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

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