Contract 2020-067A.06DocuSign Envelope ID: 3E02E927-2568-4095-AF68-69EB40833ED8
CHANGE ORDER FORM
Contract / P.O_ Number: 2019-55 Bid Number: RFB 19-051
Change Order Number: 6 Change Order Date: Jun 29, 2021
Project Name: Streetscape Phase 2 Department: Public Services
Job Location: Minneola Ave. and Osceola Street
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 - Landscape revisions 8th Street from Montrose to Minneola Ave.
ITEM AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$ 4,310,565.37
B.
AMOUNT OF THIS CHANGE ORDER:
$-7,149.03
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
% -0.2%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 83,979.33
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$ 76,830.30
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 1.8%
G•
NEW CONTRACT VALUE (A+E)
$ 4,387,395.67
This Change Order is not valid without the following signatures:
CDocuSlgned by: DocuSlgned by,
&a, 4&AA, 6/29/2021 E 6/29/2021
97CC96F6EBA64F2 .
396EE3AC046D48F...
CONTRACTOR Date PROJECT ARCHITECT / ENGINEER Date
DocuSlgned,by:
� DocuSlgned by:
[ltb 6/30/2021 S" 6/30/2021
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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
ATTEST:
MAYOR Date CITY CLERK
Date
Rev.1-1-2021
DocuSign Envelope ID: 3E02E927-2568-4095-AF68-69EB40833ED8
GROUP,TRAVERSE OF •
CHANGE ••D.• revisions 8th Street from Montrose to Minneola Ave
FS
jaw
General Description lJnit P Extsndod Pricr
R&R Pavers an the roadway of 8th St between W Osceola and W Minneola Ave -$7,149.03
15.7
Dwarf Confederate Jasmine
70
EA
$ 8.20
$ 574.00
15.20
CREDIT Sabal Palm
-3
EA
$ 750.00
-$ 2,250.00
15.21
Wild Date Palm (None noted on bid)
0
EA
$ 5,500.00
$ 0.00
15.11
CREDIT Emerald Goddess Liriope
-97
EA
$ 8.55
-$ 829.35
15.19
CREDIT Society Garlic
-33
EA
$ 9.87
-$ 325.71
15.39
CREDIT Shadow Female Yaupon
-3
EA
$ 531.33
-$1,593.99
15.33
CREDIT Dwarf Nandina
-75
EA
$ 66.33
-$ 4,974.75
15.34
Dwarf Scheffiera
35
EA
$ 66.33
$ 2,321.55
1.21
Payment and Performance Bond - Increase due to bonding
-1
LS
$70.78
-$ 70.78
TOTAL -$ 7,149.03
CHANGE ORDER TOTAL $ (7,149.03)