Okaloosa County BOCC — July 2, 2013 — Seago Fire Protection Final Payment7 2013 pdf — reading text

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) pare: 6 [24/1 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Coniract No. LC 13-201- COR MANAGING DEPARTMENT: £407 lfy arm fonaw ce CONTRACTOR'S NAME: Seasy fim Profecsion LLC PROJECT TITLE: Lashllehrn of Mou fie Sribhee Sysfter @ Ja'/ The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice co | 2. Completed Contract/Lease Payment Approval Form a O 3. Close-Out Documents Yes No N/A a. Signed Release of Lien wa ia C] b. Proof of Completion Advertisement CJ CJ [47 c. Certificate of Insurance he C] Oj d. Consent of Surety to Final Payment iz C] f4- e. Proof of Perforrmance/Payment Bond C] C] +" Continuation 12 Months Following Final Payment Yes No 4, Agenda Request ja prosresé ia OJ 5. Remarks VAY DATE ig Services Coordinator CONTRACT # C13-2011-COR SEAGO FIRE PROTECTION, LLC. INSTALL FIRE SPRINKLER SYSTEM @ JAIL EXPIRES: 06/07/2014 TO: DATE: ATIN: Fax: FROM: 77197 Co Hwy 183 S. ¢ Ponce de Leon, FL 32455 @ (850) 836-2288 (850) 836-2289 Fax Okaloosa County Purchasing Department 6/18/2013 Contracts Seago Fire Protection, LLC PAGES: SUB): REF: Pay Application Okaloosa County Jail Project Submitted for payment 1. 2. 3. 4, 5. Pay Application No. 1 for Project Completion Schedule of Values Certificate of the Subcontractor Conditional Waiver and Release of Lien upon Final Payment Warranty for the period of 04 June 2013 to 04 June 2014 City of Crestview Fire Department — Fire Prevention Division — Final Inspection completed on 04 June 2013 Give me a call if there are any further requirements for payment of this contract. Thanks, ae ACCOUNTS 850.520.4722 850.520.4723 FAX EMAIL: guy@seagofireprotection.com FL Lic No. 0231410002008 AL Lic No. S-467380 APPLICATION AND CERTIFICATE FOR PAYMENT TOOWNER: Oxaloosa County k ‘Application t FINAL SSTREUTON TS. Jack Allen 7797 Co. Hwy 183 S> Contracts & Leases Coordinator Ponce De Leon, FL 32455 PERIOD TO: 6/04/2013 Ea OWNER Okaloosa County Purchasing Department 850.836.2288 E@ ARCHITECT 602-C North Pearl Street 880.836.2289 Fax PROJECT: County Jail E¥ CONTRACTOR Crestview, FL 32536 o 850.689.5960 a 850.689.5998 : jallen@co.okaloosa.f.us CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract, CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ‘Total changes approved in previous months by Owner TOTAL! Approved this month Number Date Approved TOTALS INET CHANGES by Change Order ‘The undersigned Contractor Certifies that to the best of the Contractor's knowledge, information, and belief, the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor. for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: Oj Date Date G, (S l Continuation Sheet is attached. 1. ORIGINAL CONTRACT SUM. 2, Net change by Orders......... 3. CONTRACT SUM TO DATE (Line 1+ 2)... 4, TOTAL COMPLETED & STORED TO DAT! (Column G on Coniinuation Sheat) 5. RETAINAGE: a 10 % of Completed Work (Columns D = E on Continuation) b. % of Stored Material (Column F on Continuation) Total Retainage (Line 5a = Sb or Total in Column 1 of Continuation) 6. TOTAL EARNED LESS RETAINAGE. {Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT. (Line 6 fron prior certificate) 8. CURRENT PAYMENT DU! 9. BALANCE TO FINISH, PLUS RETAINAGE...........eccsese08 {Line 3 fess Line 6) 132,009.00 132,009.00 $ 132,009.00 132,009.00 0,00 $ 432,009.00 3 - County of Bay al ar rtd before m wa Lege day of, Jun out a, Notary Asie? aA RAY 2 ile is ARCHITECT'S CERTIFICATE FOR PAYMENT In’ accordance with the Contract Documents, based on on-site observations and the data comprising. the above application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief, the Work has progressed as indicated, the quality of-the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED, XLS.AIA/AIAPAY2 v 1 WEBSTER Notary Phblic, State of Florida Comfssiont EE 122625 6 mJ expires Aug. 16, 20 AMOUNT CERTIFIED. $ (Attach explanation if amount certified differs from the amount applied for.) ARCHITECT: By: Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the CONTRACTOR named herein. issuance, payment and acceptance of payment are SCHEDULE OF VALUES Owner Okaloosa County SubCont: Seago Fire Protection, LLC APPLICATION No 1 Jack Alien 7797 Co. Hwy 183 S Application Date 6/4/2013 FINAL Contracts & Lease Coordinator Ponce De Leon, FL 32455 Period 6/4/2013 Okloosa County Purchasing Department Ph: 850-836-2288 Project Co. Jail 850-689-5960/850-689-5998 (Fax) Fx: 850-836-2289 Location: Crestview, FL A B Cc D | E F G H | WORKCOMPLETED MATERIALS TOTAL M PREV PRESENTLY COMPLETED BALANCE RETAINA na DESCRIPTION OF WORK eaters TERPPLICATION THIS PERIOD ‘Norn on aoe eo eniH a VARIABLE) +5) DORE) (D+E+F) (6-8) RATE 1 [Plans & Permits $14,760.00 $11,760.00 $11,760.00] 100.00% $0.00 $0.00 2 |Material $44,320.00 $44,320.00 $44,320.00] 100.00% $0.00 $0.00 3 [installation $74,429.00 $74,429.00 $74,429.00] 100.00% $0.00 $0.00 4 {Final inspection $1,500.00 $1,500.00 $1,500.00] 100.00% $0.00 $0.00 § #DIV/0! $0.00 $0.00 6 #DIVI0! $0.00 $0.00 7 #DIV/0! $0.00 $0.00 8 #DIVIO! $0.00 $0.00 9 #DIVI0! $0.00 $0.00 40 #DIVIO! $0.00. $0.00 41 #DIV/O! $0.00 $0.00 12 #DIV/O! $0.00 $0.00 13 #DIVIO! $0.00 $0.00 14 #DIV/O!L $0.00 $0.00 15 #DIVvio! $0.00 $0.00 16 #DIVIO! $0.00 $0.00 7 #DIVIO! $0.00 $0.00 #DIVIO! $0.00 $0.00 #DIVIO! $0.00 $0.00 #DIV/0! $0.00 $0.00 #DIVIO! $0.00 $0.00 #DIVIO! $0.00 $0.00 aDIViO! $0.00 $0.00 #DIV/0! $0.00 $0.00 #DIVIO! $0.00 $0.00 #DIV/O! $0.00 $0.00 #DIV/0! $0.00 $0.00 TOTAL $132,009.00 $0.00} $132,009.00 $0.00] $132,009.00] #DIV/0! $0.00 $0.00 7797 Co Hwy 183 S. * Ponce de Leon, FL 32455 ¢ (850) 836-2288 © (850) 836-2289 Fax CERTIFICATE OF THE SUBCONTRACTOR CONDITIONAL WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the sum of $ 132,009.00 hereby waivers and releases the right to claim a lien for labor, services, or materials furnished through (Date) 6/04/2013 on the job to Okaloosa County Jail Fire Sprinkler System The undersigned further certifies that all materials, labor, and services furnished or performed by him or anyone who has furnished materials, labor, or services to the undersigned for use in the contract has been paid through the date of this instrument (except as listed below) and the undersigned agrees to indemnify Okaloosa County, Florida for any cost, including attorney’s fees, incurred by Okaloosa County, Florida in removing liens or claims by anyene furnishing material, labor, or services for use in said project in accordance with the contract with the undersigned. Exceptions:_None 100% complete Thereby certify that the work performed and the materials supplied to date as shown on the above represent the actual value of accomplishment under the terms of the contract (and all authorized changes therete) between the undersigned and Okaloosa County, Florida relating to the above referenced project. This waiver and release covers the Final payment held for labor, services, and materials furnished. This release becomes in full force upon receipt and clearance of a payment check in the amount of $ 132,009.00. Date: G Saws 4013 SEAGO FIRE PROTECTION, LLC ONTRACTOR STATE OF FLORIDA COUNTY OF uate! ub Of Flori Commissions EE ‘22608 Y COMM. exniras Aug. 18, 2015 - LORIE Weaste é i‘ Notaty Public. State i] Fire Protection, LLG 7797 Co Hwy 183 S. * Ponce de Leon, FL 32455 * (850) 836-2288 © (850) 836-2289 Fax WARRANTY FOR: Okaloosa County Jail Fire Sprinkler System, Contract # C13- 2011-COR for RFB# COR 5-13 The term “The owner” in the written warranty refers to Owner as shown below. Owner: The County of Okaloosa, Florida Contractor: Seago Fire Protection, LLC 7797 Co. Hwy 183 S, Ponce De Leon, FL 32455 850-836-2288 Fax: 850-836-2289 We hereby warrant the Workmanship and material which we installed per our proposal for RFB # COR 5-13 Fire Sprinkler System @ Jail, Okaloosa County, Florida for a period of one (1) year from 04 June 2013 to 04 June 2014. Work has been done in strict accordance with applicable NFPA, Florida Fire Prevention Code, and local Authority Having Jurisdiction, and the work installed will fulfill the requirements as set forth. We agree to repair and replace or cause to be repaired or replaced any and all work called for in our contract which may prove to be defective in workmanship or material. Ordinary wear and tear and unusual abuse or neglect excepted. If we fail te commence to comply with the above paragraph within ten (10) days after receipt of written notice from the owner to do se or fail te pursue such compliance with diligence, we, jointly and severally, do hereby agree to authorize the owner to proceed to have the defects repaired and made good at our sole expense. . If we fail to fulfill the preceding obligations, and if the owner brings an action to enforce the warranty, we agree to pay the owner reasonable attorney’s fees incurred in connection herewith. sine LL) =a Printed: David Seagy—” Title: President, Seago Fire Protection, LLC Date: 04 June 2013 City of Crestview Fire Department - Fire Prevention Division 321 W. Woodruff Ave., Crestview, FL 32536 Phone (850) 682-0315 / 682-6121 - Fax (850) 689-0275 FIRE SAFETY INSPECTION Dater_ ly | Ls , New Property: —__Esising Popeye AX _ ses Like _ * aad Se { owneriManager Bec ‘ re Phone #: YOUR ATTENTION IS CALLED TO THE FOLLOWING VIOLATIONS: Code ‘Corrective Action Needed uke deo fe st al D Ei iSa rc Corrective Action Due: Repeat Vielation?. FAILURE TO. CORRECT THESE VIOLATIONS: MAY RESULT IN CIVIL ANDIOR CRIMINAL PENALTIES AS Regumen BY LAW. This ecapency meets im Se safety reeset tis tin, e eo I: ALAM tanh tele ethopeto oe Le boc MD nees _bfafrs Name (Please Prin), Dale ‘onthis data, | madewin inspection of the above premises. r (Page.2.of_1) WHITE COPY=£0. OFFICE COPY ‘yeLLoWcoPY.chY ornce copy PINK « GWNERIOCCUPANT COPY DATE (MMDIVYYY) CERTIFICATE OF LIABILITY INSURANCE 06/06/2043 AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS JRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED AND THE CERTIFICATE HOLDER. ian | ACORE Simmer THIS CERTIFICATE 1S iSSUED CERTIFICATE DOES NOT AFF BELOW. THIS CERTIFICATE OF REPRESENTATIVE OR PRODUCER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policylies} must be endorsed. if SUBROGATION IS WAIVED, subject to the farms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in feu of such endorsementis}. PRODUCER Brown insurance Services TN TECT Phone: 850-216-8331) haue._ Janis Laycock Fax: 850215-5360| IONE, ey: 850-215-5347 TER soy, 850-215-5360 1418 W. 25rd Street Suite 200 Panama City, Fi. 32405 ces. jlaycock@browninsuranceservices net Mike W. Brown eauee ‘Exsrouen pe SEAGO-1 3 INSURER(S} AFFORDING COVERAGE NAG # jeuaeD Seago Fire Protection LLC insurer a: Gotham Insurance Co 25569 Had oe hey tea 2A56 msuRera - Owners insurance Company 32700 once de Leon, FLS neursr¢: Gotham Insurance Co 25569 meurerp: Southern Owners insurance 10190 INSURER Es a : = 2 a ech Rab INSURER E — cts + sponge ingest COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THis IS TO CERTIFY THAT THe POLICIES OF INSURANCE LISTED BELOW WAVE