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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

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