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HomeMy WebLinkAboutCloverport Change Order No.1 for Safety Town City of Jeffersonville Government Contract Coversheet Please note: All information MUST be completely filled out and submitted to Clerk's Office within 48 hrs of execution. Date Submitted to Clerk: I (1 0( Z' Department: ! eaev€1opThe ?V41 Vendor Name: ;(4eV d" jea/eeci Sign Date: J 13/2/�� Ending Date: 2h � Amount of Original Contract: Is this an amendment or change order to original contract? es or No Amended Contract Amount: Purpose: oittmAl ma(( I For Clerk's Office to fill out Date uploaded to Gateway: --tvlAIA Document G701® - 2017 Change Order PROJECT:(Name and address) CONTRACT INFORMATION: CHANGE ORDER INFORMATION: City of Jeffersonville Contract For:General Construction Change Order Number:001 Jeffersonville Fire Department Safety Town Jeffersonville,Indiana 47130 Date:26 January 2023 Date: 10 Octoer 2023 OWNER: (Name and address) ARCHITECT:(Name and address) CONTRACTOR:(Name and address) City of Jeffersonville Orcutt I Winslow+TEG Cloverport Services,LLC 500 Quartermaster Court Project#: 2022_500 2004 Augusta Drive Jeffersonville,Indiana 47130 903 Spring Street Jeffersonville,Indiana 47130 Jeffersonville,Indiana 47130 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and,if applicable,attach or reference specific exhibits.Also include agreed upon adjustments attributable to executed Construction Change Directives.) 02-55 Add 4'Gate in New Fence Add $650.00 32-01 Add Rip Rap in 3 locations of ditch line after flumes Add $2,877.00 Overhead 10% Add $352.70 Bond Cost Add $60.30 Total $3,940.00 The original Contract Sum was $ 63,300.00 The net change by previously authorized Change Orders $ 0.00 The Contract Sum prior to this Change Order was $ 63,300.00 The Contract Sum will be increased by this Change Order in the amount of $ 3,940.00 The new Contract Sum including this Change Order will be $ 67,240.00 The Contract Time will be increased by Seven (7)days. The new date of Substantial Completion will be NOTE:This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price,or the Contract Time,that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor,in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT,CONTRACTOR AND OWNER. Orcutt I Winslow+TEG Cloverport Services,LLC City of Jeffersonville AR 1,1Ter(Firm tla2ne CON TO (F'r OWN (Firanetri /17-1 SIGNATURE SIGNATURE SIGNATURE Greg Edwards,AIA q(‘Xit4d Senior Project Manager- 411/1\t--U /M2-L) Architecture PRINTED NAME AND TITLE PRINTED NAME AND TITLE PRINTED NAME AND TITLE 10 / 10 / 2023 10 / 10 / 2023 I I 1z� DATE DATE DATE AIA Document G701—2017.Copyright©1979,1987,2000,2001 and 2017.All rights reserved."The American Institute of Architects,""American Institute of Architects,""AIA,"the AIA Logo,and"AIA Contract Documents"are trademarks of The American Institute of Architects.This document was produced at 10:03:06 ET on 10/10/2023 under Order No.4104239479 which expires on 01/30/2024,is not for resale,is licensed for one-time use only,and may only be used in accordance with the AIA Contract Documents®Terms of Service.To report copyright violations,e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA3F) Doc ID: 7d37a8e1103e58dcce40c5ffbd1886e198640c25