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Home My WebLink AboutFYI CO No. 2_Deduct to 19-20-A2_Complete Services Well Drilling for Saratoga Wells TLS 0,0 COUN?y Clay County Utility Authority Working together to protect 3176 Old Jennings Road public health,conserve our Middleburg,Florida 32068-3907 natural resources,and f � Telephone(904)213-5999 create long-term value for 4 j1,y AU'$ our ratepayers. Facsimile (904)213-2498 Change Order No.: 2 Date: June 28,2022 Project: Saratoga Springs Plant Site Well Construction CCUA Bid No.: 19/20-A2 CCUA Project No.: 1128-002 Vendor: Complete Services Well Drilling,Inc. Owner: Clay County Utility Authority 9785 Well Water Road • Jacksonville,FL 32220 (904)693-8635 Engineer of Record: CDM Smith,Inc. 4651 Salisbury Rd,Suite 420 Jacksonville,FL 32256 (904)731-7109 CONTRACT TIMES ORIGINAL PREVIOUS CO CURRENT CO NTP 11/2/2020 DAYS ADD 0 0 SUB.COMP. 550 5/6/2022 5/6/2022 FINAL COMP. 580 6/5/2022 6/5/2022 INCREASE OR DECREASE IN III.M DESCRIPTION OF CHANGE(S) QTY. UNIT PRICE CONTRACT PRICE 4g Contract Increase Contract Decrease I . Unused contract allowance items ($13,400.00) TOTAL INCREASE $0.00 TOTAL DECREASE ($13,400.00) NET CHANGE RESULTING FROM THIS CHANGE ORDER ($13,400.00) ORIGINAL CONTRACT PRICE $819,780.00 Net Increases by Change Orders(prior to this change order) $3,936.50 Net Decreases by Change Orders(prior to this change order) $0.00 Total Net Change by Change Orders(prior to this change order) $3,936.50 CONTRACT PRICE PRIOR TO THIS CHANGE ORDER $823,716.50 NET CHANGE RESULTING FROM THIS CHANGE ORDER ($13,400.00) CONTRACT PRICE INCLUDING THIS CHANGE ORDER $810,316.50 This document shall become an amendment to the contract and all provisions of the contract will apply hereto. Accepted by: Date: (p/Zq IZ Z Vendor Accepted by: Torsi L. Sho-e vW.aacet' Date: 6/29/22 �)NIICI' SECTION 00660 Change Order Request Form Complete Services Well Drilling, Inc. Contractor Name and Title Cost Break Down Form: (instructions: use a se arate form for each individual work item) Labor Materials Equipment $ Maintenance of Traffic _ $ Bonding General Conditions $ Overhead and Profit $._ Total firm fixed cost not to exceed amount: $ �� Note: attached supporting documentation RFI No. initiating the change: N/A Description: Deduct for unused contract allowance items(Item 4 on SOV). Justification for the request: Thirteen thousand, four hundred and no/100 (deduct) State the firm fixed cost not to exceed amount in words: Contractor Signature. —. Date: (o/Ze f ZZ Printed Name: L . zE j Title: E.��C N E1Z 00660-2 CCUA Project No.11213-002 CDM Smith Project No.259364-240363 CHANGE ORDER REQUEST FORM Saratoga Springs Plant Site Well Construction February 2020 SECTION 00660 Change Order Request Form Project: Saratoga Springs Plant Site Well Construction Project No.: 1128-002 Change Order No.: 2 Change in Contract Times • (Days) • (Days) Original Contract time: Substantial Completion: 550 Ready for Final Payment: 580 Increased from previous C.O.: Substantial Completion: 0 Ready for Final Payment: 0 Decreased from previous C.O.: Substantial Completion: 0 Ready for Final Payment: 0 Contract time prior to this C.O.: Substantial Completion: 0 Ready for Final Payment: 0 Increase in time on this C.O.: Substantial Completion: 0 Ready for Final Payment: 0 Decrease in time on this C.O.: Substantial Completion: 0 Ready for Final Payment: 0 Contract time with all approved C.O.s: Substantial Completion: 550 Ready for Final Payment: 580 Change in Contract Price Original Contract Price: $819,780.00 Increased from previously approved C.O.: $3,936.50 Decreased from previously approved C.O.: $0 Increase in Contract price this C.O.: $0 ' Decrease in Contract price this C.O.: ($13,400.00) Contract price with all approved C.O.s: $810,316.50 The undersigned Contractor certifies to the best of my knowledge and belief: (1) all items and amounts shown above are correct; (2) all Work performed and Reimbursable Expenses fully comply with the terms and conditions of the Contract Documents; (3) all previous progress payments received from Clay County Utility Authority (CCUA) , on account of Work done under the Contract referred to above have been applied to discharge in full all obligations of Contractor incurred in connection with Work covered by prior Applications for Payment; (4) title to all materials and deliverables incorporated in said Work or otherwise listed in or covered by this Application for Payment will pass to the CCUA at the time of payment clear of all liens, claims, security interests and encumbrances; (5) payment is due and has not been previously requested for these amounts; (6) no markup has been applied to reimbursable expenses. 00660-1 CCUA Project No.1128-002 CDM Smith Project No.259364-240363 CHANGE ORDER REQUEST FORM Saratoga Springs Plant Site Well Construction rebniary 2020 Item 4-Allowance on Quantity Unit Cost ACmounttract Actual Complete Actual Cost w Contractor's provision for equipment standby time 24 $ 100.00 $ 2,400.00 0.00 $ - x Contractor's provision for equipment and crew standby 24 $ 250.00 $ 6,000.00 44.00 $ 11,000.00 time y Installation of additional feet of 16" casing(includes drilling,setting, and grouting,ft) 50 $ 58.00 $ 2,900.00 0.00 $ - z Installation of additional feet of 12" casing(includes drilling,setting, and grouting,ft) 50 $ 50.00 $ 2,500.00 0.00 $ - as Installation of additional feet of 8" casing(includes drilling,setting, and grouting,ft) 50 $ 50.00 $ 2,500.00 0.00 $ - bb Unstable subsurface zone during drilling(installation of additional grount, c.y.) 10 $ 500.00 $ 5,000.00 0.00 $ - cc Unstable subsurface zone during drilling(installation of additional gravel, c.y.) 5 $ 500.00 $ 2,500.00 0.00 $ - CO#1 Adder for WelISS-1 and SS-2 24"surface casing over 100 10 $ 233.65 $ 2,336.50 10.00 $ 2,336.50 CO#1 Adder for Well 1-SS surface casing 8 $ 200.00 $ 1,600.00 5.00 $ 1,000.00 $ 27,736.50 $ 14,336.50 Difference $ 13,400.00 CLAY COUNTY UTILITY AUTHORITY cc �` MEMORANDUM �T�AUTH� DATE: June 24, 2022 TO: Department Leadership Team Interested Stakeholders FROM: Jeremy D. Johnston, MBA, PE, Executive Director RE: Vacation from June 27 through July 1, 2022 Beginning Monday, June 27, 2022, I will be out of the office on vacation. I will not be available. Teri Shoemaker, PE, Chief Operations Officer will act on my behalf while I am away on vacation. I will return to the office on Tuesday, July 5, 2022. In accordance with the Clay County Utility Authority's Enabling Legislation, created by the Florida Legislation, Chapter 94-491, House Bill 2299, recorded in the Public Records of Clay County, Florida, in Official Records Book 1524, pages 1798-1836, as the acting Executive Director,I, Jeremy D. Johnston,hereby confirm that Teri S. Shoemaker is hereby authorized to act on my behalf,with regards to signing any documents associated with the legal business of the Clay County Utility Authority, which I would otherwise be authorized to sign during the above- referenced period. I expect all of you to conduct CCUA business as usual and as the dedicated professionals you are. Please feel free to contact me or any member of the Senior Leadership Team if you have any questions. I hope all of you enjoy a relaxing and safe July 4th holiday. Jeremy D. Johnston, MBA, PE Executive Director of the Clay County Utility Authority cc: File Kimberly Richardson, Chief Human Resources Officer Jeff Wesselman, CPA, Chief Financial Officer Teri Shoemaker, PE, Chief Operations Officer Paul Steinbrecher, PE, Chief Engineer