Okaloosa County BOCC — July 7, 2015 — Change Order #1 & 2 Summary

NAME OF PROJECT: Annual Contract for Manhole Rehabilitation CONTRACTORS NAME: Gulf Coast Underground, LLC ADDRESS: 3158 Old Shell Road Mobile, Alabama 36607 Change Order Summary 1 through 2 Effective Date May 1, 2015 Term September 30, 2015 with One Two Year Renewal JOB NO. 41-457 = = | B o Original Contract Phase |l (Change Order #1) Total Contract Quantities CONTRACT ADDITIONAL TOTAL COST UNIT PRICE TOTAL COST\ ™\ y7g ADDED DESCRIPTION CURRENT CURRENT CONTRACT ORIGINAL UNITS UNITS TOTALS Complete Mobilization and Demobilization for original project and any subsequent Task Order greater than $25,000 1 LS $ 150.00 $ 150.00 1 $ 150.00 4.0 $ 600.00 Cementitious Underlayment (%" increments) for Structural Rehabilitation, per specifications, of 4' diameter sanitary sewer manhales G'in depth or less 42 VF__§$ 6000 _$ 2520.00 $ - 42.0 $ 2,520.00 Cementitious Underlayment (%" increments) for Structural Rehabilitation, per specifications, of 4' diameter sanitary sewer manholes greater than 6' up to 8'in depth or less 44 VF $ 60.00 $ 2,640.00 $ - 44.0 $ 2,640.00 Cementitious Underlayment (%" increments) for Structural Rehabilitation, per specifications, of 4' diameter sanitary sewer manholes greater than 8' up to 10'in depth I or less $ $ 20 VF $ 60.00 1,200.00 20.0 $ 1,200.00 Cementitious Underlayment (%" increments) for Structural Rehabilitation, per specifications, of 4' diameter sanitary sewer manholes greater than 10' up to 12' in depth or less 90 VF $ 60.00 $ 5,400.00 $ - 90.0 $ 5,400.00 Cementitious Underlayment (%" increments) for Structural Rehabilitation, per specifications, of greater than 4' diameter sanitary sewer manholes and wet wells 400 SF $ 4.00 s 1,600.00 $ R 400.0 5 1,600.00 Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition A or B) 8'in depth o less 21 VE § 25000 $ 525000 657 $ 16,425.00 118.7 $ 29,675.00 Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition A or B) greater than 6' up to 8'in depth or less 22 VF§ 25000 $ 550000| 603 $ 15075.00 682.3 $ 170,575.00 Page tof3 NAME OF PROJECT: CONTRACTORS NAME: ADDRESS: Change Order Summary Effective Date Term JOB NO. 41-457 1 through 2 May 1, 2015 Annual Contract for Manhole Rehabilitation Gulf Coast Underground, LLC 3158 Old Shell Road Mobile, Alabama 36607 September 30, 2015 with One Two Year Renewal DESCRIPTION ORIGINAL UNITS Original Contract CONTRACT UNIT PRICE TOTAL COST Phase Il (Change Order #1) TOTAL COST ADDITIONAL UNITS ADDED Total Contract Quantities CURRENT CURRENT CONTRACT UNITS TOTALS Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition A or B) greater than 8' up to 10'in depth or less 10 VF $ 250.00 $ 2,500.00 40.1 3 10,025.00 150.1 $ 37,525.00 Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition A or B) greater than 10" up to 12" in depth or less 45 VF $ 250.00 $ 11,250.00 66.2 $ 16,550.00 171.2 $ 42,800.00 Epoxy System Lining, per specifications, of greater than 4' diameter (Condition A or B) sanitary sewer manholes and wet wells 200 SF $ 2500 $ 5,000.00 600 $ 15,000.00 800.0 $ 20,000.00 12 Additional cost for Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition C) 6' in depth or less VF 1.0 $ - 13 Additional cost for Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition C) greater than 6' up to 8'in depth or less VF 1.0 $ - 14 Additional cost for Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition C) greater than 8' up to 10" in depth or less 1.0 $ . 15 Additional cost for Epoxy System Lining, per specifications, of 4' diameter sanitary sewer manholes (Condition C) greater than 10' up to 12'in depth or less VF 1.0 $ . 16 Additional cost for Epoxy System Lining, per specifications