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CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER #: 09 REV 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: Add installation of seal -off fittings on all the conduits underneath the panels and electrical
service per Building department request (not code). Delay days due to weather conditions, approved per Frank
Watanabe 4/20/17.
A) CONTRACT PRICE PRIOR TO THIS CHANGE $ 1.184.303.25
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE $ 1,618.31
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER $ 1,185,921.56
B) CONTRACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS) 298
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS) 7
NEW COMPLETION DATE INCLUDING THIS CHANGE June 30, 2017
AGREED:
C NTRACTO CITY OF SEB STJAN:
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CC G� -6-4)
Date: Date: 2 �� /
Authorized Signature AuthQ460 Cityanager
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 SEBAST N
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City Manager5 b
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Project Manager as to engineering
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Administrative Services as to budget
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City Attorney as to legal
anette Williams, City Cler - -- "
Procurement Manager as to purchasing