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AGING WELL CENTER AT LONG CENTER - 09-0011-PR (A) - CHANGE ORDER #1 CHANGE ORDER #1 PROJECT: Aging Well Center @ The Long Center CONTRACTOR: Bollenback Builders, Inc. 160 Scarlet Blvd Oldsmar, FL 34677 CODE: 315-93615-563600-575-000-000 & 315-93278-563600-575-000-0000 SCOPE OF CHANGE: THIS CHANGE ORDER ACCEPTS REVISIONS TO THE CONTRACT See attached sheet for add/deducts/new scope of work items. STATEMENT OF CONTRACT AMOUNT ACCEPTED BY: DATE: ul 15 2010 PROJECT NUMBER: 09-0011-PR (A) PO REFERENCE NO.: ST106106 DATE OF CONTRACT: anua 22 2010 Bollenback Builders, Inc. ORIGINAL CONTRACT AMOUNT CHANGE ORDER #1 $705,282.00 $21,732.00 $727,014.00 ???)Ch" SAL BY. Robert S. Bollenback, Vice President, Date: 11 a l I P-O I C) I E. Goudeau, C Date: CITY OF CLEARWATER, in PINELLAS COUNTY, FLORIDA William B. Horne, II City Manager ? y F A 01-10 M FL Witnesses: -mo Maureen A. Ginnis GTE Heat See-r-Ham in R me ed y: ` ty of Clearwater Art Kader Asst. Director of Parks Recreation Michael D. Quillen, P.E. City Engineer NEW CONTRACT AMOUNT Page 2 of 2 Change Order #1 Aging Well Center @ The Long Center ITEM DESCRIPTION Increase $ Deletions Items - QTY UNIT UNIT COST TOTAL, 1 Timc extention 1 LS $ 14,019.00 $14,019.00 2 Add HVAC rills rm. 141 & 201 1 LS $ 732.00 $732.00 3 Revise power source to 141 from from pool filter room electrical panel 1 LS $ 939.00 $939.00 4 Celin lights conflict room 102 & 103 1 LS $ 215.00 $215.00 5 Revised plumbing in room 141 1 LS $ 1,667.00 S1,667-00 6 Modifications to reception room 109 add shelf I LS $ 561.00 $561.00 7 Room 119 & 120 Ceiling Modifications 1 LS $ 751.00 $751.00 8 Add stainless steel shelf at room 103 pocket door 1 LS $ 182.00 $182.00 9 Wrap column room 104 1 LS $ 573.00 $5 73.00 10 Revise electrical rece ticales in room 118 1 LS $ 389.00 _ $389.00 11 Relocate existing lights at room 201 1 LS $ 373.00 $373.00 12 Relocate thermostat room 106-107 1 LS $ 110.00 $110.00 13 Down timed wall sub sent home I LS $ 693.00 $69100 14 Add covers to over themostats 1 LS $ 204.00 $204.00 15 Modify steel for partition track 104 &105 1 LS $ 495.00 $495.00 16 Delete stainless steel covers @ rooms 119 & 120 lavatory plumbing I LS $ 150.00 (S150,00) 17 Delete change from Von Dupen crash bars to store front vendor su lied 1 LS $ 500.00 (.S-500.00) 18 Add power to hand d ers room 108 1 LS $ 179.00 $179.00 19 Install cif furnished lutox box 1 LS $300.00 $30000 Net Total Added Items $21,732.00 Net Total Add Contract $21,732.00