Contract 2019-55A CODocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 / 20231454
Change Order Number: 15
Project Name: Streetscape Phase 3
Job Location: Not Applicable
VENDOR INFORMATION:
Company Name: Traverse Group, Inc.
Address: P.O. Box 121754
Contact Name: Alicia Roehn
Bid Number: RFB 19-051
Change Order Date: Feb 5, 2024
Department: Public Services
City, St., Zip: Clermont, FL 34712
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).
Additive change order to for additional landscaping and electrical in the total amount of $43,985.97.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$
7,210,249.68
B.
AMOUNT OF THIS CHANGE ORDER:
$
43,985.97
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
%
0.6%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$
194,702.20
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$
238,688.17
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
%
3.3%
G.
NEW CONTRACT VALUE (A+E)
$
7,448,937.85
This Change
Order is not valid without the following signatures:
DocuSigned by:
96t,U,ln,
Ea
DocuSigned by:U60,
2/6/2024 2/6/2024
396EE3AC046D48F...
86B0921593E44A6_.
CONTRACTOR
Date PROJECT ARCHITECT / ENGINEER Date
DS
EsDocuSigned by: DocuSigned by:
fbinq bl(WA S6VI 2/13/2024 � � & S 2/14/2024
534781168 014063B8FF4140F... A394C8...
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:
MAYOR Date CITY CLERK
Date
Rev. 1-1-2021
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
(ADDITIONAL LANDSCAPING (SMITHWELL)
Additional landscaping at the intersection of West and
Montrose (not on scope)
Irrigation (existing) repairs intersection of 8th and Montrose
Additional landscaping North & South side of 8th and Montrose
(not on scope)
Irrigation repair at Bees Auto landscape bed
IADDITIO VAL ELECTRICAL (ESI)
Refeed existing light poles along Lake Ave and connect to new
electrical service
Replace (2) existing tree receptacles on east side of Lake Ave
at Montrose St Intersection
Labor and material (not conduit) for overhead transformers
being removed from the pole and the restroom panel re -fed
from the pad -mounted transformer at 7th St restroom panel
Install conduit for the above at 7th St restroom panel
Install timer to control parking lot (7th St) lights, City requested
the parking lot be on a separate timer
Added circuitry for the light poles at 7th St lot to have
receptacles per the city's request
I
1.2 Payment and Performance Bond - Increase due to additiional
bonding charge(s) 2%
1 LS
$
4,082.00
$
4,082.00
1 LS
$
891.00
$
891.00
1 LS
$
3,802.00
$
3,802.00
1 LS
$
483.00
$
483.00
1 LS
$
11,212.50
$
11,212.50
1 LS
$
7,922.00
$
7,922.00
1 LS
$
2,450.00
$
2,450.00
1 LS
$
4,000.00
$
4,000.00
1 LS
$
3,221.50
$
3,221.50
1 LS
$
5,059.50
$
5,059.50
LS
$
862.47
1
$
43,985.97
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 / 20231454
Change Order Number: 16
Project Name: Streetscape Phase 3
Job Location: Not Applicable
VENDOR INFORMATION:
Company Name: Traverse Group, Inc.
Address: P.O. Box 121754
Contact Name: Alicia Roehn
Bid Number: RFB 19-051
Change Order Date: Feb 5, 2024
Department: Public Services
City, St., Zip: Clermont, FL 34712
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).
Additive change order to to approve contractor price escalation in the total amount of $14,238.61.
ITEM
A. ORIGINAL CONTRACT VALUE:
B. AMOUNT OF THIS CHANGE ORDER:
Must be within the overall scope of services in accordance with contract specifications.
C. PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
D. AMOUNT OF PREVIOUS CHANGE ORDERS:
E. TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
F. PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
G. NEW CONTRACT VALUE (A+E)
This Change Order is not valid without the following signatures:
Ea
DocuSigned by:
U60, 96t,U,la, 2/6/2024
396EEMC046D48F...
CONTRACTOR Date
AMOUNT
$ 7,210,249.68
$ 14,238.61
% 0.2%
$ 238,688.17
$ 252,926.78
% 3.5%
$ 7,463,176.46
PROJECT ARCHITECT / ENGINEER Date
EsDocuSigned by: DocuSigned by:
fbin" bVWA SbV 1 2/13/2024 14 a%k" 2/13/2024
014063B8FF4140F... 31F57D413554D6
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:
MAYOR Date CITY CLERK
Date
Rev. 1-1-2021
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
Escalation Clause July to Dec 2023 per Contract
See attached for backup
Fuel Onroad 1 LS $ 3,183.00 $ 3,183.00
Fuel Offroad 1 LS $ 3,971.07 $ 3,971.07
Concrete 1 LS $ 6,805.35 $ 6,805.35
Asphalt 1 LS $ 0.00 $ -
1.2 Payment and Performance Bond - Increase due to additiional 1 LS $ 279.19
bonding charge(s) 2%
$ 14,238.61
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 / 20231454
Change Order Number: 17
Project Name: Streetscape Phase 3
Job Location: Not Applicable
VENDOR INFORMATION:
Company Name: Traverse Group, Inc.
Address: P.O. Box 121754
Contact Name: Alicia Roehn
Bid Number: RFB 19-051
Change Order Date: Feb 5, 2024
Department: Public Services
City, St., Zip: Clermont, FL 34712
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).
Additive change order for 7th Street and intersection in the total cost of $13,634.25.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$
7,210,249.68
B.
AMOUNT OF THIS CHANGE ORDER:
$
13,634.25
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:
$
252,926.78
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$
266,561.03
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
%
3.7%
G.
NEW CONTRACT VALUE (A+E)
$
7,476,810.71
This Change
Order is not valid without the following signatures:
DocuSigned by:
96t,U,la,
Ea
DocuSigned by:U66L
2/6/2024 2/6/2024
396EEMC046D48F...
86B0921593E44A6...
CONTRACTOR
Date PROJECT ARCHITECT / ENGINEER Date
EsDocuSigned by: DocuSigned by:
fbin" bVWA SbV 1 2/13/2024 4 a%k" 2/13/2024
014063B8FF4140F... 431F57D413554D6...
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:
MAYOR Date CITY CLERK
Date
Rev. 1-1-2021
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
1.8
TEMP CONSTRUCTION FENCING
1
LS
$
2,500.00
$
2,500.00
1.10
MOT
1
LS
$
3,500.00
$
3,500.00
1.11
STAKE AND LAYOUT
1
LS
$
3,500.00
$
3,500.00
1.12
TESTING
1
LS
$
3,500.00
$
3,500.00
2.7
REMOVE CURB
90
LF
$
13.25
$
1,192.50
2.11
REMOVE ASPHALT
2520
SF
$
1.55
$
3,906.00
2.26
REMOVE CONCRETE BASE
2520
SF
$
6.65
$
16,758.00
3.1
12" SUBGRADE
333
SY
$
3.90
$
1,298.70
3.3
ROADWAY GRADING
333
SY
$
2.95
$
982.35
3.5
CURB GRADING
20
SY
$
6.30
$
126.00
3.10
EXCAVATE ROADWAY
125
CY
$
7.69
$
961.25
3.17
REMOVAL FILL
125
CY
$
7.95
$
993.75
3.18
FINAL DRESSING
1
LS
$
750.00
$
750.00
4.53
OPEN CUT ROADWAY CREDIT
1
LS
$
(5,000.00)
$
(5,000.00)
5.1
REMOVE EXISTING INLET
4
EA
$
1,750.00
$
7,000.00
5.2
REMOVE EXISTING MANHOLE
EA
1
$
1,750.00
$
1,750.00
5.6
REMOVE 15" RCP
LF
140
$
25.00
$
3,500.00
5.13
18" RCP
LF
160
$
89.95
$
14,392.00
5.16
FDOT TYPE 9 INLET
2
EA
$
4,995.00
$
9,990.00
5.17
STORM DRAIN MANHOLE
1
EA
$
4,665.00
$
4,665.00
5.18
MOD 6 INLET
2
EA
$
4,995.00
$
9,990.00
9.2
6" RECYCLED CONCRETE ROAD BASE
290
SY
$
16.65
$
4,828.50
9.6
1" SP 9.5 ASPHALT BASE COURSE
290
SY
$
10.95
$
3,175.50
9.6.1
1" SP 9.5 ASPHALT OVERLAY
290
SY
$
8.95
$
2,595.50
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
9.7
TACK
290
SY
$ 2.00
$
580.00
10.7
F CURB
90
LF
$ 36.75
$
3,307.50
10.10
CONCRETE SIDE WALK
250
SF
$ 8.89
$
2,222.50
10.50
ADA RAMPS
200
SF
$ 21.95
$
4,390.00
15.28
SOD
1200
SF
$ 0.45
$
540.00
15.28
SOD
1200
SF
$ 0.45
$
540.00
BRICK CROSSWALK ADDITION
1400
SF
$ 2.75
$
3,850.00
4.3
8X10 Reducer
LS
1
$ (23,000.00)
$
(23,000.00)
7.2
4" Duke Conduit Bore (7th)
1
LS
$ (1,375.00)
$
(1,375.00)
7.21
2" Conduit Bore (7th)
1
LS
$ (2,250.00)
$
(2,250.00)
7.22A
6" Conduit Bore (7th)
1
LS
$ (35,000.00)
$
(35,000.00)
8.23
6" Gain 36" Sweeps
1
LS
$ (5,200.00)
$
(5,200.00)
10.2
R&R Sidewalk (7th)
1
LS
$ (15,000.00)
$
(15,000.00)
ROAD BRICK
70
CUBE
$ (260.00)
$
(18,200.00)
1.2
Payment and Performance Bond - Increase due to
1
LS
additiional bonding charge(s) 2%
$
624.20
TOTAL
$
13,634.25
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 / 20231454
Change Order Number: 18
Project Name: Streetscape Phase 3
Job Location: Not Applicable
VENDOR INFORMATION:
Company Name: Traverse Group, Inc.
Address: P.O. Box 121754
Contact Name: Alicia Roehn
Bid Number: RFB 19-051
Change Order Date: Feb 5, 2024
Department: Public Services
City, St., Zip: Clermont, FL 34712
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).
Additive change order for 7th Street between Minneola Avenue and Osceola Street in the total cost of $184,773.10.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$
7,210,249.68
B.
AMOUNT OF THIS CHANGE ORDER:
$
184,773.10
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
%
2.6%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$
266,561.03
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$
451,334.13
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
%
6.3%
G.
NEW CONTRACT VALUE (A+E)
$
7,661,583.81
This Change
Order is not valid without the following signatures:
DocuSigned by:
&A'0, 96t,U,la,
DocuSigned by:
2/6/2024 E2/6/2024
396EE3AC046D48F...
86B0921593E44A6...
CONTRACTOR
Date PROJECT ARCHITECT / ENGINEER Date
EsDocuSigned by: DS DocuSigned by:
fbinq bl(Wn S6VI 2/13/2024 � bI S 2/14/2024 534781168
014063B8FF4140F... A394C8...
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:
MAYOR Date CITY CLERK
Date
Rev. 1-1-2021
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
1.8
TEMP CONSTRUCTION FENCING
1
LS
$
2,500.00
$
2,500.00
1.10
MOT
1
LS
$
3,500.00
$
3,500.00
1.11
STAKE AND LAYOUT
1
LS
$
3,500.00
$
3,500.00
1.12
TESTING
1
LS
$
2,500.00
$
2,500.00
2.7
REMOVE CURB
600
LF
$
13.25
$
7,950.00
2.11
REMOVE ASPHALT
6000
SF
$
1.55
$
9,300.00
2.26
REMOVE CONCRETE BASE
6000
SF
$
6.65
$
39,900.00
3.1
12" SUBGRADE
866
SY
$
3.90
$
3,377.40
3.3
ROADWAY GRADING
866
SY
$
2.95
$
2,554.70
3.5
CURB GRADING
200
SY
$
6.30
$
1,260.00
3.10
EXCAVATE ROADWAY
200
CY
$
7.69
$
1,538.00
3.17
REMOVAL FILL
200
CY
$
7.95
$
1,590.00
3.18
FINAL DRESSING
1
LS
$
750.00
$
750.00
5.1
REMOVE EXISTING manhole
1
EA
$
1,750.00
$
1,750.00
5.6
REMOVE 15" RCP
300
LF
$
25.00
$
7,500.00
5.13
18" RCP
300
LF
$
89.95
$
26,985.00
5.17
STORM DRAIN MANHOLE
2
EA
$
4,665.00
$
9,330.00
9.2
6" RECYCLED CONCRETE ROAD BASE
700
SY
$
16.65
$
11,655.00
9.6
1" SP 9.5 ASPHALT BASE COURSE
700
SY
$
10.95
$
7,665.00
9.6.1
1" SP 9.5 ASPHALT OVERLAY
700
SY
$
8.95
$
6,265.00
9.7
TACK
700
SY
$
2.00
$
1,400.00
10.7
F CURB
600
LF
$
36.75
$
22,050.00
DocuSign Envelope ID: 74A533E7-852C-490E-ACB8-E0697E97DB3F
10.10 CONCRETE DRIVEWAYS
15.28 SOD
1.2 Payment and Performance Bond - Increase due to
additional bondinq charqe(s) 2%
3 EA $ 1,500.00 $ 4,500.00
2400 SF
$ 0.45 $ 1,080.00
1 LS $ 3,623.00
TOTAL $ 184,773.10