Okaloosa County BOCC — March 1, 2016 — TanglewoodCloseout — reading text

CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: February 9, 2016 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C15-2238-PW MANAGING DEPARTMENT: Public Works CONTRACTOR'S NAME: H&T Contractors, LLC PROJECT TITLE: Overbrook/Tanglewood Stormwater Improvements The attached has met the final payment contract requirement in subject contract. Yes No 1. Final Invoice X O 2. Completed Contract/Lease Payment Approval Form X ] 8. Close-Out Documents Yes No N/A a. Signed Release of Lien X L] Ll b. Proof of Completion Advertisement X ] ] c. Certificate of Insurance ] L] d. Consent of Surety to Final Payment [] ] e. Proof of Performance/Payment Bond X ] ] Continuation 12 Months Following Final Payment Yes No 4, Agenda Request X ] 5: Remarks Purchasing Servicey Coordinator DATE CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT COMPLETED BY DEPARTMENT paTE: 12/08/2015 VENDOR NAME: H&T Contractors, LLC VENDOR #: 21500127 CONTRACT/LEASE#: C15-2238-PW (Tanglewood/Overbrook) TASK COUNTY/FEMA VENDOR BUDGET INVOICE # ORDER # PROJECT # DEPARTMENT #| ACCOUNT# ANKIUNT S (If Applicable) (If Applicable) 05 NA 8911 _XA 711431 563390 $ 12,006.80 05 NA 8911 U 101 2051100 $20,075.13 TOTAL $32,081.93 APPROVED FOR PROGRESS PAYMENT (please sign. as applicable and date) CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER:Z ¢~ __ | oz [ERIC BRAUE DATE: 2Jo4 ) 20/6 COUNTY SUPERVISOR/PROJECT MANAGER: ?4!(, g&‘/ DATE._Z_ g -/ DEPARTMENT DIRECTOR: 'fr\ DATE:'),_ Q “" \fi\ CONTRACTS & GRANT MANAGER: \ \ ‘ \-) DATE: COUNTY ADMINISTRATOR: \ k DATE: (Payments>$§25,000.) FINAL PAYMENT FINAL PAYMENT YESNOD (If "Yes", forward to Purchasing Services Coordinator for Close-Out) DATE: 2/9]) ¢ PURCHASING DIRECTOR: -/} 1L é(—{jewl t / ¥ (Per Initial Agreement) O ATE: A /Y)W CONTRACTS & GRANTS MANAGER: (1) il B Eulantss (All Contracts) DATE: g/fig{//‘ COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) / DATE: BOARD APPROVAL: (Per Initial Agreement) COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWD BY: APPLICATION FOR PAYMENT PBRIODIC BSTIMATENO.: ___° . PROJECTNO,; _C15-2238¥ N WORK PERIOD BEGIN DATRE; _°¢/25/2018 END DATE; _ 12/30/2035 ROAD NAME: TA-HGLEHOOD/OVBRBROOK STORMWATER MANAGEMENT PROJECT ORIGINAL CONTRACT SUM § donenso NBT CHANGE BY CHANGE ORDERS g memms CONTRACT SUM TO DATR : § 13,5030 ANALYSIS OF WORK PERFORMED 1. Valuse of original contract work performed previously: §1o%s02:90 2 Work performed this month: $ 12,006.80 3. Total value of work performed fo date: $ 413,509.30 4, Less: Amount retained at five (5%) percent: $_ 5, Net amount carned on contract work to date: § 413.509.30 6. Loss: Amount of previous payment: § 38142737 7. AMOUNT DUE THIS PAYMENT §_ s2om. CERTIFICATION OF CONTRACTOR According to the best of my knowledge and belief, I certify that all items and amounts shown on the face of the Periodio Estimate are correct; that all work has been performed and/or materials supplied in full accordance with the terms and conditions of the contract between Okaloosa County and _# & T fontractors, tLc , and that the ifems for which payment is requested have been paid and that there are no vendors-mechanios, or other liens or conditional sales contracts which should bo satisfied or discharged before such payment js mage. H & T Contractors, LLC By‘ aging Merber | (Firm Name) (Name of Authorlzed Officer & CERTIFICATION OF ENGINEER 1 certify that I have verified this Perlodlo Estimate and that to the best of my knowledgo and belief, it is a true and correct statement of work petformed and materials supplied by the Contractor; and that the Contractor’s certified statement of this account and the amount due him is correct, i:A/\\) 64&17\7/"“/ Date: Z _/03/20(6 Project Maunager ’ Tanglewood/Overbrook Stormwater Grant Agp. For Payment Ml Project Title: Tanglewood/Overbrook Stormwater Management Project Project Number: PW 71-14 Purchasing Contract No. C15-2238-PW H & T Contractors, LLC Expires: 05-30-2015 6/7/2015 712142015 40/20/2015 12/10/2015 711431- 1004- TOTAL 101-2051100 563390 563390 COST 5% Amount Inv# Cost Cost to date Withheld Paid 1 56,645.00 56,645.00 (2,832.25) 53,812.75 2 110,568.00 110,568.00 (5,528.40) 105,039.60 3 100,482.63 9,489.50 109,972.13 (5,498.61) 104,473.52 4 124,317.37 124,317.37 (6,215.87) 118,101.50 AJE 9,489.50 (9,489.50) 5 12,006.80 12,006.80 20,075.13 32,081.93 6 = s 7 - - = 8 = s - 9 - & = 10 - - - 11 - - - 413,509.30 - 413,509.29 0.00 413,509.30 Contract Total 401,621.50 Change Order #1 22,300.00 8 days added Change Order #2 4,324.30 0 days added Change Order #3 - 45 days added Change Order #4 (18,934.50) 90 days added Change Order #5 4198.00 51 days added New Contract Total 413,509.30 Balance to finish w/o retainage 0.00 Date Paid 01/15/15 02/05/15 03/26/15 04/09/15 Check Number 1502775 1503135 V1504450 V1504857 SUNGARD PENTAMATION, INC. DATE: 02/24/2016 OKALOOSA COUNTY BOCC TIME: 11:13:38 GENERAL LEDGER AUDIT TRAIL ACCOUNTING PERIODS: 1/15 THRU 13/15 (INACTIVE ACCOUNTS INCLUDED) SELECTION CRITERIA: genledgr.fund='101' genledgr.account='2051100" TOTALED ON: FUND,ACCOUNT, PERIOD FUND - 101 - COUNTY TRANSP TRUST FUND ACCOUNT DATE T/C REFERENCE VENDOR/PAYER DEBIT 2051100 CONTRACTS PAY-RETAINED% 01/15/15 21-4 1502775 21500127 H&T CONTRACTORS LL TOTAL PERIOD 4 .00 02/05/15 21-5 1503135 21500127 H&T CONTRACTORS LL TOTAL PERIOD 5 .00 03/26/15 21-6 V1504450 21500127 H&T CONTRACTORS LL TOTAL PERIOD 6 .00 04/09/15 21-7 V1504857 21500127 H&T CONTRACTORS LL TOTAL PERIOD 7 .00 TOTAL CONTRACTS PAY-RETAINED% TOTAL COUNTY TRANSP TRUST FUND .00 TOTAL REPORT .00 + THERE IS A NOTE ASSOCIATED WITH THIS TRANSACTION CREDIT 2,832. 5,528. 5,528. 5,498. 5,498. 6;215. 6,215. 20,075. 20,075. 20,075. .00 2,832. 25 25 40 PAGE NUMBER: AUDIT221 DESCRIPTION BEGINNING BALANCE T/WOOD-0/BROOK SWTR 2,832, T/WOOD-0/BROOK 5,528. T-WOOD/0-BROOK 5,498. T/WOOD-0/BROOK 6,215. NET 25 40 61 87 Schedule of Values Tanglewood & Overbrook Basins Pg2of 2 Pay Estimate 5 Final Period Ending 12/10/15 UNIT PRICE BREAKDOWN CONTRACT THIS PERIOD TOTAL TO DATE NO DESCRIPTION QTY UNIT UNIT PRICE AMOUNT QTY AMOUNT QTY AMOUNT % RETAINAGE COMPLETE 5.0% TANGLEWOOD BASIN 1 |MOBILIZATION 1 IS |§ 9,000.00 | $ 9,000.00 S - 1] § 9,000.00 | 100% 0.00 2 |MAINTENANCE OF TRAFFIC 1 LS |§ 5,000.00 | $ 5.000.00 $ = 11 § 5.000.00 | 100% 0.00 3 |EROSION CONTROL 1 IS |$ 4,000.00 | $ 4,000.00 $ - 1] $ 4,000.00 | 100% 0.00 4 |CLEARING & GRUBBING/DEMO 0.6 AC | S 20,000.00 | § 12,000.00 $ - 0.6] $ 12,000.00 | 100% 0.00 5 |GRAVEL FOR ENTRANCE ROAD 70 SY | § 7800 | § 5,460.00 S - 70| § 5.460.00 | 100% 0.00 6 |REGULAR EXCAVATION 10744 | CY | § 75018 80.580.00 S - 10744| $ 80.580.00 | 100% 0.00 7 |TYPE C OUTFALL STRUCTURE 1 EA | S 4,000.00 | § 4,000.00 $ - 1] 8 4,000.00 | 100% 0.00 8 |24"RCP 40 IF |§ 60.00 | $ 2,400.00 $ - 40| $ 2,400.00 | 100% 0.00 9 |24" MES 1 EA | § 800.00 | § 800.00 S - 11§ 800.00 | 100% 0.00 10 |TYPE D-S FILTER FABRIC 150 SY |'§ 450 | § 675.00 $ - 150| § 675.00 | 100% 0.00 11 |RIP-RAP 59 N | § 100.00 | § 5,900.00 $ = 59] § 5,900.00 | 100% 0.00 12 |PERFORMANCE TURF 4,354 SY |$ 3008 13,062.00 $ - 4354| § 13,062.00 | 100% 0.00 13 [4' FARM FENCING 540 LF |§ 9.00 | § 4,860.00 $ - 540| § 4,860.00 | 100% 0.00 14 |6"WIDE X 4' TALL CHAIN LINK GATE 1 EA | § 900.00 | § 900.00 $ - 18 900.00 [ 100% 0.00 15 OVERBROOK BASIN 1 |MOBILIZATION 1 LS | S 10,000.00 | § 10,000.00 $ - 1] § 10,000.00 | 100% 0.00 2 |MAINTENANCE OF TRAFFIC 1 IS |§ 5,000.00 | § 5,000.00 $ - 1| § 5,000.00 | 100% 0.00 3 |EROSION CONTROL 1 LS |§ 2,000.00 | $ 2,000.00 S - 1) § 2,000.00 | 100% 0.00 4 |CLEARING & GRUBBING/DEMO 1.4 AC |8 6,000.00 | $ 8,400.00 $ - 14| 8 8,400.00 | 100% 0.00 5 |GRAVEL FOR ENTRANCE ROAD 70 SY |§ 7800 | S 5,460.00 $ - 70| § 5.460.00 | 100% 0.00 6 |REGULAR EXCAVATION 25501 | CY [§ 750§ 191,257.50 25501 § 191,257.50 | 100% 0.00 7 |CONCRETE INLET TOP 1 EA | S 3,500.00 | § 3,500.00 1 $ 3,500.00 1| S 3,500.00 | 100% 0.00 8 |CONCRETE FLARED ENDWELL 1 EA | § 4,000.00 | § 4,000.00 $ - 1] $ 4,000.00 | 100% 0.00 9 |REMOVE & REPLACE CHAIN LINK FENCE 795 LF |$ 16.00 | $ 12,720.00 517 | $ 8,272.00 795 § 12,720.00 | 100% 0.00 10 |DOUBLE 6' CHAIN LINK GATE 3 EA | S 900.00 | § 2,700.00 3 S 2,700.00 3| S 2,700.00 | 100% 0.00 11 |PERFORMANCE TURF 2,149 SY |'§ 3.00 | $ 6,447.00 | 2149 | § 6,447.00 2149| § 6,447.00 | 100% 0.00 12 |LANDSCAPING 1,000 EA | § 1.50 | § 1,500.00 | 1000 | § 1,500.00 1000| § 1,500.00 | 100% 0.00 13 14 |CHANGE ORDER #1 1 LS | § 22,300.00 | $ 22,300.00 S - 1] § 22,300.00 | 100% 0.00 15 |CHANGE ORDER #2 1 IS | § 432430 | § 4,324.30 1 $ 4,324.30 11§ 4.324.30 | 100% 0.00 16 |CHANGE ORDER #4 17 |Revised Regular Excavation Overbrook 1 LS [S (76,945.50)| $ (76,945.50) 1 S (76,945.50) 1{$ (76,945.50)| 100% 0.00 18 |Revised Regular Excavation Tanglewood 1 LS | § (44,676.00)| $ (44,676.00) 1 $ (44,676.00) 1] 8§ (44,676.00)] 100% 0.00 19 |Supplemental Improvements 1 LS |$ 102,687.00 (S 102,687.00 i $ 102,687.00 1| § 102,687.00 [ 100% 0.00 20 |CHANGE ORDER#5 21 1 LS | § 4,198.00 | § 4,198.00 1 $ 4,198.00 1] S 4,198.00 0.00 22 23 24 25 $ 413,509.30 $ 12,006.80 $ 413,509.30 | 100% | $ - CONTRACTOR'S RELEASE OF LIENS STATEOF: __ fZoet1dd COUNTY OF: lufiavrl/ Before me, the undersigned Notary Public in and for the said County and State personally appeared e A , representing the Contractor, FT _Conearrtess, 2.¢.C. 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 OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS the Owner, for C/S- 2238 - ¢/, Contract No. , have been paid in full and that for the final payment in the amount of _# 3& 0%/, 7% , 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. Byzflmfiw&% Sworn to and subscribed before me this /47" day of Decempec. 2014 ZE/S JANICE WILSON ® NOTARY PUBLIC (Notaty Public) 7 STATE OF FLORIDA Commi#t FF012862 My Commission Expires: - ® Expires 42912017 Tanglewood/Overbrook Stormwater Grant Release of Liens 01 NORTHWEST FLORIDA D Nevis Published Daily Fort Walton Beach, Florida Distributed in Okaloosa, Santa Rosa & Walton Counties STATE OF FLORIDA COUNTY OF OKALOOSA Before the undetsigned authotized personally appeared Tabatha | Legal # 2016319 R. Tucker who on oath says that she is the Legal Advertising NOTICE OF Cletk of the Notthwest Florida Daily News, a daily newspaper E: | published at Fort Walton Beach, in Okaloosa County, Florida; 5 Efl; 376 °§2}{°°f832 | that the attached copy of advertisement, being a e e * completion of! Legal AD # ,3) ars 31 q ; :?:vemems and sels ’ December 2, 2015 as 1 the date of final in the matter of settlement. Notice e ‘// Chya ) b ] Lean ) _payment to the below U / _ address prior to the settlement date: was published in said newspaper in the issue of j . 1 /10,17, 24 /2015 and [26] /2015 e e o Street Crestview FL Affiant further says that the said Northwest Florida Daily i) News is a newspaper published at Fort Walton Beach, in me"m;nwr‘ said Okaloosa County, Florida, and that the said newspaper | PGS has heretofore been continuously published in said Okaloosa " 11/17/2015 County, Flotida, each day, and has been entered as second . };,'%?%}2 class mail matter at the post office in Fort Walton Beach, in said Okaloosa County, Florida, for a period of one year next preceding the first publication of the attached copy of advertisement; and affiant further says that (s)he has neither paid nor promised any person, firm or corporation any discount, rebate, commission or refund for the purpose of securing this