CHANGE ORDER APPROVAL FORM - nassauclerk.com fileSECTION 00 63 63 CHANGE ORDER instructions on 00 63 63-2 NO: 008 PROJECT: CR-108 Milling & Resurfacing DATE OF ISSUANCE: EFFECTIVE

CHANGE ORDER APPROVAL FORM

PROJECT: CR-108 Milling & Resurfacing CHANGE ORDER NUMBER: 08

DATE: 08/24/09

CONTRACT NUMBER: CM1395

TO CONTRACTOR: APAC Southeast

Reason for Change Order: Contract time affected by inclement weather. Contract time increase for 18 weather days

. . Onginal Contract Sum ................................................... $ 3,206,3 12.87 Net Change by Previous Change Order/Supplemental Agreement. $ (325.179.13)

........................... Contract Sum Prior to This Change Order.. $ 2,881,133.74

Amount of This Change Order (AddIDeduct). ......................... $ .OO

New Contract Sum Including this Change Order.. .................... $ 2,881,133.74

Net Increase(decrease) of days for this change order: 18 day (Substantial Completion: 09/03/09; Final Completion: 0911 7109)- A

APPROVED BY: DATE: @[4g7 APPROVED BY: DATE: &'12L5/0?

APPROVED BY: DATE: ~i&r of m f &agement & Budget

APPROVED BY: DATE: wd9

SECTION 00 63 63

CHANGE ORDER

instructions on 00 63 63-2 NO: 008

PROJECT: CR-108 Milling & Resurfacing

DATE OF ISSUANCE: EFFECTIVE DATE:

NASSAU COUNTY BOARD OF COUNTY COMMISSIONERS

COUNlY Contract I Purchase Order No: CM 1395

CONTRACTOR: APAC SE - F i s t Coast Division ENGINEER /ARCHITECT: Ghyabi & Assoc (EOR); Wilbur Smith Assoc (CEI)

You are directed to make the following changes in the Contract Documents:

Description: Weather Days - Contract Time Increase

Reason for Change Order: Contract time affected by inclement weather

Attachments (List documents supporting change): Daily Reports of Construction; Request Lefter

Net change from previous Change Orders No. 001 to No. QOJ 1 ~ e t change from previous Change Orders N o 001 to No. 007

CHANGE IN CONTRACT PRICE:

Original Contract Price:

$ 3,206,312.87

CHANGE IN CONTRACT TIMES:

Original Contract Times: 124

Substantial Completion: August 9,2009

Ready for Final Payment: August 23.2009 (days or dates)

I~ubstantial Completion: August 16,2009

$ (346,036.06)

Contract Price prior to this Change Order

7 (days)

Contract Times prior to this Change Order

$ 2,860,276.81

Contract Price with all approved Change Orders

Ready for Final Payment: August 30,2009 (days or dates)

A

Net Increase (decrease) of this Change Order

$

Contract Times with all approved Change Orders

Net Increase (decrease) of this Change Order

fl / 8 (days)

l~ubstantial Completion: September 2,2009

$ 2,860,276.81 1 ~ e a d ~ for Final Payment: September 16,2009

ACCEPTED:

Date: Date: 7

July 7,2009

APAC-Southeast, Inc. First Coast Division P.O. Box 24728 Jacksonville, FL 32241 (904) 288-6300 (904) 288-6301 - fax

Greg Dutton Senior Project Engineer Wilbur Smith Associates 7029-1 Commonwealth Ave, Jacksonville, FL 32220

RE: CR 108, Nassau County Financial Project No. 41 7321 -1 -58-01 Bid No. NC 08-039 APAC No. 772267

Weather Davs:

Dear Mr. Dutton,

Listed below are the 22 days APAC feels they should be granted weather days for. If you have any questions, feel free to contact me.

4/6/09 thru 411 0109 - Severe weather over the wee end and throughout the week kept us from replacing twin culverts. 5 DAY5 P E Q J E ~ ~ E O - &L

4/14/09 - Rained Out - DDJlEI) (WOCL ~ E ~ F ~ L M E O ] 4120109 tl~ru 4/24/09 - Se\.ese weather and extreme high water in culverts kept us from replacing twin culverts. 5 V ~ - ( S PWqESFD - 1/06 511 8/09 - Rained Out w' 5120109 - Rained Out .-- 512 1/09 - Rained Out L/ 611 8/09 - Rained Out L- / 7 1 ~ 0 9 - Rained o u r t 07/6 f- A I)O 07/6 7 D A - ~ s -60?f%L

'There are also 6 additional days requested for the extra work that was completed.

Very Truly Yours, APAC-Southeast, Inc.

aiee N d Bill Nowak, Project Manager

Safety First

NASSAU COUNTY ENGINEERING SERVICES

DAILY REPORT OF CONSTRUCTION

Date: I Project Description: I Project Number: I Inspector: 7/8/2009 ICR-108 141 7321-1-58-01 1 Dana Davis

PM Conditions Mostly Cloudy1 Rain Showers

Low Temp: 173 High Temp: ,85

Remarks General:

APAC: No work performed on project this date due to rain. Contractor requested a RAIN DAY.

AM Conditions Mostly Cloudy1 Rain Showers

Accidents: F N o r y e s See Accident Report Dated:

4

Contractor(s) Equipment (Active or Idle)

Visitors:

Weekday Wed.

SubIUtility

Cont # 1 1 1 1 1 1 1

Contract Day 92

Superint

Description Pickup Truck Flatbed Truck Dump Truck Power broom Roadtec Paving Machine Vibratory Roller Asphalt Distributor

Equipment ID

Total Days 124

IForeman I

# Used

5 1

1 1 2 1

Iskilled I I Semi-skilled I

Total Hours Used 1 .O 1 .O

0.0 0.0 0.0 0.0

l ~ommon I l~rainee



Date: 1 Contract ID: Weekday I Contract Day 1 Total Days 7/8/2009 I NC08-039 Wed. 9 2 124

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: P Yes r No CONFORMANCE WITH CONTRACT DOCUMENTS: F Yes r NO

EFFECTS OF WEATHER ON MAJOR andlor CONTROLLING WORK ITEMS No Work All Day

r

r

r

r

r

r r

Major and/or Controll~ng Work Items

Asphalt Base

TECHNICIAN'S SIGNATURE AND RATING:

Dana Davis, Sr. Inspector

DISTRIBUTION: Original - Project Engineer

Copy - Contractor (as requested)

ENGINEER IN CHARGE (NAME, RANK & INITIALS):

No Effect All Day

P

r

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r

HOURS AT JOBSITE FROM: I TO:

Greg Dutton, PE, Senior Project Engineer

TOTAL HOURS

Date:

Affected ~ 5 0 % of Work Day

r

r

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Affected >50% of Work Day

r

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Remarks General:

Date: I Contract ID: Contract Day Weekday Total Days I Page 1 3 1 24 I o f 1 3 7/8/2009 I NC08-039 Wed. 92


DAILY REPORT OF CONSTRUCTION 1 Date: I Project Description: I Project Number: I Inspector: 7/7/2009 ICR-108 1417321-1-58-01 1 Dana Davis

Low Temp: 7 4 HighTemp: ,88

Remarks General:

APAC: Set up, maintained, and removed lane closure for NC R&B to add fill in curve #9 for construction of 6' paved shoulder. No asphalt placed this date due to rain. Contractor requested a RAIN DAY.

AM Conditions Mostly Cloudy1 Rain Showers

Accidents:

F No r Yes See Accident Report Dated:

4

PM Conditions Mostly Cloudy1 Rain Showers


Visitors:

Weekday Tue.

SubIUtility

1 1

cont # 1 1 1 1 1

Contract Day 91

Superint

# Used

3 1

1 1 -

Vibratory Roller Asphalt Distributor

Total Days 124

Equipment ID Total Hours

Used 8.0 8.0

1 .O 0.0

Semi-skilled I I l ~ o m m o n I l~ra inee I~oreman I

Description Pickup Truck Flatbed Truck Dump Truck Power broom Roadtec Paving Machine

2 1

Iskilled

0.0 0.0



Date: I Contract ID: Weekday I Contract Day ) Total Days 71712009 (NC08-039 Tue. 9 1 124

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: F Yes r NO CONFORMANCE WITH CONTRACT DOCUMENTS: P Yes r NO

EFFECTS OF WEATHER ON MAJOR andlor CONTROLLING WORK ITEMS

Major andlor Controlling Work Items

Asphalt Base





No Effect All Day

P

r

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r


HOURS AT JOBSITE FROM: I TO: 7 5 0 AM 15:30 PM


Affected -40% of Work Day

r

r

r

r

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TOTAL HOURS

10.00

Date:


r

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No Work All Day

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Date: Icontract ID: Weekday I Contract Day I Total Days 7/6/2009 I NC08-039 Mon. 90 124

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: I7 Yes r NO CONFORMANCE WITH CONTRACT DOCUMENTS: F Yes r NO



Asphalt Base (Group 12)





Affected <SO% of Work Day

r

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No Effect All Day

P

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HOURS AT JOBSITE FROM: I TO: 7:30 AM 13:30 PM



r

r

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r r

TOTAL HOURS

8.00

Date:

No Work All Day

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Date: I Contract ID: Weekday I Contract Day I Total Days 611 812009 I NC08-039 Thur. I 72 124

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: F Yes r NO

CONFORMANCE WITH CONTRACT DOCUMENTS: F Yes r NO


Major and/or Controlling Work Items

Asphalt Leveling





Affected 6 0 % of Work Day

r

r

r

r

r

r r

No Effect All Day

F

r

r

r

r r

r


HOURS AT JOBSITE FROM: I TO: 7:30 AM 14:30 PM



r

r

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TOTAL HOURS

9.00

Date:

No Work All Day

r

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Date: 1 Contract ID:

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: F Yes r NO CONFORMANCE WITH CONTRACT DOCUMENTS: F Yes r NO

Weekday I Contract Day I Total Days


Major and/or Controll~ng Work Items

Guardrail

l ~ r e ~ Dutton. PE, Senior Project Engineer I ate:



I I I DISTRIBUTION: Original - Project Engineer

1 24

No Effect All Day

F

r

r

r

r r r


44 5/2112009 1 NC08-039

HOURS AT JOBSITE FROM: I TO:

Thurs.

Affected -30% of Work Day

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I-

r

r

r

r r

TOTAL HOURS


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No Work All Day

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Date: I Project Description: I Project Number: I Inspector: 511 812009 I CR-1 08 1417321-1-58-01 1 Dana Davis 1 Low Temp: 5 6 High Temp: 6 5

AM Conditions I PM Conditions Showers1 Windy l~howersl Windy

Remarks General,

APAC: No work performed on project this date due to rain. Contractor requested a RAIN DAY.

Accidents: F NO r Yes See Accident Report Dated:

I Semi-skilled I


Visitors:

Weekday Mon.

lCommon I

Cont # 1 1 1 1 1 1

ITrainee I

Contract Day 41

Equipment ID

Total Days 124

Description Pickup Truck Flatbed Truck Dump Truck Cat CB-214 Roller Power broom Cat Combination Backhoe

# Used

1 1 1

Total Hours Used

0.0 0.0 0.0

NASSAU COUNlY ENGINEERING SERVICES

DAILY REPORT OF CONSTRUCTION 1 Date: (Contract ID: Weekday 1 Contract Day 1 Total Days 511 812009 I NC08-039 Mon. I 41 124

CONTRACTOR PAST PERFORMANCE PURSUIT OF THE WORK: F Yes r NO CONFORMANCE WITH CONTRACT DOCUMENTS: F Yes r NO



Guardra~l

ENGINEER IN CHARGE (NAME, RANK & INITIALS): I



1 ~ r e ~ Dutton, PE, Senior Project Engineer 1 Date: I

No Effect All Day

P

r

r

r

r r

r

I 1 I DISTRIBUTION: Original - Project Engineer

HOURS AT JOBSITE FROM: !TO: 8:00 AM 14:00 PM


Affected 4 0 % of Work Day

r

r

r

r

r

r r

TOTAL HOURS

8.00


r

r

r

r

r

r r

No Work All Day

r

r

r

r

r

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-

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