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

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 #59-6000768 002701 OKALOOSA COUNTY UNITED LIGHTING & SUPPLY COMPANY ADMINISTRATION BUILDING P © BOX 307 1250 EGLIN PARKWAY ~ FT WALTON BEACH FL 32549 SHALIMAR, FL. 32579 ATTN: orperpate: 10/16/14 puver NATHAN REQ& R1500169 reg pam 10/30/14-: ‘|vers: NET 30 DAYS | [0h DESTINATION —__ DESC: UANTIEY: DESCRIPTS OKALOOSA COUNTY ADMINISTRATION BUILDING 1250 EGLIN PARKWAY, SHALIMAR OWNER DIRECT PURCHASE PROJECT #1217¢ UNIT PRICE EXTENSION co! 1995-FM OL 1.00 EA LIGHT FIXTURES PACKAGE. 183.000.0000 183,000.00 . wae Nw \ “ aa bie DEPT NO. ACCOUNT AMOUNT PROJECT CODE | PAGE-TOTAL- $183,600.00 3160 562132 00 : : L 3160 562132 183,000.00 OA-007 ons nF OFF 264 0fG J AUTRORIZED/APPROVED SIGNATURE Purchase Requisition for ODP Materials Date: PRE __2A- Od PO (Tobe completed by Lard 4 Son) (Tobe completed by Owner) » [Project Names Okaloosa Conaty Administration Building Ship To Address: Project Nox 1227 Contract #: C12-1995-9M 1250 Elin Parkway VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TBD Owner Information Name: -Okuloosa County Board of Comniy Commissiqners Phone; 850-689-5790 Address: 1804 Lewia Tumer Blvd. Suite 100 Pex: 850-689-5630 Fort Walta Beach, FL 32547 Don Tunier, Direotor ‘of Facilities Maintenance Construction Manager (Contractor) Information Nerine: Lord & Son Construction, inc, Phong; 850-863-5158 jAddrese: 19 David Street Fox 850-862-4004 Fort Walton Beach, FL 32547 (Name: Fcnyon dese contacting Phore: 850-863-3103 Address; 20 Onket, Fax: 850-863-3446 Fort, Walton Beach, FL 32547 oy Venior Tnformation United Lighting & Supply 850-244-8155 Address: = 121 Chostnot Ave. Fox 850-244-5629 Fort Walton Beach, Fl. 92548 . Ora a is lant ohn ry by hr tn som Receipt nes of materials will remain tha responsibility of tha mibcatiractos, Ths ODP prosram is for tax i es ONLY. Special Lustructions or Dircetions BRIEF DESCRIPTION OF MATERIALS Material Amount, $183,000.00] light fixtures per attached material list - PO 1313 (3 pages) Freight. Tare $0.00 PO Amount $183,000.00 Associated Seles Tax (6%4)____.__ $10,980.00] Total with Taxd Freight $193,980.00 Lord & Son's Anthotized Signature: Printed Name: PURCHASE OKALOOSA COUNTY ORDERNO, 22800246 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 Sireet, Suite 203 FEDERAL TAX ID! CATION Crestview, FL 32536 TAX IDENTIFI 00015389 OKALOOSA COUNTY FIRE CONTROLS SYSTEMS INC ‘ ADMINISTRATION BUILDING 1420 WEST ROBERTS RD 1250 EGLIN PARKWAY CANTONMENT FL 32533 SHALIMAR, FL. 32579 ATEN: onder vate: 10/30/14 Buver NATHAN j REQ#: R1500217 neo.nare: 11/07/14 TERMS: NET 30 DAYS |. fOR DESTINATION DESC: j QUANTITY: DESCRIPTION UNIT PRICE OKALOOSA COUNTY ADMINISTRATION BLDG= 1250 EGLIN PKWY, SHALIMAR , OWNER DIRECT PURCHASE CONTRACT # C12-1995-FM “PROJECT # if17¢ 01 1.00 EA FIRE ALARM PACKAGE 11200.0000 11,200.00 \ DEPTNO. ACCOUNT _| AMOUNT PROJECT CODE] _ PAGETOTAL. 8 11,300.00 3160 562132 11,200.00 Si Ab. hg Ps sink Ler 04 4, Fo ES ask ‘AUTHORIZED/APPROVED SIGNATURE Purchase Requisition fox ODP Materials pas 18/9/14 PRE ___ OM OY POM (Tobe completed by Loed & Sen) (To bo completad by Owner) Project Name: Okaloosa County Administration Building Bhip To Adtdvess; Project Nos 12170 Contvactt: C12-1995.M 1250 Belin Parkway VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: Tap ‘Owner Information Marne: Obsloosa County Board of County Commmissionens Phone: «850-689-5790 Address: 1804 Lewis Tunter Blu, Suite 100 Fox: 830-689-5630 Fost Waltn Boach, FL 32547 : Don Tuner, Birate nellities’ torn |. ac Moo .okp tus Construction Manager (Contractor) Taformation Name: Lond & Som Condtruction, Ino, Phone = -BS0-863-5148 Address: == 19 David Street Fax: 850-862-4004 Fort Walton Begoh, FT, 32547 Name: Haningion electical contracting Phone: 850-863-3103 Addeom: = 20 Oakt, Pax: 350-869-3246 Fite Control Systema Phone: 950-068-0877, Address: 1420 Weat Roberts Rd. Fest 840-968-1937 Canioamiant, FL, 32533 sos Inrasfansor Dive ete laa BRIEF DESCRIPTION OF MATERIALS Ste tn BO Fire Alum EQ. fate attighsef PO 1737 Fieigit_ 8.0 20 Anne Sein Associated Sales Tax (670) BG. 00 | Totel with Toca Freight $44,872.00] Subsontracter's Authorized Signature: - Beintad Nenace a ‘Lard & Sons Authorized Signntars: Hi Prinkgd Name: PURCHASE OKALOOSA COUNTY ORDERNO, 22500084-2 BOARD OF COUNTY COMMISSIONERS PAGE HO. 1 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-B013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 VENDOR, 20202243 PO BOX 1328 BIRMINGHAM AL 352011328 PAX: 850-243-6447 MAYER ELECTRIC SUPPLY COMPANY INC OKALOOSA COUNTY ADMINISTRATION BUILDING 1250 EGLIN PARKWAY SHALIMAR, FL. 32579 ATTN: onper vate: 10/16/14 suver NATHAN REQ#: RE5SOOL70 Reg. paTe 10/30/14 TERMS: WET 30 DAYS ‘FOB: DESTINATION DESC: QUANTITY, GESCRIPTION: OKALOOSA COUNTY. ADMINISTRATION BUTLDING 1250 EGLIN PARKWAY, SHALIMAR OWNER DIRECT PURCHASE PROJECT #1217¢ 02 1.00 EA SWITCHGEAR PACKAGE. 19740.0000 19,740.00 - . Ve . he AS DEPT NO. ACCOUNT AMOUNT PROJECT CODE] PAGETOTAL 819,740.00 3160 §62132 -00 3160 562132 19,740.00 OA-009 \ rf agi i ; area Nu AUTHORIZED/APPROVED SIGNATURE Kon! Lows 249, 066, 0S if i Purchase Requisition for ODP Materials Date: PRR OA- POH “——, (To bo completed by Lord & Sou) (fo be completed by Ooner) ? [Project Name: Okaloosa County Administration Building Ship To Address: Project Ne: 12170 Contract #: C12-1995-FM 1250 Bolin Parkway / VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER, INFORMATION Shalitnar, FL 32579 Delivery Date: TBD Owner Information Narne: Okaloosa County Beard of County Commissioners Phone: 850-689-5790 | | Address: 1804 Lewis Tarer Blvd, Suite 100 Fox 850-689-5630 | Rot Wl Bosh, H, 32547 | | Constrnction Manager (Contractor) Information Name: Lad & Son Construction, Inc. Phone: 850-863-5158 Adress: 19Devid Street Fax: 850-862-4904 Fort Walton Beach, FL 32347 Contact: Dave Birleson Subcontractor Information ; ante: Huatrington electrical contracting Phone; 850-863-3103 {Address: «= 20. Oak st, Fax: 850-863-3446 Fort Walton Beach, FL 32547 Contact: Jim Hantnstos \] Vendor Information Mayer Elecizic Supply 250-243-6200 Address; 15 Shell Ave, Fas 850-243-5447 Fort Walton Beach, Fl, 32548 Come ls Moore. Email: i, Set pacha nt ror tho mbes of sary skin ray the entero wir wy ces Restot esponsibility of the subcanirscter. The ODP oes ais fr ta ins D 2 ONLY, Special Instructions er Directions . J BRIEF DESCRIPTION OF MATERIALS Mitecial Amomt__ $19,740.00 switchgear per attached material list PO 1314 (2 pages) Freight ____ $0.00 POAmount____ $19,740.00] Associated Sales Tax. (6%). $1,184.46. Tosti eels __smagaidd Subeostractor's Authorized Signsturs: . Printed Name: —— Lord & Son's Authorized Signature: ‘ re Printed Narne: Dave Burleson OKALOOSA COUNTY PURCHASE ORDER NO. 21500210-1 BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT PAGE NO. 1 302 N Wilson Street, Suite 203 FLORIDA SALE TAX EXEMPT Crestview, Florida 32536 #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #69-6000765 v [20100937 “1 $F oxatoosa county “| — HANSON PIPE & PRECAST SOUTH EAST | ADMINISTRATION BUILDING N 55 DRITCHES HAYES CLARY P 1250 EGLIN PARKWAY GRETNA FL 32332 fe) SHALIMAR, FL. 32579 AR L l 6 — 4 ORDER DATE: 11/13/14 |BUYER: NATHAN REQ. NO R1500268 |REQ. DATE: 11/14/14 TERMS: NET 30 DAYS |[F.0.8: DESTINATION [DESC.: irema] QUANTITY | UOM[ . DESCRIPTION UNIT PRICE EXTENSION : 1 HESS i : ADMINISTRATION BUILDING. ; PAGE TOTAL § TOTAL § 13,864.46 ITEM# ACCOUNT AMOUNT PROJECT CODE 3160 §62132 -00 3160 562132 13,664.46 GA-010 > fe Mens Co a2, 0 1S, é SG AUTHORIZED/APPROVED SIGNATURE Purchase Requisitian for GDP Materials Date: PRi: GEOTO? PO #: Tobe scape ey Tord & Son} {To be completed by Oumar) 1 Project Name: Okaloosa County Administration Building Ship Te Addvess: Project No 1217 Contract #: C12-1995-FM 1250 Eglin Parkway VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Dates TBD fow wher Euformation Nene: Okaloosa County Board of County Coramissioners Phone: 850-689-5790 ‘JAddress: 1804 Lewis Turner Blvd. Suite 100 . : . Fax: 850-689-5630 Fort Waltn Beach, FL 32547 , i Don Tumer, Director of Fuellties Matwtenance Construction Manager (Contractor) Information Brat: facihfo@ro.ckaionsa.fi.us ‘Name: Lord & Son Constractioa, Ine. Phone: 850-863-5158 Address; 19 David Street : Fox: 850-862-4904 Fort Walton Beach, FL 32547 Contact: __ Dave Borleson Emait: dave@iordandson.com . Subcontractor Information PRimer H&T Contractors, LLC . Phone! 850.835.0232 Address: POBox 9 Freeport, FL 32439 Fax: 850.835.5123 __ Ernail: jecry@h-teontractors.cont Tae 4 Prreac?- Phone: sees Address: FO Box 842481 Dallas, 1 75284-2481 Fox: wa Contact: Jim Insane Email: jemesinsana@lehighhanson.com. eae | Owner direct purchases shall not selieve the subcontractor of delivery schedule or airy other contract requirements under any circumstances. Receipt land acceptance of materials will remain the responsibility of the subcontractor, The ODP prograin {s for tax savings purposes ONLY. : special Enstructions.or Directions ; . -{BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT] Sever and slomn stractes pr attacheef grt. PO Amount sages : Associated Sales Tax (6%) Stee F147. 977 YAY Freight _ $0.00 . ‘Tom with Tax & Freight -Seyieeae Jog 7 3°P ye (Attach detailed material price list or vendor/supplier quote which equals PO Amo REY Subgeateactan's Authorized Signamnes Printed Name: 47 Lord & Son's Authorized Signature: i Printed Name: Dave Burleson OKALOOSA COUNTY PURCHASE ORDER NO. 21500209-1 BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT PAGE NO. 1 302 N Wilson Street, Suite 203 FLORIDA SALE TAX EXEMPT Crestview, Florida 32536 #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 vf 20300333 FAX: 850-622-9168 | 5 [ oKALOOSA COUNTY ~] & FERGUSON ENTERPRISES INC | ADMINISTRATION BUILDING Dp 133 SHANNON LW P 1250 EGLIN PARKWAY , SANTA ROSA BEACH FL 32459 7, SHALIMAR, FL. 32579 R _] fe) LL _| ATIN: ORDER DATE: 17/13/14 {SUYER: NATHAN _|REQ. NO.: R1500266 [REQ. DATE: 11/14/14 TERMS: NET 30 DAYS [F.0.8.: DESTINATION [DESC.: trea] QUANTITY | UOM | DESCRIPTION [UNIT PRICE [EXTENSION TEMA ACCOUNT AMOUNT provectcone |PAGETOTAL $ 50,543.09 TOTAL § 50,543 .09 3160 562132 -00 3160 562132 50,543.09 QA-011 What . . AUTHORIZED/APPROVED SIGNATURE Lis Homes 002, 067, O84 X ‘ ‘ Purchase Requisition for GDP Materials Date: PRA j - POR To be compicted ip Lord & 0) Te be compton’ by Owner) Project Name; Okaloosa County Administration Building Ship Tr Address: . Project Now 1217 Contract #: C12-1995-FR 1230 Eglin Parkway VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar. FL 32379 Delivery Date: TBD Owner Information Nome: Okaloosa County Board of Couniy Commissioners Address: 1804 Lewis Turner Blvd. Suite 100 Fort Waltn Benth. FL 32547 Phone: 850-689-3790 Fax: 850-689-5630 Banh mer, Director of Facilities Mainnaunce Coustraction Manager (Contractor) Information ame: Lord & Son Construction, ine, Address: 19 David Street Fort Wallen Beach, Fl. 32347 Contact; Dave Burleson Subcontractor Infarmation . Phone: $50-263-5158 Fax: 850-962-4904 Phone: 850.895.0231 Fon: BXREIS S23 ‘Ennai! Jay @h-icontractors.com ee Vendor Information Raine: Perguon Rotexprikes, toc Phone: ssgn298d6 Address: 133 Shannon Lane Sante Rost Beach, BL 32459 Fax: 850.622.9268 Email: joseghklima@ferguson.com Contact; Ye Kiso Owner direct purchases shall notrelicve the subcontractor of