Okaloosa County BOCC — December 16, 2014 — CATHEY CONSTRUCTION — reading text

(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