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Home My WebLink About2012-236 CONT Chg Order #1 - Smith Sheet Metal CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO _ 1 __ �;- ` PROJECT: Metal RoofReplacem enf R : DATE: 09G2/YT _ LOCATION: [Ashland.OR: PROJECT NO 2011-09: . - CONTRACTOR: [Sihith`Slieet Metal ' " j You are requested to perform the following described work upon receipt of an approved copy of this document or as described by the Engineer: Item No. Description Quantity Unit Price Amount Fabrication Item#I for roof replacement 1 $1,515 $ e 1 S tF-.0 Item#2 $t- Item#3 $ w Item#4 VRN_ _ Item#5 $ Total this Change Order $ 1 515`00'> Previous Change Order $ Original Contract Total $ 184 890x00 Revised Contract Total $ 186,405.00 PERCENT CHANGE OF ORIGINAL.CONTRACT 0.8% The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment to the contract and all provisions of the contract will apply. Recommended By: C8 �� 2 Project Manager Datep� Approved By: t *Dae Pr oject a r Accepted By: Smi Sheet Metal Odle 253 outh 15th St. Springfield OR 97477 e E,M i.Susc Tex:$41488-5347 ��, 20 E.Main Steel Fax:541488fi000 Ashland,Oregon 97520 1TY' 800-735-2900 Www.85111011d.Of.115 C\Da nnents and Setdngs\ftmntDeska.oce]Setdngs\Temporary Intemet Files\ConamOudook\2P9NG4TChange Order 11.0941 Smith Sheet MetzlAn / CITY OF CITY �iECClR�ER Page 1 1 ASHLAND DATE PO NUMBER-' 20 E MAIN ST. 9/21/2012 11196 ASHLAND, OR 97520 (541)488-5300 VENDOR: 016805 SHIP TO: Ashland Public Works SMITH SHEET METAL, WEBB INDUSTRIES INC D (541)488-5587 253 S 15TH STREET 51 WINBURN WAY SPRINGFIELD, OR 97477 ASHLAND, OR 97520 FOB Point: Req.No.: Terms: Net Dept: Req.Del.Date: Contact: Scott Fleury Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext.Price Metal Roof Replacement 1,515.00 Original Purchase Order#10773 (PO#10773 paid and closed in FY 2012) Contract Amendment Chanqe Order No. 1 Fabrication for roof replacement SUBTOTAL_ 1515.00. BILL TO:Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 1,515.00 ASHLAND, OR 97520 Account Number I Project Number, - Amount Account Number Project Number -- - Amount E 410.08.24.00.70420 E 201109.999 115-15-0-0- .GQh Authd4zed Signature VENDOR COPY FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for of Change Order Name of Supplied Contractor 1 Consultant:Smith Sheet Metal Total amount of this 253 South 15th St. contract amendment: Springfield OR 97477 Purchase Order Number:10773 Title I Description: Metal Roof Replacement ® Per attached contract amendment Contract Amendment Original contract amount $ 184,890.00 100 %of original contract Total amount of rep vious contract amendments 0 %of original contract Amount of this contract amendment 1,515.00 0.8 —%of original contract TOTAL AMOUNT OF CONTRACT $ 186,405.00 100.8 %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 tens 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 greaterthan 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 NO* (If"NO",requires Council approval I Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT-Less than$5,000 INVITATION TO BID or COOPERATIVE PROCUREMENT,QRF or El'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,s$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 EMERGENCYPROCUREMENT 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<25%of odginal contract amount or emergency,including necessity and circumstances ❑ '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—Reason: 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. Proiect Number?g!! -oR_ AccountNumberAI0 - aB-?4-pp--7o4ZDD Account Number ___•__- 'Expenditure must be charged to the limpdate account numbers for the financials to reflect the actual expenditures accurately, Attach extra pages if needed. Employee Sign, re t Department Head Signatu ryh(`i K �{ ( at toorg a ter than$5,000)stlNlra Fundsappropria�dior-cwrrefit"ti cal year: YES / NO Finance Director lEgoaltoorgreaterthanSS,00a Date Comments: Form#10—Contract Amendment Approval Request Form,.Request for a Change Order,Page 1 of 1,9/12/2012