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PURCHASING DEPARTMENT
TRANSMITTAL MEMORANDUM
To: City Manager
RE:
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The item(s) noted below is /are attached and forwarded to your office for the following action(s):
Development Order Mayor's signature
Final Plat (original mylars) n Recording
❑ Letter of Credit : - • -ring
1 Maintenance Bond ® Safe kee in • Vaul
❑ Ordinance Deputy City Manager
n Performance Bond n Payment Bond
Resolution 1 1 City Manager Signature
1 1 n City Clerk Attest /Signature
Once completed, please:
❑ Return originals to Purchasing
n Return copies
n
Special Instructions:
P4a- Y4o -L1 Ordo-Cit.z
From Date
T: \Dept_forms \City Clerk Transmittal Memo - 2009.doc
DATE: 03/07/12 PURCHASE ORDER
PO NUMBER 032810 LC1
CHANGE # : 1 4 Z
C H7•
CITY OF SANFORD
P.O. BOX 1788 DATE CHG: 07/09/13 :•.E. „,
(300 NORTH PARK AVENUE) SUBMIT INVOICES TO: ACCOUNTS PAYABLE cn
PURCHASING OFFICE: 407.688.5030 E DEPT. *"d
SANFORD, FLORIDA 32772 FINANC DP. P.O. BOX 1788 E T , --1
ACCOUNTS PAYABLE: 407.668.50
FLORIDA TAX EXEMPT NO.: 85801262168 P.O. BO D, FL 32772 Y �
FACSIMILE: 407.688.5021 1-1 ....I VENDOR NO.: 10661
TO: 'ITY OF SANFORD
REISS ENGINEERING,INC PA
N. N R
;00 K AVENUE
1016 SPRING VILLAS POINT ; N. D, FL 32771
7
SUITE 2000
WINTER SPRINGS, FL 3280
BID OR QUOTATION NO. REQUISITION NO.
DELIVER BY TERMS ( �\
\w J, \J \ i 63110
09/30/12 NET /30
ACCOUNT NO.: )1
452 - 4530 - 53 6 . 6
-
NO DEVIATION FROM THIS PURCHASE ORDER W THE PURCHASING MANAGER -CITY OF SANFORD
.__ -- UNIT OF UNIT COST EXTENDED COST
ITEM NO. DESCRIPTION
QUANTITY ISSUE
* CHANGE ORDER
*
**** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *4 149200.00 NA 1.00 149200.0
1 SCOPE OF SERVICES FOR TECHNICIAL
SERVICES FOR
HYDRAULIC MODELING AND PIPE
BURSTING PROJECT
APPROVED BY C.C. 2/27/12
SEE ATTACHED DW590120
TASK 1- THRU -4 ATTACHED SCOPE OF
SERVICES.
2 ADDITIONAL SERVICES TO PERFROM
10465.00 NA 1.00 10465.00
HYDRAULIC MODELING
TO CHECK REQUESTED PIPE SIZE
MODIFICATIONS
MAINTAIN LEVEL OF SERVICES ALONG
17/92
SUB -TOTAL 159665.00
TOTAL 159665.00
_ /., /
/A/1 i ./."4,0
APPROVED BY: CITY MA GER
APPROVED BY:
�SI c T
ALL PACKAGES AND
D I OF THE STANDARD TERMS AND CONDITIONS PROVED ON THE REVERSE SIDE OF THIS CAREFULLY
PURCHASE ORDER
READ AND COMPLY WITH ALL
R
AND AT HTTP:// WWW• SANFORDFL. GOVIDEPARTMENTS /PURCHASEITERMS.HTM
COPIES TO: VENDOR ORIGINATING DEPARTMENT PURCHASING
1 L"
1 2877=
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WORK ORDER CHANGE FORM
Work Order No. 1 PO $ 32(?fQ
Project Title Technical Services for Hydraulic Modeling and Pipe Bursting
Project Number DW 1101
Bid No. N/A
Owner: City of Sanford, Florida
Contractor: Reiss Engineering, Inc.
Work Order Date: May 16, 2013
This Work Order Change is necessary to cover changes in the work to be
performed under the Work Order referenced above. The GENERAL
CONDITIONS, SUPPLEMENTARY CONDITIONS, and previously issued
STANDARD SPECIFICATIONS of the contract, work order, solicitation
indicated above of apply to and govern all work under this Work Order
Change.
THE FOLLOWING CHANGES ARE MADE TO THE CONTRACT DOCUMENTS:
(1) Current Contract Price (Adjusted by Previous Change Orders) $ 149,200.00
(2) Total Proposed Change in Contract Price $ 10,465.00
(3) New Work Order Price (Item 2 + Item 3) $ 159,665.00
(4) Current Contract Time (Adjusted by Previous Change Orders) 365 Days
(5) Total Proposed Change in Contract Time 0 Days
(6) New Contract Time (Item 4 + Item 5) 365 Days
(7) Original Contract Substantial Completion Date 365 Days
(8) New Contract Substantial Completion Date 365 Days
Description of Change: Additional services to perform hydraulic modeling to check requested
pipe size modifications maintain level of services along US 17 -92.
Reason for Change: Added pipe bursting chlorinated services along US 17 -92.
Change in Contract Price: $10,465.00
Change in Contract Time: 0 days
WAIVER This Work Order Change constitutes full and mutual accord and satisfaction for
the adjustment of the Work Order Price and 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 Work Order
Change 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 Work Order Change.
Execution of this Work Order Change 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 Work Order Change.
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 Work Order Change; and
It is expressly understood and agreed that the approval of the Work Order Change shall have
no effect on the original Agreement other than matters expressly provided herein.
ATTEST: Reiss Engineering, Inc.
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Contractor
(Se re a ry) Printed Name and Title of Officer
66 /zgzo/3 111 44..1 //...4
Date By ;Sign. ure
O(0( ( a.o(3
(Corporate Seal) Date
City Of Sanford, Owner
Tom George, Deputy City Manager
Pr' m & Title ATTEST:
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(Signatu er Printed Name and Ti
Ow tre
/ Date C.c (Signature) cJ
(Seal)
END OF SECTION