1121-Prime Const-Cloud Branch PH 1-Change Order Form-lid-(
CHANGE ORDER FORM
Change Order No
Project Title
Bid No.
Owner:
Contractor:
Agreement Date:
Cloud Branch Drainage Improvements - Ph. 1
IFB 05/06 -08
City of Sanford
Prime Construction Group, Inc.
June 1, 2006
This Change Order is necessary to cover changes in the work to be
performed under this Agreement. The GENERAL CONDITIONS,
SUPPLEMENTARY CONDITIONS, and STANDARD SPECIFICATIONS
apply to and govern all work under this Change Order.
THE FOLLOWING CHANGES ARE MADE TO THE CONTRACT DOCUMENTS:
(1) Original Contract Price
(2) Current Contract Price (Adjusted by Previous Change Orders)
(3) Total Proposed Change in Contract Price
(4) New Contract Price (Item 2 + Item 3)
(5) Original Contract Time
(6) Current Contract Time (Adjusted by Previous Change Orders)
(7) Total Proposed Change in Contract Time
(8) New Contract Time (Item 6 + Item 7)
(9) New Contract Substantial Completion Date
$ 3,560,619.15
$ 3,560,619.15
$ ($133,057.33)
$ 3,427,561.82
330 Days
330 Days
17 Days
347 Days
July 13, 2007
Page 1 of 5
Change Order #1
CHANGES ORDERED
ITEM 1
Description of Change: Work Directive No. 1 — Box Culvert and Structure Modifications
Reason for Change: See Work Directive No. 1 (Copy attached)
Change in Contract Price: ($57,417.00)
Change in Contract Time: 0 Days
ITEM 2
Description of Change: Work Directive No. 2 — Modify 4 x 11 box culvert at 11 th St. for
existing gravity sewer crossing
Reason for Change: See Work Directive No. 2 (Copy attached)
Change in Contract Price: $8,934.71
Change in Contract Time: 1 Day
ITEM 3
Description of Change: Work Directive No. 3 — New Ditch Bottom Inlet S-1 5A
Reason for Change: See Work Directive No. 3 (Copy attached)
Change in Contract Price: $8,136.12
Change in Contract Time: 1 Day
ITEM 4
Description of Change: Work Directive No. 4 — Dispose of contaminated soil
Reason for Change: See Work Directive No. 4 (Copy attached)
Change in Contract Price: $42,374.04
Change in Contract Time: 3 Days
Page 2 of 5
Change Order #1
ITEM 5
Description of Change
Reason for Change:
Change in Contract Price:
Change in Contract Time:
Work Directive No. 5 — Modify 5x5 box culvert and S -21 for
existing gravity sewer crossing
See Work Directive No. 5 (Copy attached)
$8,766.53
1 Day
ITEM 6
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
Work Directive No. 6 — Modify 3x8 box culvert and install 12" PVC
storm at 20 St ditch crossing
See Work Directive No. 6 (Copy attached)
$5,352.46
1 Day
ITEM 7
Description of Change:
Reason for Change:
Change in Contract Price
Change in Contract Time
Work Directive No. 7 — Modify 3x9 box culvert to accommodate
existing gravity sewer at 16 St
See Work Directive No. 7 (Copy attached)
$11,003.67
1 Day
ITEM 8
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
Contract Quantity Adjustments
Incorporate actual constructed quantities into the contract
($196,689.45)
0 Days
Change Order #1
Page 3 of 5
ITEM 9
Description of Change:
Reason for Change:
Change in Contract Price
Change in Contract Time
Contract Additions
Work added to the contract per City's request, due to plan
revisions or due to unforeseen conditions.
$36,481.59
9 Days
CHANGE ORDER SUMMARY
No.
Description
Change In
Contract Price
Change In
Contract Time
1
Work Directive No. 1
($57,417.00)
0 Days
2
Work Directive No. 2
$8,934.71
1 Day
3
Work Directive No. 3
$8,136.12
1 Day
4
Work Directive No. 4
$42,374.04
3 Days
5
Work Directive No. 5
$8,766.53
1 Day
6
Work Directive No. 6
$5,352.46
1 Day
7
Work Directive No. 7
$11,003.67
1 Day
8
Contract Quantity Adjustments
($196,689.45)
0 Days
9
Contract Additions
$36,481.59
9 Days
TOTAL
($133,057.33)
17 Days
Page 4 of 5
Change Order #1
WAIVER This Change Order constitutes full and mutual accord and satisfaction for the
adjustment of the Contract Price and Contract Time as a result of increases or decreases in
cost and time of performance caused directly and indirectly from the change. Acceptance of
this Waiver constitutes an agreement between OWNER and CONTRACTOR that the Change
Order represents an equitable adjustment to the Agreement and that CONTRACTOR shall
waive all rights to file a Contract Claim or claim of any nature on this Change Order. Execution
of this Change Order shall constitute CONTRACTOR's complete acceptance and satisfaction
that it is entitled to no more costs or time (direct, indirect, impact, etc.) pursuant to this Change
Order.
APPROVAL AND CHANGE ORDER AUTHORIZATION
ACKNOWLEDGMENTS
The aforementioned change, and work affected thereby, is subject to all provisions of the
original Agreement and specifically changed by this Change Order; and
It is expressly understood and agreed that the approval of the Change Order shall have no
effect on the original Agreement other than matters expressly provided herein.
ATTEST: Prime Construction Grauo. Inc.
(Secretary) Thomas M. Pe
6 I -
O�
Date
(Corporate Seal)
Contractor
Roy W. Smi
Printed Name ai
By (Signature)
Jr., President
of Officer —
Date
ATTEST:
✓ / /
- r /
UZ4
tate
(Seal)
Change Order #1
City of Sanford
Owner
Robert P. Yehl – City Manager
Printed Name and Title
By (Signature)
P
END OF SECTION
Page 5 of 5
CITY OF SANFORD
CLOUD BRANCH DRAINAGE IMPROVEMENTS - PHASE 1 (IFB 05/06 -08)
CHANGE ORDER NO. 1 ATTACHMENT
ITFM 1 - WORK nIRFCTIVF NO 1
DESCRIPTION
UNITS
QUANTITY
UNIT COST
TOTAL COST
�
Work Directive No. 1
1 LS
1 1
1 $ (57,417.00)
($57,417.00)
PJ IIDlq
ITEM 2 - WORK DIRECTIVE NO. 2
($51,41 1.UU)
DESCRIPTION
UNITS
QUANTITY
I UNIT COSTI
TOTAL COST
�
6
H W,rk
Directive No. 2
LS
1
$ 8,934.71
$8,934.71
IUTAL
ITFM 3 - WORK DIRFCTIVF NO. 3
$t3,y34.71
DESCRIPTION
UNITS
QuANTITY
I UNIT COSTI
TOTAL COST
�
6
Staked Silt Fence
Work Directive No. 3
LS
1
$8,136.12
$8,136.12
Ww Araw-
ITEM 4 - WORK DIRECTIVE NO. 4
$tf,13b.12
I DESCRIPTION
UNITS
QUANTITY
I UNIT COSTI
TOTAL COST
�
6
Staked Silt Fence
Work Directive No. 4
LS
1
$42,374.04
$42,374.04
IUTAL
ITEM 5 - WORK DIRFCTIVF NO. 5
$42,374.04
DESCRIPTION
UNITS
QUANTITY
UNIT COSTI
TOTAL COST
�j
6
Staked Silt Fence
Work Directive No. 5
LS
1
$8,766.53
$8,766.53
IUTAL
ITEMS -WORK DIRFCTIVF NO. 6
$ tf, ! bb.53
DESCRIPTION
UNITS
QUANTITY
UNIT COST
TOTAL COST
�j
6
Staked Silt Fence
Work Directive No. 6
LS
1
$5,352.46
$5,352.46
IUJAL
ITEM 7 -WORK DIRECTIVE NO. 7
$5,352.46
DESCRIPTION
UNITS
QUANTITY
UNIT COST
TOTAL COST
20TH STREET CROSSING (STA. 10 +30 +/- TO 19 +75 + / -)
6
Staked Silt Fence
Work Directive No. 7
LS
1
$11,003.67
$11,003.67
W
ITEM 8 - QUANTITY ADJUSTMENTS
$ i 1,UU3.0/
DESCRIPTION
UNITS
I QUANTITY
UNIT COST
TOTAL COST
20TH STREET CROSSING (STA. 10 +30 +/- TO 19 +75 + / -)
6
Staked Silt Fence
LF
-1496
$1.50
($2,244.00)
8
Sodding (Bahia) Along Ditch Top of Bank (Two 15' Wide Paths)
SY
- 1000.0
$2.00
($2,000.00)
11
Seed Ditch Side Banks and Install Erosion Control Mat
SF
-3441
$0.10
($344.10)
12
Concrete Ditch Paving in Ditch Near Sta. 12 +70, 15 +60
SY
-39
$70.00
($2,730.00)
13
Connect to Existing 15" Culvert, Clean Pipe Near Sta. 12 +70
LS
-1
$1,600.00
($1,600.00)
15
New 15' RCP Pipe Near Station 12 +70
LF
1 -12
$160.00
($1.920.00)
16
1 New 24" RCP Pipe Near Station 15 +60
LF
47
$170.001
$7,990.00
17
15" MES
EA
-1
$1,500.00
($1,500.00)
25
1 Remove and Replace Existing 12" Sewer with 12" D. 1. Sewer Near Sta, I
L
2U
j $150.00
(
SUBTOTAL
($7,348.10)
19TH PLACE CROSSING (STA. 19 +75 +/- TO 23 +10 + / -)
38 1 Staked Silt Fence
LF
1 -598
1 $1.50
($897.00)
j: \50620.17 \excel \Change Order 1 attachment - 5 -22 -07 5/29/2007 9:10 AM
40
Sodding (Bahia) Along Ditch Top of Bank (Two 15' Wide Paths)
SY
-400.0
$3.00
($1,200.00)
42
Seed Ditch Side Banks and Install Erosion Control Mat
SF
2444
$3.00
($7,332.00)
45
Concrete Flume at Crossing
LS
1
$3,000.001
$3,000.00
50
Remove and Replace Existing 12" Sewer with 12" D.I. Sewer Near Sta. 20
LF
-32
1 $150.00
($4,800.00)
SUBTOTAL ($11,229.00)
16TH
STREET CROSSING (STA. 23 +10 +/- TO 33 +20 + / -)
54
Staked Silt Fence
LF
-1992
$1.50
($2,988.00)
56
Sodding (Bahia) Along Ditch Top of Bank (Two 15' Wide Paths)
SY
- 1493.3
$2.50
($3,733.25)
57
Re -grade and Reshape Existing Ditch Between 19th Pl. and 16th St.
LF
15
$20.00
$300.00
58
Seed Ditch Side Banks and Install Erosion Control Mat
SF
-5858
$2.50
($14,645.00)
59
Concrete Ditch Paving in Ditch Near Sta. 26 +30, 29 +30
SY
-57
$60.00
($3,420.00)
60
Install 12" MES at Culvert Near Sta. 26 +30
LS
-1
$1,200.00
($1,200.00)
SUBTOTAL ($25,686.25)
14TH
STREET CROSSING (STA. 33+20 +/- TO POND 5)
65
Remove 42" RCP at 16th St.
LF
35
$30.00
$1,050.00
75
Staked Silt Fence
LF
-1634
$1.50
($2,451.00)
78
Re -grade and Reshape Existing Ditch Between 16th St. and Pond 5
LF
17
$15.00
$255.00
79
Seed Ditch Side Banks and Install Erosion Control Mat
SF
-3747
$2.50
($9,367.50)
82
New Stop Signs at 14th St./Williams St. /Roundtree St. (Sign and Post)
EA
-1
$150.00
($150.00
SUBTOTAL ($10,663.50)
POND 5 CONSTRUCTION
102
1 New 15" MES at Pond 5
1 EA
-1
1 $1,200.00
($1,200.00)
104
lRemove and Replace 4" Concrete Sidewalk along Pond 5
1 SY
1 231
1 $40.001
$9,240.00
SUBTOTAL $8,040.00
POND
OUTFALL / LAKE AVE. CONSTRUCTION TO 12TH ST. (STA. 200 +60 +/- TO 211 +40 + / -)
115
Open Cut Remove /Replace Lake Ave. (Pond 5 to 13th Street)
SY
-90
$120.00
($10,800.00)
116
Open Cut Remove /Replace 12th St. Intersection at New Culvert
SY
-10
$120.00
($1,200.00)
117
Remove and Replace Dirt Road w/ New Shell Road (13th St. to 12th St.)
SY
-266
$18.00
($4,788.00)
124
New 24" RCP Pipe from New Inlet Structure to Junction Structure
LF
6
$100.00
$600.00
129
Remove Existing Fence and Install New 4 -Ft High Chain Link Fence
LF
174
$5.00
$870.00
130
Cut and Cap Existing 6" Water Main w/ Conc. Thrust Collar
EA
-4
$200.00
($800.00)
131
6" x 6" Tapping Sleeve and Valve
EA
-4
$3,000.00
($12,000.00)
137
Install New 10" D.I. Water Main and Fittings
LF
42
$50.00
$2,100.00
138
6" Linestop
EA
-4
$4,000.00
($16,000.00)
140
Air Relief Valve (Offset)
EA
-1
$3,000.00
($3,000.00)
141
Install New 1" PE Service Line
LF
-140
$4.00
($560.00)
142
10 "x1" Service Saddle and Corporation Stop
EA
-3
$300.00
($900.00)
144
Replace 8" San. Sewer with New 8" D.I. (Polyethylene Lined) Sewer at Jun
LF 1
-12 1
$120.00
($1,440.00)
SUBTOTAL ($47,918.00)
DITCH ENCLOSURE - 13TH ST. TO 12TH ST. (STA. 45 +10 +/- TO 51 +40 +l -)
146
Staked Silt Fence
LF
-1130
$1.00
($1,130.00)
159
Connect 4" PVC to New Inlet with Cleanout and 45 Degree Bend
LS
-1
$150.00
($150.00)
164
Open Cut Remove /Replace 12th St. at Culvert Crossing
SY
-13
$120.00
($1,560.00)
TT
Remove and Replace Curb and Gutter at 19th PI.
LF
50
$25.00
$1,250.00
165
Remove and Replace Concrete Ribbon Curb
LF
149.0
$20.00
$2,980.00
167
10" Linestop
EA
-2
$4.000.00
($8.000.00)
168 ICut
and Cap Existing 10" Water Main w/ Conc. Thrust Collar
EA 1
-2 1
$300.00
($600.00)
169
Remove Existing 10" Water Main
LF
-23
$50.00
($1,150.00)
170 llnstall
New 10" Water Main and Fittings
LF
-36
$60.00
($2,160.00)
171
10" Tapping Sleeve and Valve
EA
-2
$3,000.00
($6,000.00)
SUBTOTAL ($16,520.00)
DITCH ENCLOSURE 12TH ST. TO COASTLINE PARK (STA. 51 +40 +l- TO 57 +50 + / -, AND 101 +40 +l- TO 104 +20 +l -)
174
Staked Silt Fence
LF
-960
$1.00
($960.00)
180
Junction Structure (At 3' x 11' BC)
EA
-1
$9,000.00
($9,000.00)
186
Cut and Cap Existing 10" Water Main w/ Conc. Thrust Collar
EA
-2
$200.00
($400.00)
187
10" x 10" Tapping Sleeve and Valve
EA
-2
$4,000.00
($8,000.00)
188
Remove Existing 10" Water Main
LF
-60
$30.00
($1,800.00)
189
Install New 10" D.I. Water Main and Fittings
LF
-60
$30.00
($1,800.00)
190
10" Linestop
EA
-2
$8,000.00
($16,000.00)
191
New 3' x 11 Box Culvert at 11th Street
LF
-49
$1,000.00
($49,000.00
196 lRemove
2 -48" RCP and Endwall at Coastline Park
LS
-1
$8,000.00
$8,000.00)
197 lConcrete
Ditch Paving in Ditch at Coastline Park
SY
-300
$50.00
($15,000.00)
SUBTOTAL ($109,960.00)
j:\s0620.17 \excel \Change Order 1 attachment - 5 -22 -07 5/29/2007 9:10 AM
ITEM 9 - CONTRACT ADDITIONS
($196,689.45)
DESCRIPTION
Work Directive No. 1
QUANTITY
UNIT COST
TOTAL COST
$8,136.12
Modify S -31 FG elevation
5 X 5 BOX CULVERT
1
$ 499.13
$499.13
$5,352.46
Modify Pond 5 Slopes on South side from 6:1 to 4:1
Add - Modified Box Culvert with manhole riser and ring & cover
EA
-1
$7,195.00
($7,195.00)
132
Delete - Remove exisitng 6" water main on Lake Ave.
LF
-35
$5.00
($175.00)
133
Delete - Install new 6" DI water main & fittings on Lake Ave.
LF
-35
$25.00
($875.00)
115
Delete - Open cut remove/replace Lake Ave (northbound lane)
SY
273.67
$120.00
$32,840.40
SUBTOTAL $24,595.40
ITEM 9 - CONTRACT ADDITIONS
($196,689.45)
DESCRIPTION
UNITS
QUANTITY
UNIT COST
TOTAL COST
$8,136.12
Modify S -31 FG elevation
LS
1
$ 499.13
$499.13
$5,352.46
Modify Pond 5 Slopes on South side from 6:1 to 4:1
LS
1
$ 14,917.10
$14,917.10
$36,481.59
Modify S -16 Endwall
LS
1
$ 6,069.30
$6,069.30
Handicap Ramps on 13th St at Lake Ave.
EA
4
$ 500.00
$2,000.00
Gates on 13th and 12th
LS
1
$ 993.75
$993.75
Rubble Ri ra at S -16 - Pond 5
TN
1
$ 12,002.31
$12,002.31
(VIAL
CHANGE ORDER SUMMARY
Item 1
($57,417.00)
Item 2
$8,934.71
Item 3
$8,136.12
Item 4
$42,374.04
Item 5
$8,766.53
Item 6
$5,352.46
Item 7
$11,003.67
Item 8
($196,689.45)
Item 9
$36,481.59
TOTAL
($133,057.33)
Original Contract Amount
$3,560,619.15
Proposed C.O. No. 1
($133,057.33)
Proposed New Contract Amount
$3,427,561.82
$36,481.59
;:\s0620.17\excel \Change Order 1 attachment - 5 -22 -07 5129/2007 9:10 AM
CITY OF SANFORD
CLOUD BRANCH DRAINAGE IMPROVEMENTS - PHASE 1 (IFB 05/06 -08)
CHANGE ORDER NO. 1 ATTACHMENT
TIME SUMMARY
TOTAL 17 Days
CONTRACT TIME SUMMARY
Contract Time 330 Days
Proposed Change Order No. 1 Change in Contract Time 17 Days
New Contract Time 347 Days
Date of Notice to Proceed 7/31/2006
Total Adjusted Contract Time 347 Days
Revised Substantial Completion Date 7/13/2007
Contract Time From Substantial Completion to Final Completion 30 Days
Revised Final Completion Date 8/12/2007
j: \s0620.17 \exce1\Change Order 1 attachment - 5 -22 -07 5/29/2007 9:10 AM
TIME CHANGE
ITEM 1
- WORK DIRECTIVE NO. 1
Days
ITEM 2
- WORK DIRECTIVE NO. 2
1 Days
ITEM 3
- WORK DIRECTIVE NO. 3
1 Days
ITEM 4
- WORK DIRECTIVE NO. 4
3 Days
ITEM 5-
WORK DIRECTIVE NO. 5
1 Days
ITEM 6
- WORK DIRECTIVE NO. 6
1 Days
ITEM 7
- WORK DIRECTIVE NO. 7
1 Days
ITEM 8
- QUANTITY ADJUSTMENTS
Days
ITEM 9
- CONTRACT ADDITIONS
9 Days
TOTAL 17 Days
CONTRACT TIME SUMMARY
Contract Time 330 Days
Proposed Change Order No. 1 Change in Contract Time 17 Days
New Contract Time 347 Days
Date of Notice to Proceed 7/31/2006
Total Adjusted Contract Time 347 Days
Revised Substantial Completion Date 7/13/2007
Contract Time From Substantial Completion to Final Completion 30 Days
Revised Final Completion Date 8/12/2007
j: \s0620.17 \exce1\Change Order 1 attachment - 5 -22 -07 5/29/2007 9:10 AM