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CHANGE OWNER o
ORDER ARCHITECT o
CONTRACTOR o
FIELD 0
' AIA DOCUMENT G701 (Modified) OTHER Qo
PROJECT: Shalimar Courthouse Annex Repurpose CHANGE ORDERNUMBER: Six (6)
(name, address) 1250 Eglin Parkway DATE: 17 November 2014
Shalimar, FL 32579
TO CONTRACTOR: ARCHITECT'S PROJECT NO: 12009
(name, address)
Lord & Son Construction, Inc. CONTRACT DATE: October 16, 2012
Post Office Box 1808
Fort Walton Beach, FL 32549 CONTRACT FOR: CM @ Risk Services
The Contract is changed as follows:
Deletion of cost for materials being purchased directly by Owner in accordance with attached breakdown,
which will be referenced on Application for Payment as Group 1.
Group 1 ($2,118,627.44)
Not valid until signed by the Owner and Contractor,
The original (Contract Sum) was............... $904,667.00
Net change by previously authorized Change Orders... $11,170,358.04
The (Contract Sum) prior to this Change Order was $12,075,025.04
The (Contract Surn)) will be (decreased) by this Change Order in the amount of ($2,118,627.44)
$9,956,397.60
The new (Contract Sum) including this Change Order will BG... scaceececsereees
The Contract Time will be changed by: N/A
The date of Substantial Completion as of the date of this Change Order therefore is: Per Contract
NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized
by Construction Change Directive.
DAG Architects, Inc. Lord & Son Construction, Inc. Okaloosa County BOCC
Architect Contractor Owner
1223 Airport Road Post Office Box 1808 1804 Lewis Turner Bivd., Ste. 100
Destin, FL 32544 Fort Walton Beach, FL 32549
Fort Walton Beach, FL 32547
wire) Address. Address
Yn of Buf Zk ,
Charles W. Clary til, FAIR Leveh D. Lord ll Kelly Windes
Architect President Chairman
Date: il/ Ul 4 Date: WIA zh, f Date:
AIA SOCUMENT oior »* CHANGE ORDER « 1987 EDITION « AIA « 1987 - THE AMERICAN INSTITUTE OF ARCHITECTS
1755 NEW YORK AVE, NW., WASHINGTON, DC, 20006 G701-1987 (Modified)
Okaloosa County 14/47/2014
Administration Building
Payment Summary a
oe S| es ee Q oe Pee a Owner
pre iow \vendore (vender _|Subeontractor YerAnount|Linehem| Semin | Lirewoa | crane
PRS eee oo oe ee o o Order
0A-001 {21401908 |21400307 | Contractors Steel Lord & Son $943,564.00 $0.00| $56,613.84 $1,000,177.84 |. 6
0A-002 [21401905 |20800839 |Big Bend Rebar BarrCrete Concrete $72,750.00 $600.00] $4,329.00 $77,079.00 6
0A-003|21401942 |20800010 |Ready Mix USA BarrCrete Concrete $136,400.00 $0.00! $8,184.00 $144,584.00 | 6
0A-004 |21401943 |20301690 | Block USA General Masonry $49,143.89 $0.00) $2,948.63! $52,092.82 |. 6
OA-005 121401951 [20800010 Ready-Mix USA General Masonry $22,416.00 $0.00| $4,344.96)": $23,760.96 6
OA-006 |21500086-1 002701 [United Lighting & Supply Conteaing $49,698.00, $0,001 $2,981,881". 066. $52,679.88 6
OA-007 |21500087-1 002701 —_{ United Lighting & Supply conten $183,000.00). io $0.00] $10,980.00 ; 056 $199,980.00 | 6
OA-008 |21500146 |00015389 | Fire Control Systems Contening a $11,200.01 $0.00) $672.00). $11,872.00 |. 6
OA-009 |21500084-1 |20202243- [Mayer Electric Supply Contain $19,740.00). s0.00! 1,184.00 066 $20,924.00 fe 6
OA-010 |21500210-1 ]20100937 |Hanson Pipe & Precast H&T Contractors, LLC $13,664.46] - $0.00 $819.87 . 086 $14,484.33 & 028 8
0A-011 |21500209-1 |20300333_ |Ferguson Enterprises H&T Contractors, LLC $50,543.09) go.00| $3,032.89) ¢ $53,575.68 | 022 6
OA-012 |21800217-1 |21500095 | TUPele Concrete Products, |eenerat Masonry $58,668.00 $0.00] $3,620.08} 056 $62,188.08 | 028 6
0A-013 |21800213-1|20801770 |Aeromechanical, Inc. Bayou Mechanical $65,380.00) 3ed S go.o0] $3,923.401 © 656° $69,313.40| 048 6
OA-014 |21500214-1|20501543 |Liebert/DP Technologies [Bayou Mechanical $38,000.00 oe $0.00 | $2,280.00) 056. $40,280.00 | - 048 . 8
OA-015 |21500218-1121000286 |Mingledorffs Bayou Mechanical $20,850.00 gy, z $0.00} $1,261.00 086 $22,101.00 |. Gas" 6
OA-016 |21800216-1 }20801526 | Trane Bayou Mechanical $192,000.00; 4. | $0.00) $11,820.00 * 056» $203,620.00] 048 |G
OA-017 }21500218-1 |21500094 |Dowdy and Associates Bayou Mechanical $28,788.00 : ee $0.00 $1,727.28 ie 056 $30,515.28 | 48 6
OA-018 |21500211-1012512 | Warren Hollow Metal Doors |Lord & Son $162,812.00). bre $0.00| $9,768.72 056. : $172,580.72 |". 017 6
Page 1
PURCHASE
OKALOOSA COUNTY ORDER NO, 21401906
BOARD OF COUNTY COMMISSIONERS PAGE NO. 1
SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT
OKALOOSA COUNTY FINANCE DEPARTMENT - 85-2013 1058 18C-2
302.N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION
Crestview, FL 32536 #59-6000765
21400307 FAX: 334-284-8213 OKALOOSA: COUNTY
CONTRACTORS STEEL SUPPLY, INC ADMINISTRATION BUILDING
5230 OLD HAYNEVILLE ROAD 1250 EGLIN PARKWAY
MONTGOMERY AL 36102 SHALIMAR, FL. 32579
ATTN: PAM
orper pate: 09/10/14 puver. NATHAN _ REG.# R14023079 ‘reg. pare: 09/15/14
TERMS! NET 30 DAYS FO DESTINATION best: OKALOOSA. COUNTY ADMINISTR
QUANTITY c
DESCRIPTION
OWNER DIRECT PURCHASE
LORD & SONS PR # OA-001
PROJECT # 1217
PRHOA-001
CONTRACT # C12-1995-FM
01 1.00 JOB STRUCTURAL STEEL 943564.0000 943,564.00
Garr svn
wi
DEPT NO: .ACCOUNT AMOUNT PROJECT CODE| . PAGE TOTAL
3160 562132 943,564.00 RR -00\
. oe SIGNATURE
Lunt Lame 230, OS F% OF
2 ee Purchase Requisition
for ODP Materials
Date: 8/14/2012 PR#: 0A-001
(To be completed by Lord & Son)
pie Name: Okaloosa County Administration Building Ship To Address:
* B. Sfect No. 4217 Contract #: C12-1995-FM 1250 Eglin Parkway
’ VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579
, , Delivery Date:
Owner Information -
[Name: Okaloosa County Board of County Commissioners - Phone: 850-689-5790
Address: 1804 Lewis Turner Blvd. Suite 100 : . , Fax: 850-689-5630
Fort Walin Beach, FL 32547
Contact: Don Tumer, Director of Facilities Maintenance oe Emiail: facinfo@co.okaloosa.fl.us
Construction Manager (Contractor) Information
Name: : Lord & Son Constniction, Inc. Phone: 850-863-5158
Address: 19 David Street Fax: 850-862-4904
Fort Walton Beach, FL 32547
Contact: DavéBuileson a Bail: dave@lordandsori.com
Subcontractor Information ;
Name: Lord & Son‘ Constniiction, Inc, co Phone: 850-863-5158
ddress: 19 David Street - . . Fax: 850-862-4904
Fort Walton Beach, FL 32547 7
Dave Burleson
Email: - dave@lordandson.com
Vendor Information oo. -
Name: Contractors Steel Supply : Phone: 334-281-5352
Address: 5230 Old Hayneville Road Fax: 334-284-8213
Montgomery, AL 36108 — ; ue : 615-745-9527
Contact: Jeremy Free — ; ; . oo. Email: _ EELS Sue SSeS
Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. . Resp
and acceptance of materials will remain the esponsibility of the subcontractor. The ODP program is for tax savings purposes ONLY. .
Special Instructions or Directions
~ [BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT
Structural Steel PO Amount $943,564.00
Associated Sales Tax (6%) $56,613.84
Freight $0.00
Total with Tax & Freight $1,000,177.84
(Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here)
, Subcontractor's Authorized Signature: hz
*"DeéT y
Printed Name:
Lord & Son's Authorized Signature: wt 3
Printed Name: "Leven D, Lord tf
‘OKALOOSA COUNTY
PURCHASE
¢ : ORDERNO, 22402905
BOARD OF COUNTY COMMISSIONERS AGE nO. 4
‘SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT
OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2
302 N Wilson Street; Suite 203 FEDERAL TAX ID CATION
Crestview, FL 32536 Peron
20800839
BIG BEND REBAR, INC.
ONE CORPORATE COURT
QUINCY FL 32351
FAX: 850-875-8003
psu
OKALOOSA COUNTY
FACILITY MAINTENANCE
5489 OLD BETHEL ROAD
CRESTVIEW FL 32536
ATTN: PAM
oRDER DATE: 09/10/14 suver NATHAN
REG#: R1402098 neo.nars.09/09/14
TeRMs: . NET: 30. DAYS FoR: - DESTINATION
QUANTITY
OWNER DIRECT PURCHASE
QUOTE 414-425
PROJECT #1217
PRHOA-002
CONTRACT # C12-1995-FM
best: CO.. ADMIN .BLDG-TURNER
County ‘Admin Bldg., 1250 Eglin Pkwy, Shalimar, FL |
01 1.00 BA GONCRETE REINFORCED STEEL PKG. - 35690.0000 35,690.00
APPROX.
41.5 TONS
02 1.00 KA MASONRY REINFORCED STEEL PKG. - APPROX. 18060.0000 18,060.00
21ToNs
03 1.00 BA W.W.M. SHIS. 6/6 2.P PKG. ~ APPROX. 18400.0000 18,400.00
64,400 SP
04 1.00 EA DELIVERY FUBL’ SURCHARGE 600.0000 600.00
BEA SN ay
WJ yj
DEPT NO. ACCOUNT AMOUNT PROJECTCODE|. PAGETOTAL $72,750.00
3160 562132 72,750.00 BALE $
Lie
otk Lane 0%, 957, IFS
\ AWTHORIZED/APPROVED SIGNATURE
7%
Purchase Requisition
for ODP Materials
Date: 9-3 -20/¢ PR#: OA-002. POH: 2SLtON FOE
(To be completed by Lord & Son) (To be completed by Owner)
“vroject Name: Okaloosa County Administration Building Ship To Address:
-oject No.: 1217 Contract #: C12-1995-FM 1250 Eglin Parkway
IWENDOR. -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579
: Delivery Date: TBD
Owner Information
iName: Okaloosa County Board of County Commissioners Phone: 850-689-5790
Address: 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630
Fort Waltn Beach, FL 32547
Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa_fl.us
Construction Manager (Contractor) Information
iName: Lord & Son Construction, Inc. . Phone: 850-863-5158
Address: 19 David Street Fax: 850-862-4904.
Fort Walton Beach, FL 32547
Contact: Dave Burleson Email: dave@lordandson.com
Subcontractor Information
IName: BarrCrete Concrete Phone: 956-373-6079
Address: po box 2437 Fax: 877-342-2767
Santa Rosa Bch FL 32459 :
ntact: Arnold Hinojosa Email: arnoldhingjosa07@yahoo.com
ee |
Vendor Information
Name: Big Bend Rebar Phone: 850-875-8000
Address: 1 Corporate Court Fax: 850-875-8003
Quincy FL 32353
Contact: Joe Trotta Email: ioetrotta @bigbend rebar.com
‘Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt
land acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes ONLY.
Special Instructions or Directions
BRIEF DESCRIPTION OF MATERIALS
Rebar for foundation, Grade beams, Tie beams, wire mesh for sog, 2nd and 3rd floors
and deliveries Material Amount $72,150.00
Freight $600.00
PO Amount $72,750.00
Associated Sales Tax (6%) $4,329.00
Total with Tax & Freight $77,079.00
(Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here)
(
Subcontractor's Authorized Signature: Arnold Hinojosa
Printed Name: - ji DL \
Lord & Son's Authorized Signature:
Printed Name: Have =
OKALOOSA COUNTY See NO. 21401942
BOARD OF COUNTY COMMISSIONERS Nee yO. 1
™ SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT
OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2
302 N Wilson Street, Suite 203 FEDERAL FAX IDENTIFICATION
Crestview, FL 32536 #59-6000765 }
Ps]
20800010 FAK:. 850-837-7748 OKALOOSA. COUNTY
READY MIX USA LLC D/B/A ADMINISTRATION BUILDING
READY MIX USA-COASTAL DIVISION 1250 EGLIN PARKWAY
PO 7142 SHALIMAR, Fh. 32579
PENSACOLA FL 32534
. ATIN:
onper pate: 09/16/14 nover NATHAN a REQ.#: R1402143 neq pars 09/26/14
TeR‘s:: NET 30 DAYS _ FoR DESTINATION ; DESC:
OL 1550.00 CY CONCRETE-TYPE.I/IT CEMENT 3000 PSI / 88,0000 136,400.00
LORD & SONS PRHOA~003 :
PROJECT #1217 :
CONTRACT# C12-1995-FM
DEPT NO. ACCOUNT AMOUNT PROJECT CODE PAGE TOTAL $136,400.00
3160 562132 136,400.00 VR DED
y
ie aia
. ~ AUTHORMEM APPR 4 73
a or 029, 60, 5G COVED SIGNATU
~~
Purchase Requisition
for ODP Materials
Date: 9/9/2014 PRK OA-003 PO #: 2L¢O S$ A
. (To be completed by Lord & Son) (To be completed by Owner)
‘Rroject Name: Okaloosa County Administration Building Ship To Address:
-oject No. 1217 Contract #: C12-1995-FM 1250 Eglin Parkway
'VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION - Shalimar, FL 32579
Delivery Date: TBD
|
Owner Information
Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790
Address: 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630
Fort Waltn Beach, FL 32547
Contact; Don Turner,
