NYC 9/11 Public Portal Document
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COT AC'T CHANGE DEP Form 409N
CONTRACT AND CONTRACT CHANGE NUMBER
i 1 WTC Indoor Dust Cleaning Program C.O. 1
.ca?` COMPTROLLER'S REGISTRATION NUMBER
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CT 826 20030010736
BUDGET LINE CONTRACT ID and DESCRIPTION
B.C. W005108J 600 WTC-AMB Monitoring of Apts in Vicinity of WTC4
CONTRACTOR'S NAME AND ADDRESS PIN FMS PROJECT ID
Cole Consulting Corp., 2269 Saw Mill River Road. Elmsford, NY 10523 82603WTCIAMB 826 NAJ _
CONTRACT AWARD AMOUNT DESIGN FIRM (if applicable)
$2,358,375
ITEM DESCRIPTION OF WORK CONTRACTOR'S AUTHORIZED
NUMBER ATTACH ADDITIONAL SHEETS IF NECESSARY PROPOSAL COST
This change order is being advanced pursuant to the Declaration
of Emergency signed by Commissioner Christopher 0. Ward on
May 7. 2002. On May 13, 2002, written approval was provided
by the Corporation Counsel, and on May 28, 2002 written
approval was provided by the Comptroller.
This Change Order shall provide an administrative fee of $97.50
per apartment, an amount equal to 3 hours of Project Monitor $160,875 $160,875
time, under the same terms and conditions of the contract. This
fee is limited to a maximum of 1650 apartments. The contractor
shall comply with the cancellation policy implemented by USEPA
on November 26, 2002, and shall confirm appointments 24
hours in advance.
TOTAL= Inferim,(if r,) or eJ (if ar.yi NLUS Final (if any) or $160,875 $160,875
Revised (if any) otherwise TOTAL = This Change Order
PREVIOUS AMOUNT REGISTERED FOR THIS CHANGE (if any) $0
AMOUNT REQUIRED FOR REGISTRATION OF THIS CHANGE $160,875
t. The Contractor shall sign 4 copies of this form, and together with 4 copies of the Contractor's detailed cost proposal, send It to the
Agency Contact for this Contract within seven calendar days of receipt of this proposed contract change.
2. If the total amount of the extra work (excluding credit change orders) issued for the contract exceeds 10% of the contract amount or
$100,000, whichever is greater, or exceeds previous BOEIODC/MOC Approvals, the Agency must obtain approval from the Mayor's
Office of Construction or the Mayor's Office of Contracts (as applicable) In order to award extra work.
3. When a price Is agreed to between the Commissioner's authorized representative and the Contractor, and all required approvals have
been obtained, the Contractor shall be issued a contract change to proceed with the work. Contractor shalt not proceed with this work
until issued a contract change or otherwise directed by e Commissioner.
4. Any payments for extra work must be requisitioned separately from payments for work required under the original contract,
5. All Construction and Construction -Related work is subject to post-audit by the Department's Engineering Audit Officer and the
Comptroller's Chief En ineer.
1) CONTRACTOR'S APPROVAL 3) DEPARTMENT'S APPROVAL
Submitted above is my Cost Proposal for the This Change is approved and the contractor/consultant is
ContractChange.Con ractort .ertifiesthatthe directed to proceed. Payment will be made as provided
cost and cing a s tted are accurate, herein.
complete curr t.
[ j On a Time and Material Basis Not-to-Exceed the Authorized
Contract r' i Ina 'U Cost
[ On a Unit Price Basis Not-to-Exceed the Authorized Cost
i M At the Authorized Cost
Title_________ lT Date:
Authorized Signature
2) CONTRA ' RAG S WI " THO IZED COST,' ( y~ ~} A^~
Contracto I igrla r
Title: . Date:_______
Title p@ZSibFn*r Date: -4 29 O
Rev 11,24/00 DEP FM 409N
NYC-WTC 000133970
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