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