Full text
Machine-extracted from the source by optical character recognition. Not yet human-corrected — it may contain recognition errors. Read it alongside the images above.
we: BE on (276-14
KCC fon Appva—
Jesu
CONTRACT CLOSE-OUT CHECKLIST : >
(To Be Prepared by the Purchasing Services Coordinator)
DATE: 12-1-14
TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office
SUBJECT: Contract No. C14-2162-AP
MANAGING DEPARTMENT: Airport
CONTRACTOR'S NAME: Cathey Construction & Development
PROJECT TITLE: Security Checkpoint Exit Controls Lane System
The attached has met the final payment contract requirement in subject contract.
No
Yes
1. Final Invoice a
a
EJ
2 Completed Contract/Lease Payment Approval Form
3) Close-Out Documents Yes No N/A
a. Signed Release of Lien A L] L]
b. Proof of Completion Advertisement we O iz
c. Certificate of Insurance im O
d. Consent of Surety to Final Payment a | QO
e. Proof of Performance/Payment Bond im O
Continuation 12 Months Following
Final Payment
Se
O &
4, Agenda Request
5: Remarks
FAN (9-8 -}f
(Pen asing Services Coordinator DATE
ns
CONTRACT/LEASE
PAYMENT APPROVAL FORM
COMPLETE AND FORWARD TO THE NEXT DEPARTMENT
COMPLETED BY DEPARTMENT
DATE: 12/1/2014
VENDOR NAME: Cathey Construction & Development VENDOR #: 21200113
CONTRACT/LEASE#: C14-2162-AP Security Checkpoint Exit Control Lane System
TASK COUNTY/FEMA
VENDOR . BUDGET
INVOICE # ORDER # PROJECT# —|pepartMENT 4] ACCOUNT# | = AMOUNTS
(Uf Applicable) (if Applicable)
Pay App 4 Final 421 2051100 49,684.60
TOTAL | $ 49,684.60
APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: ~Y=S/]__— DATE: 72:37 °7%
—_— acy Stage, A.ALE.
COUNTY SUPERVISOR/PROJECT MANAG: f, HW LS [ DATE; 2° 2-7¥
Tracy Stage, AAE.
DEPARTMENT DIRECTOR: fem — parle /y [lof
/ A Sunil Harman, A.A.E., IAP
CONTRACTS & GRANT wanacy. DATE:
COUNTY ADMINISTRATOR: DATE:
(Payments> $25,000.)
FINAL PAYMENT
FINAL PAYMENT YES Vx O_. Gf "Yes", forward to Purchasing Services Coordinator for Close-Oni)
DATE: (2/ %/ [¢ PURCHASING DIRECTOR: Austral. Zon fedovale
(Per Initial Agreement)
te DATE: Le F-Z0/Y CONTRACTS & GRANTS MANAGER:GZ AEM A Ex Lhe
: (All Contracts) —PZo£. —_
DATE: iif. COUNTY ADMINISTRATOR APPROVAL: =x YW
. , (Per Initial Agreement) J Va ‘John Hoistad
DATE: BOARD APPROVAL:
(Per Initial Agreement)
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWED BY
Cathey Constuction
Project Title: Passenger Exit Control Lane System
Project Number AP 13-14
Purchasing Contract No.C14-2162-AP
Expires: 120 Days from NTP
741423 - 562441 TOTAL 421-2051100
4207-562433 COST 10% Amount
Inv# ‘ Cost Cost to date Withheld Paid
1 61,786.50 61,786.50 (6,178.65) 55,607.85
2 119,856.34 119,856.34 (11,985.63) 107,870.71
3 315,203.16 315,203.16 (31,520.32) 283,682.84
4 - 49,684.60 49,684.60
5 - - -
6 - - -
7 - - -
8 - - -
9 - - -
10 - - -
11 - - -
496,846.00 496,846.00 - 496,846.00
Contract Total 496,846.00
Change Order #1
Change Order #2
Change Order #3
Change Order #4
New Contract Total 496,846.00
Balance to finish w/o retainage -
Date
Paid
08/28/14
09/25/14
10/16/14
Check
Number
V1408465
V1409171
V1500488
RSSH
10748 Deerwood Park Blvd. South
Jacksonville, FL 32256-0597
904-256-2500
Fax: 902-256-2503
November 18, 2014
Mr. Tracy Stage, AAE
Deputy Director
Okaloosa County Airports
1701 State Road 85 N.
Eglin AFB, Florida 32542
tf
Subject: Cathey Construction & Development Application No. FINAL - Approved
Security Checkpoint Exit Controls Lane System
Okaloosa County Contract No. C14-2162-AP
RS&H Project No. 201-0940-011
Dear Mr. Stage,
Please find enclosed five (5) signed originals of the contractor's Pay Application No. FINAL in the amount
of $49,684.60.
Based on observations by RS&H staff we believe that the application amount accurately reflects the value
of the work performed and accepted. Based on the materials furnished and work performed through the
pay application period, we recommend payment to the Contractor in the requested amount of
$49,684.60 per our certification on the included applications. This amount represents a value of the work
completed.
Original Contract Sum: $ 496,846.00 ‘a
Contract Sum to Date: $ 496,846.00 ios)
Total Completed: $ 496,846.00 s
Retainage (10%) $ 49,684.60 =
Less Previous Payments: $ 447,161.40 >
Invoice Amount (this period): $ 49,684.60
Percent Complete: 100% :
Balance to Finish (incl. Retainage): $ 0 eS
zy
Please contact me at phone (904) 256-2192 if you have any questions or comments about this project. =<
Respectfully Submitted,
REYNOLDS, SMITH AND HILLS, INC.
Ena ont
Brad Wente, P.E.
Project Manager
ce: RS&H — Lawrence Surage, Patrick Hargrove, file
APPLICAITIUN AND CERTIFICATE FUR PAYMENI co if Date: 9/25/2014
Fino - 7
TO (OWNER): PROJECT: Security Checkpoint Exit Syste: APPLICATION NO: Retainage DISTRIBUTION TO:
Okaloosa County Board of County Commisioners Northwest Florida Regional Airport OWNER
Okaloosa County, FL Okaloosa County, FL PERIOD TO: September 29, 2014 RCHITECT
CONTRACTOR
FROM (CONTRACTOR): VIA (Engineer): RS&H APPLICATION DATE: September 29, 2014
Cathey Construction & Development 10748 Deerwood Park Blvd. South
P.O. Box 13107 / 103 North 30th Street Jacksonville, FL 32256 CONTRACT DATE: March 11, 2014
Mexico Beach, FL 32410
CONTRACTOR'S APPLICATION FOR PAYMENT
1 ORIGINAL CONTRACT SUM $496,846.00
CHANGE ORDER SUMMARY 2. NET CHANGE BY CHANGE ORDERS. $0.00
Change Orders approved in ADDITIONS DEDUCTIONS 3. CONTRACT SUM TO DATE (Line 1 + Line 2) $496,846.00
Previous months by Owner 4. ENCUMBRANCES:
TOTAL a. Total Purchase Orders Issued by Owner (To Date)
b. Anticipated Tax Savings on Owner Issued POs
Number Date Approved c. TOTAL ENCUMBRANCES: (Line 4a + Line 4b) $0.00
d. CONTRACT VALUE LESS ENCUMBRANCES: (Line 3 - Line 4c) $496,846.00
5. EARNED TO DATE:
a. Percentage of Work Complete-Excluding Owner Purchased Materials 100.00%
b. Stored Materials - For Verification Only (See Attached) $0.00
c. TOTAL EARNED TO DATE: (From Approved Schedule of Values) $496,846.00
RETAINAGE: (10% of Line 5c) $0.00
TOTALS $0.00 $0.00 TOTAL EARNED LESS RETAINAGE (Line 5c less Line 6) $496,846.00
LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 7 from prior certificate) $447,161.40
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 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 the current payment shown herein is now due.
CONTRACTOR
Cathey Construction & Development
Sly
By: Ab Ye Lk
w.A. Eathey, Vice President
Date: |\ \ lly
State of: Florida County of: Bay
Subscribed and sworn to before me this q day of ~~ d
oo. So
Notary Public: \ i) \
MY COMMISSION #
PIRES Novel
FloridaNota
EX! 108, 2015
Ice.com
(407) 398-0153
CURRENT PAYMENT DUE (Line 7 less Line 8) $49,684.60
0. TAX SAVINGS AGREEMENT: (Through Summary No. )
a. Vendor Invoices Processed @Contractors Request
b. Tax Savings on Processed Invoices
c. Total Tax Savings Invoices & Credits Processed (Line 10a + 10b)
d. Vendor retainages unpaid @Contractors Request
e. Remaining Balance on Encumb POs and Tax Savings (4c less 10c)
11. BAL. TO FINISH, INCL RETAINAGE & ENCUMB (Line 3 - Ln 7 - Ln 10c)
12. CONTRACTOR'S BALANCE TO FINISH, INCLUDING RETAINAGE (Ln 4d - Ln 7)
SP ene
$0.00
ARCHITECT'S CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on on-site observations and the data comprising the above application,
the Engineer certifies to the Owner that to the best of the Engineer'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.
44 685.40
al apples for.) ( (
Date:
This Certificate is not negotiable. The AMOPNT CERTIFIED is payable only to the Contractor named herein.
Issuance, payment, and acceptance of pay
nt are without prejudice to any rights of the Owner or Contractor under this Contract.
0.00
SCHEDULE OF VALUES oal-Y
APPLICATION NO: Retaimege
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM APPLICATION DATE: 29-Sep-14
PERIOD TO: 29-Sep-14
A B Cc D I E E G H I
TEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE | RETAINAGE
NO. VALUE FROMPREV. | THISPERIOD | PRESENTLY | COMPLETED G+O TO FINISH
APPLICATION STORED | AND STORED (C-6)
+E) (NOTIN TO DATE
DORE) DE
‘General Conditions 34,346.00 $34,346.00 $0.00 $0.00 $34,346.00 100.00% $0.00 | $3,434.60
Bonds & Insurance 14,500.00 $14,500.00 30.00 $0.00 $14,500.00 | 100.00% $0.00 | $1,450.00
Steel Framing System (Material & Fab) 32,500.00 | $32,500.00 $0.00 $0.00 $32,500.00 | 10.00% $0.00 | $3,250.00
Steel Framing System (Installation) 10,500.00 $10,500.00 $30.00 $0.00 $10,500.00 [10.00% $0.00 | $1,050.00
Box Beams (Material & Fab) 12,500.00 $12,500.00 $0.00 $0.00 $12,500.00 [100.0% $0.00 | $1,250.00
Box Beams (installation) 7,500.00 $7,500.00 $0.00 $0.00 $7,500.00 | 100.00% $0.00 | $750.00
Storefront System
Storefiont Framing] 70,200.00 $70,200.00 $0.00 $0.00 $70,200.00 | 100.00% $0.00 | $7,020.00
Glass & Glazing] 19,450.00 | $19,450.00 $0.00 $0.00 $19,450.00 [10.00% $0.00 | $1,945.00
Automatic Doors| 33,500.00 $33,500.00 30.00 $0.00 $33,500.00 | _100.00% $0.00 | $3,350.00
Hinged Doors 9,850.00 $9,850.00 $0.00 $0.00 $9,850.00 100.00% $0.00 $985.00
Exit Anti-Backflow System 225,000.00 $225,000.00 $0.00 $0.00 $225,000.00 | 10.00% $0.00 | $22,500.00
0.00
Electrical 15,000.00 $15,000.00 $0.00 $0.00 $15,000.00 [100.00% $0.00 | $1,500.00
0.00
ALLOWANCE #1 - Wayfinding & Signage 6,000.00 $6,000.00 $0.00 $0.00 $6,000.00 | 10.00% 30.00 | $600.00
0.00
ALLOWANCE #2 - Additional Monitors 6,000.00 $6,000.00 $0.00 30.00 $6,000.00 | 100.00% $0.00 | $600.00
GRAND TOTALS 496,846.00 $496,846.00 $0.00 $0.00 $496,846.00 | 100.00% $0.00 | $49,684.60
Original Scheduled Value 496,846.00 G703-1992
Project Title: Security Checkpoint Exit Lane Controls System (VPS)
Reynolds Smith and Hills, Inc.
County Airport Project Number
[vpsoo3
Airport
Reserves Total Funding
TO#: _—siinv: Date: 50% 50% 100% 10% $675,000.00
Contract # : CO9-1737-AP $337,500.00 | $337,500.00 | $350,000.00
AR742
Pay Application No.: Start 11/5/2013 11/5/2013 Retainage
County Airport Project# VPS003 Expiration 6/30/2016 6/30/2016 Techieet
Bid #: _ Date: Approved
Construction Award
Construction Start: County County
Construction Complete: Check Date | Check# | Invoice Date Invoice # Invoice Amount | 741423/562441 | 741423/562441 | 4207/562433 | 421-2051100 | Check Total
Cathey Construction (Jan 21st BCC)
$496,846.00 8/27/14 _|v1408465 Pay App 1 $ 61,786.50 $61,786.50 | $ (6,178.65)| $__ 55,607.85
9/30/14 _|CORSEG $30,893.25 | $ 30,893.25 | $ (61,786.50)
Percentage Complete 9/25/14 _|v1409171 Pay App 2 $ 119,856.34 | $ 59,928.17 | $ 59,928.17 $_(11,985.63)| $107,870.71
10.00% 10/16/14 |v1500488 Pay App 3 $ 315,203.16 | $ 157,601.58 | $ 157,601.58 $ (31,520.32) $ 283,682.84
Pay App 4 Final $ 49,684.60 |$ 49,684.60
$ .
$ - $ z
Task Order (TO #12)
Design and Bidding Services 3/27/14 | v1404317| 12/18/13 _| 2010940011-0001 | $ 43,739.00 $43,739.00 $43,739.00
$43,739.00 9/30/14 _|CORSEG $ _21,869.50|$ 21,869.50] $ (43,739.00)
Percentage Complete $ -
100.00% $ -
Task Order (TO # 15) (Jan 21st BCC)
Construction Phase Service 10/23/2014 | v1500722| 9/26/2014 | 2010940015-1_| $ 65,723.70 | $ 32,861.85 |$ 32,861.85 $65,723.70
$77,322.00 10/16/2014 | vis00596| 10/8/2014 | 2010940015-2-Fin | $ 11,598.30 | $ 5,799.15 | $ 5,799.15 $ 11,598.30
100.00% : ;
Misc Charges
Performance Bond 5/8/2014 | v1405466 $ 52.50 $ 52.50 $ 52.50
9/30/14 |CORSEG $ 26.25 | $ 26.25 | $ (52.50)
Advertisement 11/20/2013| 1401165 $ 399,32 $ 399,32 $ 399.32
9/30/14 |CORSEG $ 199.66 [ $ 199.66 | $ (399.32)
Admin Cost 10/22/14 _|AJE13D5 JE $ 3,686.10 | $ 1,843.05 | $ 1,843.05 $3,686.10
10/31/14 | COR13EC JE $ (54.15)| $ (27.08)| $ (27.07) $ (54.15)
Total Funding of Program Cost $ 621,990.77 | $ 310,995.38 | $ 310,995.39 | $ - [$ - _[$ 621,990.77 |
$617,907.00
$675,000.00
$ 621,990.77
Percent Complete 92.15%
Total Amount $337,500,00| _ $337,500.00] $350,000.00] $ - |
Balance Remaining $26,504.62| $26,504.61] $350,000.00] i
Cathey Construction [ $ 496,846.00
TO#12Totalto Date | $ 43,739.00
TO#15TotaltoDate| $77,322.00
Misc Charges| $ 4,083.77
[Total | $ 621,990.77
Contract Amount: Secuirty Checkpoint Exit System
$496,846.00
Less
: Gross 10% %
Payee Pay Apps Amount | Retainage| Net Paid Balance | Complete
Cathey Construction |Pay App 1 61,786.50} 6,178.65] 55,607.85 0.00
Cathey Construction {Pay App 2 119,856.34| 11,985.63] 107,870.74
Cathey Construction [Pay App 3 315,203.16] 31,520.32] 283,682.84
Cathey Construction [Pay App 4 Final -49,684.60] 49,684.60 |
| 496,846.00 0.00] 496,846.00 0.00] 100.0%!
Contract Amount - Gross Amount
Balance to Finish $0.00
Contract Amount - Net Paid
Balance to Finish $0.00
OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT
CONTRACTOR’S RELEASE OF LIENS SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM
CONTRACTOR’S RELEASE OF LIENS
STATE OF: FLORIDA
COUNTY OF: BAY
Before me, the undersigned Notary Public in and for the said County and State personally appeared
WILLIAM _B_CATHEY
representing the Contractor _ CATHEY CONSTRUCTION & DEVELOPMENT, LLC.
>
>
who being duly sworn according to law deposes and says that all labor, materials, and outstanding claims
and indebtedness of whatever nature arising out of the performance of the Contract with _ Okaloosa
County , the Owner, for Security Checkpoint Exit Lane Controls System , Contract Dated 3-11-14,
will be paid in full upon receipt of final payment in the amount of $ 49,684.60 __, the Contractor
releases and discharges the Owner and his authorized representatives from any liens or claims or any
nature because of or arising from this Contract and/or its performance, which it has had, has or may have
in the future.
By:
Williani B. Cathey, President. ——\
Sworn to and subscribed before me this
Z5 | day of Se Son hiern 2014
(Notary Public)
gow
My Commission Expires: W -& -20 LS
ON #E
My COMMISSI a
EXPIRES November 08, 2015
FloridaNotaryService.corm
Foi
3
“Daily
News
Published Daily
Fort Walton Beach, Florida
Distributed in Okaloosa, Santa Rosa & Walton Counties
State of Florida, County of Okaloosa
LEGAL 6705 |
{ADVERTISEMENT OF
COMPLETION :
CATHEY “ cONSTRUC. |
TION. -& — DEVELOP.
MENT LLC, 103 N. :30th
Street, Mexico “Beach,
__ Florida ” 32410,-
., Gives notice of ‘compie-
tlon of Security. Check
; point -Exit Lane Control
Before the undersigned authorized personally appeared _Rebecca Barney
who on oath says that (s)he is Legal Advertising Clerk
of the Northwest Florida Daily News,
=, ~.
a daily newspapet published at Fort Walton Beach, in Okaloosa wy Florida;
that the attached copy of advertisement, being a
in the matter of - Notice (\ BN Lyec dS Li eo ~~
‘7 System ‘project: at. the
Northwest’ Florida’ Re-
glonal Alrpoit and'sets
| 09-26-2014 as the date||
‘of final settlement.
All. persons and firms.
| should file all claims tor
payment to.’ the : below
address -prior to” the
settheament
date:Okaloosa ©’ County |
(Owner)
Attn: Contracts and
Leases Coordinator
602-C° North . .. Pearl
Street
Grestview, FL 32536
o> & Cys ewe Ye SE oo a
J
in the We aac SN County Court, was published in
Sa ; ASS AAO £ CAD shid newspaper in the issues of
Affiant further says that the said Northwest Florida Daily News is a newspaper
published at Fort Walton Beach, in said Okaloosa County, Florida, and that the
said newspapér has hetetofore been continuously published in said Okaloosa
County, Florida, each day, and has been entered as second class mail matter at the
post office in Fort Walton Beach, in said Okaloosa County, Florida, for a petiod
of one year next preceding the first publication of the attached copy of
advertisement; and afflant further says that (s)he has neither paid nor promised
any person, firm or corporation any discount, rebate, commission ot refund for
the purpose of securing this advertisement for publication in the said newspaper.
STATE OF FLORIDA
| 8/28,9/3,9/10 & 9/17/14
By: Willian B. Cathey,
President: * NO
‘| LEGAL 6705.
COUNTY OF OKALOOSA
Subsgtibed shdtewom (erat pitti 2d) before me this ‘2 z Ss \ aa
{Date).
by , > , who is/ate petsonally known to me or
has/have produced Personally Known as identification.
(Type of identification)
Notary Public, Commission No.
(Name of Notary typed, printed or stamped)
ELEANOR HYPES .:
Nolary Public - State of Florida
My Comm, Expiras Sut 30, 2075
ae Commission # EE 116319
nO Bonded Through Nationa! Notary Assn.
re
oot Om
ne
zy
4S
at . WHART-1 OP 1D: DS
ACORD CERTIFICATE OF LIABILITY INSURANCE —_—!
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 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 be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certifteate holder in lieu of such endorsement(s).
PRODUCER Phone: 407-660-8282] fanee”’ Amy Manor
2600 Lake Lucien Dry Ste-330" Fax: 407-660-2012| OME FE non
Maltland, FL 32751-7234 EMAL 5: amanor@whartonsmith.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A Amerleura Insurance Company 19488
INSURED Sitegeure te. INSURER B: Str Indemnity & Liability Co 38318
Sanford, PLZT INSURER ¢ ; Tavelers Prop Gas Co of Amor 37885
INSURER D
INSURER E:
INSURER Ft
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. :
ADDT|SUBR]
oe TYPE OF INSURANGE {Ns WWD POLICY NUMBER (IDB | gAMTEBN A inart's
|_ GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000)
A(X] coMmenciaL GeneRAL LiaetLiTy X | |et2036108 04/01/2014 | 04/01/2015 | PRIGRES fea aosurencs) | 8 300,000
_ | CLAIMS-MADE MED EXP (Anyone person) | $ 40,000
X | XCU Not Excluded PRODUGTS/COMPLETED OPS PERSONAL & ADV INJURY | § 1,000,000
[x] Broad Form FD CONTRACT LIAB PER GL FORM GENERALAGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 2,000,000
| { roucy | x | SBS: Loc Emp. Ben. $ 1,000,000
__ [avTomonit LABILITY GOMBINEDSINGLELIMIT | 1,000,000
A [|X | anyauto CA2036107 04/01/2014 | 04/04/2045 | BODILY INJURY (Per person) | $
F faesre® [7 s5ene soo na ee
|X| wireD autos |X | autos (Per accident) $
Comp/Coll $ 4,000 Ded
| | UMBRELLALIAB | X | occur EACH OCCURRENCE $ 20,000,000}
B | X | excess iiaa CLAIMS-MADE 1000020846 04/01/2014 | 04/01/2015 | accrecate $ 20,000,000
DED l | RETENTION $ : Excess of $ GL/IALIWC
WORKERS COMPENSATION WO STATU- OTH
AND EMPLOYERS’ LIABILITY YIN X | RFT ER
A} ANY PROPRIETOR/PARTNERVEXECUTIVE WC2036109 04/01/2014 | 04/01/2015 | 1, EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH) EL, DISEASE - EA EMPLOYER $ 1,000,000)
Ifyes, describe under
DESGRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000
C |Rented & Leased JURFoO024961MAI4A, 04/01/2014 | 04/01/2015
See 2nd Page
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
RE: Job # 1402, NW Florida Airport Exit Control Lanes, SS Job # 7301
Cathey Construction and Development is named as Additional Insured with
regards to General Liability as required by written contract,
CERTIFICATE HOLDER CANCELLATION
CATHEY1 .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
. THE EXPIRATION DATE THEREOF, NOTIGE WILL BE DELIVERED IN
Cathey Construction and ACGORDANCE WITH THE POLICY PROVISIONS.
Development
103 North 30th Street
Mexico Beach, FL 32410
AUTHORIZED REPRESENTATIVE
Shwe W len
© 1988-2010 AGORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Client#: 1698423 124SECURSYS
ACORD. _ CERTIFICATE OF LIABILITY INSURANCE sn aD
8/29/14
T THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE GERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certlticate does not confer tights to the
certificate holder In lieu of such endorsement(s).
PRODUGER ReNEacT
BB&T Insurance Services, Inc. FONE. ext); 706 354-3893 | tae, No: 8663172202
1071 Founders Blvd. E-MAIL
7 B ADDRESS:
Suite INSURER(S} AFFORDING GOVERAGE NAIG#
Athens, GA 30606 INSURER A; Everest Indemnity Insurance Com 10851
INSURED suReRS; Technology Insurance Company 42376
Securadyne Systems Intermediate LLC insurer ¢ ; Philadelphia Indemnity Insuranc 18058
Securadyne Systems Southeast LLC
14900 Landmark Blvd Suite 350 Neuse:
Dallas, TX 75254 :
INSURER Fy
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY.PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS:
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
{MSR TYPE OF INSURANCE |[ADDL| SUBR FOLICY EFF | POLICY EXP
INSR [Wy! POLICY NUMBER (MIKVODAVYYY) | (MMDBIYYYY) UMTS
A | GENERAL LIABILITY 51G1.006369141 08/31/2014 | 08/31/2018 EACH OCCURRENCE $1,000,000
X| COMMERCIAL GENERAL LIABILITY PRE REE RENT co) $50,000
i CLAIMS-MADE [x] occuR MED EXP (Anyone person) $5,000
_X| BPD Ded:1,000 PERSONAL &ADVINJURY {$1,000,000
| GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $2,000,000
| Jroucy | x] 58% [| |roc &
3 | AuToMosiLE LABILITY PHPK1178583 (05/22/2014 | 05/22/2015 GoMeINEDSINGLELIMIT | 4 000,000
| any auto BODILY INJURY (Per person) | §
|_| ALL OWNED [| SCHEDULED BODILY INJURY (Por accident) | $
|_X] HiRED AuTos NON QYNED BROPERTY DAMAGE ;
: 8
A {__] UMBRELLALIAB 1X | occur 5100002251141 08/31/2014} 08/31/2015] cach occuRRENCE $10,000,000
X| EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000
DED | x] RETENTION $10000 : . $
B | WORKERS COMPENSATION vin TWO3415856 los/2a/2014|os/2z72015 x [WGSTAl. | [ote
ANY PROPRIETOR/PARTNERVEXECUTIVE| E,L, EACH ACCIDENT $1,000,000
OFFIGERMEMBER EXCLUDED? En] |Nea
(Mandatory In NH) EL, DISEASE - EA EMPLOYEE] $1,000,000
DESGRISTION GF OPERATIONS below : E.L, DISEASE - POLICY MIT | $1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schadule, If more space fs required)
Supplemental Named Insureds - Securadyne Systems LLC, Survelllance Specialties Ltd, Surveillance
Specialties Ltd dba Securadyne Systems NE, Securadyne Systems Southeast LLC, Intelligent Access Systems of
North Carolina LLC, Intelligent Access Systems Holdings LLC.
Cathey Construction & Development LLC is included as additional insured with respect to General Liability.
CERTIFICATE HOLDER CANCELLATION
. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cathey Construction & THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Development LLC ACCORDANCE WITH THE POLICY PROVISIONS.
P O Box 13107
403 North 30th St AUTHORIZED REPRESENTATIVE
Mexico Beach, FL 32410
| Debloe Praentiy
© 1988-2010 ACORD CORPORATION, Att rights reserved.
ACORD 25 (2010/05) 41 of 1 The AGORD name and logo ara registered marks of ACORD
#3129047 34/M12887841 DSPO
ay oO DATE (MM/DDIYYYY}
ACORD CERTIFICATE OF LIABILITY INSURANCE
6/17/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THiS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
iMIPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. tf SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER Seueeet
Waildorff Insurance & Bonding PHONE 850.581 -. FAX 0t:850-58 1-
45 Eglin Parkway NE Ste 203 {alc, No Ext); 850-581 4925 {A/C, No}:850-58 1-4930
Fort Walton Beach FL 32548 Apbressreceptionist@waldorffinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A ‘National Trust Insurance Co. 20141
INSURED SAMN-01 INSURER B ‘The FCCI Insurance Company (10178
Samm Electric | INSURER CG:
Samm Enterprises, Inc. BBA i
P.O. Box 410 INSURER D:
Defuniak Springs FL 32435 INSURER E ¢
INSURER F:
COVERAGES CERTIFICATE NUMBER: 4377395199 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
WSR ADOLSUBR POLIGYEFF, | POLICY EXP
LIR TYPE OF INSURANCE INSR| WvD POLICY NUMBER [MMIDDYYYY) | IMM/DDIVYYY} LIMITS
A} GENERAL LIABILITY Y |Y — {GLooiose74 8/2/2013 B/2/2014 EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
X_| COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) _| $100,000
| cLAIS.MADE OCCUR : MED EXP (Any one person) | $5,000
PERSONAL & ADV INJURY _ | $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG | $2,000,000
poucy |X_} hRS Loc $
AUTOMOBILE LIABILITY Y CA00165714 12/2043 212014 EEE NOTE UNIT 54,000,000
xX | ANY AUTO BODILY INJURY (Per person) '| $
ALL OWNED SCHEDULED
cM Lee nen sone tS
X | HIRED AUTOS AUTOS (Per accident) 8
§
A |X | umprettauiae = 1X | occur UMB00111484 B/2/2013 B/2/2014 EACH OCCURRENCE $1,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000
DED Ix l RETENTION $10,000
8 | WORKERS COMPENSATION 101-WG13A-71026 1212013 B/2/2014 xX | WESTATU OTH
AND EMPLOYERS’ LIABILITY YIN il TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L, EACH ACCIDENT. $1000000
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory In NH) E.L. DISEASE - EA EMPLOYEE] $1000000
yes, describe under
DESCRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT | 1000000
B |Leased/Rented Equipment IcM00055794 B/2/2043 B/2/2014 Deductible $500 400,000
DESGRIPTION OF OPERATIONS / LOCATIONS f VEHICLES {Attach ACORD 101, Additional Remarks Schedulo, if more space is required)
It is hereby understood and agreed that the below named certificate holder is added as Additional Insured as respects to General Liability.
NW Florida Airport, Ft. Walton Beach
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Cathey Construction & Development, LLC ACCORDANCE WITH THE POLICY PROVISIONS,
PO Box 13107
103 North 30th Street
Mexico Beach FL 32410 AUTHORIZED REPRESENTATIVE
© 1988-2010 ACORD CORPORATION. All rights reserved.
ACGORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
CONSENT OF OWNER
SURETY COMPANY A LOR
TO FINAL PAYMENT SURETY
OTHER
(SIMILAR TO AIA DOCUMENT G707)
KOO
Security Checkpoint Exit Lane Control System , Okaloosa
PROJECT: County, FL
(name, address)
TO (Owner)
ARCHITECT'S PROJECT NO:
The Board of County Commissioners of Okaloosa County, CONTRACT FOR:
Florida
302 N Wilson St. Suite 302
Crestview, FL 32536
__| CONTRACT DATE: March 11, 2014
N CTOR:
CONTRA Rathey Construction & Development, LLC
P.O. Box 13107
Mexico Beach, FL 32410
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and
address of Surety Company)
Fidelity and Deposit Company of Maryland
1400 American Lane , SURETY COMPANY,
Schaumburg, IL 60196
on bond of (here insert name and address of Contractor)
Cathey Construction & Development, LLC
P.O. Box 13107 s;CONTRACTOR,
Mexico Beach, FL 32410
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its obligations to (here insert name and address of Owner)
The Board of County Commissioners of Okaloosa County, Florida
302 N Wilson St. Suite 302
Crestview, FL 32536 , OWNER,
as set forth in the said Surety Company's bond.
Certification: The warranty period for this bond is one year commencing at Owner's acceptance of the project.
IN WITNESS WHEREOF,
‘ - , 4
The Surety Company has hereunto set its hand this 18th ay of November, 2014 ,
Fidelity and Deposit Company of Maryland
7 Company
Signature of Authorized Representative
Attest: C\
(Seal): Michael W Brown / Attorney-in-Fact
Title
Note: This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims, Current Edition
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the ZURICH AMERICAN INSURANCE COMPANY, a corporation of the State of New
York, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, a corporation of the State of Maryland, and the FIDELITY
AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by
THOMAS 0. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said
Companies, which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof, do hereby
nominate, constitute, and appoint Michael W. BROWN and Jo M. CHONKO, both of Panama City, Florida, EACH. its true and lawful
agent and Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as surety, and as its act and deed: any and all bonds
and undertakings, and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies,
as fully and amply, to all intents and purposes, as if they had been duly executed and acknowledged by the regularly elected officers of the
ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL
AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland., in their own proper persons.
The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8, of
the By-Laws of said Companies, and is now in force.
IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said
ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 4th day of June, A.D. 2013.
ATTEST:
ZURICH AMERICAN INSURANCE COMPANY
COLONIAL AMERICAN CASUALTY AND SURETY COMPANY
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
ew D.Prseb oa WeUlhh
Assistant Secretary : Vice President
Eric D. Barnes Thomas O. McClellan
State of Maryland
City of Baltimore
On this 4th day of June, A.D. 2013, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, THOMAS O.
MCCLELLAN, Vice President, and ERIC D. BARNES, Assistant Secretary, of the Companies, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and acknowledged the exccution of same, and being by me duly swom, deposeth and saith, that
he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies, and that
the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said
Corporations.
IN TESTIMONY WHEREOF, I have hereunto set my band and affixed my Official Seal the day and year first above written.
Comeianhe A. Quan
Constance A. Dann, Notary Public
My Commission Expires: July 14, 2015
POA-F 033-0024A
201-0940-014
OKALOOSA COUNTY
NORTHWEST FLORIDA REGIONAL AIRPORT
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM Bond # PRFO9007846
PERFORMANCE BOND
KNOW ALL MEN by these presents; That we (1)__Cathey Construction & Development LLC.
a (2)___Limited Liability Company
hereinafter called “Principal” and (3)_ Fidelity and Deposit Campoany of Maryland
of_1400 American Lane , Schaumburg , State of _Iilinois hereinafter called the
“Surety”, are held and firmly bound unto (4)__ Okaloosa County Board of County Commissioners
of _1804 Lewis Tumer Blvd. Ste100 Fort Walton Beach.FL 32547_, hereinafter called “OWNER”, in the penal sum
of Four Hundred Ninety Six Thousand Eight Hundred Forty-Six and NO/100----_ dollars ($496,846.00
in lawful money of the United States for the payment of which sum well and truly to be made, we bind
ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these
presents.
THE CONDITION OF THIS OBLIGATION is such that whereas, the Principal entered into a certain
contract with the Owner, dated the day of , 20.14, a copy of which is hereto
attached and make a part hercof for the construction of: _
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM AT NORTWEST FLORIDA.
REGIONAL AIRPORT, OKALOOSA COUNTY, FLORIDA
NOW, THEREFORE, if the Principal shall well, truly and faithfully perform its duties, all the
undertakings, covenants, terms, conditions, and agreements of said contract during the original term
thereof, and any extensions thereof which may be granted by the Owner, with or without notice to the
Surety, and if he shall satisfy all claims and demands incurred under such contract, and shall fully
indemnify and save harmless the Owner from all costs and damages which it may suffer by reason of
failure to do so, and shall reimburse and repay the Owner all outlay and expense which the Owner may
incur in making good any default, then this obligation shall be void; otherwise to remain in full force
and effect.
PROVIDED, FURTHER, that the said Surety, for value teceived hereby stipulates and agrees that no
change, extension of time, alteration or addition to the terms of the contract or to the work to be
performed thereunder or the Specifications accompanying the same shall in any way affect its
OKALOOSA COUNTY PFB-1 PEHFORMANCE BOND
NORTHWEST FLORIDA REGIONAL AIRPORT BID DOCUMENTS
SECURITY CHECKPOINT EXIT LANE GONTROLS SYSTEM
201-0940-011
obligations on this bond, and it does not hereby waive notice of any such change, extension of time,
alteration or addition to the terms of the contract or to the work or to the Specifications.
PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge
the right of any beneficiary hereunder, whose claim may be unsatisfied.
IN WITNESS WHEREOF, this instrument is executed in six (6) counterparts, each one of which shall
be deemed an original, this the day of
» 20_.
ATTEST:
Pri ~~ Secretary
ftp les wrdeses
WitheSs as to Surety Prncpal
Address
ATTEST:
WC
urety) Secretary
Jo M Chonko
Witness as to Surety
1418 W. 23rd St. Suite 200
Panama City, FL 32405
Address
Date of bond must not be prior to date of Contract
Cathey Constfiction & Development Tall
103 N 30th Street Mexico Beach,FL 32410
Address
SEAL:
Fidelity and Deposit Company of Maryland
Surety
fR—
Attorney-in-Fact
Michael W Brown
1418 W. 23rd Street Panama City,FL 32405
Address
SEAL:
OKALOOSA COUNTY PFB-2
NORTHWEST FLORIDA REGIONAL AIRPORT
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM
PERFORMANCE BOND
BID DOCUMENTS
201-0940-011
OKALOOSA COUNTY
NORTHWEST FLORIDA REGIONAL AIRPORT
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM
Bond # PRFO8007646
PAYMENT BOND
KNOW ALL MEN by these presents; That we (1)_Cathey Construction & Development LLC
a (2)__Lintted Liability Company
hereinafter called “Principal” and (3)_Fidelity and Deposit Company of Maryland
of_1400 American Lane, Schaumburg State of _Ittinols , hereinafter call the
“Surety”, are held and firmly bound unto (4)_ Okaloosa County Board of County Commissioners
of State of Florida , hereinafter called “OWNER”, in the penal sum of Four Hundred
Ninety Six Thousand Eight Hundred Forty-Six and NO/100---- dollars ($.496,846.00_) in lawful
moncy of the United States for the payment of which sum well and truly to be made, we bind ourselves,
our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION is such that Whereas, the Principal entered into a certain
contract with the Owner, dated the day of , 2014, a copy of which is
hereto attached and make a part hereof for the construction of: __.
SECURITY CHECKPOINT EXIT LANE CONTROLS SYSTEM AT NORTWEST FLORIDA
REGIONAL AIRPORT, OKALOOSA COUNTY, FLORIDA
NOW, THEREFORE, if the Principal shall promptly make payments to all persons, firms, subcontractors,
and corporations furnishing materials for or performing labor in the prosecution of the work provided for
in such contract, and any authorized extension or modification thereof, including all amounts due for
materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed
or used in connection with the construction of such work, and all insurance premiums on said work, and
for all labor, performed in such work, whether by subcontractor or otherwise, then this obligation shall be
void; otherwise to remain in full force and effect.
OKALOOSA COUNTY PYB-t PAYMENT BOND
NORTHWEST FLORIDA REGIONAL AIRPOAT BID DOCUMENTS
SECURITY CHECKPOINT EXIT LANE CONTAOLS SYSTEM
201-0940-011
PROVIDED, FURTHER, that the said Surety, for value received hereby stipulates and agrees that no
change, extension of time, alteration or addition to the terms of the contract or to the work to be in any
wise affect its obligation on this bond, and it does hereby waive notice of any such changes, extension
of time, alteration or addition to the terms of the contractor or to the work or to the Specifications.
PROVIDED, FURTHER, that no final settlement between the Owner and the Contractor shall abridge
the right of any beneficiary hereunder, whose claim may be unsatisfied.
IN WITNESS WHEREOF, this instrument is executed in six (6) counterparts, each one of which shall
be deemed an original, this the day of 2014
ATTEST: Cathey Construction & Development Lig
“ae Secretary w Briah Cathey, MG™ Ci
Lt plod, Maguire sana ia
Witness as to-Surety- Prince? /
Mexico Beach,FL 32410
Address Address
SEAL:
ATTEST: Fidelity and Deposit Company of Maryland
Om Oso Suby
(Surety) Secretary / yea
Attorney-in-Fact
Jo M. Chonko Michael W Brown
Witness as to Surety
1418 W. 23rd St. Suite 200, Panama City, FL 32405 1418 W.23rd Street Ste 200 Panama City,FL 32405
Address Address
SEAL:
OKALOOSA COUNTY PYB-2 PAYMENT BOND
NORTHWEST FLORIDA REGIONAL AIRPORT BID DOCUMENTS
SECURITY GHECKPOINT EXIT LANE GONTROLS SYSTEM