Okaloosa County BOCC — August 5, 2014 — Cell Phone Lot Project Closeout Checklist and Docs

CONTRACT/LEASE PAYMENT APPROVAL FORM COMPLETE AND FORWARD TO THE NEXT DEPARTMENT COMPLETED BY DEPARTMENT DATE: 6/24/2014 VENDOR NAME: Cathey Construction & Development VENDOR #: 21200113 A118 AE CONTRACT/LEASE#: C14-24+33-AP Cell Phone Waiting Area TASK COUNTY/FEMA VENDOR BUDGET INVOICE # ORDER # PROJECT# | pepartmENT#| ACCOUNT # AMOUNT $ (ff Applicable) (f Applicable) Pay App 1-Final 4207 563459 84,993.00 TOTAL $ 84,993.00 APPROVED FOR PROGRESS PAYMENT (please sign, as applicable and date) CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER: DATE: COUNTY SUPERVISOR/PROJECT MANAGER: ff vA Jf T- (Z— DATE: 6° 279-/¥ = Tye Stfee, A.AE. DEPARTMENT DIRECTOR: DATE: ches Jye f / / unil Harman, A.A.E., IAP CONTRACTS & GRANT MANAGER: DATE: COUNTY ADMINISTRATOR: DATE: (Payments> $25,000.) FINAL PAYMENT FINAL PAYMENT YES Kx NO__ (if "Yes", forward to Purchasing Services Coordinator for Close-Out) DATE: PURCHASING DIRECTOR: (Per Initial Agreement) ff DATE: 7 - 22 - 20/Y¢ CONTRACTS & GRANTS MANAGER: ‘ ie - £ LA ‘ (All Contracts) . _ DATE: o/: 22/) 14 COUNTY ADMINISTRATOR APPROVAL-ogyeed oa id : (Per Initial Agreement) ~ v DATE: BOARD APPROVAL: (Per Initial Agreement) COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY FISCAL YEAR: DATE RECEIVED: REVIEWED BY: Ashley S. Endris From: Wendy Cain <wcain@co.okaloosa.fl.us> Sent: Monday, July 21, 2014 4:33 PM To: Ashley S. Endris Subject: RE: Cathey Construction Final Payment Please correct it to read C14-2178-AP. Thanks From: Ashley S. Endris [mailto:aendris@clerkofcourts.cc] Sent: Monday, July 21, 2014 4:29 PM To: Wendy Cain Subject: Cathey Construction Final Payment Wendy, On the attached contract payment form for Cathey Construction’s final payment, the contract number is incorrect. It should be C14-2178-AP. Would you like me to make the correction, or did you want to create a new and corrected contract payment form? Thank you, Ashley Ashley S. Endris Accountant Okaloosa County Clerk of Circuit Court Contracts and Grants 1804 Lewis Turner Boulevard, Suite 206 Ft. Walton Beach, FL 32547 Tel: (850) 651-7200 x 4382 PLEASE NOTE: Florida has a very broad public records law. Email communications to or from Okaloosa County Clerk of Court employees are considered public records and are available to the public and media upon request. Your e-mail communications, including your email address, are subject to public disclosure. This email is intended for the addressee(s) indicated above only. If you have received this email in error, please delete it immediately. CONTRACT CLOSE-OUT CHECKLIST (To Be Prepared by the Purchasing Services Coordinator) DATE: 6/20/14 TO: Contracts & Grants Manager, Finance Department Contracts & Grants Office SUBJECT: Contract No. C14-2178-AP MANAGING DEPARTMENT: Airport CONTRACTOR'S NAME: Cathey Construction & Development, LLC PROJECT TITLE: Cell Phone Waiting Area The attached has met the final payment contract requirement in subject contract. Yes 1. Final Invoice Ee 2. Completed Contract/Lease Payment Approval Form ra 3. Close-Out Documents Yes No a. Signed Release of Lien Ke C] 4. b. Proof of Completion Advertisement LJ C] c. Certificate of Insurance Me L] d. Consent of Surety to Final Payment [| e. Proof of Performance/Payment Bond [4 im Continuation 12 Months Following Final Payment Yes A, Agenda Request a 5. Remarks i OA “14 [] € 9 No CL] N/A Confracts sa He Lease doordinator DATE tae TA0es Vy AVCON, INC. ENGINEERS & PLANNERS 320 Bayshore Drive, Suite A Niceville, Florida 32578 Phone: (850) 678-0050 Fax: (850) 678-0040 www.avconine.com June 12, 2014 Mr. Tracy Stage, A.A.E. Deputy Airports Director Okaloosa County Airports 1701 State Road 85 N. Eglin Air Force Base, Florida 32542 Reference: Engineer’s Certification Cell Phone Waiting Area project Northwest Florida Regional Airport, Eglin AFB, Florida AVCON No.: 2013.050.05 Dear Mr. Stage: Pursuant to our letter dated today recommending final payment for the above-referenced Okaloosa County contract with Cathey Construction & Development, LLC, this letter is provided to certify the completion of the work. We have reviewed the Cell Phone Waiting Area project site, the project punch-list items, and the contractor’s final submittals and know of no outstanding requirements to be performed by the contractor. To the best of our belief and knowledge, we hereby certify that the project was completed in accordance with applicable plans and specifications. We appreciate the opportunity to serve the County on this important project. If you have any questions or require additional information, please do not hesitate to contact me at your convenience. Sincerely, AVCON, INC. RNY LLU] 7 sh ROBERT oo St 6k eWay. 4 “ John Collins, P.E. Project Manager CIVIL & STRUCTURAL ENGINEERING M AIRPORT & AVIATION CONSULTING @ TRANSPORTATION DESIGN & PLANNING AVCON, INC. ENGINEERS & PLANNERS 320 Bayshore Drive, Suite A Niceville, Florida 32578 Le . Phone: (850) 678-0050 2013.050.05/payapplication/PayA pp1-Transmittal Fax: (850) 678-0040 www.avconine.com June 12, 2014 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. 1 (FINAL) - Approved Cell Phone Waiting Area project Northwest Florida Regional Airport Okaloosa County Contract No. C14-2178-AP Dear Mr. Stage: Please find enclosed five (5) signed copies of the contractor’s Pay Application No. 1 (FINAL) in the amount of $84,993.00 covering the period from 5/13/14 through 6/6/14 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 $84,993.00 per our certification on the enclosed applications. The amount includes release of all retainage. The payment summary is as follows: Total Earned: $ 84,993.00 0% Retainage: $ 0.00 Total Earned Less Retainage: . $ 84,993.00 Less Previous Payments: $ 0.00 Invoice Amount (this period): $ 84,993.00 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 (5 copies) e Final release of liens from Cathey Construction & Development, LLC. (5 copies) e Final release of liens from Thurman Construction, LLC. (5 copies) e Final release of liens from SAMM Electric, Inc. (5 copies) e Final release of liens from Advanced Sign Solutions, Inc. (5 copies) e Final release of liens from J&M Testing Lab, Inc. (5 copies) e Final release of liens from Construction Materials of NWFL, Inc. (5 copies) e Final release of liens from Ready Mix USA (5 copies) e Final release of liens from Emerald Coast Striping, LLC. (5 copies) e Statement of DBE participation from Cathey Construction & Development, LLC. (5 copies) CIVIL & STRUCTURAL ENGINEERING ® AIRPORT & AVIATION CONSULTING ™ TRANSPORTATION DESIGN & PLANNING Mr. Tracy Stage, A.A.E. June 12, 2014 Page 2 e Statement from Marks Insurance Agency, Inc. that the liability insurance for Cathey Construction & Development, LLC is written on an occurrence basis. (5 copies) e Certificate of Liability Insurance (5 copies) Additionally, the Engineer’s Certification is enclosed for your use. If you have any questions regarding this project, please do not hesitate to contact us at your convenience. Sincerely, AVCON, INC. peter (Ct John Collins, P.E. Project Manager Enclosures 7/1/2044 Project Title: Cell Phone Waiting Area (VPS) AVCON Airport TOF: Inv: Date: Total Funding Contract #: 100% 10% $350,000.00 County Airport Project # VPS002 $350,000.00 Pay Application No.: Approved transfer | _ Retainage Sep 3 BCC Meeting Bid #: Date: Construction Award C Start: County County ; Construction C Check Date | Check # Invoice # Invoice Amount 4207/563459 421-2051100 Check Total Cathey Construction C14-2178-AP fo | j j | ; a Construction- Pay App 1Final | $ 84,993.00 | $ 84,993.00 $ 84,993.00 $84,993.00 $ : 3 - Percentage C $ : 100,00% $ : $ : $ Task Order(TO #24) 2 bi : . : . E Prof Planning Services 10/18/13 1400251 106127 $ 21,240.00 | $ 21,240.00 5 21,240.00 $21,240.00 $ : $ - Percentage C $ - 100,00% $ . Task Order-TO #1 : f ional Design Phase Services 4/23/14 1404912 106675 $ 8,460.00 | $ 8,460,00 $ 8,460.00 $10,575.00 5/15/14 1405592 106777 S 2,115.00 | $ 2,115.00 $ 2,115.00 F pec 8 - 100.00% $ : Task Order-TO#4. | 1 Construction Phase Service $ . $6,470.00 $ - F Be C $ - 0.00% $ . § - $ - Mise Charges Per Bond 6/5/2014 | v1406066 $ 52.50 | $ 52,50 § 52,50 $ . $ - $ : $ Total Funding of Program Cost $ 116,860.50} $ 116,860.50 $0.00 $ 116,860.50 $123,278.00) [ Grant Amount & Match | $350,000.00] | | Balance $233,139.50] I Cathey Construction| $ 84,993.00 TO # 24 Total to Date | $ 21,240.00 TO # 1 Total to Date| $ 10,575.00 TO #4 Total to Date| $ : Misc Charges | $ 52,50 Total] $ 116,860.50 APPLILALTUN ANU CERITEFILCATE FUR PAYMENI Date: 6/10/2014 ee TO (OWNER): PROJECT: Cell Phone Waiting Area APPLICATION NO: Final ra DISTRIBUTION TO: Okaloosa County Board of County Commisioners -“ Northwest Florida Regional Airport Okaloosa County, FL Okaloosa County, FL feo PERIOD TO: June 6, 2014 « FROM (CONTRACTOR): VIA (Engineer): Avcon, Inc. APPLICATION DATE: June 6, 2014 =" Cathey Construction & Development 320 Bayshore Drive, Suite A — ——s i) Ge) P.O, Box 13107 / 103 North 30th Street Ww Niceville, FL 32578 CONTRACT DATE: May 1 2014 =" Mexico Beach, FL 32410 CONTRACTOR'S APPLICATION FOR PAYMENT 1, ORIGINAL CONTRACT SUM $84,993.00 CHANGE ORDER SUMMARY 2. NET CHANGE BY CHANGE ORDERS $0.00 Change Orders approved in ADDITIONS DEDUCTIONS 3. CONTRACT SUM TO DATE (Line 4 + Line 2} $84,993.00 previous months by Owner 4, ENCUMBRANCES: TOTAL a4. Total Purchase Orders Issued by Owner (To Date) $0.00 b. Anticipated Tax Savings on Owner Issued POs $0,00 Number Date Approved c. TOTAL ENCUMBRANCES: (Line 4a + Line 4b) $0.00 $0.00 ~—— d. CONTRACT VALUE LESS ENCUMBRANCES: (Line 3 - Line 40) $84,993.00 me 5, EARNED TO DATE: ° a.P ge of Work Compl Owner Purchased Materials 100.00% b. Stored ials - For Verification Only (See Attached) $0.00 ct. TOTAL EARNED TO DATE: (From Approved Schedule of Values) $84,993.00. 6. RETAINAGE: (10% of Line 5c} $0.00 TOTALS $0.00 $0.00 7. TOTAL EARNED LESS RETAINAGE (Line 5c less Line 6) $84,993.00 — 8. SS VI RTIFICATES FOR PAYMENT (Line 7 from prior certificate) $0.00 <—~ The undersigned Contractor certifies that to the best of the Contractor's knowledge, information 4 IRR iN "| itt siLine: : Rese $84,993.00: — and bellef the Work covered by this Application for Payment has been completed in accordance 10, TAX SAVINGS AGREEMENT: (Through Summary No. } with the Contract Documents, that all amounts have been paid by the Contractor for Work for a, Vendor Invoices Processed @Contractors Request $0.00 which previous Certificates for Payment were issued and payments received from the b. Tax Savings on Processed Invoices $0.00 Owner, and that the current payment shown herein is now due. ¢. Total Tax Savings Invoices & Credits Processed (Line 10a + 10b) $0.00 d. Vendor retainages unpaid @Contractors Request $0.00 e, Remaining Balance on Sncumb POs and Tax Savings (4c fess 10c) $0.00 CONTRACTOR 14, BAL. TO FINISH, INCL RETAINAGE & ENCUMB (Line 3- Ln 7 - Ln 100) $0.00 Cathey Construction & Development 12. CONTRACTOR'S BALANCE TO FINISH, INCLUDING RETAINAGE (Ln 4d - Ln 7) $a.q0 =" 6 A / ARCHITECT'S CERTIFICATE FOR PAYMENT Date: (7 / of In ice with the Contract Documents, based on on-site observations and the data cc ising the above application, the Engineer certifies to the Qwner that to the best of the Engineer's knowledge, information and belief the Work has prog) 1 as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is State of: Florida County of: Bay ' entitled to payment of the AMOUNT CERTIFIED. Subscribed and sworn to before me this 4 day of Notary Public: zt > f cue C0} A ARCHITECT: f .- mee ; UNT CERTIFIED $ £ ef O92. [ae . i } CLA we o fi GELIA A NDER: 1% ch explanation if amount certifies : = MY COMMISSION # EC1 3 Date: 6-2-4 & expIRES November 08, 20s bern ; not negotiable, The AMOUNT CERTIFIED is payable only to the Contractor named herein. liffers from the amount applied for.) oF 1407) ? 4, ae on 53 FloridaNotaryService.com Issuahce, payment, and acceptance of payment are without prejudice ta any rights of the Owner or Contractor under this Contract. SCHEDULE OF VALUES por (bug 6-12-14 APPLICATION NO: Final CELL PHONE WAITING AREA APPLICATION DATE: 6-Jun-14 PERIOD TO: 6-Jun-14 A B c DIRECT PURCHASE ORDERS D E FE G H i TTEM DESCRIPTION OF WORK SCHEDULED DEO DPO SALES TAX WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE NO. VALUE # VENDOR AMOUNT | SAVINGS | FROMPREV. | THISPERIOD | PRESENTLY | COMPLETED (G+C) ‘TO FINISH . APPLICATION STORED AND STORED (C-G) @+E) (NOT IN TO DATE DORE) (D+E+F) General Conditions 3,500.00 " $0.00 $3,500.00 $0.00 $3,500,00 100.00% $0.00 $0.00 Bonds & I 2,167.00 [. $0.00 $2,167.00 $0,00 $2,167.00 100,00% $0.00 $0.00 Mobilization 6,500,00 $0.00 $6,500.00 $0.00 $6,500.00 100.00% $0.00 $0.00 MOT & Testing 3,300,00 $0,00 $3,300.00 $0.00 $3,300.00 100,00% $0.00 $0.00 Site Demoliti 13,950.00 $0.00 $13,950.00 $0.00 $13,950.00 100.00% $0.00 $0.00 Canopy Demoliti 2,800.00 $0.00 $2,800.00 $0.00 $2,800.00 100,00%, $0.00 $0.00 Cc d Sut 1,650.00 $0.00 $1,650.00 $0.00 $1,650.00 100.00% $0.00 $0.00 Limerock Base & Grading 3,160.00 $0.00 $3,160.00 $0.00 $3,160.00 100,00% $0.00 $0.00 Striping, Wheelstops, Detec. Warnings & Signs 6,500.00 |, $0.00 $6,500.00 $0.00 $6,500,00 100.00% $0.00 $0.00 Curbs, Ramps, & Concrete Islands 26,350.00 $0.00 $26,350.00 $0.00 $26,350.00 100.00% $0.00 $0.00 Concrete Driveways 9,776.00 $0.00 $9,776.00 $0.00 $9,776.00 100.00%. $0.00 $0.00 Misc. Metals 840.00 $0.00 $840.00 $0.00 $840.00 10.00%. $0.00 $0.00 Electrical 4,500.00 [?* $0.00 $4,500.00 $0.00 $4,500.00 100.00% $0.00 $0.00 0.00 [* $0.00 $0.00 $0.00 $0.06 0.00% $0.00 $0.00 0.00 |. $0.00 $0.00 $0.00 $0.00 0.00%. $0.00 $0.00 0,00 $0.00 $0.00 $0.00 $0.00 0.00% $0.00 $0.00 0.00 $0.00 $0.00 $0.00 $0.00 0.00%| $0.00 $0.00 0.00 st $0.00 $0.00 $0.00 $0.00 0.00% $0.00 $0.00 0.00 |. $0.00 $0.00 $0.00 $0.00 9.00% $6.00 $0.00 0.00 | $0.00 $0.00 $0.00 $0.00 0.00% $0.00 $0.00 GRAND TOTALS 84,993.00 $0.00 $0.00 $0.00 $84,993.00 $0.00 $84,993 ,00 100.00% $0.00 $0.00 Original Scheduled Value 84,993.00 G703-1992 CATHEY Construction& Development! DATE: June 6, 2014 STATE OF FLORIDA COUNTY OF BAY AFFIDAVIT OF GUARANTEE & LIEN RELEASE Having been first duly sworn, I (We) depose and say: That Cathey Construction & Development, LLC contracted with the Okaloosa Board of County Commissions for the Cell Phone Waiting Area Project at the Northwest Florida Regional Airport to furnish all labor, materials, equipment and incidentals necessary to complete the construction on above named project in accordance with the drawings and specifications as prepared by AVCON, Inc.. All bills for labor, materials, equipment, sublet portions and incidentals used to date, including but not limited to, federal, social security and unemployment taxes and insurance have been paid in full without exception. hereby waives and releases its lien and right to claim a lien or claim against the Owner including all claims, change orders, or demands whatsoever for labor, services, or materials furnished for the above-named project. As the undersigned Contractor, we herby guarantee and warrant all materials and workmanship installed by us on subject job in accordance with the requirements as specified. The guarantee shall be effective for a period of no less than one (1) year from the date of acceptance by the Owner. This affidavit is given in accordance with Florida Statutes to substitute proper payment and the undersigned represents that he is an authorized agent of Contractor and has authority to execute this Affidavit of Guarantee & Lien Release on behalf of Contractor. Cat nstructi Selopmbat, | LLC oo Y Title: President Sworn to and subscribed before me this S$ _ day of ee A 92014. EXPIRES Navember 08, 2015 (Notary Public) () ole he G OL ( FlordaNotaryService.com tbat Sede ante pasting. Me SEE SON wes MY COMMISSION wt 134020 407) 398-0153 CATHEY CONSTRUCTION & DEVELOPMENT- P.O, Box 13107-103 NORTH 30 STREET- MEXICO BEACH, FL 32410 PHONE: (850) 648-5100 - Fax: (850) 648-5100 OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT CONTRACTOR’S RELEASE OF LIENS CELL PHONE WAITING AREA 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 Cell Phone Waiting Area , Contract Dated 5-6-14, will be paid in full upon receipt of final payment in the amount of $ 84,993.00 , 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. Le rnoae WillianrB: Cathe ey, President Sworn to and subscribed before me this day of ene Qoyy 0 Le Op eteicfl yaddena— (Notary Public) ~ en My Commission Expires: WW -& - COU ih H CECELIA ANDERSUi | we MY COMMISSION # EE 134020 Teer EXPIRES Novamber 08, 2015 (407) 388 0159 Florida Noturytorviee.com CONRELNS- 1 of 1 AVCON, INC. CATHEY™ Construction& Development: DATE: _ 06-06-14 STATE OF FLeliDA COUNTY OF WASHIMCTOV AFFIDAVIT OF GUARANTEE & LIEN RELEASE Having been first duly sworn, I (We) depose and say: That Thurman Construction LLC contracted with Cathey Construction & Development LLC for the a Complete Sitework Package including but not limited to demolition of existing landscaping, concrete curbs, sidewalks and ramps w/detectable warnings, all necessary clean fill sub-base material, lime rock base, new signage/striping/wheel stops, concrete islands and flumes, repair to existing irrigation lines as necessary, and testing of materials, etc,. at the Northwest Regional Airport located in Okaloosa County, Florida for the Cell Phone Waiting Area project to furnish all labor, materials, equipment and incidentals necessary to complete the construction on above named project in accordance with the drawings and specifications as prepared by Avcon, Inc. All bills for labor, materials, equipment, sublet portions and incidentals used to date, including but not limited to, federal, social security and unemployment taxes and insurance have been paid in full without exception. hereby waives and releases its lien and right to claim a lien or claim against the Owner including all claims, change orders, or demands whatsoever for labor, services, or materials furnished for the above-named project. As the undersigned Contractor, we herby guarantee and warrant all materials and workmanship installed by us on subject job in accordance with the requirements as specified. The guarantee shall be effective for a period of no less than one (1) year from the date of acceptance by the Owner. This affidavit is given in accordance with Florida Statutes to substitute proper payment and the undersigned represents that he is an authorized agent of Contractor and has authority to execute this Affidavit of Guarantee & Lien Release on behalf of Contractor. Thurman Construction, LLC Title: Ovopo zi. | (251040 T- Sworn to and subscribed before me this. > dayof SVN¢. , 2014. Kerdbel D Dasio _ Notary2ubliQona p, pais * MOE, x MY COMMISSION # EE 127272 shee... EXPIRES: November 28, 2015 “reo ck® Bonded Thru Budget Notary Services CaTHey CONSTRUCTION & DEVELOPMENT- P.O. Box 13107-103 NORTH 30” STREET- Mexico BEacu, FL 32410 Puone: (850) 648-5100 - Fax: (850) 648-5100 = = CATHEY Construction& Development: ——» DATE: _ 06-06-14 STATE OF Ftereipar COUNTY OF wactan AFFIDAVIT OF GUARANTEE & LIEN RELEASE Having been first duly sworn, I (We) depose and say: That SAMM Enterprises, Inc. contracted with Cathey Construction & Development LLC for the a Complete Electrical Package, at the Northwest Regional Airport located in Okaloosa County, Florida for the Cell Phone Waiting Area project to furnish all labor, materials, equipment and incidentals necessary to complete the construction on above named project in accordance with the drawings and specifications as prepared by Avcon, Inc. All bills for labor, materials, equipment, sublet portions and incidentals used to date, including but not limited to, federal, social security and unemployment taxes and insurance have been paid in full without exception. hereby waives and releases its lien and right to claim a lien or claim against the Owner including all claims, change orders, or demands whatsoever for labor, services, or materials furnished for the above-named project. As the undersigned Contractor, we herby guarantee and warrant all materials and workmanship installed by us on subject job in accordance with the requirements as specified. The guarantee shall be effective for a period of no less than one (1) year from the date of acceptance by the Owner. This affidavit is given in accordance with Florida Statutes to substitute proper payment and the undersigned represents that he is an authorized agent of Contractor and has authority to execute this Affidavit of Guarantee & Lien Release on behalf of Contractor. SAMM ENTERPRISES, INC. By: Ww Wali 0. Adasen Title: TPA Ok han Sworn to and subscribed before me this 4 day of Shwe , 2014, (Notary Public Lire (dmakong JENICE ARMSTRONG ; +, Notary Public - State of Florida f My Comm. Expires Mar 28, 2017 as Commission # FF 003042 Bonded Through National Notary Assn. CATHEY CONSTRUCTION & DEVELOPMENT- P.O, Box 13107-103 NORTH 30" STREET- MEXICO BEACH, FL 32410 PHONE: (850) 648-5100 - FAx: (850) 648-5100 D rom INSURANCE AGENCY, INC. RO. Box 129 * Apalachicola, FL 32329 * Phone (850) 653-2161 » Fax (850) 653-8946 * www.marksinsurance.com June 6, 2014 Y Northwest Florida Regional Airport 1701 Florida 85 Eglin AFB, FL 32542 Re: Cathey Construction General Liability Policy # 78120197-14 Gentlemen, Please be advised that this policy is written on an Occurrence basis, not a Claims-made basis. The Certificate of Liability Insurance that was provided to you dated 5/13/2014 indicates this fact. . a ; | . Please advise any questions. Regards, On Oke Wo — Chuck Marks, Agent CC: Cathey Construction & Development ) BD ACCORD — CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY) 05/13/2014 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 CONTR REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the the terms and conditions of the policy, certain p certificate holder in lieu of such endorsement(s) policy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to olicies may require an endorsement. A statement on this certificate does not confer rights to the PRODUCER NAMES Jayme Martina . Marks Insurance Agency, Inc. [AIG Nin, Ext}, 850-653-2161 LAS, Nok: 850-683-8946 P.O. Box 128 AoRESS: __jayme@marksinsurance.com Apalachicola, FL 32329-0429 INSURER(S) AFFORDING COVERAGE NAIC # . INSURERA: Southern Owners INSURED INsurERB: Auto Owners 32700 Cathey Const & Development Jnsurere: Bridgefield Employers PO Box 13107 INSURER Oe csummmnsnanmnue a wate weet Mexico Beach, FL 32410-3107 INSURER E : INSURERF : COVERAGES CERTIFICATE NUMBER: 00005877-473866 REVISION NUMBER: 14 THiS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO 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, NgR TYPE OF INSURANCE Nee |W POLICY NUMBER MODMY) | gMMIDON PY) LIMITS A | GENERAL LIABILITY 084622-78120197-14 — 01/01/2014 | 01/01/2018 EACH OCCURRENCE s_....1,000,000 X | commercia.cenera.uasery ff Ae 300,000 | CLAIMS-MADE | X | OCCUR MED EXP (Any one person) | $ 10,800 seo PERSONAL & ADVINJURY | § 4,000,000 _ GENERAL AGGREGATE $ 2,000,000 ,GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 1,000,000 X! poucy |) BBS [Loe $ B | AUTOMOBILE LIABILITY 4732839101 01/01/2044 | 01/01/2045 ovrcaueny ME is 4,000,000 XK] any auto “ BODILY INJURY (Per person) | [at Swnen "SCHEDULED BODILY INJURY (Per accident)| § LX) niren autos |X| abtos [svaccany AEs s A LX! UMBRELALAB | | occur 47-255-030-02 01/01/2014 | 01/04/2018 EACH OCCURRENCE $ 1,600,000 EXCESS LIAB X | cLAs-MaDE AGGREGATE $ 1,000,000 loco |__| Retentions 10000 8 CAND EMPLOYERS" LIABILITY vin 0830-47903 ovor20t4 [01012018 Tartans |X (eR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000 ,000 OFFICER/MEMBER EXCLUDED? [| NIA Penne ate teeta ene ae ent ew et ee cc mathe see Ie moataty eee (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE § 1,000,900 DESCRITION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT | § 1,000,000 2 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space Is required} CERTIFICATE HOLDER CANCELLATION Northwest Florida Regional Airport 1701 Florida 85 Eglin AFB, FL 32542 ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACGORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CP ASS (JPM) ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Printed by JPM on May 13, 2014 at 14:14AM <¢ INSURANCE AGENCY, INC. PO. Box 129 * Apalachicola, FL 32329 * Phone (850) 653-2161 * Fax (850) 653-8946 « www. marksinsurance.com June 6, 2014 Okaloosa County 602-C North Pear! Street Crestview, FL 32536 Re: Cathey Construction General Liability Policy # 78120197-14 Gentlemen, Please be advised that this policy is written on an Occurrence basis, not a Claims-made basis. The Certificate of Liability Insurance that was provided to you dated 5/13/2014 indicates this fact. Please advise any questions. Regards, CO Oe we Chuck Marks, Agent CC: Cathey Construction & Development —"} ACORD’ _ CERTIFICATE OF LIABILITY INSURANCE neon 05/13/2014 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. IMPORTANT: ff the certificate holder is an ADDITIONAL INSURED, the policy(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 certificate holder in tigu of such endorsement(s), PRODUCER NAME”) Jayme Martina Marks Insurance Agency, Inc. {Ale No, Exty,_ 850-653-2164 | TANG, Nox: 850-653-8946 P.O. Box 129 ADDRESS; __ fayme@markstnsurance.com Apalachicola, FL 32329-0129 INSURER(S) AFFORDING COVERAGE a NAIC # cents INSURERA: Southern Owners INSURED INSURERB: Auto Owners. 32700 Cathey Const & Development INSURER C: Bridgefield Employers PO Box 13107 INSURER Bt Mexico Beach, FL 32410-3107 INSURER E : INSURER F ; COVERAGES CERTIFICATE NUMBER: 00005877-0 REVISION NUMBER: 18 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. INSR TYPE OF INSURANCE HODL|SUBR POLICY NUMBER | Rana AAEM YY) LMiTS A | GENERAL LIABILITY 084622-78120197.~14 04/01/2014 | 0110112018 EACHOccURRENCE i 1,000,000 ; XL COMMERCIAL GENERAL LIABILITY PREM eeeee e $ 300,000 |_| CLAIMS.MADE | X | occur MED EXP (Any one person) | § 10,000 7 _ oe svt rman vismunenet wpa PERSONAL 8 ADV INJURY |S 4,000,000 | GENERALAGGREGATE 5 2,000,000 -GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG | § 1,000,000 X | poucy | i ies LOG $ BB | AUTOMOBILE LIABILITY 4732839101 01/01/2014 | 01/01/2018 fegaccueny Ls 1,000,000 X | ANY AUTO BODILY INJURY {Per person) | $ ‘ | AUTOS Soros eee _BODILY INJURY (Per accident)! $ Xj rrepautos |X | Autos NP fPeraccdeny LS $s A LX UMBRELLALIAB fF OCCUR 47-255-030-02 01/01/2014 | 04/01/2018 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB X | cLaime-MADE! _AGGREGATE $ 1,000,000 DED | RETENTION S 10000 en s C | NO EMPLOYERS LiABiLitY vin 0830-47903 ovou20%4 | o1012018 TORY IMIS XI ANY PROPRIETOR/PARTNERIEXECUTIVE EL. EACH ACCIDENT 8 1,000,000 OFFICER/MEMBER EXCLUDED? NIA Fe er mrtaenee ceca Pelt ss cerundin dae {Mandatory in NH} i EL. DISEASE - EA EMPLOYEE § 1,000,000 OLSERIPTION OF: OPERATIONS below E,L. DISEASE - POLICY LIMIT | § 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHIGLES {Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Okaloosa County ACCORDANCE WITH THE POLICY PROVISIONS. 602-C North Peart Street Crestview, FL 32536 AUTHORIZED REPRESENTATIVE ore . ; C7 K SS (JPM) © 1988-2010 ACORD CORPORATION, All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by JPM on May 13, 2014 at 01:12PM CONSENT OF OWNER SURETY COMPANY CONTR Stor TO FINAL PAYMENT SURETY mK OTHER Bond No. PRF09154203 (SIMILAR TO AIA DOCUMENT G707) | ye, Cell Phone Waiting Area at Northwest Florida PROJECT: Regional Airport (name, address) TO (Owner) ARCHITECT'S PROJECT NO: The Board of County Commissioners of Okaloosa County CONTRACT FOR: 302 N. Wilson St. Suite 302 Crestview, FL 32536 —_ __ CONTRACT DATE: May 6, 2014 Cc ONTRACTOR siney Construction & Development, LLC P.Q. Box 13107 103 N. 30th Street 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 103 N. 30th St. 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 302 N. Wilson St. Suite 302 Crestview, FL 32536 Further, as outlined in the contract documents, the original performance and payment bonds remain in full foree and effect for a period of one year following final payment to > OWNER, contractor, CONTRACTOR, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this day of 5th June, 2014 ; Fidelity and Deposit Company of Maryland Surety SC a Am | (br ignature of Authorized Representative Attest: (Seal): Jo M. Chonko / 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 , 4 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 iterate, | % : a mS) Ns, +s, ey Mr spone pt ae of, aw a) 105 3 inarsa3tt ts, "a, hay we: —! “2, An %s, ts a Pega ie 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 execution 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 hand and affixed my Official Seal the day and year first above written. Constance A. Dunn, Notary Public My Commission Expires: July 14, 2015 -~ POA-F 033-0024A OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT PERFORMANCE BOND CELL PHONE WAITING AREA PERFORMANCE BOND KNOW ALL MEN by these presents; That we (1)__Cathey Construction & Development LLC a(2) Corporation hereinafter called “Principal” and (3)__ Fidelity and Deposit Company of Maryland of _1400 American Lane, Schaumburg , State of __Mlinois , hereinafter called the “Surety”, are held and firmly bound unto (4) The Board of County Commissioners of Okaloosa County of _ Florida , hereinafter called “OWNER”, in the penal sum of | Eighty-four thousand, nine hundred ninety-three and no/100 dollars ($ 84,993.00 } 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 , 2014, a copy of which is hereto attached and make a part hereof for the construction of: _ CELL PHONE WAITING AREA AT NORTHWEST FLORIDA REGIONAL AIRPORT 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 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 performed thereunder or the Specifications accompanying the same shall in any way affect its 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. PFBND- I of 2 AVCON, INC. OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT PERFORMANCE BOND CELL PHONE WAITING AREA 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, ANSE Cathey Pipa & Development Ip his Vinh No By: on , Secretary nN { ‘Vy nny Nah dap pus ) Ae (UAL AS = W, Brian Cathey, MGMR Witness as to Principal » 9. Box 13107 P.O, Box 13107 103 N 30th Street 103 N 30th Street Mexico Beach, FL 32410/32456 Mexico Beach, FL 32410/32456 Address Address SEAL: ATTEST: Fidelity and Deposit Company of Maryland aa Surety (Surety) Secretary Attorney-in-Fact Onn Oo pe Attorney-in-Fact (L. 7 an7 Jo M, Chonko Witness as to Surety 1418 W 23rd St Suite 200 1418 W 23rd St Suite 200 Panama City, FL 32405 Panama City, FL 32405 Address Address SEAL: Date of bond must not be prior to date of Contract Correct name of Contractor. A Corporation, A Partnership or an Individual as case may be. Correct name of Surety. Correct name of Owner. If Contractor is Partnership, all partners should execute bond, vs wN— PFBND- 2 of 2 AVCON, INC, OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT PAYMENT BOND CELL PHONE WAITING AREA PAYMENT BOND KNOW ALL MEN by these presents; That we (1)__Cathey Construction & Development LLC a(2) Corporation hereinafter called “Principal” and (3)__ Fidelity and Deposit Company of Maryland of 1400 American Lane, Schaumburg , State of _ Illinois , hereinafter call the “Surety”, are held and firmly bound unto (4) The Board of County Commissioners of Okaloosa County of State of Florida , hereinafter called “OWNER”, in the penal sum of Eighty-four thousand, nine hundred ninety-three and no/100--------- dollars ($ 84,993.00 ) 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 , 2014, a copy of which is hereto attached and make a part hereof for the construction of: Cell Phone Waiting Area at Northwest Florida Regional Airport, Eglin AFB, 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. PYBND- 1 of 2 AVCON, INC, OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL AIRPORT PAYMENT BOND CELL PHONE WAITING AREA shall be deemed an original, this the day of , 2014, ATTEST: Cathey Construction & Deyglopment, Le - i) i, | -j\ A LSE — DPD Suvltawi\— yy. AE geE 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 fam (Principal) Secretary W. Brian Cathey, MGMR NN Sy P.O. Box 13107 ee (| ys ‘ \ . 103 N 30th Street wa ly pay Age 7) a Mexico Beach, FL 32410/32456 Witness as to Principal P.O, Box 13107 " 103 N 30th Street Mexico Beach, FL 32410/32456 Address Address SEAL: ATTEST: : Fidelity and Deposit Company of Maryland lA a Surety (Surety) Secretary (WY Ce (Le Fon Attorney-in-Fact Witness as to Surety 1418 w 23rd St Suite 200 1418 W 23rd St Suite 200 Panama City, FL 32405 Panama City, FL 32405 Address Address SEAL: PYBND- 2 of 2 AVCON, INC, Power of Attorney FIDELITY AND DEPOSIT COMPANY OF MARYLAND KNOW ALL MEN BY THESE PRESENTS: That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, a corporation of the State of Maryland, by THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES; Assistant Secretary, in pursuance of authority granted by Article V1, Section 2, of the By-Laws of said Conyiany, which are set forth on the reverse side hereof and are hereby certified to be in full force-and effect on the date hér (Od ereby nominate, constitute and appoint Michael W. BROWN, of Panama City, Florida, ‘ ; Attorney-in-Fact, to make, execute, seal and deliver, for, and on its behalf as penton and A ae deed; a nds and undertakings, and the execution of such bonds or u derla ie u apes a Biss is, Shall be as binding upon said Company, as fully and amply, to all inten eee ges>-as if they dil i heeds executed and acknowledged by the regularly elected officers of the cons its-of Heat , May, in their own proper persons. The said Assistant Seyret es-here rity bla xtract set forth on the reverse side hereof is a true copy of Article VI, Section 2, of the By-Law iT said Bad isfow in force. IN WITNESS WHEF Ane he“said Vice-President and Assistant Secretary have hereunto subscribed their names and affixed the Corporaté-Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND, this 13th day.of March, A.D. 2008. ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND . g - ? engetns ft ae Ge d. [saarfi— ~Fhickle A Afb By: : Eric D, Barnes Assistant Secretary Theodore G. Martinez State of Maryland a Baltimore County f- On this 13th day of March, A.D. 2008, before the subscriber, a Notary Public of the State of Maryland, duly commissioned and qualified, came THEODORE G. MARTINEZ, Vice President, and ERIC D. BARNES, Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being by me duly sworn, severally and each for himself deposeth and saith, that they are the said officers of the Company aforesaid, and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above written, Dennis R. Hayden Notary Public My Commission Expires: February 15, 2013 POA-F 033-0024A CATHEY Construction& Development! SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT STATE OF FLORIDA COUNTY OF Dae 0 u Before me, the undersigned authority, personally appeared Foye yrne who, being first duly sown, on oath deposes and says: O a , 1. That ADVANCED SIGN SOLUTIONS. is/are/a/an tre hereinafter called “Subcontractor”, Cc erp oyodtisa~ 2. The affiant is the p (ES. of Subcontractor and is authorized to make this affidavit. COwner/Officer) 3. That Subcontractor heretofore entered into a subcontract with Cathey Construction & _ Development LLC, hereinafter called “General Contractor”, under Subcontract #1406-10-04M __. on the a day of Dee wi , 2014 for the Cell Phone Waiting Area project for the Northwest Florida Regional Airport, Okaloosa County Board of County Commissioners, in the amount of $ 1,805.18 to furnish material, labor or services for the construction of certain building, or repairs, or alterations specifically described in said subcontract, as amended. 4. Subcontractor has fully completed all work and furnished all materials in accordance with the terms of said subcontract and all amendments thereto; that all lienors, including but not limited to all laborers, materialmen and taxes, have been paid in full, except: (List name of lienors and amounts owed) 5. Receipt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all claims of the Subcontractor against the General Contractor, arising out of, connected with, or resulting from performance of the obligations of Je Subcontractor pursuant to said subcontract and all amendments thereof. (SEAL) (Sybéontractor) / eo ly aa “Se ¢ Print Name and Title Swom to and subscribed before me this S- day of Chen a0 Op ae 2 actualy wir Notary Public i, CECELIA ANT “ON 2s fm 2 MY COMMISSIC en eee EXPIRES Nowes 2 ae (407) 398-0153 FloridaNex: si die an cee “a, Ss, on {i —_ CATHE | Construction& Development e + CONDITIONAL WAIVER AND RELEASE OF LIEN BOND UPON FINAL PAYMENT The undersigned lienor, in consideration of final payment in the amount of $_//4@/66 _ hereby waives and releases its lien or bond claim and right to claim a lien or claim against the bond including all claims, change orders, or demands whatsoever for labor, services, or materials furnished to Cathey Construction & Development, LLC on the following project and described property: Northwest Florida Regional Airport Cell Phone Waiting Area Okaloosa County, Florida The undersigned represents that he/she is an authorized agent of Lienor and had authority to execute this Final Waiver and Release of Lien on Bond on behalf of Lienor. DATED on Z [s , 20_/¢¢ Lienor’s Name: J= W Testing LM38 Joe Address: ISOs BRick co Pt Rob Sblt wen, He F2 4+) & Phone: ESE — Lo BE ~ SOR By: , —— Printed Name: Vttes Now f)eeE Title: Se TAS State of = County of Obey orn to and Subscribed/before me this i day of jue 20/ y. . f Aol we vic. ra Notary Public ificati Wey, WA £6 VERSON Personally known or Produced Identification Ry le CEGEL nee Ba 2 MY COMMISSION EE 134 Bees Noverener 08, 2016 ificati SRE EXPIRES Nov ; "eentit cation or) aee.o1 53 FloridaNotaryService: com CATHEY CONSTRUCTION & DEVELOPMENT ~ P.O. Box 13107 - 103 NortH 30™ STREET - MExico BEAGH, FL 32410 PHONE: (850) 648-5100 - Fax: (850) 648-5105 CRT ee Pe WM SAU AE DR SD AP ar DE Lilla bed LoL! YO faery ere ee Ot bere =a 3 CATHEY Ganstruction& Davelopment! * * " + CONDITIONAL WAIVER AND RELEASE OF LIEN BOND UPON FINAL PAYMENT The undersigned lienor, in consideration of final payment in the amount of $ 74 Gs hereby waives and releases its lien of bond claim and right to claim a lien or claim against the bond including all claims, change brders, or demands whatsoever for labor, services, or materials furnished to Cathey Construction & Development, LLG on the following project and Okaloosa County, Florida The undersigned represents that he/she is an authorized agent of Lienor and had authority to execute this Final Waiver and Release of Lien on Bond ob behalf of Lienor, DATEDon buc} , S 90 1 lLienor’s Name: Cons shrec trae Muler als ak veske Ths Address: po er 12.47 She (mar . FL 325°79 hone: BIC BGY AFa4 “A : olin Zathenforel EY A. tinted Name: ff Title: Ovt-08, Haves BY State of FL County of Bb Pri m to and Subscribed be ote me this < by ee +1899 ce Ci ii new dw om <egiik ANDERSON ‘ Notary Publi | Public | le 3s fo eoutssiON # 194020 aye arg EXPIRES Novalriber og, BAS siofidaelslyscn GE OTR canta Personally known or —“Frleroduced Identification 7 aos Identification GATHEY CONSTRUCTION & DeveLOPMeNT - PO, Box 13407 ~ 103 Nartx 30” Srreer » Mexico BEACH, FL 32410 FHONE: (850) 848-6100 - PAX: (B50) 48-5105 arti s6eq - SBTSBPSOSBT i OL WOd4 6S'LA -led-SA-NIe ASNOO ASHLYO BaTSarIags Té:48 Tleé/pa/68 daATao07a aH, ese thet Consiruction& Development: CONDITIONAL WAIVER AND RELEASE OF LIEN BOND UPON FINAL PAYMENT \=] The undersigned lienor, in consideration of final payment in the amount of $7) 3&2 hereby waives and releases its lien or bond claim and right to claim a lien or claim against the bond including all claims, change orders, or demands whatsoever for labor, services, or materials furnished to Cathey Construction & Development, LLC on the following project and described property: Northwest Florida Regional Airport Cell Phone Waiting Area Okaloosa County, Florida The undersigned represents that he/she is an authorized agent of Lienor and had authority to execute this Final Waiver and Release of Lien on Bond on behalf of Lienor. Ab. DATED on Dune § 20 \4 Lienor’s Name: BWzac ; Cv CiSA Address: AS ve “Pikenw. Caf Ei Cminswan, as 35210 Phone: Cos) agb-ugs\ By: ZO Serpe a Printed Name: ( LA wt “+ st «ce Title: Cure Olick Ke Oe Cx$ tok ASUS. State of PyYuUrmBAan County of “J@EF¢eiSu— Sworn to and Subscribed before me this st day of “Zepw20 VG. Oe ack otary Public Personally known SOQ” __ or Produced Identification Identification My Commission Expires April 16, 2018 CATHEY CONSTRUCTION & DEVELOPMENT - P.O. Box 13107 - 103 NorRTH 30™ STREET - MExico BEACH, FL 32410 PHONE: (850) 648-5100 - FAx: (850) 648-5105 oa T CATHEY | Construction& Development: SUB-SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT STATE OF FLORIDA COUNTY OF Bay Before me, the andersigned authority, personally appeared Patre tk N evi Vlewho, being first duly sown, on oath deposes and says: 1. That ___ EMERALD COAST STRIPING _ is/are/a/an LLC hereinafter called “Sub-Subcontractor”, 2, The affiant is the Par her; ji DWAChe Sub-Subcontractor and is authorized to make this affidavit. (Owner/Offi icer) 3. That Sub-Subcontractor heretofore entered into a a sybcontract with Thurman Construction LLC, under Subcontract # ,onthe § day of _J une. . 2014 for the Cell Phone Waiting Area project for the Northwest Florida Regional Airport, Okaloosa County Board of County Commissioners, in the amount of $ TBD Chased ex qventhes) to furnish material, labor or services for the construction of certain building, or repairs, or alterations specifically described in said subcontract, as amended. 4, Sub-Subcontractor has fully completed all work and furnished all materials in accordance with the terms of said subcontract and all amendments thereto; that all lienors, including but not limited to all laborers, materialmen and taxes, have been paid in full, except: (List name of lienors and amounts owed) 5. Receipt by the Sub-Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Sub-Subcontractor to the Subcontractor and General Contractor of all claims of the Sub-Subcontractor against the Subcontractor and General Contractor, arising out of, connected with, or resulting fro rformance of the obligations of the Sub-Subcontractor pursuant to said subcontract and all diego 4 4-1,AA _ (SEAL) (Sub- Scbcontracton Prick f 7 Partrer /Duner Print Name and Title | thy Sworn to and subscribed before me this _ 2 day of DUA , 2014. Chen Peers ope. seers : : Si, MY COMMISSION # NotaryPublic * RA 1M PRES: Ap 28,2047 "ine oS Bonded Thru Budget Notary Services | CATHEY » Construction& Development: SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT STATE OF FLORIDA COUNTY OF WALTON Before me, the undersigned authority, personally appeared Melanie D Adams who, being first duly sown, on oath deposes and says: 1, That SAMM ENTERPRISES, INC. is/are/a/an Corporation hereinafter called “Subcontractor”, 2. The affiant is the President of Subcontractor and is authorized to make this affidavit. (Owner/Officer) 3, That Subcontractor heretofore entered into a subcontract with Cathey Construction & Development LLC, hereinafter called “General Contractor”, under Subcontract #1406-16-01S ,on the 5 day of May, 2014 for the Cell Phone Waiting Area project for the Northwest Florida Regional Airport, Okaloosa County Board of County Commissioners, in the amount of $_ 3,590.00 to furnish material, labor or services for the construction of certain building, or repairs, or alterations specifically described in said subcontract, as amended. 4, Subcontractor has fully completed all work and furnished all materials in accordance with the terms of said subcontract and all amendments thereto; that all lienors, including but not limited to all laborers, materialmen and taxes, have been paid in full, except: (List name of lienors and amounts owed) 5. Receipt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all claims of the Subcontractor against the General Contractor, arising out of, connected with, or resulting from performance of the obligations of the Subcontractor pursuant to said subcontract and all amendments thereof. Wwido Sid, Ado pp (SEAL) (Subcontractor) MELAWIE D. ADAMS “PRESIDENT Print Name and Title Sworn to and subscribed before me this Va day he , 2014. ace cet pestle aie i eS ms, . JENICE ARMSTRONG a 2 Notary Public - State of Florida * My Comm. Expires Mar 28, 2017 Commission # FF 003042 ap onded Through National Notary Assn. B fi yatitry SEAR, oonetfes As Gos | CATH = = 1 EY) Construction& Development: SUBCONTRACTOR’S SWORN STATEMENT TO GENERAL CONTRACTOR ON REQUESTING FINAL PAYMENT STATE OF FLORIDA COUNTY OF ASHWGETON Before me, the undersigned authority, personally appeared Revi THURMAN who, being first duly sown, on oath deposes and says: 1. That__ THURMAN CONSTRUCTION LLC is/are/a/an LLC hereinafter called “Subcontractor”, 2. The affiant isthe Oenwe of Subcontractor and is authorized to make this affidavit. (Owner/Officer) 3. That Subcontractor heretofore entered into a subcontract with Cathey Construction & Development LLC, hereinafter called “General Contractor’, under Subcontract #1406-02-058 , on the day of , 2014 for the Cell Phone Waiting Area project for the Northwest Florida Regional Airport, Okaloosa County Board of County Commissioners, in the amount of $40,143.00 to furnish material, labor or services for the construction of certain building, or repairs, or alterations specifically described in said subcontract, as amended. ; 4, Subcontractor has fully completed all work and furnished all materials in accordance with the terms of said subcontract and all amendments thereto; that all lienors, including but not limited to all laborers, materialmen and taxes, have been paid in full, except: (List name of lienors and amounts owed) 5. Receipt by the Subcontractor of Final payment, under the aforementioned subcontract, shall constitute a full release and discharge by the Subcontractor to the General Contractor of all claims of the Subcontractor against the General Contractor, arising out of, connected with, or resulting from performance of the obligations of the Subcontractor pursuant to said subcontract and all amendments thereof. ay. lV Jone (SEAL) (Subconfractoy/) ~ BAAN THRMAN —— owver/PhssingwT Print Name and Title Sworn to and subscribed before me this 7 day of SUNE , 2014. Notary Public oir, RONALD D. DAVIS Jaa. MY COMMISSION # EE 127072 ajay. EXPIRES: November 28, 2015 Bonded Thru Budget Nolary Services CELL PHONE WAITING AREA AVCON PROJECT # 2013.050.05 SUBMITTAL DATA SHEET SUBMITTAL NO: 2 SUBMITTAL RECEIVED ON:__ 5-19-14 Description of Submittal: Concrete REVIEW ACTION BY AVCON Project Manager [] No Exceptions Taken [-] Rejected | Submit Specified Item L_] Make Corrections Noted [-] Revise & Resubmit Checking is only for general conformance with the design concept of the project and general compliance with the information given in the contract documents. Any action shown is subject to the requirements of the plans and specifications. Contractor is responsible for: dimensions which shall be confirmed and correlated at the job site; fabrication processes and techniques of construction; and coordination of their work with that of all other trades and the satisfactory performance of their work. : AVCON, INC. COMMENTS: Please provide proof that the plant is on the FDOT list of Producers with Accredited Quality Control! Programs in accordance with Section 346-1, second paragraph. sor ‘ ; : BY: Lytnn Lattetug DATE, O7/ PAY v AVCON, INC READY MIX USA Transmission Document To: Brian Thurman Co: Brian Thurman Construction Fax : Poyes : 10 (lncluding Transmittal Page) Suma : &_thurman@yahoa,cam Project: 0014-2771-0044 - Okaloosa Airport Refi: 2013-21654. 21634 Address : Date : 5/16/2014 ~ READY MIX USA BEOSS The above mixes have.been proportioned with the applicable portions of ACI 30), The proposed mix designs will meet the stated strengths whet lest specimens are manufactured and tested fn accordance with current ASTM standards and evaluated per ACI recommenced standards and practices. Couch Ready Mix ISA requests copies of all approved mix designs prior to jobsite delivery. In order ta comply with ACI 318 we request that Couch Ready Mix USA be included on the distribution lists for all Concrete Test Reports, It is suggested that. a pre-powr conference be held at the jobsite prior.to jobsite delivery. the purpose of the rageting would be to answer any questions regarding responsibilities in scheduling and jobsite operations, Please forwatd this information and data to the proper authorities for approval. Mark Krauthein QC Manager e Poraphe teat Pay i. Sane Save wen LI REVISE BRE SUBMIT CI] Maas Golesi C TIONS NOT) TRE CORE TAL Bar ot TREE WES POR WME MONTE WATE THE they DOLUMENTS THIS REVIEW Ihe , Tek ACCURACY OM COMMECTRE ETHIE SURMTTAL AND DOES Nev AN ANY WAY RELIEVE THE SUBCONTRACTOR /ELPPLER rag FLL ve (ANCE WITH THE CONTRACT DOCUME 3 8, | v ane VO TFIES A Wiping ot O Rentt Ry: Raat a ~ ATE CATHEY CONSTRAICTION & DE VELCEMENF co S daliel READY MIX US Mix List READY MIX USA Chient : Brian Thonnan Construction Date: 05/)6?20 54 Projeci/Comcract : 0014-2779 (0044 ~ Okslooss Airport? 2013-21654 . . Specified | Avgrsgene| Cament ABco ; Optional Products : ; Mix Design Usage Stetglh Size ' Type NAE Slump Service Codes Quantity Pkacement method (pei) (%4} (mj) 1 yt} Plant: Pr Walten Race track = Ft. Walton Beach PLIST 03-1829 (1} | FDOT 4500 #57 Typell, | 100 6.0 T.50t 430 , Class F Ry ; j Ash ! 1328743 (12) | Curb and Garter 3 000 2 Type Fil, | LO 6.0) L0Gte 400 i | Clase F Fly i Ask BCSe Gsib READY MDX USA Mix Design Report Clenc: Brian Thurzaan Construction Ogte 5 His/2044 Project/Contract : 00)4-2771-0044 - Okaloosa Airport / 2013-21644 - Ghaluasa Ailtport Placemant : Unnge : FDOT : Mix Design Now: 03-3829(1) + Description: CLASS [1 DECK 4500 Compressive Strength (“| 4500 psi al 28 Daye | [Submittal No. 2013-21654 - 21654 Aueeremnte Sige a _ [857 . Plait _f Walton Race track, Fi. Walton Air % 10% fo 6.0% Yotume 27.0090 wenn Ratio 0.42 JU, at 2.0 % of air 150.2 Iie Siamp L.S¢to 4.50in {[Shunp with SuperP ‘Constituents and Suppilers Gaantity Sp. ed Yolume Cyd?) S3D Cement - 103 - TYPE VU - Type VN + Comex Cement, Demopolis Sh4 lb | 3.150 | 2.56 47 Cement - 110» F ASH - Class F Ply Ash Boral, Stilesboro — lilib | 2430 | 9,73 8 Water ~ 601 ~ WATER - Water - Water, - 268.7 (310 Gal) | 000 | 4.14% Stone » 267 - #37 STONE - Crashed Limestone - Vulcan Materials, Calera Al 149 1900 Ib | 2.710 11123 Sand « 301 ~ Natural Sand ~ Natural Sand « Mogsey Head Sand, PDOY Ph 60-718 281 Ib | 2.680 | 7.80 #P Admixtws » 402 - WRDA 64- Low Range Water Reducers - W.R.Stace, Pensavola $.00 o7/ewt 1 1.000 10.03 BY Adimidure - 462 ~DAREX ABA (AIR) - Air Entraining Agent- W.RGrace, Pensacola 0.08 owewt | 1.000 foo @ / Air Yolume 0.54 f Tetal 4055 Ib 27.00 Ft Optional Products : Remarks : ACH Cortified Fighl Testing Technicians Leval [. Ploaye advise yout testing labof such. ROL - Pursuant to ASTM C-94 14.4, The concrete producer Is to be provided with copies ofall Prepared by Approved by : Slrengih test ag sampled by curment a Rate x Date z Fr Wolton Race rank 2ISNW Rate Trock Road Ft. Walton Beach, FL BOY . a CONCRETE MIX DESIGN Clase: 1 DECK Miz Design Nunber: 03-18620-01 Minimum Strength: 4500 pai FOOT Approval Data! ingens HolWemtor? Yea isuuara Mane wre ane . Status: AppE SHY Faye?) Ag Propet B: Prockanes ; Peretoata. Ramly Mix USA . Planta: Prontuct ‘uantly Prodeser ‘ " ow Prodvel Mann Plant # “Spoor sp ns ogee - 48? LB GEMEX. DEMOPOLIS, ALABAMA 8.1§ Typell Cement MH Tog AASHTO M&S Hf LS. (MH) Fly gh: 124 1B BORAL MATERIALS - PLANT BOWEN 2.41 Ohaae F Fly Ash FAM ASTM © G18-- Clans F Cosa Aggraqate: 1990 «£5 SUTIN A , j ire wing aga yean LARIETTA MATERIALS 2.70 Limestone Fine Angregdte: 1200 18 | GOUGH RE oa ‘ss ig LB a ed READY MIX UBA 282 255 Silica Send ANEnlAdmbaure; 1.2 ~O2 WRORAECO 3824-0002 Garde ABA AASHTO M 454 ~ AEA Type DAdminturs: = 30,6 G2” WR GRACE GO — 8824-DRz WADA 84 AAGHTO MM ibd - - Type Type DAdmixurs = 48.200 OZ) WA GRACED Sob qaga Rebover . AASHTO M104 - Type D Waler: $2.0 GA Water for Conerate Waters 267 Le Watar ter Conataps Bpafignion Linke Producer Ola ROLL-A-METER Alr Content Liisa percent = WCM Rati O44 1B pet 1B Prassure Mater Alr Content AUR G.09 ramen Theotitlonl Yank 20> OF Compressive Sirepgth firpaiee than or squat to 4509 avgnat Tomparsiure E) dograg F Stump Ld. 400, foehaa Bhomnp inches Temperaltire SassJhanaraialta 0 debrie FE Heat of rtyaalion at avy WIGM Ratio Lodi lhe or gous ip 0.44 1B pers Dangly Wing L8 par CF Chiorlde Gantent 0.444 16 por oy Alr Con tupe percent Age Gon Factor a2 patna Aggrege Correolion Factor: a2 Camrmonta: Cosme Aggregate Substiialon: AL f2e for AL-149 Tanna inline OY Bt3 ath Darex® AEA® Air Entraining Admixture Description Darex* AEA® satin ture ig an aqueous Solution of a complex inixture of organic acid salts. Datex AEA is specially formulated for nde 98 an air-chtraining admixture for concrete abd is taimulactured under rigid control which provides uniform, predictable performance, I 1s supplied ready-to-use and does not require premixing with water, One Litre weighs approximately t02ke = 0.02kg, Darex AEA meets the requirentents of ihe Following specifications for chethical admixtures for concente: ASTM C200; ASI478 and AASHTO M154. Applications Darex ABA is-used in ready-mix, Block and concrete prochwts plants. It is alse used on the job with jobsite mixers, highway pavers -~ Wherever conorate is. mixed and there 46 « need dor purposeful ale entrainment, Because Datex ABA imparts workability to the nly, it is particularly effective with elgg, lightweight, Of inanufachied aggregates which tend to produce harsh concrete, It also makes possible the use of natiral sand deficient fn fins, Afr Envtraining Action Aizis entrained by the development of a seri- microscopic bubble system — intoderd into the mix ‘by agitation and stabilised by Darex AEA — tnt the mortar phase of the concrpte, * Workability is Improved Millions of tiny air bubbles extrained with Darex ABA act as flexible bull bearings, lubricating and plasticising the concrete mix, This permits a reduction in mixing water with £0 loss ia alump. Placesbility is baproved.... blerding and segregation are minimised, » Darnbitity ks Increaped Darex ABA concrete is eatremely durable, particularly when subjected to feezing __ Grace Concrete Products ce and thawing, It has resistance to frost and deioing salts, ag well.as ty suf fate, sen and alkaline waters. Compatibliity wth Other Admixturas Darex AEA is compatible ja conorste with all known acpplersting admixtures, water yeilucing admixoures and water- redveing retanders, By combining the separate effects of afr entainment with tha dispersion of a Water-reducing admixture, the water requirement of conurete may be reduced wilh proportional increases in strength and improvement in dhuwibifity, Beck admixture should be added yeparately to the mix, Addition Rates There is no standawl addition nda for Darex AEA, The amount to be used will depend upon the amount of air required whder job conditions, usually is the range of 3 to 6% Typical factors which migtt influences the atiiunt of vir-entrained are: temperance, cament, sand gradation, and use of extra fine materials such as Ay ash. Typical Darex AEA addition rates peas from 30 to200 el} 10Dke of comentitions material. Hipher addition rites batt be used for various projects, Addition fates as high as 300 to 400 ml / 100k of coneulitions material can be considered, ‘The air-entratning efficieney of Darex AEA becprnes sven greater when wed with water reducing and set-retarding agents, This may allow a reduction of up is tyo-thirds jn the amount of Darex ABA required for the specified air content. Ite Citace’s recommendation thal tents ane conducted to derarnune the optimura addition Huts Joe your application. Mix Water Reduction Enitrained ait will increase the volume of the concrele making iL mecespary to adjust the mix proportions to mainiain the cament factor and yield. This may be accomplished by a reduction Lo water requirement mad aggregate content. www. graceconstruction.com Bispensing Equipment Please ogntact your local Game representative Foe further information reganting the digpenalny squiproent for this product, Packaging Darex ABA is available in bulk, and 205L diunis. Derex AEA coniains no Narimible ingredients, It freezes at about-1°C, but its air- enttaining properties ars completely vestored by thawing and thorough ayitation, Health and Safety Ses Darex ABA Material Sefety Data Sheet or consult Grace Constaation Proper, Auntralla: Adalalde, Brisbang, Melbourne, Porth, Syctay «$300 eases rey B 2873 7808 redone 1} ROL4209 Japan i84~d) sate 20R8 Korea (82.32) 820 0nd) Ching Mabiland: Boling {08-4} 6784 $498, Guarerchu ( ta (80-3) 0074 B19g Whoa (28-27) b7pz 8949 BB20) SES NYES, Shin 24 Now Zealand Ackland (ot oh 970 te, SasT ABTA, OZ NAS lx Christehureh (844) 927 2479, Willig (84-4) 239 2683 Phill fag (69-40) 549 7273 Mingapara (65) 8295 3033 Taiwan MGB) Viet: 2 (65). ralvain (068-3) 489 $481 Thaifand (8-24 70 2 Haired (84.320) 4898 935, Ho Chi Allah City (414-8) 9740 8163 Dansk and AEA are ragistered inadernarks af WR Ohipe & Co-Gam, The atormialon oh Ip. based on dine and nowtegga ocxdernd te bp iy ahd accurate aad Is offered forme ugaiy Ssnnidansuen, Imaxtgadon 2 Mesiiagtec. Sinta tie cndtions of upa Ble beyond dur Geen Ol Wwe do A Warrant fe tasiiis lo Be obcaingel, Plenag faed alt slalomieris, ceecrnmencations at abated Wh tonmellono with our condtions oF sae Inohising dior fnilig warranties asd feomidies Wich apply to <a goods supmiae by 3, Ne RivlemGn. recanmendation cx supossilanis htandad at Rey Ldaoahioh wear wokibe.0} Indinige étatmory cotigaions or any Aghts Belongisy fo 8 third Ruy These pints ity ke obated by relone or pay percting Cansight 2008 WW. A Gren (Sa Lit MAIC 2¥pted fn Singapand O41 1617 Arsotn Road, P.O. Box 839 Demapotis, AL 36732 CeEM=> Telephone (334) 2994405 FAX {334} 280-1418 Cement dentifled wat Type HW LA Bate AVL Plant: CEMEN Location! Dewhopeliv, AL, Productloa Dates: Hepiniag Mis Sisrding H19/13 sees ci . Asia G19 [AASHTO aii test (ASTM C119 Tyr Type RESUU : (Sitoon Didank (550,), Minis ™ ee pte sa Fanaa Ataris Ondibe (Aly), % Moxhniand &Q a 34 AFecric. Oxite (Fe0h), 9 Maxlineny 6a a 47 peuleiten alice (Card}, % — vem 648 Magnoduin Clyde (MgC, 96 Maxine 6.0 6.0 OR Sulfite Trioxide (30,),36 Maxtnan a0 Be) 29 Lassen Ignition (LC), 3% Maxine 40 4A eI Pineotuble Rese, Mraviarinis 0.75 47s iit Free Live, % — _— O89 Alalies (Nao equivaters), % —_— do 6.52 Corton Dialogs iO, — aan 1 maces, Maxima 5 3 15 ODy Ie Monsotoane, 3% Minkouim 7 STH] 53 Ficwtehen Sica (ey), Mh + _ —_ % Bical Siticate 2,5), %4 °° one _ ie vitaleiam Alualiese tt a}, 9" Maxtaiun 8 a 7 Tetntaltiun Atustohrite CLAP), Da ** — _ 4 Sim of (CaS + 4,784C,4) Nia bat wa 10 or PHYSICAL REGOIRESTN TS KASTM C204) Blaine Fioeniay, mike dtialenen, 240 Ana 40 ] todas 40 40 MASTAED 440) 323 btrth dh passing! 923 AST C191) Thee. of Gettig (Vice Initio} Sey, ddinates Mist 45 45. oH Final Set, mines Maal REL 378 tes ASTM G 286} Tipe af Mottlng (Utne india! Sa, ruletex Minion op ao 1a Final Set, thinvtcs tS tockieenn 400 £b0 236 HASTAC 185) AirCloatent, % Mazxinaay 12 12 68 (ASTALC 457) Fale Set, 4 Minin He) sf 55 TASSM © 182) Nonnal Homisency, 6% — ae 244 [ASIM C 131) Auiocloey Experi ony % Mactun. 0.06 630 fy ASTM C 135) Aigeredin in Waser, Masivnuny nM Os 0.0X8,. (ASTM C 108) Campresahe Suwngsh, tout) i Day -- one 23170 3 thay Midaury 1430 1456 dr 7 Day Minin 2470 1970 aan * Adjusted Piiaaa Viet Limpalode Adan, per ASTM G JaatT, ATE and physica Spsallicalians wt, AST © 160-14 Io Type ll and Pypa LA PAASTTO hd 8874 for Taye A nye Tyee] LA Pronk oh, DEMEX hereby berlileg thal Ins camentmedis or axtseds tho charlont sachs, Poche F017 Arcola Road, P.O, Box asp and physio Spaciiicalians of, ASTM G 180-414 for Type It and Typa LA AASHTO MM 85-11 for Typa Nand Tyna || LA CEMEX hataby eurtitios dhol thiv-coment moets of oxcaiods ihe shamed Damopolig, At, 36732 CETTE DS setopnons 1394) z09-1400 FAX {334) 260.1418 Cement Idestified as: Type LA Date: 392015 Phat CEMEX Location: Denopalls, Adi Pyroductinn Dates: Begining ats ‘Ban eng BBA COEMICAL REQUIREMENTS ARTM 150 AASHTO May TEST (ASTBEC Lay Teel Trav tk RESUGYS Higna Dowdle (8204), % Mirai ae pre I [uinirat Oxkhh(A0)), 36 Maxbinon e bo 60 5H Farpie Deude (Pay,), % Misizzion 8h oo AF Cabciuen Cxbie ta), 4 sn — 4.0 bi dpncaisana Chie ug, Mizinnan 40 6.0 Bs Sultie Trhovlde (804), 96 faxirams 3a 40 ay boston lpitinn (LO), % Maxinoun. 30 34 2 losstletyle Aesidinc, $4, Saxtinant 17s Gn Har Free Cine, 3% — — a ADL ality (NaO eguivetery, % we 042 Marbon Dixiode (O02, 2% ve ae to Liirertitine, £4: Maxim 4 Fy 28 Cat, in Tenestons, 4 Miuknery 0 70 $3 Bricalciney Sitigale{C,5), a ** — _ ; 46 DinelohanSiticgyy (Cy5), 45 4 — > 1b Teicalahon Ab anilnare (0,43, 94 Meximuny t 8 ? Fetratstaleayay Aldo sebfemibe (TAH, % 4% an aes 1s San oC S 4-4, 7540, A} Marini, es 16D) bat A coumneo._. PHVSICAL REOUPREMENTS FASTALO 204) Blade Pliteesi, akg Mintiraan ie 28) Py Mascon 430 4g has TMC 430) 325 Mesh ( pasting 52.3 (ABTA CT [91) Cine af Seige (Vien) toidie) See, rolmatog Minion ds 45 oO Fira! St, nasties Mexinnun 18 a73 i8$ HASTM © 286) Tine af Seteng (Olin) . fndtigl Set, tndeanay Miairann aD i 140 Fina) Sei, alinites Maxima 609- 00 730 (ASTM C 185} Ads Comtont, 46 Maxiinan 12 n 49 (ASTM (431) False Sei, % Minerva 40 so 55 PASTA C197] Nevnal Conusteocy, % — ie 214 LAST C151) Autoclave Bapandos, 4 Maxinmon ng 0g j aa} (ASTM C 103d) Expanclan fy Wwier, 2 Maa kan baz 0:03 j 1.03) LASTMC 109} Compressive Siveagih, tal) Day — — 4370 a tay Minin M430 ir) a0 7 Day Minirnony IAD 2am a or Linsadtavia Addition, per ASTM G Ta0-T3, ATA vA | bach a, Bale, Baier olay Publ) REPORT OF FLY ASH ANALYSIS Project Name: Bowen Sample Ip a: 131203026 Tested By: ne Sample Data: November 2043 Report Mate: 23-Jan-14 Silos 2,34 & 5 CHEMIGAL TESTS RESULTS ASTM G 849 AASHTO M 298 | 7 CLASS Fit CLASS FIG Silicon Oloxkda (SIO,), % 54,19 {Alurninum Oxdde (ALO,), % 28.11 lron Oxide {Fa,Oy), % 9.29 - Sum of B10,, ALOs, Fa:Os, % 38.50 70. 0/60.0 min | 70.6/50.0 min Calcium Oxide (Gad), % 4,76 Magnesium Oxide (MgO), % 9.64 Sully Trioxkle (S04), % 0.24 5.0 max, 6.0 rmiax. Sodium Oxide (Na,0), % | bat Potasslum Oxide (KO), % 2.49 Total Alkalies (#3 NaO}, % 2.45 Available Alkalias (aa Na,0), 5% , 0.63 PHYSICAL TESTS RESULTS ASTM ¢ 618 AASHTO M 298 CLASS FIC CLASS FIC Molstura Content, %_ _ 0,04 3,0 max, 3.0 max. Loas on Ignition, % 347 8.0 river, 5.0 max, Ariount Retained-on No. 325 Slave, % 19.48 M4 may, __ 84 max. Specific Gravity 23) | Autoclave Soundnass, % -0.03 0.8 max, 0.8 max. Strength Activity index with Portland Gemeni al 7 dave, % of Control 7B.9 75min 75 min.’ Sirangth Activity Index with Portland Cament al 28 diya, % of Caniral 84.4 7S tnin,* 75 min," Water Required, % of Control 98.3 1o5max, | 108 max. Lonse Bulk Density, lba/ft* 82,0 - Meets ASTM C 618 and AASHTO M 205, FOOT Section 922, TXBGT OMS 4840, scbor And MOOT for class F Fly “Meeting the 7 day or 28 day strangih activity index will Indicata specification compliance. Makisae Melissa Garcia Quality Assurance Manager ab ME LOOP 44, SUITE foD SAN ENTONID, TEXAS RAY) Led dods Product Advantages =: WRDA' 64 Water-reducing admixture ASTM C494 Type A and 0 Product Dascription WRDA* &4 is a polymer based aqueous solution of complex organic compounds, WRDA 64 ia 4 sondy-to-use low viscosity liqnid which is factory pre-mixed in exact proportions to minimize haitdling, eliminate mistakes and guesswork. WRDA 64 does not contain calcium chloride ant weighs approxi- mately 10.1 Rey/gal (1.21 g/L), Uses WRDA 64 prodtiges a conerete with lower water content {typically 8 to 10% reduction), greater plasticity and higher strength. It is nosed in ready-mix planis, block and conorete product plasty, in lightweight and prostressed work wherever concrete is prodaved, WRDA 64 also performs especially well ia concrete bontaining fly ash and other pozzolana. Finishability The coment paste, or mortar, in WRDA 64 admixtuted concrete baa haproyed trowelabil - ity. The influences of WRIA $4 on the finishability of lean mixes hag been partion- * Consistent water reduction and set times * Improves performance conerele containing supplementary cementitious materials » Produces concrete thatis more workable, easy to place and finish * High compressive and flexurs strengtha ’ lasly noticeable. Floating and trowdling, by machine or hand, imparts 4 smooth, close tolerance surface. Addition Rates The addition rate of WADA 64 ig 3 to 6 fi o2/ 100 Ibs (195 to 390 ML/108 ka) of coment. Protesting is required to determine the appro Priate addition tate for Type A and Type D performance. Optiinun addition depends on the other concrete mixture components, job conditions, and desired porformance churacleristics, Gampatibility with Other Admixtures and Batch Sequencing WRDA 64 it compatible with most Grace admixtures. ag long as they are addud agpa- rately to the concrete mix, usually through the water holding lank discharge Ting, In genoral, itis yocommendad that WRDA 64 be added to tie conctete mix near the end of the butch sequence for optimum perfermance, Different seqilencing may be wséd if leycal testing shows better penformance, Please see Grace Techni- cal Bulletin TR-O110, defnixture Dispenser Discharge Ling Location and Sequaneing fop Concrete Batching Operations tor fubther recommendations, WRDA 64 shoutd nol come in cotitact with any other admixture before or during the batching process, even if diluted in mix water, Protesting of the concrete mix should be performed before use, and as conditions and. materials change in order to assure compali- bility, and to optimize dosage nutes, addition titaea in the batch sequencing and concrete performance. Por concrete that requires air entrainment, the wag ofan ASTM C260 air- entraining agent {such as Darayaly* or Darex® product lines) i recommended to provide suitable alr void parameters for faece-thaw resistance, Please consult your Grace repre. sentative for guidance, Packaging & Handling WRDA 64 is. available in bulk, delivered by metered tank trucks, and in $5 gal (210 L) drums. Ht will freeze at about 28°F (-2°C), but will retarn to full sirength after thawing and thorough agitation, Dispensing Equipment A complete line of accurate, murtomatic dispensing equipment is available. WRDA 64 muty be introduced fo the mix on the sand or in the water, Specifications Conterste shall be designed in accordance with Standard Recommended Practice for Selecting Proportions for Concrete, ACT 211. The water-reducing (or water-nad ueing and retarding) adeoixture shall be WRDA $4, ay mantfactared by Grace Constoaction Products, or equal. The admixture shall not contain calcium chloride, 8 shall be used in Strict accordance with the manufietirere’ recommendations. Tas admixture shall comply with ASTM Designation C4%4, Type A waterreducing {or Typa D water-redycing and retarding) admixtures. Certification of compliance shall be made available on aquest, The admixture shall be considered part of the total water. The admixture ahall he delivered es a ready-to-use quid product and ehall requirs no mixing at the batching plant or job gite, www .graceconstruction.cam North Amatioan Customer Service: 1-S77-4 A081 (1-877-423-0491 ) WRDA, Onninsir und Dare and megistored badamarke of W, HUGrade &Oo.-teen. We hope lag Infonpation hare nail be helps, It ia besed an dats and hnowdiatitie congldered to bis tut wid stourate and ly eturid Yor tha Leary’ conaidanstion, investigation and yerltination, Hul We.do tol warrant ths Feuille by ber obtain, Pease read all statements, reonrnigndationg yy [shor ny wiih el ei sey sa es ate we es Spee ys, No ahi a ‘Gamtstina Moet ao Rape Bay i vet] aA or copyght, W.. -Grana Th. Mi fo Avene, Cankskios, | 5 InCenads, ane Cidvohdd, line, 24 Comar Rowd, Weal, Alix, Citarlo, Canad 145 305. This peedvct may be covered by palanta o¢ palMatts ponding Capyrighd 9607, WR, Gated & Go,Conn, CMD38tG Prinked i USA. Biyts) FAV READY MEX USA READY MIX USA ACE relent od Clerc Contacts for this project Employae ; Mark Krauiteim Bosiness phone + £50-236-9042 Eatnail : markk@eoughass.com Mablle phone : 850-258-7480 Employee : Erie Crises Business phone : 850 $96 5B29 E-mail : Mobile phone ; Other ; Business phone : E-mail: Mobile phone : Project notes : BCOSsa CELL PHONE WAITING AREA 4 | AVCON PROJECT # 2013.050.05 i SUBMITTAL DATA SHEET SUBMITTAL NO: 1 SUBMITTAL RECEIVED ON:_5-13-14 Description of Submittal: lighting REVIEW ACTION BY AVCON Project Manager No Exceptions Taken [] Rejected L_] Submit Specified Item [_] Make Corrections Noted [_] Revise & Resubmit Checking is only for general conformance with the design concept of the project and general compliance with the information given in the contract documents. Any action shown is subject to the requirements of the plans and specifications. Contractor is responsible for: dimensions which shall be confirmed and correlated at the job site: fabrication processes and techniques-of construction; and coordination of their work with that of all other trades and the Satisfactory performance of their work. AVCON, INC. COMMENTS: “a j BY: Ex Ar lo Cs ~_DATE:_S 7/31 rf ” AVCON, INC LIGHTING SUBMITTAL Northwest Florida Regional _ Alrport — Cell Phone Waiting Area Ft. Walton B sith SAMM Electric roxs.s0 Wiirncn Quned Small Business DePuniak Springs, PL 32436 Phone: 860,892. 4877 Fax: 850.892.2277 H-nagik SAMMMectrio@aclcom Lhawedetsiar ans NWFL REGIONAL AIRPORT — CELL PHONE WAITING AREA Section 1 ~ Lighting a Flood Light CATHEY 48 Cansitie estma. He we try snuten Sheena aah etal Loept ct 7 Ev8 wen C) Revise a RESUBMIT TF Mane CORRECTICAS MGtL THI SP om Tar ae HEEN RE WE WED FOR CONFORMANCE Wy La THE CA RACT DOCUMENTS THIS RE ys WNC Wty CORTIEIBS THE ASCURALY OH COBRECTHESS OF THIS SURMIT TAL ASD DOES A67F RL ANY WAY RELIEVE THE SUBCONTRACTOR SUPPLIER FROM FULL COMPUANCE WiFi THE CONTRACT DOCUMENT § py. Cabs ATE: Shell | ~ORTHEY CONSTRICTIONA DEVE LOPMENT sal D-Series Size | [ses + SRF LED 2 ASSOVAOK HL 120 THX pe pDaKD LED Flood Luminaire fiw ie Introduction _ series Tha D-Serias Size 1 Flood features precision optics to beautifully Nluminate a variety of applications while its sleek, cormpact styling blends seamlessly ; Specifications with the envitonrnent, EPA: ae ht The D-Series Flood reflector systems and curting- Depth: ay edge chip-on-board LED technology produce _ Hcw low fieid-to-bearn ratlos for minimal spill light and ~ wiath: 37/8" incredlole photometric performance. It’s the ideal long-life replacement for 50 - 1S50VV matal halide floors, with typical energy savings of 72% anc) expacted service life af over 100,000 hours. . 7-3/4" Helght: (158 eval —_ Chraral) 12" Haight 15 wn} 7.2 Ibs Wolghte le shal EXAMPLE: DSXF1 LED 2 A530/40K MSP MVOLT THK DDBXD BSYFILED | + Oued) | s30mAantlens NSP Haring spat MOLT | Shipped indialed Shipped installed DDDXE Bad, _ rage? | aszaax —sotor | yysp Meduein spt iF a eT Riodiewis — f FE Pokonnlun| hex, syle” unpre 2 Wohl ¢ aysoeaak 40008 AMR aNnkna thd aes’ Ur hes SF Shglefine (126, 27791 * BHLXD Slack Pee Tsang 500K | FL rigs sant threaded pe MAS fhssueal “ mt Ty betel ins ; akeronen YF, Wale loud a! fheaaargn | Mepedsapazstely DNUKD Whee WER Widelseed rectangular pene © f USP Upperamarn ssne tyne’ 7 HME Keser ned r eas Pr Fillo Shipped separehely Mi Venvitnd PSMFLATS Tenor sip eter TED, TAS requ Stock configurations ara offarad for shorter lead tines nores wa sevwchoan . . . ee 7 § wT fy i _ servers ti fel iEL 24 8Ot hens tay aplipar only vehi btderirg pith asin SF eetiont SN teksts ED Rene eee or phatoconel Fe) ‘ VAIL Y DSYFY LED 140K HALE ape ar berpinpany ; fase alt # Fagus acaeveroe ye +“ atk 5 FonHODAY epee terme 1 gy open ene 185 388,240 1 277 ‘ Sere mad Sen 28) ; . ~ Oda DOW (1 Appel etezed slur nn 5 baal 9 Sige fate rau 1 ATP ole cullan baxter rosy WUE cot Paes cap Peery 1G DYISU Kersh aialiewes Fp? nen renin womans. 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CAUSA tae CATHEY Construction& Development! June 6, 2014 Mr. Tracy Stage, A.A.E. Deputy Director Northwest Florida Regional Airport 1701 Florida Highway 85 Eglin AFB, FL 32542 Re: DBE Participation for the Cell Phone Waiting Area project Dear Mr. Stage: This is letter is merely to inform you of our DBE/WBE participation on the above- referenced project. We have subcontracted with SAMM Enterprises, Inc., on the above referenced project to perform the electrical work required in the contract documents. SAMM Enterprises, Inc. is a registered WBE with the State of Florida. Their subcontract amount for this project is $3,590.00, which establishes DBE Participation as 4.2% for this project. If you need further information in this regard, please let us know. Sincerely, CATHEY CONSTRUCTION & DEVELOPMENT, LLC W. Brian Cathey, President CATHEY CONSTRUCTION & DEVELOPMENT- P.O. Box 13107-103 NORTH 30° STREET- MEXICO Beacn, FL 32410 PHONE: (850) 648-5100 - Fax: (850) 648-5105