Documents › Board of Education, 2026-11-05

document 4 pages

Also attached to this agenda item: Change Order EC-1 ER Electric Corp. (Tennis Court...

Ernesto Graziano Ernesto Graziano President Docusign Envelope ID: 64DA46EC-DF5F-88F4-8129-BF45A7674F82 Docusign Envelope ID: 83858CCB-D4C6-8093-81FB-7A144B9EB5E1 10/22/2026 FROM: DATE: OWNER: CM: ATTN: EMAIL: # HOURS PER WAGE RATE EXTENSION 7 EA $157.15 $1,100.05 17.5 EA $154.17 $2,697.98 EA $0.00 $0.00 TOTAL LABOR: $3,798.03 QTY UNIT COST PER EXTENSION 1425.00 $0.39 LF $558.60 1.00 $18.56 EA $18.56 1.00 $41.36 EA $41.36 1.00 $34.57 EA $34.57 $0.00 EA $0.00 $0.00 EA $0.00 EA $0.00 $653.09 QTY UNIT COST PER EXTENSION $0.00 EA $0.00 $0.00 EA $0.00 $0.00 EA $0.00 $0.00 $4,451.12 $0.00 $4,451.12 NAME: $689.92 TITLE: $5,141.04 DATE: $154.23 SIGNATURE: $5,295.27 MATERIALS #10 THHN CU Wire (3 x 475') SUB-TOTAL: OH&P: SALES TAX: RIGGING EQUIPMENT RENTALS TOTAL MISCELLANEOUS: sdavis@kgdarchitects.com 8 Gerstein Street Croton-On-Hudson, New York 10520 PHASE 2 - CARRIE E. TOMPKINS ELEMENTARY SCHOOL CROTON-HARMON UFSD KG&D Architects, PC Sarah Davis Ernesto Graziano 10/1/2026 ER Electric Corp 2005 Palmer Ave, Suite 150 Larchmont, NY 10538 P: (914) 469-0018 ernesto@erelectriccorp.com CHANGE ORDER REQUEST #R1 Furnish and Install (3) #10 THHN CU wires in exisitng Underground Conduit from the Musco Control Panel to the Pole T1 and install the Musco Push Button Switch and Strobe Light at the existing Gate SCOPE OF WORK FOREMAN JOURNEYMAN LABOR 3/4" RGS 36"L Nipple MISCELLANEOUS MOBILIZATION & DEMOBILIZATION FS Box with (2) 3/4" Hubs FS Box with (1) 3/4" Hubs TOTAL MATERIAL: ER ELECTRIC CORP. RESERVES THE RIGHT TO MAKE CHANGES TO PRICE, MATERIAL, LABOR, ETC. AT AT ANY TIME TO THIS CHANGE. SIGNING THIS DOCUMENT IS AN AGREEMENT TO TERMS AND CONDITIONS OF ER ELECTRIC CORP. AND AN AGREEMENT TO PAY THE FOR THE SCOPE OF WORK, EVEN IN THE EVENT OF A CHANGE TO AS PREVIOUSLY MENTIONED LABOR, MATERIAL, ETC. P&P BOND: SUB-TOTAL: CHANGE ORDER ACCEPTED SIGNATURE REQUIRED SUB-TOTAL: TOTAL AMOUNT DUE: SRD Docusign Envelope ID: 64DA46EC-DF5F-88F4-8129-BF45A7674F82 Docusign Envelope ID: 83858CCB-D4C6-8093-81FB-7A144B9EB5E1 10/22/2026 Page One THE STATE EDUCATION DEPARTMENT / THE UNIVERSITY OF THE STATE OF NEW YORK / Albany, NY 12234 Office of Facilities Planning, Room 1060 Education Building Annex Tel. (518) 474-3906 Fax (518) 486-5918 www.emsc.nysed.gov/facplan/ Instructions: Part One - General Information SED Project Number 6 6 0 2 0 2 0 3 0 0 0 3 0 3 6 District BEDS Code Building Identification Number Project number District & Building Name Type of Project Project Description Architect / Engineer firm name address Contact Person name & title phone number & e-mail Construction Manager firm name address Contact Person name & title phone number & e-mail District Contact Person name & title phone number & e-mail Part Two Provide the following information for each individual item in the change order: (Number each item if there is more than one and provide additional sheets as necessary.) A. Requested By (Who initiated the change request) B. Relationship to Project Scope (How is this change related to the original project scope) C. Basis of Need (Describe why the change is needed) D. FP-COC 09/02, rev 08/06, rev. 04/10 N/A CHANGE ORDER CERTIFICATION This CERTIFICATION is required for all change orders submitted to SED Change Order Number: Sarah R. Davis, AIA 914.666.5900 sdavis@kgdarchitects.com KG+D Architects, PC, 285 Main St, Mount Kisco, NY 10549 Fill out all three parts completely. EC-1 Provide separate Change Orders for each Project Number Croton-Harmon UFSD - Carrie E. Tompkins Elementary School N/A Sport Lighting for the existing tennis courts & addition of a playground Must be attached to back of Change Order Brad Kennedy, Director of Facilities, 914.271.4713, brad.kennedy@chufsd.org Description of Work (Provide a detailed description of the work or services provided in the change order. Provide text, a drawing or both as necessary to demonstrate code compliance and the individual cost of each item.) A. Owner. B. Within the area of original project scope. C. Work required to reconcile electrical drawings and supplier information D. Wiring required for connection of lighting control button at tennis court gate. Ta Reconstruction /Alteration Addition & Alteration New Building Other Docusign Envelope ID: 64DA46EC-DF5F-88F4-8129-BF45A7674F82 Docusign Envelope ID: 83858CCB-D4C6-8093-81FB-7A144B9EB5E1 FP-COC 04/10 Page Two Part Three 1 a a a a 2 The following statements are true and correct to the best of my knowledge and belief: 3 Change order requirements: CHANGE ORDER CERTIFICATION = The revised total cost is within the authorized appropriation for this project. If the cost of this change order is not within the approved amount as currently established on the SA-4, please provide a Form FP-FI, Request for Revision of Financial Information, with documentation showing the additional authorization of funds. Each change order shall be signed by the president of the board of education, the architect/engineer, and the contractor. = Work required by this change order that involves asbestos-containing building material (ACBM) was designed by an architect or engineer who is currently licensed by the State of New York and who is appropriately certified as an asbestos designer by the NYS Department of Labor at the time he/she designed the asbestos- related project. Certification of the Superintendent of Schools (District Superintendent if a BOCES project) Certification of the Architect or Engineer Signature and printed name of the School Superintendent or District Superintendent if a BOCES project = Any plan, sketch, or attachment referenced In this change order is included herein. = Work required by this change order is in accordance with applicable provisions of the NYS Uniform Fire Prevention and Building Code, State Education Department's building standards, and NYS Department of Labor's Code Rule 56. Dollar amounts applied from allowances toward costs associated with the changes must be provided. The scope of the change order must relate to the project scope previously approved. = Work required by this change order was designed by an architect or engineer who is currently licensed by the State of New York. = Work required by this change order is in accordance with applicable sections of the approved contract documents. The following statements are true and correct to the best of my knowledge and belief: Date = Where any work of this change order requires a type or kind of work that is not included in the original contract documents, the school district's attorney has been contacted to assure conformance with the Opinion of the State Comptroller No. 60-505. Date Signature and printed name of the Architect or Engineer KG+D Architects, PC Architectural / Engineering Firm Name EC-1 Sarah R. Davis, AIA Docusign Envelope ID: 64DA46EC-DF5F-88F4-8129-BF45A7674F82 10/19/2026 Docusign Envelope ID: 83858CCB-D4C6-8093-81FB-7A144B9EB5E1 10/22/2026