Contract 2019-55A.13 - COF 04.27.2020CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number:
Change Order Number:13 Change Order Date:
4.27.2020
Project Name: STREETSCAPE PH 1 Department:
Job Location: WEST AVE AND W OSCEOLA ST
VENDOR INFORMATION:
Company Name: TRAVERSE GROUP, INC.
Address; PO BOX 121754 City, St., Zip: CLERMONT, FL 34712
Contact Name: ALICIA ROEHN Telephone: 352.409.6630
DESCRIPTION OF CHANGE:
Alteration, deviation, addition, ordeletion caused by conditions encountered during construction not covered by do speffbadons and
drawings of ft pqJect (attach additional pages B necessary).
LID AREA ON W OSCEOLA STREET REDESIGN
SEE INDIVIDUAL BREAKDOWN
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE
$ 3,997,913.13
B.
AMOUNT OF THIS CHANGE ORDER:
„i 12/St3.00
Must be within the overed scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A)
96 413%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 424,083.61
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D)
$ 411,530.61
00una7 approve/ roqquired if ovar $49,999 ($100,000 for construction) of original contract price OR 9
funds are not evah he In the sAproved budget for the Deverhnent.
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (EPA): 10% Maximum
G.
NEW CONTRACT VALUE (A+E)
$ 4,409,443.74
C NTRACTOR Date PROJECT ARCHITECT / ENGINEER Date
M ti -. 8g -21
DEPART NT DIRECTOR Date PURCHASING DIRECTOR / CITY MANAGER Date
Change Orders over 10%. not to exceed S49, 999 ($100, 000 for construction projects) of the original contract OR not
uuuyo/ou, "WL"fu u/v /urwrnny wyr/a/u/uo.
C4LAsh,
RMONT ATTEST:
Gayor Date TracyAdcroyd Howe, City Clerk Date
Rev. 12-6-19
Streetscape Phase 1. LID area Rednsigned to Pavers
CHANGE ORDER Unit Price Extended Price ]
MR 11
$ (12,653.00)
10.6
12" Ribbon Curb
209
LF
$ 30•00
$ 6,270.00
11.5
F & 16" X 6" White Roadway Brick Pavers
17.5
SF
$ 27.00
$ 472.50
11.2
F & 121/4" Roadway Brick Pavers - K&W Red 2
4 4" " - nuf. Glen -Gary Corporation
1528
SF
$ 7.55
$ 11,536.40
9.2
6" Recycled Concrete For Paver Roadway
142
SY
$ 15.00
$ 2,130.00
9.1
Wall 140n Geotextile Fabric For Paver Roadway
1274
SF
$ 0.65
$ 828.10
5.23
CREDIT Drainage L.I.D. Curb Box
4
EA
$ (3,500.00)
$ (14,000.00)
5.24
—
CREDIT Gabion Basket (5'x1.51x1' Filled With 2%3"
Ume Rock Rubble)
4
EA
$ (2,950 00)
$ (11,800.00)
1500
CREDIT 15.2 City (30) African Iris; 15.22-15.26 City
(241
I
LS
$ (990.00)
$ (990.00)
10.4
CREDIT 6" Drainage L.I.D. Curb
280
LF
$ (25.00)
$ (7,000.00)
�—1
City of Cleffnont with the exmtlon NOTE: Landscaping in this area to be done by the
f sod.
I
$ (12,553.00)