EAST WRF RDT BUILDING CONDITIONS ASSESSMENT - 18-0016-UT - CHANGE ORDER #1 APPLICATION AND CERTIFICATE FOR PAYMENT
To: City of Clearwater Project East WRF RDT Building Repair Application: 1 Distribution to:
Engineering-Jeff Walker P.E. _OWNER
100 S.Myrtle Ave.,Suite#220 Contract No: 18-0016-UT Period to: ARCHITECT
Clearwater,Florida 33756 Contract Date: 1/15/2020 _CONTRACTOR
Purchase Order: 20000694 _ENGINEER
From: Paramount Painting&Services Inc.
4613 N.Hesperides St
Tampa,FL 33614-6911
CHANGE ORDER SUMMARY Application is made for payment,as shown below,in connection with the Contract
Change Orders approved in ADDITIONS DELETIONS Continuation Sheet is attached.
previous months by Owner
TOTAL $ - $ - 1 Original Contract Sum $ 131,580.00
Approved this month 2 Net Change by Change Orders $Number Date Approved 3 Contract Sum to Date(Line 1 +2) $ 131,580.00
4 Total Completed $ -
5 Retainage $ -
TOTALS $ - $ - (5%of completed work)
Net Change by Change Orders $ - 6 Total Earned Less Retainage $
(Line 4 less Line 5 Total)
The undersigned Contractor certifies that to the best of the 7 Less Previous Certificates for Payment $
Contractor's knowledge,information and belief,the work covered (Line 6 from prior certificate)
by this Application for Payment has been completed in accordance 8 Current Payment Due(Line 6 less line 7) $
with the Contract Documents,that all amounts have been paid by 9 Balance to Finish,Plus Retainage $ 131,580.00
the Contractor for work for which previous Certificates for (Line 3 less line 6)
Payment were issued and payments received from the Owner,and
that current payment shown herein is now due.
CONTRACTOR:
Signature: Print Name: Date:
OWNERS CERTIFICATE FOR PAYMENT AMOUNT CERTIFIED: $ -
(Attach explanation if amount certified differs from that applied for)
In accordance with the Contract Documents,based on onside observations
and the data comprising the above application,the Architect/Engineer certifies Brian Walter,PE
to the Owner that to the best of his/her knowledge,information and belief,the
Work has progressed as indicated,that the quality of work is in accordance with Jeremy Brown,PE
said Contract Documents,and the Contractor is entitled to payment of the
AMOUNT CERTIFIED. ivan Dimitrov,Project Manager
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
Page 1
East WRF RDT Building Repair(18-0016-UT) Draw 1 Date
Item Description Units Qty. Unit Contract Change Amended Previous Qty Amount Qty Amount
No. Price Price Order Contract Amount this this Draw to Earned
Earned Draw Date to Date
1 Mobilization LS 1 ######## $ 19,275.00 $ 19,275.00 $ - $ - $ -
2 Concrete Sounding:sound concrete to SF #### $ 0.95 $ 3,135.00 $ 3,135.00 $ - $ - $ -
identify and confirm areas of delaminated
and/or spalled concrete elements,at both
slab surface and underside
3 Horizontal Concrete Repair:delaminated CF 20 $ 375.00 $ 7,500.00 $ 1,500.00 $ 9,000.00 $ - $ - $ -
areas,spalls,and exposed reinforcement ar
2nd floor slab surface
4 Overhead Concrete Repair:delaminated CF 30 $ 450.00 $ 13,500.00 $ (4,500.00) $ 9,000.00 $ - $ - $ -
areas,spalls,and exposed reinforcement at
2nd floor underside,including adjacent
beams where necessary
5 Vertical Concrete Crack Repair:at the FT 70 $ 8.00 $ 560.00 $ 1,040.00 $ 1,600.00 $ - $ - $ -
walls of the Chemical Feed Room via route
and seal,refer to specification 07920 of the
BillerReinhart Project Manual
6 Horizontal Concrete Crack Repair:in FT 15 $ 7.00 $ 105.00 $ 105.00 $ 210.00 $ - $ - $ -
floor slab,refer to specification 07920 of
the BillerReinhart Project Manual
7 Deck Coating:applied to floor of Chemical LS 1 $6,275.00 $ 6,275.00 $ 6,275.00 $ - $ - $ -
Feed Room,refer to specification 07181 of
the BillerReinhart Project Manual
8 Paint:at underside of Chemical Feed Room LS 1 $ 800.00 $ 800.00 $ 800.00 $ - $ - $ -
floor slab and additional overhead concrete
repair areas,refer to specification 9900 of
the BillerReinhart Project Manual
9 All Other Work Not Included in Line Items LS 1 $2,500.00 $ 2,500.00 $ 8,955.00 $ 11,455.00 $ - $ - $ -
1,2,3,4,5 6,7,and 8 to Repair the East
RDT Floor Slab
14 Full depth concrete repairs due to severity CF 70 $ 465.00 $32,550.00 $ 32,550.00 - $ -
of existing corrosion
15 Removal and replacement of unsound SF 215 $ 26.00 $ 5,590.00 $ 5,590.00 $ -
stucco at CMU wall
16 Epoxy Injection Concrete Crack Repair LF 10 $ 45.00 $ 450.00 $ 450.00 $ -
Printed : 5/29/2020 Page 2 of 9
East WRF RDT Building Repair(18-0016-UT) Draw 1 Date
Item Description Units Qty. Unit Contract Change Amended Previous Qty Amount Qty Amount
No. Price Price Order Contract Amount this this Draw to Earned
Earned Draw Date to Date
17 Structure Stabilization LS 1 ######## $ 17,455.00 $ 17,455.00 $ -
18 Installation of#5 Rebar LF 1000 $ 9.00 $ 9,000.00 $ 9,000.00 $ -
Subtotal $53,650.00 $72,145.00 $ 125,795.00 $ - $ - $ -
10 10% Contingency LS 1 $5,365.00 $ 5,365.00 $ 5,365.00 $ - $ - $ -
Total Contract $59,015.00 $72,145.00 $ 131,160.00 $ - $ - $ -
Printed : 5/29/2020 Page 3 of 9
East WRF RDT Building Repair(18-0016-UT) Draw 1 Date
; ---
Item Description Units Qty. Unit Contract Change Amended Previous Qty Amount Qty Amount
No. Price Price Order Contract Amount this this Draw to Earned
Earned Draw Date to Date
!if#*i:'V*Piioi:IthOai#iiWrit2.4;:afStg- IZKOKNIKWII-,,VC;',''?ItgF:tW;g*:4;i;g:: :::;:4'g,:ptAsg4;f;_ip:;'7.::'_' :
11 Installation of#5 steel reinforcing in concrete $/LF 5 $ 9.00 $ 45.00 $ 45.00 $ - , _$ $
,...
12 Labor Cost $/HR 5 $ 55.00 $ 275.00 $ 275.00 $ - $ -
$ -
13 Material Cost % 5 $ 20.00 $ 100.00 $ 100.00 $ - $ - $
Total Alternate $ 420.00 $ - $ 420.00 $ - $ - $ -
Subtotal $54,070.00 $ 72,145.00 $ 126,215.00 $ - $ - $
Total Contingency $ 5,365.00 $ - $ 5,365.00 $ - , $ - $ -
Total Contractd $59,435.00 $72,145.00 $ 131,580.00 $ - $ - $ -
Description of Items Paid by Contingency $ 5,365.00
$
- $ _ . $
$
$
-
-
$
$
_
- ' $
$ _
_
Total Contingency $ - $ - $ - '.
I,' I
Total Contract $ 131,580.00 $ - $ -
EAFINED $ -
RETAINAGE $ -
INVOICE AMOUNT 77-77
Printed :5/29/2020 Page 4 of 9
Remaining Per
Balance Cent
Com
$19,275.00
$ 3,135.00
$ 9,000.00
$ 9,000.00
$ 1,600.00
$ 210.00
$ 6,275.00
$ 800.00
$ 11,455.00
$32,550.00
$ 5,590.00
$ 450.00
Printed :5/29/2020 Page 5 of 9
Remaining Per
Balance Cent
Com
$17,455.00
$ 9,000.00
$60,750.00
$ 5,365.00
$66,115.00
Printed: 5/29/2020 Page 6 of 9
Remaining Per
Balance Cent
Com
$ 45.00
$ 275.00
$ 100.00
$ 420.00
$61,170.00
$ 5,365.00
$66,535.00,
$5,365.00
$66,535.00
Printed : 5/29/2020 Page 7 of 9
/
Change Order 1 DATE: May 20,2020
PROJECT: PROJECT NUMBER: 18-0016-UT
East WRF RDT Building Repair PO REFERENCE: 20000694
CONTRACTOR:
Paramount Painting&Services Inc. DATE OF CONTRACT: January 15,2020
4613 N.Hesperides St
Tampa,FL 33614-6911 CODE: 3277327-546700-M1907
SCOPE OF CHANGE: This Change Order Accepts Revisions to the Contract
due to accelerated structual deterioration from prebid to Notice to Proceed-see attached.
STATEMENT OF CONTRACT AMOUNT ACCEPTED BY:
Paramount Painting&Services Inc
ORIGINAL CONTRACT AMOUNT $ 59,435.00
Admin Change Order 1 -City Council 6/4/2020 $ 72,145.00 By: (SEAL)
NEW CONTRACT AMOUNT $ 131,580.00 Jeff He /i/ President
a '/I. ,- /Date: �p/Z/Z47�
Fran ibbard, Mayor
Witnesses:
AP D AS T RM: /
lit/� � -�►LrG� d'l c144v1 t
Owen Kohler, Assistant City Attorney /
ATTEST: 44 ATE
I
...„ktaivtiva; C , /,
0p I I I'nded By:
Rosemarie Call, ,tX l Ifr -la
learwater
Date: Q(.t.�- `4 ..,1-03-6 r w-s I\
CITY OF CLEARWATER,in IN mitrov, Project Manager
PINELLAS COUNTY, FLORIDA f'srABLIS�E®
�lXL-444 • ( ui-
Liti.:at,
William B.Horne,H City Manager Tara Kive PE, City Engineer
Change Order 1 DATE: May 20,2020
PROJECT: PROJECT NUMBER: 18-0016-UT
East WRF RDT Building Repair PO REFERENCE: 20000694
CONTRACTOR:
Paramount Painting&Services Inc. DATE OF CONTRACT: January 15,2020
4613 N.Hesperides St
Tampa,FL 33614-6911 CODE: 3277327-546700-M1907
SCOPE OF CHANGE: This Change Order Accepts Revisions to the Contract
due to accelerated structual deterioration from prebid to Notice to Proceed-see attached.
STATEMENT OF CONTRACT AMOUNT ACCEPTED BY:
Paramount Painting&Services Inc
ORIGINAL CONTRACT AMOUNT $ 59,435.00
Admin Change Order 1 -City Council 6/4/2020 $ 72,145.00 By: (SEAL)
NEW CONTRACT AMOUNT $ 131,580.00 Jeff Hei President
J� iti",..A ('o Date: Z/Z.�Zr
Fr Hibbard, (/ Mayor
Witnesses:
APDAS F RM: /
w7/ l mfrk4.4.( zrd-2--
wen Kohler, Assistant +.ey / ,
ATTEST: �`ev 60 F TER ply
tris. : Recommended By:
Rosemarie Call, o /` C7 City of Clearwater
Date: J ` f f JJ-6t�tr�
_ ..1i(+4-U V(' I r ‘2L/CITY OF CLEARWATER,in r .\p, Ivan Dimitrov, Project Manager
PINELLAS COUNTY, FLORIDA ESrA�1.i` i5)
� 4 s , 7 A___.....k.
William B.Horne,II City Manager Tara 'vett, City Engineer
•
•
Page 2 of 2:Change Order 1 East WRF RDT Building Repair
ITEM DESCRIPTION UNIT iM UNIT COST TOTAL COST
Decreases:
4 Overhead Concrete Repair: CF 10 $ 450.00 $ (4,500.00)
delaminated areas,spalls,and exposed
reinforcement at 2nd floor underside,
including adjacent beams where
necessary
Total(decreases): $ (4,500.00)
Increases:
3 Horizontal Concrete Repair: CF 4 $ 375.00 $ 1,500.00
delaminated areas,spalls,and exposed
reinforcement ar 2nd floor slab surface
5 Vertical Concrete Crack Repair:at the FT 130 $ 8.00 $ 1,040.00
walls of the Chemical Feed Room via
route and seal,refer to specification
07920 of the BillerReinhart Project
Manual
6 Horizontal Concrete Crack Repair:in FT 15 $ 7.00 $ 105.00
floor slab,refer to specification 07920
of the BillerReinhart Project Manual
9 All Other Work Not Included in Line LS 3.582 $ 2,500.00 $ 8,955.00
Items 1,2,3,4,5 6,7,and 8 to Repair
the East RDT Floor Slab
11 Installation of#5 Rebar LF 1000 $ 9.00 $ 9,000.00
Total Increases: $ 20,600.00
Additions:
14 Full depth concrete repairs due to CF 70 $ 465.00 $ 32,550.00
severity of existing corrosion
15 Removal and replacement of unsound SF 215 $ 26.00 $ 5,590.00
stucco at CMU wall
16 Epoxy Injection Concrete Crack Repair LF 10 $ 45.00 $ 450.00
17 Structure Stabilization LS I $ 17,455.00 $ 17,455.00
Total Additions Code: $ 56,045.00
Total Net(Decreases)/Increases/Additions Code: $ 72,145.00
Page 2 of 2:Change Order 1 East WRF RDT Building Repair
ITEM DESCRIPTION UNIT OTY UNIT COST TOTAL COST
Decreases:
4 Overhead Concrete Repair: CF 10 $ 450.00 $ (4,500.00)
delaminated areas,spalls,and exposed
reinforcement at 2nd floor underside,
including adjacent beams where
necessary
Total(decreases): $ (4,500.00)
Increases
3 Horizontal Concrete Repair. CF 4 $ 375.00 $ 1,500.00
delaminated areas,spalls,and exposed
reinforcement ar 2nd floor slab surface
5 Vertical Concrete Crack Repair:at the FT 130 $ 8.00 $ 1,040.00
walls of the Chemical Feed Room via
route and seal,refer to specification
07920 of the BillerReinhart Project
Manual
6 Horizontal Concrete Crack Repair:in FT 15 $ 7.00 $ 105.00
floor slab,refer to specification 07920
of the BillerReinbart Project Manual
9 All Other Work Not Included in Line LS 3.582 $ 2,500.00 $ 8,955.00
Items 1,2,3,4,5 6,7,and 8 to Repair
the East RDT Floor Slab
11 Installation of#5 Rebar LF 1000 $ 9.00 $ 9,000.00
Total Increases: $ 20,600.00
Additions:
14 Full depth concrete repairs due to CF 70 $ 465.00 $ 32,550.00
severity of existing corrosion
15 Removal and replacement of unsound SF 215 $ 26.00 $ 5,590.00
stucco at CMU wall
16 Epoxy Injection Concrete Crack Repair LF 10 $ 45.00 $ 450.00
17 Structure Stabilization LS 1 $ 17,455.00 $ 17,455.00
Total Additions Code: $ 56,045.00
Total Net(Decreases)/Increases/Additions Code: $ 72,145.00
Change Order 1
PROJECT:
East WRF RDT Building Repair
CONTRACTOR:
Paramount Painting & Services Inc.
4613 N. Hesperides St
Tampa, FL 33614-6911
DATE:
PROJECT NUMBER:
PO REFERENCE:
DATE OF CONTRACT:
CODE:
May 20, 2020
18 -0016 -UT
20000694
January 15, 2020
3277327 -546700 -MI 907
SCOPE OF CHANGE: This Change Order Accepts Revisions to the Contract
due to accelerated structual deterioration from prebid to Notice to Proceed - see attached.
STATEMENT OF CONTRACT AMOUNT ACCEPTED BY:
Paramount Painting & Services Inc
ORIGINAL CONTRACT AMOUNT S 59,435.00
Admin Change Order 1 - City Council 6/4/2020 S 72,145.00
NEW CONTRACT AMOUNT
Mayor
By: Jeff Heinjefil
Date:
6/Z/Z02.r
Witnesses:
(_.;ED F RM:
Kohler,
ATTEST:
Rosemarie Call,
Date: ,C(i�-L / / _) L)^
CITY OF CLEARWATER, In
PINELLAS COUNTY, FLORIDA
Taral{ ve -P
Recommended By:
City of Clearwater
(SEAL)
President
7-1/(
rIV+ i 0!A! n2�v
Ivan Dimitrov, Project Manager
William B. Horn II Manager J'a'r
Horne, City vett, E,
•
City Engineer
Page 2 of 2: Change Order 1 East WRF RDT Building Repair
] DESCRIPTION QTy UNIT COST TOTAL COST
*creases:
4 Overhead Concrete Repair. CF 10 $ 450.00 S (4,500.00)
delaminated areas, spalls, and exposed
reinforcement at 2nd floor underside,
including adjacent beams where
necessary
Total (decreases): $ (4,500.00)
Jncreases:
3 Horizontal Concrete Repair. CF 4 $ 375.00 $ 1,500.00
delaminated areas, spalls, and exposed
reinforcement ar 2nd floor slab surface
5 Vertical Concrete Crack Repair at the FT 130 $ 8.00 $ 1,040.00
walls of the Chemical Feed Room via
route and seal, refer to specification
07920 of the BillerReinhart Project
Manual
6 Horizontal Concrete Crack Repair. in FT 15 $ 7.00 $ 105.00
floor slab, refer to specification 07920
of the BillerReinhart Project Manual
9 All Other Work Not Included in Line LS 3.582 $ 2,500.00 $ 8,955.00
Items 1, 2, 3, 4, 56, 7, and 8 to Repair
the East RDT Floor Slab
11 Installation of #5 Rebar LF 1000 $ 9.00 $ 9,000.00
Total Increases: $ 20,600.00
Additions:
14 Full depth concrete repairs due to CF 70 $ 465.00 $ 32,550.00
severity of existing corrosion
15 Removal and replacement of unsound SF 215 $ 26.00 $ 5,590.00
stucco at CMU wall
16 Epoxy Injection Concrete Crack Repair LF 10 $ 45.00 $ 450.00
17 Structure Stabilization LS 1 $ 17,455.00 $ 17,455.00
Total Additions Code: $ 56,045.00
Total Net (Decreases)/Increases/Additions Code: $ 72,145.00