#13-6164 Change Order #1 (Q. Grady Minor) •
as, .
Procurement Services
vet.minty Change Order Form
0 Contract Modification ®Work Order Modification 0 Amendment
Contract#: 13-6164 Change#: 1 Purchase Order#: 4500168179 Project#: • 90093
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Contractor/Firm Name: Q. Grady Minor&Associates,P.A. Contract/Project: Tigertail Beach Restroom Addition
Leandro A.Goicoechea Parks&Recreation
Project Manager Name: Division Name:
Original Contract/Work Order Amount . c$ :':1;x;263.00 4l_f2/ ,-'1
1& 6,D 2.; iOriginal BC Approval Date;Agenda Item# :
Current BCC Approved Amount '$ _19r263,DO' 4;112x1646 D;&! Last BCC Approval Date; Agenda Item # •
Current Contract/Work Order Amount $ 1 S 263:60 318/2019', SAP Contrast Expiration Date(Master)
Dollar Amount of this Change :$ ' 5 683.00 29.50% Total Change from Original Amount
Revised Contract/Work Order Total $ ; 24,946.00 29.50% Change from Current BCC Approved Amount :.
Cumulative Changes $ 5,683.00 29.50% Change from Current Amount I j
'404....,; ,-,,, ,.,,,-, viii bi Dale Des t ro of t 4-Fei:sk S ange,andRationale ii itT C�ha`iiige }. — i
Notice to Proceed 06/21/2016 Original 8/20/2017 Last Approved 4/12/2016 Revised Date 8/20/2017
Date Completion Date Date (Includes this change)
#of Days Added 0 Select Tasks; ®Add new task(s) 0 Delete task(s) 0 Change task(s) 0 Other(see
below) •
Provide a response to the following:1.)detailed and specific explanation/rationale of the requested change(s)to the task(s)and 1 or .
the additional days added(if requested);2.)why this change was not included in the original contract;and,3.) describe the impact
if this change Is not processed. Attach additional information from the Design Professional and/or Contractor if needed. ..
1) After a meeting with Marco Island city officials it was determined that the Tigertail Beach Restroom addition will be constructed •
seaward of the Coastal Construction Control Line (CCCL) so a new Florida Department of Environmental Protection Coastal
Construction Control Line(FDEP CCCL)permit for major structures will be necessary. Also because of its location seaward of the
CCCL,a new Marco Island CCCL variance and Flood Variance(FV)will be necessary. To acquire the permit and variance a total
of$5,683.00 is being added to the work order for additional work as described in the attachedquote. The following modifications
are being executed.
Action to Task Description Amount New Task Total
Increase 1 Project Commencement and Survey $ 228.00 $1,999.00
Add Task 1A Building Coordination $4,452.00 $4,452.00
Decrease 2A Variance Application -$ 246.00 $2,744.00,
Increase 2C Public Hearings - $ 294.00 $1,883.00
Increase 4A Bidding $ 615.00 $1,691.00
Increase 4B Construction $ 340.00 $3,640.00
2) This change was not included in the original contract because it was assumed that a previously:acquired permit and variance was
able to be used for this project,and has since been proved otherwise by Marco Island officials.
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3) If this change is not processed,the resulting construction to the Tigertail Beach Restrooms will be non-compliant with Marco
Island code and could require additional funds,at a later date,to bring this structure up to compliance: •
Prepared by:Leandro A. Goicoechea,Facilities Management Division / // s.' -' te: `/ / /
(Project Manager Name and Division) / 0 .14°P
,
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Acceptance of this Change Order shall constitute a modification to c.- ract I work order ii ntified above and will be subject to all the same
terms and conditions as contained in the contract/,work order indicated above,as fully as if the same Were stated in this acceptance. The
adjustment,if any,to the Contract shall constitute a full and final settlement of any and all claims of the Contractor/Vendor/Consultant/
Design Professional arising out of or related to the change set forth herein,including claims for impact and delay costs:
Accepted by: �/� Date:
(ContractorctI V. '•C Consultant/Design Professional and Name of Firm,if project applicable)
Approved by: ""'f /44;:L1L\ b4.\,.14.. ®L.Cs•.. "A,...- Date: ct ii.54/(-I I
(Design Pr f ' nal nd Na, e • if project applicable) (�
Approved by: _ Date: �//C--/ G
(Pro-65 ement Professional)
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Revised:10/28/2014 (Divisions who may require additional signatures may include on separate sheet.) PROCUREMENT USE ONLY
Admin Rp! BCC ES •
IN WITNESS WHEREOF, Q Grady Minor and Associates, F.A., and the County, have each,
respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year
first above written.
BOARD OF COUNTYCOMMISSIONERS
ATTEST: COLLI ' COUNTY, FLORIDA
Dwigh E.Brock,CI of Courts
I lac,
By:
'" Donn. Fiala,Chairman
Dated ' t Q cell I I ,
(S AL)'A est as to Chairman's
Iiiiii oliiislgna#lire only. Q GRADY MINOR& ASSOCIATES,P.A.
By: "L'Lc. C:=-22-g-
Firs Witness Signature
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TType/print vitne namet TType/print signature and titleT
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Second
2/JSecond Witness
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TType/print witness nameT
Approved as to Form and Legality:
• �l i f qvi)y/ak_j_____.
ssis ant County Attorney
Change Order#1
16-6164-Work Order 4500168179
Tigertail Beach Restroom Addition 6