Contract 2019-55A.14 - COF 04.27.2020CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number:
Change Order Number 14 Change Order Date: 4.27.2020
Project Name: STREETSCAPE PH 1 Department:
Job Location: WEST AVE AND W OSCEOLA ST
VENDOR INFORMATION:
Company Name: TRAVERSE GROUP, INC.
Address: PO BOX 121754 City, St., Zip: CLERMONT, FL 34712
Contact Name: ALICIA ROEHN Telephone: 352.409.6630
DESCRIPTION OF CHANGE:
AReratlon, deviation, addition, or deletion caused by conditions encountered during construction not cowered by the spectiications and
drewings of the project (attach ad&ftal pages y necesseryj.
UPGRADE FROM 18" HDPE TO 24" RCP ALONG WEST AVE (W OSCEOLA ST TO MONTROSE)
SEE INDIVIDUAL BREAKDOWN
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE
$ 3,997,913.13
B.
AMOUNT OF THIS CHANGE ORDER:
$ '
Must be within the overed soope of services in accordance wHh contract specllkations
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A)
96 ..:: 04%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 411,630.61
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (8+0)
$ 425,976.10
CouncNapprovelregqviredhYover$49,999($100,000for construction)oforiginal conbactpriceORif
funds are not available in theapproved budget for die Depsiftwat.
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
G.
NEW CONTRACT VALUE (A+E)
$ 4,423,889.23
IDLI� - 47"I-Pul /*1 itsi Vzo
CONTRACTOR Date PROJECT ARCHITECT / ENGINEER Date
bEPARTMtNT DIRECTOR Date PURCHASING DIRECTOR / CITY MANAGER Date
Change Orders over 10%, not to exceed $49, 99g ($100, 000 for construction projects) of the original contract OR not
budgeted, require the fallowing signatures:
CITY OF RMONT ,\ ATTEST:
Gail L. Ash, Mayor Date Tracy Ackroyd H e, City Clerk Date
Rev. 12-6-19
Streets cape Phase 1- 18" to 24" RCP alafig West Ave (YV.Osceola Lo.Montrose]
CHANGE ORDER # 14
L.N General t]esrriplion ❑ly Unit