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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
