5th Change Order 09/24/2021 El -Iond,,'a 33'45
Phone. 305,441,1864
.Jacobs Pax: 305,7'8,8077
REVIEW - Change Order
Attention: Christian Brisson Date Returned: 09/21/2021
To: Pedro Falcon Contractors, Inc. PEoject No: E9Y37989
31160 Ave C Project Name: MTH Security Site Lighting
Rehabilitation
Big Pine Key, Fl. 33043
We are sending you these items via: it
COPIES TYPE OF SUBMITTAL FURNISH AS REVISE SUBMIT
AND SPECIFIED
SUBMITTED CORRECTED] RESUBMIT ITEM
1 Change Order#5 X
Remarks:
REVIEWED AND ACCEPTED.
$4,741.00
3 Days Extension
Reviewed By: Ryan Forney -�Date: 09/21/2021—
Corrections and Comments made on the shop drawings during this review do not relieve contractor from compliance
with requirements of the drawings and specifications. This check is only for review of general conformance with the
design concept of the project and general compliance with the information given in the contract documents. The
contractor is responsible for: confirming and correlating all quantities and dimensions; selecting fabrication
processes and techniques of construction; coordinating his work with that of all other trades; and performing his work
in a safe and satisfactory manner.
, Recommended b Approved by:
ROE couNTY ATTORNEY r--�
HOVE FORM
P TM&MER-Ag
A ATTORNEY SStS UWY A
D.t.---L----2L2-2L2—I
Director of Airports sst./County Administrator
Date: 9.22.2021 Date: 09/24/2021
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Project: Security Site Lighting Rehabilitation
Change Order#: 5
Description of Change: Provide Dedicated circuit and install recept.For future camera
Date: 09.21.2021
LABOR
Quantity Units Hours $/unit Cost of labor
Receptacles'installation anal pull wires
1 Forman 4 $ 48.13 $ 192.52
1 Electrician 10 $ 48.13 $ 481.30
1 Labor 10 $ 25.00 $ 250.00
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1 Office 1 $ 105.00 $ 105.00
Labor Subtotal $ 1,028.82
Labor Burden Percentage 38% $ 390.95
Labor Total $ 1,419.77
MATERIAL(SUPPLIER BACK-UP REQUIRED)
uantit Units Desgi tion /unit Cost of Material
1 Each 20A GFCI WR Recept $ 25.00 $ 25.00
2000 Feet #6 THHIv 3 x 650'+50'pole $ 1.15 $ 2,300.00
1 Each Sqr D 20A Breaker $ 50.00 $ 50.00
2 Each WR Electric J-Box $ 25.00 $ 50.00
2 Each WE fN-Use Cover $ 20.00 $ 40.00
1 Each 20A WR Receptacle Reg $ 10.00 $ 10.00
Material subtotal $ 2,465.00
Material Sales Tax 7.50% $ 184.88
Freight $ -
aterial Total $ 2,649.88
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no
ly Units Description !unit Cost of E/S/U
week $ - $
Total: $ -
Material Sales Tax 7.50% $ -
Equipment&Sub Total $ -
Labor Total $ 1,419.77
Material total $ 2,649.88
Equip./Sub/Unit Total $ -
Subtotal $ 4,069.65
Allowable OH&P 15% $ 610.45
Bond&Insurance 1.5% $ 61.04
GRAND TOTAL(no pennies) $ 4,741
Additional Days Requested L 3 days
Change Order Attachment per Monroei - ( )
Change Order was not included in the original contract specifications. Yes ( ) No( x)
If Yes, explanation:
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: This Change Order is changing the original intent and scope of work for the
Marathon International Airport Security Site lighting Rehabilitation project.