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SE�sr�AN
HONIE OF PELICAN ISLAND
CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER #: 3
PURCHASE ORDER #: 8518-00
CONTRACTOR: Clyde Johnson Contracting
ADDRESS: PO Box 216
Cleviston, FL. 33440
PROJECT NAME: Sebastian Airport Shade Hangars
PROJECT #: 6991
CONTACT NAME: Clyde Johnson
CONTRACT DATE: July25, 2018
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 we enjoined and in full force while executing the change(s) stipulated as follows:
DESCRIPTION: Changing the completion date of Jan. 1, 2019 to March 5, 2019.
#.Z. ADDiTIUtfAL Soo — SITE OHAN6P—OPDc(e-4z
A) CONTRACT PRICE PRIOR TO THIS CHANGE S 569.910.00 89
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE -)E $ 1.980
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER x511AW.a0
B) CONTRACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS) N/A
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS) _0
NEW COMPLETION DATE INCLUDING THIS CHANGE _March 5, 2019
REED:
CONTIaTOu: CITY OF SEBASTIAN:
Dere: �i� Dare:
ahorized Signature Authorized City Manager
Anorovals By Ciro 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
;;ZIIASTI D e (' 1 rs., �- -
AdmiProjeisumi,er 5 astoengineerinq �A INTI r o _
Adnlinish'ative Services bu0gct
City Attorney as to legal anette, Williams, City Clerk -
PracuremeotNtanager vis purchasing
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HOME OF PELICAN ISLAND
CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER M: 3
PURCHASE ORDER M: 5518.00
CONTRACTOR: Clyde Johnson Contracting
ADDRESS: PO Box 216
Cleviston, FL. 33440
PROJECT NAME: Sebastian Airport Shade Hangars
PROJECT M: 6991
CONTACT NAME: Clyde Johnson
CONTRACT DATE: July25, 2015
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 pan of the Contract identified above, and all the terms and conditions of said
Contract am enjoined and in full force while executing the change(s) stipulated as follows:
I.
DESCRIPTION: Changing the completion date of Jan. 1, 2019 to March 5, 2019.
511 2' Abb/T/OA/R-L SOD — $' CLutr EORDER %
A) CONTRACT PRICE PRIOR TO THIS CHANGE 1 "9.910Lo 11%
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE jE 5 1.9x0
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER S571.a9a.ao
BI CONTRACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS) VA
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE(NUMBER OF DAYS) _0_
NEW COMPLETION DATE INCLUDING THIS CHANGE March 5. _'019_
AGREED:
CONyFC;t'1'on• CiT%'OF SEBASTIAN:
Dale. v• .�j Dare:_
asf orlure Authorized City Manager
Anorovat. Rv City of Sebastian SbR:
_City Manager Authorization—cumulathro amount less than 15% of contract price or SIS,000 single change order.
_ City Council Authorization — cumulative amount exceeds 15% of the contract prim or 515,000 single change order.
(Aleeting Date )
CIITTy�F 8ASTt
!`rte /
y nan, er Date
Project Manager uto enplatetlnx
AdminatratNe Sen ices Lader,
City Attorney u,e legal Jraaetle%V11Hms, Cit) Clerk
Procurement Manager utopurch.ung
S
P.O. Box 216 CHANGE
Clewiston, -0001 '
Ph #.• 863-800 5-0001 ORDER
Fax9:863-805-0002 7616
IFIR
LYDE JOHNSON j 111s/x019
City of Sebaztian
1225 main Street
Sebastian, FL 32958
Quota
Scope of Work TOTAL
Completion date is emended From original contract to new completion date of March 5th 2019 0.00
TOTAL $0.00
CBC1261932
CCC1331431 Signature
a Florida Corporation