Okaloosa County BOCC — December 31, 2012 — NSI Final Payment

EXHIBIT H CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Contracts & Leases Coordinator) DATE: _/ lh WZ. TO: Contracts & Grants Manager, Finance Department Contracts & Grants Division SUBJECT: Contract No. C//-/9/2-AO MANAGING DEPARTMENT: _Arb/ie Luks CONTRACTOR'S NAME: Meel-Schatfer, lac: PROJECT TITLE: CEI Services for SWvania Herchi's The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice ae O 2. Completed Contract/Lease Payment Approval Form a O 3. Close-Out Documents Yes No N/A a. Signed Release of Lien O O ce b. Proof of Completion Advertisement O O Ea c. Certificate of Insurance O im ig d. Consent of Surety to Final Payment im) im) iy e. Proof of Performance/Payment Bond oO oO {a Continuation 12 Months Following Final Payment Yes No 4, Agenda Request a oO 5. Remarks Wize warfrr - Contracts and Lease Coordinator DATE EXHIBIT I CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT APPROVING DEPARTMENT COMPLETED BY DEPARTMENT DATE: 11/15/2012 VENDOR NAME: Neel-Schaffer, Inc. VENDOR #: 21200584 C11-1912-PW COUNTY AGREEMENT # (Contact Contract/Lease Coordinator, if unknown) Sylvania Hts Grant TASK COUNTY/FEMA VENDOR ORDER # PROJECT # BUDGET INVOICE # (if applicable) (if applicable) DEPARTMENT # ACCOUNT # AMOUNT 8-FINAL 0090 701140 531900 $8,328.75 TOTAL $8,328.75 APPROVED FOR PAYMENT (please initial, as applicable and date): ENGINEER/ARCHITECT/PROJECT MANAGER Aiton pate: ((//S //2 B COUNTY PROJECT MANAGER: LS DATE: Mt [2@ k= DEPARTMENT HEAD: DATE: LIPD a FINAL PAYMENT: YES oO CONTRACTS & GRANTS DATE: CONTRACTS & GRANTS MANAGER: DATE: COUNTY ADMINISTRATOR APPROVAL : (Only Payments $25,001 - $50,000) FINAL PAYMENT APPROVAL (if needed): PURCHASING DIRECTOR: (Only Contracts < = $25,000) COUNTY ADMINISTRATOR : (Only Contracts between $25,001 to $50,000) Contracts Over $50,000 — BCC Approved COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YR: DATE RECEIVED: Form revised 1-20-2011 NV. NEEL-SCHAFFER ibaa Solutions you can build upon INVOICE TO: Okaloosa County Date: November 15, 2012 Public Works/Engineering 1759 South Ferdon Boulevard NSI Invoice No. 8-FINAL Crestview, FL 32536 Vendor No. 21200584 Invoice Period Begin: October 1, 2012 RE: Sylvania Heights Grant Invoice Period End: October 31, 2012 C11-1912-PW Sylvania Heights Resurfacing Project County Project #0090 NSI Project No. NS.08740.000 Activity Lump Sum Previous Fee Current Fee % Complete | Activity Fee Billed Billed ings/Project Management __ $5,587.87| $5,587.87 $0.00 $841.17 $0.00 $7,493.08 $0.00 $9,597.70 $0.00 __. 100.00% $6,872.65 $6,872.65 $0.00 a 100.00%} $15,130.00] $15,130.00 $0.00 —— 100,00%| $2,651.40] $2,651.40 $0.00 CEI Services (HDR, inc.) 83.83%| $24,826.13] $12,482.61 $8,328.75 Totals $8,328.75 Contract Amount: $73,000.00 Total Billed To Date: $68,985.23 Remaining: $4,014.77 TOTAL INVOICE AMOUNT $8,328.75 Please Remit Payment To: Neel-Schaffer, Inc. 15 Southlake Lane Suite 200 Hoover, AL 35244 Invoice HDR Construction Control Corp. HD Suite 400 AS 5426 Bay Center Drive Tampa, FL 33609 813-282-2361 Invoice No. 3 Invoice Date 11/12/12 Month Ending 11/3/12 HDR Project No. 190094 HDR Invoice No. 36233-B FINAL Neel-Schaffer, Inc. 15 Southlake lane Suite 200 Hoover, AL 35244 ATTN: Bob Portera, P.E. Sylvania Heights Milling and Resurface 24,826.13 20,811.36 12,482.61 5 Amount Authorized To-Date: Total Earned To-Date: Less Previous Billing: Amount of Invoice: 8, 4, Alals - Remaining Fee Please send remittance Balance unpaid thirty(30) days from invoice Amount Due $ 8,328.75 with copy of invoice to date subject to interest of 1.5% per month. P.O. Box 3480 Omaha, NE 68103-0480 scenic hwy\2012-P10 Sylvania Heights Inv 03 Invoice HDR Construction Control Corp. HD Suite 400 A 5426 Bay Center Dr. Tampa, FL 33609 813-282-2361 Invoice No. 3 Invoice Date 1/12/12 Month Ending 11/3/12 Project # 190094 HDR Invoice No. 36233-B FINAL 'Neel-Schaffer, Inc. 15 Southlake lane Suite 200 Tampa, FL 33609 ATTN: Bob Portera, P.E. Sylvania Heights Milling and Resurface Current HDR: Hourly Hours * Hours Fee Billed Fee Earned Amount Due LABOR Rates This Report To Date Previously To-Date This Period CEI SR Project Engineer $155.62 19.00 61.00 $6,367.20 $9,247.60 $2,880.40 CEI Contract Support Specialist $84.89 0.00 0.00 $0.00 $0.00 $0.00 CEI Road & Bridge Inspector $84.89 27.50 104.00 $6,115.41 $8,313.76 $2,198.35 Subtotal HDR 40.5 165.00 $12,482.61 $17,561.36 $5,078.75 SUBCONSULTANTS: Negotiated Cumulative Previous Amount Amount Amount Amount Due Tierra, Inc. $3,250.00 $3,250.00 $0.00 $3,250.00 $3,250.00 Grand Total $12,482.61 $20,811.36 $8,328.75 Please send reminttance Balance unpaid thirty (30) days from invoice Amount Due $8,328.75 \with copy of invoice to date subject to interest of 1.5% per month. P. O. Box 3480 Omaha, NE 68103-0480 INVOICE Service Period .., Invoice # 7351 Temple Terrace Hwy 9/30/2012 25209 Tampa, Florida 33637 Bill To Invoice Mailing Date HDR, Ine. 10/05/2012 4673 Hwy. 20 East Niceville, FL 32578 Due Date 10/30/2012 Project Manager Sylvania Height Improvements Terms P.O, #/Job State Project/Job Net 30 6911-12-004 Sylvania Heights Quantity Description Rate Amount INVOICE BILLING PERIOD 09/01/12 - 09/28/12 Sylvania Height Improvements Asphalt Plant Inspections performed by Eddie Hannah on 09/21, 09/24, 09/25, 09/26 & 09/27 1] Total Invoice (See Attached) ; 3,250.00 3,250.00 Work Performed By; Tierra, Inc. 7351 Temple Terrace Hwy. Tampa, FL 33637 (813) 989-1354 $3,250.00 HDR CONTRACT WITH SYLVANIA HEIGHT IMPROVEMENTS Tierra Project Number - 6911-12-004 LABORATORY TESTING SCHEDULE Service Period from 09/01/12 - 09/28/12 Total DESCRIPTION OF SERVICES Engineering n : : | Senior Inspector Man Hour $ : 2 Inspector Man Hour $ - 3 Asphalt Plant Inspector Man Hour | $65.00 50.0 $ 3,250.00 4 Inspector Aide Man Hour | $45.00 $ - 5 Project Engineer ifan Hour | $118.49 $ : $ : ; FMI-T 011 Total ‘Amount of Material Finer than the No. 200 in t Concrete Aggregate Bach $38.00 8 . AASHTO T 027 Sieve Analysis of Coarse nnd Fine Concrete or 2 Asphalt Aggregates Bach 5 60.00 8 . 3 Bulk Specific Gravity of Compacted Bituminous Mixtures (FMI- Each $ 35,00 $ . AASHTO T 022 Curing, Capping and Breaking Cylindrical Each 3 10.00 5 . 4 Concrete Specimens 5 AASHTO T 022 (Curing Only) Cylindrical Concrete Specimens Each $4.00 $ - 6 AASHTO T 088 Particle Size Analysis of Soils (Gradation Only) Each $50.00 § - 7 AASHTO T 089 Determining the Liquid Limit of Soils Each S$. 40,00 $ - AASHTO T 090 Determining the Plastic Limit and Plasticity Index Bach $ 40.00 $ . 8 of Soils : 9 [AASHTO T 265 Laboratory Determination of Moisture Content of Each $8.50 Ry . AASHTO T 267 Determination of Organic Content in Soils by Logs Each $ 40.00 5 - 10__fon Ignition It |FM 5-515 Limerock Bearing Ratio (soak) Bach $_ 300,00 $ - 12__|FM 5-515 Limerock Bearing Ratio (no soak) Each § 260,00 $ - AASHTO T180 Moisture-Density Relations of Soils Using 10-Ib 13. |[4.54 kg} rammer and an {8-in, [457 mm] Drop Rach: [2 (20:00 8 - AASHTO T99 Moisture-Density Relations of Soils Using 5.5-Ib [2.5 14 |kg] rammer and an 12-in. [305 mm] Drop Bach 8 100.00 8 ~ ASTM C 42 Obtaining and Testing Drilled Cores and Sawed Beams Bach $96.67 5 . 16 jof Concrete : Flexural Strength of Concrete (using Simple Beam with Third-Point 17__{Londing) (ASTM C78) Bach =| $ 35.00 § ; 18 _|AASHTO T148 Measuring Length of Drilled Concrete Cores Each $28.00 $ : Direct Shear Test of Soils Under Consolidated Drained Conditions 19 |(AasHTo 7236) Hach [8 2.00 . : 20__|FM 5-550 Determining pH of Soil and Water Each $ 300.00 $ : 21 |FM 5-551.Resistivity of Soil and Water Each $ 30,00 Ss - 22__|FM 5-552 Chloride in Soil and Water Each $40.00 $ : 23 |FM 5-553 Sulfate in Soil & Wator Bach S$ 40,00 $ - FM 5-563 Quantitative Determination of Asphalt Content From Each $3 120.00 5 . 26___|Asphalt Paving Mixtures by the Ignition Method (NCAT) Total $ 3,250.00