Okaloosa County BOCC — 2013 meeting #1141 (date undetermined) — CW Roberts Internal Coordination Sheet_Closeout Checklist_Attorney Email Correspondence_Final Pay Application — reading text

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: C12-1989-AP Tracking Number: VIL Contractor/Lessee Name: CW Roberts Contracting, Inc. Grant Funded: YES_X_NO___ Purpose: Final CO, Final Payment and Closeout Documents for DTS Rehab Runway 14-32 Date/Term: 1, GREATER THAN $50,000 Amount: $381,909.74 [includes retainage of $232,829.23) 2. L] GREATER THAN $25,000 Department: Airport 4F3 OTS 3, [-) $25,000 OR LESS Dept, Monitor Name: Dino Villani Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurer atreguirements are met: — VE pad / ITZ as — le Date: Purchasing Director or designee — Risk Management Review Approved as —— Date: Risk Manager or designee _™. Coun Attorney Review Approved as written: Date: County Aftorney Fallowing Okaloosa County ccoovak Contract & Grant Document has been received: Date: | Contracts & Grants Manager CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: lsh TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office C12: 19 89-Ap Riepg pt SUBJECT: Contract No. MANAGING DEPARTMENT: CONTRACTOR'S NAME: PROJECT TITLE: Clo Roberts lonbrachas, Ine. bYS Aieper t Rehel Kunwar JY~SZ The attached has met the final payment contract requirement in subject contract. l. Final Invoice 2. Completed Contract/Lease Payment Approval Form 3. Close-Out Documents a. Signed Release of Lien b. Proof of Completion Advertisement c. Certificate of Insurance d. Consent of Surety to Final Payment 6. Proof of Performance/Payment Bond Continuation 12 Months Following Final Payment 4, Agenda Request 5. Remarks eZ Lee ~< es EIS DIOL IX] =z °o g IX] Oo ta b/sf3 No O N/A LiL No L /n pre re$s DATE Lori Fox From: Jack Allen Sent: Tuesday, May 14, 2013 5:59 PM Ta: John Dowd; Lori Fox Cc: Richard Brannon Subject: RE: Airport agenda Item approval No sir, on the Change Order as well...CO's are routed in accordance to the authority thresholds prescribed in the Purchasing Manual as rekated to an eisting contract already reviewed by Purch, Risk & Legal. Thanks, Jack From: John Dowd Sent: Tuesday, May 14, 2013 4:57 PM To: Lori Fox Cc: Jack Allen Subject: RE: Airport agenda item approval Lork i rely on Jack to route items requiring my review to me, [tis not necessary for me to review payments. I'm not sure about the Change Order. Thanks, John From: Lari Fox Sent: Monday, May 13, 2013 1:09 PM To: John Dowd Subject: Airport agenda item approval Hello Mr. Dowd, We are preparing to place an agenda item for Change Order #2 and Final Payment to C.W. Roberts Contracting, (nc. in the amount of $304,406.64 (including retalnage} on next week’s BCC agenda and | wanted to verify if this is or is not an item in need of your coordination before it is submitted for placement on the agenda. It has been coordinated with Jack Allen and we will be taking it to Brenda Bailey, Contracts & Grants, but if your coordination is required we would like to deliver it to you this afternoon. Thank you, Lori A. Fox Northwest Florida Regional Airport CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT DATE: 5/29/2013 COMPLETED BY DEPARTMENT VENDOR NAME: CW ROBERTS CONTRACTING, INC VENDOR #: 20101504 CONTRACT/LEASE#: C12-1989-AP TASK COUNTY/FEMA VENDOR BUDGET ORDER # PROJECT # ACCOUNT # AMOUNT $ INVOICE # (Applicable) (i Applicable) DEPARTMENT # Pay App 3-Final 741211 563490 134,172.48 Pay App 3-Final 741221 563490 8,729.08 Pay App 3-Final 741221 563490 6,178.97 Pay App 3-Final 421 2051100 232,829.23 TOTAL $ 381,909.76 APPROVED FOR PROGRESS PAYMENT (lease sign, as applicable and date) DATE: CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MA NAGE ee fA) DATE: VA fo. (2 COUNTY SUPERVISOR/PROJECT MANAGER: TZ ad: DEPARTMENT DIRECTOR: —L, a ee DATE: CO ff el Dino Villani CONTRACTS & GRANT MANAGER: DATE: COUNTY ADMINISTRATOR: DATE: (Payments>$25,000.) i] FINAL PAYMENT FINAL PAYMENT YES NO (Of "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 Agreement) COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: RSH IMPROVING YOUR WORLD 10748 Deerwood Park Bivd. South Jacksonville, FL 32256-0597 904-256-2500 Fax: 902-256-2503 June 27, 2013 Mr, Tracy Stage, AAE Deputy Director Okaloosa County Airports 1701 State Road 85 N. Eglin AFB, Florida 32542 Subject: C.W. Roberts Payment Application No. 3 (FINAL) - Approved Rehabilitate Runway 14-32 FAA AIP 3-12-0020-016-2012 Okaloosa County Contract No. C12-4989-AP RSSH Projact No. 201-0940-010 Dear Mr. Stage, Please find enclosed five (5) signed originals of the contractor's Pay Application No. 3 (FINAL) in the amount of $381,909.76 covering the period from 3/01/13 through 3/17/13 for the referenced project, Based on observations by RS&H staff we believe that the application amount accurately reflects the value of the work performed and accepted through the end of the pay application period. Based on the materials furnished and work performed through the pay application periad, we recommend payment to the Contractor in the requested amount of $381,909.76 per our certification on the included applications. This amount represents a value of the work completed in the included Change Order No. 1 and the release of all retainage. Final project documentation has been included with this package per the specifications. Original Contract Sum: $ §62,671,525.00 Change Order No, 1: $ (194,152,22) Contract Sum to Date: $ 2,477,372,78 Total Completed: $ = 2,477,372.78 Less Previous Payments: $ 2,095,463.02 Invoice Amount (this period): $ 381,909.76 Percent Complete: 100.00% Balance to Finish (incl. Retainage): $ 0.00 Please contact me at phone (904) 256-2192 if you have any questions or comments about this project. | Respectfully Submitted, Project Manager cc: Heather Weigel, John DelGuidice, file APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGEONEOF 2 PAGES 1641078 TO OWNER: PROJECT: APPLICATION NO: 3 Dtstribution to: Okaloosa County Board of Commissioners Deatln Airport Rehabilitate Runway 14«32 [ * _|OWNER 602.N, Peadl SL. [-JARCHITECT Crestview, PL 32536 PERIOD TO: 3/17/2013 CONTRACTOR FROM CONTRACTOR: VIA ARCHITECT; [ ~ |ENGINEER C, W. Roberts Contracting, Inc, Lo} P.O, Box 188 PROJECT NOS: Hosford, Florida 32334 CONTRACT POR: CONTRACT DATE: ° CONTRACTOR'S APPLICATION FOR PAYMENT jon is made for pay , a8 shown below, in connectlon with the Contract. oontevaton Sheet, AIA Cooumant G703, is attachad. The undersigned Contractor certiffes that to the best of the Contractor's knowledge, information and belief the Work aovered by this Application for Payment has been completed in accordance wiift the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Paymont were iaaued and payments received trom the Owner, and that current payment shawn herein Is aow due. CONTRA wYyA ” atti ot me myer tm Roberts Contracting, Ina, - Date; Juna 26, 2013 State of: Florida oflotary Waltindiata of Florida Subsoribed and sworn to aie e this, tr ol dole ata Hinote Notary Public: ciciee ths + My Commisekon BEOI5152 My Commission en ' Expires 12/22/2014 NT In 1 with the Contract Dosuments, based on on-site observationa and the dita 1, ORIGINAL CONTRACT SUM § 2,671,525,00 2, Net eltange by Change Orders Ay (94, TST) 3. CONTRACT SUM TO DATE {Line | + 2} 5 ERSERIP NL 4. TOTAL COMPLETED & STORED TO $ 2471 a 7a 78 DATE = (Calum G on G703) 3. RETAINAGE: a, 10 % of Completed Work $ (Column D +E on @703) b, % of Stored Material $ ‘(Coltitits F on G703) Total Retainage (Lines Sa + Sb or Total in Column 1 of G703) $ 0.00 6, TOTAL EARNED LESS RETAINAGE $ 2diTg72.78 (Line 4 Less Line 3 Total} 7, LESS PREVIOUS CERTIFICATES FOR comprising the application, the Architeot certifies ta tha Owner that to the bast of the itect's knowledge, i and belief the Work has: progressed ag indicated, PAYMENT {Liite 6 fram prior Certificate) $ 2,095,A63.02 the quality of the Wark is in accordance with the Contract Documents, and the Contractor 8. CURRENT PAYMENT DUE 3 S81 909.76 is entitled to payment af the AMOUNT . h 9, BALANCE TO FINISH, INCLUDING RETAINAGE $ 0,00 69 (Ling 3 Jess Line i) AMOUNT CERTIFIED ,........05 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Famoun o differ Fo the attount applied. initial all figures on this Total changes approved He fi it i # that are 0 H ged t ta conform with the amount certified.) int previous mouths by Owner $0.00 30,00 i) he a a Total approved this Month $0,00 HL94 152,29 ag Date: t vy) } y} TOTALS $0,00 $194, 152,22 Th Cerlificata is not ak The AMOUNT oy is payable only ta the mutried hater payment and aoveptanes af payment are without NET CHANGBS by Change Order ($194,152.22) orehudies fo any rights of the Owner or Contractor undet tis Contract, eC ar rrrremreniananates AIADORUMENT G72 «APPLICATION AND CERTIFICATION FOR PAYMENT - 1892 EOIVION «AIA + ©1992 Users may obtuin vaitdatlon of thie document by requesting a campleted AlA Document D401 - Certificatlon of Document's Auth THE AMERICAN INSTITUTE OF ARCHITECTS, 1795 NEW YORK AVE, Nw, WASHINGTON, DC 20008 5242 y from the Lh CONTINUATION SHEET AIA DOCUMENT G703 PAGE 2 OF 2 PAGES ALA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 4 Conteactor's signed certification is attached, APPLICATION DATE: 3/22/2013 In tabulations below, amounts are stated. to the nearest dollar, PERIOD TO: 371772013 Use Column I on Contracts whore variable ratainage for ine items may apply. ARCHITECT'S PROJECT NO: A B Cc D EB E q fl I DESCRIPTION OF WORK MATRRALS TOTAL % . BACANCE RETAINAGE | NO, AC CURRENT ¥ THIS PERIOD PRESENTLY COMPLETED (G+C) TO FINISH. SCHEDULED SCHEDULED APBLICATION . STORED AND STORED (c-@) VALUE VALUE {D +8) {NOTIN TO DATE DOR B) (DHB+#) SEE ATTACHED SCHEDULE 2,671,525.00 2477 872.78 2,096,483.02 7145,080,53 0.00 2,477,S72,.73 100,00% 0,00 4.00 ESTIMATE OF CONSTRUCTION FOR Contrecton GW. Rabaria Contracting, tne, ProjackName $ Cestia Alor Rahobiltito Runway 4-12 Addraax: 3972 Copitel Clrale NB Taltshesse, FL 92405 Primo Contract 4: Yelephane: 860,086,5080 Fin Pro] No, QWR Projant Numtber 1511078 Contest: elaytacwreontezcting.cos FAP NGS Parlod Ending: OUN7HS: Tafaphona: 36D,838,9500 Tyner t Okalgoss County Hoard of Gounly Gamimtyslentars Bay Requast Number: 4a Une fharg Wark tern Geacriptlons Est Walk Usilt Sichartalad Quanilly of Work Coniplated Walite Gf Wark Completed ri No, fo, ay Meza Pine Vata Infrev | ThlePor | Ta bate th Peow This Per Youste Cama BASE plo PADO aA MOGILZATION AND GENERAL CONDIFIGN: Ls a iwocqd.o0] $496,000, : Fiae.ona. 30, F100, | Jpsozz0.2 IAFETY AND SECORITY. Ls. 1 75,000,00| $28,000. r $20,004 $0, 526,000.00 We EAGIESEAS FIELO OFFICE ts i WACd.00] $19,000. . .f $16,000, $4. $10,000.00 P-104-8.2 {rover Suvey AND STAKEOUT Ls 1 ssou0| $42,780. r E $42,760. $a $42,780,00 Ps O5-511. TEMPORARY cans a i 20,000,00( $20,000. |. K $20,000. 30 $20,000.00 (d0,00%8 $085.2 CONSTRUCTION SITE ACCESS Ls 4 15.400,09|" $16,000.00 | Ei 4 $16,000, 30, $18,000,00 PAO PAINTED PAVEMENT MARKING REMOVAL SF al soa} $14,750.00 [ 4.250, 4250.00 __ | se.00 | $12,750,00 ASTHALT PAVEMENT fate EY sé.too) 155[_ $105,500.00 13,500. coaatal 54000; EDIZA H03.100.05 | 1s ij___acon.en| $6,000.00 | _{ $0. saanoon | 190004 | Le 14,040) 475| S48 250 70,087, wAbee } $4125000 | 100do% | Ti 9,100) 30350|_5023,550, 8,264. 305 BBO. $023,680.00 100.00%4 JEKTUMINGUS DASE COURSE Nt 7,200) 57,00| $826,400.00 | Gone ¥4at G00, $85,440, 3629,400,001 100,0055 farruiivnioua Tack CoAT Gat ABA) apo 373,600, 18,400. he $73,600. $0. $73,800.09. 180.00 P-H2OA, IAYY 2c TY HAIATING