1208 American Infrastructure Tech Corp Change OrderCHANGE ORDER FORM
Change Order No. 3'1777 -01
Project Title Sewer Rehab by RICIP Lining
Bid No. IFB 07/08 -07
Owner_ City of Sanford
Contractor= American Infrastructure Technologies Corporation
WorK Order Date. Sept 22 2009
This Change Order is necessary to cover changes in the work to be
perf
ormed under the Work Order referenced above. The GENERAL
CONDITIONS, SUPPLEMENTARY CONDITIONS, and STANDARD
SPECIFICATIONS of IFB 07/08 -07 apply to and govern all worK under this
Change Order.
THE FOLLOWING CHA NGES ARE MADE TO THE CONTRACT DOCUMENTS.
(1)
Original WorK Order Price
$ 2.300.000.—
(2)
Current Contract Price (Adjusted by Previous Change Orders)
$ 2.300.000.—
(3)
Total Proposed Change in Contract Price
$ 32.508. --
(4)
New Work Order Price (Item 2 - Item 3)
T. 2.332.508. --
(5)
Original Contract Time
427 Days
(8)
Current Contract Time (Adjusted by Previous Change (Drders)
427 Days
(7)
Total Proposed Change in Contract Time
-O- Days
(8)
New Contract Time (Item 6 - Item 7)
427 Days
(9)
Original Contract Substantial Completion Date
427 Days
(1 O)
New Contract Substantial Completion Date
427 Days
CHANGES ORDERED
ITEM 1
Description of Change: Necessary replacement of manhole number 3841220
Reason for Change: Resident's driveway undermined.
Change in Contract Price: $ 32,508.- -
Change in Contract Time: No Change
ITEM 2
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
ITEM 3
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
ITEM 4
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
ITEM 5
Description of Change:
Reason for Change:
Change in Contract Price:
Change in Contract Time:
CHANGE ORDER SUMMARY
No.
Description
Change in
Contract Price
Change in
Contract Time
1
Manhole Replacement
$32,508. --
-0-
2
3
4
5
TOTAL
$ 32,508. --
-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.
ATTEST:
C
(Secretary)
gA loo
Date
(Corporate Seal)
ATTEST:
( gnature)
'3116110
Date
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Printed Name an jitle of Officer
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Own
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Printed Name and Titl
Date By (Signat re)
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(Seal) Date
END OF SECTION