Okaloosa County BOCC — July 15, 2014 — MainStreetCloseout — reading text

SIDEWALK ADDITION PROJECT ARCHITECT'S PROJECT NO: okaloosa co. #0437 A B c D I E I F G H tT ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED TOTAL COMPLETED) RETAINAGE No, VALUE This Application AND STORED BALANCE Previous Stored Materials, TO DATE % TO FINISH Applications | Work In Place | (notin Dor E) (D+E+F) Gic C-G 5% Final Quantity, Bid $ Final $$ 4 {mobilization $7,500.00 $7,500.00 $0.00 $7,500.00) 100,00% $0.00 $375.00: 1) $7,500.00 $7,500.00) 2| maintenance of traffic $2,750.00 $2,750.00 $0.00 $2,750.00; 100,00% $0.00 $137.50 1) $2,750.00 $2,750.00 3}erosion contral $5,006.00 $5,006.00 $0.00 $5,006.00! 100,00% $0.00 $250.30 1) $5,006.00 $5,006.00 4|clearing & grubbing $7,042.50) $7,042.50 $0.00 $7,042.50) 100.00% $0.00 $352.13} 1} $7,042.50! $7,042.50 Slexcavation $1,500.00) $1,500.00 $0.00 $1,500.00) 100.00% $0.00 $75.00: 250 $6.00 $1,500.00 6/embankment $3,162.50 $3,162.50 $0.00 $3,162.50] 100.00% $0.00 $158.13 275 $11.50 $3,162.50 7\deleted item 12" stablization $12,015.00 $0.00 $0.00 $0.00 0,00% $12,015.00 $0.00) 0 $4.45 $0.00) 8irelocate exislting inlet (inl. Pipe ext.) $1,200.00] $3,600.00 $0.00 $3,600.00] 300.00% $2,400.00 $180.00 3) $1,200.00. $3,600.00 9/15" side drains ( incl. c.m.p, & m.e.s.'s) $1,525.00] $3,050.00 $0.00 $3,050.00} 200.00% $1,525.00 $152.50] 2! $1,525.00 $3,050.00 10|type f curb $5,437.50] $5,437.50 $0.00 $5,437.50) 100,00% $0.00 $271.88 375 $14.50 $5,437.50) 11|closed flume inlet (ext. to swale) $5,250.00] $5,250.00 $0.00 $5,250,090) 100,00% $0.00) $262.50 3) $1,750.00 $5,250.00 412/concrete sidewalk( 5' wide- 4" thick) $60,635.00 $60,635.00 $0,00 $60,635,00] 100.00% $0.00 $3,031.75 3620 $16.75 $60,635.00 13|concrete sidewalk( 6'- 4" thick) $7,437.00 $7,437.00 $0.00 $7,437.00) 100.00% $0.00 $371.85 370 $20.10 $7,437.00 14jconcrete sidewalk ( 6' wide -6" thick) $273.75 $273.75 $0.00 $273.75) 100.00% $0.00 $13.69 415 $18.25 $273.75 45\detectable warming surfaces $12,685.00 $12,685.00 $0.00 $12,685.00] 100.00% $0.00 $634.25 43} $295.00 $12,685.00 18} performance turf (sod) $26,696.25| $26,696.25 $0.00 $26,696.25] 100.00% $0.00 $1,334.81 8475 $3.15 $26,696.25} 17 |tree/shurb removal $450.00 $450.00 $0,00 $450.00] 100.00% $0.00 $22.50 1] $450.00 $450.00) 18|tree/shrub removal & relocation $6,750.00: $9,900.00 $0.00 $9,900.00] 146.67% $3,150.00 $495.00 22| $450.00 $9,900.00 48|stop sign $6,650.00: $6,650.00 $0,00 $8,850.00) 100.00% $0.00: $332.50 19 $350.00 $6,650.00 20|thermaplastic 24" solid white ( stop bar) $4,275.00) $4,275.00 $0.00 $4,275.00} 100.00% $0.00! $213.75 19] $225.00 $4,275.00 21|thermoplastic 12” solid white ( x-walks) $6,050.00! $6,050.00 $0.00 $6,050.00] 100,00% $0.00. $302.50 22: $275.00 $6,050.00 22/thermoplastics 12” solid ( x-walks d.w.} $475.00 $475.00 $0.00 $475.00) 100.00% $0.00 $23.75! 4 $475.00: $475.00 23|thero pavement markings ( school zone) $1,900.00 $71,900.00 $0.00 $1,800.00} 100,00% $0.00 $95.00 4) $475.00 $1,900.00) 24) Change Order 01 +$4,940.00 $0.00 $0.00 $0.00: 0.00% $0.00 $0.00 0} -$4,940.00 $0.00; 26) 26 $181,725.50 $9,086.28 27 28 29 $184,725.50 $181,725.50 $0.00 0,00: $181,725.50] 100.00% $0.00: $9,086.28 $184,725.50) AIA DOCUMENT G702 + CONTINUATION SHEET - APRIL 1978 EDITION + AIA® + ©1978 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 2006 CONTRACTOR'S RELEASE OF LIENS STATE OF! Elo ti da COUNTY OF: _ ax) 7 Before me, the undersigned Notary Public in and for the said County and State personally appeared “ alti , representing the Contractor, : et -who being duly sworn according to law deposes and says that all labor, materials, and outstanding claims and indebtedness of whatever nature arising out of the performance of the Contract with OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS the Owner, for Opk Co. ft OY 3 7 , Contract No. , have been paid in full and that for the final payment in the amount of AO 8&** , the Contractor releases and discharges the Owner and- his authorized representatives from any liens or claims of any nature because of or arising from this contract and/or its performance, which it has had, has or May have in the future. oy: ety UNG eS Sworn to and subscribed before me this of _ 1a day of , 2043 20! (Notafy Publi4 My Commission Expires: JUDY L. WOODRUFF MY COMMISSION # EE156269 EXPIRES: February 25, 2016 Fl. Notary Discoust Astce, Co. 1-900--NOTARY. 12th Ave. Sidewalk Addition Release of Liens Ol Daily News Published Daily Fort Walton Beach, Florida Distributed in Okaloosa, Santa Rosa & Walton Counties STATE OF FLORIDA COUNTY OF OKALOOSA Before the undersigned authorized personally appeared Dawn M. Barnes, who on oath says that she is an employee of Halifax Media Group, owner of the Northwest Florida Daily News, a daily newspaper published at Fort Walton Beach, in Okaloosa County, Florida; that the attached copy of advertisement, being a Legal # 20140435 ADVERTISEMENT OF COMPLETION in the matter of 12TH AVENUE SIDEWALK ADDITION in the Okaloosa County Court, was published in said newspaper in the issues of 05/09/2014 » 05/16/2014 05/23/2014 05/30/2014 Affiant further says that the said Northwest Florida Daily News is a newspaper published at Fort Walton Beach, in said Okaloosa County, Florida, and that the said newspaper has heretofore been continuously published in said Okaloosa County, Florida, each day, and has been entered as periodicals matter at the post office in Fort Walton Beach, in said Okaloosa County, Florida, for a period of | year next preceding the first publication of the attached copy of advertisement; and affiant further says that she has neither paid nor promised any person, firm or corporation any discount, rebate, commission or refund for the purpose of securing this advertisement for publication in the said newspaper. yum In if o/) (Signature of Applicant) Sworn to and subscribed before me this 17th day of June, 2014, by Dawn M. Barnes, X_ who is personally known to me or who has produced j s identification. J robe! Doin? wee of Notary Publie-State of NES CAROLYN. BARNES, : say COMRISSION FEE OWES? " per 12, 20": Rais Ne pub Underntiters on Notary Public 1700 E. 12" Street Lynn Haven , FL. 32444 PHONE: 850-832-9638 FAX: 850-785-6009 JUNE 11, 2014 OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS CRESTVIEW, FL. RE: 12TH AVENUE SIDEWALK ADDITION Dear Sirs, Please accept this correspondence as confirmation that Main Street Construction Services L.L.C., will provide Okaloosa County with insurance certificates covering the 12'" AVENUE SIDEWALK ADDITION project for two years. The certificates will be issued to the County as our insurance policies annually renew, and will be sent to the County in a timely manner. Sincerely, GENE WILLIAMS OWNER MAIN STREET CONSTRUCTION SERVICES CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond # 9000651 PROJECT: PROJECT # LAP Project (name, address) 12th Avenue Sidewalk Addition LAP Project 12th Ave., Shalimar, FL 32579 TO (Owner) Board of County Commissioners Okaloosa County 302 N Wilson St. #203 Crestview, FL 32536 CONTRACTOR: General Contractor wu Main Street Construction Services, LLC Subcontractor im 1700 E 12th St Lynn Haven, FL 32444 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) FCCI Insurance Company 6300 University Parkway, Sarasota, FL 34240-8424 SURETY COMPANY, on bond of (here insert name and address of contractor) Main Street Construction Services, LLC 1700 E 12th St Lynn Haven, FL 32444 hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety company of any of its obligations to (here insert name and address of Owner) Board of County Commissioners Okaloosa County 302 N Wilson St. #203 Crestview, FL 32536 ,OWNER, as set forth in the said Surety Company’s bond s;CONTRACTOR, IN WITNESS WHEROF, The Surety Company has hereunto set its hand this 17th day of June 20 14 FCCI Insurafice Company forized Representative Attest (seal): Dale Wafdorff Attomey-in-Fact @ INSURANCE FCC I GROUP Bond Number 9000651 PROTECTING BUSINESS, PROPERTY AND PEOPLE GENERAL POWER OF ATTORNEY Know all men by these presents: That the FCCI Insurance Company, a Corporation organized and existing under the laws of the State of Florida (the “Corporation”) does make, constitute and appoint: Dale Waldorff Each, its true and lawful Attorney-In-Fact, to make, execute, seal and deliver, for and on its behalf as surety, and as its act and deed in all bonds and undertakings provided that no bond or undertaking or contract of suretyship executed under this authority shall exceed the sum of (not to exceed $2,500,000): $181,725.50 This Power of Attorney is made and executed by authority of a Resolution adopted by the Board of Directors. That resolution also authorized any further action by the officers of the Company necessary to effect such transaction. The signatures below and the seal of the Corporation may be affixed by facsimile, and any such facsimile signatures or facsimile seal shall be binding upon the Corporation when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached. in witness whereof, the FCC! Insurance Company has caused these presents to be signed by its duly authorized officers and its corporate Seal to be hereunto affixed, this 22N° day of September , 2011. Attest: Crai hngp. President Thomés|A. Koval Esq., SVP, Gefteral.Counsel, FCCIinsurafice Company Goverament Affairs and Corporate Secretary FCCI Insurance Company State of Florida County of Sarasota Before me this day personally appeared Craig Johnson, who is personally known to me and who executed the foregoing document for the purposes expressed therein. ARLENE CUEMAN My commission expires: 9/25/2016 Notary Public, Stale of Florida ible. Co My Comin. Expira: 25, 201 = ¥ Wo. EE ise 016 Notary Public State of Florida County of Sarasota Before me this day personally appeared Thomas A. Koval, Esq., who is personally known to me and who executed the foregoing document for the purposes expressed therein. ARLENE CUEMAN My commission expires: 9/25/2016 Notary Public, State of Florida bh le My Comin, Expire: ¥ No. ee 25, 2016 Notary Public CERTIFICATE |, the undersigned Secretary of FCCI Insurance Company, a Florida Corporation, DO HEREBY CERTIFY that the foregoing Power of Attorney remains in full force and has not been revoked; and furthermore that the February 24, 2011 Resolution of the Board of Directors, referenced in said Power of Attorney, is now in force. Dated this \17th day of June , 2014 Thom: . Koval, Esq., SvP, General Counsel, Government Affairs and Corporate Sétretary 4-IONA-3592-NA-04, 11/12 M ALDORFF INSURANCE & BONDING. _ June 17, 2014 Okaloosa County Board of County Commissioners 302 N Wilson Street ue Crestview, FL 32536 : RE: Main Street Construction Services, ‘LLC, -Bond Number: 9000651, Shalimar 12% Avenue: Sidewalk Addition To Whom It May Concern: Please be advised that the referenced performance and payment bonds have a one year warranty after completion of the project. This is ‘strictly a. letter of evidence to that effect and is subject to the terms and : conditions of the. bonds. ; : X& Trusted |. | rv ® 11410 NW 6TH STREET Choice GAINESVILLE, FL 32601-4247 (352) 374-7779 FAX (850) 581-4930 ‘. TOLL FREE: (888) 901-3841 © . MAIN OFFICE ' 45 EGLIN PARKWAY, NE SUITE 202 FORT WALTON BEACH; FL 32548 (850) 581-4925 FAx (850) 581-4930 . TOLL FREE: (800) 342-7621 WWW. WALDORFFINSURANCE.COM