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Home My WebLink About2013-398 CONT Addendum - Copeland Construction FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order . Name of Supplier/ Contractor I Consultant: 'O 1V571-((T/ tal amount of thin con'tract amendment: Purchase Order Number: D 11957 Title 1 Description: 524er attached contract amendment Contract Amendment vo Original contract amount $ 100 % of original contract Total amount of rep VIOuS contract amendments % of original contract 00 Amount of this contract amendment !n0~ • J~ % of original contract -7 po TOTAL AMOUNT OF CONTRACT $ G 3 /oS % 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 tt 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 t/ NO' (if "NO", requires Council approval/ Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT-Less than $5,000 INVITATION TO BID or COOPERATIVE PROCUREMENT ORF or ❑ "YES", the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO 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, 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 s $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 r- PersodalServlces• 5000 to 75000 s25% 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 ccov 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 ❑ "YES", the original contract was approved by City Council. within the amount and terms initialty 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. /e0 Account Number- Project NumberQ0367•199 AccountNumber6Qd -[/-/B-Cd- 71'y 'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditureratek Attach a rap es ed. Employee Signature:~~2zbLtC0., UQP/7a2~ , Department Head Signature: (Total mount of contrada $5,000) City Administrator: (Equal to or greater than 525,0 0 or 10.6) Funds appropriated for current fiscal year: / NO Z:!L - 1~ Z(s loi Finance Director (Equal t "r greater than $5,000) Date Comments: I i Copeland Construction,LLC. Invoice 321 Pruett Rd. Date Invoice# Eagle Point, OR 97524 11/18/2013 1317 (541) 826-2314 Fax (541) 826-1014 Bill To Project City of Ashland. Plaza Loop Feed 20 East Main 55 N Main Ashland, OR 97520 Ashland Or 97520 Terms Due Upon Receipt Quantity Description Price Each Amount 1 Equipment, Malerials, and Labor to install3"PVC primary conduit. 11,760.00 11,760.00 1 Secondary layer of A/C removal required equip Rental (No Labor) 600.00 600.00 Thank you for your business Balance Due $12,x60.00 1 l~ Page 1 I 1 CITY Of AS H LAND DATE PO1NUMBER 20 E MAIN ST. 10/30/2013 1957 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 012365 SHIP TO: Ashland Electric Department COPELAND CONSTRUCTION (541) 488-5354 321 PRUETT ROAD 90 N MOUNTAIN EAGLE POINT, OR 97524 ASHLAND, OR 97520 FOB Point: Req. No.: . Terms: Net Dept.: _ Req. Del. Date: Contact: Dave Tyqerson Special Inst: Confirming? NO ' 'Quanti ; - Unit Description ` Unit Price . Ext. Price THIS IS A REVISED PURCHASE ORDER Installation of 3" PVC primary conduit 11,760.00 for Plaza Loop Feed Protect (Option 1) Contract for Goods and Services Beginning date: 10114/2013 Completion date: 11/15/2013 Processed change order 12/05/2013 600.00 Secondary layer of A/C removal required equipment rental (no labor) SUBTOTAL 12 360.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 12,360.00 ASHLAND, OR 97520 "Account Number -Project Number Amount Account Number - " Project Number Amount ' E 690.11.18.00.70410 E 000367.999 12,360.00 f'T zed signature / VENDOR COPY Auth(si