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HomeMy WebLinkAbout2019-212AWest Wabasso Sewer Phase 2 Attachment 1 SECTION 00942 - Change Order Form No. 1 DATE OF ISSUANCE: 12/03/2019 EFFECTIVE DATE: 12/17/2019 OWNER: Indian River County CONTRACTOR: CK Contractors & Development Project: West Wabasso Sewer Phase 2 OWNER's Project No. UCP #4117 OWNER'S Bid No. 2019-020 You are directed to make the following changes in the Contract Documents: Reason for Change Order: The project is complete. This change order is intended to make final adjustments to bid line items in order to finalize the contract amount, release retainage to the Contractor and make final contract time adjustments. Attachments: Description of Itemized Changes CHANGE IN CONTRACT PRICE: Description Amount Original Contract Price $1,657,419.24 Net increase/(decrease) of this Change Order: $ (25,035.38) Contract Price with all approved Change Orders: $1,632,383.86 Accepted by: U'•/,—I CONTRACTOR (Signature) CK Contractors & Development Date: 12/3/19 CHANGE IN CONTRACT TIMES Description Time Original Contract Time: (days/dates) Substantial Completion: 180 days — 8/18/2019 Final Completion: 210 days — 9/17/2019 Net increase this Change Order: (days) Substantial Completion: 63 days Final Completion: 63 days Contract Time with all approved Change Orders: (days or dates) Substantial Completion: 243 days —10/21/2019 Final Completion: 1 273 days — 11/21/2019 Recommend/ed by: NGINEER (Sign re) John M. Boyer, RE Utilities Engineer Date: /.-S 2D/g Approved by; , -bcc 12•LZ•t� OWNER (Signature) Vincent Burke, P.E. Utilities Director Date: /Z•70' ( l 2019-020 Final CO.docx 00942-1 FAUtilities\UTILITY - Engineering\Projects - Utility Construction Permits\IRC - West Wabasso Community Sewer System Phase 2 - UCP# 4117Wdmin\BCC Items\Final Pay\2019-020 Final CO.docx Rev. 05/01 CHANGE ORDER NO. 1 DESCRIPTION OF ITEMIZED CHANGES West Wabasso Gravity Sewer System Phase 2 UCP #4117 BID NO. 2019-020 ,« 7 �.?d . , 11 F a. %f"j : ' �',M . S+Cs ,,,, 4i,. xi.l.Y✓}4�t.+�,... 4" 0 Force Main Directional Bore (DR -11 HDPE) .eC'r.M� x"..t�. k.a .xn.., 80 LF $ 134.94 . .'ca �A $ 10,795.20 13 'Abandon 4" 0 Force Main in IRC R/W (Flush & Grout) 500 LF $ 10.13 $ 5,065.00 36 Force Account 1 LS $ 75,000.00 $ 75,000.00 WCD 1 Debris Removal 1 LS $ 12,574.54 $ 12,574.54 WCD 2 Add 4" PVC Forcemain per Item 12 292 If $ 30.42 $ 8,882.64 WCD 3 Add 18" Riser to LS Wet Well 1 LS $ 6,200.80 $ 6,200.80 WCD 4 18-12054 Sanitary Lateral at Community Center 1 LS $ 7,388.03 $ 7,388.03 WCD 5 18-12055 Construct Water Service 1 LS $ 1,180.46 $ 1,180.46 WCD 6 18-12056 Adjust Manhole Rims & Grade Open R/W 1 LS $ 17,874.70 $ 17,874.70 WCD 7 18-12057 Construct Water Service & Time Ext. 1 LS $ 1,180.46 $ 1,180.46 WCD 8 18-12058 Flowable Fill for Septic Tank Aband. 1 LS $ 10,025.69 $ 10,025.69 WCD 9 18-12059 Additional Survey (Lot Corners) 1 LS $ 517.50 $ 517.50 Price Increase Price Decrease Subtotals: $ 65,824.82 $ 90,860.20 TOTAL (Increase - Decrease): $ (25,035.38) FAUtilities\UTILITY - Engineering\Projects - Utility Construction Permits\IRC - West Wabasso Community Sewer System Phase 2 - UCP# 4117Wdmin1,BCC Items\Final Pay\2019-020 Final Change Order.xlsx APPLICATION FOR PAYMENT NO. 10 Cr►jolfl To: Indian River County Department of Utilities Services (OWNER) From: CK Contractors and Development (CONTRACTOR) Contract: Bid Number 2019020 CK Job # 5014 PROJECT: West Wabasso Community Gravity Sewer System Phase 2 OWNER's Contract No. 2019-020 ENGINEER's Project No. For Work accomplished through the date of: 11/30/2019 1. Original Contract Price: 2. Net change by Change Orders and Written Amendments (+ or 3. Current Contract Price (1 plus 2): 4. Total completed and stored to date 5. Retainage (per Agreement): 0 % of completed Work: $ 0.00' % of retainage: Total Retainage: 6. Total completed and stored to date less retainage (4 minus 5): 7. Less previous Application for Payments: 8. DUE THIS APPLICATION (6 MINUS 7): $ 81,619.19 V"" Accompanying Documentation: CONTRACTOR'S Certification: $ 1,657,419.24 $ 0.00 $ 1,657,419.24 $ 1,632,383.86 $ 0.00', $ 1,632,383.86 $ 1,550,764.67 The undersigned CONTRACTOR certifies that (1) title to all Work, materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at time of payment free and clear of all Liens, security interests and encumbrances; (2) all Work covered bythis Application for Payment is in accordance with the Contract Documents and not defective; and (3) the labor and materials listed on this Application for Payment have been used in the construction of this Work and payment received from the last progress payment has been used to make payments to all subcontractors, laborers, materialmen and suppliers except as listed below: None " Dated December 2nd, 2019 CK Co ractors and Development CONTRACTOR C� By: State of T ��w riis0r11111 County Of C ,��`1—?1\P4A C, Subscribed and sworn to before me this day of Zme N ��aa .i o T4 Nota Public'"'G2228� # My ommis -ion ex ' es:/ Payment of the above AMOUNT DUE THIS! !('�tt`Q°�eco ded. 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