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Okaloosa County BOCC — February 18, 2014 — reading text
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gional Manager
Legal 5272
Nov. 22, 29, Dec. 6, 13,
2013
I,
Packet Pg. 95
CONTRACTOR'S RELEASE OF LIENS
STATE OF: MICHICAN
COUNTY OF: DICKINSON
Before me, the undersigned Notary Public in and for the said County and State personally
appeared Stuart Lahti ,representing the Contractor, CC I Systems, 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, for Duke Field SCADA
Fiber Optic Link, Contract No. C I3-2034-IS have been paid in full and that for the final
payment in the amount of$ 161,113.72, 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:7~
Sworn to and subscribed
I .,J.. ..., -. '-I
before me this _) v_ day of ~ (. '~"""''j _01
(Notary Public)
My Comrmss;io'1 expires I() I :2 S"'" ) .;20 17
LORRAINE M. BENNETT
Notmy Public, Stale of Michigan
County of Dlckln on
My CommlsslonExpires Oct. 2.5, 2017.1"
ActIng In 1118 County of n
i c ...... '.....
Duke Field SCADA
Fiber Optic Link 01700-6 Job No. 41·449
Packet Pg. 96
endless solutions .
December 23,2013
Board of County Road Commissioners
Okaloosa County Florida
302 N. Wilson St. #203
Crestview FL 32536
Re: Bon d No. 354-030-226
To Whom It May Concern:
This bond is considered in force for one year of
warranty/maintenance after the final completion of work date of
December 20, 2013.
Should you require additional information, please contact me at
906-315-7203.
Sincerely,
dLf~
Sheryl Polkinghorne
Atiorney-in-fact
300 S. Front Street. Marquette, MI 49855 T 906.228.7500 F 906 .228.5385 vastsolution.com
Packet Pg. 97
•
AIA Document G707™ 1994
Bond No . 354-030-226
Conse nt Of Surety to Final Payment
PROJECT:(Na;;;-~~d odJren)- ARCHITECT'S PROJ EC T NUMBER: OWNER LJ
ARCHITECT. 0
Duke Field SCADA Fiber Optic Lunk
CONTRACT FOR: GCI14:l'al Cun~lructiufl CO~ITRAClOR [
TO OWNER: (Name and addl'e.¥sj CONTRACT DATED: May 9 , 2013 SURE yo
Board of County Commissioners , Okaloosa County Florida OTHER 0
302 N. Wilson SI.
Crestview FL .3 2536
In I:tcc,)rdancc wilh Ihc provisions orlhc Contract between tlle Owner and Ihc Conlractor tlS i ndic~tcd nt)ovci the
("'~crl name alld Cldd,.es~ a/SI/rety)
Llber1y Mululllln8urIInce Conlpany
450 Plymouth Rd., Sle. 400
PlymDUlh Maling PA 111462
nn bond of
(f llf frt name " '1d address of COII/raclor)
CCI S)'lIIems. Inc.
105 Kent Sireet, 1>0 130)( J90
Iron Moun illin, MI 4980 1
, CONTRACTOR,
hereby lppruves orthe final paymcnllo Ihe COlli/actor. and agrees thai firls! payment to Ihe Contractor ~hall not relieve tht:
Surety of ~lIy of its obligations 10
(I I/Jlf!r! nlllnt and addrtss oj Uwllf!r)
Board of County Commissioners, Okaloosa County Florida
302 N. Wilson SI.
Crestview FL 32536
OWN'-:f"
IS SCl forth in sa id Surc;ty'~ bond.
IN W ITNESS WHE REOF, the S\lrct)' hilS hereunto set rts hand on thrs dale: December 23,2013
(lnstl't in writll1g lire llIon/ir/al/owed by I},e Ifrlmeril; dQ/~ Qild year.)
I.lberty MlJlualln6uranca Company
(Sw/!Iy)
Sheryl Polking horn. , Anorney-In-foct
AlleSI·
(SCIII): Scott Koski , Witness (Printed nom~ and litfe) - - - -- ----
A lA Doc:.~ .nt (;10 "'" - UI'jIoI co py noh L 10 li fi 2 • fit.! &U~ lIy TIll M",~ e <H1 InH.r:. l'l e elf :\r C h l( ~· rA . .A...ll right . ~".r""W. ~IH~ : 'r'Il.' Al II'
r.. I)C'\IIbgot i s. p UJ tA.:: l<lli'<.l 0.':1 U S C~ E" 1 g11r:: l...I..- iU l tf l n L... ri. UOr l.ll t'J .... l ... s. U',-'lllho,"j, l.tld 1" "~t'c.x. h.: c; r:: Lo n 0, tJi ~ L'Lb\lbOI1 DE ~h'lll AI '" DoO c:.~n' .
01'" . ny pclr- t 2. on O t' i t,., 1"""')1 CCll;",Jlt 1n ".van,! c~ ... il a r.d c.-.i.nunAol P'oIn.Ltu:!.s , al'l .J N,ll IN ., cu:.ecut.:d to th~ ,...iU L I..... . ltL.l'llt p;;» •• lbl . ur d cr t he 1
] ..... rh l~; h" ( l w.. ~ prn 111: ' I).1 11,. "I" ~r"l ... ", re :t l '::»' : 11 ' 1'J n n J1}15/2rp. lIr,der ,j r .:! >!,. tH 1 _l l "I G1 tr" I "1:1 1"1) '· ... ll ! 'f I\! ~ o n !t ' ! JIJ O,; , ~n" i l :-,'. :,
C r r na l • .
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Packet Pg. 98
THIS P:JWER OF ATIORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
rhis Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to the extent herein stated,
Certificate No. 6091012
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company WestAmerican Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire & Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire, that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company
is a corporation duly organized under the laws of the State of Indiana (herein collectively called the "Companies"), pursuant to and by authority herein set forth, does hereby name, constitute
and appoint, Christine A. VanAbel; Jessica Dale; Pamela C. Stewart; Scott A. Koski; Scott M. White; Sheryl Polkinghorne; Thomas 0, Cousineau
all of the city of Marquette , state of MI each individually if there be more than one named, its true and lawful attorney-in-fact to make, execute, seal, acknowledge
and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds, recognizances and other surety obligations, in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 23rd day of April , ~.
American Fire and Casualty Company
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company
West American Insurance Company
By: ~
Gregory
---;:--
. Davenport, Assistant Secretary
STATE OF WASHINGTON ss
COUNTY OF KING
On this 23rd day of April , 2013 , before me personally appeared Gregory W. Davenport, who acknowledged himself to be the Ass istant Secretary of American
Fire and Casualty Company, Liberty Mutual Insurance
