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Home My WebLink About2003-254 CHANGE ORDER -7 03 Project : 16 " Sewage Force Main on Old Dixie Highway No . : 1 Owner: Indian River County Date of Issuance : 06/02/2003 Contractor: Tri-Sure Corporation Owner's Project No . : UCP 2216 Description : Adjust actual field quantities installed . Purpose of Change Order: Attachments : (List documents supporting change) Change in Contract Price : Change in Contract Time : Original Contract Price : Original Contract Time : $ 1 ,272 ,782. 50 180 days Previous Change Order No . to No . Net change from previous Change Orders Contract Price prior to this Change Order Contract Time Prior to this Change Order $1 ,2721782.50 180 days Net Increase (Decrease) of this Change Order Net Increase (Decrease) of this Change Order ($ 74, 505 . 25 ) Contract Price with all approved Change Orders Contract Time with all approved Change Order. $ 10989277.25 180 days APPROVED : Recommended : J. Approved : CounteF B B : ngineer ems, PROVED- S TO FOR B M Contractor AN L SUFFICIENCY Date : Date : B ate : b 7 MARIAN r. FE L SSISTANT COUNTY ATTORNEY ( Owner ) BO F COUN Y COMM ISSIONI�Bg Attachment 1 By : Kenneth R . Macht , Chairman Documentation for Change Order No . 1 Project : 16" Sewage Force Main on Old Dixie Highway Date : 06/02/2003 Owner: Indian River County Project No : UCP 2216 Contractor: Tri-Sure Corporation Bid No : Item No . Description Decrease in Increase in Contract Price Contract Price 1 16" DIP/PVC force Main , delete 579 OF @ $22 . 00 12 , 738 . 00 3 12" DIP/PVC force main , delete 94 OF @ $20 . 00 11880 . 00 4 8" DIP/PVC force main , delete 68 OF @ $ 15 . 00 11020 . 00 5 16 " Gate valve , delete 4 @ $2 , 800 . 00 11 ,200 . 00 12" Gate valve , add 1 @ $ 1 , 500 . 00 11500 . 00 7 8" Gate valve , add 3 @ 1 , 000 . 00 3 , 000 . 00 12 16 " HDPE Directional bore , add 410 OF @ $ 120 . 00 49 , 200 . 00 13 12" HDPE Directional bore , delete 40 OF @ $50 . 00 2 , 000 . 00 14 8" HDPE Directional bore , delete 7 OF @ $40 . 00 280 . 00 17 FEC RR Directional bore @ 77th St . add 55 OF @ $242 . 85 13 356 . 75 20 Fittings, delete 2 . 73 tons @ $500 . 00 11365 . 00 21 Paved drive restoration , delete 22 OF @ $40 . 00 880 . 00 22 Non-paved drive restoration , add 57 OF @ $ 10 . 00 570 . 00 3 Sod , delete 118 OF @ $2 . 00 236 . 00 24 Seed and mulch , delete 1451 OF @ $ . 50 725 . 50 26 Delete IRC Force Account ($ 115 , 707 . 50) 115 , 707 . 50 Tie in at 49th & Old Dixie , add 1 lump sum @ $5 , 900 . 00 51900 . 00 Change in contract price due to this Change Order: Total Decrease $ 148 , 032 . 00 xxxxxxxxxxxxx Total Increase xxxxxxxxxxxx $73 , 526 . 75 Net ( decrease) in contract price $74,505 . 25 SECTION 00622 - Developer Contractor Application for Payment Application for Payment Noy FINAL — 100 % COMPLETE For Work Accom lished flaI it h the eriod of through 9~ 4 :74 200 To : Indian River Goun OWN R From : Tri - Sure Corporation _ (CONTRACTOR OR ENGINEER) Project Name : 16 " 83wage Force riAgii ^ on Ofd Dixie COUNTY WIP NO . : 472 . 169000 02526 00 ENGINEER OF RECORD : ! KI! Pr Mo 1 P inc . Fal Gontract Price: hange by Changes Orders and Written Amendments (+ or _) : 1 , 272 782 . 50 nt Contract Price ( 1 plus 2) : - 48 , 005 . 25 completed and stored to date (*) : 1 , 224 , 777 . 25 nage (per Agreement) : 1 , 224 , 777 . 2510% of completed Work : - 0 - 9% of stored material; 0 . 00 completed and stored to date less retainage (4tmial nus 5) .x - o ' 7 • Less previous Application for Payments: g ( ) 1 , 224 , 777 . 25 8• DUE THIS APPLICATION 6 MINUS 7 : 1 , 078 , 449 . 52 0. 00 � appi/eable, an itemized list of labor and/or materials furnished and installed I s at#4 6 , 3 4 . 7 7 3 C'ONTRACTOR'S CERTIFICATION: The undersigned CONTRACTOR certifies that (1 ) all previous progress payments received from OWNER on account of Work done under the Contract referred to above have been applied an account to discharge CONTRACTOR's legitimate obligations incurred in connection with Work covered by prior Applications for Payment numbered 1 through 2 inclusive ; (2 ) title of all Work, materials and equipment incorporated in said Work or othe Application for Payrwise listed in or covered by this Payment wilt pass to OWNER at time of payment free and clear of all Liens, security interests and encumbrances (except such as are covered by a Bond acceptable to OWNER indemnifying OWNER against any such Lien , security interest or encumbrance) ; (3) all Work covered by this Application for Payment is in accordance with the Contract Documents and no defective and (4) If this Periodic Estimate is for a Final payment to project or improvement, I further certify that all persons doing work upon Of furnishing materials or supplies for this project or improvement under this foregoing contract have been Raid in full , and that all taxes imposed b No 212 Florida Statutes, (Sales and Use Tax Act, as Amended) have been .d y that i have no claims against the OWNER. P discharged , and Dated =�� , s 13 2003 T i - Sure Corp a in NTRAGT nil By: State of Florida County of po a on Chambers , Vice President IIIIIIII3ubscrtbed and swum to before me — dthis y of u ust 2003 Irl, , NO\U\6\\uuuuuouou HMN\\NpNHNN\\= Notary PublicA� +��" O1j"1,, LII CHAMBERSSHELFER ; a� %tSkl DUB �,, Commission # DD0096710 r =_ Expires 3/3/2006 = 4R AttachmentE? cr3d , d ythrough Assn .2 ---:,� f -, . . , � ryAssn . . �n� ,� \ uuusa \ a: aseuu . wuuuouNN\N .aaToW * .aaTTa4seW d6 : ZT co a0 unr - Votary Public W Commission expires : CERTIFICATION OF ARCHITECT OR 04 ULTING ENGINEER WHERE 1 certify that I have checked and verify the a ove and foregoing Periodic Estimate or �� L Payment; that to the best of my knowledge and belief it is a true and correct statement of the work Ner7c�trrf' d and/or material supplied by the Contractor. Dated AR HITS NGINEER) SIGNATU RE CERTIFICATION OF ENGINEER / N t have checked the estimate against the R • Contractors Schedule Payments and the notes and fepor#S of m of Amounts for Contract statement of work performed and/or Materials tsupplietd is accurate , the hat the Contractct, it is My or ion that this the requirements 'of the Contract , and that the Contractor should be paid the amount re serving above . quested Dated Accompanying Documentation : Itemized List of br / ENGINE R) SIGNATURE a "rid items " * END OF SECTION 90 T I trsLZLL .aa Ion * -� a i I a � sew dl; z T 60 ao unr