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Home My WebLink About2013-127 CONT Chg Order #1 - Patton Environmental CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. I PROJECT: High Capacity Well Testing - DATE: 05/10/13 LOCATION: various well locations in and around Ashland PROJECT NO.: 2012-16 CONTRACTOR: Patton Environmental PURCHASE ORDER: 11585 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 Move water quality testing task Item #1 from Phase 1 to Phase Il of project schedule. $ Inspection of blockage in Item #2 Croman well with down-hole camera - subconsultant Clouser 1 350 $ 350.00 Total this Change Order $ 330.00 Previous Change Order Original Contract Total $ 33,800.00 Revised Contract Total $ 34,150.00 PERCENT CHANCE OF ORIGINAL CONTRACT 1.0% All Public Works construction activities relative to this project (PWE: Project #2011-32) is complete and officially accepted by Public Works Engineering Div. Remaining Parks Dept. stair installation to be completed at a later date under separate Parks Department Purchase Order. Recommended By: sz~. 5/10/2013 P of ct Manager Date Approved By: VJ)iea. 3 Public Works Director Date Accepted By: Patton Environmental 9 Hillcrest Street Ashland, OR 97520 nl' r (Iv CL-- -t tICA Diu s 'ZO I Contr ctorNRepresentative Da e ENGINEERING Tel: 541488-5347 20 E. Nlaut Streit Fax: 54148 As -2!t Ashland, d, Oregon 97520 TTY: 800.]3535-2900 www.ashland acus. G pub-w Weng\12-I6 High Cap Well TensWrainTatton Envinennentahcoatract@013-05-10 Patton Contract Schedule Change CITY RECORDER Page 1 / 1 AS Li LA ~T ~ DATE PO NUMBER OW. CITY OF 20 E MAIN ST. 5/6/2013 .11585 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 017729 SHIP TO: Ashland Public Works PATTON ENVIRONMENTAL (541) 488-5587 9 HILLCREST STREET 51 WINBURN WAY ASHLAND, OR 97520 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Rob Morris Special Inst: Confirming? No Ouanti Unit Description Unit Price, Eid. Price THIS IS A REVISED PURCHASE ORDER Preliminary investigation and 33,800.00 assessment of high capacity wells, and well testing design and oversight. Time and materials not to exceed $33,800. Contract for Personal Services Beginning date: 04/09/2013 Completion date: 12/31/2013 Processed change order 05/21/2013 350.00 Change Order No. 1 ~u13•fp~l SUBTOTAL 34 150.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT O.OO 541-552-2010 TOTAL 34,150.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number - Amount E 670.08715.00.70420 E 201216.999 34,150-00 VENDORCOPY Authonzed Signature FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ~[~Ju i ~AT Request for a Change Order n L 1 r Name of Supplier 1 Contractor 1 Consultant: Patton Environmental, LLC Total amount of this contract amendment: Purchase Order Number: 11585 Title/ Description: High Capacity Well Testing $350.00 ❑ Per attached contract amendment Contract Amendment Original contract amount $ 33.800 100 % of original contract Total amount of previous contract amendments 0 0% of original contract Amount of this contract amendment 350 1% of original contract TOTAL AMOUNT OF CONTRACT $ 34.150 101 % 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 pdce, 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, it would likely have increased competition or affected award of contract Contract amendment is within the scope of procurement: YES X NO' (If "N0", requires Council approval I Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT - Less than $5000 INVITATION TO BID or COOPERATIVE PROCUREMENT, QRF or ❑ "YES", the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANTTO AMC 2.50 amendments s $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, s Council approval. Attach copy of Council whichever is less. $75K for Personal Services, <$50K forAttomey Fees. Communication. ❑ If"NO", amount exceeding authority requires ❑ IVNO", amount exceeding authority requires Council ❑ Exempt- Reason: Council approval. Attach copy of Council approval. Attach copy of Council Communication. PERSONAL SERVICES Communication. ❑ Exempt-Reason- El 'YES', Direct appointment!5 $35,000 ❑ Exempt-Reason: ❑ If'NO', requires approval. INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT Goods & Services - $5,000 to $100.000 ❑ 'YES", the total amount of cumulative amendments ❑ Written Findings: Document the nature of the Personal Services - $5000 to $75.000 s 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 orginal contract amount ❑ If ❑ If'NO', amount exceeding authorty 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 ❑'YES", the total amountof original contract and cumulative amendments are ❑'YES', the original contract 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. V1,10", Council approval is required. Attach copy of Council Communication. ❑ V1,10", amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach co of Council Communication. Project Number 2012.16 Account Number 670.08.15.00.704200 'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signature: s_ Department Head Signature: (Equal to or greater than $5,000) City Administrator: (Equal to orgreater than $25,000 or 10%) Funds appropriated for current fiscal year., YES / NO Finance Director (Equallo orgreaterthan $5,000) Date Comments: Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 512112013