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Home My WebLink About2012-260 CONT Chg Order #1 - Terrasurvey Inc CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 1> ,T PROJECT: jNevada/Oak Sanitary By-ass ,DATE: -10/09/12, LOCATION: [At'Oak and Nevada streets,'. " A PROJECT NO.:i ', 2008-23' ' '1 CONTRACTOR: +Terrasurvey lnc.- The following additional work has been performed and approved by the Engineering Dept. This extra surveying work was necessary in order to provide our City Sewer Crew with extra construction stakes they requested. This extra construction staking work was beyond the original Scope of Work that Terrasurvey provided in their proposal dated, 7-10-12. (See attached Proposal) Item No.7]1 Description Quantity ':,Unit Price Amount Item#1 Extra Construction Staking Lump $210.00 $ . 210:00; Total this Change Order $ 210 00 Previous Change Order $ Original Purchas Order Total (#10979) Revised Contract Total $ 860.00 PERCENT CHANGE OF ORIGINAL CONTRACT 32.3% Recommended By: i 10/9/2012 City Surveyor Date Approved By: Public Works Director Date Accepted By: TERRASURVEY, INC. 274 Fourth Street, Ashland, OR 97520 TFARASURVEY, INC., P6 esentative Date ENGINEERING Tel:541488-5347 20 E.Main Sheet Fax:541188-6006 W Ashland,Oregon 97520 TTY: 800-735-2900 w .ashland.onus •tr6: ,Ci ' 1P iRE/' OFIDiR Page 1 11 CITY OF i T f'l Vli �. ASHLAND DATE NUMBER PO 20 E MAIN ST. 7/12/2012 10979 ASHLAND, OR 97520 (541)488-5300 VENDOR: 003354 SHIP TO: Ashland Public Works TERRASURVEY INC (541)488-5587 274 FOURTH STREET 51 WINBURN WAY ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Req.No.: Terms: Net Dept.: Req.Del.Date: Contact: Brad Barber Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext.Price THIS IS A REVISED PURCHASE ORDER Provide construction stakinq,for the 650.00 Nevada/Pak Sewer Bypass Project No. 2008-23 Processed chanqe order 10/12/2012 210.00 Chance Order No. 1 0 - SUBTOTAL 860.00 BILL TO:Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 860.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 675.08.17.00.70410 E 200823.999 860.00 Aut IZed Signatur VENDOR COPY FORM #10 CITY OF CONfTRAGT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Consultant:TERRASURVEY, Inc. Totatamount r)fahts contract arrlentlment - Purchase Order Number: 10979 $210 Title 1 Description:Nevada/Oak Sanitary Sewer Bypass , ® Per attached contract amendment (Change Order—No.1 Contract Amlydmenf Original contract amount $ 650.00 100 %of original contract Total amount of rep vious contract amendments %of original contract Amount of this contract amendment $ 210.00 32.3%of original contract TOTAL AMOUNT OF CONTRACT $ 860.00 132.30%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 charges 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 I 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<—25%of original contract amount or cumulative amendments<—$100K for Goods& Council approval.Attach copy of Council $250,000 whichever is less. Services,5$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 PERSONAL SERVICES Communication. Council approval.Attach copy of Council El 'YES',Direct appointment:—$35,000 ❑ Exempt—Reason: Communication. ❑ If"NO",requires approval. ❑ 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<—25%of original contract amount or 'emergency,including necessity and circumstances ❑ 'YES',the total amount of cumulative $250,000 whichever is less. requiring the contract amendment amendments 5 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 El'YES',the total amount of original contract and cumulative El'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: 2008-23 Account Number: 675.08.17.00.704100 `Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attache#ra pages if needed. Employee Signature: i�,, a,/�. lc - .; i Department Head Signature: `I4V Sl (Equal to or greater than$5,000) Funds appropriated for current fiscal year YES / NO Finance Director(Equal to orgreaterthan$5,000) Date Comments: Form#10—Contract Amendment Approval Request Form, Request for a Change Order,Page 1 of 1, 101912012