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Home My WebLink About2012-049 CONT Change Order - Cut N Break Construction I` CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NOkdi PROJECT: DATE: ``' X03(:13%,12 ' ''+ LOCATION: [Comeerto`f9,N ainTSt?a�ndlW,a- terdSt PROJECT NO.: 201il`�32 CONTRACTOR. [Cut=N°Break"Const6ction,Inc., PURCHASE ORDER: 10684 x;, The following described work has been requested to be performed by the Engineering Division of the Public Works Department. All described work has been completed according to the City's request and specifications in order to protect the safety of the public. Item No. Description Quantity Unit Price 11 Amount Extra work required to secure Item#1 failing concrete edge beam in order to protect the safety of the St°Hi( Total this Change Order '$'^;'BPS 640:00: Previous Change Order e Original Contract Total $` 4;6'10.00 Revised Contract Total $ 10,250.00 PERCENT CHANGE OF ORIGINAL CONTRACT 6.7% All Public Works construction activities relative to this project(PWE:Project#2011-32)is complete and officially accepted by Public Works Engineering Div.Remaining Parks Dept.stair installation to be completed at a later date under separate Parks Department Purchase Order. Recommended By: l fT �— 3/15/2012 rojec anager Date Approved By: kW1 3/15/2012 Public Works Director Date Accepted By: CuljNBreak-C� o�nstruction Inc i4( P O„Box 1955 ' Med`'�fod OR•Q7501 01/08•' t ' %i•�Ki 15-Mar-12 ontractor Representative Date ENGINEERING Tel 541488-5347 20 B.Main Street Fax:54148&5-2900 Ashland,Oregon 97520 TTY: 800.]35-3900 www.ashland.or.us Glpubmkskng\11-32 Bluebird Park Stair Replu..I\A Admi.lCue,[R,ak\Change Orders\Charge Order No 1 3-162012al. hECORDER Page 1 / 1 �. CITY OF ASHLAND DATE PO NUMBER 20 E MAIN ST. 2/14/2012 10684 ASHLAND, OR 97520 (541)488-5300 VENDOR: 004823 SHIP TO: Ashland Public Works CUT N' BREAK CONSTRUCTION INC. (541) 488-5587 P O BOX 1455 51 WINBURN WAY MEDFORD, OR 97501 ASHLAND, OR 97520 FOB Point: Req.No.: Terms: Net Dept.: Req.Del.Date: Contact: Pieter Smeenk . Special Inst: Confirming? NO Quantity Unit - Description Unit Price .. Ext Price THIS IS A REVISED PURCHASE ORDER Bluebird Stair Installation 9,610.00 Per attached drawings, proposal and contract Contract for Goods and Services Beginning date: February 15, 2012 Completion date: March 15, 2012 Note: Beg/Completion dates per Pieter on February 14, 2012 Insurance required/On file Processed change order 03/23/2012 640.00 Change Order No. 1 SUBTOTAL 10 250.00 BILL TO:Account Payable TAX 0.00 . 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 10,250.00 ASHLAND, OR 97520 Account Number Protect Number Amount Account Number Project Number Amount E 260.08.12.00.70420 E 201132.120 10 250.00 ° AWhorized Signature VENDOR COPY FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier 1 Contractor)Consultant:Cut'N Break Construction,Inc. Total amount of this contract amendment: Purchase Order Number: 10684 Title 1 Description:Blue Bird Park Stair Replacement $640.00 Per attached contract amendment Contract Amendment - --- - Original contract amount $ 9.610 100 %of original contract Total amount of rep vlous contract amendments %of original contract Amount of this contract amendment 640 6.7%of original contract TOTAL AMOUNT OF CONTRACT $ 10.250 106.7 %of original contract In accordance with OAR 137-047-0800:1)The amendment is within the scope of procurement as described in the solicitation documents,Sole Source notice or approval of Special Procurement 2)The amendment is necessary to comply with a change in law that affects performance of the contract 3)The amendment results from renegotiation of the terms and conditions,including the contract price,of a contract and the amendment is advantageous to the City of Ashland,subject to all of the following conditions:a)goods and services to be provided under the amended contract are the same as the goods and services to be provided under the unamended contract;b)The City determines that,with all things considered,the amended contract is at least as favorable to the City as the unamended contract;c)The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents,it would likely have increased competition or affected award of contract Contract amendment is within the scope of procurement: YES X NO' (If"NO",requires Council approval/Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT-Less than$5,000 INVITATION TO BID or COOPERATIVE PROCUREMENT.QRF or ❑°YES',the total amount of contract and REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 cumulative amendments<_$6,000. ❑ 'YES',the total amount of cumulative ❑'YES',the total amount of original contract and ❑ If'NO',amount exceeding authority requires . amendments s 25%of original contract amount or cumulative amendments—<$100K for Goods& Council approval.Attach copy of Council $250,000 whichever is less. Services,<_$75K for Personal Services,<$50K for Communication. ❑If'NO",amount exceeding authority requires Attorney Fees. ❑ Exempt—Reason: Council approval.Attach copy of Council ❑If'NO',amount exceeding authority requires Communication. Council approval.Attach copy of Council ❑ Exempt—Reason: Communication. ❑ Exempt—Reason: INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCY PROCUREMENT Goods&Services-$5.000 to$100.000 ❑ 'YES',the total amount of cumulative ❑ Written Findings:Document the nature of the Personal Services -$5,000 to$75,000 amendments s 25%of original contract amount or emergency,including necessity and circumstances JR YES',the total amount of cumulative $250,000 whichever is less. requiring the contract amendment amendments<_25%of original contract amount. ❑ If'NO',amount exceeding authority requires ❑ Obtain direction and written approval from City ❑If'NO',amount exceeding authority requires Council approval.Attach copy of Council Administrator Council approval.Attach copy of Council Communication. ❑ If applicable,attach copy of Council Communication. ❑ Exempt—Reason: Communication ❑ Exempt—Reason: ❑ Exempt—Reas n SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑'YES",the total amount of original contract and cumulative ❑"YES",the original contract was approved by City Council. amendments are within the amount and terms initially approved by Provide date approved by City Council: (Date) Council as a Special Procurement. If'NO',Council approval is required.Attach copy of Council Communication. ❑ If'NO",amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach copy of Council Communication. Project Number _3 _ Account Z Z D ��. )2-UD-7o'qZ10U Account Number___-__-__-__-______ 'Expenditure must be charged to Ile appropriate a nt numbers for the financials to reflect the actual expenditures accurately. Afta)th extra pages if needed. Employee Signature: d" ° Department Head Signature: M U °. Q1 (Equal to or greater than$5 0001 Funds appropriated fo can f fiscal year YES NO �l� 3 Zr�f Z Finance Director(Equal to or greater than$5,000) Date Comments: Form#10_Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1,3120/2012