15th Change Order 01/30/2023 r w BOARD OF COUNTY COMMISSIONERS
County of' Monroe �� �i QpD Ma.)or Craig Cates.,District t
��h Florida Keys VI .)orMichelle t nniccv➢n n ProTem IlolytrMa ill Rasctienm,District.5 r James K Scholl,District 3
David vid Rice,District strict 4
Memorandum
DATE: 1/27/2023
TO: BOCC
Kevin G.Wilson, P.E.
FROM: Kevin G. Wilson P.E.
; m. ,& ..w ., ._. .- 2023.01.27 17:11:49 -05'00'
SUBJECT: Owner Direct Purchase
Attached is proposed change order#15 for the FI Keys Marathon Airport Non-Aeronautical Use
Building (EOC)project. This change order increases the final contract sum by $30,935.00. The
substantial completion date is unchanged.
This change order reflects the shipping from a removed material purchase from the construction ontract
to allow the sales tax savings. The material is still being purchased with the project funding. A later
change order will reflect the deduction of the sales tax associated with these owner direct purchases
from the construction contract.
Monroe County Ordinance 027-1998 and subsequent amendments provide authority for the
Administrator to approve change orders within specified limits after providing Board of County
Commissioners with at least 24 hours to review them and pose any questions or objections that they may
have.
It is the Administrator's intent to approve the attached change order under that authority on Monday,
January 30, 2023.
MONROE COUNTY/ENGINEERING/ PROJECT MANAGEMENT
CONTRACT CHANGE ORDER
PROJECT TITLE:
FL Keys Marathon Airport Non-Aeronautical Use Building (EOC) CHANGE ORDER NO: 015
INITIATION DATE: 1/18/2023
CONTRACT DATE: 11/03/2021
TO CONTRACTOR:
Ajax Building Company, LLC
109 Commerce Boulevard
Oldsmar, FL 34677
The Contract is changed as follows:
The original (Contract Sum) (Guaranteed Maximum Price)..................................... $31,856,275.00
Net change by previously authorized Change Orders.................................................... ($3,978,847.69)
The (Contract Suml (Guaranteed Maximum Price) prior to this Change order was....... $27,877,427.31
The (Contract Sum) (Guaranteed Maximum Price) will be (increased) (decreased)
(unchanged) by this Change Order................... $30,935.00
The new (Contract Sum)(Guaranteed Maximum Price) including this Change Order is. $27,908,362.31
The Contract Time will be (increased) (decreased) (unchanged) by........................... 0 days
The date of Substantial Completion as of the date of this Change Order is ................. 02/02/2024
Detailed description of change order and justification:
Monroe County utilizes the Owner Direct Purchase (ODP) Process as a cost savings measure by
directly purchasing materials for construction projects resulting in the elimination of sales tax. Proposals
for ODP#05— Storefronts and ODP#08—Paint inadvertently included freight costs which are not
allowed in this process; the contractor must pay them directly. This change order adds back the cost of
freight that was previously deleted so that contractor can pay them.
Change order is .01% of original contract price.
by
DN C U5,
E- @ 9usa nrg,
Mickey Pruitt-3 n,n
Not valid until signed by Owner, Architect(if applicable), and Co raid 5a=6
ARCHITECT:
Architects Design Group Inc Date
D 91Fd 9, by Marshall Q—I.s
Marshall Quarles oN��s
E M rshall.� lesCN-M uld g.om,s Ajax
CONTRACTOR: B 2023 1 y�N Mersh"°a°e=
�Da[e:-2023.01 27 1208.5/-0500
Ajax Building Company, LLC Date
Cary Knight Digitally signed by Cary Knight
DEPARTMENT DIRECTOR: Date:2023.01.271252:01-os'oo'
Cary Knight Date
I it Kevin G.Wilson,P.E.
COUNTY/ASSISTANT ADMINISTRATOR: 2023.01.31 11:28:13-05'00'
Roman Gastesi Date
Kevin Wilson
CHANGE ORDER LEDGER
F
FL Keys Marathon Airport Non-Aeronautical Use Building (E0Q
12/2/2022
mi III. mid iii�I 'ii�ll ' Il�li'
mi wl+p Y,u�l IIII�u��
0 Days $ ,9 " ,9':.2.(;9)
01 CDP L&W Supply CDP Framing and Drywall 0 ( 308,749,72)
02 CDP Seaman Corporation CDP Membrane Roofing 0 ($38 66!) 0!))
03 CDP Seaman Corporation CDP Temporary Roofing 0 ($38 811 00)
CDP Doors, Frames,
04 CDP DH Pace Company, Inc Hardware 0 ($ 93,!)88 00)
CDP Polymershapes Holding,
Inc. dba Insulgard Security
05 Products CDP Strorefronts 0 ($!)'10 78 7 00)
CDP Commercial Air
06 Management, Inc. CDP HVAC Equipment 0 ($8III 420,00)
07 CDP Trane U.S. Inc. CDP HVAC Equipment 0
08 CDP Tex-Cote LLC CDP Paint 0 ($3!),r i 7,00)
09 CDP White Cap, LP CDP Rebar 0 ( "'N68 3 p 38)
10 CDP City Electric Supply CDP Electrical 0 ($73„466,07)
11 CDP Electrical Supplies, Inc CDP Gear Package 0 ($44 1,620,00)
CDP Monroe Concrete
12 Products CDP Concrete 0 ($!)0 2406 8 00)
13 CDP Barnes Alarm CDP Alarm Equipment 0 ( ''i.4,11 7A )
14 CDP Stewart& Stevenson LLC CDP Generators 0 ($6 99 II) 3 7,00)
Add back the cost of freight
inadvertently included in
15 CDP Freight Cost Correction CDP request 0 $30,935.00
Monroe County Vendor Requisition Form
Date:10/05/2022 MC PO#: MC Project Name:MONROE COUNTY EMERGENCY OPERATIONS&PUBLIC SAFETY CENTER
Contractor Name:Ajax Building Company,LLC Contractor Telephone:813-510-1206/321-507-2113
Contact Person:Marshall Quarles Email Address:marshall.quarles@ajaxbuilding.com/laya.martinez@ajaxbuiIding.com
Contractor Address:7280 Overseas Hwy,Marathon,FL
33050
Subcontractor Name:Sunryse Construction Services Subcontractor Telephone:305-269-3999
Contact Person:Jorge Salcedo Email Address:jorge_scsi@bellsouth.net
Subcontractor Address: 3061 SE Waaler Street,Stuart,FL
34997
Vendor Name:Polymershapes Holding,Inc.dba Insulgard Vendor Telephone: 810-844-0776
Securitv Products
Contact Person:Cassie Z.Schlosser Email Address cschlosser@insulgard.com
Vendor Address:1291 Ricket Rd.Brighton,MI 48116
Ship to/Proposed Off-Site Storage Address:
NOTE TO CONTRACTOR: A Deductive Change Order to your contract will be made for the value of the Direct Purchases made by Monroe County,plus Florida
Sales Tax rate of 6%on the entire purchase plus discretionary sales surtax of 1.5%on the first$5,000.
Refer to Line Item#and details from Contractor's Statement of Values
Line# Quantity Unit Detailed Description Unit Price Total Price
See attached. See attached. See attached. See Attached. °°°°°°�t ��2,��2,�� See attached. $ �1.078.7.:.00.
Please submit quote from Vendor with Vendor Requisition Form $4 2, ,52.00 Subtotal: $ 51077
$28,9`f 1,1 2 Sales Tax 6%: $ °°° 4r-2-2-
1.5%on first$5,000: $ 75.00
$511,8 8,1.2 Total: $ g
IMPORTANT NOTE: It is imperative in the interest of prompt payment that all orignal invoices are sent directly to Monroe County. All invoices must reference
the Project Name/Number and MC Purchase Order Number.
Please send invoices to:
Contractor Name: Ajax Building Company, LLC
ppoved by Hair lh aIll Quade
1 0/1 1/22022 1 2:04:C:9 P M
Verified and Approved by: Contractor
Approved by: MC Project Mangager
LETTER OF UNDERSTANDING
Contractor Ajax Building Company, L....L..0 in its capacity
as Construction Manager/Design Builder/General Contractor, agrees that the direct purchase of
Windows & Storefronts
by Monroe County, Owner, from Polymershapes Holding, Inc. dba Insulgard Security Products
as Vendor, does not in any way or manner diminish or modify the contractual duties of the
Construction Manager/Design Builder/General Contractor to the Owner insofar as the
inspection, handling, storage, protection, and installation of the aforementioned direct purchase
item into the Work is concerned and that such duties pertinent thereto as are set forth in the
contract betwe Ajax Building Company, L....L..-C as Construction
Manager/Design Builder/General Contractor, and Monroe County, as Owner, remain unchanged.
The Contractor acknowledges receipt of Monroe County Owner Direct Purchase Procedures and
agrees to comply with the procedures.
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS CONTRACTOR
Toed lby Mair: ualll ..a.I.V.....iI.r
...i..e
CBy: By: 11f...?...C)2....?1?......C...)3...19 P
. ...................... ...... . ............ .... .................
Signature of Authorized Representative Signature of Authorized Representative
Marshall Quarles, Ajax FIM
Name Printed Name Printed
Ajax F'rojeot Manager
Title Title
Date
Iiiwu��� ovi
mPolymershapes
August 5th 2019
To Whom It May Concern:
Please use the below remittance information for payments to Polymershapes LLC. Our information is as
follows:
Mail Check Address: Overnight Check Address:
Polymershapes LLC Bank of America Lockbox Services
PO Box 505503 Polymershapes Lockbox 505503
St. Louis, MO 63150-5503 800 Market Street, 4th floor
St. Louis, MO 63101
ACH/EFT Delivery Instructions: Wire Delivery Instructions:
Beneficiary Bank: Beneficiary Bank(SWIFT Field 57D):
Bank of America Bank of America
222 Broadway, New York, NY 10038 222 Broadway, New York, NY 10038
Routing/ABA: 063100277 SWIFT: BOFAUS3N
Beneficiary: Beneficiary (SWIFT Field 59):
Polymershapes LLC Polymershapes LLC
Account#: 898090099851 Account#: 898090099851 Routing #026009593
Address: 10130 Perimeter Parkway, Address: 10130 Perimeter Parkway,
Charlotte NC 28216 Charlotte NC 28216
Remittance details for payments made to Polymershapes LLC should be sent to the
following address if not already accompanied with the payment:
USremitdetails@polymershapes.com
Polymershapes LLC
10130 Perimeter Parkway, Suite 500
Charlotte NC 28216
T: (704) 948-5000
'M Sales Proposal
1111nsu1gprdBrighton Office Sales& Estimating Rep Date: 7/22/2022
S r-,;CURITY F'H#,1"')DUC.rS 1291 Rickett Road Cassie Schlosser Proposal#: 51182-2XR6
Brighton, MI 48116 (770)500-6438 Total Pages: 1
Tel: 800-624-6315
Fax: 810-844-0920
.w. w w 11.19 s uq
.....................................11 E
Proposal Submitted to: JProtect Information:
Account: Sunyrise Construction Services Project: Monroe County EOC
Contact: Jorge Salcedo Desc: TTH600 Windows&TTH350 Doors
Phone: 305-269-3999 City: Marathon Key
Email: 111.rlle d za ' read Indow.corn State: FL
. .. 11 2............
Address: 4851 NW 36th Avenue
Miami, FL 33142
Proposal Valid for: Leadtime Payment Terms Shipment Terms Shop Dwg Lead Time
18-22 Weeks Receipt of Net 30 Pending 4-5 Weeks Receipt of P
130 Da vs lApproved Drawings lCredit Approval Negotiated Freight IAII Required Documents
Base Proposal
Item# Description Price
1 Supply Only, Storm DefendTm TTH600 Clear Andozied 2-1/2"x 6"Thermally Broken Aluminum $ 325,677
Framing System to be Glazed with 2.03"TorGard 30-IG Insulated,Argon Filled Glass Clad
Polycarbonate with SolarBan90 Starphire on#2. Includes:
W01:
*1 each 86-1/2"W x 29"H Single Lite Transom
W02:
*4 each 39"W x 36"H Single Lites
*2 each 39"W x 44"H Single Lites Fireight .R.em.eved $454,48100
*2 each 39"W x 60"H Single Lites � �rqposa�l # 51182-2XR6 $"1',"","," 4,82-;4-1-7—
lardware htennate Add $ 28,370
W03: ota��� [Request
*1 each 86-1/2"W x 29"H Single Lite Transom
New'.170W. $482,85100
W04:
*2 each 48"W x 100"H Single Lites
W05:
*2 each 48"W x 36"H Single Lites
*1 each 48"W x 44"H Single Lite
*1 each 48"W x 60"H Single Lite
W06:
*1 each 86-1/2"W x 44"H Single Lite
*1 each 86-1/2"W x 64"H Single Lite****max height
W07:
*3 each 74"W x 24"H Single Lites
W08:
*2 each 60"W x 36"H Single Lites
*2 each 60"W x 72"H Single Lites
*2 each 60"W x 30"H Single Lites
W09:
*3 each 60"W x 64"H Single Lites
W1 0:
*2 each 32"W x 64"H Single Lites
W11:
*3 each 99-1/2"W x 64"H Single Lites***max frame dimension (max R.O. 100-1/2"x 64-3/4")
W12:
*1 each 48"W x 100"H Single Lite
W13:
*12 each 48"W x 64"H Single Lites
W14:
*4 each 48"W x 36"H Single Lites
*2 each 48"W x 72"H Single Lites
MOCK-UP:
*1 each 24"W x 30"H Single Lite to be Glazed with TorGard 30-IG with Pilkington Energy
Advantage Clear Temp#2
***Minimum rough opening width& height required is 24"in order to meet testing
certification.
2 Supply Only, Storm DefendTm TTH350 Clear Anodized, 5"x 2-3/8" Medium Stile Full Vision $ 69,388
Aluminum Door System with 4-1/2"x 2-3/8" Mid-Rail to be Glazed with 1.286"TorGard 30(non-
insulated)Glass Clad Polycarbonate with 1/4"Starphire Outboard. Electrified Hardware Includes
(Per Leaf): Pemko CFMSLF x HD1 x SERV4 Continuous Gear Hinges, Sargent FM8774
Electrified Surface Vertical Rod Exit Device with 306 Auxiliary Control, QC-Cl500P Electrolynx
Harness, Securitron DPS-M-GY Door Position Switch, Sargent 351 Surface Door Closer, Pemko
172A Threshold, Pemko 18061 Door Bottom Sweep, Rockwood BFLG1050 Latch Guards and
Sargent HC980 Removable Mullion. NOTE: Client to confirm function requirements and additional
hardware requirements if applicable. Hardware Substitutions are NOT Permitted. Includes:
W01 /W03:
*2 each 6/9-1/2 x 7/4-1/8(PR 40-3/4"x 88-1/8)Door System. REF: DR: 101 & 102
***Outside Frame to be 89"x 91-7/8". Required R.O.to be 89-3/4"W x 92-1/4"H.
*1 each Norton D6061-36 Auto Operator for DR#101 Above $ 7,575
*All Adt'I Hardware Not Listed is to be Submitted to Insulgard for Approval and is NOT
Included.
DR#263
*1 each 3/3-1/4 x 7/0 Single Door System(mullion excluded from hdwr)
***Outside Frame to be 47-1/4"W x 87-3/4"H. Required R.O.to be 48"W x 88-1/8"H.
3 Supply Only, BulletBlockTm TH600 Clear Anodized,2-1/2"x 6" UL752 Level 4 Bullet Resistant $ 7,313
Aluminum Framing System to be Glazed with 1.22"Clear SP412 UL752 Level 4 Bullet Resistant
No-Spall Glass Clad Polycarbonate. Includes:
*1 each 54"W x 87H Single Lite. REF: 'I203'
4 Supply Only, BulletBlockTm HP500 Wide Stile 5"x 3-5/8" Bullet Resistant, Clear Anodized Full $ 44,529
Vision Aluminum Door System in TH600 Aluminum Framing with SL27-HD Continuous Hinge,
Prep for Balance of Hardware,to be Glazed with 1.22" Clear SP412 UL752 Level 4 Bullet
Resistant No-Spall Glass Clad Polycarbonate. Hardware by Others must be Compatible with 3-
5/8"Thick Door System or Client to Advise if Insulgard is to ADD Door Hardware. Includes:
*3 each 3070 Single Door Systems. REF: DR#201,#202,#203.ADA compliance requires 43-
1/2"W door frame/44-1/4"W R.O.
*1 each 6070(PR 3070)Door System with TH600 Center Mullion. REF: DR#218.ADA
compliance requires 84-1/2"W door frame/85-1/4" R.O.
5 Crating 50
6, Estimated Shipping ................................................23A60-
7 ADD to Crate&Ship Mock-Up Frame in Advance ...................
'i*TTH60�O&TH350 assemblies are,UL tested,certified and labeled to FEMA P361-15 and
ICC500-1I4 for use in tornado and hurricane safe rooms, Framing to anchor to 2"'x 6"x 114"
�steel tube designed and provided by others.All break metal and cladding is to be provided'
by others,Client to confirm required Low-e,Units do not carry FL Product Approval or
Miami-Dade NOA,
Framing to be fully fabricated and shipped assembled when possible for field glazing and
installation by others, Pricing includes fasteners, setting blocks,gaskets and shop drawings with
up to 2 revisions,Anchors by others. Standard warranty included: I year workmanship/5 year
glazing 15 year finish, Sales tax not included. Exemption certificate required or sales tax will
be added to final order.Shipping is estimated at time of bid based on standard LTIL delivery
to facility with loading dock and forklift.Adt'l fees will apply for special delivery requests at
time of shipment,*"Freight costs are subject to change based on shipping method and!
actual rates at time of shipment"'
*PRICES ARE SUBJECT TO CHANGE AFTER RECEIPT OF PO IF FINAL SHOP DRAWING
APPROVAL FOR MATERIAL RELEASE IS NOT RECEIVED WITHIN 15 BUSINESS DAYS
FROM DATE OF SUBMISSION. ACCEPTANCE OF THIS QUOTE SIGNIFIES ACCEPTANCE
OF THESE TERMS,SIGNED OR NOT.
Total Base Price $ ...........402;417
$454,482.70
Exclusions and Qgalificatiops
Item:# Description
I Price does not include applicable taxes
2 Proposal does not include installation
bate:
Name: Signatuire:
2'(,
HARDWARE SETS— MONROE COUNTY EOC
HP500 SOODR SYSTEMS—ALL TO BE 5" X 3-5/8" FULL VISION ALUMINUM DOORS
*SINGLES 3070/ *PAIRS 6070
Door#202:
Hardware Set#: 1111 3070 WADE 3-5/8 THICK
ID Qtv LIM Description Part Number
PT-1 1 EA Electric Power Transfer EPT110 .CON .689
ED-3 1 EA Rim Exit Deviice QEL 33A.L .626 .360L 3-518"THICK DOOR
CY-1 1 EA Rim Cylinder 12E-72 S2 RP 626
CY-3 1 EA Construction Core 7190224 Green
CL-2 1 EA Drop Plate 4040XP-18PA .689
CL-1 1 EA Surface Closer 4040XP .RWPA .689
KP-1 1 EA Kick Plate K1050 110"x 34" US32D CSK
ST-1 1 EA Walll Stop VVS406CCV 630
GA-1 1 EA Gasketing 5050C x 36 x 84
EA-1 1 EA ''Fire Harness CON-38
EA-2 1 EA Wire Harness CON-6VV
EC-1 1 EA Position, Switch DPS-M1-GY
TOTAL X CITY 1 SET @ $4212.00
Door#203
Hlardlware Set#: 112 3070 WADE 3-5/8 THICK
VD Qtv UQM� Description Part Number
PT-11 1 EA Electric Power Transfer EPT110 .CON .689
ED-3 1 EA Rim Exit Deviice QEL 33A.L .626 .360L 3-518"THICK DOOR
CY-1 1 EA Rim Cylinder 12E-72 S2 RP 626
CY-3 1 EA Construction Core 7190224 Green
CL-2 1 EA Drop Plate 4040XP-18PA .689
CL-1 1 EA Surface Closer 4040XP .RWPA .689
KP-1 1 EA Kick Plate K1050 10"x 34" US32D CSK
ST-2 1 EA Floor Stop FS439 630
GA-11 1 EA Gasketinig 5050C x 36' x 84"
EA-1 1 EA Wire Harness CON-38
EA-2 1 EA Wire Harness CON-6W
EC-1 1 EA Position Switch DPS-M-GY
TOTAL X CITY 1 SET @ $4226.00
Door#201
Hardware Set #: 113 3070 WIDE 3-5/8" THICK
ID QtV UOM Description Part Number
PT-1 1 EA Electric Power Transfer EPT110 .CON .689
ED-3 1 EA Riim Exit Device QEL 33A.L .626 .360L 3-5/8"THICK DOOR
CY-1 1 EA Riim Cylinder 12E-72 S2 RP 626
CY-3 1 EA Construction Core 7190224 Green
CL-2 1 EA Drop Plate 4040XP-18PA .689
CL-1 1 EA Surface Closer 4040XP .RVVPA .689
KP-1 1 EA Kick Plate K1050 10" x 34" US32D CSK
ST-1 1 EA Wall Stop WS406CCV 630
GA-1 1 EA Gasketinig 5050C x 36" x 84"
EA-1 1 EA Wire Harness CON-38
EA-2 1 EA Wire Harness CON-6W
EC-1 1 EA Position Switch DPS-MI-GY
TOTAL X CITY 1 SET @ $4212.00
Door#218
(Hardware Set#: 1114 6,070 WIDE 3,-518" THICK
�ID Qtv UOM Description Part Number
PT-1 2 EA Electric Power Transfer EPT11O .CON .689
ED-1 2 EA Surface Vert Rod Exlt CXA .RGO 3327A.L .626 .360L 3-5/8"
THICK DOOR
CY-1 1 EA Rim Cylinder 12E-72 S2 RP 626
CY-2 2 EA Mortise Cylinder 1 E-74 C4 RP2 626
CY-3 3 EA Construction Core 7190224 Green
CL-2 2 EA Drop Plate 4040XP-18PA .689
CL-1 2 EA Surface Closer 4040XP .RWPA .689
ST-1 2 EA Wallll Stop WS406CCV 630
GA-2 1 EA Gasketing 5050C x 72" x 84"
AS-1 1 EA Astragal 672A(SET) x 84"
EA-1 2 EA Wire Harness CON-38
EA-2 2 EA Wire Harness CON-6W
EC-1 2 EA Position Switch DPS-M-GY
TOTAL X CITY 1 SET 0 $15720.00
PROJECT TOTAL (QTY 4 SETS) @ $28,370.00
*NOTE: Products quoted for compatibility with 3-5/8"thick door system. HP500 doors cannot accept
mortise locks (rim exit devices only), Final cores by others,.All!items NOT quoted(power supply,access
reader, intercom system,wiring) are to be provided by access control/security contractor, Hinges and
TH600 center mullion included in base bid.
*LEAD TIME:To be determined-Chexit (delayed,egress)devices are currently dated for March 2022.
Lead time to be determined at time of order based on stock and availability.
Z
VA usg Z-L-2z-
;�E'EPTED BY TITLE DATE
Form W=9 Request for Taxpayer Give Form to the
(Rev.October 2018) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service i Go to www.1mgov1FdrmW9 for instructions and the latest information.
1 Name(as shown on your income tax return)-Name is required on this line;do not leave this line blank.
Polymershapes Holdings, Inc
2 Business name/disregarded entity name,if different from above
Polymershapes LLC dba Insulgard Security Products
475 3 Check appropriate box for federal tax classification of the person,whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to
1&Z following seven boxes, certain entities,not individual%see
CL instructions on page 3):
g El Individual/sole proprietor or M C Corporation Ell S Corporation El Partnership El Trust/.state
03 single member LLC
r_ 1 Exempt payee code(if any)
E] Limited liability company-Enter the tax classification(C=C corporation,S_-S corporation,P=Partrtership)0,
0 Note*Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC K the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any)
another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
E) Other(see instructions)lib- AQO fn acw.,98 minfained outmde the U.SJ
U)CL
5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional)
1291 Ricket Rd
6 City,state,and ZIP code
Brighton, MI 48116
7 List account number(s)here(optional)
filer owns 100% of Polymershapes LLC (EIN 01-0695945)
MM Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number
backup withholding.For individuals,this is generally your social security number(SSN).However,for a
resident alien,sole proprietor,or disregarded entity,see the instructions for Part 1,later.For other FTI
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN,later. or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and [Employer identification number
Number To Give the Requester for guidelines on whose number to enter. 81 -3_17 19 �8 10 MO8
JM 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
2.1 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 I 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 I am
no longer subject to backup withholding;and
3,1 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 ce if' ion,but you must provide your correct TIN.See the instructions for Part III,later.
Sign Signature of
Here � U.S.person Date 0, 1/13/22
General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise *Form 1099-MISC(various types of income,prizes,awards,or gross
noted. proceeds)
Future developments.For the latest information about developments -Form 1099-B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to wwwJrs.gov1FormW9. *Form 1 099-,S(proceeds from real estate transactions)
Purpose of Form -Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an a Form 1098(home mortgage interest),1 098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number a Form 1099-C(canceled debt)
(SSN),individual taxpayer Identification number(ITIN),adoption
taxpayer identification number(ATINI or employer identification number 9 Form 1099-A(acquisition or abandonment of secured property)
(E]IN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a Ui.,S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
returns include,but are not limited to,the following. ffyou do not return Form W-9 to the requester with a TIN,you might
Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding,
Pater
Cat.No.10231X Form W-9(Rev.10-2018)
Monroe County Board of County Purchase Order
f t Commissioners
500 Whitehead Street Purchase Order Number B-PO-1122-00002660
Key West, FL 33040
United States of America Purchase Order Date 11/04/2022
Requested Delivery Date
Tax Exempt#:
85-8013825294C-7 Payment Terms Due on Receipt
� Payment Type Check
Buyer Stan Thompson
Phone Number +1 (305)2924524
Email Thompson-
Stan@MonroeCounty-Fl.gov
Page 1 of 1
Supplier: Ship To:
Polymershapes Holdings Inc dba Insulgard Security Products Monroe County Emergency Operations Center
1291 Ricket Rd 7280 Overseas Highway
Brighton, MI 48116
3050
United States of America Marathon, FL Marshall Quarles
+1 (321)5072113(Cell)
Comments: Bill To:
Monroe County Board of County Commissioners
500 Whitehead Street
Key West, FL 33040
United States of America
Stan Thompson
+1 (305)2924524(Landline)
Currency Total Lines Amount Total Tax Amount Total PO Amount
USD 51.0..787°00.... 0.00 51..0..7.8.7...00......
Shippinn Terms Shipping Method Shipping Instruction
FOB Origin Ground Freight Packages must not be greater than
150 pounds.
Service Lines
Line Number Item Name Description Start Date End Date Due Date Amount
1 Emergency Operations 51..0.=78700°
Center-Owner Direct $482,,852,00
Purchase#5
Polymershapes Holding,
Inc.dba Insulgard Security
Products-Storefronts
messacles
Purchase Order Number must appear on all correspondence, invoices,shipping papers and packages.
Tina Boan-Purchasing Agent
Monroe County Vendor Requisition Form
Date:10/05/2022 MC PO#: MC Project Name:MONROE COUNTY EMERGENCY OPERATIONS&PUBLIC SAFETY CENTER
Contractor Name:Ajax Building Company,LLC Contractor Telephone:813-510-1206/321-507-2113
Contact Person:Marshall Quarles Email Address:marshall.quarles@ajaxbuilding.com/laya.martinez@ajaxbuiIding.com
Contractor Address:7280 Overseas Hwy,Marathon,FL
33050
Subcontractor Name:Pegasus Painting&Waterproofing, Subcontractor Telephone: 954-702-2004
LLC
Contact Person:Ron Pearson Email Address:ronpearson@pegasusfl.us
Subcontractor Address: 5601 Powerline Road,STE
102/103,Fort Lauderdale,FL 3309
Vendor Name:Tex-Cote LLC Vendor Telephone:904.205.5117
Contact Person:Simon Reynolds Email Address:sreynolds@texcote.com
Vendor Address:2422 E.15th Street,Panama City,FL 324C
Ship to/Proposed Off-Site Storage Address:
NOTE TO CONTRACTOR: A Deductive Change Order to your contract will be made for the value of the Direct Purchases made by Monroe County,plus Florida
Sales Tax rate of 6%on the entire purchase plus discretionary sales surtax of 1.5%on the first$5,000.
Refer to Line Item#and details from Contractor's Statement of Values
Line# Quantity Unit Detailed Description Unit Price Total Price
See attached. See attached. See attached. See Attached. See attached. $ 35y747:
$ $32,74T00
Please submit quote from Vendor with Vendor Requisition Form $32,74'T 00 Subtotal: $ ......35y74°7°00—
$1,96 , 2 Sales Tax 6%: $ .� . .�....
1.5%on first$5,000: $ 75.00
$34,786.82 Total: $ 3.7..q. .
IMPORTANT NOTE: It is imperative in the interest of prompt payment that all orignal invoices are sent directly to Monroe County. All invoices must reference
the Project Name/Number and MC Purchase Order Number.
Please send invoices to:
Contractor Name: Ajax Building Company, LLC
ppova*d by IMair6ha1111 Quairha*6
Verified and Approved by: ................................................................................................................................................. Contractor
Approved by: MC Project Mangager
OTEKEOTE'D
TEX-COIF- LLC
September 27, 2022
VIA EMAIL TO: r earson(�pe asusfl.com
Ron Pearson
Pegasus Painting & Waterproofing LLC
290 SW 12th Avenue, Suite 5
Pompano Beach, FL 33069
Re: Emergency Operations Center in Marathon, FL
This letter will serve to confirm pricing on the above-referenced project.
Exterior Ceilings/Underside of Concrete
150 gallons of Concrete/Masonry Primer @ $22.95 per gallon $3,442.50
400 gallons of XL 709 (High PH Resistance) @ $20.95 per gallon 8,380.00
Exterior of Building/Walls
350 gallons of Hi-Build Textured Primer @ $32.25 per gallon 11,287.50
230 gallons of Fade Block Supercote @ $41.90 per gallon 9,637.00
Three delivery charges @ $1,000.00 each 3°°000°00°°°°°. Removed Freight
Total Cost Excluding Tax °°°$,3-5 0�
$32,747.00 New Total
All pricing is per gallon in five-gallon pails and excludes applicable sales tax. Deep-tone colors may incur
an additional tint charge.
Thank you for the opportunity to work with you on this project.
Sincerely,
Simon Reynolds
Director of Commercial Sales
Cell: (954) 205-5117
....: y .g d:. .( texcote.com
SR/da
Corporate Offices& Eastern Plant Commercial Sales Office Western Facility
2422 East 15}h Street 7000 W. Palmetto Park Rd.,Suite 210-W 14 417 E.Weber Avenue
Panama City, FL 32405-6348 Boca Raton, FL 33433 Compton,CA 90222
T:850-769-0347 F:850-913-8619 T:954-581-0771 F:954-581-9516 T:323-233-31 1 1 F:310-438-
2873
www.texcote.com
LETTER OF UNDERSTANDING
Contractor Ajax Building Company, L....L..0 in its capacity
as Construction Manager/Design Builder/General Contractor, agrees that the direct purchase of
Paint
by Monroe County, Owner, from C ex Cote L....L..0
as Vendor, does not in any way or manner diminish or modify the contractual duties of the
Construction Manager/Design Builder/General Contractor to the Owner insofar as the
inspection, handling, storage, protection, and installation of the aforementioned direct purchase
item into the Work is concerned and that such duties pertinent thereto as are set forth in the
contract betwe Ajax Building Company, L....L..-C as Construction
Manager/Design Builder/General Contractor, and Monroe County, as Owner, remain unchanged.
The Contractor acknowledges receipt of Monroe County Owner Direct Purchase Procedures and
agrees to comply with the procedures.
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS CONTRACTOR
ppoved by mair hallll Quade.
1 C:)CC:)C�i/2022 6:13:C:0 PM
By: By:
Signature of Authorized Representative Signature of Authorized Representative
Marshall Quarles, Ajax FIM
Name Printed Name Printed
Ajax F'rojeot Manager
Title Title
Date
Form W=9 Request for "Taxpayer Give Form to the
(Rev.October 2018) Identification Number and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service l�Go to wwwJrs.gov1FormW9 for Instructions and-the latest information,
I Name(as shown on your income tax return).Name is required on this line;do not leave this line blank.
Tex-Cote LLC
_13us� . ...... .. .. ..
... ... .........
i:ness name/disregarded entity name,if different from above
.......... ...............................
3 C mm
heck appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Ee
mptions(codes apply only to
following seven boxes. certn entities,not individuals;see
D_ ctions on(codes
0 C El Individual/sole proprietor or 21 C Corporation El S Corporation El Partnership El Trust/estate
0 single-member LLC Exempt payee code(if any)
CL 0
�p ❑ Limited liability company.Enter the tax classification(C-C corporation,S=S corporation,P=Partnership)111,, C
0 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting
LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC Is
,5 M code if an
another Ll...0 that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that
is disregarded from the owner should check the appropriate box for the tax classification of its owner.
El Other(see instructions)V� (AppYw to aocwnts witamd..tnd.the U.S.)
.............................. .......... .......
_i_xndress number,street,and apt.or suite no See instructions. Requester's name and address(optional)
a) 2422 E. 15th Street
00
6 City,state,and ZIP code
Panama City, FL 32405
..........................__........... . . ............................... ..................
7 List account number(s)here(optional}
......................... ...............................................
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 instructions for Part 1, later.For other
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN, later. or
Note:If the account is in more than one name,see the instructions for line 1.Also see What Name andbar
in u
4 �- 3 1
Number To Give the Requester for guidelines on whose number to enter',
.............. 6 5 7
dertificatio.n ................ ................ ..............,_........
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
2.1 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 I 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 I am
no longer subject to backup withholding;and
3.1 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'for Part 11,later,
.........................................
Sign Signature of ),,j, 41
,,, 0 "1", 0 ,, 00��f
Here U.S.person 0, Date Iv-
............
............................._...... .............
General Instructions Form 1099-DIV(dividends,including those from stocks or mutual
funds)
Section references are to the Internal Revenue Code unless otherwise *Form 1099-DISC(various types of income,prizes,awards,or gross
noted. proceeds)
Future developments.For the latest information about developments *Form 1099--B(stock or mutual fund sales and certain other
related to Form W-9 and its instructions,such as legislation enacted transactions by brokers)
after they were published,go to wwwirs.govIFormIN9. -Form 1099-5(proceeds from real estate transactions)
Purpose of Form ®Form 1099-K(merchant card and third party network transactions)
An individual or entity(Form W-9 requester)who is required to file an o Form 1098(home mortgage interest),1098-E(student loan interest),
information return with the IRS must obtain your correct taxpayer 1098-T(tuition)
identification number(TIN)which may be your social security number *Form 1099-C(canceled debt)
(SSN),individual taxpayer identification number(TIN),adoption *Form 1099-A(acquisition or abandonment of secured property)
taxpayer identification number(ATIN),or employer identification number
(EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident
amount reportable on an information return.Examples of information alien),to provide your correct TIN.
returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might
Form 1099-INT(interest earned or paid) be.subject to backup withholding.See What is backup withholding,
later.
Cat.No.10231X Form W-9(Rev,10-2018)
Monroe County Board of County Purchase Order
f t Commissioners
500 Whitehead Street Purchase Order Number B-PO-1122-00002734
Key West, FL 33040
United States of America Purchase Order Date 11/09/2022
Requested Delivery Date
Tax Exempt#:
85-8013825294C-7 Payment Terms Due on Receipt
� Payment Type Check
Buyer Stan Thompson
Phone Number +1 (305)2924524
Email Thompson-
Stan@MonroeCounty-Fl.gov
Page 1 of 1
Supplier: Ship To:
Tex-Cote LLC Monroe County Emergency Operations Center
2422 E. 15th Street 7280 Overseas Highway
Panama City, FL 32405 Marathon, FL 33050
United States of America Marshall Quarles
+1 (321)5072113(Cell)
Comments: Bill To:
Monroe County Board of County Commissioners
500 Whitehead Street
Key West, FL 33040
United States of America
Stan Thompson
+1 (305)2924524(Landline)
Currency Total Lines Amount Total Tax Amount I Total PO Amount
USD 3.5...7.4°7„0,0.... 0.00
Shippinn Terms Shipping Method Shipping Instruction
FOB Origin Ground Freight Packages must not be greater than
150 pounds.
Service Lines
Line Number Item Name Description Start Date End Date Due Date Amount
1 Emergency Operations 35°,°74°7°r00°
Center-Owner Direct
Purchase#8 ` 32,7 T00
Tex-Cote LLC-Paint
messacles
Purchase Order Number must appear on all correspondence,invoices,shipping papers and packages.
Tina Boan-Purchasing Agent