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CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS AlA Document G706 (Instructions on reverse side) OWNER ARCHITECT CONTRACTOR SURETY OTHER o [] o o o TO OWNER: (Name ((11(( or/tln·s....) Harrison County Board PO Drawer CC Gulfport, MS 39502 PROJECT: (Name lOld cult/res.....') Commission 2639, State of MS, Dept Gulfport, MS 39503 ARCHITECT'S PROJECT NO.: 6f Supervisors CONTRACT FOR: Dept. of Human Services Gulfport,MS CONTRACT DATED: July 17, 2007 of Human Services, 10260 Larkin Smith Rd STATE OF: COUN1YOF: Mississippi Leflore The undersigned hen:hy certifies that, except as listed helow, payment has heen made in full and aJJ obligations have otherwise heen satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indehtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the ContraCt referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: None SUPPORTING DOCUMENTS ATIACHED HERETO: 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. AlA Document G707, Consent ofSurety, may be used for this purpose. Indicate attachment: Dyes [J no ThejU/loll'ing supporting documents should he attached hereto ij'reqUired hy the OU'l1er: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and material and equipment suppliers, to the extent reqUired hy the Owner, accompanied by a list thereof. 5. Contractor's Affidavit of Release of Liens (AlA Document G706A) CONTRACTOR: (Name tlnd adtlre;,,) Kenneth R. Thompson, Jr., PO Box 1609 Greenwood, M~~~ BY: Ashley Thompson Vice-President (Prillled name.' tlnd liI1(.') Subscribed and sworn to before me on this date: 2P09 February 12, NotalY PUbIiC~ l1)~ My Commission Expires: 6!22!201f: BtiiJder, ,. , Inc CAUTION: You should sign an original AlA document that has this caution printed il1 red. An original assures that changes will not be obscured as may occur when documents arere.produced. See Instruction Sheet for Limited License for Reproduction of this document. ." AlA DOCUMENT G7D6 • C:ONTRACTOJ(S AFFIDAVIT OF PAYMENT OF DEBTS AND ClAIMS 199·j EDITION· ·A1A·
KENNETH R. THOMPSON, JR., BUILDER, INC. June 20, 2008 Harrison County Board ofSupervisors PO Drawer CC Gulfport, MS 39502 Re: Harrison County Department ofHuman Services We, KelU1eth R. Thompson, Jr., Builder, Inc. certify that no asbestos containing materials were used on the above referenced project, in accordance with the contract documents. Sincerely, ~~:!~W~ Jim McNeer Project Manager 3204 BALDWIN ROAD • INDUSTRIAL PARK F'OST OFFICE BOX 1609 • GREENWOOD, MS 38935- 1609
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MINUTES BOARD OF SUPERVISORS, HARRI
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RBI LRMNPT53 03/31/2009 14:51 Landr
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MINDTES BOARD OF SUPERVISORS, HARRI
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Mar. 30, 2009 9:41AM Woo1market Wor
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Apr. 1. 2009 6:40AM SAND BEACH DEPT
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i Mar. -- 10. 2009 9: 01 AM LONG BE
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MINUTES , BOARD OF SUPERVISORS, HAR
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\ , FLOOD DAMAGE PREVENTION ORDINAN
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l, HARRISON COUNTY, MISSISSIPPI FLO
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, . , , ARlAl- A30, ARlAE, ARlAH, A
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, , concrete pads) is completed bef
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· ' 1. By an approved state progra
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North American Vertical Datum of 19
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Substantial Improvement means any c
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(2) Liberally construed in favor of
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.) The administrator may revoke a p
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SECTION B. SPECIFIC STANDARDS. In a
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professional engineer is provided d
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(7) Ifa waiver is granted for Secti
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ensure that toxic substances will n
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SECTION H. FLOODWAY. Variances shal
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April 6, 2009, Item # 14 ORDINANCE
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• 0 ::J 0 =r CD .D C 00 Q) 0 en .
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Supervisor W.S. SWETMAN III voted S
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1 inch equals 400 feet 30129 31132
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• o (l)-
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• • 0903HC087 Zoning Map Amendm
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SECTION 2: For good cause being sho
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0903HC100 Conditional Use Permit N
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• ~. APEXSOFTWARE" Innovation In
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I/!I The Right Technology. RightAwa
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• Provides CoveraQe throuQh 4/1/2
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MIMIMUM: Specifications and Bid For
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Address =3c:D L::t:\.\Jl~ Jv-€.Yl
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Invitation to Bid Sealed bids will
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7424 COASTAL DRIVE • PANAMA OTY,
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• Requisition 0185133 Date 3/20/2
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.'.•( ..... ~. •~-."." SUPPLY Q
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c) A reduction in the number of pro
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lanes having an all weather driving
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SMARTCODE Harrison County, Mississi
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SIVIARTCODE Harrison County, Missis
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SMARTCODE TABLE 1! TRANSECT ZONE DE
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SMARTCODE TABLE 13B. FORM-BASED COD
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SMARTCODE TABLE 130. FORM-BASED COD
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SMARTCODE TABLE 14. DEFINITIONS ILL
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SIVIARTCODE Harrison County, Missis
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Mississippi Development Authority R
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Applicant Harrison County Cash Summ
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• STATEMENT FOR SERVICES RENDERED
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APPLICATION AND CERTIFICATE FOR PAY
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Harrison County Trinity Yachts Item
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Item No. Item Description l!C #10AW
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• MEMO DATE: TO: FROM: RE: March
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Mississippi Development Authority C
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Mar 04 09 09:48a Jimm~ Gouras Pl~nn
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t1.ar U4 09 09= 4Sa Jimm~ Gauras Pl
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Mar 04 03 09=45a Jimm~ Gouras Plann
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~.- ~_.. -- • Eley Guild Hardy Ar
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• Eley Guild Hardy Architects PA
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'''~''-'''''''~ ·_· ,n.,~. • El
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Mississlpp1 Development Authority R
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Applicant Harrison County Cash Summ
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• ARCHITECTS ~RII.tCII'.'ttS Jarn
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• Eley Guild Hardy Architects, PA
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• ARCHITECTS PRINCIPALS James H.
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• Eley Guild Hardy Architects, PA
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BILL TO: REMIT TO: RIDGWAY'S - BILO
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INVOICE AOC An Amerl"an Aepl'Ollrap
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• "Me An Amerlcall fleprographlcl
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• AHCHllf:ClS PlIINC.IF'ALS James
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• I-L NEEL-SCHAFFER =- $oluf:'on$
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• ~c An Amerleom Reprogmpllle, Co
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• REMIT BILL TO; TO: RIDGWAY'S -
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INVOICE ~ An AmerlClllf Reprographl
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• STATEMENT FOR SERVICES RENDERED
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MissIssippi Development Authorlty C
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APPliCATION AND CERTIFICATE FOR PAY
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Page 337 and 338: Department: DSC 048 Request for Dis
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Page 343 and 344: ORDER OF BOARD OF SUPERVISORS Harri
Page 345 and 346: _S_t_a_t_e_A_i_d Program for H_a_r_
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Page 349 and 350: · - . State Aid Suppl. Agreement -
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Page 353 and 354: STATE OF MISSISSIPPI REQUEST FOR IM
Page 355 and 356: Sections 11-27-81 through 11-27-91
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Page 363 and 364: .AIA Document 8101" - 2007 Standard
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Page 383 and 384: .AIA Document 8101'" - 2007 Exhibit
Page 387: CONTRACTOR'S AFFIDAVIT OF RELEASE O
Page 391 and 392: 51'\Cf"(l~6 GUARANTEE ON WORK We he
Page 393 and 394: _TRAVELERS POWER OF ATTORNEY Farmin
Page 395 and 396: KENNETH R. THOMPSON, JR., BUILDER,
Page 397 and 398: CONTRACTOR'S AFFIDAVIT OF PAYMENT O
Page 399 and 400: ~TRAVELERS POWER OF AITORNEY Farmin
Page 403 and 404: STATE OF MISSISSIPPI HALEY BARBOUR.
Page 405 and 406: Mississippi State Board ofContracto
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