200095-CHANGE ORDER #4.PDF

MARICOPA COUNTY OFFICE OF PROCUREMENT SERVICES
ARTICLE 5 CONTRACT LOAD REQUEST
Please provide the following information with your request to have the Price Agreement loaded or modified in the Advantage
system. Omissions or incorrect information will result in the delay of the ability to use this contract for procurements or payments.
4
New Contract Contract Change Order\Extension\Modification\ Change Order #:
Document Code (MA5, CT5, SC5):MA Department Code: D730 Advantage Contract ID#: 200095
Select Contract Type: DBB JOC CMAR A/E Simplified Construction Limited Scope
Contract Document Description: (max 60 characters) : Southeast Consolidated Justice Courts and Adult Probation
08/19/2020 09/30/2022
Effective Begin Date: Expiration/Revised Expiration Date:
Retention
Thresholds/Not to Exceed Amount: 27,528,906.52 ? (Note: Retainage is applicable only for DBB, CMAR Limited Scope,
and Simplified Construction)
Change in Not to Exceed Amount: -22,399,496.52 ?
Securities held in Lieu of retention
Revised Not to Exceed Amount: $5,129,410.00 ? Completion < 50%, 10% retention Completion > 50%,
5% retention
Accounting Information:
Advantage Sub Phase
3.10 FY Fund Department Unit Appr. Unit Object Object Activity Program (optional) Amount
17 442 D470 4713 SRJC 9150 12 FACM SRJC CAPBLD -22,399,496.52
18
19
Vendor Number: VS0000004847 Vendor Name: Johnson Carlier LLC Discount Information:% 0 Days 14
Vendor Number: Vendor Name: Discount Information:% Days
Vendor Number: Vendor Name: Discount Information:% Days
Vendor Number: Vendor Name: Discount Information:% Days
NIGP Code (Commodity Code):90922 Beth Digitally Beth Cressman signed by
DN: cn=Beth
Cress Cressman, ou=Business o=FMD, Services,
Beth Cressman email=beth.cressman
@maricopa.gov, c=US
man Date: 14:31:54 2021.03.04 -07'00'
Departmental Article 5 Procurement Officer: Department Authorized Signature:
Print Form Reset Form

MARICOPA COUNTY
CHAIRMAN, BOARD OF SUPERVISORS DATE
ATTESTED:
CLERK OF THE BOARD DATE

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$27,475,000.00 + $12,626.00 + $69,846.85 - $28,566.33 - $22,399,496.52 = $5,129,410.00
Final Closeout Deductive Change order
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