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

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ADMINISTRATION BUILDING 5 4932 TUFIS ROAD P 1250 EGLIN PARKWAY ©, MOBILE AL 36619 7, SHALIMAR, FL. 32579 R L _| fo) L_ _ ATIN: ; if | ORDER DATE: 11/13/14 |BUYER: NATHANTET, REQ. NO.t 21500334 |REQ. DATE: 11 /a6/14 TERMS: NET 30 DAYS |F.0.8.: DESTINATION [DESC.: TEms| “QUANTITY | UOM | DESCRIPTION [ UNFrPRICE [EXTENSION "OA-O16. 2-1995-FM OTECT #1227 ° 192,000.00 192,000.00 PAGE TOTAL TOTAL TEM 1 ACCOUNT AMOUNT PROJECT CODE § 562132 562132 -00 192,000.00 q 3160 3160 LA-016 AUTHORIZED/APPROVED SIGNATURE Kore King OFF ) 072, 056 EET EO OO EE EE PSP, Purchase Requisition for ODP Materials Date: PRE SOA COIT PO#: {To be completed by Lord & San) @o ke completed by Owner) Project Name: Okaloosa County Adntinistration Building Ship Te Address: Project No: 12270 Contract #: .C12-1995-5M 1250 Eglin Parkway ENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TBD yner Information Neme: Okaloosa County Board of County Commissioners Address: 1804 Lewis Turner Blvd. Suite 100 Fort Walin Beach, FL 32547 ontzet: Don Turner, Director of Facllitles Maintenance onstruction Manager (Contractoz) Information lame: Lord & Son Construction, Inc. Address: 19 David Strest Fort Walton Beach, FL 32547 Contact: Dave Burleson Subcontractor Information lame: Bayou Mechanical, fac, Address: POBox 36 Crestview, FL 32536 ‘endor Information Names Trane Address! 4932 Tfis Road : Mobile, AL 36619 Angie Carin shall not relieve the subcontr seipt and eccé of materials will remain the Phone: 850-639-5790 Fax: 850-689-5630 Email: __ facinfo@co.okaloosa.fl.us Phone: 850-863-5158 Fax: 850-862-4904 Email: dave@lordandson.com Phone: 850-682-2784 Fax: 850-682-8757 Email: hayoumech@aol.com Phone 251-665-2999 Fax: 251-665-2920 gugie.carineton@trane.com Special Instructions or Directions |BRIEF DESCRIPTION OF MATERIALS Cutter y Conprtodeee Oper atterctcer ofetaih Attach detailed material price list or vendor/supplier quote which equals PO Amount sh Suibcontractor's Authorized Signatie: [vor ‘Material Amount : Freight ____ $0 PO Amount geUS2 00055 | Associated Sales Tax (696) $11,520.00 Total with Tax & Freight $203,520.00) here bor, C 429 Printed Name: Reagan Gir Bin? Lim Lord & Son's Authorized Signatare: Jo Printed Name: Dave Burleson, OKALOOSA COUNTY PURCHASE ORDER NO. 21500218-1 BOARD OF COUNTY COMMISSIONERS "SEND ALL INVOICES TO: i 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 v[ 21500094 FAX: 850-478-5337" | 6 [ oKaLOOSA COUNTY | E DOWDY AND ASSOCIATES, INC. | ADMINISTRATION BUILDING D ae enCOrA PR ensoe 14 P 1250 EGLIN PARKWAY ce) SHALIMAR, Fl. 32579 RL Jt oh | ATIN: if ORDER DATE: 11/13/14 BUYER: NATHANTEL REQ. NO.: Ri500335 REQ, DATE: 11/36/14 | TERMS: NET 30 DAYS [F.0.B.: DESTINATION [DESC.: j . Tema QUANTITY ["UOM | DESCRIPTION UNIT PRICE [EXTENSION ee ACCOUNT PROJECT CODE Eee PAGE TOTAL $ 28,788.00 AMOUNT 3160 3160 562132 562132 -00 28,788.00 q bA-017 TOTAL § 28,788.00 sone Hans OF%, 073, bob AUTHORIZED/APPROVED SIGNATURE Purchase Requisition for ODP Materlals PR: POH: (Wo he completed by Lord £/Sen} (To be completed by Owner) roject Name: Okaloosa County Administration Building Ship To Address: ject No: 1217 Contract #: C12-1995-EM 1250 Eglin Parkway /ENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION ‘Shalimar, FL 32579 Delivery Date: TBD mer Information lames Okaloosa County Beard of County Commissioners Phone; 850-689-5790 dress: 1804 Lewis Timer Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Don Tamer, Director of Facilitics Maintenance facinfo@cc.okaicosa.fl.us. ” 850-863-5158 idress: 19 David Street Faz: 850-262-4904 Fort Walton Beach, FL 32547 Contact Dave Burleson. Emit; _ dave@lordandson.com contractor Information . + Bayou Mechanical, Inc. Fhone: 850-682-2784 POBox 36 Fax: 850-682-8757 Crestview, FL 32536 bayoumech@aol.com 2 Dowdy and Associates Phone: 850-478-6223 dress: 5625 Dixie Drive Suite 14 Fax: 850 478-5337 Pensacola, FL 32563 bbazile@dowdyinc.com direct purchases shall not relieve the subcontractor of delivery schedule or any éther contract requirements under any circumstances, ipt and acceptance of materials will xamain the responsibility of the subcontractor. The ODP program fs for tax savin s purposes ONLY, (Special Instrnetions or Directions pRer DESCRIPTION OF MATERIALS tc, Bower Che. Otin ‘Material Amount (528,788.00 rrget ~ i) . Freight $0.00 Prong, *~ tern Pe myo POAmomt___ S26 78800] , Leta Associated Sales Tax (6%) ______ 81,727.28 Cpr eOtached ’) Total with Tex de Freeh $0515.28 wo) Ee Printed Name: Reagan ae Cin oe CRE. Lord & Son's Authorized Signature: Printed Name: Dave Burleson va OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT PAGE NO. 1 302 N Wilson Street, Suite 203 Crestview, Florida 32536 PURCHASE ORDER NO. 21500211-1 FLORIDA SALE TAX EXEMPT #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 v [012512 BT” oxatoosa counry “| E WARREN HOLLOW METAL DOORS & FRAMES | ADMINISTRATION BUILDING pb FO BOX 18707 P 1250 EGLIN PARKWAY o, PENSACOLA FL 32523 7), SHALIMAR, FL. 32579 R L | 0 LL a ATTN: f ORDER DATE: 11/13/14 |BUVER: NATHANTEL REQ. NO.: 21500336 |REQ. DATE: 11/26/14 TERMS: NET 30 DAYS [F.0.B: DESTINATTON [DEsc.: IreM#] QUANTITY | UOM | WINER DIRECT PURCHASE” DESCRIPTION | UNIT PRICE | EXTENSION aa ITEMa| ACCOUNT AMOUNT PAGETOTAL § 162,812.00 TOTAL § 162,812.00 PROJECT CODE 3160 562132 3160 §62132 -90 162,812.00 q IA-018 A - Kz 2 oC 7 7, eo 7 %, oO > gj : AUTHORIZED/APPROVED SIGNATURE Purchase Requisition for ODP Materials Dates 11/10/2014 PR# Gs POe (To be completed by Lord & Son) (To be completed by Owner) Project Name: Okaloosa County Administration Building * Ship To Address: Project 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 TAddress: 1804 Lewis Tumer Bivd. Suite 100 Pax: 850-689-5630 Fort Walin 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 j 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 Vendor Information -[Name: Warren Hollow Metal Doors & Frames, Inc. Phone: 850-432-9821 Address; 1011 West Texar Drive Fax: 850-432-9823 Pensacola, FL 32501 jCoatact John Griffing Email: johng@warrenhollowmetal.com Owner direct purchaxes shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances, Receipt arid acceptance of materials will remain the responsibility of the subcontractor, The ODP program is for tax savings purposes ONLY, Special Instructions or Directions ot [BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT Hollow Metal/Wood Doors, Frames and Hardware PO Amount $262;812:06, Cttntbr fl (lt Associated Sales Tax (6%) $9,768.72. Cpt ”) Freight "$0.00 Total with Tax & Freight $172,580.72 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) fon, c y F Subcontractor's Authorized Signature: oh Lent Printed Name: Dave Burleson a7 Let cE Lord & Son's Authorized Signature: Printed Name: Leven D. Lord IT

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