LIFT STATION 16 - 20-0008-UT - CHANGE ORDER 1Change Order 1
PROJECT:
CONTRACTOR:
Lift Station 16 Pierce St Rehab
TLC Diversified, Inc
2719 17th St E Palmetto,
Florida 34221
DATE:
PROJECT NUMBER:
PO REFERENCE:
COUNCIL AWARD:
DATE OF CONTRACT:
CODE:
January 16, 2024
20 -0008 -UT
23001004
July 17, 2023
August 8, 2023
SCOPE OF CHANGE: Approve a Change Order to TLC Diversified, Inc. of Palmetto FL, to extend the project completion by One Hundred
Eighty (180) days from May 28, 2024, to November 28, 2024, and authorize the appropriate officials to execute same. (consent). The increase is
mainly due to maniple factors that are out of TLC Diversified, Inc.'s control, that include the global supply crisis, shipping delays, global
shortages, u well as manufacturing delays from component manufacturers,
STATEMENT OF CONTRACT AMOUNT
ORIGINAL CONTRACT AMOUNT
Change Order 1 - City Council Approval
NEW CONTRACT AMOUNT
Brian J Aungst Sr,
APPROVED TO FORM:
$ 7,933,000.00
$ 0.00
$ 7,933,000.00
Mayor
Jerrod Sim
ATTEST:
Senior Assistant City Attorney
Date: L AS A
CITY OF CLEARWATER, in
PINELLAS
Jennifer
Change Order 1: Lift Station 16 Pierce St Rehab Project
ITEM
Decreases:
Increases•
DESCRIPTION
N/A
N/A
ACCEPTED BY:
TLC Diversified, Inc.
Recommended By:
City of Clearwater
Rama Pandkar, Project Manager
Digitally signed by Richard Gardner
DN: cn=Richard Gardner, o=City of
Clearwater, ou=Public Utilities,
. jam email=dchard.gardner@myclearwater.co
m, c=US
Date: 2024.01.17 17:22:22 -0500'
City Manager Richard G. Gardner, PE PU Director
UNIT UNIT COST TOTAL COST
Total (Decreases): $
$ 0.00 $ 0.00
$
TotalIncreasea: $ 0.00
Total Net (Decrease)/Increases: $ 0.00
APPLICATION AND CERTIFICATE FOR PAYMENT
To: City of Clearwater Project: Lift Station 16 Pierce Street
PU Engineering - Rama Pandkar
1650 N Arcturas Ave N Bldg C Contract No: 20 -0008 -UT
Clearwater, Florida 33765 Contract Date: 8/8/2023
P UEngineeri nd@MyClearwater.com
From: TLC Diversified, Inc.
2719 17th Street East
Palmetto, FL 34221
Application:
Period to:
PO:
Distribution to:
OWNER
ARCHITECT
CONTRACTOR
23001004 _ ENGINEER
CHANGE ORDER SUMMARY
Change Orders approved in
previous months by Owner
TOTAL
ADDITIONS
DELETIONS
Approved this month
Number Date Approved
TOTALS
Net Change by Change Orders
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:
Signature: Print Name: AlexZettel
Application is made for payment, as shown below, in connection with the Contract.
Continuation Sheet is attached.
1 Original Contract Sum
2 Net Change by Change Orders
3 Contract Sum to Date (Line 1 + 2)
4 Total Completed
5 Retainage
(5% of completed work)
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 (Line 6 leas line 7)
9 Balance to Finish, Plus Retainage
(Line 3 less line 6)
Date:
S 7,933,000.00
$ -
$ 7,933,000.00
$ -
$ -
$ -
$
$ -
$ 7,933,000.00
OWNERS CERTIFICATE FOR PAYMENT
In accordance with the Contract Documents, based on onside observations
and the data comprising the above application, the Architect/Engineer certifies
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
said Contract Documents, and the Contractor is entitled to payment of the
Richard G. Gardner, P.E., Public Utilities Director
Page
AMOUNT CER I'll''1t D: $
(Attach explanation if amount certified differs from that applied for)
Anthony Trant, Construction Inspector
Kaylynn Price, Acting Utilities Eng Mgr
Rama Pandkar, 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.
2040118 -UT Idle Station 16 Pkrce Street Draw 1 Date
Item
No.
Description
Unit
Qty
Unit Price
TContractAmount
Previous Amount
Earned
Qty
this Draw
Amount
this Draw
Qty
to Date
Amount Earned
to Date
Percentage
Complete
1
Demolition - Demolition of the existing LS -16
facilities. This includes the existing wetwell,
valve vaults, concrete slab, valves, piping,
conduits/cables, electricaUcontrol panels, light
fixtures, instrumentation/control equipment,
fencing, etc. as shown in the Contract
Documents.
LS
I
$ 131,000.00
1 $ 131,000.00
S -
0.00
$ -
0.00
$ -
0.00%
2
Site civil - Site civil work associated with the
WORK, including site preparation grading,
erosion control, excavation and backfill
materials. Modifications to manholes and bypass
pumping as shown in the Contract Documents as
well as restoration work of pervious and
impervious areas affected by the construction
activities.
LS
1
$ 232,000.00
$ 232,000.00
S -
0.00
$ -
0.00
$ -
0.00%
3
New Lift Station -Installation of a new 15 -ft
diameter, cast in place wetwell with three
submersible, solids handling pumps, inclusive of
all accessories and appurtenances as shown in
the Contract Documents. The wetwell rim shall
be installed at elevation 15.0 -ft. this includes
commissioning and start up services including
individual equipment startup and testing, piping
system testing, providing the services of
manufacturer field technician and representatives
to provide services for installation, startup, and
training, coordination with the OWNER,
ENGINEER, other CONTRACTORS, and
regulatory agencies.
LS
1
$ 5,092,000.00
$ 5,092,000.00
S -
0.00
$ -
0.00
$ -
0.00%
4
Electrical Work - Furnish and install cable,
conduits, Tight fixtures, electrical panels,
transformer(s), automatic transfer switch,
lightning protection system and equipment
(including new natural gas backup generator),
flow meter, pressure gauge, level transducers,
floats, telemetry control units (TCU), and control
panels shown in the Contract Documents. The
Contractor shall also perform a short circuit and
coordination study as part to the WORK.
Electrical panels shall be installed at elevation
17.0 -ft. The existing communications antenna
should also be relocated as part of this work.
LS
1
$ 1,209,000.00
$ 1,209,000.00
S -
0.00
$ -
0.00
$ -
0.00%
Printed :
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20•SO111-UT UR Station IA Puree Street
Draw
1 Date
Item
No.
Description
Unit
Qty
Unit Price
Contract Amount
Previous Amount
Earned
Qty
this Draw
Amount
this Draw
Qty
to Date
Amount Earned
to Date
Percentage
Complete
5
Structural Work - Furnish and install elevated
structures, retaining walls and platforms to
service and maintain the wetwell, electrical,
control and instrumentation equipment as shown
in the Contract Documents.
LS
1
$ 265,000.00
$ 265,000.00
$
-
0.00
$
-
0.00
$ -
0.00%
6
Landscape Work - Protection, removal,
replacement, and overall improvements of
landscape features at the site. This includes
furnish and installation of irrigation system,
trees, grasses, plants, and shrubs as shown in the
Contract Documents.
LS
1
$ 31,000.00
$ 31,000.00
$
-
0.00
S
-
0.00
S -
0.00%
SUBTOTAL
$ 6,960,000.00
S
-
$
-
0.00
S -
0.00%
,10%
CONTINGENCY
1
$ 696,000.00
$ 696,000.00
S
-
0.00
$
-
0.00
$ -
0.00%
Bid
Allier
nate
No. 1
Aluminum Canopy Work - Furnish and
install extruded aluminum protective cover,
inclusive of fixed, extruded aluminum louvers
and structural elements as show in the Contract
Documents. The structural components of the
protective cover shall be coordinate such as it
will be supported from structural platform
components, but not be integral to these
components.
LS
1
$ 277,000.00
$ 277,000.00
$
-
0.00
S
-
0.00
$ -
0.00%
SUBTOTAL BID ALTERNATE NO.1
$ 277,000.00
$
-
$
-
0.00
$ -
0.00%
_
TOTAL CONTRACT
$ 7,933,000.00
$
-
$
-
' 0.00
$ -
GRAND TOTAL
$ 7,933,000.00
$
-
$
-
0.00
$ -
0.00^,6
•
Total Contract
$ 7,933,000.00
$
-
$
-
$ -
o.ocft
1:.
$
y
.
CurrentPi.yuaet
S.
-
Printed :
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