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

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 Mutuai Insurance Company, and /or Western Surety Company, for materials and services funished, equipment supplied and/or work up until *Kinal, The undersigned warrants that no assignment of said liens for claims, nov of the right to perfect a lien against said real estate, has or will be made, and that the undersigned has the right to execute this FINAL Waiver and Release; and that all Jaborers, materialinen, and subcontractors employed by the undersigned in connection with the construction of improvements upon the aforesaid premises have been fully paid. _ In Witness Whereof, I/We have executed this instrument under seal this_7 = day of Apel 2013. sy, | MAYA c L TITLE: ( Michael] Wittens. State off President County of OKAlood A. The foregoing instrument was acknowledged to be true and correct before me by TT. wictbhel L2t lusts, who certified under oath that he/she is the Presidew ft , of INSITE Contractors, Inc. , and has full, complete and unbridled authority to execute the foregoing instrument on behalf of INSITE Contractors, Ine, and has executed same on behalf of INSITE Contractors, Inc. this 2.5” day of_ April 2013 ', DORIS M. WESTERFIELD Dotin ated) ud “& Notary Public - Stata of Florida & } : : Notary Publi = My Comm, txalres Jan 25, 2015p 2A Commission #EE 58812 § { Man lh, 19 My Commission Expires: CORPORATE OFFICE 3372 Capital Circle NE Tallahassee, Florida 32308 Phone; (850) 385-5060 * Fax: (850) 385-5420 HOSFORD OFFICE RO. Box 188 Hosford, Florida 32334 Phone: (850) 379-8116 * Fax; (850) 379-8188 FREEPORT OFFICE 140 Industrial Park Road Freeport, Florida 32439 Phone; (850) 835-3500 * Fax: (850) 835-3519 04/15/2013 Okaloosa County 602-C North Pearl Street Crestview, FL 32536 WILDWOOD OFFICE 4208 County Road 124-A Wildwood, Florida 34785 Phones (352} 930-2540 © Fax: (952) 330-2609 PANAMA CITY OFFICE 1602 Bay Avenue Panama City, Florida 32405 Phone: (850} 769-6640 « Fux: (850) 769-7775 FORT MYERS OFFICE 13350 Rickenbacker Parkway Fort Myars, Florida 33913 Phonet (239) 225-0565 * Fax: (239) 225-0564 RE: Okaloosa County, Destin Airport Rehabilitate Runway 14-32 Project To Wham It May Concern: In reference to the above mentioned project C.W. Roberts Contracting, Inc. will maintain General Liability Coverage for a period a two years from the date of project completion as per the project specifications. A certificate of insurance will be sent to Okaloosa County each year stating coverage is in place. Thank you for your attention and If you have any questions please let us know. Sincerely, C.W. Roberts Contracting, Inc. pf Joseph Shuler, RM Turner INSURANCE & BONDING Co 2601 Ball Rd, PO Drawar 230789 TOLL FREE OFFICE FAX WEB Montgomery, AL 36117 Montgomery, AL 36123 1 (800) 828-8015 (334) 244-0004 (334) 244-0350 turnerflrst.com April 15, 2013 Okaloosa County Board of County Commissioners 302 North Wilson Street Crestview, Florida 32536 Re: Rehabilitate Runway 14-32 at Destin Airport in Destin Okaloosa County, Florida Bond Numbers: 58703774 and 016053277 To Whom It May Concern: The performance and payment bond written on behalf of C.W. Roberts Contracting, Inc. for the above project will continue to be in effect for one year after the date of final acceptance. If you need anything further, please give me a call. Regards, Western Surety Company Liberty Mutual Insurance Company nen Renee Ellis, Attorney in Fact A DOLLAR'S WORTH OF SERVICE FOR EVERY PREMIUM DOLLAR. MONTGOMERY «© DECATUR * MOBILE