>
1m5	f lll Pl(Wl>rl\ail	t:l.lOOU	17071)	ll,691.00	!OlU	,u	I I U   l	'fi OI    )	U:'110,1!    )      ,4tb/J)	II)
7011	4' 11118Pl(Wm "'11	1,085.0011	Ill.I!	Sll,4(M)	.vt,J	JlUJ	'1U,i, J,,l	,.J.il,lQ    )	O.':Ho.ll   >    1Lt ♦l,4a	II)

7020	Wllill-	10.0000!	!i06-il	li,0E6JII	lU

'	D,Ut>c)/ U > a,\loO./U l wo

"'"	" '

7011	!l'bol-	.OO OOI	1319,16	!l Ol.96	,•Ht	'4,)tl.).H    >	,    .11.1:)	u,.,.w,o     lW'/1

...

7013	r lln""""'	.0000!	1191.16	IWJ ,76	t;).fl	J/,l tl	" '	J.I\J':1.)0    )	.W+..tU  >   1, m .10     lilU'O

7088.01    15•-	1,0000	11,523.l!	11,Sll.l!	IJ. !

1015	4'lDill Roms	9.0000	1111.21	11,11t16	"''

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,  '	XII.  >	>JO.I t > l, IIIUO lW'/1

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l  l	#'IL.It   )	m .111 ) l) l J't

1C91.05      t&' GMe:VM	1.0000	II.lit.II	18,2811'	I	l  l	l	tli,ttl1,0l    >    11,l t) l.i O

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7095	!l'Gal!iM	1,0000	l),6ll10	115)7070	l.11♦	l J D	I   >    JJ.loW.10  >	U,Jl'l,'lt   >  t ),l/ 11.I U

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7(//7	rGal!,.,	7.0000!	Sl,0\1-04	IH)8718	.Hrt	lJO	/  l	l ,4l'1.J'I    )	OJJ:;1111    )     1♦,t t,WI
7W!	rGal!,..	ll.0000	11,)16.51	117,504.63	o.l4 l	l	tul .l l   )    ll,4Ul. £l
7101	5'lllie""	5.0000!	$619.91	ll,099.55	""	U.ll )	l	, .'111)	m.'11:S

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7101	loo!tWi,l!o,	14.0000I	1 76	15,414.64	""	0./l    )	l	LJ'NJJJ   )        l,l'N ,'Jj	ml

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7104	V...11:!< L,st.alalm	28.0000!	119031	15,Jl&96	I.I	1.4  •	)	lOM >   >	l00.4:1	,

.

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7106	Fitil)d»1	ll.OOOOI	1),1619)	148,9)1.09	b.l4
7109	lhlrTee	1.0000!	11,18331	lt!il J I	I	l >

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U,4tlb.'U > lS.4tlb.'ll	ffll
!,( lf,.j.11  )      1.1.SJ I    !WW

7116	lhlTTee	l.0000!	11. .18	14,))4.04	'	'

7101	fllsllilg tft!h•	l.00 OOI	11,11m	5',lll.71	"'	u , >

,)	®1JII  >     l.U) JJl1        ll!ll

7111	lhrTee	1,0000!	11,lllJJ	11,!ll.ll	l

,l   ,\

,l	4,JJ♦JA   )       4J JW4       l WW

J.W.IJ > 1.ISi,IJ !WW

7119	1h 6·r ee	7.0000!	11,01911	17,204.17	I

l	I J IJM I    >     1,,M.,,.,4.1,   IW'il

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!Ill	8irree	1.0000	1745.69	17!5.6l	tJ,411'.	}0•     HI  )	m :-JJ    >
71ll	80'  Tee	6.0000!	16J0.41	stmii	JU	LIIII	D )	l.'100.11'!  )	1,1:IJJ.J{! )

l<lni
.J,,I.,IU,.,+,.o        JW/1

11' 1'..>/   )	1,UJ.tltl	l ,J .l
4Hl,JJ    )	rn.-,, >

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7154	1· a..	!l.0000	lm.s&	14,!\J.54	tl,10	""

."	l.lltr,,i  >	i ,Ji 4.'AJ >

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1.4
t,JO	1.41

7157	!l' a..	l.0000!	1857.!l	11,571.36

7159	rullold	i.0000!	147U5	S1,l6215
rn,,

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J,n

' ' .)	!..>JI.II   >	i ,l-1,J)    )         l,) /1.Jb        IW'/1

7161

J.0000	1186.09	$118.21

J ,.,,

' >	II/II.IN   )	'lU1.I)    >     I.I"ll "''   '"""

7161	rll.5ilold	4.0000	1169.66	11,878.61
7167	f11.5ilold	ll.0000	1283.lO	So)Jl.60

>
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nil	1r11J1Boro	1.0000	11,41.37'!	15,!l, 16	•	• >

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7169	1711158"<	J.0000	SIil.OJ	!t\36.09	I.Jti

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nn	f 11.158"<	tOOOO	li59JO	1911.lQ
7173	('U,25&!1).1	l.0000	116,614	1563.16

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71 .06       l tli,±,a,	1.0000	11,1601.11	11,150.09	l	I   >	)	l, ICJU.\N ) l,JCU.U'1 ,w.

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7161	"""'	J.0000	164130	!1,9 Jl.'II	"'	'·"	j   >	pl(j).JI   )	'W./'l > l,':1J l. '1U

71	tll(lle<lm	1.0000	1591.ll	lll !.ll
7161	114'""""	l.0000	llll.71	$691.42

U.lll	V,    >	it U1, 4   )	i l!J./ 4
U',\lll >	I	m.dU  >	j j J,tm

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7191	llCOp	1.0000	W45l	1444.Sl	U1l	U.lll	1 1	•Jt .JC  )	W.J /   >	"4 .l.l
7194	r e.,	1.0000	1261.78	$161.71	u. ,	'·"	1 1	Uc.l.l  >     i  til.ltl
7196	l' COp	J.0000	l!ll.99	1111.97	'·"	l.44 )	)	i!IU.ll)          "''''

"!l''t"JI

Ill!	I'    WDSer.te	18&0000	11,mai	IZ!l,106,10	,1>./l	"'"'	Wl ,'10 ) :'l-l'\IJJ..;l ) IJ / / 1.U/ > l'tJ,/ Ul.i'1 o,.

'

·

ml	iwqur,io,,.,..	6,750.00ll	S091	S6,ilt50	u	u )	)	)
7219	looOll'>r!T"'f<r...  Haa	i.750.00ll	SIi.ii	Sl,712.50	u	u )	)	I
7250	PrfsstltTtslftiWWMI	i,750.00ll	Sl.11	Sll)lt50	u	U I	>	)

"1/1*1

7l1i	""'10.lo...  H>a	i,750.00ll	Sl.11	111,21iso	u	u   '	,	)	r \/li

Total Priaf •bovt ILCityllf Stl uqust'l"WatetD!stributlonS,stemI-	114l,llU5	I l00A07J5 S 422,867.69 S 623,275.04 mi

It CityOfSt.Augustine GravitySanitary Sewe!System
"'¥5-	3,188.00ll	,1	S79,7l0.00	""'	""' ,,I	'	f   IWJJI   )      1'1,JOUW	IWO

;»\	Dopl!ool""'IJti	tOOEIOI	SSIS.01	11,716.02
<OIi	Typ<ll  la.,.,.o.'l>!ep	15.00EIOI	Sl,4215. 0	SSl,lll.50

I)'	,"

)	1,/JIWl ) l,l ltLUt 1""'
)	IH,.W.)IJ ) lHJll.:iU 1Wil

4/Jll	Typel Han,:laH'<ioi	5.00EIOI	16,967,76	Sll,IJUJ	>	,'

)	.S4,IIJIUN ) J4.IUl:UIU IW!I

>lli	lypeAHaM,Ulldtt!>	tOOEIOI	$9,lio.71	118,273.52	'	' '	)	ltl.!I.W ) l tl,l/ j ,=it 1W.

<011	Tr,, AHanlxiel   lldo<;>	5.0000I	s10,s1rn	s  ,11&91	'	,'

'	,)1':>,1O1l,l..'.f,l,)     ll,)!11:1,'l:J        lW!I

1	ll!Ol""°"'lHl"'I>	1.0000!	Sl 0lW	sumuz	I	I	'	11,UIUl)  11,UJU l

>l18	fypeA""-.:i,IMf"'I>	5.00 EIOI	Sll,821J7	$5!,216.15	'	' '	)

)'l ,ll b.lO

>

-     TopOon	310000!	sm.11	19,576.	"	" '	'Ji ll b.l l 'I.Jlb,l !J

403!	.°."',""_""'1Mfll!<p	1.0000!	lltlil.OI	$11,161.1>1	I	I   )	•   ILlo!.1.14   )      ll,1 01.u•

'll"!"N"I
,"ll.!"N,".I

<Co!

31,0000I	S 7.!7	SS,7Jll91	ll	ll    >	'	/ /U,,o   >     tl,IIU,':iij

4105	lr !ll!26-     MaliU·◄l' O,,,	1111.00 lf	s&J.SS	!9,1◄70.0

41U
◄Ill	r !II!11s-  Mio.r 0op	1,161.00ll
rS11116s-Mii11-110op	161.00ll	m.56
S3S.26	lli,551.114
lll ,l◄l.ll	li  t!◄	U"M " ))	•   .Sl1))1.1Jf)     .1tl.J)J,U♦       ',,",.",.'
'	i  4l,il)    ,.s,m .u	
◄114	r5111165eooMii>l lllio!i
◄115	r 511116S- .., ll·lf0e,;,	OOll 1) 61.00ll	Mll5
M9.ll	lll,69111	"IU"ll	" '	)	.WO. 'it.t:,J )    .3U,,,.,t.t.l.U.IU.
S!J,96&88	llbl	J.:M l	•  OJ,	)	'""'	

◄Ill	rsarns-  Mio°''0op	tlo6.001f	$30.>l	17l lUI

◄1 4◄	""1lll<S..O	, i .oou	Sl.OS	$13,llll,71	"	u  '	)	)
◄1 46	lVfeg;Sewi,Mafl	6,314.00ll	1110	145,1 .81)	Hl  ,i)l	lit.i)l	)	1,1.ltl.'IJ) 1.rnm

◄HS

1910000!	l l,031.ll	Sl!l,18.16	1,	l:a !	'	J),ffiJ.JU    )       i, ,    JU
ToalPrict . , bovtIt  OlyOfStl uqu'1ineGmityS.nilJ s.w,,System_,	$164,748.06	l	s   61,3976.85 l   623,9);.S

--

1";,",,

l>U >	>	'i,141.W  )     -,1'/ ,W
Ll!XI'	•   ll ,'W11,1J  )  11,,tMU

',",,".,'.

'"1"11'1
"4'1"1

11ll

14.IrrigationSleeYts AndEl!ctrical/Telephoqe/CATI'Conduit
11001.0l   SOl◄Ol\'C-	1S	JOOJIW	$1	SJ,00000

u	u ,	,	)	! u

11001.03     SO◄l Oll'Csi-,r	300.00U	115.63	S◄,689I,XI	V	u '

,)	)	u

11001.04     SO◄l Oll'Csi-,4'	llO.OOU	$19,ll	$117.111	V	u '
11001.06     SO◄l Oll'Csi-,6'	llO.OOll	1» .90	s11mo.o	u	u,

,	'	I)
'	U1.

Tot>IPrict rabovel 4,llrigolionSlt,,esW!ledria l/T	/CA1Vc..duitllems:	$10,llLSO	l	s	s	llil

'	'	l

I  Seed'mg AndM1'dling AndSOd

'

1105	RljltdW So!	l ltOOSY	Sl70	M,8810.0	u	u '	'Iii
1106	RljltdW!ySetdlll1""'	11,l!I.OOSY	SI).	!9,l!UO	u	u   '	)	u
TolJIPric<f«1bovtIS.Seoll119And Muldllll9AndSodllm :	$14,l!SJO	I	s	l	O'II

,

Ii . Testing
1110	fJ!ill<rtOeislyT""'9-      )	I.OOIS	Ml)1 199	m)ll.99	V	"  >	) 	v

17,Pa.ing AndDrainageAs•Builb

Tct,IP°"  r«1bovtl 6.! estingll"":	$◄1,1 7199	!	s	l	I  O'II

s

500	""'l""llffige"&ills
TolJIPrictf«• booel	I.OOIS
l.Pa,ingW O,,ln'lfJl ·Boltsllem	$11,151,19
s:	$1153.19
ll l,118,19	u	u -
!	I
l	

II, Waterfolcfmain AndSewe!As·Bllilts	
500	W"1, -	U\51alb\ lJl1S-   A!Us	I.OOIS	$18,!6>13	llM61fil		u	u •	'	
TolJIPric,! 1bovt l&W,1'tforutNlnW S.WWAs-811llts_ ,		11, 911.13			l	l	
20,Paym,nt AndPtlfonna<t Bond
111	,,,.,.,m.i......ilnl!	1.00IS	
$52,Jio.ll	
112,lloll	
l.t,1/	
u	
j      '	k )J l'l. lj )	
TolJIPricelorlbo,t20.P>ym,ntAnd"1f""""lord_    ,		Sll,lltU			;2Jl6.13 l	

'	I     u
I       01!

I	Vft
l	Oji

,,...

' )l.JJO.U
s 52,336.13 IOOli
TotatPric.el«alxMWesttmltems:	$ 741,ill AS	s 800,1181.14 $ 1,989,245,94 $1,li'J,404.78

TotalBid Price:	$4,.4«,984.11
Nct,s
111<-    lf(t-	li'll!clpl,g&l riglllll
p!'(.e S\mayWOrt
abM   isbased <111lellWl'lef pM!q	w!,m!Q)S.Uamd

WAIVER AND RELEASE OF LIEN CONDITIONAL UPON PROGRESS PAYMENT

The undersigned lienor, upon payment from the lienee,of the sum of	$720,142.95	, hereby waives and releases its lien and right to claim a lien includingall claims, change orders,or demands whatsoever for labor,services, or materials
furnished thro\lgh,	March 31, 2022	on the job of	Dream Finders Homes
to the following described property:

Project: Location: Invoice# :

Cordova Palms Phase 1 - Western Lots a City of St Augustine
7826-8 (Western)

This waiver and release does notcover any labor, services,or materials furnished after thedatespecified. The undersigned represents thathe/she ls anauthorized agent ofLienor and bas authority to execute this Waiver and Release of Lien on behalfof Lienor.

Dated on:	March 22, 2022

Lienor 's Name:
Address:

Phone:

By:
Printed Name:
Title:

Vallencourt Construction Co., Inc.

P.O.  Box1889
Gree n Cove Spr ings, FL 320 43 904-291-9330

Ch	 Project Manager

STATE OF FLORIDA
COUNTY OF CLAY

The   foregoing instrument wasacknowledged before me this	 	22nd		day o f	 March 
by Christian Taylor ofVa lle ncourt Construction Co., lnc.,a Piorida corporation, on behalfof the corporation.

Personally known	X	or Produced Identification	Type of Identification

,  ..,.i·•i;· .

,     .  •   A	,.

! f	<.,:-,

'--..J'J.	,).•_ t

MARIA VALDES
Not ry Public - State Of Florid• Commi11io11 # HH 165052

,·••.Pl.  --:/	My Com/11. Expires Dec a. 2025
aonced through National Notary Assn.

Notary Pulllic - Maria Valdes

SEAL

NOTE.- Thisis a stotutory form prescribed by Section713.20, Florido Statures(I 996). EJJi!ctive Octobe,r 1 19961  a  personmay notrequire a lienorto furnish a warver on-eleaseoflle11thac1sdifTerencfrorr,che swtucory form.

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):
Requisition Number: 16
Name of Payee:
Vallencourt Construction Co., Inc.

ACH & Wire Instructions:
Receiving Bank: Synovus Bank 1148 Broadway
Columbus, GA 31901
ABA Routing Number: 061100606 Beneficiary Name: Vallencourt Construction Co, Inc.
449 Center St. Green Cove Springs, FL 32043 Account Number: 1011287909

Amount Payable:	$292,914.76
Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Cordova Palms Phase 1 - Eastern Lots Contractor Payment Application 7827-8 (Mar 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

By:		 Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

April 4, 2022

Construction Co. Inc.

Mike Vallencourt Sr., Chairman

Marcus Mclnarnay, President

Mike Vallencourt II, Vice President J.Daniel Vallencourt, Vice President StanBates P.E., Vice President

INVOICE

Date: 03/ 22/ 22	Period To:	3/31/2022

To: Drea m Finders Homes 14701Philips Highway, Suite 300

Invoice #: VCC Project #:

7827

2021-39

Jacksonv ille, FL. 32256	Application #: 8 (Eastern )

Attn.: Shawn Budd

Project Description: Cordova Palms Phase1 - Eastern Lots

ORIGINAL CONTRACT AMOUNT..............................................................
CHANGEORDERSTODATE-	 	$

$3,744,936.16

REVI SED CONTRACT AMOUNT................................... 	  s	3,744,936.16

PERCENTAGE  COMPLETE 	 	
WORK COMPLETE TODATE.

71.90%

$	2,692,752.11

STORED MATER IALS	$

TOTALCOMPLETED & STORED.................................................................................................................................................................	$	2,692,752.11	
1,ESS RETAINAGE......................................	 ...................................	$	269,275.21	
TOTAL EARNED LESS RETAINAGE...................................................................	$	2,423,476.90	
LESS PREVIOUSBILLINGS........................................	$	2,130,562.14	
	s	292,914.76	

Account Summary:	Sales	Sales
This Petiod	To Date

Gross:	325,460.84	2,692,752.11	
Retainage:	32,546.08	269,275.21	
Net:	292,914.76	2,423,476.90	

449 Center Street. Green Cove Springs, FL32043 I (904) 291-9330 I VALLENCOURT.COM

APPLJCATION AND CERTIFICATE FORl'AYME T	Al A DOCUMENT G702	(Instructions  on  rever:se s ide)	PAGE

TO: Dream Fin de rs Holllt;!S
14701 Phili ps Highway, Su.ite. 300
lacksonv Hle , FL . 32256

PRO! ECT;   Cordova l'a lms  Phase  1  - Eastern Lots	APPLICATIO N NO: 7827- 8 (East ern: Dist ribu tion to:
PERIOD TO: 03 / 31/ 22	[ X) OWNER
[XI ENGINEER
[XI G.C.

FROM: Val!enco urt Construclion Company, Inc.
P.O. Bex 1889
Gree n Cov e Springs. Fil. 32043

GliNERAL CONTRACTORS l' Jl.OJECT NO:
VALLENCOUR T PROJECT NO: 20 2 t -39

CHANGE ORDER SUMMA RY	
Change Orders approved [n
p evioos months by Owner
TOTAL	ADDITIONS	DEDUCTIONS	
Appro ved this Motith			
Number	I			
1				
2				
3				
4				
s				

TOTALS	$	$	·-	
Net change by Change Orders		s	-	

CON TRACTOR 'S AP PU CATION FOR PAYMBNT

Applic;ition is made for Payment, as shown below, in coan&tion with the Contracl
Continuation Sheet, AIA Docume nt G70 3,, is a tta .ched

· 1 . ORIGIN AL CONTRACT SUM·-··..-··-··-··- -··----· ····..--- - ·-·····.....................................
2 , Ne.t Ghange by Change Orders....................................................................................

S:	3.744.936..16 
$

3.  CONTRAC'l' SOM TO DATE (Lin e 1  t-  2.).............·-····..··········..··...-................_..... .....

-s    -	-  .J- 7- 4.4-9 3- 6-. 1-6

4. 'l'OTAL COMPl.l:l'EU &. STORED TO DATI...........................- .....................-- ....
(Column G on G703)
S. RETAINAGE:

s	2,692,75 2.11

10 % of Comp lete d Work $
(Colu mn D + £ o.a G703)
_    % of S  ored Materlills $,_ 	_
(Column Fon G703 j Total Re ta h1age (Lin e Sa .. Sb or

269,1 75.21

Tcital in Colmlla 1 or G703)......................._ ...._........_.............
6. TOTAL EARNED LESS RETAI NAG.E:... ................................ .........................................
The undersigned Contractor certili es that to the bestof the  Con trac tor' s knowled ge,	(Line 4 Less Une S TotaiJ
informa tion  an.d belief tbe Work covered by this Application  for Payment has b n	7. LESS PRB\IIOUS CER TIFiCATESFOR

:$	269 ,275 .21
$	2,423, 476.90

compl.eted    iti  ac cord   a n c e  with ihe  Contract Documents, that all amounts ha ve been		PAYMENT (Line 6 from  pr ior  Ce tiflcare-).........---····  ·.·. ......................-..............     $	2,13-0,56 2. l 4- pald by th.e  Co11trac-tor for  Work for which previous Cer l:iflra ies  for Payment shown	8. CURRENT PAYMENT DUE.............. .... .......................-...- .............................-...................	$		292,914.76
iss ued  and   payments re ceived fonn the  Owner, and  that  c L1rr  e nt pa	,   .....,..	TO FIN.ISH, PLUS :RETAlNAG E................. ....- .....................-....................	$.	1,32l ,45 9.26

FLORJDA	County of: Cl.AY

he re in is now  due.	/	+'.;,.	_  , ..    _.,	..,,..,,-   ..........--(-L-ine-3-les-s L-ine--5-)- -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -  -

COMTRACTOR:	Chri stian Taylor
,, :a ' > t
By :	 		t:late;	3/Z212022

22nd	<lay of	M arc h, 2022

ENGINEER'S CllRTI F!CA'TE FOR PAYMEl'JcT
In accordance with the Contract Documen ts, ba:sed on on ·s it e observations and the data rn mpris ing  the.ab,  ove a.pphcati.on, the  Architect certi fies  to  the  Own .e r that to the best of the ru-chltec t's know ledge, I nformation and !;ieiiefthe Work has progressed as
ind ica te d, the qua lity of the Work is i n ac::cardance with the Contra c t Documen ts, and
the Co ntracto r is entitled to payme nt or t he AM OUNT CERTIFIED

AMOUNT CERTIFIED..........................- .................,-.............,._...........- ..	............_..,$.	292,914.76
{Attach e-xpJ  a       o   n irf     ? \    f	fied di:ffers from the amoun t ap   p lieid fo r.)
ENGIN EER:	\µ
By:	 		•	Da te:	4/4/22
This Cer tificate is nut nego tiable. The AMOUNT CRRTIFnm is p ayable only to the Contractor named herein . Issuance. payment an d acre pta.noe of payment  are  witho  ut  prej udice to any rights ofthe Ow ner o r Cont rac tor l!lnd.er this Contract.

Al.A DOCUMEN T G70Z " A PPL1CAT ION AND CERTIF1CATE FOR PAYMENT* MAY 1983 EDITION * AIA* @ 1983
THI? AMERICAN I NST JTUTE OF ARCHl'rECTS, 1735 NEW YOUR AVENUE., N.W., WASHINGTON D.C. 20006	G702 -1986

Schedule of Contract Values

ALIDccwneotG70tAPPLICATION!1/DCE!TIACATEfORPAYMEJIT, <0omta t1,

Contrxtct's	cationiswmtd
Intab" liorlsbelow,woctntsartsu!tdto!ht riu m1 dc&r.

tmc«utn.nlot1Contrw wtitttmilablt	rori.ntittmsm.qzppty.

CordovaPalmsPhaseI•EaslernLots DreamfindersHomes

APPUCAllONNUMfill 7827·8[Eastern)
!I PUCAn orn n.	03/22/ZZ fElJOOTO:	03/31/22
YCCPROIEal :	2021·39

A		B	C	D	E	F		G	H	I	
ITlM		DESCllPTXI	SCHID!.UD	WDIJ:to,IIPUJ[[l	ltlru LW		TOTAL	, ,.	&IIAIU	UT>J!t",f	
""			' AlUt		nut/llU		!M!l'Ltltll	I UI L'DII		
				flOIIPIMOOS	1111S l>l0	SfOIID		A.\'DSl'OUD	iC'J		
				'"""""	\tlJTIN		roam			
				ID•ij	DDlij		(O,E1[}			
1r.asrern
. 1UlITTtomn1.□a onaiIDilHrep	
			67000 I	33,710.00 I	6,90.000		l	40,610.00 61% I	263900.0   S	4.oil.00	
-z,
.,:.	I""',wrmw!INfOl[ulfonrrevenonnl'Jan	16115.76 $	8,057.88 $	1,342.98              l	9,400.68       58%       $	6,714.90 l	940.09	
	
,.	1uu,,wnnumra  agelystem		794901.07 I	682,485.35  l	30,624.00		l	713,109.35 90% s	81.791.72 S	7U!0.94	
	1u1u •Uil(J•vayunoeroram		53025 I	I		l	I	53,025.00 l		
c.	run w;,t\ rUlaa1ewatenystem	756045.04 I	50006.95  I	227,3384. 9                 l	727  45.44     96l,    $	28,19.690   S	72,784.54	
7.	'" "   wm,raVlly,we  m y em	712447.93 I	658,362.78  I	11,180.21                  I	669,81t99    94%     I	42,6349.4   S	669,81.03	
lf.	1u1J WI A torceMam1ystem	621805.51 I	379,322.54  S                                     $	l79,l2t54     61%      $	242,48.927  S	37,932.25	
.	1u1,,mganon11eevesana'  """<:al/ieiepnone/LAI v w,.u11	202215 S	l                                      I	$	20,221.50 l	
IU.	IUIJJ<eulnganOMUICltngm,oo	10038 $	I                                        I	s	10,0380.0 l	
II ,	IU I O iesung	34016.7 I	$                                       s	$	34,0170 $	
ll ,	1u11 ravmgana uramage11s-tm1G	ll57W $	s                              l	l	11,572.37 l	
IJ.	1010 na1er1tommma 1,ewer11S•omu s	17487.14 I	s                              l	I	17,487.14 $	
14.	1uLvraymemana rerrorrnanrew1w	48075.16 l	s	48,075.16                 s	48,075.16   10011    I	$	4,807.52	

,

!TOTA· L.. .... ....... .... ..... .... .... .. ,	3 ,744,9361. 6 I -s-     z 6m 1:u 1s	325,460.84 I s	2,692,752.11 I 71.90ll I S      i,052,184.05I!     269,275.Zl

' "' •:H c us

Mclnarnay. P r,;.:"':.>rd,enl
Mike Vallencourt Sr., Ch.)irrn nn

L:J

0	r:::::

-

C:

Mike Vallencourt

Vi

II.

c P r

'

.:'Si fl

B

1 a t c s P.E .• Vier.P re::; Jer1

S t an

Vallencourt. Vice President

Daniel

J.

11 t

t

To:
Address:	Dre.am Finde rs l"U>mes
JackSCMll , fl.	Contact:
Phone:	

ProjectName:	
Cordova Palms Pt!, 1	Fu::
Bkt Num r:	
ProjectLocation:   St. August e	Bkl Date:	•126/2021
It em  #	Ite m  Descrlptfon	Estimated Quantity Unit	UnitPrice	Total Price	Qty, IO<t.JU•d	Prr-vlous	TOtalQty	Bil d tlll:sMonlh	Previously	Tota l Compl!!U!'	<¼
Thls  MM th	Q,iy	To•dnte	BIIJlog;t	To•date	Complete

Eastern
Mobilization And Site Prepara tion
100	GeneralConditions	1.00 LS
400	Su,veytng	1.00 LS

V,"t-J	u.::,,    )	.10.  1,u.uu    ,

,

$45,00MO	s:45, 000.00	1,J,tl (>	
$22,000.00	$22,000,00	u, t :,	
	$67,000.00		
	
P Jofu		
Unit Price	Total Price		

U.::,.-S	U.01:S   :"I	1,J1ru.uu

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TotalPricefor above 01, Mobll lzatlon And Sit e Pre_paratlon Items:

s	6.900 .0 U   s	33 ,71 0.00     $     40 ,610 .00	61%

6{23{2!J219:57: 0S AM
Item II	Jtem Description	EstimatedQuantity Unit
0,4 Stormwater Pollution Prevention Plan
300	NPoes Petmit coml)li.ance	12.00 MO	$503 .06	$6,036.72	.1.,VlJ	b	I    :,,	_,V,MIO	.1,U t tt·,.so
304	NPOES Reporlin<)	12.00 MO	$83 9.92	$10,079.04	l, HV	b	I	(1J,'1 -.,L      l,	:>, UJ':1.,,:,,e

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Tota l Pricefor aboye04. Stormwater Pollution Prevention Plan I tems:	$16,11S,?6	s	l,J42.98    s	8,057.88    s	9,400.86	58%

08. Roadway Constr uct i on
608	In tProtection	34.00 EACH	$179.98	$6,119.32

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1116	Site Dewaterlng for ESInstall lo Ex. Pond	10.00 DY	$2 ,60 1:28	$26,012.80	JU

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1118	Anal Dre.ssout And Backflll Cul'b	1.00 LS	$18,977.69	$18,977.69	u

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130 2	Subgrade for Sidewalk	215.00 SY	$3.54	$761. 10	u	u
1304	SubsoUStabilization	14,035.00 SY	$7.55	$105,964.25	1:,uu .1::,	l':JUtJ./'J

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1402	6" Umerock ( LO)	12,060.00 SY	$1 2.39	$149,423.40	u
1502	3/4" A.spha lt Pavement LOSP 95 (2nd LIii)	12,060.00 SY	$5.68	$68,500.80	u
1503	I" Aspn.alt Pavement HOSP 12.S-{ tst LiFt)	12 ,060. 00 SY	$7.04	$84,902.40	u
1517	PrimeLime.rock	12,060.00 SY	$0.60	$7,236.00	u

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1700	Striprng & SJgns(Ea tern)	1.00 LS	$1 0,9'W.94	$10,948.94	u	u	•,.

2000	Sldewalks	1,940.00 Sf	$4.28	$8,303.20	u	•	•

1518	TackCoat	12,060.00 SY	$0.60	$7,236.00	u	u  :,,	" "
1804	18" Miami Cutb& Gutter	8,880.00 LF	$9. 34	$82,939.20	l UOU	J.tiOV	"	l/,j/4:.'I-U
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2006	A.O.A. MalS	95.00 SF	$36.00	$3,420.00	u	u  ::,	,.

2 005	A.D.A. Hanc!Jcap Ramps	6.00 EACH	$239.98	$1,439.88	u	V  :>	"
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0!>. Sto rm Dra inage System

Total Price ror above 08, Ro. ad  W.lly Construction Items;	$S82, 184.98	{	s	104,575 .76     S  104 ,575 ,76	18%

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3003	Dewater Storm Drain	2,800.00 LF	$19.22	$53,816.00	.t:dlJU	lti:Vll
3013	lype"C'  Inlet 6·8'  Deep	1.00 EACH	$5,668.90	$5,668 .90	l	I    ::,
3022	Type"E" Inlet 10·12' Deep	2.00 EACH	$10 ,151.93	$20,303.86	l	< ..

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3023	lype"E" Inlet 12-14' Deep	1.00 EACH	$7, 691 .62	$7,691.62	l	I    :>
3026	Curb  lnlt!t 0 6' Deep	7.00 EACH	$3,327.66	$23,293.62	I	I    ')

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3027	CurbInlet6•8'Deep	2.00 EACH	$4,412.48	$8,824.96	
3028	CurbInlet8·10' Deep	12.00 EACH	$6,080.25	$72,963.00	
3040	Obi. Curb Inlet0-6'Deep	5.00 EACH	$5 ,88 3.41	$29,417.05	
3041	Obi. Ctirb Inlet 6--8'Deep	1.00 EACH	$8,176 .65	$8,176.65	

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3042	Dbl. Curb Inlet 8·10' Deep	3.00 EACH	$9,563.01	$28,689.03	j	.';

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3063	Storm Manhole8·10' Deep

, 1 00 EACH	$5,195.97	$5,195.97	'	!     .>	"	J, !'1 :>.•n      "	::,i'1:J,'11	IUUo/0

3075	Storm Top Adjustment;	4, 0 00 EACH	$460.89	$18,435.60	u	u  .>
30 77	Underdraln StubsFrom Inlets	1,200.00 Lf	$34,89	$'\1,868.00	u	u  .,

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3oa8	36• Mitered End 5eCtlOn {Into Ex.Pond·)	2.00 EACH	$ 4,379 .64	$8,759 . 28	l	< ::,	d , / !l 'j . t t,     >	ts, ,:,,  ,t tt:	lUV

lGlO	4i'M.,,.fnd5Edl»(ldo&.Fa,j)	I.OOEIOi	$8,815.79	$1,815.79	I	I >	)	ti,t,IJ)./';   )       11,0U)./'1       J<m,
)114	11'11(1(\flleep	l!LOO V	S/165	IJ,W,16	1,i	i tll  )	iJ,W,,/tJ    )       U.WJ,/b       IUU1,

Jill	WIOH!leep	67.00V	Slilll	Sl  .10
)191	1r10llf0eep	51.00V	l!'l.n	11,.)81.51

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)199	M'IO!-flleep	n.oov	110100	.296.00	j/     '	l	.S,l'fO.W   >   J,t'loUIJ
JlOI	JO'IOH°"I	11.00V	llll.11	SJ,715.96	1,	{Ii   '	'	j.(Jlj.'11))         3,1111'10

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JO'IOH°"I	JOl.OOV	Sl!!.91	l ,7112!1

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llO/	JO'IO ll'lleep	391.00V	1121.16	!<8)11.10
llll	J6" IOH !leep	2911.00 V	llio-00	$1 340.00

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ms	J6'11'.1l IZO.,	311.00V	Sl.6162	S!,il!l.11	l/1	'14  )	l	01,l'IJ.tRI) Ol.J'1j,t\lj I W.
Jlll	4l'IOHUllol)	131.00V	!18l7!	S24,Jli.	UJ	Ui l	t4 ,IJU  '1 )     t♦,IJU't	Jll\/0
im	ITIOl IZO.,	lll.OOU	Sl.961. 6	$18,®83	Ill	I,U, l	'	ttl,U   .tlll  >   tU,l.t)U..tln       1111/0

ma	4i'IOHU!leep	JI.OOU	$ll115  S	tl!l.15	l)

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l1l'I	4i'IOl IZ!leep	181.00U	11lJJ6   $       11,161J1	IOI	!ti/    )	'	U/otLil)    4L/111Ut        IW,,,,_,

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ll61	2'4 IOPbJ	1.0000!	1959.ll	1159.ll	u	u >	)
ll7!	1'«!0,,IIJ<>l>ll,	J,064.00U	$1.!IO	1 5,811.60	u	u )
lll!I	l'/Slm,il'iO,	l,064.00U	-111	114,101.20	u	' '	)	)

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10.Roadway Undenkain

TotJIPricef  abcM09,ston,Oraloi9<5yllonl tems:	1114,!IOLOJ	$     l ll,'24.0ll  S     6Bl,485J S  S 713,IO!JS       9-0!\

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II,City01St.AugustineWIierDistribution Syst,m

ba,.  10.RoadwJJ Uod•do,  l  Items:	$S,JllSO. O	l	s	s	01\

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1011	16'0118f\C 'ilfrHa,	1,1611.00	111.11	Sl!.1,Wl.40	u.w

1015	i'Ml8f\CW..Mao	100.00	Slll.10	Sl,O,ll.00	J1.W

/1114	8'aU8f\CWilaMao	,Sll,00	s».n	$71$115	U U. lli	w,

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115.00	Sill!	159,09.60
/020	li ' Joie-	51.0000!	W,!.iJ	lll, 9401. 7	,1	,    1 '	)	Jl.,/.':,,l+,,!,l',1H(1) )      J  j,V,J/

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1015	f l>ill-	S.0000!	Sl1. 4.14	mm	I.II
/WllS   16·Sleewe	1.0000!	11,51319	11,Sll.19	I

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/WI	rGile '<	1aoooo	11,lllt.04	110,41MO	) .!J
Ill%	rGt.ev;,,	1aoooo	11.lio.5I	IU,465.10	1;"J

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1104	U..b-	25.IXIEl(H	1190.ll	14,156.00	1.W	1,,	" '	IJJ U ♦    )	J,m.10   >    ',f)ij,W

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7105	l\&'lilgllj0!'1	tOOEIOi	$14,1451	Sl J1

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llal,05      lh'1 6'  T	tOOEl(H	ll,i19.IJ	Sl,11a86	'""'	J,m	' '	11!/'U    )	),IJljf,':I)    )
7111	16l f  Ttt	l.OOOOi	11,820.01	Sl,!10.01	I	1j' ,	)	1,'l!U.t/1   )        U:llU,UI

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7111	16i6'Ttt	J.OOEl(H	Sl,7181. 9	S5,l8M7	'	, ,

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mo	wn,,	S.OOEl(H	$1,416.51	17)11.10	l	' '

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7159	r S!ld	.0000!	IIJHI	Sl l4.IO	s.u	I"'	0 )

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7161	li'llJ&o,J	UIOOi	11,m.01	lll,656,l6

7165	f11JBeoo	S.OOOOi	14(/l.66	Sl,l11.lll

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7161	f11J&o,J	S.OOOOi	$181))	Sl,41,50	i.!J,t	I.I	' '	ll....,U   )	O!'t,'tl    )       1,410.llJ

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7168	16' 1!,lll!eol	1,0000i	114,13,7!	Sl,413,19	J	)	l,\IU,l't   )        l,4ll.S.l't
7171	8'11,11Boll	lOOEIOi	14 .I0	$)p72,8)	,.lC	i.1	' '	i.'N'fOO  )	1, /0t.         )       j,(1/l,W

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7173	fll.llBoll	J.OOOOi	Sl!J,M	s&H.92	Do	'·"	J  '	l,W.JO )
7176	1111'""""	2.IXIOOI	11,040.00	Sl/jl),00	'	' '	)

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7188	S,f-	1.0000i	134 71	Sl!l,71	u..:i;	rn	I  )	ll 'l.11  )	IC),'tt      )	>f),/1
7191	rr.p	J.OOOOi	Sl61.II	S162,71	llll	""	I   l	t.mci)  )	Jt!J,J)    )	,o,,1t1

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7196	nai	1.0000!	l l/J.99	$17l."	11.!ll	...	I   l	w.,   1    )	IU. £   )	l/J,'t.l       I'"W"II'

JlJ6	l'li9' -.. -	1500. 000i	11,111!.81	S216,1Jl,50	/OW
72'l	...,,leottlolll-	1.0000!	ll.162.17	ll ,s&.n

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ms	to:.lcWctles!FuWMJMM	49, 30.00U	SO.SI	11,711.50	u	)	)	II!>
mo	PtesS!ftTest b' WWJKa'al	4,9JllO. OU	SW	110,1lllll	0	ll l	s 	I
TctalPrlcefcro  ILCltyOfSt.A111u!ti,eW11et Dlstn'blrtlo,!yllonll""':	1756,1111.111	s 227,llM! S 500,506.!S I 727,8l5.44
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S20.00	171,100.00	""	'

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1004	lq   Bo,l""Tllf	4.0000	S851.01	S 4ll.OI	'"'	j	I  •	oru.-, )	l .Jl ♦.W      )        M ,WJ•

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'\1)15	l!l'l-6-rd!$	1.0000	16,967.71	S18,77'Jl	' '	)	411flt.Sl)        4tl,//4Jl

11)11	w   • -	t  tr d!$	,0000	11 5!;	$12/65,16	•	I  >	)	Wm.l  o  >    4t,IJ:1).JD

'\Ill!	T)\lel H1,'tol!l2-tfd"P	l.0000!	111.11531	sll,650.71	'	'     )	)	H,G:llli/4 > H.O)l},/4 ',"".".",".'

'\1)16	l!l'lM1m•Hlad!$	1.0000	$9,136.71	59,136.71	'	l  >	'	Y.U /D  )     'l,U D./D

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'\llP	lq-• •rd!<;>	2.0000	lll lUl	Sll.Dll.	'	I  '	)	WJl♦.tK > U ,Um H

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'\Ill!	li'o- l	!Ht""	1.0000i	$5,507.61	$5,5076. 5	'	1  '	)	),31.)/,    )         >)Vim       lWII

IOt.'d!T IM	21,0000i	S281.67	$7P\!.15	"	"

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4069	210000	S257.!7	S.ll!lS	I)    'l	•	o,m ,l>  >    O,tt':1.i)        IWII
4Uii	llSlJIM...,Naill llOeep	759,IW	S60.ll	Sll,71rn	/)'I'	)	4,)IU,:.J   )      4:tt/l '-l  /         !WII
\Oil	ITSlJlli-....12-tf Oeep	936.00L'	$66.07	$67,117.02	""	""' '	)	0/.111.ul > 01,111.u, !Wll

lltl	r Sl\liloooMi• Oeep	1.057,00L'

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1!12	rs1us-""1-rl"'P	1,m,oou	m.56	111,llO.ll	H',/	ti'l1  )	)	4l..tWJl)    -14'.Ml,Jl       IWII
lt1)	f SlJl Solof!ml·IIOeep	361,00!f	S;,/1	Sll,8]4.!4	Jo,	JD\ )	)	lt,tlJt  )   ll,.IU4,M       !WII
4111	rSDUS...M,i,l llll!!p	ll OOlf	IIJJ5	$5,,    SQ	!JU	uu )	)	),OJ).lU l l,CIJ),lU
1115	f  SIU S...AAiU·lfOeep	16!.00lf	119.11	$1,419.96	1.,	"'  )	)	tm  'l.x1  )	\lj,,.    'l""""""

IHI	PladlOIISew<r	1.717.00lf	SI.IS	l!, 47lli	\j	\j)	'	)

4130	l'l'.tSewo-Haii

, 2 00 lf	Sll.19	1562.ll	"	"  )	)	)DU))	)Ol,l,) lWll

1145	S-Sovas	li0.0000	!l  ll,ll	Sl  ,Bll OO	11.1. uu	""

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4146	lVT<llS...llao	va1.oo	$1,10	Sl4,  4D	l/Jl.'Ml	IIH.'Jlti )	)	1.,)111/l     )      I .J!h.ll	Ill
IIIUIP!ic,for11>ffl I LCil)OISI. l "9ustin,Go,i  S,,itJ,ySMrsi,ton11,, ,.,	$112,447.9)	l      11,181111      l     6SS,6ll,78  l  66! 12,99      911\
13,CityOfst.AugustinefoKeMainSystem
5001	T"°"'lf«f<ralll	l.00	Sl9,49ll.ll	!l! ,191.11	\j	u )	)	•

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5003	IIM!IOUI-	l.00	Sl!.361,ro	!l!,361.03

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6011	1!0001f	SlllO	Sl,6 .00	"''

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•

rM111ar.,,""'	IOU >	l!iOJLW  )    IIDll.llll     IWII
60lJ	rllilll""'••	1.0000	Sl!S.16	111\160	)      )	)	"""')	IWII
61);!	rSiot<	1.0000!	11,010.09	Sl,OlnO!	I	I  >	)	l,UlUAN')       l)JIU.U,        lWll

Jl!!iOlJ.U/  > .Ul),Ol).IJf	Wll

I	)	,......I  >			IW1'

""""'""'""

1.0000!	18,61>)1	Sl,!ISJI	I	I  '	)	CI..Ol>J I ) !iiDl:UI IWII
1.0000	16,711.BJ	S.7!i.8J	Cl.,f'ltMIJ)

6076

60/1
6072

.rC.11«1va;,	1.0000!	ll,l!l.71	Sl,lia71	"	u )	)	)

"u"

.

""

6071	r w,,	3.0000	l2,li8.71	s7,15"11	\j	\j  )	)	)

0060	V...Bclllnltalatol	1.0000!	Sl!O.ll	17 .2!	\j	\j  )	)	)
6l1l	r!IIIBold	1.0000	Slll65	)4).15	)	)    )	)	t U.t,L    )     4il4.S.lJ     IWII
6119	!'    Bold	2.0000!	$71\6. !	Sl,56936	'	'  )	)	l,)O'tJO   )       1.)D'tJo        n111•

6121	rma..	l.0000	!111!0.

Sl.563.60	I	I  >	)	, l)jbl) ) 1.)1).).dl

""'°'Fu«'""	Sl!.111	$191.00	•

6111	-Wnio;	l.OOOOI	$336.71	$336.li	u

)	)	)

'""'

1m	l!OOOlf	u	• •	)	,"".
61!5	l«attWn:Tts:krfacekd:rr	llilOOlf	$0-60	Sl .00	u	•  >	)	•	IHI
6186	""'"'1"'"'"""""'	llO.OO lf	II.JI	S !O	\j	u '	)	)	v,,
TotalP!ic,fo,obovt ll . IllyIllSI.l"9l!tl11<ForttMalosi,ton11""'	161 1,IOS,51	;	I l79J22.54 l l7')J22.54 61

,

14.IrrigationSiemsAnd Electrical/Teiephone/CATVCondu
11001.02   50i«IMSl!ffls,2S	»J.OOlf	SIQOO	Sl,Oll.00	y	u  '	,

)	\>ft

11001.03  SOillll'.tSl!ffls,l"	»J.OOlf

,ll  6l	" ,689.00	V	u ,

)	I      1M

" ·607.50	'

11001.0I  50illll'.t5l!!vo,1"	150.00lf	li! ll	V	u )	)
11001.06    50illll'.t51!!vo.f	150.00L'	! l0!.111	$1,715.00	u	u '	)	)

",_"
I

TOIJll'!i,c,f u l>olell , l rrliltlonS!ff,esAnd!Jedrlai/TelepiloM/CllVCondultl-	llO,UI.SD	I	l	l	! 0
15,Selding AndMuldlingAndSod
1105	Ri)lldW Sod	1,Jll.OOIY	Sl.70	Sl IOlO	\j	\j,	)	>	ui
1106	lijlld\\'15',dao!H	!l,6ll.OOIY	.is	Jl!.oo	V	\j    )	)	)	U'II
TOIJll'!ic,fo,1bovtlt   s..l;1191ftd Mulchl119l ndSodll,ms:	110,031.00	I	I	I	O'il

16.Testing
!HD	fan><olDoslyl<llil;(f,l<ol\)	1.0015	134 16.70	!34,0l•lll 	V

.)	)	)	U'II

I
I
L

17,PavingMdDrainage.lJ-81!iltS

ToblPrio!forob,oell   Tesliogit,ms:	134Pl•70	I	I	I	li'il

""

50)	h\ll)aol  lsllill	1.0015	111,ffiJ)	Sll,572.31	u	\j    )	)	)

I

TIIUIPricefor1bovt17. P,ri119 AndDt""" ls•l• iltsit,ms:	111 7lJ 7	I	I	l
11.WalafortemainAndSewer.IJ.Builts	,	°"

1

500	w aor, r.wao, U19'ti>\aolSew<r1<11.ts	1.0015	Sl1481.l4	1174,81.14	y	u >	'

WAIVER AND RELEASE OF LIEN CONDITIONAL UPON PROGRESS PAYMENT

The undersigned lienor, Opo n payment from the lienee, of the sum of	$ 292 ,914 .76	, hereby waives and releases its lienand right to claim a lien in cluding all claims. changeorders,or demands whatsoever for labor, services, or materials
furnished through,	March 31, 2022	on the job of	Dream Finders Hom es 
to the followingdescrlbed property :

Project: Location: Invoice#:

Cordo va Palms Phase 1 - Eastern Lots City of St Augustine

7827 -8 (Eastern)

This waiver and release doesnotcover any labor, services, or materials furnished after the datespecified. The undersigned represents that he/she is an authorized agent of L1enor and has authority to execute thisWaiver and Release of Lien on behalf of Lienor.

Dated on:	March 22 , 2022

Lienor's Name :
Address:

Phone:

By:
Printed Name:
Title:

Vallencourt Constr uction Co., Inc.

P.O. Box1889

Gr ee n CoveSprings, FL 32043 904-291-9330

Project Manager

STATE OF FLORIDA COUNTY OF CLAY

The foregoing instr ument was acknowledged before me this	22nd	dayof	March
 	
by Christian Taylor of Vallencourt Construction Co., lnc.,a Florida corporation, on behalfof the corporatio n.

Personally known	X	or  Produced Identi fication	Type of Ide nti ficati on

1

ti	.$/	Commission# HH 16 5052

· ·..':'f o, r--.';?,·"'i My Comm. Expires Dec 8, 2025 Bonded through Nat ional Notary A;sr,.

MARIA VALDES

,<,.,._"• £i·.•..

(f°if'fffr:\ Notary Public • State of Florida

	 SEAL
NOTE: This isa st11tutory form prescribe(/ y Secdon713,Z0, FloridoStotu<es(1996). EffecciveOctober 1,. 1996,o person maynot requirea 1/enorto furnish o wafvar or re/ease ·o/ llen <hotis different from thestatutory fimn.

REQUISITION

The undersigned, an Authorized Officer of Cordova Palms Community Development District (the "District") hereby submits the following requisition for disbursement under and pursuant to the terms of the Master Trust Indenture between the District and The Bank of New York Mellon Trust Company, N.A., Jacksonville, Florida, as trustee (the "Trustee"), dated as of December 1, 2021 (the "Master Indenture"), as amended and supplemented by the First Supplemental Indenture from the District to the Trustee, dated as of December 1, 2021 (the Master Indenture as amended and supplemented is hereinafter referred to as the "Indenture") (all capitalized terms used herein shall have the meaning ascribed to such term in the Indenture):

Requisition Number: 17

Name of Payee:	Kutak Rock LLP
Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha Kutak Rock LLP
A/C # 24690470
Reference: Invoice No. 3009846
Client Matter No. 4823-3

Amount Payable:

$ 1,190.00

Purpose for which paid or incurred (refer also to specific contract if amount is due and payable pursuant to a contract involving progress payments, or, state Costs of Issuance, if applicable): Counsel Services – Invoice 3022828 (Feb 2022)

Fund or Account and subaccount, if any, from which disbursement to be made:
Series 2021 Acquisition and Construction Account

The undersigned hereby certifies that obligations in the stated amount set forth above have been incurred by the District, that each disbursement set forth above is a proper charge against the Series 2021 Acquisition and Construction Account and the subaccount, if any, referenced above, that each disbursement set forth above was incurred in connection with the acquisition and construction of the Series 2021 Project and each represents a Cost of the Series 2021 Project, and has not previously been paid.

The undersigned hereby further certifies that there has not been filed with or served upon the District notice of any lien, right to lien, or attachment upon, or claim affecting the right to receive payment of, any of the moneys payable to the Payee set forth above, which has not been released or will not be released simultaneously with the payment hereof.

The undersigned hereby further certifies that such requisition contains no item representing payment on account of any retained percentage which the District is at the date of such certificate entitled to retain.

Originals or copies of the invoice(s) from the vendor of the property acquired or services rendered with respect to which disbursement is hereby requested are on file with the District.

CORDOVA PALMS COMMUNITY DEVELOPMENT DISTRICT

By:		 Authorized Officer

CONSULTING ENGINEER'S APPROVAL FOR NON-COST OF ISSUANCE REQUESTS ONLY

If this requisition is for a disbursement from other than the Costs of Issuance Account, the undersigned Consulting Engineer hereby certifies that this disbursement is for a Cost of the Series 2021 Project and is consistent with: (i) the applicable acquisition or construction contract; (ii) the plans and specifications for the portion of the Series 2021 Project with respect to which such disbursement is being made; and (iii) the report of the Consulting Engineer attached as an Exhibit to the First Supplemental Indenture, as such report shall have been amended or modified on the date hereof.

Consulting Engineer

April 4, 2022

K U T A K R O C K L L P
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

March 30, 2022

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3022828 Client Matter No. 4823-3

Mr. Jim Perry Cordova Palms CDD
Governmental Management Services - North Florida Suite 114
475 West Town Place
St. Augustine, FL 32092	Invoice No. 3022828
4823-3

Re:	Project Construction

For Professional Legal Services Rendered

02/03/22	W. Haber	0.80	280.00	Review assignment and contribution
documents	and	prepare correspondence regarding same
02/07/22	W. Haber	0.50	175.00	Confer	with	Wild		regarding contribution	documents	and	RFP
responses	
02/08/22	W. Haber	1.40	490.00	Participate	in	conference	call
regarding		assignment		and contribution	documents	and	RFP	

02/09/22	

W. Haber	review; confer with Hogge regarding revisions to agenda for same
0.70	245.00	Confer with Wild regarding RFP	
		review; prepare award notices	

TOTAL HOURS	3.40

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

KUTAK ROCK LLP
Cordova Palms CDD		
March 30, 2022		
Client Matter No. 4823-3		
Invoice No. 3022828		
Page 2

TOTAL FOR SERVICES RENDERED	

$1,190.00	
TOTAL CURRENT AMOUNT DUE	$1,190.00	
UNPAID INVOICES:

March 3, 2022	Invoice No. 3009846	

2,590.00	
TOTAL DUE	$3,780.00	

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

EIGHTH ORDER OF BUSINESS

A.

Cordova Palms
Community Development District
Unaudited Financial Reporting March 31, 2022

Cordova Palms
Community Development District
Combined Balance Sheet
March 31, 2022

Governmental Fund Types

 	General Fund			Debt
 	Service			Capital
 	Projects			Totals
(Memorandum Only)	

ASSETS:								
Cash	$3,342		---		---		$3,342	
Due from Developer	$17,413		---		---		$17,413	
Due from Capital
Series 2021
Reserve	$13,662

---		---

$219,354		---

---		$13,662

$219,354	
Cap Interest	---		$237,389		---		$237,389	
Acquisition & Construction	---		---		$3,169,135		$3,169,135	
Cost of Issuance	---		---		$39,988		$39,988	
TOTAL ASSETS	 	$34,417 		 	$456,743 		 	$3,209,123 		 	$3,700,283 	

LIABILITIES:								
Accounts Payable	$8,924		---		---		$8,924	
Due to Developer	$13,536		---		---		$13,536	
Due to General Fund	---		---		$13,662		$13,662	
FUND BALANCES:
Unrestricted	
$11,958		
$456,743		
$3,195,461		
$3,664,162	
TOTAL LIABILITIES & FUND EQUITY	 	$34,417 		 	$456,743 		 	$3,209,123 		 	$3,700,283 	

Cordova Palms
Community Development District
GENERAL FUND
Statement of Revenues & Expenditures For The Period Ending
March 31, 2022

	ADOPTED	PRORATED BUDGET	ACTUAL		
Description	BUDGET	3/31/22	3/31/22	VARIANCE	
REVENUES:					
Developer Contributions	$118,393	$32,773	$32,773	$0	
TOTAL REVENUES	$118,393	$32,773	$32,773	$0	
EXPENDITURES:					
ADMINISTRATIVE:					
Supervisors Fees	$12,000	$6,000	$0	$6,000	
FICA Expense	$918	$459	$0	$459	
Engineering	$12,000	$6,000	$1,022	$4,978	
Attorney	$25,000	$12,500	$2,106	$10,394	
Assessment Administration	$5,000	$2,500	$0	$2,500	
Dissemination	$0	$0	$1,250	($1,250)	
Management Fees	$45,000	$22,500	$22,500	$0	
Website Creation/ADA Compliance	$0	$0	$1,750	($1,750)	
Website Maintenance	$1,200	$600	$600	$0	
Information Technology	$1,800	$900	$900	$0	
Telephone	$500	$250	$71	$179	
Postage	$1,500	$750	$26	$724	
Insurance	$5,500	$5,500	$5,000	$500	
Printing & Binding	$1,200	$600	$789	($189)	
Legal Advertising	$5,000	$2,500	$485	$2,015	
Other Current Charges	$600	$300	$240	$60	
Office Supplies	$1,000	$500	$78	$422	
Dues, Licenses & Subscriptions	$175	$175	$175	$0	
TOTAL EXPENDITURES	$118,393	$62,034	$36,992	$25,042	

EXCESS REVENUES (EXPENDITURES)	$0		($4,219)		

FUND BALANCE - Beginning	$0		$16,177		
					
FUND BALANCE - Ending	$0		$11,958		

Cordova Palms
Community Development District General Fund
Month By Month Income Statement

	October	November	December	January	February	March	April	May	June		July	August	September	Total	

REVENUES															
Developer Contributions	$5,000	$10,360	$0	$10,937	$6,476	$0	$0		$0	$0	$0		$0	$0	$32,773	
TOTAL REVENUES	$5,000	$10,360	$0	$10,937	$6,476	$0	$0		$0	$0	$0		$0	$0	$32,773	

EXPENDITURES															
Supervisors Fees	$0	$0	$0	$0	$0	$0	$0		$0	$0	$0		$0	$0	$0	
FICA Expense	$0	$0	$0	$0	$0	$0	$0		$0	$0	$0		$0	$0	$0	
Engineering	$0	$0	$0	$0	$1,022	$0	$0		$0	$0	$0		$0	$0	$1,022	
Attorney	$0	$0	$1,922	$184	$0	$0	$0		$0	$0	$0		$0	$0	$2,106	
Assessment Administration	$0	$0	$0	$0	$0	$0	$0		$0	$0	$0		$0	$0	$0	
Dissemination	$0	$0	$0	$417	$417	$417	$0		$0	$0	$0		$0	$0	$1,250	
Management Fees	$3,750	$3,750	$3,750	$3,750	$3,750	$3,750	$0		$0	$0	$0		$0	$0	$22,500	
Website Creation/ADA Compliance	$0	$0	$1,750	$0	$0	$0	$0		$0	$0	$0		$0	$0	$1,750	
Website Maintenance	$100	$100	$100	$100	$100	$100	$0		$0	$0	$0		$0	$0	$600	
Information Technology	$150	$150	$150	$150	$150	$150	$0		$0	$0	$0		$0	$0	$900	
Telephone	$3	$17	$9	$21	$21	$0	$0		$0	$0	$0		$0	$0	$71	
Postage	$1	$21	$1	$0	$3	$0	$0		$0	$0	$0		$0	$0	$26	
Insurance	$5,000	$0	$0	$0	$0	$0	$0		$0	$0	$0		$0	$0	$5,000	
Printing & Binding	$155	$68	$229	$284	$2	$52	$0		$0	$0	$0		$0	$0	$789	
Legal Advertising	$94	$94	$197	$99	$0	$0	$0		$0	$0	$0		$0	$0	$485	
Other Current Charges	$44	$48	$47	$33	$34	$33	$0		$0	$0	$0		$0	$0	$240	
Office Supplies	$21	$15	$15	$15	$12	$0	$0		$0	$0	$0		$0	$0	$78	
Dues, Licenses & Subscriptions	$175	$0	$0	$0	$0	$0	$0		$0	$0	$0		$0	$0	$175	
TOTAL EXPENDITURES	$9,493	$4,264	$8,171	$5,052	$5,512	$4,502	$0		$0	$0	$0		$0	$0	$36,992	
															
EXCESS REVENUES (EXPENDITURES)	($4,493)	$6,096	($8,171)	$5,885	$965	($4,502)	$0		$0	$0	$0		$0	$0	($4,219)	

Cordova Palms
Community Development District
2021 Debt Service Fund
Statement of Revenues & Expenditures For The Period Ending
March 31, 2022

	ADOPTED	PRORATED BUDGET	ACTUAL		
Description	BUDGET	3/31/22	3/31/22	VARIANCE	

Revenues					
Assessments-Tax Collector	$0	$0	$0	$0	
Assessments-Direct	$0	$0	$0	$0	
Interest Income	$0	$0	$9	$9	
Total Revenues	$0	$0	$9	$9	

Expenditures					
Series 2021
Interest Expense - 11/1	
$0	
$0	
$0	
$0	
Principal Expense - 5/1	$0	$0	$0	$0	
Interest Expence - 5/1	$0	$0	$0	$0	
Total Expenditures	$0	$0	$0	$0	

Other Sources/(Uses)					
Bond Proceeds	$0	$0	$266,903	($266,903)	
Net Premium on Bond	$0	$0	$189,831	($189,831)	
Total Other	$0	$0	$456,734	($456,734)	
					
Excess Revenues (Expenditures)	$0		$456,743		
					
Fund Balance - Beginning	$0		$0		
					
Fund Balance - Ending	$0		$456,743		

Cordova Palms		
Community Development District		
Capital Projects Fund
Statement of Revenues & Expenditures For The Period Ending
March 31, 2022		
	Series
2021	

Revenues:		
Interest	$117	
Total Revenues	$117	

Expenditures		
Capital Outlay	$4,184,640	
Cost of Issuance	$173,513	
Underwriters Discount	$159,600	
Total Expenditures	$4,517,753	

Other Sources/(Uses)		
Bond Proceeds	$7,713,097	
Total Other	$7,713,097	
		
Excess Revenues (Expenditures)	$3,195,461	
		
Fund Balance - Beginning	$0	
		
Fund Balance - Ending	$3,195,461	

Cordova Palms
Community Development District
Developer Contributions/Due from Developer

Funding Request
#	Date Prepared	Date Payment
Received	Check Amount	Total Funding
Request	General Fund
Portion FY 21	General Fund
Portion FY 22	Capital Project
Portion	Over and (short)
Balance Due	

5	
10/1/21	
11/5/21	
$12,472.45	
$12,472.45	
$5,046.95	
$5,000.00	
$2,425.50	
$0.00	
6	11/1/21	1/7/22	$8,832.66	$8,832.66		$5,409.66	$3,423.00	$0.00	
7	11/29/21	1/7/22	$12,637.53	$12,637.53		$4,950.33	$7,687.20	$0.00	
8	1/3/22			$6,102.16		$6,102.16	$0.00	($6,102.16)	
9	1/31/22			$4,834.80		$4,834.80	$0.00	($4,834.80)	
10	2/23/22			$6,602.40		$6,476.40	$126.00	($6,602.40)	
Due from Developer	$33,942.64	$51,482.00	$5,046.95	$32,773.35	$13,661.70	($17,539.36)	
							
Total Developer Contributions FY22		   $ 32,773.35 					

B.

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

Cordova Palms
Community Development District	Funding Request #10
February 23, 2022

PAYEE

CAPITAL PROJECT FY 22

GENERAL FUND FY 22

Governmental Management Services
Inv # 11 - Management Fees - February 2022

$	4,455.19

The St. Augustine Record
Inv # I03397875 - Notice of Meeting - 1/31/22

$	98.73

England, Thims & Miller, Inc.
Inv # 201303 - Professional Service thru January, 2022

$	126.00

Kutak Rock LLP
Inv # 2981414 - General Counsel - 1/31/22

$	1,922.48

$	126.00	$	6,476.40

Total:	$	6,602.40

Please make check payable to:
Cordova Palms CDD
475 W Town Place Suite 114 Saint Augustine, FL 32092

Signature:
Chairman/Vice Chairman

Signature:
Secretary/Asst. Secretary

`

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

DocuSign Envelope ID: 132B9260-D0B9-4564-9A2A-30CF5872BB28

C.

Cordova Palms
Community Development District	Funding Request #11
April 4, 2022

	
PAYEE	GENERAL FUND FY 22	

1	
Governmental Management Services
Inv # 12 - Management Fees - March 2022	

$	4,468.57	
2	Kutak Rock LLP
Inv # 3009845 - General Counsel - 3/2/22	
$	184.00	
	Inv # 3022827 - General Counsel - 3/30/22	$	864.00	
3	England, Thims & Miller, Inc.
Inv # 201715 - Professional Service thru February, 2022	
$	1,022.00	
		$	6,538.57	
	
Total:	
$	6,538.57	

Please make check payable to:
Cordova Palms CDD
475 W Town Place Suite 114 Saint Augustine, FL 32092

Signature:

Chairman/Vice Chairman

Signature:

Secretary/Asst. Secretary

`

Governmental Management Services, LLC
1001 Bradford Way
Kingston, TN 37763

Invoice

Bill To:
Cordova Palms COD 475 West Town Place Suite 114
St. Augustine, FL 32092

Invoice #:  12
Invoice Date:  3/1/22
Due Date: 3/1/22
Case:
P.O. Number:

Description	Hours/Qty	Rate	Amount

Management Fees  -March2022	7;s,}/J	513, Jt/	C)
Website Administration  - March 2022	35' Information Technology - March 2022		gst_ Dissemination Agent Services - March 2022			.313 Copies	'IX'

10)		3,750.00
100.00
150.00
416.67
51.90	3,750.00
100.00
150.00
416.67
51.90	

Total	$4,468.57	
Payments/Credits	$0.00	
Balance Due	$4,468.57	

KUTAK ROCK LLP
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

March 3, 2022
RECEIVED MAR O 9 1012

Mr. Jim Perry Cordova Palms CDD
Governmental Management Services - North Florida Suite 114
475 West Town Place St. Augustine, FL 32092

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP
AIC  # 24690470
Reference: Invoice No. 3009845 Client Matter No. 4823-1

Invoice  No. 3009845
4823-1

Re:	General Counsel

For Professional Legal Services Rendered

01/06/22

01/19/22	K. Jusevitch

K. Jusevitch	0.20

0.20	29.00

29.00	Correspond with underwriter regarding recorded issuance documents
Distribute legislative newsletter	
01/25/22	C. Stuart	0.30	126.00	Review	proposed	legislation;	
				monitor	committee	activity	and agendas; monitor Amendment 12	
implementation
TOTAL HOURS	0.70

PRNJLEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

KUTAK ROCK LLP
Cordova Palms CDD		
March 3, 2022		
Client Matter No. 4823-1		
Invoice No. 3009845		
Page 2

TOTAL FOR SERVICES RENDERED	

$184.00	
TOTAL CURRENT AMOUNT DUE	$184.00	
UNPAID INVOICES:

January 31, 2022	Invoice No. 2981414	

1,922.48	
TOTAL DUE	$2,106.48	

PRNILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

KUT AK	ROCK  LLP
TALLAHASSEE, FLORIDA
Telephone 404-222-4600
Facsimile 404-222-4654

Federal ID 47-0597598

March 30, 2022

RECEIVED AP! 0 4 2021

Check Remit To: Kutak Rock LLP PO Box 30057
Omaha, NE 68103-1157

Wire Transfer Remit To:
ABA #104000016
First National Bank of Omaha
Kutak Rock LLP A/C # 24690470
Reference: Invoice No. 3022827 Client Matter No. 4823-1

Mr. Jim Perry Cordova Palms CDD
Governmental Management Services - North Florida Suite 114
475 West Town Place St. Augustine, FL 32092

Invoice  No. 3022827
4823-1

Re:	General Counsel

For Professional Legal Services Rendered

02/03/22	W. Haber	0.40	140.00	Review	and	revise	agenda	for	

02/04/22	
K. Jusevitch	
0.10	
14.50	February meeting
Distribute legislative newsletter	
02/08/22	W. Haber	0.30	105.00	Prepare for Board meeting	
02/09/22	W. Haber	0.80	280.00	Prepare for and participate in Board	

02/23/22	
C. Stuart	
0.30	
126.00	meeting
Review	proposed	legislation;	
				monitor	committee	activity	and	

02/24/22	

K. Jusevitch	

0.10	

14.50	agendas; monitor Amendment 12 implementation
Distribute Amendment 12 guide	

TOTAL HOURS	2.00

PRIVILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

KUTAK ROCK LLP
Cordova Palms CDD		
March 30, 2022
Client Matter No. 4823-1 Invoice No. 3022827
Page 2		
TOTAL FOR SERVICES RENDERED	$680.00	
TOTALCURRENTAMOUNTDUE	$680.00	
UNPAID INVOICES:		
March 3, 2022	Invoice No. 3009845	184.00	
TOTAL DUE	$864.00	

PRNILEGED AND CONFIDENTIAL
ATTORNEY-CLIENT COMMUNICATION AND/OR WORK PRODUCT

Cordova  Palms  Community Development  oR·.·;;tt:,CE	flV fE, ·; ·-
c/o GMS, LLC	·.

t-Y......,.  •·,,...--	

Town Center 1 at World Golf Village	·· 475 West Town Place, Suite 114
St. Augustine, FL 32092

March 02, 2022
Project No:	21211.00000
Invoice No:	0201715

Project	21211.00000	Cordova Palms COD - Interim District Engineer (WA#1)
Professional Services rendered through February 26, 2022 Professional Personnel
Hours	Rate	Amount
Principal - Vice President
Wild, Scott	2/12/2022	4.00	245.00	980.00
cdd meeting, prep and follow up Adminstrative Support
Blair, Shelley	2/5/2022	.50	84.00	42.00
Create and distribute Req 9-Kutak Rock
Totals	4.50	1,022.00
Total Labor	1,022.00
Current	Prior	To-Date
Total Billings	1,022.00	5,222.00	6,244.00
Contract Limit	20,000.00
Remaining	13,756.00
Invoice Total this Period	$1,022.00

Outstanding Invoices
Number
0201303
Total

Date
2/2/2022

Balance 126.00
126.00

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ENGINEERS • PLANNERS • SURVEYORS • GIS • LINOSCAf'E ARCHITECTS
14775adSlAu},s1i,,Road•.Jacl,on-,le,Florida32258•1'190¾42.SWO•fax004 '"85
CA-00002584  LC-000)316