Okaloosa County BOCC — July 11, 2017 — C17-2490-PW Final Payment

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: June 29,2017 TO: Contracis & Granis Manager, Finance Depardment Confracts & Granis Office SUBJECT: Contfract No. C17-24%90-SW MANAGING DEPARTMENT: PW CONTRACTOR'S NAME: SYSTEM SCALE PROJECT TITLE: REPLACE BAKER LANDFILL TRUCK SCALE The attached has met the final payment coniract requirement in subject contract. Yes i. Final Invoice X 2. Completed Contract/Lease Payment Approval Form X o 3. Close-Out'Documents Yes N Signed Release of Lien X Proof of Complefion Advertisement ] Certificate of Insurarice X Consent-of Surety to Final Paymenit X Proof of Performance/Payment Bond X Continuation 12 Months Foliowing Final Payment oo oo o g i " » 4, Agenda Request 5. Remdarks 4‘“\ M~ > - No N/A No ‘Purchosin‘g Serdeassaaidingtor DATE CONTRACT/LEASE FILED PAYMENT APPROVAL FORM JD PEACOC K1l COMPLETE AND FORWARD TO THE NEXT DEPARTMENT COMPLETED BY DEPARTMENT - (2001 COURT . 04/28/2017 QK4 MOOOA cou DATE: (\égq TVIEW, FL. VENDOR NAME: System Scale VENDOR #: 005064 CONTRACT/LEASE#: C17-2490-SW TASK COUNTY/FEMA Ixsglllcoél# ‘ ORDER # Ny DEP‘Z‘Q’;&ESNT ,| Account# AMOUNT $ (If Applicable) (If Applicable) INV-020674 4301 564302 $ 80,000.00 TOTAL $ 80,000.00 APPROVED FOR PROGRESS PAYMENT / owre: 4/ 28)( CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER:. @@mflm Reece COUNTY SUPERVISOR/PROJECT MANAGER: A;}fi(fi //%ll Scott Bitterman paTg: 5 5~/ DEPARTMENT DIRECTOR: f%/ Jason Autrey pate: § U/ [ CONTRACTS & GRANT MANAGER: )\ \ \/ DATE: COUNTY ADMINISTRATOR: [ DATE: (Payments ~$25,000.) FINAL PAYMENT FINAL PAYMENT YESNOI:I (If "Yes", forward to Purchasing Services f£oordinator for Close-Out) [t P (Rer Initial Agreement) . DATE: ( 0 [&\ r—l Efi CONTRACTS & GRANTS MANAGER: \ v (All Contracts) DATE: PURCHASING DIRECTOR: DATE: ’7/ G //7 COUNTY ADMINISTRATOR APPROVAL: " 74 (Per Initial Agreement) DATE: BOARD APPROVAL: (Per Initial Agreement) COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWD BY: INDUSTRIAL « WEIGHIRG » LABOGRATARY Invoice #: INV-020674 Invoice Date 4/28/2017 Customer PO# Baker Landfill Work Order WO-0018419 Terms Net 30 Service Date 2/22/2017 Service Location OKALOOSA COUNTY BAKER LANDFILL - BAKER, Okaloosa County Baker Landfill - Baker, FL 5479A OLD BETHEL ROAD CRESTVIEW, FL. 32536 FL 1415 Charlie Day Road Baker, FL 32531 Invoice Details Products & Services Price Quantity :| Amount Tax Vehicle - Mettler Toledo - VTC1000701DDOSR3G 37550.00 1.00 $37,550.00 $0.00 Installation of new truck scale 4725.00 1.00 $4,725.00 $0.00 Demolition of scale foundation 25800.00 1.00 $25,800.00 $0.00 Removal of old truck scale 4725.00 1.00 $4,725.00 $0.00 Rentat of temporary truck scale 7200.00 1.00 $7,200.00 $0.00 Notes: Remit To: System Scale Corporation P.O. Box 733482 Dallas, TX 75373-3482 Ph. (615) 254-3440 Subtotal $80,000.00 Tax $0.00 Total $80,000.00 Local Contact: (251) 476-2057 ssc-mo@system-scale.com * Please reference INV-020674 with your check in order to ensure proper processing. * *** Please note our remittance address has recently changed, thank you for updating your records. *** Proud to be a Mettler Toledo Premier Distributor hitp://www.system-scale.com *|ate payments may incur a service charge of 1 %% per month, or 18% per annum. System Scale retains ownership of items purchased until paid in full. Zan Fedorak From: Jim Reece Sent: Friday, May 5, 2017 1:35 PM To: '‘Mindy Kovalsky' Cc: Jason Autrey; Zan Fedorak; Ann Halbert; Greg Kisela; 'meubanks@okaloosaclerk.com; Roland Sims; 'aendris@okaloosaclerk.com’ Subject: - FW: C17-2490-SW This is to certify that the new scales procured under Contract# C17-2490-SW have been operational since April 3. Scales and data transfer are functioning to our satisfaction. System Scale has completed every task under the contract and we recommend release of any retainage as part of the final payment. Jim Reece, CHMM Okalcosa Co