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Okaloosa County BOCC — February 18, 2014 — CCIFinalPayment — reading text

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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

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