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SEBASU
HOME OF PELICAN ISLAND
CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER #: 1 PROJECT NAME: Presidential, Tulip and WW
PURCHASE ORDER #: 8109 (CSA #3) PROJECT: CSA #3 - A1231, A1434, A1620
CONTRACTOR: CWT Engineering CONTACT NAME: Frank Watanabe
ADDRESS: 4637 Paladin Circle CONTRACT DATE: 8/11/17
Vero Beach, FL 32967
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:
Prepare a final QApPP efficiently evaluation monitoring report for the DEP project close-out.
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A) CONTRACT PRICE PRIOR TO THIS CHANGE $ 9.000
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE $ 1.250
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER $ 10.250
B) CONTRACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS) 0
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS)
NEW COMPLETION DATE INCLUDING THIS CHANGE
AGREED:
CONTRA �• j CITY OF $ASTI : s
/f '� / Date: 8/14/2017 Date: Z ''
Authorized Signature A o ed tyManager
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
City Manager ;a,,tte
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Project Manager as to engineering
Administrative Services L as to budget -`V
City Attorney as to legal Williit ,.City Clerk
Procurement Manager as to purchasing -' __-