Okaloosa County BOCC — May 15, 2013 — CW Roberts Final Payment and Closeout Documents — reading text

Insurance Company. This certificate and the aboye power of attorney may be signed by facsimile or mechanically reproduced:signatures under and by authority of the following vote of the board of directors. of Liberty Mutual Insurance Company at a meeting duly called arid held-on the 12th day of March, 1980, VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company, wherever appearing upon.a certified copy of any power of attorney issued by the company in connection with surety bonds, shall be valid and binding upon the company with the same force and effect as though manually affixed. K 4 IN TESTIMONY WHEREOF, | have hereunto subscribed my name and affixed the corporate seal of the said company, this \eo day of ROT » 20% Gregory W. Davenport, Assistant Secretary day. Mess 30.pm EST on any bus’ To confirm the val 1-610. CONTRACTORS RELEASE OF LIENS NORTHWEST FLORIDA REGIONAL AIRPORT OKALOOSA COUNTY. REHABILITATION OF PUBLIC PARKING FACILITIES CONTRACTOR’S RELEASE OF LIENS STATE OF; __ FLORIDA COUNTY OF: _LEON Before me, the undersigned Notary Public in and for the said County and State personally appeared Chris Sumner, CFO , representing the Contractor — C.W, ROBERTS CONTRACTING, INC. , who being duly sworn according to law deposes and says that all labor, materials, and outstanding claims and indebtedness of whatever nature arising out of the performance of the Contract with OKALOOSA, COUNTY, the Owner, for NORTHWEST FLORIDA REGIONAL AIRPORT REHBAILITATION OF PUBLIC PARKING FACILTIES , Contract No, C12-1939-AP, have been paid in full and that for the final payment in the amount of $ 304,406.64 __, the Contractor releases and discharges the Owner and his authorized representatives from any liens or claims or any nature because of or arising from this Contract and/or its performance, which it has had, has or may have in the future. Sworn to and subscribed before me this 23 day of. tou, 202, (Notary Public) ne ne a te ERENA LNNN MOKENzE MY COMMISSION # ane 2KPIRES Novernber ? , Hinata Sere a ~ My Commission Expires: O13 CONRELNS- PAGE | of 1 AVCON, INC. SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON Ko REQUESTING FINAL PAYMENT STATE OF | glo county or MAH Before me, the undersigned authority, personally appeared hy iinela Mh for ¥ who, being first duly sworn, on oath deposes and says; 1. That_Acme Barreades, Inc, _is/are a/an __ Corporation hereinafter called “Subcontractor” (Individual/Partnership/Corporation) . a 2, the affiantis the Uw) ly” of Subcontractor and Is authorized to make this affidavit, (Owner/Officer) 3. That Subcontractor heretofore entered Into a subcontract with C.W. Roberts Contracting, Inc, hereinafter called "General Contractor”, under Subcontract _1521041-1 , onthe 24 day of February _, 2012_ for Rehabilitation of Public Parking Facilities, Okaloosa County in the amount of $38,444.00 __ to furnish rnaterial, labor or services for the construction of a certain bullding, or repairs, or alterations specifically described in sald subcontract, as amended, 4, Subcontractor has fully completed all work and furnished all materials In accordance with the terms of sald subcontract and all amendments thereto; that all Henors, including, but not limited to all laborers, materialmen and taxes, have been patd in full, except: (List names of fienors and amounts owed} I NV, (a 5. Recelpt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all claims of the Subcontractor agalnst the General Contractor, arising out of, connected with, or resulting from performance of the obligations of the Subcontractor pursuant to sald subcontract and all amendments thereto, Cn. “Parnesoles (SEAL) cafe fe bs Ml, bates (SEAL) (By) "y ul (i Swort to and subscribed ee me this ! eh day of hb flit. Adee , 2013, JY AGL © Aus Novafy Public SUSANG. LEWIS Commision HEE 002641 Expiras June 9, 2015 . poker ratemaetete 04/18/2819 12:12. 586835162 A+ PAK N SHIP PAGE 82/82 APN, 1G 2VE9 1. 90rM Vi RVBERI NY, DTM yok SUBCONTRACTOR’S SWORN STATEMENT TO GENGRAL CONTRACTOR ON REQUESTING FINAL PAYMENT stareor £LUTA®' county or (Made G Bafure me, the undersigned authority, personally appeared eed. Daunte. who, being first duly sworn, an oath deposed and says: 4, That Jerry, Duneinwinc. _Is/area/an. Corporation oO _hereinattar called “Subcontractor”. (individual/@artnerahip/Corporation} 2, The affiantis the gia er of Subcontractor and is authorized to make this affidavit, (Ovner/Officer) 3, That Subcontractor lheretofore entered into a subcontract with C.W. Roberts Contracting, Inc., hereinafter called “General Contractor’, under Subcontract N/A___ onthe Z/day of Ba l , 20_/ for Rehabilitation of Public Parking Facillties, Okaloosa County in the amount of $7, +0 furnish matertal, labor or services for the construction of a cartaln building, or rapalrs, dir alterations specifically described in said subcontract, as amended, 4, Subcontractor has fully completed all work and furnished all materials in accordance with the terms of sald aubcorttract and all armendmants thereto; that all lienors, including, but not limited to all laborers, matedialman and taxes, have been paid in full, except: (List names of flenors and amounts owed) 5. Receipt by the Subcantractor of Final payment, under the eforementioned subcontract, shall constitute a full raledse and discharge by the Subcontractor to the General Contractor of all claims of the Subtontractor against the Ganeral Contractor, arising out of, connected with, or resulting from perfoymance of the obligations of the Subcontractor purspant to sald subcontract and all emendmentsithereto, (SEAL) (Subcontractor) Ze Oe : Solbnadd (SEAL) (By) ry Sworn to and subscribed befbra me this 1 dayot Lye: | , 2018, DB antaa td ‘Mbt Notary Public hl, DARBABAA. A.MOKINNEY xP P Ay COMMISSION HEBERT 5 * “EypIRES: January 7, 2015 % BS (bevdad Tiny Budget littry Services “Meog ps 2013-04-18 10:42 Pale >> = 18503855605 SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT stare or Thi Ac county of JOU r . t Before me, the undersigned authority, personally appeared Lisa $.& Seddon who, being first duly sworn, on oath deposes and says; 4, That_Goodson Gantractors, Ine, _Is/are o/an_ Corporation called “Subcontractor”, herelnafter (ndividual/Partnershlp/Corporation) 2. The afflant Is tha Qunts of Subcontractor and is authorized to make this affidavit. (Owner/Officer) That Subcontractor heretofore entered into 4 subcontract with C.W. Roberts Contracting, Inc., hereinafter called “General Contractor”, under Subcontract 1511041, on the_21._ day of Fabruary , 2012_ for Rehabilitation of Public Parking Facilitles, Okaloosa County In the amount of _$1,275,00 to furnish material, labor or services for the construction of a certaln buliding, or repalrs, or alterations specifically described In said subcontract, as amended. 4. Subcontractor has fully completed all work and furnished all materiale in accordance with the terms of sald subcontract and all amendments thereto; that alt [lenors, Including, but not fimlted to all laborers, materialmen and taxes, have been pald In full, except: (List names of flenors and amounts owed) 5. Racelpt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all claims of the Subcontractor against the General Contractor, arising out of, connected with, or resulting from performance of the obligattons of the Subcontractor pursuant to sald subcontract and all amen (By) ° Sworn te "A fe. before me.this / % day of Apart , nts thereto, aint aula Ao. dexsenr) (Subcontra . (SEAL) unl tn, we Hy C4 Gk. > s. Sheebiae “% Notary Public = eo ot & doca BG3 Wann ine S54 tse ae ‘ id From: 850 729 2460 04/18/2013 13:48 #889 P.002/002 SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT sTaTeor Floatda COUNTY OF OK tosba, Before me, the undersigned authority, personally appeared aq len & eke who, being first duly sworn, on oath deposes and says: 1, That Gustin, Cothern & Tucker, Ing. is/are a/an_ Corporation hereinafter callad “Subcontractor”, (Individual/Partnership/Corporation) 2. The afftant is the Preaid ext of Subcontractor and Js authorized to make this affidavit. (Owner/Officer) 3, That Subcontractor heretofore entered into a subcontract with C.W, Roberts Contracting, Inc., hereinafter called “General Contractor”, under Subcontract 1511041.4__, on the 24 day of February , 2012_ for Rehabilitation of Public Parking Facilities, Okaloosa County inthe amount of _$15,600 to furnish materlai, labor or services for the construction of a certaln bullding, or repairs, or alterations specifically described in said subcontract, as amended, 4, Subcontractor has fully completed all work and furnished ail materials in accordance with the terms of said subcontract and all amendments thereto; that all lanors, including, but not Umited to all laborers, materlalmen and taxes, have been paid in full, except: (List names of lienors and amounts owed} 5, Receipt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all clairns of the Subcontractor against the General Contractor, arising out of, connected with, or resulting from performance of the obligations of the Subcontractor pursuant to said subcontract and all amendments thereto, apeoipn.. (SEAL) a) n.npfh. wenn fj Nal (SEAL) (By) Alley &. Tucker, President sw foe before me this \ 2 th. day of, Qe wh , 2013. A rs - — Public MY COMMISSION # EE 062604 EXPIRES: November 24,2010 [P Booéed Thr Notary Pubic Underntkars UNCONDITIONAL WAIVER AND RELEASE OF LIEN The undersigned lienor, being PAID IN FULL hereby UNCONDITIONALLY waives and releases its tien and rights to claim any Wens for labor, services, or materials furnished to Personal Home Builders on the job of Okaloosa County to the following described property: NORTHWEST FLORIDA REGIONAL AIRPORT REHABILITATION OF PUBLIC PARKING FACILITIES S DATED on April 08, 2013 ~ of “] lee Pe a, iif i / >. Ll Lod BV) rr It’s:__President Firm: __ Sheet Metal Masters, inc. Address: _ 3537 North W Street Pensacola, FL 32505 C. W. ROBERTS CONTRACTING, INC, P.O. BOX 16279, TALLAHASSEE, FL 32317 FINAL WAIVER AND RELEASE OF CLAIMS INCLUDING LIEN AND BOND CLAIMS Know all men by these presents, that Personal Home Builders, Ine,, in consideration of payment in the sum of $81,992.66 receipt of which is hereby acknowledged, docs hereby waive, release, and quit claim all liens, lien rights, claims or demands of every kind whatsoever which the undersigned now has, or may heveafter have against Okaloosa County Board of County Commissioners and C, W. Roberts Contracting, Inc, And its surety Liberty Mutual Insutance Company, and /or Western Surety Company and that certain zeal ostate and the improvements thereon, situated in Olcaloosa County, Rlorida and legally described as Rehabilitation of Public Parking Vaeilities_on account of work and labor performed, and/or matesial furnished in improving sald property above described through *Einal. . It being the understanding of the undersigned that this is a Waiver and Release of all liens described herein, and release of Okaloosa County Board of County Commissioners and C. W. Roberts Contracting, Inc, and its surety Liberty Mutual Insurance Company, and /or Western Surety Company, for matocials and services furnished, equipment supplied and/or work up until final. ‘The undersigned warrants that no assignment of said liens for claims, nor of the right to perfect a lien against sald real estate,