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SIERASTIM
HOME OF PELICAN ISLAND
CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER #: 06 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: Install 8" D.I.P. from hangar inlet to outside building.
A) CONTRACT PRICE PRIOR TO THIS CHANGE
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER
B) CONTRACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS)
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS)
NEW COMPLETION DATE INCLUDING THIS CHANGE
AGREED:
9_;ZTC- V 'ry _ Date:17
Authorized Signature
$ 1.162.151.58
$ 9.862.35
$ 1,172,013.93
298
0
June 23, 2017
CIT�Xz
Date•
Auth6e&ed Cify Manager
Approv�als By City of Sebastian Staff.•
lCity 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 _
CityManager Da
Project Manager as to engineering
Administrative Services to budget 71:rit.wltW
City Attorney as to legal nette Williams, City Eterk-- — --
Procurement Manager as to purchasing
CO #6 - 8" D.I.P. FROM HANGAR INLET
DESCRIPTION
QTY
UNIT
UNIT COST
COST
8" D.I.P. FROM HANGAR INLET
100
LF
$ 72.00
$ 7,200.00
SUPERINTENDENT
8
HR
$ 80.00
$ 640.00
PROJECT MANAGER
4
HR
$ 92.00
$ 368.00
CONTRACT ADMINISTRATION
2
HR
$ 48.00
$ 96.00
SUBTOTAL
$ 8,304.00
INSURANCE
1.25
%
$ 103.80
SUBTOTAL
$ 8,407.80
OVERHEAD AND PROFIT
15
%
$ 1,261.17
SUBTOTAL
$ 9,668.97
SURETY BOND
2
%
$ 193.38
TOTAL
$ 9,862.35