Okaloosa County BOCC — February 18, 2014 — CCIFinalPayment

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Contracts and Lease Coordinator) DATE: 2/06/2014 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C 13-2034-IS MANAGING DEPARTMENT: INFORMATION SYSTEMS CONTRACTOR'S NAME: CCI SYSTEMS, INC. PROJECT TITLE: DUKE FIELD SECONDARY CONTROL AND DATA ACQUISITION The attached has met the final payment contract requirement in subject contract. Yes No 1. Final jnvoice ~ 0 2. Completed Contract/Lease Payment Approval Form ~ 0 3. Close-Out Documents Yes No N/A a. Signed Release of Lien ~ 0 0 b. Proof of Completion Advertisement ~ 0 0 c. Certificate of Insurance 0 0 ~ d. Consent of Surety to Final Payment ~ 0 0 e. Proof of Performance/Payment Bond ~ 0 0 Continuation 12 Months Following rinal Paym e nt Yes No 4. Agenda Request ~ 0 5. Remarks Letter guaranteeing that current Certificate of Insurance will be forwarded is enclosed. DATE  C HANGE ORDER FORM Date: --,l,-",2~/.!..!12:L/--,-1~3_ _Contract No.: _-,=C,-,1=3-=-2=0=3;...:4....!-I=S__ Change Order No.: 1 (Final Summary) Owner: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Contractor: CCI Systems, Inc ., 105 Kent Lane, Iron Mountain, MI 49801 CHANGE TO CONTRACT PRICE DESCRIPTION AMOUNT $163,518.08 Oriqinal Contract Price: $0.00 Net chanqe by previously authorized Chanqe Orders: $163,518.08 Present Contract Price: ($2,404.36 ) This Change Order will (deduct): $161,113.72 New Contract Price: CHANGE TO CONTRACl TIME DESCRIPTION DATE or NUMBER OF DAYS 60 to substantial/ 120 days to final Ori inal Contract Time: Substantial = 9/1 7/13 Ori inal Substantial Com letion Date: Final = 11/16/13 none Net chan authorized Chan e Orders: This Chan e Order will o to substantial / 75 days to final 60 to substantial/195 days to final New Contract Time: Substantial = 9/17/13 New Substantial Com Final = 1/30/14 DATE: _ __ o ---=-o I-'----.C + 1---­ lf.-!h..:.... 1 DATE: _ 1_-_2._1_-_'---'lf_ . _ __ DATE: . / - 15 - I' $I OW NER: _~~_ _ _ __ _ _ _ _ _ _ __ DATE: _ _ _ _ _ _ _ _ _ __ This Change Order is an amendment to the Contract/Agreement between Contractor and the Owner, and all other contract provisions shall remain in full force and effect unless specifically amended in writing, signed by both parties. Page I of3  CONTRACT CHANGE ORDER DETAILS Contract Name: Duke Field Fiber Optic Link Date: 12/12/13 Contract No.: C13 -2034-IS POLY No .: 41-449 Change Order No: 1 (FINAL SUMMARY) Location: Okaloosa County To (Contractor): CCI Systems, Inc., 105 Kent Lane, Iron Mountain, MI49801 You are hereby requested to comply with the following changes from the contract plans and specifications : ORIGINAL BID DESCRIPTION OF CHANGES, QUANTITIES, DECREASE IN INCREASE IN ITEM NO. UNITS, UNIT PR ICES, ETC. CONTRACT PRICE CONTRACT PRICE 3. Add 185 L.F. of cleaning and proofing existing empty segmentrs of 2" conduit and furni sh and install pull - $138.75 tap e within condu it . 4. Deduct 726 L.F . of 96 strand fiber optic cable and $(1,677.06) - from origina l Bid Item #4 Deduct 1 Splice Box from original Bid Item #6 (Furnish $(866.05) - 6. and in stall new Splice Box) The sum of $2,404.36 is hereby SUBTRACTED from the total contract price, and the total adjusted final contract price is thereby is $161,113.72. This document shall become an amendment to the contract and all provisions of the contract will apply hereto. Page 2 of 3 [  CONTRACT CHANGE ORDER JUSTIFICATION Contract Name: Duke Field Fiber Optic Link Date: 12/12/13 Contract No .: C13-2034-IS POLY No.: 41-449 Change Order No: I (FINAL SU MMARY) location: Okaloosa County REQUEST AND JUSTIFICATION FOR CHANGE 1. Necessity for change: The project has been completed and the Contract quantities require adjusting to match actual quantities installed in field. 2. Is proposed change an alternate bid? No 3. Will proposed change alter the size of the project? No 4. Effect of this change on other prime contractors: None 5. Has consent of surety been obtained? Not necessary 6. Will this change affect expiration or extent of insurance coverage? No If yes, will the policies be extended? 7. Effect on operation and maintenance costs: None Page 3 of 3  POL YEN G I N E E R lNG, INC. A R C H IT E C T U R E . E NG I N E E R I N G . S O L UT I 0 N 5. Ja nu ary 20, 2014 Okal oosa Cou nty Information System s 1804 Lewis Turner Bou levard, Suite 402 Fort Walton Beach, FL 32547 Attn : Mr. Don Vande rhoek, Director Re: Duke Field SCADA Fiber Optic Link Contract No. C13-2034-IS De ar Mr. Va nderhoek, All wo rk associated with th e above refere nced project was completed in accordance with the pl ans and specifications. Tra nsmitted here w it h are the fo llow ing cl ose-out documents: o Change Order No . 1 (Final Summary) o CCI Syste ms' Periodic Estimate No. 1 (Final) - This period ic est imate ha s bee n reviewed and is recom mended for payment in the amount of $161, 113.72 o Affidavit of Notice of Completion o Contractor' s Release of Liens o Con sent of Surety for Final Paym ent, including Assura nce State ment fro m Surety Rega rding One Year Bond Period o Guarantee Letter which addresses 2 year coverage of Completed Operatio ns Insuran ce an d Current Insurance Certificate If yo u have any questions or need any further information, please do not hesitate to call me. Sincerely, P(~..~~~'H RI G, It;-JC. - /l -/'/'(Ulvd' (. C~ Michael C. Eva ns, P.E. encl osu res cc: Mr. Mark Wise, P.E. (OCWS) File 41 -449 E P HO NE 850-6 0 9- \ 100 P OST OFFIC E Box 84 I FAX 850­ 609- I 10 I FL AA C O O I 543 10 2 SU NSET U.NE C,V,L . MECHANICAL. ELECTRICAL . ENV I RONMENTAL ENGIN,"ERING WWW . P O LYENGINEERING . COM S H ALIMAR . FLOR IDA 3 2 5 7 9 ARCHITECTURE. " ENVIRONMEf'ITAL CON.5ULl'INO AND LAs 1t:,SnNO • P LAN NI NG  NORTHWEST flORIDA Daily News Published Daily Fort Walton Beach, Florida Distributed in Okaloosa, Santa Rosa & Walton Counties State of Florida, County of Okaloosa Before the undersigned authorized personally appeared ~1 aU, t.tll !.tI//1:t:L- , who on o,th "Y' th't (';ho1' L~ Ad. k.f7'" ;, lJ 0 H L- of the Northwest Florida Daily News, l.egaJS272 a daily newspaper published at Fort Walton Beach, in Okaloosa County, Florida; that the attached copy of advertis~ment, ~eing a L lr; 5.;J.. 7 ~ ADVEfmSEMENT OF CCI 105 COMPlETlON Systems, Inc. of Kent St.. Iron in the matter of lid,;Wh Sllnkn.f of , d">1 (!t/}Y)/}/LI-J Mo~ntatn. 1.11 49801 gl"/'e notice of comple- Uon 01 Duke Reid Du k.L Md d SCAvAA h bLT 0,;/it... L'II It., SCADAA ber OplJc wnk and sets Decem bet ~O, 2013 as the date 01 linal settlement in the OWoOJt,,- County Court, was published in said newspaper in the issues of All pel$OOS and firma should me all cIalms for IJ f}/L,nOU ~ r;)..1 ).tcflhbW & /3 JLJI.2 payment 10 I/le below address prior to the settlement data ( ( I . Oksloosa Boord 01 County CommISsion­ ers, (Owner) Affiant further says that the said Northwest Florida Daily News is a newspaper clo Polyen91~e9f111g . Inc, published at Fort Walton Beach, in said Okaloosa County, Florida, and that the said P.O. Box 841 Shallllllll, Fl 32579 newspaper has heretofore been continuously published in said Okaloosa County, Florida, By; 81lan Hufl Re­ each day, and has been entered as second class mail matter at the post office in Fort Walton glonaf Manager Beach, in said Okaloosa County, Florida, for a period of one year next preceding the first LegaJ 5272 Nov. 22. 29, Dec. 6 13, publication of the attached copy of advertisement; and affiant further says that (s)he has 2013 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 FLORlDA COUNTY OF OKALOOSA Subscribed and sworn to (or affinued) before me this /3 ~ ~/...3 ). _ _ (Date) by ~ W~ ,who is/are personally known to me or has/have produced PtA,~/4u % tlWl"l as identification. ~ ----WYPeclidlill lfi cation) ta.e.;1A~r, (Sigha"tufe} Notary Public, Commission No. _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _(Name of Notary typed , printed or stamped) "••;'..':'t:;:•., ELEANOR HYPES :-:! • - ;'/',:- Notary Public · Siale ot Florida ~. : : .; My Comm . Expirus Jul 30 . 2015 \:.~ .. !~/ Commission # EE 116319 #,;-,••• ",•.•.f.. .'. 1I un''d e TI1I0~ h Na\.lona I",,0 I3ry As sn. k_,.....,--..  Page 1 of 1 11/19/201310:12:41 Ad Number 34616549 Ad Key Order Number 34273064 Salesperson 25 - Maureen Wiltse PO Number Publication Northwest Florida Daily News Customer 33856462 CCI Systems Section Classified 2006 Contact Marcy Crelton Sub Section Classified 2006 Address1 105 Kent St Category 1100 Legal Advertising Address2 Dates Run 11/22/2013-12/13/2013 City St Zip Iron Mountain MI 4980 1 Days 4 Phone (906) 776~2735 Size 1 x 3.39, 32 lines Fax (906) 774-9120 Words 86 Credit Card *******"****8674 Ad Rate Legals Rate Printed By Maureen Wiltse Ad Price 208.52 Entered By Maureen Wiltse Amount Paid 208.52 Amount Due -0.00 Keywords 5272 Duke Fld Fiber Optic Link Notes Advertisement of Completion Zones Legal 5272 ADVERTISEMENT OF COMPLETION CCI Systems, Inc. of 105 Kent St., Iron Mountain, MI 49801 give notice of comple­ tion of Duke Field SCADAA Fiber Optic Link and sets Decem­ ber 20, 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 date: Okaloosa Board of County Commission­ ers, (Owner) c/o Polyengineering, Inc. P.O. Box 841 Shalimar, FL 32579 By: Brian Hull, Re­ gional Manager Legal 5272 Nov. 22, 29, Dec. 6, 13, 2013 I,  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  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  • 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 • . Il..-e r Hot.al: ::' ioi ~. ,)l ;;-) j 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 Company, The Ohio Casualty Company, and West American Insurance Company, and that he, as such, being authorized so to do, execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Seattle, W?,shington, on the day and year first above written. ! '/01, q; 'oc By: Kb0.' ~~~~~~~~~ _________________ ;>, ~ KD Riley , NOiAPUblic -\0.)"~. ~M(':~/~ .)'.?'(;,,".;'~, .~~ This Power of Attorney is made and executed pursuant t.o and by authority of the following By-laws and Authorizations of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company which resolutions are now in full force and effect reading as fallows: ARTICLE IV - OFFICERS - Section 12. Power of Attorney. Any officer or ather official of the Corporation authorized for that purpose In writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed, such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact und'er the provisions of this article may be revoked at any time by the Board, the Chairman, the President or by the officer or officers granting such power or authority, ARTICLE XIII - Execution of Contracts - SECTION 5. Surety Bonds and Undertakings. Any officer of the Company authorized for that purpose in writi ng by the chairman or the president, and subject to such limitations as the chairman or the president may prescribe, shall appoint such attorneys-in-fact, as may be necessary to act in behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the'Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so executed such instruments shaH be as binding as if signed by the president and attested by the secretary. Certificate of Designation - The President of the Company, acting pursuant to the Bylaws of the Company, authorizes Gregory W. Davenport, Assistant Secretary to appoint such attorneys-in-fact as may be necessary to act on behalf of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and ather surety obligations, Authorization - By unanimous consent of the Company's Board of Directors, the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company, wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds, shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, David M. Carey, the undersigned, Assistant Secretary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is afull , true and correct copy of the Power ofAttorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this ~ day of Dec , 20~ , BY:~D~~'~d~M~- ' ~C~'~~A~~'--~S--------------- aVI . arey, SSlstant ecretary 259 of 300  CO Systems, Inc. Tel (906) 774·6621 ccisystems,com lOS Ken1SIreel Fax (906) T14 9120 PO, Box 190 Iron Mountain, MI49801 November 13, 2013 Polyengineering, Inc PO Box 841 Shalimar, FL 32579 Reference: Duke Field SCADA Fiber Optic Link County Bid No, 04-13IS; Job No. 41-449 Dear Polyengineering, As required in the contract specifications, upon expiration of our current Certificate of Insurance, an additional copy will forwarded to you for your records. CCI Systems, Inc. will maintain our insurance coverage in excess of two (2) years from completion. If you have questions or require additional information, please do not hesitate to call. 0)Jtli Stuart Lahti, VP of Access Networks END OF SECTION 01700 Duke Field SCADA Fiber Optic Link 01700-7 Job No. 41-449 CON N fCT.