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#09-5187 (Page Amend #1) CONTRACTIWORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: On Call Mechanical Contractor PROJECT #: _N/A_ PROJECT MANAGER:Damon Gonzales_ BID/RFP #: 09-5187 MOD #: PO#:_N/A WORK ORDER #:_N/A DEPARTMENT: Facilities Mana ement CONTRACTOR/FIRM NAME: Pa e Mechanical Grou Original Contract Amount: $ N1A (Starting Point) Current Contract Amount: $ N/A (Last Total Amount Approved by the BCC) $ N/A (Including All Changes Prior To This Modification) Current BCC Approved Amount: Change Amount: $ N/A Revised ContractJWork Order Amount: $ N/A (Including This Change Order) Cumulative Dollar Value of Changes to this ContractJWork Order: $ N/A Date of Last BCC Approval_619/09 Agenda Item # _16. E.2 Percentage of the change over/under current contract amount--= 0- Formula: (Revised Amount I Last BCC approved amount)-1 % CURRENT COMPLETION DATE (S): ORIGINAL: CURRENT: This change order will: 0 Add a new Task for $ o Increase Task Number by$ Other Describe the change(s):_ To add language to allow for lump sum quotes. Specify the reasons for the change(s) x 1. Planned or Elective r 2. Unforeseen Conditions r 3. Quantity Adjustments r 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added r. 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative impacts to the project if this change order were not processed: Time and material projects put the County at more risk than lump sum pricing. This change was requested by: r1Contractor/Consultant x Owner rI Using Department r CDES rDesign Professional r1Regulatory Agency (Specify) r Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: x Yes r No Date: C) -(- c9 c;-c/~o9 APPROVED BY: REVIEWED BY: Date: Revised 6 18 09 This amendment, dated , 2009 to the referenced agreement shall be by and between the parties to the original Agr ent, Page Mechanical Group, Inc. (to be referred to as "Contractor") and Collier County, Flori~~~ be referred to as "Owner"). EXHmIT A-I Contract Amendment 1 Contract # 09-5187 "On-Call Mechanical Contractort' Statement of Understanding RE: Contract # 09-5187 - "On-Call Mechanical Contractor" In order to continue the services provided for in the original Contract document referenced above, the Contractor agrees to amend the above referenced Contract as follows: Wording deleted are shows as struck threugh, wording added is shown as underlined. Item 3, The Contract Sum, shall be changed as follows: 3. THE CONTRACT SUM: For non-emergency or emergency work, the Contractor will be paid on either a time and material basis in accordance with Exhibit "A", attached hereto and made an integral part hereof, or by lump sum. as submitted on the Contractor's quotation. All other tenns and conditions of the agreement shall remain in force. IN WITNESS WHERE OFt the Contractor and the County have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date(s) indicated below. Accepted: (2(fI"" d f ;/ (, . 2009 CONTRACTOR: O~R: Page Mechanical Group, Inc. 17 By: I~/ Cd '10..- ~ BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA By: ~~ 1 c-- Damon Gonzales;Project Manager David S. Flammia, Vice President DEPARTMENT DIRECTOR BY:~~ IpC p DIVISION ADMlNISTRA TOR By: Y&i~()oU~;'.... f)~ 812s/t)C} Len Pri~ CONTRACT SPECIALIST ~ By '-':~~l' >71 Yd . Lyn . ood