Okaloosa County BOCC — August 16, 2016 — Workmanship Warranty Letter — reading text

retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State ofFlorida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 30th day of December 2015 ,..-···;'\()7;~·"'····· .... ;~ri'c·a ·.. cfat MERCHANTS BONDING COMPANY (MUTUAL) i''' '+-~···-·-···~ ,;_·.._ • \\~ ········ 4f,<) • MERCHANTS NATIONAL BONDING, INC. l .,,..: 0~0lf-t;..··":"o \ :~.·~\\P011;;·.-r;.·. =~ . :r '"''·-~':. :c.,,,:~ ~·-.:.c:! S ·~: :::: ~ •O· o~:;;-: c 1 •";z.t-:- -o- o:-• .::• ".,:.· \, ._,·\ 2003 /S1.f . '"". •··~·. ""'... 1933 .:!$: : • By A~ t:... t(,·.... .....·,~ . .:· • ~· ·~t:::-· .i:.... ~;..,--· ......•."j"\,.~ •• ':lif··-·····\,-'\ •• STATE OF IOWA COUNTY OF Dallas SS. •;,_; it ..,L•'"' ................. . • •• -C:: •• ...... . President On this 30th day of December , 2015 , before me appeared Larry Taylor. to me personally known, who being by me sworn did say that he is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and that the seals affixed to the foregoing instrument are the Corporate seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. ,,_~1 Al~ WENDY WOODY or- i 'ij. Comm1ss1on Number 784654 ':@ 7 My Comm1ss1on Expires 'owl'- June 20. 2017 County, Iowa (Expiration of notary's commission does not invalidate this instrument) I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ADORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 11th day of May, 2016 ••••••• .·;.~~~~.~q~;;. • ··co~··~ • " \\P0-9.1··~·. ....... ;..t... %/~~/, =~{:! -o- ~~~= Secretary ,,,,.__ 1933 .: c:::.• •.,~ ··~· . :-v. •• ~-. ... .. • ".J;V. ' ••... ..·J,.t;:::o. -(.~, ••••••• \'\...... POA 0014 (6/15)  FINAL WAIVER AND RELEASE OF LIEN The undersigned lienor, in consideration of the sum of $5,5§2.93, (Five Thousands Five Hundred Sixty-Two Dollars and Ninety·Three Cents), hereby waives and releases its lien and rtght to claim a lien 1or labor. seIVices, or materials furnished through 30 ~pril 2C)1Q to Champion Conf!aeors, toe. on the job of Okaloosa County Visitors, Fort Walton Beach, Florida. Said amount and total previous payments in the amount{s) of $0.DO (Zero Dollars and Zero Cents} will be applied against the total Subcontract amount of S§s5§2.93 (Five Thousands Five Hundred Sixty·Two Do\lars and Ninety·Three Cents~ thereby making the remaining balance due after this payment io.oo, (Zero DoUars and Zero Cents). This waiver and release does not cover any retention or labor, services, or materials furnished after 1he data specified. DATED on this fI Day of • IYJey ·- 2016. DESTIN F@RJNG AMERICA BY: N,·~l,ol~!? 4-ea,,,grtf AUTHORIZED REPRESENTAT1VE State ot _ El•oJ.... County ot. Q ic:-.,_f o a S'1 . Sl10scribed and Wi'Ol'n to before me on this _ l f "' ( C...(<'...,. (,gN,s)t\ ~ )> to !™!: - ..- - --·-·-·-··--- --·· ..-·.-·-·-··--.·-- 9NH:l001.:I NI1S30  fltAl-- WAIVER AHO Rf1 EASE QF lE! -- : ar;d W ~ ~ n h ....._. Q(R.JllUO(l'wo_ - , · __ --,: ~>ott111r11ndZet0 tent.) d be~ ~Ile to181~8mOClltM . . . .-· ~-ouiarids Seven tMtdrldOolnlftdlateala), .....,,..,..._,,......,..,. - -'- Jf..(."1 this payment Ba (Zero OoUin and Zeto Centl),. - .- - ··-· ;,;};f:~~ '.)-;~~\?=-'•;' ·--· ~+-·_...,····-~_,.-.-.,..., _ _ __._ ...... _ _ ___,,__ DATED on 1hi5 _ _ -- c a.._. < ~ - • . - -- .·. > ,, ,'.·. ~. ~.-- COt.rity ot We.-.\~ • - --- - -- "---~- _,__ ----:.--·-:--·::---7 7:t"· ~:~~~-"'1!!£f~> ;,~~,x~", ~~:;s..11t\,.__-~i __ .,,_ -_ l«brf POOfC \::)~:.' - .. LIQUIDATED DAMAGES STATEMENT There are NO Liquidated Damages Applicable to this project as established completion times were met.  CHAM-03 OP ID: CG ACORD I DATE (MMIDDl'i'YYY) \,,.._....-- CERTIFICATE OF LIABILITY INSURANCE 10/07/2015 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED . <EPRESENTATIVE OR PRODUCER, AND THE CERTIACATE HOLDER. IMPORTANT: If the certificate holder is an ADDffiONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the tenns and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~~tcT Danny Hare Waldorff Ins & Bondin! • FWB 45 E~n Parkway NE, te 202 r.:m.N:~ Exr1: 850-581-4925 I rffc Nol: 850-581-4930 Fort alton Beach, FL 32548 ~o~ss: receptionist@waldorffinsurance.com Danny Hare 9'1SURERIS) AFF~G !;OVERAGE NAJC• INSURER A : National Trust Insurance Co. 20141 INSURED Champion Contractors, Inc. INSURER a: The FCCI Insurance Company 10178 P.O. Box 155 Crestview, FL 32536 INSIRERC: INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AtfY REQUIREMENT, TERM OR CONDffiON OF AtfY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE