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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)| $
