Fort Walton Beach Council agenda — 02-26-13--regular — reading text

90053011275 AN COUNTY TAX BENBEN ANDERSON OKALOOSA COUNTY LOCAL BUSINESS TAX RECEIPT STATE OF FLORIDA EXPIRES SEPTEMBER 30, 2013 SUPPLEMENTAL MACHINES FACILITIES/ ROOMS SEATS ' EMPLOYEES 2 RENEWAL TYPE OF CONTRACTOR GENERAL CONTRACTOR NEW BUSINESS BUSINESS TRANSFER BUSINESS 1295 BEVERLY Sr ORIGINALTAX 0. 00 ADDRESS FORT WALTON BEACH, FL 32547 OKALOOSA COUNTY MAKE CHECKS PAYABLE TO: Oka louse County T8% Collector Tax Collector AMOUNT 18.0' 00. 00 PO. BOX 1387, Nicevllle. FL 32580 PENALTY - 0. 00 97- 12000590 COLLECTION COST 0, 00 SHILOH CONSTRUCTION LLC QUALIFIER SHAWN G MALL 07/ Paid 30/ 201218100 TOTAL 18. 00 SHILOH CONSTRUCTION LLC QUALIFIER SHAWN G MALLIN 1295 BEVERLY ST X FORT WALTON BEACH, FL 32547 SIGN AND DISPLAY AS REQUIRED I SWEAR THAT THIS LOCAL BUSINESS TAX RECEIPT IS MADE FBI THE BUSINESS OR PROFESSION INOICATEO HEREON AND IS TRUE ANO CORRECT. THE APPLICATION MUST COMPLY WITH STATE AN[ LOCAL ORDINANCE INEWSING ZONING  Md Le Moo0 6uilsix3 Lo Luawaoeldab £ LO-£ L Eiji: ZOZZ) uopongsuoZ) yol! 4S - 019 ELO-£ L 7uaw4oeLLy m U h 071'1 O^ rWo r) O n Y aA O7 ros rt Ln ro Ln W rt rt n n roro T r wNU7 AV 0 X O( D n ' a 77 0) n r-r ro T 3 O M- i C rt OyN wNtNi. G O W O m x d N N r • N Q- W O 0 w rt a AnGO  neliv to 1300 Bullslx3 to ivawaoelda6 £ l0 -£l all : ZOZZ) " Out uoilepunoj auOmoyS alb £ l013 4k)" m UHILANA ad, IAVnATION TO BID 913 013 - REPLICl31FY TOY EXISTIiVCBOAT DOCK .AT FORT WAITON 1- kpT IC yU COVERSHEET a ITB TITLE: REPLACEMENT OF EXISTING BOAT DOCK AT THE FORT WALTON LANDING ISSUE DATE: JANUARY 17, 2013 BID NO: ITB 13-013 This completed form most appear as the top sheet for all bids: submitted. NO BID BOND REQUIRED FOR THIS BID. Total Amount of bid or Base bid S nos 596. 00 INDICATE METHOD OF BID BOND FURNISHED BELOW Amount of bid Bond ( 5% of base bid) Amount of Cashier' s Check ( 5% of base bid) $ NfA 5% of base bid) $ N/ A Amount of Certified Check ( All Items bid? Yes x No_ No x Exceptions included on Company letterhead with technical literature? Yes— Submitted by: shoreli Foundati=, lnc BY: NAME OF BUSINESS S NAT RE R° ° - t 2791 sw 56th Avenue MAILING ADDRESS NAME & TITLE (type or print) rk, FL 33033 tonwshorelinefc a, ti, B eembrok P ADDRESS CITY, STATE, ZIP CODE 954 1- 0360 954 ) TELEPHONE NUMBER FAX NUMBER Page 3 of 28  le 4300 6upsix3 to luamaoeldaM E60-EL all : ZOZZ) ' oul uopepunoj 911003oyg - 0113 Et0-Et auoutyoeliv aQ N a a U ITB # 13 -013 Reple mmt of ExiWag Boaz Dock a Fort Wahon Lmding a SECTION 6 - PRICING SHEET INVITATION TO BID #13 -013 You are invited to bid REPLACEMENT OF EXISTING BOAT DOCK AT FORT on the following; WALTON LANDING for the City of Fort Walton Beach, FL UNIT COST TOTAL 136, 892. 00 46, 892. 00 1 1 LS Mobilization 10, 437. 00 10, 437. 00 2 1 LS Erosion Control