HomeMy WebLinkAbout2013-018 CONT Chg Order #1 - Cut N Break Construction
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. I
PROJECT: N Main Sidewalk Repair Project DATE: 01/04/13
LOCATION: Comer of N Main St and Water St PROJECT NO.: 2012-02
CONTRACTOR: Cut T] Break Construction, Inc. PURCHASE ORDER: 11311
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 Amount
Extra work to install edge beam
Item #1 support corbels along northeast
face of bridge $ 1,200.00
Total this Change Order $ 1,200.00
Previous Change Order
Original Contract Total $ 60,406.00
Revised Contract Total $ 61,606.00
PERCENT CHANGE OF ORIGINAL CONTRACT 2.0%
All Public Works construction activities relative to this project (PWE: Project 42011-32) is complete and officially accepted by
Public Works Engineering Div. Remaining Parks Dept. stair installa' n to be completed at a later date under separate Parks
Department Purchase Order. ,
Recommended By: 1/4/2013
ojec Tanager ~,Date-
Approved By: 1/4/2013
Public Works Director Date
Accepted By: Cut W Break Construction, Inc.
P.O Box 1455 r1
Medford, OR 97501-0108
4-Jan-13
Contractor Representative Date
ENGINEERING Tel: 541488-5347
S
20 E, Main F. 541488-60M
Ashland, on TrY. W735-2M
Asandd, O rnlon 9]520 TTY: B00-]15-2900
www.asNaM.or.us
G \pubwrks4ny\12-02 N Main 515idexalk Repairer Ad.&Cowruaion Admin\Cu, N RreaklCMnge Orde Chan, Order N. 1 14-2013 xlsx
Cut W sk
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CONSTRUCTION, Inc.
CCB License #72046
P.O. Box 1455 / Medford, OR 97501-0108
(541) 779-1482 / Fax (541) 772-1913
John Lawton, President
December 17, 2012
City of Ashland
Attn: Morgan
wayman nQ,as h land.on u s
541-552-2414
Job Site: Bluebird Park Bridge (repair)
This proposal is for a change order for 3 special corbels under continuous curb as per drawing.
• Drill and epoxy dowel rebar cages for corbels
• Install forms and secure
• Place and finish 3500 psi concrete
• Strip, clean up
• Coat and plaster corbels
EQUIPMENT, MATERIAL, AND LABOR: $1,200.00
When saw cutting, Cut N Break Construction, htc. is not responsible for any damage to anything in or below the
concrete. This includes water lines, electrical line, sprinkler systems, etc. Your signature indicates that you have read
this notice and fully understand the limits of Cut N Break Construction, Inc. responsibility.
Billing and Payment Procedures: invoices are presented on completion of work. Invoices are due and payable upon
receipt. Delinquent invoices are subject to 1 1/2% monthly on unpaid balance. We accept Visa and MasterCard for your
convenience.
Should you have any questions or need any additional information regarding the above proposal please do not hesitate to
contact this office.
Signing one copy of this letter an r ruing it in the enclosed envelope indicates acceptance of this proposal.
Thank you,
John Lawto}i
President!
ACCEPTED By:
Date:
bid:citash 1217//
THIS ESTIAMT6 IS GOOD FOR 30 DAYS!
Page 1 / 1
CITY OF
ASHLAND 1RC` CG r ATE = PO NUMBER' -
20 E MAIN ST. 11/28/2012 11311
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: 1 Req. No.:
Terms: Net Dept.: _
Req. Del. Date: - contact: Morgan Wayman _
Special Inst: Confirming? No
4uanti..Unit. Descd tioti - `Unit Price Eit. Price -
THIS IS A REVISED PURCHASE ORDER
This work is being performed to make 60,406.00
structural repairs needed to the public
sidewalk along the north side of the N.
Main Street Bridge at Blue Bird Park
near the intersection of N. Main and
Water Streets. (See attached proposal)
Public Improvement Contract
Effective date: 10/31/2012
Completion date: 12/15/2012
Processed change order 01/09/2013 1,200.00
Change Order No. 1
ao(a -a-~.D
SUBTOTAL 61 60600
BILL TO: Account Payable TAX 0.0
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 61,606.00
ASHLAND, OR 97520
Account Numtieh. P, rojec[Nui`nber', ' Am'ount:. Account Number W6ject'Number, :Amount
E 260.08.12.00.70420 E 201202.999 61 606.00
Aumoriz Ignature VENDORCOPY
FORM #10 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND
Request for a Change Order
Name of Supplier/ Contractor/ Consultant: Cut 'N Break Construction, Inc., Total amount of this
contract amendment:
Purchase Order Number: 11311
Title 1 Description: N Main Sidewalk Repair Project $ 1;200.00
® Per attached contract amendment
Contract Amendment
Original contract amount $ 60,406.00 100 % of original contract
Total amount of previous contract amendments % of original contract
Amount of this contract amendment 1$ ,200.00 2 % of original contract
TOTAL AMOUNT OF CONTRACT $ 61,606.00 102 % 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
provideil 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 tens 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: YESX
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, 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
PERSONAL SERVICES Communication. Council approval. Attach copy of Council
❑ "YES", Direct appointment s$35.000 ❑ Exempt - Reason: Communication.
❑ If 'NO', requires approval. ❑ 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 s 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
❑ Exem t-Reason: ❑ Exem t-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: 2012.02 Account Number: 260.08.12.00.704200
'Expenditure must be charged f appropriate accou umbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed.
Employee Signature: &W Department Head Signature: NIA - Employee authorized to $1,500
(Equal to orgreater han 6,000)
Funds appropriated for curr fiscal year. ( S / NO
Finance Director (Equal to or grater than $5,000) Date
Comments:
Form #10 -Contract Amendment Approval Request Form, Request for a Change Order, Pagel of 1, 1/4/2013