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Final Pay 1961 — extracted reading text
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CONTRACT/LEASE
COMPLETED BY DEPARTMENT
DATE: 12/10/2015
VENDOR NAME: Asphalt Paving Systems (APS)
VENDOR #: 21300440
CONTRACT/LEASE#: C12-1961-PW
VENDOR TASK COUNTY/FEMA BUDGET
ORDER # PROJECT # DEPARTMENT | ACCOUNT # AMOUNT $
INVOICE # . ;
(If Applicable) (If Applicable) #
12655-3-1 3 Road Preservation 3204 553012 $ 78,724.50
12655-3-2 3 Road Preservation 3204 553014 $ 57,140.30
12655-3-3 3 Road Preservation 3204 553015 $ 58,762.10
Total |$ 194,626.90
APPROVED FOR PROGRESS PAYMENT (please sign. as applicable and date)
CONTRACTOR'S ENGINEER/ARCHITECT/PROJECT MANAGER:
COUNTY SUPERVISOR/PROJECT MANAGER: 2
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(iR Wicore
DEPARTMENT DIRECTOR:
DATE:
DATE: _) 37[ /0 é{_
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CONTRACTS & GRANT MANAGER:
DATE: ‘T \\‘(“(
DATE:
(N
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COUNTY ADMINISTRATOR:
A
N
DATE:
(Payments>$25,000.)
(
FINAL PAYMENT
FINAL PAYMENT
DATE: \2!17/6
&6”& 14 /29 /15
DATE: /&/ 30 //('
(Per Initial Agreement)
(All Contracts)
(Per Initial Agreement)
COUNTY ADMINISTRATOR APPROVAL:
YES V' NO __ (If "Yes", forward to Purchasing Services Coordinator for Close-Out)
PURCHASING DIRECTOR: %}d wm&
DATE: BOARD APPROVAL:
(Per Initial Agreement)
H = e —
COMPLETED BY FINANCE - ACCOUNTS PAYABLE ONLY
FISCAL YEAR:
DATE RECEIVED:
REVIEWD BY:
OFFICE OF CONTRACTS & GRANTS
CLERK OF THE CIRCUIT COURT
1804 Lewis Turner Blvd, Suite 206
Fort Walton Beach, FI. 32547
MEMORANDUM
TO: Olivia Tanner
Accounts Payable
FROM: Marcella B. Eubanks “Pé/
Contracts and Grants Manager{,’i
DATE: December 15, 2015
RE: Delegation of signature authority
Ashley Endris is authorized to sign Contract/Lease Payment Approval Form(s) during my
absence December 28 through 31, 2015.
Thank you
DATE: 12/7/2015
TO: Okaloosa County Finance FROM: Asphalt Paving Systems, Inc.
302 N. Wilson Street, Suite 203 9021 Wire Road
Crestview, FL 32526 Zephyrhilis, FL 33540
RE: INVOICE 12655-3-1 Ph: 813-788-0010
CONTRACT C12-1961-PW, Task Order 3 Fx: 813-788-0020
DISTRICT 2
Item No Description Units Quantity Unit Price Total Price
1 Mobilization LS 1 $ 1,800.00 | $ 1,800.00
2 Maintenance of Traffic LS 1 $ 600.00 | $ 600.00
3 Crack Seal GAL 333 $ 2040 | $ 6,793.20
4 Micro-Surfacing SY 30,231 $ 230 | $ 69,531.30
Total $ 78,724.50
Thank you for considering Asphalt Paving Systems for your resurfacing needs.
Respectfully Submitted,
Asphalt Paving Systems, Inc.
Zephyrhills, FL
c: (813) 455-2471
e: ponderosamark@hotmail.com
ESPMHALT DATE: 12/7/2015
TO: Okaloosa County Finance FROM: Asphalt Paving Systems, Inc.
302 N. Wilson Street, Suite 203 9021 Wire Road
Crestview, FL 32526 Zephyrhills, FL 33540
RE: INVOICE 12655-3-2 Ph: 813-788-0010
CONTRACT C12-1961-PW, Task Order 3 Fx: 813-788-0020
DISTRICT 4
[tem No Description Units Quantity Unit Price Total Price
1 Mobilization LS 1 $ 135000 % 1,350.00
2 Maintenance of Traffic LS 1 $ 450.00 | $ 450.00
3 Crack Seal GAL 552 $ 2040 1 $ 11,260.80
4 Micro-Surfacing SY 19,165 $ 2301 $ 44,079.50
Total $ 57,140.30
Thank you for considering Asphalt Paving Systems for your resurfacing needs.
Respectfully Submitted,
Phanide Lobortosh
Asphalt Paving Systems, Inc.
Zephyrhills, FL
c: (813) 455-2471
e: ponderosamark@hotmail.com
DATE: 12/7/2015
TO: Okaloosa County Finance FROM: Asphalt Paving Systems, [nc.
302 N. Wilson Street, Suite 203 9021 Wire Road
Crestview, FL 32526 Zephyrhills, FL 33540
RE: INVOICE 12655-3-3 Ph: 813-788-0010
CONTRACT C12-1961-PW, Task Order 3 Fx: 813-788-0020
DISTRICT 5
Item No Description Units Quantity Unit Price Total Price
1 Mobilization LS 1 $ 1,350.00 [ $ 1,350.00
2 Maintenance of Traffic LS 1 $ 450.00 | $ 450.00
3 Crack Seal GAL 528 $ 2040 | $ 10,771.20
4 Micro-Surfacing SY 20083 $ 230 1% 46,190.90
Total $ 58,762.10
Thank you for considering Asphalt Paving Systems for your resurfacing needs.
Respectfully Submitted,
VHonte Fvbrfech
Asphalt Paving Systems, Inc.
Zephyrhills, FL
c: (813) 455-2471
e: penderosamark@hotmail.com
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