HomeMy WebLinkAbout2014-089 CONT Chg Order #1-3 - KOGAP Enterprises
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. CCO-1 Parks
PROJECT: Calle Guanajuato Resurfacing Project DATE: 04/11/,13,
LOCATION: Calle Guanajuato PROJECT NO.: 505-0050
CONTRACTOR: Kogap Enterprises, Inc
You are requested to perform the following described work upon receipt of an approved copy of this document or as described
by the Engineer:
Item No. Description Quantity Unit Price Amount
Fabrication of Rail into double 1 877.5 $ 877'50-
Item #1 swing ate
Item #2 Lowering Elec Vault at Louies 1 2050 $ 2;05000A
Item #3 Small Area Drain 2 200 $ 40000
Item #5 Bollards 2 300 $ 600:00_
Total this Change Order $ .3,927.50
Previous Change Order $ *-x69
Original Contract Total
Revised Contract Total $ 392~~SSB
PERCENT CHANGE OF ORIGINAL CONTRACT taw
The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment
to the contract and all provisions of the contract will apply.
Recommended By: 5-t- S /I--
Project Manager Date
Approved By:
Don obertson - Ashland City Parks Date
Accepted By: Kogap Enterprises, Inc.
Ro. Box 1608
edford, Oregon 97501
c 3_~
Contractor Representative Date
ENGINEERING Tel: 541388-5347
20 E. Main Shmt Pas: 5735.2900
Ashland, Oregos egon9]520 TTY 800-
: fl00]352900
www.ashland.onus
C:\UUrs\pmoore\DOCUmen~s\CalIe CCO p01 Parks
April 14, 2014
Calle Guanajuato Resurfacing Project
Ashland City Parks
Supporting Data CCO-2
Contract Change Order 2 deals with the addition of several items to the contract. The following is
a brief explanation for the quantity extensions.
Item 1.
The rail section at the south end of the transformer group was changed from "remove and
replace" to a complete refabrication to modify the existing rail section into a double swing gate
to allow the Ashland Electrical Department access to the new transformer placed in the existing
planter area. A cost to perform the work was obtained from the contractor and agreed to. The
Contractors cost data is included.
Item 2.
Lowering the electrical vault installed in the planter area behind Louies. The electrical
vault/pedestal was intended to be placed in the planter area (planter was to be extended 4
foot to encompass the vault). The property owners which rent the area requested that the vault be
lowered and that the planter area adjusted to maximize the area available for rental. A cost
was requested from the contractor to lower the vault and rerun the adjacent electrical ducts. The
contractors cost data is included.
Item 3.
During the placing of the storm drain piping two areas were discovered which had multiple roof
drains which were not able to be adequately collected with direct piping. The contractor
requested the use of small area drains to collect the water in the area.
The area behind The Black Sheep was found to have two roof drains which exited onto the slab
on grade approximately 5 feet behind the property enclosure. The water was channeled in a
small curbed area out from under the building. Rather than dig up the area within the building a
small area drain was placed at the end of the curbed area and piped to the creek.
The existing roof drain at Alex's building discharged out onto the existing slab on grade. There
was also a second roof drain exiting the outdoor areas that drained behind and above the
existing roof drain. The second drain was not in a position where the contractor could adequately
collect the water to prevent flow onto the new slab on grade. A new area drain was installed
and small curbed sections were used to channelize the flow into the area drain.
The contractors submitted Cost Data was agreed to and is included.
Item 4.
During the placement of the new fire hydrant it was found that a large concrete footing conflicted
with the proposed water line and hydrant. A lump sum price was requested to relocate the water
line and hydrant to a new area. The Contractors prices were checked and found that the price
quoted for the "vac-truck" were greater than the cost allowed under ODOT's requirements. These
prices were adjusted and supported by the enclosed cost estimate.
The Contractors submitted Cost Data and our supplementary estimate are enclosed. The
Contractors Cost was agreed to.
Item 5.
During the installation of the southern-most vault in the Calle area it was felt that due to the
expected delivery truck traffic near the transformer, the transformer should be protected with
steel bollards. A lump sum cost was requested from the contractor to perform the work and is
included herein. The Contractors price to provide and install the bollards was agreed to prior to
installation.
TrE M. ~
KOGAP Enterprises, Inc.
i
GENERAL CONTRACTING & EXCAVATING
KOCAP, CCBN 93497
AND P.U. BOX 1608 • MEDFORD, OREGON 97501
PHONE (541) 776.6527. FAX (541) 776.6539
March 3, 2014
Rachel Dials, Recreation Superintendent
Ashland Parks and Recreation Commission
340 S. Pioneer Street
- -Ashland,-OR-97520---
Re: Calle Guanajuato, Change Order Request
Rachel,
We are requesting a change order in the amount of $1,755.00 for the above referenced
project. This amount includes our 8% mark-up. Attached is the estimate from Precision
Curbs LLC in the amount of $1,625 to modify the existing gate panel and build and
install a gate.
ince ely,
Frank McElheran
Project Superintendent i
i
r
I
I
i
I
i
CD G'4- l
PRECISION CURBS LLC Estimate
PO BOX 267
EAGLE POPNT, OR 97524 Date Estimate #
2/2012014 787
Name / Address
kop.ap
p-Q11uz 1608
btaitbrd OR
Q7S01 ,
Project
Description Qty Cost Total
Modify cxi;ting gne pattcl and build gate and install. 1,625.00 1,625.00
I
To ' $1,625.00
Customer Signatur ,
1
~~o-l
J..TC M Z
KOGAP E-ntcrpriscs, Inc. cc~, ,,9 5717
Gencral Contracting & Excavation
PO box 1 608 ' Medford, OK 97501
Phony (541) 776-6527 - Fax: (541) 776-6559
March 25, 2014
Steve Sparkman, P.E.
OBEC Consulting Engineers
831 O'Hare Parkway
Medford, OR 97504
Calle Guanaiuato - Ashland, OR OBEC Job No. 505-5
Steve,
The Changer Order that just requested to lower the secondary vault behind Oberoen's is complete. The
total for this Changer Order comes to $2,050.000.
If you have any questions, please, call. Thank you for your time on this matter. We appreciate working
with you and your crew.
Sincerely,
Frank McElheran
Project Superintendent
Cc: via email: Pat Moore, Rachel Dials
~ ~ e5)
TTC Nl 3
.0
KOGAP Enterprises, Inc.
b ! GENERAL CONTRACTING & EXCAVATING
Y MAN. CCB# 93497
AsD P.O. BOX 1608 • MEDFORD. OREGON 97501
PHONE (541) 776.6527 • FAX (541) 776.6539
March 17, 2014
Steve Sparkman, P.E.
OBEC
831 O'Hare Parkway
Medford, OR 97504
Re: Calle Guanajuato
Steve:
Per your request, following are prices for the items discussed.
Area Drain and appurtenances installed $200.00
Two 4" x 4" x 6' steel tube bollards installed and painted $300.00 Each
Please call me if you need further information.
Regards,
Frank McElheran
Project Superintendent
Goo-/
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. CCO-2 Parks
PROJECT: Calle Guanajuato Resurfacing Project DATE: 04/1,1/13
LOCATION: Calle Guanajuato PROJECT NO.: 505=0,05
CONTRACTOR: Kogap Enterprises, Inc
You are requested to perform the following described work upon receipt of an approved copy of this document or as described
by the Engineer:
Item No. Description Quantity Unit Price Amount
Item #1 BI 16 - Added 4" Pipe Quantity 18 ft $28.00 per foot 504;006
Item #2 BI 25 - Added Curb Quantity 35 ft $20.00 per foot $ VFW
Item #3 t '
Item #4
c,'s
Item #5
Total this Change Order $ 1,204:00
Previous Change Order $ 6+4944
Original Contract Total $ 39~r~8,z90
Revised Contract Total $ 4Ai~949 49~
PERCENT CHANGE OF ORIGINAL CONTRACT
The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment
to the contract and all provisions of the contract will apply.
Recommended By: s~ S 4 /Z e
Project anager Date
Approved By:
Don Robertson, Ashland City Parks Date
Accepted By: Kogap Enterprises, Inc.
R.o;_Box 1608
Medford, Oregon 97501
C q - ~
Contractor Representative Date
ENGINEERING Tel: 541488-5347
20 E. Main Street TT As Ashland, Oregon 97520 TTY: : 800-735-2900
www.ashland.orns
C Userstp nooretnoeumennaWalle CCO k02 Parks
April 14, 2014
Calle Guanajuato Resurfacing Project
Ashland City Parks
Supporting Data CCO-1
Contract Change Order 1 deals with the bid item extension of three bid items. The following is a
brief explanation for the quantity extensions.
Item 1.
Bid Item 16 - Added 18 foot of 4" storm sewer piping. The quantities were added to collect 4
additional roof drains which were not covered under the contract documents.
Item 2.
Bid Item 25 - Added 35 foot of curb. The quantities were added to compensate for curb which
was noted to remain on the contract drawings but were poured monolithically with the adjacent
concrete slab.
Item 3.
Bid Item 40 - Added 81 foot of 12" ductile iron water pipe. The quantity given in the original
bid schedule was listed as 484 foot. The actual field measurement was found to be 525 foot
requiring an additional 41 foot be paid.
ODOT Standard Specifications also require each added fitting be paid at 10 times the pipe
diameter and four additional fittings were required to place the water pipe over an existing 24"
storm drain at highway 99. Payment of 40 feet was added to the pipe length to compensate the
contractor for the additional labor and materials required to adjust the pipe over the existing 24"
storm sewer.
~eo~~
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. CCO-3 Parks
PROJECT: Calle Guanajuato Resurfacing Project DATE: 04/11/13
LOCATION: Calle Guanajuato PROJECT NO.: 505-005
CONTRACTOR: Kogap Enterprises, Inc
You are requested to perform the following described work upon receipt of an approved copy of this document or as described
by the Engineer:
Item No. Description Quantity Unit Price Amount
Item #1 Force Account Work (Parks) LS 813.83 $ 813.83
Item #2
Item #3
Item #4
Item #5
Total this Change Order $ 813.83
Previous Change Order $
Original Contract Total $ gp.
Revised Contract Total $
PERCENT CHANGE OF ORIGINAL CONTRACT -Ad
The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment
to the contract and all provisions of the contract will apply.
Recommended By: 5 z-- S '-t' Z 8
Plt!t
roject ager Date
Approved By: Z'
Don obertson, Ashland City Parks Date
Accepted By: Kogap Enterprises, Inc.
P.o. Box 1608
Medford, Oregon 97501
Contractor Representative Date
ENGINEERING Td: 541-488-5347
20 E. Main Sum Fax: 541488-6006
Ashland, Oregon 97520 TTY: g00-735-2900
,t
ww.ashland.or.us
C\Users\pmoore\Docwnen¢\Calle CCO 403 Parks
°a S °o S
ac $ °o r
C N b O
b ~
N h H V1
a n n
0 0 0
m `m
0 f
0 0 0
z z z
a
v
N
m
N
11
N
E
d
~ d
c m
a
u
a
d d
m
c
O L
m U
N
C p
O ~
f. N
O
O G O ~ \
O v
W
`d n n
° o S
o °
o
N N O
y~ H N
N ~ N
~ m ao
N '1 M
N 1~ fO
N
N O1 -'1 p
OI N W N
i~ M M
N N N N
M
N O
u u
O
u
n °
~ n O C d W C
a a d O C E E
O N ur' u n m r
a v Q d d° n
d E ~ t y O p d
.O c c ~ In
Ip N O t'i d Y
(C O N N LL d N
W 3 6
• rl N M
iC iC it
N °o E E E
d d d
FO m m - -
~S
t Y
N
6
m N IN(1 m n ~O m b
mai G ~ m~ ~ m~
^ N N
N N
HN N V~~AN HNN
~ Q Q N m ~
tV.r p. n '1 T O\ ~O m ~O
V en1 H~ '1 ~ H H ~ ti 'I q
d d q
w O O
N V1 H F N V1 ~ h V1 F N N ~
om Qm n.~ m o 0 0~+ om$ o ma
rv n m N O~ T T T N p M O m n m n 10
Q r'1 m O N N M G M N N b O N O N p
~n m^ m, o m n..
'i
y~ N V~ N h V1 N N N N N N h N h H V1 N
m O O Q O m b m b
d O n m O N ti ti
~ N fl M M
3 N N N N
H N ~ V1 V) V1 ~ V1 N F h N F
O. O w m O N m O O S m Q m Q
p lO m Q m V1 O m 1~ m n
of o o N 6 v p o o ti m e m
`O' ,y ~ VI m N f0 ti n ~O O N Vf VI
Cd
L N V1 V1 N N N N N N N N V1 N N N
urvi w o a vmi urvi g n m e m w
O m N O N H
C m n m vmi voi $ m n .Qr .y
V1 N N N N N N V1 V1 N h N N H
L L L L L L L L a L L L L
LQ V1 J1 ~O ✓1 VI Vl m N 1(1 N M N
M N '1 N N N O ~ O
C
d
d
e n °n a n °n m S g n n n n°
Jl m M Jf m M m O p M T M M
Q m Vf Q M I!1 N •i O M Vf T m
V1 Vf N N V1 N N N N N N N N
n o0
Y Y
~ Y r N
c m f r m m ~ ti r m r
w o Q n p~ n w e Q n e n
E E> d `C E E
o m «
U U O V U 0 vdf N U U O U p
S O
N
N ti ~
O
u
N
d
O
ti rv
C
N
d
N N d 1
V O O O « Q
q T T T m
d O m m d V
a a a o`o
cry ~ n .n n m
L 9 L t L a 1
J N N VI a v
° of m of m
Vr m
e y p y Q m
m N O [O N OJ N [O N 1!1 m N
d m 1!1 O O1 ~ N N N N N N N N N
N N N m N rv
N. V1 N N N
N N N W N N N V~ V~ Vf
N N M Lll
N N O O O O
2
d c
Y m
c c
3 c c c C m o d m o m o
v m o m N m` l
m` ~ m m ~ m
m`
v
o w d
~ C ~ C d
_ c
o c E n a
o °1 n
n a L L
> a o n' L
3
O ~ m
° c
w° 'v m' o c d ~ c
5 c 9 co c
10 w 3 `w o E m c d d d L T u u°
f0 Y E a ° c o_ ° d ~ ~ 'O °c rv m y m `d
t O ~ u w m 0 ° E`o G m o m ~ 3
N C 6 C E O R O N N d N d N
Q o c c c m E m E E
C u d~ c c ~ o c v e 'n E
~ ~ a w o 4 rv rv n o q d o~
f0 u m u 3 0 ~ « m ~ m 3 3 n c d c« m u
7 Q c a m m S a° o N a = > W > d
V d C` C m >i C U _ y q ~r V O O W
'a E
V O rj N R N N_ C d p W n O pl ti d
C 3
o d d d m d x° 0 3 „ 'n a m e
IQ LL u`. a~ ~ u° D D p w p u
M m Q Q Q
m M
• A T ~ O OO O O O O
~1. O O N N ~
W N ~ m N N T ~ .4 H '1
ti N N 'i rq •y
N Ol n v b m T m OD m b O m n N m n N p b
n N n 01 Ol N d VI ID '1 b Q M 1/1 n T Ir n m N d T OD
e4 p m N m e9 10 e1 b O1 a 1!1 1!1 N N N ^ N H n n n
T b M O IO ~ b N~ O N VI Q b^ IO T O b T N y O
m .y .4 .y b N .y b N P'1 N ~O .r M
V~ N V1 N V1 h N N H Ulm N N N N Vf N h V1 VI N N
p O] m n T n n O
N N Q ry Q O n l0 1l1 W W OR b N
M 01 1p 01 N 01 T N N
N
.ry. m ~ w w ~ In n n In ~ n oo rv ~ m
N N N F N N F H N ~ N V1 N N VI ~ N N ~ N ~
m n a+ eo
rv m m n
M N d h
m m In .y
O
h N V1 H
N n O
Ill CO N
O1 Vf N
m n m
N N N F
O O vl p 01 N tT m IO O N d of $ d $ d d N
S n Q M O ID N d d n n N Y1 n N 1I1 O W
IO tvl R d Ip n '1 01 N M T m N d O ry O IO V1 m
N N N ~ e1 ~ m d T I/1 IO V VI Vf N T
N h N N N N V1 V1 N V1 N N h N N N N V1 N VY
IO 100 N b N Vl m m N n Od1 Od1 O1 T Od1 - M
m In Q n n m N n
N n b Mm n N N d T O M m M d O
N V1 VF N VI V1 V1 N N N VT Vf N N N N N N
L2 t2
L L L L L L L L L L L L L L t L L L L L
I Ul N Jf M rl T T N '1 e1 Ly 'I e1 'I li N N d JI
N N N O
m b d m m m ~o m m m m m
S e n °n a~ n m a n n d m n b n n e
~ vi m m ui r m of ui rri ni vi ti m m ~ m ti m .ni
N d m In d VI N d T In d N m m m
y~ N V1 N N N N N N H N N V1 V1 h V1 N N N V1
W
C ~
E x " ~
W lO f m N h~ m l0 ~ m N N b N ti N N N
~ m v E °m n E~ °m v E ~ e a d no d no
0 ° > > N r ° n °
U U O U Y O U U O V Y V1 U Y Y V Y
pi U
I
1
w`~
to
y a p V
l0 m N M N m N [O N m N d N IO N N d N
N N N N N N N N N
N N N N N N N N N
N N N N N H N N N V1 h N N N H
N N N
r1 Jf vl N Y1 Lll I? Li LQ
T m ~ '.j rl
ry ry N N
C C C = C
C C C C C C C O C° R O C q m° O
N d
76 ¢ m`
r 3 3 c
A
u j
W L r t ~ - r L
C W r r r N
75
y > ~ V N r q Id 4 3 > >
O r ~ ~ n q 3 a Q C ~ O
R >
3 `c _ m m m e o
m U U
.°r C_ O O C L V- q 0
oa0 Ti C u C Q` N ` O O
a = >
O
$ w v a s y c a 3 v w E v E y
y m w m o a m o m ~ ¢ ¢ v
c 0 3 L c c a ~ a n
o p Q o u U m a m a
c u C s N U m y c d c ~
76
C q i C N a O > OO nO n
o o h ° I'o ~ N E y E m E y w y w
E a E= a c o v c v 3 u p d o n`
z~ z d d d dQ. ° ~
Q
• ~ ~ O O O O N O O O
N ry ~ N \ \ \ n (v\j ti
\\y N '1 N N
N N
m nb+ m o
MMi ° v~
VAN NNN
1!1 y M N
Y~l N ti
N ti M q
H N F N 1A F
O O b m c0 N O c0 N
m W T I w o
N N (O M ry1 CO N O O N N O Vf M
d N N W d m d N N Jf d N M M N N
N P'1 d M~ N n 'I
~n anN ~ HN vhN tiHtiN hhN
Ot
J~1 W ti b tD O b elf b OO S
O d Ol m d o] W O m N .y O
O O O M O V1 vl ~If ~ V1
U1 V1 Vt ~ e1 A d d M ~ jp N N
N Vl N F N N ~ V1 N N F N N ~ N N V1
n b N M CO O O S Lq S b M OJ CO O S O d S
m n ~l1 m O Vf m d b o l N w b ~!1 O O m O
M b M m N d M N N"~ M M On n O Od N b
d «I N e1
y~ y~ N y~ t/1 N N N N N N N N V1 V1 N h V1 V1 N
m O V M O N O N m Q m O ~!1 N O M .y O
N d W V1 M M N M N W N Q d 1f1 Q b b d
Vf n m O d N m d Vf m ~/1 r b O r m~
N N N m m N N ebi N N N N ~ D] N 1!1 ~ 4 6 6 6 6
Y Y Y J J
M
N H H V1 N V1 N Vl N N V1 N N N h V1 N V1 ~ ~ ~ ~ c
O O O O CO
L t L L L L L L t L L L ? ~ ~ Z Z
H N rv N W W e1 .4 In Q rl N N
J
HQ
O
p f
b m b m OJ t0 CO b m O
n le n l? Q n d r l? b ID
mrr M n e m a m r v~pi .n+ .r+
V1 N N V1 V1 N N N H N N N
O m m
of rv O
N N VI
O Q N
rv r O
y Y b Vi rv
b q ti 0 OJ b R J N 2
O ti O 1- O O ~
° a°°, a M d y d a° a a
U Y U Y U V U U ]C > y y N N h
S .
N
O
N H
V
ry O S \\Y
O oQ
d N Vf N Q
N '1
a n
m '9
v w
d m
m ~
v x _
m
n C `w
e n r6
m
y M Q
m O V N V N a N N M N d N O d W b
N d M
JI n m b n m n N N N N N N N N N .m'1
N N N N N N N V1
Vf N N N N N N N V1 N H N H N N N ~ ~ W J W
H rl .i N N W OJ CO N eV e1 '1 1!1 d ti N ti N N
S O O Q O
Vi O O M O
m G n o ~ ~ M
N N
C C C C R C N N C C
O O N ° 0 ° N ° q O O O O O N i N N N N N
0 -C
Z m 5! Z Z -J. , tl1 Z Z Z m
W
O
J
> n
Y ~
V O ~ E E
C 3 O ~ w
N
o L ~ oo v ~
m a o o O n
~ ~ 0 3 a v ~ V m
c 0 0 o y m o U o
u u
u a c c ~n o
a `o 16
° m o m m E c pdp = O
> j > u o V n u
O O O a = m o C .J
N a` A
E E a E w f0 c E o m a t m
a ¢ v o~ w a V c a
v ~ a> ~ a E 3 o m o £ d ~ °m o`
d C a ~ C~ c a d A a
p O 0 0 u H m O O p W u O O " > Q T v
E a w v °w~ sv ° wa.~'.« w_°. a` 2 a vEi LL m°
p p d` D a V d
d d d ti 0 0
• S 0 O O O \ r
N
~ pp p b n ~ N
~ N M M m M
N N N
Page 1 / 1
t4ii CITY O F CITY RECD^` =
ASHLAND ' DATE,% M 'u=PONUMBER-"`'
,20 E MAIN ST. 12123/2013 00311
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 000479 SHIP TO:
KOGAP ENTERPRISES, INC.
PO BOX 1608
MEDFORD, OR 97501
FOB Point: Req. No.:
Terns: net Dept:
Req. Del. Date: Contact: Rachel Dials
Special Inst: Confirming? NO
Quantity _aUnit.
:dUmtPriee Pnee-
THIS ISAREVISED PURCHASE ORDER
Calle Guanajuato Resurfacing Project 286,618.60
$387,808.60
Parks $286,618.60
Project #000053
411 12 00 00 704 200
Water $75,890.00
Proiect#201225
670 08 18 00 704 200
Electric $25,300.00
Project #000296
690 11 18 00 704 100
Public Improvement Contract
Effective date: November 25, 2013
Completion date: April 1, 2014
Processed change order 05/1612014 5,945.33
Change orders: CCO-1, CCO-2 and CCO-3
SUBTOTAL 292 563.93
BILL TO: TAX 0.00
FREIGHT 0.00
TOTAL 292,563.93
'"Account Number `%,ProjeetNdmber A⁣644_, _ `~Y%
...'Account~.Number, P66jeo6Number, - 'Amount,
E 411.12.00.00.70420 E 000053.999 292 563.93
- Q
Authora ignature VENDOR COPY
'e/, e
FORM #10 ✓ Oyu K~ a4~,, ; a 6,5e~y, e ^-C I T Y 0 F
CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND
Request for a Change Order
Name of Supplier) ContrectorI Consultant: 0~, Total;amount of+thls
contact ameridment
Purchase Order Number: C D 3 l l t ,
Title Description: CWAQ.~IU(n/Wat1Gt,o Jp~~~{ $,5c~s 33 i
LA
Per attached contract amendment(s) Cco-1 (co - z Cc.u-3 h
M.-
Contract Amendment
Original contract amount $ ZBto V • 100 % of original contract
Total amount of previous contract amendments 112' % of original contract
Amount of this contract amendment 59 45.33 2.7* % of original contract
TOTALAMOUNTOFcdNTRACT $ 292,Sb3 °'s % 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 terns and
conditions, including the contract pros, 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 contact 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 ff 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 YESX NO` (If "NO", requires Council approval IAgach cow of CC.)
Sourcing Method:
SMALL PROCUREMENT- Less than $5000 INVITATION TO BID or COOPERATWE PROCUREMENT. QRF or
❑'YES', the total amount of contract and cumulative REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50
amendments 5$6,000. C4 '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 for Attorney Fees.
Communication. ❑ IP'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',reuiresa roval.
INTERMEDIATE PROCUREMENT SOLESOURCE EMERGENCY PROCUREMENT
Goods &Services -$5000 to $100,000 ❑'YES', the total amount of cumulative amendments ❑ Written Findings: Document the nature of the
Personal Services-$5.000 to $75,000 525% 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 525%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: ❑ Exem t-Reason: ❑ Exempt-Reason:
SPECIAL PROCUREMENT INTERGOVERNMENTALAGREEMENT
❑'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 copy of Council Communication.
Project Number Account Number Account Number
"Expenditure must be ch( to the app prate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed.
Employee SignaturGlMtJC~~NJfIJ Department Head Signature:
\ (Totalamunt ontra~ct 2:$5,400)
City Administratork IC
alto
Funds appropriated for current fiscal year., NO A%<r °rgreater lhans25,aooorto%)
Finance Director (Equal to greater than $5,000) Date
Comments:
Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 5/5/2014