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

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