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

OF; _be0n Before me, the undersigned Notary Public in and for the said County and State personally appeared , 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 Ckaloosa County , the Owner, for Destin Airport Rehabilitate Runway 14-32 Contract No. , have been paid in full and that for the final payment in the amount of $ 381,909.75 , 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 on LLL future. Sworn to and subscribed before me this | | day of Aor ,20\> Qa hy (N otary Public) My Commission Expires: [ I. ZA 2 4 peo ieyhe” : wane soe Ete Soph OKALOOSA COUNTY ROL-1 RELEASE OF LIENS DESTIN AIRPORT BID DOCUMENTS REHABILITATE RUNWAY 14-32 JUNE 2012 RECEIVED APR { & 2813 FINAL RELEASE OF LIEN The undersigned Lienor, In consideration of _ the final payment, hereby received, in the amount of $9,655.00 hereby waives and releases its lien and right to claim a lien for labor, services or materials furnished to Bearden Construction Co,, Inc. on the Rehabilitation of Runway 14-32, Destin Airport, Destin FL for the Okaloosa County Board of Commissioners and CW Roberts Contracting, Inc. Dated on [2 Ape , 20 3 ‘ Company Name: Insite Contractors, Inc, By: SLA Lite a Printed Name: NM LAL Mi 744 LAM iting State of: FL County of ay, f boos A a ; The foregoing Instrument, was oro nedged before ps this / Z day of Apes / } 20_/.3 py Michael Willdfras who is (esi tes F_ of said company. He/She isBersonally known¥o0 me or has produced as identification. My Commission Expires:s Yu, 25 ws Not lic. . >y) _ ro signs ZE Jealif ] Print: boris Washer rach ast ball wttlelts, Tee, —«OORIS M. WESTERFIELD | .: ( a "é Notary Public - State of Florida a sé My Comm. Expires Jan 25, 2015 b ERS Commission # EE-58612 FINAL RELEASE OF LIEN The undersigned Lienor, in consideration of _ the final payment, hereby received, in the amount of $12,375.00 hereby waives and releases its lien and right to claim a fien for labor, services or materials furnished to Bearden Construction Co., Inc. on the Rehabilitation of Runway 14-32, Destin Airport, Destin FL for the Okaloosa County Board of Commissioners and CW Roberts Contracting, Inc. Dated on Roe gt 2013 Company Name: Daniel S. McLellan Electrical “By: micas. Printed Name: = _Tnwel 9, MSC lel law State of: E = County of O KalooSa_. ie The foregoing instrument was acknowledged before me this / g , day of Kor ’ 20 \D_ by Danie tS, WoChelan who is Presithe nk of said company. He/She i personally known} to me or has produced FL. Du. as identification, My Commission Expires: A/a [20] i Notary Public: Ny Sign: Care, OF [Mrades/ gi, CAROLYN L. MOODY Re e it §@ 2: MY COMMISSION # DD978227 print: Ca. colun, Le. M\ Ay BRS EXPIRES April 04, 2014 sy Soe "4 . (407) 398.0159 FlorldaNataryServive.com credit: 04/22/2013 process: 04/22/2013 lackbox: 29160 batch: 659 Item: 8 FINAL RELEASE OF LIEN The undersigned Llenor, In consideration of the final payment, hereby received, in the amount of $41,819.70 hereby walves and releases its Hen and tight to clatma llen for labor, services or materials furnished to Bearden Construction Co. Inc, on the Rehabilitation of Runway 14-32, Dastin Airport, Destin FL for the Okaloosa County Board of Commissioners and CW Robarts Contracting, Inc. Dated on Alec Hs , 20 \% Company Name: ADB Airfield Solutions | By: 0 (Are, btn Presee Mar Printed Name: aN one Caton State of: Owe County of; En MAD The Farggoln Instrument was acknowledged before me this A day of Oc \ \ ' 20_ A yby LOC E wenten who is RRO sai ,of said company. He/She is personally known to me or has produced \ f\ as idehtification. or, - | My Commission Expires: (58 | | “{ Notary Nik /} Ah Sign: iy ; Od ‘ , . : Lee Prints \\sclve \\ £ sc moar a tltllitiny, ' Pen, Sey, WICHELLE NORMAN Se #3 Notary Publ, Stale o 7 a* Yo# Ny Commission Expires Page 38 of 46 lor C, W. ROBERTS CONTRACTING, INC. P, O, BOX 16279, TALLAHASSER, IL, 32317 CONDITIONAL FINAL WAIVER AND RELEASE OF CLAIMS INCLUDING LIEN AND BOND CLAIMS Know all men by these presents, that Acne Barricades, in consideration of payment in the sum of $244.90 seceipt of whitch is hereby acknowledged, does hereby waive, release, atid quit claint all liens, lien rights, claims or demands of every kind whatsoever which the undersigned now has, or may hereafter have agalnst Okaloosa County Boatd of County Commissloners and C, W, Roberts Contracting, Inc, And ils surety Liberty Mutual Insurance Company, and for Western Surety Company and that certain real estate and the Improvements thereon, situated in Okaloosa County, Movida and legally deserlbed ag Destin Alypoxt Rehabilitate Rumvay 14-32 on account of work and labor performed, and/or materlal furnished in improving said property above described through *Tinal. It belng the understanding of the undersigned that this isa Waiver and Release of all liens desoribed herein, and release of Okaloosa County Board of County Commissioners and C, W. Roberts Contracting, Ine, and its surety Liberty Mutual Insurance Company, and /or Western Surely Company, for materials and services furnished, equipment supplied and/or work up until *Fingl, The undersigned warrants that no assignment of sald liens for claims, nor of the ilght fo perfect 4 lien against said real estate, has or will be made, and that the undersigned has the rlght to execute this FINAL Waiver and Release; and that all laborers, materlalmen, and subcontractors employed by the undersigned in connection with the construction of improvements upon the aforesald promises have been fully paid, wy Hy yijiness Whereof, I/We have executed this Le under seal this f day of prt 20 ky BY: WA mi a A loners TITLE: Adland alfa y i f f ‘State of Ny Wy, plea County of Dunes he folegoing instrument was acknowledged to be true and correct before Nera \ Lye who corlified under oath that he/she Is the (hel ANWR of + Acme Barricades Ci. and hes fall, complete and unbridled authority to execute the foregoing instrument on behalf of Aome Barricades and has executed satne on behalf of Acme Barriendes this (Ws day of Conte 265 f \ ; ‘ renureanony ANAM (Ves SUSAN C. LEW:S f Notar§Publie , ) <7 <7 ie Pa va Ip 4-14 My Commission Expires: ; die, eA." Commission i EE 092641 jh thaaek Expires June 9, 2015 Wee els EXD ss70 iM ARSE RS Gpadas Ti Tiny Pann teeavn HO 7319 B eo coance tgckmannrea yale tates - Yinceeees es 2013-04-46 43:16 “ "pe" 18509858420 vor " p22 {O18 C..W, ROBERTS CONTRACTING, INC. P. 0. BOX 16279, TALLAHASSEE, FL 32317 CONDITIONAL FINAL WAIVER AND RELEASE OF CLAIMS INCLUDING LIEN AND BOND CLAIMS Know all men by these presents, that Goodson Contractors, Inc, in consideration of payment In the sunt of $3,020.10 receipt of which is hereby acknowledged, dosa hereby waive, release, and quit claim all Liens, Hien rights, claims or demands of every kind whatsoever which the undersigned now has, ot may hereafter have against Okaloosa County Board of County Commissioners and C, W. Roberts Contracting, Inc. And its surety Liberty Mutual Insurance Company, and /or Western Surety Company ans that certain real estate and the improvements thereon, situated in. Okalooga County, Florida and legally dosoribed as Destin Airport. i wav 14-32 on account of work and labor performed, and/or material furnished _in improving said property above described through "Final. it being the understanding of the undersigned that this is a Waiver and Release of all lions described herein, and release of Okaloosa County Board of County Coramissioners and C. W. Roberts Contracting, Inc, and its surety Liberty Mutual Insurance Company, and /ox Western Surety Company, for materials and services furnished, cquipment supplied and/or work up wotll *Binal. The undersigned warrants that no asalonment of said Hens for claims, not of the ight to perfect a lien against anid xoal estate, has or will be made, and that the undersigned has the right to exeoute this FINAL Waiver and Release; and that all faborers, materiaimen, and subcontractors employed by the undersigned in connection with the construction of jraprovements upon the aforesaid premizes have been fully paid. f Witness Whereof, I/We have exeouted this ingtrument under sea! this day of i 20.15: ove occa. DR &bicboo— TNTCE: (7p yt33 d= State of ij Courty of Tha foregoing instrument was acknowledged to be true and correct before me by _. who certified wader oath that he/she is the , of Goodson Contractors. Inc as and has full, complete and unbridled authority to execute the foregoing instrument on behalf off Goodson Contractors, Inc, and has ’ Goodson Contractors Ine. this_ day axeouted same on behalf of Goo 0 of . Notary Public My Commission Expires: BGA HVAG {RGOARG EOS Page 2se RELEASE OF CLAIMS CONTRACTOR’S RELEASE UNDER CONTRACT: KNOW ALL MEN BY THESE PRESENTS: In consideration of the premise and the sum of One Hundred Thirty Nine Thousand Three Hundred Ninety One($139,391.54 ) 254 lawfvl money of the United States of America (hereinafter called the"Govermmet(") “ero Mommies. ($_00,00 ) of which has already beon paldand One Hundred, and Thirty Nine Thousand Three. Hundred and Ninety One Dollars and Fifty Pour ($139,391.54 ) of which is to be paid by the Governmant under the above mentloned contract, The undersigned Contractor does, and by the receipt of sald sum shall, for itself, Its successors and axsigns, remise, release and forever discharge the Government, its officors, agents and employees, of and from all Iabilities, obligations and claims whatsoever in law and in equity under or arising ont of said contract, except specified clalme in stated arnounts, or in estimated amounts when the amounts are not susceptible of exact statement by the Contractor, as follows: IN WITNESS WHEREOF, this release has been exceuted this__26 day of March 2013 Witnesses: i Inc. CONTRACTOR <a! BY, Tes.Le Wash ington nit, President CERTMICATE | begs C. Iasi int Gtdrey cortify that Lam the the S10 Baty / secretary of the corporation named as Contractor in the foregoing release: that, aie fC. Wasa ier a, who signed said release on behalf af the Contractor was then, fie tO hele of sald corporation: that said release was duly signed for and in behalf of said corporation by authority of it's governing body and is within the scope of its corporate powers, CORFORATH SRAL Yee fo7lS 1O16 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 Gustin, Cothern & Tucker, in consideration of payment in the sum of $2,100.00 receipt of which is hereby acknowledged, does hereby waive, release, and quit claim all liens, lien rights, claims or demands of every kind whatsoever which the undersigned now has, or may hereafter have against Okaloosa County Board of County Commissioners and C, W. Roberts Contracting, Inc. And its surety Liberty Mutual Insurance Company, and /or Western Surety Company and that certain real estate and the improvements thereon, situated in Okaloosa County, Florida and legally described as Destin Airport Rehabilitate Runway 14-32 on account of work and labor performed, and/or material furnished in improving said property above described through *Final. 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 materials and