Contract 2020-061A.1DocuSign Envelope ID: 2D86DACC-689E-430E-988A-FF74D4059544
CHANGE ORDER FORM
Contract / P.O. Number: 2020-61 / 2021-0090
Change Order Number: l
Project Name: Victory Point Audio Systems
Job Location: Victory Pointe and Highlander Pavilion
VENDOR INFORMATION:
Bid Number: 20-035
Change Order Date: Nov 23, 2020
Department: Parks & Recreation
Company Name: Infinity Corporation of Central Florida Inc.
Address: 2890 W. Airport Blvd. City, St., Zip: Sanford FL 32771
Contact Name: Matthew Pagliarulo Telephone 407-878-4283
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).
Add additional speakers, volume controls, & input plates requested during on -site meeting. See attached quote
number 2537
ITEM
A.
a
ORIGINAL CONTRACT VALUE:
AMOUNT OF THIS CHANGE ORDER:
Must be within the overall scope of services in accordance with contract specifications.
AMOUNT
$ 51,360.00
$ 1,408.74
C.
I PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
% 2.7%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 0.00
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$ 1,408.74
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 2.7%
G.
NEW CONTRACT VALUE (A+E)
$ 52,768.74
This Change Order is not valid without the following signatures:
Doou3igned by:
11/23/2020
R Date Q40OiecARCHITECT / ENGINEER Date
11/23/2020"�' Sub 11/23/2020
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
NOT REQUIRED
Gail L. Ash, Mayor
Date
ATTEST:
Tracy Ackroyd Howe, City Clerk Date
Rev. 9-23-2020