Contract 2019-55A.03 - COF 02.28.2020CHANGE ORDER FORM
Contract/ P.O. Number: 2019-55 BId Number RFIa I4-09
Change Order Number: 3 Change Order Data: 2.28.20
Project Name: Streetscape Ph 1 Department: 0z 4vl YkoNt W T AL
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: Allan Roehn Telephone: 352.409.0630
DESCRIPTION OF CHANGE:
Anlaratlo+a,ds�iatiorr,addPolon,ardeleHonCausodbyoonddlonaeneoutMrsddwinpGartaEryctia►notwviendb N+e
r ���ois.nd
dra►wnQaottheprglarx(a�HeadA'l�,.rp.�ssNrncsaawy).
71h Street Storm Revisions and Sewer additions along with miscellaneous credits due (see change order
breakdown for details}. Addhional 30 days to contract.
MEb!
AMOUNT
A.
ORIGINAL CONTRACT VALUE
$ 3,997,913A3
B.
AMOUNT OF THIS CHANGE ORDER:
awbe wiM the ovNeswe oiasndaaa lot scaordmoe VAN GGnbrtda vC0baoierU
$ 85,812.08
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B1A)
% 2.1%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS.
5 86,106.80
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D}
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E!A): 10% Maximum
g 150,920.88
F.
% 3* %
G.
NEW CONTRACT VALUE (A+E)
$ 4,148,834.01
21
/�---6t!�j3 3 Zo a
CONTRACTOR Date PROJECTARCH 1 GINrA
Data
(IS
DEPART NT DIRECTOR Date RCHASINO J E CI R Date
uGS.
II C CITY OF CLERMONT ATTEST:
Gail L. Ash, Mayor DWW Tracy A~ Ham. City Clerk Date
�--.�� COUNGIt_ r4FPR�VAL tS a$4vtg� W C-WAiv4w a-Avmr OrXrruvs
``'Z' a xewtp S -roc
Ce,awA' ot= #Ibo,000 DI(Z 1 olo trF TNT 0ILI e
061 N,A L.
GON'1—T24GT A tt vvN T 'Fcrt CONS'T IZ04V'oxr pv%0Wwrs� 3' THE
'FvNv S A Rir MOT AV,A ItA SLcr 41. --ti } tF ,d 4'�It4yVi� $v�4gT
T—'Q - 1-6 19 p BSA PiT
I. Change Order Approval
To avoid a delay in the progress of any project, the Purchasing Director, City Manager or
designee may approve, without further Council action, a change order to an existing
contract provided the change order is within the overall scope of the project, does not
exceed the greater of ten percent (10%) of the original contract amount or $100,000 for
construction projects, or does not exceed $49,999 for non -construction projects, and the
funds are available in the approved budget for the Department. If the change order is in1k
excess of the above threshold or if the increase in cost requires a budget amendment,
the change order must be approved by the City Council. The Purchasing Director will
ensure the scope of services is in accordance with the contract specifications.
No oral statement of any person shall modify or otherwise change, or affect the terms,
conditions or specifications stated in the resulting contract. All change orders must be
approved in writing by the City prior to the work commencing unless the delay in receiving
City approval causes serious threat to the public health, safety or welfare, or will result in
significant additional cost to the City due to delay. Under any circumstance, work to be
performed under the change order shall not begin until all written approvals have been
received. Any work completed by the contractor without required written approvals will
be the sole responsibility of the contractor, not the City.
J. Contract Approval, Amendments, Renewal and Extension
The Purchasing Director, City Manager or designee is authorized to approve and execute
contracts if the total contract amount does not exceed the Purchasing Approval limit (see
Section H) and funds are available in the approved budget for the Department. This
includes, but is not limited to, service or maintenance agreements, awards on proposals,
competitive negotiated agreements, and consultant services agreements. All contracts
with a total value of $50,000 or greater, one-time or annual basis, shall require City
Council approval.
The Purchasing Director, City Manager or designee is authorized to approve any change
to a contract that alters the terms and conditions or provides a change in the scope which
total value does not exceed the Purchasing Approval limit (see Section H). Such changes
must be signed and approved in a formal amendment. All amendments with total contract
amount of $50,000 or greater shall require City Council approval.
The Purchasing Director is authorized to renew approved contracts as long as such action
is in accordance with the terms, conditions, and renewal period specified in the original
contract and the total dollar amount of the contract is within the City's approved budget.
Contract renewals beyond six (6) years from the date of the original contract shall require
City Council approval.
10
Rev. 11/12/19
ORDER# a ADOMCM
OF . DAYS 10 COW
ty. Unit
169.O DIAL ■ i 70,iiY.W
1.01
I�IF�6irellon
1 LS
i 3.500.00
S 3.50 IM
108
G-®ult Drawlrge
1 LS
i
i 1,500.00
1.10
MOT
1 LS
5,500 00
i 6,600 00
1.08
Temp Constnxtlon fence
1 LB
700.00
i 70 M
1.11
Survey Layout
1 LS
i 1.500A0
i 1.500.00
1.12
Tm*o
1 LS
i 2,500.00
i 2.50r W
21110.0I5111OLITION $11.987.50
2A8
Remove F Curb
60
LF
S 5.00
$ 300.00
2.11
'TIO
Ranovs and Dbpm of Asphal
1850
OF
i 0.85
i 1.572.60
Saw Cut BON ASOM
50
OF
$1.25
i 02.50
2.19
Saw Cut Concrete
50
OF
i 125
i 02M
2M
Remove and Dispose of ooncreie base
1551)
3F
i 5.00
i 0.260.00
2Z7
Md mil Jo>nts
1
IS
S 750.00
$ 750A0
300- Eerth"M WA &"Mq $1,770s00
3.01
12■ "Waft
205
SY
i 3.00
i 815.00
3.03
Roedwaey Gradlq
205
SY
$100
i 410.00
3.18
RM DMU
1
Ls
i 760.00
7M w
00- STOM DRAINAGE i 27AM.00
5.01
RWww t M-V;Q
2
EA
i 750.00
01,500.00
SM
Remove Wd Top
2
EA
$1, .00
$ 2,000
5.05
Remove sidng IF Rep
85
LF
i 15 00
$ 975.00
5.08
Ranovs tft" IV RCP
70
LF
i 7.50
i 825A0
5.13
Install IV RCP
140
LF
$ 42.50
i 5.950.
5.17
storm DmNrapa Manhob
1
EA
i 3,500 00
$ 3.
5.27
Can F� & H g Mwhole !Or 1V ACP
2
EA
i 3,260.00
i 8j
529
Inlet Top w1h Type 0 Inlet Tap
1
EA
i 3.600.00
i 3
521
Replace Inlet Top wkh Mod Type 5 Inlet Top
1
EA
3.500.00
$
M. SANITARY SEVM :70,,78M
6.01
Remove ard Replace Labral
2
EA
i 1,Z50.00
$ 2,500.00
6A2
Instal NewB- Laleml
2
EA
i 750A0
$1.500.00
6.03
budd V Clean outs
2
EA
$160.00
i 300.00
8.08 InBtd
12■ PVC sewer (Cn Q
845
LF
(625.00)
(; 21.125.00)
8.09
Senitery Sewn Manhole CM cuq
2
EA
3AII100
$ 7.000.00
&IS
Remove Exk&* Sw Manhole
2
EA
i 1,250.00
$ Z500.00
9.20
hlatall 1&- PVC Sewer
13W
LF
i 30.13
i 50,6890D
6.21
metal 160 SOON Wyie prK mm iron 12")
7
EA
i 25D.DD
$1.750AD
6.22
SardMry Bypass
1
LS
i lZ50 A0
$12,6aoAo
623
Care and Boat EWaft Ser-Rmy Manhole
4
EA
s 1,2%w
i 5,000.00
624
Renege BONN 12' MY Sewer Pipe
440
LF
$10.0
i 4.40D.00
625
Sanitary 12' Sewer DeOwssd
240
LF
i 12.83
i 3.031.20
5.26
Swftq Sewer Fff ps
1
LS
$ 3.3M.B6
:9,386.66
627
Rwmw 6t *V 12' Clay Sewer Pipe
1
FA
i .750.00
i %7I0A0
828
M ADADWAY
Preaurc Test 1 ti' Llna
1
FA
i 2.000A0
$2,000.00