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2013-039 CONT Chg Orders - Ausland Builders
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N C m Ff rv.4 ya 00 N c9 x °Tm'c. qq, n O w O moo„ m 3 M®N c7 w a: p 3 N m E an d S y a °'a':],O N f00 ~ ae E CD . Wt rn y 3 L_ ' P. E o mom V ~ ~p ~ ~ ypj N Ol c c U N rln ma.$ 0 9 w> N N o m'y'c t o U _ N p y 4 °r u~ ~ to t7 u m c ~ .'fk. N ov q~9 v am Li ® oU ovo _U w o m a „tip a ;~s c € Q /SI U Ol L j 6 o. ~ m~ W Q ~ e 3: `Ff C 6 c y~ F,i to 'x - (o]. m vuim O L'110'm O R N z •N m 2 C7U°U tUt~~ `9 K U C Y V ` 'd ca o 00 U o p U c W m m i T N- o o m m o o0.0 9 C C t Rr a o q L~ a m Q W O - f O u v Q Q3m,9 U a3 a$ PECK SMILEY ETTLIN+ architects T R A N S M I T TA L To: Ashland Fire & Rescue From: Jay Fester 455 Siskiyou Boulevard Direct: 503-417-7616 Ashland, OR 97520 jay.fester@psearchs.com Attn: John Karns, Fire Chief Date: February 7, 2013 RE: Ashland Fire & Rescue, Fire Station 2 Project: 1107 WE ARE SENDING YOU: VIA: Facsimile ❑ Field Report ❑ Memorandum ACTION REQUIRED: ❑ RFI / Response ❑ Drawings ® For Your Use ❑ Submittal / Shop Drawings ❑ Specifications ❑ As Requested ® Payment Certificate / Cost Proposal ❑ Originals ❑ For Review /Approval ❑ CCD / Change Order ❑ Other (indicated below) ❑ Please Respond QTY DATE DESCRIPTION 1 2/4/13 Application & Certificate for Payment #9 3 2/4/13 Continuation Sheets REMARKS: Chief Karns, I have reviewed the submitted payment application from Ausland Group. My signature certifies that to the best of my knowledge the progress of the Work is sufficient to certify the payment amount requested. Please contact me if you have any concerns regarding this Certificate for Payment. Sincerely, Jay Fesler, Project Architect Peck Smiley Ettlin Architects J111\1107 Ashland Fire Station 2\CA\Payment Applicatlons\Pay App 09\Trans_Certificate for Payment 09_2013-02-07.dou 4012 SW Corbeit, Portland, CR 97239 tat 503.248.9170 faa 503.248.0223 www.psearths.com PECK SMILEY ETTLIN* ` architects C H A N G E O R D E R ' _L) 10L1 Change Order No.: 1 Date: 14 May 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group 3 Owner: Ashland Fire & Rescue ATTN: Matt Bladek Chief John Karns j t You are directed to make the following changes In this Contract: ADD work described in the attached Change Request 01 f Contract Amount: Add to the Contract Amount the sum of: Three thousand five hundred fifty dollars and 30/100 3,550.30 ) The Contract Time will be changed by 1 day. The Date of Completion as of the date of this Change Order Is January 7, 2013 i Original Contract Amount $ 2,184,400.00 t Previous Additions $ 0.00 4 Total $ 2,187,950.30 j 4 Previous Deductions $ 0.00 Contract Sum priorto this Change Order $ 2,184,400.00 Amount of this Change Order (Add) $13,550:30 Contract Amount to Date $ 2,187,950.30 E r i ARCHITECT C t T ACTOR N E R Date Date Date I JM111107 Ashland Fire Station 21CMC011107 CO 01_2012.05-14.doex 4412 SW Corbett. Portland, OR 97201 te1503.248.9170 tax 503.248.0223 • srwW.pse4rcha.<om PECK SMILEV ETTLA architects C H A N G E O R D E R Change Order No.: 1 Date: 14 May 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Matt Bladek Chief John Karns You are directed to make the following changes in this Contract: ADD work described in the attached Change Request #1 Contract Amount: Add to the Contract Amount the sum of: Three thousand five hundred fifty dollars and 30/100 3,550.30 ) The Contract Time will be changed by 1 day. The Date of Completion as of the date of this Change Order is January 7, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 0,00 Total $ 2,187,950.30 Previous Deductions $ 0.00 Contract Sum prior to this Change Order $ 2;184,400.00 Amount of this Change Order (Add) $ 3,550.30 Contract Amount to Date $ 2,187,950.30 ARCHITECT CONTRACTOR OWNER -N -(v Data Date Date J:\ M107 Ashland Fire station 21CA1CO11107 CO 01_2012-05-14.docx 4412 SW Corbett, Portland, OR 97201 te1503.248.9170 fax S03.248.0223 www.psearchs.com - I 3935 Highland Avenue Grants Pass, OR 97526 I AUSLAND GROUP Ph : (541)476-3788 Engineers • 0uilders • Consultants Change Request To: Jay Feeler Number: 1 Peck Smiley EWinArchitects Date: 5111112 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR. 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 j i Description: PR#1 -Demolition of Restroom in Sherwood Park Reason: Change in Scope . We are pleased to offer the following specifications and pricing to make the following changes: Demolish existing Sherwood Park rest room building called out on sheet AI A, Keynote #23. Remove building, foundation,. and related mechanical, plumbing, electrical equipment. Mark utilities for future connections (See Sheet E1.1). City of Ashland to provide clean fill to match existing grades. Description Labor Material Equipment Subcontacl Other Price j Foreman $350.00 $350.00 Demolition - Ausland - Prep, Cleanup $250.00 $250.00 Demolition - Central valley $1,990.00 $1,990.00 Electrical- Disconnect and Cap $500.00 $500.00 Plumbing- Disconnect and Cap $200.00 $200.00 Subtotal; $3,290,00 Overhead and Profit $600.00 10.00% $80.00 Sub Markup $2,690.00 5.00% $134.50 Bond and Insurance $3,290.00 2.00% $65.80 Total: $3,650.30 I I 1 Please note thatAusland Builders, Inc. will require an extra 1 day, If you have any questions, please contact me at (541)4763788. Submitted by: Matt Bladek Approved by: Date: Auhland Group Ca Page 1 of 1 Central Valley ExcavattQn Fne 841-8284980 Fax 8284981 Cell 541.210-0708 eemw.a,wm Hem# Description unit quant price amount Ashland Fire Sfation 112 Demo Bathroom at Park t Remove roofing LS 1 $ 680.00 $ 580.00 2 Haul to landfill + Dumpfees LS 1 $ 490.00 $ 490.00 s Demo walls with excavator,Haul away+ Dump Fees LS 1 $ 920.00 $ 920.00 I i $ 1,890.00 ' b9. lp W ~o PECK SMILEY ETTLIN architects C H A N G E O R D E R Change Order No.: 2 Date: 26 June 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Matt Bladek Chief John Karns You are directed to make the following changes In this Contract: ADD work described in the attached: PSE Proposal Request #2, Ausland Group Change Request #2 & #3 Contract Amount: Add to the Contract Amount the sum of. Nine thousand six hundred dollars and 24/100 9,600.24 ) The Contract Time will be changed by 5 days. The Date of Completion as of the date of this Change Order is January 12, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 3,550.30 Total $ 2,187,950.30 Previous Deductions $ 0.00 Contract Sum prior to this Change Order $ 2,187,950.30 Amount of this Change Order (Add) $ 9,600,24 Contract Amount to Date $ 2,197,550.54 ARC ITECT CONTRACTOR O R 2 7 /Z 612 6,12 & L Date Date Date J:111\1107 Ashland Fire Station 21CA1COICO 211107 CO 02_2012.06-26.docx 4412 SW Corbett, Portland, OR 97201 tel 503.248.9170 fax503.248.0273 www.pseerchi.com PECK SMILEY ETTLIN architects P R O P O S A L R E Q U E S T Proposal Request No.: 2 Date: 14 June 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Matt Bladek Chief John Karns Provide a cost estimate for the following change to the Contract: ADD work described below. Provide a schedule adjustment estimate for this change to the Contract: The Contract Time will be changed by 0 days. Description of Proposal Request: 1. Replace specified building paging system amplifier with Atlas Sound AA240. 2. Overexcavation of soil as quantified by Geometrix Northwest including manual placement / compaction and markup (10%). Does not include cost of engineered fill (3/4" minus). 3. Surveying and calculation work of overexcavation by Geometrix Northwest. Jay Fesler, PSE Architects ARCHITECT CONTRACTOR June 15, 2012 DATE DATE J:\11\1107 Ashland Fire Station 2\CA\CO\CO 2\1107 PR02_2012-06-14REV.domt 44125W Corbett, Portland, OR 97201 tel 503.248.9170 fax 503.248.0223 www. psearchs.com A _ 3935 Highland Avenue Grants Pass, OR 97526 AUSLAND GROUP Ph: (541)476-3788 Engineers, Builders • Consultants Change Request To: Jay Fester Number: 2 Peck Smiley Ettlin Architects Date: 5/23/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 ' Ph: (503)248-9170 Fax: (503)248-0223 Description: AtlasAmplifer Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: Atlas Amplifier Description Labor Material Equipment Subcontract Other Price Atlas Amplifier $134.00 $134.00 Subtotal: $134.00 Overhead and Profit $0.00 Sub Markup $134.00 5.00% $6.70 Bond and Insurance $134.00 2.00% $2.68 Total: $143.38 If you have any questions, please contact me at (541)476-3788. Submitted by: Matt Bladek Approved by: Ausland Group Date: Cc: Page 1 of 1 3935 Highland Avenue V Grants Pass, OR 97526 AUS LA N D GROUP Ph : (541)476-3768 Engineers • auliders • Consultants Change Request To: Jay Fesler Number: 3 Peck Smiley Ettlin Architects Date: 6/6/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Overexcavation - 164 CY _ Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: 164 CY - Overexcavation @ $40/CY 3/4" Minus Rock and Manual Hand Tamp Compaction Plus Mark Superintendent- 1/2 day Foreman Bob Humphreys - 1 day Description Labor Material Equipment Subcontract Other Price 164 CY - Overexcavation @ $401CY $6,560.00 $6,560.00 3/4" Minus Rock and Manual Hand Tamp $1,490.46 $1,490.46 Compaction Plus Markup Superintendent-1/2 day $280.00 $280.00 Foreman Bob Humphreys -1 day $500.00 $500.00 • Subtotal: $8,830.46 Overhead and Profit $780.00 10.00% $78.00 Sub Markup $8,050.46 5.00% $402.52 Bond and Insurance $9,310.98 2.00% $186.22 Total: $9,497.20 If you have any questions, please contact me at (541)476-3788. Submitted by: Matt Bladek Approved by: Ausland Group Date: Cc: Page 1 of 1 Central Valley Excavation Inc. Invoice PO Box 1088 Eagle Point, OR 97524 Date Invoice# CCB 9 148286 6/6P-012 2314 Bill To Ausland Builders, Inc. 3935 Hieldand Ave. Grants Pass, OR 97526 P.O. No. Terms 19ct 30 Item Quantity Description Rate Amount Contract 12104-31200 Ovcrexcavation of Sub-g-t:ide (Pad) Per attached Breakdown 12-0502... 8,050.46 9,050.46 Overexcavalion Per Contract 164 CY (140.00= 6560.00. Finer Rock Per raquest 4" to 314- 354 {r8 .90= 318.60 Manual placement/compaction 8 55.00= 440.00 Markup 10% 731.86 Thank You Total 58,050.46 a °o 'oo c Y. C J. E~E i n Oi Q - - - - - - - - - - - - - - O _ _ O 0 N O' u. z Z O U ~EE Z - y y I ~ x I o , V a` c R C. Q ~ u o ' c °a °o c'; o o n N t5 W t N ~ Q W K: w w J S o. ~ B N V a m ~ L u o 0 1- w - - - - - - - - - - - - - - - - - i - - - - - - - - - - - - - i E ° L' o c w a 3 W O - - - - - - - - - - - - 1 y ° 1 0 v w ¢ i r.H 2 a ~ w O 3 ° x 8 ~ N y W 1 0i O m ~LLr O W LL O ~ _ ~XN i~Em:0 . x u!2ima m;0. 0 0;- W,O;w V, ur PECK SMILEY ETTLIN+ / rchitects C H A N G E O R D E R Change Order No.: 3 Date: 10 July 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Matt Bladek Chief John Karns You are directed to make the following changes in this Contract: DEDUCT work described in the attached Change Request #1 and Change Order #1 J Contract Amount: Deduct from the Contract Amount the sum of: Three thousand five hundred fifty dollars and 301100 3,550.30 ) j r [{t The Contract Time will be changed by 0 days, f€f The Date of Completion as of the date of this Change Order is January 12, 2013 l r Original Contract Amount $ 2,184,400.00 i I Previous Additions $ 13,150.54 Total $ 2,197,550.54 ! s Previous Deductions $ 0.00 i Contract Sum prior to this Change Order $ 2,197,550.54 Amount of this Change Order (Deduct) $ {I((3!55~ 030~~ Contract Amount to Date $ 2,194,000.24 i ARC IT CT CONTRACTOR OWNER Date Date Date Ja11\1107 Ashland Fire Station 21CA1CO\CO 311107 CO 03_2012-07-10.docx 4412 SW Carbol, PaNland,oa 97201 i tel 503.248.9170 N. 503.248.0223 www.psearchs.com PECK SMILEY ETTLI + architects C H A N G E O R D E R Change Order No.: 4 Date: 28 August 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes in this Contract: ADD work described in the attached Change Request #4 Contract Amount: Add to the Contract Amount the sum of: One thousand six hundred one dollars and 46/100 1,601.46 ) The Contract Time will be changed by 0 days. The Date of Completion as of the date of this Change Order is January 12, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ , 13,150.54 Total $ 2,197,550.54 Previous Deductions $ 3,550.30 Contract Sum prior to this Change Order $ 2,194,000.24 . Amount of this Change Order (Add) $ :.A1,601 46 Contract Amount to Date $ 2,195,601.17 ARCHITECT TRACTOR O ER g179112- MZ~~iz ay F Date Date Date J:11111107 Ashland Fire Station 2\CA\CO\CO 411107 CO 04_2012-08-28.dom 4412 SW Corbett, Portland, OR 97201 tel 503.248.9170 faz503.248.0223 www.psearchs.com PECK SMILEY ETTLIN* a rehl4ecf, C H A N G E O R D E R Change Order No.: 4 Date: 28 August 2012 Date of Contract: 26 Apri12012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes In this Contract: ADD work described in the attached Change Request #4 Contract Amount: Add to the Contract Amount the sum of: One thousand six hundred one dollars and 461160 1,601.46 ) The Contract Time will be changed by 0 days. The Date of Completion as of the date of this Change Order is January 12, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 13,150.54 Total $ 2,197,550.54 Previous Deductions $ 3,550.30 Contract Sum prior to this Change Order $ 2,194,000.24 Amount of this Change Order (Add) $ 1,601.46 Contract Amount to Date $ 2,195,601.17 ARCH! ECT~ CONTRACTOR OWNER ~ZB /z Date Date Date JAI 111107 Ashland Fire Station 21CAICOXCO 411107 CO 04_2012-08-28.doex 4412 SW C.,bett, Port1cnd, 0R 9720I tel 503.248.9170 fns 503.248.0223 ....piearchs.com q 3935 Highland Avenue Grants Pass, OR 97526 AUSLA N D GROUP Ph: (541)476-3788 Engineers- aullders -Gonsultanui Change Request To: Jay Fester Number: 4 Peck Smiley Ettlin Architects Date: 6/20/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Electrical Meter at Park Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: Add a electrical meter per RFI #1. Description Labor Material Equipment Subcontract Other Price Electrical - Add Meter $719.00 $719.00 Electrical -Add 3" PVC per City of Ashland $359.00 $359.00 Install 2 Bollards per City of Ashland $200.00 $200.00 $400.00 Subtotal: $1,478.00 Overhead and Profit $400.00 10.00% $40.00 Sub Markup $1,078.00 5.00% $53.90 Bond and Insurance $1,478.00 2.00% $29.56 Total: $1,601.46 If you have any questions, please contact me at. Submitted by: Approved by: Date: Cc: Page 1 of 1 i t if fit r~,dlr..~ 711 ° ''.•`.'1 }$i 1 4 1 p Ji I F ~F.,~l; t dllai: ~ } V ! f-I -,tea pL u - E°V NZy grg~gi Fop p~_________________ It IS Una It € c ~ , g ~ 1 au Y ~9=Ev°~ LLI oB y Mil 91 pLS'<z~a" .x LL ~ o $ Z m a r li OSl i P!~ v iy; Rr4i ~gfo~rmv s ~'g~~ ~ s § ' { a ~n~~ ~°ix 7~g OL57u'bLNb3}1S~ LL p ,Wp ~ U it i7 c. ~Uyyepp F N-p Y. n Oh 3-~ ~ ~Z i.~a nV SU 1v `u e ~O F: ~ M G~ 'N 3 Change Order Request C.o.R:# 01207-0002 Pacific flectiieal G.C. # y'jJ~/,I' COIIIfaCtD/S Date: 512912012 Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Matt Bladek Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541) 476-3788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Added 3" PVC to power pole per Ashland City Power requirements. Change Order Price $359.00 Original Contract Amount $286,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 512912012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R.# C1207-0002 Pacific flectiical G.C. At COl1t!$CtOIS Date: 5120012 Project Name: Ashland Fire Station #2 Project C1207 Labor Labor Tvoe Man Hrs Ok 6- rrd p Frinoe TotalTax Total Lebor Journeyman - Ashland 2.00 $70.00 $0.00 - $0.00 $0.00 $161.00 Fire Station #2 Sub Total $161.00 Grand Total $161.00 Materials terlals uanti Cos Total Taz Total Materials Lot 1.00 $172.00 $0.00 S197.60 Sub Total $197.60 Grand total $197.80 Total Cost $358.80 Total $359.00 Page 2 of 2 PECK SMILEY ETTLI * orc hltects C H A N'G E O R D E R Change Order No.: 6 Date: 26 October 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Assland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes In this Contract: ADD work described In the attached Change Order Requests #7, 8, 10, 11 Contract Amount: Add to the Contract Amount the sum of: Twelve thousand two hundred ninety two dollars and 21/100 12,292.21 ) The Contract Time will be changed by 6 days. The Date of Completion as of the date of this Change Order Is January 17, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 14,752.00 Total $ 2,199,162.00 Previous Deductions $ 5,151.76 Contract Sum prior to this Change Order $ 2,194,000.24 Amount of this Change Order (Add) j012,2992 21 -A Contract Amount to Date $ 2,206,292.45 AR }IITE l ONTR Si R Ob R Date Dat Date JAI 111107 Ashland Fire Station ZWCOICO 511107 CO 05 2012-10-26.docx 4412 SW Corbett, Portland, OR 97201 let 503.248.9170 1.x503.248.0223 www,pse.rch,.wm PECK SMILEY ETTLIM+ orchitects C H A N G E O R D E R Change Order No.: 5 i Date: 26 October 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Altsland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes in this Contract: ADD work described in the attached Change Order Requests #7, 8, 10, 11 Contract Amount: Add to the Contract Amount the sum of: Twelve thousand two hundred ninety two dollars and 21/100..:..................... 12,292.21 ) The Contract Time will be changed by 6 days. The Dale of Completion as of the date of this Change Order Is January 17, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 14,752.00 Total $ 2,199,152.00 Previous Deductions $ 5,151.76 Contract Sum prior to this Change Order $ 2,194,000.24 Amount of this Change Order (Add) $ 12,292.21 Contract Amount to Date $ 2,206,292.45 AR (&4 1 ONTR R NER to "21 C~ A 1. Date Datd Date J:11111107 Ashland Fire Station 21MC011305t1107 CO 05_2012-10.26.doex 4412 5W Corbett, Portland, OR 97201 tel 503.248.9170 rae 503.248.0223 www.psear<hs.wm PECK SMILEY ETTLI * arc hltacts C H A N G E O R D E R Change Order No.: 6 Date: 26 October 2012 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Auhland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes 111 this Contract: ADD work described in the attached Change Order Requests #7, 8, 10, 11 Contract Amount: Acid to the Contract Amount the slim of: Twelve thousand two hundred ninety two dollars and 21/100 12,292.21 ) The Contract Time will be changed by 6 days. The Date of Completion as of the date of this Change Order Is January 17, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 14,752.00 Total $ 2,199,152.00 Previous Deductions $ 5,151.76 Contract Sum prior to this Change Order $ 2,194,000.24 Amount of this Change Order (Add) $ 12,292.21 Contract Amount to Date $ 2,206,292.45 In - Z, AIT ECT ONTR R' O R tto Date Datd Date J,,Al lu 107 Ashland Fire Station ZMC01C0 511107 CO 05 201240.26.docx 4412 SW Co,bett, Portland,OR 97201 te1 503.248.9170 tax 503.248.0223 www.psea,chs.con, 3935 Highland Avenue Grants Pass, OR 97528 AUSLAND GROUP Ph: (541)476-3788 Engineers • Builders • Consultants Change Request To: Jay Fester Number: 7 Peck Smiley Ellin Architects Date: 7/27/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761.0820 Ph: (603)248-9170 Fax: (603)248-0223 Description: ASI #1 - Deepening of Footings in NW Corner of Building Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: PerASI #1 - Extra masonry, concrete, and excavation for deepening of footings In NW corner of the building. Description Labor Material Equipment Subcontract Other Price Masonry 1' Course over. 50' _ $600.00 $600.00 Extra Concrete in 9 Footings $500.00 $500.00 Overexcavation of step footings and column $2,585.00 $2,585.00 footings Subtotal: $3,685.00 - Overhead and Profit $3,685.00 10.00% $368.50 Band and Insurance $3,685.00 2.00% $73.70 Total: $4,127.20 If you have any questions, please contact me at (541)476-3788. Submitted by: Matt Bladek Approved by: Ausland Group Date: Cc: Page 1 of 1 WoIwr rKlrr6tHixFL VHL ROBERT L 8268991 70:5414762313 P.212 Central Valley Excavation Inc. Office 541.826-8980 P 0 nox 1088 Fax 541.826-8981 lauglePoint, OR 97524 canvalax0hotmall,com Attention: Aaron Lacey Re: Ashland Fire Station #2 Extra Work -Contract 120104.31200 Work performed 615.6111 Per your discussion with John Hughes - Revised Change Order Request Excavate and Deepen wall footings on Northeast Comer by 1 foot and widen monument wall Lump Sum 2585.00 6/27/2012 Total now due this Change Order Request 2585.00 Central V y Excavation Inc Robert )x. Lyon, Jr. 3935 Highland Avenue Grants Pass, OR. 97526 A U S LA N D GROUP Ph : (541)476-3788 Cng'mcers • euliders • Convl:ans Change Request To: Jay Fester Number: 8 Peck Smiley Ettlin Architects Date: 9/17/12 4412 SW Corbett Avenue Job: 12.0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 641-761.0820 Ph: (503)248-9170 Fex:(503)248-0223 Description: Artwork Concrete Footing Reason: Change in Scope We are pleased to offer the follovimg specifications'and pricing to make the folloeving changes: Excavation/prep/backfill, circular concrete tooting, slainles steel metal sleeve. Description Labor Males] Equipment Subcontract Other Price :Foreman $60.00 560.00 Earth-moving - dig and baciifitl, tog[hours $200.00 $50.00 $50.00 $300.00 concrete - bvo men for one day. one for four $1,000.00 .$475.00 $50.00 $1,525.60 hours Subtotal: $1,885.00 Overhead and Profit $1,885.00 10.00% $188.50 Sub Markup $0.00 Bonds and insurance X51,665.00 2.00% $37.70 Total: $2,111.10 if you have any question's, please contact me a1.541-660-0004. Submitted by: Zack $ecrest Approved by: Date: Cc: Page 1 of 1 3935 Highland Avenue Grants Pass, OR 97526 . USLAND GROUP Ph: (541)476-3784 Engineers • 0ultders a Consultants Change Request To: Jay Fesler Number: 10 Peck Smiley Ettiin Architects Date: 1014/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Misc. Electrical Changes Reason: Change In Scope We are pleased to offer the following specifications and pricing to make the following changes: Addition of two N1 fixtures on NE side of building per RFI 7, Addition of a four way switch on second floor and a three way switch on the first floor and replaced a three way switch with a four way switch at the North end of the hallway on second floor per RFI 8. Per RFI 13, provide switch by office support to control two C fixtures, revise light switch by main entrance to a three way switch and add a three way switch: by office support door, add a three gang switch and make them three way by the kitchen door entrance. Description Labor Material Equipment Subcontract Other Price Electrical - RFI 7 $640.00 $640.00 Electrical - RFI 8 $522.00 $522.00 Electrical - RFI 13 $581.00 $581.,00 Subtotal: $1,743.OD Overhead and Profit $0.00 ' Sub Markup $1,743.00 9.00% $87.15 Bonds and Insurance $1,743.00 2.00% $34.88 Total: $1,865.01 i If you have any questions, please contact me at 541-660-0004. Submitted by: Zack Secrest Approved by: Date: Cc: Page 1 of 1 Change Order Request C.O.Rr# .01207.0009 Pacific Electrical # COMM ON Oate: 10!312012 Project Name: Ashland Fire Station ft2 Projecti: C1207 To: Ausland Builders Prom: Pacific Electrical Contractors, Inc. Attn: Arfon Lacey Clint Sylh 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97626 Phone: (541) 476-3780 Fax: 0hone:(641)773-7751 Fax: (541) 779-2072 We hereby propose to snake the following changes: . RFI #7 Dated 09/26/12 Per submittal 16500, add 2 N1 fixtures on northeast side of building between grid lines G & E. Change Order Price $904,00 Original Contract Amount $286,215.00 This price is good for 6 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 10/3/2012 Author Date Sent Q Accepted the above prices and specifications of this Change order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified In original contract unless otherwise specified. Authorized Signature Data of Acoeptande Paga 102 Change Order Request CAR. # C1207-0009 Pacilic Fle~tric~~l c.c. n CnntrAC = Date: 101312012 PibJedt Name: Ashland Fire Station #2 Project #i C1207 Materials -•Materiais - Quantity DWTotaiTax TotalMatarlata Nt FMUres 2.00 $391.17 $O.OD $809.6!1 Sub Total $899.69 Grand Total -$909.69 Total Cost $889.69 Total $900.00 Page 2 of 2 Change Order Request C.O.R.# C1201.0011 Pacific it tllihd . 'Contractors Date: 101312012 Project Name: Ashland Fire Station #2 Project #i 01207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Arron Lacey Clint Syth 39351-lighland Ave 920 South Grape Street Medford, OR 87601 Grants Pass, Or 97520 Phone: (641) 4763768 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 VVe hereby propose to make the following changes: RFI #8 Dated 09/10/12 Per AN #8, we added a four way switch in front of elevator on second floorand'added a three way switch at the bottom of:tlie stairway on the first floor. Also replaced three way switch with:a four way switch'at the north end of hallway on second floor. Change Order Price $622.00 Original contiraet Amount $200,216.00 This price Is good for 5 days. If conditions change, this price Is void. We are requesting a time extehsion of 6 days in conjunction with this change. Clint Syth 1013/2012 Author Date Sent F] Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under salve terms and conditions as specified in original contract Unless otherwise specified. Authorized Signature Date or Acceptance Page 1 of 2 Change Order Request C.O.R.# C7207-0011 Pacific flectiical O.C. # . Contr8CI01S Date: 1013/2012 Project Name: Ashland Fire StaOon Q Project C1207 Labor .Labor TVda - 1i118uJ1L~ , RM0 Frim T ialTax 72wlffb Journeymen-Ashland 4.50 $70.00 5000 $0.00 $0.00 S362.25 Fire Slalian 112 Sub Total $362.25 Grand Total- $362.26 Materials ~ _ Qlta110LV Cost YotalTOx Total Materials Lot 1.00 9139.32 S0.00 $160.22 Sub Total $1110.j2' Grand Total $160.22 Total Cost $522.47 Total $522.00 Paj6 2 of 2 Change Order Request C.O.R.# 01207.0010 Pacilic Eleet~icr~l G.C. # r Ctllltlr7ClOfS Dale: 1D/3/2012 Project Name: Ashland Fire Sta0ohi #2 Project 0: 01207 To: Auhland. builders From: Pacific Electrical Contractors, Inc. Attn: Arron Lecey Clint Syth 3935 Highland Ave 920 South Grape.Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541) 476-3766 Fax: Phone: (541) 773-7751 Fax: (641) 779-2072 We hereby propose to make the fallowing changes: RFI 813 Dated 69126/12 Par RFI #13, provide switch by ofiipe support to control 2'C' fixtures by column line 5. Revise light switch by main entrance to a th'reoway switch and add a:three way switch by office support door. Add a three gang switch and make them Three way by the kitchen door entrance to the training room: Chongie Order Price $681.00 Original Contract Amount 328!3,216.00 This price is good for 5 days. If conditions change, this price is Vold. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 101312012 Author Date Sent E Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under some terms and conditions as specified in original contract unless otherwise specified. Authorized Signature pate of Acceptance Page 10(2 Change Order Request C.O.R.# 012074010 Pacific flecwid Date: COpIf11Cr'OIS Date: 101312012 Project Name: Ashland Fire Stalion #2 Project C1207 Labor TotalLabQr t_ahor m _F M&WUPI, Foil B111:119111 Journeyman-Ashland - 4.50 570.00 $0.00 $0.00 $0.00 ;362.25 Flre Station 02 Sub Total 6362.26 Grand Total S3621.26 Materials (~@te lals Quantity C,o is T°ta~ITt rySol nnaterlals Lot 1.00 $190.42 60.00 $218.98 Sub Total 6210.90 Grand Total 6218.98 Total Cast $581.23 Total $601.00 Page 2 or 2 NIF 3935 Highland Avenue Grants Pass, OR 97526 A U S LAN D G R O U P Ph : (541)476-3788 rng,nem • Builders • Coasullinls Change Request To: Jay Fester Number: 11 Peck Smiley Ellin Architects Date: 10/10/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone; 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Misc. Framing Adds and Flashing Details Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: ASI's 2, 3, 5 & 7. Observation item 7.08. Description Labor Material Equipment Subcontract Other Price Superintendent $550.00 $80.00 $630.00 Assistant Superintendent $450.00 $450.00 Misc. Framing, for Waste Receptle & Enlarge $400.00 $250.00 $650.00 Bathroom- ASI 2 Wall Framing -ASI3 $500.00 $180.00 _$680.00 Metal Roofing-ASI7 $100.00 $80.00 $180.00 Wall Framing - Item 7.08 on Observation $1,000.00 $150.00 $1,150.00 Report Subtotal: $3,740.00 Overhead and Profit $3,740.00 10.00% $374.00 Sub Markup $0.00 Bonds $3,740.00 1.00% $37.40 Insurance $3,740.00 1.00% $37.40 Total: $4,188.80 If you have any questions, please contact me at 541-660.0004. Submitted by: Zack Secrest Approved by: Date: Cc: Page 11 of 1 PECK SMILEY ETTLIN~~ - archifacte C H A N G E O R D E R Change Order No.: 6 Date: 7 January 2013 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group t Owner: Ashland Fire & Rescue ATTN: Aaron Lacey f Chief John Karns You are directed to make the following changes in this Contract: ADD work described in the attached Change Order Requests #12, 13, 15, 16, 18, 19 Contract Amount: Add to the Contract Amount the sum of: Twenty-five thousand seven hundred sixty nine dollars and 34/100 25,769.34 ) The Contract Time will be changed by 2 days. The Date of Completion as of the date of this Change Order is January 19, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 27,044.21 Total 2,211,444.21 Previous Deductions $ 5,151.76 Contract Sum prior to this Change,Order $ 2,206,292.45 Amount of this Change Order (Add) 6K25;76g:344 Contract Amount to Date $ 2,232,061.79 f JARITE AONTTOR R Date Date Date JAI t\1107 Ashland Fire Station 2XCA\CO1CO 611107 GO 06_2013-01-07.doez 44125W Corbett, Portland, OR 97201 te1503.248.9170 to. 503.248.0223 w .Prearchs.com PECK SMILEY ETTLI + architects C H A N G E O R D E R Change Order No.: 6 Date: 7 January 2013 Date of Contract: 26 April 2012 Project: Ashland Fire Station 2 Contractor: Ausland Group Owner: Ashland Fire & Rescue ATTN: Aaron Lacey Chief John Karns You are directed to make the following changes in this Contract: ADD work described in the attached Change Order Requests #12,13,15, 16, 18, 19 Contract Amount: Add to the Contract Amount the sum of: Twenty-five thousand seven hundred sixty nine dollars and 34/100 25,769.34 ) The Contract Time will be changed by 2 days. The Date of Completion as of the date of this Change Order is January 19, 2013 Original Contract Amount $ 2,184,400.00 Previous Additions $ 27,044.21 Total $ 2,211,444.21 Previous Deductions $ 5,151.76 Contract Sum prior to this Change Order $ 2,206,292.45 Amount of this Change Order (Add) $ 25,769.34 Contract Amount to Date $ 2,232,061.79 \ O, p ER AR ITE ON O 7 V Date D to Date ca. w/. J:\11\1107 Ashland Fire Station 2\CA\CM130 6\1107 CO 06_2013-01-07.docx 4412 SW Corbett, Portland, OR 97201 let 503.248.9170 fax 503.248.0223 www.psearchs.com Ausland Group Grants Pass, OR 97526 AUSLAND GROUP Ph: (541)476-3788 Engineer • Builders • ComUIWe Change Request To: Jay Fester Number: 12 Peck Smiley Ettlin Architects Date: 11/26/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: TPO Membrane at Window Sills Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: Install 060 TPO membrane to bottom of four window sills per PR#4. , Description Labor Material Equipment Subcontract Other Price TPO Roofing $1,140.00. $1,140.00 Subtotal: $1,140.00 Overhead and Profit $1,140.00 5.00% $57.00 Bands and Insurance $1,197.00 2.00% $23.94 Total: $1,220.94 If you have any questions, please contact me at 541-660-0004. Submitted by: Zack Secrest Approved by: Date: Cc: Page 1 of 1 Kevin Kelly From: Aaron Lacey Sent: Monday, November 26, 201212:00 PM To: Kevin Kelly Cc: ZSecrest@AuslandGroup.com Subject: FW: Fw: Ashland Fire Station PR. 4 Price for PR 4 Aaron Lacey Superintendent www.auslandgroup.com From: tduncan0redskvteam.com fmailto•tduncan@redskvteam.coml Sent: Monday, November 19, 2012 10:38 AM To: Aaron Lacey Subject: RE: Fw: Ashland Fire Station PR. 4 Hi Aaron, To install 060 TPO membrane to bottom of 4 window sills as requested per detail. $1,140.00 Labor & Material Complete Thanks Troy Duncan Red Sky Incorporated office 707.464.2424 cell 707.218.6400 tduncan@redskyteain.com www.redskyteam.com Original Message Subject: Fw: Ashland Fire Station PR. 4 From: "Aaron Lacey" <alacev(aAuslandGroup.com> Date: Fri, November 16, 2012 12:29 pm To: <tduncanCalredskvteam.com> Aaron Lacey I Superintendent AUSLAND GROUP Engineers - Builders - Consultants Sent via Blackberry wireless Original Message From: Aaron Lacey To: troyOredsky.com <troy(a)redsky.com> t Ausland Group Grants Pass, OR 97526 AUSLAND GROUP Ph: (541)476-3788 Engineers - Bultders - Consultants Change Request To: Jay Feeler Number: 13 Peck Smiley Ettlin Architects Date: 11127/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 . Ph: (503)248-9170 Fax: (503)248-0223 Description: Electrical Changes Reason: Change in Scope We are pleased tooffer the following specifications and pricing to make the following changes: Add receptacles in kitchen above counter to meet code requirements. Add receptacles in west corridor and dayroom for wireless router. Add receptacles in exercise room. Change normal power (C-4) to emergency power (ES1-40) in room 206. _ Add upstairs storage lights to meet code requirements. Description Labor Material Equipment Subcontract Other Price Add receptacles in kitchen $698.00 $698.00 Add receptacles in west corridor and day room $272.00 $272.00 Add receptacles in exercise room $263.00 $263.00 Change normal power (C-4) to emergency $189.00 $189.00 power (ES1-40) in room 206 Add upstairs storage lights $671.00 $671.00 Subtotal: $2,093.00 Overhead and Profit $2,093.00 5.00% $104.65 Bonds and Insurance $2,197.65 2.00% $43.95 Total: $2,241.60 If you have any questions, please contact me at 541-660-0004. Submitted by: Zack Secrest Approved by: Date: Cc: Page 1 of 1 Change Order Request C.O.R.# C1207.0006. _ G.C. # a j acilicE/actle xr~ J<:_Controis ~ Date: 9/2112012 Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Amon Lacey Project Management /Estimating 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541) 476-3788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Add receptacles in kitchen above counter to meet code requirements. Change Order Price $698.00 Original Contract Amount $286,215,00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change.. Project Management /Estimatin 9/21/2012 Author Date Sent F1 Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R.# C1207.0006 j acilicflectlical G:C. # ,.'.COQtIBC101S Date: 9/21/2012 Project Name: Ashland Fire Station #2 Project 01207 Labor Labor Twe ..Man HM KRE ur Fringe otal ax Iptal Labor - CIO Journeyman-Ashland 6.55 $70.00 - $0.00 $0.00 $0.00 $527.28 . Fire Station #2 Sub Total $527.28 Grand Total $527.28 Materials Fi Is - ua - - Cost To IT" Total Materials Lot 1.00 . $148.46 80.00 $170.73 Sub Total %170.73 Grand Total $170.73 Total Cost $698.01 Total $698.00 -Page 2 of 2 Change Order Request C.O.R. # C1207-0007 G.C. # ;~Pacil~ic~flect~icah 1 Caat O(S Date: 912112012 Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From. Pacific Electrical Contractors, Inc. Attn: Amon Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541) 476-3788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Add receptacles in west corridor and dayroom for wireless routers.. Change Order Price $272.00 Original Contract Amount $286,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 9121/2012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby, accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 7 of 2 Change Order Request C.O.R.# C1207-0007 `~PacilicEl G.C. # l ~Cnntrors Date: 9/21/2012 Project Name: Ashland Fire Station #2 Project C1207 Labor LaborT4oe ManHrs /Hi diie- - Fringe - to ax - TotalLabor Journeyman - Ashland 2.55 $70.00 $0.00 $0.00 $0.00 $205.28 Fire Station #2 Sub Total $20526 Grand Total $205.28 Materials Materiats - - u ti - Cost TotelT; Total Materials Lot - 1.00 $57.70 $0.00 $66.36 'Sub Total $66.36 Grand Total $66.36 Total Cost $271.64 Total $272.00 Page 2 of 2 Change Order Request C.O.R.# C1207.0008 J.m.ry "pacific El G.C. # 1COBt C~0lS Date: 9/21/2012 Project Name: Ashland. Fire Station #2 Project#: C1207 To: Ausiand Builders From: Pacific Electrical Contractors, Inc. Attn: Arron Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541)476-378B Fax: Phone:(541)773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Add receptacles in exercise room per Bob Humphries direction. Change Order Price $263.00 Original Contract Amount $285,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 9/2112012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R. # C1207-0008 f G.C. # 'vPaclic fie 1; / ~GalIIIBC(01S Date: 9121/2012 Project Name: Ashland Fire Station #2 Project C1207 Labor Labor T m. Man H-m $1 - Bu e - Fringe Total Total Labor Journeyman - Ashland 2.46 $70.00 $0.00 $0.00 $0.00 $198.03 Fire Station #2 $198.03 Grand Total $198.03 Materials ate_ al- - Quiuml Cost Toteao TotalMateilals Lot 1.00 $56.36 $0.00 $64.81 Sub Total $64.81 Grand Total 564.91 Total Cost $262.84 Total $263.00 Page 2 of 2 Change Order Request C.O.R.# C1207-0012 ;~PBCilicfl G.C. # Date: 1015/2012 , ~ ,.~Contr~ors Project Name: Ashland Fire Station #2 Project C1207 To: Auhland Builders From: Pacific Electrical Contractors, Inc. Attn: Amon Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (54.1) 47673788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Per RFI #11 Change normal power (C-4) to emergency power (ES1-40) in room 206. Change Order Price $189:00 Original Contract Amount $286,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 10/5/2012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted.' Ail work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance - Page 1 of 2 Change Order Request C.O.R.# C1207.0012 y f ~,OQjfdGlO(S Date: 1015/2012 Project Name: Ashland Fire Station #2 Project C1207 Labor LaborTvoe a rs `IaLr ur - Fringe TotaUM Total Labor Journeyman - Ashland 2.00 $70.00 $0.00 $0.00 $0,00 $161.00 Fire Station #2 - - Sub Total $161.00 Grand Total $161.00 Materials Mamala Quantity Cos TotalTaz Total Materials Lot 1.00 $24.76 $0.00 $28.47 Sub Total $28.47 Grand Total $28.47 Total Cost $189.47 Total $189.00 Page 2 of 2 Change Order Request C.O.R. # C1207.0014 i G.C. # _ 1; COll1►tlcr0/S Date: 1118/2012 Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Aaron Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541):476-3788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Upstairs. storage lights to meet code regulations. Change Order Price $671.00 Original Contract Amount $286,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change. Clint Syth 11/8/2012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R.# C1207-0014 Contractors Date: 11/812012' Project Name: Ashland Fire Station #2 Project#: C1207 Labor H _ 4otal Lalior , LaborTvbe ManHrs :$H 13urd n g[ F -ririge 0 178 T.LX . Journeyman-Ashland 6.00 $70.00 $0.00 $0.00 $0.00 $483.00 Fire Station #2 Sub Total $483.00 Grand Total $483.00 Materials Mate_Ffals Qu an& Cost TotalTax Total Materials Lot 1.00 $163.28 $0:00 $187.77 Sub Total $187.77 Grand Total $187.77 Total Cost $670.77 Total $671.00 1 ~ Page 2 of 2 A Ausland Group V Grants Pass, OR 97526 A US LAN D GR O U P Pn : (541)476-3788 Engineers, Builders • Consultants Change Reguest To: Jay Fesler Number: 15 Peck Smiley Ettlin Architects Date: 1216/12 4412 SW Corbett Avenue - Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Retaining Wall . Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: Install'Versalok' Wall with caps as per manufactures specs. Wall will be approximately 36' feet long x height of upper grade starting at southwest corner of building following sidewalk and stepping down to zero out at finish grade. Description Labor Material Equipment Subcontract Other Price Retaining Wall $2,025.00 $2,025.00 Subtotal: $2,025.00 Overhead and Profit $2,025.00 5.00% $101.25 Bonds and Insurance $2,126.25 2.00% $42.53 Total: $2,168.78 Please note that Ausland Builders, Inc. will require an extra 2 Days. If you. have any questions, please contact me at (541)476-3788. Submitted by: . Kevin Kelly Approved by: Ausland Group Date: Cc: Page 1 of 1 CAROL'S COLORS LANDSCAPING Maintenance and Construction v .carolscolors.com 87 W. Nevada St Ashland, Oregon 97520 541-535-7074 FireStadon 11-28-12 doc Ausland Builders Landscape Development Proposal: Ashland Fire Station #2 'Versalok' Retaining Wall: ➢ Install Versalok' Wall with caps as per manufactures specs. Wall will be approximately 36' feet long x height of upper grade starting at southwest corner of building following sidewalk and stepping down to zero out at finish grade Bid: $2,025.00 Accepted by Ausland Builders Date Accepted by Penny Fullmer for Carol's Colors Date Landscape/Irriga9on Contractors License #9055 Landscape Contractors Board 2111 Front St NE Ste 2-101 Salem, Oregon 97301 (503) 967-6291 Page 1 of 1 Ashland Group V Grants Pass, OR 97528 AUSLAND GROUP Ph: (541)476-3788 Engineers , Builders , Cursu tents Change Request To: Jay Fester Number: 16 Peck Smiley Ettlin Architects Date: 12/6/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Additional Wiring for Vehicle Exhaust System Reason: Change in Scope We are pleased to offer the following specifications and pricing to make the following changes: Added material and labor to facilitate the controllers for the vehicle exhaust system. The construction documents show an electrical connection at the vehicle exhaust system that leads to a disconnect in the ceiling space. The manufacturer of the approved vehicle exhaust units requires that each unit has a controller that is mounted on the wall at a location accessible from the floor. This involves running an additional conduit down to each controller and taking the wire down from each unit to the controller and back to the unit. Description Labor Material Equipment Subcontract Other Price Additional Wiring for Vehicle Exhaust System $2,168.00 $2,168.00 Subtota4 $2,168.00 Overhead and Profit $2,168.00 5.00°% $108.40 Bonds and Insurance $2,276.40 2.00% $45.53 Total: $2,321.93 If you have any questions, please contact me at (541)476-3788. Submitted by: Kevin Kelly Approved by: Ausland Group Date: Cc: Page 1 of 1 Change Order Request C.O.R. # C1207-0013 # l 'e>Racific fl G.C. etrewZ t Co"n1raC10%S Date: 11/9/2012 Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Aaron Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97501 Grants Pass, Or 97526 Phone: (541) 476-3788 Fax: Phone: (541) 773-7751 Fax: (541) 779-2072 We hereby propose to make the following changes: Add power for vehicle exhaust system. Change Order Price $2,168.00 Original Contract Amount $286,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 5 days in conjunction with this change.. Clint Syth 11/8/2012 Author Date Sent Accepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under same terms and conditions as specified in original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R.# C1207-0013 " fs 'yPacilicrEl G.C. # f7 j CORtnrails Date: 11/8/2012 Project Name: Ashland Fire Station #2 Project C1207 Labor LahorTvbe Man Hrs $0~ 114r o Frfnae a a -Total Labor Journeyman - Ashland 16.00 $70.00 $0.00 $0.00 $0.00 $1,288.00 Fire Station #2 -$0.00 $0.00 -$0.00 .$0.00 Sub Total $1,288.00 Grand Total $1,288.00 Materials Materials. - puantitJ s3S To IT x Total Materials Lot 1.00 $765.12 $0.00 $879.89 Sub Total $879.89 Grand Total $879.89 Total Cost $2,167.89 Total $2,168.00 Page 2 of 2 Ausland Group Grants Pass, OR 97526 AUSLAND GROUP Ph: (541)476-3788 Engineers • Builders • Consultants Change Request To: Jay Fesler Number: 18 Peck Smiley Ettlin Architects Date: 12/14/12 4412 SW Corbett Avenue Job: 12-0104 Ashland Fire Station #2 Portland, OR 97239 Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Add Light Fixtues To Art Sculpture Reason: Change in Scope - We are pleased to offer the following specifications and pricing to make the following changes: Add two light fixtures to the artsculpture per the attached drawings provided by Jim McNamara on 12/6/12. • Description Labor Material Equipment Subcontract Other Price Art Sculpture Light Fixtures _ $2,437.00 $2,437.00 Subtotal: $2,437.00 Overhead and Profit $2,437.00 5.00% $121.85 Bonds and Insurance $2,558.85 2.00% $51.18 Total: $2,610.03 If you have any questions, please contact me at (541)476-3788. Submitted by: Kevin Kelly Approved by: Ausland Group Date: Cc: Page 1 of 1 Change Order Request C.O.R.# 01207-0016 O.C. # r4j9111fACI0fS r Date: 12114/2012 !nuW` Project Name: Ashland Fire Station #2 Project C1207 To: Ausland Builders From: Pacific Electrical Contractors, Inc. Attn: Arron Lacey Clint Syth 3935 Highland Ave 920 South Grape Street Medford, OR 97601 Grants Pass, Or 97526 Phone: (641) 476-3788 Fax: Phone: (541)773-7751 Fax: (541) 779-2072 We hereby propose to make the fallowing changes: Add two art sculpture light fixtures. Change Order Price $2,437.00 Original Contract Amount $285,215.00 This price is good for 5 days. If conditions change, this price is void. We are requesting a time extension of 6 days In conjunction with this change. Clint Syth 12114/2012 Author Date Sent EJAccepted The above prices and specifications of this Change Order request are satisfactory and are hereby accepted. All work to be performed under some terms and conditions as specified In original contract unless otherwise specified. Authorized Signature Date of Acceptance Page 1 of 2 Change Order Request C.O.R.# C1207-0016 G.C. # ' rilll pct ~c~ C0/1 r ctors Date: 12114(2012 Project Name: Ashland Fire Station #2 Project C1207 Labor nna~ - - Journeyman - Ashland 10.00 $70.00 $0.00 $0.00 $0.00 $805.00 Fire Station #2 Sub Total $805.00 Grand Total $805.00 Materials aeras Fbdures 2.00 $606.38 $0.00 $1.394.67 Freight 1.00 $35.00 $0.00 $35.00 Man Material 1.00 $175.99 $0.00 $202.39 Sub Tolal $1,832.08 Grand Total $1,632.(16 Total Cost $2,437.06 Total $2,437.00 Page 2 of 2 N f! d ~ ° w CL. Li s ~ ,&I-qRt HP2 Compact Fluorescent • Integral Ballast PPOJERi Ashland Fire Station 2 TYPE HP-2 Series Integral Transformer CATALOG B-HP2-CF32-TR-102-SAP-120-ICEE NUMa0b. SOURCE, 32 Wall Compact Florescent NoTFs, (2) Light FWures Required - CATALOG NUMBER LOGIC © HP2 CF32 TR 102 SAP 120 ICEE . Example - HP2 • CF42 - TR - 103 BZW • 11 - 277 AH/HD Material) I i Blank - Ahmmum a - Aran 5 • Slahdne5teel faceplate HP2 - Flufh OptiLock° 015 CGmPaanuamuent (16Y4 CF32 - Camp dflO K.MIVA CM - C.Pannuo..e MaVl CF42 - C.Part Fluo.t(41V4 Housing TR - NHyral BaPaH Lamp Type 0 ey phers Too 0sWITdPkTv Tube,GR2aO.430WK 102 p3v0 Triple Twin TubAG%1403.3000'X 101 - r163Vl Tdp4TWnTube,4Yiap•3, 3000'iC 103 (41V4TdpkTMATube.CMe4,3000'K Finish AlumMVm 6Brass Faceyhhs 0."F Pht. Premium Flabh )ewdxfeilfebr LtN wdMla hualnd MAC ABP ANipeBwloader CMG pKtleF•amult GML< MA PoC/M' uiuN Wairt GaPle W BZW PM4hea POt Aw ASWanMOmuNGanle GI GKtalire M Sm va+Dnm LnMme BWk W &W AON9v1 Mn ACN A,e{ryrMRtr CAM rnam SLW SFm W1MaN4nl! SWAIess FaCephte5 t•ANa rybad WHP 1vNw BCM RadClapx NII6 Nuw. Crean TfF TvrvnCral0. MarhNm MAC loyveeewiSWnma (ar Numinum SAP - AGE Gip MOS VILA Wnftu B PWi1nd PoL V.M - YFR BNArd eke BAP Gcan PMhagw.der HBP 'MIUNGw PeWn VAR Wnu M1. a GP plnAnadtred Poxdu OCP Off WP•' faes~AhvtJARlu➢a.Md Accessory 5!A•1fVy IDI. RpvlreArmsprynoMm A31dj 1 aOOSpryavmioAklY.th KFE"lrN qufbn) 5pnad LaN 11 - IlDneyCamb Gflle 10 inputvoltage 110 - 110VACWPPt 277 - 277VAC1np Option AH httessOry HOkwlkm nmml0,e 011ei0 GS G'ere3hkid' RO - A ksuard• CPC - CavaRe PoUr CaBaIpD20yfrunMxa Nrapaim HO - HwB a RO - go3GUardwxh OpUNIODlNn2• Y/N1n MnNla45A Yyeemaaav:eaYaw ICEE - Ka leN r,ROA/G WMefYdveaMMMr. TC - Tlndon COntrd llN f4pwnn 000 pmYeaMifCmyfbmWtarvuLLVlYebGd (waHe PauWrIMA:41 OC:wWCA NB.RO »,1 -mod, f ve hKllnGntniranrdirhb MPNR•LW yYm OA=- e,M ((P•MtP'ilnnnm/a+fID2 Vllgn<cyYa40Ma We4Gdf6 ' O4 - 0pme44esf lenapapvrM141 fAU1iNmna.vGner MAxw•lw Oprm ' LAMP DATA 8 0 LA el. paac0 Ile RAW Lit, Ins ILUmene I nLUmv e O O T lip 10 T1,s TY TUbe/3X24q-2(I6V/) 12,000 1,200 1,020 82 3,800 101 28 V11ple TvAn Tub0,o)2"(2VM 12,000 1.800 1,830 82 3.500 102 32 Triple TwIn Tube/G)24g4WM 12000 2,400 2,040 82 3.500 103 42 Triple Twin TubelGX24g4(42V4 12.000 Am 2.720 B2 3,503 40120 BHdyef=,.: 11M.A C2A B383B • WA sVeURTALMIE ORAI'ANG lNMBFA B-K LIGHTING 35943FA[esB.43a5800 w .bbghft.Gan• W.@bk1ahEAe.=n 6-5-12 S[7B•1352.00 OP O]OniM W" gn V`n I•IpUHRLV 0'" 40111Y L Awrtt k(2VI01 K35GY eve Soft.. Aw Aaasn, lE)wq me0KB5 NmeAL A'OYI•u10Y.[ w m SE e1'rM1U1LA rEXV![ riA%R'OMy1GKLNV,AOgw nW,1ROnC.AaNIMr~M>2aMAYfFHIWm411KGS,MItYIOMYCa #s HPZ . Compact Fluorescent - Integral Ballast PROIER3 Ashland Fire Station 2 wpp.. HP-2 Series Integral Transformer SIDE VIEW SIDE VIEW WITH ICEE'"LENS OPTION FACEPLATE Tab 7131 eta --I n 53/4'qa Patmnd ~Sl/4' 1•- 316• 3' TOP SIDE VIEW 10'ga 161n' I^- 71/4' qa 14118' ted gry ~ 1l•. e 1 t< J[Eb DOTTOM VI EW .~4'01a ICEE- LENS FACEPLATE i 2118' A<Hxiuaa W~.quJNYt,1v«n vidut C<mxrrpNlYL'<fYp<,eTb<w<vM)<np '6'i2r.1 SPECIFICATIONS KU- frith mrdW9m GrevSOma k:»aHVa` hW11A131mbtf i3tGl vd fYd>YT9 atrpimlmu nrrudaimrv3ded medic IB)63;a<)YfhLH~Poaef+<KHxtm'(fWnvrlLda4 ICEE• l'dva»« (oa5p Fncnt<d fndwx» b a s,TSrmt Abnl+dvN m531 me+atlt rdv viag/. Pr6xw oltne IM/Ka)mAC<3h gJGdu<me6 tda%ewah Ft Id-111xllM1GN( r{~a+Ne mru9auMIMNP.<~. 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F INOObklphlW.cam 6-5.12 $UB-1352-00 Pr<atbn24M hi Wtvfu are c mrann xU%uM pan b]U.3.PnlmMr.],033,03 ky)312A61;],419,43)6)0,370AS02; ]p3J,0iT:>.300,t<B;aM ip9)paA va . r Ausland Group Grants Pass, OR 97526 AU S LA N D GROUP Ph : (541)476-3788 Engineers • aulldess • ConsultaNS Change Request To: Jay Fesler Number: 19, Peck Smiley Ettlin Architects Date: 12/18/12, 4412 SW Corbett Avenue - Job: 12V 04 Ashland Fire Station #2 Portland, OR 97239 - Phone: 541-761-0820 Ph: (503)248-9170 Fax: (503)248-0223 Description: Additional Asphalt Paving Reason: Change in ScopL, We are pleased to offer the following specifications and pricing to make the following changes: - Prepare sub grade and pave an additional 2640 square feet. Description Labor Material Equipment Subcontract Other Price Asphalt Paving $6,178.00 $6,178.00 Sub Grade Prep $8,020.00 $8,020.00 Subtotal: $14,198.00 Overhead and Profit $14,198.00 5.00% $709.90 Bands and Insurance $14,907.90 2.00% $298.16 Total: $15,206.06 If you have any questions, please contact me at (541)476-3788. - Submitted by: Kevin Kelly Approved by: Ausland Group Date: Cc: Page 1 of 1 Central Valley Excavation inc. 12/5/2012 PO Box 1088 12/7/2012 Eagle Point OR 97524 (541) 826-8980 Customer name: Ausland Construction Project Name: Road work Project Description: f Mobilization Dozer,Roller,Excavator Project Location: Ashland LABOR # Hours Rate/Hr Total EQUIPMENT # Hours Rate/Hr Total Lowbed 4 $ 95.00 $ 380.00 SUBTOTAL $ - SUBTOTAL $ 380.00 Backfill MATERIALS Q Rate Total SUMMARY Total Labor Total Equipment Total Materials Total TOTAL DUE $ 380.00 SUBTOTAL Central Valley Excavation Inc. 1216/2012 PO Box 1088 Eagle Point OR 97524 (541) 826-8980 Customer name: Ausland Construction Project Name: Ashland Fire station road work Project Description: Prepare sub Grade for Paving 21'x120' Project Location: Sherwood and Ashland St Ashland LABOR # Hours Rate]Hr Total EQUIPMENT # Hours Rate/Hr Total Labor 8 $ 55.00 $ 440.00 Excavator 8 $ 125.00 $ 1,000.00 Dozer 2 $ 95.00 $ 190.00 Tool Truck 8 $ 20.00 $ 160.00 Roller 2 $ 95.00 $ 190.00 12 rd DT 8 $ 75.00 $ 600.00 12 yrd DT 8 $ 75.00 $ 600.00 12 rd DT 8 $ 75.00 $ 600.00 SUBTOTAL $ 440.00 SUBTOTAL $ 3,340.00 Backfill MATERIALS Qt Rate Total SUMMARY Total Crushed rock 159.78 $ 8.25 $1,318.19 Labor Total 132578 Equipment Total GeoTextile woven $ 335.00 Materials Total TOTAL DUE $ 5,433.19 SUBTOTAL $ 1,653.19 Central Valley Excavation Inc. 12/7/2012 PO Box 1088 Eagle Point OR 97524 (541) 826-8980 Customer name: Ausland Construction Project Name: Ashland Fire station roadwork fine grading and blue topping Project Description: Prepare sub Grade for Paving21'x120' Project Location: Sherwood and Ashland St Ashland LABOR # Hours Rate/Hr Total EQUIPMENT # Hours Rate/Hr Total Labor 8 $ 55.00 $ 440.00 Backhoe 4 $ 95.00 $ 380.00 Dozer 6 95.00 $ 570.00 Tool Truck 8 $ 20.00 $ 160.00 Roller 4 $ 95.00 $ 380.00 12 rd DT 2 $ 75.00 $ 150.00 .SUBTOTAL 440.00 SUBTOTAL $ 1,640.00 Backfill MATERIALS Qt Rate Total SUMMARY Total Crushed rock 15.35 $ 8.25 $ 126.64 Labor Total E ui ment Total _ Materials Total TOTAL DUE $ 2,206.64 SUBTOTAL $ 126.64 y h t Graboffrski Proposal AVIIVG P.O: Box 3212 Date Estimate # Central Point, OR 97502 12/10/12 9198 (541) 601-3906 - (541) 826-5264 Fax CCB t1 164584 - Name /Address Auhland Builders Tue. Job Site dba Auslmud Group 3935 Highland Avenue - - Grants Pass, OR 97526 Ashland Fire Station We Hereby Submit Estimates For., Total Paving: Pave an additional 2640 square feet of the street where the transition to the new 8,080.00 concrete is severe with 4 inches of asphalt compacted. Patching: Patch approximately 950 square feet along file new concrete with 4 inches of 4,198.00 asphalt compacted. Terms Total $12,278.00 Pnyment dire upon completion Authorized Signature UPON ACCEPTANCE to have work done This Proposal may be withdrawn by us if not please Sign this Form and return by mail, fax, accepted within U) days. or personally to Grabowski Paving. Contractor warrants all work to be free of defects in material and workmanship for a period of one year from the date work is completed. The sole and exclusive remedy of the buyer and obligation of contractor for matters set forth in this agreement and the work done by the contractor whether on warranty, contract, or negligence is the repair of the defect Changes in plans by building department or other will be extra. Any balance that is due pursuant to the terms and provisions of this agreement and remain unpaid after 30 days shall be nssmsed interest at a rate of 18% per annum. on unpaid balance. Acceptance of this proposal acknowledges that this proposal is also 10 serve as a notice of right to lien the above listed property. Acceptance The aboveprices, specifications and conditions are satisfactory and are hereby accepted. You are herby authorized to do ivark as specified. Signature of Acceptance Date / Q i Y r ►,r..ti:, %uE Page 1 1 CITY OF AC u i ANT BATE PO NUMBER 20 E MAIN ST. iJ 7/1/2012 10848 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 008030 SHIP TO: Ashland Fire Department AUSLAND BUILDERS (541) 482-2770 _ 3935 HIGHLAND AVE 455 SISKIYOU BLVD" GRANTS PASS, OR 97526 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: John Karns Special Inst: Confirming? No, ;.'gnanti unit ' - Description Unit Price Eitt. Price THIS IS A REVISED PURCHASE ORDER Fire Station 2 - Construction 2,184,400 00 Project 000175, 1860 Ashland Street Per attached contract Beqinninq date: May 1, 2012 Insurance and Bonds required/On file Processed chanqe order 02/13/2013 47,661.79 Chanqe Requests $47,661.79 *Pendinq backup written documentation SUBTOTAL 2.232.061.79, BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 2,232,061.79 ASHLAND, OR 97520 Account Number Project .Number ' _ Amount' Account Number " Project Number `'Amount` E 410.08.24.00.70420 E 000175.999 2 232 061.79 VENDOR COPY Authors e01's Fghature TOE#io CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ~[~Ji J~ L["11~~T Request for a Change Order Name of Supplier I Contractor 1 Consultant: Total amount of this p~ colifract amendment: Purchase Order Number: Q0 ~ ' bS4g ^J j Title/ Description: W T ~3 1~1 5~~~ # $ '41 Per attached contract amendment Contract Amendment o 0 Original Contract amount $ 2, ~9 , 4 CO0 100 % of original contract Total amount of previous contract amendments ^ % of original contract Amount of this contract amendment r4 LO(O I • qq % of original contract TOTAL AMOUNT OF CONTRACT $ , 23', 0(0 - Ci % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scone 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 ten 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 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 cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments 5$6,000. ❑'YES', the total amount of cumulative amendments ❑'YES", the total amount of original contract and ❑ If'NO', amount exceeding authority requires s 25% of original contract amount or $250,000 cumulative amendments s $100K for Goods & Services, 5 Council approval. Attach copy of Council whichever is less. $75K for Personal Services, <$50K for Attorney Fees. Communication. ❑ If 'NO', amount exceeding authority requires ❑ If 'NO, amount exceeding authority requires Council ❑ Exempt-Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication. PERSONAL SERVICES Communication. ❑ Exempt-Reason: ❑'YES", Direct appointment 5$35,000 ❑ Exempt-Reason:- El If'NO', requires approval. INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT Goods & Services - $5.000 to $100,00 0 ❑ 'YES", the total amount of cumulative amendments ❑ Written Findings: Document the nature of the Personal Services - $5000 to $75.000 5 25% of original contract amount or $250,000 emergency, including necessity and circumstances ❑ 'YES', the total amount of cumulative whichever is less. requiring the contract amendment amendments s 25% of original contract amount ❑ If ❑ If 'NO", amount exceeding authority requires ❑ Obtain direction and written approval from City "NO", amount exceeding authority requires Council Council approval. Attach copy of Council Administrator approval. Attach copy of Council Communication Communication. ❑ If applicable, attach copy of Council Communication ❑ Exempt- Reason: ❑ Exem t-Reason: ❑ Exempt -Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑ IVES', the total amount of original contract and cumulative amendments are ❑ IVES", the original contra ct was approved by City Council. within the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Date) 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 049~95-CrI~ Account Number410-Dg~-~-90?a0AccountNumber `Expenditure must be charged tQ the appropriate account numbers for the financials to reflect the actual expenditures accu cutely. Attach extra pages if needed. Employee Signature:_ li7Yl ~~tS~V rtment Head Si lure: <e rthan $5,000) l/ll Egu or reate City~dministrator: Ga LI LO/ (E Ito orgreafer ran 15,000 or 10'/) Funds appropriated for current (fiscal year., / NO , A 1S i3 Finance Director (Equal to or gre than $5,000) Date Comments: Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 2112/2013