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HomeMy WebLinkAbout2014-255 CONT Chg Order #4 - Pilot Rock Excavation p CONTRACT CHANGE ORDER (Page 1) 7t/on NOTICE: THIS FORM MUST BE TYPEWRITTEN PROJECT NAME (SECTION) KEY NO. REGION CONTRACT NO.. TAP Emergency Intertie Project - Phase 1 & 2 0 3 208-08 HIGHWAY PROJECT MANAGER AGENCY PROJECT MANAGER F.A. PROJECT NO. Hwy 99 Jeff Bernardo Morgan Wayman NA CONTRACTOR NAME AND MAILING ADDRESS M (CONSULTANT R LOCAL A NC ) NAME AND ADDRESS ORDER # Jeff Bernardo 4 Pilot Rock Excavation, Inc. OBEC Consulting Engineers 650 E. Pine St, Ste.1028 831 O'htare Parkway Central Point, OR 97502 Medford, OR 97504 THIS CONTRACT 15 HERE13Y MODIFIED AS FOLL I IUN ANU LUCA MON OF WORK UMERIED 13Y THIS URDU): 4004A - Extra for Crossing 48"TID Siphon. 40046 - Repair 12" Billings Ranch Siphon Pipe 4004C - Final Adjustment to Account for Overruns (Per Final Pay Estimate) SPECIFICATIONS AND PROVISIONS - THE WORK TO BE DONE UNDER THIS ORDER IS TO BE PERFORMED, MEASURED, AND PAID FOR IN ACCORDANCE WITH THE TERMS FOR THE ABOVE CONTRACT EXCEPT AS MODIFIED AS FOLLOWS - 4004A - Comply with applicable sections of 00405 & 01150 of the 2008 Oregon Standard Specifications for Construction, and Bureau of Reclamation Permit requirements. 4004B - Comply with applicable sections of 00405 & 00445 of the 2008 Oregon Standard Specifications for Construction. 4004C - See explanation on page 1 of supporting data. Additional compensation associated with this CCO will include all labor, equipment, & materials necessary to complete the work. Sub PAY ITEM Job DESCRIPTION EST. QTY. UNIT UN17 PRICE AMOUNT 4004A 1 Extra for Crossing 48" TID Siphon 1.00 LS $4,802.94 $4,802.94 4004B 1 12" Billi s Ranch Siphon Pi Repair 1.00 LS $3,291.96 $3,291.96 40040 1 Final Adjusting CCO Amount for Overruns 1.00 LS $19,532.05 $19,532.05 =Additional items listed on attached Page 2 TOTAL FROM PAGE 2 INCREASE ESTIMATED NET COST EFFECT OF THIS AGREEMENT ON THE CONTRACT: r-~ DECREASE $27,626.95/ 0 igl,/4 CONTRACTOR SIGNATURE C IS C IS NOT NECESSARY (E)PLAIN IN SUPPORTING DATA) CONTRACTOR SIGNATURE MAKES THIS CONTRACT CHANGE ORDER A SUPPLEMENTAL AGREEMENT FOR SUPPLEMENTAL AGREEMENTS ONLY: Contraddw: Please ktekate yow agreement by signing, ttating and returning the wiginal to the Proleu Manager. WCrk shall not beget unto you are ncftd tw Cie agreement bas enter been approved or that work may commence under advance appmol. Your signaUum further indicates agreement" Payments in accordance with me agreement eonstitAe rud and rampletecomansaWn (oral Costs; both direct and indaect, ansing out of the described wok Covered by Oft agr9MfNfL and raises*$ and discharges the Stab kdm OVW COM mxept as provided herein. RECOMMENDED BY: ENGINEERING SERVICES MANAGER DAT PREPARED BY: OBEC Consul ' Engineers, Inc. DATE Print p '~S' Z~rt 114 Print T Sign Sign REVIEW Y. P DIR TOR DATE Print tyN C 1 Sign -'WSa pal I It APR~ ITE ACCEPTE_D SY' Crr ROCK EXCAVATION, INC. DATE P~ B MANAGER D Di~ i f n and : Alter aining s signature, the ro anagcr signs a s t ong(rta f t ea r o onb t04 rot. ODOT (Outsourced): After obtaining Contractors signature, the Project Manager submits orig.nal to Agency PM (0007 PM or Local Agency Liaison). as appropriate, who then submits tfrolo the Area Manager to Construction. All Projects: Construction will distribute fully signed copies to the Project Manager, Agency PM, Contractor, and others as appropriate. 734-1169 (1-2012) Contractor. Sign all pages. °eeI`"7tae1'=ilatJoe WORK OR CHANGE ORDER SUPPORTING DATA (Page 1) PROJECT NAME (SECTION) CONTRACT NO. TAP Emergency Intertie Project - Phase 1 & 2 2008-08 HIGHWAY F.A. PROJECT NO. Hwy gg NA NET EFFECT OF ORDER ON PROJECT AMOUNT CONSTRUCTION RUTH. EST. PROJECT COST WWIORDER OVERRUN % P increase r Decrease $27,626.95 $1,967,842.10 $1,995,469.05 1.40°l0 ESTIMATED STARTING DATE' OR DATE WORK WAS STARTEW WORK/CHANGE IS MAJOR? TO ACCOMPANY (ORDER TYPE & NUMBER) 6/212014 6/2/2014 r• Yes No CCO 4 PREPARED BY DATE PREPARED BY SIG DATE T ter Douglas - OBEC Consulting Engineers 9/8/2014 WORK OR CHANGE HAS BEEN DI CU55ED WITH PRINT SIGNATURE/ Title DATE Recommended S : " T'Ef-'p DIES L 'engineering Services Manager PRINT t NA a DATE Reviewed B PRQ, f Public Works Director glee t it/ INT SIGNATURE Title QA I, i ' . ; i a Approved B • A , , i< r ~ z- „ Ci Manager N - I T Title A _RE Accepted 8 Y• L..E Pilot Rock Excavation, inc. ~FO CONTRACT CHANGE H ~NIy~A CO ACT PRICE OR DTE~2NJI E A N ta:- ❑ Yes ❑ No, Explain below _ ADDITIONAL INFORMATION THAT IS NOT INCLUDED ON ORDER (Aftwrhal Descriptiar. W to requested; Why necessary; Why cost is not a coritractor responsibility; Parties oche: than State or FHWA that have agreed to share the costs: Emergency work prior to approval; Estimate titled on prQea hsne; Significant disaissions; Ralwences to supporting and/or attached dowments, inducing cost estimates for "Extra Work Orders" and "Force Orden"; Why eontraclor refuses to sign). List all previously approved overruns. 4004A - During waterline construction, it was necessary to cross an existing Talent Irrigation District (TIDjBureau of Reclamation (SIR) Irrigation siphon. The SIR has strict requirements when crossing their facilities. The extra effort required to cross their 48" siphon was tracked. This included potholing the depth of the siphon, pouring a concrete cap over it, curing, laying the TAP waterline, then backfilting with slurry. 40046 - During excavation of the waterline trench, the crew hit and tore out an unmarked 12" corrugated metal pipe. At the time it was thought to be abandoned. After further investigation, the pipe was determined to be an irrigation siphon for the Billings Ranch. The pipe was repaired which required extra effort above and beyond the original scope of the project. 4004C - This item is Included in this Change Order to cover the overruns of planned quantities, more specifically: HMAC, Cold Plane Pavement Removal, Rock Excavation & Pipe Sackfili Type's, etc. _ **Me 0 afar grWI Nsted in 1131sCC0 Is for purchase order r utsitfon not added as a line item owed to the aonrrR=r_. Overage a shown in ei&0 specific NhA fte i. ❑ CorltNwed on addibmal sheets 734.1882(1-2011) "EXCEPT IN EMERGENCY SITUATIONS, THE WORT( OR CHANGE MAY NOT PROCEED WITHOUT PROPER PRIOR APPROVAL(S). WORK OR CHANGE ORDER SUPPORTING DATA (Page 2) REASON CODES ~~7M1ortwtibe 7RDUECTNAME (91=10N) CONTRACT NO. TO ACCOMPANY (ORDER TYPE & NO.) TAP Emergency Intertie Project - Phase 1 & 2 2008-08 CCO 4 1ttcsO" TIME WORK coos CODE TYPE oes*m PM PAY REM )2t-31l (YlN) IA-K) (E or 0 IE or 1) DESCRIPTION EST. OTY. UlNT ....UNITPRICE AMOUNT Extra for Crossing 48" TID Siphon 4004A 23 N A E E 1.00 LS $4,802.94 $4,802.94 112" Billings Ranch Siphon Pipe 40048 26 N A E f Repair 1.00 LS $3291.96 $3,291.96 Final Adjusting CCO Amount for Overruns (Quantities on Pay Final 4004C 30 N A E E Estimate) 1,00 LS $19,532.05 $19,532.05 TOTAL $2~s2s_ss~w 734-2616 (1-2011) //U~l~ EXHIBIT I CERTIFICATE OF FINAL COMPLETION Project Number: 2008-08 Project: TAP Emergency Intertie Project Phase I and Phase II Contractor: Pilot Rock Excavation, Inc. Contract Signed: May 24", 2014 Contract Expires: September 12t1i,2014 Contract Completed: Yes Delinquent: No I hereby certify that I have completed my contract, furnished the materials, and performed the work as shown by the final estimate of the City, according to the plans and specifications. S) I."6 r Date Contractor Title The City has determined the project is 100% complete in compliance with all contract documents. Inspector pervisor Date d '11'~ y-io -/!y Proj c anager Date ~ a1(~t 1~1FE'~l~ ~ 5E Rol ~ [..E 5 ~ 1 O ~ TY of A Title Date Unless otherwise provided as a Special Provision, when City accepts the Certificate of Final Completion, the date the Contractor signs the Certificate of Final Completion shall be the date the City accepts ownership of the work and the start date of the warranty period. 52 9/9/14 10:113 AM Z:ABothcll\llata\CU.1\1014-033\Specs\project C-pletion.doc © 2014 RI 12 1=.npicuring, Inc. Page 1 / 1 CITY OF . ASHLAND DATE Lf NUMBER 20 E MAIN ST. 7/9/2014 12353 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 010462 SHIP TO: Ashland Public Works PILOT ROCK EXCAVATION (541) 488-5587 650 E PINE STREET SUITE 1028 51 WINBURN WAY CENTRAL POINT, OR 97502 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Morqan Waxman Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Tap Intertie Protect (CO #2 & CO #3) 943,881.00 Chanqe Order #2, PHASE 1 - $81,580.00 Chanqe Order #3, PHASE 2 - $862,301.00 C03 - Complete waterline installation for remainder of the protect. Note: PO #12263 issued for PHASE 1 $997,995.00, includes CO #1 $25,966.10 As of July 9, 2014: PHASE 1 - $1,023,961.10 PHASE 2 - $862,301.00 Processed chanqe order 09/16/2014 27,626.95 Chanqe Order #4 - $27,626.95 /~J X01 13~ o~C~ l`' SS SUBTOTAL 971507.95 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 971, 507.95 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.08.15.00.70420 E 200808.120 971,507.95 4 VENDOR COPY Author' d Signature //Y