Okaloosa County BOCC — January 21, 2014 — Skanska Final Payment — reading text

|Fumishings 31 |Special Construction 315,471.00 (212.113 00) 103,358.00 103,358.00 103,358.00 100% 32 {Conveying Systems 250,238.00 (8,096.00) 242,142.00 242,142.00 242,142.00 100% 33 | Mechanical Systems 3,088,649.00 (1,394.223.00) 1,694,426.00 1,694,426.00 1,694,426.00 100% 34 | Electrical Systems 2,846,582.00 (634,615.00) 2,211,967.00 2,186,972.00 24,995.00 2,211,967.00 100% 35 |General Conditions 2,644,474,00 34,460.00 2,678,934.00 2,678,934.00 2,678,934.00 100% 36 |Payment and Performance Bonds 195,788.00 981.00 196,769.00 196,506.00 263.00 196,769.00 100% 37 | Business License 6,242.00 45.00 6,287.00 6,279.00 8.00 6,287.00 100% 38 | Builders Risk 395,143.00 2,088.00 397,231.00 396,677.00 554.00 397,231.00 100% 39 |General Liability 221,675.00 1,149.00 222,824.00 222,519.00 305.00 222,824.00 100% 40 |Subguard 235,278.00 22,873.00 258,151.00 257,826.00 325.00 258,151.00 100% Al [Fee 936,508.00 4,696.00 941,204.00 939,957.00 1,247.00 941,204.00 100% 42 |Owmer Contingency 43. Construction Contingency 652,434.00 (652,434.00) 44 [Owner Direct Purchase Orders 45 {OCO No. | - Inctuded in Individual Line Items Above 46 }OCO No. 2 - Included in Individual Line ltems Above 47 {OCO No. 3 - Included in Indivudual Line tems Above SO Project Total 22,400,229.00 (7,9§9.713.00) 14,440,516.00 14,412,819.00 27,697.00 14,440,516.00 100% gebPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702 PAGE1 OF 2 PAGES * TO OWNER: "PROJECT: APPLICATION NO: 24 Distribution to: . - Okaloosa County Board of Okaloosa County Courthouse DATE: 05/08/13 County Commissioners Annex Extension 602-C North Pearl Street 1940 Lewis Turner Blvd. X JOWNER Crestview, FL 32536 Fort Walton Beach, FL 32547 PERIOD TO: 5/6/2013 X JARCHITECT FROM CONTRACTOR: VIA ARCHITECT: X_|CONTRUCTION MANAGER Skanksa USA Building Inc. Heery Design 55 Ivan Allen Jr. Boulevard, Suite 600 Atlanta, GA 30308 CONTRACT: Construction Manager Orlando, FL 32839 4700 Millenia Boulevard, Suite 550 PROJECT NO: C09-1698-CAO CONTRACT DATE: June 21, 2008 CONSTRUCTION MANAGER'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM $ ___.22,400,229.00 2. Net change by Change Orders $ x - =7,959,713.00 3. CONTRACT SUM TO DATE (Line 1 + 2) $ -14,440,516.00 4. TOTAL COMPLETED & STORED TO $ 14,440,516.00 DATE (Column G on G703) 5. RETAINAGE: a of Completed Work 0.00 (Column D + E on G703) b. of Stored Material 0.00 ‘(Column F on G703) Total in Column I of G703) $ 0.00 6. TOTAL EARNED LESS RETAINAGE $ 14,440,516.00 (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 14 402,819.00 8. CURRENT PAYMENT DUE $ 37,697.00. 9. BALANCE TO FINISH, INCLUDING RETAINAGE ~~ 0.00 (Line 3 less Line 6) ~~ CHANGE ORDER SUMMARY | ADDITIONS | DEDUCTIONS | Total changes approved in previous months by Owner 0.00 -6,083,433.00} Total approved this Month 0.00} lane TOTALS 0.00] -7,959,713.00 NET CHANGES by Change Order -7,959,713.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Conrract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. Viselestyy, Construction Manager: Keith Shelton, Senior Project Manager _\\¥ R HUA, Skanska USA Building Inc. & on eesti Oe Sy 2 SS!ON % By: Koad, QL Date: SG OS re a 26! o,<: State of: Georgia Douglas sO:7 se lees Subscribed and sworn to before me this 8th day of May rNKA Lo Py Bw $3 ‘7 = = Nay Pie. = , Omens eS My Commission €xpires: 4,4, 6) Tesesese &S In accordance with the Contract Docurnents, based on on-site observations and the data comprising the application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 31,697. aXe) (Attach explanation if amount cértified differs from the amount applied. Initial all figures on this pstmt and onthe Continuation Sheer that are changed to conform with the amount certified.) Robert Egleston, Executive Associate nS ol iS eg fable. Te ALAN GREED eae ly tb the Contractor named herein. Issuance, payment and acceptance of payment are without Prejudice to any rights of the Owner or Contractor under this Contract. AMOUNT CERTIFIED sew e see ceee AIA DOCUMENT G702 - APPLICATION AND CERTIFICATION FOR PAYMENT - 1992 EDITION - AIA - ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, DC 20006-5292 a CONTINUATION SHEET AIA DOCUMENT G703 eis Ges wanes ‘AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO- 74 Contractor's signed certification is attached. APPLICATION DATE: 05/08/13 In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 05/06/13 Use Column I on Contracts where variable retninage for line items may apply. OKALOOSA COUNTY PROJECT NO: C09-1698-CAO A_1B c D 7 E F Go H 1 (TEM |DESCRIPTION OF WORK SCHEDULED CHANGE REVISED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE ORDER CONTINGENCY SCHEDULED | FROM PREVIOUS | | THISPERIOD | PRESENTLY COMPLETED (G+C) TO FINISH (OF VARIABLE VALUE STORED («c-Q) RATE) @+e) (NOTIN TO DATE DORE) (DAEs) 1 | Sitework 1,851,376.00 {1,349.489.00) 501,887.00 501,887.00 501,887.00 100% 2 [Demolition 59,257.00 (S9.257.)), 3 }Earthwork & Site Utilities 692,976.00 (78,552.05 614,424.00 614,424.00 614,424.00 100% 4 | Reinforced Concrete 408,074,00 (498,074.00 5 }Cement Finishing 6 | Tilt-Up Concrete 827,490.00 (10,854 00) $16,636.00 816,636.00 $16,636.00 100% 7 +|Masonry 488,626.00 {188 498.00) 300,128.00 300,128.00 300,128.00 100% 8 {Structural and Misc. Stee! 974,162.00 1456,.019.00) 518,143.00 518,143.00 518,143.00 100% 9 | Rough Carpentry 56,700.00 {56,700,00) 10 | Millwork 1,159,880,00 (833,376.00) 326,504.00 326,504.00 326,504.00 100% 11 |Waterproofing and Caulking 297,350.00 (169,522 00) 127,828.00 127,828.00 127,828.00 100% 12 [Roofing and Sheet Metal 430,709.00 (227.051 00) 193,658.00 193,658.00 193,658.00 100% 13 |Hollow Metal 549,702.00 4419.394.00) 130,308.00 130,308.00 130,308.00 100% 14 | Wood Doors 15,334.00 (IS.334.00) 1S |Special Acting Doors 21,308.00 (14,510.00) 6,798.00 6,798.00 6,798.00 100% 16 }Finish Hardware 2,000.00 (2.000.000) 17 |Glass, Glazing, and Storefront 699,035.00 (169,710 00) 589,325.00 $89,325.00 589,325.00 100% 18 }Lath, Plaster, and Stucco 19 [Drywall 640,770.00 (17,481.00) 623,089.00 623,089.00 623,089.00 100% 20 Ceramic Tile 77,650.00 (40,311.00) 37,339.00 37,339.00 37,339.00 100% 21° ‘| Acoustical 362,868.00 (362,868.00) 22. |Resilient Floors 268,150.00 (361,397.00) 106,753.00 106,753.00 106,753.00 100% 23° | Painting and Wall Covering 261,886.00 11,654.00 273,540.00 273,540.00 273,540.00 100% 24 |Special Flooring 211,932.00 (71,899.00) 140,033.00 140,033.00 140,033.00 100% 25 |Miscellancous Specialties 173,976.00 (108.1 70.00) 65,806.00 65,806.00 65,806.00 100% 26 Toilet Partitions and Acocssories 77,186.00 (77,186.00) 27 | Equipment 3,350.00 (3,330.00) 28 Signage 115,024.00 115,024.00 115,024.00 115,024.00 100% 29 {Casework 30 | Furnishings 31 |Special Construction 315,471.00 42$2.113.00) 103,358.00 103,358.00 103,358.00 100% 32 {Conveying Systems 250,238.00 8,096.00) 242,142.00 242,142.00 242,142.00 100% 33 |Mechanical Systems 3,088,649.00 (1.394.223.0053 1,694,426.00 1,694,426,00 1,694,426.00 100% 34 | Electrical Systems 2,846,582.00 (634,615.00) 2,211,967.00 2,186,972.00 24,995.00 2,211,967.00 100% 35 |General Conditions 2,644,474.00 34,460.00 2,678,934.00 2,678,934.00 2,678,934.00 100% 36 {Payment and Performance Bonds 195,788.00 981.00 196,769.00 196,506.00 263.00 196,769.00 100% 37 {Business License 6,242.00 45.00 6,287.00 6,279.00 8.00 6,287,00 100% 38 | Builders Risk 395,143.00 2,088.00 397,231.00 396,677.00 $54.00 397,231.00 100% 39 |General Liability 221,675.00 1,149.00 222,824.00 222,519.00 305.00 222,824.00 100% 40 |Subguard 235,278.00 22,873.00 258,151.00 257,826.00 325,00 258,151.00 100% 41 {Fee 936,508.00 4,696.00 941,204.00 939,957.00 1,247.00 941,204.00 100% 42. [Owner Contingency 43 {Construction Contingency 652,434.00 {082,434.00) 44° |Owner Direct Purchase Orders 45 JOCONo. | - Included in Individual Line Items Above 46 JOCO No. 2 - Included in Individual Line Items Above 47 JOCO No. 3 - Included in Indivudual Line items Above 50 Project Total 22,400,229.00 (7,959.713.00) 14,440,516.00 14,412,819.00 27,697.00 14,440,516.00 100% tao Revd 5-14-15 HEERY Date: May 13, 2013 To: Ernie Padgett Title: Okaloosa County Administrator Company: Okaloosa County Administrative Services Addtess: 1804 Lewis Turner Blvd. Fort Walton Beach, FL 32547 Phone No. Fax No. TRANSMITTAL From: Bob Egleston Email Address: Transmittal / Fax toggles above Return Fax: Re: Project: Okaloosa County Courthouse Annex Extension Project No: 3007900 Via. Ground Distribution: File: A01-04 Qty. Description Dated Action Required 2 Skanska Final Pay Application 5/8/13 2 Skanska Change Order 003 5/7113 Comments Mr. Padgett - Enclosed are the final Skanska documents for the County's signature on the Courthouse Annex Extension Project. If you have any questions, please call Keith Shelton with Skanska. HEERY INTERNATIONAL, INC. Millenia Lake |, 4700 Millenia Boulevard, Suite 550 Orlando, FL 32839 1 of 1 p 407.992.6300 f 407.992.6399 Document2 SKANSKA | Transmittal Cover Sheet Detailed, Grouped by Each Transmittal Number Okaloosa County Courthouse Annex Project # 219515 Skanska USA Building Inc. 1940 Lewis Turner Blvd. Tel: 850-315-4683 Fax: 850-315-4688 Fort Walton Beach, FL 32547 Reference Number: 0385 Patti Hanna : Keith Shelton Okaloosa County Skanska USA Building Inc. 5489 Old Bethel Road GMC Health & Wellness Center Crestview, FL 32536 201E. Greene Street Tel: 850-689-5790 Milledgeville, GA 31061 Fax: Tel: 478-454-0178 Fax: 478-454-0192 O Acknowledgement Required As Requested . FedEx - Overnight 0001 1.00 Closeout Waiver and Release of Lien Upon Final Payment 0002 1.00 Closeout Proof of Completion 0003 1.00 Closeout Certificate of Insurance 0004 1.00 Closeout Consent of Surety Company to Final lt pale arent Proof of Sony Cnn Yeor Please find attached the original Waiver nil Release of Lien —_ Final Payment, Proof of Complation ieheaclaatherk Certificate of Insurance, and Consent of Surety Company to Final Payment and Proof of Performance and Payment Bonds Conitnuation for 1 Year for the Okaloosa County Courthouse Annex Extension project. Should you have any questions or need additional information, please do not hesitate to contact me. Thanks- File: 0+270 Ke 12.10.13 Signature Signed Date Prolog Manager Printed on: 12/10/2013 7Southeast Page 1 WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT The undersigned lienor, in consideration of the final payment of $37,697.00, hereby waives and releases its lien and right to claim a lien for labor, services, or materials furnished to Okaloosa County Board of County Commissioners on the job of Okaloosa County Board of County Commissioners to the following property: Okaloosa County Courthouse Annex Extension 1940 Lewis Turner Blvd Fort Walton Beach, FL 32547 Commencing at the General Land Office monument dated 1937, 2" pipe with brass cap, which is at the quarter section corner common to section 25 and 26, T-1-S R-24-W, being also a comer of a tract of land conveyed to the Board of Public Instruction, Okaloosa County, Florida, on 30 December 1970, and a comer of a tract of land owned by the United States of America at Eglin Air