2016-64 CHANGE ORDER FORM
Purchase Order Number:2016-0335 Bid Number: 16-008
Change Order Number: #2A Change Order Date:8-4-16
Project Name:Westside Water Main Loop Department:
Job Location:685 W. Montrose St., Clermont, FL. 34711
VENDOR INFORMATION:
Company Name: Young's Communications Co., Inc.
Address:424 West Drive City, St., Zip: Melbourne FL. 32904
Contact Name: Mark Garrison Telephone:321-507-5408
DESCRIPTION OF CHANGE:
Alteration,deviation,addition,or deletion caused by conditions encountered during construction not covered by the specifications and
drawings of the project(attach additional pages if necessary).
CO#2A Emerald Lakes Additional Work By Directional Bore:
1000'LF of 10"HDPE by Directional Bore, including all appurtenances.
ITEM AMOUNT
A. ORIGINAL CONTRACT VALUE $ 3,871,429
B AMOUNT OF THIS CHANGE ORDER: Council approval required if over 15%of contract $ 104,164
price,not to exceed$49,999 OR if funds are not available in the approved budget for the Department.
C. PERCENT OF CONTRACT VALUE THIS CHANGE ORDER(B/A) % 2.69
D. AMOUNT OF PREVIOUS CHANGE ORDERS: $ 0
E. TOTAL AMOUNT OF ALL CHANGE ORDERS(B+D) $ 104,164
F. PERCENT OF CONTRACT OF ALL CHANGE ORDERS(E/A): 15% Maximum % 2.69
G. NEW C ' TRA T VALUE (A+E) $ 3,975,593
1plutly�pro4
This Chan •}der' not valid without the following sislnatures:Janine M D °M�0gj
Alexander "'�T°"T.�'
` m W ysMro.ak oze 23 8/16/16
$'/7-!6 /4E. 59244 e,
CO CTODate/ •ROJEC vy`:� ECT�ENGINEER Date
� �� Ii. A 3/A2/th_
DEPARTM !RECTOR Date PURC 'm'I MANAGER Date
Change Orders over 15%,not to exceed$49,999 of the original contract OR not budgeted,require the following signatures:
CITYLè17 (
ONT ATTEST:
2.; / _/
Gail L.Ash, Mayor Date Tracy Ackroy ,City erk Date
Rev.2-06-15
Emerald L
it„ ----
- /
• l'I/V - , i .,.
I -.
-..,-..: A/
z
. .,.
,,-
/
0 4•11 '
1111
4- 1.1J
.- ' -',"..":. • - ' 4 * 1 i H t'
••
tdi 1
V IPI M;Const. 10"x8" tee, >
8" GV and a.
••••• SE
'
reconnect 8" PVC
1 ' Field verify and ve
11 VVM
oiliwitit**
IS reconnect existing
fire line to new 10" Ft
Const. 2-10" 45 WM
-. •
deg bends P*4 'el
. %
.-4. .
iir • . 1
Fire line
... *
... '
11111 .'"Iikiii• ,,,
'•ii•
NIL MI&
--
0 71_ EMERALD LAKES
tallag –
- , —
I , End 1000LF AC replacement
ir 1-
qr---w--ir-
it
wars
min
P
,1111111 i to 11 Exist. 4"remain I
PI t - VC VVM
Const. 1-6"x10" pirii —tisaii
bmi$11._ iiiim.
Ireducer, 10" GV MOM
Ina LT...IL
# .
44 ..09r.Si mil IMPerr
5.1r......,
4 i
ligtM 7,I.
g
pi g,
.1-4 11111111111H,,,,..,....iL
V-•
- .4-
4 NIP ,.„ stilig.„0_.. _ i vp rwrerplir
11
]S
. ... ..>
1
Construct 10" DR-11 HDPE via HDD, cut cap and
abandon existing 6" AC piping in place (2-6" Caps) • i
, , . 4: ' ; , _ _
t
16' Horiz. Reconnect existing �;i'liil'
iI yl " �� �
m FM, field FHs (Typ. of 3) to
cation of new 10" WM �� ,,,,,,-, / _f
awg1c'il
t
t..4V
i :.
•
{ "til
3" Force main
Start AC replacement
Connect to existing
tee, construct
Liiiii
It
' 12"x10" reducer,
10" GV
ill ...,
..�. cmilitmu65" ,I1 It
City to coordinate
with and secure
Lake Co ROW Use
permit for this
crossing of 12th