Okaloosa County BOCC — June 2, 2015 — final invoice & other documentation

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: May 21, 2015 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C13-2026-WS MANAGING DEPARTMENT: WATER AND SEWER CONTRACTOR'S NAME: LAYNE CHRISTENSEN COMPANY, INC. PROJECT TITLE: DEL CERRO Il PUBLIC WATER SUPPLY WELL The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice D O 2. Completed Contract/Lease Payment Approval Form X ] 3. Close-Out Documents Yes No N/A a. Signed Release of Lien X ] L] b. Proof of Completion Advertisement X | ] c. Certificate of Insurance X ] L] d. Consent of Surety o Final Payment X L] L] e. Proof of Performance/Payment Bond X O ] Continuation 12 Months Following Final Payment Yes No 4. Agenda Request X L] 5. Remarks S5, DATE CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT It | COMPLETED BY DEPARTMENT DATE: May 13, 2015 VENDOR NAME: Layne Christensen Company ~VENDOR #: CONTRACT/LEASE #: C13-2026-WS VENDOR TASK COUNTY/FEMA BUDGET ACCOUNT # AMOUNT $ INVOICE# ORDER # PROJECT # DEPARTMENT # (If Applicable) (If Applicable) 109 Y6710 ‘J AL TS Est. #8 361778 4150 563334 | 242;628:39- \J\B “ll aos/ioo | 23,(el30 TOTAL 212,628,39 \QVV “©O APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date) o CONTRACTOR’S ENGINEER/ARCHITECT/PROJECT MANAGER: o \% DATE: S/ 7575 COUNTY SUPERVISOR/PROJECT MANAGER: W l M/ DATE: S /ao/ts™ DEPARTMENT DIRECTOR: _\ J,} /L L i i uflj DATE: _5/29/2.015 CONTRACTS & GRANTS MANAGER: DATE: COUNTY ADMINISTRATOR: DATE: (Payments=>§25,000.) It | FINAL PAYMENT FINAL PAYMENT YES -~ NO (If “Yes”, forward to Purchasing Services Coordinator for Close-Out) DATE: 5/2(| 15 PURCHASING DIRECTOR ‘ Zen tedoale. (Per Initial Agreement) \\}S/DATE:\//'Z7'JCONTRACTS & GRANTS MANAGER (All Contracts) DATE: 7S~ COUNTY ADMINISTRATOR APPROVAL (Per Initial Agreement) DATE: BOARD APPROVAL (Per Initial Agreement) IL I COMPLETED BY FINANCE — ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: Layne Christensen Company, Inc. Project Title: Del Cerro Il (MC-7) Public Supply Well Project Number: WS 09-13 Purchasing Contract No.: C13-2026-WS Expires: { Substantial: 414142014 6/10/2044 44/40/2014 1/5/2015 Final: 6/10/2014 8/14/2014 42/11/2014 2/4/2015 4150- TOTAL 411-2051100 563334 COST 10% Amount Date Check Inv# Cost to date Withheld Paid Paid Number 1 85,164.95 85,164.95 (8,516.50) 76,648.45 07/18/13 1307451 2 75,512.17 75,512.17 (7,551.22) 67,960.95 09/26/13 1309348 3 49,260.18 49,260.18 (4,926.01) 4433417 01/31/14 1402539 4 10,837.65 10,837.65 (1,083.77) 9,753.88 03/05/14 1403696 5 187,857.50 187,857.50 (18,785.75) 169,071.75 03/25/14 1404455 6 99,530.00 99,530.00 (9,953.00) 89,577.00 08/14/14 1408218 7 423,450.50 423,450.50 (42,345.05) 381,105.45 02/12/15 1503461 8 119,467.10 119,467.10 93,161.30 212,628.40 10 - - - 11 - - . 1,051,080.05 1,051,080.05 0.00 1,051,080.05 Contract Total 934,895.00 Change Order #1 20,640.00 60 days added Change Order #2 10,740.00 Change Order #3 99,530.00 153 added to Substantial / 122 added to Final Change Order #4 2,797.55 ??? Pending Email 12-29-2014 - Received/Purchasing did not h. Change Order #5 55 days added Change Order #6 (17,522.50) New Contract Total 1,051,080.05 Balance to finish w/o retainage 0.00 NAME OF PROJECT: Del Cerro Il (MC-7) Public Supply Well CONTRACTORS NAME: Layne Christensen Company ADDRESS: 3720 North Palafox Street Pensacola, FL 32505 PERIODIC ESTIMATENO.: 8 FOR PERIOD: December 17,2014 TO: _February 4, 2015 SUBSTANTIAL COMPLETION DATE: January 5, 2015 FINAL COMPLETION DATE: Febuary 4,2015 JOB NO. 41-451 COMPLETED TOTAL COST ; .QTY. & UNIT e Py — ITEM NO DESCRIPTION EST.Q u UNIT PRICE UNITS COMPLETED Mobilization (including all direct and indirect 1 costs including bonds, insurance, permits, fuel. and supervision) LS $ 75,902.00 1§ 75,902.00 2 Test Hole 1 LS $ 52,609.00 100.00% §