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CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER#: 13 PROJECT NAME: SEBASTIAN AIRPORT HANGAR C
PURCHASE ORDER #: PROJECT #: 16-04
CONTRACTOR: AHRENS COMPANIES CONTACT NAME: MIKE FISHKIND
ADDRESS: 1461 KINETIC ROAD CONTRACT DATE: AUGUST 10, 2016
LAKE PARK, FL 33403
By the signature affixed below, both the City and the Contractor agree to the changes as stipulated herein. Upon
proper execution of this document, the Contractor is hereby notified to commence work. All changes stated below
are hereby incorporated and made a part of the Contract identified above, and all the terms and conditions of said
Contract are enjoined and in full force while executing the change(s) stipulated as follows:
DESCRIPTION: Asphalt paving of optional parking area.
A) CONTRACT PRICE. PRIOR TO THIS CHANGE S 1,187.798.95
NET INCREASE (DECREASE) RESUI. PING FROM THIS CHANGE $ 10a][3.00
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER $ 1,198,011.95
B) CONTRACT TIME PRIOR TO TRIS CHANGE (NUMBER OF DAYS) 305
NET INCREASE (DECREASE) RESULTING FROM PHIS CHANGE (NUMBER OF DAYS) 0
NEW COMPIkTION DATE INCLUDING THIS CHANGE June 30, 2017
AGREED:
ate: wll J
Authorized Signature �
CITY OF BASTIA '/
Date:
A ized Manager
Approvals By City of Sebastian Staff:
City Manager Authorization —cumulative amount less than 15% of contract price or $15,000 single change order.
_ City Council Authorization — cumulative amount exceeds 15% of the contract price or $15,000 single change order.
(Meeting Date )
CITY OF SEBASTIAN
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City Manager
Project Manager ® as to engineering
Administrative Services asf�J'+ bud�get
City Attorney egat
Procurement Manager s to purchasing
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anette Williams, .City � VJ