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SECTION
SECTION 00450 Zo `A
CHANGE ORDER FORM
CHANGE ORDER NO , 02
DATE : October 10 , 2012 CONTRACTOR : Technical Electrical Systems , Inc .
OWNER : INDIAN RIVER COUNTY AGREEMENT DATE : April 3 . 2012
PROJECT NAME: South RO Water Plant Generator Replacement
The following changes are hereby made ,
1 ) Cost . for overti .ne . labor to expedite the installation of the generator , muffler and day tank to
make
system operational prior to the forecasted arrival of Tropical Storm Isaac on August 25 2012
Original CONTRACT PRICE ( LABOR ONLY) $ _ 39 , 288 . 70
Current CONTRACT PRICE ADJUSTED by previous CHANGE ORDER $ 60 . 647 . 24
Net Increase ( Decrease) Resulting from this CHANGE ORDER $ 1 . 700 . 00
The current CONTRACT PRICE including this CHANGE ORDER $ 62 . 347 . 24
ORIGINAL CONTRACT TIME : 14 . days from Notice to Proceed No. Days 14
Current CONTRACT TIME adjusted by previous CHANGE ORDER No . Days 7
Net Increase :( Decrease) Resulting from this CHANGE ORDER No. Days 0
Current CONTRACT TIME Including; this CHANGE ORDER No . Days 21
CHANGES ORDERED:
I . GENERAL.
This change order is necessary tor cover change in the work to be performed under this
Contract. The CONTRACT AND SPECIFICATIONS apply to and govern all work under
this change order.
II : REQUIRED CHANGES
The . removal of the existing _generator, muffler . and day tank and replacement with
the new generator, muffler and day tank commenced on August 13 , 2012 with an
anticipated completion two weeks later, On August 16 , 2012 problems were
encountered in the installation . . of the new muffler and exhaust pipe through the
roof of the generator building . This caused a proiected delay for completion
beyond the original t Mo week schedule . At this same time Tropical Storm Isaac
had formed in. the Atlantic, with a Proiected landfall for Florida .
Ili . JUSTIFICATION
To complete the installation of the new -generator prior to the potential arrival of a tropical
storm or hurricane .
Chnnw Order POW)
00450
lI)eernnnts and tinfingciKimtxrl� Malkxyil.ecal tintimyW'fempnrary Inremq Fik6\COmene .(.luring4lF„WF�' IOIi:QA • Chanµenrder N.i ; ,ripe
ATTACHMENT 2
Funds for the proiect have been approved by the BCC from the Utilities _Department South RO
Utilities/Water Treatment/Other Machinery & Equipment Account 47121936.066400 .
IV, WAIVER
This Change Order constitutes full and mutual accord and satisfaction for the adjustment
in contract price or time as a result of increases or decreases in costs and/or time of
performance caused directly and indirectly from the change .
This Change Order represents an equitable adjustment to the contract and
CONTRACTOR hereby waives all rights to file a claim on this Change Order after it is
properly executed .
V, APPROVAL AND CHANGE AUTHORIZATION
Acknowledgements :
The aforementioned change, and work affected thereby, is subject to all provisions of the
original contract not specifically changed by this Change Order; and ,
It is expressly understood and agreed that the approval of the Change Order shall have
no effect on the original contract other than matters expressly provided herein .
Change Order Request By: Terry Southard, Department of Utility Services,
Operations Manager Indian River County , Florida
Change (s) Ordered By : Terry Southard ,
Operations Manager Signature & Date
Recommended by : Terry Southard ACCEPTED BY:
Operations Manager
DEPARTMENT OF. UTILITY SERVICES Thomas M . Henry
�Terry Southard , President, Contractor
By: L (,�
Signature & Date Signature & Date
Title : Operations Manager Title: President
APPROVED BY :
r*ryrsrrrsMey
�SS/pNF�IN .DIAN RIVER COUNTY BOARD OF COUNTY COMMISSIONERS
Owner
rV • ' n
S h Fl. escher BCC Approved : December 41 2012
Chairman
q * L * * END OF SECTION
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APPLICATION AND CERTIFICATION FOR PAYMENT AIrt DOCb. 11I`:N" 7' 6t�� f12 PAGE ONE OF 2 PAGES
TO OWNER: PROJECT: APPLICATION NO: FiNAL Distribution to:
Indian River County IRC 13020120217 SCRO = OWNER
Vera Beach, F'L .12960 = ARCdiTEC3.
PERIOD TO: 9131 /2012 = CONrI'RAC 0I%(')It
i FR« 41CONTRAC0W VIA ARC'HI 'CEC"f:
I Technical Electric Systems tile . F—'1
87 S Highway 17,992, Unit B PROJECT NOS : IRC BID2012027 SCRO L _!
DeBary, FL 32713
CUNTRAC'f FOR: CONTRACT DATE:
CONTRACTOR'S APPLICATION FOR PAYMENT The wtdersigned Ctxllractnrcertifies that t0 the best of' (he Contractor's knowledge.
Application is made thr payment. as shown below. in connection with the Contract, intonnation and belief the Work covered by this Application
for Payment has been
Continuation ShCCL AIA Document 6703 . is attached. completed in accordance with the Contracl Documents, that all amounts
have been paid be
the Contractor for Work for which previous Certificates for ['ayntem were issued and
j payments received from the OwT1er. and that current pay+nent shown herein i. now due.
1 . ORIGINAL CONTRACT SUM S 39.288.70
2. Net change by Change Orders S 27,202.29 CONTRACTOR:
3. CONTRACT SUM TO DATE (Line I z 2) $ 667490.99
4. TOTAL COMPLETED & STORED TO S 667490.99
DATE (Column G on G703) By: Date:
5. RETAINAGE:
a . 5 % of Completed Work $ 3,325 State of FLCRtDik County of YOC. "��o KIMMLY
MALLORY
(Column D + Eon 6703 ) Subscribe d and sw rn ro Before the this I5 f�' v of aoVt Na ry
Pt�1ie - State a4 FCtnld
b 4 uo of Stared Material Notary Public Myemne Expires Sep 8, 201
(Column F ort G703) ` t. a+
i
Total Retainage ( kine. 5a + Sb or My Commtssron a fifes: as o t.�/,�ot ' Cotttalbttiott
0 EE 84981
OF
Bondi 1Wo* NOW0 " As
Total in Column I ofG7031 S 33241 55 ARCHITECT'S ER FI E
h ! 71IEARNED LESS Rl [ Afv1Gt, 63, 166.44 In accordance with the Contract Documents. based on on-site oh,crvations and
the data
(Line 4 Less Line 5 `i otal) comprising the application, the Architect oertiftes to the Owner that to the best
of the
7. L,l44SS PR.EVIOI.IS CERTIFICATES POR. Architect's knowledge, information and belief the Work has progressed as indicated,
1'AY44ENT' {Line 6 fromprior Certificate} S 57,614.88 the quality of Ute Work is in accordance evith the Contract Documents. and
the Contractor
8 , C't IRRENT PAYMENT D1. 13 8,876. 1 1 is entitled to payment of the AMOUNT CERTIFIED.
9. BALANCE TO FINISH. INCLUDINIG RETAINAGE 0.00
(. Line 3 less tine b) AMO[.INTCIR`hletl:D : . . . . . . . . . . S -- "
CHANGE ORDERSUMMARY ADDITIONS D _ i;4ttac }t ect�lanaiir�+t +mount ertifie[l dijferi.liw+++ Jhe alnnb+if tr/mh +t. /!tifird
+7f1 J+ � n Von this
Total changes approved Application arkf ortthe C ontinuatiun+ 9wet that are chatiged to cott i)r in with the tarn:711,11
certified ;
in previous months by Owner 521 , 358.34 4ttE=ft}; ,Vv� E
Total approved this Month 55;843.75 !34 � / v Date: iLh� '1A9 .
fC)`fAt ,S 527,202.29 : $0.00 This Cert > •t �t' :I2 .D is pa;able only to the
t onaactoralatned herein. Issuance. jmtvment .cl I mens are wilhuut
NL t' CH.ANGI S by Change Order 527,202.29 prejudicEk eft t IV�t 1AMMI r. 04 � act.
Au. DOCUMENT 0702 APPLICATION AND CERTitiCATION FOR PAYMENT 1992 EDITION - AIA 01992 THE AMERPCANINSTITUTE OF ARCHITECTS. 1735 NEW YORK .AVE.
N W,WASHINGTON, DC 2000r CZ92
Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of Document's Authenticity from the Licensee.
Technical Electric Systems, Inc. (South Division )
87 S Highway 1. 7-92 , Unit B
DeBary. FL 3271 .3 M .
P co ne # (_ g � 1 vo tce
Phone # 305 ) . 596-Ob() t nr {877 } 6Gt -4ti91
inforrpteOla.com
C7
Biii To Ship To
Indian River County
1550 9th St SW
1800 27th Street
Vero Beach FL
Vero Beach . Ft., 32960
Dote 9113120t2 Invuioa # 201466 1 P.O. NO. IRC20 12027
Project CO - IRC
Quantity. . Dest*ittt. Rate Amount
CHANGE ORDER No. . 3
I Modifcations .toahe roof penetration (9" thickconcrete) to accommodate the incorrectly sized` 900.00 900. 00
or specified.:mof'thimble
1 ':Genset Services to troubleshoot and repair the switch$car (operationai status).This work was 3 ,243 .75 3,213 . 75
outsideW. the scope of work we hid on and it was required to make the existing switchgear
operational and compatible with the new .gencratt�r.
4
i
Remit Payments to : I ban ou or our bustness!
Technical Electric Systems, Inc . - •� Total $49143.75
87 S .Highway 17-92 , Unit B MASTER CARD: & VISA PAYMENTS ACCEPTF,D WOO
DeBa FL 320713 Payments/Credits
Terms Due on receipt Dtte Date 9! 13/2012 Balance Due 84. 143 . 75
r -
Attachment F: AIA Forin 670
Continuation Sheet AIA DOCUMENT G703 (Instructions on reverse side) Page 2 of 2 Pages
AIA Document G702 , APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: FINAL
Contractors. signed Certification is attached . APPLICATION DATE : 1111412012
In tabulations below, amounts are stated to the nearest dollar. PERIOD TO: 9/ 3112012
Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: IRC BID2032027 SCRO
A 8 C D E F G H !
WORK COMPLETE'
ITEM DESCRIPTION OF WORK SCHEDULED VALUE FROM PREVIOUS THIS PERIOD MATERIALS PRESENTLY TOTAL COMPLETED AND BALANCE TO RETAINAGE
55%
NO. APPLICATION (D+E) STORED (NOT IN D OR E) STORED TO DATE (D+E+ F1 `c(G+C ) FINISH IC •G)
1 generator install 539,288. 70 S39,288. 70 $0400 $ 39,28830 100% $0.00 $1 , 964. 44
2 change order #1 $21 , 358. 54 $21 , 358. 54 $0000 $21 , 358. 54 1 W $0. 00 $ 1 , 067.
93
3 change order #2 $ 1 ,700.00 Si , 700.00 $ 11700,00 100% $0.00 $85 . 00
4 change order #3 $4, 143. 75 $41143. 75 $4, 143. 75 100% $0.00 $207. 19
TOTAL ALL PAGES $66,490.99 S60164T24 55,843 . 75 50.00 $66 , 490.99 100 50 .00 1 $31324.
55
AtA DM..UMtNT 0.-703 APPLICATION AND CERTIFICATE FOR PAYMENT AkAY 1483 EiNPON • Aa REGISTERED • COPYRIGHT 1983
TNF_ AAiERt:APj it15TtT-iiTE or 4Rt.NITEt?5; 1735 VIEW ±ORK AVERUEs tI-W, o WASHMGTOW D.t. 10006 .
AIA Forn16703
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