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1699* FRS Envir Chg Ord No. 1. . . . . . . . . . . . Thursday, March 26, 2015 To: City Clerk RE: FRS Environmental Remediation PO 34259 Change Order No. I increase PO $60,242-00 1FB 13/14-14 815 S French Ave Disposed of Contaminated Soil The item(s) noted below is/are attached and forwarded to your office for the following action(s): ❑ Development Order F-1 Mayor's signature ❑ Final Plat (original mylars) F-1 Recording ❑ Letter of Credit ❑ Rendering ❑ Maintenance Bond Safe keeping (Vault) ❑ Ordinance ❑ Deputy City Manager ❑ Performance Bond ❑ Payment Bond ❑ Resolution ❑ City Manager Signature City Clerk Attest/Signature Once completed, please: ❑ Return originals to Purchasing ❑ Return copies EJ Special Instructions: Mori,.w{ Oroto-it.erc. From TADepLforms\City Clerk Transmittal Memo - 2009.doe ,!scz-r,, -A-n -Pn,.+ +�115 Date M Thu DATE: 01/15/15 PURCHASING OFFICE: 407.688.5030 ACCOUNTS PAYABLE: 407.688.5020 FACSIMILE: 407.688.5021 VENDOR NO.: 12084 TO: PURCHASE ORDER !T PO NUMBER 034259 CITY OF SANFORD CHANGE #: 1 P.O. BOX 1788 DATE CHG : 03/17/15 (300 NORTH PARK AVENUE) SUBMIT INVOICES TO: ACCOUNTS PAYABLE SANFORD, FLORIDA 32772 FINANCE DEPT. FLORIDA TAX EXEMPT NO.: 858012621681 C -8 P.O. BOX 1788 SANFORD, FI. 32772 FRS ENVIRONMENTAL REMEDIATION, DBA: THE FGS GROUP 120 E DR MLK JR BLVD TAMPA, FL 33603 SHIP TO: CITY OF SANFORD 800 FULTON STREET SANFORD, FL 32771 DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO. UNLESS OTHERWISE INDICATED 09/30/15 NET /30 64556 ACCOUNT NO.: 310 -4046- 539.46 -00 PROJECT NO.: 14SOIL NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD ITEM NO. DESCRIPTION QUANTITY UNIT OF ISSUE UNIT COST EXTENDED COST t�: *** ic* Y *t *ic9rF * * *�c *� *F�c9c4c9ct ic9ric�cF k�c Y * CHANGE ORDER 1 EXCAVATION & SOIL DISPOSAL AT THE 163823.00 NA 1.00 163823.00 OLD POLICE STATION LOCATED AT 815 S FRENCH AVENUE IFB 13/14 -14 DISPOSED OF CONTAMINATED SOILS RESTORATIONS OF THE ENTIRE SITE. 2 INCREASE PO 34259 PER CHANGE 11746.00 NA 1.00 11746.00 ORDER #1 ITEM NO. IDENTIFICATION OF ADDITIONAL IMPACETED SOIL VIA FIELD SCREENING BY ENGINEER INCREASE ITEM 4.3B QTY UNITS FROM 1361 TO 2200 3 ITEM NO.2 INCREASE 4.4B QTY FROM 26848.00 NA 1.00 26848.00 1361 TO 2200 IDENTIFICATION OF ADDITIONAL IMPACTED SOIL VIA FIELD SCREEING BY ENGINEER 4 ITEM 3 INCREASE ITEM NO.4.5 QTY 18648.00 NA 1.00 18648.00 FROM 1264 TO 2300 IDENTIFICATION OF ADDTIONAL IMPACTED SOIL VIA FIELD BY ENGINEER APPROVED BY: APPROVED BY:' R A qNGAG CITY MA AGER ALL PACKAGES AND INVOICES ASSOCIATED WITH THIS P.O. MUST BEAR THIS PURCHASE ORDER NUMBER. THE VENDOR IS RESPONSIBLE TO CAREFULLY READ AND COMPLY WITH ALL OF THE STANDARD TERMS AND CONDITIONS PROVIDED ON THE REVERSE SIDE OF THIS PURCHASE ORDER AND AT HTTP: //WWW.SANFORDFL.GOV/ DEPARTMENTS /PURCHASE/TERMS.HTML COPIES TO: VENDOR ORIGINATING DEPARTMENT PURCHASING DATE: 01/15/15 PURCHASING OFFICE: 407.688.5030 ACCOUNTS PAYABLE: 407.688.5020 FACSIMILE: 407.688.5021 VENDOR NO.: 12084 TO: CITY OF SANFORD P.O. BOX 1788 (300 NORTH PARK AVENUE) SANFORD, FLORIDA 32772 FLORIDA TAX EXEMPT NO.: 858012621681C -8 FRS ENVIRONMENTAL REMEDIATION, DBA: THE FGS GROUP 120 E DR MLK JR BLVD TAMPA, FL 33603 PO NUMBER 034259 CHANGE #: 1 DATE CHG: 03/17/15 SUBMIT INVOICES TO: ACCOUNTS PAYABLE FINANCE DEPT. P.O. BOX 1788 SANFORD, FL 32772 SHIP TO: CITY OF SANFORD 800 FULTON STREET SANFORD, FL 32771 DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO. UNLESS OTHERWISE INDICATED 09/30/15 NET /30 64556 ACCOUNT NO.: 310- 4046 - 539.46 -00 PROJECT NO.: 14SOIL NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD UNIT OF ITEM NO. DESCRIPTION QUANTITY. ISSUE UNIT COST EXTENDED COST * CHANGE ORDER * 5 ITEM NO. 4 INCREASE ITEM 4.6A QTY 3000.00 NA 1.00 3000.00 FROM 1700 TO 2000 ERROR IN ORIGINAL QTY ESTIMATE. IFB 13/14 -14 815, S FRENCH AVE DISPOSED OF CONTA- MINATED SOILS RESTORATIONS OF THE ENTIRE SITE. CHANGE ORDER NO. 1 A TOTAL OF $60,242 SUB TOTAL 224065.00 TOTAL 224065.00 APPROVED BY: APPROVED BY: CITY MANAGER ALL PACKAGES AND INVOICES ASSOCIATED WITH THIS P.O. MUST BEAR THIS PURCHASE ORDER NUMBER. THE VENDOR IS RESPONSIBLE TO CAREFULLY READ AND COMPLY WITH ALL OF THE STANDARD TERMS AND CONDITIONS PROVIDED ON THE REVERSE SIDE OF THIS PURCHASE ORDER AND AT HTTP: //WWW.SANFORDFL.GOV/ DEPARTMENTS /PURCHASE/TERMS.HTML COPIES TO: VENDOR ORIGINATING DEPARTMENT PURCHASING Project Title: Soil Removal 815 S. French Ave. Sanford FL Bid Number: IFB 13/14- 14REBID `t IL` SECTION 00950 -1 ` CHANGE ORDER FORM CZ., Change Order No. CO #1 - Volume /Tonnage Increase Contractor: FRS Env. Remediation, Inc., dba THE FGS GROUP Agreement Date: January 14th, 2015 This Change Order is necessary to cover changes in the work to be performed under this Agreement. The Agreement, General Conditions, Supplementary Conditions, and Technical Specifications contained in the Project Manual 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 10. New Contract Final Completion Date CHANGES ORDERED $ 163,823.00 $ 163,823.00 $ 60,242.00 $ 224,065.00 45 Days 0 Days 0 Days 45 Days 2/20/15 2/20/15 ITEM 1 Description of Change: Increase Item 4.313 qty units from 1361 to 2200 Reason for Change: Identification of Additional Impacted Soil via Field Screening by Engineer Change in Contract Price: $ 11,746.00 Change in Contract Time: 0 Days SOIL REMOVAL, 815 S. FRENCH AVE, SANFORD, FL IFB 13/14- 14REBID Project Title: Soil Removal 815 S. French Ave. Sanford FL Bid Number: IFB 13/14- 14REBID ITEM 2 Description of Change: Increase Item 4.4B qty from 1361 to 2200 Reason for Change: Identification of Additional Impacted Soil via Field Screening by Engineer Change in Contract Price: $26,848.00 Change in Contract Time: 0 Days ITEM 3 Description of Change: Increase Item 4.5 qty from 1264 to 2300 Reason for Change: Identification of Additional Impacted Soil via Field Screening by Engineer Change in Contract Price: $18,648.00 Change in Contract Time: 0 Days ITEM 4 Description of Change: Increase Item 4.6A qty from 1700 to 2000 Reason for Change: Error in original qty estimate Change in Contract Price: $ 3,000.00 Change in Contract Time: 0 Days ITEM 5 Description of Change: Reason for Change: Change in Contract Price: $ Change in Contract Time: Days 00950 -2 SOIL REMOVAL, 815 S. FRENCH AVE, SANFORD, FL IFB 13/14- 14REBID Project Title: Soil Removal 815 S. French Ave. Sanford FL Bid Number: IFB 13/14- 14REBID ITEM 6 Description of Change: Reason for Change: Change in Contract Price: $ Change in Contract Time: Days CHANGE ORDER SUMMARY No. Description Change in Contract Price Change in Contract Time 4.3B Excavation & Loading of Petrol Impacted Soil $11,746.00 4.413 Trans oration & Disposal of Petrol Impacted Soil $26,848.00 0 4.5 Backfill & Installation 0 4.6A Asphalt Replacement $3,000.00 0 TOTAL $60,242.00 0 Days 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. WITNESS to CONTRACTOR: FRS Env. Remediation, Inc dba THE FGS GROUP Contractor Kimball D. Ergle, Secretary Printed Name and Title of Officer 00950 -3 SOIL REMOVAL, 815 S. FRENCH AVE, SANFORD, FL IFB 13/14- 14REBID Project Title: Soil Removal 815 S. French Ave. Sanford FL Bid Number: IFB 13/14- 14REBID Dates By (Signature) ATTEST: (Signature) Cynthia Po�zte2 -.t y C Peek —( `O—f Date (Seal) Date (Corporate Seal) City o2e Sanlo.,zd Owner ae ,l/ 7iz�ipiett,, ilay02 Printed Name a I Title By (Signature) Date END OF SECTION Foe uze and zeiiance o f the San /oad City Commizzionofziy. ��2oved a� to loizm and iega.ei;ty. GI P yam L, Co eke2 , C.Lty .41t oaney 00950 -4 SOIL REMOVAL, 815 S. FRENCH AVE, SANFORD, FL IFB 13/14- 14REBID