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Home My WebLink About14.b FYI FI WRF Neutralizer Building - Petticoat-Schmitt CO #2 Change Order Request Form Project: CCUA Fleming Island WRF Neutralizer Building PO Number 2203-136 Time Extension Change Order No: 4 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: 365 Ready for Final Payment: 395 Increase in time on this C.O.: Substantial Completion: 157 Ready for Final Payment: 157 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: 522 Ready for Final Payment: 552 Change in Contract Price Original Contract Price: $ 3,331,182.00 Increased from previously approved C.O.: $ 46,841.64 Decreased from previously approved C.O.: $ - Increase in Contract price this C.O.: Decresase 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 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 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. Adithyan Parthasarathy-Assistant Project Manager Petticoat Schmitt Civil Contractors, Inc Cost Break Down Form: (instructions: use separate form for each individual work item) Description Unit Quantity Unit Cost Extended Cost Subcontractor SUM 1 $ - Labor SUM 1 $ - $ - Materials SUM 1 $ - $ - Equipment SUM 1 $ $ - Maintenance of Traffic SUM 1 $ - $ - Bonding SUM 1 $ ------ ---- - $ - General Conditions SUM 1 $ - $ - Overhead and Profit SUM 1 $ - $ - -----------------------= 4.--- ------------------- Total firm fixed cost not to exceed amount: - $ - Note:attach supporting documentation RFI No. Initiating the change: Description: Change order request for time extension due to permit delays and WAS relocation and communications Justification for the request: Refer PSCC Cover Letter State the firm fixed cost not to exceed amount in words: Contractor Signature: Adithyan Parthasa�atry!r;M,, � —°'"°° Date: 4/8/2025 Printed Name: Adithyan Parthasarathy Title: Assistant Project Manager CO Worksheet Description Quantity Unit Price Cost Subcontractor Cost $ Subtotal S Labor Cost Subtotal $ Material Cost S Subtotal $ Equipment Cost Maintenance of Traffic Cost $ $ Subtotal $ General Conditions Subtotal $ Overhead and Profit Subtotal 1 $ - Subtotal Base Cost $ Bonding TOTAL COST I - !� Clay County Utility Authority Working together to protect r _ 3176 Old Jennings Road public health,conserve our l` ^ Middleburg,Florida 32068-3907 natural resources,and Telephone(904)213-5999 create long-term value for our ratepayers, Facsimile (904)213-2498 Change Order No.: 2 Date: 4/8/2025 Project: Fleming Island WRF Neutralizer Building CCUA Bid No.: 22/23-A 10 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 157 SUB.COMP. 365 12/3/2024 5/9/2025 FINAL COMP 395 1/2/2025 6/8/2025 INCREASE OR DECREASE IN I FI M 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 I utal 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: 6/31 Date: 4/8/25 Engincc Record t Accepted by: t• ��' Date: L 14 ZS Ve •Velp Accepted by �� .`�—= '1.111.11 Date 2 ' —'p `—Z I Ow le grin petticoat r� sch m itt April 08,2025 Via Email Ms. Heather Cavanagh, PE Project Manager Clay County Utility Authority 3176 Old Jennings Road Middleburg, Florida 32068 RE: Change Order Request#004—Permit Delay Time Extension—R5 Fleming Island WRF Neutralizer Building, 1770 Radar Road, Fleming Island, 32003 CCUA Project No. 2203-136 PSCC Project No. 23200 Dear Ms. Cavanagh, Please allow this letter and supporting documentation to serve as Change Order Request#004 for the above referenced project. Background COR—004—R1(7/31/2024)-PSCC had requested 84 calendar days as a part of COR#004-Time Extension. (Refer Change Order Request#004- R1). CCUA wanted to wait till the end of the project to determine the actual days required to complete the project before approving a time extension. COR—004—R2(11/21/2024)—PSCC had requested 91 calendar days as a part of COR#004-Time Extension. (Refer Change Order Request#004-R2). Additional days were requested due to the change in scope covered in COR 005—WAS Relocation. CCUA still wanted to wait till the end of the project to determine the actual days required to complete the project before approving a time extension COR—004—R3(12/13/2024)-CCUA has requested for the P6 schedule actualized till end of November to re-evaluate the number of days required for successful completion of the project. PSCC requested 85 days after making edits to the schedule removing BCR FAT A and FAT B testing.Also, PSCC had an in- person meeting with CCUA on 1/17/25 to review the change order.CCUA has sent a response letter asking PSCC to provide acceptable documentation for the cost incurred during the delay. COR-004—R4(02/27/25) Reference to the response letter from CCUA, PSCC attached a revised cost and associated breakup for the cost incurred during the permit delay period. Note: PSCC had removed the cost incurred due to the delays associated with WAS relocation and the WAS communication issues. P6 schedule additions: Since PSCC started experiencing difficulties from the county building permit department similar to the initial permit approval phase to get FEMA B approved,we had added (4) more weeks to the "Final Inspections and COO" activity so that we do not request more time in the future. 6380 Philips Highway P 904.751.0888 Jacksonville,Florida F 904.751.0988 32216 petticoatschmitt.com petticoat r� sch m itt COR—004-R5(Present) CCUA has covered the cost associated with the delay using SWA allowance. PSCC requests a time extension of(157) calendar days to the project schedule and requests CCUA to revise Substantial Completion to 05/09/2025 and Final Completion date to 06/09/2025,to successfully complete the project. Sincerely, Adithyan Parthasarathy Assistant Project Manager PETTICOAT-SCHMITT CIVIL CONTRACTORS, INC. Phone: (904)612-4076 Email: aparth@Jpetticoatschmitt.com Cc: Jeff Rumer, PSCC Vice President (jrumer@petticoatschmitt.com) Anastasia Boyd, Project Manager(abovd@petticoatschmitt.com) Jodi Marson, PSCC Project Coordinator(JMarson@petticoatschmitt.com) John Collins, Engineer of Record,J. Collins Engineering Associates, LLC (john@jcollinsengineering.com) 6380 Philips Highway P 904.751.0888 Jacksonville,Florida F 904.751.0988 32216 petticoatschmitt.com Attachment 13 — I_:xiktioLl (1I' I'rojccl Re(lucst Change Request Form Date Submitted 4-8-25 Project Information Project Manager Name Joe Paterniti Project Name/Numbers 2203-136 (2101ORR) Fleming Island Regional WRF - 2nd BCR Plant Project Description Change Information Project duration was extended to to various delays including: Issue Prompting Change Building Permit Delay—84 days WAS Communication and Switch Delay—45 days FEMA B,Final Inspections and obtaining COO from Building County—28 days Requested change to Requesting an additional 157 days to complete contract. Substantial address Issue Completion date; March 27, 2025; Final Completion Date,April 26,2025 Change Urgency Red x Yellow Green Change Analysis Project Impacts Scope None Budget None Schedule 157 Days Team Impacts None Other Benefits None ACE or MCA;t ►' ACE or MCI AK �$ Recommendationsr e— der- Approvals Approver Si ture Date Chief Engineer / - �! — 2 Chief Financial Officer 4— icJ -a f Executive Dir = zo _ Chief Operating Officer / 7 -2 * Refer to the CCUA engin g a n project change management process for instructions. CIP Initiation Process February 26, 2025 Certificate of Substantial Completion Clay County Utility Authority Project Name Fleming Island WRF Neutralizer Building CCUA Project No. 2203-136 Project Location 1770 Radar Road Contractor Petticoat Schmitt Project designated for Substantial Completion shall include(list any exceptions,attach punch list of deficient Items): See Attached List Date of Substantial Completion Contractor's Acceptance The date of Substantial Completion of the Project or portion The Contractor will��lete or correct the Items on the attached list designated above is the date of issuance established by this of Defective,incomplete,or unacceptable Work within 30 days from Certificate,which Is also the date of commencement of applicable the date of Substantial Completion_ warranties required by the Contract Documents except warranties identified on a separate Certificate of Warranty Commencement Name Pt L i'litki_r.a1 R41 V405—%c.&.7.a March 27, 2025 sgAN't'' A <{i 2115 Date of issuance Signature Date Engineer's Certification Owner's Acceptance Work performed under this Project or portion designated above has The Owne accepts the Project or portion designated above as been Inspected and found,to the Engineer's best knowledge, Substentiai,y Complete and will commence ocxvpancy/use. Information,and belief,to be Substantially Complete, Name John Collins Name Heather Cavanagh Qtc.C.e, 3/27/25 i \5 —( 'S/t/ZJ' Signature Date Signature Date Project No.2203-138 Project Closeout-01700-5 January 2023 Fleming Island WRF Neutralizer Building