12th Change Order 12/03/2020 C N (V 4 fT 'o v1 eh
>
40. 0 V' d' H
y69 69 64 64 69 64 64
C CRi "
00
1
'o,w m O O 69 •C O
cq
O m
Cid w
'"..� `N
O 0 O>ro C Wm .
O Oa O �6
O C CLt y 69U r 0
cr OC t, ®
LU uJ n 69
f N NYv
t0 CA O, N d
W Q °: O C' w y is
0 n Z OLL
�• 'i» N O
0
Q 0 O � CC bq � rn,
Z W a ~ .a = .c "� v o 41
Q I— U 0' Z Z 0, y E g o
V Q O O — co R 64) t s c i° 0 0
N
N O R Y � E
aav¢ a
4! C 69
U R ,-
N
U 69 Qa
.O 4 (N Cl W + V1
kn
e o U U E ul
Qj o ¢ Q oC l�
N �G•• y •d. N
00.. X h
u io
69
ca C 6R 69 69 O
R .O y y
� a�>i
L
O aR. O
.� M
L+
C O cc
L. U U
4 0cn
Oi cA .y W R
= y U U .0
V R y N G.
i •O N � 4r •,�,,, � N
O O S
U N O U
tA
Um
Ln
b4 U
OV N ate. u y tU. —O cvC O
p
y O
� O a0+ V C' O � �. •R o O C �
�— R O N sue+ _y •b i+ N R U rr O
a O eP N C `,..., U
W O m N 0 > O C O .�
3 CL
C O M .c `'i 01 p •> R w O
Q( th .. � c R o a 3 $ v
W C O p co m Q Q"'^ �G v o
CD V aC ._r. s..• d NR> VyR„ .aC, d u
mCON Z 1> p > eyte
W s. yG
ts
CMO
M $ en= o® J c H
W y. 5 gy U
U • �a .s^�w„ •RU•Uoi
U t= n u S o o a> �y ^ a� o
., u >R e o u
u C G a,
= O A z V Rom. C y O G ,`p C7
U M rn he O Q Cn fl. U A LZ v CO 0 fJa 0.
Change Order Attachment per Monroe County Code Section 2-58(b)
• Change Order was not included in the original contract specifications. Yes (X ) No( )
If Yes, explanation: Supply all labor, materials, tools, equipment &
incidentals necessary to correct any and all abnormal floor
conditions encountered allowing for the acceptance of floor
tile as called for in the plans and specification provided. Such
corrective work includes significant floor leveling in excess of
1 , 000 sf to ensure all floors match appropriately in height.
This is an unforeseen condition and no additional time is
requested,
- Change Order was included in the original specifications. Yes { } No ( X )
If Yes, explanation of increase in price:
- Change Order exceeds$50,000 or 5%of contract price(whichever is greater).Yes() No(X }
If Yes, explanation as to why it is not subject for a calling for bids:
• Project architect approves the change order. Yes(X ) No ( )
If no,explanation of why:
Change Order is correcting an error or omission in design document. Yes ( ) No ( X )
Should a claim under the applicable professional liability policy be made? Yes ( ) No (X)
Explain:
Supreme Ceiling & Interior, Inc.
5941 NW 176th Street Unit#4 Miami,FL 33015
Phone(305)653-7033
ADMIN@SUPREMECEILINGINC.COM
Change Order#:2 Date:11/04/2020
Project Name: KWIA—Departure Hall Reno General Contractor: DL Porter Constructors
Project Location:3491 S. Roosevelt Blvd, Key West, FL
33040
DESCRIPTION OF CHANGE
Dry Pack Floor DECREASE INCREASE
$4,112.00
Total:
$4,112.00
This Change Order is an amendment to the owner-Contractor Agreement, and all contract provisions shall apply unless
specifically exempted.The amount and time Change designated are the maximum agreed to by both the Owner and the
Contractor for this change. In consideration of the foregoing adjustments in Contract Time and Contract Sum,the
Contractor hereby releases Owner from all claims, demands,or causes of action arising out of the transactions, events
and Occurrences giving rise to the Change Order,This written Change Order indicated on the face of the Change order is
the Entire amount of the change, and no backup documentation attached hereto may reserve the Contractor's right to
increase
The contract time or the cost of this change for extended overhead or general conditions or any other reason.
Signature below by the General Contractor,certifies that this change order has been approved.
SUPREME CEILING&INTERIORS,INC Date
Print Name
GENERAL CONTRACTOR
Date
Print Name
Supreme Ceiling&Interior,Inc.5941 NW 1761^Street Unit#4,Miami,FL 33015 Phone(305)653-7033,Fax:(305)653-9112