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Home My WebLink About2003-207 a C7 SECTION 00450 CHANGE ORDER FORM CHANGE ORDER NO . 01 DATE : July 25 . 2003 CONTRACTOR : George E . French , Labor Contractor OWNER : INDIAN RIVER COUNTY AGREEMENT DATE : April 1 , 2003 PROJECT NAME : 35th Avenue & 34th Avenue Grovenor Estates Water Services Relocation Project The following changes are hereby made : 1 ) Additional connections to mains , sleeve installation , water main installation and meter boxes Original CONTRACT PRICE ( LABOR ONLY) $ 41 ,419 . 02 Current CONTRACT PRICE ADJUSTED by previous CHANGE ORDER $ 41 ,419 . 02 Net Increase ( Decrease) Resulting from this CHANGE ORDER $ 7 , 091 . 88 The current CONTRACT PRICE including this CHANGE ORDER $ 48 , 510 . 90 ORIGINAL CONTRACT TIME : 30 days No . Days 30 Current CONTRACT TIME adjusted by previous CHANGE ORDER No . Days N/A Net Increase ( Decrease ) Resulting from this CHANGE ORDER No . Days N/A Current CONTRACT TIME Including this CHANGE ORDER No . Days 30 CHANGES ORDERED : I . GENERAL This change order is necessary to cover changes in the work to be performed under this Contract. The ANNUAL LABOR CONTRACT AND SPECIFICATIONS apply to and govern all work under this change order. II . REQUIRED CHANGES Add water main , sleeves , water service lines and meter boxes and meters III . JUSTIFICATION To allow R& B Division to complete drainage & paving improvements to subdivision Funds for the project have been approved by the BCC from the Utilities Department W/S Outsource Fund Account No . 471 - 169000- 02524 Attachment 1 Change Order Form 00450 - 1 - F:\Utilities\UTILITY - ENGINEERING\Projects - Utility Construction Permits\IRC - 34th Ave. SW 35th Ave SW Utility Relocations in Grovenor Estates Subdivision UCP#2293\Attachment I - 00450 - Change Order No. 1 . doe 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: Gordon E . Sparks Department of Utility Services , Indiarm River County, Florida i Change (s ) Ordered By: Gordon E . Sparks Environmental Engineer ' Signature & Date (: RECOMMENDED BY: Mike Hotchkiss ACCEPTED BY : Capital Projects Manager DEPARTMENT OF UTILITY SERVICES George E . French Engineer: Mike Hotchkiss Contractor By. B r / //a 3 Signatu e & Date Sig re & ate Title : Capital Projects Manager Title : President APPROVED BY : INDIAN RIVER OUNTY BOARD OF COUNTY COMMISSIONERS Own el By. Kenne h R . acht Chairman - BCC Approved : 08 - 19 - 2003 APPROVED : * * END OF SECTION Purity Administra or APPRO D AS TO FORM AND GAL OF I IEN , B ' N E . F Change Order Form 00450 - - z - iA Si�I�"�r�i+�(TSAMEYtility Construction Permits\IRC - 34th Ave. SW - 35th Ave SW Utility Relocations in Grovenor Estates Subdivision UCP#2293\Attachment 1 0450 - Change Order No. I .doc ti SECTION 00622 - Developer Contractor Application for Payment Application for Payment No . 3 , 100 % Complete For Work Accomplished through the period of April 22 through July 24 2003 To : Indian River County (OWNER ) From : George E . French , Utilities Labor Contractor (CONTRACTOR OR ENGINEER) Project Name : 35th Ave & 34th Ave Grovenor Estates Water Services Relocation COUNTY WIP NO . : 471 . 169000 . 02524 ENGINEER OF RECORD : Gordon E . Sparks , P . E . . 1 . Original Contract Price : $41 , 419 , 02 2 . Net change by Change Orders and Written Amendments ( + or - ) : ($ 79091 . 88 ) 3 . Current Contract Price ( 1 plus 2 ) : $489510 . 90 4 . Total completed and stored to date $48 , 510 , 90 5 . Retainage ( per Agreement) : 10 % of completed Work : $4 , 851 . 09 0 % of stored material : $0 . 00 Total Retainage : $4 , 851 , 09 6 . Total completed and stored to date less retainage (4 minus 5 ) : $43 , 659 . 81 7 . Less previous Application for Payments : $379186 . 60 8 . DUE THIS APPLICATION (6 MINUS 7) : $ 11 , 324 . 30 (*) If applicable, an Itemized list of labor and/or materials furnished and installed I s attached. CONTRACTOR'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 on 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 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 (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 not 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 or furnishing materials or supplies for this project or improvement under this foregoing contract have been paid in full , and that all taxes imposed by No . 212 Florida Statutes , ( Sales and Use Tax Act , as Amended ) have been paid and discharged , and that I have no claims against the OWNER . Dated �'' /� � v _ ACTOR) State of County of Subscribed and sworn to before me this Attachment Page 1 of 2 F:\Utilities\UTILITY - ENGINEERING\Projects - Utility Construction Permits\IRC - 34th Ave. SW - 35th Ave SW Utility Relocations in Grovenor Estates Subdivision UCP#2293\00622 - Developer Contractor Application for Payment.doc Rev. 07/01 CAROL I BESANCON MY COMMISSION # DD 040435 day Of EXPIRES : September 27, 2005 Notary Public �i4a � gs,��y�o I80U3IWTAfiv Ft NOtarysarvice88orldirtg, lnc. My Commission expires : a /o - / CERTIFICATION OF ARCHITECT OR CONSULTING ENGINEER (WHERE APPLICABLE) : I certify that I have checked and verify the above and foregoing Periodic Estimate for Partial Payment ; that to the best of my knowledge and belief it is a true and correct statement of the work performed and/or material supplied by the Contractor. Dated // �'' d '' ,�� - . 4 ><`d CHITEC''�T / ENGINEER ) SIGNATURE CERTIFICATION OF ENGINEER / INSPECTOR .• I have checked the estimate against the Contractor's Schedule of Amounts for Contract Payments and the notes and reports of my inspections of the project. It is my opinion that this statement of work performed and/or materials supplied is accurate , that the Contractor is observing the requirements of the Contract , and that the Contractor should be paid the amount requested above . Dated ' /�/ / ENGINEER ) SIGNATURE Accompanying Documentation : Itemized List of Labor Bid Items * * END OF SECTION Page 2 of 2 F :\Utilities\UTILITY - ENGINEERING\Projects - Utility Construction Permits\IRC - 34th Ave. SW - 35th Ave SW Utility Relocations in Grovenor Estates Subdivision UCP#2293\00622 - Developer Contractor Application for Payment.doc Rev. 07/01 Indian River County Department of Utilities Contract UCP #909 , BID NO . 3032 LABOR CONTRACTOR'S INVOICE PAY REQUEST # FINAL Project: 35 AVE & 34 AVE GROVENOR ESTATES WATER SERVICES RELOCATE Descrir)tior Project NO . UCP # 2293 County W. I . P . No. 471 - 169000 Date: 24-Jul-03 Unit of Bid Item # Bid Item Description Quantity Measure Unit Price Total Price 63 Mobilization 1 5% $ 21146 . 50 64 Demobilization 1 3% $ 11287 . 90 65 Maintenance of Traffic 1 5 % $ 2 , 146 . 50 6 Make Connection to Existing Main 6 EA $ 380 . 00 $ 21280 . 00 01a Install 3" PVC Water Main(sleeves 265 LF $ 6 . 00 $ 1 , 590. 00 01c Install 6" Water Main 60 EA $ 8 . 00 $ 480 . 00 01d Install 6" HDPE Water Main 40 EA $ 10 . 00 $ 400 . 00 22a Replace Existing Meter W/ New 53 LF $ 50 . 00 $ 21650 . 00 10b Ta 6" Water Main 2 EA $ 350 . 00 $ 700 . 00 19 Remove & Replace Meter Box 90 LF $ 125 . 00 $ 11 , 250 . 00 16a Relocate Fire Hydrant Ass W/ GV 5 EA $ 1 , 300 . 00 $ 61500 . 00 13c Install 6'-'--Gate Valve 0 EA $ 200 . 00 $ - 11a lWater Service Line 1 " PE tubing 1420 LF $ 10 . 00 $ 141200 . 00 20 Potholes 9 EA $ 100 . 00 $ 900 . 00 24 Obtain Bacterial Samples 0 EA $ 40 . 00 $ - 05a Install DIP Fittings 1 TON $ 1 , 500 . 00 $ 11500 . 00 39 Right-of-way Grading 80 SY $ 6 . 00 $ 480 . 00 Subtotal Water System Labor $ 42 , 930 . 00 Subtotal Water System Mobilization , Demob. , MOT $ 5 , 580 . 90 Total System Labor Paid To Date $ 31 , 408 . 35 Total System Labor $ 48,510.90 100% $ 48,510.90 Less Total Paid to Date $ 37 , 186 . 60 Total System Labor This request $ 11 ,324.30 Submitted by Date 4 ?. 2 y� eor French Approved by !i Dale% Gordon E . Sparks P