Contract 2019-55A.20 - COF 08.12.2020DocuSign Envelope ID: B95BF45B-1489-4AFB-AC23-ODECA79718B1
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number: RFB 19-051
Change Order Number 20 Change Order Date: Augut 12, 2020
Project Name: Streetscapes Phase 1 Department: Public Services
Job Location: West Ave. and W. Osceola
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).
Additive change order estimate for conduit/bore from Duke Energy.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE
$ $ 4,866,278.23
B.
AMOUNT OF THIS CHANGE ORDER:
$ $ 153,680.00
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A)
% 3.158
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 182,955.75
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D)
$ 336,635.75
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 6.918
G.
NEW CONTRACT VALUE (A+E)
$ 5,202,913.98
This Change Order is not valid without the following signatures:
DocuSigned by: DocuSigned by:
8/12/2020 8/12/2020
GGb6TR>1Q:R Date (WROITegORCHITECT/ 4E dby: Date
Sfo bl(WA,s6101, 8/17/2020 �^ � Sum VAv'vt W S. a?a(18/2020
DE I N DIRECTOR Date PURCHASING DIRECTOR / CITY MANAGER Date
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:
Gail L. Ash, Mayor Date Tracy Ackroyd Howe, City Clerk Date
Rev. 3-30-2020
DocuSign Envelope ID: B95BF45B-1489-4AFB-AC23-ODECA79718B1
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Unit Price
Extended Price
$
153,680.00
8.2
F & 1 1-2 In. Sch 40 Conduits Per Duke Energy
2620
LF
Specifications
$
20.00
$
52,400.00
8.4
F & 1 1-4 In. Sch 40 Conduits Per Duke Energy
LF
Specifications
1900
$
20.00
$
38,000.00
7.20
4" Conduit Bore
340
LF
$
35.00
$
11,900.00
7.21
2" Conduit Bore
1340
LF
$
33.00
$
44,220.00
15.28
Argentine Bahia Sod
4800
SF
$
0.45
$
2,160.00
1.11
Survey Layout
1
LS
$
5,000.00
$
5,000.00
$
153,680.00