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POND SEDIMENT REMOVAL AT MOCCASIN PARK - 17-0014-EN - ADMINISTRATIVE CHANGE ORDER #1Administrative Change Order 1 Date: May 23, 2017 PROJECT: PROJECT NUMBER: Moccasin Lake Park - Pond Sediment Removal PO REFERENCE: ST113971 CONTRACTOR: Keystone Excavators, Inc. 371 Scarket Blvd Oldsmar, F134677 17- 0014 —EN CONTRACT DATE: April 26, 2017 CODE: 0315- 96124 - 563700 -539- 000 -0000 SCOPE OF CHANGE: THIS CHANGE ORDER ACCEPTS REVISIONS TO THE CONTRACT After dewatering it was determined additional sediment required removal causing an increase in quantities - see details attached. STATEMENT OF CONTRACT AMOUNT ORIGINAL CONTRACT AMOUNT Admin Change Order 1 - CM NEW CONTRACT AMOUNT APPROVED AS TO FORM: Matthevi Smith, ATTEST: Lk/ L Rosemarie Call, Date: Assistant City Attorney ACCEPTED BY: eystone Excavators, Inc: 77,910.00 $7,688.00 By: C t n r e2 i- Ri�s ,(SEAL) • 85,598.00 Robert C. Fornwalt - %President Date: 'lwAe. Ls) , so l Witnesses: Recommended By: City of Clearwater 1 I7 CITY OF CLEARWATER, IN PINELLAS COUNTY, FLORIDA 1 William B. Home, B huong Vo, Project Manager City Manager Michael D. Quillen, P1 City Engineer Page 2 of 2: Administrative Change Order 1 Moccasin Park Pond Sediment Removal ITEM DESCRIPTION JNI1 QTY UNIT COST TOTAL COST Decrease: 12 -10 Contingency LS 1 $ 3,710.00 ($3,710.00) Increases: 12 -04 Sediment Removal by Excavator Crew CY 1112 $ 7.00 $7,784.00 12 -05 Load fill into trucks /containers for hauling CY 1112 $ 1.25 $1,390.00 12 -06 Disposal of excavated material CY 1112 $ 2.00 $2,224.00 Totallncreasess: $11,398.00 Total Net (Decrease)/Increase: $7,688.00