Okaloosa County BOCC — July 15, 2014 — Change Order #1 - Building & Elevator Funding

State of FL Certified General Contractor #CG C008942 FED State of FL Certified General Contractor #CG CO57094 (eS) CONSTRUCTION, State of AL Certified General Contractor #12776 INC. State of GA Certified General Contractor #GCCO002537 CONSTRUCTION MANAGER / GENERAL CONTRACTOR State of MS Certified General Contractor #08714-MC Trusted Performance ... Lasting Value July 2, 2014 Don Turner Okaloosa County Facility Maintenance 5489 Old Bethel Road Crestview, FL. 32536 RE: Sheriff's Office Addition Mr. Turner, Please find enclosed Change Order #1 for the Sheriffs Addition project. This Change Order is required in order to meet the accelerated overall project schedule. You will note that items 1 and 2 are long lead time items (7 weeks and 12 weeks, respectively) and have bid out and contracted. We have attached back-up quotations to this Change Order and request that it be added to the Board agenda for July 15. Please do not hesitate to contact me if you have any questions. Me teve M. Christopher Preconstruction Manager Sincerely, 49 David Street - Fort Walton Beach, Florida 32547 P.O. Box 1808 - Fort Walton Beach, Florida 32549 850-863-5158 - FAX 850-862-4904 / : info@lordandson.com Associated i Butiders www.lordandson.com North Florida Chapter Specializing in Commercial Construction Since 1975 CHANGE ORDER FORM Date: YL 2 Vcontract No.: L428 4- FM. Change Order No.: [. Owner: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Contractor: Lore a Sor Con Gruc7or) ME: CHANGE TO CONTRACT PRICE : DESCRIPTION 2 AMOUNT Original Contract Price: if 10, p0° Net change by previously authorized Change Orders: oO Present Contract Price: B10; 000°" This Change Order will (add/deducl): M30 @/7 30 °OO New Contract Price: 738i @; 730 00 a CHANGETO CONTRACTTIME” ae ST DESCRPTGN PAE or NUMBER OF DAYS. Original Contract Time: Net Original Substantial Completion Date: Nf Net change by previously auihorized Change Orders: “tt This Change Order will {add/deduct): Aft New Contract Time: WIA: New Substantial Completion Date: VIA APPROVALS DATE: ie ( 2.01% oare: 1/9] 914 TA IA DATE: DATE: This Change Order is an amendment to the Contract/Agreement between Contractor and the Owner, and all other contract provisions shall remain in full force and effect unless specifically amended in writing, signed by both parties. CHANGE OWNER o ORDER ARCHITECT a CONTRACTOR co FIELD ; AIA DOCUMENT G701 (Modified) OTHER PROJECT: New Office Addition at the Okaloosa County Sheriff's Office in Shalimar CHANGE ORDER NUMBER: One (1) (name, address) 50 2" Street DATE: 2 July 2014 Shalimar, FL 32579 TO CONTRACTOR: ARCHITECT'S PROJECT NO: 14007 (name, address) Lord & Son Construction, Inc. CONTRACT DATE: May 12, 2014 Post Office Box 1808 Fort Walton Beach, FL 32549 CONTRACT FOR: CM @ Risk Services The Contract is changed as follows: Additional work per Exhibit A (attached). Not valid until signed by the Owner and Contractor. The original (Contract Sum) Was... ce cece cence cee centr tet ete e cae eaaee erties $10,000.00 Net change by previously authorized Change Orders..............-..:::::eree $0.00 The (Contract Sum) prior to this Change Order was ............:::eeeeeeceeeeereretereees $10,000.00 The (Contract Sum)) will be (increased) by this Change Order in the amount of $306,730.00 The new (Contract Sum) including this Change Order will be ............0.00-: ste $316,730.00 The Contract Time will be changed by: N/A The date of Substantial Completion as of the date of this Change Order therefore is: Per Contract NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized by Construction Change Directive. DAG Architects, Inc. Lord & Son Construction, Inc. Okaloosa County BOCC Architect Contractor Owner 1223 Airport Road Post Office Box 1808 1804 Lewis Turner Blvd., Ste. 100 Destin, FL 32541 Fort Walton Beach, FL 32549 Fort Walton Beach, FL 32547 LA Address Addre: l Ai. Address ay LIE » Charles W. Clary Ill, FAIA Leven D. Lord Il Kelly Windes Architect ee f Chairman Date: Date: : Zz . | Y Date: AIA DOCUMENT G701 « CHANGE ORDER « 1987 EDITION « AIA « 1987 « THE AMERICAN INSTITUTE OF ARCHITECTS 1755 NEW YORK AVE, NW., WASHINGTON, DC. 20006 G701-1987 (Modified) Exhibit A to New Office Addition at the Okaloosa County Sheriff's Office in Shalimar . Kirby Building Systems . Mowery Elevator Co. . Jobe’s Dirt Works Demolition of Existing Driveway . Shalimar Fence Co. Relocation of Existing Fencing and Additional Service Gates . Choctaw Engineering Boundary Survey . Supervisor/GCs (1 month) . Insurance . Bond . Insurance Fee @ 5% Total Change Order Amount: $223,925.00 $35,750.00 $8,500.00 $5,100.00 $1,950.00 $7,640.00 $6,462.00 $2,797.00 $14,606.00 $306,730.00 66/25/2814 96:36 8882313468 KIRBY BUILDING SYS PAGE @1 i CHANGE ORDER CONFIRMATION 120 HERBY DRIVE KIRBY ea. PORTLARD, TH SPI68 Fan TO: DAVE BUR? ESON PAGE: PROB: Robert Horiges son tor EG GATE: 24-Jun-14 " PROJECT: SHERIFF OFFICE CHANGE ORDER no: 4 | suluper: LORD & SON CONSTRUCTION INC ADDRESS: FP © BOX (ane ORIGWIAL CONTRACT PRiCz: $209,087 FORT WALTON BEACH, FL 32549 Prenousc.o4e) erica: Fax &: (050) 662-4004 CHANGE ADD ( SEBUCT}: FOTAL REVISED eonTmAcT q » 4. The width of BUILDING GONE Is 41.4" out to out steel tine. i a. ‘The longth of BUILDING GONE is 134'- 4 1/4” out tm out efeel line, 3. The bey spacing of BULOING GONE iz 25-6 1/8, 25'-0", (2) @ 27°-0", @ 28°-6 4/8". The width of BUILDING 02 is 26°-6" eut t cut steel Ene. $211,250 & & The length of BULDING #2 ls 10°" eutts out steel fine. 6% Sales Tax = $12,675 8. The width of BUILDING 83 is 21.0" cutta cuteteciine. | tals $223,925 7, The length of BUILDING #2 fe 10°C” out te cut eteel ne. 6, All wind column spacings (an all three bulldings) lo Kiruy's Opticon. a, The clavater che wil be in an 8” CHAU well. Continued on Page 2 ST rin FABRICATION PROGESS.... NO CHANGES... YOUR PERMIT DRAWINGS ARE SCHEDULED FOR... 4 Jult4 CURRENT DEUVERY SCHEDULE IS WEEK ENDING...J 4 ry THE PRICE EXPIRES ON THIS PROJECT ON..| 4.0et-44 Shipment after this date may incur an Increzee in the contract price. Before change will ba implemented, this change order must ba signed by the buyer, Delivery Indicated above may or may not apply to crane materials, iveived. — ?ieaze consult your Customer Service Representative (or further information. SUP PRICING 25 pee BY 22 ER COMPTITUPES 4 MEE AND RIG ORE Wnee psy ACEPTANEE. 86/26/2814 66:36 8962313458 KIRBY BUILDING SYS PAGE 82 CHANGE ORDER CONFIRMATION 120 ORQY BRE KIRGY Fe. (eeaecs PORTLAGED, TH BPtE5 Gan Guan. To: DAVE BURLESON PAGE: —s 2 of 3 FROM: Robert Hod JOB WO: KAGNOZTZA Robert Hodges KigNeg72n, BATE: _ 24-Jum14 PROJECT: SHERIFF OFFICE CHANGE ORDER NO: q 10. The clear dimensions of the elevator shaft is 9-10" x 7.4" through the mazzenine. 11. The elevator shaft is located 10°-8" from the center of frame Ene G2 te the face of the 8” CRY wall, 12. Kirey is to eupply a Ledge Angle at the elevater shah support the jelets, The attachment to the 8” CHAU wall la by athers. 13. The mezzanine ls 0’-1 42” back from the steel linc. 14. The etzir well on the left endwall Is located 9-0" from the high sidewall, 418. {Kirby is to eupply a 3-4" X 7.2" fleld located framed opening on the high sidewall, to the connector bullding. 16. The connector bullding le not by Kirby, al framing and sheeting Is by others. 17. The stairs in both stairwell bulidings ts Independent of Kbby's stuctara, 18. The sill height Is '6" from the Mezzanine finish floor (13°0" + 8°07 = 48°O")... the header height le 8'0" above the mezzanine finish ficor (47'O" & BO" = 24°9"), 49. The Stucco Cholee panels will attach to hat channels (by Kirby), the hat channels will be outmidie the eteal line. 20. There le no accent band on the exterior of the building. 21. All trim ie t be wim Is o> be sand and textured, 22. The tim at the wall openings wil cover tie end of both the panels and the hat channel. G6/26/2814 86:35 §$662313468 KIRBY BUILDING SYS PAGE 83 CHANGE ORDER CONFIRMATION 126 CORBY DRIVE KIReY PR eet PORTLAND, Ty S79¢0 4 ewan sel TO: DAVE BURLESON PAGE: Bets FROM: Robart Hodges UOBNS: KiaNez724 DATE: | 26-Jun-14 provect: SHERIFF OFFICE CHANGE ORDER 00; 4 23. KBS to supply (one) S %" u 4é4ga zee x 12’, (one) @ 4” « 14ga, Zee m 24" and (2) 2°x6"x 20' sheeting angles in addition to the fixt stack mentioned on the sales endier ac extra material, Neto: Pisene review afl documentation that will ative in the mall in a few Gaye, paying special attention to the Order Acknowledgment Letter (OAL). The OAL will have special instruction conceming various espects of your project that you will need to refer back to, inchading phone numbers for various depertments and will also have your drawing & buliding delivery dates. = DPORTANT NOTE “this change order will be made active aftar 1¢ day of being leausd, even withouts signature, based on section #17 of the terme and condidens page of the order. MOWREY EtEVA TO R iof3 Tuesday, May 27, 2014 Quote #09-9591 ATIN: ESTIMATING Quote is based on Specifications Only 0 Drawings Onl; RE: QKALOOSA COUNTY SHERIFF'S ADMINISTRATION [1 Drawings & Specifications SHALIMAR, FL Phone Conversation CO) Smail Request To Whom It May Concern: Capacity 2500 LBS 100 FPM Travel ig'-0” 42” x 84" Single slide Landings 2 in line Simplex microprocessor SPECIAL FEATURES: Fireman's emergency service Braille butions Acknowledgement lights in car station Position indicators in car station Acknowledgement lights at all hall stations Proximity edge Directional arrows and arrival gongs ADA Telephone Aluminum sills ME 200 cab design 12 months new installation maintenance 208 volt 3 phase power #4 Stainless steel frames and doors Notes: Please see the attached Work Not Included statement and Insurance Coverage statement. Please note, lead time to manufacture equipment is approximately 12 to 14 weeks upon receipt of approved submittals. This quote is based on a hoistway size of 8’-6” x 5’-9”. Prevailing wage is NOT included. Crane service (if required) and flooring is by other. This quote is good for 60 days. Bond, if required, add 3.5%. Thank you for your consideration. If you should have any questions, please do not hesitate to contact this office. Sincerely, Graco Bash Grace Bush, Construction Sales Manager Mowrey Elevator Company of Florida, Inc. + By accepting this quote you are acknowledging and accepting that this Quote, Work Not Included sheet and Insurance specification sheet will be included im all future binding comtract(s)** 850.526.4111 - 800.441.4449 - 850.526.2375Fax | 4518 LAFAYETTE STREET * MARIANNA ~ FLORIDA 32446 WWW.MOWREVELEVATOR.COM ® M@W/REY EtLE VA TOR 20f3 Work Not Included Note to purchaser: The following lists of items are usually and customarily not provided by any elevator contractor. We include this as part of our quote to make sure there are no misunderstandings at a jater date. ‘This proposal does not include the following work, and is conditioned on the proper performance of such work by the General Contractor or other Subcontractors. A legal hoistway, properly framed and enclosed. Including a pit of proper depth, provided with sump pump, lights, access doors and waterproofing, as required. A legal machine room that is adequate for the elevator equipment, including floors, trap doors, gratings, foundations, lighting, ventilation and heat to maintain the room at an ambient temperature of 50 degrees minimum / 90 degrees maximum. Adequate supports and foundations to carry the loads of all equipment, including supports for guide rail brackets and machine beams or overhead sheaves (if furnished). If adjacent hoistways are utilized, divider beams at suitable points shall be provided for guide rail bracket support. ‘This quote includes Seismic + requirements unless otherwise specified on bid sheet. All sill supports and gill recesses. Grouting of door sills and door frames. Provide removable temporary enclosures or other protection from open hoistways during the time the elevator is being installed. Proper trenching and backfilling for any underground piping or couduit. Cutting of walls, floors, etc., and removal of such obstructions as may be necessary for proper installation of the elevator. Setting of anchors and sleeves. Pocket or blockouts for signal fixtures. All fire caulking required to maintain fire rating. Suitable connections from the power mains to each controller or starter as required, including necessary circuit breakers and fused mainline disconnect switches. Wiring to controller for car lighting and ventilation. Electric power without charge, for construction, testing and adjusting of the same characteristics as the permanent supply. Wiring and conduit from life safety panel or any other monitor station to elevator machine room. A means to automatically disconnect the main line power supply to the elevator prior to the application of water in the elevator machine room will be furnished by the electrical contractor. This means shall not be self resetting. Heat and smoke sensing devices at elevator lobbies on each floor with electrical conductors terminating at a properly marked panel in the elevator machine room. Telephone connection to elevator hoistway. Telephone connection to elevater controller (remote diagnostics - no fixture). All painting, except as otherwise specified. Temporary elevator service prior to completion and acceptance of complete installation. Materials for adequate protection from damage to elevator. Furnishing, installing and maintaining the required fire rating of elevator hoistway walls, including the penetration of fire wall by elevator ixture boxes. Flooring by others, Rear entrances unless specified on bid sheet. Any governmentally required safety provisions not directly involved with the elevator installation. Will not accept liquidated damages. Waiver of Subrogation. Our bid does not meet HUD prevailing wage rates or Davis Bacon rates unless specified on bid shect. Mowrey will be responsible for our own debris clean up and no Clean Up charges will be accepted. Employees for composite clean up crews will not be The following applies only to standard in ground hydraulic elevator applications. Proper location of Jack hole from building lines and adequate ingress and egress for mobile well drilling equipment, after final excavation and previous to the pouring of footings or foundation. Removal of all dirt and debris accumulated during excavation of the jack hole to be by the General Contractor. Crane service to set hydraulic cylinder by General Contractor. Grouting of piston, This quote includes a single piece piston unless specified on bid sheet. PVC pressure test. Should unusual conditions, anything other than normal dirt, be encountered during digging the cylinder hole, Contractor will be notified immediately and written authorization to proceed shall be provided to the Subcontractor. The contract price shall be increased by the amount of additional labor at Subcontractor's usual billing rates, and the actual cost of any additional materials plus 15%. In the event that any elevator(s) fail inspection because of incomplete or incorrect work by others, a three hundred dollar ($300.00) re-inspection fee per elevator will be assessed. Further you will be required to pay the inspection company their current fee. Re-inspections will not be scheduled until a fully executed change is received by our office. * By accepting this quote you are acknowledging and accepting that the Quote, this Work Not Included statement and Insurance specification sheet will be included in all future binding contract(s)** 850,526.41 - 800.441.4449 - 850.526.2375Fax 1 4519 LAFAYETTE STREET ~ MARIANNA * FLORIDA 32446 WHI. MOWREYELEVATOR.COM ® MOWREY ELE VA TOR gof3 > Commercial General Liability Policy # 13UKNOJ6191 Each Occurrence $1,000,000 Damage to Rented Premises (per occurrence) $300,000 Med Exp (any one person) $10,000 Personal & Adv Injury $1,000,000 General Aggregate $3,000,000 Products — Comp/Op Age $3,000,000 Agent: JM Associates / Bumham + Co. One Bridge Plaza North, Suite 445 Fort Lee, New Jersey 07024 (201) 585-6500 Excess Liability Policy # X8O171277 Each Occurrence $5,000,000 Aggregate $5,000,000 Agent: Harmon Dennis Bradshaw, Inc. 7115 Halcyon Summit Drive Montgomery, Alabama 36124 (334) 273-7277 > Automobile Liability Policy # BAooooo029668K Combined Single Limit (each accident} $1,000,000 Agent: Harmon Dennis Bradshaw, Inc. 7115 Halcyon Summit Drive Montgomery, Alabama 36124 > Workers Compensation and Employers Liability Policy # 0830-39051 ELL. Each Accident $1,000,000 ELL. Disease — Each Employee $1,000,000 ELL. Disease — Policy Limit $1,000,000 Agent: Michelle Whiddon Marks Insurance Agency, Inc. 2344 Hansen Lu. Unit #2 Tallahassee, Florida 32301 (850) 668-6162 Acceptance of our bid includes acceptance of our insurance as outlined above. ** By accepting this quote you are acknowledging and accepting that the Quote, Work Not Included sheet and this Insurance specification sheet will be included in all future binding contract(s)** WWW. MOWREYELEVATOR.COM 850.526.41H + 800.441.4449 - 850.526.2375rax 1 4518 LAFAYETTE STREET - MARIANNA - FLORIDA 32446 @® pyrreeate etree JOBE’S DIRT WORKS, LLC 1158 HWY 90 W. HOLT, FL 32564 PHONE: 850-546-1514 Fax: 850-537-8400 e-mail: jobesdirtworks@gmail.com Jun. 30, 2014 To: Lord & Son Construction, Inc. c/o Dave Burleson PO Box 1808 Fort Walton Beach, FL 32547 E-mail: Dave@LordandSon.com Re: Shalimar Sheriff Station Includes: © Removal of concrete @ Shalimar Sheriff Station as discussed on 27 Tune 2014 site meet. 3 8,500.00 To be paid at completion. Ye tue — Jobe Everson Jobe’s Dirt Works, LLC Shalimar Fence Stalmar Industries, LLC 20 2nd Avenue, Shalimar, Florida 32579 Phone (850) 651-0795 © Fax (850) 651-0701 L \ Pall Ennai: Shalimarfence@cox.net FAX SOLD TO. org Pras: NUMBER erry Sha). nn PHONE XG B-SIS A : Cay TS, JOBLOGNO. i Genet] INS: A ao ll be toda fire SOE OUES loner tad is accordaece with ommend precios. i ‘Total Height 8 Gage] © 0 Residential Cheech Cogtton Prefannl zr Post Spaced ae Ennchledsti-etestite Top Rall gn WOD. pesca to be erected Style Fence tara deg Safeguard ry. Line Post ~ £) isr OD. some (et peseslesion) z End Post O 2° O.D. emmy BSE wer ge eee Des Shes WOOD FENCE Conner Post O ww op, Redan | tence Eee Front ___Ouuide cod : Walk Gate Post € OF 2"O.D. dendle owe” “awe oro Z| Seenee Soren Sao A he Pe Right Oat Is Gate Frames {2/690 tw" OD. Totes of aes ase skated, Lee Out Ta FENCE JOP STYLE All post set fi conerere SKETCH oan Bud go CUPCORNER 1° REA ? Cash Upan Completion a] Customer Request Set I Fence Line Clear Yes No Remove — NO a i when accepted by the two parties and is not Se paces apy maha ard om pn fn case Payment is oat made as specified in (Yerms of Payment) the FOR YOUR PROTECTION Company merve the right ta repossess used on this job without ON PAYMENTS TO US, recourse. Bere gees & charg of 1 pre pet month on pt ee USE. CHECK OR MONEY ORDER befance and to pay 2 t refer this PAYABLE TO COMPANY AS TOTAL An contract to en attorney for i ee PROPERTY OWNER f is solely SHOWN ON HEADING OF THIS ve responsible for locating, staking and clearing fence lines. Purchaser also . 3) that the Com will be held tespansible 6 liable f SALES CONTRACT. tf 1G a of any mare wt od obstructions, and taderveands dhece . = is mo watranty on terial, siome David B. Waldgon 75, 100 a Date: 259-2919 CHOCTAW ENGINEERING, INC. CIVIL ENGINEERING » LAND SURVEYING CONTRACT FOR PROFESSIONAL SERVICES LENT Name Steve Christopher Date 11 November 2013 Company Lord & Son Construction Inc. Job No. 2013-137 Address P.O. Box 1808 Telephone §50-863-5153 Ft. Walton Beach, FL 32549 Fax 850-862-4904 Project Title Shalimar Sheriff Facilities Location 50 2nd Street, Shalimar FL. PROFESSIONAL SERVICES (Also see any attached letters) SCOPE OF WORK: Boundary and topographic survey including trees ESTIMATED TIME: TYPE OF FEE a. HOURLY RATES AS FOLLOWS (EFFECTIVE 1 May 2013): Administration @$45.00/hour Registered Enginoar @$115,00/hour Draiter @$65.00/hour Reglatered Surveyor @$100,00/hour Project Coordinator @$65.00/hour Project Manager @$100.00/hour Technician @$70.00/nour Principal @$175.00/hour Senior Technician @$85.00fhour Two Man Fleic Crew, Equipment and Supplies @$100.00/hour Project Engineer @$30.00haur Three Man Fleld Crew, Equipment and Suppiles @$125.00/hour ions “enemy / Court Appearences @3150.00/hour Total Estimate: C ~ g19s0 R > b, LUMP SUM FEE AS FOLLOWS: NOTES: 1. All werk may be terminated and 1.5% per month charged on accounts more than 30 days overdue. 2. Avetainer of 30% may be required prior to start of work when estimated fee Is more than $2,000.00. 3. Estimated haurs are nol guaranteed. Final cost will depend upon actual time spent on the project. CHOCTAW ENGINEERING, INC.: OWNEA/AUTHORIZED REPRESENTATIVE: BY: Wark C. Siner, P.E. BY: Steve Christopher THE TERMS AND CONDITIONS ON PAGE 2 OF THIS FORM AND ANY ATTACHED LETTERS AREA PART OF THE CONTRACT. 212 Truxton Avenue, Fort Walion Beach, Florida 32547 Phone: (850) 662-6611 Fax: (850) 863-8059 E-mail: cei@choctaweng.com Company Confidential Lord Son Construction, Inc. 712120142:39 PM JOB: Page|1 of 4 BID DATE: Date :|7/2/2014 14:39 ESTIMATOR: _ Project Duration: Sidays d4|weeks @imonths Construction Duration: 5|days 4|weeks 0}months Description Quant Unit US Sub UM Material U/L Labor Total |Section | - General Conditions 0 0 0 0 Superintendent ijweek 0.00 0 0,00 Lt} 1,500.00 1,500 1,500) Project Manager 4|day 0.00 0 0.00 0 360.00 360 360 Temporary - Cell |-Phone Mnth 4jmnth 60.00 60 0.00 0 0.00 9 60) Temporary - AIR Card for Computer Ajmnth 40.00 40 0.00 tt} 0.00 0: 4 Temporary - Port-O-Let (1 ¢a} 1{mnth 100.00 400 0.00 0 0.00 0 400) 0 0.00 0 0.00 0 0 200 0 1,860 2,060 Per Week for Sheriff's Addition $1,860 +50 $1,910/Aweek x 4 weeks $7,640/month Page 1 of 1 Dale Whitaker Re =i LEN From: Pam Jarman <PamJ@waldorffinsurance.com> Sent: Tuesday, July 1, 2014 3:30 PM Te: Dale Whitaker Subject: FW: BRI Quote- Okaloosa County Sheriffs Addition Attachments: 26140701_153043.pdf Dale, attached is the builders risk quote for the above referenced job. Premium is $6,462.74 based on contract amount of $1,350,000. With $5,000, Deductible, except 3% Named Storm Deductible. Premium is annual and fully earned. Excludes flood and earthquake. 5 . 1 Let me know if you need anything else. thanks! 00 uf Z # B Pam rn Pam Jarman Commercial Account Marketing Executive 45 Eglin Parkway NE Suite 202 Fort Walton Beach, FL 32548 P (850) 581-4925 F (850) 581-4930 pamj@waldorffinsurance.com Coverage cannot be assumed to be bound, amended, or cancelled via the E- Mail system unless written confirmation is received from an authorized representative of Waldorff Insurance and Bonding, inc. Confidentiality Notice The information contained in this communication, including attachments is privileged and confidential. It is intended only for the exclusive use of the addressee. If the reader of this message is not the intended recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us by telephone immediately. Thank you. --—-Original Message---— From: Receptionist @waldorffinsurance.com [mailto:Rece ptionist@waldorffinsurance.com] Sent: Tuesday, July 01, 2014 3:31 PM To: PamJ @waldorffinsurance.com Subject: BRI Quote- Okaloosa County Sheriffs Addition Reply to: Receptionist@waldorffinsurance.com <Receptionist@waldorffinsurance.com> Device Name: Waldorf insurance and Bonding Device Model: MX-4111N Location: Not Set File Format: POF MMR(G4) Resolution: 200dpi x 200dpi Attached file is scanned image in PDF format. Use Acrobat(R}Reader(R) or Adobe(R)Reader(R) of Adobe Systems Incorporated to view the document. Adobe({R}Reader(R} can be downloaded from the following URL: Adobe, the Adobe logo, Acrobat, the Adobe PDF logo, and Reader are registered trademarks or trademarks of Adobe Systems Incorporated in the United States and other countries. http://www.adobe.com/ Zurich Programs @ Builders Risk and Installation ZURICH Quote Proposal Premium Summary Prepared For tord a Son Construction Ine. PO Box 1808 Fort Walton Beach, FL 92549 Presented By wALDORFF INSURANCE & BONDING, INC. 45 EGLIN PKWY NE STE 202 FORT WALTON BEACH, FL 32548-4955 +1 850 581 4925 Proposed Policy Perlod From 07/1/2014 To 07/01/2015 {12:01 a.m, Standard Time at your address as stated herein) Coverage and premium infonmation meter «| Type of coverage Total Premium (all locations)* ee any of P ‘ coveranes, Builders Risk $6,371.00 senditions, exclusions or provisions: contained in the policy. Proposed Policy Premium* $6,371.00 State Taxes & Surcharges ‘ $91.74 |< Total Proposed Policy Premium* $6,462.74 * Premium quotation valid for 30 days from the date on the first page of this proposal. Policy is fully samed See attached Disclosure of Terrorism Premium. ‘This is a propesel for Insurances. itis not en Inaurance policy. Only the pollcy itself provides coverage. The coverages offered in this proposal are based on information received through the agent and may not Include all avaliable coverages, The cllent and their agent ahould discuss any addiloral or aptional coverages needed. Coverage descriptions are abbreviated and do not Indicate In force coverage. This proposal Is not a part of and Is not Incorporated Into the Insurance policy, If thera Is any confilcl botween the coverage deacdpilone shown In this proposal and the eclval insurance policy, ihe Inaurance policy prevails. The Insuranca policy supercedes this proposal. “if you want to lear more about the compensation Zurich pays agents and brokare vist: hitpivaww.zurichnaproducercompensation.com or call the following toll frea number. (896) 903-1192. Thig Notice of Disclosure Is provided on behalf of Zurich Amarican Inaurante Company and its underwelting subsidiaries.” Dute Generated: 07/01/2014 3:18:42 PM Page 3 of 6 Zurich Programs @ Builders Risk and Installation ZURICH posed Total Linnts | Covaragé Limit al Any One Bullding or Structure 35,000 $4,960,000 All Covered Properly at all Locations $5,000 $1,350,000 Additional Coverages: Back-up or Overflow of Sewer, Oreine or Sumps None $5,000 Debris Removal None $20,000 Fire Department Service Charge None $19,000 ‘Ordinance or few 95,000 $4,000,000 Loss fo the undamaged portion of the bullding $5,000 included Demoiltion cost $5,000 $4,000,000 increaged cost of construction $5,000 $4,000,000 Pollutant Gean-Up and Removal Nore 315,000 Rewards None $10,000 Re-erection of Scaffolding None $10,000 Scaffalding, Construction Forms and Temporary Structures None $20,000 Property at a Temporary Storage Location $5,000 $33,750 Property In Transit $6,000 $67,500 Vaiueble Papers and Records None $20,000 Coverage. i a pee Se Rr Totelimitss Profit ifincluded Contract Change Order Coverage $5,000 $135,000 This le a proposal for insurance. itls not an Insurance policy. Only the policy Itself provides coverage. The coverages offered In this proposal are based on Information received through the agent and may no Include all available coverages. The client and their agent should discuss eny additional or optional coverages nesdad, Coverage daserlpilons are abbreviated and do not Indicate In foree coverage, This proposal la not 2 part of and Is noi incorporated Into the Insurance pollcy. If there Is any confilcl between the coverage descriptions shown in tts proposel and the actual insurarice policy, the Insurance policy prevalis, The insurance policy auparcedes this proposal. "if you want to [sarn more about the compensation Zusich pays agents and brokers visit hifpvAwww.zurichnaproduicarcompansation.com of call the following {oll fras number: (865) 903-1182. This Nollee of Disclosure is provided on behalf-of Zurich American inaurence Company end fis underemiling subsidiaries,” Date Generated: 07/01/2014 3:18:42 PM Page 4 of 8 Zurich Programs Z) Builders Risk and Installation ZURICH Special Condit Named storm deductible Pioposed (otal Simitss 3% Quote Proposal 24-hour Claim Service Our claim representatives understand businesses like yours and recognize how difficult a business shutdown can be for you. So, while they provide service that's fast, responsive and fair, thelr ultimate goal is to minimize your business disruption and get you back to full operation as promptly as possible, tn the event you have a loss, we now offer online loss reporting with immediate acknowledgement. Your claim is assigned to a Jocal claim office, usually within two hours of reporting the loss, but generally no longer than 24 hours. You can also call us toll-free at 1-888- 279-9375. This is a proposal for Insurance. Itis not an Insurance poiley. Only the pollcy itself provides coverage. The coverages offered in Its proposal ara based on Information received through the egant and may not inciude all available coverages. The client and their agent should discuss any sdditional or optional coverages needed. Coverage deacripiione are abbreviated and do nal indicate In foros covarage. This proposal ls not a part of and Is not Incorporated Into the Insurance policy. If thare fs any confiict between the coverage descripliens shown In this proposal and the aciual insurance polley, the insurance pollgy prevails. The insurance policy supercedes this propossl, “Hf you want to laam more about the compensation Zurich pays agents and brokers visit: hitovAnww.zurichnaproducsrcompensation.cem or call the foliawing loli (ree number: (866) 803-1182. This Notice of Disclosure is provided on behalf of Zurich American Inaurance Company and its underwriting subsidiaries.” Oata Generated: 07/01/2014 3:19:42 PM Page & of 6 Zurich Programs @ Builders Risk and Installation ZURICH Quote Proposal GING end eee Named insured: Lord & Son Construction Inc. Agency Name: WALDORFF INSURANCE & BONDING, INC. Cusiomer ob hatortation Location Addreas: Protection Class: 4 50 2nd Strest Gonstruction: Non-Combustible Shalimar, FL 32579 # of Stories: 2 Primary occupancy: Other Additonal interest ‘This is & proposal for Ineurance. it Is not ani Inaurance policy. Only the policy itself provides coverage. The coverages offered in this proposal ara based on Information received through the agent and may not Include all avatlable coverages. ‘The client and thelr agent should discuss any additional or optional coverages needed. Coverage descriptions are abbreviated and do not indicals In force coverage. This proposal Is not a perl of and le not incorporated Into the Insurance pollcy. If there Is any conflict between the coverage descriptions shown In this proposal and the actual Insurance policy, the Insurance policy prevalis. Tha Insurance policy supercedes thls proposal, “tf you want to lea more about the compensation Zurich pays agents and broker: visit hitp:fivww.zurichnaproducersompensation.com or call the following toll frea number, (866) 903-1192, This Notica of Disclosure ie provided on behalf of Zurich American Insurance Company and ite underwriting subsidiaries.” Date Generated: 07/01/2014 3:18:42 PM Page Sof G Zurich Programs @ Builders Risk and Installation ZURICH Our Builders Risk Pian offers world-class coverages, flexibility and service fo agents and bullders nationwide. For more than 30 years, we've been pioneering the development of insurance solutions for construction professionals and have protected the property interests of builders and developers on aven the most Intricate residential and commercial construction projects. The Builders Risk product offers a wide spectrum of property coverage. Here are few highlights of the coverage offered: Construction Forms, Scaffolding and Ternporary Structures up to $20,006 Re-erection of scaffolding if caused by or results from a covered cause of loss up to $10,000 Valuable Papers and Records — Coat of Research up t6 $20,006 Outdoor Tress, Shrubs, Plants and Lawns Additional Debris Ramoval expense Is covered up to but nat exceading $20,000 Coverage for Pollutant Clean-up and Removal of land and water for up to $18,000 for each 12 manth petiod of the policy. Fire Department Service Charge up to $10,000 Reward up to $10,000 Walver of Coinsurancs clause if loss is less than or equal to $25,000 Foundations Our valuation can Include profit up to 20% for new structures only if included fn the Limit of Insurance you selected Broad Collapse coverage Back-up or overflow of sewers, drains or surmps up to $6,000 Paving, Curbing, Fences and Outdoor Fixtures Ordinance or Law demolition and increased cost Coverage up to $1,000,000 limit for construction of new structures only Inadvertent omission in reporting on @ monthly reporting form policy Model Homes and Model Home Contents coverage can be added on a reporting form policy eeeen eeoee @ ee Strong, reflable insurance protection Is available from Zurich Programs. Zurich Programs is an integral part of Zurich North America. Zurich Financial Services (www.zurich.com) is an insurance-based financial services provider with a global network that focuses its activities on its key markets In North America and Europe. Founded in 1872, Zurich is headquartered in Zurich, Switzerland. Through Its offices in more than 50 countries, 57,000 Zurich employees serve clients in more than 120 countries. In North America, Zurich (www.zurichna.com) is a leading commercial property-casualty insurance provider serving the global corporate, large corporate, middle market, specialties and programs sectors. This is 2 proposal for Insurance. it is not an insurance policy. Only the policy tlself provides covetaga. The coverages offered In this proposal are based on information received through the agent and may not Include all avaliable coverages, The client and thelr Bgent should discues any additional or optional coverages nesded, Coveraga descriptions are abbraviated and de not Indicate In force coverage. This proposal fs not a part of and ls not incorporated into the Ineurancs policy. If there Is any contlict between the coverage deecriptlone shown inthis proposal and the actual insurance policy, tie Insurancs policy prevalls. The Inaurance poticy supersedes this proposal. . “If you went to learn more about the compensation Zurich pays agents and brokers visit: hitpdAwwew.zurichnaproducercompensation.cont or call the following toll ree number: {B65} 809-1192. This Notice of Disclosure is provided on behall cf Zurich Amaricun insurance Company and lis underwilling subsidiaries." Data Generated: 07/01/2044 3:18:42 PM Page 2 of 6 @ ' ZURICH THIS NOTICE DOES NOT GRANT ANY COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF ANY COVERAGE UNDER THE POLICY. DISCLOSURE OF PREMIUM (RELATING TO DISPOSITION OF TRIA) SCHEDULE Premium atiributable fo risk of loss from a certified act of terrorism through the end of the policy period bused on the extension of the Terrorism Risk Insurance Act of 2002, as amended by the Terrorism Risk Insurance Extension Act of 2005, (TRIA") for lines subject to TRIA and the Terroriem Risk Insurance Program Reauthorization Act of 2007 (TRIPRA): Additional information, ifany, concerning the terrorism premiom: INCLUDED A Disclosure of Preminm In accordance with the federal TRIA, we are required to provide you with a notice disclosing the portion of the premium, if any, attributable to the risk of loss from terrorist acts certified under that Act for lines subject to TRIA. That portion of the premium attributable is shown in the Schedule of this notice, If TRIA terminates, the portion of this premium attributable to the remaining part of the policy period (es may be modified in accordance with the terms of the policy) applies to the risk of loss from terrorism after the termination of TRIA. Disclosure of Federal Participation im Payment of Terrorism Losses ‘The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. ‘The federal share squals 85% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. The Act currently provides for no insurance industry or United States government participation in terrorism losses that exceed $106 billion in any one calendar year. The federal program established by Inclades copyrighted material af ISO Properties, Inc. with its permission. ‘Copyright Zorich American Insurance Company 2013 cC the Act is scheduled to terminate at the end of December 31, 2014 unless extended by the federal government, Posslbility of Additional or Return Preminm ‘The premium atiributable to the risk of oss from certified acts of terrorism coverage is calculated based on the coverage Gf any) in effect at ihe beginning of the policy for certified sets of terrorism. If your policy contains a Conditional Endorsement, the termination of TRIA or extension of the federal program with certain modifications (as explained in that endorsement) may modify the extent of coverage Gf any) the policy provides for terrorism. If TRIA terminates or the Conditional Eudorsement becomes applicable to the policy, the policy may be subject to a return premium or additional premium, ff the fevel or terms of federal participation change, the premium. shown in the Schedule attributable to that part of the policy period extending beyond such a change may not be appropriate and we will notify you of any changes in your premium. U-GU-693-C CW (06/13) Page 1 oft oe _& Builder’ s Risk information Contractor: LeRD r| Ser Contract Amount: le 3S fd; ZL d c+ New Construction Wf Renovation [] Job Description: OkaslecsaA Ceithiry SHERIFFS OF FG oe APP? FT Or Length of Job: Aug GE pe JArutay 7 za Location Address: S02 2Anwp Stre at, She L {NA Fy FL Number of Buildings: ] Number of Stories: a. Is Building Elevated? If yes, what type: / o Square Footage of Each Building: ! 2, 429 O SF Pre - éngweered Bather0eF Construction Type of Each Bullding_w</ G7 Aer pene 3 eit? leat. Roe kK 4°07 2°44 METAL SIDE G ls this quote for an upcoming bid? Yes HM No 0 re Zz if Yes, whatis the bid date?: > JaLy ° Projected Start Date? : Au G rr 2 ety Is there a Morigagee? if so Name & Address: Has slab been poured? Vv o if Yes, % complete: TRANSMISSION VERIFICATION REPORT TIME : 87/81/2614 18°29 NAME =: LORD & SON FAX 1: 8588624984 TEL : 8568635158 SER. # : BROGBI8405¢3 DATE, TIME 87/81 18:26 FAX NG. “NAME WALDORFE DURATION 98388219 PGGE(S) RESULT OK MODE: STANDARD ECM te on ~ Builder's Risk inf ‘ormation Contractor: LekD 4 Sef: Contract Amount 1.3 5 [vis Lhiennen Construction Ed Renovation [ Job Description: e) A Ce ee pp OP Fae APPT OM | : a Length ofdob: swag G22 pe JAbuday 7 Location Address: SOY 2wp Stre ef, Shalt me Ly FL Number of Buildings: ] Number of Stories: 2. ts Building Elevated? f yes, what type: 3/7 oO Square Footage of Bach Building: 12,4020 SF 7 Pre- enqgiveered Buster? Construction Type of Each Building_w/_§ 7 tee fare bette ft ez Roe Kk AXp 27 GA PETALS BIPJE SE Bond Calculation - Standard Bond Rate Fisrt $100,000 Up to $500,000 Subtotal Florida Hurricane Tax Total Bond Contract Cost with Bond & Fee Subtotal Bond Fee Contract Total Cost 100,000 206,730 306,730 lsum 5.00% Rate 0.009 0.009 1.3000% Bond Amount 900 1,861 2,761 36 2,797 289,327 2,797 14,606 306,730 Da Gate 200d Sheriff Office at- Shalimar, FL conngielen Be Spee | RE Ea el ° Update 02 ; age: tAiof 2A: | MB Progress bar © Sari milestone pain ws Desaription Ram] Eeiiy any rot - : oN ae 7 a aT se t “Ber r TOY 1 DEE a ae OTIC SICENIEEE im ec f imme ee he | ‘Bo br he Et —E EE Ti fe BS bt ees be peso ers oe eS ea 410 | Sheriff Coristruction Doe. Betinate O/OSMAY THA |23MAVIa A Sheriff Consifuction Doc Eslimate : Fad O|ZeMAYI4 & | 20nAVIa A 08, Approved Const Doc Eat ite : 130 OOEMAV 14 A 123JUNISA iy ct ‘ 782° |Geviechical Suivey ZisouNis four | id) of’ f * : 440 | Design Foundations SfoasuLt4 foruuusa [tay ol: : : 160 |Fab & Deliver Metal Bu 29/23UNTAA JO8AUGI4 | id] 12 : : Fab & Deliver Metal Building 462 [Bid Rebar 2lossuLt4 —ossuLta oro] . pit Bid Rebar 480 {Rebar Shop Drawings S/IQULT4 —_[1eJOL4 oo : a Rebar Shop Dibwings 370. |Approve Rebar ipsa [17sUL44 op 0) Apptove Reba 780 [Fab & Delve? Rebar B1euuLtd 24004 4 : 490 | Advertise for Bids O,OSMAY14A LIEMAY 140 : 200° | Sheriff Final Drawings 6) Z6MAY14.A [08JUL14 4 . 220 . | Review 100% Documents 2[ooJULi4 46JULT4 4d) 0] | . 230 | Bid Sherlifs Bulding isfiuii4 [awa adl 0 . 240 [Review GMP ‘jorauei4 [osAuGi4 | aay} 250 (Approved GMP 0 dauet | 4d] oO . 280. Bid Bemotition BIEPAINIAA JOTIULIA val OG 270 | Retieve Bids for Demolition Q onus 7d) O] « . 280 | Write Contract ZloasuLis fossuLta i) 0 280 ion of Concrete Paving slo7sulta [Adu 7a) 0 300 _|Pubiish Gonorele Fhd & Bldg gioaiULie /ieiuLid | td 6 Package . 310. | Mobilize Concrete Work Sjeiwucea [2ssults =f al 0 840 SeUNI4AOUULEA | dy eee 850 | Approve Elevator sonia “nua | tid] 8 “Ls Agpiove eval 860 _ Fab & Detiver Elevator 7Oliesul44 [Z30cTi4 | 41d] oO} * j Fab & Deliver Elevator 1100 | Mobilize Sheriff's Bldg BjoaAUGi4 [osauGts | sq] 0. ~~ 4120 | Layout Foundations zlatwui1a [22uLid at 8 7130 _| Footings & Piers yol2euLia josAUGIe <td} 0 Footings & Piers 4132 Masonry Stem Walls “eliAuGia \isauGi4 | ed] 0 “ust Masonry 1140 [Prep Slab On Grade jolorseria i2Serm | 1a) 0] 4180 | Plumbing RA Slab On Grade S/oiseP%4 03sePi4 | 3d) ol {460 [Electival RM Siab On Grade eloiser14 [o8sePi4 of 0 1170. [Fire Protection RM Stab On Grade 2lorser14 jo2sePia | 4d) 0 4180 | Pour Siab On Grade BitesEPia [i7sePia | td) 6 ‘ 4190 [Eréct Pre-Enginoered Bldg Frame | 18)(1AUGia |2sauGia | 1d] | Erect PreEngineered Bldg Frai 7200 | Masonry Walls - Buin [1aSEP 4 [245EP14 | 1d) 0: : ii 1210. |Fiaming Roof Bldg Tie in s[25seP14 jotocTi4 | -id| 0 1220 | Roof Pre-Engineered Metal Bldg BloisePi4 [s0sePia | ad) 0 spaateag oo! Pre-Engineered Metal Bldg 4230 |Prep- Stab On Metat Deck 4|osseP14 [10SeP14 | ad) 0 -Lseammaisg Prep~ Slab On Metal Deck | 1240. [Pour Slab On Metal Deck a[visept4 [vSEP14 | 6d] | Pour Slab On Metal Deck | Lorw.& Son Consiictton, tno, Data Date: 23JUN14 ‘Start Data: OoMAY 44 | RABE Eaily bar © — Finish niestone.polpt Data Bate - Sheriff Office at Shalimar, FL Conloton Dale 2208014 passer aa veserion | Sak | dak fee ee oe —— ne mn 41250 [Metal Siding. Pre-Engineered Metal A0)25SEP14 )O8OCT14 td Ofn * fn ig Pre-Engineered Meat Bldg 1260 | Light Gaugo Matal Frafting yojosooTia [avoctia | -tal ol. tight Gauge Metal Framing 4270 Hang & Finish Gypsum Board 40|2000T14 [3100T14 Ad cc z ‘Hang & Finish Gypsum Board 1280 Plumbing Wail & Ceiliag Rowg! S5{08OCTI4 /1500T14 3d Q 1290 | Ductwe A0;090CT14 12200714, aid 0! 41300 Insulate Ductwork 10 Wocri4 300CT14 id 0: A340 jEiecitical Wall & Ceifiag Rough In 10)090CT14 |220CT14 9 Oo). 1320 | Electrical Pull Conductors 10|460CT14 |290CT14: 0: oO 4330 Fire Protection Rough 12{07GCT14 J2200T14 3d 0 4340. |Equipment Pads 4\46SEP14 /19SEP14 134 oO E 1350 {Set HVAC Equipment 4)22SEP14 |25SEP14. 13d 1 : aa 1860 | Hookup HVAC Equipment B/26SEP14 /O30CTi4 13d) Q , 4370 |Stari Up HVAC 6/960CTI4 |100CT1I4 13d i} , 4380 (Elevator 25) 03N0Vi4 §=|OSDECI4 $d Q 1390 [Prime & 1st Coat 7[siocri4 fionovis | -tdf of Prime & tet Coat 7400 Door & Hardware @OSNOVIa |teNoVia | Yd] 0 : Door & Hardware 1440 |Hard Tile 8/340CTi4 | 11NOVI4 42d 0. ¥ HadTie 7 1420 jp Casework S|MNOVI4 = |F7NOVIA 8S oO}, 1430 Acoustical Ceiling Grid 4)UNOVId |adNovie “Ad 0 Tago Light Finures and Cel s[tNOWia faiNovia [al 0 {Light Fixtures and Celing Devices 1450 Grills & Registers apiaNOVia HENOvia i) Registers 4460, Acoustical Ceiling AVSNOVIE | 124NOVI4 oO 0! ‘ AG?O. | VCT.& Base Bi2Z5NOVIE F27NOVIE oO OF . 1480 Carpet Bj28NOVI4 JO2DECI4 o 0: 4490 | Plumbing Fixtuies 2/28NOViE JO1DEC14 o 0: . 4500 | Specialiics 2\02DECI4 |03DEC14 0 0! 4510 Electrical Trim B20NOVI4 |01DEC14 “td Q: ‘> Ra lect ‘al Trim 1520 jeomm, FA, Securily Tr 10)42NOV14 = |25NOV4I4 3d i) Ln erie Coinm, FA, ‘se wurity Tim: 1530 ht Paint §/02DEC14 § |08DEC14 “td iv Siti 640. Test & Balance To|tsnovia |2enovis | val 0 Lay Test & Balance 7550 [Close Out Documents 40|20NOV14 /O3DEC14 7) OO . eee lose Out Do: 7660 [Final Ciean gfosecta |tspecta | dl 6 ‘ Cy Final Clean 7870 linspection & Punch Out s[t@DEC14 [22DEC1a | id) oO Cesena sspection & | 1560 Turn Over Project | a2DECi4 | 1a; 0 tee Tum Over Pr