READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — May 15, 2013 — CW Roberts Final Payment and Closeout Documents — reading text
Part 1 of 7. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 32-CW Roberts Final Payment and Closeout Documents.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number:_C12-1939-AP Tracking Number: Ma
Contractor/Lessee Name: CW Roberts Contracting, Inc. Grant Funded: YES X_NO___
Frpose LFinal CO, Final Payment and Closeout Documents for Rehab of Public Parking Facilities
at VPS
Date/Term: 1, GREATER THAN $50,000
Amount: $304,406.64 2. [) GREATER THAN $25,000
Department: Airport VPS 3. [J $25,000 OR LESS
Dept. Monitor Name: Dino Villani
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
cae cai SIS
| Purchasifig Director or designee
Risk Management Review
a roved as written:
a Date:
Risk Manager oPdesignee
County Attorney Review
Approved as written:
Date:
| County Attorney
Following Okaloosa cov oma
Contract & Grant
Document has been received:
Date:
Contracts & Grants Manager
(To Be Prepared by the Purchasing Services Coordinator)
pate: 3y Sg) 3
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: ContractNo, C/2-/F3A-AP
MANAGING DEPARTMENT: _44%pon/-
CONTRACTOR'S NAME: Clo Koberts Confrose Wile
PROJECT TITLE: heheh of Publp: [ar fons Facilities @ Mita
The attached has met the final payment contract requirement in subject contract.
Yes No
1. Final Invoice ma CI
2. Completed Contract/Lease Payment Approval Form Ee oO
3; Close-Out Documents Yes No N/A
a. Signed Release of Lien nue C] im
b. Proof of Completion Advertisement cae CJ C]
c. Certificate of Insurance Ky [J CI
d. Consent of Surety to Final Payment EY | im
e. Proof of Performance/Payment Bond rea im im)
Continuation 12 Months Following
Final Payment
Yes No
4, Agenda Request a LJ
5. Remarks
CELL UE- Z7E
B Casing Services Coordinator DATE
AVCON, INC.
ENGINEERS & PLANNERS
320 Bayshore Drive, Suite A
Niceville, Florida 32578
Phone: (850) 678-0050
Fax: (850) 678-0040
www.avconinc.com
2010.050.02/payapplication/PayApp10 Final-Transmittal
April 30, 2013
Mr. Tracy Stage, A.A.E.
Airports Deputy Director
Okaloosa County Airports
1701 State Road 85 N.
Eglin Air Force Base, Florida 32542
Reference: Pay Application No. 10 - Approved
Rehabilitation of Public Parking Facilities project at
Northwest Florida Regional Airport
Okaloosa County Contract No. C12-1939-AP
Dear Mr. Stage:
Please find enclosed five (5) signed copies of the contractor’s final Pay Application No. 10 in the amount of
$304,406.64 covering the period from 12/1/12 through 1/13/13 for the above-referenced project.
Based on observations by our staff, we believe that the application amount accurately reflects the value of work
performed and accepted for this contract. Based on the materials furnished and work performed, we
recommend final payment to the Contractor in the requested amount of $304,406.64 per our certification
on the enclosed applications. The amount includes release of all retainage. The payment summary is as
follows:
Total Earned: $ 1,922,885.50 Original Contract Amount: $ 2,350,450,00
0% Retainage: $ — C.O. #1 (9/6/12): $ (7,868.91)
Total Earned Less Retainage: $ 1,922,885.50 C.O. #2 (3/19/13): $ (419,695.59)
Less Previous Payments: $ 1,618,478.86 Revised Contract Amount: $ 1,922,885.50
Invoice Amount (this period): $ 304,406.64 % Complete: 100.00%
The following documentation has been provided by the Contractor as part of the close-out process and is
enclosed for your records:
* Consent of Surety Company to Final Payment (1 copy)
¢ Final release of liens from C. W. Roberts Contracting, Inc. (1 copy)
e Final release of liens from Acme Barricades, Inc. (1 copy)
¢ Final release of liens from Jerry D. Duncan, Inc. (1 copy)
¢ Final release of liens from Goodson Contractors, Inc. (1 copy)
¢ Final release of liens from Gustin, Cothern & Tucker, Inc. (1 copy)
Final release of liens from Sheet Metal Masters, Inc. (1 copy)
Final release of liens from Professional Home Builders, Inc. (1 copy)
Final release of liens from Bill Smith Electric, Inc. (1 copy)
Final release of liens from Goodson Contractors, Inc. (1 copy)
Final release of liens from Insite Contractors, Inc. (1 copy)
CIVIL & STRUCTURAL ENGINEERING M AIRPORT & AVIATION CONSULTING ™ TRANSPORTATION DESIGN & PLANNING
Mr. Tracy Stage, A.A.E.
April 30, 2013
Page 2
Final release of liens from Ingram Signalization, Inc. (1 copy)
Final release of liens from Guettler & Guettler, Inc. (1 copy)
Notice of Completion Advertisement (1 copy)
Statement from Surety that Payment and Performance bonds will remain in effect for one (1) year
following final payment (1 copy)
Statement of DBE participation from Anderson Columbia Co., Inc. (1 copy)
Statement from C.W, Roberts Contracting, Inc. that liability insurance is written on a per “occurrence
basis.” (1 copy)
Certificate of Liability Insurance (1 copy)
Engineer’s Certification (1 copy)
Please note that Pay Application No. 10 was originally submitted by the contractor on March 20, 2013 and was
rejected due to a typographical error. The revised pay application was submitted today.
Three (3) copies of the final closeout documents, including the closeout book and record drawings, will be
submitted under a separate cover.
If you have any questions regarding this project, please do not hesitate to contact us at your convenience.
Sincerely,
AVCON, INC.
Jeb Clon
John Collins, P.E.
Project Manager
Enclosures
CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
DATE: 5/1/2013
VENDOR NAME: CW Roberts Contracting, Inc. VENDOR #: 20101504
CONTRACT/LEASE#: C12-1939-AP Rehab of Pub Parking Facilities
TASK COUNTY/FEMA
VENDOR BUDGET
INVOICE # ORDER # PROJECT # — | pppartTMEeNT#| SCCOUNT# AMOUNTS
Of Applicable) (f Applicable)
Pay App 10 Final 741110 563485 112,118.09
Pay App 10 Final 74026 363490 6,228.79
Pay App 10 Final 74026 563490 6,228.78
Pay App 10 Final 421 2051100 179,830.98
TOTAL | $ 304,406.64
APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE:
COUNTY SUPERVISOR/PROJECT MANAGER: DATE:
DEPARTMENT MANAGER: CN tage DATE: 6° 2:73
DEPARTMENT DIRECTOR: i—= EE Ding Ue DATE: Solos
CONTRACTS & GRANT MANAGER: DATE:
COUNTY ADMINISTRATOR: DATE:
(Payments> $25,000.)
=
FINAL PAYMENT
FINAL PAYMENT YES Ko. Cf "Yes", forward to Purchasing Services Coordinator for Close-Out)
DATE: PURCHASING DIRECTOR:
(Per Initial Agreement)
DATE: ' CONTRACTS & GRANTS MANAGER:
(All Contracts)
DATE: COUNTY ADMINISTRATOR APPROVAL:
(Per Initial Agreement)
DATE: BOARD APPROVAL:
(Per Initial Agreemeni)
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWD BY:
Rehab of Publlo Parking FAditiee
CContraot Amount:
North Parking Lot (VPS)
$1,922.828.80
[Payee inv # Date] Gross Amount | Lass Relamnage | Net Pald Balance | % Complete]
WV Roberls Gent
iai20i2|Pay App s_| 4ta20i2] 20,953.50 2,885.05 26,958.15. $0.00 4 Original Contract Sum 2,350,450.00
sresia0i2|Pay Apo 2 | szsaoi2| ia5aeoaz | is.sda9a | 12194009 2 Net Change By Change Orders 427,864.50
e26/2012|Pay Appa | evzvizor2| 2sag0ssa | 75,000.04 | r26.a1805 3 Contract Sum to Date 1,022,885.50
so2012[Pay App 4 | 7762012] 400,542.28 40,054.33 280,468.05, 4 Total completed and Stored to Date (Calumn G on G703) 1,922,885.50
arzor2oi2|Pay App é | 8/21/2012] 174,430.04 17,448.99 156,985.95, 5 Retainage
wieoialpay Apps | sriamzoi2| oa.reses | 9,916.60 | 63,040.06 a. 10% of completed Work (column 0+ Ean 2708) 0.00
40/18i2012|Pay App? | to/tor2012| 108,193.40 16,819.34 149,574.12 b, = % of Stored Material — (coumn F on 703
wiinerora|Pay apes [irvzanoi2| atzetes4 | s17o1.e7 | 20685407 Total in Column | of G707 0.00
12ideaiajPay App 9 | iztea012] 290,004.96 23,000.43 207,003,03 6 Total Earned Less Retalnage 1,922,885,50
arsoreota|Pay App to | siuzots| i24a7aes | r7oasoee | 0440864 7 Less Previous Certificates for Payment 1,618,478.86
8 Current Payment Due 304,406.64
9 Balance to Finish, Including Retainage 0,00
TOTAL] § 1,922,886.60 $1,022,088, 50 | $ 100.0%]
Contract Amount - Gross Amount
Balance to Flniatt $0.09
Contract Amount - Nel Patt
Balance to Finteh $0.00
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGEONEOF 2 PAGES 1811041
TO OWNER; PROJECT: APPLICATION NO: 10 Revised w= Distribution to:
Okaloosa County Board of Commissioners Rehabilition of Public Parking Facilities. [= Jowwar
1804 Lewis Tumer Blvd. Suite 100) (_Jarcurecr
Ft. Watton Beach, FL 32547 PERIGD TO: 13/2013 ge (#_]conrractor
FROM CONTRACTOR: VIA ARCHITECT: (_Jencinerr
C. W. Roberts Contracting, Inc. 2"
P.O. Box [88 PROJECT NOS;
Hosford, Florida 32334
CONTRACT FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT ‘The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract. information and betief the Work covered by this Application for Payment has been
Continuation Siieet, AIA Document 0703, is attached completed in accordance with the Contract Documents, tint all amounts hive been paid by
the Contractor for Work for which previaus Certificates for Payment were iasued aid
payments received from the Owner, and that eurrent payment shown horein is now due.
1, ORIGINAL CONTRACT SUM $____2,350,450.00 ~ CONTRAGTOR; C..W. Roberts Contracting, Ine,
2. Net change by Change Orders § (427,564 SO) ae
3. CONTRACT SUM TO DATE (Line 1 +2) Sr
4, TOTAL COMPLETED & STORED TO § 522 785.50, “ By; Date: March 20, 2013
DATE — (Column G on G703) ert 7
5. RETAINAGE; A {Pee se weeny Ruows!)
a.__0 %of Completed Work $ 0.00 7 County ss -
‘Colima D +E on G703) d sfipduipnefore me skis” S<ZOUN dy of ggutdigg |S PATRICIA A. LINGH oy
b, % of Stored Material 8 3 i Seay “
‘Cohemn F on G703) ~ My Commissiod expres: 4 ef Expl
‘Tota! Retainage (Lines Sa + Sb or ” ond Ty Fe earn OSE
Total in Column 1 of G703) $ 0.000"
6. TOTAL EARNED LESS RETAINAGE 3 T0232 885.50" —n necordance with the Contract Documenis, based on on-site observations and the data
(Line 4 Less Line 5 Total} ee comprising the application, the Architect certifies to the Owner that ta the best of the
7. LESS PREVIOUS CERTIFICATES FOR Architect's knowledge, information and belief the Work hes progressed as indicated,
PAYMENT (Line 6 from prior Certfiente) 3 1,618,478,.864-~ the quality of the Work is in accordance with the Contract Documents, and the Contractor
8, CURRENT PAYMENT DUE $C is entitted to payment of the AMOUNT CERTIFIED,
9, BALANCE TO FINISH, INCLUDING RETAINAGE $ 0.00 pe"
AMOUNT CERTIFIED «0.0... 8 204. nob loy
(Line 3 less Line 6)
(Auach explanation (f amount certified differs from the amount applied, knittal all figures on this
CHANGE ORDER SUMMARY. DDITION: DEDUCTION:
Total changes approved Application and onthe Continuation Sheet that are changed to conform with the amount certified )
in previous months by Owner $0.00 $7,868.91 | ARCHITECT:
‘Total approved this Month $0,00 $419,695.59] By: Aco Latha Date: 4- JO-13
a
TOTALS $0.00 $427,564.50 ],-- This @€rtificate is net negotiable, The AMOUNT CERTIFIED 4s payable only to the
‘Contractor named nerein, Issuance, payment atid acceplance of paynient are without
NET CHANGES by Change Order ($427,564.50) Je“ prejudice to any rights of the Owner or Contractor incler this Contract.
“BA DOGUMERT 6702 APRUCATION AND CENVEATION FUR PAVAENT “TES2EOTION- A> THEE THEAHERN STINE OF ANGTECTS,TaDNEW VORKAVE, HW, WAGHINGTON, DE 20062
Users may obtain valldatlon of thls document by requesting a completed AIA Document D401 - Certification of Document's Authenticity fron the Licenses.
Fo fs
Lge 4
CONTINUATION SHEET
AIA DOCUMENT G703
PAGE 2 OF2 PAGES
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing,
Contractor's signed certification is auached,
1m tabulations below, amounts are stated to the nearest doltar,
Use Column I on Contracts where varinble relaiuage for tine tems may apply
"APPLICATION NO: 10 Revised
APPLICATION DATE; 372072013
PERIOD TO;
