Okaloosa County BOCC — January 8, 2013 — OldAntiochRd_CO-04 — reading text

CHANGE ORDER FORM Okaloosa County Public Works CHANGE ORDER NO. 4 DATE: January 18, 2013 PROJECT NAME: Old Antioch Road Improvements OWNER: OKALOOSA BOARD OF COUNTY COMMISSIONERS CONTRACTOR: Gum Creek Farms, Inc. The following changes are hereby made to the CONTRACT DOCUMENTS: 999-025-03 Overrun / Underrun ($5,072.00) CHANGE TO CONTRACT PRICE: $ (5,072.00) ORIGINAL CONTRACT PRICE: $ 558,968.10 CONTRACT PRICE adjusted by previous Change Order: $ 623,709.89 NEW CONTRACT PRICE including Change Order $ 618,637.89 CHANGE TO CONTRACT TIME: 0 days APPROVALS: Requested By: ee me _ £ Project Engineer: ee | pik. Ve asrS ran —_— Owner: Contractor: ~——— Ad ) ad CONTRACT # C12-1974-PW GUM CREEK FARMS, INC OLD ANTIOCH RD IMPROVEMENT P EXPIRES: 12/20/2012 RoweeT (oo'eso'9) ¢ I (ON 280g 1010]. penoppun sud sp anasienxe sv 70 sian ain wauuppes Breaanbat swat = suonmundx (00"rs9) $ $816 OLée- 00°c $ OSP9E OCLEE AT Tae saaumpes; €-OT-LOl 800 ubts arse yy agreuntD argruog fp avsn papvaira patmnbe polos ac uo any, pruompp yy uonmunyd x7 oo'ees $ LIST OTF OO'eT $ OT0c O'09T da UsIg aSessay aqvasueyD yqeuog — 66-ZOI £00 posodaud (qyruiBuo sp gon sv popood you aia Jy ad, auopatacp posodaud (qpeuaiuo urea «Buoy vedo yoy sem pros ap fo umd y——suormunidx (c0'0t) $ WL 96 0'0b- STO $ OO9TT 0°00¢T da Tec “dwey ‘opeoumeg 7-4/-Z01 900 umop tys sem prow “suorpoy Kuru us popeat rou atan. sun Morunydcy (Co'r69'T) $ WOST O'0Lr8- 070 $ OO¢ST 0°00001 aa dA ‘IG ‘I ‘Teddy ‘duray ‘opeoumeg = -72-Z01 S00 81s open. step alow patanbas palate ap uo aun], puoKp wonvundx gy 00°C $ %8 CTI OTT 0c0 $ OOT6 0°008 aga SUIS SUOZ FIOM. —-9-ZOT v00 Doloud wo popoutouumy = uormunyd x (co'osz‘r) $ %0'°0 O°0sc- 00°21 $ 00 o'0sc XO PeposeyA Perorourmo = €-Z0T £00 yunoury % Aen?) aug AMeungd | Qnuend | amseay uondusseq 2poD ‘ON urasuey | Anuend |uresueyD wan) [EGhT Teursio | an way] way aury syuommaaorduyy proy qoonuy pio =: #aforg AQunoD €10Z/ST/T seq NOWYAGNNA AGNV NVWYAAO JO LYOdaa 00T9S‘E Z ON 28nq [P10 pornunse Kpauibuo umes s9T - | # 4apAD Bure) wormurdx gy (00°06z‘T) %9°€6 O'6zI- — O0'T O988l — OSLOZ XO worwaeoxy Tosqng —#-OZT SEO pause pple — uommundx 7 00'9eZ %L POL OE9e = 007 O'€608 = O0ELZ AS Pos ‘HN, soueuOpeg = Z-1-04S 620 paunsvay pj] vonmundx 7 (o0'0rZ) %0°68 OLE- 00°02 0'86z orsee a1 odd round 2% GMD ee1IUED OI-1-0%S —-97Z0 pauisvau ppg = wormundx (00'001) %C'66 o's- 00°0Z 0°009 0°09 a FIO FUND 2 GMD a1es9Uoy,—_8-T-07S ¢zO Suuyenay sp auuos pon pun Sago yoqdse poppy vommund xy 00°SS6'8 %O°OUT $66 00°06 0°6601 $666 NL D oyFeLL “uD onpeydsy aavdiadng ¢I-I-pee 610 posqrs kun oma un yup = uormurnd x7 (00'062‘¢) %0°0 O6Le- OO'OT 00 Or6le 12) worwaeoxy fosqng —-0ZT €10 papeau. you wary wormundx 7 (00°02) %0°0 O7- — O0'00T 00 od va wraisks uonoaorg IU] 81 “POT 600 yunoury % Anuend aug AMvungd | Hyuend | amseoyy uondusseq apo ‘ON, upesuryQ | Anuend juresuryo| wen org | peursig | 3 way] way] oury arg €1OC/ST/T (oo'zlo‘s) ¢ (oo'ossz) ¢ uorsog amieusis Jooulsuy Wwepissy / rseursuq welorg Joes TWLOL LOdlOoud € ON a8nq P10]. poms KyruBuo uve ssoT - I # 4apQ Bury uommunyd x 7 (oo08s‘z) $ %I C6 O6ZI- = 00°07 $ 09881 O'STO? XO weed =— «DOC. 9¢0 qunoury % AMUN?) aug AMeungd | Anuend | anseoyy uondisseq apoD “ON, urasuey) | Gpuend |uresueyD way) Peo Tearsig | mn tray trai] eury