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WATER TREATMENT PLANTS 1 AND 3 WELLFIELD EXPANSION PHASE 1 - WELL INSTALLATION - PROJECT NO. 07-0037-UT - ADMINISTRATIVE CHANGE ORDER #1h 4 -11 ADMINISTRATIVE CHANGE ORDER 1 DATE: JUNE 29, 2010 PROJECT: WATER TREATMENT PLANTS 1 & 3 WELLFIELD EXPANSION PROJECT NUMBER: 07-0037-UT PROJECT PHASE I - WELL INSTALLATION CONTRACTOR: SOUTHEAST DRILLING SERVICES, INC. P.O. Box 2764 Lutz, Florida 33548 PO REFERENCE NO.: ST 105155 COUNCIL AWARD: JANUARY 15 2009 DATE OF CONTRACT: JUNE 15, 2009 CODE: 0376-96764563800-533-000-0000 A 0376-%763-563800-533-000-0000 B 0376-%764-563800-533-000-0000 C 0376-96764-563800-533-000-0000 D 0376-96763-563800-533-000-0000 E 0376-%763-563800-533-000-0000 F 0376-96764-563800-533-000-0000 G 0376-96763-563800-533-000-0000 H SCOPE OF CHANGE: THIS CHANGE ORDER ACCEPTS REVISIONS TO THE CONTRACT This Change Order is to delete Well 52 R and Well 69 Rehab, add new Well 69R, demolition and abandonment of Well 69, upsizing pump and piping at Well 1-3, add 8" liner at Well 3-4, acidize Well 3-5, and add 59 days to the contract. See attached sheets for quantities and additional items. STATEMENT OF CONTRACT AMOUNT ACCEPTED BY: PO ST105155 CO I - Admin - CM - New PO Amount PO ST105869 PO ST105868 New PO Amount ORIGINAL CONTRACT AMOUNT CO 1 - Admin - CM NEW CONTRACT AMOUNT PINEL S COUNTY, FLORIDA William B. Horne, Il City Manager APPROVED AS TO FORM: + r Leslie Dougall-Sides Assistant City Attorney $ 3,329,629.20 $ 145,263.33 $ 3,474,892.53 $ 152,499.20 $ 37,151.60 $ 189,650.80 $ 3,519,280.00 $ 145,263.33 $ 3,664,54333 By: Job: Datt Witnesses: Recommended By: City of rwater Lan-Anh Nguyen, PE Project Manager Michael. D. Quillen, P.E. City Engineer CITY OF CLEARWATER, in Page 2 of 3 RE: Administrative Change Order 1 ITEM DESCRIPTION Code C:0376-96764-563800-533-000-0000 Decreases 52R: I Mobilization / Demobilization 52R: 2A Test / Production Well 52R: 2B Perform continuous split spoon, drill 24-inch diameter boreholes, furnish and install 18-inch diameter steel casing (0.25'), and furnish and emplace cement grout around the perimeter of the 18" casing 52R: 2C Drill 18-inch diameter borehole 52R: 2D Furnish and install 12-inch diameter Sch. 40 PVC casing, and furnish and emplace cement grout to land surface around the perimeter of the 12" casing 52R: 2E Drill 12-inch diameter borehole 52R: 3 Site Work 52R: 4A Install Well Pump, Piping, Valve, Meter, and Appurtenances 52R: 4B Vertical discharge Pipe 52R: 5 Production Well Pump and Motor (ODP) 52R: 6 Control Valve Actuator and Control Valve (ODP) 52R: 7 Flow Meter (ODP) Additions: 1-3 :8 Upsizing Pump and Piping QUANTITY UNIT COST TOTAL COST 0.95 LS 9,500,00 (9,000.00) 1 LS 20,000,00 (20,000.00) 23 VF 200.00 (4,600.00) 15 VF 100.00 (1,50000) 39 VF 75.00 (2,925.00) 100 VF 30.00 (3.000,00) 1 LS 13,000.00 (1.3,000.00) 1 LS 93,000.00 (93,000,00) 46 VF 90.00 (4,140-00) 1 LS 9,000.00 (9,00(1,00) 1 LS 12,500.00 (12,500.00) 1 LS 3,000.00 (3.000-00) Total (Decreases) Code C: ($175,665.00) I LS 68,489.44 68,489.44 Total Net (Decreases)/Additions Code C: ($107,175.56) Code E: 0376-96763-563800-533-000-0000 Decreases: 69:1 Mobilization /Demobilization 1 LS 5,000.00 (5,000.00) 69:13 Rehabilitate Well 1 LS 15,000.00 (15,000.00) 69:3 Site Work I LS 13,000.00 (13.000-00) 69:4A. Install Well Pump, Piping, Valve, .Meter, and 0.99 LS 30,000.00 (29,760.00) Appurtenances 69: 4B Vertical discharge Pipe 113 VF 90.00 (10, 1 70.00) 69:5 Production Well Pump and Motor (ODP) 1 LS 9,000.00 (9,000.00) 69:6 Control Valve Actuator and Control Valve 0.2468744 I'S 12,500.00 (3,085.93) (ODP) 69:7 Flow Meter (ODP) 023009 LS 3,000.00 (690-27) Total (Decr eases) Code E: (85,706.20) Additions: 3-4: 8 Installation of Liner 1 LS 26,126.61 26,126.61 3-5: 8 Acidizeation of Well 1 LS 19,130.00 19,130.00 69R: 1 Mobilization / Demobilization 1 LS 9,500.00 9,500.00 69R: 2A Test / Production Well 1 LS 20,000.00 20,000.00 69R: 2141 Continuous Split Spoons 96 VF 20.00 1,920.00 69R:2B2 Drill 24-inch diameter boreholes, furnish and 85 VF 180.00 15,300.00 install 18-inch diameter steel casing (0.25'), and furnish and emplace cement grout around the perimeter of the 18" casing 69R: 2C Drill 18-inch diameter borehole 20 VF 100.00 2,000.00 69R: 2D Furnish and install 12-inch diameter Sch. 40 PVC casing, and furnish and emplace cement grout to land surface around the perimeter of the 12" casing 69R: 2E Drill 12-inch diameter borehole 69R. 3 Site Work 69R: 4A Install Well Pump, Piping, Valve, Meter, and Appurtenances 69R: 4B Vertical discharge Pipe Page 2 of 3 RE: Administrative Change Order 1 ITEM DESCRIPTION 69R: 5 Production Well Pump and Motor (ODP) 69R: 6 Control Valve Actuator and Control Valve (ODP) 69R: 7 Flow Meter (ODP) Abandonment of Well 69 69A: 1 Mobilization, SWFWMD Well Abandonment Permit 69A: 2 Remove Existing Concrete Pad, Piping and Appurtenances (Above and Below Ground), Antenna, Fence, Electrical Panels and Conduits 69A: 3 Well Abandonment per SWFWMD 69A: 4 Site Restoration 69A: 5 Miscellaneous pipe fittings & valves 69A: 6 Well and Pump Panels 69A: 7 SED Services 69A:8 Electrical 105 VF 75.00 7,875.00 145 VF 30.00 4,350.00 1 LS 13,000.00 13,000.00 1 LS 113,774.75 113,774.75 100 VF 90.00 9,000.00 QUANTITY UNIT COST TOTAL COST 1 LS 9,000.00 9,000.00 1 LS 12,500.00 12,500.00 1 LS 3,000.00 3,000.00 1 LS 5,000.00 5,000.00 1 LS 5,402.70 5,402.70 1 LS 6,189.62 6,189.62 1 LS 13,000.00 13,000.00 1 LS 5,114.05 5,114.05 I LS 27,03145 27,033.45 1 LS 1,704.00 1,704.00 1 LS 8,224.91 8,224.91 Total Additions Code E: $338,145.09 Total Net (Decreases)/Additions Code E: $252,438.89 Total Net (Decreases)/Additions to PO: $145,263.33