WTC-ARC HVAC cleaning unit prices change order draft, March 2003

NYC 9/11 Public Portal Document

■i DEPForm409N

CONTRACT AND CONTRACT CHANGE NUMBER WTC Indoor Dust Cleaning Program C.O.2 COMPTROLLER'S REGISTRATION NUMBER CT 826 20030010705

BUDGET LINE CONTRACT ID and DESCRIPTION B.C. W005/OBJ 600 WTC-ARC Cleaning of Apts In VIdnIty of WTC

CONTRACTOR'S NAME AND ADDRESS PIN FMS PROJECT ID Kiss Construction, 59-11 S6» Street, Maspeth, NY 11378 82603WrCIARC 826l> CONTRACT AWARD AMOUNT DESIGN FIRM (If applicable)

$4,764,838 % 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 O. 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 define the unit prices for HVAC cleaning as per the attached, in accordance with the Scope of $0 $0 Work. This Change Order will not increase the total contract award amount. TOTAL= lnterim(if any) or Forced (if any) PLUS Final (If any) or $0 $0 Revised (if any) otherwise TOTAL = This Change Order PREVIOUS AMOUNT REGISTERED FOR THIS CHANGE (if any) $0

AMOUNT REQUIRED FOR REGISTRATION OF THIS CHANGE $0 1. 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 BOE/ODC/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 shall not proceed with this work until Issued a contract change or otherwise directed by the 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 DepartmenTs Engineering Audit Officer and the Comptroller's Chief Engine^__________________________________________________________________________ ___ _______________________

1) CONTRACTOR'S APPROVAL 3) DEPARTMENTS APPROVAL Submitted above is my Cost Proposal for the Contract This Change is approved and the contractor/consultant is Change. Contractor hereby certifies that the cost and directed to proceed. Payment will be made as provided pricing data submitted are accurate, complete and herein. current. [ ] On a Time and Material Basis Not-to-Exceed the Authorized Contractor's Signature Cost [ ] On a Unit Price Basis Not-to-Exceed the Authorized Cost [ ] At the Authorized Cost Title Date: Authorized Signature 2) CONTRACTOR AGREES WITH "AUTHORIZED COST Contractor's Signature Title: Date:

Lsi Date:

Rev 11/24/00 DEPFM409N

NYC-WTC_000163041