Okaloosa County BOCC — August 24, 2013 — Close-Out Documents - Contract No. C11-1849-WS0002 — reading text

Furnish and install all materials and labor to paint the Annex Tank using OCS-4 (modified) and ICS-5 as me described in the specifications complete and in place for the lump sum amount of { $437,350 { $ 437.350 Remove existing containment lugs from roof of tank 76 : . ; and grind surface smooth prior to recoating of tank 7 $2,400 4 $ 2.400 7 Remove and replace two roof hatches and existing vent plate 1 $5,400 1 $ 5,400 78 _ |Removeand replace_-expansien joint oni pipe 4 $8,900 Deleted in CO #8-0 | $ - 79 |Install new 24" roof vent 1 $6,200 1 $ 6,200 Furnish and install all materials and labor to install 80 |painted logo (fluoro-urethane paint) on the Annex Tank complete and in place for 2 $7,500 2 $ 15,000 Change Order No. 7 Item EST. QTY.& UNIT COMPLETED Total Cost No. UNIT PRICE UNITS Completed Cleaning, Inspection and On-Site Reporting of 81. |Condition of Airport Elevated and 1.25 MG Ground Storage Tanks (per FDEP regulations) { $4,760 4 $ 4,760 Total Cost Change Order #6 Work Complete $714,650 Total Cost Change Order #7 Work Complete $4,760 2010-11 Repair and Paint Water Tanks Change Order #8 Analysis It , . Contract * m Quantity | Unit Cost | Total Cost t 0. Increase East Island Tank 89 Furnish and install replacement ladders (both wet and dry interiors) including safety climb equipment 1 $16,850 $16,850 $16,850 83 Remove and replace anchor bolts covers with new and paint to match existing exterior coating system 18 $200 $3,600 $3,600 East Island Tank Total $20,450 Annex Tank Replace bolts on existing painters hatch with 84 ; galvanized bolts 1 $269 $269 $269 Install new 6" flapper valve on existing overflow pipe 85 ; to meet current FDEP regulations $650 $650 $650 78 ree ae Deleted in this Remove enc replace-expansionjointen fill pipe 4 $8900 (exe) Annex Tank Total $919 Total Increase in Contract $21,369 sab) m0 7 9 — FTO a> DO Oo ¥i afi _ <atQ. Original contract AMOUNE ——ieeccecsseessees sesueecsecssseueessecnesesseecseesseescaecesesensesses $ 657,750.00 ; as oor Plus: Additions scheduled in change orders haccscecacscccetee ceeeesceceseeees cusseeessaeecsees $ Tb6245460 |, 477,| H.C Less: Deductions scheduled in change Orders............::ccccccccseceesereecseseeeeeeneeeeeen nevseeeatenseees $ {85,275,007 —2 - Adjusted Contract AMOUNT TO CALC. .......0.acceie.ven-caevenaarvessanssnsessavesansnawocsens coosscenaseanetenss $ 2,134,929.00 ANALYSIS OF WORK PERFORMED: Cost of original contract work performed to date oe eeeceeeeeeceesececseceneeseenteettetsensesseee $ 656,000.00 Change order work performed to date haneccceaceueensecseesecseeneeesnenateteeneeeneenes $ 1,478,929.00 Total Cost of work performed to date ch aaaeecenceecenceecetceseteeeseeeeteseceseeceaees $ 2,134,929.00 Stored materials ee eeececeeceeeeseeesenceeeeeeeseeeeeseeenaeeeeaeecsaeeseaeeeenaaeeeeseeeeeeeeenneees $ - Subtotal of (c) and (dt) ac ccceeauescenseeeteceeseeceeeessesuesenseecaesaeeseeseeeaeeeeenees $ 2,134,929.00 Less: Amount retained in accordance with contracttermS whe eeeeeeseceeeeseeeeeeeerseeereees $ - Net amount earned on contract work fo date oak eeeeeeeesseeessceceeeceeeeeeeeeeeeseeeenseeseees $ 2,134,929.00 Less: Amount of previous payments han neececcceecececeeeeaeeeeeteecesaeeeeaeeeseaeeees $ 1,979,644.42 BALANCE DUE THIS PAYMENT (a neeceececeneeeceeeeseeceeeeeseeeteesaeeeseesaeenes $ 155,284.58 CERTIFICATION OF CONTRACTOR: According to the best of my knowledge and belief, | certify that all items and amounts shown on the face of this Periodic Estimate for Partial Payments are correct; that all work has been performed and/or materials supplied in full accordance with the requirements of the referenced contract, and / or duly authorized deviations, substitutions, alterations, and / or additions; that the foregoing is a true and correct statement of the contract amount up to and including the last day of the period covered by this Periodic estimate; that no part of the "Balance Due this Payment" has been received, and that the undersigned and his subcontractors have complied with all the labor provisions of said contract. | further certify that the labor and materials listed on this request for payment have been used in construction of this work and that all materials included in this request for payment and not yet incorporated into the construction are now on the site or stored at an approved location; and payment received from the last request for payment has been used to make payments to all first tier sub-contractors and suppliers except as listed below. DATE: AMERICAN SUNCRAFT CONSTRUCTION CO. Davxerd Ya A AUTHORIZED Het MATE CERTIFICATION OF ENGINEER: | certify that | have checked the above Periodic Estimate for Partial Payment and that to the best of my knowledge and belief it is a true and correct statement of work performed and / or material supplied by the Contractor; and that partial payment claim and requested by the Contractor is correctly computed on the basis of work performed and / or material. DATE: POLYENGINEERING, INC. Ff f oN) A f “ow WI X Beth Brant PES % a Expires 05/08/2045 ‘ ae ENN P NP INN A I hy Halifax Media Group PUBLISHERS OF THE DESTIN LOG 1225 Airport Road P.O. Box 339 » Destin, FL 32541 Published Wednesday and Saturday Destin, Okaloosa County, Florida STATE OF FLORIDA COUNTY OF BAY Before the undersigned authority personally appeared Lynda Speights, who on oath says that she is a Legal Advertising Representative of The Destin Log, a newspaper published twice a week in the English language, and of general circulation published in the City of Destin, Florida; in said county and © state, and that the attached copy of advertisement, being a Legal Advertisement #93921DLO in the matter of NOTICE OF COMPLETION- American Suncraft Company in the Okaloosa County Court, was published in said newspaper in the issue of June 8, 15, 22, 29, 2013. Affiant further says that the said The Destin Log is a newspaper published at Destin, in said Okaloosa County, Florida, and that the said newspaper has heretofore been continually published in said Okaloosa County, Florida, for a period of one year preceding the first publication of the attached copy of advertisement, and affiant further says (s)he 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 gai¢ nee | Yat [8 oO State of Florida County of Bay Sworn and subscribed before me this 29th day of June, A.D., 2013. By Lynda Speights, Legal Advertising Representative of the Destin Log, who is personally known to me or has produced N/A as identification. Notary Public, State of Florida at Large ¢ cd pee 93921DLO PUBLIC NOTICE Notice is hereby given that American Suncraft Company, inc. has completed the contract with the Okaloosa County Board of Com- missioners Contract #011-1849-WS, 2010-2011 Paint & Re- pair Water Tanks for Okaloosa County Water and Sewer Sys- tem. Any. claims held against same shall be itemized, notarized and : presented io the Okaloosa Board of Commissioners or . same will be barred. | Jun 8, 15, 22, 29,2043 CONTRACTOR'S RELEASE OF LIENS sTATEOF: Loli ¢ county oF: © \cu iC Before me, the undersigned Notary Public in and for the said County and State personally appeared Rebec i dol a representing the Contractor, American Suncraft Company, Inc.., 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 Board of County Commissioners. Okaloosa County. FL, the Owner, 20-2011 Repair and Paint Water Tanks, Contract No. C11-1849-WS_have been paid in full and that for the final payment in the amount of $155.284.58. 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. Sworn to and subscribed before me hig 0" day of, / lis a ols Knendy C. plod (Notary Public) BRENDA C. MARTIN, Notary Public in and for the State af Onic - - Commission Expires July 7, 2014 My Commission expires ia main id 2010-2011 Paint & Repair Water Tanks 01700-6 Job No. 41-445 OWNER ] CONSENT OF SURETY Bond # 5960801 ARCHITECT O TO FINAL PAYMENT CONTRACTOR Oo Conforms with the American Institute of SURETY LJ Architects, AIA Document G707 OTHER im TO OWNER: ARCHITECT'S PROJECT NO.: {Name and address) Board of Commissioners, Okaloosa County, FL 302 N. Wilson St., Suite 203 Crestview, FL 32536 PROJECT: (Name and address) 2010-2011 Paint and Repair Water Tanks CONTRACT FOR: Construction CONTRACT DATED: January 27, 2011 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) Ohio Farmers Insurance Company One Park Circle Westfield Center, Ohio 44251 on bond of (Insert name and address of Contractor) American Suncraft Construction Co., Inc. 10836 Schiller Road Medway, Ohio 45341 , SURETY, ; CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to {insert name and address of Owner} Board of Commissioners, Okaloosa County, FL 302 N. Wilson St., Suite 203 Crestview, FL 32536 as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on thisdate: July 23, 2013 (Insert in writing the month followed by the numeric date aud year.) $-2134/GE 10/04 Ohio Farmers Insurance Company , OWNER, (Surety) ) 7 | ene LM L (Signature of authorized representative) } _ Anne Tierney, Attorney-in-Fact (Printed name and title) POWER NO. 3401942 07 General Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. | Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a “Company” and collectively as “Companies,” duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these presents make, constitute and appoint THOMAS D. CASSADY, LOUIS R. FISHER, THOMAS W. CHATHAM, PAULETTE M. AERNI, FRANK J. LECH, PAUL J. SCHUELER, JR., RICHARD A. DAVIS, ANNE TIERNEY, LINDA L. HOGLE, JOINTLY OR SEVERALLY of CINCINNATI and State of OH its true and lawful Attorney(s)-in-Fact, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - +--+ -- 5 ee te te tr te ee ee ee ee ee ee ee ee ee LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President, sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: “Be It Resolved, that the President, any Senior Executive, any Secretary or any Fidelity & Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of