Contract 2019-55A.18 - COF 08.11.2020DocuSign Envelope ID: 026F0501-322F-46CB-99F9-4E28450AEB9F
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number: RFB 19-051
Change Order Number 18 Change Order Date: Augut 11, 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).
Deductive change order for sign package. The City will purchase and install the sign package.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE
$ $ 4,866,278.23
B.
AMOUNT OF THIS CHANGE ORDER:
$ -$ 37,500.00
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A)
% -0.771
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 203,495.00
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D)
$ 165,995.00
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 3.411
G.
NEW CONTRACT VALUE (A+E)
$ 5,032,273.23
This Change Order is not valid without the followi
/—DocuSigned by:
8/11/2020
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bqR Date
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DEP DIRECTOR Date
sianatures:
DocuSigned by:
8/12/2020
P EJECT ARCHITEC INGI EGR Date
JJp� 8/12/2020
PURCHASING DIRECTOR / CITY MANAGER Date
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:
Gail L. Ash, Mayor Date Tracy Ackroyd Howe, City Clerk Date
Rev. 3-30-2020
DocuSign Envelope ID: 026F0501-322F-46CB-99F9-4E28450AEB9F
Unit Price I Extended Price
$ (37,500.00)
14.20 1 Sign Package - City deciced to take over production LS
and install of all signage 1 $ (37,500.00) $ (37,500.00)
(37,500.00)