HomeMy WebLinkAbout2014-307 CONT Chg Order #1 - Pilot Rock Excavation
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT: Alley Extension - N. Main to Lori Lane DATE: 12/011114
LOCATION: Alley between N. Main & Lori Lane PROJECT NO.: 2012-30
CONTRACTOR: Pilot Rock Excavation. Inc.
You are requested to pertorni the following described work upon receipt of an approved cope of this document or as described by the
Engineer:
Item No. Description Quantity 11 Unit Price Amount
Item #1 Additional Asphalt Quantity (Ton) 9.9 $ 165.00 $ 1,633.50
Item 42 Additional Standard Curb Quantity (I-F) 9 $ 15.00 $ 135.00
Item 43 Additional 1-in Round River Rock (Ton) 1 $ 70.00 $ 70.00
Total this Change Order S 1,838.50
Previous Change Order $ -
Original Contract 'Total $ 35.023.50
Revised Contract Total $ 36,862.00
PERCENT CHANGE OF ORIGINAL CONTRACT 5.2%
I'his document shall become an amendment to th ° tract and all provisions of the contract will apph.
Recommended By: ),4
Projea Manager Dat
I /I
Approved By: \ i- l a ~an
Public Works Director Date
Accepted By: Pilot Rock Excavation, Inc.
5 South Stage Road
Medford;,OR 97501
Contractor Representative Date
P%VENGINEFRING lei 14l-488-5347
O t Main 44r et Fa._ i41-488-6046
Wiland. Oregon 97520 TTl 8~ 0 ? j_~9U0
n%%wa>hland or,us ~I
G:\pub-wrkstengN 2-30 Alley Extension - N Main to Lori\A AdminN2-30 Proj Acct Workbook_xlsx
a a a a a a a
W w W
0 0 0 0 0 0 0
bn
° S o
0
i z 11 z z z z z,~ o
> > > = a ❑ r
a a e a a a a
N w o W W o W V w° w° - u
- US - O1
V o U ^r Ur Ue ;~~E - 11
am m v~ m s<. s.. m O a
Fss se <~n sP.. a: ~w~w U}
> ~w QQ c~~. a Fz warf cn~w F~s~~ -
=a ww- zOOaa.a Zia.=i
a.:a aa.:a =a a
F o 0 o F o 0 0 o F o c o F o 0 0 0 0 0 o o - ~
= oo c o °c °o °
p.~ o o Fo o <; FN o Fo o F<~ o <ri Fo og F~+v~ C
Z.n °r °o o zNN ~ °v zm °OV a a Z°,°. z.n o < Z° Z~" N
¢ 6 d Q ¢ ¢ 6 M
C W° W o w o W v W q oN W c W e
~ US U ^r Uw U> Ue - Uo tJ^
F~ ~.7 Fw v k.66 v.. F} Fz w w s~zs~~ Fss s- F- -
':a:a:a-a - ~a aU ~awwa ?~aa:~.:a ~.a .a
S 2.
FI = Fn . e E"°c F~ V7
=n S o =N- N =m m e ~v ~a rn Z rte- a~ O
O~ O O O O O`~ O
Q Q d Q d Q Q M
`
U S J U U a U U BE
a o. a a a a
m ~ m ~ m 'm m m
Fw}~.}>~ Fwaaw F}~ ~zww ~wtr. k_..
aa~ a Cana v 7amma =u z Faa a v~ 7 i=
S
C -
a
S ` ~ 3
S ~zz o
z -r - t
a O ~ " a
;,j E Q -r -r ?j
V ~ ~ 1 J ~ a
d ~ E v Jam' t O 5
m tP E ❑ x a'c
a 3~ G~ _ '0 az J d
❑ v cn ~ p- LG.s x., z
Z r C Y 6 N~ S 9 '"O X :C
x ~u3 S ~ x ° ~ ~ °Z~ •.cxf~vsx ~y
Pg 2;8
O o o o E E c c i Ei .5 °a o v 4 ° o 0 o S o d F .5 3
e,vvc~c~~ d-~~c~c~uc~uw x.-
~ ~ ci 3 a a i~
PILOT ROCK EXCAVATION, INC. Invoice
5 South Stage Road
Medford, OR 97501 Date Invoice #
11,6;'2014 COA 1.1114
Bill To
Cite of Ashland
20 E Main St
Ashland. OR 97520
Item Description Qty Rate Amount
Dra%N on original contract Total Completion Billing - Items 1 6862.00 36.862.00
1-24
Total 536.862.00
Payments/Credits -$35.023.50
Balance Due $1,838.50
Phone # Fax # E-mail
541 779-4916 541 779-4420 rand cipilotrockx.com
Pilot Rock Excavation, Inc.
"Excavation and Pipeline Specialists"
ALLEY EXTENTION - N MAIN TO LORI LANE
INVOICE - FINAL COMPLETION
Nov. 5, 2014
UM Complete
Item Description UM Unit Bid Unit Extended to Date TOTAL
1 Mobilization 1 LS 4500 4500 1 4500
2 Traffic Control 1 LS 700 700 1 700
3 Erosion Control 1 LS 800 800 1 800
4 Const Survey Work 1 LS 2000 2000 1 2000
5 Asphalt Pavement Sawcutting 167 LF 1.5 250 167 250.5
6 Removal of Surfacing 192 SY 6.5 1248 192 1248
7 Removal of Curbs 40 LF 3 120 40 120
8 General Excavation 100 Cy 25 2500 100 2500
9 Subgrade Geotextile 305 SY 1 305 305 305
10 4" PVC Storm Drain Pipe 16 LF 20 320 16 320
11 4" Area Drain 2 @ 150 300 2 300
12 Conn to Extg 12" SD 2 @ 200 400 2 400
13 Concrete Cap Over Extg 12" SD 46 LF 20 920 46 920
14 3/4"-0 Aggregate 92 CY 45 4140 92 4140
15 Level 2, 1/2" Dense HMAC 28 CY 165 4620 37.9 6253.5
16 Concrete Standard Curb 257 LF 15 3855 266 3990
17 Concrete Curb & Gutter 18 LF 20 360 18 360
18 Concrete Driveway (3' width) 1 LS 600 600 1 600
19 Concrete S/W (3' width) 1 LS 150 150 1 150
20 Concrete Sidewalk w/thickened edge 600 SF 5 3000 600 3000
21 Concrete Valley Gutter (6' width) 106 SF 10 1060 106 1060
22 Extg Electrical Box - R/R w/ 233 Ashland 1 LS 2500 2500 1 2500
23 Extg Electrical Box - R/R extd 4" Conduit 1 L5 200 200 1 200
24 1" Round River Rock 3.5 T 70 245 3.5 245
TOTAL AMOUNT OWED 36862
5 South Stage Road • Medford, OR 97501 • Ph: 541-779-4916 9 Fax: 541-245-2616 • CCB# 157139
Page 1 / 1
CITY OF
. ASHLAND DATE PO NUMBER
"Waft 20 E MAIN ST. 7/15/2014 12372
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 010462 SHIP To: Ashland Public Works
PILOT ROCK EXCAVATION (541) 488-5587
5 S STAGE ROAD 51 WINBURN WAY
MEDFORD, OR 97501 ASHLAND, OR 97520
FOB Point: Req. No.:
Terms: Net Dept.:
Req. Del. Date: contact: Karl Johnson
Special Inst: Confirming? NO
Quantity Unit Description Unit Price Ext. Price
THIS IS A REVISED PURCHASE ORDER
Allev Extension - N. Main Street to 35,023.50
Lori Lane, includinq street
improvements, curb and qutter,
sidewalks, driveways and other
improvements.
Public Improvement Contract
Proiect No. 2012-30
Effective date: July 1, 2014
Completion date: September 28, 2014
Processed chanqe order 12/05/2014 1,838.50
Chanqe Order No. 1
c~U~~1. 17
SUBTOTAL 36 862.00
BILL To: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2010 TOTAL 36,862.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 260.08.12.00.70420 E 201230.120 36 862.00
- L//0
Au orized Signature VENDOR COPY
'FORM #10 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORM S H LAN
Request for a Change Order
Name of Supplier 1 Contractor I Consultant: Pilot Rock Excavation, Inc. Total amount of this
contract amendment:
Purchase Order Number: #12372
Title I Description: Alley Extension - N. Main St to Lori Ln $1,838"50
® Per attached contract amendment
Contract Amendment
Original contract amount $35,023.50 100 % of original contract
Total amount of previous contract amendments $0.00 % of original contract
Amount of this contract amendment $1,838.50 5.2 % of original contract
TOTAL AMOUNT OF CONTRACT $36,862.00 105.2 % 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 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 appointment s $35,000 ❑ Exempt- Reason:
❑ If "NO", requires approval.
INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT
Goods & Services - $5,000 to $100.000 ❑ "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 copy of Council Administrator
approval. Attach copy of Council Communication. Communication. ❑ If applicable, attach copy of Council Communication
❑ Exempt - Reason: ❑ Exempt- Reason: ❑ Exempt-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 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.
Project Number 201230.120 Account Number 260.08.12.00.704200 Account Number
*Expenditure must be charged to t app pr' co bers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed.
Employee Signature: i'r Department Head Signature: Vf\Z~tk_,,_R_
(Total amount of contract> $5,000)
City Administrator:
(Equal to orgreaterthan $25,000 or 10%
Funds appropriated for current fiscal year. YES / NO
Finance Director (Equal to orgreaterthan $5,000) Date
Comments:
Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1,12/1/2014