Okaloosa County BOCC — August 24, 2013 — RON Apron Hi Mast Lighting - VPS_Final Pay Application No. 6 — reading text

AVCON, INC. ENGINEERS & PLANNERS 320 Bayshore Drive, Suite A Niceville, Florida 32578 Phone: (850) 678-0050 2011.050.04/payapplication/PayA pp6-Transmittal Fax: (850) 678-0040 www.avconinc.com July 11, 2013 Mr. Tracy Stage, A.A.E. Airports Deputy Director Okaloosa County Airports 1701 State Road 85 N. Eglin Air Force Base, Florida 32542 Reference: Pay Application No. 6 (FINAL) - Approved RON Apron High Mast Lighting project Northwest Florida Regional Airport Okaloosa County Contract No. C12-1988-AP Dear Mr. Stage: Please find enclosed five (5) signed copies of the contractor’s Pay Application No. 6 (FINAL) in the amount of $47,314.08 covering the period from 5/23/13 through 6/10/13 for the above-referenced project. Based on observations by our staff, we believe that the application amount accurately reflects the value of work performed and accepted for this contract. Based on the materials furnished and work performed, we recommend final payment to the Contractor in the requested amount of $47,314.08 per our certification on the enclosed applications. The amount includes release of all retainage. The payment summary is as follows: Total Earned: $ 368,478.53 Original Contract Amount: $ 378,840.00 % Retainage: $ --- C.O. #1 (3/11/13): $ 0.00) Total Earned Less Retainage: $ 368,478.53 C.O. #2 (7/9/13): $ (10,361.47) Less Previous Payments: $ 321,164.45 Revised Contract Amount: $ 368,478.53 Invoice Amount (this period): $ 47,314.08 % Complete: 100.00% The following documentation has been provided by the Contractor as part of the close-out process and is enclosed for your records: ¢ Consent of Surety Company to Final Payment and Statement that Payment and Performance Bonds will remain in effect for one (1) year following final payment (1 copy) e Final release of liens from Bill Smith Electric, Inc. (1 copy) e Final release of liens from Ellis Crane Works, Inc. (1 copy) e Final release of liens from Jerry D. Duncan, Inc. (1 copy) e Notice of Completion Advertisement (1 copy) e Statement of DBE participation from Bill Smith Electric, Inc. (1 copy) e Statement from Fisher Brown Bottrell Insurance, Inc. that the liability insurance for Bill Smith Electric, Inc. is written on an occurrence basis. (1 copy) e Certificate of Liability Insurance (1 copy) e Engineer’s Certification (1 copy) CIVIL & STRUCTURAL ENGINEERING #& AIRPORT & AVIATION CONSULTING ® TRANSPORTATION DESIGN & PLANNING Mr. Tracy Stage, A.A.E. July 11, 2013 Page 2 Three (3) copies of the final closeout documents, including the closeout book and record drawings, will be submitted under a separate cover. If you have any questions regarding this project, please do not hesitate to contact us at your convenience. Sincerely, AVCON, INC. Jot (Xb John Collins, P.E. Project Manager Enclosures CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT DATE: 7/17/2013 COMPLETED BY DEPARTMENT VENDOR NAME: Bill Smith Electric, Inc. VENDOR #: 21000027 RON Apron High Mast Lights VPS CONTRACT/LEASE#: C12-1988-AP TASK COUNTY/FEMA VENDOR BUDGET INVOICE # ORDER # PROJECT# =| pepartment#| SCCOUNT# AMOUNTS ~ (If Applicable) (If Applicable) Pay App 6 Final 4255 563490 11,629.14 Pay App 6 Final 421 2051100 35,684.94 TOTAL | $ 47,314.08 APPROVED FOR PROGRESS PAYMENT (lease sign, as applicable and date) DATE: CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: Gi Wyo COUNTY SUPERVISOR/PROJECT M DEPARTMENT DIRECTOR: ANAGER: —— fee, AA.E. CONTRACTS & GRANT MANAGER: COUNTY ADMINI (Payments>$25,000.) STRATOR: — Dino Villani DATE: AL7“F DATE: seb DATE: DATE: {e FINAL PAYMENT FINAL PAYMENT YES Ao __ (If "Yes", forward to Purchasing Services Coordinator for Close-Out) PURCHASING DIRECTOR: DATE: (Per Initial Agreement) DATE: CONTRACTS & GRANTS MANAGER: (All Contracts) DATE: COUNTY ADMINISTRATOR APPROVAL: (Per Initial Agreement) DATE: BOARD APPROVAL: (Per Initial Agreement) IE 5] COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: Contract Amount: $378,840.00 CO#1 ($10,361.47) _CO#2 RON Apron High Mast Lighting $368,478.53 Revised Contract Amount = Less % Payee Date Rec | Pay Apps Date} Gross Amnt 10% Ret Net Paid Balance Comp Bill Smith 11/14/2012|Pay App#1 11/6/2012] $ 22,473.37 | $ 2,247.34] $ 20,226.03 $0.00 Bill Smith 1/23/2013|Pay App#2 1/15/2013] $ 27,961.82 |$ 2,796.18] $ 25,165.64 Bill Smith 3/11/2013|Pay App#3 3/7/2013} $ 52,910.01] $ 5,291.00[$ 47,619.01 Bill Smith 4/5/2013}Pay App#4 4/4/2013} $ 47,318.66] $ 4,731.87 |[$ 42,586.79 [Bill Smith 6/6/2013|Pay App#5 6/3/2013} $ 206,185.53 | $ 20,618.55 |$ 185,566.98 [Bitl Smith (35,684.94) Bill Smith $ : $ - Bill Smith 7/17/2013] Pay App#6 7/11/2013] $ 11,629.14 | $ 35,684.94] $ 47,314.08 TOTAL} $ 368,478.53 $ 368,478.53 $0.00 | 100.0% 4255 563490 Contract Amount - Gross Amount Balance to Finish $0.00 Contract Amount - Net Paid $0.00 Balance to Finish BILL SMITH ELECTRIC PO BOX 1057 GONZALEZ, FL 32560 850-968-6500 OFFICE 850-937-8113 FAX APPLICATION AND CERTIFICATE FOR PAYMENT TO OWNER: Okaloosa County PROJECT: NWFRA RON High Mast Lighting Distribution to: Attn: Richard Brannon 1701 State Road 85 North APPLICATION NO: 6 Final OOWNER 602-C North Pearl Street Eglin AFB, FL 32542 PERIOD TO: June 10, 2013 QARCHITECT Crestview, Florida 32536 OCONTRACTOR CONTRACT DATE: October 3,2012 O OKALOOSA COUNTY CONTRACT #: C12-1988-AP O FROM CONTRACTOR: Bill Smith Electric, Inc. VIA ARCHITECT: AVCON, Inc. PO Box 1057 Gonzalez, FL 32560 320 Bayshore Dr. Ste. A Niceville, Florida 32578 CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by the Application for Payment has been completed in accordance with the Contract 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. 1. ORIGINAL CONTRACT SUM.............. 0-00 ee $ 378,840.00 CON : By Stith Electric, Inc. 2. Net change by Change Orders..............-- $ (10,361.47) ~ By: Jake Smith, Project Manager Date: June 10, 2013 3. CONTRACT SUM TO DATE (Line 1+2)..........05- $ 368,478.53 ” State of: Florida 4. TOTAL COMPLETED & STORED TO DATE.......... $ 368,478.53 Count of: Escambia Sbscribed_and 5. RETAINAGE: he this 10th a 6, a. 10 _% of Completed Work $ - Z (Columns D + E on SOV) (Ad b. 10 _% of Stored Material $ : (Column F on SOV) Total Retainage (Line 5a + 5b)....... eee cere eee $ - a Lh lett ARCHFTECT'S CERTIFICATE FOR PAYMENT 6. TOTAL EARNED LESS RETAINAGE..............-- $ 368,478.53 s (Line 4 Less Line 5 Total) In accordance with the Contract Documents, based on the on-site observations and the data comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT Work has progressed as indicated, the quality of the Work is in accordance with the contract Documents, and the (Line 6 from prior Certificate)... 6... eee e cere eee $ 321,164.45 Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED. .........- 000 cece cece eee eee ennes $47,314 OF 8. CURRENT PAYMENT DUE..............00 eee eee [$ 47,314.08 ] (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this Application and on the Continuation Sheet that are changed to conform to the amount certified.) CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS ARCHITECT: Total changes approved in previous months by Owner $ = $ : Jodan y CZ. tad Date: 6 = [o -]} 2 Total approved this Month $ ~_|s (10,361.47) Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, TOTALS} $ - $ (10,361.47) payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this NET CHANGES by Change Order $ - [$s (0,361.47)) Contact. BILL SMITH ELECTRIC PO BOX 1057, GONZALEZ, FL 32560 OFFICE (850) 968-6500 FAX (850) 937-8113 PROJECT: RON APRON HIGHMAST LIGHTING OWNER: OKALOOSA COUNTY DATE: June 10, 2013 INVOICE NO: 6 ee - SCHEDULE OF VALUES — ; - A B a: D E F 6 H I MATERIALS TOTAL WORK COMPLETED PRESENTLY COMPLETED > [FROM | a STORED &STORED % | ITEM SCHEDULED PREVIOUS ~—— THIS (NOTIN TODATE COMPLETE BALANCE TO "NO. DESCRIPTION OF WORK ——,_~—sVALUE_——sSPERIOD. ~—PERIOD ~—s~DORE) __(D+ E+F) (G/C) __ FINISH (C-G) _ 1 BONDS & INSURANCE $ 22,473.37 § 22,473.37 $ 22,473.37. 100% § =—4 2 SEITE LAY OUT 5 3,500.00 $ 3,500.00 $3,500.00 100% $ : 3 UNDERGROUND CONDUITS $ 21,500.00 $ 21,500.00 | 21,500.00. 100% : 4 SERVICE RACKS ; $10,092.63 $ 9,500.00 § 592.63 | $ 10,092.63 100% $ : 5 POWER PANELS “¢ 34,586.00 $ 34,049.49 $ 536.51_ $34,586.00, 100% $ : 6 APU'S & CABLE REELS “$ 199,568.00 $ 191,068.00 $ 8,500.00 $ 199,568.00 100% | $ : "7 TUNLOAD & ASSEMBLE LIGHT POLES $ 14,000.00 $ 14,000.00_ 14,000.00 100% $ : ~~ LIGHTING FOUNDATIONS ~$ 22,500.00 $ 22,500.00 $ 22,500.00 100% $ : 9 HIGH MAST LIGHTING $25,620.00 $ 23,620.00 $ 2,000.00 “$25,620.00 100% ~~ $ : 10 GULF POWER & 400A CABLE FOR APU $ 14,638.53 $ 14,638.53 a $ 14,638.53. 100% $ : 11 | | | | | | | | | | | | | | | | | | — te a oe t | ——- 368,478.53 § 356,845.39 § 11,629.14 § = $ 368,478.53 | 100% | F 2 SUMMARY OF COMPLETED QUANTITIES RON APRON HIGH MAST LIGHTING PROJECT NORTHWEST FLORIDA REGIONAL AIRPORT 40-Jun-13 Pay Application No.6 - FINAL COMPLETE QUANTITIES | COMPLETE AND] TOTAL TO ITEM DESCRIPTION unit]QUANTITY| UNIT PRICE ERR? FRevious |MATERIALS| ACCEPTED | ACCEPTED THIS] DATE STORED Ee pag 0 ABBLICATION | STORED | THISPERIOD | PERIOD __ [AND COMPLETE BONDS AND INSURANCE SEATSST TS DaATST YS 22,473.57 [s TS 22473357 700% 5 SITE LAYOUT "500.00 | : 3,500.00 | $ 3.50.00 [s = Ts 3,500.00 100% : UNDERGROUND CONDUITS 31'500.00] $21,500.00] $ 21,500.00 E —_} $21,500.00 100% 5 SERVICE RACKS L 70,092.63 40,092.63] $9,500.00 E 39263] $10,092.63 100: : POWER PANELS x 34,586.00 $34,586.00] $ 34,049.49 E 536.51 | $34,586.00 100%| : APU'S AND CABLE REELS 739.568.00 | $199,568.00 | $_ 191,068.00 E 3,500.00 | $199,568.00 100%| : UNLOAD AND ASSEMBLE LIGHT POLES 74,000.00 74,000.00 | $ 14,000.00 [s = 14,000.00 100%| : [a [LIGHTING FOUNDATIONS 22,500.00 | $22,500.00] $22,500.00 rs =| s 22,500.00 100%| z HIGH MAST LIGHTING 25,620.00 75,620.00 | $ 23,620.00 7,000.00 25,620.00 100%| : 0 |GULF POWER ALLOWANCE 42,521.00 42,521.00 $ 12,521.00 [s 12,521.00 100%6| 1 +410 CABLE REEL UPGRADE 2117.53 211753] $2,117.53 z 2,117.53 100 7 seea7ess § 356,049.39 $ 71,629.14 368,478.53 700 Prapect Title Rem Apron High Mase iezhting [VP 5) Prepared by: AVCON Ox: fow: Oate: [ Airport | | raeas Bencting | Contract ¥:__C08-1683-aP [ 10% | ss1axeve | Pay Agplication No.: Final Pay App & {$450,000.00 | Retainage | | Bid = Ova -9R3-C9 Date: PFC's | | | County County | Construction Award | Check Date | Check # | Invoice 4 invoice Amount | 4255-563490 | 421-2051100 | Check Total gull Seruth Electric | | ‘i 3473,440.00 [11/20/12 [1301238 _[ Payapp1 | $ 22,473.37 | $ 22,473.37] $ _(2,247.34)|$ 20,226.03 Percentage Complete | 2/21/13 [1303527_[ PayApp2__|$ 27,961.82] $ 27,961.82| $ _(2,796.18)| § 25,165.64 87.85% | 3/21/13_[i304195 | Payapp3 | $ 52,910.01 | $ $2,910.01] $ (5,291.00)| $ 47,619.01 | 5/1/13 [1308066 | PayApp4 | $ 47,318.66] $ 47,318.66 | $ _(4,731.87)| $ 42,586.79 6/20/13 [1306518 PayAppS | $ 206,185.53] $ 206,185.53 | $ (20,618.55)] $ 185,566.98 | Total W/H Retain —_Check Total Including W/H Retain Ss = S7314 pans: ! RRBs ere be. Fas OrdecfAvcan, inc. } Design, Bidding, and CPS (TO#16) 3/3/12 | 1208490 [| _104340 —*«| $ 2,029.50} $ 2,029.50 | $2,029.50 392,900.00 [s/17/12_[ 1205767 | 108437__([ $__17,250.75 | $ 17,250.75 $__ 17,250.75