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Home My WebLink About2013-422 CONT Chg Order #1 - American Industrial Door C1 TV O F ASHLAND DEPARTMENT 'OF PUBLIC WORKS CONTRACT CHANGE ORDER NO .V = 1 PROJECT: iFBO Hangar:Door Replacement ; l£ DATE: ° Ot//0/j 4 E, , LOCATION. ?Ashlandtlylunicii alTA`tr~o_ PROJECT NO.: -r . 20,13 CONTRACTOR: FAmeri can lndustnaltDoor You are, requested to perform the.following described yvork upon receipt ofm approved'copy of this document or as described by the Engineer: <Item Now Description [QuaFrti~ ~Utiit V59e' Amount Additional Door Parts and.Elactric Item#1 Motor Repair 1 $d 4,31(9.48 extend-completion date from t 1 Item#2 11/112013to•1/15/2014 $ ` . Total this,Change Order. $ 4,319.48 Previous.Change Order $ Original Contract Total. $ 23 950.00 Revised' Contract Total $ 28,269.48 PERCENT CHANGE:OEORIGINAL CONTRACT 45-W. iB'ro The time provided for completion'of.this contract is nereased.by no calendar days. This., document' shall become in amendmenrYo .the contract and allprovisions of the'contract will apply: Recornmended By: 5 y V 'ect ager Dale Approved BY: M \Y ~~T 7~i4 Public Works Director Date. Accepted By: Ji Hill-American IndustriatDoor Date Fla INEEaINC Tali 54149815341 20E.Maln9lrm Fdvad L499;6006 W Ashland, Oregon 97520 TTY 900.7352900 Imrrv.W.M.ocua . o:\pub-wrbkng\13-10 Pro Hanger DocAA M in\U-Id Pmjeei ACea-dnin,S.Ww heei end Pnymeni Memo Template Page 1 / 1 CITY OF CITY REGO" nlff ASH LAND IT.,,-; SITE PO NUMBER 20 E MAIN ST. 9/23/2013 11892 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 001812 SHIP TO: Ashland Public Works AMERICAN INDUSTRIAL DOOR, LLC (541) 488-5587 5022 TABLE ROCK RD 51 WINBURN WAY CENTRAL POINT, OR 97502 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net 30 days Dept.: Req. Del. Date: Contact: Scott Fleury Special Inst: - Confirming? No uanti Unit Description' - - Unit Price. Ezt. Price Quantity' THIS IS A REVISED PURCHASE ORDER, FBO Hanqer Door Replacement 23,950.00 Project 2013-10 Contract for Goods and Services Beginning date: 09/03/2013 Completion date: 11/01/2013 Processed change order 01/23/2014 4,319.48 Additional door parts and electric motor repair, and extend completion date from 11/01/2013 to 01/15/2014 o.o~a - 31 SUBTOTAL 28 269.48 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 28,269.48 ASHLAND, OR 97520 Account Number Project Number„ Amount Account Number. Project Number,' Amount E 280.08.00.00.70420 E 201310.999 28 269.48 Auth aed Signature VENDORCOPY FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier/ Contractor) Consultant: American Industrial Door Total amount of this 5022 Table Rock Rd. contract amendment: Central Point, OR. 97502 Purchase Order Nu ber:11892 1) $4,319.48 Title I Description: FED Hangar Door Replacement ® Per attached contract amendment Contract Amendment Original contract amount $23.950 100 % of original contract Total amount of previous contract amendments $0 0 % of original contract Amount of this contract amendment $4,319.48 18 % of original contract TOTAL AMOUNT OF CONTRACT $28.269.48 118 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 IAttach 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 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 5 $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: ❑ "YES", Direct appointments$35,000 ❑ Exempt-Reason: ❑ If"NO",requires approval. INTERMEDIATE PROCUREMENT SOLESOURCE 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 - $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 5 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. Communica0on. ❑ If applicable, attach copy of Council Communication ❑ Exempt-Reason: El Exempt-Reasor* 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 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. f0 Project Number 2013-J13' Account Number 280.08.00.00.704200 Account Number `Expenditure must be charged to the a ro note account numbers for the financials to reflect the actual expenditures accurately. Attach m pages rf needed. Employee Signature Department Head S' ture: J (Totala oy~tofcontract >$5,000) City Administrator: o c --r-` (Eq$al to or greats ~h r $25,0 o or 10%) Funds appropriated for current fiscal year: NO Finance Director (Equal to or ter than $5,000) Comments: Form #10 -Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 117/2014