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Bid-City Hall Remodel-PW 05-00-04-17
Okeechobee City Hall General Service Office Remodeling Bid PW 05-00-04-17 Mandatory Pre -Bid Meeting May 8, 2017 Bid Opening May -487-2047- Kia/ Q13, a0I'( Sign -In Sheet to purchase $25.00 1. Company Name: P (c,4-; vt u, 130 s Contact Person: -la.,t Phone Number: V6 3 - V67- / 'FJ.? Fax Number: f63- 5E47- 073 Email Address: AliQ•,. n1eJsv►, @_ (_eahoo, ec.+- Mailing Address: 62i6 N (' -k ci'7 Ckeed•01,-t-e, P[c. PL1c? L- 2. 2. Company Name: 6R eek WI va MO Cot/SUM' ION , LL(, Contact Person: Sf,U/N K0 (UT Phone Number: $ 3 - (1G7 - It I( Fax Number: 60 - P-4 - 3310 Email Address: 5 fAu/✓ 6 GD( FGo IZl DA . t0 »n Mailing Address: 5-01 N w �'`b $ Of//0J/ 3. Company Name: /U(LZrk l' . frrardk/, Contact Person: A ark 0/7- 1 Phone Number: 863 -63q- q4,21 Fax Number: 8b 3- 76,3- 9/5'/ Email Address: mark( mar/i&arde/. err? Mailing Address: x555 A E/B/sf/-awe, OKeei 3I/9i7 4. Company Name: CO11 S1 -►'u. 1 on 1Y1Q.r(tf Oa -4 -N LLC., Contact Person: 'NOX 13aY�. Phone Number: ''O6- 31 4- a0 Fax Number: Y1D10- 570- gig - Email Address: Poy t -c v o e.c►nd1 roap . Cory Mailing Address: 36 Tech no loc, y Kw v .3 old -hi SIe (C) Norcrc%S 6 L Jov7a Company Name: One Cci t Pi-oft/4y Svt Contact Person: Break Nlar �r Phone Number: -112 • ad3, kt{OO Fax Number: `71as l(bq- rG2 0 Email Address: lore4 'lorCtL- cow\ Mailing Address: ltroLt St,/ r il,rfe, Way / S-tw�a-I FL Irl'ti1 Company Name: l Contact Person: Phone Number: Fax Number: Email Address: Mailing Address: Mandatory Pre-Bid Sign In Sheet Okeechobee City Hall General Services Office Remodeling, PW 05-00-04-17, May 8, 2017, 3:00 p.m. Company Contact Person Phone Number Fax Number E-mail 1 P[A_r: n4M �phAoknmr.CA E/be>-T gd.D7 43 -4041-1(31D <- elbei-i, ca.1. 44rtatZi% ,-►1.,y,i: t ,JC m, WrItarL erk4iticery iJ . cal,/ 2 Ar-4.de0G(ap/vii i4T-m.✓ �Refi-- Aerrl�ti'ip2 . ?oZI 3 Q\05 CZA k1-0 eel CO UN- s\ 2nss i fig- LtUl• XS\ Q \\C AVMs \--0 \C21 -.MnS�rvc'r:on.. v5 4 /1055/2"1" 5iw( // 22/ZJ' C04/ 45-A--C- 4 &OA4 1ifla Ss/l- G ?6,7--9-77z Z ,A ,vt D ss e i e Y•„ cic 1. L' G u? 5 One 1A (1 Qri S(rt SecvN S4pG�Gh4n -TV- ,V3-0eo-l. oh2c.(�loNGlA-Cowl 6 Q ,� U A Flo?-/9 1 Dr/ p?a 16 cAA /dam @ 1'L , c yre 9 arc hho rrd-'coin JaP-6-e/4 Dc:5-4 h(C.S -acTion(1 f7EyG • p-P,-Nr-/t 5,04 I -o(o v f g63-`10- /11 l s 9 10 11 12 13 14 15 16 11 111 19 20 City of Okeechobee GENERAL SERVICES OFFICE REMODEL Pre-bid Agenda Okeechobee RFP # PW -04-00-05-17 Owner/Client: City of Okeechobee 1. Introductions Meeting Date: May 8, 2017 2. Description of Project and Scope of Work Provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. 3. Project Personnel Administrative Owner: City of Okeechobee 55 SE Third Ave Okeechobee, FL 34974 Contact: David Allen, Project Manager: (863)763-3372 dallen@cityofokeechobee.com 4. Correspondence Send to City of Okeechobee, attn: David Allen 5. Contract Time Bid Opening Anticipated Contract Award Date: Contract Duration: Estimated Completion Date: Liquidated Damages: May 16, 2017 at 3:00 P.M. June 16, 2017 120 days August 18, 2017 $ 500/day 6. Safety a. Contractor will be responsible for initiating, maintaining, and supervising all safety precautions in connection with the work. The safety procedures should follow all governing safety regulations including the Trench Safety Act. b. Drug Free work site. 7. Public Information Contractor must be courteous to public at all times. Complaints will be referred to the City project manager. 8. Pro[ect Inspection Requirements a. City will provide part-time inspection Inspections must be scheduled 24 hours in advance. 9. Staging Areas The staging area must be approved by the City. 10. Errors/Omissions The Contractor is to identify at this time any errors or omissions that are known to exist in the plans. Preconstruction meeting notes will reflect such errors or omissions. 11. Open Discussion • Construction Plans/documents Meeting Concluded Patty Burnette From: Patty Burnette Sent: Friday, May 12, 2017 4:06 PM To: Elbert Batton (elbert.platbuilders@gmail.com); 'mark@markbrandel.com'; 'chrisrossi@closeconstruction.us'; 'rmossel@ymail.com'; 'brent@onecallflorida.com'; Lori Bundy (Ioriplatbuilders@gmail.com); 'shaun@gdcflorida.com' FW: Addendum for the General Services Office Remodel Addendum 1 GENERAL SERVICES OFFICE REMODEL PW-05-00-04-17.pdf Subject: Attachments: Importance: High See attached Addendum 1 for the above project. Pafy M. tau-t-ie�ft� General Services Coordinator City c f O&eechol ee 55 Southeast 3rd Avenue OfeechoI ce, EL 34074 Te( 863-763-3372 Direct: 863-763-982 0 'Fax: 863-763-368E e -matt: pbitritetteOcitijo_ fo&eechohee.cot)t website: 1tww.ctjofokeechohee.COnl NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. 1 ADDENDUM NO. 1 GENERAL SERVICES OFFICE REMODEL City of Okeechobee project PW -05-00-04-17 Issue Date May 12, 2017 Subject: Pre-bid meeting notes and question clarification Question: Can plans be dimensioned please? Answer: Response: Dimensioned plans are attached. Question: Wainscot and Chair rails and door casings removed and replaced with new or left in Place? If removed same color and style to go back? Answer: Existing Wainscot and chair rails are to left in place. Question: Wood or Metal Studs? Answer: Provide 3 5/8" 20 -gauge steel studs for new frame walls (see attached revised Sheet A-1). Question: No building permits are required and no building fees will be charged, although inspections will be done by the Building Official. Answer: Correct. Question: Is the wallpaper to be removed before painting? Answer: The wallpaper in all areas receiving new paint is to be removed before painting. The walls are drywall which will need to be textured with knock -down texture before painting. Question: Please verify what flooring is under the carpet in the General Services Area. Answer: The flooring material under the carpet is plywood. It appears that in some areas there may be more than one layer of carpet. Question: Is the molding to be removed around the windows in the General Services area and replaced with drywall? Answer: Yes, drywall is to be finished to match other newly painted areas. Question: Please provide clarification on the dimensions and square footage amounts for the cabinetry and countertop for the copier area. Answer: Base cabinet shown and detailed on 2/A-2 is to be custom built. A manufactured cabinet will not be acceptable unless it is constructed of materials as detailed on detail 2/A-2. Bid # PW -05-00-04-17 Addendum #1 Page 1 of 2 Question: Please clarify if any work is to be done in the Clerk's office. Answer: Painting including removal of existing wallpaper and texturing as noted above in item (5) and installation of new carpet for the Clerk's office, Deputy Clerks Office, and Clerk's Assistants office are included in the project. Question: Are the ceiling lights in the General Services area to be replaced as part of this project: Answer: No, lighting replacement is no longer part of the project. Sincerely, David Allen Public Works Director Bid # PW -05-00-04-17 Addendum #1 Page 2 of 2 U H .EFS BICE (INSPECTOR) STORAGE b. ( II \ °I2 TT-1----�t� �- _ i I I rZd, IHI I I COPIES LL 1...Ji `t -f. b_ � r1== I I RR. MARTY (ASSISTANT - PART TIME) BOBBY JO (ASSISTANT) C) I---1 PATTY i d.I (GENERALr-- - - -I 1 SERVICES) I- - - -I J -_T -J - JACKIE (ASSISTANT) EL��l C7 RECEPTION L VAULT (NO WORK IN THIS AREA) CLERKS OFFICE DEMOLITION NOTES' b. d. e. f 9. REMOVE EXISTING WALL REMIOVE EXISTING DOOR AND FRAME. REMOVE EXISTING 0C NTER AND CASEWORK REMOVE RAMPS AND RAEED FLOORING REMOVE EXISTING SAT. CEILING GRD, UGHTS AND FLOORING REMOVE WALL IN FRONT OF EXISTING WINDOW. RELOCATE EXISTING ELECTRICAL PANE. EXISTING FLOOR PLAN / DEMOLITION PLAN scALc ye- - ro- UPPER INTERIOR ELEVATIONS STORAGE _---k-� RR. MATY BOBBY 1 Ir -r a' 1 CLERK'S OFFICE 16' -IO• OFFICE uI b--� 02 m EXISTING COLLMJ� L_J NEW 47 HIGH \ § COUNTER _.-b.--- _- II JACKIE h WO 3OT� j1 /—A aKc1 _ 0 POSTAGE UPPER CABRETs T L A M B In I d 11 p -6' 8'-7 )SN 47149-1 COWER ZONING MAP' N -u VALET ONO WORK IN THIS AREA) FLOOR PLAN NOTES' NEW 0-3/8. 20 GA STEEL SILO WALL AT 16. O.C. 6. W/ V7 GTP BD. AND PAINT FINISH PROVIDE 3-1/7 SOUND BATT INSLLATION N NEW WALLS. PROVIDE HEMI COMMERCIAL CARPET N AREA TO BE REMODELED. COORDINATE FLOORING SELECTION WITH OWNER PROVIDE 525.00 PER SOU490 FOOT ALLOWANCE FOR FLOORING PATCH DRYWALL AS NEEDED AND REPAINT ALL AREAS OF REMODEL COORDINATE PAINT COLOR SELECTION WITH OM. . PROVIDE NEW SAT. CEILING AND GRID. MATO-I EXISTING ADJACENT GRID AND CEILING TILE FROVDE NEW VINYL RAGF ON NEW WALLS. MATCH EXISTING ADJACENT VINYL BASE NEW 3'-0• woe X 6'-81-491 X I-3/8• MASONITE 2 PANEL DOOR N 16 (41,1111- STEL. FRAME PROVIDE 904 AGF COMMERCIAL GRADE LEVER HANDLE WITH KEYED LOCK COORDINATE KEYING WITH OWNER. 0 RELOCATED ELECTRICAL PANEL CARPET AND RE"PANT BAC( OFFICES FLOOR PLAN (PROPOSED) SCALE 1/4• • r -O - NOTE. FiELO VB21FY ALL DIMENSIONS. THE DPENSIONS SWOON WERE TAKEN BY FIELD MEASLREMEITS AND MAY VARY SLI11TLY FROM EXACT MEASUREMENTS SCALP I/4• • 1'-0' A A 4 0 4 4 0 4 0 ®111F111 7 O11.11.11 WO. MOO PA NO IVIPPPMCOP, OMLIOSS OR IPA lig Ont 011.0, IS MOW PIO. NM IOW MOP RM. COMM. 40, 04021010E WE: 27 PUB. 2017 B: M CMKD: .PB SHEET N0. A-1 OF TWO Patty Burnette From: Sent: To: Patty Burnette Tuesday, May 16, 2017 8:52 AM Elbert Batton (elbert.platbuilders@gmail.com); 'mark@markbrandel.com'; 'chrisrossi@closeconstruction.us'; 'rmossel@ymail.com'; brent@onecallflorida.com; Lori Bundy (loriplatbuilders@gmail.com); shaun@gdcflorida.com Cc: David Allen Subject: FW: GS Remodel Addendum 2 Attachments: Addendum 2 GENERAL SERVICES OFFICE REMODEL PW-05-00-04-17.pdf Importance: Please see the attached High 120411j M. 13uwwe#ty General Services Coordinator City of OIeecho6ee 55 Southeast 3rd Avenue Oheechot ee, AFL 34974 Te 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail:y6urnette@cityofeecho6ee.com website: www.cityofokeecho6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. From: David Allen Sent: Tuesday, May 16, 2017 8:42 AM To: Patty Burnette Cc: Jessie Weigum Subject: GS Remodel Addendum 2 Patty, 1 1 Could you see that this gets out to the vendors. Thanks, David Allen Public Works Director City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, FL 34974 863-763-3926 863-763-1686 fax cityofokeechobee.com PUBLIC RECORDS NOTICE: All e-mail sent to and received from the City of Okeechobee, Florida, including e-mail addresses and content, are subject to the provisions of the Florida Public Records Law, Florida Statute Chapter 119, and may be subject to disclosure. 2 ADDENDUM NO. 2 GENERAL SERVICES OFFICE REMODEL City of Okeechobee project PW -05-00-04-17 Issue Date May 16, 2017 Subject: Amended Bid Opening date and flooring allowance revision 1) The carpet allowance noted in the Floor Plan Notes listed on page A-1 of the project plans contains an error. The note flooring allowance is $25.00 per square yard not per square foot. The corrected note should read: b. Provide new commercial in the area to be remodeled including . Coordinate flooring selection with owner. Provide $25.00 per square yard allowance for flooring. 2) Due to this late change in information, the bid opening date and time are revised to: Bid Opening Date and Time: Sincerely, David Allen Public Works Director May 23, 2017 at 2:00 P.M. Bid # PW -05-00-04-17 Addendum #2 Page 1 of 1 e, Patty Burnette From: Patty Burnette Sent: Tuesday, May 16, 2017 8:52 AM To: Elbert Batton (elbert.platbuilders@gmail.com); 'mark@markbrandel.com'; 'chrisrossi@closeconstruction.us';'rmossel@ymail.com'; brent@onecallflorida.com; Lori Bundy (Ioriplatbuilders@gmail.com); shaun@gdcflorida.com Cc: David Allen Subject: FW: GS Remodel Addendum 2 Attachments: Addendum 2 GENERAL SERVICES OFFICE REMODEL PW-05-00-04-17.pdf Importance: High Tracking: Please see the attached Pc2f1-9 M. 13tm-kve, f e, general -Services Coor&nator City of Okeechobee Recipient Elbert Batton (elbert.platbuilders@gmail.com) 'mark@ markbrandel.com' ✓'chrisrossi@closeconstruction.us' 'rmossel@ymail.com' ✓ brent@onecallflorida.com Lori Bundy (Ioriplatbuilders@gmail.com) shaun@gdcflorida.com David Allen 55 Southeast 3rd 'Avenue Okeechobee, FL 34974 'Te(: 863-763-3372 Direct: 863-763-982 Fax: 863-763-1686 E -111a 16 phitriietreCocityofokeec1iohee.cont website: u ww.citllofokeec(ohee.com 1 Read Read: 5/16/2017 3:00 PM _- y NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. From: David Allen Sent: Tuesday, May 16, 2017 8:42 AM To: Patty Burnette Cc: Jessie Weigum Subject: GS Remodel Addendum 2 Patty, Could you see that this gets out to the vendors. Thanks, David Allen Public Works Director City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, FL 34974 863-763-3926 863-763-1686 fax cityofokeechobee.com PUBLIC RECORDS NOTICE: All e-mail sent to and received from the City of Okeechobee, Florida, including e-mail addresses and content, are subject to the provisions of the Florida Public Records Law, Florida Statute Chapter 119, and may be subject to disclosure. 2 r Patty Burnette From: Brent Martin <Brent@onecallflorida.com> To: Patty Burnette Sent: Tuesday, May 16, 2017 9:19 AM Subject: Read: GS Remodel Addendum 2 Your message To: Brent Martin Subject: FW: GS Remodel Addendum 2 Sent: Tuesday, May 16, 2017 8:51:56 AM (UTC -05:00) Eastem Time (US & Canada) was read on Tuesday, May 16, 2017 9:18:50 AM (UTC -05:00) Eastern Time (US & Canada). Z Patty Burnette From: Chris Rossi<chrisrossi@closeconstruction.us> Sent: Tuesday, May 16, 2017 9:47 AM To: Patty Burnette Subject: Read: GS Remodel Addendum 2 Attachments: ATT00001 Importance: High BID TABULATION OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODEL PW 05-00-04-17 Posted: May 23, 2017 @ 3:15 PM To be removed: May 30, 2017 @ 3:15 PM Green Design Construction Platinum Performance Group Segment No. Description Unit Measure Est. Quan. Unit Price Amount Unit Price Amount 1 REMODEL APPROXIMATELY 450 SQUARE FEET OF OFFICE SPACE INCLUDING DEMOLITION OF EXISTING INTERIOR WALLS, CONSTRUCTION OF NEW WALLS INCLUDING ELECTRICAL AND DATA. IN ADDITION TO THE NEW REMODELED SPACE, THE PROJECT WILL ALSO INCLUDE NEW CARPET AND PAINTING OF APPROXIMATELY 575 SQUARE FEET ADDITIONAL EXISTING OFFICE SPACE EACH 1 $50,175.00 $74,000.00 TOTAL BID AMOUNT (Based on Unit Prices & Estimated Quantities) $50,175.00 $74,000.00 Posted: May 23, 2017 @ 3:15 PM To be removed: May 30, 2017 @ 3:15 PM Bid Opening Sign In Sheet Okeechobee City Hall General Services Office Remodeling, PW 05-00-04-17, May 23, 2017, 2:00 p.m. Company Contact Person Phone Number Fax Number E-mail 1 — c-e e r �_eg't S N `, �i J�1-e��,a.� X02 Z I o c. $1 �i f i%'2 C �J �fvrt' p,a , c 2 ? 0LA-car. _ kit-P'i - i 9 3 `- / 0 t' r pia +- 6 cu I d e d` S S v►14...�_O , ,_._ 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 7/ \�OR10� rd � r r— Fr rl� lc p1Cc(Q ��%* 11 To:Green Design Construction & Dev., LLC 502 NW 2nd Street Okeechobee, FL 34974 CMC/COMPUTER MERCHANDISE CORP. 863-644-0617 PURCHASE ORDER CITY OF OKEECHOBEE 55 S.E. THIRD AVENUE OKEECHOBEE, FLORIDA 34974-2903 Tel: 863/763-3372 Fax: 863/763-1686 L THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. 1 4337 IMPORTANT: THIS NUMBER MUST BE SHOWN ON ALL INVOICES, PACKAGES, CASES, TICKETS AND CORRESPONDENCE. SHIP TO: City of Okeechobee 55 SE 3rd Avenue L Okeechobee, FI. 34974 INVOICE IN DUPLICATE: City of Okeechobee 55 SE 3rd Avenue [_Okeechobee, FI. 34974 1 1 DATE !7/2017 VENDOR NO. DELIVERY DATE SHIP VIA BEST WAY F.O.B. DESTINATION TERMS ITEM NO. ACCT. NUMBER QUANTITY UNIT DESCRIPTION UNIT AMOUNT 1 304-519-6400 PW 05-00-04-17 City Hall General $50,175.00 Services Office remodeling project. Awarded 6/20/2017 by City Council TOTAL $50,175.00 - 8/14/2017: Change order #1 $ 26,565.00 Labor & Materials for additional services per agreement. Approved by City Council 8/1/2017 //(8/// Amendment total $76,740.00 t 8/23/2017: Change order #2 $ 36,552.00 Labor & materials for additional services due to mold in Clerk's Office Approved 8/15/17 -y�-'(�/� Amendment 2 total $113,292.00 CITY OF OKEECHOBEE IS EX PT FROM FEDERAL EXCISE AND TRANSPORTATION TAXES AND STATE SALES TA . DO NOT INCLUDE THESE TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE LL BE SIGNED UPON REQUEST STATE SALES TAX EXEMPTION 85-8012621656C-6 FEDERAL I.D. 59-6000-393 brau)1 1704-50 8-2a-17 1-1131a10 Drau) 2 11o4&'5 q-161-11 1 35a 44. q0 AUTHORIZED SIGNATURE -7 1 Cf7q, SO 31p 73 LI-. 40 bIra L)3 )10470 a -a -1l I1t58i•ao RECEIVING RECORD ao ag7.t0 fi 1�. J kw) 170 tl-zo IO -447 ►cI AAq. 4o Of . Se OUT REfilititi4EfIL (923.00 PARTIAL ❑ FINAL ❑ PURCHASE REQUISITION CITY OF OKEECHOBEE 55 S.E. Third Avenue Okeechobee, FL 34974-2903 Tel: 863-763-3372 Fax: 863-763-1686 Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, FL 34974 863-467-1111 THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. FINANCE Req. No. 16200 Important::; This number. must ; beshownOn all invoices, packages,cases, tickets and: correspondence. SHIP TO: City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 INVOICE IN DUPLICATE: DATE VENDOR NO. DELIVERY DATE SHIP BEST F.O.B. DEST. TERMS 08/21/17 N/A N/A N/A N/A NET 30 ITEM NO ACCT. NUMBER QTY UNIT DESCRIPTION AMOUNT 1 304-519-6400 Change of scope Amendment No. 2 to PO #4337 for PW 05-00-04-17 Labor and materials for additional construction services due to mold in Clerk's Ofice. Agreement approved by City Council August 15, 2017 TOTAL $36,552.00 $36,552.00 CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL EXCISE AND TRANSPORTATION TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUIEST. STATE SALES TAX EXEMPTION NO. 85-8012621656C-6 FEDERAL I.D. NO 59-6000-393 AUTRORIZED SIGNATURE RECEIVING RECO(1) 0 PARTIAL X FINAL ( =.r�G\ 7E51GN ARCHITECTS I ENGINEERS I CONTRACTORS I VISUALIZATION 502 NW 2nd Street, Okeechobee, FL 34972 - 4247 SW High Meadows Ave, Palm City, FL 34990 13701 North Kendall Drive, Miami, FL 33186 - P: (863) 467-1111 F: (863) 824-3390 VINX/vv.mm=t_ormR.com City of Okeechobee c/o: Mr. Marcos Montes De Oca — City Administrator 55 SE 3'd Ave, Okeechobee, Florida 34974 Re: General Services Office Remodel PW -05-00-04-17 55 SE 3'd Ave Okeechobee, Florida 34974 Dear Mr. Montes De Oca, 08/14/2017 Green Design Construction and Development (herein referred to as GDCD) is pleased to provide a proposal for additional construction services as they relate to the General Services Office Remodel Contract with the City of Okeechobee. Based on our conversation(s) and coordinated effort by both parties and due to existing conditions beyond the control of the City of Okeechobee and GDCD we have prepared the following additional services proposal for your consideration. Required Services II: During Demolition of the City Clerk's office (as a part of the above referenced General Services Office Remodel), GDCD and the City of Okeechobee discovered mold in the existing Sub -Floor and drywall (North Wall) in Lane Gamiotea's office. GDCD also discovered mold on the western wall in Bobbie Jenkins office. Based on our findings and through cooperation with the City Building Official and Public Works Director we have determined that all of the existing Drywall, Casing, Base Board, Wall Cladding, etc. in the entirety of the Clerk's Office has to be removed to perform a full mold remediation. Our scope of Required Services as we understand shall be: 1. Remove existing Sub -Floor in Lane's office. 2. Remove all Drywall, Wall Furring, Insulation, Millworks, and Cladding in City Clerk's Office. 3. Remove all Plaster at exterior wall locations containing Mold Spores. 4. Provide complete Mold Remediation in Clerk's Office. 5. Install new PT Wall Furring at Exterior and Interior Masonry Wall Locations. 6. Install new PT Window/Door Bucks in Clerk's Office. 7. Install new %:' CDX Plywood Sub -Floor in Lane's Office. 8. Install Floor Leveling Compound in Lane's Office. 9. Install new vapor barrier in Clerk's Office. 10. Install new Y." Plywood sheathing in Clerk's Office. 11. Install new R -Max Rigid Insulation @ Exterior Wall Locations. 12. Install new 5/8" Drywall in Clerk's Office (all walls). 13. Install new Base Board and Casing in Clerks Office. 14. Install new Polyurethane Sealant to all exterior openings in Building Department and Clerk's Office. 15. Provide all materials associated with this work. 1 1 City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 08/14/2017 Gem- =.i=N DESIGN Required Services II Cost Breakdown: • Sub -Floor Demolition: $400.00 • Sub -Floor Materials: $875.00 • Floor Leveling Materials: $450.00 • Floor Decking Labor: $840.00 • Vapor Barrier Installation: $630.00 • Floor Leveling Compound Installation: $320.00 • Clerk's Office Wall Demolition: $3,220.00 • Clerk's Office Bathroom Plumbing Safe -Off: $300.00 • Clerk's Office Mold Remediation (Allowance): $10,000.00 • Waste Removal: $1,500.00 • PT Wall Furring Labor: $2,300.00 • PT Window and Door Buck Labor: $805.00 • PT Wall Furring, Window and Door Buck Materials: $1,536.00 • %" Rigid Insulation (R -Max) Installation @ Exterior Wall Locations: $925.00 • Tapcons, Bolts, Screws, Fastners: $315.00 • Drywall Installation (Hang, Finish, Texture): $3,850.00 • Base Board/Casing Installation: $950.00 • Re -Install Existing Wood Frame Doors in Clerk's Office: $450.00 • Re -Install Plumbing Fixtures in Clerk's Office Bathroom: $350.00 • Paint Interior of restroom with Epoxy (Floor to Ceiling): $375.00 • Millworks Materials: $1,120.00 • Polyurethane Caulking at Exterior openings (Building Department and Clerk's office) $750.00 • Additional Performance Bond @ 3%: $968.00 • Contractor Fee C> 10%: $3,323.00 Total for Required Services II: $36,552.00 ALLOWANCE QUALIFICATION: GDCD has allowed for up to $10,000.00 for mold remediation services. As demolition has not been completed the extent of the mold problem is not fully known. As such GDCD proposes the following: GDCD will, solicit 3 bids for mold remediation services after demolition has been completed. GDCD will provide bids to City Administrator, Public Works Director, and Building Official for review, acceptance, and recommendation of mold remediation services award. Total fee for allowance line item shall be billed directly to the City of Okeechobee at Cost of Service X 1O% Contractor Fee. Initials indicates acceptance of Services for Required work: ,0/,,. City Rep. GDCD respectfully requests an additional 3 weeks of time be added to the contract term should above referenced work be approved. 2 1 City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 08/14/2017 III=�=.=-N11 Dc51GN If this proposal meets with your satisfaction, please return a signed copy to GDCD. Website: www.gdcflorida.com E-mail: shaun@gdcflorida.com john@gdcflorida.com Please feel free to call at your convenience should you have any questions or require additional information. Sincerely, Shaun M. Kogut — Director/Managing Partner The agreement will be effective on a CITY OF OKEECHOBEE a+ /640/7 GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC BY: fes_ /G' V'�G� BY: Dowling . Watford, Jr. Ma •r Shaun M. Kogut— Managing Partner " ATTEST:''';' I kJ- 00,D Lark Gamiotea, CM ,City Clerk • 3 I City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 08/14/2017 PURCHASE REQUISITION CITY OF OKEECHOBEE 55 S.E. Third Avenue Okeechobee, FL 34974-2903 Tel: 863-763-3372 Fax: 863-763-1686 Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, FL 34974 863-467-1111 THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. FINANCE Req. No. 16197 ilmportant: This number.must be shown on all invoices, ;packages, cases, tickets and ,correspondence. SHIP TO: City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 INVOICE IN DUPLICATE: DATE VENDOR NO. DELIVERY DATE SHIP BEST F.O.B. DEST. TERMS 08/08/17 N/A N/A N/A N/A 1 NET 30 ITEM NO ACCT. NUMBER QTY UNIT DESCRIPTION AMOUNT 1 304-519-6400 . Change of scope Amendment No. 1 to PO #4337 for PW 05-00-04-17 Labor and materials for additional construction services per agreement approved by the City Council on August 1, 2017 TOTAL $26,565.00 $26,565.00 CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL EXCISE AND TRANSPORTATION TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUIEST. STATE SALES TAX EXEMPTION NO. 85-8012621656C-6 FEDERAL I.D. NO 59-6000-393 THORIZED SIGNATURE RECEIVINGA3ECORD 0 PARTIAL X FINAL ���fiV 7E51GN ARCHITECTS I ENGINEERS I CONTRACTORS I VISUALIZATION 502 NW 2nd Street, Okeechobee, FL 34972 - 4247 SW High Meadows Ave, Palm City, FL 34990 13701 North Kendall Drive, Miami, FL 33186 - P: (863) 467-1111 F: (863) 824-3390 W W W.GMCFl_CI IDR.COM City of Okeechobee c/o: Mr. Marcos Montes De Oca — City Administrator 55 SE 3rd Ave, Okeechobee, Florida 34974 Re: General Services Office Remodel PW -05-00-04-17 55 SE 3rd Ave Okeechobee, Florida 34974 Dear Mr. Montes De Oca, 07/31/2017 Green Design Construction and Development (herein referred to as GDCD) is pleased to provide a proposal for additional construction services as they relate to the General Services Office Remodel Contract with the City of Okeechobee. Based on our conversation(s) and coordinated effort by both parties and due to existing conditions beyond the control of the City of Okeechobee and GDCD we have prepared the following additional services proposal for your consideration. Required Services: During Demolition GDCD and the City of Okeechobee discovered that the existing duct system that services the General Services Departments is completely saturated with mold and mildew. Upon discussion with City Officials and GDCD it has been determined that the existing duct work must be removed and replaced immediately. Likewise, while performing the electrical demolition as per the original scope GDCD discovered that the existing electrical sub - panel was overloaded, not grounded, and the Bus -Bar had been arch -welded to the Breaker Panel. Likewise, the existing service main supply to the General Services Office was filled with water and has corroded the piping and service wires. As such City Officials and GDCD have agreed that a new panel Sub -Panel with proper grounding and new panel power supply has to be installed to meet the building code and make the building safe to inhabit and conduct business. GDCD has included the following Required Services Proposal for your consideration. Our scope of Required Services as we understand shall be: 1. Remove Existing Acoustical Tile Ceiling in City Clerk's offices. 2. Completely remove all existing duct work in General Services/City Clerk offices. 3. Saw -cut thru existing Brick Wall separating Building Department and City Clerk office to provide for new duct work to access Building department. 4. Provide and Install new Sheet Metal Duct Work in Building Department offices. 5. Provide and Install new Duct Board (type) Duct work in City Clerk offices. 6. Complete Maintenance of existing ACU and AHU servicing General Services Department. 7. Install new Supply and Return vents in Building Department offices. 8. Install new 30 Lug Sub -Panel in Building Department office to Include new code compliant grounding. 9. Construct a new light -weight Steel Soffit/Bulkhead System in Building Department to encapsulate new sheet metal duct work from existing AHU located in City Clerk's office. 10. Install new 2X2 Architectural Acoustical Ceiling System and Thirteen (13) new 2X2 LED Lights in Clerk's office. 11. Install new 2X4/2X2 Ceiling Mounted Recessed (type) 50 Watt 5000K LED light fixtures in Building Department Office(s). 1 1 City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 07/31/2017 li = c --slur .G\O Dc51GN Required Services Cost Breakdown: • Waste Removal/Disposal: $750.00 • Provide new 30 Lug Electrical Panel in Building Department Office: $350.00 • Install Ground for new Electrical Panel in Building Department: $300.00 • Remove Existing Drop Ceiling and Light Fixtures in City Clerk Office: $500.00 • Saw -Cut Existing Brick Wall to accommodate new duct -work: $750.00 • Install New Light Weight Soffit/Bulkhead System: $1,520.00 • Remove Existing Duct work, Install new Duct Work in General Services Department, and complete Service/Maintenance on Existing AC System: $4,150.00 • Provide and Install new 2X2 Architectural ACT Ceiling in Clerks Office: $1,252.00 • Provide and Install new 2X2 50 Watt 5000K LED Ceiling Lights In Clerks Office (13): $1,950.00 • Provide and Install new 2X4 ceiling mount 50 Watt 5000k lights in Building Dept. (9): $1,350.00 • Contractor Fee (ca 10%: 51,267.00 Total for Required Services: $13,939.00 GDCD would respectfully request that an additional 14 days be added to the original construction services contract to allow for this additional work to be completed. Initials indicates acceptance of Services for Required work: City Rep. Optional Services: A GDCD has been asked to provide additional pricing for optional work to be done in conjunction with the above referenced work. It is our understanding that the City of Okeechobee would like to renovate the Building Department Offices so they will look and feel like they did when the Building was originally constructed in the early part of the 1900's. Our scope of Optional services as we understand shall be: 1. Provide additional demolition as needed to remove existing wall assemblies at ceiling locations. 2. Completely remove all non -code compliant electrical components within General Services front office area to include all existing ceiling mounted electrical systems. 3. Construct new 2 -Hour Rated Structural Steel Ceiling (Horizontal Fire Assembly) that will be supported by existing exterior load bearing walls and existing Structural Concrete beam assembly (new ceiling system shall not impose any additional loads to existing ceiling system below the existing council room chamber) in preparation for a new Type "X" Textured Gypsum Board Ceiling. 4. Provide new Electrical Wiring to Structural Ceiling Assembly in preparation for new LED Lights and Ceiling Fan Installations. 5. Provide and Install new R-19 Thermal Batt Insulation to bottom of new metal ceiling assembly. 6. Provide and install new 5/8" Type "X" Gypsum to new metal ceiling assembly. 7. Provide and Install new PT Wall furring to existing Brick/Plaster walls as needed to return drywall to the new ceiling system. 8. Provide and install new %" lightweight thermal insulation board (R -Max) to existing non -insulated exterior wall assemblies in front office area. 9. Provide and Install additional light weight steel wall framing at new wall locations to terminate at new ceiling system. 10. Paint additional wall and ceiling surfaces that are to be added to transition to the new ceiling assembly. Optional Services A: Cost Breakdown: 2 1 City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 07/31/2017 tC- e�il- cc.NJ Mc51GN • Additional Demolition to complete above stated scope: • Structural Steel 2 -Hour Ceiling to Include Finished Drywall and Paint: • Additional Wall Framing, PT Furring, Insulation, Drywall and Paint: • Provide and Install New Electrical conduit and drops @ ceiling: • Provide and Install New Data Conduit for Low -Voltage Re -Install: • Disconnect, retract and secure existing Low -Voltage Data and Audio Cables, Reroute, terminate, and test Data and Audio at new locations: • Contractor Fee P 10%: Sub -total Optional Services A: Credit given for removal of new ACT Ceiling System in original Bid: Total for Optional Services A: $1,500.00 $4,500.00 $1,920.00 $500.00 $500.00 $1,490.00 51,041.00 $11,451.00 -51,685.00 $9,766.00 If the above referenced Optional Services be approved by the City Council, GDCD would respectfully request that an additional 7 days be added to the original construction services contract to allow for this additional work to be completed. Initials indicates acceptance of Optional Services "A" work: ,a4A City Rep. Optional Services: B GDCD has been asked to provide additional pricing for optional work to be done in conjunction with the above referenced work. It is our understanding that the City of Okeechobee would like to install a matching set of tinted, impact rated, commercial windows (1 in Building Officials Office, and 1 in Finance) in previously utilized wall openings adjacent to the main entry breezeway on the North and South Walls. Our scope of Optional Services as we understand shall be: 1. Remove existing Stucco at exterior opening locations. 2. Provide and Install all PT Window Framing to accommodate new window installation. 3. Provide and Install two (2) new 3040 Commercial Impact, Energy Star Rated Window assemblies. 4. Provide and Install Stucco returns as needed to match existing stucco walls. 5. Provide and Install new exterior paint to match existing. Optional Services Cost Breakdown: • Remove existing Stucco and demolish existing framing: $250.00 • Provide and Install PT Window Buck Framing: $250.00 • Provide and Install new Impact Window assemblies: $1,500.00 • Provide and Install new Stucco Returns at window locations: $400.00 • Provide and Install Exterior Paint at new window locations: $200.00 • Contractor Fee p 10%: 5260.00 Total for Optional Services B: $2,860.00 Initials indicates acceptance of Optional Services "B" work: /" City Rep. 3 I City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 07/31/2017 7=.51GN If this proposal meets with your satisfaction, please return a signed copy to GDCD. Website: www.gdcflorida.com E-mail: shaun@gdcflorida.com john@gdcflorida.com Please feel free to call at your convenience should you have any questions or require additional information. Sincerely, Shaun M. Kogut — Director/Managing Partner The agreement will be effective on O1J.u34 11 GM] CITY OF OKEECHOBEE BY: Dowling R. Watford, Jr. ayor ,,1 l Lt�: 11117. 00\ `` ATTEST: • • • 1 A Jam"' Lane eamiotea, CM 1 City Clerk , ITt ?tit f GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC BY: S aun M. Kogut — Managing Partner 4 I City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 07/31/2017 7/ L PURCHASE ORDER; CITY OF OKEECHOBEE 55 S.E. THIRD AVENUE OKEECHOBEE, FLORIDA 34974-2903` Tel: 863/763-3372 Fax: 863/7631686 To:Green Design Construction & Dev., LLC 502 NW 2nd Street Okeechobee, FL 34974 THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. 4337 IMPORTANT: THIS NUMBER MUST BE SHOWN ON ALL INVOICES, PACKAGES, CASES, TICKETS AND CORRESPONDENCE. SHIP TO: City of Okeechobee 55 SE 3rd Avenue L Okeechobee, Fl. 34974 INVOICE IN DUPLICATE: City of Okeechobee. 65 SE 3rd Avenue LOkeechobee, F1.34974 1 1 DATE 712017 VENDOR NO. ,DELIVERYDATE SHIP VIA BEST WAY >. F.O.B. DESTINATION TERMS ITEM NO. ACCT. NUMBER QUANTITY UNIT DESCRIPTION UNIT AMOUNT 1 � 304-519-6400 �. ,. , :l tt Ct- 1-10450 g--23- • 7 Z , . PW 05-00.04-17 City Hv11 General a: Services Office remodeling project. Awarded 6/2012017 by City Council TOTAL :', 41 a la.10n%a. j. $50,175.00 $50,176.00 3D CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL EXCISE AND TRANSPORTATION TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE. TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUEST STATE SALES TAX EXEMPTION 85-8012621656C-6 FEDERAL LD. 59-6000-393 AUTHORIZED SIGNATURE RECEIVING RECORD PARTIAL D FINAL: D . Gaga! J4SJGI' q31 FINANCE. PURCHASE REQUISITION CITY OF OKEECHOBEE 55 S.E. Third Avenue Okeechobee, FL 34974-2903 Tel: 863-763-3372 Fax: 863-763-1686 Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, FL 34974 863-467-1111 THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. Req. No. 16194 Important: This number must Ebe:shown .on:all .invoices, 'packages, cases,tickets and ?correspondence.: SHIP TO: City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 INVOICE IN DUPLICATE: DATE VENDOR NO. DELIVERY DATE SHIP BEST F.O.B. DEST. TERMS 07/20/17 N/A N/A N/A N/A 1 NET 30 ITEM NO ACCT. NUMBER QTY UNIT DESCRIPTION AMOUNT 1 304-519-6400 PW 05-00-04-17 Okeechobee City Hall General Services Office Remodeling project awarded by City Council on June 20, 2017 Drawdowns TOTAL $50,175.00 $50,175.00 CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL. EXCISE AND TRANSPORTATION TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUIEST. STATE SALES TAX EXEMPTION NO. 85-8012621656C-6 FEDERAL I.D. NO 59-60001-393 UTHORIZED SIGNATURE RECEIVING RECORD 0 PARTIAL X FINAL F! E L PURCHASE ORDER CITY OF OKEECHOBEE 55 S.E. THIRD AVENUE OKEECHOBEE, FLORIDA 34974-2903 Tel: 863/763-3372 Fax: 863/763-1686 To:Gre,:n Con: `_rustic. C�.� , LLC 02 N L' 5I 2i rJ St: i J FL '34974 THIS ORDER SUBJECT TO CONDITIONS ON FACE. NO CHANGES MAY BE MADE WITHOUT WRITTEN PERMISSION OF PROCUREMENT MANAGEMENT. IMPORTANT: THIS NUMBER MUST BE SHOWN ON ALL INVOICES, PACKAGES, CASES, TICKETS AND CORRESPONDENCE. SHIP TO: u� u; INVOICE IN DUPLICATE: Cigy T DATE .1 l i:v l d VENDOR NO. DELIVERY DATE SHIP VIA BEST WAY F.O.B. DESTINATION TERMS ITEM NO. ACCT. NUMBER QUANTITY UNIT DESCRIPTION UNIT AMOUNT i 2:-.4-510-0400 ri": 05-(';,.n-•. °City .._.:t r^..ci v.".rit1w.':3 V.li...o \c..ii3UC.:ilo p.t:s....t_. F.v rcicd €?/20'20i7 fly C�::j' Cattn:;:I t7ri,'7 .r2, CITY OF OKEECHOBEE IS EXEMPT FROM FEDERAL EXCISE AND TRANSPORTATION TAXES AND STATE SALES TAX. DO NOT INCLUDE THESE TAXES IN YOUR INVOICE. EXEMPTION CERTIFICATE WILL BE SIGNED UPON REQUEST STATE SALES TAX EXEMPTION 8S -6012621656C-6 FEDERAL I.D. 59-6000-393 fi AUTHORIZED SIGNATURE RECEIVING RECORD PARTIAL ❑ FINAL ❑ ►. � 2 2 2017 FINANCE Bili To: GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC ARCHITECTS, ENGINEERS, GENERAL CONTRACTORS Treasure Coast 4247 SW High Meadow Ave Palm City, Florida 34990 P: 772-210-6814 john@gdcflorida.com City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 Central Florida 502 NW 2nd Street Okeechobee, Florida 34972 P: 863-467-1111 shaun@gdcflorida.com Attn: Phone: Invoice Invoice # 170450 Date: 8/22/2017 South Florida 13701 North Kendall Drive Miami, Florida 33186 P: 305-490-0650 donald@gdcflorida.com David Allen N/A Project ID ---1 Terms Due Date I PW 05-00-04-17 Net 30 9/21/2017 1 Est Rate Est Qty U/M Description Prior % Prior Amt Curr % Curr Amt 113,292.00 POH-33--r Ora) Ps, MA rrtht Via 4 I 11 0.37053 1 ea P Okeechobee City Hall General Services Office Remodel ,. -i 31a. 7D D - A-------1,--) 36.47% . 41,312.70 Total Payments/Credits Balance Due $41,312.70 $0.00 $41,312.70 Terms and Conditions of Use: All construction plans and documents obtained through Green Design Construction and Development, LLC herein referred to as GDCD; are provided as is. GDCD disclaims all other warranties, express or implied, including merchantability or fitness of purpose. Construction plans may not be returned for credit and/or refund under any circumstances. Deposits are non-refundable. GDCD is not liable for incidental, special, consequential, or indirect damages of any kind, including, but not limited to, loss of anticipated profits, business opportunity or other economic loss arising out of the use of services or any construction plans received from GDCD, even if GDCD has been advised of the possibility of such damage. GDCD is a Design Firm that uses, Engineers, Architects, and Interior Designers as needed for our clients. It is the customer's responsibility to ensure the accuracy, and to comply with applicable statute(s) or regalations. Make all checks payable to: Green Design Construction and Development , LLC 4247 SW High Meadow Ave, Palm City FL 34990 THANK YOU FOR YOYR BUSINESS! APPLICATION AND CERTIFICATE FOR PAYMENT PAGE ONE OF 2 PAGES TO OWNER: City of Okeechobee 55 SE Third Street Okeechobee, Florida 34974 FROM CONTRACTOR: Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, Florida 34974 PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 VIA PUBLIC WORKS DIRECTOR: David Allen City of Okeechobee 55 SE Third Street, Okeechobee, FL 34974 CONTRACT FOR: Okeechobee City Hall General Services Office Remodel APPLICATION #: 1 PERIOD TO: 08/21/17 PROJECT NOS: 05-00-04-17 CONTRACT DATE: 06/22/17 Distribution to: X Owner Const. Mgr X PWD X Contractor CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. 1. ORIGINAL CONTRACT SUM ----- 2. Net change by Change Orders ----------------1 3. CONTRACT SUM TO DATE (Line 1 +/- 2) 4. TOTAL COMPLETED & STORED TO DATE-$ (Column G on Continuation Sheet) 5. RETAINAGE: a. 10.0% of Completed Work $ (Columns D+E on Continuation Sheet) b. 10.0% of Stored Material $ (Column F on Continuation Sheet) Total Retainage (Line 5a + 5b or Total in Column 1 of Continuation Sheet 6. TOTAL EARNED LESS RETAINAGE --------- (Line 4 Tess Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate)-------------. $ 8. CURRENT PAYMENT DUE---- ------------- $ 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 Tess Line 6) $ 50,175.00 63,117.00 113,292.00 45,903.00 4,025.80 564.50 4,590.30 41,312.70 41, 312.70 71,979.30 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner Total approved this Month $63,117.00 TOTALS $63,117.00 NET CHANGES by Change Order $63,117.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown therein is now due. CONTRACTOR: By: Date: aglzzIi - State of: i= �X i Vi=i County of: CD 1� �'fCir��� Subscribed and sworn to before me this day of ` . 4111L._ Sfi Notary Public: Ana M. Rhoden NOTARY PUBLIC _STATE OF FLORIDA Comm# FF985336 Expires 4/25/2020 My Commission expires: CERTIFICATE FOR PAYMENT In accordance with Contract Documents, based on on-site observations and the data comprising application, the Public Works Directors certifies to the Owner that to the best of the Public Works Directors knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED g 141,3127-- (Attach 1/312(Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that are changed to conform to the amount certified.) PWD: avid Awl en -Public Works Director By: t Date: f-23-/"7 This Certificate is no negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner of Contractor under this Contract. CONTINUATION SHEET Page 2 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: 1 APPLICATION DATE: 08/21/17 PERIOD TO: 21 -Aug -17 ARCHITECTS PROJECT NO: 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In Dor E) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 1 GENERAL REQUIREMENTS: 2 Construction Site Superintendent 3,500.00 2,500.00 2,500.00 71% 1,000.00 250.00 3 Construction Laborer 1,000.00 500.00 500.00 50% 500.00 50.00 4 Construction Administration 1,100.00 550.00 550.00 50% 550.00 55.00 5 Interior Cleaning (During Demolition) 300.00 300.00 300.00 100% 30.00 6 Final Cleaning 450.00 450.00 7 Equipment Mobilization 500.00 500.00 500.00 100% 50.00 8 Dumpster/Waste Removal 750.00 750.00 750.00 100% 75.00 9 Preformance Bond 1,500.00 1,500.00 1,500.00 100% 150.00 10 11 EXISTING CONDITIONS: 12 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 13 14 OPENINGS: 15 Interior 3068 KD Jamb Doors/Hardware 1,150.00 1,150.00 1,150.00 100% 115.00 16 Interior Door Installation 350.00 350.00 17 18 FINISHES: 19 Drop/Acoustic Ceiling System 1,685.00 1,685.00 20 Wall Paper Removal 2,515.00 2,515.00 2,515.00 100% 251.50 21 Drywall Re -Finish 2,000.00 2,000.00 22 New Wall Framing 1,100.00 1,100.00 1,100.00 100% 110.00 23 Insulation 1,425.00 1,425.00 24 Drywall Installation and Finish 1,375.00 1,375.00 25 Painting (Labor and Material) 6,000.00 6,000.00 26 Flooring Allowance (117 Sq Yrds) 2,925.00 2,925.00 27 28 SUBTOTALS PAGE 2 31,125.00 11,715.00 1,150.00 12,865.00 41% 18,260.00 1,286.50 CONTINUATION SHEET Page 3 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 1 08/18/17 21 -Aug -17 05-00-04-17 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 29 FURNISHINGS: 30 Counter Top © Reception 1,580.00 1,580.00 31 Counter Top © Postage Machine 650.00 650.00 32 Counter Top © Column 725.00 725.00 33 Counter Top Installation 550.00 550.00 34 Custom Cabinet Fabrication 4,495.00 4,495.00 4,495.00 100% 449.50 35 Custom Cabinet Installation 350.00 350.00 36 Knee Wall Construction © Reception 400.00 400.00 400.00 100% 40.00 37 Drywall © Knee Wall 250.00 250.00 38 39 HVAC: 40 Relocate A/C Diffusers (4 Total) 400.00 400.00 400.00 100% 40.00 41 42 ELECTRICAL: 43 Electrical Safe -off 750.00 750.00 750.00 100% 75.00 44 Low Voltage/Data Drops 1,200.00 1,200.00 45 New Outlets and Switches 1,800.00 900.00 900.00 50% 900.00 90.00 46 Relocate existing Electrical Panel 2,750.00 2,750.00 2,750.00 100% 275.00 47 Relocate existing Light Fixtures 2,400.00 1,200.00 1,200.00 50% 1,200.00 120.00 48 Ceiling Fan (Labor and Material 2) 750.00 750.00 49 50 51 52 53 54 55 56 SUBTOTALS PAGE 3 50,175.00 18,115.00 5,645.00 23,760.00 47% 26,415.00 2,376.00 CONTINUATION SHEET Page 4 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: 1 APPLICATION DATE: 08/21/17 PERIOD TO: 21 -Aug -17 ARCHITECTS PROJECT NO: 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 57 CHANGE ORDER #1 58 Waste Removal/Disposal 750.00 750.00 750.00 100% 75.00 59 Provide new 30 Lug Electrical Panel 350.00 350.00 350.00 100% 35.00 60 Install Ground for new Electrical Panel 300.00 300.00 300.00 100% 30.00 61 Remove Drop Ceiling and Fixtures 500.00 500.00 500.00 100% 50.00 62 Saw -Cut Block Wall 750.00 750.00 750.00 100% 75.00 63 Install new Bulkhead system 1,520.00 1,520.00 1,520.00 100% 152.00 64 Remove existing duct work/Install New 4,150.00 2,075.00 2,075.00 50% 2,075.00 207.50 65 Install new ACT Ceiling (Clerks Office) 1,252.00 1,252.00 66 Install new LED Lighting (Clerks Office) 1,950.00 1,950.00 67 Install new LED Lighting (Bldg Dept.) 1,350.00 1,350.00 68 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 69 Structural Steel Ceiling (Bldg Dept.) 4,500.00 4,500.00 4,500.00 100% 450.00 70 Wall Framing, PT Wall Furring 1,920.00 1,920.00 1,920.00 100% 192.00 71 Electrical Conduit Drops 500.00 500.00 500.00 100% 50.00 72 Data/Phone Conduit Drops 500.00 500.00 73 Re -Route Audio Cabeling 1,490.00 1,490.00 74 Remove Stucco @ New Windows 250.00 250.00 75 Install PT Window Bucks 250.00 250.00 76 Impact Rated Windows (2) 1,500.00 1,500.00 77 Stucco Returns @ New Windows 400.00 400.00 78 Exterior Paint @ New Windows 200.00 200.00 79 Deduct for ACT Ceiling (1,685.00) (1,685.00) 80 Contractor Fee Change order#1 2,368.00 1,000.00 1,000.00 42% 1,368.00 100.00 81 82 83 84 SUBTOTALS PAGE 4 76,740.00 33,780.00 5,645.00 39,425.00 51% 37,315.00 3,942.50 CONTINUATION SHEET Page 5 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: 1 APPLICATION DATE: 08/21/17 PERIOD TO: 21 -Aug -17 ARCHITECTS PROJECT NO: 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 85 CHANGE ORDER #2 86 Sub -Floor Demolition (Clerks Office) 400.00 400.00 400.00 100% . 40.00 87 Sub -floor Materials 875.00 875.00 88 Floor Leveling Materials 450.00 450.00 89 Floor Decking Materials 840.00 840.00 90 Vapor Barrier Installation 630.00 630.00 91 Floor Leveling Compound 320.00 320.00 92 Wall Demolition 3,220.00 3,220.00 3,220.00 100% 322.00 93 Plumbing Safe -off 300.00 300.00 300.00 100% 30.00 94 Mold Remediation 10,000.00 525.00 525.00 5% 9,475.00 52.50 95 Waste Removal/Disposal 1,500.00 750.00 750.00 50% 750.00 75.00 96 PT Wall Furring Labor 2,300.00 2,300.00 97 PT Window and Door Buck Labor 805.00 805.00 98 PT Materials 1,536.00 1,536.00 99 R -Max Insulation Installation 925.00 925.00 100 Misc. Fasteners 315.00 315.00 315.00 100% 31.50 101 Drywall Installation and Finish 3,850.00 3,850.00 102 Base Board/Casing Installation 950.00 950.00 103 Wood Frame Door Install 450.00 450.00 104 Plumbing Fixture Re -Install 350.00 350.00 105 Paint Restroom 375.00 375.00 106 Millworks Materials 1,120.00 1,120.00 107 Exterior Opening Caulking 750.00 750.00 108 Preformance Bond 968.00 968.00 968.00 100% 96.80 109 Contractor Fee Change order #2 3,323.00 3,323.00 110 111 112 SUBTOTALS PAGE 5 113,292.00 40,258.00 5,645.00 45,903.00 41% 67,389.00 4,590.30 ,'. • • City of Okeechobee PW 05-00-04-17 WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT KNOW BY ALL MEN PRESENT: That Green Design Construction and Development, LLC (the Payee), for and in consideration of the receipt of the sum of $41,312.70 receipt of which is hereby acknowledged from Authorized Agent for [City of Okeechobee (the "Payor")] representing the progress payment under that certain Agreement between Payor and Payee dated the 2 2 n d day of June, 2017 (the "Agreement") hereby releases and discharges Payor and (the "Owner") and its respective successors, affiliates, agents, and assignees, and the property of any of them from all claims and demands whatsoever, including but not limited to lien rights, in any manner arising out of or related to said Agreement including labor performed and material, supplies, equipment, and work furnished by or through the Payee through the date specified above in connection with, or incidental to, the construction project commonly known as: Okeechobee City Hall General Services Office Remodel (the "Project") and located at: 55 SE Third Street Okeechobee, FL 34974 This Wavier and Release does not cover any retention or labor, services, or materials furnished after the 22st day of August, 2017. SUBSCRIBED AND SWORN TO BEFORE ME SUBCONTRACTOR OR MATERIALMAN: THIS 22st DAY OF August, 2017. NOTARY PUBLI MY COMMISION EXPIRES: 2'' Ana M. Rhoden NOTARY PUBLIC STATE OF FLORIDA Comma FF985336 Expires 4/25/2020 Name: Green Design Construction & Development, LLC Address: 502 NW 2"d St Okeechobee, FL 34972 By: - Its: Managing Partner A duly authorized and constituted agent and representative Dated: .271 (1 Contractor 151 ---- Owner FINANCE 61.915-11 paw 36 cro APPLICATION AND CERTIFICATE FOR PAYMENT P. 6,LtyLaerLEJL q�as� PAGE ONE OF 2 PAGES TO OWNER: City of Okeechobee 55 SE Third Street Okeechobee, Florida 34974 FROM CONTRACTOR: Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, Florida 34974 PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 VIA PUBLIC WORKS DIRECTOR: David Alien City of Okeechobee 55 SE Third Street, Okeechobee, FL 34974 CONTRACT FOR: Okeechobee City Hall General Services Office Remodel APPLICATION #: PERIOD TO: PROJECT NOS: 2 09/20/17 05-00-04-17 CONTRACT DATE: 06/22/17 Distribution to: X X X Owner Const. Mgr PWD Contractor CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. 1. ORIGINAL CONTRACT SUM $ 2. Net change by Change Orders $ $ 3. CONTRACT SUM TO DATE (Line 1 +/- 2) $ 4. TOTAL COMPLETED & STORED TO DATE-$ (Column G on Continuation Sheet) 5. RETAINAGE: a. 10.0% of Completed Work $ (Columns D+E on Continuation Sheet) b. 10.0% of Stored Material $ (Column F on Continuation Sheet) Total Retainage (Line 5a + 5b or Total in Column 1 of Continuation Sheet 6. TOTAL EARNED LESS RETAINAGE -------- (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 8. CURRENT PAYMENT DUE $ 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 Tess Line 6) $ 50,175.00 63,117.00 113,292.00 85,064.00 8,306.40 200.00 8,506.40 76,557.60 41,312.70 35,244.90 36,734.40 CHANGE ORDER SUMMARY ADDITION S DEDUCTIONS Total changes approved in previous months by Owner $63,117.00 Total approved this Month TOTALS $63,117.00 NET CHANGES by Change Order $63,117.00 The undersigned Contractor certifies that to the best of the Contractors knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown therein is now due. CONTRACTOR: State of: Florida County of: Okeechobee Subscribed and sworn to before me this 20 day of Se•tember Date: 9/20/17 Notary Public: �'kY�L--�r .UL L7, j9 My Commission expires: Lj 2�An1 CERTIFICATE FOR PAYMNT In accordance with Contract Documents, based on on-site observations and the data comprising application, the Public Works Directors certifies to the Owner that to the best of the Public Works Directors knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. a M. Rhoden NOTARY PUBLIC STATE OF FLORIDA Cann*FF985336 Expires 4/25/2020 AMOUNT CERTIFIED $ 35,244.90 (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that are changed to conform to the amount certified.) PWD: -Public Works Director By: Date: 9-25-)7 This Certificatenot negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner of Contractor under this Contract. CONTINUATION SHEET Page 2 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 2 08/21/17 20 -Sep -17 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 1 GENERAL REQUIREMENTS: 2 Construction Site Superintendent 3,500.00 2,500.00 1,000.00 3,500.00 100% 350.00 3 Construction Laborer 1,000.00 500.00 500.00 1,000.00 100% 100.00 4 Construction Administration 1,100.00 550.00 550.00 1,100.00 100% 110.00 5 Interior Cleaning (During Demolition) 300.00 300.00 300.00 100% 30.00 6 Final Cleaning 450.00 225.00 225.00 50% 225.00 22.50 7 Equipment Mobilization 500.00 500.00 500.00 100% 50.00 8 Dumpster/Waste Removal 750.00 750.00 750.00 100% 75.00 9 Preformance Bond 1,500.00 1,500.00 1,500.00 100% 150.00 10 11 EXISTING CONDITIONS: . 12 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 13 14 OPENINGS: 15 Interior 3068 KD Jamb Doors/Hardware 1,150.00 1,150.00 1,150.00 100% 115.00 16 Interior Door Installation 350.00 350.00 350.00 100% 35.00 17 18 FINISHES: 19 Drop/Acoustic Ceiling System 1,685.00 1,685.00 1,685.00 100% 168.50 20 Wall Paper Removal 2,515.00 2,515.00 2,515.00 100% 251.50 21 Drywall Re -Finish 2,000.00 2,000.00 2,000.00 100% 200.00 22 New WaII Framing 1,100.00 1,100.00 1,100.00 100% 110.00 23 Insulation 1,425.00 1,425.00 1,425.00 100% 142.50 24 Drywall Installation and Finish 1,375.00 1,375.00 1,375.00 100% 137.50 25 Painting (Labor and Material) 6,000.00 6,000.00 26 Flooring Allowance (117 Sq Yrds) 2,925.00 2,000.00 2,000.00 68% 925.00 200.00 27 28 SUBTOTALS PAGE 2 31,125.00 12,865.00 9,110.00 2,000.00 23,975.00 77% 7,150.00 2,397.50 CONTINUATION SHEET Page 3 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 2 08/18/17 20 -Sep -17 05-00-04-17 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 29 FURNISHINGS: 30 Counter Top @ Reception 1,580.00 1,580.00 31 Counter Top @ Postage Machine 650.00 650.00 32 Counter Top @ Column 725.00 725.00 33 Counter Top Installation 550.00 550.00 34 Custom Cabinet Fabrication 4,495.00 4,495.00 4,495.00 100% 449.50 35 Custom Cabinet Installation 350.00 350.00 36 Knee Wall Construction @ Reception 400.00 400.00 400.00 100% 40.00 37 Drywall © Knee Wall 250.00 250.00 250.00 100% 25.00 38 39 HVAC: 40 Relocate A/C Diffusers (4 Total) 400.00 400.00 400.00 100% 40.00 41 42 ELECTRICAL: 43 Electrical Safe -off 750.00 750.00 750.00 100% 75.00 44 Low Voltage/Data Drops 1,200.00 1,200.00 1,200.00 100% 120.00 45 New Outlets and Switches 1,800.00 900.00 700.00 1,600.00 89% 200.00 160.00 46 Relocate existing Electrical Panel 2,750.00 2,750.00 2,750.00 100% 275.00 47 Relocate existing Light Fixtures 2,400.00 1,200.00 1,200.00 2,400.00 100% 240.00 48 Ceiling Fan (Labor and Material 2) 750.00 750.00 49 50 51 52 53 54 55 56 SUBTOTALS PAGE 3 50,175.00 23,760.00 12,460.00 2,000.00 38,220.00 76% 11,955.00 3,822.00 CONTINUATION SHEET Page 4 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04.17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER: 2 APPLICATION DATE: 08/21/17 PERIOD TO: 20 -Sep -17 ARCHITECTS PROJECT NO: 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (G/C) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 57 CHANGE ORDER #1 58 Waste Removal/Disposal 750.00 750.00 750.00 100% 75.00 59 Provide new 30 Lug Electrical Panel 350.00 350.00 350.00 100% 35.00 60 Install Ground for new Electrical Panel 300.00 300.00 300.00 100% 30.00 61 Remove Drop Ceiling and Fixtures 500.00 500.00 500.00 100% 50.00 62 Saw -Cut Block Wall 750.00 750.00 750.00 100% 75.00 63 Install new Bulkhead system 1,520.00 1,520.00 1,520.00 100% 152.00 64 Remove existing ductwork/Install New 4,150.00 2,075.00 2,075.00 50% 2,075.00 207.50 65 Install new ACT Ceiling (Clerks Office) 1,252.00 1,252.00 66 Install new LED Lighting (Clerks Office) 1,950.00 1,950.00 67 Install new LED Lighting (Bldg Dept.) 1,350.00 750.00 750.00 56% 600.00 75.00 68 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 69 Structural Steel Ceiling (Bldg Dept.) 4,500.00 4,500.00 4,500.00 100% 450.00 70 Wall Framing, PT Wall Furring 1,920.00 1,920.00 1,920.00 100% 192.00 71 Electrical Conduit Drops 500.00 500.00 500.00 100% 50.00 72 DatalPhone Conduit Drops 500.00 500.00 500.00 100% 50.00 73 Re -Route Audio Cabeling 1,490.00 1,490.00 74 Remove Stucco © New Windows 250.00 250.00 250.00 100% 25.00 75 Install PT Window Bucks 250.00 250.00 250.00 100% 25.00 76 Impact Rated Windows (2) 1,500.00 1,500.00 1,500.00 100% 150.00 77 Stucco Returns @ New Windows 400.00 400.00 400.00 100% 40.00 78 Exterior Paint © New Windows 200.00 200.00 79 Deduct for ACT Ceiling (1,685.00) (1,685.00) 80 Contractor Fee Change order #1 2,368.00 1,000.00 1,000.00 2,000.00 84% 368.00 200.00 81 82 83 84 SUBTOTALS PAGE 4 76,740.00 39,425.00 17,110.00 2,000.00 58,535.00 76% 18,205.00 5,853.50 CONTINUATION SHEET Page 5 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 2 08/21/17 20 -Sep -17 05-00-04-17 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 85 CHANGE ORDER #2 86 Sub -Floor Demolition (Clerks Office) 400.00 400.00 400.00 100% 40.00 87 Sub -floor Materials 875.00 875.00 875.00 100% 87.50 88 Floor Leveling Materials 450.00 450.00 450.00 100% 45.00 89 Floor Decking Materials 840.00 840.00 840.00 100% 84.00 90 Vapor Barrier Installation 630.00 630.00 630.00 100% 63.00 91 Floor Leveling Compound 320.00 320.00 320.00 100% 32.00 92 Wall Demolition 3,220.00 3,220.00 3,220.00 100% 322.00 93 Plumbing Safe -off 300.00 300.00 300.00 100% 30.00 94 Mold Remediation 10,000.00 525.00 5,270.00 5,795.00 58% 4,205.00 579.50 95 Waste Removal/Disposal 1,500.00 750.00 750.00 1,500.00 100% 150.00 96 PT Wall Furring Labor 2,300.00 2,300.00 2,300.00 100% 230.00 97 PT Window and Door Buck Labor 805.00 805.00 805.00 100% 80.50 98 PT Materials 1,536.00 1,536.00 1,536.00 100% 153.60 99 R -Max Insulation Installation 925.00 925.00 925.00 100% 92.50 100 Misc. Fasteners 315.00 315.00 315.00 100% 31.50 101 Drywall Installation and Finish 3,850.00 3,850.00 3,850.00 100% 385.00 102 Base Board/Casing Installation 950.00 950.00 103 Wood Frame Door Install 450.00 450.00 104 Plumbing Fixture Re -Install 350.00 350.00 105 Paint Restroom 375.00 375.00 106 Millworks Materials 1,120.00 1,120.00 107 Exterior Opening Caulking 750.00 750.00 108 Preformance Bond 968.00 968.00 968.00 100% 96.80 109 Contractor Fee Change order #2 3,323.00 1,500.00 1,500.00 45% 1,823.00 150.00 110 111 112 SUBTOTALS PAGE 5 113,292.00 45,903.00 37,161.00 2,000.00 85,064.00 75% 28,228.00 8,506.40 z2 1 017 E1—r Nei E WSSN GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC ARCHITECTS, ENGINEERS GENERAL CONTRACTORS Treasure Coast 4247 SW High Meadow Ave Palm City, Florida 34990 P: 772-210-6814 john@gdcflorida.com Bill To: City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 Central Florida 502 NW 2nd Street Okeechobee, Florida 34972 P: 863-467-1111 shaun@gdcflorida.com Attn: Phone: Invoice Invoice # 170465 Date: 9/19/2017 South Florida 22062 Concha Ave Boca Raton, Florida 33828 P: 863-467-1111 robert@gdcflorida.com David Allen N/A ProjectilD i'. .. i'ferms `. DiietDate . j N/A Net 30 10/19/2017 Est Rate Est Qty U/M Description Prior % Prior Amt Curr % Curr Amt 113,292.00 0.3111 ea Okeechobee City Hall General Services Office Remodel 36.47% 41,312.70 31.11% 35,244.90 Total Payments/Credits Balance Due $35,244.90 $0.00 $35,244.90 } Teiiris and Coiiiiitioris of U$c:• as is-.'•'DCD r 'vel men `'�L'L.0 herein refereed to as GDCD aie covided . G °All coiistiucGon laiis�and documents olitained;ttirough Green Desigr►,Constzuction an$ De op t, P,.-,._, v,,. 'i or fitness'ofi u se Constivction Tans iu y notaie`refuinedfor credit and/orr.: �di3claims;ap:other.warianties; bzpress"orimplied, �ncluiling merchantability p rpo P Y ICind.underan circumstances De' osits ire non=refundable:iGDCDis`not Laine foi;iricidental; s ecial; consegnential,• or,indirect damages of,any;kind; including;:, Ii;C,•.';G.�sc'.y',".:•.�.,;•;t:..:.;....h.,....,.�.,::�..:..rN.>:•,.P:?x•.,... . --�--� - ;_t._...tz: 1.,..; butmobhmited to; loss,ofanucipatedprofitts; business opportunrty,orothereconomic lossarismg out of,the use of seivices oi-any construcuonplans:received froiri' GDCD eyventif GDCDfbus Been advised of the possibility of such damage. ciDCD as a Design Fum thatvses engineers Architects -and Interior Designers as ' needed for.our;diens`ss.Itist116;e4stoiriersresponsibility;(0ensure`!he acoura'cyand•tocouiply;,withrapplicable'statute(s);orregalauonsa. ; yi Make all'checks payable to Green Design Coastrachon and Develo merit LLC "j ilii—�c� •1 a N Estimate Estimate # 1723 Date: 9/19/2017 GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC Construction Office 502 NW High Meadows Ave Palm City, Florida 34990 P: 772-210-6814 john@gdcflorida.com Bill To: Green Design Construction & Development 4459 SE Kubin Ave Stuart, FL 34997 ProjectID PW 05-00-04-17 Design Office 502 NW 2nd Street Okeechobee, Florida 34972 P: 863-467-1111 shaun@gdcflorida.com N/A Ship To: Architecture Office 13701 North Kendall Drive Miami, Florida 33186 P: 305-490-0650 donald@gdcflorida.com Quantity Description Unit Price Total 24 (Labor by GDCD) Mold Remediation 55.00 1,320.00 48 (Labor by GDCD) Mold Remediation 25.00 1,200.00 1 (JFA) Air Sample Testing to include travel 650.00 650.00 1 (Brush Up) Loxon Primer and Paint on all plaster and brick surfaces 2,100.00 2,100.00 Total $5,270.00 r 1' Date Brush -Up Painting & Papering Inc. 1015 24th Ave. Vero Beach, FI 32960 Bill To: Green Design Concepts Shaun Kogut 2747 NW 5th St Okeechobee, fl 34972 Description Invoice Invoice #: 886 Invoice Date: 9/1/2017 Due Date: 9/1/2017 Project: P.O. Number: okee city Amount 9/1/2017 Apply one coat of loxon primer and one coat loxon xp to all plaster and brick surfaces 2,100.00 Total $2,100.00 Payments/Credits $0.00 Balance Due $2,100.00 a Z JFA Enterprises Inc. 9674 64th Way South Boynton Beach, FL 33437 561-306-5211 CGC 1514694 Bill To GreenDesign Construction and Development 4459 SE Kubin Ave Stuart, Florida, 34997 Invoice Date Invoice # 8/29/2017 336 P.O. No. Terms Project city hall Okeechobee Due on receipt Quantity Description Rate Amount 4 Air sample to be tested for mold from the city hall of Okeechobee Transportation charge Inspection fee service for sampling 125.00 75.00 75.00 500.00 75.00 75.00 Total $650.00 Payments/Credits $0.00 Balance Due $650.00 City of Okeechobee PW 05-00-04-17 WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT KNOW BY ALL MEN PRESENT: SEP 2 :1 2017 That Green Design Construction and Development, LLC (the Payee), for and in consideration of the receipt of the sum of $35,244.90 receipt of which is hereby acknowledged from Authorized Agent for [City of Okeechobee (the "Payor")] representing the progress payment under that certain Agreement between Payor and Payee dated the 2 2 n d day of June, 2017 (the "Agreement") hereby releases and discharges Payor and (the "Owner") and its respective successors, affiliates, agents, and assignees, and the property of any of them from all claims and demands whatsoever, including but not limited to lien rights, in any manner arising out of or related to said Agreement including labor performed and material, supplies, equipment, and work furnished by or through the Payee through the date specified above in connection with, or incidental to, the construction project commonly known as: Okeechobee City Hall General Services Office Remodel (the "Project") and located at: 55 SE Third Street Okeechobee, FL 34974 This Wavier and Release does not cover any retention or labor, services, or materials furnished after the 19th day of September, 2017. SUBSCRIBED AND SWORN TO BEFORE ME THIS 19th DAY OF September, 2017. NOTARY PUBLI MY COMMISION EXPIRES:—► 2J ! 2-0 PRY Ana M. Rhoden NOTARY PUBLIC STATE OF FLORIDA Comm# FF985336 NCE Is Expires 4/25/2020 SUBCONTRACTOR OR MATERIALMAN: Name: Green Design Construction & Development, LLC Address: 502 NW 2nd St Okeechobee, FL 34972 By: Its: Managing Partner A duly authorized and constituted agent and representative Dated: cd cd Contractor .. - Owner FINANCE APPLICATION AND CERTIFICATE FOR PAYMENT Po : '+367 D rau313 p ) 05374a c0 I -r v'�' mita AGE ONE OF 2 PAGES TO OWNER: City of Okeechobee 55 SE Third Street Okeechobee, Florida 34974 FROM CONTRACTOR: Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, Florida 34974 PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 VIA PUBLIC WORKS DIRECTOR: David Allen City of Okeechobee 55 SE Third Street, Okeechobee, FL 34974 CONTRACT FOR: Okeechobee City Hall General Services Office Remodel APPLICATION #: 3 PERIOD TO: 09/30/17 PROJECT NOS: 05-00-04-17 CONTRACT DATE: 06/22/17 Distribution to: Owner Const. Mgr PWD Contractor CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. 1. ORIGINAL CONTRACT SUM $ 2. Net change by Change Orders $ $ 3. CONTRACT SUM TO DATE (Line 1 +/- 2) $ 4. TOTAL COMPLETED & STORED TO DATE-$ (Column G on Continuation Sheet) 5. RETAINAGE: a. 10.0% of Completed Work $ (Columns D+E on Continuation Sheet) b. 10.0% of Stored Material $ (Column F on Continuation Sheet) Total Retainage (Line 5a + 5b or Total in Column 1 of Continuation Sheet 6. TOTAL EARNED LESS RETAINAGE (Line 4 less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT . (Line 6 from prior Certificate) $ 8. CURRENT PAYMENT DUE$ 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) $ 50,175.00 63,117.00 113,292.00 103,494.00 �— 10,149.40 200.00 10,349.40 93,144.60 76,557.60 16,587.00 20,147.40 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $63,117.00 Total approved this Month TOTALS $63,117.00 NET CHANGES by Change Order $63,117.00 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown therein Is now due. CONTRACTOR: By: State of: Florida County of: Okeechobee Subscribed and sworn to before me this 30 day of Se•tember Notary Public: Date: 9/30/17 •AP Ana M. Rhoden NOTARY PUBLIC _ESTATE OF FLORIDA .4114'' Commit FF985336 My Commission expires: Expires 4/25/2020 CERTIFICATE FOR PAY ENT In accordance with Contract Documents, based on on-site observations and the data comprising application, the Public Works Directors certifies to the Owner that to the best of the Public Works Directors knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED $ 16,587.00 (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that are changed to conform to the amount certified.) PWD: 41. By: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner of Contractor under this Contract. avid -Allen -Public Works Director �j� Date: q-27-1 CONTINUATION SHEET Page 2 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER 3 APPLICATION DATE: 09/30/17 PERIOD TO: 30 -Sep -17 ARCHITECTS PROJECT NO: 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 1 GENERAL REQUIREMENTS: 2 Construction Site Superintendent 3,500.00 3,500.00 3,500.00 100% 350.00 3 Construction Laborer 1,000.00 1,000.00 1,000.00 100% 100.00 4 Construction Administration 1,100.00 1,100.00 1,100.00 100% 110.00 5 Interior Cleaning (During Demolition) 300.00 300.00 300.00 100% 30.00 6 Final Cleaning 450.00 225.00 225.00 50% 225.00 22.50 7 Equipment Mobilization 500.00 500.00 500.00 100% 50.00 8 Dumpster/Waste Removal 750.00 750.00 750.00 100% 75.00 9 Preformance Bond 1,500.00 1,500.00 1,500.00 100% 150.00 10 11 EXISTING CONDITIONS: 12 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 13 14 OPENINGS: 15 Interior 3068 KD Jamb Doors/Hardware 1,150.00 1,150.00 1,150.00 100% 115.00 16 Interior Door Installation 350.00 350.00 350.00 100% 35.00 17 18 FINISHES: 19 Drop/Acoustic Ceiling System 1,685.00 1,685.00 1,685.00 100% 168.50 20 Wall Paper Removal 2,515.00 2,515.00 2,515.00 100% 251.50 21 Drywall Re -Finish 2,000.00 2,000.00 2,000.00 100% 200.00 22 New Wall Framing 1,100.00 1,100.00 1,100.00 100% 110.00 23 Insulation 1,425.00 1,425.00 1,425.00 100% 142.50 24 Drywall Installation and Finish 1,375.00 1,375.00 1,375.00 100% 137.50 25 Painting (Labor and Material) 6,000.00 5,500.00 5,500.00 92% 500.00 550.00 26 Flooring Allowance (117 Sq Yrds) 2,925.00 2,000.00 2,000.00 68% 925.00 200.00 27 28 SUBTOTALS PAGE 2 31,125.00 21,975.00 5,500.00 2,000.00 29,475.00 95% 1,650.00 2,947.50 CONTINUATION SHEET Page 3 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 3 09/30/17 30 -Sep -17 05-00-04-17 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 29 FURNISHINGS: 30 Counter Top © Reception 1,580.00 1,580.00 31 Counter Top © Postage Machine 650.00 650.00 32 Counter Top @ Column 725.00 725.00 33 Counter Top Installation 550.00 550.00 34 Custom Cabinet Fabrication 4,495.00 4,495.00 4,495.00 100% 449.50 35 Custom Cabinet Installation 350.00 350.00 350.00 100% 35.00 36 Knee Wall Construction © Reception 400.00 400.00 400.00 100% 40.00 37 Drywall @ Knee Wall 250.00 250.00 250.00 100% 25.00 38 39 HVAC: 40 Relocate A/C Diffusers (4 Total) 400.00 400.00 400.00 100% 40.00 41 42 ELECTRICAL: 43 Electrical Safe -off 750.00 750.00 750.00 100% 75.00 44 Low Voltage/Data Drops 1,200.00 1,200.00 1,200.00 100% 120.00 45 New Outlets and Switches 1,800.00 1,600.00 1,600.00 89% 200.00 160.00 46 Relocate existing Electrical Panel 2,750.00 2,750.00 2,750.00 100% 275.00 47 Relocate existing Light Fixtures 2,400.00 2,400.00 2,400.00 100% 240.00 48 Ceiling Fan (Labor and Material 2) 750.00 ' 750.00 49 50 51 52 53 54 55 56 SUBTOTALS PAGE 3 50,175.00 36,220.00 5,850.00 2,000.00 44,070.00 88% 6,105.00 4,407.00 CONTINUATION SHEET ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 Page 4 of 2 Pages APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 3 09/30/17 30 -Sep -17 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance i To Finish (C - G) Retainage From Previous Application (D + E) This Period 57 CHANGE ORDER #1 58 Waste Removal/Disposal 750.00 750.00 750.00 100% 75.00 59 Provide new 30 Lug Electrical Panel 350.00 350.00 350.00 100% 35.00 60 Install Ground for new Electrical Panel 300.00 300.00 300.00 100% 30.00 61 Remove Drop Ceiling and Fixtures 500.00 500.00 500.00 100% 50.00 62 Saw -Cut Block Wall 750.00 750.00 750.00 100% 75.00 63 Install new Bulkhead system 1,520.00 1,520.00 1,520.00 100% 152.00 64 Remove existing duct work/Install New 4,150.00 2,075.00 2,075.00 4,150.00 100% 415.00 65 Install new ACT Ceiling (Clerks Office) 1,252.00 1,252.00 1,252.00 100% 125.20 66 Install new LED Lighting (Clerks Office) 1,950.00 1,950.00 1,950.00 100% 195.00 67 Install new LED Lighting (Bldg Dept.) 1,350.00 750.00 600.00 1,350.00 100% 135.00 68 Demolition 1,500.00 1,500.00 1,500.00 100% 150.00 69 Structural Steel Ceiling (Bldg Dept.) .4,500.00 4,500.00 4,500.00 100% 450.00 70 Wall Framing, PT Wall Furring 1,920.00 1,920.00 1,920.00 100% 192.00 71 Electrical Conduit Drops 500.00 500.00 500.00 100% 50.00 72 Data/Phone Conduit Drops 500.00 500.00 500.00 100% 50.00 73 Re -Route Audio Cabeling 1,490.00 1,490.00 1,490.00 100% 149.00 74 Remove Stucco © New Windows 250.00 250.00 250.00 100% 25.00 75 Install PT Window Bucks 250.00 250.00 250.00 100% 25.00 76 Impact Rated Windows (2) 1,500.00 1,500.00 1,500.00 100% 150.00 77 Stucco Returns @ New Windows 400.00 400.00 400.00 100% 40.00 78 Exterior Paint © New Windows 200.00 200.00 200.00 100% 20.00 79 Deduct for ACT Ceiling (1,685.00) (1,685.00) 80 Contractor Fee Change order #1 2,368.00 2,000.00 368.00 2,368.00 100% 236.80 81 82 83 84 SUBTOTALS PAGE 4 76,740.00 56,535.00 13,785.00 2,000.00 72,320.00 94% 4,420.00 7,232.00 CONTINUATION SHEET Page 5 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 3 09/30/17 30 -Sep -17 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 85 CHANGE ORDER #2 86 Sub -Floor Demolition (Clerks Office) 400.00 400.00 400.00 100% 40.00 87 Sub -floor Materials 875.00 875.00 875.00 100% 87.50 88 Floor Leveling Materials 450.00 450.00 450.00 100% 45.00 89 Floor Decking Materials 840.00 840.00 840.00 100% 84.00 90 Vapor Barrier Installation 630.00 630.00 630.00 100% 63.00 91 Floor Leveling Compound 320.00 320.00 320.00 100% 32.00 92 Wall Demolition 3,220.00 3,220.00 3,220.00 100% 322.00 93 Plumbing Safe -off 300.00 300.00 300.00 100% 30.00 94 Mold Remediation 10,000.00 5,795.00 5,795.00 58% 4,205.00 579.50 95 Waste Removal/Disposal 1,500.00 1,500.00 1,500.00 100% 150.00 96 PT Wall Furring Labor 2,300.00 2,300.00 2,300.00 100% 230.00 97 PT Window and Door Buck Labor 805.00 805.00 805.00 100% 80.50 98 PT Materials 1,536.00 1,536.00 1,536.00 100% 153.60 99 R -Max Insulation Installation 925.00 925.00 925.00 100% 92.50 100 Misc. Fasteners 315.00 315.00 315.00 100% 31.50 101 Drywall Installation and Finish 3,850.00 3,850.00 3,850.00 100% 385.00 102 Base Board/Casing Installation 950.00 950.00 950.00 100% 95.00 103 Wood Frame Door Install 450.00 450.00 450.00 100% 45.00 104 Plumbing Fixture Re -Install 350.00 350.00 105 Paint Restroom 375.00 375.00 375.00 100% 37.50 106 Millworks Materials 1,120.00 1,120.00 1,120.00 100% 112.00 107 Exterior Opening Caulking 750.00 750.00 750.00 100% 75.00 108 Preformance Bond 968.00 968.00 968.00 100% 96.80 109 Contractor Fee Change order #2 3,323.00 1,500.00 1,000.00 2,500.00 75% 823.00 250.00 110 111 112 SUBTOTALS PAGE 5 113,292.00 83,064.00 18,430.00 2,000.00 103,494.00 91% 9,798.00 10,349.40 I1EP2r2017 Bill To: IMF1=NiTr_,- IGN GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC ARCHITECTS, ENGINEER NERAL CONTRACTORS Treasure Coast 4247 SW High Meadow Ave Palm City, Florida 34990 P: 772-210-6814 john@gdcflorida.com City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 Central Florida 502 NW 2nd Street Okeechobee, Florida 34972 P: 863-467-1111 shaun@gdcflorida.co Attn: Phone: Invoice Invoice # 170470 Date: 9/26/2017 South Florida 22062 Concha Ave Boca Raton, Florida 33828 P: 863-467-1111 robert@gdcflorida.com N/A N/A ,Rroj '.0.10` _Term;, 'Dtie`,Datt'. , , .,- N/A Net 30 9/30/2017 Est Rate Est Qty U/M Description Prior % Prior Amt Curr % Curr Amt 113,292.00 0.14641 ea Okeechobee City Hall General Services Office Remodel 67.58% 76,557.60 14.64% 16,587.00 Total Payments/Credits Balance Due $16,587.00 $0.00 $16,587.00 Y S in l=Coniiifio s s kl • r' n�iefe``irecl•to".as'GD@D are �iaed as:5. �vcD s ��All�constivotioiii lan's�arid $ocuments`.otitaiueda}uou• }i;GieenD'esi•:Constiiictiori`and''DeveloP"uienG`^Li.C:iierai P r'x '�W .. '.t{,,.' -f.SS,w ,i:ai", .,.Y? :('.,F;-,.:i�3• •ay.. ar :9" :A.x..:i •a.�: lk�: disclaims elf o er,wa"rian6e"siess'm"lied-includin' `merchantabilit .;or;fitness ofi tiOte.Constructioni lans:ma not''be rctumed;for,crcedit and/or<; `b:'S:e ;i: ?.';,�x >r:!, p'�3.i.'J!:.' .l� ;.A. t�Y,e ��,1 g» yF,+ :,Y•, 7A'Y" .:i'� .P'CF,..*.._ -yi+.: 'r L':P" 'e:74`i�'�Y tx. ,ln. �'a.:^rjS �: ,..�.,�,ycx, refund;under an `circumstances "De posits' ire` non refund able:",GDCD.i`s not 11 ibk. for incidental special consequential;;or,indirect dainages?of any ki id; including; ,..3.. '�' ..S ..a ' :?.'°• .p .,L;'.j �,t'.? f.: ::.i ' S .s1'4: ..',a:+ ,,,,;» s"s r.�j >- :a � r, : ,,. ., r, J^ but'not hmited:to floss of:anticip itedprofits business o muni ` 'orother;econonuc loss`iansin out of;the'use'of<seiviceu or ny iconstr iction phns receivcd'.from;} y_L.. 'F:. ,,pz.>;�mP, .=r;. „R, .PPS ..h,�. -�„k ",,gt” r;��,•. �.ar :a:�.F.;i: ":,' ,,�... :.+:': ,:,, _ GDCD"'e en if.GDCD`,ties}been'advised ofttic s'sibili of: Were dama8a gm') is'a Desi Firm that uses; I -n" veers;^Architects 'and InterionDesigners asc rr* V ;sr. - ,I�B;...i, rya=4>,.,,.,,... ;,•,.,- _.t,..n:; .:say;.. needed for.ourclients:.Itis.the customer's res nsibility to'ensum the accuraey;.and;to comply;with applica>ile'statute(s).or:regalations 4 City of Okeechobee PW 05-00-04-17 WAIVER AND RELEASE OF LIEN UPON PROGRESS PAYMENT KNOW BY ALL MEN PRESENT: That Green Design Construction and Development, LLC (the Payee), for and in consideration of the receipt of the sum of $16,587.00 receipt of which is hereby acknowledged from Authorized Agent for [City of Okeechobee (the "Payor")] representing the progress payment under that certain Agreement between Payor and Payee dated the 2 2 n d day of lune, 2017 (the "Agreement") hereby releases and discharges Payor and (the "Owner") and its respective successors, affiliates, agents, and assignees, and the property of any of them from all claims and demands whatsoever, including but not limited to lien rights, in any manner arising out of or related to said Agreement including labor performed and material, supplies, equipment, and work furnished by or through the Payee through the date specified above in connection with, or incidental to, the construction project commonly known as: Okeechobee City Hall General Services Office Remodel (the "Project") and located at: 55 SE Third Street Okeechobee, FL 34974 This Wavier and Release does not cover any retention or labor, services, or materials furnished after the 26th day of September, 2017. SUBSCRIBED AND SWORN TO BEFORE ME THIS 26th DAY OF September, 2017. NOTARY PUBLIC: MY COMMISION EXPIRES:A I2_)2_cD 0 .lPitY Ana M. Rhoden NOTARY PUBLIC STATE OF FLORIDA ob,:t.afa Comm# FF985336 a 4411111111• 1• NCE lsl'O Expires 4/25/2020 SUBCONTRACTOR OR MATERIALMAN: Name: Green Design Construction & Development, LLC Address: 502 NW 2nd St Okeechobee, FL 34972 By: Its: Managing Partner A duly authorized and constituted agent and representative Dated: q 121-0f rt Contractor Owner PU1* � CitcLI amu.,q L)4M ' V :�►�iUL' W�� Il �; � `,' APPLICATION AND CERTIFICATE FOR PAYMENT TO OWNER: City of Okeechobee 55 SE Third Street Okeechobee, Florida 34974 FROM CONTRACTOR: Green Design Construction & Development, LLC 502 NW 2nd Street Okeechobee, Florida 34974 PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 VIA PUBLIC WORKS DIRECTOR: David Allen City of Okeechobee 55 SE Third Street, Okeechobee, FL 34974 CONTRACT FOR: Okeechobee City Hall General Services Office Remodel FINANCE I -I -Lt APPLICATION #: PERIOD TO: PROJECT NOS: PAGE ONE OF 2 PAGES 4 10/24/17 05-00-04-17 CONTRACT DATE: 06/22/17 Distribution to: X X X Owner Const. Mgr PWD Contractor CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet is attached. 1. ORIGINAL CONTRACT SUM 2. Net change by Change Orders------------$ 3. CONTRACT SUM TO DATE (Line 1 +1-2) 4. TOTAL COMPLETED & STORED TO DATE-$ (Column G on Continuation Sheet) 5. RETAINAGE: a. of Completed Work $ (Columns D+E on Continuation Sheet) b. of Stored Material $ (Column F on Continuation Sheet) Total Retainage (Line 5a + 5b or Total in Column 1 of Continuation Sheet 6. TOTAL EARNED LESS RETAINAGE. ------ (Line 4 Tess Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) $ 8. CURRENT PAYMENT DUE $ 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 Tess Line 6) $ 50,175.00 63,117.00 113,292.00 112,369.00 112,369.00 93,144.60 19,224.40 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner $63,117.00 Total approved this Month TOTALS $63,117.00 NET CHANGES by Change Order $63,117.00 i The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown therein is now due. CONT By: State of: Florida County of: Okeechobee Date: 11/13/17 /mots,. Ana M. Rhoden NOTARY PUBLIC Z STATE OF FLORIDA Comm# FF985336 Expires 4/25/2020 Subscribed and sworn to before me this 13 day of • November Notary Public: \S. My Commission expires: 1L.,,S-7/21.---..) CERTIFICATE FOR PAYMENT In accordance with Contract Documents, based on on-site observations and the data comprising application, the Public Works Directors certifies to the Owner that to the best of the Public Works Directors knowledge, information and belief the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the AMOUNT CERTIFIED. AMOUNT CERTIFIED $ 19,224.40 (Attach explanation if amount certified differs from the amount applied for. Initial all figures on this application and on the Continuation Sheet that are changed to conform to the amount certified.) PWD: —D vid Allen -Public Works Director By: Date: I1 14-17 This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner of Contractor under this Contract. CONTINUATION SHEET Page 2 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 4 10/24/17 24 -Oct -17 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 1 GENERAL REQUIREMENTS: 2 Construction Site Superintendent 3,500.00 3,500.00 3,500.00 100% 3 Construction Laborer 1,000.00 1,000.00 1,000.00 100% 4 Construction Administration 1,100.00 1,100.00 1,100.00 100% 5 Interior Cleaning (During Demolition) 300.00 300.00 300.00 100% , 6 Final Cleaning 450.00 225.00 225.00 450.00 100% 7 Equipment Mobilization 500.00 500.00 500.00 100% 8 Dumpster/Waste Removal 750.00 750.00 750.00 100% 9 Preformance Bond 1,500.00 1,500.00 1,500.00 100% 10 11 EXISTING CONDITIONS: 12 Demolition 1,500.00 1,500.00 1,500.00 100% 13 14 OPENINGS: 15 Interior 3068 KD Jamb Doors/Hardware 1,150.00 1,150.00 1,150.00 100% 16 Interior Door Installation 350.00 350.00 350.00 100% 17 18 FINISHES: 19 Drop/Acoustic Ceiling System 1,685.00 1,685.00 1,685.00 100% 20 Wall Paper Removal 2,515.00 2,515.00 2,515.00 100% 21 Drywall Re -Finish 2,000.00 2,000.00 2,000.00 100% 22 New Wall Framing 1,100.00 1,100.00 1,100.00 100% 23 Insulation 1,425.00 1,425.00 1,425.00 100% 24 Drywall Installation and Finish 1,375.00 1,375.00 1,375.00 100% 25 Painting (Labor and Material) 6,000.00 5,500.00 500.00 6,000.00 100% 26 Flooring 152 SY (Labor and Material) 2,925.00 2,000.00 1,850.00 3,850.00 132% (925.00) 27 28 SUBTOTALS PAGE 2 31,125.00 29,475.00 2,575.00 32,050.00 103% (925.00) CONTINUATION SHEET Page 3 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee. Florida 34974 APPLICATION NUMBER: 4 APPLICATION DATE: 10/24/17 PERIOD TO: 24 -Oct -17 ARCHITECT'S PROJECT NO: 05-00-04-17 A B C D E F G H I Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 29 FURNISHINGS: 30 Counter Top © Reception 1,580.00 1,580.00 1,580.00 100% 31 Counter Top © Postage Machine 650.00 650.00 650.00 100% 32 Counter Top © Column 725.00 725.00 725.00 100% 33 Counter Top Installation 550.00 550.00 550.00 100% 34 Custom Cabinet Fabrication 4,495.00 4,495.00 4,495.00 100% 35 Custom Cabinet Installation 350.00 350.00 350.00 100% 36 Knee Wall Construction © Reception 400.00 400.00 400.00 100% 37 Drywall © Knee Wall 250.00 250.00 250.00 100% 38 39 HVAC: 40 Relocate A/C Diffusers (4 Total) 400.00 400.00 400.00 100% 41 42 ELECTRICAL: 43 Electrical Safe -off 750.00 750.00 750.00 100% 44 Low Voltage/Data Drops 1,200.00 1,200.00 1,200.00 100% 45 New Outlets and Switches 1,800.00 1,600.00 200.00 1,800.00 100% 46 Relocate existing Electrical Panel 2,750.00 2,750.00 2,750.00 100% 47 Relocate existing Light Fixtures 2,400.00 2,400.00 2,400.00 100% 48 Ceiling Fan (Labor and Material 2) 750.00 750.00 750.00 100% 49 50 51 52 53 54 55 56 SUBTOTALS PAGE 3 50,175.00 44,070.00 7,030.00 51,100.00 102% (925.00) CONTINUATION SHEET Page 4 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City of Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPUCATION NUMBER: APPUCATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 4 10/24/17 24 -Oct -17 05-00-04-17 A B C D E F G H I Item No. Description of Work Scheduled Value Work Completed Materials Presently Stored (Not In DorE) Total Completed And Stored To Date (D+E+F) % (GIC) Balance To Finish (C - G) Retainage From Previous Application (D + E) This Period 57 CHANGE ORDER #1 58 Waste RemovallDisposal 750.00 750.00 750.00 100% 59 Provide new 30 Lug Electrical Panel 350.00 350.00 350.00 100% 60 Install Ground for new Electrical Panel 300.00 300.00 300.00 100% 61 Remove Drop Ceiling and Fixtures 500.00 500.00 500.00 100% 62 Saw -Cut Block Wall 750.00 750.00 750.00 100% 63 Install new Bulkhead system 1,520.00 1,520.00 1,520.00 100% 64 Remove existing duct work/Install New 4,150.00 4,150.00 4,150.00 100% 65 Install new ACT Ceiling (Clerks Office) 1,252.00 1,252.00 1,252.00 100% 66 Install new LED Lighting (Clerks Office) 1,950.00 1,950.00 1,950.00 100% 67 Install new LED Lighting (Bldg Dept.) 1,350.00 1,350.00 1,350.00 100% 68 Demolition 1,500.00 1,500.00 1,500.00 100% 69 Structural Steel Ceiling (Bldg Dept.) 4,500.00 4,500.00 4,500.00 100% 70 Wall Framing, PT Wall Furring 1,920.00 1,920.00 1,920.00 100% 71 Electrical Conduit Drops 500.00 500.00 500.00 100% 72 Data/Phone Conduit Drops 500.00 500.00 500.00 100% 73 Re -Route Audio Cabeling 1,490.00 1,490.00 1,490.00 100% 74 Remove Stucco © New Windows 250.00 250.00 250.00 100% 75 Install PT Window Bucks 250.00 250.00 250.00 100% 76 Impact Rated Windows (2) 1,500.00 1,500.00 1,500.00 100% 77 Stucco Returns © New Windows 400.00 400.00 400.00 100% 78 Exterior Paint @ New Windows 200.00 200.00 200.00 100% 79 Deduct for ACT Ceiling (1,685.00) (1,685.00) 80 Contractor Fee Change order #1 2,368.00 2,368.00 2,368.00 100% 81 82 83 84 SUBTOTALS PAGE 4 76,740.00 72,320.00 7,030.00 79,350.00 103% (2,610.00) CONTINUATION SHEET Page 5 of 2 Pages ATTACHMENT TO PAY APPLICATION PROJECT: City bf Okeechobee PW 05-00-04-17 55 SE Third Street Okeechobee, Florida 34974 APPLICATION NUMBER: APPLICATION DATE: PERIOD TO: ARCHITECTS PROJECT NO: 4 10/24/17 24 -Oct -17 05-00-04-17 A B C D E F G H 1 Item Description of Work Scheduled Work Completed Materials Total % Balance Retainage No. Value From Previous This Period Presently Completed (GIC) To Finish Application Stored And Stored (C - G) (D + E) (Not In To Date DorE) (D+E+F) 85 CHANGE ORDER #2 86 Sub -Floor Demolition (Clerks Office) 400.00 400.00 400.00 100% 87 Sub -floor Materials 875.00 875.00 875.00 100% 88 Floor Leveling Materials 450.00 450.00 450.00 100% 89 Floor Decking Materials 840.00 840.00 840.00 100% 90 Vapor Barrier Installation 630.00 630.00 630.00 100% 91 Floor Leveling Compound 320.00 320.00 320.00 100% 92 Wall Demolition 3,220.00 3,220.00 3,220.00 100% 93 Plumbing Safe -off 300.00 300.00 300.00 100% 94 Mold Remediation 10,000.00 5,795.00 672.00 6,467.00 65% 3,533.00 95 Waste Removal/Disposal 1,500.00 1,500.00 1,500.00 100% 96 PT Wall Furring Labor 2,300.00 2,300.00 2,300.00 100% 97 PT Window and Door Buck Labor 805.00 805.00 805.00 100% 98 PT Materials 1,536.00 1,536.00 1,536.00 100% 99 R -Max Insulation Installation 925.00 925.00 925.00 100% 100 Misc. Fasteners 315.00 315.00 315.00 100% 101 Drywall Installation and Finish 3,850.00 3,850.00 3,850.00 100% 102 Base Board/Casing Installation 950.00 950.00 950.00 100% 103 Wood Frame Door Install 450.00 450.00 450.00 100% 104 Plumbing Fixture Re -Install 350.00 350.00 350.00 100% 105 Paint Restroom 375.00 375.00 375.00 100% 106 Millworks Materials 1,120.00 1,120.00 1,120.00 100% 107 Exterior Opening Caulking 750.00 750.00 750.00 100% 108 Preformance Bond 968.00 968.00 968.00 100% 109 Contractor Fee Change order #2 3,323.00 2,500.00 823.00 3,323.00 100% 110 111 112 SUBTOTALS PAGE 5 113,292.00 103,494.00 8,875.00 112,369.00 99% 923.00 Jeanette's Interiors, Inc. 818 S. Parrott Ave. Okeechobee, FL 34974 8631763-6554 SOLD TO Green Design, 502 NW 2nd St Okeechobee FL 34972 863-467-1111 863-824-3390 fax SHIPPED TO Invoice#: JE008573 Sale Date: 10/16/2017 Install Date: Sales Rep: Harvey, J Sales Rep: Printed 10/18/17 13:18:03 Okeechobee City Hall 1 Ready* (Je-) Carpet tile installed Measure Up Carpet Tile Mocha Tan 011657 SqYd 152.00 Florida Quality Floors,Inc Labor & Materials SqYd 152.00 $3,800.00 2 Ready* (Je-) Hoc Pressure sensitive at 4 gallon 011659 Each 2.00 Florida Quality Floors,Inc Each 2.00 3 Labor Only (Je-) Vinyl Remnant installed in bathroom 000000 Florida Quality Floors,Inc Labor Only Each 1.00 $50.00 • Comments: Labor only on vinyl flooring install in bathroom. Material - no charge. Subtotal: Misc: Total: Payments: Balance: $0.00 $3,850.00 $0.00 $3,850.00 1 3 25��� Fe v t std.) L�rll�r 1 DESIGN GREEN DESIGN CONSTRUCTION & DEVELOPMENT, LLC ARCHITECTS, ENG Treasure Coast 4247 SW High Meadow Ave Palm City, Florida 34990 P: 772-210-6814 john@gdcflorida.com Bill To: City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 INE 'SEN RAL CONTRACTORS South Florida 22062 Concha Ave Boca Raton, Florida 33828 P: 863-467-1111 robert@gdcflorida.com Central Florida 502 NW 2nd Street Okeechobee, Florida 34972 P: 863-467-1111 shaun@gdcflorida.com Invoice Invoice # 170480 Date: 10/24/2017 Attn:'�;,llN/A Phone: N/A Project;IDt` '. _' .'Tefbi-e:'' F' gdoate ;: N/A Net 30 11/23/2017 Est Rate Est Qty U/M Description Prior % Prior Amt Curr % Curr Amt 113,292.00 -923.00 0.17196 1 ea ea Okeechobee City Hall General Services Office Remodel Credit For Unused Allowance 82.22% 93,144.60 17.78% 100.00% 20,147.40 -923.00 Total $19,224.40 Payments/Credits $o.00 Balance Due $19,224.40 City of Okeechobee PW 05-00-04-17 WAIVER AND RELEASE OF LIEN UPON FINAL PAYMENT KNOW BY ALL MEN PRESENT: That Green Design Construction and Development, LLC (the Payee), for and in consideration of the receipt of the sum of $19,224.40 receipt of which is hereby acknowledged from Authorized Agent for [The City of Okeechobee (the "Payor")] representing the final payment under that certain Agreement between Payor and Payee dated the 2 4 th day of October, 2017 (the "Agreement") hereby releases and discharges Payor and The City of Okeechobee (the "Owner") and its respective successors, affiliates, agents, and assignees, and the property of any of them from all claims and demands whatsoever, including but not limited to lien rights, in any manner arising out of or related to said Agreement including labor performed and material, supplies, equipment, and work furnished by or through the Payee through the date specified above in connection with, or incidental to, the construction project commonly known as: City of Okeechobee PW 05-00-04-17 (the "Project") and located at 55 SE Third Street, Okeechobee, Florida 34974 SUBSCRIBED AND SWORN TO BEFORE ME SUBCONTRACTOR OR MATERIALMAN: THIS 24th DAY OF October. 2017. NOTARY PUBLI MY COMMISION EXPIRES: Ana M. Rhoden NOTARY PUBUC STATE OF FLORIDA Commit FF985336 Expires 4/25/2020 Name: Green Design Construction & Development, LLC Address: 502 NW 2nd St Okeechobee, FL 34972 Its: Managing Partner A duly authorized and constituted agent and representative Dated: 1(21Z-417— Contractor Owner Patty Burnette From: Patty Burnette Sent: Friday, June 23, 2017 1:04 PM To: Lori Bundy (Ioriplatbuilders@gmail.com) Subject: PW 05-00-04-17 Hi Lori and Alan. On behalf of the City of Okeechobee, I would like to thank you for submitting a proposal for the Okeechobee City Hall General Services Office Remodeling Bid. The contract has been awarded to Green Design Construction and Development, LLC. This award was approved by the City Council on June 20, 2017. Your company's name has been placed on the vendors list and you will be automatically notified of any upcoming bidding opportunities on projects within this scope of work. Although your company was not awarded this contract, the City of Okeechobee appreciates your participation in this process. Thank you, Patty Patty M. eugo..&ffc' GeneraCServices Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, EL 34974 T'eE 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-rnad pburnetre@cityofokeecfiohee.cont website: 1~w''. c i tyofokeech oboe. cors i 1 ODEPENDENT NEWSMEDIA INC. USA Okeechob ewse 107 SW 17th r-- ,SuiteD Okeechobee, Flf .. 34974 863-763-3 ?` .. STATE OF FLORIDA COUNTY OF OKEECHOBEE Before the undersigned authority personally appeared Katrina Elsken, who on oath says she is the Publisher of the Okeechobee News, a three times a week Newspaper published at Okeechobee, in Okeechobee County, Florida, that the attached copy of advertisement being a j1;• ,t,-6,Ci in the matter of ,,k44) in the 19th Judicial District of the Circuit Court of Okeechobee County, Florida, was published in said newspaper in the issues of 6V, 30 /ani 7 Affiant further says that the said Okeechobee News is a newspaper published at Okeechobee, in said Okeechobee County, Florida, and that said newspaper has heretofore been published continuously in said Okeechobee County, Florida each week and has been entered as second class mail matter at the post office in Okeechobee, in said Okeechobee County, Florida, for a period of one year next preceding the first publication of the attached copy of advertisement, and affiant further says that she has neither paid nor promised any person, firm or corporation any discount, rebate, commission or refund for the purpose of securing this advertisement for publication in the said newspaper. Katrina Elsken Sworn to and subscribed before me this &-t day of `rACt.,v o` 01 7 AD Notary Public, Stade of Florida at Large INVITATION TO BID NO. MN -05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING -Opening Date and Time: May 16 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2617, 3:00 PM ' The Oty of Okeechobee, Florida Is currently solidting bids to provide con- strudion serlces'needed to remodel approximately 450 square feet of of- fice space Incgludingdemolition of existinginterior walls, construction of new walthels projectlwill also Include necel and w carp. In et inddnto painthe naw approxieled mately 575 square feet additional existing office space. for detailed description of Job specifications, contact Patty Burnette, 863-763-3372 x 9820, pbur- nette@dtyofokeechobee.com, In General Services. Sealed bids must be re- ceived within the General Services Department at City Hall, 55 SE 3rd 'Avenue. Rm 101, Okeechobee, FL 34974 Do later than 3.:00 PM JaI on or before Tuesday. May 16. 2017 All responses receivedthe deadline will be opened and recorded In the presence of one or morewtt- nesses within the Coundl Chambers, Rm 200, at the address listed above. My bids received after the above noted date and time will not be opened or ;considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre•Bid Meeting will be held on Monday. May 8 2017 at 3.00 PM EST In the fbunr0 Chambers. Rm 200 at the ad- dress listed above. Bidders 511151 attend this meeting in order to submit for this bid. • Technical specifications and maps are available In the Bid Packets that may be obtained from the General Services Department at City Halt during nor- mal office hours, Mon -Fri 8 AM -4:30 PM, except holidays,or by contacting Patty Bumette 863.763-r3372 x 9820, pbumette@dtysfoeechobee.com. A 92500 non-refundable deposit Der set of documents Is reouired made pay- able to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or daten@dtyofokeechobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. . Submittals must be within a sealed envelope and contain two ( -arly Identified originals and one (11 coov of the bid, with the outside of the en- velope dearly labeled `BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING. 5-16-17. 3:00 wiitthh the submitting Company Name, and Retum Address. &ds may be mailed,therms prold p clynreghand eratlednIn thexSta�of mailed address ncou geddtto submit theIt Is the Sole responsibility of the Bidder to deliver personally or by mall, their bid to the General Services Department on or before the closing hour and date for the receipt of bids as noted above. ' This solicitation does not commit the City of Okeechobee to award any con- tracts, to pay any costs Incurred In the preparation of a response to this bid, or to contract for any services. The City Council reserves the right to reject any or all bids, to waive Informalities and to accept or reject all or part of 'any bid, as they may deem to be In the best Interests of the City of Okee- chobee. Responses to this bid, upon receipt by the General SeMces Depart- ment, will become public records subject to provisions of Florida Statute IChapter 119 Florida Public Records Law. - EEO/ADA/GINA/VP/DFWP By: Mayor Dowling R. Watford, Jr. on April 28, 2017 • ,480477 ON 4/28,30/2017 NDEPENDENT NEWSMEDIA INC. USA STATE OF FLORIDA COUNTY OF OKEECHOBEE Before the undersigned authority personally appeared Katrina Elsken, who on oath says she is the Publisher of the Okeechobee News, a three times a week Newspaper published at Okeechobee, in Okeechobee County, Florida, that the attached copy of advertisement being a j,u,0--tut) Nut -174Z in the matter of in the 19th Judicial District of the Circuit Court of Okeechobee County, Florida, was published in said newspaper in the issues of 5I*0 t7 Affiant further says that the said Okeechobee News is a newspaper published at Okeechobee, in said Okeechobee County, Florida, and that said newspaper has heretofore been published continuously in said Okeechobee County, Florida each week and has been entered as second class mail matter at the post office in Okeechobee, in said Okeechobee County, Florida, for a period of one year next preceding the first publication of the attached copy of advertisement, and affiant further says that she has neither paid nor promised any person, firm or corporation any discount, rebate, commission or. refund for the purpose of securing this advertisement for publication in the said newspaper. Katrina Elsken Sworn to and subscribed before me this 2) J& day of W\ 1 D-01 7 AD Notary Public, St e of Florida at Large t \, I LI h , i( c>(C CA) ;� oL ., ANGIE BRIDGES =?.. ,� .. `: W COMMISSION # FF976149 ;. `,o, EXPIRES:Apr1120,2020 '';:t°.:,;:;°'' Bonded Thtu Notary Public Und&W tats Okeechobee News 107 SW 17th Street, Sid Okeechobee, Floe 863 -763 - INVITATION TO BID NO. PW 05-00.0447 OKEECHOBEE CITY HALL GENERAL SERVICES • • OFFICE REMODELING Opening Date and Time: May 16 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The clty of Okeechobee, Florida Is currently solioting bids to provide con- struction services needed to remodel approximately 450.square feet of of- fice space Including demolition of existing Interior walls, construdion of new walls indudinn electrical and Data. In addition to the new remodeled space, the project well also Include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job spedfcations, contact: Patty Bumette, 863-763-3372 x 9820, pbbuumettegichyofokeedlobee.com, In General Services. Seated bids must be received within the General Services Department at City Hall 55 SE 3rd Avenue. Rio 1.01, Okeechobee FL 34974, no Tater than 3:00 PM ESI an or before Tuesday, May 16..2017 All responses received by the deadline will be opened and recorded In the presence of one or more wit- nesses within the Coundl Chambers, Rm 200, at the address listed above. Any bids received after the above noted date and time will not be opened or considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre-Bld Meeting will be held on Monday, May 8, 2017. at 3:00 PM EST In the Coundl Chambers. Rm 200. at the ad- dress listed above. Bidders MUST attend this meeting In order to submit for this bid. Technical specifications and maps are available In the Bid Packets that may be obtained from the General Services Department at City Hall during nor- mal office hours, Mon -Fd, 8 AM -4:30 PM except holidays,or by contacting Patty Bumette 863.763-3312 x 9820, pbumette@dty�foeechobee.com. A 62x,00 non-refundable denontt iter set of documents is renulred. made pay- able ayable to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or dallen@dtyofokeec hobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. Submittals must be within a sealed eroeilope and contain two (2) deadv Identified originals and one (1) ropy of the blit with the outside of the en- velope dearly labeled `BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GFNFRAL SERVwith the gICESOFIICE REMODELING. 5-16-12, 3:00 may. Bids orbe mailed, hand deliveredand/or Nexpress mailed to the and Return adds listed above. Firms properly registered In the State of Flodda are encouraged to submit their bld for consideration. 115 the sole responsibility of the Bidder to deliver personalty or by mail, their bid to the General Services Department on or before the dosing hour and date for the receipt of bids as noted above. , This solidtabon does not commit the City of Okeechobee to award any con- tracts, to pay any costs Incurred In the preparation of a response to this bid, or to contract for any services. The City Coundl reserves the right to reject any or all bids, to waive Informalities and to accept or reject all or part of any bid, as they may deem to be In the best Interests of the Oty of Okee- chobee. Responses to this bid, upon receipt by the General Services Depart- ment, will become public records subject to provisions of Florida Statute Chapter 119 Florida Public Records Law. • EEO/ADA/GINA/VP/DFWP By: Mayor DowlingR. Watford, Ir. on April 28, 2017 480541 ON 5/3/2017 ' INVITATION TO BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING Opening Date and Time: May 16, 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The City of Okeechobee, Florida is currently soliciting bids to provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job specifications, contact Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com, in General Services. Sealed bids must be received within the General Services Department at City Hall, 55 SE 3rd Avenue, Rm 101, Okeechobee, FL 34974, no later than 3:00 PM EST on or before Tuesday, May 16, 2017. All responses received by the deadline will be opened and recorded in the presence of one or more witnesses within the Council Chambers, Rm 200, at the address listed above. Any bids received after the above noted date and time will not be opened or considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre -Bid Meeting will be held on Monday, May 8, 2017, at 3:00 PM EST in the Council Chambers, Rm 200, at the address listed above. Bidders MUST attend this meeting in order to submit for this bid. Technical specifications and maps are available in the Bid Packets that may be obtained from the General Services Department at City Hall during normal office hours, Mon -Fri, 8 AM -4:30 PM, except holidays, or by contacting Patty Burnette, 863-763-3372 x 9820, pbumette@cityofokeechobee.com. A $25.00 non-refundable deposit per set of documents is required, made payable to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or dallen@cityofokeechobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. Submittals must be within a sealed envelope and contain two (2) clearly identified originals and one (1) copy of the bid, with the outside of the envelope clearly labeled "BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING, 5-16-17, 3:00 PM" with the submitting Company Name, and Return Address. Bids may be mailed, hand delivered and/or express mailed to the address listed above. Firms properly registered in the State of Florida are encouraged to submit their bid for consideration. It is the sole responsibility of the Bidder to deliver personally or by mail, their bid to the General Services Department on or before the closing hour and date for the receipt of bids as noted above. This solicitation does not commit the City of Okeechobee to award any contracts, to pay any costs incurred in the preparation of a response to this bid, or to contract for any services. The City Council reserves the right to reject any or all bids, to waive informalities and to accept or reject all or part of any bid, as they may deem to be in the best interests of the City of Okeechobee. Responses to this bid, upon receipt by the General Services Department, will become public records subject to provisions of Florida Statute Chapter 119 Florida Public Records Law. EEO/ADAIGINANPIDFWP By: Mayor Dowling R. Watford, Jr. on April 28, 2017 Email Transmittal CITY OF OKEECHOBEE Office of the City Clerk* 55 SE 3rd Avenue * Okeechobee, FL 34974 863-763-3372 ext. 9814 To: Independent Newspapers, Inc. — Okeechobee News — Ad Dept. Attention: Janet Levy, jlevv,newszap.com From: Bobbie Jenkins, Deputy City Clerk, bjenkins@cityofokeechobee.com Ad Type: Legal Publish On: Fri, 4/28/17 & Proof of Affidavit(s): 1 Proofed B' Sun, 4/30/17 Nlzbl/l 6 ti:o9 am Authorized By: 6Ati_C\(0\41n— Date: q /0 fi7 Emil Date/Time: Ad/Order# Amount $: Proofed B' • Nlzbl/l 6 ti:o9 am Date to Finance: Draw#: PO#: Check #: Mailed On: 7 4201 INVITATION TO BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING Opening Date and Time: May 16, 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The City of Okeechobee, Florida is currently soliciting bids to provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job specifications, contact Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com, in General Services. Sealed bids must be received within the General Services Department at City Hall, 55 SE 3rd Avenue, Rm 101, Okeechobee, FL 34974, no later than 3:00 PM EST on or before Tuesday, May 16, 2017. All responses received by the deadline will be opened and recorded in the presence of one or more witnesses within the Council Chambers, Rm 200, at the address listed above. Any bids received after the above noted date and time will not be opened or considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre -Bid Meeting will be held on Monday, May 8, 2017, at 3:00 PM EST in the Council Chambers, Rm 200, at the address listed above. Bidders MUST attend this meeting in order to submit for this bid. Technical specifications and maps are available in the Bid Packets that may be obtained from the General Services Department at City Hall during normal office hours, Mon -Fri, 8 AM -4:30 PM, except holidays, or by contacting Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com. A $25.00 non-refundable deposit per set of documents is required, made payable to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or dallen@cityofokeechobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. Submittals must be within a sealed envelope and contain two (2) clearly identified originals and one (1) copy of the bid, with the outside of the envelope clearly labeled "BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING, 5-16-17, 3:00 PM" with the submitting Company Name, and Return Address. Bids may be mailed, hand delivered and/or express mailed to the address listed above. Firms properly registered in the State of Florida are encouraged to submit their bid for consideration. e It is the sole responsibility of the Bidder to deliver personally or by mail, their bid to the General Services Department on or before the closing hour and date for the receipt of bids as noted above. This solicitation does not commit the City of Okeechobee to award any contracts, to pay any costs incurred in the preparation of a response to this bid, or to contract for any services. The City Council reserves the right to reject any or all bids, to waive informalities and to accept or reject all or part of any bid, as they may deem to be in the best interests of the City of Okeechobee. Responses to this bid, upon receipt by the General Services Department, will become public records subject to provisions of Florida Statute Chapter 119 Florida Public Records Law. EEO/ADAIGINANP/DFWP By: Mayor Dowling R. Watford, Jr. on April 28, 2017 Classified Proof Client 161381 - CITY OF OKEECHOBEE Address '55 SE 3RD AVE, Attn: Bobbie Jenkins OKEECHOBEE, FL, 34974 Phone , (863) 763-3372 Ext: 0000 E -Mail bjenkins@cityofokeechobee.com (863) 763-1686 Ext: 0000. Oder# - 7,480477 Classification ;5005 - Public Notice Start Date 04/28/2017 End Date . .05/04/2017 Run Dates 9 Publication(s)' ' newszap.com - Florida, Okeechobee News Sales Rep': 4205 - Janet Levy Requested By PO # 4201 Created By `JLEVY Creation Date , ! 04/27/2017, 06:41:37 am Dimensions 2.4067 " X 5.0133 " Phone E -Mail (302)741-8297 fi jlevy@newszap.com (302) 741-8215 Ocde Price $300.51 Tait 1 $0.00 Tax 2 $0.00 Total Net,'. $300.51 Payment $0.00 INVITATION TO BID NO. PW 05-00.04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING Opening Date and TIrne: Ma 16 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The Oty d Okeechobee, Florida B °intently soidting bids to provide oaf esm services to l appradmately kImdffres inducing icnoo�rgk bra mrnew watts lrrkndrg electrical and Data. In addrom an the new rend:led the titled wit also indude raw carpet and pairtim d apprmdnetety snare fed addtimal casting cgs for dela_ led drsalptlon d lob spedfirdtty�a��d(u, anmd Patty 863-763-3372 x %20, pbtr- neimo vvtCin theok °bee mIn m, Services. Seated bids mat beceived re Avenue. Rrn 3Ol, 011sad General Senates FL 34974, 974j,later � 3 o P�Jde1 ad1rmne or Ise o e d and �v h the presence d one byme • wthin the Count Dentes, Rm 204 at the adYess hied above. dena�lbeepd not be ape+ed orardd Faatrie bwswlnot be ac A MANDATORY tpre-Bid Fleethe ting vvalouncil pb�ee told m Monday. May 8. dread- ss !cited ado e. Mt ddes MUST Mond Otis meting ceder m asub it for this bd. Technical spec9i attars and we avalatie in the Bd Packet that nay to attained from the General Depabnnrt at Cty HIT dnrkg nor - nal office hairs, Mon-Fri8 M44:30 R't MI or by =lading Patty Burette 763-33'72 x�p�9/r323, p1��keedh'{otbeemm A node pay- able m the Oty • • ..:.if- .. \ �r 'F Questions the scope et wank ae to be dreded to Pubic tale °beelor B diirgRequ ne is ba8E3-M-3924 or ths Bid tunny. NOTE &takes mat be wtNn O seated and contain two (2) dearly vein fi Oedd °hell tre0I. v- tie °riskier of the TY vebpe label"BID ..! •05-0404- OKEECHOBEE CITY GEN sE • CFS 0EFIEE • MO: NG, 5-16.17. 3-00 vith the stbnitting Cmpeny Name, and Return Oddess. Bels ma/ tx mahard delivered and/or nailed to the addess fisted above. Rots properly twister ed in the State of Florida are moutaged to submit their blot for 0xddeabcn. It Is tie sole respadhLty d the Bolder to deliver personally or b/ nail, their bad to the General Savio s Depatmert on or tefore the dosing hour and date far the receipt of bid; as toted above. This s:Ratatim does not mrnait the City of Dreedobee to award can tot; m pay any costs Ironed In the ypreparationre e a the response to� err m mrtrad for any servims. The Dty Council reserverset�hedraglh[ to ay eny n4 a�r�deemtobe i eties ebbestk to accept °hof heCity D� dobee. Responses t• t become po tits bid upon redpttryCre General Services Depart Chapter 119 Roach pblic Records subject to prrx6brs d Roddy Statbe EED/ADA/GINA/YP/DFWP • hbycf ung R 17 d 7r. m P(n128 2017 480477 ON Proofed by Janet Levy, 04/27/2017 06:42:14 am Page: 1 Patty Burnette From: Bobbie Jenkins Sent: Tuesday, May 16, 2017 9:56 AM To: Patty Burnette; David Allen; Jessie Weigum Cc: Lane Gamiotea Subject: Extension of PW 05-00-04-17 Notice Attachments: Extension Invitation to Bid PW 05 00 04 17.pdf Patty, Attached is the extension notice for PW 05-00-04-17. Bobbie J. Jenkins Deputy Clerk City of Okeechobee 55 SE 3`l Avenue Okeechobee, FL 34974 Phone: (863) 763-3372 ext. 9814 Direct: (863) 763-9814 Fax: (863) 763-1686 NOTICE: Florida has a very broad public records law. As a result, any written communication created or received by the City of Okeechobee officials and employees will be available to the public and media, upon request, unless otherwise exempt. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this office. Instead, contact our office by phone or in writing. 1 INVITATION TO BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING �€ OPEEilPG EX i E[ !DED TO [ f:V° 23, 2017, 2:00 RE Opening Date and Time: May 16, 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The City of Okeechobee, Florida is currently soliciting bids to provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job specifications, contact Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com, in General Services. Sealed bids must be received within the General Services Department at City Hall, 55 SE 3rd Avenue, Rm 101, Okeechobee, FL 34974, no later than 3:00 PM EST on or before Tuesday, May 16, 2017. All responses received by the deadline will be opened and recorded in the presence of one or more witnesses within the Council Chambers, Rm 200, at the address listed above. Any bids received after the above noted date and time will not be opened or considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre -Bid Meeting will be held on Monday, May 8, 2017, at 3:00 PM EST in the Council Chambers, Rm 200, at the address listed above. Bidders MUST attend this meeting in order to submit for this bid. Technical specifications and maps are available in the Bid Packets that may be obtained from the General Services Department at City Hall during normal office hours, Mon -Fri, 8 AM -4:30 PM, except holidays, or by contacting Patty Burnette, 863-763-3372 x 9820, pbumette@cityofokeechobee.com. A $25.00 non-refundable deposit per set of documents is required, made payable to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or dallen@cityofokeechobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. Submittals must be within a sealed envelope and contain two (2) clearly identified originals and one (1) copy of the bid, with the outside of the envelope clearly labeled "BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING, 5-16-17, 3:00 PM" with the submitting Company Name, and Return Address. Bids may be mailed, hand delivered and/or express mailed to the address listed above. Firms properly registered in the State of Florida are encouraged to submit their bid for consideration. It is the sole responsibility of the Bidder to deliver personally or by mail, their bid to the General Services Department on or before the closing hour and date for the receipt of bids as noted above. This solicitation does not commit the City of Okeechobee to award any contracts, to pay any costs incurred in the preparation of a response to this bid, or to contract for any services. The City Council reserves the right to reject any or all bids, to waive informalities and to accept or reject all or part of any bid, as they may deem to be in the best interests of the City of Okeechobee. Responses to this bid, upon receipt by the General Services Department, will become public records subject to provisions of Florida Statute Chapter 119 Florida Public Records Law. EEOIADAIGINANPIDFWP By: Mayor Dowling R. Watford, Jr. on April 28, 2017 Com an Name BIDDER NOTIFICATION FOR OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING PW 05-00-04-17 E -Mail Address Fax # Al Date Sent Bevis Construction, Inc. mike@bevisconstructioninc.com E I 4/28/17 4/28/17 Miller Construction Mgmt., Inc. reception@millerconstructionmanagement.com E I 4/28/17 4/28/17 K Builders tlkelchner@yahoo.com E I 4/28/17 4/28/17 Neal Long Construction neallong@contractor.net E I 4/28/17 4/28/17 Marmer Construction marty@marmerconstruction.com E 4/28/17 4/28/17 Mark Brandel, Inc mark@markbrandel.com E I 4/28/17 4/28/17 PBS National Inc. dbowman2@pbsnational.com E I 4/28/17 4/28/17 West Construction, Inc. mamorgan@westconstructioninc.net E I] 4/28/17 4/28/17 Penrod Construction penrodconstruction@gmail.com E I 4/28/17 4/28/17 Sweat Trucking& Paving sweat@embargmail.com E I 4/28/17 4/28/17 R. Mossel Construction Inc. rmossel(a ymail.com E / 4/28/17 4/28/17 KST Construction kstl@comcast.net E I 4/28/17 4/28/17 G.M.Worley gmworleyinc@gmail.com E I 4/28/17 4/28/17 Ted Starr Construction starrman49@yahoo.com E .Ni 4/28/17 4/28/17 Sinemark Construction ssines@sinemarkconstruction.com E I 4/28/17 4/28/17 One Call Property Services brent@onecallprop.com E 4/28/17 4/28/17 Platinum Performance Group elbert.platbuilders@gmail.com E 4/28/17 4/28/17 E = Emailed Patty Burnette From: Patty Burnette Sent: Friday, April 28, 2017 8:22 AM To: 'mike@bevisconstructioninc.com'; 'reception@millerconstructionmanagement.com'; 'kbuilders2@yahoo.com'; 'neallong@contractor.net'; 'marty@marmerconstruction.com'; 'mark@markbrandel.com'; 'dbowman2@pbsnational.com'; 'mamorgan@westconstructioninc.net'; 'penrodconstruction@gmail.com'; 'sweat@embarqmail.com'; 'rmossel@ymail.com'; 'kstl@comcast.net'; 'G.M. Worley, Inc.'; starrman49@yahoo.com; 'ssines@sinemarkconstruction.com'; brent@onecallprop.com Subject: Okeechobee City Hall General Services Office Remodeling Bid Attachments: Invitation to Bid PW 05 00 04 17.pdf Please see the attached invitation to Bid for the City of Okeechobee's upcoming City Hall General Services Office Remodeling. Please contact the appropriate person listed in the notice for any questions or further information. Thank you, Patty Paf fy M. 6wrweefte general Services Coordinator City of OIeecfiobee 55 Southeast 3rd Avenue OGecfio6ee, AFL 34974 Te6 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail y urnette@cityofokeecho6ee.com website: www.cityofokeecho6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. 1 Patty Burnette From: Sent: To: Subject: Attachments: Patty Burnette Friday, April 28, 2017 11:43 AM Elbert Batton (elbert.platbuilders@gmail.com); 'tlkelchner@yahoo.com' FW: Okeechobee City Hall General Services Office Remodeling Bid Invitation to Bid PW 05 00 04 17.pdf Patty M. 6u-rpteiffe. General Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, FL 34974 Feh 863-763-3372 Direct: 863-763-982o Fax: 863-763-1686 e-mail: y6urnette@cityofoGecho6ee.com website: www.cityofokeecho6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. From: Patty Burnette Sent: Friday, April 28, 2017 8:22 AM To: 'mike@bevisconstructioninc.com'; 'reception@millerconstructionmanagement.com'; 'kbuilders2@yahoo.com'; 'neallong@contractor.net'; 'marry@marmerconstruction.com'; 'mark@markbrandel.com'; 'dbowman2@pbsnational.com'; 'mamorgan@westconstructioninc.net'; 'penrodconstruction@gmail.com'; 'sweat@embargmail.com'; 'rmossel@ymail.com'; 'kstl@comcast.net'; 'G.M. Worley, Inc.'; starrman49@yahoo.com;'ssines@sinemarkconstruction.com'; brent(aonecal Iprop.com Subject: Okeechobee City Hall General Services Office Remodeling Bid Please see the attached invitation to Bid for the City of Okeechobee's upcoming City Hall General Services Office Remodeling. Please contact the appropriate person listed in the notice for any questions or further information. 1 Thank you, Patty Paf-f y M. f3u.Ycti H -r., General Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, TL 34974 Teh 863-763-3372 Direct: 863-763-9820 Tax: 863-763-1686 e-mail y6urnette@cityofokeecho6ee.com website: www.cityofokeechobee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. Bidder's List General Construction Company Name Address Phone Number Bevis Construction, Inc. 102 Hallmark Avenue (863) 465-0053 (Mike Bevis) Lake Placid, FL 33852 (863) 465-0073 Fax mike@bevisconstructioninc.com Miller Construction Mgmt. Inc. 502 N. Massachusetts Avenue (863) 688-3060 (Carolyn Geiger) Lakeland, FL 33801 (863) 682-1242 Fax reception@millerconstructionmanagement.com K Builders (Ted Kelchner) 2801 SW 3rd Terrace Okeechobee, FL 34974 Neal Long Construction 11781 Hwy 441 SE Okeechobee, FL 34974 Marmer Construction 3200 US 27 South Ste 103 Sebring, FL 33870 Mark W. Brandel, Inc. 2525 NE 131st Lane Okeechobee, FL 34972 PBS National Inc. 13155 SE 34th Street Okeechobee, FL 34974 West Construction, Inc. 318 South Dixie Hwy, Ste 4-5 Lake Worth, FL 33460 Penrod Construction Company P.O. Box 3166 Okeechobee, FL 34973 Sweat Trucking & Paving Inc. 3157 Hwy 441 N James Sweat PO Box 1908 34973 Okeechobee, FL 34972 R. Mossel Construction Inc. 13632 NW 160th St. Okeechobee, FL 34972 (863) 763-8613 (863)763-9955 Fax -fLKeIchnerE. ,com (863) 357-3313 (863) 824-2604 Fax neallongPcontractor.net (863) 314-9851 (863) 382-4284 Fax martv@marmerconstruction.com (863) 763-6796 (863) 763-9154 Fax mark@ markbrandel.com (863) 467-0222 (863) 467-2948 Fax dbowman2@pbsnational.com (561) 588-2027 (561) 582-9419 Fax mamorgan@west constructioninc.net (863) 634-0546 (863) 763-8094 Fax penrodconstruction@vahoo.com (863) 357-3000 (863) 357-5783 Fax sweat@embargmail.com (863) 634-7722 (863) 763-6060 Fax rmossel@ymail.com Company Name KST Construction Inc. Bidder's List General Construction Address Phone Number PO Box 1153 (863) 634-4526 Okeechobee, FL 34973 (863) 467-9208 Fax kstl@comcast.net G. M. Worley Inc. 110 NW 5th Street Okeechobee, FL 34972 )atton Consulting Svcs. Ted Starr Construction XRollshield LLC (863) 467-2541 (863) 467-2238 Fax gmworleyinc@gmail.com P.O. Box 477 863-634-7460 Okeechobee, FL 34973 embatton@hotmail.com 648 N.W. 50th Drive 863-697-9713 Okeechobee, FL 34972 starrman49@vahoo.com 1151 Kapp Drive Clearwater, FL 33765 727-451-7655 727-467-0910 contact@rollshield.com dol- 0. goodPniaLl address ?(Lifestyle Exterior Products Inc. 206 Center Rd. 800-616-4741 Ft. Myers, FL 33907 239-274-0056 Fax www.lifestvleexterior.com Sinemark Construction 13397 La Mirada Cir. 561-752-7115 Wellington, FL 33414 561-952-4653 Fax ssines@sinemarkconstruction.com XMancil's Tractor Service 4551 SE Hampton Ct. 772-353-1975 Stuart, FL 34997 rick@mancils.com One CaII Property Services, Inc. 7804 SW Ellipse Way Stuart, FL 34997 772-324-1146 772-409-8620 brent@onecallprop.com Patty Burnette From: To: Sent: Subject: Microsoft Outlook kstl@comcast.net Friday, April 28, 2017 8:22 AM Undeliverable: Okeechobee City Hall General Services Office Remodeling Bid Q Office 365 Your message to kstl@comcast.net couldn't be delivered. kstl wasn't found at comcast.net. pburnette Action Required Unknown To address Office 365 kstl Recipient How to Fix It The address may be misspelled or may not exist. Try one or more of the following: • Send the message again following these steps: In Outlook, open this non-delivery report (NDR) and choose Send Again from the Report ribbon. In Outlook on the web, select this NDR, then select the link "To send this message again, click here." Then delete and retype the entire recipient address. If prompted with an Auto -Complete List suggestion don't select it. After typing the complete address, click Send. • Contact the recipient (by phone, for example) to check that the address exists and is correct. • The recipient may have set up email forwarding to an incorrect address. Ask them to check that any forwarding they've set up is working correctly. • Clear the recipient Auto -Complete List in Outlook or Outlook on the web by following the steps in this article: Fix email delivery issues for error code 5.1.1 in Office 365, and then send the message again. Retype the entire recipient address before selecting Send. If the problem continues, forward this message to your email admin. If you're an email admin, refer to the More Info for Email Admins section below. 1 Was this helpful? Send feedback to Microsoft. More Info for Email Admins Status code: 550 5.1.1 This error occurs because the sender sent a message to an email address outside of Office 365, but the address is incorrect or doesn't exist at the destination domain. The error is reported by the recipient domain's email server, but most often it must be fixed by the person who sent the message. If the steps in the How to Fix It section above don't fix the problem, and you're the email admin for the recipient, try one or more of the following: The email address exists and is correct - Confirm that the recipient address exists, is correct, and is accepting messages. Synchronize your directories - If you have a hybrid environment and are using directory synchronization make sure the recipient's email address is synced correctly in both Office 365 and in your on -premises directory. Errant forwarding rule - Check for forwarding rules that aren't behaving as expected. Forwarding can be set up by an admin via mail flow rules or mailbox forwarding address settings, or by the recipient via the Inbox Rules feature. Mail flow settings and MX records are not correct - Misconfigured mail flow or MX record settings can cause this error. Check your Office 365 mail flow settings to make sure your domain and any mail flow connectors are set up correctly. Also, work with your domain registrar to make sure the MX records for your domain are configured correctly. For more information and additional tips to fix this issue, see Fix email delivery issues for error code 550 5.1.1 in Office 365. Original Message Details Created Date: Sender Address: Recipient Address: Subject: Error Details Reported error: DSN generated by: Remote server: Message Hops 4/28/2017 12:21:47 PM pburnette@cityofokeechobee.com kstl@comcast.net Okeechobee City Hall General Services Office Remodeling Bid 550 5.1.1 Not our Customer CY4PRO9M B1368.namprd09.prod.outlook.com resimta-ch2-14v.sys.comcast.net r .\ 4 7S HOP TIME (UTC) FROM TO WITH 2 4/28/2017 1 12:21:47 CY4PR09MB1367.namprd09.prod.outlook.com CY4PR09MB1367.namprd09.prod.outlook.com mapi PM 4/28/2017 Microsoft SMTP Ser 2 12:21:47 CY4PR09MB1367.namprd09.prod.outiook.com CY4PR09MB1368.namprd09.prod.outlook.com cipher=TLS_ECDHE_ PM Original Message Headers DKIM-Signature: v=1; a=rsa-sha256;- c=relayed/rela<:ed; d-o}:e chobse.onmicrosoft.com; s=. _lectorl-citvofoke.__hobee-com; h=From: Date :Subject : Message -I D: Content -Type : MIME -Version; bh=Md3:M329bPybQ8EES8mpQv+sWfcJoFryuZlLJl/ cMtns=; b=IOpkNMxW2/zkkCuJvSJXpeSjzCc8II:GzaWJ>:MkraoFOZeEagnt2HE:PuFUHsHjILsanlU+ZBYVDg1Z96ZQQNVTTO vvYIDVIP+V = FAbvUmfJsg1U7xHucdn kmboxml.84E3zJFN81SOOtpl7aWb48y=yh4gHcO71DY00UcO8uw= Received: from CY4PR09MB1367.namprd09.prod.outlook.com (10.172.67.13) by CY4PR09MB1368.namprd09.prod.outlook.com (10.172.67.14) with Microsoft SMTP Server (version=TLS1 2, cipher=TLS_ECDHE_RSA_MITH_AES_126_CBC SHA256_P256) id 15.1.1047.13; Fri, 28 Apr 2017 12:21:47 +0000 Received: from CY4PR09MB1367.namprd09.prod.outlook.com ([10.172.67.13]) by CY4PR09MB1367.namprd09.prod.outlook.com ([10.172.67.13]) with mapi id 15.01.1047.021; Fri, 28 Apr 2017 12:21:47 +0000 From: Patty Burnette<pburnette@cityofokeechobee.com> To: "mike@bevisconstructioninc.com" <mike@bevisconstructioninc.com>, "reception@millerconstructionmanagement.com" <reception@millerconstructionmanagement.com>, "kbuilders2@yahoo.com" <kbuilders2@yahoo.com>, "neallong@contractor.net" <neallong@contractor.net>, "marty@marmerconstruction.com" <marty@marmerconstruction.com>, "mark@markbrandel.com" <mark@markbrandel.com>, "dbowman2@pbsnational.com" <dbowman2@pbsnational.com>, "mamorgan@westconstructioninc.net" <mamorgan@westconstructioninc.net>, "penrodconstruction@gmail.com" <penrodconstruction@gmail.com>, "sweat@embargmail.com" <sweat@embarqmail.com>, "rmossel@ymail.com" <rmossel@ymail.com>, "kstl@comcast.net" <kstl@comcast.net>, "G.M. Worley, Inc." <gmworleyinc@gmail.com>, "starrman49@yahoo.com" <starrman49@yahoo.com>, "ssines@sinemarkconstruction.com" <ssines@sinemarkconstruction.com>, "brent@onecallprop.com" <brent@onecallprop.com> Subject: Okeechobee City Hall General Services Office Remodeling Bid Thread -Topic: Okeechobee City Hall General Services Office Remodeling Bid Thread -Index: AdLAGfk5JKlsxtD8R+2HuM0ofP2rSA== Disposition -Notification -To: Patty Burnette<pburnette@cityofokeechobee.com> Date: Fri, 28 Apr 2017 12:21:47 +0000 Message-ID: <CY4PR09MB136763E801412BFBBD3C31B8C2130@CY4PR09MB1367.namprd09.prod.outlook.com> Accept -Language: en -US Content -Language: en -US X -MS -Has -Attach: yes 3 X-I1S-TNEF-Correlator: aut_henl_icatd on-resultE-; : bevisconstructioni no . :.7.orn; dkirn -none (ms ago not si,:Thezi) hcsr d-nono ; s cons t_ ruct_Loni no . cern; ,fimarc-none actilon-none radar. f rom-c LtvI. o keechobe e corn; x-originatinh-ip: [67.191.73.121] x-ms-publictra ffictype: Email x-microseft-e::change-diacmostics : 1; CY4PRO9131368; 7: ZEGRAj Hph1J2sp tins FEcii Rj qtyN(Q2kdtw()Vu518q9/di-;1YnplJZtmEaR+AOnOusvcsi,INJei53 I7Yy9ICraRA5qZ 91NaErarn:IE+BUyPnclElYmEal ye YP.bf T t. tIci1PCgThFxcia3ncij 4ca9ZolXhncoiBc0jR9 +AeAtiggNg9AC4Cii9tt112YT81Sk1 ngmD:,<ET.:1VS9e1CC.9:ii1DYoc8TkyuVVL-..tlivikArnrc3mt.V\11-:82/ca3Sv7eL9ckYQfI3 pler6SOlinwNitc:o6pea5Rw'ornlIq2b81-ITED,TGfiraPVYTInilo5YRy.2hOr5ciwlWqtrZmXV4/P.li.4F35klik_GtqjqWrfiFP 3er()==, x-ms-office365-filtering-correlation-id: da611887-Ota02-467f-7113-08d48e312404 x-microsoft-antispam: UriScan: ; BCL : 0; PCL: 0; RULEID: (22001) (2017030254075) (201703131423075) ;SRVR:CY4PRO9MB1368; n-rnicrosoft-antispara-prvs : <CY4PRO9MB1368850AA965F4B778A4DC29C21300CY4PRO9MB1368 namprd09 . prod. outlook . com> x-e::change-antispam-report-test : UriScan: (21748063052155) ; :-,a:charige-antispam-report-cfa-test : BCL:0;PCL:0;RULEID: (102415395) (6040450) (601001) (2401047) (812150104'6) (5005006) (10201501046 ) (93006095) (93001095) (3002001) (6041248) (201703131423075) (201703061421075) (2016111802025) ( 20161123564025) (201611235(30025) (20161123562025) (20161123555025) (6072148) (6043046) ;SRVR:CY 4PR09MB1368; BCL: PCL: 0; RULEID: ;SRVR:CY4PRO9M31368; h-forefront-prvs 029174C036 x-forefront-antisparn-report : SFV:NSPM; SFS : (10019020) (39450400003) (39400400002) (252514010) (790700001) (3846002) (10283600 3) (6116002) (5660300001) (33656002) (50986999) (99936001) (2906002) (2201001) (86362001) (3280700 002) (189998001) (54356999) (2900100001) (66066001) (3660700001) (77096006) (25786009) (589010000 1) (7736002) (19609705001) (74316002) (7906003) (2501003) (7416002) (769600)) (53936002) (9686003) (54896002) (733005) (38730400002) (8936002) (236005) (54556002) (8666007) (81166006) (122556002) ( 6436002) (55016002) (99286003) (6506006) (8656002) (606005) (39060400002) (861006) (2521001) (6306 002) (8676002) (921003) (1121003) ; DIR:OUT; SFP : 1102; SCL: 1; SRVR: CY4PRO9MB1368; H:CY4PRO9MB1367 naraprd09 . prod. outlook. com; FPR: ; SPF: None ; I4LV : ovrnspm; PTR: InfoNoRecords; LANG: en; spamdiagnosticoutput : 1: 99 spamdiagnosticmetadata : NSPM Content -Type: multipart /mixed; boundary=" 006_CY4PRO9MB136763E801412BFBBD3C31B8C2130CY4PRO9MB1367namp " MINE -Version: 1.0 X-OriginatorOrg: cityofokeechobee.com X-MS-Exchange-CrossTenant-originalarrivaltime: 28 Apr 2017 12:21:47.2843 (UTC) X-NS-Exchange-CrossTenant-fromentityheader: Hosted X-MS-Exchange-CrossTenant-id: 79b337e6-7dc2-4elf-ba28-8a6f2c0a3d44 X-MS-Exchange-Transport-CrossTenantHeadersStamped: CY4PRO9MB1368 4 CITY OF OKEECHOBEE 55 SE 3RD AVENUE ♦ COUNCIL CHAMBERS ♦ OKEECHOBEE, FL 34974 AUGUST 1,2017 SPECIAL CITY COUNCIL MEETING OFFICIAL AGENDA PAGE 1 of 1 I. CALL TO ORDER — Mayor: August 1, 2017, City Council Special Meeting, 6:00 p.m. II. MAYOR, COUNCIL MEMBERS, AND STAFF ATTENDANCE - City Clerk Mayor Dowling R. Watford, Jr. Council Member Monica Clark Council Member Noel Chandler Council Member Mike O'Connor Council Member Gary Ritter Administrator Marcos Montes De Oca Attorney John R. Cook Clerk Lane Gamiotea III. NEW BUSINESS A. Motion to approve a Change of Scope Amendment No. 1 for additional services for City Hall General Services Office Renovation, Project No. PW -05-00-04-17 — City Administrator (Exhibit 1). o pros& -kr al mor (10101-0 vtshi5 IV. ADJOURN MEETING Cort ef- PLEASE TAKE NOTICE AND BE ADVISED that if any person desires to appeal any decision made by the City Council with respect to any matter considered at this proceeding, such interested person will need a record of the proceeding, and for such purpose may need to ensure a verbatim record of the proceeding is made, which record includes the testimony and evidence upon which the appeal is to be based. City Clerk recordings are for the sole purpose of backup for official records of the Clerk. In accordance with the Americans with Disabilities Act (ADA), any person with a disability as defined by the ADA, that needs special accommodation to participate in this proceeding, contact the City Clerk's Office no later than two business days prior to proceeding, 863-763-3372. BE ADVISED that should you intend to show any document, picture, video or items to the Council in support or opposition to any item on the agenda; a copy of the document, picture, video, or item must be provided to the City Clerk for the City's records. ( r� CITY OF OKEECHOBEE AUGUST 1, 2017, SPECIAL CITY COUNCIL MEETING 55 SE 3RD AVENUE * COUNCIL CHAMBERS * OKEECHOBEE, FL 34974 SUMMARY OF COUNCIL ACTION PAGE 1 OF 3 AGENDA . CALL TO ORDER - Mayor August 1, 2017, City Council Special Meeting, 6:00 P.M. II. MAYOR, COUNCIL AND STAFF ATTENDANCE - City Clerk Mayor Dowling R. Watford, Jr. Council Member Noel A. Chandler Council Member Monica M. Clark Council Member Mike O'Connor Council Member Gary Ritter City Attorney John R. Cook City Administrator Marcos Montes De Oca City Clerk Lane Gamiotea Deputy City Clerk Bobbie Jenkins Police Chief Bob Peterson Public Works Director David Allen III. NEW BUSINESS A. Motion to approve a Change of Scope Amendment No. 1 for additional services for City Hall General Services Office Renovation, Project No. PW -05-00-04-17 - City Administrator (Exhibit 1). COUNCIL ACTION - DISCUSSION -VOTE Mayor Watford called a Special City Council meeting to order on August 1, 2017, at 6:00 P.M. Deputy City Clerk Jenkins called the roll: Present Present Present Present Absent (vacation) Absent (with consent due to scheduling conflict) Present Absent (with consent on vacation) Present Present Present This Special Meeting was called by Mayor Watford in order to handle unforeseen urgent matters requiring City Council action prior to the next regular meeting (August 15). Administrator MontesDeOca explained during the demolition phase of the City Hall General Services Office Renovation, Project No. PW -05-00-04-17, the contractor, Green Design Construction & Development, LLC (GDCD) discovered the existing air conditioning duct system was completely saturated with mold and mildew. This air conditioning system services both the General Services and City Clerk's department offices. Upon discussion with City Officials it was determined that the existing duct work must be removed and replaced immediately. Additionally, while performing the electrical demolition, GDCD discovered the existing electrical sub -panel was overloaded, not grounded, and the bus -bar had been arch -welded to the breaker panel. The main electrical supply service for both departments was filled with water which corroded the piping and service wires. City Officials and GDCD have agreed that a new electrical panel, sub -panel with proper grounding, and a new panel power supply needs to be installed to meet the current building code. AGENDA NEW BUSINESS CONTINUED A. Motion to approve a Change of Scope Amendment No. 1 for additional services for City Hall General Services Office Renovation, Project No. PW -05-00-04-17 continued. AUGUST 1, 2017 - SPECIAL MEETING - PAGE 2 OF 3 COUNCIL ACTION - DISCUSSION - VOTE GDCD has proposed the following required scope of services per City Officials (within the City Clerk's Department where there are three offices): Remove existing acoustical tile drop ceiling and light fixtures; Completely remove all existing duct work; Provide and install new duct board duct work; Provide and install new 2x2 -foot architectural acoustical ceiling tile; Provide and install 13 new 2x2 -foot LED light fixtures; (within the General Services Department where two offices and the city-wide mail/copier/fax room are being remodeled to three offices with an open area for the mail/copier/fax and walk -throughway to the City's Clerk's department): Completely remove all existing duct work; Saw -cut through existing brick wall between the two departments to accommodate new duct work; Provide and install new sheet metal duct work, including new supply and return vents; Provide and install new 30 -Lug Electrical Panel; Install ground for new electrical panel; Construct and install new light weight soffit/bulkhead system to encapsulate new sheet metal duct work from existing air handler unit; Provide and install 9 new 2x4 -foot ceiling mounted recessed 50 -watt 5000K LED light fixtures; Complete maintenance of existing air conditioning unit and air handling unit (services both departments). The cost for these items, including waste removal/disposal and a 10 percent contractor fee, totaled $13,939.00, with a request for 14 -days to be added to the original contract. At the request of City Officials, GDCD provided additional pricing for two optional scopes of services for work to be performed in conjunction with the above required services. The first option, listed in Exhibit One, known as "Option A," lists the following additions to the scope of services: Provide additional demolition as needed to remove existing wall assemblies at ceiling locations; Completely remove all non -code compliant electrical components within General Services front office area to include all existing ceiling mounted electrical systems; Construct new 2 -hour rated structural steel ceiling (horizontal fire assembly) that will be supported by existing exterior load bearing walls and existing structural concrete beam assembly (new ceiling system shall not impose any additional loads to existing ceiling system below the existing Council Chambers) in preparation for a new type "X" textured gypsum board ceiling; Provide new electrical wiring to structural ceiling assembly in preparation for new LED Lights and ceiling fan installations; Provide and install new R-19 thermal batt insulation to bottom of new metal ceiling assembly; Provide and install new 518 -inch type "X" gypsum to new metal ceiling assembly; Provide and install new pressure treated wall furring to existing brick/plaster walls as needed to return drywall to the new ceiling system; Provide and install new 3/4 -inch lightweight thermal insulation board (R -Max) to existing non -insulated exterior wall assemblies in front office area; Provide and install additional light weight steel wall framing at new wall locations to terminate at new ceiling system; Paint additional wall and ceiling surfaces that are to be added to transition to the new ceiling assembly. The cost for Option A including a $1,685.00 credit for removal of new acoustical ceiling system within the original Bid and a 10 percent contractor fee totaled $9,766.00, with a request for 7 -days to be added to the original contract. City Officials requested an "Option B" proposed quote to install a matching set of tinted, impact rated, commercial windows in previously utilized wall openings adjacent to the main entry breezeway on the North and South Walls, one in General Services and one in Finance. AUGUST 1, 2017 - SPECIAL MEETING - PAGE 3 OF 3 AGENDA COUNCIL ACTION - DISCUSSION —VOTE III. NEW BUSINESS CONTINUED A. Motion to approve a Change of Scope Amendment No. 1 for additional services for City Hall General Services Office Renovation, Project No. PW -05-00-04-17 continued. IV. ADJOURNMENT - Mayor Please take notice and be advised that when a person decides to appeal any decision made by the City Council with respect to any matter considered at this meeting, he/she may need to insure that a verbatim record of the proceeding is made, which record indudes the testimony and evidence upon which the appeal is to be based. City Clerk media are for the sole purpose of backup for official records of the Clerk. ATTEST: Dowling R. Watford, Jr., Mayor Lane Gamiotea, CMC, City Clerk Option B provides for the following: Remove existing stucco at exterior opening locations; Provide and install all pressure treated window framing to accommodate new window installation; Provide and install two new 3040 commercial impact, energy star rated window assemblies; Provide and install stucco returns as needed to match existing stucco walls; Provide and install new exterior paint to match existing. Total for Option B is $2,860.00. Council Member O'Connor inquired where the additional funds would come from to complete the renovations. Administrator MontesDeOca replied from the capital improvement reserves. Council Member Clark suggested the installation of new windows during this remodel would be fiscally responsible instead of installing at a later date. Council Member Chandler agreed. Mayor Watford added the location of these windows is not historically accurate. Mayor Watford then offered time for the Council Members to walk through the renovation area, individually, with the Administrator and Mr. Shaun Kogut of GDCD; but the offer was declined. Council Member Chandler moved to approve a Change of Scope Amendment No. 1 for additional services at a cost of $26,65.00, which includes the Required Services, Option A, and Option B, for City Hall General Services Office Renovation, Project No. PW -05-00-04-17; seconded by Council Member O'Connor. Council Member Clark noted for the record she has a conflict of interest and will be abstaining from voting on this matter as the company she owns, Glades Gas Company of Okeechobee Inc., is the air conditioning subcontractor for this project. VOTE: WATFORD — YEA CHANDLER — YEA O'CONNOR—YEA RITTER—ABSENT CLARK— ABSTAINED* MOTION CARRIED. There being no further discussion, nor items on the agenda, Mayor Watford adjourned the special meeting at 6:20 P.M. *Form 8B Memorandum of Voting Conflict for County, Municipal, and other Local Public Officers was filed by Council Member Clark on August 1, 2017, in the Office of the City Clerk and made a part of the official record filed in the permanent Minute File for this meeting. AGENDA IX. NEW BUSINESS CONTINUED B. Motion to approve a request for funds from Business Development Board of Okeechobee in the amount of $10,000 continued. H. Motion to approve a Change of Scope Amendment No. 2 for additional services for City Hall General Services Office Renovation Project No. PW -05-00-04-17 - City Administrator (Exhibit 7). AUGUST 15, 2017 - REGULAR MEETING & BUDGET WORKSHOP - PAGE 5 OF 16 COUNCIL ACTION - DISCUSSION -.VOTE VOTE: WATFORD—YEA CHANDLER—YEA CLARK—YEA O'CONNOR—YEA RITTER—YEA MOTION CARRIED. City Building Official Jeff Newell was asked to attend this meeting to respond to questions on this item. Mr. Newell is a contracted consultant who bills the City additional hours for attendance at meetings. In an effort to keep costs to a minimum, Mayor Watford moved this item's sequence to be addressed earlier in the meeting. During demolition of the City Clerk's Department, as approved by Change of Scope Amendment No. 1 on August 1, 2017, Green Design Construction & Development, LLC (GDCD) and City Officials discovered mold in the existing sub -floor and in the drywall on the North wall of the City Clerk's office. Additional mold was discovered on the East, West, and North walls of the Deputy Clerk's office, West and North walls of the Office Assistant work area, and in the City Clerk's office on the North and East walls. Based on these findings and through cooperation with Building Official Newell and Public Works Director Allen, GDCD has determined that all of the existing drywall, casing, base -boards, wall cladding, etc. in the entirety of the City Clerk's Department has to be removed to perform a full mold remediation. Council Members Chandler and Ritter moved to approve Change of Scope Amendment No. 2 to GDCD, in the amount of $36,552.00, for City Hall General Services Office Renovation Project No. PW -05-00-04-17 for additional services as follows: City Clerk's Department (three offices) remove all plaster at exterior wall locations containing mold spores, existing sub -floor, drywall, wall furring, insulation, millworks, and cladding. Install new'/cinch CDX plywood sub -floor, vapor barrier, and floor leveling compound. Provide complete mold remediation; install new pressure treated (PT) wall furring at exterior and interior masonry wall locations; install new PT window/door bucks, vapor barrier, %-inch plywood sheathing, R -Max rigid insulation at all exterior wall locations, and 5/8 -inch drywall on all walls. Install new baseboards and casing; Re -install existing wood frame dooring; re -install plumbing fixtures, paint interior with epoxy (floor to ceiling) in City Clerk's Office bathroom. Install new polyurethane sealant to all exterior openings in the General Services and City Clerk's Departments. Ali materials associated with this work will be provided. The cost for these items includes a $10,000.00 allowance for mold remediation, a 10 percent contractor fee, and a request for 21 -days to be added to the amended contract. Council Member Clark noted for the record she has a conflict of interest, will be filing a Form 8B Memorandum of Voting Conflict for Municipal Officers, and will be abstaining from voting on this matter as the company she owns, Glades Gas Company of Okeechobee Inc., is the air conditioning subcontractor for this project. The mold remediation allowance was clarified that the extent of the mold problem will not be fully known until demolition is completed. GDCD will solicit and provide three bids for mold remediation services to City Administrator, Public Works Director, and Building Official for review. AGENDA COUNCIL ACTION - DISCUSSION -VOTE IX. NEW BUSINESS CONTINUED H. Motion to approve a Change of Scope Amendment No. 2 for additional services for City Hall General Services Office Renovation Project No. PW -05-00-04-17 continued. C. Motion to approve a Change of Scope Amendment No. 2 for Centennial Park Storm Water Improvements, Project No. PW 01-00-02-17 - City Administrator (Exhibit 4). D. Motion to ratify Mr. Willie Hall's appointment as the 5th member to the General Employees' Retirement System Board of Trustees, filling resignation of Jeanna Lanier Kovac - City Clerk. E. Motion to approve a request by Okeechobee County Firefighters for a Boot Drive at the main intersection of State Road 70 and Highway 441 on August 25, 2017, from 4:00 to 6:00 P.M., and on August 26 and 27, 2017, from 9:00 A.M. to 2:00 P.M. to benefit the Muscular Dystrophy Association - City Administrator. Upon acceptance of the selected bid, the total fee for allowance will be billed directly to the City of Okeechobee at the cost of service plus a ten -percent Contractor Fee. VOTE: WATFORD — YEA CHANDLER—YEA CLARK—ABSTAINED• O'CONNOR—YEA RITTER—YEA MOTION CARRIED. Council Member Ritter moved to approve a Change of Scope Amendment No. 2, [Deductive Change Order in the amount of $23,488.92 and add 98 -days to the contract after approved] for Centennial Park Storm Water Improvements Project No. PW 01-00-02-17; seconded by Council Member O'Connor. The request is to the change in the type of baffle box from the original plans, which will cause a delay in delivering the item. Council Member Chandler noted for the record he has a conflict of interest, will be filing a Form 88 Memorandum of Voting Conflict for Municipal Officers, and will be abstaining from voting on this matter as the company by which he is employed, B&B Site Development, Inc., is the subcontractor for Seminole Design Build, Inc. on this project. VOTE: WATFORD—YEA CHANDLER— ABSTAINED CLARK— YEA O'CONNOR—YEA RITTER—YEA MOTION CARRIED. Council Member O'Connor moved to ratify Mr. Willie Hall's appointment as fifth member to the General Employees' Retirement System Board of Trustees, term being August 7, 2017, through December 31, 2017, filling the remainder of Mrs. Jeanna Lanier-Kovac's term; seconded by Council Member Clark. VOTE: WATFORD — YEA CHANDLER—YEA CLARK—YEA O'CONNOR—YEA RITTER—YEA MOTION CARRIED. Council Member O'Connor moved to approve a request by the Okeechobee County Firefighters for a Muscular Dystrophy Association Boot Drive at the main intersection of North Park Street (State Road 70) and Parrott Avenue (U.S. Highway 441) on August 25, 2017, from 4:00 to 6:00 P.M., and on August 26 and 27, 2017, from 9:00 A.M. to 2:00 P.M.; seconded by Council Member Ritter. Page 1 of 2 CCI Surety, Inc. Status Report To Be Completed By Obligee Please email/fax/mail to: icrawford@ccisurety.com 763-512-0430 1710 N Douglas Dr. Ste 100, Golden Valley, MN 55422 PRINCIPAL: Green Design Construction and Development, LLC BOND NO: 1001080654 Bond Amount: $00.00 Original Contract Amount: $50,175.00 TO: City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 'IT IS UNDERSTOOD THAT THE INFORMATION CONTAINED HEREIN IS FURNISHED AS A MATTER OF COURTESY FOR THE CONFIDENTIAL USE OF THE SURETY AND IS MERELY AN EXPRESSION OF OPINION. IT IS ALSO AGREED THAT IN FURNISHING THIS INFORMATION, NO GUARANTY OR WARRANTY OF ACCURACY OR CORRECTNESS IS RELIANCE BY THE SURETY. WHETHER SUCH INFORMATION IS FURNISHED BY THE OWNER OR BY AN ARCHITECT OR ENGINEER AS THE AGENT OF THE OWNER. DESCRIPTION: PW 05-00-04-17; Provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls incudinq electrical and data; Okeechobee, FL Obligee: City of Okeechobee CCI Surety, Inc. is the bonding agent on the above bond. We will appreciate your cooperation in providing the information requested below. Please return this form to us so that we may have current status information on the captioned job. Thank you for your assistance. Please Complete ONLY One Section Below IF THE CONTRACT HAS BEEN COMPLETED What was the completion date? Date of acceptance: 2. What was the final contract price? Has the full amount been paid? 3. Was the work satisfactory? 4. Have all labor & material bills been paid? IF THE CONTRACT HAS NOT BEEN COMPLETED LOtWe between oO �0 ��' 1. What percentage of work has been completed to date? &Me 2. Total amount paid to Contractor to date? 3. What is amount of retainage? In 4. What is the anticipated date of completion? '"OC-fober 41 , GZoi 1 due -to change orders 5. Is the contractor paying labor and material bills? Unxnavn 0.V+h,S +Irne; 6. Is the work progressing satisfactory? yes - / 7. Is the above original contract amount stated correctly? (Y/N) 1'1 If not, what is the correct contract price? - $ fl3pae a.00 orduedfoers &anti° 8/9/2017 about:blank 4_____i-7------By-Signature 17 Av r• 4IIw- .*A-4 0S ~ fi xPhone:( 2I9?) ) 7111))- (1$a0 arct, (Re�pfesenting�%� Date: luau$+ aoI / -t- By- /(type orr//print name) r[+ Remarks: 1 Wt] ahal je of Ve' J' Change order $ atp56)5,00 Change order AIC. a: s' 3in 55a .00 about:blank Page 2 of 2 A ddc+love-1 a l days Add, -t -to ad al days 8/9/2017 Patty Burnette From: Jeremy Crawford <JCrawford@CCISurety.com> To: Patty Burnette Sent: Tuesday, August 22, 2017 3:18 PM Subject: Read: Status Report for Green Design Your message To: Jeremy Crawford Subject: Status Report for Green Design Sent: Tuesday, August 22, 2017 2:17:00 PM (UTC -06:00) Central Time (US & Canada) was read on Tuesday, August 22, 2017 2:17:50 PM (UTC -06:00) Central Time (US & Canada). Patty Burnette From: Patty Burnette Sent: Tuesday, August 22, 2017 3:17 PM To: 'jcrawford@ccisurety.com' Cc: shaun@gdcflorida.com Subject: Status Report for Green Design Attachments: Status Report CCI Surety, Inc..pdf Importance: High Attached is the information requested. Paj M. 13tm-weifty General Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, TL 34974 Tel: 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail: yburnette@cityofokeecho6ee.com website: www.cityofoIeechobee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. t Return via email, fax or mail to: CCI Surety, Inc- Jeremy Crawford 1710 N. Douglas Dr, Suite 110 Golden Valley, MN 55422 Fax: 763-512-0430 jcrawford@ccisurety.com PRINCIPAL: CCI Surety, Inc. Status Report To Be Completed By Obligee 'SII 1 3 2017 Green Design Construction and Development, LLC BOND NO: 1001080654 Bond Amount:$50,175.00 Original Contract Amount:$50,175.00 TO: City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 DESCRIPTION: IT IS UNDERSTOOD THAT THE INFORMATION CONTAINED HEREIN IS FURNISHED AS A MATTER OF COURTESY FOR THE CONFIDENTIAL USE OF THE SURETY AND IS MERELY AN EXPRESSION OF OPINION. IT IS ALSO AGREED THAT IN FURNISHING THIS INFORMATION, NO GUARANTY OR WARRANTY OF ACCURACY OR CORRECTINESS IS MADE AND NO RESPONSIBILITY IS ASSUMED AS A RESULT OF RELIANCE BY THE SURETY. WHETHER SUCH INFORMATION IS FURNISHED BY THE OWNER OR BY AN ARCHITECT OR ENGINEER AS THE AGENT OF THE OWNER. PW 05-00-04-17; Provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls incuding electrical and data; Okeechobee, FL Obligee: City of Okeechobee CCI Surety, Inc. is the bonding agent on the above bond. We will appreciate your cooperation in providing the information requested below. Please return this form to us so that we may have current status information on the captioned job. Thankyou for your assistance. Please Complete ONLY One Sec#ion Below IF THE CONTRACT HAS BEEN COMPLETED 1 . What was the completio date? ' e e Qs aor i Date of acceptance: i)0.10b, r ! OIJ( 2. What was the final contract price? d I is acla.ao',.+. - , Has the full amount been paid? .1 I a, zug.coh,a_s Wen Rua.) um projd oomplel-• 3. Was the work satisfactory? yeiS 4. Have all I bor & material bills beenVC ,paid? O CI (i/ Releasee Lien iDO final � yrrr feeetveci mC reen Res qn('onc i ti and &-VelO prrurt.ILLe_ dell 0 -al -1-17 IF THE CONTRACT_HASJOI BEEN_COMPLETED I 1 . What percentage of work has been completed to date? 2. Total amount paid to Contractor to date? 3. What is amount of retainage? 4. What is the anticipated date of completion? 5. Is the contractor paying labor and material bills? 6. Is the work progressing satisfactory? 7. What is the current contract amount? �-� O i' i of O I4eeek o e. By - Signature , '�(R""epp'resenting)) I Date: I�t)ve.m 6e IL ,oL JbI7 n Phone: a) 1L9 3- "1 O d Davol CL J I le By - (type or print name) Remarks: CB FAX TX Report MFP Firmware Version 2N4 2000.005.031 2016.03.08 %::<:z rriiiii?..3`fi/F'�•v .'v;?¢,�iaiYi.;%i��',, ?r1�//i:`i',/i•'.! .: No. Date and Time Destination Cg KyOCERa 11/16/2017 09:47 [2N4_1000.004.001] [2N4_1100.001.002] [2N4_7000.005.028] Times Page Result Type 00001 11/16/17 09:46 17635120430324 00002 11/15/17 13:48 17176570340324 *00003 11/14/17 09:39 4625040 *00004 11/14/17 09:38 4625040 *00005 11/13/17 10:32 3570837 *00006 11/13/17 10:10 3573566 *00007 11/09/17 16:17 13055943399324 *00008 11/09/17 10:03 18882035242 *00009 11/08/17 10:46 17727855532320 *00010 11/06/17 15:52 OKEE BLDG DEPT *00011 11/06/17 11:25 7632426322 *00012 11/06/17 10:30 17727855532320 *00013 11/01/17 10:15 7638879 *00014 10/27/17 08:49 7636366 *00015 10/26/17 13:20 7632190 *00016 10/26/17 13:08 13867750272324 *00017 10/23/17 12:38 3573566 *00018 10/20/17 12:08 18552667095 *00019 10/19/17 15:58 3571902 *00020 10/17/17 09:25 OKEE BLDG DEPT *00021 10/12/17 10:33 7634745 *00022 10/11/17 16:16 15618400792 *00023 10/11/17 16:17 15618400792333 *00024 10/11/17 11:18 13172029069322 *00025 10/05/17 10:56 15614691623322 *00026 10/05/17 10:52 15614691623 *00027 10/05/17 10:51 15614691623 *00028 10/05/17 10:50 15614691623 *00029 10/02/17 14:04 8242990 *00030 10/02/17 14:03 18638242990 *00031 09/25/17 13:51 OKEE BLDG DEPT *00032 09/25/17 09:17 18886341118 *00033 09/22/17 10:56 4625037 *00034 09/21/17 10:16 4679092 *00035 09/21/17 09:53 13052439389324 *00036 09/21/17 09:52 13052439389 *00037 09/18/17 14:46 12028573713 *00038 09/18/17 14:56 12028573713324 *00039 09/18/17 14:40 12028573713 *00040 09/18/17 14:47 12028573713 *00041 09/18/17 09:07 18557080680 *00042 09/18/17 09:05 18557080680 *00043 09/18/17 08:57 4676674 *00044 09/13/17 14:58 18669298006 *00045 09/12/17 14:23 7637339 *00046 09/05/17 09:31 12075237104322 *00047 08/31/17 09:15 7636366 *00048 08/29/17 16:30 OKEEBLDGDEPT *00049 08/29/17 15:24 12033012814324 *00050 08/16/17 16:11 6235093 FAX 0°00'28" 001 OK FAX 0°02'26" 005 OK FAX 0°00'27" 001 OK FAX 0°00'04" 000 U01093 FAX 0°00'57" 000 BUSY FAX 0°01'51" 007 OK FAX 0°01'59" 008 OK FAX 0°01'41" 003 OK FAX 0°01'12" 003 OK FAX 0°00'40" 002 OK FAX 0°00'34" 002 OK FAX 0°01'10" 003 OK FAX 0°00'58" 002 OK FAX 0°00'54" 003 OK FAX 0°01'32" 003 OK FAX 0°00'42" 001 OK FAX 0°00'39" 002 OK FAX 0°00'44" 001 OK FAX 0°00'33" 000 CANCELED FAX 0°00'34" 001 OK FAX 0°01'10" 003 OK FAX 0°01'14" 000 BUSY FAX 0°01'03" 003 OK FAX 0°00'33" 002 OK FAX 0°00'29" 001 OK FAX 0°00'13" 000 CANCELED FAX 0°00'18" 000 CANCELED FAX 0°00'19" 000 CANCELED FAX 0°00'58" 001 OK FAX 0°00'12" 000 CANCELED FAX 0°00'29" 001 OK FAX 0°02'32" 010 OK FAX 0°00'31" 002 OK FAX 0°00'18" 001 OK FAX 0°00'23" 001 OK FAX 0°00'19" 000 CANCELED FAX 0°01'14" 000 BUSY FAX 0°01'18" 002 OK FAX 0°01'14" 000 BUSY FAX 0°00'32" 000 CANCELED FAX 0°01'22" 003 OK FAX 0°01'21" 003 OK FAX 0°00'36" 003 OK FAX 0°00'34" 002 OK FAX 0°00'39" 000 BUSY FAX 0°01'25" 004 OK FAX• 0°00'34" 004 OK FAX 0°00'34" 001 OK FAX 0°01'01" 003 OK FAX 0°00'50" 000 U01093 [ L8H4301725 ] -4 IMO 222017 JFA ENTERPRISES INC. 9674 64TH WAY SOUTH BOYNTON BEACH, FL 33437 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Certificate of Mold Analysis Prepared for: JFA ENTERPRISES INC. Phone Number: (561) 306-5211 Fax Number: Project Name: CITY OF OKEECHOBEE CITY HALL Test Location: 55 SE 3RD AVE OKEECHOBEE, FL 33974 Chain of Custody #: 1063718 Received Date: August 17, 2017 Report Date: August 18, 2017 64 Carlos Ochoa, Technical and Quality Control Manager 1-7D8- Zs' FILE COPY Currently there are no Federal regulations for evaluating potential health effects of fungal contamination and remediation. This Information is subject to change as more Information regarding fungal contaminants becomes available. For more information visit http://www.epa.gov/mold or www.nyc.gov/html/doh/htmllepl/mold.shtmi. This document was designed to follow currently known industry guidelines for the interpretation of microbial sampling, analysis, and remediation. Since Interpretation of mold analysis reports is a scientific work in progress, It may as such be changed at any time without notice. The client is solely responsible for the use or interpretation. PRO-LAB/SSPTM Inc. makes no express or implied warranties as to health of a property from only the samples sent to their laboratory for analysis. The Client is hereby notified that due to the subjective nature of fungal analysis and the mold growth process, laboratory samples can and do change over time relative to the originally sampled material. PRO-LAB/SSPTM Inc. reserves the right to properly dispose of all samples after the testing of such samples are sufficiently completed or after a 7 day period, whichever is greater. LABt163230 For more information please contact PRO -LAB at (954) 384-4446 or email info@prolabinc.com Page 1 of 9 4 Prepared for : JFA ENTERPRISES INC. 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Test Address : CITY OF OKEECHOBEE CITY HALL 55 SE 3RD AVE OKEECHOBEE, FL 33974 ANALYSIS METHOD Spore trap analysis Spore trap analysis Direct Microscopic Exam INTENTIONALLY BLANK LOCATION BOBBI OFFICE CONTROUOUTSIDE BOBBI OFFICENVINDOW COC / LINE # 1063718-1 1063718-2 1063718-3 SAMPLE TYPE & VOLUME Z5 - 25L Z5 - 25L TAPE SERIAL NUMBER 0311407 Q311402 TAPE COLLECTION DATE Aug 16, 2017 Aug 16, 2017 Aug 16, 2017 ANALYSIS DATE Aug 18, 2017 Aug 18, 2017 Aug 18, 2017 CONCLUSION NOT ELEVATED CONTROL NORMAL IDENTIFICATION Raw Count Spores per m3 Percent of Total Raw Count Spores per m3 Percent of Total Mold Present Raw Count Spores per m3 Percent of Total Bipotarls/Drechslera 1 40 17 Cladosporium 6 240 40 Nigrospora 1 40 17 1 40 7 Other Basidiospores 4 160 67 Smuts, myxomycetes 8 320 53 r TOTAL SPORES 6 240 100 15 600 100 NA MINIMUM DETECTION LIMIT' 1 40 1 40 NA BACKGROUND DEBRIS 1 too heavy for accurate count. 1 Light 1 Not Applicable I OBSERVATIONS & COMMENTS Counts are estimated. Actual numbers of spores probably much higher. No Fungi Detected. Background debris qualitatively estimates the amount of particles that are not pollen or spores and directly affects the accuracy of the spore counts. The categories of Light, Moderate, Heavy and Too Heavy for Accurate Count, are used to Indicate the amount of deposited debris. tight (None to up to 25% obstruction); Medium (26% to up 10 75% obstruction); Heavy (76% to up to 90% obstruction); Too Heavy (Greater than 90% obstruction). Increasing amounts of debris will obscure small spores and can prevent spores from impacting onto the slide. The actual number of spores present In the sample Is likely higher than reported If the debris estimate Is'Heavy or Too Heavy for Accurate Count'. All calculations are rounded to two significant figures and therefore, the total percentage of spore numbers may not equal 100%. • Minimum Detection Limit. Based on the volume of air sampled, this Is the lowest number of spores that can be detected and Is an estimate of the lowest concentration of spores that can be read In the sample. NA . Not Applicable. Spores that were observed from the samples submitted are listed on this report. If a spore Is not listed on this report It was not observed In the samples submitted. Interpretation Guidelines: A determination Is added to the report to help users Interpret the mold analysis results. A mold report Is only one aspect of an Indoor air quality investigation. The most important aspect of mold growth In a living space Is the availability of water. Without a source of water, mold generally will not become a problem In buildings. These determinations are in no way meant to imply any health outcomes or financial dedsions based solely on this report. For questions relating to medical conditions you should consult an occupational or environmental health physidan or professional. CONTROL Is a baseline sample showing what the spore count and diversity Is at the Urns of sampling. The control sample(s) Is usually collected outside of the structure being tested and used to determine If this sample(s) Is simlar In diversity and abundance to the Inside sample(s). ELEVATED means that the amount and/or diversity of spores, as compared to the control sample(s), and other samples In our database, are higher than expected. This can Indicate that fungi have grown because of a water leak or water intrusion. Fungi that are considered to be Indicators of water damage Include, but are not limited to: Chaetomium, Fusarium, Memnonlella, Stachybofrys, Scopulariopsis, Ulodadium. NOT ELEVATED means that the amount and/or the diversity of spores, as compared to the control sample and other samples In our database, are lower than expected and may Indicate no problematic fungal growth. UNUSUAL means that the presence of current or former growth was observed In the analyzed sample. An abundance of spores are present, and/or growth structures Including hyphae and/or fruiting bodies are present and associated with one or more of the types of mold/fungi Identified in the analyzed sample. NORMAL means that no presence of current or former growth was observed in the analyzed sample. If spores are recorded they are normally what Is In the air and have settled on the surface(s) tested. Page 2 of 9 4 Smuts, myzomycetes cher Basidiospores Nigrospora Oadospodum BipolarislDrechslera 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Chain of Custody # 1063718 Bobbi Office IIIIIIMEMEI Control/outside 1 Spores per cubic meter O 100 1000 Page 3 of 9 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Identification Outdoor Habitat Indoor Habitat Possible Allergic Potential Not an opinion or interpretation Comments Bipolaris/Drechslera Common everywhere. Frequently associated with grasses, but also found on plant material, decaying food, and soil. Common Type I (hay fever and asthma), fungal sinusitis. This is a group of like -looking spores that include Bipolaris, Drechslera, Exserohilum, and sometimes Helminosporium. They cannot be consistently separated by spore morphology and are thus grouped together. Must be cultured to consistly separate the genera. Cladosporium The most common spore type reported in the air worldwide. Found on dead and dying plant litter, and soli. Commonly found on wood and wallboard. Commonly grows on window sills, textiles and foods. Type I (hay fever and asthma), Type III (hypersensitivity pneumonitis) allergies. A very common and important allergen source both outdoors and indoors. Nigrospora Commonly found everywhere. Grows on decaying plant material Does not normally grow on building materials, but occasionally can be found growing on wallboard. Type I (hay fever and asthma) allergies. Very distinctive spore that is easy to identify. Basidiospores Commonly found everywhere, especially in the late summer and fall. These spores are from Mushrooms. Mushrooms are not normally found growing indoors, but can grow on wet lumber, especially in crawlspaces. Sometimes mushrooms can be seen growing In flower pots Indoors. Some allergenicity reported. Type (hay fever, asthma) and Type III (hypersensitivity pneumonitis). Among the group of Mushrooms (Basidiomycetes) are dry rot fungi Serpula and Poria that are particularly destructive to buildings. Smuts, myxomycetes Commonly found everywhere, espcially on logs, grasses and weeds. Smuts don't normally grow indoors, but can occasionally be found on things brought from outside and stored In the house. Myxomycetes can occasionally grow indoors, but need lots of water to be established. Type I (hay fever and asthma) allergies. Smuts and myxomycetes are a combined group of organisms because their spores look so similar and cannot be reliably distinguished from each other. Page 4 of 9 F Prepared for : JFA ENTERPRISES INC. 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Test Address : CITY OF OKEECHOBEE CITY HALL 55 SE 3RD AVE OKEECHOBEE, FL 33974 Indoor Air Quality Testinq Introduction The fungi are a Targe group of organisms that include mold. In nature, the fungi and mold help breakdown and recycle nutrients in the environment. Mold are the most common type of fungi that grow indoors. Mold are microscopic organisms that live on plants, in the soil, and on animals, in fact almost anywhere food and moisture are available. Mold is everywhere present in the outdoor and normal indoor environments. It is in the air and on surfaces as settled dust. Exposure to mold is inevitable in everyday life. Thus, exposure to mold is considered part of a normal activity for most people. Only environments for which extraordinary preparations have been taken don't have mold present in the air or on surfaces. Understanding Mold Under the right conditions (moisture, a food source, and time) mold will grow, multiply and produce spores. Mold grows throughout nature as well as the built environment. Mold reproduces by microscopic cells called "spores" that can be spread easily through the air. Mold spores are always present in the indoor and outdoor air. There are mold that can grow on any organic substrate including wood, paper, carpet, food, ceiling tiles, dried fish, carpet, or any surface where dust has accumulated. When excessive moisture or water accumulates indoors, mold growth will often occur, particularly if the moisture problem remains undiscovered or un -addressed. There is no practical way to eliminate all mold spores in the indoor environment. The way to control indoor mold growth is to control the amount of moisture available to the mold. Mold growth can become a problem in your home or office where there is sufficient moisture and the right foodstuff is available. The key to preventing mold growth is to prevent all moisture problems. Of course, hidden mold can grow when there is water available behind walls, sinks, floors, etc. Indications of hidden moisture problems are discoloration of ceiling or walls, warped floors or condensation on the windows or walls. Controlling Moisture The most critical step in solving a mold problem is to accurately identify and fix the source(s) of moisture that allowed the growth to occur. In order to prevent mold from growing, it is important that water damaged areas be dried within a 24-48 hour period. If a small amount of mold is present in the home, the mold can be cleaned up with a mild detergent and the excess water or moisture removed. It is not necessary to try and kill the mold or its spores. You can carefully remove the moldy materials if necessary. There are many common sources of excess moisture that can contribute to Indoor mold growth. Some of the primary means of moisture entry into homes and buildings are water leakage (such as roof or plumbing leaks), vapor migration, capillary movement, air infiltration, humidifier use, and inadequate venting of kitchen and bath humidity. The key to controlling moisture is to generally reduce indoor humidity within 35% - 60% (depending what climate you live in) and fix all Teaks whatever their cause. Mold Growth Sources If the source of moisture is not easily detected or you have a hidden water leak, mold testing can be helpful. Often a roof leak or a plumbing leak can be identified as the source. The difficulty arises when there is an odor present or when an occupant shows signs of mold exposure but no visible mold can be seen. Excess water intrusion can also lead to dry rot of lumber and cause a serious structural defect in buildings. Health Related Risks Based on the Institute of Medicine and the National Academy of Sciences, dampness and mold in homes is associated with increases in several adverse health effects including cough, upper respiratory symptoms, wheeze, and exacerbation of asthma. Mold and fungi contain many known allergens and toxins that can adversely affect your health. Scientific evidence suggests that the disease of asthma may be more prevalent in damp affected buildings. Dampness and mold in homes, office buildings and schools represent a public health problem. The Institute of Medicine concluded, "When microbial contamination is found, it should be eliminated by means that not only limit the possibility of recurrence but also limit exposure of occupants and persons conducting the remediation". Page 5 of 9 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Mold Sampling Methods The goal of sampling is to learn about the levels of mold growth and amplification in buildings. There are no EPA or OSHA standards for levels of fungi and mold in indoor environments. There are also no standard collection methods. However, several generally accepted collection methods are available to inspectors to study mold (and bacteria) in indoor environments. Comparison with reference samples can be a useful approach. Reference samples are usually taken outdoors and sometimes samples can be taken from "non -complaint" areas. In general, indoor fungal concentrations should be similar to or lower than outdoor levels. High levels of mold only found inside buildings often suggest indoor amplification of the fungi. Furthermore, the detection of water -indicating fungi, even at low levels, may require further evaluation. There are several types of testing methods that can detect the presence of mold. They can be used to find mold spores that are suspended in air, in settled dust, or mold growing on surfaces of building materials and furnishings. There are different methods that can identify types of live mold and dead mold in a sampled environment. Mold spores can be allergenic and toxic even when dead. All sampled material obtained in the laboratory is analyzed using modem microscopic methods, standard and innovative mycological techniques. analyzed at 630 —1.000 times magnification. Testing for mold with an accredited laboratory is the best way to determine if you have mold and what type of mold it is. Surface Sampling Methods Surface sampling can be useful for differentiating between mold growth and stains of various kinds. This type of sampling is used to identify the type of mold growth that may be present and help investigate water intrusion. Surface sampling can help the interpretation of building inspections when used correctly. The following are the different types of surface samples that are commonly used to perform a direct examination of a specific location. Spore counts per area are not normally useful. Tape (or tape -lift) These samples are collected using clear adhesive tape or adhesive slide for microscopic examination of suspect stains, settled dust and spores. Tape lifts are an excellent, non-destructive method of sampling. The laboratory is usually able to determine if the there is current of former mold growth or if only normally settled spores were sampled. Bulk This is a destructive test of materials (e.g., settled dust, sections of wallboard, pieces of duct lining, carpet segments, return -air filters, etc.) to determine if they contain or show mold growth. Bulk sampling collects a portion of material small enough to be transported conveniently and handled easily in the laboratory while still representing the material being sampled. A representative sample is taken from the bulk sample and can be cultured for species identification or analyzed using direct microscopy for genus identification. The laboratory is usually able to determine if the there is current of former mold growth or if only normally settled spores were sampled. Swab A sterile cotton or synthetic fiber -tipped swab is used to test an area of suspected mold growth. Samples obtained using this method can be cultured for species identification or analyzed using direct microscopy for genus identification. The laboratory is usually able to determine if there is current of former mold growth or if only normally settled spores were sampled. Identified spores are generally reported as "present/absent". Carpet (filter -type) Cassette A carpet cassette is used with a portable air pump (flow rate usually doesn't matter) to collect mold, pollen and other particulates. Samples obtained using this method can be cultured for species identification or analyzed using direct microscopy for genus identification. This method is usually used to determine a presence or absence of water -indicating mold in a carpet. The laboratory is usually able to determine if the there is current of former mold growth or if only normally settled spores were sampled. Page 6 of 9 • 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Air Sampling Methods Air samples are possibly the most common type of environmental sample that investigators collect to study bioaerosols (mold, pollen, particulates). The physics of removing particles from the air and the general principles of good sample collection apply to all airborne materials, whether biological or other origin. Therefore, many of the basic principles investigators use to identify and quantify other airborne particulate matter can be adapted to bioaerosol sampling. Common to all aerosol samplers is consideration of collection efficiency. The following are the two most common forms of air sampling methods. "Non -Viable Methods" (The Laboratory results are reported in "spores per cubic meter (sp/m3) Z5 Cassette The Z5 spore trap is used with a portable air pump (5 liters/minute for 1 to 5 minutes) to rapidly collect airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a small slit at the top of the cassette and spores are trapped on a sticky surface on a small glass slide inside the cassette. They are efficient at collecting spores as small as 1 pm. Micro5 Cassette The Micro5 Microcell spore trap cassette is used with a portable air pump (5 liters/minute for 1 to 5 minutes) to collect airbome aerosols including mold, pollen and other airborne particulates. Air is drawn through a small circular hole at the top of the cassette and spores are trapped on a sticky coated glass slide inside the cassette. They are efficient at collecting spores as small as 0.8pm. Air -O -Cell Cassette The Air -O -Cell spore trap cassette is used with a portable air pump (15 liters/minute for 1 to 10 minutes) to collect airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a small opening at the top of the cassette and spores are trapped on a sticky coated glass slide inside the cassette. These cassettes are efficient at collecting spores as small as 2.6pm. Allergenco-D Cassette The Allergenco-D spore trap cassette is used with a portable air pump (15 liters/minute for 1 to 10 minutes) to collect airbome aerosols including mold, pollen and other airborne particulates. Air is drawn through a small opening at the top of the cassette and spores are trapped on a sticky coated glass slide inside the cassette. These cassettes are efficient at collecting spores as small as 1.7pm. "Viable Methods" (The Laboratory results are reported in "colony forming units per cubic meter (CFU/m3) Agar Impaction Plates The agar impaction plates are used with a portable air pump (28.3 liters/minute for 1 to 3 minutes) to collect airborne mold. This is called "viable sampling" because it only grows what is alive at the time of testing. Air is drawn through a 200-400 holes at the top of the impactor and spores are trapped in the agar media. The agar plate should be shipped to the laboratory immediately or kept cool until it can be shipped. These cassettes are 90% efficient at collecting spores as small as 0.7pm. The laboratory results are reported in "colony forming units per cubic meter (CFU/m3)". Page 7 of 9 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Data Interpretation Information (data) on mold in buildings can consist of the simple observation of fungal growth on a wall, analytical measurements from hundreds of environmental samples, or the results of a survey of building occupants with and without particular building -related conditions. Data interpretation is the process whereby investigators make decisions on (a) the relevance to human exposure of environmental observations and measurements, (b) the strength of associations between exposure and health status, and (c) the probability of current or future risks. These interpretation steps are followed by decisions on what measures can be taken to interrupt exposure and prevent future problems. Remediation of Mold Prevention of mold growth indoors is only possible if the factors that allow it to grow are identified and controlled. When prevention has failed and visible growth has occurred in a home or building, remediation and/or restoration may be required. The extent of the mold growth will determine the scope of the remediation required. The goal of remediation is to remove or clean mold -damaged material using work practices that protect occupants by controlling the dispersion of mold from the work area and protect the workers from exposure to mold. You should consult a professional when contemplating fixing a (arae area of mold growth. Generally, remediation requires (a) removal of porous materials showing extensive microbial growth, (b) physical removal of surface microbial growth on non -porous materials to typical background levels, and (c) reduction of moisture to levels that do not support microbial growth. Identification of the conditions that contributed to microbial proliferation in a home or building is the most important step in remediation. No effective control strategy can be implemented without a clear understanding of the events or building dynamics responsible for microbial growth. Following the completion of the remediation process, mold testing should be performed to obtain clearance. Symptoms of Mold Exposure The most common symptoms of mold exposure are runny nose, eye irritation, cough, congestion, and aggravation of asthma. Individuals with persistent health problems that appear to be related to mold or other types of air quality contaminant exposure should see their physicians for a referral to specialists who are trained in occupational/environmental medicine or related specialties and are knowledgeable about these types of exposures. Decisions about removing individuals from an affected area must be based on the results of such medical evaluation. Mold is naturally present in outdoor environments and we share the same air between the indoor and outdoor, it is impossible to eliminate all mold spores indoors. Ten Things You Should Know About Mold 1) Potential health effects and symptoms associated with mold exposures include allergic reactions, asthma, and other respiratory problems. 2) There is no practical way to completely eliminate mold and mold spores in the indoor environment. The way to control indoor mold growth is to control moisture. 3) If mold is a problem in your home or building, you must clean up the mold and eliminate sources of moisture. 4) To prevent mold growth any source of a water problem or leak must be repaired. 5) Indoor humidity must be reduced (generally below 60%) to reduce the chances of mold growth by: adequately venting bathrooms, dryers, and other moisture -generating sources to the outside; using air conditioners and de -humidifiers; increasing ventilation; and using exhaust fans whenever cooking, dishwashing and cleaning. 6) Clean and dry any damp or wet building materials and fumishings within 24-48 hours to prevent mold growth. 7) Clean mold off of hard surfaces with water and detergent and dry completely. 8) Prevent condensation: reduce the potential for condensation on cold surfaces (e.g., windows, piping, exterior walls, roof, or floors) by adding insulation. 9) In areas where there is a perpetual moisture problem on the floor, do not install carpeting 10) Mold can be found almost anywhere. Mold can grow on wood, paper, carpet, foods; almost anything can support some mold growth provided there is moisture, time to grow and food to eat. Page 8 of 9 References & Resources 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Bioaerosols: Assessment and Control, Janet Macher, Sc.D., M.P.H., Editor. 1999. ACGIH, 1330 Kemper Meadow Drive, Cincinnati, OH 45240-1634. Health Implications of Fungi in Indoor Environments, Edited by R.A. Samson. 1994. Elsevier Science, P.O. Box 945, Madison Square Station, New York, NY 10159-0945. Damp Indoor Spaces and Health, Institute of Medicine of the National Academies, Washington, DC, 2004 Field Guide for the Determination of Biological Contaminants in Environmental Samples, 2nd Edition, Edited by L -L. Hung, et al. AIHA, Fairfax, VA, 2005. Recognition, Evaluation, and Control of Indoor Mold, Edited by B. Prezant, et al. AIHA, Fairfax, VA, 2008. Useful Websites www.acglh.org/resources/links.htm American Conference of Govemmental Industrial Hygienists - information on Indoor Air Quality and useful links www.cal-iaq.org Califomia Indoor Air Quality Program - Califomia Indoor Air Quality resources and useful links www.health.state.ny.us/environmental/indoors/air/mold.htm New York State Department of Health - New York state recommendations for IAQ, indoor mold inspections, remediation, and prevention http://www.nyc.gov/html/doh/html/epi/moldrpt1.shtml Guidelines for Assessment and Remediation of Fungi in Indoor Environments — a good reference for mold clean up and removal orf.od.nih.gov/PoliciesAndGuidelines/ORFPolicies/MoldPrevPolicy.htm National Institutes of Health - information mold prevention and remediation httpi/www.niehs.nih.gov/health/topics/agents/moldMdex.cfm National Institute of Environmental Health Sciences - Information on mold www.epa.gov/mold/ United States Environmental Protection Agency website on mold and moisture www.aaaai.org/nab/index.cfm?p=faq American Academy of Allergy, Asthma, and Immunology — information on mold and allergies and outdoor allergens http://www.aanma.org/?s=mold Allergy & Asthma Network — information for homes about allergies and asthma http://www.homeenergyresourcemn.org Minnesota Department of Commerce Energy Information Center — good information on moisture control In homes http://eetd.lbl.gov/ie/ Govemmental Indoor Environment Department — good information on indoor health, comfort and energy efficiency in buildings httpJ/www.osha.gov/dts/shib/shib101003.html Occupational US Department of Labor (OSHA) - A Brief Guide to Mold in the Workplace Page 9 of 9 AU6292017 JFA ENTERPRISES INC. 9BT4 64TH -WAY -SOUTH. BOYNTON BEACH, FL 33437 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Certificate of Mold Analvsis- Prepared for: JFA ENTERPRISES INC. Phone Number: (561) 306-5211 -Fax Number: Project Name: CITY OF OKE'EC'HOBEE / CITY HALL Test Location: 55 SE 3RD AVENUE OKEECHOBEE, FL 33974 - Chain of Custody #: 1065920 Received. Date::. August.25, 2017 Report Date: August 2&, 2017 Carlos Ochoa, Technical and Quality Control Manager Currently there are no Federal regulations for evaluating potential health effects of fungal contamination and remediation. This information is subjectfo change as more information regarding fungal contaminants becomes available. For more information visit httpl/www.epa.gov/mold or www.nyc.gov/html/doh/htmt/epilmold.shtml. This document was designed to follow currently known industry guidelines for the interpretation of microbial sampling, analysis, and remediation. Since Interpretation of mold analysis reports is a scientific work In progress, it may as such be changed of any time without notice. The client Is solely responsible for the use or Interpretation. PRO-LAB/SSPTM Inc. makes no express or implied warranties as to health of a property from only the samples sent to their laboratory for analysis. The Client Is hereby notified that due to the subjective nature of fungal analysis and the mold growth process, laboratory samples can end do change over time relative to the originally sampled material. PRO-LAB/SSPTM Inc. reserves the right to property dispose of all samples after the testing of such samples are sufficiently completed or after a 7 day period, whichever is greater. AIHA LAP, Lie ACCREDITED LABORATORY lSG1SC1n25.27..5 167,1MkgMTL.Mg. V: LAE: 1C323: For more information please contact PRO -LAB at (954) 384-4446 or email info@prolabinc.com.. Page 1 of 12 Prepared for : JFA ENTERPRISES INC. 1675 North Commerce Parkway, Weston, FL 33326 (954) 3844446 Test Address : CiTY OF OKEECHOBEE / CITY HALL 55 SE 3RD AVENUE OKEECHOBEE, FL 33974 ANALYSIS METHOD Spore trap analysis Score trap analysis Spore trap analysis Spore trap analysis LOCATION LDINE OFFICE BOBBIE OFFICE BUILDING DEPARTMENT CONTROL COC /LINE # 1065920-1 1065920-2 1065920-3 1065920-4 SAMPLE TYPE & VOLUME Z5 - 251 25 - 251 Z5 - 251 Z5 - 251 SERIAL NUMBER 0501642 0501638 0501633 0501645 COLLECTION DATE Aug 24, 2017 Aug 24, 2017 Aug 24, 2017 Aug 24, 2017 ANALYSIS DATE Aug 28, 2017 Aug 28, 2017 Aug 28, 2017 Aug 28.2017 CONCLUSION NOT ELEVATED NOT ELEVATED NOT ELEVATED CONTROL IDENTIFICATION Raw Count Spores per m3 Percent of Total Raw Count Spores per m3 Percent of Total ' Raw Count Spores per m3 Percent of Total Raw Count Spores per m3 Percent of Total Chaetomlum 2 80 40 Cladosporlum 2 80 67 3 120 9 Curvularia - - - - - 1 - 40 33 .2 80 6 'Fusarium 1 40 3 Other Ascospores 4 , 160 12 Other Basidiospores. 1 40 50 2 80 40 2 80 6 PenIcIIIium/Aspergillus 1 40 50 14 560 42 Smuts, myxomycetes 1 40 20 7 280 21 TOTAL SPORES 2 80 100 5 200 100 3 120 100 33 1,320 100 MINIMUM DETECTION LIMIT 1 40 1 40 1 40 _ 1 40 BACKGROUND DEBRIS 1 Heavy Heavy 1 Heavy 1 Light OBSERVATIONS & COMMENTS Non -biological debri present. Non -biological debri present. Non -biological debri present. Background debris qualitatively estimates the amount of particles that are not pollen or spores and directly affects the accuracy of the spore counts. The categories of Light, Moderate, Heavy and Too Heavy for Accurate Count, are used to indicate, the amount of deposited debris. Light (None to. up to 25% obstruction); Medium (26% to up to 75% obstruction); Heavy (76% to up to 90% obstruction); Too Heavy (Greater than 90% obstruction). Increasing amounts of debris will obscure small spores and can prevent spores from impacting onto the slide. The actual number of spores present in the sample is likely higher than reported if the debris estimate is 'Heavy' or 'Too Heavy for Accurate Count'. All calculations are rounded to two significant figures and therefore, the total percentage of spore numbers may not equal 100%. "Minimum Detection Limit: Based on the volume of air sampled,'this is the lowest number of spores that can be detected and Is an estimate of the lowest concentration of spores that can be read in the sample. NA = Not Applicable. Spores that were observed from the samples submitted are listed on this report. If a spore Is not listed on this report It was not observed In the samples submitted. Interpretation Guidelines: A determination is added to the report to help users interpret the mold analysis results. A mold report is only one aspect of an Indoor air quality investigation. The most important aspect of mold growth In a living space is the availability of water. Without a source of water, mold generally will not become a problem In buildings. These determinations are In no way meant to imply any health outcomes or financial decisions based solely on this report. For questions relating to medical conditions you should consult an occupational or environmental health physician or professional. CONTROL is a baseline sample showing what the spore count aad diversity is at Ibe time of sampling. The control sample(s) Is usually collected outside of the structure being tested and used to determine if this sample(s) Is similar In diversity and abundance to the Inside sample(s). ELEVATED means that the amount and/or diversity of spores, as compared to the control sample(s), and other samples in our database, are higher than expected. This cart indicate that fungi have grown because of a water leak or water intrusion. Fungi that are considered to be indicators of water damage Include, but are not limited to: Chaetomium, Fusarium, Memnonlelfa, Stachybotrys, Scopufariopsls, Utoc/adlum. NOT ELEVATED means that the amount and/or the diversity of spores, as compared to the control sample and other samples in our database, are lower than expected and may indicate no problematic fungal growth. UNUSUAL means that the presence of current or former growth was observed In the analyzed sample. An abundance of spores are present, and/or growth structures including hyphae and/or fruiting bodies are present and associated -with one or more of the types of mofd/fungi identified In the analyzed sample. NORMAL means that no presence of current or former growth was observed In the analyzed sample. If spores are recorded they are normally what Is In the air and have settled on the surface(s) tested. Page 2'of"12 Smuts, myxomycetes Penicillium/Aspergillus Other Basidiospores Other Ascospores Fusarium 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Chain of Custody # 1065920 Ldine Office Control - 280 40 Curvularia I Cladosporium 1 Spores per cubic meter 0 100 160 560 1000 Page 3 of 142 Smuts, myzomycetes Penicillium/Aspergillus Cther Basidiospores Cther Ascospores 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Chain of -Custody # • 1065920 Bobbie Office Control 1 280 \;•.;,;;?,>,,;. 40 Fusarium Curvularia Oadosporium Chaetomium 40 80' 1 • 0 Spores per cubic meter 10 100 160 • 120 560 1000 Page 4 of 12 Smuts, myxomycetes PenicilliumlAspergiilus Cther Basidiospores 167S North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Chain of Custody # 1065920 r.....,;...,r.., Building Department =7 Control 1 280 80' Other Ascospores Fusarium I Curvularia Cladosporium 44 Spores per cubic meter o 100 160 560 Page 5 of 12 PRO -LAS` r 1675 North Commorco Parkway, Woston, FL 33325 (954) 334-4445 Identification Outdoor Habitat Indoor Habitat Possible Allergic Potential , Not an opinion or interpretation Comments Chaetnmium Growing on sung, dead ieavea, wood. Cellulose substrates, especially wallboard, cardboard and wood. Not normally seen growing indoors -unless the building material has been wetted. Unusual / Not Normal to be growing indoors. Type i (nay fever ono asthma) allergies. Chaetomium is a water -indicating mold. Spores of this type of mold should not be - observed in significantly higher numbers in the air above background/control. If growth and/or significantly higher than backgroud/control spore numbers are reported, corrective, action should be considered to reduce the source of .water; moisture -levels andlor spore -numbers - In the living space. Cladosporlum The most common spore type reported in the air worldwide. Found on dead and dying plant litter, and soil. Commonly found on wood and wallboard. Commonly grows on window sills, textiles and foods. Type I (hay fever and asthma), Type III (hypersensitivity pneumonitis) allergies. A very common and important allergen source both outdoors and Indoors. Curvularia Commonly found everywhere on soil and plant debris. Capable of growing on many cellulytic substrates like wallboard and wood. Type I (hay fever and asthma) and common cause of allergenic sinusitis. Fusarium Common on diseased crops and fruits, also grows in the soil. Occasionally seen on wallboard and other substrates. Not commonly seen growing indoors, but when seen usually Indicates a potential water problem. Type I (hay fever and asthma) allergies. Spores spread when they dry out or spread by insects or water splash (e.g., rain). Ascospores Common everywhere. Constitutes a large part of the airspora outside. Can reach very high numbers In the air outside during the spring and summer. Can increase In numbers during and after rainfalls. Very few of this group grow Inside. The notable exception Is Chaetomium, Ascotricha and Peziza. Little known for most of this group of fungi. Dependent on the type (see Chaetomium and Ascotricha). Basidlospores Commonly found everywhere, • especially in the late summer and fall. These spores are from Mushrooms. Mushrooms are not normally found growing indoors, but can • grow on wet lumber, especially in crawlspaces. Sometimes mushrooms can bo seen growing intoner pots-lndoors: 1 Some allergenicity reported. Type 1 (hay fever, asthma) and Type III (hypersensitivity pneumonitis). Among the group of Mushrooms (Basidiomycetes) are dry rot rungi Serpula and Poria that are particularly destructive to buildings. Penicillium/Aspergillus Common everywhere. Normally found in the air in small amounts in outdoor air. Grows on nearly everything. Wetted wallboard, wood, food, leather, etc. Able to grow on many substrates Indoors. Type I (hay fever and asthma) allergies and Type III (hypersensitivity pneumonitis) allergies. This is a combination group of Penicillium end Aspergillus and is used when only the spores are seen. The spores are so similar that they cannot be reliably separated into their respective genera_ Smuts, myxomycetes Commonly found everywhere, , espclally on logs, grasses and weeds. Smuts don't normally grow indoors, but can occasionally be found ort things brought from, outside and stored in the house. ' Myxomycetes can occasionally grow Indoors, but need lots of water to be established. . Type I (hay fever and asthma) allergies. Smuts and myxomycetes are a combined group of organisms because their spores took so similar and cannot be reliably distinguished from each other. Page 6 -of 1T 1675 Horth Commerce Parkway, Weston, FL 3332G (954) 3E4-4446 Page Tof 12- Prepared for : JFA ENTERPRISES INC. 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Test .Address :'CITY°OF°OKEECHQBEE./ C1TY'HALL 55 SE 3RD AVENUE OKEtuHOBEE FL 33974 Indoor Air Quality Testing introduction The fungi area large group of :organisms that include mold. In nature, the fungi and mold help breakdown and recycle nutrients in the environment: Mold are themost common type bf fungi that.grow indoors_.Mold.are microscopic organisms that live on plants, in the soil, and on animals, in fact almost anywhere tood and moisture are available. Mold is everywhere present`in-the-outdoorand-normal indoor environments. 1t-is-in-the-air-andon-surfaces-as-settteddust: Exposutormold-is- inevitable in everyday life. Thus, exposure to mold is considered part of a normal activity for most people. Only environments for which extraordinary preparations have been taken don't have mold present in the air or on surfaces. Understanding Mold Under the right conditions (moisture, a food some; andtime-), mold will, grog, multiply, andproduce spores_ Mold grows throughout nature as well as the built environment. Mold reproduces by microscopic.cells called ."spores"that . can be spread easily throughthe air. Mold spores are always present in the indoor and outdoor air.. There are mold that can grow. on any organic substrate including wood, paper, carpet, food, ceiling tiles, dried fish, carpet, or any surface where dust has accumulated: When excessive moisture or wateraccumulates indoors, mold -growth will often occur, particularly if the - moisture problem remains undiscovered or un -addressed. There is no practical way to eliminate all mold spores in the indoor environment. The way to control indoor mold growth is to control the amount of moisture available to the mold. Mold growth can become a problem'in your home or office where there is sufficient moisture and the right foodstuff is available. The key to preventing mold growth is to prevent all moisture,problems. Of course, hidden mold can grow when there is water available behind walls, sinks[floors, etc. Indications of hidden moisture problems are discoloration of ceiling or walls, warped floors or condensation on the windows or walls. Controlling The most critical step in solving a mold problem is to accurately identify and fix the source(s) of moisture that allowed the growth to occur. In order to prevent mold from growing, it is important that water damaged areas be dried within a 24-48 hour period. If a small amount of mold is present in the home, the mold can be cleaned up with a mild detergent and the excess water or moisture removed. It is not necessary to try and kill the mold or its spores. You can carefully remove the moldy materials if necessary. There are many common sources of excess moisture that can contribute to indoor mold growth. Some of the primary means of moisture entry Into homesand buildings are water I'eakage (such, as roof or plumbing teaks), vapor migration, capillary movement, air. infiltration, humidifier use, and inadequate venting of kitchen and bath humidity. The key to controlling moisture is to generallyreduce indoor humidity within 35% - 60% (depending what climate you live in) and fix all teaks whatever their cause. Mold-G-rowth Sources If the source of moisture is not easily detected or you have a hidden water leak, mold testing can be helpful. Often a roof leak or a plumbing leak can be identified as the source. The difficulty arises when there is an odor present or when an occupant shows signs of mold exposure but no visible mold can be seen. Excess water intrusion can also lead to dry rot of lumber and cause a serious structural defect in buildings. Health Related Risks Based on the Institute of•tvledicine and the National Academy of Sciences, dampness and mold in homes is associated with increases in several adverse health effects including cough, upper respiratory symptoms, wheeze, and exacerbation of -asthma: Maid -and -fungi -contain -many known -allergens -and- taxins-that-can-adverseiy -affect-your health-. Scientifrc- evidence suggests that the disease of asthma may be more prevalent in damp affected buildings. Dampness and mold in homes, office buildings and schools represent a public health problem. The Institute of Medicine concluded, "When microbial contamination is found, it should be eliminated by means that not only limit the possibility of recurrence but also limit exposure of occupants and persons conducting the remediation". Page 8 of 12 .. 1675 North Commerce Parkway, Weston, FL 33326 (954) 384-4446 Mold; Sampling .Methods,:. The•goal of sampling is to learn about the levels of mold,growth and amplification in buildings. There are no EPA or OSHA standards for:levels of fungi and' mold in indoor environments. There are also no standard collection methods.'However, several generally accepted collection methods are available to inspectors to study mold (and bacteria) in indoor environments, Comparison .with reference samples can be .a .useful approach , Reference samples are .usually -taken outdoors and sometimes samples can be taken from "non -complaint" areas. In general, indoor fungal concentrations should be similar to or lower than outdoor levels. High levels of mold only found inside buildings often suggest indoor amplification of the fungi. Furthermore, the detection of water -indicating fungi, even at low levels, may require further evaluation. There are several types of testing methods that can detect the presence of mold. They can be used to find mold spores that are suspended in air, in settled dust, or mold growing on surfaces of building materials and furnishings. There are -different method's that can fdentify.types of live mold and' dead mold in.a.sampled environment: Mold spores can be allergenic antitoxic evenwhen dead. All sampled material obtained in the laboratory is analyzed using modem microscopic methods, standard and innovative mycological techniques, analyzed atbbi0 — 1;00trtirnes magnification. Testing for mold with an accredited laboratory is the best way to determine if you have mold and what type of mold it is. Surface;Sampling :Methods Surface sampling can be useful for differentiating between •mold•growth•andstains•of.various•kinds. This type of sampling is used to identify the type of mold growth that may be present and help investigate water intrusion. Surface sampling can help -the -interpretation -of -building inspections -when -u sEttcorre-ctty:Thai oilowing-are-the- different -types -of suiiaVa. samples - that are commonly used to perform a direct examination of a specific location. Spore counts per area are not normally useful. Tape (or tape -lift) These .samples are collected using clear adhesive tape or adhesive slide for microscopic examination of suspect stains„ settled dust and spores. Tape lifts are an excellent, non-destructive method ofsampling. The laboratory is usually able to determine if the there, is .curre nt, of former mold growth. or if only normally settled. spores, were: sampled. Bulk - This is a destructive test of materials (e.g., settled dust, sections of wallboard, pieces of duct lining, carpet segments, return -air filters, etc.) to determine if they contain or show mold growth. Bulk sampling collects a portion of material small enough to be transported conveniently and handled easily in the laboratory while still representing the material being sampled. A representative sample is taken from the bulk sample and can be cultured for species identification or analyzed using direct microscopy for genus identification. The laboratory is usually able to determine if the there is current of former mold growth or if only normally settled spores were sampled. Swab A sterile cotton .or.synthetic.fiber-tipped.swab.is.used.to_test .an .area _of .suspected.mold.growth..Samples.obtained.using _ this method can be cultured for species identification or analyzed using direct microscopy for genus identification. The laboratory is usually able to determine if there is current of former mold growth or if only normally settled spores were sampled. Identified spores are generally reported as "present/absent". Carpet (filter -type) Cassette A carpet cassette is used with.a portable air pump (flow. rate usually doesn't matter) to collect mold,.pollen and other particulates. Samplesobtained using this method can be cultured for species identification or analyzed using direct microscopy for genus identification. This method is usually used to determine a presence or absence of water -indicating mold in a carpet. The laboratory is usually able to determine if the there is current of former mold growth or if only normally settled spores were sampled. Page 9 of 12 1675 North Commerce Parkway, Weston, FL 33326 (954) 3$4-4446 .Air -Sampling Methods Air samples are possibly the most common type of environmental sample that investigators collect.to study bioaerosols. (mold; pollen,, particulates)..,The-physics of removing particles from the air and the.general principles of good sample collection apply to all airborne materials, whether biological or other origin. Therefore, many of the basic principles investigators use to identify and"quantify other airborne particulate matter can be adapted to bioaerosol sampling. Common to all aerosol samplers is consideration of collection efficiency. The following are the two most common forms of air sampling methods. "Non:Viable Methods" (The Laboratory results are reported in "spores per cubic meter (sp/m3) Z5 Cassette The Z5 spore trap is used with a portable air pump (5 liters/minute for 1 to 5 minutes) to rapidiy coilect airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a small slit at the top of the cassette and spores are trapped on a sticky surface on a small glass slide inside the cassette. They are efficient at collecting spores as small as 1 pm. Micro5 Cassette The Micro5 Microcell spore trap cassette is used with a portable air pump (5 liters/minute for 1 to 5 minutes) to collect airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a smafl•circular,hole at the top of the cassette and spores are trapped on a sticky coated glass slide inside the cassette. They are efficient at collecting spores as small 'as (Yap m. Air -O -Cell Cassette The Air -O -Cell spore trap cassette is used with a portable air.pump (15 liters/minute for 1 to 10 minutes) to collect airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a small opening at the top of the cassette:and .spores.are trapped •on•a sticky•coated glass siide•inside the cassette. These cassettesare efficient •at .collecting apores :as .small as .2.6µm. Allergenco-D Cassette The Altergenco-D"spore trap cassette is used With a portable air pump (15-liters/Minute for 1 -to 10'minutes) to collect" airborne aerosols including mold, pollen and other airborne particulates. Air is drawn through a small opening at the top of the cassette and spores are trapped ona sticky coated glass slide inside the cassette. These cassettes are efficient at collecting spores as small as 1.7pm. "Viable Methods" (The Laboratory results are reported in "colony forming units per cubic meter (CFU/m3) Agar Impaction Plates The agar Impaction plates are used with a portable air pump (28.3 liters/minute for 1 to 3 minutes) to collect airborne mold. This is called "viable sampling" because it only grows what is alive at the time of testing. Air is drawn through a 200-400 holes at the top of the impactor and spores are trapped in the agar media. The agar plate should be shipped to the laboratory immediately or kept cool until it can be shipped. These cassettes are 90% efficient at collecting spores as small •as'0.7pm. Theiaboratory.results,are:reported•in "oolonyforming units peroubic meter(CPU/m3)". Frage 10bf•12' 1675 North Commerce Paricwayr, Weston, FL 33325 (954) 384-4446 Data Interpretation Information (data) on mold in buildings can consist of the simple observation of fungal growth on a wall, analytical measurements from hundreds of environmental samples, or the results of a survey of building occupants with and without particular building -related conditions. Data interpretation is the process -whereby investigators. make. dacisions.on'(a)the relevance to human exposure of environmental observations and measurements, (b) the strength of associations between exposure and health status, and (c) the probability of current or future risks. These interpretation steps are followed by decisions on what measures can be taken to interrupt exposure and prevent future problems. Remediation of Mold Prevention of mold growth indoors is only possible if the factors that allow it to grow are identified and controlled. When prevention has'failed and visible growth• has occurred' in a home or building;. remediation andtorrestoration• may; be required -The extent of the mold.growth,will determine the..scope ofthe. remediation required.. The goal. of re.rnediation, is•.to remove or clean mold -damaged material using work practices that protect occupants.by controlling the dispersion of mold from the work area and profect the workers from exposure to mold. You should consult a professional when contemplating fixing a large area -of *mold -growth. Generally, remediation requires- (a) -removal of porous. materials showing extensive microbial growth, (b) physical removal of surface microbial growth on non -porous materials to typical background levels, and (c) reduction of moisture to levels that do not support microbial growth. Identification of the conditions that contributed to microbial proliferation in a home.or building is the most important step in remediation. No effective control strategy can be implemented without a clear understanding of the events or building dynamics responsible for microbial growth. Following the completion of the remediation process, mold testing should be/performed to Obtain clearance. Symptoms of Mold Exposure ' The -most -common. symptoms of.mold _exposure . are.runny_nose, eye .irritation, cough, congestion, and -aggravation. of. asthma. Individuals with persistent health problems that appear to be related to mold or other types of air quality contaminant exposure should see their physicians for a referral to specialists who are trained in occupational/environmental medicine or related specialties and are knowledgeable about these types of'exposures. Decisions about removing individuals from an affected area must be based on the results of such medical evaluation. Mold is naturally present in outdoor environments and we share the same air between the indoor and outdoor, it is impossible to eliminate all mold spores indoors. Ten Things You Should Know About Mold 1) P-otential'health effects and rsymptbms associated 'with mold 'exposures include altergib reactions, asthma, and "other respiratory problems. 2) 'There is no practical way to completely eliminate mold .and mold spores in the indoor environment.'The way to control indoor mold growth is to control moisture. 3) .;ff/rnold is a problem 4nyour.borme orb Tiding, you most clean up the mold and .sti•niinate.souroes of moisture. 4) To prevent mold growth any source of a .water: problem orleakmust be repaired. 5) Indoor humidity must be reduced (generally below'60%) to reduce the chances of mold growth by: adequately venting bathrooms, dryers, and'otiier moisture -generating sources to the outside; using air conditioners and de -humidifiers; increasing ventilation; and using exhaust fans whenever cooking, dishwashing and cleaning. 6) Clean and dry any damp or wet building materials and furnishings within 24-48 hours to prevent mold growth. 7) Clean mold off of hard surfaces with water and detergent and dry completely. 8) Prevent condensation: reduce the potential for condensation on cold surfaces (e.g., windows, piping, exterior walls, roof, or floors) by adding insulation - 9) In areas where there is a perpetual moisture problem on the floor, do not install carpeting 10)• Mold "can be found'alrnost'anywhere. Mold 'can grow on wood; paper, carpet; foods; almost anything can support some mold growth provided there is moisture, time to grow and food to eat. Page 11 of 12 1675 North Commerce Parkway, Weston, FL 33326 (954) 384=4446 . References.&.Resources Bioaerosols:'Assessment and 'Control, Janet Macher,'Sc:D., M.P.H.; Editor. 1999. ACGIH, 1330 Kemper Meadow Drive, 'Cincinnati,'OH 45240-1634. Health Implications of Fungi in Indoor Environments, Edited by R.A, Samson. 1994. Elsevier Science,P.O. Box 945, Madison Square Station," New -York, NY 10159.0945. Damp Indoor $paces and Health, Institute of Medicine of the National Academies, Washington, DC, 2004 Field Guide for the Determination of"Biological Contaminants in EnvironmentaLSamples,.2nd :Edition, Edited by L-1....Hung, et al.. AIHA, Fairfax, VA, 2005. Recognition, Evaluation, "and Control of Indoor Mold, Edited by B., Prezant,:et al. 'AIHA,Fairfax; THIS CARD MUST BE POSTED AND VISIBLE FROM THE CLOSEST STREET UNTIL CERTIFICATE OF OCCUPANCY OR COMPLETION IS ISSUED. FOR INSPECTION CALL 863-763- 9821 BY 4:00 P.M., 24 HOURS NOTICE REQUIRED. NO INSPECTIONS SCHEDULED ON FRIDAY. Note: Failure to call for final inspection could result in code violation. NOTICE: This permit expires in 180 days if work has not commenced or it has been over 180 days since the last approved inspection. PS CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 Tel: 863-763-9821 Fax: 863-763-1686 website: wwvv.citvofokeecItobee.coin --- PERMIT # 17—c 8 — Z3,5 •9f °'�F = �! ��' M °gym `o < h ,y $ �' .� _s .x. "f-ti't ; i� ..!.."„1'.0' —� DATE ISSUED' b' Underfloor Plumb Revised 3/20/17 jd THIS CARD MUST BE POSTED AND VISIBLE FROM THE CLOSEST STREET UNTIL CERTIFICATE OF OCCUPANCY OR COMPLETION IS ISSUED. FOR INSPECTION CALL 863-763- 9821 BY 4:00 P.M., 24 HOURS NOTICE REQUIRED. NO INSPECTIONS SCHEDULED ON FRIDAY. Note: Failure to call for final inspection could result in code violation. NOTICE: This permit expires in 180 days if work has not commenced or it has been over 180 days since the last approved inspection. PS BUILDING ISSUED TO: �7Rr-oS Qt_5 16. 0,3 MECHANICAL SITE ADDRESS: 5-5' .$ k= ;t A4361_ Underfloor Plumb PLUMBING DESCRIPTION: El ELECTRIC [►-TT Rehvc t L, / Demo Lill b TYPE INIT & DATE TYPE INIT & DATE TYPE INIT & DATE T -pole Trusses Sewer Tap Underfloor Plumb 4,..Framing �� O I or GIS '$'Z� 4'µl Pool Pressure Underfloor Elec Wall AsseI'J Pool Steel/grounding Pilings b 4.04 Above Ceiling'iv S$•ZCI C1'1`\ Pool Bond Grade Beam012 Rough Electric t� 1 Cy 5. t (,,i2 Deck Steel Monolithic slab Rough Gas ,, Final Pool Slab/Pre-pour tE. Rough HVAC 4' e tet .20k Fire Wall Screw Footing 2nd Rough Plume In -Progress Footing Ground Roof Dry In' Form Board Survey Tie Beam Insulation (At) , Icj DI`s Driveway Lintel final Electric r'-=��'1,;� ,.y . Li Elevation Certificate Rake Beam Final Gas `J Otherto: 'r Wall Sheeting , „EinaLHVAC" it to .c1.1.1 Other u & ' Roof Sheathing` Final Plumbing V Other t' v Elec. Svc/Pwr Release inal,BuildingCQ,JJ 1 p rt.17 Otherl.3{. (.4jIQ' /,f s a.'l6\ COMMENTS: Q (Ai - 4O 0'4 i `Photos & Affidavit accepitd in lieur°' es inspections & must be included with Permit Card on site. **Photos of On/Off Switch @ air handler & Breaker Panel labeled property accepted to final HVAC. F.S. 713.135 FAILURE 0 RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE OTICE OF COM ENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTIO ISSUED BY: 15' to '17 Run: 10/16/17 2:14PM Page: 1 City of Okeechobee Inspection History for Permit 17-08-235 Permit: 17-08-235 Type: COMMERCIAL REMODEL Work: COMMERCIAL REMODEL Cost: 76,740.00 Description: Renovations to CH General Svcs, Clerk's Ofc Bid PW 05-00-04-17 Fees: 0.00 Location:55 SE 3rd Avenue Subdiv: CITY OF OKEECHOBE Owner: City of Okeechobee Applied: 8/10/2017 By: Green Design Issued: 8/10/2017 By: JD Expires: 2/06/2018 Completed: 10/16/2017 Contractor: GREENDE:Green Design Construction & Development 4459 SE Kubin Ave Inspections: Type Inspected By Status FINAL BUILDING 10/16/17 JEFF NEWELL Accepted Number of inspections printed: 1 Patty Burnette From: Sweat Trucking paving inc <sweat@embarqmail.com> Sent: Friday, April 28, 2017 1:53 PM To: Patty Burnette Subject: Re: Okeechobee City Hall General Services Office Remodeling Bid Attachments: image002.png Patty, Please accept this email as our formal statement of no bid for the above referenced project. Unfortunately our schedule does not allow time for bidding during the allotted time frame. Please keep us on the bidders list and feel free to contact us with any future construction needs. Thank you in advance for your time and the opportunity. Krystle Throop Sweat's Trucking & Paving, Inc. P.O. box 1908 Okeechobee, FL 34973 (863)357-3000 From: "Patty Burnette" <pburnette@cityofokeechobee.com> To: mike@bevisconstructioninc.com, reception@millerconstructionmanagement.com, kbuilders2@yahoo.com, neallong@contractor.net, marty@marmerconstruction.com, mark@markbrandel.com, dbowman2@pbsnational.com, mamorgan@westconstructioninc.net, penrodconstruction@gmail.com, sweat@ embargmail.com, rmossel@ymail.com, kstl @comcast.net, "G.M. Worley, Inc." <gmworleyinc@gmail.com>, starrman49@yahoo.com, ssines@sinemarkconstruction.com, brent@onecallprop.com Sent: Friday, April 28, 2017 8:21:47 AM Subject: Okeechobee City Hall General Services Office Remodeling Bid Please see the attached invitation to Bid for the City of Okeechobee's upcoming City Hall General Services Office Remodeling. Please contact the appropriate person listed in the notice for any questions or further information. Thank you, Patty 1 Pa fy M. 6u.Yctie e, Genera( Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, TL 34974 T 863-763-3372 Direct: 863-763-9820 Tax: 863-763-1686 e-mail: yburnette@cityofoIeecIiobee.com website: www.cityofoieechobee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. .r Patty Burnette From: Patty Burnette Sent: Friday, May 05, 2017 8:40 AM To: Roy Baya (roy.baya@cmdgroup.com) Subject: Bid Docs for PW 05-00-04-17 Attachments: PW 05-00-05-17 Okeechobee City Hall General Services Remodel.pdf; —COVER.pdf; -ABB.pdf; A-1.pdf; A-2.pdf; Receipt.pdf Roy, Attached are the Bid Documents and plans for the City Hall General Services Office Remodeling project as requested. Thank you, Patty Pa- f y M. 6wYtn.eeffv GenerafServices Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, TL 34974 ger 863-763-3372 Direct: 863-763-982o 'Fax: 863-763-1686 e-mail yIurnette@cityofokeechotee.com website: www.cityofokeec!io6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. 1 CITY OF OKEECHOBEE, FLORIDA 55 S.E. 3rd Avenue, Okeechobee, FL 34974 N2 44,794 (863) 763-3372 a,15 20 17 RECEIVED from Oonshial-i6n Mal-bt kip., 011) p Lrtit i -2(t v -e Cl o aeurs arid a hoc, Dollars UWAYA PL0 05_ DEQ- N-11 100 Pi-, 6 $ mil- I (1035 CLERK Print Request Form Page 1 of 2 Document Purchase/Deposit Request Form v 3.0 ** REQUEST INFORMATION ** Request Date: 5/1/2017 6:39:07 AM Project ID: 3832602 Project Name: Okeechobee City Hall General Services Office Remodeling Requestor Name: Baya, Roy Phone: GEmail: roy.baya@cmdgroup.com Property/Region: Southeast Comments: Attention to: City of Okeechobee Phone Number: 8637633372 Please include listed information below: FedEx account number: 303142916 Company Name: Construct Connect Company Address: Document Processing Center 30 Technology Parkway South Suite 100 Norcross GA 30092 CMD TAX ID# 58-2263922 / ** SHIPPER INSTRUCTIONS ** Report ID: 3832602 Report Title: Okeechobee City Hall General Services Office Remodeling ' Bid Date: 5/16/2017 IFB Number: ** SHIP DOCUMENTS TO ** CMD 30 Technology Parkway South, Ste 100 Norcross, GA 30092 Attn: DOCUMENT PROCESSING Phone# 800-364-2059 Addenda Fax# 866-570-8187 Ship Via: FedEx Standard Overnight Ship Accounttt: 303142916 Please add the following number in the Reference Field within the Air Bill when Shipping: Internal Use Only!!! ** PAYEE INFORMATION (Document Fee) Payee Name: City of Okeechobee Document Fee: $25.00 Is Refundable: YES $ Refundable: Payment Method: Corporate Check Remit Method: Overnight Address Line 1: 55 SE 3rd Ave Address Line 2: City: Okeechobee State: FL Zip: 34974 ** PAYEE INFORMATION (Mail Fee) ** Payee Name: Mail Fee: Separate Check Requested: Address Line 1: Address Line 2: City: State: Zip: Send b e. Yncu .l n n I !yr R oq �( nP ho httn://crimsonc1 eckrequests/Request/PrintForm?purchaseDepositRequestFormID=178883 5/2/2017 https://www.fedex.com/shipping/html/en/PrintlFrame.html AA, ORIGIN ID:LIYA (770) 209-3677 JEANNIE ZANDERS CONSTRUCTION MARKET DATA 30 TECHNOLOGY PARKWAY SUITE 100 UNIITTED STATES 30092 S 92 SHIP DATE: 02MAY17 ACTWGT: 0.50 LB CAD: 107045086ANET3850 BILL SENDER To CITY OF OKEECHOBEE CITY OF OKEECHOBEE 55 SE 3RD AVE OKEECHOBEE FL 34974 (863) 763-3372 REF: 3832602 IM/: P0' 502011 DEPT 56-X520) III I II'll 1111111111111 111 1111 III! 1111111111 III i 546J1/873453C1 gallaTaing Fecirm. Express E .1171117021401ur 00 7790 3794 8948 SH FPRA i THU - 04 MAY 4:30P ** 2DAY ** i 34974 FL -US PBI i 111 X N LX N -o 0020 Nw. a ti Z' _ a) c U OE. N _,0• 915 77 , n. E E w _7 co 0 • o?> O E 8 • m a) a) a) a) •X ._ a 0 a-9 E. 7 0 2 CO N - _ O O> N N 0) -o N c U (0 N > N C O 0 7 d a) a7 T V= c U O N U 0_ (9 m y C CD E .0 N CO V E O C U N .Op_ @ U _ O 0 O. 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N' 'O y _0 L >. _ tp C C N O N C N E: c 7 a) m l— ._.. -E 2 c O c 0 o N N (0 ' - C 0 a O. 0 top :p 0 d U V a) Z. ro �tcl) w 0 m e s-..0 Eco E 0 ' .0.0 C • co E. ..- -6o- a).0 O N O (0 C w O = LL. a ca N y C N a O N •E @' a Qc�iri En 3 E.2 o= ax) u 5/2/2017 9:09 AM 0 Patty Burnette From: Patty Burnette Sent: Friday, May 05, 2017 8:44 AM To: 'Joey Pinell' Subject: RE: City Hall General Services Office Remodeling PW 05-00-04-17 Good Morning Joey. You would need to refer these questions to David Allen at dallen a(cityofokeechobee.com Thank you, Patty Pa fy M. 6t,wvte.Hv General Services Coordinator City of OIeecho6ee 55 Southeast 3rd Avenue Okeechobee, TL 34974 Teh 863-763-3372 Direct: 863-763-982o Fax: 863-763-1686 e-mail y6urnette@cityofoheecho6ee.com website: www.cityofokeechobee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. From: Joey Pinell[mailto:Ipinellkamail.thebluebook.com] Sent: Thursday, May 04, 2017 2:52 PM To: Patty Burnette Subject: City Hall General Services Office Remodeling PW 05-00-04-17 Patty, Is a cost estimate/construction budget available for the Office Remodeling project? Do you know if it will be over $100,000? 1 Thank you, Ms. Joey Pinell Construction Update Reporter 214-888-2778 phone 940-243-0306 fax FBLUE BOOK NETR WOK' Anfrr oyrr•Ormedtnhrprtse V.inc.L wwwxhefAirto Lcom 2 Patty Burnette Q filer prfbrrronLC_ CUJ.q r6 ;6) 4. b1{ COLtnOc( 0 @Drfraof From: Patty Burnette Sent: Tuesday, May 30, 2017 1:42 PM To: shaun@gdcflorida.com Subject: FW: Bid PW 05-00-04-17 Hi Shaun. This is the correct information that is needed. I apologize for any confusion. This will get us to the point of just then probably needing the Performance and Payment Bond and contract after the City Council awards. I will let you know though when we get to that point. Thank you again and should you have any questions, just let me know. • A certified copy of the insurance policies with the declarations pages for the General Liability and Commercial Auto Insurance. The insurance agent can use a stamp and state that it is a true and original copy and then sign and date it or they can write something to that fact on their letterhead and listing the policy numbers, signing and dating it. The City of Okeechobee also needs to be listed as additional insured as well as be for the limits specified per Section VI of the bid packet, pages 11 and 12. We will need a copy of the endorsements to the policies for the additional insured portion as well. • A certified copy of the insurance policy with the declarations page for the Workers Compensation Insurance. The insurance agent can use a stamp and state that it is a true and original copy and then sign and date it or they can write something to that fact on their letterhead and listing the policy numbers, signing and dating it. The certificate needs to be for the limits specified per Section VI of the bid packet, pages 11 and 12. • W-9. • Copy of County of Okeechobee Business Tax Receipt. • Copy of City of Okeechobee Business Tax Receipt. • Summary of the financial statement per question #10 of the Bidder's Questionnaire Section V of the bid packet, pages 7-9. Patty Burnette From: Patty Burnette Sent: Thursday, August 03, 2017 12:16 PM To: shaun@gdcflorida.com Subject: Performance Bond for Remodel at City Hall PW 05-00-04-17 Importance: High Hi Shaun. The City Council approved the change order proposal August 1, 2017 in the amount of $26,565.00 along with the additional 21 requested days to be added to the original construction services contract to completed the work. I am pending the City Clerk's signature on the paperwork (she will be returning from vacation on Monday) and then I will provide you with a copy. The current Performance Bond that we have is in the amount of the original bid of $50,175.00 and will need to be increased to reflect the change order as well as probably needing to have a new NOC and be recorded. Also as a reminder, the Building Official wanted me to mention that we are still pending the permit paperwork. Should you have any questions just let me know. Thank you, Patty Patty M. 13cwiA.ete General Services Coordinator City of OI eecfio6ee 55 Southeast 3rd Avenue Okeechobee, EL 34974 Teh 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail y6urnette@cityofokeecho6ee.com website: www.cityofokeecho6ee.com 1 NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. GOlten i sdLw 1(3*''- Patty Burnette From: Sent: To: Cc: Subject: /$►k SD 1 /9514m l o%cv or (11 i John Creswell <john@gdcflorida.com> Ja4 of 1 I 140r7- Toy ned w4K Wednesday, October 11, 2017 9:42 AM be,hP P .6piLe cc-r(e4- PattyBurnette -{ Q_.� C' ry b 1 '-cirri �" David Allen; Jake Alsdorf; shaun kogut 1 Re: Remodel punch list for 10-9-17 walkthrough c //3 kill's f ✓l LareS ) O ICe -- r lPI�O74-k Patty, we will take care of these issues. Thank you, John 'I{erniost - On Wed, Oct 11, 2017 at 8:57 AM, Patty Burnette <pburnette@cityofokeechobee.com> wrote: ' Qbo j+ D do have a couple of things that we discovered yesterday as we moved back into the space. ICH Good Morning John. The door handle that is on the Building Official's door is a keyed lock and doesn't need to be. teal jeresd �o\ • he door handle that is on the Clerk's Door is not a keyed lock and needs to be. Can we please have these switched???? prclkreA cu one - W• On the Clerk's double doors that go into her area, the key lock needs,to be switched to lock from the other side. I can show Jake what I mean if I am not explaining it enough. Also, the striker plate wasn't changed. W i ( l gA,,) itch ark. In S4U 1 c,�l- r -1<e.( \\`\,`/e• Also, there are no door stops behind these double doors? -` I n s-I-a.,l i dob1- sfO PS g\X These doors need to have touch up on the paint as well. �`� • One more thing on these doors and I don't know if it is possible, but one of these doors used to lock -- into the floor. CIA" ara See. (,Jia -f- he cam d,t, J • On the bathroom door we are missing the little key or whatever the tool is called that would open the door should it lock from the inside and no one be in there. loo K r'n u CL 4- la -4- . _ - blade Screc_odri'vP�-I-oo' Wil( 'e�►� r.;.1 ;) \i • Door handle to the other little area in the Clerk's Department was supposed to be a keyed lock as ,'Lic,''' � � 11 ‘,/,' ���►� � well. pYd d. 0. ncuO OIL, r,:', /oil / • In some areas the carpet doesn't appear to be glued down all the way. Again I can show Jake: l 4 -1-11-00,-1:(71-1 :, :I ;' -- n01 , LI ` ► (f, , { _ . I think I have it all. Should you have any questions, please just let me know. 1 Thank you, Patty Pafty M. 6i1*, general Coordinator City of Oteecho6ee 55 Southeast 3rd Avenue Okeechobee, AFL 34974 Tek 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail yburnette@cityolokeecho6ee.com -website: www.cityofokeecho6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. From: John Creswell [mailto:john@ gdcflorida.com] Sent: Tuesday, October 10, 2017 5:58 PM To: David Allen; Patty Burnette; Jake Alsdorf Cc: shaun kogut Subject: Remodel punch list for 10-9-17 walkthrough 2 Mr. Allen, Attached is the punchlist from yesterdays' walk through for your use. R, John Creswell Please consider the environment before printing this email. 1I Please consider the environment before printing this email. W� nrO f1( fl ARCHITECTS I ENGINEERS I CONTRACTORS I VISUALIZATION 502 NW 2nd Street, Okeechobee, FL 34972 - 4247 SW High Meadows Ave, Palm City, FL 34990 13701 North Kendall Drive, Miami, FL 33186 - P: (863) 467-1111 F: (863) 824-3390 www.gdcflorida.com City of Okeechobee c/o: Mr. David Allen — Public Works Director 55 SE 3rd Ave, Okeechobee, Florida 34974 Re: General Services Office Remodel PW -05-00-04-17 55 SE 3'd Ave Okeechobee, Florida 34974 Dear Mr. Allen, 10/10/2017 Green Design Construction and Development (herein referred to as GDCD) performed a coordinated progress inspection with the staff of the City of Okeechobee on October 9th, 2017 for purposes of establishing a punch list for the subject renovation. In attendance were David Allen, Patty Burnette, Jake Alsdorf and John Creswell. Below is the list of items identified to be corrected based on this inspection. a. Touch-up paint adjacent to 1 x 4 light fixtures b. Touch-up paint on knee wall beneath countertop c. Final coa of aint to be applied to doors, door jambs and bank safe door Provide pins in cabinets for shelf supports ) -e: --Provide cabinet manufacturer details as closeout documentation- f Perform final cleaning of the space 7 definite (J 00-t- dme- Qc Femp confr I luha-I hop pin pa for ( haf It should be noted that painters were on site during the punch list walk through performing items a., b. and c. and that item f. was scheduled for the evening of October 9th, 2017. If there are any questions or concerns please bring them to my immediate attention. Sincerely, J'ohwt.fif. C►ehwell4 P.E. John H. Creswell, PE — Director/Managing Partner Website: www.gdcflorida.com E-mail: shaun@gdcflorida.com john@gdcflorida.com 1 1 City of Okeechobee PW -05-00-04-17: Okeechobee, Florida 10/10/2017 otic` 0-1'jtc r cine o?yrs 0r 3L(r5a90 do no+acv ary :5 Loci( ,t_ (30_, Fe_ 763- 10111 Nedne Patty Burnette From: Sent: To: Subject: Patty, Ana Rhoden <ana@gdcflorida.com> Monday, January 15, 2018 2:56 PM Patty Burnette Re: Carpet @ City Hall Jeanette said she will be there tomorrow morning to repair the carpet. To your success, On Fri, Jan 12, 2018 at 2:19 PM, Shaun Kogut <shaun@gdcflorida.com> wrote: will you call jeanette and get them to go fix the carpet by the door in the clerks office. Thanks, Forwarded message From: Patty Burnette <pburnette@cityofokeechobee.com> Date: Fri, Jan 12, 2018 at 1:38 PM Subject: Carpet @ City Hall To: "shaun@gdcflorida.com" <shaun@gdcflorida.com> Hi Shaun. Just wanted to follow up with you on what you found out about when we are scheduled to have our carpet repaired? Thank you as always, Patty A -3D �sl, E\lan ccuuf_-gym man . 'S• TOOK Some.Iue, `ern C� r pef�c cva� Ott -1- onto 33 p�cees ofr- ��� G� us ht&( bad; down, kbr load& 04er-fop. Dia NAL Clean ire �h— Sut2 t . 1)1\s, • C-9\-outOh_i- Pauffy M. 6-1' General Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, 'FL 34974 def: 863-763-3372 Direct: 863-763-982o Tax: 863-763-1686 e-mail y6urnette@cityofor`eecho6ee.com website: www.cityofokeecho6ee.com NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. L RCincc10 Pr ee,f- Q r1 hese are eve, re, loca_17-nc -1' o Pro ha.b r �J Dewed t 01d oFrce, has boxes 6-(---,160h etOqs-olc _ r a flee( plime 1 r tics) aomP itkrii nes packtilj tnc6s tup move nj lune.! ryi CJ/ ) my vaccthc vi Ce1)te_r /fax Where I v +.301 can 1-+J�s� �npt�y��c�� .0\0) \15 .ne�U P1)40 -9e_ /%cot hr n Cao(©rs Gare -t- CotorS bLcrdL Colors .e4k\, Con �-v -)r-gree Rep/avow]- 1 a. PErnocieJ J dug iter, 1(� 11-f `��a y°( 4 t3((Ibi1l.u03 cU- ? nd o -C J bb- th- Cons--coe-h611 Mee -h49- Jc_rxi a8Th /torus 3egiy'L . C,uthal oa i th 'e oprer > hcucrl 3 wee ks +b orde,- av,'d +0 9t -f- Pa LSOJv p le eo fors -Frvm r r��r)1,J, / l i eemi @loss bavid -fo of Ca.r-pei Samples 4rrn Jeans -es �, cZ o 5hiun +0 1 -e -f- 1 avirna.f-e Sample eOlvrs for olc 00 Loki- Ctild 0a.kireef 0,6) ors. --. amp er will be n War pan area toil eler t s vice _placed cJc»r dux1 n1 demo (eou.p k o,F dc -tis - maybe wee ice ad lie -row_ aduce ( hwd rfczr+ct(4/ o -F July o244-11) t_ssue off P fo c EEO fo R end en�teuU -t �o-ft-'s Clean►n -6 lef m9 li\V(/. l- knolu to -e wilt lie �ri c onsf--ntc h i on kj,u. 11 aLith• 9 9 l b !� hen 4-1vne- -kr Carpe-h� ) Paun�►n9 CIerK's rem 9 +t, -Li f Area_ f do o Yi P W's Move S f it G S - .--. )1 I -f W-eeKed • elliopvcrAt‘61- 6`31\-\ 06' So e ail e 011110 e 4--c- .rn I wee. ,tom toA)!-sf ,• Ailmtnesf-ra-it)r to noiff-u Pollee, (hepi- sb+h q CcJ1 access %(dq. Patty Burnette From: Patty Bumette Sent: Wednesday, June 28, 2017 11:45 AM To: Michelle Dawson-ScottClean (scottsqualitycleaningllc@gmail.com) Subject: Cleaning at City Hall Hi Michelle and Scott. Just wanting to let you know that we will begin remodeling the General Services/Building Dept area on July 24th. The girls will not need to do any cleaning in this area as it will be blocked off. Construction is scheduled to take about a week. The three of us employees will be temporarily located over where the City Attorney's office is. The Clerk's office will still be up and running but may be a little messy as the contractors will be back and forth through there. They will be having painting and new carpeting installed towards the end of the week or possibly on the weekend. We can get together as the time approaches but was just wanting to give you a heads up. Thank you and have a safe holiday, Patty Pcvfty M. 6wrva/H ' general -Services Coordinator City of Okeechobee 55 Southeast 3rd Avenue Okeechobee, EL 34974 eek 863-763-3372 Direct: 863-763-982o 'Fax: 863-763-1686 e-mail phitrlietteOc(tyofokeechohee.coni website: w'tw.c(tljofokeecfiobee.conl NOTICE: Due to Florida's broad public record laws, this email may be subject to public disclosure. 1 P(li rvr FAL-On 6PN; A & t cQer w Is i C ArPe />. r�, b l eo2 /kosta Patty Burnette From: David Allen Sent: Tuesday, July 18, 2017 3:11 PM To: Shaun Kogut Cc: Patty Burnette Subject: RE: City of Okeechobee Building Department Renovation Shaun, 1. We want to go with the 36"w X 11"h X 10d on the mail slots. 2. We do not want to push back the start date. We are ok with coming back to install the cabinetry. David From: Shaun Kogut [mailto:shaun@gdcflorida.com] Sent: Monday, July 17, 2017 4:16 PM To: David Allen <dallen@citvofokeechobee.com> Subject: Re: City of Okeechobee Building Department Renovation David, Can you please verify the mail slot dimensions as follows: Horizontal: cab dimensions 36w x 11h x 10d or vertical at 22w x 21h x 10d? They can be built either way you decide? Additionally because it took so long to choose the cabinet finish (finish selections took place during the week that all of your folks where on vacation) the custom built-in will not be delivered until August 14-18 as of right now. Do you want to push the start date back a week or so to accommodate the mill -works delivery or do you want us to come back after the fact and install the cabinetry. My preference would be to push a week or so and get it all knocked out at one time and disrupt the staff as little as possible. We still have plenty of time to get the work done regardless. Your thoughts? Regards, On Fri, Jul 14, 2017 at 10:06 AM, David Allen <dallen@cityofokeechobee.com> wrote: I talked with Jackie and we currently have 15 slots so lets stick with that number. Thanks! David Get Outlook for Android From: Shaun Kogut <shaun@gdcflorida.com> Sent: Thursday, July 13, 2017 4:58:14 PM To: David Allen Cc: Ana Rhoden; John Creswell Subject: City of Okeechobee Building Department Renovation 1 David, Just noticed an inconsistency with the mill -work spec for the Mail Slots. The Elevations show 12 slots, but the call out says (6X9X3=15). Can you confirm exactly what you are looking for? Thanks, Shaun Kogut Director 7c51GN Shaun Kogut Director m•--4.2a-m,..1 ME:51GN 502 NW 2nd Street Okeechobee, FL 34972 W 863.467.1111 F 863.824.3390 C 863.634.7428 www.gdcflorida.com AA# 26003343 CGC# 1516250 COA# 30250 502 NW 2nd Street Okeechobee, FL 34972 W 863.467.1111 F 863.824.3390 C 863.634.7428 www.gdcflorida.com AA# 26003343 CGC# 1516250 COA# 30250 2 Mail Sorter - Steel, 15 Compartment, Black H-2922BL - Uline U L 8 N E 1-800-295-5510 Page 1 of 1 My Account I Contact Us 1 Sign In I Cart $0.00 !Search Products Uline Products Quick Order Catalog Request Special Offers Home > All Products > Shelving, Bins and Storage > File Cabinets and Mailroom > Mail Sorters Mail Sorter - Steel, 15 Compartment, Black CS. Enlarge Keep mail, office forms and job folders organized and accessible. • Recommended for shops and warehouses. • Powder -coated finish. • Wall mountable. • Use on desktops, countertops and floors. • Stackable up to 3 high. • 1/2" shelf Hp for labeling. • Rubber feet and mounting hardware Included. GO About Us Careers MODEL NO. OF OVERALL DIM. SLOT DIM. wr. PRICE EACH ADD TO NO. MAIL SLOTS W x D x H W x D x H (LBS.) 1 3+ CART H-2922BL 15 34 x 12 x 18" 11 x 11 5/e x 3" 40 $126 $119 t C I ADD SHIPS ASSEMBLED VIA UPS +; Additional Info I+ Email Page I+. Add to Favorites Request a Catalog https://www.uline. com/Product/Detail/H-2922BL/Fi1e-Cabinets-and-Mailro... 2/10/2017 4 SeacoastBank Seacoast National Bank P.O. BOX 9012 • 815 COLORADO AVE., STUART, FL 34995-9012 PAY TO THE *Cit ORDER OF Y of Okeechobee* -41 63-515 No, 964666 670 DATE May 23, 2017 C $ *******2,510.00 j. TWO THOUSAND FIVE HUNDRED TEN DOLLARS AND ZERO CENTS Remitter: Green Design Construction CASHIER'S CHECK BR#: 57 TLR: ss -361 NEU AUTHORIZED NP "'96466611' i:067005LE3': 600L48606 ReiieL 0-1 27 Permit No. Parcel No. Notice of Commencement State of Florida, County of Okeechobee THE UNERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of property, legal description of the property, and street address if available: CITY OF OKEECHOBEE BLOCK A OF FLAGLER PARK AND CITY OF OKEECHOBEE A STRIP OF LAND 70 FT WIDE ON S SIDE OF BLOCK A OF FLAG LER PARK, BOUNDED BY CHEROKEE ST ON W & HIAWASSEE ST ON E. PIN# 3-15-37-0010-01710-0080 General description of improvement: BUILDING DEPARTMENT AND CLERKS OFFICE RENOVATION Owner information: Name(s): CITY OF OKEECHOBEE Address: 55 SE 3RD AVE, OKEECHOBEE, FLORIDA 34974 Interest in property: 100% Name/address of Fee Simple Title Holder (if other than owner) Contractor name and address : GREEN DESIGN CONSTRUCTION AND DEVELOPMENT Contractor Address: 502 NW 2ND STREET, OKEECHOBEE, FLORIDA 34972 Phone # 863-467-1111 Surety name and address Name: CCI SURETY. INC. 1710 DOUGLAS DR, SUITE 110, GOLDEN VALLEY, MN Phone # 763-543-6993 Amount of Bond $ 50,175.00 * Please note: A copy of bond MUST be attached when recording. Lender name and address N/A Name: Phone # Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes: Name and address In addition to himself, owner designates Phone # of to receive a copy of Lienor's notice as provided in Section 713.13(1)(b), Florida Statutes. Phone# of person or entity designated by owner. Expiration date of notice of commencement: (Thi, piration is -one year from date of recording, unless a aJJdifferent date is specified.) "*UPI 1'634' ofC�TJ'�j•K�-•�3r/t4"732- Type or Print Name of Owner: gnature of Owner: `TIIE FOREGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS ' alk m.� � 2 I % , BY ' kQ S j 1N,{ <, r C'C•1 , wIto IS ONALLY KNOWN 1 ,, 17.1"—A O HAS PRODU Q►sro ,� N. . fes 6 J- (xi() SIGN?LTURE OF NOTARY zO 4 *c_ pro— ?x* fly b� e5 Does '14- ined +0 Qco (NOL) ?` cz; 0,006: cv Bnnk79, NOT RCON MY COMMISSION N FFF068375 EXPIRES: March 5, 2018 0:' Baled Thru Notary Public Urdetiriten INC TO OWNER: rltion of the Notice of Commencement are considered action 713.13, Florida Statutes, and can result in your A certified copy of the recorded notice must be posted on mitted to the building department before first inspection. encement is not actually commenced within 90 days after o further effect. Pane 1 of 1 TLJTI z.-+ carr-"� z'r*i�'� :Cri) 2•II• MOM ►J Tyra G1 C. m Timz+=�� m tca o rn cp..rawr. 1-•agw..i.. n • r1 -Or. n - TSINIPPINE PD • o ca ,0 e..ra T OcJela01 p 3 t_w rri -T, CO p 0, r- r- -I-�■ (Si m ?? 4 �:.' r CD In •. ro• . r,m_ ten` m'c1 co o- m G tJ y ."aG : "1 -n";< •• v µ r -VI (SI7 4.- 2 r3 .N) 6 3 '3 2011 appl CHANGE RIDER TO BE ATTACHED TO AND FROM A PART OF BOND NO. 1001080654 ISSUED BY American Contractors Indemnity Company Executed in 2 Original Counterparts ON BEHALF OF Green Dcsign Construction and Development, LLC 3406 Enterprise Ave, Valparaiso, IN 46383 IT IS UNDERSTOOD AND AGREED THAT THE FOLLOWING IS CHANGED TO READ AS FOLLOWS: FROM: Contract Price: $50,175.00 TO: Contract Price: $113,292.00 THIS COVERAGE IS TO BE EFFECTIVE August 28th 2017 SIGNED, SEALED AND DATED THIS 28th America , ,,I'ac • s Indemnity Company aloe A 0 Jeremy - N -FA ford, Attorney -In -Fact 2017 DAY OF August T O R OF ATTORNEY . A19306 b AMERICA iiACft Mi[MNITY COMPANY '.TEXAS' BONDING COMPANY ilmtb— UNITEI F UltE iG MiANY U.S. SPECIAI,TY,INSURANCE COMPANY • KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a Maryland corporation and US Specialty Insurance Company, a Texas corporation (collectively, the "Companies"), do by these presents make„ __ - r �- — — — Jeremy Crawford; Michael D. Williams, WilliainJ IT�nec; Zany r Furcushima, IV= William Gerber or Michael E. Konzen of Golden Valley, Minnesota its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority „Imb:coaa-rrexiars name, place and=_te tout tcknowledge and deliver:any,and all bonds, recognizances.,=undett:tldl i r ist ail or contracts u!etfIriffo tMrtde riders, amendments, and• c�pnsents of sure Olin thm)sorL mutt ( o6ex eec1 '. .= *'p'.' ,r a Million******• i•• • Dollars $�" II ,OD.II . This Power of Attorney shall expire without further action on November 3, 2019. This Power of Attorney is grallt:e i u- nder and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Sccrctary or any Assistant Secretary shall be and is hereby vested with full power-4ad ant !y is ppoint any one or more suitable persons .as:Attorncy(s)-in-Fact to r pprescnt and act -Land n behalf of the Company subje=ct toahs fullgyA .ems w�., T 1 /tV- 1TWr b gwen full power' and authdrity for and in the name of and on beim oal►`�W—orHRan ce , acknowledge r - an dais cogmzances, contrats, agreements or indemnity sand other conditional or obligatory d ktugs, ineludi► = any and all consent . 1evrelea retaine3- percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or tem►inating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as. if signed by the President and sealed and effected by the Corporate Secretary. Be lj eso yc that'llrtAsignature of any authorized officcrand. scatnf-_the Company heretofore or hereafter affixed to.any power of attorney or any certificate relating Atlreretedxy Inesimil rel guy power of attorney Rrtr irate beii g—sande signature or facsimile, pe. all shall be valid and binding upon the Co aWvittrest t3 ' ,.1iti i1 cr ak 1 tmQ,vii it is attached. _ _ _ r._ __ ------,-----__ _ _ = T — WHEREOF,IN WIINESS The Companies have caused this instrument to be signed and their corporate seals to be -hereto afed, this I st day of November, s. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY 1NSIRiANC—COMPANY _ ,Wluubry, 0,„,,,,,,,,„,;; '�, li •^,^IN„wfy4, ce ,Yj ,..1.P.,41.0,.,„.. ^N1�8 5°R. r'�4 ' ��. 00 - 0 c ,vQ. "'.Ccs .._., �-•� am , �y 1=014 111=t• �' NMIMI 1, .6'41.4=41 IIMA _ rprarat eul —_ =5 �^ ^OIN j;s . lusty W c _c 6^"s B z l NCMro, �"—,� aWl/'' N1 ^ s` =!LP]' -s vi(tl e."o t'�' ' .... w•r• ' Rc 4'nCi17iggt„i ' 0,:siil,tl.^^fir HtEOFg0' 4 aq *msoe Wnnuuma '/nunma` Daniel P. Aguilar,V} ice President ,,,,,A-Id%yatthistoriother officer completing4hirtialatmertites only the identityof the.individual who signed the tiocumvnt$o tt�►' ertificate is attar ai Eft h tt'th#`tt ess, accuracy, or validity 'Of that'document, eti -,Caltfurniay — County of Los Angeles SS: On this 1st day of November, 2016, before me, Sabina Morgenstein, a notary public, personally appeared Daniel 1'. Aguilar, Vice President of American Contractors IndemnityCompany, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on 4b sis fbt evidence to be the person whose name is subscribed to the withininstn►me aefic iwledged to me that he execcdthhe'sametit Weak We& Irma tns41 id cpsa ityand that by his signature i n the iristtur enfthe person, or the et o f of wh�ielg► a person acted, he ru lag.-OPPY dhow -1 -- erttfy under PENALTY OF PERJURY under the laws of the State of California thairWedgatng paragraph is true and correct. to* WITNESS my hand and official seal. -CS.ealSnture �.r.-- I, Kio Lo, Assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full forceBnd cfjccf, m—. ..:•"""" -_-- —a. _ i• — — :sa. .�tl. Ness have hereunto set My San0¢ and'affixed the seals ofj..i40111_, as tte =.t--t7 ngeles, Calif�-, iSg . f , =V=i=Ang st= .20111 •: ,{ �'.... T—_ , —--==._ — r' • Corporate' Seals so/soO�co% ,s^rM°n;gE• 0.1ycTos�,sUURF4h, 2017,4%b ^oINryp� Itt -61/tag '._�a7/ sy '77 _17 t[Eor=S_. Y'_ii Kio Lo, Assistant Secretary - 4Z tym ,sty- gy- . =� v - -�st, , /— •— ___ o_— m-' r 4. u"0 e—nnnuua@ SABINA MORGENSTEIN Commission 8 2129256 Notary Public - California Los Angeles'County IAy.Comm. Expires Nov 3, 2014 hei 6a1,Lrt c + Icor f- p [act mtn-t- .-Eep laud 10 -9a -q6 Patty Burnette S►1 v1,714 From: Sent: To: Subject: Shaun Kogut <shaun@gdcflorida.com> Wednesday, August 29, 2018 11:11 AM Patty Burnette Re: FW: Re: Laminate Doors Absolutely. As soon as I hear from Chris I will let you know. Additionally, if you want, I can send someone by to get you fixed up in the intern. Just let me know. Thanks, On Wed, Aug 29, 2018 at 11:06 AM, Patty Burnette <pburnette@cityofokeechobee.com> wrote: Good Morning Shaun. Thank you for getting back to me with this information. Once you know the delivery date if you would please just let me know that, I would appreciate it. Thank you again, Patty Pa4ty M. 6wril-e'f-ty genera( Services Coordinator City of Okeecfio6ee 55 Southeast 3rd glvenue OIeec!io6ee, EL 34974 Tef: 863-763-3372 Direct: 863-763-9820 1 t tpdak 1 a i' c n2t2 b rt Leto 1. orcLe.+^ Lok. da{Q h.ok: 1 S S ho, iu could- Pc Gauc ed -or b -fa A Octio - d(,caors-F/ti.c(. u t o r r'V1 a ( ed a� nd s po 1LL fiv 'a -'War M nc -f-a ► ns"l"-Ce..r CC,03 1 1Ct clop rs. updoes bae,re, t- c&L .v red 9s u.t�. L,u'k� s+a -' s net Shu u,n S ? ec( `etre' as-L<<rerea Imo+- �,pe , f .s Tax: 863-763-1686 e-mail: Atrnette@cityofokeectio6ee.com website: www.cityofo!eectio6ee.com NOTICE: Florida has a very broad public records law. As a result, any written communication created or received by the City of Okeechobee officials and employees will be available to the public and media, upon request, unless otherwise exempt. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this office. Instead, contact our office by phone or in writing. From: Shaun Kogut [mailto:shaunc gdcflorida.com] Sent: Wednesday, August 29, 2018 10:58 AM To: Jackie Dunham; Patty Burnette Subject: Re: FW: Re: Laminate Doors Jackie/Patty, I reached out yesterday to the manufacturer after we spoke and I received your email. The doors are already on the production list, but I'm waiting for a return call/email with a delivery date so I can give you all accurate information without me guessing and being wrong. As discussed yesterday if it's a major issue I can get someone over there this week to provide a temporary fix. Regards, On Wed, Aug 29, 2018 at 10:51 AM, Jackie Dunham <jdunham@cityofokeechobee.com> wrote: Second request. Please follow up with Patty per my e-mail below. She is awaiting a response from you. Jaclu e.Dwlha n'i. Aavni.vtifstratwe.Se.creta.vy City of Okeechobee/ 2 s S 55 SE Third/ Ave-rtu.e- Okeechdrne, FL 34974 863-763 -3372 (Mc vi) 863 -763 -9821 (Mrect) 863-763-1686 (7a40 jdunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. From: Jackie Dunham Sent: Tuesday, August 28, 2018 10:11 AM To: 'shaun©gdcflorida.com' Subject: Re: Laminate Doors I relayed your response to Patty. She's not very happy if you're saying it's going to be another 6-8 weeks from today since she was advised of that back in July before she left for vacation. Would you please e-mail her a response with an update to follow up with our conversation this morning. Thank you. pburnette@cityofokeechobee.com Jackie.Du.rih m' Aci4n1 Vast rat-Ov Secretary City of Okeechobee' 55 SE Third/ Avevu,ce- Olceech(Y7Yee,, FL 34974 863-763-3372 (Mauv) 863 -763 -9821 (Mrect) 863-763-1686 (Fc(40) idunham@cityofokeechobee.com Website: http://www.cityofokeechobee.com NOTICE: Due to Florida's broad public laws, this email may be subject to public disclosure. 3 Cab1ulL tF _Dobe Rep !awl DI Patty Burnette From: Sent: To: Subject: Ana/John, Shaun Kogut <shaun@gdcflorida. Thursday, June 21, 2018 9:50 AM Ana Rhoden; John Creswell; Patty Re: City Hall remodel Plug. \JacKic.. Spo!<e -Fo S new A *kis (Horn n Yit b:t,ncfs .c a.r 5. -cyCUJO LL -1 uo I S ow/ • (0o niFtinq is. -Bae K loaJeJL-) com> Burnette Can you please reach out to Jeanette again. In fact please set up a face to face with her so we can get this handled for Patty once and for all. I've taken care of the Cabinet Doors already with Chris Buffington @ Gemstone (they have an 8+ week backlog and are trying to get this done for us). I'll handle the install once the doors arrive. Patty: I will provide you with an update after we've sat down with Jeanette. If she doesn't respond quick enough I will send Jake and crew to take care of this personally. Regards, On Thu, Jun 21, 2018 at 9:36 AM, Patty Burnette <pburnette a,cityofokeechobee.com> wrote: Good Morning Shaun. I wanted to first check on the status of the cabinet doors that we need replaced. I spoke with you on May 31St and you said they were on order. Do you know when they will be in and what timeframe then we will be working with to have them installed? I will be out at the end of next month and didn't know if they would be installed before then. Second, we are still waiting to have areas with the carpet in the Clerk's Office re- glued. I have brought this to your attention and to Jeanette's attention on one than one occasion and it still has not been corrected. I know that Jake took care of some of the issues and someone came from Jeanette's for the piece by the door but that is it. Jeanette was here on May 23rd doing measurements upstairs and I brought her down and showed her areas in the Clerk's Office, but as of today it still has not been taking care of. You all have been great to work with, in fact going above for us with some things, but I really need this to get taken care of. The Clerk is out on vacation right now until next Thursday so no one is in that office, but we can work with you all on any date. would appreciate you getting this resolved for me. Thank you, i .. Patty Pa -id M. fav-rkve te. genera(Services Coordinator City of OI eecho6ee 55 Southeast 3rc(Avenue Okeechobee, TX, 34q74 Tel: 863-763-3372 Direct: 863-763-9820 Tax: 863-763-1686 e-mail:y!urnette@cityofol`eechohee.com website: www.cityofoheecho6ee.co i NOTICE: Florida has a very broad public records law. As a result, any written communication created or received by the City of Okeechobee officials and employees will be available to the public and media, upon request, unless otherwise exempt. Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this office. Instead, contact our office by phone or in writing. 2 CITY OF OKEECHOBEE INVITATION TO BID OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING PW 05-00-04-17 OPENING DATE AND TIME: May 16, 2017 at 3:00 P.M. Prepared by: David Allen, Public Works Director Dated: April 28, 2017 CITY OF OKEECHOBEE CITY COUNCIL Bid No. PW 05-00-04-17 DOWLING R. WATFORD, JR., MAYOR NOEL CHANDLER MONICA CLARK MIKE O'CONNOR GARY RITTER MARCOS MONTES DE OCA, CITY ADMINISTRATOR TABLE OF CONTENTS PW 05-00-04-17 Invitation to Bid Advertisement Form Section I Section II Section III Section IV Section V Section VI Section VII Section VIII Section IX Section X Section XI Section XII Attachments: General Information Scope of Work Submission Requirements Checklist Bid Documentation Bidder's Qualification Questionnaire Bonding and Insurance Requirements Contractual Agreement Performance Bond Rejection of Proposals Notice to Proceed Notice of Award Miscellaneous A No Lobbying Affidavit B Anti -Collusion Statement and No Gift Statement C Proposer's Certification D Sworn Statement Pursuant to Section 287.133(2)(a), FL § on Public Entity Crimes E Conflict of Interest Disclosure Form F Immigration Law Certification G Drug -Free Workplace Certification H Project Location Maps 1 2 3 4 5-6 7-9 10 - 14 15-23 24-27 28 29 30 31 - 32 33 34 35 36-37 38 39 40 41 INVITATION TO BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING Opening Date and Time: May 16, 2017, 3:00 PM Mandatory Pre -Bid: May 8, 2017, 3:00 PM The City of Okeechobee, Florida is currently soliciting bids to provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job specifications, contact Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com, in General Services. Sealed bids must be received within the General Services Department at City Hall, 55 SE 3rd Avenue, Rm 101, Okeechobee, FL 34974, no later than 3:00 PM EST on or before Tuesday, May 16, 2017. All responses received by the deadline will be opened and recorded in the presence of one or more witnesses within the Council Chambers, Rm 200, at the address listed above. Any bids received after the above noted date and time will not be opened or considered. Facsimile or emailed bids will not be accepted. A MANDATORY Pre -Bid Meeting will be held on Monday, May 8, 2017, at 3:00 PM EST in the Council Chambers, Rm 200, at the address listed above. Bidders MUST attend this meeting in order to submit for this bid. Technical specifications and maps are available in the Bid Packets that may be obtained from the General Services Department at City Hall during normal office hours, Mon -Fri, 8 AM -4:30 PM, except holidays, or by contacting Patty Burnette, 863-763-3372 x 9820, pburnette@cityofokeechobee.com. A $25.00 non-refundable deposit per set of documents is required, made payable to the City of Okeechobee (checks & cash only accepted). Questions concerning the scope of work are to be directed to Public Works Director David Allen, 863-763-3926, or dallen@cityofokeechobee.com. NOTE: Bonding Requirements Apply to this Bid Opportunity. Submittals must be within a sealed envelope and contain two (2) clearly identified originals and one (1) copy of the bid, with the outside of the envelope clearly labeled "BID NO. PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING, 5.16.17, 3:00 PM" with the submitting Company Name, and Return Address. Bids may be mailed, hand delivered and/or express mailed to the address listed above. Firms properly registered in the State of Florida are encouraged to submit their bid for consideration. It is the sole responsibility of the Bidder to deliver personally or by mail, their bid to the General Services Department on or before the closing hour and date for the receipt of bids as noted above. This solicitation does not commit the City of Okeechobee to award any contracts, to pay any costs incurred in the preparation of a response to this bid, or to contract for any services. The City Council reserves the right to reject any or all bids, to waive informalities and to accept or reject all or part of any bid, as they may deem to be in the best interests of the City of Okeechobee. Responses to this bid, upon receipt by the General Services Department, will become public records subject to provisions of Florida Statute Chapter 119 Florida Public Records Law. EEO/ADA/GINANP/DFWP By: Mayor Dowling R. Watford, Jr. on April 28, 2017 City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 1 SECTION I PW 05-00-04-17 GENERAL INFORMATION All responses which comply with the requirements of this Bid will be considered. Submittals must be made in the official name of the Firm or Individual under which business is conducted (showing official business address) and must be signed in ink by a person duly authorized to legally bind the person, Partnership, Company, or Corporation submitting the response to this Bid. Two clearly identified originals and one copy of your proposal submittal are required. Proposal submittals will be received by the General Services Department until 3:00 p.m. on May 16, 2017. Proposal submittals are to be mailed, hand -delivered, and/or Express Mail to: City of Okeechobee General Services Department 55 S.E. 3rd Avenue Okeechobee, FL 34974 The submitting offeror is required to have printed on the sealed envelope or wrapping containing their submission their Company name and return address, the Bid Number, Title, Opening Date and Time. Proposals received after the date and time specified above shall be returned to the sender unopened. Facsimile or emailed bids will not be accepted. All proposals shall remain in effect for a period of ninety (90) days after the last day on which proposals must be submitted. IF APPLICABLE: It is expected that the project for which this bid is being submitted may be partially funded by State Appropriated Funds of fifty percent (50%) or more. In this instance, the provisions of Florida Statute 255.0991 may apply, which states that project funding in this manner prevents the City from relying on a local ordinance which grants preference in awarding bids based upon whether the bidder has a business office within the City; whether the bidder intends to hire local employees or agents; and whether the bidder pays local taxes. The statute does however permit a preference to Contractors, Suppliers, etc. located within the State of Florida. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 2 SECTION II PW 05-00-04-17 SCOPE OF WORK SCOPE OF WORK The scope of work is to provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. For detailed description of job specifications, contact Patty Burnette, 863-763-3372 extension 9820, or email pburnette@cityofokeechobee.com, in General Services. The selected Contractors will be responsible for the entire scope of work, hiring licensed Subcontractors, and paying for all plans and permits from the City of Okeechobee and/or other agencies. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 3 SECTION III PW 05-00-04-17 SUBMISSION REQUIREMENTS A. The proposer shall submit: 1. Proposal on your Company's letterhead including two (2) clearly identified originals and one copy of your proposal. 2. Bid Form including qualifications in detail, which shall include information regarding licensing, experience, special qualifications, etc. 3. In addition to the Bid Form listed in Section IV, please complete the following forms that must be returned with your proposal: Attachment A — No Lobbying Affidavit Attachment B — Anti Collusion Statement and No Gifts Statement Attachment C — Proposer's Certification Attachment D — Sworn Statement Pursuant to F.S. 287.133(2)(a), FL § on Public Entity Crimes Attachment E — Conflict of Interest Disclosure Attachment F — Immigration Law Certification Attachment G — Drug Free Workplace Certification Attachment H — Project Location Maps City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 4 MT' CET 7Es/Gn 502 NW 2ND ST, OKEECHOBEE FL, 34974 P: (863) 467-1111 P: (772) 210-6814 F: (863) 582-9574 WWW.GDCFLORIDA.COM To: City of Okeechobee Attn: Mr. David Allen Ref: BID NO. PW 05-00-04-17 Okeechobee City- Hall General Services Office Remodel Date: 5/16/17 from: John H. Creswell, PE, CGC CC: Shaun Kogut Dear Mr. Alien, Green Design Construction and Development, LLC thanks the City of Okeechobee for the opportunity to bid this Project. Green Design hereby proposes to perform the work as detailed in BID NO. PW 05-00-04- 17 for the amount of: Fifty Thousand One hundred and Seventy Five Dollars Even ($50,175.00). Note that this price includes the requisite $25.00 per square yard as a flooring allowance. We assumed the floor area to be 1,050 square feet. Attached to this letter are the required documents per the Invitation to aid. Green Design Construction and Development is staffed and ready to perform these services. Regards, <Q, John H. Creswell, PE P.E. #40940 COA# 30250 CGC# 1516250 Green Design Construction and Development, LLC P: 772-210-6814 F: 863-582-9574 john@gdcflorida.com SECTION IV PW 05-00-04-17 BID FORM City Council City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 Co 451) te,rrael 4 7 cVcio (BIDDER'S COMPANY NAME) I have received the documents titled OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING, Project No. PW 05-00-04-17. I have also received addendum number , through Z. and have included these provisions in my Bid. I have examined both the Bid documents and the construction site and submit the following Bid in which I agree: 1. To hold my Bid open until an agreement has been executed between the City of Okeechobee and accepted Bidder, including receipt of the Public Construction and Maintenance Bonds, or until ninety (90) days after Bids are opened, whichever is longer. 2. Regarding the Disposition of Bid Security: to accept the provisions of the Instructions to the Bidders. 3. To enter into and execute a Contract on the basis of this Bid and to furnish a 100 percent (100%) Payment and Performance Bond in accordance with the Instructions to Bidders to guarantee my workmanship and materials to be free from construction defects for a period of not less than one (1) year, if this Bid is accepted. 4. To accomplish the work included in, and in accordance with the Contract Documents, if this Bid is accepted. 5. To start work within thirty (30) calendar days from the date of the Notice to Proceed and thereafter to complete the work within thirty (30) calendar days, unless the time is modified by provisions of the contract, if this Bid is accepted. 6. Regarding Compensation for the proposed work: if this Bid is accepted, I will construct this project on a unit price basis as reflected in the Bid Unit Price Schedule on page 6 of this Bid. 7. Regarding the Award of the Contract: if I am awarded a contract for this project, I understand that the award may be for all or any portion thereof of the items listed under the Bid Unit Price Schedule. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 5 BID UNIT PRICE SCHEDULE PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING SEGMENT DESCRIPTION UNIT MEASURE EST. QTY. UNIT PRICE AMOUNT REMODEL APPROXIMATELY 450 SQUARE FEET OF OFFICE SPACE INCLUDING DEMOLITION OF EXISTING 05 175,o0 INTERIOR WALLS, CONSTRUCTION OF NEW WALLS 1 INCLUDING ELECTRICAL AND DATA. IN ADDITION TO THE EACH 1 NEW REMODELED SPACE, THE PROJECT WILL ALSO • INCLUDE NEW CARPET AND PAINTING OF APPROXIMATELY 575 SQUARE FEET ADDITIONAL EXISTING OFFICE SPACE .k f4. 40 LLS4.--4 pit, L. -Are,) sevc- i -.X\Jc C.P.A.'S 4-1c.e vlo 6P -ds TOTAL BID AMOUNT j . (Based on Bid Unit Prices & Estimated Quantities) .50, (-S*, 00 Bidders Company Name c(E;N �tSIC�fJ -fiuchOn avvtgr , (LC - NOTE: This Bid is on a unit price basis. The total estimated amount is for Bid comparison purposes only. The Contractor should field verify the actual site conditions prior to time of bidding and before submitting the Bid proposal. The Contractor should read the special conditions and the requirements for insurance before submitting a Bid proposal. The Contractor should verify the quantities to be included in the construction contract. The Contractor shall furnish the City of Okeechobee with a Payment and Performance Bond in 100 percent (100%) of the total estimated amount of the contract. The Payment and Performance Bond shall continue in effect for one (1) year after completion and acceptance of the work as guarantee against construction defects. The Contractor in his Bid shall include the cost of said bond. Density testing shall be at the expense of the City of Okeechobee, except for failing tests, which shall be charged to the Contractor. I have attached the required 5 percent (5%) Bid Security to this Bid. Date: 5-I I Sl 2.1)1 Bidder: 611.660 -"Dbs 6 r) Ca 6Adian botto rkemt-, u -c - (Company Name) By: ' / Title: --1):n. ec.-4n�L Email: Jokin G--bc �(vQ .fpwt Oil I. (Signature) 14. L-(€ j6L(, (Printed Name) Mailing Address: S62 `'`' 2Y.c ST,. OK i o / Pt- 3497 4 Office Number: 863 - 40- - 1111 Fax Number: 86'3 - g24 -33go City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 6 SECTION V PW 05-00-04-17 BIDDER'S QUALIFICATION QUESTIONNAIRE THE UNDERSIGNED GUARANTEES THE TRUTH AND ACCURACY OF ALL STATEMENTS AND ANSWERS HEREIN CONTAINED: 1. How many years has your organization been in business as a General Contractor? 51 /2 (1 ears 2. What is the_last project of this nature that you have completed? ESS Fri-C11.lr.j IG89 Ll.t,k,trenGe. t/ic,Ce / 6A- Rt.0 L 0 rCc c t Gw► eP`13,q 41(0 OM, Res OVO- t o d✓ C ». L,ca-CCP 141) CL 20 t'- 3. Have you ever failed to complete work awarded to you? If so, where and why? No 4. The following are named as three (3) Corporations or Individuals for which you have performed work and to which you refer. 6Xfra P. ce STo9-i ( , SOLA n SUn5e a. � L1/ O1=c6chob 66 A -1R Zn c - 5. Have you personally inspected the proposed work and have you a complete plan or schedule for its performance? Provide schedule to describe the amount of work per month that is to be completed. yes) 1).G ire o 1j4-(0" c5+ w k Ro►t5 I, 'l n Et lilac,4-a,; cAL vie& s 2 -4 / W al,l Ft.,A;Oves k iGk5 }, CfAyti INe-EK g �Iooa;tir W E-<< �w�► Ot.t.T wcels r J 6. Will you sublet part of this work? If so, give details. L165 J elc-nzic, - ,4a. . km4/` l -&(c (ruk Dry L - FQ.a-m; n e, A ,r9 WA (10r05-2 (.7nSilk-Wk. o� ^ TI?/ 64,rpel"^4\ City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 7 BIDDER'S QUALIFICATION QUESTIONNAIRE (cont'd) 7. What equipment do you own that is available for the work? CRrpc.4-4171 Too L5 ex. Ax- T( P 5 8. What equipment will you purchase for the proposed work? N&NC 9. What equipment will you rent for the proposed work? NoN& 10. The following is given as a summary of the financial statement of the undersigned: (List assets and liabilities and insert sheets if necessary) ASSE 5 STS{ -7L : *4601 000 V664-I6..i45 loot opc, —!toms = $2.04 cox> C'ur►+ pwre2S :: ?s ''° e-st} : 200, coo L -Nibs WI Ne 11. Please provide proof of State Certification and/or State Registration by attaching copies of State Certifications. State Registrations shall also be accompanied by proof of Okeechobee County Certificate(s) of Competency by attaching copies of County Certificate(s). Possession of either a State Certification or County Competency card must be attained prior to Bid submittal. 12. State the true, exact, correct, and complete name of the Partnership, Corporation, or trade name under which you do business. (If Corporation, state the name of the President and Secretary. If a Partnership, state the name of all Partners. If a trade name, state the name of the Individuals who do business under the trade name). 6m+) -Dcsr 610 C0/4-fru.c •'& Eve to p 01G -h.? LC C. - (a.) The business is a (CORRECT NAME OF BIDDER) City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 8 (b.) The address of the principal place of business is: 507. NW 2va s< < okuc,o 1 (c.) The names of the Corporate Officers, Partners, or Individuals doing business under a trade name are as follows: John CresruLt ( 3 D're R. 514Aleo at (A,7 1 'Di n.E-{-o2 City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 9 SECTION VI PW 05-00-04-17 BONDING AND INSURANCE REQUIREMENTS BID BOND A certified check, cashier's check or bank officer's check, for the sum set forth in the advertisement, but not less than 5 percent (5%) of the total Bid, made payable to the City of Okeechobee, Okeechobee, Florida, or Bid bond in such amount, shall accompany each Bid of $25,000.00 or more as evidence of the good faith and responsibility of the Bidder. The check or bond shall be retained by the City as liquidated damages should the Bidder refuse to, or fail to, enter into a contract for the execution of the work embraced in this Bid, in the event the Bid of the Bidder is accepted. Retention of such amount shall not be construed as a penalty or forfeiture. As soon as a satisfactory contract has been executed and bonds furnished and accepted, the check or bond accompanying the Bid of the successful Bidder will be returned. The City will return the certified or other checks or Bid bonds of the unsuccessful Bidders to them only upon acceptance of the Bid of the successful Bidder and formal award of the contract by the City of Okeechobee City Council. PAYMENT AND PERFORMANCE BOND The successful Bidder shall furnish a bond written by a Corporate Surety Company, holding a Certificate of Authority from the Secretary of_the Treasury of the United Statesas acceptable sureties on federal bonds, �iri-an amount equal td the total amount payable by the terms -of the=contract, executed and issued by a Resident Agent licensed by and having an office in the State of Florida, representing such Corporate Surety, conditioned for the due and faithful performance of the work, and providing in addition to all other conditions, that if the Contractor, or its Subcontractors, fail to duly pay for any labor, materials, or other supplies used or consumed by such Contractor, or its Subcontractors, in performance of the work contracted to be done, the Surety will pay the same in the amount not exceeding the sum provided in such bonds, and that they shall indemnify and save harmless the City to the extent of any and all payments in connection with carrying out of the contract, which the City may be required to make under law. This bond shall be provided to the City within ten (10) days of notification of Bid award. The Contractor is required at all times to have a valid payment and performance bond in force covering the work being performed. A failure to have such bond in force at any time shall constitute a default on the part of the Contractor. A bond written by a Surety, which becomes disqualified to do business in the State of Florida, shall automatically constitute a failure on the part of the Contractor to meet the above requirements. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 10 Such bond shall continue in effect for one (1) year after completion and acceptance of the work with liability equal to 25 percent (25%) of contract price, or an additional bond shall be conditioned that the Contractor will correct any defective or faulty work or material which appear within one (1) year after completion of the contract, upon notification by the City. INDEMNITY [CONTRACTOR] shall defend, indemnify and hold harmless the City of Okeechobee and all of the City of Okeechobee's officers, agents, and employees from and against all claims, liability, loss and expense, including reasonable costs, collection expenses, attorneys' fees, and court costs which may arise because of the negligence (whether active or passive), misconduct, or other fault, in whole or in part (whether joint, concurrent, or contributing), of [VENDOR], its officers, agents or employees in performance or non-performance of its obligations under the Agreement. [CONTRACTOR] recognizes the broad nature of this indemnification and hold harmless clause, as well as the provision of a legal defense to the City of Okeechobee when necessary, and voluntarily makes this covenant and expressly acknowledges the receipt of such good and valuable consideration provided by the City of Okeechobee in support of these indemnification, legal defense and hold harmless contractual obligations in accordance with the laws of the State of Florida. This clause shall survive the termination of this Agreement. Compliance with any insurance requirements required elsewhere within this Agreement shall not relieve [CONTRACTOR] of its liability and obligation to defend, hold harmless and indemnify the City of Okeechobee as set forth in this article of the Agreement. Nothing herein shall be construed to extend the City of Okeechobee's liability beyond that provided in section 768.28, Florida Statutes. INSURANCE [CONTRACTOR] shall, at its sole cost and expense, procure and maintain throughout the term of this contract, Comprehensive General Liability, Worker's Compensation, and Commercial Automobile Liability insurance, including Employer Liability insurance, with minimum policy limits specified below Combined Single Limits, or to the extent and in such amounts as required and authorized by Florida law, and will provide endorsed certificates of insurance generated and executed by a licensed insurance broker, brokerage or similar licensed insurance professional evidencing such coverage, and naming the City of Okeechobee as a named additional insured, as well as furnishing the City of Okeechobee with a certified copy, or copies, of said insurance policies. Certificates of insurance and certified copies of these insurance policies must accompany this signed contract. Said insurance coverages procured by [CONTRACTOR] as required herein shall be considered, and [CONTRACTOR] agrees that said insurance coverages it City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 11 procures as required herein shall be considered, as primary insurance over and above any other insurance, or self-insurance, available to the City of Okeechobee, and that any other insurance, or self-insurance available to the City of Okeechobee shall be considered secondary to, or in excess of, the insurance coverage(s) procured by [CONTRACTOR] as required herein. Worker's' Compensation - Coverage is to apply for all employees for statutory limits in compliance with the applicable state and federal laws. The policy must include Employers' Liability with a limit of $500,000.00 each accident, $500,000.00 each employee, $500,000.00 policy limit for disease. Commercial General Liability (Occurrence Form Required) - (ContractorNendor) shall maintain commercial general liability (CGL) insurance with a limit of not Tess than $500,000.00 each occurrence. If such CGL insurance contains a general aggregate limit, it shall apply separately to this location/project in the amount of $1,000,000.00. Products and completed operations aggregate shall be $1,000,000.00. CGL insurance shall be written on an occurrence form and shall include bodily injury and property damage liability for premises, operations, independent Contractors, products and completed operations, contractual liability, broad form property damage and property damage resulting from explosion, collapse or underground (x, c, u) exposures, personal injury and advertising injury. Damage to rented premises shall be included at $100,000.00. Commercial Automobile Liability Insurance - (ContractorNendor) shall maintain automobile liability insurance with a limit of not less than $1,000,000.00 each accident for bodily injury and property damage liability. Such insurance shall cover liability arising out of any auto (including owned, hired and non -owned autos). The policy shall be endorsed to provide contractual liability coverage. Nothing herein shall be construed to extend the City of Okeechobee's liability beyond that provided in F.S. 768.28, Florida Statutes. Will need to be completed. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 12 BID BOND KNOW ALL MEN THESE PRESENTS, that we as Principal, and as surety, are firmly bound unto the City Council, City of Okeechobee, Florida, hereinafter called the Owner in the sum of dollars ($ ) being 5 percent (5%) of the attached maximum Bid amount of dollars ($ ) the payment of which sum well and truly to be made, the said Principal and the said surety, bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. WHEREAS the Principal has submitted a Bid for Okeechobee City Hall General Services Office Remodeling Bid No. PW 05-00-04-17 based on the contract documents prepared by the City of Okeechobee Public Works Department. NOW, THEREFORE, if the Owner shall accept the Bid of the Principal and the Principal shall enter into a contract with the owner in accordance with the terms of such Bid, and give such 100 percent (100%) Bond as specified in the Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and materials furnished in the prosecution thereof, or in the event the Principal fails to enter such contract and give such bond or bonds, if the Principal shall pay to the Owner the difference not exceeding the penalty hereof between the amount specified in said Bid and such larger amount for which the Owner may in good faith contract with another party to perform the work covered by said Bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Signed and sealed this day of , 2017. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 13 FOR CORPORATE BIDDERS: WITNESS: FOR NON -CORPORATE BIDDERS: WITNESS: (Principal) (Seal) By Title Surety By (Seal) Typed Name Address (Principal) (Seal) By Title Surety By (Seal) Typed Name Address City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 14 SECTION VII PW 05-00-04-17 AGREEMENT This AGREEMENT is dated as of the 20th day of June in the year 2017, between the City of Okeechobee (CITY) and Green Design Construction and Development, LLC (CONTRACTOR). CITY and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1. WORK 1.1 The Work is described as follows: Provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls including electrical and Data. In addition to the new remodeled space, the project will also include new carpet and painting of approximately 575 square feet additional existing office space. ARTICLE 2. PUBLIC WORKS DIRECTOR 2.1. PUBLIC WORKS DIRECTOR as named in the Contract Documents shall mean: City of Okeechobee Public Works Director 55 S.E. 3rd Avenue Okeechobee, FL 34974 ARTICLE 3. CONTRACT TIME 3.1 The Work shall be completed within the thirty (30) calendar days specified on the Notice to Proceed for each project assigned. 3.2 CITY and CONTRACTOR recognize that Projects may have important environmental and economic significance and, as required for compliance with Federal and State Regulations, that time is of the essence of this Agreement, and that the CITY will suffer direct financial loss if Projects are not completed as described in paragraph 3.1 Accordingly, CONTRACTOR agrees to pay CITY as liquidated damages the amount established in the following schedule per day for each day that Projects are not completed in accordance with this Article 3, Paragraph 3.1. Original Contract Amount Daily Charge per Calendar Day $500,000.00 and under $ 500.00 Over $500,000.00 but less than $1,000,000.00 $ 750.00 Over $1,000,000.00 but less than $2,500,000.00 $ 1,000.00 Over $2,500,000.00 but less than $5,000,000.00 $ 1,250.00 City of Okeechobee Project No. PW 05-00-04-17 3.3 In addition to the provision for payment to the CITY by CONTRACTOR of liquidated damages due to the failure of the CONTRACTOR to complete each project within the time stipulated in each project's notice to proceed, or within such additional time as may have been granted by the Public Works Director, the CITY may also recover from CONTRACTOR amounts paid by the CITY for damages suffered by third parties as a result of CONTRACTOR'S failure to complete each project within the time stipulated, or within such additional time as may have been granted by the Public Works Director, unless the failure to timely complete the project was caused by the CITY's acts or omissions. 3.4 Liquidated damages are cumulative and additive and represent a reasonable estimate of CITY's expenses for extended delays and administrative costs associated with such delay. In addition to the liquidated damage amounts, there will be additional amounts charged to the CONTRACTOR for all delay damages incurred by the CITY as a result of unavoidable delays by the CONTRACTOR. These actual delay damages will include, but not be limited to, inspection, engineering services, delay damage settlements or awards, penalties, and professional fees incurred in connection with such settlements, awards or penalties and fines imposed by regulatory agencies, contract damages and loss of use. ARTICLE 4. CONTRACT PRICE 4.1 CITY shall pay CONTRACTOR for performance of the work in accordance with the unit prices listed in the contract documents CONTRACTOR'S Bid form on a project by project basis. 4.2 CITY shall pay the CONTRACTOR, or receive as credit, for changes or adjustments in the work made in accordance with the General Conditions, on the basis of the unit prices indicated on the Bid form. ARTICLE 5. MEASUREMENT AND PAYMENT 5.1 Payment for the work, as further specified herein, shall include compensation to be received by the CONTRACTOR for furnishing tools, equipment, supplies, and manufactured articles, and for labor, operations, and incidentals appurtenant to the items of work being described, as necessary to complete the various items of the work in accordance with the requirements of the contract documents, including appurtenances thereto, and including all costs of compliance with the regulations of public agencies having jurisdiction, including Safety and Health Requirements of the Occupational Safety and Health Administration of the U.S. Department of Labor (OSHA). No separate payment will be made for any item that is not specifically set forth in the Bid Schedule, and all costs therefore shall be included in the prices named in the Bid Schedule for the various appurtenant items of work. City of Okeechobee Project No. PW 05-00-04-17 5.2 The total Unit Bid Price for each project shall cover all work required by the Contract Documents. All costs in connection with the proper and successful completion of the work, including furnishings all materials, equipment, supplies, and appurtenances; providing all construction equipment, and tools; and performing all necessary labor and supervision to fully complete the Work, shall be included in the Unit Bid prices. All related and necessary work not specifically set forth as a pay item in the Bid shall be considered a subsidiary obligation of CONTRACTOR and all costs in connection therewith shall be included. 5.3 Payment for all work done in compliance with the Contract Documents, inclusive of furnishings all manpower, equipment, materials, and performance of all operations relative to construction of this project, will be made under the Unit Bid Price. 5.4 The CITY reserves the right to alter the Drawings, modify incidental work if necessary, and increase or decrease quantities of work to be performed in accordance with such changes, including deduction or cancellation of any one or more of the chapters or items. Changes in the work shall not be considered as a waiver of any conditions of the Contract nor invalidate any provisions thereof. When changes result in changes in the quantities of work to be performed, and proposed change will cause substantial inequity to the CITY or CONTRACTOR the applicable unit prices shall be equitably adjusted by change order. 5.5 Quantities necessary to complete the work as shown on the Drawings or as specified herein shall govern over those shown in the Proposal or Bid Documents. The CONTRACTOR shall take no advantage of any apparent error or omission in the Drawings or Specifications, and the Public Works Director shall be permitted to make corrections and interpretations as may be deemed necessary for fulfillment of the intent of the Contract Documents. 5.6 The quantities for payment, other than Final Payment, under this Contract shall be determined for actual measurement of the completed items, in place, ready for service and accepted by the CITY, in accordance with the applicable method of measurement therefore contained herein. A representative of the CONTRACTOR shall witness all field measurements. 5.7 All estimated quantities stipulated in the Bid Form or other Contract Documents are approximate and supplied for the sole purpose of providing Bidder with a basis which will be used to determine the Base Bid and to obtain unit prices for approvals of progress payments for the Work done. Actual quantities which will be ordered by CITY may vary from those on the Bid Form(s). The CONTRACTOR'S attention is directed to the items of work for which no unit price is set. All work shown on the drawings as City of Okeechobee Project No. PW 05-00-04-17 outlined in the specifications is to be completed in all respects, and the cost of all miscellaneous and associated work to any specific items shall be included in the Unit Prices. 5.8 All quantities, for the submittal of payments, shall be measured and tabulated by both the Public Works Director, or representative, and CONTRACTOR. Requests for payment and supporting data shall be prepared by the CONTRACTOR and given to the Public Works Director sufficiently in advance of payment date to permit thorough checking of all quantities. 5.9 The CONTRACTOR shall furnish the Public Works Director whatever assistance is required, laborers, clerks and records that will enable the Public Works Director to expeditiously check all estimates and especially the final quantities of the project. 5.10 CONTRACTOR shall submit Applications for Payment in accordance with Article 9 of the General Conditions. Applications for Payment will be processed by Public Works Director as provided in the General Conditions. CITY shall make progress payments on the basis of CONTRACTOR'S Applications for Payment as recommended by the Public Works Director, in accordance with Article 9 of the General Conditions. Prior to Final Completion of the Work of each Individual chapter progress payments will be in an amount equal to ninety percent (90%) of the Work completed. Upon Final Completion and Acceptance of the Work of each Individual Chapter, in accordance with Article 9 of the General Conditions, CITY shall pay the remainder of the Contract Price, as provided in Article 9. ARTICLE 6. RETAINAGE IN ANTICIPATION OF LIQUIDATED DAMAGES 6.1 CITY may withhold additional retainage if CONTRACTOR is behind schedule and it is anticipated by CITY that each portion of the Work will not be completed within the Contract Time, as specified in the Notice to Proceed. 6.2 CITY may consider CONTRACTOR'S progress schedules as amended, and compliance or non-compliance therewith and other factors, including CONTRACTOR'S failure to provide a schedule and/or to update the same. ARTICLE 7. CONTRACTOR'S REPRESENTATIONS In order to induce CITY to enter into this Agreement, CONTRACTOR makes the following representations: 7.1 CONTRACTOR has familiarized himself with the nature and extent of the Contract Documents. Work locality, weather, and with all local conditions and federal, state, and local laws ordinances, rules, policies, and City of Okeechobee Project No. PW 05-00-04-17 regulations that in any manner affect cost, progress, or performance of the work. 7.2 CONTRACTOR has studied carefully all reports of investigations and tests of subsurface and latent physical conditions of the site or otherwise affecting cost, progress, or performance of the work which were relied upon by the Public Works Director in the preparation of the Drawings and Specifications. 7.3 CONTRACTOR has made or caused to be made examinations, investigations, and tests, and studies of such reports and related data, in addition to those referred to in Paragraph 7.2 above as he deems necessary for the performance of the work at the contract price, within the contract time, and in accordance with the other terms and conditions of the contract documents, and no additional examinations, investigations, tests, reports or similar data are or will be required by the CONTRACTOR for such purposes. 7.4 CONTRACTOR has correlated results of such observations, examinations, investigations, tests, reports, and data with the terms and conditions of the contract documents. 7.5 CONTRACTOR has given Public Works Director written notice of all conflicts, errors, or discrepancies that he has discovered in the contract documents, and the written resolution thereof by Public Works Director is acceptable to the contract. 7.6 Public Records Act Florida Statute Chapter 119 Compliance. CONTRACTOR understands and agrees that records and documents prepared by CONTRACTOR or the CITY for the performance of services may be subject to the Public Records Act, Florida Statute, Chapter 119 and may be required to be produced as provided in said statute. The records subject to Chapter 119 may include, in addition to prepared documents, such communication as e-mails, text messages, inter -office memorandums, social media, and photographs or images; a person or entity may request public records via e-mail, or by oral or written request, and a response to such a request must be prompt; it is the responsibility of the CONTRACTOR to establish an in-house policy in reference to such records, and to identify and retain such communications in the normal course of business in the event a request is made to produce these records. ARTICLE 8. PUNCHLIST PROCEDURES Further to Florida Statutes §218.735(7)(a)(i), Punchlist procedures to render the Work complete, satisfactory and acceptable are established as follows: City of Okeechobee Project No. PW 05-00-04-17 8.1 Within five (5) days of Substantial Completion of the construction services purchased as defined in the Contract, CONTRACTOR shall schedule a walkthrough with CITY ("Initial Walkthrough" a/k/a "IW"). The purpose of the IW is to develop a preliminary checklist ("Checklist") of items to be performed by the CONTRACTOR, based upon observations made jointly between the CONTRACTOR and CITY during the IW. The IW is to occur within ten (10) days of Substantial Completion of the Work as defined by the Contract, again predicated upon the CONTRACTOR'S timely initiation of a request for the IW. At its option, CITY may conduct the IW with its Field Inspector. 8.2 CONTRACTOR shall endeavor to address and complete as many items as possible noted on the Checklist either during the IW itself, or thereafter for a period of fifteen (15) days from the date of the IW. 8.3 No later than fifteen (15) days following the scheduled IW, CONTRACTOR shall again initiate and request a second walkthrough of the Project with the CITY. The purpose of this second walkthrough is to identify which items remain to be performed from the IW Checklist and to supplement that list as necessary (based, for example, upon work which may have been damaged as a result of the CONTRACTOR'S performance of completion of items contained on the IW Checklist) and for the purpose of developing a joint Final Punchlist. 8.4 The intent of this section is for the CITY and the CONTRACTOR to cooperate to develop a Final Punchlist to be completed no later than five (5) days from the date of reaching Substantial Completion of the construction services purchase as defined in the Contract. 8.5 In no event may the CONTRACTOR request payment of final retainage under Florida Statutes §218.735(7)(d) until the CONTRACTOR considers the Final Punch list to be one hundred percent (100%) complete. 8.6 CONTRACTOR agrees to complete the Final Punchlist items within fifteen (15) days of the date of its issuance by the CITY. 8.7 CONTRACTOR acknowledges and agrees that no item contained on the Final Punchlist shall be considered a warranty item until such time as (a) the Final Punch list is one hundred percent (100%) complete, and (b) the CITY has been able to operate or utilize the affected Punchlist item for an additional period of fifteen (15) days. 8.8 CONTRACTOR acknowledges and agrees that the CITY may, at its option, during performance of the Work and prior to Substantial Completion, issue lists of identified non -conforming or corrective work for the CONTRACTOR to address. The intent of any such the CITY generated lists prior to City of Okeechobee Project No. PW 05-00-04-17 Substantial Completion is to attempt to streamline the Punchlist process upon achieving Substantial Completion, and to allow for the CONTRACTOR to address needed areas of corrective work as they may be observed by the CITY during performance of the Work. CONTRACTOR acknowledges and agrees that in calculating one hundred fifty percent (150%) of the amount which may be withheld by the CITY as to any Final Punchlist item for which a good faith basis exists as to it being complete, as provided for by Florida Statutes §218.735(7)(d), the CITY may include within such percentage calculation its total costs for completing such item of work, including its administrative costs as well as costs to address other services needed or areas of work which may be affected in order to achieve full completion of the Final Punchlist item. Such percentage shall in no event relate to the schedule of value associated with such Work activity, but rather total costs are based upon the value (i.e. cost) of completing such Work activity based upon market conditions at the time of Final Punchlist completion. ARTICLE 9. CONTRACT DOCUMENTS The contract documents which comprise the entire agreement between the CITY and the CONTRACTOR are made a part hereof and consist of the following: • This Agreement • Certificates of Insurance • Payment Bond and Performance Bond • Notice of Award • Notices to Proceed • General Conditions • Technical Specifications, as applicable, listed in the Table of Contents thereof. • Drawings, for each project, consisting of a cover sheet and consisting of the sheets as listed in the index thereof. • Addenda numbers 1 to 2, inclusive. • CONTRACTOR'S Bid Forms (including documentation accompanying the Bid and documentation prior to Notice of Award). • Documentation submitted by CONTRACTOR prior to Notice of Award. • Any modification, including Change Orders and Field Orders, duly delivered after execution of Agreement. • Call for Bids, Instructions to Bidders, Proposal, Bid Forms, Payment and Performance Bonds, and Application for Payment. There are no contract documents other than those listed above in this Article 9. The contract documents may only be altered, amended, or replaced by a modification (as defined in Section 1 of the general conditions). ARTICLE 10. MISCELLANEOUS City of Okeechobee Project No. PW 05-00-04-17 10.1 Terms used in this agreement which are defined in Article 1 of the general conditions shall have the meanings indicated in the general conditions. 10.2 No assignments by a party hereto of any rights under or interests in the contract documents will be binding on another party hereto without the written consent of the party sought to be bound, and any such assignment shall be void and of no effect; and specifically but without limitation, monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the contract documents. 10.3 CITY and CONTRACTOR each binds himself, his partners, successors, assigns, and legal representatives to the other party hereto, his partners, successors, assigns, and legal representatives, in respect to all covenants, agreements, and obligations contained in the contract documents. ARTICLE 11. INDEMNIFICATION To the fullest extent permitted by law the Recipient's CONTRACTOR shall indemnify and hold harmless the Recipient, the State of Florida Department of Transportation (FDOT), and its officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness, or intentional wrongful misconduct of CONTRACTOR and persons employed or utilized by CONTRACTOR in the performance of this Contract. This indemnification shall survive the termination of this Agreement. Nothing contained in this paragraph is intended to nor shall it constitute a waiver of the State of Florida and the Recipient's sovereign immunity. To the fullest extent permitted by law, the Recipient's consultant shall indemnify and hold harmless the Recipient, the FDOT, and its officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused, in whole or in part, by professional negligence, error or omission, recklessness, or intentional wrongful conduct of the consultant or persons employed or utilized by the consultant in the performance of the Agreement. This indemnification shall survive the termination of this Agreement. Nothing contained in this paragraph is intended to nor shall it constitute a waiver of the State of Florida and the Recipient's sovereign immunity. ARTICLE 12. E -VERIFICATION City of Okeechobee Project No. PW 05-00-04-17 Vendors/CONTRACTORS shall utilize the U.S. Department of Homeland Security's E -Verify system to verify the employment eligibility of all new employees hired by the Vendor/CONTRACTOR during the term of the contract. Vendors/CONTRACTORS shall expressly require any Subcontractors performing work or providing services pursuant to the state contract to likewise utilize the U.S. Department of Homeland Security's E -Verify system to verify the employment eligibility of all new employees hired by the Subcontractor during the contract term. IN WITNESS WHEREOF, the parties hereto have signed two (2) copies of this agreement. At least one counterpart each has been delivered to the CITY and CONTRACTOR. All portions of the contract documents have been signed or identified by CITY and CONTRACTOR or by Public Works Director on their behalf. This Agreement will be effective on 1 -A 1 -I1 . CITY wling R� Watford, �Jr. M'yo • Attest: ,/i J..4 Lane Gamiotea, CMC, CITY Clerk Addresses for giving notices: CITY City of Okeechobee 55 SE 3rd Avenue Okeechobee, FL 34974 Approved as to form and legality for the Okeechobee onl . _cty4, John R. Cook, City Attorney City of Okeechobee CONTRACTOR By: Na e: :To 11-‘ (✓ s d/ Title: Attest: Title: (?S i f"'S S f'V Mar . Corporate Seal CONTRACTOR ,t�cc-� )Jcsi !►, stn.. bb , d- De vc lopn,e � C SAO- MA/2N4 ‘T. OGe eccLo be c, I= t_ 3((912_ Florida State Contractors License No use and reliance of the City of Project No. PW 05-00-04-17 FINAL CONTRACT AMOUNTS THAT EXCEED THE ORIGINAL CONTRACT AMOUNT WILL BE CHARGED AN ADDITIONAL PREMIUM. INCLUDE THESE PREMIUM CHARGES IN YOUR CHANGE ORDERS. A Document A312TM - 2010 Performance Bond CONTRACTOR: (Name, legal status and address) Green Design Construction and Development, LLC 4459 SE Kubin Ave. Stuart, FL 34997 OWNER: (Name, legal status and address) City of Okeechobee 55 S.E. 3rd Avenue Okeechobee, FL 34974 CONSTRUCTION CONTRACT: • Date: 6/20/2017 Amount: $50,175.00 SURETY: (Name, legal status and principal place of business) American Contractors Indemnity Company 801 S Figueroa St., Suite 700 Los Angeles, CA 90017 Executed in Two Original Counterparts Bond Number: 1001080654 This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. AIA Document A312-2010 combines two separate bonds, a Performance Bond and a Payment Bond, into one form. This is not a single combined Performance and Description: (Name and location) PW 05-00-04-17; Provide construction services needed to remodel approximately 450 square feet of office space including demolition of existing interior walls, construction of new walls incuding electrical and data; Okeechobee, FL BOND: Date: 7/6/2017 (Not earlier than Construction Contract Date) Amount: $50,175.00 Modifications to this Bond: ❑ None CONTRACTOR AS PRINCIPAL Company: Green Design Construction and Develo LLC (Cor at_ ea Signature: Name JJ�hT H. Creswell and Title Managing Member ® See Section 16 SURETY Company: American ntracto s Indemnity Company(Corporate .Seal) Signat Name and Title: Jerem ' raw ord, Attorney -in -Fact (Any additional signatures appear on the last page of this Performance Bond.) (FOR INFORMATION ONLY — Name, address and telephone) AGENT or BROKER: CCI Surety, Inc. OWNER'S REPRESENTATIVE: 1710 N Douglass Dr. N, Ste 110 (Architect. Engineer or other party:) Golden Valley, MN 55422 MA Document A312TM-2010. The American lnstitute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one- time use only, and may not be reproduced prior to its completion. 1 § 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. § 2 If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except when applicable to participate in a conference as provided in Section 3. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation under this Bond shall arise after .1 the Owner first provides notice to the Contractor and the Surety that the Owner is considering declaring a Contractor Default. Such notice shall indicate whether the Owner is requesting a conference among the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not request a conference, the Surety may, within five (5) business days after receipt of the Owner's notice, request such a conference If the Surety timely requests a conference, the Owner shall attend Unless the Owner agrees otherwise, any conference requested under this Section 3.1 shall be held within ten (10) business days of the Surety' s receipt of the Owner' s notice. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable time to perform the Construction Contract, but such an agreement shall not waive the Owner's right, if any, subsequently to declare a Contractor Default; .2 the Owner declares a Contractor Default, terminates the Construction Contract and notifies the Surety; and .3 the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the Construction Contract to the Surety or to a contractor selected to perform the Construction Contract. § 4 Failure on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to the extent the Surety demonstrates actual prejudice. § 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense take one of the following actions: § 5.1 Arrange for the Contractor, with the consent of the Owner, to perform and complete the Construction Contract; § 5.2 Undertake to perform and complete the Construction Contract itself, through its agents or independent contractors, § 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and a contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds issued on the Construction Contract, and pay to the Owner the amount of damages as described in Section 7 in excess of the Balance of the Contract Price incurred by the Owner as a result of the Contractor Default; § 5.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor and with reasonable promptness under the circumstances: .1 After investigation, determine the amount for which it may be liable to the Owner and, as soonas practicable after the amount is determined, make payment to the Owner; or .2 Deny liability in whole or in part and notify the Owner, citing the reasons for denial. § 6 If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to be in default on this Bond seven days after receipt of an additional written notice from the Owner to the Surety demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as provided in Section 5.4, and the Owner refuses the payment or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any remedy available to the Owner. AIA Document A312T51-2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one- time use only, and may not be reproduced prior to its completion. 2 § 7 If the Surety elects to act under Section 5.1, 5.2 or 5.3, then the responsibilities of the Surety to the Owner shall not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. Subject to the commitment by the Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for .1 the responsibilities of the Contractor for correction of defective work and completion of the Construction Contract .2 additional legal, design professional and delay costs resulting from the Contractor's Default, and resulting from the actions or failure to act of the Surety under Section 5; and .3 liquidated damages, or if no liquidated damages are specified in the Construction Contract, actual damages caused by delayed performance or non-performance or the Contractor. § 8 If the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond. § 9 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reduced or set off on account of any such unrelated obligations. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators, successors and assigns. § 10 The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related subcontracts, purchase orders and other obligations. § 11 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location which the work or part of the work is located and shall be instituted within two years after a declaration of Contractor Default or within two years after the Contractor ceased working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. § 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. § 13 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 14 Definitions § 14.1 Balance oftheContract Price. The total amount payable by the Owner to the Contractor underthe Construction Contract after all proper adjustments have been made, including allowance to the Contractor of any amounts received or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. § 14.2 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Documents. § 14.3 Contractor Default. Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to comply with a material term of the Construction Contract. § 14.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. § 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. § 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. AIA Document A312TM-2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandTM order no. 2008406923, and is not for resale. This dowment is licensed by The American Institute of Architects for one- time use only, and may not be reproduced prior to its completion. 3 § 16 Modifications to this bond are as follows: § 10 Is hereby modified as follows. The Surety hereby waives notice of any change, including changes of time, to the Construction Contract or to related Subcontracts, purchase orders and other obligations. Notwithstanding the terms of the Construction Contract, the sum of the bond stated herein shall not increase without prior written consent of the Surety. ** All obligations of the Surety shall be discharged and released at the end of one year from project acceptance by owner or architect. ***THIS BOND IS HEREBY AMENDED SO THAT THE PROVISIONS AND LIMITATIONS OF SECTION 255.05 OR SECTION 713.23 OR SECTION 713.245, FLORIDA STATUTES, WHICHEVER IS APPLICABLE, ARE INCORPORATED HEREIN BY REFERENCE. (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY Company: (Corporate Seal) Company: (Corporate Seal) Signature: Signature: Name and Title: Name and Title: Address: Address: AIA Document A312TM-2010. The American Institute of Architects. This document was created on 02/28/2012 11:24:44 under the terms of AIA Documents-on-DemandTM order no. 2008406923, and is not for resale. This document is licensed by The American Institute of Architects for one- time use only, and may not be reproduced prior to its completion. 4 A18876 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY -TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American Contractors Indemnity Company, United States Surety Company, a M aryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, thei "Companies"), do by these presents make, constitute and appoint: Jeremy Crawford, Michael D. Williams, William J. Nemec, Tanya Fukushima, William Gerber or Michael E. Konzen of Golden Valley, Minnesota its true and lawful Attorney(s)-in-fact, each in their separate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed ******Five Million****** Dollars ($ **5,000,000.00** ). This Power of Attorney shall expire without further action on November 3, 2019. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies: Be it Resolved, that the President, any Vice -President, any Assistant Vice -President, any Secretary or any Assistant Sccrctary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act' for and on behalf of the Companysubjectto the following provisions: Attorney -in -Fact may be given full power and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, rccognizanccs, contracts, agreements or indcmnity and othcr conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all noticcs and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and scaled and effected by the Corporate Sccrctary. Be it Resolved, that the signature of any authorizcd officer and seal of the Company heretofore or hereafter affixed to any power of attomcy or any certificate relating thereto by facsimile, and any power of attomcy or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1st day of November, 2016. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY Corporate Seals �aatpPCrORs ;tel NCODPOMTED SEPT. 25,1990 :`05 r, Ze =^;• '9rE OF iE.FP�•: "'nuuumn By: Daniel P. Aguilar, Vice President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles SS: On this 1st day of November, 2016, before me, Sabina Morgenstein, a notary public, personally appeared Daniel P. Aguilar, Vice President of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature I, Kio Lo, Assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force'and effect.:. - (Seal) SABINA MORGENSTEIN Commission # 2129258 Notary Public - California Los Angeles County My Comm. Expires Nov 3. 2019 In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this 6th - day �f - July ,2017. •Corporate Seals - - .1.......:!. crogsy,; ' 10010806.54 Bond No. _ = _ Agency No. '' _--=°$219 INCORPORATED SEPT. 25, 1990 ,0,Z5 SURF!. „nn„rr,r .nNOINr, .y. tnau a' m*nrnHo` 00/011111111100 Kio Lo, Assistant Secretary Kant Kopy° K1 Security Paper • Hidden Pantograph • Color Match • Artficial Watermark • Anti -Copy Coin Ruh • Erasure Protection • Security Features Box • Microprint Protection • Acid Free r 1 Kant Kopy^ K1 Security Paper • Hidden Partoeraph • Color Match • Artificial Watermark • Anti -Copy Coin nub • Erasure Protection • Security Features Box • Micropnnt Protection • Acid Frce Kant Kopy°' K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Corn Rub • Erasure Protection • Security Features Box • Microprint Protection • Acid Free Kant Kcpy" K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Coin Rub • Erasure Protection • Security Features Pox • Microprint Protection • Acid Free SEP 1 2 2017 CHANGE RIDER TO BE ATTACHED TO AND FROM A PART OF BOND NO. 1001080654 ISSUED BY American Contractors Indemnity Company Executed in 2 Original Counterparts ON BEHALF OF Green Design Construction and Development, LLC 4459 SE Kubin Ave., Stuart, FL 34997 IT IS UNDERSTOOD AND AGREED THAT THE FOLLOWING IS CHANGED TO READ AS FOLLOWS: FROM: Contract Price: $50,175.00 TO: Contract Price: $113,292.00 THIS COVERAGE IS TO BE EFFECTIVE August 28th 2017 SIGNED, SEALED AND DATED THIS 28th American Contra Ind-mnity Company _. Jeremy Cr Attorney -In -Fact DAY OF August 2017 POWER OF ATTORNEY AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY A19348 KNOW ALL MEN BY THESE PRESENTS: That American Contractors Indemnity Company, a California corporation, Texas Bonding Company, an assumed name of American ;Contractors Indemnity Company, United States Surety Company, a M aryland corporation and U.S. Specialty Insurance Company, a Texas corporation (collectively, ,the"Companies"), do by these presents make, hlh constitute and appoint: y i' OR it Jeremy Crawford, Michael D. Williams, William J. Nemec, Tanya Fukushima, William Gerber or Michael E. Konzen of Golden Valley, Minnesota its true and lawful Attorney(s)-in-fact, each in theirseparate capacity if more than one is named above, with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and alt bonds, recognizances, undertakings or_ other instruments or contracts of suretyship to include riders, amendments, and consents of surety, providing the bond penalty does not exceed ******Five Million****** Dollars ($ **5,000,000.00**). This Power of Attorney shall expire without further action on November 3, 2019. This Power of Attorney is granted under and by authority of the following resolutions adopted by the Boards of Directors of the Companies = _ Be it Resolved, that the President, any Vice -President, any Assistant _Vice -President, any Secretary or, any Assistant RaI LI hlnt Secretary shall be and is hereby vested with full powcr and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney -in -Fact may be given full powcr and authority for and in the name of and on behalf of the Company, to execute, acknowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings, including any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts, and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney -in -Fact shall be binding upon the Company as if signed by the President and sealed and effected _ by the Corporate Secretary. Be it Resolved, that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attomcy or any certificate relating thereto y undertaking ing to whichit is o attachcd. or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any by andanypowerI 11 rtifi i IN WITNESS WHEREOF, The Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 1st day of November, 2016. AMERICAN CONTRACTORS INDEMNITY COMPANY TEXAS BONDING COMPANY UNITED STATES SURETY COMPANY U.S. SPECIALTY INSURANCE COMPANY Corporate Seals ,Uq\.."4'; ,\\\\IDllhll//p; ,d,\„qry ,o=r, ."`NPOTOgs . ;.0 �.. SURF - `��ONOING.Qo., dx`i�naurd: p?"te/t�',• • `.y, /� _3!1 n'- =. ^/ �'vt agar t� INCORPORATED y _ - SEPT. 25,1100 =W ,Ipuli*MO° Daniel P. Aguilar, Vice President A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of Los Angeles SS: On this 1st day of November, 2016, before me, Sabina Morgenstein, a notary public, personally appeared Daniel P. Aguilar, Vice President of American =_-== - Contractors Indemnity Company, Texas Bonding Company, United States Surety Companyy and U.S. Specialty Insurance Company who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument'and acknowledged to me that he executed the same in his authorized capacity, and that by his signature on the instrument person, or the entity t ponbehalfof whichthe person acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) SABINA MORGENSTEIN Commission # 2129258 Notary Public - California .Los Angeles County My Comm. Expires Nov 3. 2019 I, Kio Lo, Assistant Secretary of American Contractors Indemnity Company, Texas Bonding Company, United States Surety Company and U.S. Specialty Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies, which is still in full force and effect; furthermore, the resolutions of the Boards of Directors.9setout in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Los Angeles, California this 28th day ,2017. Of; : _ • August 1 • r -- - • '- `, \\ 1111111111 , \\\\\VIIIA///// CorporateSeals'. _ ,`o °NACToe'°yo ,.................} so°NR!Nc•°o U NCOEN,MTED 0~- 1.11 I l • _�,i SEPT. Z5, 1990 iQ` _:' ja= . .1, 11. ORP``*ulao`. 100108065 t Agency No.; 8219' Kio Lo, Assistant Secretary Kant Kopy' K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Coin Rub • Erasure Protection • Security Features Box • Microprint Protection • Acid Free Kant Kopy' K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Coin Rub • Erasure Protection • Security Features Box • Microprint Protection • Acid Free Kant Kopy• K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Coin Rub • Erasure Protection • Security Features Box • Microprint Protection • Acid Free Kant Kopy' K1 Security Paper • Hidden Pantograph • Color Match • Artificial Watermark • Anti -Copy Coin Rub • Erasure Protection • Security Features Box • Microprint Protection • Acid Free SECTION IX PW 05-00-04-17 REJECTION OF PROPOSALS 1. The City may reject a Bid if: a. The Proposer conceals any material fact in the proposal. b. The proposal does not strictly conform to the law or requirements of the proposal. c. The City may, however, reject any or all Bids, whenever it is deemed in the best interest of the City to do so and may reject any part of a Proposal. The City may also waive any minor informalities or irregularities in any Proposal. 2. Proposal Protest Procedure: a. Any Proposer that has submitted a formal proposal to City of Okeechobee, and who is adversely affected by the decision with respect to the award of the formal proposal, may file with the City Administrator's Office, City of Okeechobee, 55 S.E. 3rd Avenue, Okeechobee, FL 34974, a written Protest no later than forty-eight (48) hours (excluding Saturdays, Sundays and Legal Holidays) of the decision of the City of Okeechobee City Council to award the proposal. b. The "Notice of Intent to File a Protest" document shall be in the form of a letter stating all grounds claimed for the Protest. Failure to do so shall constitute a waiver of all rights to seek any further remedies provided for under this Protest Procedure. c. The City Administrator shall submit the protest statement and affidavits along with his or her own statement and affidavits in support of the award of the formal proposal to the City Council for a final determination of the protest. City or Okeechobee Project No. F'W U5-UU-U4-17 Public 'Works Deparirneni 28 NOTICE TO PROCEED PW 05-00-04-17 Date: July 10, 2017 To: Green Design Construction & Development, LLC Contractor. SUBJECT PROJECT: PW 05-00-04-17 OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING You are hereby notified to proceed with the Work on the subject Project on or after July 24, 2017 and to complete the same within 30 calendar days. The completion date for the Work shall be: August 23, 2017. OWNER: BY: CITY OF OKEECHOBEE 55 SE THIRD AVENUE OKEECHOBEE, FL 34974 CONTRACTOR: Public Works Director CONTRACTOR'S ACKNOWLEDGMENT OF RECEIPT OF NOTICE Name: 6 teen? 6.rf/ cb jsr efoh./ Date: 03/r 111 q - Address: £ au zi,t, Si Signatu -. N. O1ee-41x74e, F oda 35ti 72 Title: At -LAG rkiu rte.--nue--P_ NOTICE OF AWARD REMODELING June 22, 2017 PW 05-00-04-17, OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE Green Design Construction & Development, LLC Attn: Mr. John H. Creswell 502 NW 2nd Street Okeechobee, FL 34974 Dear Mr. Creswell, The City Council awarded the PW 05-00-04-17, OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODELING bid to your company, Green Design Construction & Development, LLC at the June 20, 2017 City Council Meeting in the amount of $50,175.00. In order to proceed with the project, you will need to provide the City of Okeechobee with the following by Monday, July 3, 2017: • A certified copy of the insurance policies with the declaration pages for the General Liability and Commercial Auto Insurance. The insurance agent can use a stamp and state that it is a true and original copy and then sign and date it or they can write something to the fact on their letterhead listing the policy numbers, signing and dating it. The City of Okeechobee also needs to be listed as additional insured with the limits specified per Section VI of the bid packet, pages 11 and 12. • Workers Compensation Insurance certificate with the limits specified per Section VI of the bid packet, pages 11 and 12. W-9. Copy of County of Okeechobee Business Tax Receipt. — h! or REQti s R� D w Neixii A L'C-R i F = D Copy of City of Okeechobee Business Tax Receipt.co4-- 4-1-mcT-of' L9"1` -Y RAA -7: ".1 `'o"'r1Y &TR. • Summary of the financial statement per question #10 of the Bidder's Questionnaire Section V of the bid packet, pages 7-9. • Performance Bond per Section VIII of the bid packet, Pages 24 - 27. • Two original executed sets of the attached Agreement. One set will be returned to you after executed by the City. We look forward to working with you on this project. Should you have any questions please feel free to contact me per my contact information below. Sincerely, David Allen Public Works Director City of Okeechobee 55 SE Third Avenue Okeechobee, FL 34974 Tele: 863-763-9790 Fax: 863-763-1686 dallen(a�cityofokeechobee.com SECTION XII PW 05-00-04-17 MISCELLANEOUS A. No Lobbying: All respondents are hereby placed on notice that any communication, whether written or oral, with City of Okeechobee elected officials or any City staff or outside Individuals working with the City in respect to this request (with the exception of the General Services personnel designated to receive requests for interpretation or corrections or technical questions), is prohibited. These persons shall not be lobbied, either individually or collectively, regarding any request for Bid, proposals, qualifications and/or any other solicitations released by the City. To do so is grounds for immediate disqualification from the selection process. All respondents must submit the attached No Lobbying Affidavit with their submittal stating that they and their Subcontractor, sub -consultants and agents agree to abide by the no lobbying restrictions in order to be considered for this request. Any respondent that does not submit the required No Lobbying Affidavit will be automatically disqualified from further consideration. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment A B. Collusion, Gratuities and Kickbacks: It shall be unethical for any respondent to collude with any other respondent or offer, give or agree to give any City Council member, City employee or City representative (including selection committee members) a gift, gratuity or an offer of employment in connection with any decision, approval, disapproval, recommendation or preparation of any part of the procurement process. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment B C. Modifications: The City reserves the right to modify, alter or change the scope or other aspects of this solicitation. D. Level Playing Field: The contents of this solicitation are intended to provide a level playing field on which Firms or Individuals may base their responses. E. Public Entity Crime Affidavit: As requested by Florida Statute 287.133(2)(a), a person or affiliate who has been placed on the convicted vendor list following a conviction for a Public Entity Crime may not submit a Bid on a contract with a Public Entity for the construction or repair of a public building or a public work, may not submit Bids on leases of real property to a Public Entity, may not be awarded or perform work as a Contractor, supplier, Subcontractor, or consultant under a contract with any Public Entity, and may not transact business with any Public Entity in excess of the threshold amount provided in F.S. 287.017 for City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 31 Category Two for a period of thirty-six (36) months from the date of being placed on the convicted vendor list. Any person must notify the City within thirty (30) days after a conviction of a Public Entity crime applicable to that person or to an affiliate of that person. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment B F. Conflict of Interest: The award hereunder is subject to the provisions of Chapter 112, Florida Statutes. All respondents must disclose with their submission the name of any officer, director, employee or agent who is also a public officer, employee or an agent of the City of Okeechobee City Council, or any of its agencies. Furthermore, all respondents must disclose the name of any City officer, employee or agent who owns, directly or indirectly, an interest of five percent (5 %) or more in the Firm or any of its parent companies or subsidiaries. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment E G. Immigration Laws: Respondents must comply with all applicable immigration laws in their employment practices. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. See Attachment F H. Tie Proposals: Preference shall be given to businesses with drug-free workplace programs. Whenever two or more proposals which are equal with respect to quality and service are received by the City for the procurement of commodities or contractual services, a proposal received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie proposals will be followed if none of the tied vendors has a drug-free workplace program. NOTE: For respondents' convenience, this certification form is attached and made a part of the procurement package. City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 32 ATTACHMENT A PW 05-00-04-17 NO LOBBYING AFFIDAVIT STATE OF FLORIDA COUNTY OF MA2'ri N This /5day of M►4-1( , 2017, Joh4 60u being first duly sworn,/deposes and says that he/she is the authorized representative of green -besiq n 6msirlicioo ¢ etc✓eloPm-1" (Name of Contractor, Firm or Individual) retpondent to the attached request for Bid, proposal or qualifications and/or any other solicitation released by City of Okeechobee, and that the Bidder and any of its agents agrees to abide by the City of Okeechobee no lobbying restrictions in regard to this solicitation. The foregoing instrument of , 20 17, O produced City of Okeechobee Public Works Department ,fist was acknowledged and subscribed before me this day by JOh'Z— CrlSwel/ , who is known as identific 33 itdi 't,-10 Signature of P lic Sig Notary eirathtil4/ ame of Notary Typed! Printed, or Stamped Commission No. KAIN 01 ; ruLEEN M FOGEY B�� MY COMMISSION R GG 070616 *� "11 1 o` EXPIRES: Ap' 22.2011 1r'OFf‘st Bonded .1Budget Notri Project No. PW 05-00-04-17 ATTACHMENT B PW 05-00-04-17 ANTI -COLLUSION STATEMENT AND NO GIFTS STATEMENT Date: 51/.s1201-�- Anti -collusion statement: No gifts statement: Firm Name: By (printed/typed): By (signature): Title: Mailing Address: City, State, Zip: Telephone No.: City of Okeechobee Public Works Department The below -signed Bidder has not divulged to, discussed, or compared his/her Bid with other Bidders and has not colluded with any other Bidder or parties to a Bid whatsoever. No premiums, rebates, gifts or gratuities are permitted with, prior to, or after submission of the Bid. Any such violation will result in rejection of the Bid and removal from the Bid list(s). L (. C Jod o T.LS Sot MO 2•-•c,t 54- Dkcech. o( e PL 34-q? - 34 Project No. PW 05-00-04-17 ATTACHMENT C PW 05-00-04-17 PROPOSER'S CERTIFICATION have carefully examined this Request for Bids (BID)/Request for Proposals (RFP)/ Request for Qualifications (RFQ), which includes scope, requirements for submission, general information and the evaluation and award process. I acknowledge receipt of the following addenda. Addendum # / Date: $ r. `40)0- Addendum 4Z)/ "Addendum # 2 Date: cid Addendum # Date: Addendum # Date: Addendum # Date: Addendum # Date: I hereby propose to provide the services requested in the City's BID/RFP/RFQ and, if awarded, to enter into the attached draft contract. I agree that the terms and conditions of the City's BID/RFP/RFQ shall take precedence over any conflicting terms and conditions submitted with my proposal and agree to abide by all conditions of the BID/RFP/RFQ, unless a properly completed Exceptions to BID/RFP/RFQ form is submitted. I acknowledge that the City may not accept the proposal due to any exceptions. I certify that all information contained in my proposal is truthful to the best of my knowledge and belief. I further certify that I am duly authorized to submit this proposal on behalf of the Company as its agent and that the Company is ready, willing and able to perform if awarded a contract. further certify, under oath, that this proposal is made without prior understanding, agreement, connection, discussion or collusion with any other person, Company or Corporation submitting a proposal for the same product or service; no gratuities, gifts or kick -backs were offered or given by the Bidder or anyone on its behalf to gain favorable treatment concerning this procurement; no City Council member, employee or agent of City of Okeechobee or of any other Company is interested in said Bid; and that the undersigned executed this Proposer's Certification with full knowledge and understanding of the matters therein contained and was duly authorized to do so. 6-, DZ5 "rti) ak kri ion De/el/Aar cCc Name of Business rized Signature John rp s & 2L , i rt.EL'r0 2 Name & Title, Typed SW NW 2it.ot.sT Mailing Address 341 1.4- 6eGC�► 0 6 City, W(ptate&Zip Code Telephon/e�Number/Fax Number ,�t►In �w ADTA (-2, r rr- . Cvn Email Address STATE OF FLORIDA COUNTY OF M,*r i 0 ` The foregoing instrument was ac /rlowledged and subscribed before me this ! 5r day of, 204, by i SNL. CreS A'C II , who is personally known OR pr duced as identification. City of Okeechobee Public Works Department Signature of Notary Public KA1titEEN M FOLEY • I. Name of Notary Typed, Printed, or Stamped ATTACHMENT D 35 0 22,2021 P` Budget Notary rAces d3o�d Project No. PW 05-00-04-17 PW 05-00-04-17 SWORN STATEMENT PURSUANT TO SECTION 287.133 (2)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to CITY OF OKEECHOBEE, FLORIDA by: JOIIA Cr.esv✓{(.(_ (print Individual's name and title) for: 6 r& -b&--516,10 (/ 0,.► s-{r,c '.5., i 7).et,te ops f 1(LC (print name of entity submitting sworn statement) whose business address is: 501 P (A-2 2fAcJ ST 0r / eec- i_c)b et 1 J74.6/ 3-'4 and (if applicable) its Federal Employer Identification Number (FEIN) is: Q -.S ZSZ 245-'g (If the entity has no FEIN, include the Social Security Number of the Individual signing this sworn statement: N%' - - .) 2. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States, including but not limited to, any Bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentations. 3. I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, non -jury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which Bids or City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 36 applies to Bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the statement which I have marked below is true in relation to the entity submitting this sworn statement. (Indicate which statement applies). XNeither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. El The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. El The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list (attach a copy of the final order). I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FOR CATEGORY TWO OF ANY CHANGE IINFORMATION CONTAINED IN THIS FORM. Signature STATE OF FLORIDA COUNTY OF Meer/ The foregoing instr ment was acknowledged and subscribed before me this /J day of Nay , 20_1_7, by ja74 Or5Wel/ , who is personally known OR produced as identification. City of Okeechobee Public Works Department Signature of Notary Public Name of Notary Typed, Prin, or Stamped �o►ted�Y Pue�o KAT M �► ;cam * MYCOMMISSIONHLEEN#GGOFOLEY 37 01►; ;P4B, KATHLEEN M FOLEY :5fitommtsstormarom 1FOF �o� EXPIRES: April 22, 2021 EXPIRES: Apra 22, 20219 Bonded TTxu Budget Notary Services Bonded llw Budget Notary SerNces Project No. PW 05-00-04-17 ATTACHMENT E PW 05-00-04-17 CONFLICT OF INTEREST DISCLOSURE FORM For purposes of determining any possible conflict of interest, all Bidders must disclose if any City of Okeechobee employee(s), elected official(s), or any of its agents is also an owner, corporate officer, director, agent, employee, etc., of their business. Indicate either "yes" (a City employee, elected official or agent is associated with your business), or "no". If yes, give person(s) name(s) and position(s) with your business. YES NO Ar Name(s) Position(s) Firm Name: 6; (-.1.e.4 -1)Q5 l&t.) 6s,v,5"fr“- s^ 4 D BQ T , C“-- By (X-By (Printed): Jo tin Ct 6,w By (Signature): Title: J c 2z Address: 9 Po 2o-Jl Sk okz c,tto b [,c. / rL 3 n-4 Phone Number: U( 3 -4117-- (t i t City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 38 ATTACHMENT F PW 05-00-04-17 IMMIGRATION LAW CERTIFICATION City of Okeechobee will not intentionally award City contracts to any Contractor who knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in 8 U.S.C. Section 1324 a(e) (Section 274a(e) of the immigration and nationality act ("INA")). City of Okeechobee may consider the employment by any Contractor of unauthorized aliens a violation of Section 274A(e) of the INA. Such violation by the recipient of the employment provisions contained in Section 274A(e) of the INA shall be grounds for unilateral cancellation of the contract by City of Okeechobee. Respondent attests that it is fully compliant with all applicable immigration specifically relating to the 1986 immigration act and subsequent amendments. (41r -cert, �D.ec Company Name laws, tido onteit c. Signature ) t Title Cl/57201-7-- Date STATE OF FLORIDA COUNTY OF MA1rl,h/ The foregoing instrument was acknowledged and subscribed before me this /5—day of Ir iV , 20.J7 by d)`j/L Sul -C// , who is personally known OR produced as identification. City of Okeechobee Public Works Department Signature of Notary Public -R-47 Name of Notary Typed, Printed, or Stamped i°t 'P..'94, KATHLEEN M Fes' Commission No. * MY COMMISSION # GG 070616 EXPIRES: Apra 22, 2021 OF r'o Bonded Thu Budget Notary Services 39 Project No. PW 05-00-04-17 ATTACHMENT G PW 05-00-04-17 DRUG-FREE WORKPLACE CERTIFICATION THE BELOW SIGNED Bidder/proposer CERTIFIES that it has implemented a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the work place and specifying the actions that will be taken against employees for violation of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. 4. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction or plea of guilty or nolo contendere to any violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in, drug abuse assistance or rehabilitation program if such is available in the employee's community, by an employee who is convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign this stateme t, I certify that this Firm complies fully with the above requirements. Signature: Date: S[//2c I -3- Company. rail �P�i n -ur.�ityl >` % 4�.. 61ame: Jai^ (re)iJtt( �n Address 2. 1U W ��,X sr Title: (rec- D ' C.tulatiL_ 1 R- 3487¢ Phone Number:.. -2 -1-0 - CP el* City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 40 City of Okeechobee City Hall Office Renovation ARCHITECTURAL NDEX TS DRA GS ABB ABBREVIATIONS J GENERAL NOTES A-1 EXISTING FLOOR PLAN J DEMOLMON PLAN, PROPOSED FLOOR PLAN AND INTERIOR ELEVATIONS A-2 ELECTRICAL PLAN, REFLECTED CEILING PLAN AND DETAILS ARCHITECT EOLUND • ORITENBAS • BINKLEY ARCHITECTS AND ASSOCIATES. P.A. GS fl, .'/ Pete Point". S.4ra 0. Hao 9av». Mx*. 32910 Monet M721389-4320 M• Am SS z 0 1— Q LY 1— < zIH t� W tLi gte — W s U Int 0 0. o a � 8 z ®aa 3.2sot swe sic pm*. raw lodK. �sa ...Ai 1..11.4.11,01.4. 11.141.001.0.1119/611, CSR. 112.080260) MOM 2F[53.2012 22 .N2 C7(22 .F8 SHIFT N0. COVER OF ONE GENERAL NOTES 3LPDATED 10 APO. 2034) L TIE CONTRACTOR IS TO VERIFY ALL 05.BSIC335 SH01AN CN 73.E CO TRUCTI N 03CLPENIS.00 E'705TNG =amass RITE FIHA.AH' DISCREPANCIES N 113 /nave NIL CXN STRUIE A STOP WOW ORDER FOR 11.IAT PORTION an 7713 CONSSl13 T40N ONLY 11E ARC 51ECT IS TO 913 KNIFED NI EDIATELT FOR RFSOWfIOP1 2. EVERY ATTEMPT HAS BEEN MADE TO DEIJNEATE Ti>= EXLSUTG COPDMCNS ADD 013741355, 11-E CC94IRACTCR NIST VISIT ITE SITE TO VL9.IALLY ESTAEL19111-5 CCNPLETE SCOPE CF WC= AND COADRIONS TO 1313 CONSIPLCT61 3. TFL GENERAL CC NOMCN5 CF 13.E CXYIIRACT FOR CONSIRLCTICN SHALL 133E AW DOCLAENT A 201.2007 EDITION, A COPY OF WHEW IS AVM e4. P FOR RENEW AT 13.E ARC3YIECTS C%F.DE 4. 1-E CXNIRACTOR SHALL WARRANT AND GUARANTEE ALL MATERIALS AAD WOWRNAMNIP FCR A PERIM OF 11CPE1 YEAR FROM 11-E DATE CIF S ESTANOAL CCAPIETICAT 5. 744= C CNTRACTC35 IS TO SST'. PP ADD PAT FOR ALL PI3a4IT5 AAO 91ALL 15051E TIL *CERTIFICATE CF OCCUPANCY'. DETAL SECTION SECTIONS SPECIFIC DETAILS IL 111 N. v. AIL CETAL NAE32 S:EET VA -ERE RE 5.510445E 15050343.352115 S EET 44482E 5147134 0137435 NACER SEE' 3552482E SHOWN INT1321O12 ELEVATIONS WALL ELEVATION S ET WT-t3TE S ZwN S we 0DNPRACTCR3S1 SHALL PROV515 ADD mamma CCIo4t.E135 women CONFENSATIOL GENERAL UNMET AAD GUIDERS RE< FStRA•CE 7. ALL MATERIALSUTI.R® SHALL DE NEW AFD C4 TFE0.' LITT S mammas WILL BE ALLOWED O'S.Y11%114 TFL ARC ITECTS PRIOR WRITTEN APPROVAL a 7113 calve A02035 SLAV. COORDWATE AIL WAG WITH TIE MANLEACTUII5S INSTRUCTIONS ADD CATALOG CUTS 9. PRICK TO FILAW. PAYRSdf.DL CONTRACTOR SNAIL .35.13 TO T}3035.T0 AN mat= rem 3445ASE OF ueu POWS FROM ALL PARTIES HAMS LIEN RIGHTS AGANST 1113 DARR. 10. A.M. WOR: IS TO 133E PERFORMED NACCORDANCE w614TESTTRADEPRACTIce- FCR 7335 GEOGRAPNIC AREA N WHICH 11.E PRO.EC2 IS LOCATED. 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MC. roroyeac......xt nevem, rOgavexec.......apt 4.10K 1.10111..it• FA. CRC/ Ra. wall oaf .rtil pea.; COW. 14.k 04024VO DAM 2A 1128. 2017 St AR • Oft -PO SHEET NO. A - 2 OF TWO ATTACHMENT H PW 05-00-04-17 PROJECT LOCATION MAPS SEE ATTACHED City of Okeechobee Project No. PW 05-00-04-17 Public Works Department 41 V II O..% 11 VU 1 LVI\I Lof/1 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 CRESWELL, JOHN HENRY GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to Improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RICK SCOTT, GOVERNOR Sow e, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND xT PROFESSIONAL REGULATION CGC1516250 ISSUED: 06/21/2016 CERTIFIED GENERAL CONTRACTOR CRESWELL, JOHN HENRY GREEN DESIGN CONSTRUCTION AND DEVE IS CERTIFIED under the provisions of Ch.489 FS. Expiration date : AUG 31, 2018 L1606210000984 DETACH HERE KEN LAWSON, SECRETARY STATE OF FLORIDA • DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD LICENSE NUMBER CGC1516250 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2018 CRESWELL, JOHN HENRY GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997 ISSUED: 06/21/2016 DISPLAY AS REQUIRED BY LAW SEQ# L1606210000984 Nov.14.'2016 04:39 PM Green Design MARTINI COUNTY bR1G{NAL BUSINESS TAX RECEIPT Honorable Ruth Pieiiuszewski CFC, Tax Collector 3485.S.e: NFilto ighby Bhp Stlxa!t, F.L 34S44• (T121288-5604. :bey Yr $$00. Lk Fee Sifd S-00 _Penal!), SQA. S.00 Tra3ister !CRO 711ITAL ;SZC$Z. :t26. ied:requireu to .in Pie buss,profession cror-co:Igian if CEEtT..G.ENAIALCa RACTOR. at loon &sled for the.period begoamsj naNTte • 3?ay r1f .741101TST J1ND t NDING$I=�PTENJBFR3D 207 8638243390 Ponos.. . tI7 j2i$4*44: rC.Nn• 2357/5. incateba. •*44$••*•140AR A:lE. Sill • PAGE. 2 CO4 SWELti.4931 1113/ RY CE2>r1=iP I.; orig4 1iCHOhi /lQ� 445w$40 I i.mg. s.714: Irtr.40.42R THIS FORM BECOMES A RECEFPT ONLY VITHEN VALIDATED BY RECEIPTING MACHINE. ANYONE DOING BUSINESS WITHOUT AVALID BUSINESS TAX RECEIPT IS SUBJECT TO A $250 FINE. IF NOT PAID BY SEPT. 30tli, A DELINQUENT PENALTY OF 10% FORTHE MONTH OF OCTOBER, PLUS A5% PENALTY FOR EACH MONTH THEREAFTER UP TO 25%, PLUS COLLECTION COSTS WILL APPLY. NOTE: A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS BUSINESS TAX RECEIPT EXHIBITED CONSPICUOUSLYAT YOUR ESTABLISHMENT OR PLACE OF BUSINESS. KOGUT, SHAUN (863)634-7428 CITY OF OKEECHOBEE BUSINESS TAX RECEIPT 55 SE 3rd Avenue. Okeechobee, FL 34974 OCTOBER 1, 2016 - SEPTEMBER 30, 2017 STATE LICENSE REQUIRED FOR RENEWAL Address: 502 NW2ND STREET OKEECHOBEE, FL 34974 ABY 2001 PROFESSIONAL NO CONSTRUCT. EQUIP. ALLOWED 0 Issued to: GREEN DESIGN CONSTRUCTION & D KOGUT, SHAUN 4459 SE KUBIN AVENUE STUART, FL 34997 No: 2159 Date: 1/25/17 RECEIPT PENALTY NEW/TRANS BLDG INSP FIRE INSP Total Paid 52.50 5.25 3.00 50.00 15.00 125.75 Vmi Ta,uw- A BUSINESS TAX RECEIPT OFFICIAL GREEDES-01 BBROWN ACORL CERTIFICATE OF LIABILITY INSURANCE 4.----07/05/2017 DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 lieu of such endorsement(s). PRODUCER V Johnson Agency, Inc. 2041 SE Ocean Blvd Stuart, FL 34996 CT C2NTACT Barbie Brown - Ext. 237 Fake PHONE (ac, No, Ext): (772) 287-3366 FAX No):(772) 287-4255 ADDAIL RESS' bbrown©rvjohnson.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:SOUthern Owners Insurance 10190 INSURED Green Design Construction And Development, LLC 4459 SE Kubin Avenue Stuart, FL 34997 INSURER B :Auto -Owners Insurance Co 18988 INSURERC: 10/01/2017 INSURER D : $ 1,000,000 INSURER E : $ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tNSR LTR TYPE OF INSURANCE ADDL INSD SUBR \A/VD POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP (MM/DD/YYYYI OMITS A X COMMERCIAL GENERAL LIABILITY Di X 72036101 10/01/2016 10/01/2017 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTED300,000 PREMISES (Ea occurrence) $ CLAIMS -MADE X OCCUR MED EXP (Any one person) 10,000 $ PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE POLICY OTHER: LIMIT APPLIES JECT PER: LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNED AUTOS ONLY AUTOS ONLY X X SCHEDULED ` AUTOSWN AUUTOS ONLYY X X 4896627900 02/28/2017 02/28/2018 COMBINED SINGLE LIMIT (Ea accident) 1000000 $ ' ' BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ (Perr acEciident�AMAGE $ $ UMBRELLA LIAB EXCESS UAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE FFICER/MEMBER EXCLUDED? Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below YIN N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Project: City Hall General Services Office Remodel Project # PW05-00-04-17. This is a true & certified copy of the original certificate I CI of Okeechobee Building Department City 9 p 55 SE Third Avenue Okeechobee, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 44: ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -01O. -- pr C BROW ACORO- 4...... ---CERTIFICATE OF LIABILITY INSURANCE 7,13,(1 DATE(MM/DD/YYYY) 08/21/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or 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 lieu of such endorsement(s). PRODUCER R V Johnson Agency, Inc.AX 2041 SE Ocean Blvd Stuart, FL 34996 C2 T CT Barbie Brown - Ext. 237 jn"/c°O,"r o, Ext): (772) 287-3366 (NC, No):(772) 287-4255 ADDRESS: bbrown@rvjohnson.com ,' INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Southern Owners Insurance 10190 INSURED Green Design Construction And Development, LLC 4459 SE Kubin Avenue Stuart, FL 34997 INSURER B : Auto -Owners Insurance Co 18988 INSURER C : EACH OCCURRENCE INSURER D : PREM SES Ea occu ence) INSURER E : INSURER F : CLAIMS -MADE MBER: 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF IMM/DD/YYYYI POLICY EXP IMM/DDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 72036101 10/01/2017 10/01/2018 EACH OCCURRENCE $ 1,000,000 PREM SES Ea occu ence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE X 'L AGGREGATE POLICY OTHER: LIMIT APPLIES jreT PER: LOC PRODUCTS - COMP/OP AGG A 2,QOO,000 $ B AUTOMOBILE X LIABILITY ANY AUTO OWNEDTOSX AUTOS ONLY HIRAUTES ONLY X SCHEDULEDO AUTOS AUTO ONLY X X 4896627900 02/28/2017 02/28/2018 (Ea acccidentMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) BODILY $ RR DAMAGE PROPERTY $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYIPREPROPRIIETgOR EXRTNER E ECUTIVE OF(Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below _ Y / N - N / A I I ( PERTUTE L I ETH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE= POLICY tIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached K more space Is required) Project: City Hall General Services Office Remodel Project # PW05-00-04-17. This is a true & certified copy of the original certificate :i • CERTIFICATE HOLDER CANCELLATION City of Okeechobee Building Department 55 SE Third Avenue Okeechobee, FL 34974 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD July 5, 2017 City of Okeechobee Building Department 55 SE Third Avenue Okeechobee, FL 34974 RE: General Liability - Policy # 72036101 Commercial Auto — Policy #4896627900 To Whom It May Concern: R.V. JOHNSON Insurance R.V. Johnson Agency, Inc. Phone: (772) 287-3366 Toll Free: (800) 273-9800 info@rvjohnson.com 2041 SE Ocean Blvd Stuart, FL 34996-3303 Please be advised that the certificate attached is a true and certified copy of the original certificate. Sincerely k 'E. Barbie Brown - Ext. 237 Account Manager Since 1921 cf'outhern-Owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, MI 48917-3999 AGENCY INSURED ADDRESS R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 GREEN DESIGN CONSTRUCTION & DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997-2467 Page 1 772-287-3366 Issued 09-30-2016 TAILORED PROTECTION POLICY DECLARATIONS Reissue Effective 10-01-2016 POLICY NUMBER 114682-72036101-16 Company Use Company Bill 72 -46 -FL -1110 Policy Term 12:01 a.m. 12:01 a.m. 10-01-2016 to 10-01-2017 THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR HURRICANE LOSSES, WHICH MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU. 55039 (11-87) COMMON POLICY INFORMATION Business Description: Carpentry Contractor Entity: Limited Liab Corp Program: Contractors THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PART(S): COMMERCIAL PROPERTY COVERAGE COMMERCIAL GENERAL LIABILITY COVERAGE COMMERCIAL INLAND MARINE COVERAGE SURTAX FLORIDA EMERGENCY TRUST FUND SURCHARGE TOTAL PAID IN FULL DISCOUNT TOTAL POLICY PREMIUM IF PAID IN FULL THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. The Paid in Full Discount does not apply to fixed fees. statutory charges or minimum premiums. PREMIUM $1,560.00 $15,964.00 $217.00 $17.51 $4.00 $17,762.51 $1,747.73 $16,014.78 Premium shown above for commercial general liability coverage is an advanced premium deposit and may be subject to audit. Forms that apply to all coverage part(s) shown above (except garage liability, dealer's blanket, commercial automobile, if applicable): IL0017 (11-85) 55156 (07-12) A 10% Cumulative Multi -Policy Discount applies. Supporting policies are marked with an (X): Comm Umb() Comm Auto(X) WC() Life() Personal() Farm(). A merit rating plan factor of 0.90 applies. Countersigned By: R V JOHNSON AGENCY INC Page 2 SOUTHERN -OWNERS INS. CO. Issued 09-30-2016 AGENCY R V JOHNSON AGENCY INC Company POLICY NUMBER 114682-72036101-16 12-0104-00 MKT TERR 114 Bill 72 -46 -FL -1110 INSURED GREEN DESIGN CONSTRUCTION & Term 10-01-2016 to 10-01-2017 54104 (12-12) COMMERCIAL PROPERTY COVERAGE Coverages Provided Insurance at the described premises applies only for coverages for which a limit of insurance is shown. HURRICANE DEDUCTIBLE IN ANY ONE OCCURRENCE OF A HURRICANE, THE TOTAL DEDUCTIBLE FOR ALL COVERED HURRICANE LOSSES WILL BE A MINIMUM OF $1,000. PLEASE SEE ATTACHED FORM FOR ADDITIONAL DEDUCTIBLE INFORMATION. THIS POLICY CONTAINS A CO -PAY PROVISION THAT MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU. 'LOCATION 0002 - BUILDING 0001 Location: 304 Sw 2Nd St Okeechobee, FL 34974-4213 Occupied As: Contractors Office Secured Interested Parties: None Rating Information Territory: 470 Program: Contractors Protection Class: 03 Specific Rate - Contents: 0.108 County: Okeechobee Construction: Non -Comb Class Code: 0702 COVERAGE COINSURANCE DEDUCTIBLE LIMIT RATE PREMIUM PERSONAL PROPERTY $50,750 Causes of Loss Basic Group I 90% $500 0.145 $74.00 Basic Group II 90% $500 1.210 $614.00 Hurricane 90% 2% Included Special 90% $500 0.095 $48.00 Special Including Theft 90% $500 0.366 $186.00 OPTIONAL COVERAGE Replacement Cost Inflation Guard Factor Personal Property 1.000 Page 3 SOUTHERN -OWNERS INS. CO. Issued 09-30-2016 AGENCY R V JOHNSON AGENCY INC Company POLICY NUMBER 114682-72036101-16 12-0104-00 MKT TERR 114 Bili 72 -46 -FL -1110 INSURED GREEN DESIGN CONSTRUCTION & Term 10-01-2016 to 10-01-2017 Forms that apply to this building: 55081 (08-88) 54093 (03-07) 59351 (01-15) 54355 (06-11) CP0090 (07-88) 54312 (04-07) IL0175 (09-93) 54850 (06-11) 54091 (03-07) 54343 (08-07) 54995 (07-11) CP0010 (10-91) IL0003 (07-02) 54851 (09-15) 54082 (02-05) COMMERCIAL PROPERTY COVERAGE - LOCATION 0002 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 LOCATION 0002 EXCLUDED $922.00 tLOCATION 0004 - BUILDING 0001 Location: 4247 Sw High Meadows Ave Palm City, FL 34990-3726 Occupied As: Contractors Office Secured Interested Parties: None Rating Information Territory: 430 Program: Contractors Protection Class: 04 Class Rate - Contents: 0.363 County: Martin Construction: Masonry Class Code: 0702 COVERAGE COINSURANCE DEDUCTIBLE LIMIT RATE PREMIUM PERSONAL PROPERTY $15,000 Causes of Loss Basic Group I 80% $500 0.288 $43.00 Basic Group II 80% $500 0.505 $76.00 Hurricane 80% 2% Included Special 80% $500 0.122 $18.00 Special Including Theft 80% $500 1.501 $225.00 OPTIONAL COVERAGE Replacement Cost Inflation Guard Factor Personal Property 1.000 Forms that apply to this building: 59351 (01-15) 54355 (06-11) IL0175 (09-93) 54850 (06-11) CP0090 (07-88) 54312 (04-07) 55081 (08-88) 54851 (09-15) 54091 (03-07) IL0003 (07-02) 54343 (08-07) CP0010 (10-91) 54093 (03-07) 54995 (07-11) 54082 (02-05) COMMERCIAL PROPERTY COVERAGE - LOCATION 0004 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 LOCATION 0004 EXCLUDED $362.00 LOCATION 0005 - BUILDING 0001 Location: 13701 Sw 88Th St Miami, FL 33186-1309 Page 4 SOUTHERN -OWNERS INS. CO. Issued 09-30-2016 AGENCY R V JOHNSON AGENCY INC Company POLICY NUMBER 114682-72036101-16 12-0104-00 MKT TERR 114 Bill 72 -46 -FL -1110 INSURED GREEN DESIGN CONSTRUCTION & Term 10-01-2016 to 10-01-2017 Occupied As: Contractors Office Secured Interested Parties: None Rating Information Territory: 130 Program: Contractors Protection Class: 04 Specific Rate - Contents: 0.059 County: Miami -Dade Construction: Modified F/R Class Code: 0702 COVERAGE COINSURANCE DEDUCTIBLE LIMIT RATE PREMIUM PERSONAL PROPERTY $5,000 Causes of Loss Basic Group I 80% $500 0.206 $10.00 Basic Group II 80% $500 0.609 $30.00 Hurricane 80% 2% Included Special 80% $500 0.124 $6.00 Special Including Theft 80% $500 4.594 $230.00 OPTIONAL COVERAGE Replacement Cost Inflation Guard Factor Personal Property 1.000 Forms that apply to this building: 59351 (01-15) 54355 (06-11) IL0175 (09-93) 54850 (06-11) CP0090 (07-88) 54312 (04-07) 55081 (08-88) 54851 (09-15) 54091 (03-07) IL0003 (07-02) 54343 (08-07) CP0010 (10-91) 54093 (03-07) 54995 (07-11) 54082 (02-05) COMMERCIAL PROPERTY COVERAGE - LOCATION 0005 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 LOCATION 0005 EXCLUDED $276.00 55040 (11-87) COMMERCIAL GENERAL LIABILITY COVERAGE COVERAGE LIMITS OF INSURANCE General Aggregate (Other Than Products -Completed Operations) Products -Completed Operations Aggregate Personal Injury And Advertising Injury Each Occurrence Voluntary Damage to Property of Others Aggregate Voluntary Damage to Property of Others Occurrence COMMERCIAL GENERAL LIABILITY PLUS ENDORSEMENT $2,000,000 $2,000,000 $1,000,000 $1,000,000 $25,000 $5,000 SOUTHERN -OWNERS INS. CO. AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 GREEN DESIGN CONSTRUCTION & INSURED Page 5 Company Bill Issued 09-30-2016 POLICY NUMBER 114682-72036101-16 72 -46 -FL -1110 Term 10-01-2016 to 10-01-2017 COVERAGE LIMITS OF INSURANCE Damage to Premises Rented to You (Fire, Lightning, Explosion, Smoke or Water Damage) Medical Payments Hired Auto & Non -Owned Auto Expanded Coverage Details See Form: Extended Watercraft Personal Injury Extension Broadened Supplementary Payments Broadened Knowledge Of Occurrence Additional Products -Completed Operations Aggregate Blanket Additional Insured - Lessor of Leased Equipment Blanket Additional Insured - Managers or Lessors of Premises Newly Formed or Acquired Organizations Extension Blanket Waiver of Subrogation Twice the "General Aggregate Limit", shown above, is provided at no additional charge for each 12 month period in accordance with form 55300. $300,000 Any One Premises $10,000 Any One Person $1,000,000 Each Occurrence AUDIT TYPE: Annual Audit Forms that apply to this coverage: 59351 (01-15) CG2149 55371 (01-07) 55296 55531 (06-11) 55091 55341 (12-04) 55146 (09-99) (09-09) (10-08) (06-04) 55189 (09-04) 55300 (07-05) CG0220 (03-12) 55592 (02-14) 55238 (06-04) IL0017 (11-85) 55513 (11-11) 55637 (09-14) 55006 (12-04) 55372 (01-07) IL0021 (07-02) LOCATION 0002 - BUILDING 0001 Location: 304 Sw 2Nd St Okeechobee, FL 34974-4213 Territory: 006 County: Okeechobee CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Commercial General Liability Plus Endorsement 00501 Prem/Op Prem Included At 7.5% Of The Premises Operation Premium Prem/Op Included Included Included Voluntary Damage To Property Of Others - Contracting 00555 Payroll Each 1000 Or Servicing Prem/Op $267,814 2.958 $792.00 Voluntary Damage To Property Of Others 00556 Total Costs Each 1000 -Subcontractors Prem/Op 2,128,985 1.862 $3,964.00 Carpentry- Construction Of Residential Property Not 91340 Payroll Each 1000 Exceeding Three Stories In Height Prem/Op If Any 22.638 Included Prod/Comp Op If Any 10.189 Included Carpentry- Interior 91341 Payroll Each 1000 Prem/Op If Any 22.552 Included Prod/Comp Op If Any 10.086 Included Page 6 SOUTHERN -OWNERS INS. CO. AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION & Issued 09-30-2016 Company POLICY NUMBER 114682-72036101-16 Bill 72 -46 -FL -1110 Term 10-01-2016 to 10-01-2017 CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Concrete Construction 91560 Prem/Op Prod/Comp Op Payroll Each 1000 Included Included COMMERCIAL GENERAL LIABILITY COVERAGE - LOCATION 0004 SUMMARY PREMIUM Prem/Op If Any 23.600 Included Prod/Comp Op If Any 9.262 Included Contractors -Subcontracted Work -In Connection With 91583 Total Costs Each 1000 Building Construction, Reconstruction, Repair Or Prem/Op 2,128,985 1.269 $2,702.00 Erection Of One Or Two Family Dwellings Prod/Comp Op 2,128,985 3.180 $6,770.00 Draftsmen 91805 Payroll Each 1000 Prem/Op $201,590 1.366 $275.00 Prod/Comp Op $201,590 .013 $3.00 Driveway, Parking Area Or Sidewalk - Paving Or 92215 Payroll Each 1000 Repaving. Prem/Op If Any 15.995 Included Prod/Comp Op If Any 7.519 Included Engineers Or Architects - Consulting - Not Engaged In 92663 Payroll Each 1000 Actual Construction Prem/Op $63,724 17.635 $1,124.00 Prod/Comp Op $63,724 .195 $12.00 Painting - Exterior - Buildings Or Structures - Three 98304 Payroll Each 1000 Stories Or Less In Height Noc Prem/Op If Any 32.307 Included Prod/Comp Op If Any 5.063 Included Surveyors -Land -Not Engaged In Actual Construction 99471 Payroll Each 1000 Prem/Op $2,500 18.409 $46.00 Prod/Comp Op $2,500 .195 $1.00 Additional Interests 49950 Blnkt Add'L Ins-Excl Prod/Cops Prem/Op Flat Charge $275.00 COMMERCIAL GENERAL LIABILITY COVERAGE - LOCATION 0002 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 EXCLUDED LOCATION 0002 $15,964.00 LOCATION 0004 - BUILDING 0001 Location: 4247 Sw High Meadows Ave Palm City, FL 34990-3726 Territory: 006 County: Martin CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Draftsmen 91805 Prem/Op Prod/Comp Op Payroll If Any If Any Each 1000 1.366 .013 Included Included COMMERCIAL GENERAL LIABILITY COVERAGE - LOCATION 0004 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 LOCATION 0004 EXCLUDED $0.00 Page 7 SOUTHERN -OWNERS INS. CO. AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION & Issued 09-30-2016 Company POLICY NUMBER 114682-72036101-16 Bill 72 -46 -FL -1110 Term 10-01-2016 to 10-01-2017 :LOCATION 0005 - BUILDING 0001 Location: 13701 Sw 88Th St Miami, FL 33186-1309 Territory: 001 County: Miami -Dade CLASSIFICATION CODE SUBLINE PREMIUM BASIS RATE PREMIUM Draftsmen 91805 Prem/Op Prod/Comp Op Payroll If Any If Any Each 1000 1.958 .013 Included Included COMMERCIAL GENERAL LIABILITY COVERAGE - LOCATION 0005 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 LOCATION 0005 EXCLUDED $0.00 16198 (07-87) COMMERCIAL INLAND MARINE COVERAGE COVERAGES PROVIDED Insurance applies to covered property for which a limit of insurance is shown. Forms that apply to Inland Marine: 59351 (01-15) 16080 (08-86) 55081 (08-88) 16566 (12-14) 1LOCATION 0002 - BUILDING 0001 Location: 304 Sw 2Nd St Okeechobee, FL 34974-4213 Rating Information for TOOLS AND EQUIPMENT (TE)- ACTUAL CASH VALUE Territory: 047 County: Okeechobee Program: Contractors COVERAGE COINSURANCE DEDUCTIBLE LIMIT RATE PREMIUM TOOLS AND EQUIPMENT (TE)- ACTUAL CASH VALUE INSURED'S EQUIPMENT - SPECIAL FORM Unscheduled Items $0 $5,000 Variable $217.00 TOTAL FOR THIS COVERAGE: $217.00 Forms that apply to this location: 16010 (04-15) Page 8 SOUTHERN -OWNERS INS. CO. Issued 09-30-2016 AGENCY R V JOHNSON AGENCY INC Company POLICY NUMBER 114682-72036101-16 12-0104-00 MKT TERR 114 Bill 72 -46 -FL -1110 INSURED GREEN DESIGN CONSTRUCTION & Term 10-01-2016 to 10-01-2017 COMMERCIAL INLAND MARINE COVERAGE - LOCATION 0002 SUMMARY PREMIUM TERRORISM - CERTIFIED ACTS SEE FORM: 59351 EXCLUDED LOCATION 0002 $217.00 A single deductible applies per claim. If more than one item is involved in a claim, the single highest applicable deductible amount is used. PREMIUM TOOLS AND EQUIPMENT SUBTOTAL TOOLS AND EQUIPMENT BALANCE TO MINIMUM $217.00 $0.00 J'outhern - Owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, MI 48917-3999 AGENCY INSURED ADDRESS R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 GREEN DESIGN CONSTRUCTION & DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997-2467 Page 1 772-287-3366 Issued 06-05-2017 TAILORED PROTECTION POLICY DECLARATIONS Change Endorsement Effective 05-30-2017 POLICY NUMBER Company Use Company Bill 114682-72036101-16 72 -46 -FL -1110 Policy Term 12:01 a.m. 12:01 a.m. to 10-01-2016 10-01-2017 Description of Change ADD TO 55205 ADDITIONAL INSURED -INCLUDE PRODUCTS COMPLETED OPERATIONS NAME OF PERSON OR ORGANIZATION: CITY OF OKEECHOBEE BUILDING DEPARTMENT Transaction Number: 009 Endorsement Premium: PAID IN FULL DISCOUNT APPLIES (THIS IS NOT A BILL) The Paid in Full Discount does not apply to fixed fees, statutory charges or minimum premiums. $55.06 ADDITIONAL t4uto-owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, MI 48917-3999 AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION ADDRESS 4459 SE KUBIN AVE STUART FL 34997-2467 Page 1 (772) 287-3366 19020 (10-80) Issued 02-22-2017 AUTOMOBILE POLICY DECLARATIONS Endorsement Effective 02-28-2017 POLICY NUMBER 48-966-279-00 Company Use 72 -04 -FL -1202 Company Bill POLICY TERM 12:01 a.m. 12:01 a.m. 02-28-2017 to 02-28-2018 This policy is amended in consideration of the additional or retum premium shown below. This Declarations voids and replaces all previously issued Declarations bearing the same policy number and premium term. DESCRIPTION OF ITEM INSURED TERRITORY CLASS Comprehensive Liability Endorsement 057 SPL Martin County, FL COVERAGES Combined Liability LIMITS $1 Million occurrence Additional Forms For This Item: 79547 (02-11) ITEM DETAILS: Estimated cost of hire - liability $ If Any Rate Effective Date 06-08-2016 150 1020 79539 (03-99) (Subject to audit) TOTAL PREMIUM $149.02 $149.02 CHANGE $20.32- $20.32 - Return 1. 2005 DODG RAM 1500 QUAD ST/SLT VIN: 1 D7HU18N85S325770 Endorsement 058 6CA Okeechobee County, FL COVERAGES Combined Liability Uninsured Motorist Medical Payments Personal Injury Protection Comprehensive Collision Road Trouble Service Interested Parties: None LIMITS $1 Million occurrence $ 500,000 person/$ 500,000 occurrence $ 5,000 person Medical and Disability - $10,000 person Medical limited to $2,500 non -emergency Death Benefits - $5,000 person Actual Cash Value - $ 500 deductible Actual Cash Value - $ 500 deductible $ 250 each occurrence TOTAL PREMIUM $956.57 212.48 11.50 36.76 74.36 137.73 23.21 $1,452.61 CHANGE $129.35- 28.56- 1.57- 4.47- 9.60- 18.38- 3.16- $195.09 - Return Additional Forms For This Item: 89366 (06-13) 79308 (04-14) 89358 (01-13) 79539 (03-99) 79939 (03-05) 89023 (07-06) 79203 (06-13) ITEM DETAILS: Radius of operation - within a 100 mile radius. Vehicle is not driven primarily for personal use or not used for wholesale or retail delivery. Gross vehide weight is 10,000. USE CLASS (00288): Carpenter. A 5% discount has been applied to automobiles used in contracting business. Vehicle Count Factor Applies. Non -stacked Uninsured Motorist Coverage selected. Rate Effective Date 06-08-2016 150 0028001 1020 AUTO -OWNERS INS. CO. AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION Page 2 Company POLICY NUMBER Bill Company Use 19020 (10-80) Issued 02-22-2017 48-966-279-00 72 -04 -FL -1202 Term 02-28-2017 to 02-28-2018 DESCRIPTION OF ITEM INSURED TERRITORY CLASS 2. 2006 TRLR CARGOMATE 12FT VIN: 5 N H U FT2126 U209696 Endorsement 057 SERV6CA Martin County, FL COVERAGES Combined Liability Interested Parties: None LIMITS $1Million occurrence TOTAL PREMIUM $193.90 $193.90 Additional Forms For This Item: 79539 (03-99) ITEM DETAILS: Radius of operation - within a 100 mile radius. Vehide is not driven primarily for personal use or not used for wholesale or retail delivery. Gross vehicle weight less than or equal to 10,000 pounds. USE CLASS (00288): Carpenter. A 5% discount has been applied to automobiles used in contracting business. Vehicle Count Factor Applies. Rate Effective Date 06-08-2016 150 0001500 1020 CHANGE $25.34- $25.34 - Return 3. 2015 FORD EXPLORER LIMITED VIN: 1 FM5K7F88FGA10244 Endorsement 058 6CA Okeechobee County, FL COVERAGES Combined Liability Uninsured Motorist Medical Payments Personal Injury Protection Comprehensive Collision Road Trouble Service LIMITS $1 Million occurrence $ 500,000 person/$ 500,000 occurrence $ 5,000 person Medical and Disability - $10,000 person Medical limited to $2,500 non -emergency Death Benefits - $5,000 person Actual Cash Value - $ 500 deductible Actual Cash Value - $ 500 deductible $ 250 each occurrence TOTAL PREMIUM $1,226.36 212.48 11.50 36.76 145.69 293.42 23.21 $1,949.42 CHANGE $166.13- 28.56- 1.57- 4.47- 19.32- 39.60- 3.16- $262.81 - Return Interested Parties: Lienholder: CAPITAL ONE, PO BOX 997551, SACREMENTO, CA 95899 Additional Forms For This Item: 89366 (06-13) 79308 (04-14) 89358 (01-13) 79539 (03-99) 79939 (03-05) 89023 (07-06) 79203 (06-13) ITEM DETAILS: Radius of operation - within a 100 mile radius. Vehicle is not driven primarily for personal use or not used for wholesale or retail delivery. Gross vehicle weight is 10,000. USE CLASS (00288): Carpenter. A 5% discount has been applied to automobiles used in contracting business. Vehicle Count Factor Applies. Non -stacked Uninsured Motorist Coverage selected. Rate Effective Date 06-08-2016 150 0036001 A 1020 AUTO -OWNERS INS. CO. AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION Page 3 Company POLICY NUMBER Bill Company Use 19020 (10-80) Issued 02-22-2017 48-966-279-00 72 -04 -FL -1202 Term 02-28-2017 to 02-28-2018 DESCRIPTION OF ITEM INSURED TERRITORY CLASS 4. 2014 CHEV C1500 SUBURBAN LTZ VIN: 1 GNSCKE03ER105517 Endorsement 057 Martin County, FL 5CA COVERAGES Combined Liability Uninsured Motorist Medical Payments Personal Injury Protection Comprehensive Collision Road Trouble Service Interested Parties: None LIMITS $1 Million occurrence $ 500,000 person/$ 500,000 occurrence $ 5,000 person Medical and Disability - $10,000 person Medical limited to $2,500 non -emergency Death Benefits - $5,000 person Actual Cash Value - $ 500 deductible Actual Cash Value - $ 500 deductible $ 250 each occurrence TOTAL PREMIUM $1,748.22 212.48 11.50 49.36 153.76 292.48 23.21 $2,491.01 CHANGE $237.30- 28.56- 1.57- 6.19- 20.42- 39.48- 3.16- $336.68 - Return Additional Forms For This Item: 89366 (06-13) 79308 (04-14) 89358 (01-13) 79539 (03-99) 79939 (03-05) 89023 (07-06) 79203 (06-13) ITEM DETAILS: Radius of operation - within a 100 mile radius. USE CLASS (00810): Carpenters. A 5% discount has been applied to automobiles used in contracting business. Vehicle Count Factor Applies. Non -stacked Uninsured Motorist Coverage selected. Rate Effective Date 06-08-2016 150 0050001 A 1020 TOTAL POLICY PREMIUM PAID IN FULL DISCOUNT APPLIES TERM $6,235.96 ALL ITEMS $840.24 - Return The Paid In Full Discount does not apply to fixed fees or statutory charges. Forms That Apply To All Items: 79001 (03-99) 79200 (06-92) 79517 (01-07) 79524 (06-92) 79540 (03-99) 79550 (06-92) 79706 (07-15) 79419 (03-99) 89058 (04-07) 89368 (03-11) Policy Rate Code 0000 A 10% Cumulative Multi -Policy Discount applies. Supporting policies are marked with an (X): Comm Umb( ) Comm Prop/Comm Liab(X) WC() Life() Personal() Farm( ). Paid In Full Discount Applies. 01020 00960 Countersigned By: R V JOHNSON AGENCY INC ,uto-owners INSURANCE COMPANY 6101 ANACAPRI BLVD., LANSING, MI 48917-3999 AGENCY R V JOHNSON AGENCY INC 12-0104-00 MKT TERR 114 INSURED GREEN DESIGN CONSTRUCTION ADDRESS 4459 SE KUBIN AVE STUART FL 34997-2467 This policy is amended in consideration of the additional or retum premium shown below. This Declarations voids and replaces all previously issued Declarations bearing the same policy number and premium term. (772) 287-3366 19020 (10-80) Issued 02-22-2017 AUTOMOBILE POLICY DECLARATIONS Endorsement Effective 02-28-2017 POLICY NUMBER 48-966-279-00 Company Use 72 -04 -FL -1202 Company Bill POLICY TERM 12:01 a.m. 12:01 a.m. 02-28-2017 to 02-28-2018 000100 /000102 Scheduled Drivers List Listed below are drivers currently scheduled on this policy. Please compare the list with your current records and contact your agent with any changes that need to be made. We will update the list accordingly for the next renewal. Name: Last First Date of Birth Age MM-DD-CCYY State KOGUT CRESWELL STARK KOGUT PETTY STARK RHODEN MATAUSHEK BEEKMAN CRESWELL SHAUN JOHN BRADLY MICHAEL HUSTON BRADLY ANA STEVEN KATHLEEN 39 02-01-1978 FL 57 06-20-1959 FL 27 01-03-1990 FL 17 01-26-2000 FL 22 08-29-1994 FL 27 01-03-1990 FL 26 08-30-1990 FL 20 06-20-1996 FL 53 08-13-1963 FL AUTOMATIC DESIGNATED INSURED - BLANKET COVERAGE Automobile Policy SECTION II - LIABILITY COVERAGE is provided to any person or organization only to the extent such person or organization is liable for your conduct arising from an automobile to which SECTION II - LIABILITY COV- ERAGE applies. 89304 (7-10) 89304 (7-10) The insurance provided by this end serpent does not apply to any extension of SECTJONI=LIABILITY COV- ERAGE provided elsewhere/iin this \p All other policy terms and conditions a ply. \\ \Page 1 of 1 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW " * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 9/20/2015 EXPIRATION DATE: 9/19/2017 PERSON: CRESWELL JOHN H FEIN: 452822458 BUSINESS NAME AND ADDRESS: GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 4.40.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * " CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 5/25/2016 EXPIRATION DATE: 5/25/2018 PERSON: KOGUT SHAUN FEIN: 452822458 BUSINESS NAME AND ADDRESS: GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL 34997 SCOPES OF BUSINESS OR TRADE: LICENSED GENERAL CONTRACTOR Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 Form w-9 (Rev. December 2014) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. N m m 0 no 47. 02 C ▪ N 0. 0 a) a) a fn 8 1 Name (as shown on your income tax retum). Name is required on this line; do not leave this line blank. GREEN DESIGN CONSTRUCTION AND DEVELOPMENT, LLC 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification; check only one of the following seven boxes: ❑ IndividuaVsole proprietor or 0 C Corporation ❑ S Corporation 0 Partnership 0 Trust/estate single -member LLC 0 Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) ► S Note. For a single -member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single -member owner. ❑ Other (see instructions) ► 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) fApp'as to •ceo mx ma nrerad oursdo qa U.S.) 5 Address (number, street, and apt. or suite no.) 4459 SE KUBIN AVE 6 City, state, and ZIP code STUART, FL 34997 Requester's name and address (optional) 7 List account number(s) here (optional) •il Taxpayer Identification Number (TIN) Enter your TIN In the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter. Social security number or Employer identification number 4 5 2 8 2 2 4 5 8 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that 1 am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that 1 am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage Interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. Sign Here Signature of U.S. person ► General Instruct Section references are to the Internal Revenue Code unless otherwise noted. Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at www.irs.gov/lw9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information retum with the IRS must obtain your correct taxpayer identification number (TiN) which may be your social security number (SSN), individual taxpayer identification number FIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an intornation return the amount paid to you, or other amount reportable on an information retum. Examples of infornation retums include, but are not limited to, the following: • Form 1099 -INT (interest eamed or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) Date P. • Form 1098 (home mortgage in erest), 1 i 98-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. if you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What Is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014) Detail by Entity Name Page 1 of 2 Honda Department of State A 1 J1 /J 1rj of lkij,, z_.org ., P :}Arras. C)i.ii ✓ en office!! latv r jF! )rii,t i:•eb;itr Department of State / Division of Corporations / Search Records / Detail By Document Number / DIVISION OF CORPORATIONS Detail by Entity Name Florida Limited Liability Company GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC Filing Information Document Number L11000087200 FEI/EIN Number 45-2822458 Date Filed 07/28/2011 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 09/13/2016 Event Effective Date NONE Principal Address 4459 SE KUBIN AVE STUART, FL 34997 Mailing Address 4459 SE KUBIN AVE STUART, FL 34997 Registered Agent Name & Address CRESWELL, JOHN H 4459 SE KUBIN AVE STUART, FL 34997 Authorized Person(s) Detail Name & Address Title MGR CRESWELL, JOHN H 4459 SE KUBIN AVE STUART, FL 34997 Title MGR KOGUT, SHAUN M 3935 NW 20TH AVENUE OKEECHOBEE, FL 34972 Title AMBR/DIRECTOR OF ARCHITECTURE http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inq... 5/24/2017 Detail by Entity Name Page 2 of 2 OBANDO, DONALD 13701 SW KENDALL DRIVE MIAMI, FL 33186 Annual Reports Report Year Filed Date 2015 03/31/2015 2016 02/02/2016 2017 02/09/2017 Document Images 02/09/2017 — ANNUAL REPORT 09/13/2016 — LC Amendment 02/02/2016 — ANNUAL REPORT 09/10/2015 — LC Amendment 03/31/2015 —ANNUAL REPORT 03/09/2015 — LC Amendment 02/23/2014 — ANNUAL REPORT 01/28/2013 — ANNUAL REPORT 05/12/2012 — ANNUAL REPORT 09/09/2011 — LC Amendment 07/28/2011 — Florida Limited Liability View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View Image in PDF format View image in PDF format View image in PDF format View image in PDF format Florida Department of State, Division of Corporations http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inq... 5/24/2017 BID TABULATION OKEECHOBEE CITY HALL GENERAL SERVICES OFFICE REMODEL PW 05-00-04-17 Posted: May 23, 2017 @ 3:15 PM To be removed: May 30, 2017 @ 3:15 PM Green Design Construction Platinum Performance Group Segment No. Description Unit Measure Est. Quan. Unit Price Amount Unit Price Amount 1 REMODEL APPROXIMATELY 450 SQUARE FEET OF OFFICE SPACE INCLUDING DEMOLITION OF EXISTING INTERIOR WALLS, CONSTRUCTION OF NEW WALLS INCLUDING ELECTRICAL AND DATA. IN ADDITION TO THE NEW REMODELED SPACE, THE PROJECT WILL ALSO INCLUDE NEW CARPET AND PAINTING OF APPROXIMATELY 575 SQUARE FEET ADDITIONAL EXISTING OFFICE SPACE EACH 1 $50,175.00 $74,000.00 TOTAL BID AMOUNT (Based on Unit Prices & Estimated Quantities) $50,175.00 $74,000.00 Posted: May 23, 2017 @ 3:15 PM To be removed: May 30, 2017 @ 3:15 PM JUNE 20, 2017 - REGULAR MEETING - PAGE 10 OF 12 AGENDA l COUNCIL ACTION - DISCUSSION -VOTE J IX. NEW BUSINESS CONTINUED H. Motion to award a bid in the amount of $50,175.00 to Green Design Construction for the remodel of City Hall General Services Office Space, Project No. PW 05-00-04-17 - City Administrator (Exhibit 9). I. Motion to award a bid in the amount of $27,600.00 to Tree Locators, Inc. for the replacement of Live Oak Trees in FLAGLER PARK, Project No. PW 04-00-04-17 - City Administrator (Exhibit 10). J. Motion to approve an agreement to piggyback a contract for services for the purchase of Live Oak Trees in Centennial Park from Tree Locaters, Inc. in the amount of $23,000.00 - City Administrator (Exhibit 11). Motion and second by Council Members O'Connor and Chandler to award Bid No. PW 05-00-04-17 in the amount of $50,175.00 to Green Design Construction for the remodel of City Hall General Services Office Space. The Bid was let on April 28, 2017, with a mandatory Pre -Bid meeting held on May 8, 2017. The opening was May 16, 2017. In addition to Green Design Construction, Platinum Performance Builders submitted a bid for $74,000.00. The remodel will provide a better use of the space for General Services staff, as well as carpet, painting, and window treatments in the Clerk's office. VOTE: WATFORD — YEA CHANDLER—YEA CLARK— YEA O'CONNOR—YEA RITTER —YEA MOTION CARRIED. Motion and second by Council Members O'Connor and Chandler to award Bid No. PW 04-00-04-17 in the amount of $27,600.00 to Tree Locators, Inc. for the replacement of 12 Live Oak Trees in FLAGLER PARK. The Bid was let on April 28, 2017. A Pre -Bid meeting was held on May 8, 2017. The opening was May 16, 2017. No other bids were submitted. Mayor Watford confirmed Administrator MontesDeOca discussed the project with the Okeechobee Main Street President. VOTE: WATFORD—YEA CHANDLER—YEA CLARK—YEA O'CONNOR—YEA RITTER—YEA MOTION CARRIED. Motion and second by Council Members Chandler and O'Connor to approve an agreement to piggyback a contract for services for the purchase of 10 Live Oak Trees for the Centennial Park from Tree Locaters, Inc. in the amount of $23,000.00. Administrator MontesDeOca explained the at the May 16, 2017, meeting the Centennial Park Project Change in Scope Amendment (reduction change order) was approved to separate the landscape plan out, with the understanding that the City would complete it. These trees are part of that plan; the grant requires their purchase to be separate from those for FLAGLER PARK. VOTE: WATFORD — YEA CHANDLER — YEA CLARK—YEA O'CONNOR—YEA RITTER—YEA MOTION CARRIED. KOGUT, SHAUN (86Z )c; a -7428 Address: Activity: issued to: CITY OF OKEECHOBEE BUSINESS TAX RECEIPT 55 SE 3rd Avenue, Okeechobee, FL 34974 October 1, 2017 - September 30, 2018 502 NW 2ND STREET OKEECHOBEE, FL 34974 2001 PROFESSIONAL NO CONSTRUCT. EQUIP. ALLOWED 0 GREEN DESIGN CONSTRUCTION & D KOGUT, SHAUN 4459 SE KUBIN AVENUE STUART, FL 34997 lo: 2159 L 7120/17 RECEIPT PENALTY APP/TRAN BLDG INSP FIRE INSP Total Paid 52.50 BUS NESS TAX OFFIptAL OKEECHOBEE COUNTY 1 Business Tax Receipt STATE OF FLORIDA f IN CONSIDERATION of the TOTAL SUM OF MONEY shown hereon, the receipt of which is hereby acknowledged. Company ID #: 12111 No. 1044 2017-2018 9/21/2017 Contractor (0015A) (11-20 Employees) $36.00 TOTAL $36.00 GREEN DESIGN CONSTRUCTION & DEVELOPMENT LLC is hereby licensed to engage in the business, profession or occupation of Contractor (0015A) (11-20 Employees)(General) Lic. #CGC1516250 at 502 NW 2ND STREET 21 day of September 2017 , in Okeechobee, Florida, for the period beginning the and, nding on the30th day of September, 2018 Celeste Watford, C.F.0 tjTax Collector MARTIN COUNTY ORIGINAL BUSINESS TAX RECEIPT Honorable Ruth Pietruszewski CFC, Tax Collector 3485 S.E. Willoughby Blvd., Stuart, FL 34994 (772) 288-5604 Prev Yr $.00 Lic Fee $26.25 $.00 Penalty $.00 $.00 Coll -Fee $.00 $.00 Transfer $.00 TOTAL $26.25 Has satisified requirements to engage in the business, profession or occupation of CONSTRUCTION at location listed for the period beginning on the 20 Day of JULY AND ENDING SEPTEMBER 30 2018 Account 2016-5 Phone (772)2 Location 4247 11 2016 54416.0001 PAID CRE GRE DEV 4247 PAL THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED ANYONE DOING BUSINESS WITHOUT A VALID BUSINESS TA; SUBJECT TO A $250 FINE. IF NOT PAID BY SEPT. 30th, A DEL FOR THE MONTH OF OCTOBER, PLUS A 5% PENALTY FOR E UP TO 25%, PLUS COLLECTION COSTS WILL APPLY. 3-0919 Cert 0-6814 Sic No 236118 W HIGH MEADOW AVE PC WELL, JOHN H (QUALIFIER) N DESIGN CONSTRUCTION AND LOPMENT, LLC W HIGH MEADOW AVE CITY, FL 34990 RECEIPTING MACHINE. RECEIPT IS NQUENT PENALTY OF 10% CH MONTH THEREAFTER NOTE: A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS BUSINESS TAX RECEIPT EXHIBITED CONSPICUOUSLY AT YOUR ESTABLISHMENT OR PLACE OF BUSINESS. MARTIN COUNTY pRIGINAL BUSINESS TAX RECEIPT Honorable Ruth Pietruszewski CFC, Tax Collector 3485 S.E. Willoughby Blvd., Stuart, FL 34994 (772) 288-5604 Prev Yr $.00 Lic Fee $26.25 $.00 Penalty $.00 $.00 Coll -Fee $.00 $.00 Transfer $.00 TOTAL $26.25 Has satisified requirements to engage in the business, profession or occupation of CERT, GENERAL CONTRACTOR at location listed for the period beginning on the 20 Day of JULY AND ENDING SEPTEMBER 30 2018 Account 2012 - Phone (772)2 Location 4459 11 2016 54421.0001 PAID CRE GRE DEV 13-0332 Cert CGC1516250 5-0156 Sic No 236115 E KUBIN AVE STU WELL, JOHN HENRY N DESIGN CONSTRUCTION AND LOPMENT LLC 4459 SE KUBIN AVE STU RT, FL 34997 THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED Y RECEIPTING MACHINE. ANYONE DOING BUSINESS WITHOUTAVALID BUSINESS T RECEIPT IS SUBJECT TO A $250 FINE. IF NOT PAID BY SEPT. 30th, A DEL NQUENT PENALTY OF 10% FOR THE MONTH OF OCTOBER, PLUS A 5% PENALTY FOR ` CH MONTH THEREAFTER UP TO 25%, PLUS COLLECTION COSTS WILL APPLY. NOTE: A PENALTY IS IMPOSED FOR FAILURE TO KEEP THIS BUSINESS TAX RECEIPT EXHIBITED CONSPICUOUSLY AT YOUR ESTABLISHMENT 0 PLACE OF BUSINESS. JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 9/19/2017 EXPIRATION DATE: 9/19/2019 PERSON: CRESWELL JOHN H FEIN: 452822458 BUSINESS NAME AND ADDRESS: GREEN DESIGN CONSTRUCTION AND DEVELOPMENT LLC 4459 SE KUBIN AVE STUART FL SCOPE OF BUSINESS OR TRADE: Licensed General Contractor 34997 IMPORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609