#16-7011 (Change Order #1) Procurement Services
Col ler COHOIT,Y Change Order Form
Contract Modification 0 Work Order Modification 0 Amendment
Contract#: 16-7011 I Change#; 1 Purchase Order#: 4500185272 Project#: 66066.14
Contractor/Firm Name: CH2M Hill Engineers,inc.(Jacobs) Contract/Project; Palm River Boulevard Bridge Replacement
Project Manager Name: Mario A.Puente Division Name: Transportation Engineering Division
Original Contract/Work Order Amount $ 580,680.00 119/18 tfiA10 Original BCC Approval Date;Agenda item#
Current BCC Approved Amount $ 560,680.00r 1/9118 1OA1 6 Last BCC Approval Date; Agenda Item#
Current Contract/Work Order Amount $ 560,680.00 SAP Contract Expiration Date(Master)
Dollar Amount of this Change $ 0.00 0.00% Total Change from Original Amount
Revised Contract/Work Order Total $ 560,680.00 0.00% Change from Current BCC Approved Amount
Cumulative Changes $ 0.00__ 0.00% Change from Current Amount
Completion Date,Description of the Task(s)Change,and Rationale for the Change
Notice to Proceed 3/5/2018 Original 5/29/2019 Last Approved 5/29/2019 Revised Date 5/28/2021 L`
Date Completion Date Date / (Includes this change)
#of Days Added 730 Select Tasks ❑Add new task(s) ❑Delete task(s) ❑Change task(s) ►;,,4 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/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. This change order is to add an additional 730 days to the project schedule. Per Articles 3.8-"Post Design Services"and
3.12-"Other Project General Tasks"of the project's Scope of Work,the Consultant shall provide services during
construction which include bidding assistance,construction meeting preparation and attendance,construction assistance,
field reviews,response to contractors requests for information,shop drawing review,survey services,as-built drawing reviews
and project completion certifications.
2, The additional days requested for services during construction were not included in the original contract lime because the
construction schedule for the project was not known at the time the original contract was executed.The intent was to add
sufficient contract time once the County determined a construction schedule for the project.
3. If this modification is not processed for time,the Consultant will not have a contract mechanism to provide the previously
contracted services during construction and will not be able to assist County staff as necessary during the planned
construction of the project.
Prepared b _ �— Date: � J'.�
47
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Mario A:Puente P.E.,CGC ,Senior Project Manager
Revised;10/28/2014 (Divisions who may require additional signatures may Include on separate sheet.) PROCUREMENT USE ONLY
Admint BCC ES
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Acceptance of this Change Order shall constitute a modification to contract/work order identified 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 _ A�J�� �Ac a e Date_4/g /i 9
(Contractor/Vendor/Consultant/Design Professional and Name of Firm,if project applicable)
A A,/if, '//• 1
Approved by 1 ..r•r ^ate:"'T]r4 f
Jay ;+'`a•,Divi ,•,Director
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Approved by: �� �� (.? Date:-_�1.I'C\ c
Thacdeus Cohen,Department Head
Digitally signed by
SchneebergerSara Schneebergersara
Date:2019.04.12 14:26:08-04'00'
Approved by: Date:
(Procurement Professional)
�C BOARD OF C l NTY COMMISSIONERS
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Revised.10/28/2014 (Divisions who may require additional signatures may include on separate sheet) ( PRO
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