CN-550000-E4P20-00100000.pdf

RICK SCOTT

GOVERNOR

Centennial

FDOT

..,d0reft07;97:72-0' 15

Florida Department of Transportation 3400 West Commercial Boulevard Fort Lauderdale, FL 33309-3421

.IIM BOX01,1)

SECRETARY

MEMORANDUM

Date: Thursday, August 13, 2015

TO: Contract Payment Section M/S 42

FROM: Becky B. Johnson, District 4 Construction Contracts Administrator

COPIES: File

SUBJECT: TRANSMITTAL OF APPROVED SUPPLEMENTAL AGREEMENT

Please find enclosed the approved Supplemental Agreement/Change Order 6 dated 8/13/2015 in the amount of $0.00 and 0 days for the following project:

cC, Approved By: Executed By.

(SEAL)

Contractor Signature

Printed Name John Morris Title President Date

Secretary or Designee Signature Printed Name Eduardo Caballero P.E.

8/10/2015 Title Date

Palm Be erations En ineer

AT

Secretary L7ate

Date

Attorney Prin Name Date'

STATE OF FLORIDA DEPARTMENT OF TRANSPORT Ai ION 700410-45

CONSTRUCTION

04.11 SUPPLEMENTAL AGREEMENT

No. 006 Contract No.: E4P20 Page 1 of 3

Road No(s). County-Wide Federal Aid Project No(s). N/A

Fin. Proj. ID 229833-7-52-01

This agreement entered into o /3 d0/, such an agreement to be effective on the last date of execution by a party hereto, by and between the ate of Florida Department of Transportation, "Department", and Community Asphalt Corporation., "Contractor", and Travelers Casualty and Surety Company of America, "Surety-, the same being supplementary to Contract E4P20 by and between the parties aforesaid, dated 03/04/2014, for the construction or improvement of the road(s) and bridge(s) assigned the project number(s) shown above, in Palm Beach Count(y)(ies) Florida.

(1) The Department and the Contractor hereby amend this Contract as follows:

(Continued on Page 2 attached hereto and made a part hereof)

Revised Plan Sheet Nos. N/A

(2) The quantities to be paid shall be determined as provided in the Standard Specification, Edition of 2013.

The quantities so determined shall be paid at the unit prices stated on the attached sheets.

(3) It is further agreed that this supplemental agreement shall not alter or change in any manner the force and effect of the original Contract No. E4P20, including any previous amendments thereto, except insofar as the same is altered and amended by this supplemental agreement.

(4) The Department and the Contractor agree that the contract time adjustment and sum agreed to in the Supplemental Agreement constitute a full and complete settlement of the matters set forth herein, including all direct and indirect costs for equipment. manpower, materials, overhead, profit and delay relating to the issues set forth in the Supplemental Agreement. This settlement is limited to and applies to any claims arising out of or on account of the matters described and set forth in this Supplemental Agreement.

Granted Time this Agreement 0 Days

Net Change in Contract this Agreement: Increase $ 0.00 Decrease $ 0.00 No Change D

Executed By:

Secretary or Designe e Yn Gish, P • E• Printed Name Title District Construction Engineer g -1 3 ig - (SEAL) Surety

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

SUPPLEMENTAL AGREEMENT

700-010-45

CONSTRUCTION

04/11

(1) (continued):

To Provide a New Pay Item to the Contract to Install 6" Blue Solid Std, Thermoplastic Pavement Markings for Handicap Parking at SR-A-1-A (Ocean Boulevard) and Thomas Street. This additional work is necessary due to the fact the City of Delray removed the existing meter at this location and this area will be designated for handicap parking. Also, to complete Work Document Number PBC-5-2015, as requested by the Traffic Operations Division.

This is considered as a Push-Button Contract. Due to budgetary restrictions, this additional work will not increase the original contract amount of $600,000.00.

Rpt-ID: RCOCORPT Florida Date: 07/3012015

User: cn409we Department of Transportation Page: l'ort2

Change Order Report

Contract ID: E4P20

Change Order Nbr: 006

Force Acct ID: 0

Change Order Type: Supplemental Aggreement

CO Description: Install 6" Blue Solid Therm .Markings for Handicap Area-$0-PB

Zero Dollar Change Order: No

Project Nbr ltm Nbr Catg Item Code Unit Unit Price Bid Qty Prey Apprvd Qty Curr CO Qty Curr Apprvd Qty Amount of Change

22983375201 0139 0200 0711 11421 LF $6.11 0 0 50 0 This Chng: $305.50

Prey Revised: $0.00 Item Description THERMOPLASTIC, STD. BLUE. SOLID,6" CO Item Description Compensation for6" Blue Solid Thermoplastic Pavt.

Mar4iINF"r1 New Revised: $305.50 Supplemental Description) Compensation for 6" Blue Solid Thermoplastic Pavt. Markings

Bid Contract: $0.00 Supplemental Description2 Non-Federal Participation

Net Change: $305.50

Pct Change:

22983375201 0141 0200 9999 3 LS $-305.50 0 0 1 0 This Chng: $-305.50

Prey Revised: $0.00 Item Description GENERIC CONTRACT CHANGE(S/M ONLY) CO Item Description Budgetary Ceiling Item - For Accounting Purposes Only

New Revised: $-305.50 Supplemental Description) Budgetary Ceiling Item - For Accounting Purposes Only

Bid Contract: $0.00 Supplemental Description2

Net Change: $-305.50

Pct Change:

Total Value for Change Order 006 = $0.00

General or Standard Change Order Explanation

To Provide Compensation to Install 6" Blue Solid Thermoplastic Pavement Markings for the Handicap parking area at SR-A-1-A (Ocean Boulevard) and Thomas Street. This additional work is necessary due to the fact the City of Delray removed the existing parking meter at the referenced location, therefore, this area has been designated for Handicap Parking. Also, to complete Work Document Number PBC-5-2015, as requested by the Traffic Operations Division.

This is a Push-Button Contract.

Von Behren, Nicole

Cc: Von Behren, Nicole; Murphy, Lisa

Subject: Responsible Charge D4 Director of Operations

All

While I am out of the office on annual leave from Friday August 7th through Friday August 21', the following staff will be in responsible charge and have my signature authority:

August 7 - 19 Mark Plass

August 20-21 Carolyn Gish

Please afford Mark and Carolyn your usual cooperation and courtesy.

Thanks

Courtney Drummond P.E.

Director of Transportation Operations- District 4

Telephone (954)-777-4106

Email: courtney.drummond@dot.state.fl.us