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Home My WebLink About2013-370 CONT Addendum - OBEC Consulting Engineers ADDENDUM TO CITY OF ASHLAND CONTRACT FOR PERSONAL SERVICES Addendum made this day of 2013, between the City of Ashland ("City") and OBEC ("Consultant'). Recitals: A. On 711112 City and Consultant entered into a "City of Ashland Contract for Personal Services more than $35,000" (further referred to in this addendum as "the agreement'). B. The parties desire to amend the agreement to increase the amount paid to the consultant. City and Consultant agree to amend the agreement in the following manner: 1. "The maximum price as specified in Paragraph 4 of the agreement is increased to $50,569.01 2. Except as modified above the terms of the agreement shall remain in full force and effect. CONSULTANT:: I- CITY OF MAND: BY w.,L M> /VwI BY J, 11 li,~~~13 epartmentHead Its V i~ Pres~~ $I-+- Date DATE IA~-t3 Purchase Order # Acct. No.: (For City purposes only) 1- CITY OF ASHLAND, ADDENDUM TO CONTRACT FOR PERSONAL SERVICES Bridge/Structures • Roadway/Civil • Heavy Civil/Industrial Facilities Environmental/Permitting SurveylGeomatics Construction Engineeringllnspection L- HUYITING fN61NffN5 amftlh~ 444 October 29, 2013 To: Rachel Dials Re: Calle Guanajuato Resurfacing Project Ashland Parks & Recreation Department OBEC Job No. 505-4 90 N. Mountain Ave Ashland OR 97520 We are sending you: ® By Mail ❑ By Messenger ❑ By FedEx Description: One signed Addendum to City of Ashland Contract for Personal Services Remarks: As requested. Sincerel Steve Cooper Contract Administrator SPC:vks Enclosures EUGENE, OR - Corporate Office PORTLAND, OR AREA SALEM, OR MEDFORD, OR VANCOUVER, WA 541.683.6090 503.620.6103 503.589.4100 541.774.5590 360.314.2391 Fax: 541.683.6576 Fax: 503.620.8416 Fax: 503.589.4141 Fax: 541.774.5591 Fax: 360.433.9705 920 Country Club Road, Suite 1008 5000 Meadows Road, Suite 420 3990 Fairview Industrial Drive SE, Suite 200 831 O'Hare Parkway 1111 Main Street, Suite 401 Eugene, Oregon 97401-6089 Lake Oswego, Oregon 97035-2224 Salem, Oregon 97302-1166 Medford, Oregon 97504-4005 Vancouver, Washington 98660-2987 www.obec.com Bridge/Structures • Roadway/Crvrl • Heavy Civilllndustual Facilities Enviionmental/Permitting • SurveylGeomatics Constnachon Engineeringlinspecbon CNGINffNf October 18, 2013 Rachel Dials Recreation Superintendent City of Ashland 90 N. Mountain Avenue Ashland, OR 97520 Re: Calle Guanajuato Resurfacing Project, Final Design OBEC Job No. 0505-0004.00 In accordance with the Contract for Personal Services, we submit the following short narrative report to accompany the enclosed progress billing: Date of Authority to Proceed with Engineering March 4, 2013 Contract Expiration Date December 31, 2013 Ending Date for Enclosed Progress Billing September 30, 2013 Date of Enclosed Invoice October 17, 2013 Enclosed Invoice Number 29288 Amount of this Progress Billing $ 9,920.51 Total Billing Including This Invoice $ 50,569.01 Description of services performed by consultant during this billing period: • Project Management and Coordination • Project meetings • P&E permit coordination • Utility coordination and meetings • Submit Final Plans and Specifications • Bidding assistance Sincerely, Jeff Bernardo, P.E. Project Manager JRB/Ijl Enclosures EUGENE, OR - Corporate OOiae PORTLAND, OR AREA SALEM. OR MEOFORO,ON VANCOUVER, WA 541.663.6090 501620.6103 503.559.4100 541.774.5590 360.314.2391 Fax 541.683.6576 Fax: 503 620 0416 Fax, 503 589 4141 Fax 541 774 5591 Fax 360.433.9705 920 Country CWO Raab. Suite 1008 5000 Meadows Road. Suite 420 3990 Fairview Irqusuml Ol SE. Suite 200 8310 Hine Pazen9y 1111 Main Street. Suite 401 Eugene. Oregon 97401-6089 Lake Oswego. Oregon 97035-2224 Salem, Oregon 97302.1166 Medford. Oregon 97504-4005 Vancouver. Wasnngtdn 98660-2987 www.obea.cdm Bridge/Structures • Roadway/Civil • Heavy Clvilllndustrial Facilities EnvrronmentallRermithng Survey/Geomatics • Construction Engineeringlinspection INVOICE FNGINFFNl Rachel Dials October 17, 2013 Recreation Superintendent Project No: 0505-0004.00 Ashland Parks & Recreation Department Invoice No, 29288 340 S. Pioneer Street Ashland, OR 97520 Project 0505-0004.00 Calls Guanajuato Resurfacing Project, Final Design, Purchase Order No. 10923 Project Manager- Jeffrey Bernardo Professional Services September Professional Personnel Hours Rate Amount Division Manager/Sr. Project Manager Bernardo, Jeffrey 11.50 168.00 1,932.00 Senior Specifications Engineer Parsons, John 6.50 144.00 936.00 Senior Project Engineer Wewerka, Benjamin 1.75 144.00 252.00 Project Engineer 3 Jones, Amy 4.00 114.00 456.00 Jordan, Jaime 20.00 114.00 2,280.00 Senior Project Surveyor Miles, Logan 4.00 114.00 456.00 CAD Manager Dines, Serban 10.75 101.00 1,085.75 Environmental Team Lead Wirth, Julie 10.00 99.00 990.00 Bridge/Roadway Designer Odear, Rodney 3.00 90.00 270.00 Senior CAD Technician Ferset, Steven 7.50 86.00 645.00 Survey Tech 2 Blake, Erik 8.00 70.00 560.00 Totals 87.00 9,862.75 Total Labor 9,862.75 Reimbursable Expenses Misc. Exp. Charged to Client 9/10/2013 Staffing Solutions, LLC 10.86 Total Reimbursables 10.86 10.86 Unit Billing 2013 Mileage 83.0 Miles @ 0.565 46.90 Total Units 46.90 46.90 Payable to OHC Consulting Engr em Payable Jpon Receipt 920 Country Club Road. Sute 1003. Eugene. Oregon 97401-6069 Federal 10#93-0552628 541.663.6090 Bridge/Structures • Roadway/Civil - Heavy Civilllndustrial Facilities EnvironmentallPerm,tting • Survey/Geomahcs • Construction Engineering/Inspection CNNTUIl1N6 - - INVOICE e MIN "IRS 40 Prol 0505-0004.00 Calle Guanajuato Resurfacing- Final Dsgn Invoice 29288 Billing Limits Current Prior To-Date Total Billings 9,920.51 40,648.50 50,569.01 Limit 50,643.76 Remaining 74.75 TOTAL THIS INVOICE $9,920.51 Billings to Date Current Prior Total Received AIR Balance Labor 9,862.75 40,648.50 50,511.25 Expense 10.86 0.00 10.86 Unit 46.90 0.00 46.90 Totals 9,920.51 40,648.50 50,569.01 40,648.50 9,920.51 Authorized By: Date: /O/z/ 113 Jeffrey Bernardo Payable lo: OBEC Consulting Engireers Payable Upon Receipt 920 Country Club Road. Su, a 1008. Eugere. Oregon 97401 6089 Federal IDx93-0552628 541663 6090 OBEC Consulting Engineers City of Ashland Colic Guanajuato Resurfacing Project, Final Design OBEC Job No. 050540004.00 Cost Summa For Professional Services through September 30, 2013 Total This Original Previous Period To Date Remaining %Bvdaat TASK DESCRIPTION Amount Amount Amount Amount Amount Com let. Task I Project Management & Coordination 1.1 Project Management & Coordination 4,396.00 2,872.50 1,260.00 4,132.50 263.50 94.07/ 1.2 Design Review Meetkt s 2 1,963.00 14250 990.00 1,132.50 830.50 57.7% Task 3 Land Use Permit Coordination 3.4 Final Land Use Permitting Coordination 2,474.00 3,392.25 1,248.00 4,640.25 •2,166.25 187.6% Task 5 Utility Coordination 5.1 Ongoing Utility Coordination 4,095.00 3,481.00 812.00 4,293.00 -198.00 104.8% 5.2 Utility Coordlaaion Site Visits 1,099.00 196.25 0.00 196.25 902.75 17.9% 5.3 Conflict Letter Notifications 781.00 0.00 0.00 0.00 781.00 0.00/0 Task 6 Prepare Advance (90% Plans, Specs & Cost Estimate 6.1 Prepare Advance Plans 10,917.00 18,986.25 1,000.00 19,986.25 -9,069.25 183.17/. 6.2 Prepare Advance S ecifkations 3,708.00 3,283.00 0.00 3,283.00 425.00 88.5% 6.3 Prepare Advance Quantities Cost Estimate 864.00 2,160.00 0.00 2,160.00 -1,296.00 250.6% 6.4 Advance QA QC Review 3,881.00 1,217.50 0.00 1,217.50 2,663.50 31.4% Task 7 Prepare Final (100%) Plans, Specs & Cost Estimate 7.1 Prepare Final Plops 7,017.00 3,671.25 3,052.75 6,724.00 293.00 95.8% 7.2 Prepare, FinalSpecifications 2,484.00 756.00 936.00 1,692.00 792.00 68.1% 7.3 Prepare Final Quantities Cost Estimate 540.00 0.00 456.00 456.00 84.00 84.4% 7.4 Final QA QC Review 2,882.00 0.00 108.00 108.00 2,774.00 3.7% Task 8 Bid and Award Assistance 6.1 Bid Assistance 3,395.00 0.00 0.00 0.00 3,395.00 0.0% Ex enses 147.76 490.00 57.76 547.76 •400.00 370.7% Total Not-to-Exceed 50,643.76 40,648.50 9,920.511 50,569.01 74.75 99.9% a COPY Staffing Solu0ons, LLC EmP: Whitehead, Briana _ VID #2198 9r1011] Week Endin 917113 9 Overtim Job# ITask&Sub-Task Hours Rate To[al Hours Rate Total for wek ce Total 701/1 GL 7290 1.001 $1.71 $ 21,71 O,OOi $29.25 $ 21.71 0.00 $0.521 71 e Tot991 702A 1; GL 7290 1.00 $21 71 $ 21..529.25 $ 21.71 0.00 $OS21.71 702/1 2; GL 7290 OSOI $21.71 $ 10.86 000 $29.25 $ 10.86 O.DO $0.10.86 702/1 14; GL 7290 1.00; $2t.71 $ 21.71 0.00 $29.25 S- $ 21.71 0.1 $0.5- _ 21.71 702/1 5; GL 7290 2.00 $21.71 $ 43.42 0.00 $29.25 S- $ 43.42 0.00 $0.565 $ $ 43.42 702A 8; GL 7290 0.50 $21.71 $ 70.86 0.00 $29.25 $ 10.86 0.00 $0.565 $ - $ - -10,86 702/1 110; GL 7290 1.00 $21.71 S 21.71 0.00 $29.25 $ 21.71 O.DD $0.565 $ - $ 21.71 702/1 GL 7290 12.75 $21.71 $276.80 0.00 $276.80 0.00 $0.565 .80 710A GL 7290 0.25 $21.71 $ 5.43 _ 0.00 $29.25 $ 5.43 0.00 $0.565 $ - 'g_ 5.43 0019-0101.00 d15; EXP & MISC; GL 503D 0.50 $21.71 $ 10.86 0.00 $29.25 $ 10.86 0.00 $0.565 $ - $ _ 10.86 0165-0025.00 EXP & MISC; GL 5030 6.00 $21.71 $130.26 0.00 $29.25 $130.26 0.00 $0.565 $ _ - $ _ 130.26 0505-0604.00 EXP 6 MISC; GL 5030 0.50 $21.71 $ 10.85 0.00 $29.25 $ 10.86 0.00 $0.565 $ - $ 10.66 0619-0013.00 IEXP & MISC; GL 5030 0.75 $21.71 $ 16.28 _ 0.00 $2925 $ 16.28 0.00 $0.565 1 $ - $ _ 18.28 1 0684-0002.19 IEXP & MISC; GL 5030 3.00 $21.71 $ 65.13 0.00 $29.25 $ 65.13 0.00 $0.565 - 55.1-3- 0783-0001.00 IEXP & MISC; GL 5030 1.25 $2.71 $ 27.14 0.00 $29.25 $ 27.14 0.00 $0.565 $ - $ _27,14 799 SAUFKASUB; GL 7190 0.00 $21.71 $ - 0.00 $29.25 $ 47.00 $0.565 $ 26.56 $ 26.56 Inv#32803 Paid date 9113/13 32.001 1 $694.721 0.00 1 $694.72 J_ I $ 26.56 $ 721.28 Mileage per Project Transactions for 9112013 through 9/2812013 Tuesday. October 01, 2013 12 15 23 PM Total Hours 0505-0004.00 Calls Guanajuato Resurfaclahg• Final D%go Labor and Overhead I NONE BERNARDO Bernardo, Jeffrey 97311013 .75 NONE BERNARDO Bernardo, Jeffrey 9!32013 1 .75 NONE BERNARDO Bernardo, Jeffrey 9142013 111 1.50 NONE BERNARDO Bernardo, Jeffrey 9152013 150 NONE BERNARDO Bernardo, Jeffrey 9/512013 .75 NONE BERNARDO Bernardo, Jeffrey 9/612013 .50 NONE BERNARDO Bernardo, Jeffrey 9162013 .75 NONE BERNARDO Bernardo, Jeffrey 9172013 2.00 NONE BERNARDO Bernardo, Jeffrey 9521113 1.50 NONE BERNARDO Bernardo, Jeffrey 952013 2.00 NONE BERNARDO Bernardo, Jeffrey 9/112013 2.50 NONE BERNARDO Bernardo, Jeffrey 91162013 - 1.00 NONE BERNARDO Bernardo, Jeffrey 91172013 1.00 1 NONE BERNARDO Bernardo, Jeffrey 9202013 3.50 NONE BERNARDO Bernardo, Jeffrey 9242013 .50 NONE BERNARDO Bernardo, Jeffrey 9242013 1.50 NONE BERNARDO Bernardo. Jeffrey 9242013 2.00 NONE BERNARDO Bernardo, Jeffrey 92512013 1,25 NONE BERNARDO Bernardo, Jeffrey 92612013 200 NONE BERNARDO Bernardo, Jeffrey 9272013 1.00 NONE BLAKE Blake, Erik 9152013 mark path, buy paint for utility, la miles 9.00 NONE BLAKE Blake, Erik 9162013 MARK UTILITIES 5.00 LTDD BLOOM Bloom,Austin QW0130ArOC 1.50 LTDD COOPER Cooper, Stephen 5202013 .75 NONE CUTSFORTH CuWorlh, Aron 9/62013 mik39, layout proposed new utldy bcations Pow archy digging 4.50 TRIM DINCA Dines. Serban 922013 Red Ones. 2.50 TRIM DINCA Dines, Serban 9132013 Red lines. .50 TRIM DINCA Dinca, Serban 9142013 Red lines. 4.50 TRIM DINCA Dines, Serban 9/52013 Red lines. 2.00 TRIM DINCA Dines, Serban 9/62013 Red fines. .25 TRIM DINCA Dines, Serban 952013 Red lines. 2.25 TRIM DINCA Dines, Serban 9/162013 Red lines. 3.75 TRIM DINCA Dines, Serban 9252013 Red lines. 1.25 LTDD FARSET Farset, Steven 922013 Redlines 4.50 WASH GIPSON Gipson, Chad 91122013 1.50 WASH GIPSON Gipson, Chad 91132013 500 NONE HADLEY Hadley, Bonnie 952013 1.50 NONE HADLEY Hadley, Bonnie 911012013 1.75 NONE HADLEY Hadley, Bonnie 91172013 1.25 NONE HADLEY Hadley. Bonnie 926/2013 .50 NONE HOWE Howe, Andrew 9/122013 Planter design ,25 TRIM JONESA Jones, Amy 9!3/2013 address Qa comments 1.00 TRIM JONESA Jones, Amy 9/92013 ooordlestfspec ' . 1.00 TRIM JONESA Jones, Amy 9/152013 redlineslplanter revisions 2.00 TRIM JONESA Jones. Amy 9/162013 plan sheet updateslcoord 1.50 TRIM JONESA Jones," 9/172013 addenda word .50 TRIM JONESA Jones, Amy 9252013 emalslccord .50 NONE JORDAN Jordan, Jaime 9132013 3.00 NONE JORDAN Jordan, Jaime 9/412013 1.00 NONE JORDAN Jordan, Javne 9142013 HrslDric meeting 2.00 NONE JORDAN Jordan, Jaime 9152013 2.00 NONE JORDAN Jordan, Jaime 9I92013 .50 NONE JORDAN Jordan, Jaime 952013 3.00 NONE JORDAN Jordan, Jaime 9/102013 .50 NONE JORDAN Jordan, Jeans 91162013 addendum 2.00 NONE JORDAN Jordan, Jaime 9232013 prebid agenalsignin 1.50 Y6.1.600 (LLOVEW ELL) - Cost and Billing, Selected By. Projects oath Actwity Page 118 of 185 Mileage per Project Transactions for 9112013 through 91262013 Tuesday, October 01, 2013 12:15:23 PM Total a5ns-~~~u.o0 Cn\\e Cst~~no.uhesuci~.lnc~ Houn NONE JORDAN Jordan, Jaime 9242013 6.00 NONE JORDAN Jordan, Jaime 9252013 3.00 NONE JORDAN Jordan, Jaime 9262013 2.50 NONE JORDAN Jordan, Jaime 9272013 emails/ bidder questions 1.50 TRIM KRUMEL Krumel, Bradley 9/1512013 Avesta TRL, look for project information 1.00 NONE MCNULTY McNulty. Michael 9/82013 spec OC 2.00 NONE MCNULTY McNulty, Michael 9/912013 spec QC 2.00 NONE MILES Miles, Logan 9/42013 Coordiantion, get plans prep for utility stake out for dig sites 1.00 NONE MILES Miles, Logan 91512013 Calks for additional layout of utilities for Archy 6.00 NONE MILES Miles. Logan 9/612013 Coordinalm and review. data prep act .50 NONE MOORE Moore, Patrick 9192013 1.50 NONE MOORE Moore, Patrick 91112013 1.00 NONE MOORE Moore, Patrick 9/122013 .50 NONE ODEAR Odear, Rodney 9132013 1.00 NONE ODEAR Odear, Rodney 9192013 2.00 LTDD PARSONS Parsons. John 9132013 4.50 LTDD PARSONS Parsons, John 9152013 1.00 LTDD PARSONS Parsons, John 916/2013 4.50 LTDD PARSONS Parsons, John 9192013 5.50 LTDD PARSONS Parsons, John 911612013 1.00 LTOD PARSONS Parsons. John 9/172013 .50 LTDD PARSONS Parsons, John 9252013 2.75 LTDD PARSONS Parsons, John 92i=13 1.50 LTDO SPANSW ICK SpanswicK Valerie 9/62013 check specs - 1.00 LTDD SPANSWICK Spanswick Valerie 91912013 .50 LTDD SPANSWICK Spenswick, Valerie 9242013 type up sign-in sheet .75 NONE SPARKMAN Sparkman, Steve 952013 .50 NONE SPARKMAN Sparkman, Steve 9242013 Pre Bid Meeting 2 00 NONE SPARKMAN Sparkman, Steve 926/2013 Mileage 45 1.00 NONE WEWERKA Wewerka, Benjamin 902013 .75 TRIM WHITEHEAD Whitehead, Briana 9/172013 Print Addendum No. Ion letterhead for signature .25 LTDD WIRTH Wirth, Julie 9132013 Narrative .75 LTOD WIRTH Wirth, Julie 9/52013 narrative 1.25 LTDD W IRTH Wirth, Julie 9/52013 Finalized draft narrative 7.50 LTDD W IRTH Wirth, Julie 952013 Finalized permit application and site plan 7.75 LTDD WIRTH Wirth, Julie 911012013 Finalized/complied PDF/coord 1.00 Total for Labor and Overhead 181.00 Total for 0505-0004.00 181.00 v6 1.600 (LLOVEWELL) - Cost and Billing, Selected By. Projects with Activity Page 119 of 185 CITY RECORDER Page 1 / Ashland Park Commission DATE PO NUMBER 9/16/2013 00278 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 VENDOR: 000591 SHIP TO: OBEC CONSULTING ENGENEERS 920 COUNTRY CLUB ROAD SUITE 1008 EUGENE, OR 97401-2208 FOB Point: Req. N Terms: net Dept..: " Req. Del. Date: - contact: Rachel Dials Special Inst: confirming? No Ouanti Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Final design, engineering, 11,378.25 environmental permitting and utility coordination services. Project: Calle Guanajuato Resurfacing Contract for Personal Services Beqinninq date: March 4, 2013 Completion date: December 31, 2013 Original amount of City PO: $40,649.00 Remaining open balance transferred to Parks P0: $11,378.25 Processed chanqe order 11/07/2013 9,920.51 Billed for additional services $9,920.51 per attached contract addendum and invoice 29288. SUBTOTAL 21 298.76 TAX 0 BILL TO: .00 FREIGHT 0.00 TOTAL 21,298.76 Account Number Project Number - Amount Account Number Project Number Amount E 411.12.00.00.70420 E 000053.999 21 298.76 VENDOR Authorized Signature COPY Foxes #io CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier/ Contractor/ Consultant: O&[-C-1 Total amount of this contract amendment; Purchase Order Number: l_lAa ~061~~1Qill~ -I,N $ 90i,2D S1 Title lDescription: Per attached contract amendment J Contract Amendment Original contract amount $ Lm 100 % of original contract Total amount of previous contract amendments 1a % of original contract Amount of this contract amendment ~I~I~• I 241% of original contract TOTAL AMOUNT OF CONTRACT $ ~-ol 5(0~(• -I 24 `1 % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scope of procurement as described in the solicitation documents, Sole Source notice or approval of Special Procurement. 2) The amendment is necessary to comply with a change in law that affects performance of the contract. 3) The amendment results from renegotiation of the terms and conditions, including the contract price, of a contract and the amendment is advantageous to the City of Ashland, subject to all of the following conditions: a) goods and services to be provided under the amended contract are the same as the goods and services to be provided under the unamended contract; b) The City determines that, with all things considered, the amended contract is at least as favorable to the City as the unamended contract; c) The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement. An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents, 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 $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 525%of original contract amount or $250,000 cumulative amendments s 5100K for Goods & Services, 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 25 $35,000 ❑ Exempt- Reason: ❑ V1,19, requires approval, INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCY PROCUREMENT Goods & Services - $5000 to $100,00 0 ❑ '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 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 Way of Council Administrator approval. Attach copy of Council Communication. Communication. ❑ If applicable, attach copy of Council Communication ❑ Exem t-Reason: ❑ Exem t-Reason: ❑ Exem t-Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT "YES", the total amount of original contract and cumulative amendments are El "YES", the original contract was approved by City Council. i in the amount and terms initially approved by Council as a Special Provide date approved by City Council: (Dale) 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 fL-CQ CJj9 Account Number'~jl -t--QQ-0'0-7Q4ZM Account Number___-__-_-- Expenditure must be cha d to the appropriates account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signatu t~gCf ) r ljjoY l Department Head-Sig situ fTotal amount of contract 2 $5,000) City Administrator: XC W (Ekattoorgreatert an$2',000or10%) Funds appropriated for current fiscal year. YE / NO 1 3 Finance Director (Equaltoor aterthan$5,000) Date Comments: `ode 6-X IVY[ Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 10/30/2013