Contract 2019-55A.29 - COF 12.10.2020CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number: RFB 19-051
Change Order Number: 29 _ Change Order Date: Oct 27, 2020
Project Name: Streetscapes Phase 1 _ Department: Public Services
Job Location: West Ave. and W. Osceola
VENDOR INFORMATION:
Company Name: Traverse Group, Inc.
Address: P.O. Box 121754 City, St., Zip: Clermont, FL 34712
Contact Name: Alicia Roehn Telephone:352-409-6630
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).
GFCI device for event power
ITEM
ORIGINAL CONTRACT VALUE:
AMOUNT OF THIS CHANGE ORDER:
Must be within the overall scope of services in accordance with contract specifications.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
AMOUNT OF PREVIOUS CHANGE ORDERS:
AMOUNT
$ 4,423,889.23
A.
B.
$ 9,568.65
C.
% 0.2%
D.
$ 479,139.25
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$ 488,707.90
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 11.0%
G.
NEW CONTRACT VALUE (A+E)
$ 4,912,597.13
This Chan a Order is not valid without the following signatures:
CONTRACTOR Date PROJECT ARCHITECT / ENGINEER Date
DEPARTMENT DIRECTOR Date PROCUREMENT DIRECTOR / Date
CITY MANAGER
Council approval is required if change order(s): 1) exceeds $49,999; 2) exceeds the greater of $100,000 OR 10% of the original
contract amount for construction projects; 3) the funds are not available in the approved budget for the department.
CITY OF CLERMONT ATTEST:
l Z-B
Timothy Munry,"Mayor�A Date Tracy Ackroyd owe, City Clerk Date
Rev.9-23-2020
. - • Price Extended Price
$ 9,668.65
GFCI are now necessary due to the relocation of the
electric panel in phase 1 and the distance(s)
7.2
Conduit, GFCI Device(s) and wiring to prevent the
tripping issues in the event power boxes
t
LS
$ 9,568.65
$ 9,568.65
$ 9,568.65