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MORNINGSIDE AQUATIC CENTER RENOVATION - 16-0035-PR-A - ADMINISTRATIVE CHANGE ORDER #1Page 1 of 2 Administrative Change Order 1 PROJECT Morningside Aquatic Center Renovation. CONTRACTOR: Khors Construction, Inc 12222 Anne Kenia Dr. Thonotosassa, FL 33592 Date: PROJECT NUMBER: PO REFERENCE NO.: DATE OF CONTRACT: CODE: BR[GIfr AND BEAL1i1F'JL• BAY TO B ACIi June 6, 2017 16- 00035 -PR -A ST113898 March 16, 2017 0315- 93251 - 563500 -572- 000 -0000 SCOPE OF CHANGE: THIS CHANGE ORDER ACCEPTS REVISIONS TO THE CONTRACT This change order increases and adds items according to field conditions -see details attached. STATEMENT OF CONTRACT AMOUNT ORIGINAL CONTRACT AMOUNT $ Less ODP's ODP Revised Contract Amount $ Administrative Change Orders 1 thru 12 less contingency NEW CONTRACT AMOUNT APPROV AS TO FORM: 564,095.08 ($50,667.30) 513,427.78 27,642.67 541,070.45 Ma ew Smith, Attest: Rosemarie Call Assistant City Attorney CITY OF CLEARWATER, in PINELLAS COUNTY, FLORIDA At B Jl..,,., William B. Horne, II City Manager ACCEPTED BY: Khors Construction, Inc. Bv: Kori Khorsandian Date: 6/2 WO Witnesses: (two) (Seal) Project Manager By: De el & Associates Recommended By: City of Clearwater Leroy C Project Engineer Project Manager Kevin Dunbar Parks & Recreation Director SAMUEL LIBERATORE, PE 55740 300 ALTERNATE 19 N., SUITE A PALM HARBOR, FL 34683 727- 442 -8443 Page 2 of 2 Administrative Change Order 1 : Morningside Aquatic Center Renovation. CLEAR \AIATER BRiGlrr AND BEAtrnruL• BAY TO BEACfi ITEM DESCRIPTION UNIT Qtg UNIT COST TOTAL COST Increase Contingency (5% of contract) 1 $ 26,861.67 $ (26,861.67) 1 CD No. 1 - Limestone 1 $ 702.26 $ 702.26 2 CD No. 2 - Water Fountain 1 $ 1,823.11 $ 1,823.11 3 CD No. 3 - B Ball Posts 1 $ 7,506.21 $ 7,506.21 CD No. 5 - Racquetball Court 1 4 Overhead Electrical Feed $ 4,710.40 $ 4,710.40 5 CD No. 6 Fence Line Clearing 1 $ 6,453.80 $ 6,453.80 6 CD No. 7 - Pool Crack Repair 1 $ 19,515.98 $ 19,515.98 7 CD No. 8 - Tranformer Retaininh Wall 1 $ 8,124.50 $ 8,124.50 CD No. 9 - 30 Feet of Additional Fence 1 8 Line Clearing $ 869.01 $ 869.01 CD No. 10 Transformer Pad 1 9 Modifications $ 368.83 $ 368.83 CD No. 12 PVC Board for Cabana, 1 10 Electrical Contactor, Heater $ 4,430.24 $ 4,430.24 Decreases: Decrease for ODP's Tax Savings: AQUAWORX - Pool Filtration 1 pumping station equipment Pages 2 of 2 Decrease for ODP's: AQUAWORX - Pool Filtration 1 pumping station equipment LS LS -1 -1 Total (Decreases): $ 27,642.67 $2,962.30 Total (Decreases): ($2,962.30) ($2,962.30) $47,705.00 ($47,705.00) Total (Decreases): ($47,705.00) APPLICATION FOR PAYMENT NI RN VP IOW Sit 1 ll� rS CONSTRUCTION, INC. ccacIaoaeee PAGE 1 OF 2 TO OWNER: The City Of Clearwater 100 South Myrtle Avenue Clearwater, FL 33756 Parks & Recreation Department FROM CONTRACTOR: Khors Construction, Inc. 12222 Anne Kenia Drive Thonotosassa, FL 33592 CONTRACT DATE: March 20th 2017 PROJECT: Momingside Aquatic Center Renovation 2400 Ham Rd Clearwater FL 33764 Project 16- 00035 -PR -A PAY APPLICATION #:4 Final Application Date: PERIOD FROM: PERIOD TO: PROJECT #: PO# March 25, 2017 March 2, 2017 March 25, 2017 16- 00035 -PR -A ST113898 CONTRACT FOR: Construction Mgr. @Risk RFQ #24 -16 DISTR OV DAR fCC TILE CONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. Continuation Sheet, AIA Document G703, is attached. 1. ORIGINAL CONTRACT SUM 2. NET CHANGE BY CHANGE ORDERS 3. CONTRACT SUM TO DATE (Line 1 ± 2) 4. TOTAL COMPLETED & STORED TO DATE (Column G on G703) 5. RETAINAGE: a 10 % of Completed Work (Column D + Eon G703) b. 10 % of Stored Material (Column F on G703) Total Retainage (Lines 5a + 5b or Total in Column I of G703) 6. TOTAL EARNED LESS RETAINAGE (Line 4 Less Line 5 Total) 7. LESS PREVIOUS CERTIFICATES FOR PAYMENT (Line 6 from prior Certificate) 8. CURRENT PAYMENT DUE 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) 564,095.08 (23,024.63) 541,070.45 The undersigned Contractor certifies that to the best of the Contractor's knowledge, information and belief the Work covered by this Application for Payment has been completed in accordance with the Contract Documents, that all amounts have been paid by the Contractor for Work for which previous Certificates for Payment were issued and payments received from the Owner, and that current payment shown herein is now due. CONTRACTOR: By: Khors Construction, Inc. 541,070.45 By: Date : 0.00 0.00 $ State of: Florida County of Hillsborough Subscribed and sworn to before me this 25th day of March, 2017 Notary Public: Ann Locke My Commission expires: February 27th 2018 County of: Hillsborough 0.00 CERTIFICATE FOR PAYMENT 541,070.45 In accordance with the Contract Documents, based on on -site observations and the data comprising the application, the Architect certifies to the Owner that to the best of the Architect's knowledge, information and belief the Work has progressed as indicated, 509,808.20 the quality of the Work is in accordance with the Contract Documents, and the Contractor 31,6225 is entitled to payment of the AMOUNT CERTIFIED. 0.00 CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS Total changes approved in previous months by Owner ($50,667.30) Total approved this Month $27,642.67 $0.00 TOTALS $27,642.67 ($50,667.30) NET CHANGES by Change Order $0.00 ($23,024.63) AMOUNT CERTIFIED $ $ 31,262.25 (Attach explanation if amount certified differs from the amount applied. Initial all figures on this Application and on the Continuation Sheet that are changed to conform with the amount certified.) Lender or 3rd party private inspector: By: Date: This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the Contractor named herein. Issuance, payment and acceptance of payment are without prejudice to any rights of the Owner or Contractor under this Contract. • PAY APPLICATION #: - 4 Final MORNINGSIDE AQUATIC CENTER DEMOLITION RENOVATION PR 16- 0035 -PR -A P PO: ST113898 PAY APPLICATION DATE: 5/31/17 PERIOD FROM: 5/26/17 CONslwuctww, ac. coc1aossaa PERIOD TO: 5/31/17 PROJECT #: 16- 00035 -PR -A A B CSI DIVISION TITLE OF WORK C SCHEDULED VALUE D WORK COMPLETED FROM PREVIOUS APPLICATION E WORK COMPLETED THIS PERIOD F MATERIALS PRESENTLY STORED G TOTAL COMPLETED AND STORED (G /C) % COMP AND STORED H BALANCE REMAINING RETAINAGE Variable ITEM GENERAL 1 1 Drain pools, remove plug m mam dram to allow ground water 10 enter pool, provide ::iump pumps to warn ground water from pool to stones sewer syslem.During construction period, remove existing pumps, all chemical controls in mechanical nn. & rum over to Owner, including variable motor speed drives /related electrical components. Determine location of polable water line source & provide new piping as required to new pool mechanical yard and connect to various equipment. Use sch. 40 PVC pipes and all piping subject to a period of prolonged sunlight exposure ofultra violet rays to be painted with UV resistant pain!.Locale existing pool piping (main & activity pool) cut & cap for furure connections 10 pool equipment, locale ground bonding wire & protect for future colmection to mechanical yard for electrical bonding of pools 10 pool equipmenl;Provide concrcic pad 6" Ulick 5'xl4' 3,000 p. s. i.128 days. Install 2 uarural gas pool boiler healing systems manufacrured by Lochinvar,gas healers provided & installed by Clearwater Gas. Provide all piping & conncclons to main pool filtration pumping station. Provide & install 300 gallon storage chemical tank similar to 300 gallon lank relocated from pool mechanical room. Provide 1 .5" electrical PVC sleeves wilh 90 degree sweeps al all comers. Insiall PVC tubing chemical feed piping from storage tank to chemical feeder of filtration pwnping station. Provide I "electrical conduit for data line from chemical monitor of both filtration pumping station & stub out past mechanical yard fence and mark Iocalion on As'Buill drawing and provide 2 "x2" wooden stake at end of conduit for furure locate. Provide and install eye washing station. Provide 2'x2'x4" concrete slab beneath eye washing suuion, provide necessary supports for eye washing station & poiable water connection. Provide & iosl all a Inslall sch. 40 PVC poiable water line to new pool filter pumping stations. All piping from filtration pumping stations 10exisling piping connection of main & activity pools shall be sized as shown on drawing. All sch. 40 PVC pipes, shall be installed a minimum of 48 inches below proposed finish grade: Provide 6 inches of crushed washed shell in pool mechanical yard 89,471.00 $89,471.00 $89,471.00 100% 2 Activ ity pool pre- eugiJleered fihration pwnping station & collection tank that includes variable speed drive and all chemical controls for a complcic operational system manufactured by AQUAWORX (equipment 10 includes sales tax) 19,864.55 $19,864.55 $19,864.55 100% 3 Installation of activiiy pool pre - engineered filtration pumping station & collection lank that includes variable speed drive,and all chemical controls C complete operational system manufactured by AQUAWORX 33,984.00 $33,984.00 $33,984.00 100% Page 1 • - 4 Final PAY APPLICATION #: MORNINGSIDE AQUATIC CENTER DEMOLITION RENOVATION PR 16-0035-PR-A I PO: ST113898 PAY APPLICATION DATE: 5/31/17 PERIOD FROM: 5/26/17 consmuctrlors, ntsc. cool 6086641 PERIOD TO 5/31/17 PROJECT #: 16-00035-PR-A A l B CSI DIVISION TITLE OF WORK C SCHEDULED VALUE D WORK COMPLETED FROM PREVIOUS APPLICATION E WORK COMPLETED THIS PERIOD :::E];:glaMI:Migig:MWMQVUOM;:i:laii;:1::LM:;:igingl',01:16:MMA:;;;;W:EN: F MATERIALS PRESENTLY STORED G TOTAL COMPLETED AND STORED $31,393.80 (G/C) % COMP AND STORED 100% H BALANCE REMAINING I RETAINAGE Variable ITEM GENERAL ji:::::::::::::::::IngAM M:!:::igangang 4 Main pool pre-engineered filtration pwnping station & collection lank that includes variable speed drive, and all chemical controls for a complete operational system manufactu red by AQUAWORX (equipment to includes sales lax) 31,393.80 $31,393.80 5 Installation of main pool pre-engineered filtration pumping station & collection tank includes variable speed drive and all chemical controls for a complete operational system manufactured by AQUAWORX 16,992.00 $16,992.00 $16,992.00 100% 6 Provide and install pre-fabricated overhead canopy 20x24 'x 9 height from finish grade to bottom of canopy. Panels shall be 2.5 inch Ulick insulated roof panels. Include signed & scaled drawings by Florida Structural Engineer for building pennit and installation 12,800.00 $12,800.00 $12,800.00 100% 7 Provide & install electrical service as shown on sheet 4, E-1.0 P, E- 2.1W including all power electrical riser diagrams, which includes meter can, disconnects, electrical panels, conduits, wiring, grounding rods, electrical bonding of main & activity pools . Coordinate with Duke Energy for installation of transformer. Pro,'ide concrete slab if necessary for transformer. Colmecl filtration pumping stations. Provide 1 duplex gfi electrical receptacle. Provide 2'x4 foot light fixture on overhcnd canopy and light switch. Provide electrical connection to natuml gas water heaters. Provide 2" conduit approx 140 feet and 2 - 100 apm amp breakers 120/208 volts norUl of pool mechanical yard. Provide disconnect al end & provide 3 prong 208 water hg] 11 service connection for future temporary staff trailer & event men's and women's ale cooled restrooms.Comraclor to provide a complete operational electrical system for aquatic center renovation of pool mechanical yard 41,000.00 $41,000.00 $41,000.00 100% 8 Reinstall drain plug of main pool and clean main & aclivily pool in preparation of filling pools. Owner will provide water to fill pool from fire hydrant water meter. Provide piping necessruy from fire hydrant to fill main and activity pool, add chenlicals to balance 5,175.00 $5,175.00 $5,175.00 100% D Demolition & Other MisceUaneous Work 9 10 day notice to Pinellas Cowlty Air Quality fee 250.00 $250.00 $250.00 100% 10 Cut and tap existing sanitary sewer line 1,500.00 $1,500.00 $1,500.00 100% 11 Install stilt fencing including around 2 existing slonn sewer structures. Owner to provide root pinning contractor to install silt fencing in root prune fence 1,875.00 $1,875.00 $1,875.00 100% 12 Install geotech fabric around drainage structure catch basin lid 500.00 $500.00 $500.00 100% 13 Obtain demolition permit (fee from Clearwater Building Dept.) 14 Locate existing irrigation well, irritation controller 3,000.00 $3,000.00 $3,000.00 100% 15 Locate existing sport lighting conduits of swinuning pool, electrica I switches, contactors & provide temporary power to continue operntiol l from pool electrical panel of mechanical yard locate temporary electrical conduits on as built drawing & provide panel/circuit number, remove existing globe light turn over to Owner 10,000.00 $10,000.00 $10,000.00 100% Page 2 PAY APPLICATION 4: - 4 Final MORNINGSIDE AQUATIC CENTER DEMOLITION RENOVATION PR 16-0035-PR-A .,.„... frt. lw. 0 PO: ST113898 PAY APPLICATION DATE: 5/31/17 PERIOD FROM: 5/26/17 CONSTRUCTION, INC_ 00C180•660 PERIOD TO: 581/17 PROJECT 4: 16-00035-PR-A A 1 B CSI DIVISION TITLE OF WORK C SCHEDULED VALUE D WORK COMPLETED FROM PREVIOUS APPLICATION E WORK COMPLETED THIS PERIOD F MATERIALS PRESENTLY STORED G TOTAL COMPLETED AND STORED (G/C) % COMP AND STORED H BALANCE REMAINING I RETAINAGE Variable ITEM GENERAL 16 Contractor to protect existing water line upon removal of drinking fountain by Owner.Owner to reinstall drinking fom I tain. Contractor to make plumbing collJlection 350.00 $350.00 $350.00 100% 17 Contractor shall be required to relocate existing electrical service attached to racquetball court masonry wall; relocate to cast property line adjacent to existing location; place on concrete post with stainless steel struts to hang meter can, existing electrical eqmpment. reinstall any electrical sen.iced by equipment and coordinate Duke Energy for relocation of cicccrical service 4,000.00 $4,000.00 $4,000.00 100% 18 Remove existing basketball light poles and sport light fixtures.Do not remove lighc fixtures from pole or wiring from light fixture 10 base of pole. Reinstall at new locations. Reinstall basketball light poles at same elevation. Provide I2"x 18"traffic rated fiber concrete 'J' box at proposed finish grade. Provide & install 75 feet of I inch electrical conduit 24 inches below proposed new proposed finish grade of basketball court, attach conduit to light pole and bring inco 'J 'boxes, extend electrical conduit between 'J' box. Provide fiber concrece lid for •rbox 8,000.00 $8,000.00 $8,000.00 100% 19 Clear and grub proposed limits of work 8,000.00 $8,000.00 $8,000.00 100% 20 Demolish: Existing bath house including paved courtyard , retaining walls, steps, concrete ramp, Landscapil 1g not th of bath house to existing concrete deck of pool Remove existing filter pwnping station of activity pool Basketball court concrete slab and any existing utilities beneath the concrete slab Racquecba 11 court inct uding retaining wall, fencing, sidewalks east of racquetball court , light poles for racquetball court and turn over to Owner. Remove sidewalk between basketball court and east property line Saw cut pool deck of accivity pool and care shall be taken not to daniage any existing pool piping and remove concrete slabs Remove I 0 I exiscing trees including root systems Remove 16 17 existing palms including root systems. Care shall be taken to not damage any existing pool plumbing Locale any existing utilities and flag and mark with 2"x2"wooden stake. Write on stake utility flagged for reconnection . Red line this information on 'As-Built drawings Owner to provide roll offs for debris to be removed from site. Recyclable materials shall be separated into separate roll offsand pay fee for disposal of debris. 19,000.00 $19,000.00 $19,000.00 100% 21 Removerim and grate of existing catch basins, rebuild catch basins with brick and mortar to 4 inches fi'om proposed finish grade rim and grate to be at finish grade of proposed courtyard slab 2,000.00 $2,000.00 $2,000.00 100% Page 3 ' PAY APPLICATION #: - 4 Final MORNINGSIDE AQUATIC CENTER DEMOLITION RENOVATION PR 16- 0035 -PR -A w R. P0: ST113898 PAY APPLICATION DATE: 5/31/17 PERIOD FROM: 5/26/17 CONSTRUCTION. INC. aoC,soasae PERIOD TO: 5/31/17 PROJECT #: 16- 00035 -PR -A Al B CSI DIVISION TITLE OF WORK C SCHEDULED VALUE D WORK COMPLETED FROM PREVIOUS APPLICATION E WORK COMPLETED THIS PERIOD F MATERIALS PRESENTLY STORED G TOTAL COMPLETED AND STORED (G /C) % COMP AND STORED H BALANCE REMAINING I RETAINAGE Variable ITEM GENERAL.. ;:; o;• :::::,:. ::::: :: :: : 22 Install till south of main swimming pool deck approximately 40 feet south at 2.00 feet depth. Compact to 95% compaction in 12 inch lifts. Owner to provide fill 1,050.00 $1,050.00 $1,050.00 100% 23 Rough and fine grade limits of work area 3,500.00 $3,500.00 $3,500.00 100% 24 Construct cabana concrete slab 6 "thick, 3,000 p. s. i./28 days concrete with commercial fiber mesh, medium broom finish. Slab sizes9.5'x32'& I 1.5k25.5'. Pour concrete after post electrical rough in has been installed ; concrete slab west of baskecball court 6'x32'& 8'x 12; concrete slab west of pool mechanical yard IO'x14'& 6'x8' 6,000.00 $6,000.00 $6,000.00 100% 25 Engineer toamend building penn it 29,960.00 $29,960.00 $29,960.00 100% 26 Provided and install FDOT Type 'C storm sewer structure S -8 & S -9 4,000.00 $4,000.00 $4,000.00 100% 27 Pro•ided and mstall FOOT stonn sewer manholesttucture S- 11 4,500.00 $4,500.00 $4,500.00 100% 28 Provide and install 15" diameter steel reinforced RCP at percent of slope shown on drawings P -7 5,040.00 $5,040.00 $5,040.00 100% 29 Provide and install 18 "diameter steel reinforced RCP at percent of slope shown on drawl I1gs P -8a & P -9a 560.00 $560.00 $560.00 100% 30 Construct masonry retaini ng wall with spread footing see scope of work 12,t above 9,450.00 $9,450.00 $9,450.00 100% 31 Construct swale and prepare swale to receive Bahia Sod to be provided by Owner Construct 65'x 110' basketball court. Provide third party geolech lab to obtain soil samples & perfonn proctor of soil samples. Compact sub grade to I 00% compaction. Provide 12 density tests equall y spaced on compacted sub grade. Provide and install 8 inches ofcmshed concrete 67'xl 12' and compact to LBR 160. Provide 12 density test equally spaced of the compacted crosh concrete. Provide asphalt tack coat of crushed concrete areas. Provide two 1.5 it lch thick separate layersof Type S -111 asphalt surface course. Flood test basketball court with clean water and observe whether runoff is according to grading plan and check for ponding of surface after one hour m full sun. Any ponding greater than the thickness of a nickel shall be repaired and flood test performed again, cut excess asphalt to provide asphalt surface dimension 65'x 110'& rectangle shall be square on all sides and dunensionsequal on aU 1,785.00 $1,785.00 $1,785.00 100% 32 sides. Remove & dispose of excess asphalt from project site. Provide top soil as required to receive Bahia sod. 38,000.00 $38,000.00 $38,000.00 100% 33 Fine grade for installation of Bahia Sod by Owner 2,550.00 $2,550.00 $2,550.00 100% 34 Provide shredded wood mulch 3 inches thick for demolished bat.h house 4,500.00 $4,500.00 $4,500.00 100% 35 General Conditions/Supervision 35,136.14 $35,136.14 $35,136.14 100% 36 Profit and Overhead 68,277.97 $68,277.97 $68,277.97 100% 37 Performance Bond 13,768.95 $13,768.95 $13,768.95 100% 38 SUB'SUBTOTAL 1"1'E S 1.37 331,2441 5372233.41 537,233.41 100% Page 4 • • PAY APPLICATION #: -4 Final MORNINGSIDE AQUATIC CENTER DEMOLITION RENOVATION PR 16-0035-PR-A P PO: ST113898 PAY APPLICATION DATE: 5/31/17 <:1 1 I'A PERIOD FROM: 5/26/17 coNsTRucliow. NC CC:IC.1606MM PERIOD TO: 5/31/17 PROJECT #: 16-00035-PR-A A B CSI DIVISION TITLE OF WORK C SCHEDULED VALUE D WORK COMPLETED FROM PREVIOUS APPLICATION E WORK COMPLETED THIS PERIOD F MATERIALS PRESENTLY STORED G TOTAL COMPLETED AND STORED (G/C) % COMP AND STORED H BALANCE REMAINING I RETAINAGE Variable ITEM GENERAL 0;:g.gg':::.,.ii.:Eg::!:M::::::..in.,..i::::::::i.:;g:;:;:Efil.1-Vn.IN:::1::::.?ii:.:4:i:::::0:::;:ii:".:tidigain:;PR:::::iiin.i:M;:gi;i4;;;I:P.M':!:!]:1::::M::: 39 Contingency Original - $26,861.67 40 SUB-SUBTOTAL ITEMS 1-37 537 3.41 537,233.41 537,233.41 100% 41 CHANGE DIRECTIVES: 42 CD No. 1- Limestone $ 702.26 $702.26 $702.26 100% 43 CD No. 2 - Water Fountain $ 1,823.11 $ 1,823.11 $1,823.11 100% 44 CD No. 3 - B Ball Posts $ 7,506.21 $ 7,506.21 $7,506.21 100% 45 CD No. 5 - Racquetball Court Overhead Electrical Feed $ 4,710.40 $ 4,710.40 $4,710.40 100% 46 CD No. 6 Fence Line Clearing $ 6,453.80 $ 6,453.80 $6,453.80 100% 47 CD No. 7 - Pool Crack Repair $ 19,515.98 $ 19,515.98 $19,515.98 100% 48 CD No. 8 -Tranformer Retaininh Wall $ 8,124.50 $ 8,124.50 $8,124.50 100% CD No. 9 - 30 Feet of Additional Fence Line Clearing $ 869.01 $ 869.01 $869.01 CD No. 10 Transformer Pad Modifications $ 368.83 $ 368.83 $368.83 CD No. 12 PVC Board for Cabana, Electrical Contactor, Heater $ 4,430.24 $4,430.24 $4,430.24 Change Directives Sub-Total: 54,504.34 50,074.10 4,430.24 54,504.34 100% Change Order 1 - Aquaworx - Direct Purchase (50,66730) (50,667 30) ($50,66730) 100% (50,667.30) (50,667.30) (50,667.30) 100% Grand Total Items 1 through 37 Old Items plus Contingency 541,070.45 536,640.21 4,430.24 541,070.45 100% Page 5