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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

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