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CONTRACT CLOSE-OUT CHECKLIST
(To Be Prepared by the Purchasing Services Coordinator)
DATE: 10/28/2013
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C13-2050-PW.
MANAGING DEPARTMENT: PUBLIC WORKS
CONTRACTOR'S NAME: GULF COAST TRAFFIC ENGINEERS, INC.
PROJECT TITLE: AIRPORT RD SAFETY IMPROVEMENTS
The attached has met the final payment contract requirement in subject contract.
Yes No
I Final Invoice Xx O
2. Completed Contract/Lease Payment Approval Form Xl |
3. Close-Out Documents Yes No N/A
a. Signed Release of Lien im O
b. Proof of Completion Advertisement Xx] im C
c. Certificate of Insurance Xl L] CJ
d. Consent of Surety to Final Payment x) L] LJ
e. Proof of Performance/Payment Bond x O |
Continuation 12 Months Following
Final Payment
Yes No
4, Agenda Request O Xx]
5. Remarks
fo -2€-|/2
DATE
Eric Broome
From: Marcella B. Eubanks [MEubanks@clerkofcourts.cc]
Sent: Monday, October 21, 2013 3:12 PM
To: Eric Broome
Ce: Brenda L. Bailey; Ashley S. Endris
Subject: FW: Airport Rd. LAP - Final
Attachments: GCTE_Final.pdf; HDR_Final.pdf
Eric, you definitely have the funds remaining in the grant to cover the final invoice from HDR and the final on Gulf Coast
is paid from retainage so it is good too. | have copied Ashley on this email that she may review the final pay request in
advance of your agenda request.
Are you working on a reimbursement request to FDOT through Sep 30, 2013?
Thank you
Marcella B. Eubanks
Accountant
Okaloosa County Clerk of Circuit Court
Contracts and Grants
1804 Lewis Turner Boulevard, Suite 206
Ft. Walton Beach, FL 32547
Tel: (850) 651-7200 x 4383
From: Eric Broome [mailto:ebroome@co.okaloosa.fl.us]
Sent: Friday, October 18, 2013 2:16 PM
To: Marcella B. Eubanks
Subject: Airport Rd. LAP - Final
Marcella,
We will be closing out this project and making final payment pending Board approval on Nov. 5". Just wanted to send
these to you in advance to look over.
Thanks,
Eric Broome, P.E.
Project Manager/Design Engineer
Okaloosa County Public Works
1759 S. Ferdon Blvd
Crestview, FL 32536
Office: (850) 689-5772
Direct: (850) 423-4838
Fax: (850) 689-5715
Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records,
available to the public and media upon request.
Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure.
fi
APPLICATION FOR PAYMENT
PERIODIC ESTIMATE NO.: 3 - FINAL PROJECT NO.: 429677-2-58-01
WORK PERIOD BEGIN DATE: N/A END DATE: N/A
ROAD NAME: CR-188 Airport Road
ORIGINAL CONTRACT SUM $ 143,004.60
NET CHANGE BY CHANGE ORDERS $ 2,815.02
CONTRACT SUM TO DATE $ 145,819.62
ANALYSIS OF WORK PERFORMED
4, Value of original contract work performed previously: $ 145,819.62
2. Work performed this month: $ 0.00
3. Total value of work performed to date: $ 145,819.62
4. Less: Amount retained at five (5%) percent: $ 0.00
5s Net amount earned on contract work to date: $ 145,819.62
6. Less: Amount of previous payment: $ 138,528.64
y is AMOUNT DUE THIS PAYMENT $ 7,290.98
CERTIFICATION OF CONTRACTOR
According to the best of my knowledge and belief, I certify that all items and amounts shown on the face
of the Periodic Estimate are correct; that all work has been performed and/or materials supplied in full
accordance with the terms and conditions of the contract between Okaloosa County and Gulf
Coast Traffic Enginners, Inc. , and that the items for which payment is requested
have been paid and that there are no vendors-mechanics, or other liens or conditional sales contracts
which should be satisfied or discharged before such payment is made.
(Gres Coast TRAFFIC GWG SERS !fy,
(Firm Name) lame of Authorized Officer & Title)
DSOEL B. ENMDERSON VICE PRESINENT
CERTIFICATION OF ENGINEER
I certify that I have verified this Periodic Estimate and that to the best of my knowledge and belief, it is a
true and correct statement of work performed and materials supplied by the Contractor; and that the
Contractor's certified statement ofthis account and the amount due him is correct.
Givre 7 aCe a Date: Leb Lo LUE
ghtolt CO A —. a
From: GULF COAST TRAFFIC ENGINEERS, INC
8203 KIPLING STREET
PENSACOLA, FL 32514
(850)478-7066
HDR Construction Control Corp
To: Attn: Jonathan Vannoy
4673 Hwy 20 East
Niceville, FL 32578
Date:
Estimate #:
Invoice ID:
Period through:
September 30, 2013
EST#00002F
96597F
September 06, 2013
GCTE Job: ST0784 CR-188 AIRPORT ROAD
Location: #429677-2-58-01
SAFETY IMPROVEMENTS
OKALOOSA CO
Item Description Unit of Unit Units in Current Total Units Total
measure Price Place this Billing in Place Billed
Period
101-1 Mobilization Ls 4,200.00 0.000 1.000 4,200.00
102-1 Maint of Traffic Ls 1,800.00 0.000 1.000 1,800.00
102-60 Work Zone Signs ED 0.50 434.000 1,643.000
102-741 Barricade Temp Ty |, II,Drum ED 0.25 378.000 1,350.000 337.50
102-77 High Intensity Flash Light ED 0.50 406.000 1,537.000 768.50
104-103 Sediment Barrier LF 6.00 0.000 375.000 2,250.00
110-11 Clearing & Grubbing Ls 10,200.00 0.000 1.000 10,200.00
120-22 Borrow Excav Truck Measure cY 27.00 0.000 51.000 1,377.00
120-71 Regular Excavation LS 5,580.00 0.000 1.000 5,580.00
339-1 Misc Asphalt Pavement TN 390.00 0.000 17.200 6,708.00
536-11 Guardrail (Roadway) LF 24.00 238.000 238.000 5,712.00
536-73 Guardrail ( Removal) LF 3.60 0.000 38.000 136.80
536-85-24 Guardrail End Anch Assmbly EA 2,580.00 1.000 1.000 2,580.00
570-12 Performance Turf (Sod) SY 6.00 0.000 176.000 1,056.00
700-2011 Single Post Sign F&l <12sf AS 178.00 21.000 3 73.000 42,994.00
700-2012 Single Post Sign F&l 12-20 sf AS 187.00 0.000 1.000 187.00
700-2060 Single Post Sign (Remove) AS 12.50 0.000 58.000 725.00
700-4860 Sign Panels (Remove) EA 12.50 0.000 16.000 200.00
701-111114 Audible & Vibratory Pvmt Mrkng NM 5,100.00 0.000 6.925 35,317.50
705-101 Object Marker Ty 1) EA 47.50 0.000 3.000 142.50
706-3 Retro-Reflec Pymt Markers EA 4.00 0.000 360.000 1,440.00
7411-11125 Thermo Std Wh Sol 24" LF 5.00 0.000 54,000 270.00
7411-11211 Thermo Std Yel Sol 6" NM 4,500.00 0.000 2.710 12,195.00
711-17 Thermoplastic (Removal) SF 1.95 0.000 18,384.000 35,848.80
CHANGE ORDER #1 0.000 0.00
120-71 Regular Excavation LS 1,622.52 0.000 1.000 4,622.52
570-12 Performance Turf-Sod(225 SY SY 6.00 0.000 1.000 1,350.00
145,819.62
Total
CONTRACTOR'S RELEASE OF LIENS
STATE OF: Florina
COUNTY OF: __ EScAMA: A
Before me, the undersigned Notary Public in and for the said County and State personally
appeared _“Jo&L E. ENDERSQU __, representing the Contractor,
QuLF Cees 7 TRAFFIC EVG1WEE 2S 1 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 -I ake ntract No.
, have been paid in full and that for the final payment in the amount
of_OKwloosn Co , 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.
By: Yea E, Eaclonpon
O
Sworn to and subscribed before me this
18 day of OBEN. 013
(
My Commission Expires: __ @Y -/0-/Y
‘ary Public)
CATHERN E, RETHERFORD
Notary Public - State of Florida
ly Comm. Expires Apr 10, 2014
Commission # DD 957292
CR 188 (Airport Road) Safety Improvements 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 ji Vus 241) b/. Age ;
who on oath says that (s)he is l é get 4d V5) “A Gr1=
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 Lz ab ¢ Gos
in the matter of Ad Ver tisimint ot lj brapsehioy
CR 183 Satety Improventats
7 7
in the Chi loose County Court, was published in said newspaper in the issues of
Siptumbu, 25s Vetibyy 2 9 fo X03
‘ ¥ 7
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 second class mail matter at the post office in Fort Walton
Beach, in said Okaloosa County, Florida, for a period of one year next preceding the first
publication of the attached copy of advertisement; and affiant further says that (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 the said newspaper.
STATE OF FLORIDA
COUNTY OF OKALOOSA
Subscribed and sworn to (or affirmed) before me this /b bottler XxILS
= (Date)
}
by Inet tra, LANtt2e _, who is/are personally known to me or
has/have produced Bors madly Kn gn as identification.
(Type of iderftification)
Notary Public, Commission No.
al
(Name of Notary typed, printed or stamped)
ELEANOR HYPES b)
Notary Public - State of Florida f,
dy Comm. Expires Jul 30, 2015
Commission # EE 116319
Bonded Through National Notary Assn. i?
PEF PPE”
Legal 4965
ADVERTISEMENT OF
COMPLETION
Gulf Coast Tratfic Engi-
neers, Inc, 8203 Kipling
Street, Pensacola, FL
$2514 Gives notice of
completion of CR-188
(Airport Rd) Safety Im-
provements, - Okaloosa
Co, and sets 18 Octo-
ber 2013 as the date of
final settlement: :
All persons and_ firms
should file all claims for
payment to the below
address prior to the
settlement dates
Okaloosa County
(Owner)
ATTN: Contracts and
Leases Coordinator
602-C North Pearl
Street
Crestview FL 32536
By: Joel E. Enderson
Vice President
Legal 4965
Sept. 25, Oct. 2, 9, 16
Sihle
Insurance .
Group
»” www.sihle.com
601 South Palafox Street * Pensacola, FL 32502 ° 850-332-5458 » Fax 850-607-2060
October 23, 2013
HDR Construction Control Corpcration
4673 State Road 20 E.
Niceville, Fl. 32578
RE: CR-188 Airport Road Safety Improvement
Please consider this letter as our commitment to provide a certificate of liability for a period of two
years following completion of work on the above referenced project.. Upon renewal an insurance
certificate will be mailed to the proper authority.
A 1 year Maintenance Bond will be issued following final payment.
Sincerely,
rae Xo
Alice Pousson :
Commercial Account Manager a .
Sihle Insurance Group
Since 1974
cs)
“The Difference is Service”
Rule 14-24.001 F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 700-050-21
Rule BOE EAG: CONTRACTOR’S AFFIDAVIT AND SURETY CONSENT aan?
(FORM 21-A) Page 1 of 2
STATE OF FLORIDA
COUNTY OF __ ESCAM~ 1
Before me, the undersigned Notary Public, personally appeared ALai rz Ss. Coole
to me well known or who has produced as identification,
~~ (Type of Identification)
who being first duly sworn, deposes and says that he/she is: PRES\ OE=ENd
(Title of duly authorized person)
of Gulf CoOST T@AFE€ EAG iC, CRAB Tin
(Contracting entity) (Type of entity)
the Contractor on Financial Project |.D._4 24 G1). 2-58-0) Road No._Ci-) BB in
Okaloosa County, Florida under Contract No._C13 - 20S OPW
with the State of Florida Department of Transportation dated the l g day of ny: 7.) an Zo) % ;
and that the Affiant based on his/her personal knowledge says that:
1. Said contract has been complied with in every particular by the Contractor and that all parts of the work have been approved
by the District Director of Operations of the State of Florida Department of Transportation.
2. The Contractor has not offered or made any gift or gratuity to, or made any financial transaction of any nature with, any
