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CITY OF SEBASTIAN CHANGE ORDER FORM
CHANGE ORDER #; 1
PURCHASE ORDER #: 8562-00
CONTRACTOR: Dickerson Florida, Inc.
ADDRESS: P.O. Bax 910
Ft. Pierce Fl. 34954
PROJECT NAME; Taxiway C
PROJECT'M 450406900-A1950
CONTACT NAME: Dickerson Florida Inc.
CONTRACT DATE: Oct. IT, 3017
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 orsaid
Contract are enjoined and in full force while executing the change(s) stipulated as follows:
DESCRIPTION: Provide junction can, PVC conduit and wire -installed in trench to avoid buried fiber optic
cable.
A) CONTRACT PRICE PRIOR TO THIS CHANGE 51.191.481.95
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE S 1,31X.50
NEW CONTRACT PRICE INCLUDING TIIIS CHANGE ORDER x1.194F10.45
W CONTRACT TIME PRIOR TO THIS CHANCE (NUMBER OF DAYS)
NET INCREASE (DECREASE) RESULTING FROM THIS CI IANGE (NUMBER OF DAYS)
NEW COMPLETION DATE INCLUDING THIS CHANGE 8 dnyv_
AGREED:
CON ,hCTOItb CI�TY�OSERA [ANN-
Date:3 4i 9 Da.' %M?
tha umturc / PAutharixad City Manager
Annrarals By Car of Sehvatlan St. R:
_Clly hiunager-Amharimlion - cumnlalive amounl Ices Ilmn Ii% of comrael price or SIS,000 single change order.
_ City Council ,W thariet lira,-wmululive smuunl ex eeeds 15% or the can tract price or SI5,000 single change order.
(Meeting Date )
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Adminishative Senlea 'l l`aNa butter,
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CIttarvs ney m I'M1d�taetle ((1{I mm a Clerk-
Proeurementhlaoager
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SEBASTIAN MUNICIPAL AIRPORT 51FDASI i
CITY OF SEBASTIAN, FLORIDAv-'�V
202 AIRPORT DRIVE E._..,r' —
SEBASTIAN, FLORIDA 32958 MUNICIPAL NIRPORT
CHANGE ORDER
I Prolearme: Taxkvays'C' Date Prepared:
Project Construction of approximately 3,900 feel of
Description: asphalt paved ADG R laxhvays, Including FAA AP No. 342.1145-014-2018
unlighted taxiway guidance signs and Stom 43� 833•tA4-01
drains. FOOT Fin. Pro) No. II
Contractor. Dickerson Florida, Inc. G.L. Acct. No.
Address: 3122 North 250 Street
Ft. Pierce, Florida 34946 Change OrderO p.001
ORIGINAL CONTRACT AMOUNT: § 2,192.481.95
AMOUNT OF PREVIOUS CHANGE ORDERS: $ 0.00
COST OF THIS CHANGE ORDER: S II 2,39SS0�
REVISED CONTRACTAMOUNT $ 2,199,87.45
DESCRIPTION OF CHANGE I OWWIRY I UNIT IsmTOTALAMOLWT
Furnish and Install 1condu pnctisn can 1 $L500.% 51,500.001
Insta]Vmroute 2' t and cable to AWASNVind Sock: I
I
Furnish L867 lunction can 1 $719.00;1 $719.00
I 1Wew2'D4ectbudad PVCwdu3 220 it 1 $8.50 II $1.45200
I No.BAWD.wUd.bamcomlerwire.insrLdinbench I 220 it $i SO $=(K)
Delete L�D(L% In pavernarx LED mad clam4v RW
Add L-11! Pavement Guam: mad lnt"ty RW Inhts 12 I §3,93.a I§8.387.5p1
hts TOTAL S238a501
Reason for Chance Order: Match exislinq RW ljphts: move pourer cables to shoulder. ProtectOber oI dc line. Unforseen. I
I Subject to the conditions set forth below, an eeuitable adiuslment Is established as follows:
I The contract or(ce is... IThe nuaolllme to comolele work Is
I not chanced. I I not chorused. I
x `lnrfered/doyeased $ 2388.50 x (J JncressedIdeaeased a days. I r I
The forego ng is In accordance with your contrast doled l Oc oew 11.2017 land s listed below.
A The aforementioned change and work affected thereby ars subject to all contract atipuiation and covenams.
S. The rights of the Ovmer are not prejudlced; and I
C. All dams against the Owner which aro incidental to or as a consequence of the aforementiojwd charge are
satisfied.
SIGNAi11RE TntE I DATE
Owner Reprosa,bdve: 5 U v
Contractor \ President 726/19
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IDaalgnconsultant
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FPA gfappsrable)
FOOT(Nappficable)
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