Okaloosa County BOCC — August 5, 2014 — Shalimar Annex - Site Work Bids — reading text

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