Change orders for rooftop contracts, September 2002

NYC 9/11 Public Portal Document

Hi DEPForm409N

CONTRACT AND CONTRACT CHANGE NUMBER

vHj Rooftop/Facade Remediation in Vicinity of WTC C.0.1

COMPTROLLER'S REGiSTRATiON NUMBER CT 826 20020015275

BUDGET LINE CONTRACT iD and DESCRIPTION B.C. W005/OBJ 600 ROF-REM1 Emergency Rooftop/Facade Remediation In Vicinity of WTC Site

CONTRACTOR'S NAME AND ADDRESS PIN FMS PROJECT ID Fiber Control, Inc., 3010 Bums Avenue, Wantagh, NY 11793 826WrCROOF01 826L

CONTRACT AWARD AMOUNT DESIGN FIRM (If applicable)

$ 1,352,337.50 % 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 former Commissioner Joel Miele on March 20, 2002. On April 2,2002, written approval was provided by the Comptroller and by the Corporation Counsel.

1 Remediation of additional building roofs, setbacks and/or building facades is required within the vicinity of the World Trade Center under the same terms and conditions set forth in the contract. The additional remediation is estimated to be: $ 670,684 $ 670,684 268,273 sq. ft. Facade Cleaning @$2.50 each $ 447,121 $ 447,121 302,109 sq. ft Roof Asphalt/Uncovered Surface @ $1.48 each $ 372,601 $ 372,601 125,034 sq. ft. of gravel/stone surface at $2.98 each

The end date of this contract is changed from September 12, 2002 to November 29, 2002, an extension not to exceed 79 days.

TOTAL® lnterim(if any) or Forced (if any) PLUS Final (If any) or $1,490,406 $1,490,406 Revised (if any) otherwise TOTAL ® This Change Order PREVIOUS AMOUNT REGISTERED FOR THIS CHANGE (if any) $0

AMOUNT REQUIRED FOR REGISTRATION OF THIS CHANGE $1,490,406 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. /Vny 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 Engineer._____________________________________________________________________________________________________

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:

Title Date:

Rev 11/24/00 DEPFM409N

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