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Okaloosa County BOCC — June 2, 2015 — final invoice & other documentation — reading text
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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% § 52,609.00
3 Test Well in the Test Hole 1 LS $ 72,251.00 100.00% § 72,251.00
4 Quter Well Casing, 24-inch Diameter, 500 LF $ 211.00 515§ 108,665.00
PuroDi c A (0% 2
5 12" x-1-11/16"}including-airline-SEE CO #4
for Changes to This Item 250 LE §——186:00 S —
23-inch Diameter Open Hole in Water
Bearing Formation 250 LF $ 317.00 200 § 63,400.00
Permanent Production Well as described in
the Plans and Specifications to include
Pump Bowls, Suction Pipe, Inner Casing,
Discharge Head Assembly, Motor, DI Piping
and Fittings, Flow Meter, Valves,
Sterilization, Testing 1 LS $ 93,815.00 100% $ 93,815.00
Generator, Generator Pad, Conduit, Wiring,
8 Fuel, ATS, Start-up and Testin: 1 LS $ 64,666.00 100% § 64,666.00
—Pum'p-am'-rrea'rrrr‘e)nrsmung %5 TNCIUTE &
Electrical, Controls, Concrete, Masonry,
Building Mechanical, Plumbing, Metal
9 Roofing, Architectural Finishes, Lighting,
Insulation, Doors and Hardware, Splash Pad
and Flume, Yard Sampling Station SEE CO
#4 for Changes to Scope 1 LS $ 243,675.00 100% §$ 243,675.00
Site Work to include clearing and grubbing,
erosion control during construction,
10 temporary stabilization, grading, grassing,
gravel drive, concrete tumn-out, fencing, rip-
rap See CO #4 for Changes to Scope LS $ 61,753.00 100.00% $ 61,753.00
Chlorine Treatment System including Water
Booster Pump, Piping, Rotameter, Injector,
" Scales, Chains, Regulators, Vacuum Alarm,
Chlorine Detector, SCBA with Wall Case,
g istance 1 LS $ 19,604.00 100% § 19,604.00
12 12" Ductile Iron Yard Piping including
Fittings, Restraints, testing, and disinfection 1 LS $ 19,370.00 100% § 19,370.00
Subtotal of Work Complete ~ $ 875,710.00
Page 10f 3
NAME OF PROJECT: Del Cerro [l {(MC-7) Public Supply Well
CONTRACTORS NAME: Layne Christensen Company
ADDRESS: 3720 North Patafox Street
Pensacola, FL 32505
PERIODIC ESTIMATENO.: 8 FORPERIOD: 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
ITEM NO. DESCRIPTION EST. QTY. & UNIT UNIT PRICE UNITS COMPLETED
CHANGE ORDER #1
13 Additional Pumping of Test Welt 96 Hr. $ 215.00 73.5 $ 15,802.50
CHANGE ORDER #2
Provide measures necessary to secure
14 collapsed surface casing and mitigate safety
issues 1 LS $ 10,740.00 1 $ 10,740.00
CHANGE ORDER #3
15 Furnish and install gravel pack and screen
complete an in place for 1 LS $ 99,530.00 1 $ 99,530.00
CHANGE ORDER #4
Pump Discharge Column Assembly (8" x 2-
1£2" x 1-1/2") including gidine 340 LF $ 158.00 $ 53,720.00
Pump and Treatment Building modifications
authorized by CO #4:
9 Decrease Building Size 1 LS $ {12,947.00) 1 $ {12,947.00)
Deduct for Owner furnished Flowmeter 1 LS $ (3,125.00) 1 $ (3,125.00)
Additional Piping for new layout 1 LS $ 5,547.85 1 $ 5,547.85
10 Additional fencing 1 LS 3 6,101.70 100.00% $ 6,101.70
Subtotal of Work Complete This Page $ 175,370.06
Subtotal of Work Complete Page 1 $ 875,710.00
TOTAL COST OF COMPLETEDWORK ~ § 1,051,080.05
Page 2 of 3
a Originalicontrackamount i s s $ 934,895.00
b Plus: Additions scheduled in change orders $ 196,279.55
c Less: Deductions scheduled in change orders............ccooceevivininiie i $ (62,572.00)
d Adjustedcontractamount to dale. .. vsrersimmasinsisasvsmesa i $ 1,068,602.55
ANALYSIS OF WORK PERFORMED:
a Total Cost of work performed to date ™~ ovovviiviiv $ 1,051,080.05
b StOred MALEIAlS ...vvvvevesiieeeeeiiiee e e $ -
c Sublolabof (a) and/(B)) = sccnssuassnesmns s i e $ 1,051,080.05
d Less: Amount retained in accordance with contract terms — ..........cccccoveviiiiiiniiiiinii
e Net amount earned on contract work to date ..........ccevvviiviiiiiniiecicen $ 1,051,080.05 JVJ
f Less: Amount of previous payments oo $ (838,451 6_6365' p/‘
g BALANCE DUE THISPAYMENT e $ 212,628.39 4/ ©
CERTIFICATION OF CONTRACTOR:
According to the best of my knowledge and belief, | certify that all items and amounts shown
on the face of this Periodic Estimate for Partial Payments are correct; that all work has been performed
and/lor materials supplied in full accordance with the requirements of the referenced contract, and / or
duly authorized deviations, substitutions, alterations , and/or additions; that the foregoing is a true
and correct statement of the contract amount up to and including the last day of the period covered by
this Periodic estimate; that no part of the "Balance Due this Payment" has been received, and that the
undersigned and his subcontractors have complied with all the labor provisions of said contract.
| further certify that the labor and materials listed on this request for payment have been used
in construction of this work and that all materials included in this request for payment and not yet
incorporated into the construction are now on the site or stored at an approved location; and payment
received from the last request for payment has been used to make payments to all first tier sub-
contractors and suppliers except as listed below.
LAYNE CHRISTENSEN COMPANY, INC.
e .
DATE: 23010 M “
flUT‘HORIZED RE’PRE.SENTAW
| certify that | have checked the above Periodic Estimate for Partial Payment and that to the
best of my knowledge and belief it is a true and correct statement of work performed and / or material
supplied by the Contractor; and that partial payment claim and requested by the Contractor is correctly
computed on the basis of work performed and / or material.
CERTIFICATION OF ENGINEER:
POLYENGINEERING, INC.
DATE: 6’//;34/'5" 5 d) = (7“ z&ufi B
Roy Petrey, P.E.
Page 3 of 3
POLYENGINEERING, INC.
ARCHITECTURE. ENGINEERING. SOLUTIONS.
May 13, 2015
Okaloosa County Water & Sewer
1804 Lewis Turner Blvd., Suite 300
Ft. Walton Beach, Florida 32547
Attn: Mr. Jeff Littrell, Director
Re: Del Cerro Il (MC-7) Public Supply Well
Contract No. C13-2026-WS
Dear Mr. Littrell:
All work associated with the above referenced project was completed in accordance with the plans and
specifications. Transmitted herewith are the following close-out documents:
o Agenda Request
o Okaloosa County Payment Approval Form for Final Payment
o Change Order No. 6 Final
o Layne Christensen Co., Inc. Periodic Estimate No. 8 (Final) - This periodic estimate has been reviewed and
is recommended for payment in the amount of $212,628.39 (3 originals)
o Affidavit of Notice of Completion
o Contractor's Release of Liens
o Consent of Surety for Final Payment, including Assurance Statement from Surety Regarding One Year
Bond Period
o Guarantee Letter which addresses 2 year coverage of Completed Operations Insurance and Current
Insurance Certificate
If you have any questions or need any further information, please do not hesitate to call me.
Sincerely,
POLYENGINEERING, INC.
> /,,_,,,; A—
Roy Petrey, P.E.
Enclosures
cc: Mr. Bob Baker, Layne Christensen
Mr. Mark Wise, OCWS
File 41-451 E
PHONE 850-609-1 | 00
FAx 850-609-1 101
PosT OFFICE Box 84 | FL AA COO 1543
| 02 SUNSET LANE CIViL, MECHANICAL, ELECTRICAL, ENVIRONMENTAL ENGINEERING WWW.POLYENGINEERING . COM
SHALIMAR, FLORIDA 32579 ARCHITECTURE * ENVIRONMENTAL CONSULTING AND LAB TESTING * PLANNING
WATER + MINERAL - ENERGY
May 13, 2015
Okaloosa County Board of County Commissioners
1804 Lewis Turner Boulevard
Ft. Walton Beach, FL. 32547
RE: Del Cerro MC-7 Well Warranty
To whom it may concern:
Layne Christensen Company is pleased to provide its warranty on all of the components of the
Del Cerro MC-7 Well Installation project for one (1) year following the approval of final
payment by the Okaloosa County Board of County Commissioners.
Sincerely,
) )4
Bob Baker
Account Manager
WATER RESOURCES
3720 North Palafox Street, Pensacola, FL 32505 | Office: 850.432.5101 | Fax: 850.432.2999 | layne.com 1
CONSENT OF SURETY OWNER O
TO FINAL PAYMENT sgotiua z
AlA Document G707 SURRTY o
Bond No. 105899630 OTHER O
TO OWNER: ARCHITECT'S PROJECT NO.:
(Name and address)
Board of Commissioners, Okaloosa County, FL
1804 Lewis Turner Blvd., Suite 300
Ft.
