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State of FL Certified General Contractor #CG C008942
State of FL. Certified’ General Contractor #CG CO57094
CONSTRUCTION 3 State of AL Certified General Contractor #12776
INC. State of GA Certified General Contractor #GCCO002537
fie tractor HOB714-M
CONSTRUCTION MANAGER / GENERAL CONTRACTOR State of MS Certified General Contractor C
Trusted Performance ... Lasting Value
Okaloosa County Board of County Commissioners
ATTN: Don Turner
5489 Old Bethel Road
Crestview, FL 32536
RE: Okaloosa County Administration Building — Sitework
Don:
Please find the attached copy of sitework subcontractors’ quotations with the breakdown
matrix indicating that H&T Contractors, LLC is the low bidder for this division of work on
the new administration building project.
As the budget amount included in our last estimate was $778,310.00, we request that the
Board approve the amount of $700,000.00 to allow us to proceed to contract for this time-
sensitive construction work. Please note that the contingency funds for this division of
work will be included in our complete G.M.P. proposal in September.
Please do not hesitate to contact me if you have any questions.
Sincerely,
KM, Be
Steve M. Christopher
Pre-Construction Manager, VP Operations
19 David Street - Fort Walton Beach, Florida 32547
P.O. Box 1808 « Fort Walton Beach, Florida 32549
850-863-5158 * FAX 850-862-4904
info@lordandson.com
Associated Builders www.lordandson.com
and Contractors, Inc.
North Florida
Chapter Specializing in Commerciat Construction
Since 1975
Okaloosa County Administration Building
Site Work Matix
Work Task H&T Young's Jerry's GCUC
Sitework $ 486,246 511,645 660,000 517,650
Deduct Pavers $ (10,368) Does not have Does not have Does not have
Bond $ 13,250 23,294 16,775 + 14,568
Add Aditional Sidewaiks Included 15,277 included included
Storm Drainge System s 126,700 102,319 included 129,654
Downspout Boots (53 each) Included included included Included
Sewer $ 15,990 13,192 included 13,887
Domestic Water s 12,910 9,352 included 42,318
Fireline $ 19,155 13,764 included w/ Domestic
6" SS Fire Riser included 2,500 included 2,500
Miscellaneous Items
Permits & Fees $ 500 included included included
Fire Line Permit included included included 2,868
Construction Water for Job Site not included not included not included not included
Sanitary for Trailer not included not included not included not included
Concrete Stoops not included not included not included not included
TOTAL $ 664,383 691,343 676,775 723,445
Subcontractor Bid Form
CONSTRUCTION, INC.
Date:_ 7-23-2014
Project Name: OKALOOSA COUNTY ADMINISTRATION BUILDING
Project Location: SHALIMAR, FLORIDA
BID PACKAGE NUMBER: __ BP - 03
General Trade work Description:___ Sitework
Company Name:_# & T Contractors, LLC
Company Address:__ P.O. Box 9 Freeport, FL 32439
Company Fax & Phone:__fax: 850.835.5123 phone: 850.835.0123
Estimator Name & Phone:_Jerry George 850.685.1986
Authorized Agent Name & Phone:
Contact e-mail: jerry @h-tcontractors.com
1. We hereby propose to furnish all labor, materials, equipment (temporary or permanent), shipping,
fuel, taxes, trade permits, and related appurtenances as necessary to provide a complete job per
the Project Bid Documents enumerated in detail below, for the Stipulated Lump Sum Total Price
of_six hundred seyenty seven dollards two hundred fifty dollars and
no/100 dollars (8 674,750.50 00)
2. We hereby provide alternate pricing items as required by the Bid Documents and/or voluntarily
offered relating to our proposed price and scope of services: (Reference form for “Proposal
Attachment ‘A’ ~ Alternate Pricing”, provided herewith)
3. We hereby provide unit pricing items as required by the Bid Documents and/or voluntarily offered
relating to our proposed price and scope of services: (Reference form for Proposal Attachment
‘B’ — Unit Pricing provided herewith)
4. We hereby certify that our Bid (price and terms) is based upon all of the Bid Documents in their
entirety as enumerated below, with only the following expressed clarifications and/or exceptions:
(Reference farm for “Proposal Attachment ‘C’ - Comments and Clarifications”, provided
herewith)
Page | 1 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
10.
11.
12,
13,
Subcontractor Bid Form
CONSTRUCTION, INC.
5. By submitting this Bid, Subcontractor is representing that it is duly registered and licensed to
perform ail work of this bid and is presently in full compliance with current Contracting Licensure,
Business Licensure, and Bid Laws that govern at the location of the project site.
We hereby acknowledge receipt and review of the Project Bid Documents enumerated as follows:
a) Lord & Son Construction, Inc.'s Bid Package and Scope of work dated 13 June 2014
in its entirety, including all exhibits and attachments referenced therein.
b) The Drawings and specifications as noted the list of contract documents noted in the
enclosed subcontract form.
c) Addenda Numbers:___n/a
d) US Department of Justice, Immigration and Naturalization Service’s “Handbook for
Employers’, instructions for Completing Form |-9 (Employment Eligibility Verification
Form) M-274 (Rev.11/21/91) N
Immigration Laws: Subcontractor agrees that it will comply with the Immigration Reform and
Control Act of 1986, as amended by the Immigration Act of 1990, which makes it unlawful for an
employer to hire or continue to employ an alien knowing the alien is or has become unauthorized
with respect to such employment or to fail to comply with the I-9 requirements. Subcontractor
incorporates any duties that Contractor has to Owner regarding the employment of any illegal or
undocumented aliens. Subcontractor will not knawingly employ or knowingly allow any of its Sub-
subcontractors to employ, any illegal or undocumented aliens to perform any Work in connections
with the Project. Subcontractor will retain and make available for inspection, at the jobsite, upon
reasonable notice a completed I-9 Employment Eligibility Verification Form for each person that
Subcontractor directly employs on the jobsite. If Subcontractor receives actual knowledge of the
unauthorized status of one of its jobsite employees, Subcontractor will remove that employee
from the jobsite and shall require each subcontractor to act in a similar fashion with respect to
such Sub-subcontractor’s employees. Subcontractor agrees to have a provision in its
subcontracts stating that each Sub-subcontractor will have the duties and responsibilities with
regard to its employees that the Subcontractor has agreed to in this paragraph.
By submitting this Bid, Subcontractor represents that it has familiarized itself with the Project’s
and Lord & Son Construction’s Insurance requirements and that this Bid includes any/all
necessary measures to meet these requirements. Such measures include without limitation; a)
providing all coverages required at or in excess of the minimum stated limits; b) naming of Lord &
Son Construction, Inc and Owner related entities as Additional Insureds (except for Worker's
Comp); and c) statement of Waiver’s of Subrogation in Favor of Lord & Son Construction, Inc.
By submitting this Bid, Subcontractor acknowledges that it is familiar with OSHA safety standards
relating generally to construction projects and more specifically to any/all safety standards relative
to the performance of the work covered by this Bid, and expressly agrees to comply with the
OSHA safety standards applicable to this Project.
Applicable Sales/Use Taxes are included in the Bid price.
Page | 2 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
CONSTRUCTION, ING.
14. This Proposal in its entirety is good and valid for a minimum of thirty (30) calendar days from the
latter of the date of this Bid, or the published Lord & Son Construction Sub/Vendor Bid Deadline
for the project. Adjustments to the price, basis and/or extensions of the date through which the
Bid is still valid, may occur only through mutual written consent of the Subcontractor and Lord &
Son.
Company:__H&T Contractors, LLC
estimator 7-24-2014
Signature Title Date
By:__Jerry George
(Printed Name)
Page | 3 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
CONSTRUCTION, INC,
SUBCONTRACTOR BID
ATTACHMENT ‘A’
Alternate Pricing
(indicate “Not Applicable” or provide as listed below)
Company:_H&T Contractors, LLC Date:_ 7-24-2014
Deduct all storm water piping associated with the roof drain system $ 27,880.00
Page | 4 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
LORD, Subcontractor Bid Form
CONSTRUCTION, INC.
SUBCONTRACTOR BID
ATTACHMENT ‘B’
Unit Pricing
{Indicate “Not Applicable” or provide a listing below)
Company: H&T Contractors, LLC Date;_7-24-2014
Page | 5 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
CONSTRUCTION, INC.
SUBCONTRACTOR BID
ATTACHMENT ‘C’
Comments and Clarifications
(Indicate “Not Applicable” or provide a listing below)
Company: _H&T Contractors, LLC Date:_7-24-2014
NOTES: All permits & fees, meters, sod, irrigation, SWPP Permits & Fees, Construction Water for jobsite,
landscaping, Roof Drains Stub Out not shown on plans, fences & gates, concrete stoops, FDC, By Others.
Page | 6 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
OI AN PWN
Nye ee ee ee ane er GS
Pe OO OANA PR WH! ©
P. O. Box 9 / 15199 Hwy 331 Business
Freeport, FL 32439
850-835-0231 850-835-5123 Fax
Okaloosa County Administration Building
7-23-2014
ITEM
SITE
Mobilization
Construction Entrance
Demo Asphalt
Demo Curb
Demo Sewer Manhole
Demo Storm Pipe
Demo Storm Structure
Cut & Fill
Haul Fill Off
1 1/2" Asphalt w/ Prime
6" Base
Building Pad Compaction
Site Grading
18" Curb & Gutter
Striping & Signage
Layout & Testing
Silt Fence
Compacted Subbase
Ribbon Curb
A" Concrete w/ Wire
Brick Pavers
Bond
SITE TOTAL
OTY UNIT _UNIT PRICE
TOTAL PRICE
LS
LS
10,530 SY
1,910 LF
1 EA
785 LF
5 EA
931 CY
15,665 CY
10,588 SY
10,588 SY
64,334 SF
LS
3,742 LF
LS
Ls .
1,990 LF
12,706 SY
185 LF
9,262 SF
1,430 SF
LS
Page 1 of 3
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
30,000.00
3,500.00
0.90
3.00
900.00
9.00
500.00
4.00.
3,50
9.25
8.75
0.25
12,500.00
14.50
15,000.00
16,000.00
1.50
0.75
10.00
4.25
7.25
30,000.00
3,500.00
9,477.00
5,730.00
900.00
7,065.00
2,500.00
3,724.00
54,827.50
97,939.00
92,645.00
16,083.50
12,500.00
54,259.00
15,000.00
16,000.00
2,985.00
9,529.50
1,850.00
39,363.50
10,367.50
486,245.50
13,250.00
499,495.50
De oVMADNAAWNH
DW wmINM SP WH
NM Whe
STORM
C - Inlets
E - Inlets
12" ADS Pipe
24" ADS Pipe
30" ADS Pipe
12" ADS MES w/ RLR.
30" ADS MES w/ R.R.
12" Clean Out
12" ADS TEE
12" ADS 90°
Roof Drain Stub Outs
Misc Fittings & Layout
SEWER
Tie onto Existing 8" Sewer Line
Manhole 0-6
8" Sewer Pipe
6" Sewer Pipe
4" Sewer Pipe
6" 45°
6" Clean Outs
4" Clean Outs
Misc Fittings & Layout
DOMESTIC WATER
12” x 3" Tapping Sleeve w/ Valve
3" PVC Pipe
3" RPZ wi Insulated
3" 90°
3" Gate Valve
3" Cap
Misc Fittings & Layout
1,700
520
200
17
10
53
320
eeNe
Page 2 of 3
EA
EA
LF
LF
LF
EA
EA
EA
EA
EA
EA
LS
EA
EA
LF
LF
LF
EA
EA
EA
LS
EA
LF
EA
EA
EA
EA
LS
PARA A RH FF HF HF HF HF
FAFA AA FHF &
Amr FA FH HF
2,100.00
2,900.00
20.00
39.00
55.00
550.00
990.00
450.00
290.00
230.00
300.00
3,500.00
3,000.00
2,800.00
17.00
14.00
12.00
150,00
600.00
350.00
1,200.00
2,400.00
13.00
4,000.00
275.00
600.00
200.00
1,000.00
AIM BAA AA MAHA FAAFALM SF
FIA FAA AA HFHA HY
PIG FFF HH
14,700.00
11,600.00
34,000.00
20,280.00
11,000.00
2,750.00
990.00
7,650.00
2,030.00
2,300.00
15,900.00
3,500.00
126,700.00
3,000.00
2,800.00
1,700.00
3,220.00
1,020.00
300.00
2,400.00
350,00
1,200.00
15,990.00
2,400.00
4,160.00
4,000.00
550.00
600.00
200.00
1,000.00
12,910.00
Dns wWN
FIRELINE
12" x 6" Tapping Sleeve w/ Valve 1 EA
6" PVC Pipe 320
6" Double Detector Insulated 1 EA
6" 90° 2 EA
6” S.S. Fire Riser i EA
Misc Fittings & Testing LS
Okaloosa County Permit LS
Site
Storm
Sewer
Water
Fireline
Okaloosa County Permit
TOTAL
PAA FF OH
3,200.00
17.00
6,300.00
395.00
2,225.00
1,200.00
500.00
2) PIAA ADAH
AIP AA FAH
3,200.00
5,440.00
6,300.00
790.00
2,225.00
1,200.00
19,155.00
500.00
* 499,495.50
126,700.00
15,990.00
12,910.00
19,155.00
500.00
674,750.50
NOTES: All Permits & Fees, Meters, Sod, Irrigation, SWPP Permits & Fees, Construction Water
for jobsite, Landscaping, Roof Drain Stub Out no shown on plans, Fences & Gates,
Concrete Stoops, FDC, By Others.
Submitted by: Jerry George
CALL IF YOU HAVE ANY QUESTIONS .
***SIGN AND RETURN IF ESTIMATE IS ACCEPTABLE.
"ESTIMATES GOOD FOR 30 DAYS.
Accepted By:
Page 3 of 3
JERRY'S CONCRETE AND SITE CONTRACTORS, LLC
3933 PAINTER BRANCH RD.
CRESTVIEW, FLORIDA 32539
850-689-3203
850-682-0802 Fax
SEND TO es
From
LORD & SON. : RIGHARD RIGBY.
Attention Date
DAVE BURLESON / DALE WHITAKER PrBe14
Office jocation Office location
Fax number Phone number
850-862-4904 850-832-2068 / 850-689-3203 OFFICE
PLEASE
Pr} Urgent L] Reply ASAP El Please comment CJ Please review For your infermation
Total pages, including cover: AY
COMMENTS C—O
RE: BID OKALOOSA ADMINISTRATION BUILDING
PLEASE FIND ATTAGHED GUR BID FOR THE ABOVE Ri
LET ME KNOW iF YOU HAVE ANY QUESTIONS.
RENCED PROJECT.
THANK YOu
Subcontractor Bid Form
Sieh
CONSTRUCTION; ING.
Date:__7-23-2014
Project Name: OKALOOSA COUNTY ADMINISTRATION BUILDING
Project Location: SHALIMAR, FLORIDA
BID PAGKAGE NUMBER: _ BP - 03
General Trade work Description:___ Sitework.
‘ .
Company Name: leone Cenc tee ee See, Carnoucters , LLC
Company Address: 352% Cares y Preanctn Wie Cresviess Ft. SA S73 4
Company Fax & PhoneGas- G50 ahh-O6O0 - Shane. 0 “leh 4- 2903
Estimator Name & Phone: Excthoaec 12 ss S30." R35 - 2508
Authorized Agent Name & Prone: Nonny emotans. ADO - 6 B4-2aaR
Contact e-mail: Capone Woalinls we aw
1. We hereby propose to furnish all labor, materials, equipment (temporary or permanent), shipping,
fuel, taxes, trade permits, and related appurtenances as necessary to provide a complete job per
the Project Bid Documents enumerated in detail below, for the Stipulated Lump Sum Total Price
ofc} re) => and
Hho/idd dollars Stote cy 7; OPRD 09)
2. We heraby provide alternate pricing items.as required by the Bid Documents and/or voluntarily
offered relating to-our proposed price and-scope-of services: (Reference form for “Proposal
Attachment ‘A’ - Alternate Pricing”, provided herewith)
3. We hereby provide unit pricing items as required by the Bid Documents and/or voluntarily offered
relating to our proposed price and scope of services: (Reference form for Proposal Attachment
‘SB’ - Unit Pricing provided harawith)
4, We hereby certify that our Bid (price and tarms) is based upon all oF the Bid Documents in their
entirety as enumerated below, with only the following expressed clarifications and/or exceptions:
(Reference form for “Proposal Attachment ‘C’ — Comments and Clarifications”, provided
herewith)
Page | 1 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
10,
41.
42.
13.
Subcontractor Bid Form
CONSTRUCTION. INC,
5. By submitting this. Bid, Subcontractor is fepresenting that it is duly registered. and licensed to
perform all work of this bid and is Presently in full compliance with current Contracting Licensure,
Business Licensure, and Bid Laws that govern at the location of the project site,
We hereby acknowledge receipt and review of the Project Bid Documents enumerated as follows:
a) Lord & Sen Construction, Inc.'s Bid Package and Scope of work dated 13 June 2014
in its entirety, including all exhibits and attachments referenced therein,
b) The Drawings and specifications as noted-the fist of contract documents noted in the
enclosed subcontract form.
€) Addenda Numbers Mies Pio rm eri cloren Yor eave
d) US Department of Justice, Immigration and Naturalization Service's “Handbook for
Employers”, Instructions for Completing Form 1-9 (Employment Eligibility Verification
Form) M-274 (Rev,44/21/01) N
Immigration Laws: Subcontractor agrees that it will comply with the Immigration Reform and
Control Act of 1986, as amended by the Immigration Act of 1980, which makes if unlawful for an
empioyer to hite or continue to employ an alien knowing the alien is or has become unauthorized
with respect to such employment or to fail to comply with the 9 requirements. Subcontractor
incorporates any duties that Contractor has to Owner regarding the employrnent of any illegal or
undocumented aliens. Subcontractor will-not knowingly employ or knowingly allow any of its Sub-
subcontractors to employ, any illegal or undocumented. aliens to perform any Work in connections
with the Project, Subcontractor will retain and make available for inspection, at the jobsite, upon
reasonable notice a completed 1-9 Employment Eligibility Verification Form for each person that
Subcontractor directly employs on the jobsite. If Subcontractor receives actual knowledge of the
unauthorized status of one of its jobsite employees, Subcontractor will remove that employee
from the jobsite. and shail require each subcontractor to act in a similar fashion with respect to
such Sub-sybeontractor's employees, Subcontractor agrees to have a provision in its
subcontracts stating that each Sub-subcontractor will have the duties and responsibilities with
regard to its employees that the Subcontractor has agreed to in this paragraph.
By submitting this Bid, Subcontractor represents that it has familiarized itself with the Project's
and Lord & Son Construction's Insurance requirements and that this Bid includes any/all
necessary Measures to meet these requirements. Such measures Include without limitation; a)
providing ail coverages required at or in excess of the minimum stated limits; b) naming of Lord &
Son Construction, Inc and Owner related entities as Additional Insureds (éxceapt for Worker's
Comp); and ¢) statement of Waiver's of Subrogation in Favor of Lord & Son Construction, Inc.
By submitting this Bid, Subcontractor acknowledges that it is familiar with OSHA séfely standards
refating generally to construction projects and more specifically to any/all safety standards relative
to the performance. of the work covarad by this Bid, and expressly agrees to comply with the
OSHA safety standards applicable to this Project,
Applicable Sales/Use Taxes.are included in the Bid price,
Page | 2 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid-Form
CONSTRUCTION, ING,
14. This Proposal in ite entirety is good and valid fora minimum of thirty (30) calendar days from the
latter of the date of this Bid, or the published Lord & Son Construction SubsVendor Bid Deadline
for the project, Adjustments to the price, basis and/or extensions of the date through which the
Bid is stil valid, may occur only through mutual written consent of the Subcontractor and Lord &
Sen.
Company: Vege ssi Coancmete, Soke Cactkrocts fe oe
spl lamest’ lettin Fremment orlasiaoiy
Signatu! : Title Date
By Moncada ne
(Printed Name)
Page | 3 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid:-Form
CONSTRUCTION, INC.
SUBCONTRACTOR BID
ATTACHMENT ‘A’
Alternate Pricing
(indieate “Not Applicabia” ar Provide as listed below)
Company: Ne uit Cacia, te SScbe . Srl etes Pate: 7 bas Loos
Deduct all storm water piping associated with the roof drain system $5 Co npeahet 9D 6 OOD
Page | 40f6 OKALOOSA COUNTY ADMINISTRATION. BUILDING
Subcontractor Bid Form
ONS TRUCTION, ING.
SUBCONTRACTOR BID
ATTACHMENT ‘c’
Gomments and Clarifications
{indicate “Not Appiicable" or Provide a listing below)
Company Voreds Concaeke. * Ske, Cotrnorss ¢ Date: o7 jas leo rs
a, Gas \ines Woe CLO Bee , ;
&. Conccere, Peis, Yea\lanad » Dach& Wy aR
Sun eoktian WeANVS Gee not Shwawon ——
erxtluocaga ,
Cc.
Sospe ces Thy emp cay Yrenler Yo be
hoe kee ve U¥ Aes Vinge) Ys aot
eMay ay \ ermoaanea Q Wo tie “Ada werk '
Be
ORO SN OMewence Ser AAs Ween
at .3,So00.™
veal ad Teans Ay
\s Sov “Yermpe - '
>. Sasi ~ we Were inallvo co Gonereverien
de < mee S
Se ee NS en ad a
SSne Wha “Qeecmg se tee ee BEY
a elen emsc rao er ann On sare
ecole Ream a\ ia oe Poreo CRI a, Se
ins ibe eiple AS bbe UlViteeo Gay oeccess
To Ome .
ie Wrestle Ce SeSien carccre\ TrtaBe ces
‘Ve Weluoeo. Fecmnt Sr NPS ES | VASP EINGNS 4,
eee EBS TAA at NEPEAN | iS Nit
“Ennely oe 22, An ailowente of 47,500.02 can
_ AWie eer.
ibe Beto Srey \
f, Rerormance. one Pasment bonds are nok included (bid
Package mentioned them buk none were Supplied in tne lid package)
ne fegaulred they sill asst RY of the contrac total.
Page | 6 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
, an DATE: 3
ACORD CERTIFICATE OF LIABILITY INSURANCE 1/22/2014”
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND GONFERS NO RIGHTS. UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DORS NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THe SOVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFIGATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BRIWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must bo endorsed, If SUBROGATION IS WAIVED, subject to
the tetms and conditions of the policy, certain pataies. may require an endorsement. A-stetamant.on-this conifieate does not confer rights to the
cerificate holder in Neu of such endoraomerit(s).
PRODUCER Sate
MCKENZIE INSURANCE AGENCY Hien, . (850) 785-9505 tae. o).(850) 785-2329
652 Jenks Ave aAbbriss MOkenz ieinsuranced comcast.net
Panama City, FL 32401-2630 RINURERIE) APPORDING CDVERAdE : Nace
NauReRA: BL Catcus, Bus & Ind Fund “T]
msURED «JERRY'S CONCRETE &§ Simm CONTRACTORE, LEE INBURER 1
JERRY Lb. FORTUNE dba INSURER ¢-;
3933 PAINTER BRANCH ROAD INSURERD :
CRESTVIEW, FL 32539 INSURER &
850-689-3203 INSURER-E;
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOLy
INDIGATED, NOTWITHSTANDING-ANY REQUIREMENT, TERM.OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN (8. SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID-GLAIMS.
ee TYPE OF INSURANCE ian Le PouoY NuMacR INNBOR A [eae eee, Liners
L GENERAL ‘ABILITY SAGH OCCURRENCE $
SOMMERGIAI GENERAL LIABILITY. l BREMISES (em annonces) $
CLAIMS-MANE i occur MED.EXP.(Any one parton} [6
| PERSONALS ADVINJURY | &
L_. GENERAL AgGREGATE | 6
GBEN'L AGGREGATE LIMIT APPUES PER: PRODUCTS - COMP/OF AGG | R
POLICY L | ES im toe g
| AVTOMOBILg LiagtiTy OMETNED SINGLE TNIT '
ANY AUTO BODILY INJURY (Par Parson) |
| mse sige ome ee
|__[riran autos [| RENE (Ber etbigens| s
§
|__| UMBRELLA Lag i otcuR BACH OCCURRENGE $
EXCESS LIAB SLAIMS-MANE . AGGREGATE $
oko | | reventions §
ine Sacre ee SARA
ah IK
ANY PROPRIETORIPARTNBRMEKECUTIVA = ash 10631758 4/1/2074 4/2/2015 [77 BAGH ACCIDENT 5 500,000
A, | opmceRMeMBer BxCLUDEO? LN} NIA | OX
(Wansietory i Ni E.L. DISEASE « BA EMPLOYEE § 500,000
DESGRE TION Be peRATIONS below EL, Disease -pouicy umir|s 500,000
PRESCRIPTION OF OPERATIONS } LOCATIONS / VEHISLES {Attach ACORD 107, Additionst Renterks Schaciula, If more epace it saguited)
ORALOOSA COUNTY ADMINISTRATION BUILDING BID PACKAGE 03 (BPO3) SITEWORE ,
WHICH INCLUDES SITEWORK + UTILITIES, WATER AND SANITARY , STORM DRAINAGE
SYSTEM, FLAT SIT CONCRETE WORK , PARKING LOTS, BROSTON CONTROL, ETC,
CERTIFICATE HOLDER CANCELLATION.
LORD & SON CONSTRUC Ton
SHOULD ANY OF THE ABOVE QESCHIBED POLICIES BE CANCELLED BEFORE
19 DAVID Sitrerr THE EXPIRATION DATE THRREOF, NOTICE WILL BE DELIVERED IN
FT. WALTON BEACH , FO 32549 ACCORDANCE WITHTHE POLICY. PROVISIONS,
850-862-4904 fof é——}
AUTHORIZED REPRESENTATIVE iS
; a
i
© 1988-2010 AGORD CORPORATION, All rights reserved,
ACORD 25(2010/08) The ACORD name and logo are registered marks of ACORD
Pie | . JERR-04 OP iD: Sb
ACLS? _ CERTIFICATE OF LIABILITY INSURANCE promo
THIS CERTIFICATE
CERTIFICATE DOES. NOT AFFIRM,
BELOW, THIS CERTIFICATE OF
REPRESENTATIVE OR PRODUCER,
IS ISSUED AS A MATTER OF INFORMATION ONLY AND
ATIVELY OR NEGATIVELY AMEND,
INSURANCE DOES NOT CONSTITU
AND THE CERTIFICATE HOLDER.
CONFERS NO RIGHTS UPON. THE CERTIFICATE HOLDER. THIS
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
Te A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
IMPORTANT: {f the
certificate holder in {
tha terms. and conditions of the policy,
Certificate holder is an ADDITIONAL, INSURED, tho’ policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to.
Certain policias may require an endorsement, A statement-on this certificate does not sonfer-rights to the
lieu of such endorsements).
PRODUCER Sines” K. Wayne Walker
Waldorff | Bonding - FWB PRONE : .
a5 in Parkway Ne he 202 Gio. om, 850-581-4925 TERE ney, 850-581 000
nv
ie Wayne Waiter ARGRESS: . |
L_. _ INGURER(S) AFFORDING COVERAGE NAIC &
. . . sure a: The FOCI Insurance Company —_ 10178
INSURED Jerry’s Concrete and Site :Federal insurance Compa 202!
Contractors, LLC SURE R “ Pay at
3933 Painter Branch Rd. INSURER G;
Crestview, Fl, 32539 INSURER D -
INSURER G2 , . _
INSURER F..
COVERAGES CERTIFICATE NUMBER: REVISION NUMBE
MW MAY HAVE BEEN REDUCED BY PAID-GLAIMS.
a TYPE OF INSURANCE 7 POLICY NUMBER GORE (ome | Mrs ;
GENERAL LIABAITY RACH OCCURRENCE i 4,000,000)
A X | x [GLonos722 Oue7I2014 | 0112712018 [Paraeee Ge Noeencey _ (p 400,000)
| MED EXP (Any.ane parson} | § . 5,000)
PERSONAL & ADV INJURY | 8 1,600,006)
GENBRAL AGGREGATE & - 2,000,000)
PRODUCTS -cOMPrOP AGG | $ 2,000,000)
poucy |_| FBS: wos $
AUTOMOBILE LIABILITY ea acuuan as a fe. 1,060,000
A LX | anvauto lCa0010027 0172712014 | 01/27/2015 | gopiLY wJURY (Perpereon) | §
|_| AL QWNED [7] $qpeputeD BODILY INJURY (Per nacident}| &
LX wreoauros |X| Airog Ne raceme : _|
$
LX | UMBRELLA LIAB TX occur BACH OCCURRENCE a 2,000,006)
A EXCESS AB | eLaIMS MADE UMIBOONG204 01/27/2044 | 04/27/2015 | acereGaTe 3 2,000,000)
pep |] RETENTION 10000) $
WORKERS COMPENSATION WOSTATU. Tee
AND EMPLOYERS" LIABILITY YIN Ree Be “4 —
A ERRATUM" PY ura s wcuacooent fe
(Mandatory in NR} E.l, CHSEASE »BA EMPLOYEE! §
Ir ee, deecrbn under a “
DESCRIPTION OF OPERATIONS bolow . B.L. DISEASE ~ POLICY LIMIT | s
B (Equipment Floater 45466829EUC. 0127/2044 | 04/27/2015 ($1000 Ded
B |Leased/Rent Equip. 45466829EUC 01/2712014 | 01/27/2015 $1000 Ded 100,000)
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHIOLES (Attach AGORD 161, Addlticnal Remarit Scheduln, # more opace le ragailznd)
fe 4s hereby understood and agread the balow named certifiodte helder is
added as additional insured, as pertains to the General Liability only.
General Liahility ia primary and hon-contributery. Wadvar of Subxsogation
@ppliag to the Genecal Lishility only, 30 Day NOC applies te the Genoxzal
Mahability only.
CERTIFICATE HOLDER CANCELLATION
- LORDOG2 ;
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED REFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Lord & Son Construotion ACCORDANCE WITH THE POLICY PROVISIONS,
P.O, Box 1808
Ft, Walton Beach, FL 32549 he, a dl,
L d
ACORD 25 (2010/05)
© 1988-2010 ACORD-CORPORATION. All tights raservedt,
The ACORD name and logo are registered marks of ACORD
JERRY'S CONCRETE AND SITE CONTRACTORS, LLC
3933 PAINTER BRANCH RD.
CRESTVIEW, FLORIDA 32539
850-689-3203
850-682-0802 Fax
SEND TO a
From
LORD & SON NANCY FORTUNE
Attention Date
Dale Whitaker TRS-14
Office location Gifiae location
Fax number Phone number
850-862-4904 850-689-3203 OFFICE
PLEASE
‘a Urgent i: Reply ASAP ry Please comment c) Please review For your infarmation
Total pages, including cover: 2
COMMENTS ae
RE BID BOND
BALE HERE'S OUR BID BOND FOR THE OKALOOSA COUNTY ADMINISTRATION BUILDING.
LET ME KNOW IF YOU NEED THIS SENT A DIFFERENT WAY,
THANK YOU
THE AMERICAN INSTITUTE OF ARCHITECTS
AIA Document A310
Bid Bond
Bond Number CBB39791
KNOW ALL MEN BY THESE PRESENTS, that we ‘Jerry's Concrete and Site Contractors, LLC
3933 Painter Branch Road (Here inser full name and address of legal ttle of Contractor)
Crestview, PL 32539 . .
as Principal, hereinafter called the Principal, and National American Insurance Company
xX
ch h dk OK 74934 (Here insert full name and eddress or leqat title of Surety)
handler,
a corporation duly organized under the laws of the State of Oklahoma
as Surety, hereinafter called the Surety, are held and firmly bound unto Lord & Son Construction
19 David Street (Here Inert full name and address or legal tile of Owner)
Fort Walton Beach, FL
as Obligee, hereinafter called the Obligee, inthe sumof 5% of the amount bid notto exceed
Five Percent of Amount Bid *#ttatiititaneineneticeteebwee Dollars (5% of Amount Bid )
for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind
ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by
these presents.
WHEREAS, the Principal has submitted a bid for Okaloosa County Administration Building
Fort Walton Beach, FL (Hore insert full name and addross and description of project)
’
Project No. N/A,
NOW, THEREFORE, if the Obligee shail accept the bid of the Principal and the Principal shall enter into a. Contract with
the Obligee in accordance with the terms of such bid, and give such bond or bonds as may he specified in.the bidding or
Contract Documents with good and sufficient surety for the falthful performance of such Gontract and for the prompt
payment of labor and material furnished in the prosecution thereof, or in the event of the failure of the Principal to entar such
Contract and give such bond or bonds, If the Principal shail pay to the Obligee the difference not to exceed the penalty
hereof between the amount specified in said bid and such jarger ‘amount for whieh the Obiigee may In good faith contract
with Brother Party fo perform the Work covered bysaid bid, then this obligation shall be null and void. otherwise fo remain in
ull foree and effect,
Signed and sealed this 23rd day of duly 2014
Jerry's Conerete and Site Contractors, LLC
Mawes £ Soba an
Dp (Witness) (7 ;
(Tia)
——
Ald DOGUMENT A310 * BID BOND " AIA" FEBRUARY 1970.ED © THE AMERICAN
INSTITUTE OF ARCHITEGTS, 1735 N.Y.AVE, NW, WASHINGTON, D.C, 20000
“i sa x
M4 “
9/98 TR Ne
NATIONAL AMERICAN INSURANCE COMPANY .
CHANDLER, OKLAHOMA Number: CBB39791
POWER OF ATTORNEY
DUPLIGATES SHALL HAVE THE SAME FORCE AND EFFECT AS. AN ORIGINAL ONLY WHEN ISSUED IN CONJUNCTION WITH
THE ORIGINAL.
KNOW ACL MEN BY THESE PRESENTS: Thai.the National American Inguranco Company, 8 corporation duly organized under the laws of the State of Oklehoma, having ite
principal office in the clty of Chandler, Oktshoma, pursuant to.the follawing resolatlan, adopted by the Board of Directors of the sald Company on the 8th day of duty, 1987, to wit:
"Resolved, that any officer of the Company shall have aulhorlly to make, execute and deliver a Powor of Attorney conelituting as Attorrey-Itefact, such persons, firms, or
corporations a8 may bo selactad from time te'time,
Rosoived that nothing in this Power of Attorney shall ba. construed as a grant of authority to the attarney(z)-in fact-to sign, execute, acknowledge, deliver or otherwise Issue @ pdlley
or poléies of Insurance on behalf of National American Insurenee Company.
Bo It Burther Resolved, thal (he signatura_of any. officor and the Seal of the Gompany may be allixed to any such Power of Attorney oreny'tertifieale relating thereto by facsimile,
and sny suth Pownr of Attorney of certificals: bearing such facsimile signature. or jaogimile seal shalt bevalid and finding upon.the Company and any sush powers so executed
and cantified by facelmile signature and facelmile seal shal be valld and binding upon. the Gormpany in the future with respect io any bond and documents relating to such bonds to
whieh itis attached,"
National Amari¢an Insurance Company does hereby make, constitute and appoint
Anthony M. DiGeronimo
ite trap and lawful attomsy(s)-in-fact, with full power did authority hereby conferred in Ils name, places and.stoed, lo sign, execute, acknowledge and deliver in Ite Geball, and Its act
and daed, as follows:
The authority of sald Attornay-in-fsel to Bind (he company shall not exceed $3,000,000 for any single bond,
And to bind National American Insyranca.Conipany thereby a8 fully and.to-the same.extent.as if such bonds and documents retsting to sueh bonda wera, signed by the duly authorized
officer of the Natlonal American insurance Company, and all the.acts of ald Attornay(s) pursuant (6 the authority herein given, are hereby ratiied and eanflrned.
iN WITNESS WHEREOF, the National American Insurance Company bes. caused thesa prosents to be signed by any officer of the Gompany and its Gorporate Seal to be
hereto affixed.
NATIONAL, AMERICAN INSURANCE COMPANY
a
W. Brant LaGore, Chairman & Chief Executive Officer
STATE OF GKLAHOMA =)
COUNTY OF LINCOLN ) SB
On this 2" day of Jaridary, A.D, 2044, before me personally carrie W. Brent LaGeré, to mo knawn, who being by.me duly sworn, did depose and say; that he resides in the
Gounty of Lincaln, State of Oklahoma; that Hels the Chairman arid Chief Executive Officer of the National American Insurance Compaiy, the corporation deseribed in.and
which executed the above Instrument: that he knows the seal of sald corporation; that the sna! affixed fo the sald Instriment ix such corporate seal; that It was go-uffixed
by order of the Beard of Diractors of sald corporation and that he signed his name, thereto by Hike order,
OFFICIAL SEAL”
JANET TAYLOR
SN NOTARY PUBLIC OKLAHOMA
; OKLAHOMA COUNTY, ;
A MY COMM.NG, d2h0g207° Notary Public
MY COMM. EXP. Af-O8+/2 My Gommission Expires April.8, 2018
Commission #02006203
STATE OF OKLAHOMA )
COUNTY OF LINCOLN ) 88
}, the undersigned, Assistant Secretary of the National American Insurance Gompany, on Okiahoma Corporation, DO HEREBY CERTIFY that the foredoing and attached
POWER OF ATTORNEY tomalns in full force.
Signed and Snaled at the Clty of Chandior. Datedthe, 23rd day of __July 2014
Spe Bite
. Joyce M. Seitz, Assistant Secretary
tonode
CULL an
Pron Hip M,
Young's Contracting
315A Kelly Road
Niceville, FL 32578
850-729-1321
Name / Address
Lord & Son Construction, Inc.
P.O, Box 1808
Ft. Walton Beach, FL 32549
Estimate
Date Estimate #
7/23/2014 2789
1, 87)
frm WAUrs
Atin: John Klumpp Rand
Project
Description Qty Rate Total
Okaloosa County Administration Building
1. Site clean-up 6.26 1,250.00 7,825.00
6.26 acres - clean up and remove all debris
2. Erosion control 2,000 1.68 3,360.00
2000 LF of silt fence
Earthwork:
Excavate & haul off 14,007 CY 14,007 735 102,951.45
Cut to fill 1118 CY 1,118 2.85 3,186.30
Grading to elevations shown on plans 30,289 0.35 10,601.15
4. Demolition:
10,465 SY of asphalt & 10, 465 SY of base 8,568.22 8,568.22
1923 LF of DOT curb 1,923 3.50 6,730.50
1506 SY of sidewalk 1,506 4.35 6,551.10
100 LF of 18" RCP excavated & remove 100 9.00 900.00
293 LF of 15" RCP excavated & remove 293 7.50 2,197.50
130 LF of 12" RCP excavated & remove 130 6.00 780.00
414 LF of 8" PVC 414 3.50 1,449.00
5 storm inlets removed 5 350.00 1,750.00
Hauling and disposal of storm inlets & pipe 2,517.00 2,517.00
Sanitary sewer pipe 1,738.00 1,738.00
200 LF of 8" PVC
30 LF of 6" PVC
86 LF of 4" PVC
1 sanitary manhole 350.00 350.00
Irrigation wells - NO BID - by others 0.00 0.00
Potable water - None shown 0.00 0.00
5. Stormwater construction:
200 LF of 30" ADS 200 47.82 9,564.00
500 LF of 24" ADS 500 34.28 17,140.00
1740 LF of 12" ADS 1,740 16.53 28,762.20
7 ~ 12x12" crosses 7 249.02 1,743.14
Totai
Page 1
Young's Contracting Esti m ate
315A Kelly Road :
Niceville, FL 32578 Date Estimate #
850-729-1321 7/23/2014 2789
Name / Address
Lord & Son Construction, Inc.
P.O. Box 1808
Ft. Walton Beach, FL 32549
Attn: John Klumpp
Project
Description Qty Rate Total
3 = 12" tees 3 199.21 597.63
17 - services: 17 414.99 7,054.83
17 - 12x6" reducers
17 - 6" wyes
17 - 6" 45 degree bends
17 - 6" c/o caps complete
17 - 6" plugs
6 - Type "C" boxes 4-6' deep 6 1,737.34 10,424.04
2- Type “E” inlets 4-6' deep 2 2,059.99 4,119.98
2- Type "E" inlets 6-8' deep 2 2,883.98 5,767.96
1-30" MES w/ 11 SY of rip-rap 1 478.20 478.20
3+ 12" MES w/6 SY of rip-rap 3 336.24 1,681.20
Roof drain piping & fittings 14,985.60 14,985.60
6. Sanitary Sewer Construction:
98 LF of 8" SDR-35 98 20.95 2,053.10
238 LF of 6" SDR-35 238 16.50 3,927.00
84 LF of 4" SDR-35 84 11.76 987.84
2-6" wyes 2 2741 54.82
1-4" wye 1 18.70 18.70
3 - 6" 45 degree bends 5 16.78 83.90
2-4" 45 degree bends 2 12.59 25.18
Sanitary sewer service: 1 154.76 154.76
1-6" brass c/o complete
1-6" PVC c/o complete
1-4" PVC c/o complete
1-6" cap
1-4" cap
1 - doghouse approx 9' deep 1 3,845.36 3,845.36
1 - manhole 6' deep 1 2,041.67 2,041.67
7, Potable water:
1 - 12x3" tapping sleeve & 3” valve w/box 1 2,146.50 2,146.50
2~ 3" MI 90 degree bends 2 139.92 279.84
1-3" RPZ backflow and meter assembly complete 1 4,294.00 4,294.00
320 LF of 3" C-900 or Cl-200 320 738 2,361.60
Total
Page 2
Young's Contracting E sti m ate
315A Kelly Road -
Niceville, FL 32578 Date Estimate #
850-729-1321 7/23/2014 2789
Name / Address
Lord & Son Construction, Inc.
P.O. Box 1808
Ft. Walton Beach, FL 32549
Attn: John Klumpp
Project
Description Qty Rate Total
350 LF of tracer wire 350 0.28 98.00
5-3" mega lug kits 5 34.40 172.00
8. Fire main:
300 LF of 6" C-900 DR-18 300 14.98 4,494.00
2-6" MJ 90 degree bends 2 125.08 250,16
1 - 12x6" tapping sleeve, 6" valve & box 1 2,594.81 2,594.81
1 - 6" double detector check complete 1 6,115.20 6,115.20
320 LF of tracer wire 320 0.28 89.60
5 - 6" mega lug kits 5 44.06 220.30
9. Curb:
3570 LF of 18" DOT 3,570 14.35 51,229.50
42 LF of 12" ribbon curb 42 10.76 451.92
10. Sidewalk: are 5 ¢
593 SY concrete “pe Te 593 35.03 20,772.79
808 LF turndown 808 3.59 2,900.72
3 - H/C ramps 3 597.21 2,986.05
**NOTE: ONLY QUOTING SIDEWALK THAT ABUTTS
PARKING LOTS,
11. Asphalt & base:
608 LF saw cut 608 1.50 912.00
9718 SY of base 6" 9,718 13.24 128,666.32
9718 SY of asphalt 1 1/2" 9,718 11.43 111,076.74
12. Stirping & mise.:
4560 LF of 4" white stripe 4,560 0.68 3,100.80
43 LF of 6" white 43 1.02 43.86
600 LF of 4" blue stripe 600 0.68 408.00
90 LF of 6" yellow stripe 90 1.02 91.80
116 LF of 24" stop bar 116 23.10 2,679.60
25 - directional arrows 25 40,96 1,024.00
8 - H/C symbols & signage 8 327.16 2,617.28
8 - stop signs 8 286.20 2,289.60
Total
Page 3
Young's Contracting E sti m ate
315A Kelly Road -
Niceville, FL 32578 Date Estimate #
850-729-1321 7/23/2014 2789
Name / Address
Lord & Son Construction, Inc.
P.O. Box 1808
Ft. Walton Beach, FL 32549
Attn: John Klumpp
Project
Description Qty Rate Total
13. Mobilization, surveying, testing & certified asbuilts. 18,940.00 18,940.00
Total $650,273.32
Page 4
?
‘pe Aro
Subcontractor Bid Form
RUCTION, INC.
Date:__7-23-2014
Project Name: OKALOOSA COUNTY ADMINISTRATION BUILDING
Project Location: SHALIMAR, FLORIDA
BID PACKAGE NUMBER: __ BP ..03
General Trade work Description: Sitework
Company Name: Gulf Coast Utility Contractors, LLC
Company Address:_P. 0. Box 8170
Company Fax & Phone:_(850) 265-9949 {850) 265-9186
Estimator Name & Phone: Jordan Hobbs (850) 265-9166
Authorized Agent Name & Phone:
Contact e-mail:_Jordan.hobbs@qcue. net
1. We hereby propose to furnish all labor, materials, equipment (temporary of permanent), shipping,
fuel, taxes, trade permits, and related appurlenances as necessary to provide a complete jab per
the Project Bid Documents enumerated in detail below, for the Stipulated Lump Sum Total Price
of Seven hufdred twenly eight thousand four hundred nine and
no/100 dollars ($728 409 .00)
2. We hereby provide alternate pricing items as required by the Bid Documents and/or voluntarily
offered reiating to our proposed price and scope of services: (Reference torm for “Proposal
Attachment ‘A’ — Alternate Pricing", provided herewith)
3. We hereby provide. unit pricing items.as required by the Bid Documents and/or voluntarily offered
relating to our proposed price and scope of services: (Reference form for Proposal Attachment
‘B’ ~ Unit Pricing provided herewith}
4. We hereby certify that our Bid (price and terms) is based upon all of the Bid Docurnents in their
entirely as enumerated below, with only the following expressed clarifications and/or exceptions:
(Reference form for “Proposal Attachment ‘C’ - Comments and Clarifications”, provided
herewith)
Page | 1 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
10.
44.
42.
123.
Subcontractor Bid Form
GONSTRUCTION, INC,
5. By submitting this Bid, Subcontractor is representing that it is duly registered and licensed to
perform ail work of this bid and is presently in full compliance with current Contracting Licensure,
Business Licensure, and Bid Laws.that govern at the location of the project site.
6. We hereby acknowledge receipt and review of the Project Bid Documents enumerated as follows:
a) Lord & Son Construction, Inc.'s Bid Package and Scope of work dated 13 June 2014
in iis entirety, including all exhibits and attachments referenced therein.
b) The Drawings and specifications ag noted the list of contract documents noted in the
enclosed subcontract form.
¢) Addenda Numbers: j
d) US Department of Justice, Immigration and Naturalization Service's “Handbook for
Employers’, instructions for Completing Form 1-9 (Employment Eligibility Verification
Form) M-274 (Rev.11/21/91) N
immigration Laws: Subcontractor agrees that it will comply with the lrmigration Reform and
Control Act of 1986, as amended by the Immigration Act of 1990, which makes it untawiul for an
employer to hire. or continue to employ an alien knowing thé-alien is or has becorie unauthorized
with respéct to such employment or to fall to. comply with the 1-9 requirements. Subcontractor
incorporates any duties that Contractor has to Owner regarding the employment of any illegal or
undocumented aliens. Subcontractor will not knowingly employ or knowingly allow ‘any of its Sub-
subcontractors to employ, any illegal or undocuriented aliens to perform any Work in connections
with the Project. Subcontractor will retain ‘and make available for inspection, at the jobsite, upon
reasonable notice a completed |-9 Employment Eligibility Verification Form for each person that
Subcontractor directly employs.on the jobsite. If Subcontractor receives actual knowledge of the
unauthorized status of one of its jobsite employees, Subcontractor will remove that employee
from the jobsite and shall require each.subcontractor to act in a similar fashion with respect to.
such Sub-subcontractor's employees. Subcontractor agrees to havea provision in its
subcontracts stating that each Sub-subcontractor will have the duties and responsibilities with
regard to its employees that the Subcontractor has agreed to in this paragraph.
By submitting this Bid, Subcontractor représents that it has familiarized itself with the Project's
and Lord & Son Construction's Insurance requirements and that this Bid includes any/all
hecessary measures to meet these requirements. Such measures include without limitation; a)
providing all coverages required at or in excess of the minimum stated limits; b) naming of Lord &
Son Construction, Inc and Owner related entities as Additional insureds (except for Worker's
Comp); and c) statement of Waiver's of Subrogation in Favor of Lord & San Construction, inc.
By submitting this Bid, Subcontractor ackriowledges ‘thai it is familiar with OSHA safety standards
relating generally to construction projects and more specifically to any/all safety standards relative
to the performance of the work covered by this Bid, and expressly agrees to comply with the
OSHA safely standards applicable to this Project.
Applicable Sales/Use Taxes are included in the Bid price,
Page | 2 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
EN Snes
CONSTRUCTION, ING.
14, This Proposal in its. entirety is good and valid for a mitiimum of thirty (30) calendar days from the
latter of the date of this Bid, or the published Lord & Son Construction Sub/Vendor Bid Deadline
for the project. Adjustments to the price, basis and/or extensions of the date through which the
Bid is still valid, may occur only through mutual written consent of the Subcontractor and Lord &
Son,
Company:_Gulf Coast Utility Sontraghors tLe
oe
ho : President 07/22/2014
Sfgnature Title Date
By: Miké Swearington
(Printed Name)
Page | 3 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
SUBCONTRACTOR BID
ATTACHMENT ‘A’
Alternate Pricing
{indicate “Not Appiicabie” or pravide as listed below)
Company: Gulf Coast Utility Contractors, LLC Date: 07/22/2014
Deduct all storm water piping associated with the roof drain system $ 720,956.56
Page | 4 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
CONSTRUCTION, ING.
SUBCONTRACTOR BID
ATTACHMENT ‘B’
Unit Pricing
{Indicate “Not Applicable” or provide a listing below)
Compariy:_Guif Coast Utility Contractors, LEC Date: 07/22/2014
~ See attached bill of quantities
Page | 5 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Subcontractor Bid Form
be c
CONSTRUCTION, INC,
SUBCONTRACTOR BID
ATTACHMENT ‘C’
Comments and Clarifications
{indicate "Not Applicable” or provide a fisting below)
Company: _Guif Coast Utility Contractors, LLC Date: 07/22/2014
~ No fiber optic, gas, or electrical demo included
~ Rip- Rap is priced as Class ll-Alabama
~ No construction entrance included. (fane shown)
~ See bill of quantities for all that is priced
- No bend included unless awarded job
Page | 6 of 6 OKALOOSA COUNTY ADMINISTRATION BUILDING
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin. Bidg.
Description Quantity Unit | Price Amount
Dollars Gents
GENERAL REQUIREMENTS
Permits
1) NPDES 1 Is 2,346.56 2,346] 56
2| Fire Line 1) Is 2,867.57 2,867|57
Forwarded to totals page 7 5,214|13
Paget
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin. Bidg.
Description Quantity Unit Price Amount ;
Dollars __ Cents
SITEWORK
Testing - Sitework
1| Testing 41] Is 5,735.14 §,735|14
Demo Site improvements
2| Sidewalk 3,159) sf 0.58 1832/22
3] Asphalt Paving 86,474| sf 0.58 50,154; 92
41 Light Pole 2| ea 229.41 458/82
5) F Curb 2,483; If §.74 14,252)42
6] Irrigation Weils 2| ea 895.27 1,790/ 54
7| Fiber Optic Vaults 50) sf 11.47 573/50
8] Chainlink Fence - 6' 200] If 5.74 1,148/00
9| Bike Rack 4| ea 114.70 114/70
10| Road Sign 2) ea 86.03 172)06
411] Manhole - 4' 5| ea $73.51 2867/57
12) C-inlet 2) ea 573.52 1,147]03
13] Catch Basin 1| ea 573.52 573/52
14) 10" PVG 145} if 5.74 832/30
15| 8" PVC 661 if 5.74 3,794) 14
16| 6" PVC 65) If 5.74 373/10
47| 4" PVC 165] If 5.74 947/10
18) 10"C.0. 1] ea 57.35 57/36
19) 4"C.0. 11 ea 57.35 57/35
20) 15" RCP 230) If 11.48 2,640)/40
21) 12" RCP 131) If 11.48 1,503/88
Grading- Rough
22| Rough Grading/Topsoil Strip 17,156) sy 0.58 9,950)/48
Grading- Fine
23) Fine Grading 10,610] sy 2.30 24,403/00
General Site Excavation
24) On-Site Fill 2,050) cy 4.58 9,389]00
25| Export 11,018) cy 4.58 50,462| 44
Slope & Erosion Control
26) Sod 6,709] sy 3.24 21,737|16
27| Seed and Mulch 7,863) sy 0.88 8,919] 44
28] Silt Fence 2,000) If 2.06 4,120{00
29] Inlet Protection 11| ea 59.11 650|21
Forwarded to totais page 7 218,657 |79
Page 2
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin. Bidg.
Description unit || Price Amount
Dollars ___ Gents
WATER DISTRIBUTION
Wator/Reuse- PVC _C-900 Pipe
1} Water - PVC C-900 Pipe 6" - Fire If 28.56 8,568 )00
2) Water - PVC C-900 Pipe 3" If 12.86 4,115)20
Water- PVC_C-900 Bends
3| Water - PVC C-900 90 ell 3 ea 186.30 372/59
4| Water - PVC C-900 90 ell 6 ea 236.46 472|92
Water- PVC_C€-900 Caps
5| Water - PVC C-900 Caps 3x2 Tap Cap ea 498.97 498/97
6| Water - PVC C-900 Caps 6 ea 234.65 234)65
Valves - Double Detector Check
7; 6" DDCV ea 6,361.24 6361/24
Wet Taps
8) WetTap 6"x 12" ea 2,478.46 2,478 /46
9] WetTap 3"x 12" ea 2,486.67 2,486)/67
Fire Line
10| 6" Fire Line Riser ea 3,309.52 3,309)/52
11| 6" Fire Department Connection ea 2,650.81 2,650) 81
Bell Joint Restraints - Water
12] 3" Beil Restraints ea 74.93 449/58
13) 6" Bell Restraints ea 109.79 1,646 /85
Meter Assemblies
14] 3" Meter Assy ea 6,021.97 6,021/97
Back Fiow Preventors
15) 3" Back flow preventor ea 2,650.82 2,650) 82
Forwarded to totais page 7 42,318/25
Page 3
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin. Bldg.
Description Quantity Unit Price Amount
Dollars _ Cents
SANITARY
Manholes 4°
1| Manhole 4' - @ 6vf 1| ea 3,302.39 3,302/39
Utility Tie-Ins - Gravity
2} 8"x8" Tee - Cut in Existing Main (Cpig and Tee) 1| ea 1,232.16 1,232)16
Sewer- SDR 35 Pipe
3) 8" SDR-35 100} If 27.05 2,705|00
4) 6" SDR-35 240! If 20.65 4,956]00
5] 4" SDR-35 80) If 19.43 1,554|40
Sewer- SDR 35 Ells
6) 6" 90 Bend 1| ea 15.85 15/85
Sewer- SDR 35 Cap
7| Sanitary - PVC SDR 35 Pipe Cap 4 1| ea 58.81 58/81
8} Sanitary - PVC SDR 35 Pipe Cap 6 1| ea 62.47 62/47
Forwarded to totals page 7 13,887 |08
Page 4
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin, Bidg.
Description Quantity Unit Price Amount
Dollars Cents
STORM DRAINAGE
Rip Rap
4| Place at Pipe End - Rip Rap 34) tn 87.97 2,990)/98
Storm Structures
2| Type C Catch Basin avg. 6vf 7| ea 2,462.47 17,237 |28
3{ Type E Catch Basin avg. 6vf 4| ea 3,291.33 13,165 /31
4) 48" Manhole - Storm 11 ea 2,700.63 2,700/63
5) #57 Stone 5} th 62.80 314/00
HD PolyE Pipe
6] 30" ADS N-12 205) If 53.45 10,957)25
7| 24" ADS N-12 526) If 44.90 23,614) 87
8) 12" ADS N-12 1,780; If 25.39 45,194)/20
9) 6" ADS N-12 60; If 20.27 1,216|20
HD PolyE Bends
10| Drainage - HD PE 90 ell 12 3] ea 119.32 357/96
HD PolyE Tees
11| Drainage - HD PE Tee 12 7| ea 162.70 1,138|90
Cleanouts
12) 12° Cleanouts 17| ea 366.84 6,236)24
HD PolyE Caps
13] Drainage - HD PE Pipe Cap 12 7| ea 101.09 707 |63
HD PolyE Mitered Ends
14) Drainage - HD PE Flared End 12 5) ea 587,52 2,937 |60
15| Drainage - HD PE Flared End 30 1| ea 884.76 884/76
Forwarded to totals page.7 129,653) 81
Page 5
Estimate Company Bill of Quantities Report 7/22/2014
Okaloosa Admin. Bidg.
Description Quantity Unit Price Amount
Dollars _ Cents
PAVEMENTS & SURFACES
Asphalt
4) 1.5" Asphalt Paving - 9,703sy 841] tn 122.91 103,367|31
Road Base-Subbase
2) 6" Lime Rock - 9,703sy 3,210) tn 30.31 97,295/10
3) 4" Clay - LBR 40 1,479] cy 14.05 20,779)95
Concrete Paving
4! 4" Concrete Sidewalks - 85cy 699| sy 40.59 28,372)06
5] 6" Conc. Walkway - 38cy 214| sy 54.74 11,718)32
Pavement Marking
6) Striping & Signage qt Is 10,745.36 10,745 |36
Curbs
7\| Type F Curb 4,220] If 20,45 24,949]00
8) Flat Curb 80} if 22.10 1,768 |/00
Forwarded to totals page 7 298,992|10
Page 6
Estimate Company
Okaloosa Admin. Bidg.
Bill of Quantities Report
7/22/2014
Description
Quantity
Unit
Price
Amount
Dollars Cents
GENERAL REQUIREMENTS
SITEWORK
WATER DISTRIBUTION
SANITARY
STORM DRAINAGE
PAVEMENTS & SURFACES
Mobilization
Performance & Payment Bond
Contingency
Insurance
Job Rentat
Estimate Total
(Page 1)
(Page 2)
(Page 3)
(Page 4}
{Page 5)
{Page 6)
3.250%
Subtotal
5,214/13
218,657/73
42,318)/25
13,887 )08
129,653) 81
298,992/10
19,686 100
0100
0/00
0/00
0/00
728,409/00
728,409 |00
Page7
Dave Burleson
From: Jordan Hobbs <jordan.hobbs@gcuc.net>
Sent: Wednesday, July 23, 2014 10:55 AM
To: Dave Burleson
Ce: Mike Swearington
Subject: Okaloosa Co. Admin. Bldg.
Attachments: Bid Package.pdf; Bill of Quantities.pdf
Dave,
Please see revised Bid Package and Bill of Quantities.
Let me know if you have any questions.
Thank You,
Jordan Hobbs
Estimator
Gulf Coast Utility Contractors, LLC
PO Box 8170
13938 Hwy 77
Panama City, FL 32409
PH: 850-265-9166
FAX: 850-265-9949
Email: Jordan.hobbs@gcuc.net
Branch Address:
Acton Mobile Industries
AN 800-251-160 :
Rings to the Branch Nearest You 5561 Todd Acres Drive
www.actonjobsite.com Mobile, AL
ACTO Ni Phone: 251-443-5360
ALABAMA - FLORIDA - GEORGIA - ILLINOIS - KENTUCKY Fax: 251-443-7128
NORTH CAROLINA - OKLAHOMA - PENNSYLVANIA
SOUTH CAROLINA - TENNESSEE - TEXAS ~ VIRGINIA Tuesday, July 08, 2014
Lease Quote and
Agreement
Billing Address: Shipping Address:
Lord & Son Construction Inc DAVE BURLESON
P O Box 1808 Lord & Son Construction Inc
19 David Street OKALOOSA COUNTY ADMIN BUILDING
Fort Walton Beach, FL 32549 41250 EGLIN PKWY
Phone: 850-863-5158 / Fax: 850-862-4904 SHALIMAR, FL 32579
Celt - - Phone: (850) 863 5158 / Fax: - -
Cel: - -
Lease
Quote # Rev Quote Type Model Bidg Size Term Mo. Rate* Sate Price Serial #
QUO-167544-B7VOP8 0 USEDLEASE MO1260 12 x 56 fs Mo. $249.00
Initial /-One-Time Charges cee Recurring Charges a
Description Qty Sale Price Total! |Description Qty Sale Price Total
Delivery Freight 1 $595.00 $595.00} |12x60 Mobile Office 1 $249.00 $249.00
Set-up 1 $590.00 $590.00} |Step Rental 2 $20.00 $40.00),
Estimated Fuel Delivery $67.83].|Monthly Personal Prop / Fee $17.43} <.
Total Initial / One-Time $1,252.83) |Total Recurring : $306.43
\Estimated Final Charges. EE First Invoice Amount
Description Qty Sale Price Total Equi t Repl a, lue for!
Knockdown 1 $170.00 $170.00 eee 00000
: 000.
Return Freight 1 $595.00 $595.00 Total Amount for Purchase Order
Fuel Return TBD $6,307.85
Total Estimated Final $765,00 Plus Applicable Sales & Use Tax & Fees
Final Charges will be billed to Customer at the current rate in
effect at the time Equipment is returned to ACTON.
Notes: Asphalt or concrete anchors and code set up will incur additional charges.
‘Optional Items not included in Quote : fe ce Ce
Initials Description Term Qty Sale Price Total
Acton Secure Monthly 1 $99.00 $99.00
Acton Connect Setup Initial 1 $125.00 $125.00
Acton Connect - 4GLTE Req'd Monthly 1 $250.00 $250.00
6' Folding Table Monthly 1 $20.00 $20.00
Foiding Chairs Monthly 1 $5.00 $5.00
Select desired items by initialing $499.00
Monthly Rate is subject to increase on each anniversary of the Equipment's Delivery Date. The Serial Number noted on this
page may be changed at any time and is used for internal purposes, subject to availability of Equipment.
Prices are effective for thirty 30 days from the date at the top of this page and are subject to availability of Equipment.
Prices exclude taxes, licenses, permit fees, utility connection charges and site preparation, which is the sole responsibility
of Customer. All Customers and leases of Equipment are subject to credit review.
No, representations and warranties regarding (i) the Equipment or otherwise, or (ii) compliance with any federal, state or
local codes or zoning ordinances (Codes and Ordinances) are made or may be implied hereby unless expressly stated on this
page or in the Terms & Conditions. Compliance with all Codes and Ordinances shall be the sole responsibility of Customer.
EQUIPMENT IS PROVIDED AS IS.
Page 1 of 3
Customer must notify ACTON prior to delivery of any Equipment of potentially hazardous site conditions or conditions that
may otherwise affect delivery, installation, tie down, maintenance, dismantling or return of any Equipment. Failure to
notify ACTON of such conditions will result in additional Initial / One-Time Charges or Final Charges, as applicable, and
delays. :
Terms of Lease
Customer agrees to lease the Equipment from Acton, and Acton hereby agrees to lease the Equipment to Customer, on the terms set forth
in this Lease Order and Agreement and in the Terms & Conditions of Equipment Lease located at http://www.actonmobile.com/ (Terms &
Conditions), which are incorporated herein by reference. ACTON will provide Customer with a copy of the Terms & Conditions upon request.
(This Lease Order and Agreement together with the Terms & Conditions are referred to herein as the Lease).
The Lease Term set forth on the first page of this Lease Order and Agreement shail commence upon Acton's delivery of the
Equipment to Customer. Customer will have forty-eight (48) hours from time of delivery of Equipment (Delivery Date) to notify
ACTON in writing of any Equipment defects or deficiencies. If Acton does not receive a timely written notice from Customer, then
Customer shall be deemed to have accepted such Equipment on the terms and conditions set forth in this Lease Order and
Agreement and the Terms & Conditions. No alterations, additions, exceptions, or changes to the Lease made by Customer shall
be effective against ACTON, whether made hereon, contained in any printed form of Customer or elsewhere, unless accepted in
writing by ACTON.
The Lease of the Equipment and any Job Site Services will automatically continue on a month-to-month basis from and after the
expiration of the Lease Term until all Equipment is returned to ACTON’s property. PLEASE CALL ACTON TO GIVE NOTICE OF ANY
EQUIPMENT THAT WILL BE RETURNED, Failure to give notice may result in additional charges.
Customer will be responsible for all repairs and maintenance to Equipment during the Lease in excess of normal wear and tear.
ACTON assumes no liability for non-coded setups.
All Equipment must be insured during the Lease in accordance with the Terms & Conditions. All-Risk Physical Loss or Damage
Insurance coverage shall be provided by Customer for the full Equipment Replacement Value and name NEW ACTON MOBILE
INDUSTRIES LLC as ‘Additional Insured and Loss Payee’.
Customer is solely responsible for locating and adequately marking the location of any underground structures and/or utility
services (gas, water, phone, sewer, etc.) prior to the unit delivery. Acton is not responsible for any damage caused to unmarked
underground services.
Current month fuel surcharge; The rate may adjust on the first of the month that the transportation services are performed. To
view the Policy & Rate Table, go to www.actonmobile.com.
The terms and conditions of this Lease shall apply and be incorporated into all Lease Quotes/Orders and Agreements, Proposals,
Sale Agreements, Purchase Orders, Service Agreements, and the like, whether executed prior to or subsequent to this
Agreement, whenever ACTON, its subcontractors, agents, or any of their respective employees are on.a site owned or controlled
by Customer to perform Services or add Services or Equipment for Customer. The terms and conditions of this Agreement shall
apply to all Services performed to the extent that the terms and conditions are applicable to the Service provided by ACTON,
ACTON’s subcontractors and ACTON’s Vendors.
The terms and conditions of this Agreement reflects the entire Agreement between the parties with respect to its subject matter.
It is expressly understood and agreed that the Customer and ACTON may have entered or may enter into other contracts, lease
agreements, purchase orders, service agreements, or understandings with each other (Other Contracts). All Other Contracts,
other oral or written agreements, understandings, conditions, warranties, or representations with respect to the subject matter of
this Agreement are superseded hereby, whether executed prior to or subsequent to execution of this Agreement. No subsequent
alteration, amendment, modification, or addition to this Agreement shall be binding upon the parties unless reduced in writing
and signed by an authorized representative of both ACTON and Customer. Any invoice, acknowledgement, purchase order or
other communication issued by ACTON or Customer in connection with this Agreement shall be construed for record and
accounting purposes only. Any terms and conditions stated in such communication shall NOT BE APPLICABLE to this Agreement
and shall not be considered to be a provision or term of this Agreement. Trade language, custom, and/or usage are superseded
by this Agreement and shall not be applicable in the interpretation of this Agreement. Should any requirement or provision of this
Agreement conflict with any other requirement or provision, it is the Customer’s responsibility to give ACTON prompt written
notice of such conflict for resolution, otherwise, this Agreement shall continue to supersede.
| BY CHECKING THIS BOX, CUSTOMER (i) AGREES THAT CUSTOMER SHALL BE BOUND BY THIS LEASE ORDER AND
AGREEMENT AND THE TERMS & CONDITIONS OF EQUIPMENT LEASE LOCATED AT http:/ /www.actonjobsite.com/ ON
THE DATE CUSTOMER SIGNS THIS LEASE ORDER AND AGREEMENT, WHICH ARE INCORPORATED HEREIN BY
REFERENCE AND CONTAIN, AMONG OTHER THINGS, ARBITRATION AND WAIVER OF JURY TRIAL PROVISIONS; AND
(ii) ACKNOWLEDGES THAT IT HAS READ THE TERMS & CONDITIONS.
Signature: Quote #: QUO-167544-B7V0P8
Print Name: Lord & Son Construction Inc
Title: Date:
Page 2 of 3
PO #:
(If Required)
New Acton Mobile Industries LLC (ACTON) Lease Quote and Agreement Prepared by:
Lf + Pee cm EE a
By: yal CGE tL LE
tate Sarre Sot A
" sarnott@actonjobsite.com
Major Credit Cards Accepted: Mobile
The Lease and ali rights of ACTON under the Lease are subject to the security
interest of Wells. Fargo, National Association, as Agent, and any sale, transfer,
assignment or encumbrance of the Lease violates the rights of such secured party.
Page 3 of 3
CTON
MOBILE
INDUSTRIES
“The Value Leader in Mobile Offices”.
Model 1260
.049 Aluminum Siding Electric Heat & Air Conditioning
Woodgrain Paneling Built-in Furniture
Block Tile ar Vinyl Flooring Building Size: 12'x56"
:s
3S
SIOUIQRD On YE
seq Urine
Floor plans may vary based on location.
y
800-257-1600
Www.actonmobile.com
Offices in PA (2), VA (2}, NG (2), GA, FL(3}, AL (2), TN, KY, IL, TX (3), OK, SC
© 2008 New Acton Mobile industries, LLC P5M01260-3 5/08 OM
Total Pages:
Construction, Inc. Time:
PHONE BID
Date: A oT Taken by: GS B
From: Sitawé_ Bud $8 $_ , Phone:
Company: wW ISco Sheer Fax No:
Sou sere TeaeeR Hooeve © OCA
aces
SCOPE OF WORK
SPEC SECTION(G)
PRAZSE se DSrter FemP Powe R Pots + Heo _yP
Jew “teazece_
PRICE! 4, 50 = —
EXCEPTIONS AND QUALIFICATIONS:
[] Materiat [_] Subcontract [[] FOB Jobsite Llother- Bid Seen__ Addenda YES NO
[_IReply Requested: C] Confirm In Writing O Revised Price iJ No Reply Needed
Bid Good Till:
Dave Burleson
veaennenannens
From: David Cummins <spngas@aol.com>
Sent: Monday, July 28, 2014 8:46 AM
To: Dave Burleson
Subject: Re: 4" ductile steel pipe both sides back flow in doghouse
(vs $550.00 to connect trailer and leave temp hose bib
Sent from my iPhone
> On Jul 28, 2014, at 8:26 AM, Dave Burleson <dave@lordandson.com> wrote:
>
> Dave,
> Please see the attached photo of the backflow prvnter at the Shalimar annex. Jim says it's 4" pipe, if you look close
there is a valve on the side; can we just hook to that for the water at the trailer?
>
> Dave Burleson
> Project Manager
>
> P.O. Box 1808
> Fort Walton Beach, FL 32549
> dave@lordandson.com
> (850) 863-5158 PH
> (850) 862-4904 FAX
> From: Jim Wilson
> Sent: Monday, July 28, 2014 6:16 AM
> To: Dave Burleson
> Subject: 4" ductile steel pipe both sides back flow in doghouse
>
>
>
> <winmail.dat>