2320 IFB 17/18-61 1st Street Lift StationSKXFORD
FINANCE DEPARTMENT
PURCHASING DEPARTMENT
TRANSMITTAL MEMORANDUM
TO: City Clerk/Mayor
RE: 1FB 17/18-61 1St ST Lift Station
The item(s) noted below is/are attached and forwarded to your office for the following action(s):
F-1
Development Order
F-1
Mayor's signature
❑
Final Plat (original mylars)
F-1
Recording
F-1
Letter of Credit
❑
Rendering
Fj
Maintenance Bond
Z
Safe keeping (Vault)
❑
Ordinance
❑
Deputy City Manager
❑
Performance Bond
❑
Payment Bond
❑
Resolution
❑
City Manager Signature
City Clerk Attest/Signature
F-1
City Attorney/Signature
Once completed, please:
F -I Return originals to Purchasing- Department
D Return copies
0
Special Instructions -\D\42a-zz, (2 � AD ocQ�fYN-Qf-A,
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From
SliarePoint—Fiiiaiiec—Pureliasiii--Foriiis - 2018.doc
3/11/2021
Date
SECTION 00950
CHANGE ORDER FORM
P -#7 Lf
Change Order No. #2 0 _S c 3
Project Name: - PARK AVENUE STORMWATER IMPROVEMENTS
Bid No.: IFB 18/19 - 36
Owner:
Contractor:
Agreement Date:
CITY OF SANFORD
MASCI GENERAL CONTRACTOR, INC.
OCTOBER 15, 2019
This Change Order is necessary to cover changes in the Work to be performed under
the 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 (Notice to Proceed to Substantial Completion)
6. Current Contract Time (Adjusted by Previous Change Orders)
7. Current Subst. Completion Date (Adjusted by Previous Change Orders)
8. Total Proposed Change in Contract Time
9. New Contract Time (Item 6 + Item 8)
10. New Contract Substantial Completion Date (Item 7 + Item 8)
11. Current Final Completion Date (Adjusted by Previous Change Orders)
12. Current Contract Time From Substantial Completion to Final Completion
13. Total Proposed Change in Contract Time Subst. to Final Completion
14. New Contract Time to Subst. Final Completion (Item 12 + Item 13)
15. New Contract Final Completion Date (Item 11 + Item 14)
Park Ave Stormwater Improvements
May 2019
00960-1
$1,514,579.45
$1,473,359.29
($56,778.00)
$1,416,581.29
180 Days
180 Days
AUGUST 3, 2020
60 Days
27o Days
OCTOBER 2, 2020
NOVEMBER 1, 2020
60 Days
60 Days
60 Days
NOVEMBER 1, 2020
CHANGE ORDER FORM
CHANGES ORDERED
ITEM I
Description of Change: FINAL CHANGE ORDER ADD/DEDUCT OF QUANTITIES
Reason for Change: FINAL QUANTITY FOR PAYMENT - SPREADSHEET ATTACHED
Change in Contract Price: $ ($56,778,00)
Change in Contract Time: Days o
ITEM 2
Description of Change: WEATHER AND HOLIDAYS AND COVID 19
Reason for Change: AS STATED ABOVE
Change in Contract Price: $ ($56,77&00)
Change in Contract Time: 60 Days
Park Ave Stormwater Improvements
May 2019 CHANGE ORDER FORM
00960-2
ADDITIONAL - DEDUCTIVE QUANTITIES
ITEM 3
PAY ITEM
QUANTITY
AMOUNT
QUANTITY
Description of Change:
8
EXCAVATION
730 1i
5,39430
ADJUSTMENTS FINAL
12
23" PIPE
51 ti
5,55GAS
22
HYDROSEED
555
416.25
LEDUC) ONS IN REO
Reason for Change:
19
24"MES
1
997.00
25
F CURB
504
11,642.40
86,896.40
Change in Contract Price:
$
26
REPLACE PAVEMENT
960
18,144.00
36
RAISED CROSSWAL;K
1
14,032m
ADDITIONAL IN BLACK
37
STREET LIGHTS
5 $
6(),000.00
Change in Contract Time:
Days
43
SIDEWALK
6.58 $
332.00
$ 30,118.40
49
TIE INTO EXISTING STRUCTURE
1
500ko
$ -56,778.00
Park Ave Stormwater Improvements
May 2019 CHANGE ORDER FORM
00960-2
CHANGE ORDER SUMMARY
No. Description Change in
I Contract Price
Change in
Contract Time
ATHER
60 DAYS
2 SEE ADD -DEDUCT QUANTITY SPRESDSHEET -$56,778.00
0
TOTAL $ -$56,778.00
60 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.
Park Ave Stormwater Improvements
May 2019
00960-4
CHANGE ORDER FORM
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:
Date
ATTEST:
(Signature)
Date
(Seal)
Park Ave Stormwater Improvements
May 2019
Masci General Contractor, Inc.
Contractor
I,-
w4e(rr\
P,rinted Name and T ' itle of Officer
.00
By C
(Signature)
Q
A
:0=
DateZUU4 -;o z
(C o6ilW-�%bawtt(pz
1.
ti
City of Sanford
Owner
THOMAS GEORGE, DEPUTY CITY MANAGER
Printed Name and Title
By (Signature)
Date
END OF SECTION
00960-6
CHANGE ORDER FORM
Project Name:
Bid No.:
Owner:
Contractor:
Agreement Date:
SECTION 00627
CERTIFICATE OF FINAL COMPLETION
Park Avenue Stormwater Improvements
IFB 18/19-36
City of Sanford
Masci General Contractors, Inc.
October 15, 2019
This Certificate of Final Completion applies to all work under the Contract Documents or the
following specified parts thereof if construction is phased by contract: IFB 18/19-36
ISSUED TO:
Contractor:
Masci General Contractors, Inc.
The work to which this Certificate applies has been inspected by authorized representatives of
Contractor, Engineer, and Owner and that Work is hereby declared to be finally complete in
accordance with the Contract Documents on:
November 28, 2020
Date of Final Completion
This Certificate constitutes an acceptance of Work except any and all latent defects, warranty
work, maintenance, and other post Final Completion obligations of the Contractor under the
Contract Documents.
Executed by Engineer on /Z/
Date
Engineer: CPH, Inc.
Park Ave Stormwater Improvements
May 2019
By:
(Signature) I
lks)r'u'l
(Printed Name and Title)
00627-1
CERTIFICATE OF FINAL COMPLETION
Contractor accepts this Certificate of Final Completion on January 18, 2012
Date
Contractor: Masci Ge!�era-fjt,9ntrqpA&`sAnc.
By:
(Signature)
--r"
D4(/(P, 41 c," -f7, 10/4
(Printed Name and Title)
'
Accepted by Owner on L
Date
Owner: City of Sanford
By:
(Signator
Thomas George, Deputy City Manager
(Printed Name and Title)
Park Ave Stormwater Improvements
May 2019
END OF SECTION
00627-2
CERTIFICATE OF FINAL COMPLETION
SECTION 00626
CERTIFICATE OF SUBSTANTIAL COMPLETION
Project Name: Park Avenue Stormwater Improvements
Bid No.: IFB 18/19-36
Owner: City of Sanford
Contractor: Masci General Contractor, Incorporated
Agreement Date: October 15,2019
This Certificate of Substantial Completion applies to all work under the Contract Documents or
the following specified parts thereof if construction is phased by contract: IFB 18/19-36
ISSUED TO:
Contractor:
Masci General Contractor, Incorporated
The work to which this Certificate applies has been inspected by authorized representatives of
Contractor, Engineer, and Owner and that Work is hereby declared to be substantially
completed in accordance with the Contract Documents on:
September 29, 2020
Date of Substantial Compietion
A list of items to be completed or corrected is attached hereto. This list may not be all-inclusive,
and the failure to include an item in it does not alter the responsibility of Contractor to complete
and warrant all the Work in accordance with the Contact Documents. All items on the list shall
be completed or corrected by Contractor within 60 days of the above date of Substantial
Completion.
Park Ave Stormwater Improvements
May 2019
00626-1
CERTIFICATE OF SUBSTANTIAL COMPLETION
This Certificate does not constitute an acceptance of Work not in accordance with the Contract
Documents nor is it a release of Contractor's obligations to complete the Work in accordance
with the Contract Documents.
Executed by Engineer on January 6, 2021
Date
Engineer: CPH, Inc.
By:
(signature)
Ashley Swift, Project Engineer
(Printed Name and Title)
Executed by Owner on September 29, 2020
Date
M
Owner: City of Sanford
P!gitally signed by Jeff Davis
JC-� tate: 2020.11.09 06:53.*30-05'00'
(Signature)
Jeff Davis, Project Manager
(Printed Name and Title)
Contractor accepts this Certificate of Substantial Completion on
Date
Contractor, Incorporated
By:
(Signature)
(Printed Name and Title)
1japigggs7k
Park Ave Stormwater Improvements I
May 2019 CERTIFICATE OF SUBSTANTIAL COMPLETION
00626-2