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Home My WebLink About15.c FYI CO #1 Fleming Island BCR A*1 C N , Clay County Utility Authority 3176 Old Jennings Road Working together to protect public health,conserve our Middleburg,Florida 32068-3907 natural resources,and �.y Telephone(904)213-5999 create long-term vahieJor our ratepayers. Facsimile (904)213-2498 Change Order No.: 1 Date: 11/14/2024 Project: Fleming Island WRF Neutralizer Building CCUA Bid No.: 22/23-A l0 CCUA Project No.. 2203-136 Vendor: Petticoat-Schmitt Civil Contractors,Inc. Owner: Clay County Utility Authority 6380 Phillips Hwy Jacksonville,Fl (904)693-2190 Engineer of Record: J.Collins Engineering Associates,LLC. 12412 San Jose Blvd.,Suite 204 Jacksonville,FL 32223 (904)262-4121 ORIGINAL CONTRACT TIMES ORIGINAL PREVIOUS CO CURRENT CO NTP 12/4/2023 DAYS ADD SUB.COMP. 365 12/3/2024 FINAL COMP. 395 1/2/2025 INCREASE OR DECREASE IN ITEM DESCRIPTION OF CHANGE(S) QTY. UNIT PRICE CONTRACT PRICE ,Contract Increase Relocate WAS pump,install with piping at wetwell,and 1 reconnect underground force main 1 $46,841.64 $46,841 64 Contract Decrease tOTAL INCREASE $46,841.64 TOTAL DECREASE $0.00 NET CHANGE RESULTING FROM THIS CHANGE ORDER $46,841.64 ORIGINAL CONTRACT PRICE $3.331.182.00 Net Increases by Change Orders(prior to this change order) $0.00 Net Decreases by Change Orders(prior to this change order) $0.00 Total Net Change by Change Orders(prior to this change order) $0 00 CONTRACT PRICE PRIOR TO THIS CHANGE ORDER $3,331,182.00 NET CHANGE RESULTING FROM THIS CHANGE ORDER $46,841.64 CONTRACT PRICE INCLUDING THIS CHANGE ORDER $3,378,023.64 This document shall become an amendment to the contract and all provisions of the contract will apply hereto Accepted by: Date: 11/14/24 Engineer o Record AM petticoat DgdeOy signed by Anastasia Boytl CAC Contact abcy4[DMltito0l�cMntl c:r, Accepted by: schmi t Da 16043,LSUO Date: Vendor ,/` Accepted by: Date: zoZ'[_l` '1 4 w •r SECTION 00660 Change Order Request Form Project: Fleming Island _ Project No.: 23200 Bid No: 22/23 A16 Change Order No: 005 Change in Contract Times (Days) (Days) Original Contract time: Substantial Completion: 365 Ready for Final Payment: 395 Increase 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 apprved C.O.s: Substantial Completion: 365 Ready for Final Payment: 395 Change in Contract Price Original Contract Price: $ 3,331,182.00 Increased from previously approved C.O.: $ - Decreased from previously approved C.O.: $ - Increase in Contract price this C.O.: $ 46,841.64 Decrease in Contract price this C.O.: _ Contract price with all approved C.O.s: $ 3,378,023.64 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. Anastasia Boyd- Project Manager Contractor Name and Title Cost Break Down Form: (instructions: use separate form for each individual work item) Description Unit Quantity Unit Cost Extended Cost Subcontractor SUM 1 $ 8,515.00 _ $ 8,515.00 Materials SUM 1 $ 17,644.00 _ $ 17,644.00 Labor and Equipment SUM 1 $ 28,000.00 _ $ 28,000.00 SWA allowance SUM 1 $ (15,000.00) $ (15,000.00) Deductions and Additions SUM 1 $ (168.00) $ (168.00) Bonding SUM 1 $ 578.29 _ $ 578.29 General Conditions SUM 1 $ - _ $ - Overhead and Profit SUM 1 $ 7,272.35 $ 7,272.35 Total firm fixed cost not to exceed amount: $ 46,841.64 Note:attach supporting documentation RFI No. Initiating the change: RFI-018 Description: Change order for WAS pump relocation with several portions self-performed by CCUA( See Cover Letter) Justification for the request: Please see PSCC cover letter: COR 005 -WAS Relocation and Permit Additions Pipe Removal. State the firm fixed cost not to exceed amount in words: Forty six thousand eight hundred forty one dollars and sixty four cents _— petticoat Digitally signed by Anastasia Boyd,CAC Contact Info:aboyd@petticoatschmitt.com Contractor Signature: r= sch m itt Date:2024.11.12 16:32:52-05'00' Date: 11/12/2024 Printed Name: Anastasia Boyd Title: Project Manager