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Okaloosa County BOCC — December 2, 2014 — Admin Building - Deductive Change Order 14-06 — reading text

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Director of Facilities Maintenance Email: facinfo@co.okaloosa.fl.us Construction Manager (Contractor) Information (Name: 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 Name: BarrCrete Concrete Phone: . 956-373-6079 Address: PO Box 2437 Fax: 877-342-2767 Santa Rosa Bch FL 32459 ntact: Arnold Hinojosa : Email: arnoldhinojosa07@yahoo.com es | vendor Information Name: Ready Mix USA Phone: 850-393-5107 Address: PO box 7142 Fax: 850-479-9257 Pensacola FL 32534 Contact: Bruce O'neil Email: bruceo@readymixusa.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 Concrete Supplier, for +- 1550 yards Material Amount $136,400.00 Freight $0.00 PO Amount $136,400.00 Associated Sales Tax (6%) $8,184.00 Total with Tax & Freight ; $144,584.00 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) — Subcontractor’s Authorized Signature: Arnold Hinojosa, Printed Name: Amold Hinojosa Lord & Son's Authorized Signature: (a, a ea Printed Name: Dave Burleson OKALOOSA COUNTY | ; PERC, 21eonse3 ‘BOARD OF COUNTY COMMISSIONER ER ee nO. 2 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 VENDOR SUE TO 20301690 OKALOOSA COUNTY READY MIX USA LLC D/B/A ADMINISTRATION BUILDING BLOCK USA 1250 EGLIN PARKWAY FO BOX 305875 SHALIMAR, FL. 32579 CHARLOTTE NC 28290 ATIN: PAM orverbate: 09/16/14 suver: NATHAN: REG#: R1402139 neg.vaTe 09/11/14 TERMS: NET 30 DAYS: Fos: DESTINATION: best: . ADMIN-EGLIN PKWY i isa 20 8.00. BA ‘CAST-CRETE PRECAST LINTEL 12" xX 6/-0" 88,8500 710.80 21 3.00 BA CAST-CRETE PRECAST LINTEL 12" XK 9/-4" 138.3500 415.05 22 98.00 BA PALLETS 11-4000 1,117.20 23 50.00 BA HOOK & EYE 12" SGA HDG LADDER TEES 3.5000 175.00 12-2-2-4 DEPT NO, ACCOUNT AMOUNT PROJECT CODE, PAGE TOTAL 32,418.05. 4 cebeen, in anh Zz, Ee 28%, 0G i, 650 ; AUTHORIZED/APPROVED SIGNATURE! OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA. COUNTY FINANCE DEPARTMENT 302 N Wilson Street, Suite 203 Crestview, FL 32536 PURCHASE ORDERNO, 22401943 PAGE NO. 2 FLORIDA SALES TAX EXEMPT 85-801 3105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 STEP YO SA COUNTY. 20301690 OKALOO READY MIX USA LLC D/B/A ADMINISTRATION BUILDING BLOCK USA 1250 EGLIN PARKWAY PO BOX 905875 SHALIMAR, FL. 32579 CHARLOTTE NC 28290 . ATIN: PAM onverpate: 09/16/14 puver NATHAN Rea# R1402139 neo. pare 09/11/14 TERMS: NET 30 DAYS _ Fou: DESTINATION DESG:.. ADMIN-EGLIN PKWY LORD AND SONS - ADMIN BLDG. P.R.# OA-004 CONTRACT # C12-1995-FM PROS. # 1217 01 2613.00 EA 8" LW CMU 1.4000 3,658.20 02 33.00 EA a" LW OBL 1.5900 "$2.47 03 214.00 EA 8" HALF BLOCK LW 1.1800 252.52 04 14694.00 BA 12" LW CMU 1.8800 27,624.72 0s 198.00 EA 12” OBL LW 2.1600 427.68 06 1160.00 EA 12" HALF BLOCK LW 1.5900 1,844.40 07 1120.00 EA 4" LW CMU 1.1300 1,265.60 08 540.00 EA CEMEX PORTLAND LIME MORTAR TYPE S 10.0000 5,400.00 09 35.00 EA CEMEX PORTLAND TYPE 1 CEMENT 8.5500 299.25 10 120.00 EA CONTROL JOINT REGULAR 2-5/8" PVC -6000 72.00 11 6000.00 BA 12" 9 GA HDG LADDER WIRE -2600 1,560.00 12 225.00 EA 12" GA HDG LADDER CORNERS 2.0000 450.00 13 25.00 BA 12" $ GA HDG LADDER TEES 2.0000 50.00 14 4500.00 BA HOOK & EYE 12" 9 GA HDG LADDER 12-2-2-4 .4100 1,845.00 15 250.00 EA HOOK & EYE 12" 9 GA LADDER CORNERS 3.5000 875.00 12-2-2~4 16 1500.00 WA 8" 9 GA HDG LADDER WIRE «2300 345.00 17 50.00 BA 8" 9 GA HDG LADDER WIRE CORNERS 2.0000 100.00 18 100.00 FA 8" REBAR POSITIONERS HDG 9 GA -2800 28.00 19 1800.00 BA 12" REBAR POSITIONERS HDG 9 GA -3200 576.00 Sant S- wpa MR, wea DEPT NO. ACCOUNT AMOUNT PROJECT CODE| PAGETOTAL $.46, 725.84 3160 562132 49,143.89 t-te _ WZ ye thee AUTHORIZEDIAPPROVEH SIGNATURE WU Purchase Requisition for ODP Materials Date: 9/9/2014 PRE: OA-004 PO# AIA OGL GY > (To be completed by Lord & Son) (To be completed by Owner) /Project Name: Okaloosa County Administration Building Ship To Address: aject No. 1217 Contract #: C12-1995-FM 1250 Eglin Parkway (C/O General Masonry) 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, Director of Facilities Maintenance | Email: facinfo@co.okaloosa.fl.us Construction Manager (Contractor) Information Name: 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 Name: Tac: 2 Phone: 850-244-2901 Address: 1747 ; Fax: 850-244-4835 Fort Walton Beach, FL 32549 j _ "ntact: M. David Brack Email: david @generalmasonry.gccoxmail.cc La a a a a a *, vendor Information . : Name: Block USA 9 Phone: 251-443-2040, ext 105 Address: PO Box 905875 Fax: 251-443-2050 Charlotte, NC 28290-5875 Contact: Bob Mestre Email: bobm@specblockusa.com Gina Walker ginaw@specblockusa.com Eddie Perkins eddiep@specblackusa.com Anel Sidier angels @readymixusa.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 - SEND VENDOR EMAIL NOTICES TO ALL LISTED BRIEF DESCRIPTION OF MATERIALS Block and accessories per attached Material List dated 9/4/2014 PO Amount $49,143.89 Associated Sales Tax (6%) $2,948.63 Freight $0.00 Total with Tax & Freight $52,092.52 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) Subcontractor's Authorized Signature: IR Benride Brack Printed Name: M. Defid Brack Lord & Son's Authorized Signature: Printed Name: Dave Burleson PURCHASE OKALOOSA COUNTY \ ORDERNO, 22402952 BOARD OF COUNTY COMMISSIONERS PAGE NO. 2 . SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT ' OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAXIDI ICATION Crestview, FL 32536 450. ee He 20800010 FAX: 850-837-7748 OKALOOSA COUNTY READY MIX USA LLC D/B/A ADMINISTRATION BUILDING READY MIX USA 1250 EGLIN PARKWAY PO 905875 SHALIMAR, Fl. 32579 CHARLOTTE NC 28290 ATIN: PAM ornverpaTe: 09/17/14 BuveR NATHAN: REG@# R1402137 Req pare 09/11/14 TERMS: NET 30 DAYS , FoR: DESTINATION pesc: . ADMIN-EGLIN PKWY LORD & SONS - ADMIN BLDG, P.R. # OA-005 CONTRACT # C12-1995-FM PROT.. #.1217 o1 221.00 ¥D 3000 PSI BLOCK FILL MIX 96.0000 21,216.00 02 40.00 LD FUEL SURCHARGE 20.0000 800.00 03 40.00 LD ENVIROMENTAL FEE _ 10,0000 400.00 ne caren hy DEPT NO. ACCOUNT AMOUNT PROJECT CODE] PAGETOTAL —_§ 22, 416.00 4160 562132 22,416.00 Ay $3 . vee fa Bota > Par hfe Ug fl Wy | Ly AUTHORIZED/APPROVED SIGNATURE! tine O88, 062, 0&% Purchase Requisition for ODP Materials Date: 9/9/2014 PR#: OA-005 PO #: alr¢o/9sl (To be completed by Lord & Son) © {To be completed by Owner) _’roject Name: Okaloosa County Administration Building Ship To Address: dject No.: 17 Contract #: C12-1995-FM 1250 Eglin Parkway (C/O General Masonry) 'VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: . TBD ee Owner Information jName: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turmer Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa.fi.us es | Construction Manager (Contractor) Information Name: 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 Name: ‘General Masority of NW.FL; Inc... ¢ Phone: 850-244-2901 lAddress: PO Box 1747 ‘ . Fax: 850-244-4835 Fort Walton Beach, FL 32549 * “yptact: M. David Brack Email: david @generalmasonry.gccoxmail.cc ee | X Vendor Information Name: Mi A Phone: 251-443-2040, ext 105 Address: PO Box 905875 Fax: 251-443-2050 Charlotte, NC 28290-5875 Contact: Sherrie Rutherford ; Email: sherrier@ ready! mixusa.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 3000 PSI Block Fill Mix per attached Material List dated 9/9/2014 PO Amount $22,416.00 Associated Sales Tax (6%) $1,344.96 Freight $0.00 Total with Tax & Freight $23,760.96 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) —_ Subcontractor's Authorized Signature: Tt David Brahe Printed Name: id Ze Lord & Son's Authorized Signature: Printed Name: Deve (ZZ. PURCHASE OKALOOSA COUNTY 21500086-1 : ORDER NO. BOARD OF COUNTY COMMISSIONERS PGE NO. 1 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FED TAX DENTIFICATION Crestview, FL 32536 RAL 459-6000765 002701 OKALOOSA COUNTY UNITED LIGHTING & SUPPLY COMPANY ADMINISTRATION BUILDING . PO BOX 307 1250 EGLIN PARKWAY FT WALTON BEACH FL 32549 SHALIMAR, FL. 32579 ATIN: “orpenpaTé: 10/16/14 suver NATHAN REQ# R1500168 neq. pate: 10/30/14 - views: = NET 30 DAYS rou: DESTINATION DESC: a DESCRIPTION, | OKALOOSA COUNTY ADMINISTRATION BUIEDING © 1250. EGLIN PARKWAY, SHALIMAR OWNER DIRECT PURCHASE PROJECT #1217, QUANTITY CONTRACT # Ci2-1995-FM ' 04 1.00 BA CONDUIT/WIRE PACKAGE. : 496980000 49,698.00 " Gam Nak 7 Ba ye DEPT.NO. L ACCOUNT. ‘AMOUNT PROIECTCODE|- PAGETOTAL $49,658.00 | 3160. 562132 00 3760 ; .. 562132 49,698.00 OB-006 ith HORIZED/APEROVED SIGNATURE ors flwe O44, 063,056 Purchase Requisition for ODP. Materials Constraction Manager (Contractor) Information . Vendor hoe Date: FRE OA- 217] corsa Gay . Pow (To be completed by Owner) Project Names Okaloosa County Administration Building Ship To Address; Project Nos 1217C Contract #: C12-1995-EM 1250 Eglin Perleway VENDOR -PLBASE SEB PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: Okaloosa County Board of Contty Commissioners Phone: -850«689.5790 1804 Lewis Tuer Blvd. Suite 100 Fox 850-689-5630 Fort Waltn Hench, FL, 22347 . Email Name: Lond & Son Construction, Ine, Phone; 850-863-5158 Address: 19 David Street . Fax: 850-862-4904 Foxt Walton Beach, FL 32547 ave Burles Subcontractor Information Name: Harrington electrical contracting Phone 359-963-3203 Address = 20 Dakst. Fax: 850-863-3446 Fort Walton Beach, FL, 32547 Jie Hain tan United Lighting & Supply 850-244-8155 42) Chestunt Ave, Fax: 850.244.5629 Fort Walton Bench 32548 y schiedale-ot ey fr cnet reuse ny omen, Receipt ectal | actor. Zia OUP proprait is ructions or Directions BRIEF DESCRIPTION OF MATERIALS : Material Atount $49,698.00 vonduitwixe per attached material list dated 9/29/14 (3 pages) Freight ‘$0.00 : PO Amount,. $49,692.00 Associated Sales Tax (6%). $2,981 38, ‘Total with Tax & Freight $52,679.88 Subcontractos's Anthorized Signature: Printed Nanna: ee 3 3 Lont & Son's Authorized Signature: Printed Name: Dave Burleson PURCHASE OKALOOSA COUNTY ORDERNO, 22500087-2 BOARD OF COUNTY COMMISSIONERS PAGE

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