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Home My WebLink About2012-299 CONT Chg Order #6 - Pilot Rock Excavation CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO.; #06 PROJECT: N. Main/Wimer/Hersey Intersection Realignment DATE: 11/30/12 LOCATION: Miscellaneous Locations on Project PROJECTNO.: 2002-05 CONTRACTOR: Pilot Rock Excavation, Inc. 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 Amount Painting of poured in-place Item 91 concrete walls 1 LS $ 1.800.00 Total this Change Order S 1.800.00 Previous Change Order $ 37.546.50 Original Contract Total $ 580.545.00 Revised Contract Total S 619,891.50 PERCENT CHANGE OF ORIGINAL CONTRACT, 6.78% 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 A ,6 ply. Recommended By: /2 3 /Z Proje an er Dat Approved By: Public Works Director Date Accepted By: Pilot Rock Excavation, Inc. 650 E. Pine Street, Suite 102B Central Point, OR 9757502 Contractor Representative Date PUHLC%0RKS1VNGLNEERLN'G Tel: 531438-5347 20 E. Alan Sven Fa : 541488.6006 Ashland, Oregon 97520 M: 800-733-2WO www.uWanid onus G:tpub-wrks\eng102.05 N. Main Hersey wuner Intersection RealignVtAdminW2-05 Pry AG* Workbook - Conswction tlSa Prot Rock Excavation, inc. "Excavation and Pipeline Specialists" . REQUEST FOR CHANGE ORDER N Main/Wimer/Hersey Intersection Realignment November 1, 2012 Re: FC ##7 - Retaining Wall Painting Attention: Karl Johnson, Project Manager Karl; As per your stipulation, Pilot Rock Excavation, Inc. submits the following "Change Order Request": To paint the new retaining wall surfaces at the N Main/Wimer /Hersey Intersection Realignment project with a material from the ODOT Qualified Material List, for the sum of: ONE THOUSAND - EIGHT HUNDRED DOLLARS ($1800.00) PRX will notify Ryerson & Co. to submit MDS information and a color chart for the COA to review. Thank You. 650 E. Pine St., Ste. 1028 • Central Point, OR 97502 • Ph: 541-664-9288 • Fax: 541-664-9218 • CCB# 157139 Page 1 CITY REC011DER CITY OF T DATE ASHLAND PO NUMBER 20 E MAIN ST. 7/18/2012 10993 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 010462 SHIP TO: Ashland Public Works PILOT ROCK EXCAVATION (541) 488-5587 650 E PINE STREET SUITE 102B 51 WINBURN WAY CENTRAL POINT, OR 97502 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Mike Fauqht - Karl Johnson Special Inst: Confirming? NO .-Qu'anti Unit - Description - Unit Price . Ext. Price THIS IS A REVISED PURCHASE ORDER N. Main/Wimer/Hersey Intersection 580,545.00 Realignment Project - Contractor will complete all work associated work involved with the completion of this project including but not limited to concrete work, asphalt paving, electrical conduit installation, etc. COA Public Improvement Contract Effective date: July 9, 2012 Completion date: September 4, 2012 Insurance/Bonds required/On file Processed change order 08/07/2012 8,400.00 Change Order No. 1 Processed change order 09/12/2012 8,200.00 Change Order No. 2 - *Revised* Processed change order 09/12/2012 3,307.00 Change Order No. 3 Processed change order 10/31/2012 33,139:50: Change Order No. 4 Processed change order 10/31/2012 900.00 Change Order No. 5 Processed change order 12/07/2012 1,800.00: Change Order No. 6 SUBTOTAL 619 891.50 BILL To: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 619,891.50 ASHLAND, OR 97520 Account Number ' Project Number ; Amount Account Number ' Project Number 'Amount "E 260.08.12.00.70420 E 200205.120 619 891.50 ~I Auth ed Signature VENDOR COPY ]FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier 1 Contractor I Consultant: Pilot Rock Excavation, Inc. Total amount of this contract amendment: Purchase Order Number: #10993 Title I Description: N. MainMimerlHersey Intersection Realignment Project $1,800.00 ® Per attached contract amendment Contract Amendment Original contract amount $580,545.00 100 % of original contract Total amount of previous contract amendments $37,546.50 6.4 % of original contract Amount of this contract amendment $1,800.00 0.3 % of original contract TOTAL AMOUNT OF CONTRACT $619.891.50 106.7 %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, Owould 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 25% of original contract amount or cumulative amendments :5 $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 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 :5 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 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: El 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 co of Council Communication. Project Number 200205.120 Account Number 260.08.12.00.704200 Account Number *Expenditure must be cha ged to t no ccount t tubers r the financials to reflect the actual expenditures accurately. Attach elf a pages if needed. Employee Signature: , Department Head Signature: u (C D _ l~~y~y Z (Equal to orgmaterthnS, 0) Funds appropriated for cur ent fiscal year: / NO~ d G`~ l Z /o Z Finance Director (Equal to or ter than $5,000) ate Comments: G:Ipub-wrksleng102-05 N. Main Hersey Winner Intersection RealignlA-AdminlCons Vendor (Pilot Rock)IContract DocumentslChange Orders102-05 Form #10 - Request fora Change Order -#06.docx