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Home My WebLink About2013-239 CONT Chg Order 21 - Ausland Builders CHANGE OWNER ❑ ORDER ARCHITECT ❑ CONTRACTOR ❑ FIELD ❑ PROJECT: Ashland Police Facility Remodel CHANGE ORDER NO: 021 . (name, address) 1155 E. Main Street, Ashland, OR 97502 DATE: 06-28-13 TO CONTRACTOR: Ausland Builders ARCHITECT'S PROJECT NO: 354 (name, address) 3935 Highland Grants Pass, OR 97526 CONTRACT DATE: 08/20/12 _ CONTRACT FOR: Remodel of Police Facility The Contract is changed as follows: 1. REF COR #70 Room 129 RFI 102 Doors 108, 107A and 107B paint. $405.25 2. REF COR #71 Tear out and replace drain line in locker room 126 per 6/13/13 meeting. .$11,039.11 3. REF COR #72R1 Casework Items 1 & 2, move cabinet and add dishwasher. $619.25 TOTAL $12,063.61 Attached: COR #69 Not valid until signed by the Owner, Architect and Contractor. The original (Contract Sum) was $1, 063,000.00 Net change by'previously authorized Change Orders $ 101,784.07 The (Contract Sum) prior to this Change Order was $ 1,164,784.07 The (Contract Sum) will be (increased) by this Change Order in the amount of $ 12,063.61 The new (Contract Sum) including this Change Order will be .............$1,176,847.68 The Contract Time will be (increased) by . (29) days. The date of Substantial Completion as of the date of this Change Order therefore is: July 8. 2013 NOTE: This summary does not reflect changes In the Contract Sum, Contract Time or Guaranteed Maximum Price, which have been authorized by Construction Change Directive. Straus & Seibert Architects LLP City of Ashland, Oregon Ausland Builders ARCHITECT OWNER, Dave Kanner CONTRACTOR 1175 East Main Street, Suite 2E 20 E. Main 3935 Highland Dr. Address Address Address Medf R 97504 Ashland, OR 97520 Grants Pass 97526 By, By '-,.a tr-v--,., By: Date:. ZO Date: J:\0354-Ashland Police Dept. The GrovelConstruction Adminr111 Change Orders\CHANGE ORDER 21.docx A Ausland Group AUSLAND GROUP Grants Pass, OR 97526 Ph: (541)476-3788 Engineers • Bulldcrs • Consultants I Change Request To: Dave Straus Number: 70 Straus & Seibert Architects Date: 6/24/13 1175 E. Main St., Suite 2E Job: 12-0108 Ashland Police Facility Medford, OR 97504 Phone: (541)486-5347 Ph: (541)779-4363 Fax: (541)779-3891 Description: Additional Door Painting Reason: Change in Scope Source: RFI # 102 We are pleased to offer the following specifications and pricing to make the following changes: As directed, paint door 129 (RFI #102), door 108, door 107A, and door 1078. Description Labor Material Equipment Subcontract Other Price Painting $300.00 $300.00 Field Supervision $75.23 - $75.23 Subtotal: $375.23 Overhead $75.23 5.00% $3.76 Profit $375.23 5.00% $18.76 Insurance $375.23 1.00% $3.75 Bond $375.23 1.00% $3.75 Total: $405.25 Please note that Ausland Builders, Inc. will require an extra 0 days. If you have any questions, please contact me at (541)476,3788. Submitted by: Bradley Miller Approved by: Ausland Group Date: Cc: Page 1 of 1 Ashland Police Facility Addition & Remodel AUSLAND GROUP Supporting Documentation for Change RequesT#70 Engineers • Builders • Consultants Additional Days of Schedule In general, additional time Is requested when a change delays us or our subcontractors from working in other areas. Our subcontractors have limited manpower and other projects to attend to. When a subcontractor must spend his time on our Jobstte working on changes, that takes away time he would have spent working on the original contract as he may have other projects to attend to during the week and scheduled his time accordingly. Subcontractor Estimated # of Days that Change Will Delay Working on Additional Days Original Contract Requested 1) Don Braaten Painting 0 0 2) 3) Convert Working Days to Calendar Days 0 0 TOTAL ADDITIONAL DAYS REQUESTED 0 Field Supervision Additional field supervision, In general, includes the additional supervision time necessary to implement a change. Changes require additional time by the superintendent beyond that which would normally be expended for the completion of the work, as our original bid and schedule are based on the original contract. Ausland field supervision is billed at$50.15 per hourfor this prevailing wage project. HOURS REQUIRED PER SUBCONTRACTOR Field Supervision Task 1) Don Braaten Painting 2) 3) Request Quote from Subcontractor 0.5 Receive Quote from Subcontractor 0 Request Material Quotes, Prepare Material Estimate n/a . Check Scopeof Change Versus Contract' 05 . Documents, Investigate Possible Solutions Coordinate with Subcontractor to 0 Schedule a Time to Implement the Change Ensure All Changes are 0 Implemented/Constructed Correctly Prepare, Send, Process, and Negotiate Terms of Ausland Group Change Request 0.5 Prepare/Process RFI n/a TOTAL HOURS ADDITIONAL FIELD SUPERVISION 1.5 - i DRAinPROS PLUMBina j 660 Rossanley Dr. Invoice # M17781 Medford, OR 97501 Date 6n7/2013 CCB #49M Due Date 7/712013 i I Phone# 541-734-9000 Fax 541-772-0407 Completion Date .6/1912013 I Bill To Job Site Address Contact stand Group 1155 E Main St 100 E Main Street Ashland, OR Jay. Medford; Oregon, OR 97501 (Police Department) j Customer Phone 541-210-1945 i Customer Fax 4 I I Item Code Site Quanti ! tY Description Price Each Amount Eric, Travis,Doug i Service: Arrived and saw out approx 2'x 4" thick concrete and removed. Used vac truck to remove debris over the lines. After exposing the sewer line, noticed the 3" ci line encased in concrete. Talked with Jay with Auhland and decided to chip concrete and try to attach to new pvc pipe. Also due to asphalt sealers had to reroute equipment and move twice. Total loss of 4,5 i hours for 3 men. Started tunneling under concrete wall ' footing and decided to saw cut hole in hallway over existing pvc ci connection for extra access. Was shut - j down at approx 4pm due to too much debris. Jay with Ashland asked us to get fan system to divert polluted air i outside. Finished chipping under footing to tie in to new , 3" sewer line. Jay received approval for extra plumbing j to toilet and urinal. Plumbed in from cleanout to new 3" i pvc sewer line, Tied into other 2" ci drain lines that were believed to be abandoned. Also new plumbing to toilet and new trap system. Plumbed into urinal. Backfilled to grade. Jay said they would take cue of i concrete. 101 SERVICE 48 LABOR 69.00 3,312.00 ` 20 MATERIALS - MATERIALS 375.00 375.00 20 PERMITS/L1... I PERMITS/LICENSES 44.80 44.80 Extras were for concrete breaking and plumbing under walls. Replumbing of drains in wall for toilet line, - urinal and including installaion ofnev urinal. 101 SERVICE 28.5 EXTRA LABOR 69.00 1,966.50 20 MATERIALS EXTRA MATERIALS 953.00 953.00 DUE & PAYABLE UPON RECEIPT OF BILL $15 MIN. 18% ANNUAL REBILLING FEES WILL BE Total ADDED ON ANY UNPAID BALANCE OVER 30 DAYS, AND MONTHLY THEREAFTER $6,651.30 Payments/Credits $0.00 THANK YOU FOR YOUR BUSINESS. YOU CAN PAY YOUR BILL ONLINE AT WWW.DRARJPROS.INFO Balance Due $6,651,30 i I } } ARM 111518 f 'T' I= FLJ . CCB #151831, Lic. 15-218PB, BB Lic. #70 ESB Certified P. 0. Box 3967, Central Point, OR 97502 (541) 858-1775 Fax: (541) 858-1778 Bill To: Statement Ausland Builders DATE 3935 Highland Ave. I Grants Pass, OR 97526 06/21113 I Project Ashland Police Facility Invoice # 12121-9 } I i Amount Due Amount Enc. $478.75 Quantity Description Amount Balance Drainpros invoice # M17217 155.75 paid in CR #69 Drainpros invoice # M17409 gypp Paid in CR #69 Drainpros invoice # M17217-1 89.00 Drainpros Invoice # M17583 145.00 paid in CR #69 Copies of Drainpros invoices attached i i • i Current 1-30 Days Past Due 31-60 Days Past Due 61-90 Days Past Due Amount Due 478.75 0.00 0.00 0.00 $4}gr S69.oo Thank you for your business! i t BELFOR t® INVOICE ENVIRONMENTAL 612712013 12821 NE Airport Way Portland, OR 97230 p JdtiLOCation::: Ashland Police Station (503) 408-7404 Fax: (503) 255-6668 Ashland OR, 97520 - i OR/WA License: OR: OCB 126132 WA: BELFOEI931NF I Tax ID No, 84-1419777 ' Bill To: - Ausland Group Finaii Contact: kelly.chemault@us.belfocmm I . 3935 Highland Ave. i Grants Pass OR, 97526 i Job Number .1 :;Date of Logs insurance Corti an .:PO,NUin(ier Project Mdnocfer~ sseas-s-ais4 An Gmb Invoice Date Invoice # Description > ;Amount ' Papmentl`; Balance - 6/27/13 0164.1 Haz Materials Abatement _ $445.00 ' Reminder: Please Include the Invoice number on our check. " .OD' TOTAL.'NOW DUE - TERMS: DUE UPON RECEIPT -.PAYMENT IS LATE AFTER 10 DAYS I i All unpaid invoices will accrue interest at the rate of 1.5% per month beginning on the 31st day after the invoice date. In the event the customer defaults on the payment pursuant to the credit terms and the account is turned over for collection, the customer is also responsible to pay all collection costs and any legal fees incurred In the collection of all past due monies. j i We gladly accepgVtsa,Mast ~MAIO erCard,Discaver&Amercan Express ' Thank ou for your:Busmess' I mum $5,000-(4 ^/o charge for a ments over:5 000 y % ❑ Visa ❑ MasterCard I Discover ❑ American Express Name as it appears on card Billing Zip Code PROJECT MANAGER Card Number Exp. Date GM ApO.l mew ayp~ Please contact above •Pro)ect Manager with any questions. Authorized Signature Authorized Amount - i RUBENSTEIN'S CONTRACT CARPET L.L.C. SHEET 1 OF 1 PROJECT: Ashland Police BID DATE 6/27/2013 C PROJECT LOC.: Ashland,Or BID TIME 5pM BID SECTIONS: 1 Added Scope ADDENDA - p 2 7 - 3 8 _ 4 9 - I 5 10 - 6 - I1 - I PREVAIL WAGE: yes - ESTIMATOR: Greg Graham BASE BID j UNIT PRICE BID ITEMS QUAIJTITY MAT'L FREIGHT LABOR TOTAL EXTENDED Repair Carpet 105 - 2 hr $ 45.00 $ 45,00 $ 90 i Add 6" rubber base 330 If $ 1.00 $ 1,00 $ 2.00 $ 660 Base Room 121 $ $ 12 If $ 0.60 $ 1.00 $ 1.60 $ 19 Room 104 install Carpet $ $ - 25 sy $ 6.00 $ 6.00 $ 150 Room 104 install rb 54 If $ 1.00 $ 1.00 $ 54 Room 104 furnish rb 54 If $ 0.60 $ 0.60 $ 32 i $ $ Room 108 add integral cove $ $ 40 If $ 1.00 $ 9.00 $ 10.00 $ 400 Room 126 4132 Repairs 15 hr $ 45.00 $ $ 45 .00 $ 675 Room 126 4132 Material 12 ea $ 17.50 $ 17.50 $ 210 $ $ Prep Rooms 128;129,1304 131 23 hr $ 17.50 $ 45.00 $ 62.50 $ 1,438 i $ $ $ $ $ $ $ $ $ $ $ $ $ $ WAREHOUSEC05T $ $ - TRAVEL/SUBSISTANCE ea $ - $ _ MINOR FLOOR PREP ea $ $ hr $ _ $ _ SUBTOTAL $ 3,728 PERCENT 15% MARGIN $ 559 BID $ 4,287 i i ~y ~ i~~C?f, m ~ ~ E u s`l •ii ma ( I tam ~m ama a~ r o ~ N~a z qe w r,. o m ~ I m a m 1 r N m~ J w c o! x 1 i I 6 ' O N N N (1 4 LRJ 1:. 4J EEco x _ haw;. 1 - N 4Y za, Syr rn= A ` a ° ( npFtN~Fa O A f- T~n I i Ashland Police Facility Addifion & Remodel AUSLAND GROUP Supporting Documenlation for Change Request # 71 Engineers • Builders • Consultants Additional Days of Schedule In general, additional time is requested when a change delays us or our subcontractors from working in other areas. Our subcontractors have limited manpower and other projects to attend to. When a subcontractor must spend his time on our jobsite working on changes, that takes away time he would have spent working on the original contract, as he may have other projects to attend to during the week and scheduled his time accordingly. Subcontractor Estimated q of Days that Change Will Delay Working on Additional Days Original Contract Requested 1) Drain Pros 20 days. After removing toilet partitions, demolishing the existing floor, asbestos abatement, digging the trench, removing existing pluming, and installing new 2) Rulenstein's, plumbing, As work required placement of 4lifts of ardex, the top surface of which required floating over multiple days to prepare for flooring. Deliveryand installation of flooring is scheduled for July 3'd, but due to the 4d' of July holiday, 3) Ausland Group we are requesting schedule through Monday, July 8`h. Convert Working Days to Calendar Days 9 9 TOTAL ADDITIONAL DAYS REQUESTED 29 Field Supervision Additlona/ field supervision, In general, includes the additional supervision time necessary to implement a change. Changes require additional time by the superintendent beyond that which would normally be expended for the completion of the work, as our original bid and schedule are based on the original contract. Ausland fled supervision is billed at $50.15 per hour far this prevailing wage project. HOURS REQUIRED PER SUBCONTRACTOR Field Supervision Task 1) Drain Pros 2) Rubenstein's 3) Ausland Group Request Quote from Subcontractor 0 0.5 n/a Receive Quote from Subcontractor 0.5 0.5 n/a Request Material Quotes, Prepare - Material Estimate n/a n/a 1.5 , Check Scope of Change Versus Contract 0 0 3 Documents, Investigate Possible Solutions Coordinate with Subcontractor to Schedule a Time to Implement the Change 0 0.5 n/a Ensure All Changes are 0.5 0.5 p Implemented/Constructed Correctly Prepare, Send, Process, and Negotiate 0 0 Terms of Ausland Group Change Request 0.5 Prepare/Process RFI 0 0 0.5 TOTAL HOURS ADDITIONAL FIELD SUPERVISION 8.5 l i oDqmnnoi PLUM ginc 660 Rossanley Dr. Invoice# M17217-1 Medford, OR 97501 Date 5/302013 CCB #49225 . Due Date 6/29/2013 j Phone4 341-734.9000 Fax# 541-7.72-0407 - Completion Date 5/29/2013 Bill To Job Site Address Contact Pee West Plumbing 1155 C Main St 1875 Brisiol Dr Ashland, OR Chris Medford, OR 97504 (Police Department) Customer Phone j 541-210-1943 ' Customer Fax 7 Item Cade Site Quantity Description Price Each Amount i Bruck and Jeremy Service: Upon arrival for mainline ran single cutter down 3" clean out in locker room. Ran snake j approximately 30' clearing line of soft plug. Ran snake approximately 60' total, Ran lots of water and line is draining good at this time. No guarantees due to condition of line. Clean out is located on second building in men's locker room. 107 DRAIN CLE... I DRAIN CLEANING 89.00 89.00 I i i ~ 1855 j DUI-'& PAYABLE UPON RECEIPT OF BILL $15 MIN. 18% ANNUAL. REBILLING FEES WILL BE Total ADDED ON ANY UNPAID BALANCE OVER 30 DAYS, AND MONTHLY TI-fEREAFTER %89.00 Payments/Credits so.00 THANK YOU FOR YOUR BUSINESS. YOU CAN PAY YOUR BILL ONLINE AT WWW.DRAINPROS.INFO. - Balance DUE $89.00 Ausland Group Grants Pass, OR 97526 AUSLAND GROUP Ph (541)476-3788 Enginrcrs • 0ailden • [nn-ullairs Change Request To: Dave Straus Number: 72 Straus & Seibert Architects Date: 6/28/13 j 1175 E. Main St., Suite 2E Job: 12-0108 Ashland Police Facility Medford, OR 97504 Phone: (541)488.5347 Ph: (541)779-4363 Fax: (541)779-3891 i Description: Misc. Casework Reason: Change in Scope I We are pleased to offer the following specifications and pricing to make the following changes: Casework Item #1: Add $150 for moving cabinet unit shown on detail 2/A10.4 out of room 131 (detectives/investigation) after it was Installed, as directed by the Chief and Gail Rosenberg. Cabinet moved twice. i Casework Item #2: As directed by Dave Straus in 5/23/13 email, replace detail 17/A10.2 with the development drawing (DD) dated 5122/13. Casework dimensions changed to allow addition of dishwasher in what was designed as a "knee space". f i i Descdptlon Labor Material Equipment Subcontract Other Price ~ Casework Item #1 .$150.00 ) $150.00 I Casework Item #2 $350.00 $350.00. Field Supervision $75.23 $75.23 Subtotal: $575.23 i Overhead $75.23 5.00% $3.76 Profit $575,23 5.00% $28.76 Insurance $575.23 1.00% $5.75 Bond $575,23 1.00% $5.75 Total: $619.25 i } i I I i i I i I I I If you have any questions, please contact me at (541)476-3788. - - Submitted by: Bradley Miller Approved by: Ausland Group Date: Cc: I Page 1 of 1 I ttr I i Ashland Police Facility Addition 8 Remodel g p pt~ AUSLAND GROUP i . i Supporting Documentation for Change Request # 72 Engineers Builders • Consultants i Additional Days of Schedule In general, additional time is requested when a change delays us or our subcontractors from working in other areas. Our subcontractors have limited manpower and other projects to attend to. When o subcontractor mustspend his time on our Jobslte working on changes, that takes away time he would have spent working on the original contract, as he may have other projects to attend to during the week and scheduled his time accordingly. { Estimated # of Days that Change Will Delay Working on Additional Days Subcontractor Original Contract - Requested i 1) Green Meadows Building Co. 0 0 i z) i 3) i Convert Working Days to Calendar Days 0 0 i TOTAL ADDITIONAL DAYS REQUESTED 0 i Field Supervision i Additional field supervislon, In genera, Includes the additional supervis/on time necessary to Implement a change. Changes require additional time by the superintendent beyond that which would normally be expended for the completion of the work, as our original bid and schedule are based on the original contract. Ausland field supervision Is billed at $50.15 per hour for this i prevailing wage project. ; y i HOURS REQUIRED PER SUBCONTRACTOR Field Supervision Task 1) Green Meadows Bid, 2) 3) Request Quote from Subcontractor 0 i Receive Quote from Subcontractor 0.5 Request Material Quotes, Prepare Material Estimate n/a Check Scope of Change Versus Contract 0 Documents, Investigate Possible Solutions Coordinate with Subcontractor to 0 Schedule a Time to lm lementthe Change Ensure All Changes are Implemented/Constructed Correctly 0.5 Prepare, Send, Process, and Negotiate Terms of Ausland Group Change Request 0.5 Prepare/Process RFI 0 TOTAL HOURS ADDITIONAL FIELD SUPERVISION 1.5 PROJECT: BY: CLIENT: DATE: SUBJECT: PAGE: of AUSL,AND GROUP TEL: MEDFORD 541.773.3387 GRA1a'S PASS 541.476.3788 FAX:. 541.476.2313 AuslandGroup.com Engineers • Builders • Consultants _l~~aGGL2W6'Z Z , . caber aut- I vu- v C7 ~a~ d a~A r , 1 i I ~ So as 1 GP 12 -r F -FF - L✓r Fp n F, F I i f U TC3'L!J~,m t u ~11~ a i i Auslantl Group ~ Grants Pass, OR 97526 AUSLAND GROUP Ph (541)476-3788 Eng,rcers • nuildnrs • Cnrmiltzn:a l Change Request I To: Dave Straus Number: 71R1( Straus & Seibert Architects Date: 6/28/13 j 1175 E. Main St., Suite 2E Job: 12-0108 Ashland Police Facility Medford, OR 97504 Phone: (541)488-5347 . Ph: (541)779-4363 Fax: (541)779-3891 Description: Tear Out & Replace Drain Line in 126 ' Reason: Change in Scope Source: Other # Mtg 6/13/13 i We are pleased to offer the fallowing specifications and pricing to make the following changes: Tear out and replace existing drain line in men's locker 126, as directed in 6/13113 meeting. Description Labor Material Equipment Subcontract Other Price Drain Pros 5/30113 $89.00 $89.00 j Drain Pros 6/27/13 $6,651.30 $6,651.30 Field Supervision - $426.28 $426.28 ' Pacwest Plumbing Ardex E82 Concrete $578.90 $578.90 Belfor (Asbestos Abatement) $445.OD $445.00 Rubenstein's $885.00 $885,00 Mixer $24.00 Pour Back Concrete $24.00 $401.20 $401.20 ' Ashland Lumber- Sand, Reber $98.40 $98,40 ' Ausland Abatement Assist. Labor $125.38 l $125:38 I Auslantl Floor Tile Removal Labor $150.45 $150.45 Ausland Cleanup Labor $150.45 $150.45 Hot Saw Rental at Cleanoul - $87.00 $87.00 j Pea Gravel for 1st Pour Back $44.90 $44,90 Subtotal: $10,157.26 i Overhead $3,416.96 5.00% $170.85 Profit $10,157.26 5.00% $507.86 , Insurance $10,157.26 1.00% $101.57 j Bond $10,157.26 1.00% $101.57 i Total: $11,039.11 Please note that Ausland Builders, Inc. will require an extra 29 days per attached. ' If you have any questions, please contact me at (541)476-3788. Submitted by: Bradley Miller Approved by: Ausland Group Date: Cc: Page 1 of 1 •s.. - ..iT 1 -A-v RECOIR;D1i R r~-,€ Page 1 / 1 ASHLAND DATE PO NUMBER PWA& CITY OF 20 E MAIN ST. 8/22/2012 1111-0 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 008030 SHIP TO: City of Ashland - Police Dept.. AUSLAND BUILDERS 1155 E MAIN STREET 3935 HIGHLAND AVE ASHLAND, OR 97520 GRANTS PASS, OR 97526 FOB Point: Req. No.: Terms: Net Dept.: _ Req. Del. Date: Contact: Terry Holderness/Gail Rosenbrq Special Inst: Confirming? No Quanti Unit: - - Description - Unit Price. - Ext. Price THIS IS A REVISED PURCHASE ORDER Police Station Remodel Project 2010-20 1,063,000.00 Public Improvement Contract Effective date: August 8, 2012 Completion date: March 13, 2013 Insurance and bonds required/On file Processed change order 05/06/2013 78,185.19 Change orders: 1-15 Processed change order 06/13/2013 23,598.88 Change orders: 16-20 Processed change order 07/24/2013 12,063.61 Work completed in 2013 Change Order: 21 a 013- t03 ._01 -14 Ila a0 -.2v) SUBTOTAL 1 176 847.68 BILL TO: Account Payable - TAX 0.00 20 EAST MAIN ST FREIGHT O.OO 541-552-2010 TOTAL 1,176,847.68 ASHLAND, OR 97520 Account Number ProjecfNUmber Amount Account Number, ProjectNumber. Amount E 410.08.24.00.70420 E 201020.120 1,176,847.68 Authorized Signature VENDOR COPY FORM #10 ~.n C I T Y OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ~['Ju i ~~T Request for a Change Order n L 1 y Name of Supplier/ Contractor / Consultant: Ausland Builders Total'amount tifth)s contract amendment _ Purchase Order Number: 11110 Title / Description: Police Station Remodel Project 2010-20 ❑ Per attached contract amendment Original contract amount $1,063,000.00 100 %of original contract Total amount of revious contract amendments $101,784.07 9 % of original contract Amount of this contract amendment $12,063.61 1 % of original contract TOTAL AMOUNT OF CONTRACT $1,176,847.68 110_ % 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) goads 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 NO` (If "NO", requires Council approval / Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT - Less than 55,000 INVITATION TO 61D or COOPERATIVE PROCUREMENT OFF or ❑ WES%the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments <$6,000. ® 'YES", the total amount of cumulative amendments ❑ 'YES", the total amount of original contract and ❑ If "NO", amount exceeding authority requires 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 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: ❑ WES", Direct appointment :5 $35,000 ❑ Exempt-Reason. ❑ If'NO",requires approval. INTERMEDIATE PROCUREMENT SOLESOURCE 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 - $5,000 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 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: ❑ Exempt - Reason'. El Exempt -Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑ WES", the total amount of 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. If `NO', Council approval is required. Attach copy of Council Communication. ❑ . If "NO", amount exceeding authority requires Counc I approval.- ❑ Contract amendment approved and signed by City Administrator. Attach co of Council Communication. Project Number 2010-20 Account Number 410.08.24.00.704200 Account Number 'Expenditure must be chargerr o tf e app" rop late accent numbers for the financials to reflect the actual expenditures accurately. >>Attach extra pages if needed. Employee Signature: Department Head Signature: 1~ ~ ' ,(Cqua'1 to or greater than 55,000) { City Administrator: (Equal to or greater than $25 000 or 10%) Funds appropriated for current fiscal year: y ES) / NO ,V l l l km / Fina a Director (Equal to or greater than $5,000) lYate Comments: Form #10 -Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 7/24/2013