Contract 2020-067A.07DocuSign Envelope ID: 0C73C94F-A3A1 -4D9C-91 CF-75BA245372DC
CHANGE ORDER FORM
Contract / P.O. Number: 2019-55 Bid Number: RFB 19-051
Change Order Number: 7 Change Order Date: Jul 12, 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).
Additive Change Order - Rework existing circuitry for tree lighting receptacles.
ITEM
AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$ 4,310,565.37
B.
AMOUNT OF THIS CHANGE ORDER:
$ 11,823.58
Must be within the overall scope of services in accordance with contract specifications.
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
% 0.3%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 76,830.30
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS (B+D):
$ 88,653.88
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (E/A): 10% Maximum
% 2.1 %
G.
NEW CONTRACT VALUE (A+E)
$ 4,399,219.25
This Change Order is not valid without the following signatures:
IDocuSigned by:
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396EE3AC046D48F_.
CONTRACTOR
EDocuSigned by:
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DEPARTMENT DIRECTOR
DocuSigned by:
7/12/2021 �-
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Date PROJECT ARCHITECT / ENGINEER
7/13/2021
Date
DocuSigned by:
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PROCUREMENT DIRECTOR /
CITY MANAGER
7/12/2021
Date
7/13/2021
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:
MAYOR Date CITY CLERK Date
Rev. 1-1-2021
DocuSign Envelope ID: OC73C94F-A3A1-4D9C-91CF-75BA245372DC
Unit Price Extended Price
Rework Existing Circuitry for Tree Lighting Receptacles $ 11,823.58
Includes:
Provide (7) new Quazite 12"x12"x12" ingrade junction
boxes and (7) new GFCI outlets on new Arlington 'ard-N-
Post' power pedestals (per location)
7
EA
$ 984.88
$ 6,894.16
Installation labor and equipment (per location)
7
EA
$ 687.48
$ 4,812.36
1.2
Payment and Performance Bond - Increase due to bonding
1
LS
$117.06
$ 117.06
TOTAL $ 11,823.58
CHANGE ORDER TOTAL $ 11,823.58
DocuSign Envelope ID: OC73C94F-A3A1-4D9C-91CF-75BA245372DC
pp; HALFF
VIA EMAIL jmaiworm(cDclermontfl.or
July 12, 2021
James Maiworm
Assistant Director Public Services
City of Clermont
3335 Hancock Road
Clermont, Florida 34711
RE: DOWNTOWN STREETSCAPE PHASE 2 (AVO #043826.078)
CHANGE ORDER #7, REWORK EXISTING CIRCUITRY FOR TREE LIGHTING
RECEPTACLES
Dear Mr. Maiworm:
I have reviewed Change Order #7 by Traverse Group, Inc., and recommend approval in the
amount of $11,823.58. Should you have any questions, please feel free to contact our office.
Sincerely,
HALFF
Duane K. Booth, P.E.
Operations Manager, VP
dbooth a-)halff.com
DKB:am
cc: Stoney Brunson, City of Clermont (via email)
George Beach, City of Clermont (via email)
Alicia Roehn, Traverse Group, Inc. (via email)
Halff Associates, Inc. 1902 N. Sinclair Avenue I Tavares, FL 32778 1 (352) 343-8481