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CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER 8: 1
PURCHASE ORDER N: 8563-00
CONTRACTOR: Infrastructure Consulting
& Engineering
ADDRESS: 5550 W. li lewild Ave. Suite 102
Tamps Ff. 33634
PROJECT NAME: Construction of Taxiway C
PROJECTM 455050-606900-A1950
CONTACT NAME: Doug Humbrechl
CONTRACT DATE: Sept. 12, 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 pert of the Contract identified above, and all the terms and conditions of said
Contract am enjoined and in full tome while executing the change(s) stipulated not follows:
DESCRIPTION: Phased construction required multiple visits by Termcon, Inc. that were not factored into the
original estimate. Cost of change order is $6,500.00 a 2.4% increase.
Note: This change order does not affect the contract schedule.
A) CONTRACT PRICE PRIOR TO THIS CHANGE S a69.6811111
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE S6W0A0
NEW CONTRACTPRICE INCLUDING THIS CHANGE ORDER S 296.187.00
B) CONTRACT TIME PRIORTO THIS CHANGE (NUMBER OF DAYS)
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS)
NEW COMPLENDN DATE INCLUDING TIS CHANGE _
AGREED
CO RAVOR CI TY OF SEBASTIAN:
Date. 55=�H/H-r9 Date•A h Authorlacd City Manager
Ann/rovi6 By Cit. of Sebastian Stam
✓ Clty Monger Aulbadulion— 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 515,000 single change artier.
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SEBASTIAN MUNICIPAL AIRPORT
CITY OF SEBASTIAN, FLORIDA
202 AIRPORT DRIVE E.
SEBASTIAN, FLORIDA 32958
CHANGE ORDER
MUNICIPAL AIRPORT
Project Title: Construction Management Engineering, Date Prepared:
Inspection Services for the Construction of
Taxiway"C° I Original Contract Date:
Project Bidding, Construction Management, QA
Description: Testing & Construction Inspection Services FAA AIP No.
for Construction of Taxiway °C°
Consultant: Infrastructure Consulting and Engineering
Address: 5550 W Idlewild Avenue, Suite 102
Tampa, Florida 33634
P7:7[HIdI:1�KU�11:7_CeirlLPlaPfi
AMOUNT OF PREVIOUS CHANGE ORDERS:
COST OF THIS CHANGE ORDER:
REVISED CONTRACT AMOUNT:
DESCRIPTION OF CHANGE
FDOT Fin. Proj No.
Change Order #
Additional OA Testing Services for Terracon Inc. Work will be on a rate
schedule basis per Temacon's original agreement.
April 15, 2019
September 12, 2018
3-12-0145-014-2018
434633-1
001
$
$269,687.00
$
0.00 I
$
$276,187.00
QUANTITY
UNIT PRICE TOTAL AMOUNT
$6,500
I
I f
Reason for Chan(�e Order: Original agreement amount was not sufficient to perform actual quantity of testing as dictated
by the nature and pace of construction.
Subject to the conditions set forth below, an equitable adjustment is established as follows:
The contract price is ... The Fritract time to complete work is ...
notchanged. x I notchanged.
z increased $ 6,500 increased/decreased 0 days.
Le foregoing is in accordance with your contract dated I eptember 12, 2018 land as listed below:
A. The aforementioned change and work affected thereby are subject to all contract stipulations and covenants.
B. The rights of the Owner are not prejudiced; and
C. Al claims against the Owner which are incidental to or as a consequence of the aforementioned change are
satisfied.
SIGNATURE TITLE DATE
Owner Representative:
Consultant Representative Vice President 4-152019
FAA: (if applicable)
FDOT (if applicable)
DISTRIBUTION: Each Sigretory Party
ATTACHMENTS: Ekribit'X Change Orderjustifiration