Okaloosa County BOCC — December 2, 2014 — SO Building - Deductive Change Order 14-04

CHANGE OWNER Oo ORDER ARCHITECT oO CONTRACTOR B FIELD a AlA DOCUMENT G701 (Modified) OTHER im) PROJECT: New Office Addition at the Okaloosa County Sheriffs Office in Shalimar CHANGE ORDER NUMBER: Four (4) (name, addressy 50 2" Street DATE: 17 Nov 2014 Shalimar, FL 32579 TO CONTRACTOR: ARCHITECT'S PROJECT NO: 14007 {name, address) Lord & Son Construction, inc. CONTRACT DATE: May 12, 2014 Post Office Box 1808 Fort Walton Beach, Fl. 32549 CONTRACT FOR: CM @ Risk Services The Contract is changed as follows: Deletion of cost for materials being purchased directly by Owner in accordance with attached breakdown, which will be referenced on Application for Payment as Group 1. Group 1 - Material (399,786.06) Not valid until signed by the Owner and Contractor. The original (Contract Sum) WaS.............0-cc:ccsessssrssesssssseseesasetrescenaenassssessenesnees $10,000.00 Net change by previously authorized Change Orders. ....ccscsecssoueeesen $1,472,114.00 The (Contract Sum) prior to this Change Order Was ...........ccccsccssserseenseesnesenceeatese $1,482,114,00 The (Contract Sum)) will be (decreased) by this Change Order in the amount of ($399,786.06) $1,082,327.94 The new (Contract Sum) including this Change Order will be ...............:-cc:secesneseee The Contract Time will be changed by: N/A The date of Substantial Completion as of the date of this Change. Order therefore is: Per Contract NOTE: This. summary does not reflect changes In the Contract Sum, Contract Time or Guaranteed Maximum Price which have been authorized by Construction Change Directive. DAG Architects, Inc. Lord & Son Construction, Inc. Okaloosa County BOCC Architect Contractor Owner 1223 Airport Road Post Office Box 1808 1804 Lewis Tumer Bivd., Ste. 100 Destin, FL 32544 Fort Walton Beach, FL 32549 Fort Walton Beach, FL 32547 Address a 7? yy iam Address By. By, By, Charles W. Clary lll, FAI Leven D. Lord Il Kelly Windes Architect President Chairman Date: lf /t Ul 4 Date: “i Wh, hh f Date: AIA DOCUMENT G701 » CHANGE ORDER - 1987 EDITION « AIA - 1987 » THE AMERICAN INSTITUTE OF ARCHITECTS 1755 NEW YORK AVE, NW., WASHINGTON, DC. 20006 G701-1887 (Modified) Okaloosa County Sheriff's Office 41/17/2014 Payment Summary LS. [County County | yangor Subcontractor / ree Pay App | _ Freight ' |) Sales Pay App Total with Tax PayApp |. Bing PR# PO# Verdor # ra Freight) Line Item Amount : _ Tax Amount Line Item & Freight Line Item Change: ee oe S Order: LS-002 |21401776-2}21400293 | Kirby Bldg. Systems Lord & Son $211,250.00 CO4-A $4,752.00 $12,389.88 C02-2 $223,639.88 CO1-A 4 LS-003 |21401941 |21300731 |Mowrey Elevator Lord & Son $12,512.50 c04-B $0.00 $750.75 CO2-Z $13,263.25 co1-B 4 LS-004 21401961 |20800839 |Big Bend Rebar Lord & Son $22,085.00 C04-C $0.00 $1,325.10 C02:2 $23,410.10 CO2-G 4 LS-005 |21500090-1 |20300333 [Ferguson Enterprises Southern Plumbing & Gas $20,367.00 c04-D $0.00 $1,222.02 CO02-Z $21,589.02 c02-T 4 LS-006 }21500089-1|00015389 Fire Constrol Systems Harrington Electrical $6,395.00] CO4-E $0.00) $383.70 C02-Z2 $6,778.70 CO12-V 4 LS-007 |21500088-1 |002701 United Lighting & Supply | Harrington Electrical $26,500.00) CO4-F $0.00) $1,590.00 C02-Z $28,090.00 CO12-V 4 LS-008 |21500085-1 |002701 United Lighting & Supply | Harrington Electrical $6,950.00 C04-G $0.00 $417.00 CO2-Z $7,367.00 CO12-V 4 LS-009 |21500092-1]20800010 |Ready Mix USA Meso neete & $41,975.00] © CO4-H $1,575.00] $2,424.00) CO2.Z $44,309.00 |... CO2-F 4 LS-010 |21500147 |20300333 |Ferguson Enterprises H&T Contractors $17,691.56 CO4-I $0.00 $1,061.49 02-2 $18,753.05 c02-D 4 LS-011 |21500212-1 |012512 Warren Hollow Metal Doors|Lord & Son $34,060.00 CO4-J5 $0.00 $2,043.60 C02-2 $36,103.60 CO2-M 4 $399,786.06 $6,327.00 $23,607.54 $423,393.60 Total Submitted for Payment Page 1 “ef : _ e- PURCHASE OKALOOSA COUNTY ORDER NO... 22402776-2 BOARD OF COUNTY COMMISSIONERS gE YO. 1 . SEND. ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFIC . amas ‘ATIO} Crestview, FL 32536 us9-6000765 | 21400293 : FAX: 850-875-8003 OKALOOSA COUNTY ASSOCIATED BUILDING SYSTEMS, INC FACILITY MAINTENANCE D/B/A KIRBY BUILDING. SYSTEMS LLC 5489 OLD BETHEL ROAD 124 KIRBY DRIVE/ PO BOX 390 CRESTVIEW FL 32536 PORTLAND TN 37148 ATTN: PAM ORDER DATE; 08/14/14 suver NATHAN : REQ # R1401961 Reg. paTe:08/21/14 TERMS: NET 30 DAYS For: DESTINATION DESC:.. SHERIFF'S BLDG. OKALOOSA COUNTY CONTRACT # C14-2184-FM. OL 1.00 EA PRE-ENGINEERED METAL BLDG. 206498.0000 206,498.00 wm Pree ht ( Al}, 250.°° DEPT NO. ACCOUNT AMOUNT PROJECT CODE] PAGE TOTAL “R06; 79S 00 3160 562224 -00 3160 562224 206,498.00 LS-002 Aq Bid 2. Ltn Col-A ty Coy-A ; COa-z AUTHORIZED/AP! CRED SIGNATURE <a ) PURCHASE ORDER CHANGE REQUEST Project: Okaloosa County Sheriff's Office Addition Contract #: C14-2184-FM ; Owner: Okaloosa County Board of County Commissioners rby Building Systems. PO Box 390, 124 Kirby Drive . 21400293 1 21401776 Portiand, TN 37148 , Attn: Robert Hodges Change Order 1 per attached Change Order Confirmation 1,253 .00 dated 24 June 14 $205,245 .00 0.00 .00 7,253.00 206,498.00 a ae 475]2.° Subcontractor: Lord & Son Construction, Inc. ; 2 IL, SO. 90 19 David Street. Fort Walton Beach, FL 32547. 850-863-5158 (P)- 850-862-4904 (F) dave@lordandson.com LD Signature Lord & Son Construction, Inc. Signature ] Wine Zhowns afes| [anid Abussiclerah Geel 4 Facllity Maintenance Director Rurchasing Manager Donel L. emed__ Zan fedbveal- “Print Name Print Name  esaney one KIRBY Pe fet veer oaoe a 7 # PP NW 88/28/2814 66: 36 8082333460 KIRBY BUILDING SYS PRE @1 CHANGE ORDER CONFIRMATION PORTLAND, THATIGG fm | TOr DAVE BURLESON aT? ae Bobert Hodges PROM: Robert _ 40880: K1GH0279A RATE Sauna ™ PROECY: SHERIFF OFFICE ChanION CRIDER NC: 4 nuLoeR: LORD & SON CONSTRUCTION ING — — AnoRges: PO BOX 1808 - GIGCRNAL CONTRACT Prati: a . GH, FL 32649 — ramnouse.og) eriom Fax #: Geer ee CHANG, AbD { DENUCT > * ‘The width of BUILDING FONE Is 41-4” out to cut ste! line. ‘The length of BUILDING ONE In 191-6 474” out im out steel ling, The bay spackig of BUILDING HONG be 25-5 410, 2670", (2)@ 27-0", & 20-8 10", ‘The width of BUILDING #2 is 26°.0" autte outatea! Brie. ‘The fengtts of EIUILDING #2 le 10°C" out to out steal ine, The width of BUILDING #3 in 21'.0" outta out eteet ine, | ‘The length of BUILDING 42 ie 10°0" outte out atee tine, All wind column spacings (on all three hullelings) bs Kirby's option. ‘The elevator shalt wilt be in an 8° OMU wall. Gantinued on Page 2 * = j | Shipmort after this date may inaur art locranke in the contract priod, Batore change wal be Unplemented, thes chang order nust be signed by the buyer, Delivery indicated abown ‘Or may not apply to cee: matedlais, if involved, PRC MAY AFFECTED Jan More = /—Krom: Hodges, Robert (KBSTN) <rhodges@kirbybuildingsystems.com> vent Wednesday, August 20, 2014 1:19 PM To: Jan More Subject: RE: Job Number: K14N0272 Job Name: SHERIFF OFFICE (21) Importance: . High Jan, Please seé the below chart. | will call you in a few minutes. § 209,997.00 _| original contract amount with freight S (4,752.00) freight amount $. 205,245.00 _| contract amount without freight $ .. 1,253.00 change order #one.amount updated contract amount without $ 206,498.00 | freight | > 5 47/5200 freight amount § 211,250.00 _ | updated contract amount with freight fhank you, ~-Robert Hodges / Customer Service Representative Kirby Building Systems a Nucor Company /P.0. Box 390, 124 Kirby Drive Portland, TN 37148 615-745-6034 / Cell: 615-745-9KBS (9KBS) / Skype: rhodges.csr / rhodges@kirbybuildingsystems.com o OKALOOSA COUNTY PURCHASE : ° ORDER NO 21401941 BOARD OF COUNTY COMMISSIONERS DROE NO. 4 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA. COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302.N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 : +#50-6000765 21300731 OKALOOSA. COUNTY MOWREY ELEVATOR CO OF FL INC FACILITY MAINTENANCE 4518 LAFAYETTE ST 5489 OLD BETHEL ROAD MARIANNA FL 32446 CRESTVIEW FL 32536 ATTN: orper vate: 09/16/14 suver’ NATHAN: REGQ# Ri402149 ‘Rug. pare: 09/29/14 teRMs:. NET 30 DAYS Fos DESTINATION bES:. SHERIFF OFFICE Lord & Son’s Corstruction Project# 1403 Contract# Cl4-2184-FM OL 1.00 EA PISTON 4379.3800 4,379.38 02 1.00 EBA CAR FRAME, PLATFORM, GUIDE RAIL, RAIL 3128.1200 3,128.12 BRACKETS 03 1.00 HA PUMP UNIT. 2502.5000 2,502.50 04 1.00 EA ENTRANCES 2251.2500 1,251.25 05 1.00 EA CAB, DOORS, CONTROLLER 1251.2500 1,252.25 San > sy} j v ‘, mi DEPT NO. ACCOUNT, AMOUNT PROJECT CODE PAGE TOTAL $§12,512.5 3160 562224 12,512.50 IS-(b% Re Bl, fy ke HUEY ! \ . 7 Je Col-B, Co4-B ; Cop- = AUTHORIZED/APPROVED SIGNATURE — Purchase Requisition for ODP Materials Date: 8/12/2014 . PR #: LS-003 POH... (To be completed by Lord & Son) (To be completed. by. Qwner) faoiect Name: Okaloosa County Sheriff's Office Addition Ship To Address: ‘\NBject No.: 1403 Contract #: C14-2184-FM 50 2nd Street VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TBD Owner Information - Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa.fl.us Construction Manager (Contractor) Information |Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information Name: Lord & Son Construction, Inc. : Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 4 Fort Walton Beach, FL 32547 oe Dave Burleson Email: dave@lordandson.com Vendor Information ’ Name: Mowrey Elevator Phone: 850-526-4111 Address: 4518 Lafayette Street Fax: 850-482-2482 Marianna, FL 32446 Contact: Shannon Young Email: shannon@mowreyelevator.com Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt and acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT Holeless Hydraulic Elevator PO Amount $12,512.50 Associated Sales Tax (6%) $750.75 Freight $0.00 Total with Tax & Freight $13,263.25 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) Subcontractor’s Authorized Signature: Kaw = Mire Printed Name: Lord & Son's Authorized Signature: Printed Name: Dave Burleson. ; jd PURCHASE i ; OKALOOSA COUNTY ORDER NO, 22402962 BOARD OF COUNTY COMMISSIONERS OnE HO. 1 : SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT ! OKALOOSA COUNTY FINANCE DEPARTMENT 85-8013 105818C-2 I 302 N Wilson Street, Suite 203 FEDERAL-TAX IDENTIFICATION Crestview, FL 32536 #50-5000765 | 20800839 FAX: 850-875-8003 OKALOOSA. COUNTY i BIG BEND REBAR, INC. FACILITY MAINTENANCE i ONE CORPORATE COURT 5489 OLD BETHEL ROAD i ‘ QUINCY FL 32351 CRESTVIEW FL 32536 ATTN: | orperpaTe: 09/19/14 svver NATHAN REQ.#: R1402156 reopare: 10/01/14 Terms: NET 30. DAYS Fos: DESTINATION : DESG: UNEP P Sheriff Admin Building-50 2nd Street, Shalimar Owner Direct Purchase Quote#14-411B Project#1403 04 ; *“@ontract# C14-2184-FM 6. o1 1,00 EA CONCRETE REINFORCED STEEL , 19995.0000 19,995.00 So PACKAGE-APPROX : 23.25 TON , 02 1.00 EA. MASONRY REINFORCED STEEL 1290.0000 1,290.00 PACKAGE-APPROXIMATELY 1.5 TONS : 03 1.00 EA DELIVERY FUEL SURCHARGE 200.0000 200.00 04 15.00 EA 6X6-W2.9/W2.9 WELDED WIRE FABRIC 40.0000 600.00 DEPT NO. ACCOUNT AMOUNT PROJECT CODE PAGE TOTAL $ 22,085.00 3160 $62224 22,085.00 eebag 4 | i a il ae po = Atipe Coase CO¢-C Coa-z2 AUTHORIZED/APPROVED SIGNATURE ? > C ] Printed Name: Purchase Requisition for ODP Materials pate 8/12/2014 ~ PR#: LS-004 POH: alya/96G i (To be completed by Lord & Son) (To be completed by Owner) f Project Name: Okaloosa County Sheriff's Office Addition Ship To Address: Project No.: 1403 Contract #: C14-2184-FM 50 2nd Street VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 , Delivery Date: TBD TT Owner Information Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Blvd, Suite 100 Fax: - 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa-fl.us Construction Manager (Contractor) Information Name: Lord & Son Construction, Tae. Phone: 850-863-5158 Address: 9 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information Name: Lord & Son Construction, Inc. Phone: ” 850-863-5158 ; Address: 19 David Street : Fax: 850-862-4904 Fort Walton Beach, FL 32547 ; : Contact: Dave Burleson Email: dave@lordandson.com Vendor Information ; jNatne: Big Bend Rebar, Inc. : Phone: 850-875-8000 Address: 1 Corporate Court . Fax: 850-875-8003 Quiney, FL 32353-0752 : = Contact: Patricia Trotta : . Email: info@bigbend.com Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt jand acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes ONLY. ‘Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT) Concrete and masonry rebar packages PO Amount $22,085.00 Associated Sales Tax (6%) $1,325.10 Freight $0.00 Total with Tax & Freight $23,410.10 (Attach detailed material price list or vendor/supplier quote which equals PQ_Ameuyt shown here) Subcontractor's Authorized Signature: SB Wire Lord & Son's Authorized Signature: Printed Name: Dave Burleson PURCHASE OKALOOSA COUNTY | ORDERNO, 22509090-1 BOARD OF COUNTY COMMISSIONERS page HO. 2 . SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FED TAX IDENTIFICATION Crestview, FL 32536 ERAL +#59-6000765 20300333 FERGUSON ENTERPRISES INC 8813 GROW DRIVE PENSACOLA FL 32514 FAK: 850-622-9168 SHIP TO OKALOOSA COUNTY FACILITY MAINTENANCE 5489 OLD BETHEL ROAD CRESTVIEW FI 32536 ATIN: orperpate: 10/16/14 suverk NATHAN REQ# R1500164 neo.pate: 10/30/14 Teavs: NET 30 DAYS “FoR “DESTINATION DESC: QUANTITY DESCRIP UNIT PRICE. ; SHERRIFF ADDITION- 50. 2ND STREET SHALIMAR : OWNER DIRECT. PURCHASE PROJECT .#¢,.413 5 “C14-2184-FM . O01 1.00 BA PLUMBING FIXTURES, PIPES AND FITTING 20367.0000 20,367.00 PACKAGE. SX ye DEPT.NO. ACCOUNT AMGUNT PROJECT CODE] . PAGETOTAL_$ 20,367.00 3160 562224 .00 $ 3160 562224 20,367.00 LS-005 + At | \U a AUTHORIZED/APPROVED SIGNATURE Loin ome Cod-T, COLD, Cod-Z | Purchase Requisition for ODP Materials Date: ‘_/0- 7-1 PR#: LS- O65” PO#: . (To be completed by Lord & Son) {To be completed by Owner) sroject Name: Okaloosa County Sheriff's Office Addition Ship To Address: ject No.: 1413 Contract #: C14-2184-FM 50 2nd Street IVENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 . ‘ Delivery Date: TBD Owner Information ‘Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa fl.us Construction Manager (Contractor) Information Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information ane OV/ErY Ply wale tiny + eS I ae GSO SEE OSE DS Gh fen ae Cua H 22507 am 63 obo a noms lent dS emit: CY GASL aofitom ndor Information . pine: Perquion Enterprises Ine rrone: 9 BO% ODYY Miteas P.O Bex | panes Bilamta gr 39287 WMoen o4o no4ye Contact: m ike ba my hi I( Email: Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt land acceptance of materials will remain the responsibility of the subcontractor, The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS rae) Material Amount LO 2h 7: Structural Steel a Oy 1; e 6 ts Freight ; At thi HE POA t Plone, love sj ? f° = a (222, oh Associated Sales Tax (6%) Total with Tax & Freight 2 ( SE Fue or. (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) @ Subcontractor's Authorized Signature: ( Zit “¢ Ce Printed Name: a “4 eZ ew MAIM 4 Lord & Son's Authorized Signature: Printed Name: PURCHASE OKALOOSA COUNTY ORDER NO. 22500089-1 BOARD OF COUNTY COMMISSIONERS age WO. 1 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #785-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX DENTIFICATION Crestview, FL 32536 #50-6000765 00015389 OKALOOSA COUNTY FIRE CONTROLS SYSTEMS INC FACILITY MAINTENANCE 1371 WISHBONE RD 5489 OLD BETHEL ROAD CANTONMENT FL 32533 CRESTVIEW FL 32536 . ATTN: ordeRpaTe: 10/16/14 suyer NATHAN REQ# R1500167 req pate 10/30/14 Terms: NET 30 DAYS Fos: DESTINATION DESC: ; SHERRIFF ADDITTON- 50 2ND STREET SHALIMAR OWNER DIRECT PURCHASE CT # 1413 CONTRACT # C14-2184-FM 01 1.00 BA FIRE ALARM EQUIPMENT PACKAGE. 6395.0000 6,395.00 Sener NOs by : Ne DEPTNO, ACCOUNT AMOUNT __ PROJECT CODE| PAGETOTAL § 6,395.00 3160 562224 00 3160 562224 6,395.00 LS-006 : _]gotHonizebvarrRove SIGNATURE Lint Heme Cor-V, CoY-E, GO2-2 ee Purchase Requisition for ODP Materials Date: fo-7-L PRE: 25-906 PO#: (Yo be completed by Lord & Son) (To be completed by Owner) Project Name: Okaloosa County Sheriff's Office Addition Ship To Address: ject No.: 1413 Contract #: C14-2184-FM 30 2nd Street R -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL. 32579 Delivery Date: TBD Owner Information © |Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Tumer Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: ___ Don Tumer, Director of Facilities Maintenance Email: facinfo@co,okaloosa.fl.us Construction Manager (Contractor) Information (Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information ; Name: Harrington Electrical Contracting . Phone: 850-863-3103 Address: 20 Oak st. Fax: 850-863-3446 Fort Walton Beach, Fl. 32548 Contact: Jim Harri Email: dor Information (Name: Fire Control Sytems Phone: 850-968-3877 Address: 1420 West Roberts Rd. Fax: ¢ 850-968-1937 Cantonment, Fl. 32533 Matt Merritt Email: ~FL.CO} Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt} and acceptance of materials will remain the responsibility of the subcontractor, The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS Material Amount $6,395.00 Fire AlarmEg. pt Ctabed Po 173) Ereight $0.00 PO Amount $6,395.00 Associated Sales Tax (6%) $383.70 Total with Tax & Freight $6,778.70 Attach detailed material price list or vendor/sw @ Subcontractor's Authorized Signature: shots Wee Lord & Son's Authorized Signature: A Printed Name: OKALOOSA COUNTY PURCHASE f ORDER NO 21500088-1 BOARD OF COUNTY COMMISSIONERS tage WO. 4 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 002702 OKALOOSA COUNTY UNITED LIGHTING & SUPPLY COMPANY FACILITY MAINTENANCE PO BOX 307 5489 OLD BETHEL ROAD FT WALTON BEACH FL 32549 CRESTVIEW FL 32536 ATTN: onpeRDATE: 10/16/14 suver NATHAN : Rak R1500165 neg pars 10/30/14 TerMs: NET 30 DAYS rok DESTINATION DESC: EXTENSION, ’ SHERRIFP ADDITION- 50 2ND STREET SHALIMAR OWNER DIRECT PURCHASE PROJECT # 1413 o1 1.00 BA LIGHT FIXTURES PACKAGE. 26500.0000 26,500.00 hows t 4 ~ As, any body DEPT NO. ACCOUNT AMOUNT PROJECT CODE! : PAGE TOTAL $26,500.00 3160 562224 -00 : 20.0 0 3160 562224 26,500.00 LS-007 , WISTHORIZEDAPPROVED SIGNATURE ole Mme Conv, CoY-F, Coa-z , Purchase Requisition for ODP Materials Date: /O- 2-Lf PR#: 5-097 POH: (To be completed by Lord & Son) (To be completed by Owner) Project Name: Okaloosa County Sheriff's Office Addition Ship To Address: ject No.: 1413 Contract #: C14-2184-FM 50 2nd Street VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TBD Owner Information (Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Tumer Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa.fl.us. Construction Manager (Contractor) Information (Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information (Name: Harrington Electrical Contracting Phone: 850-863-3103 Address: 20 Oak st. Fax: 850-863-3446 Fort Walton Beach, Fl. 32548 Contact: Jim Harrington Email: jim@ harrington.gccoxmail.com ador Information Name: United Lighting & Supply Phone: 850-244-8155 Address: 121 Chestnut Ave. Fax: 850-244-5629 Fort Walton Beach, FL 32548 Doug Macdonnell Email: d lonnell itedlighting.com Ovner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt and acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS hy bye l, Material Amount $26,500.00 fight fixtures ge iMlached Freight 30,00 PO Amount $26,500.00 Associated Sales Tax (6%) $1,590.00 Total with Tax & Freight $28,090.00 ‘Attach detailed material price list or vendor/su @ Subcontractor's Authorized Signature: Printed Name: gto} Li) Lord & Son's Authorized Signature: Printed Name: PURCHASE OKALOOSA COUNTY ORDER NO 21500085-1 BOARD OF COUNTY COMMISSIONERS a wo. 1 SEND ALL INVOICES TO: ; FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL-TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 002701 OKALOOSA COUNTY UNITED LIGHTING & SUPPLY COMPANY FACILITY MAINTENANCE PO BOX 307 5489 OLD BETHEL ROAD ¥T WALTON BEACH FL 32549 CRESTVIEW FL 32536 ATIN: ORDER DATE: 10/16/14 suveR NATHAN REQ#: RI500166 reo.nave. 10/30/14 jerMs: NET 30 DAYS FoR: DESTINATION ____DESG: ITEM NO. vf SHERRIFF. ADDITION- 50 2ND STREET SHALIMAR OWNER DIRECT PURCHASE PROJECT CONTRACT # C14-2184-FM o1 1.00 BA SWITCHGEAR PACKAGE. 6950.0000 6,950.00 oO em TOM + ue ean DEPT NO. ACCOUNT AMOUNT PROJECT CODE| PAGETOTAL. $ 6,950.00 3160 562224 .00 ; : 3160 562224 6,950.00 LS-008 OVED SIGNATURE. sane Home Coa-y, COY~G, C0 AU THORIZEDIAPPR Purchase Requisition for ODP Materials Date: L0- 7-L¢ PR#t: LS -OOF POs: (To be completed by Lord & Son) (To be completed by Owner) ject Name: Okaloosa County Sheriff's Office Addition Ship To Address: ject No.: 1413 Contract #: C14-2184-FM 50 2nd Street VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 Delivery Date: TBD Owner Information © ‘Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Tumer Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Tumer, Director of Facilities Maintenance Email: facinfo@co.okaloosa.fi.us Construction Manager (Contractor) Information Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact:__ Daye Burleson Email: dave@lordandson.com Subcontractor Information (Name: Harrington Electrical Contracting Phone: 850-863-3103 Address: 20 Oak st. Fax: 850-863-3446 Fort Walton Beach, FL 32548 Email: Jim Harrin: m”ador Information (Name: United Lighting & Supply Phone: 850-244-8155 Address: 121 Chestnut Ave. Fax: 850-244-3629 Fort Walton Beach, Fl. 32548 Doug Macdonnell__. Email: lo itedfighting.co Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt and acceptance of materials will remain the responsibility of the subcontractor, The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS chad Lrrabedouye Material Amount $6,950.00 Switchgear pe % Freight $0.00 PO Amount $6,950.00 Associated Sales Tax (6%) $417.00 Total with Tax & Freight $7,367.00 {Attach detailed material price list or yendor/supplier quote which equals PO Athodat shown here) @ Subcontractor's Authorized Signature: | i fot i Printed Name: he Lord & Son's Authorized Signature: Po Printed Name: PURCHASE OKALOOSA COUNTY ORDER NO. 22800092-1 BOARD OF COUNTY COMMISSIONERS er m0. 1 SEND ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 20800010 FAX: 850-837-7748 OKALOOSA COUNTY READY MIX USA LLC D/B/A FACILITY MAINTENANCE READY MIX USA-COASTAL DIVISION 5489 OLD BETHEL ROAD PO 7142 CRESTVIEW FL 32536 PENSACOLA FL 32534 ATTN: ORDERDATE: 10/16/14 Buyer NATHAN REQ.# RI500171 negpate: 10/30/14 . TERMS: NET -30 DAYS roa: _ DESTINATION . Desc: SHERIFF‘S OFFICE ADDITION 50 2ND STREET; SHALIMAR OWNER DIRECT PURCHASE (OJECT #1413 - CONTRACT # C14-2184-FM 02 400,00 CY CONCRETE-TYPE I/II CEMENT 4000 PSI 101.0000 40,400.00 (3-5" SLUMP) 02 45.00 LOADFREIGHT 35.0000 1,575.00 DEPT.NO. ACCOUNT AMOUNT PROJECT CODE |. PAGE TOTAL $41,975.00 3160 562224 00 , 3160 562224 41,975.00 LS-009 i , 7 We; " TAUTHORIZED/AFPROVED SIGNATURE Lows ewe Coa Fy cod, COA Purchase Requisitionfor opp Materials (0O-(4-(4 PRA Lured ) PO#: (To be completed by Lord & Son) (To be completed by Owner) @:: ame: Okaloosa County Sheriff's Office Addition Ship To Address: Proje 1413 Contract #: C14-2184-FM 50 2nd Street Shalimar, FL 32579 Delivery Date: Owner Information [Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Bivd. Suite 100 Fax: ° 850-689-5630 Fort Waltn Beach, FL 32547 Email: facinfo@co.okaloosa fi.us Contact: Don Turner, Director of Facilities Maintenance Construction Manager (Contractor) Information Name: Lord & Son Construction, Inc. ; Phone: 350-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 {Contact:. __ Dave Burleson = Email: _dave@lordandson.com _ Subcontractor Information Name: Henley Concrete and Masonry, Inc. Phone: 850-639-1983 Address: 780 Industrial Dr Fax: 850-689-6718 Crestview, FL 32539 tact: = : Email: hcm@henleymasonry.com — Information : ° Name: Ready Mix USA, LLC Phone: 850-477-2899 |Address: P.O. Box 7142 . Fax: 850-479-9257 Pensacola, FL 32534 . Contact: Bruce O'Neil .. . Email: Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt land acceptance of materials will remain the responsibility. of the subcontractor. The ODP program is for tax savings purposes OND Y sis Special Instructions or Directions |BRIEF DESCRIPTION OF MATERIALS Material Amount - $40;400.00 Concrete - Type L/L Cement Freight $1,575.00 4000 PSI (3-5" slump) PO Amount $41,975.00 Associated Sales Tax (6%) $2,424.00 Total with Tax & Freight $44,399.00 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) @ Subcontractor's Authorized Signature: Kw 7 4 a) l = Printed Name: 7 ye WA Lord & Son's Authorized Signature: YB Printed Name: Dave Buileson PURCHASE OKALOOSA COUNTY ORDERNO, 22500147 BOARD OF COUNTY COMMISSIONERS OReE WO. 1 SEND. ALL INVOICES TO: FLORIDA SALES TAX EXEMPT OKALOOSA COUNTY FINANCE DEPARTMENT #85-8013105818C-2 302 N Wilson Street, Suite 203 FEDERAL TAX IDENTIFICATION Crestview, FL 32536 #59-6000765 : 20300333 FAX: 850-622-9168 OKALOOSA COUNTY: FERGUSON ENTERPRISES INC FACILITY MAINTENANCE ~ 133 SHANNON LN 5489 OLD BETHEL ROAD SANTA ROSA BEACH FL 32459 CRESTVIEW FL 32536 ATTN: oRdER DATE: 10/30/14 suver: NATHAN: REQ.#: R1500216 reg pate: 10/02/15 TERMS!. NET 30 DAYS Fon DESTINATION DESC: SHERIFF'S OFFICE ADDITION- 50 2ND STREET, SHALIMAR OWNER DIRECT PURCHASE CONTRACT # C14-2184-EM 0 OJECT # 1413 . 01 1.00 EA STORM, SEWER AND WATER PACKAGE. 17691.5600 17,691.56 DEPT NO. ACCOUNT AMOUNT PROJECT CODE .. PAGE TOTAL 8 17,691.56 3160 562224 17,691.56 § ~ ; ; ° RUTHORIZEDVAPPROVED SIGNATURE Saws fhe Coa >, CoF-T Co39-=& Purchase Requisition > for ODP Materials Date: 10-G-/4___PR# L5-2/0 POH: 7 (To be completed by Lord & Son) (To be completed by Owner) Project Name: Okaloosa County Sheriff's Office Addition Ship To Address: Project No.: 1413 Contract #: C14-2184-FM 50 2nd Street WENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 : Delivery Date: TBD Owner Information Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: © 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 . Email: facinfo@co.okaloosa_fl.us Don Turner, Director of Facilities Maintenance Contact: Construction Manager (Contractor) Information Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Fax: 850-862-4904 Address: .19 David Street Fort Walton Beach, FL 32547 Email: dave@lordandson.com Contact: Dave Burleson Subcontractor Information Name: H&T Contractors, LLC ‘Address: P.O. Box 9 Phone: 850.835.0231 Fax: 850.835.5123 15199 Hwy 331 Business Freeport, FL 32439 . }Contact: Jerry George Email: jerry @b-tcontractors.com [Vendor Information Name: Ferguson Enterprises, Inc, ° Phone: 850.622.9166 ‘Address: 133 Shannon Lane Fax: 850.622.9168 Santa Rosa Beach, FL 32459 Contact: Joe Kilma Email: Joseph. Klima@Ferguson.com [Owner direct purchases shal! not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances.. Receipt land acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS Material! Amount $17,691.56 i * (per attached quote) : Freight $0.00 Storm, sewer, and water (pipe and fittings.) : PO Amount $17,691.56 Associated Sales Tax (6%) —$1136-48— 106] .4 Total with Tax & Freight _$18,028-07° $753.25 PO Amount shown here} (Attach detailed material price list or veador/supplier quote which equals Subcontractor's Authorized Signature: Printed Name: Oe Lord & Son's Authorized Signature: 3 Z ( Printed Name: Cle d Puersson . OKALOOSA COUNTY PURCHASE ORDER NO. 21500212-1 BOARD OF COUNTY COMMISSIONERS SEND ALL INVOICES TO: OKALOOSA COUNTY FINANCE DEPARTMENT PAGE NO. 1 302 N Wilson Street, Suite 203 FLORIDA SALE TAX EXEMPT Crestview, Florida 32536 #85-8013105818C-2 FEDERAL TAX IDENTIFICATION #59-6000765 vl 012512 “| BT oxanoosa counry “| E WARREN HOLLOW METAL DOORS & FRAMES H FACILITY MAINTENANCE A‘ P waco 18707 30593 P 5489 OLD BETHEL ROAD PEN: LA FL Q CRESTVIEW FL 32536 RL J o3L _| ATTN: ORDER DATE: 11/13/14 |BUYER: NATHANIEL REO. NO. 21500329 |REQ. DATE: 11/26/14 TERMS: NET 30 DAYS [F.0.8.; DESTINATION [DESsC.: UNIT PRICE J EXTENSION ITEM#} DESCRIPTION iTEMal ACCOUNT AMOUNT provect cope PAGE TOTAL $ 34,960.00 TOTAL $ 34,060.00 3160 562224 -00 3160 562224 34,060.00 4S-011 ~ ° ~ - AUTHORIZED/APPROVED SIGNATURE xe 2 Sams COA a, cod Ss, COA-z |Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 ~ ntact: - -- Dave Burleson Email: dave@lordandson.com q Fa ry endor Information . : : Name: Warren Hollow Metal Doors & Frames, Inc. Phone: 850-432-9821 Address: 1011 West-Texar Drive Fax: 850-432-9823 - Pensacola, FL 32501 : Contact: John Griffing Email: johng@warrenhollowmetal.com | Se Purchase Requisition for ODP Materials Date: A-M-l4 : PR#: AS -Oil PO#: (To be completed by Lord & Sou) (To be completed by Owner) 7 =xoject Name: Okaloosa County Sheriff's Office Addition Ship To Address: a coject No.: 1403 Contract #: C14-2184-FM 50 2nd Street I'VENDOR -PLEASE SEE PR-PAGE 2 FOR FURTHER INFORMATION Shalimar, FL 32579 . Delivery Date: TBD ee TT Owner Information Name: Okaloosa County Board of County Commissioners Phone: 850-689-5790 Address: 1804 Lewis Turner Blvd. Suite 100 Fax: 850-689-5630 Fort Waltn Beach, FL 32547 Contact: Don Turner, Director of Facilities Maintenance Email: facinfo@co.okaloosa.fl.us Construction Manager (Contractor) Information Name: Lord & Son Construction, Inc. Phone: 850-863-5158 Address: 19 David Street Fax: 850-862-4904 Fort Walton Beach, FL 32547 Contact: Dave Burleson Email: dave@lordandson.com Subcontractor Information (Owner direct purchases shall not relieve the subcontractor of delivery schedule or any other contract requirements under any circumstances. Receipt land acceptance of materials will remain the responsibility of the subcontractor. The ODP program is for tax savings purposes-ONLY. Special Instructions or Directions BRIEF DESCRIPTION OF MATERIALS TOTAL AMOUNT Hollow metal/wood doors/hardware per attached quote PO Amount $34,060.00 Associated Sales Tax (6%) $2,043.60 Freight $0.00 Total with Tax & Freight $36,103.60 (Attach detailed material price list or vendor/supplier quote which equals PO Amount shown here) a 2 peg . Subcontractor's Authorized Signature: BERS fo ; y Li m Printed Name: Dave Burleson. Lord & Son's Authorized Signature: be d Lb Printed Name: Leven D. Lord If