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Home My WebLink About2014-308 CONT Addendum - Brothers Custom Cabinets & Furniture r ~ CUSTOM CABDETTS AND LTfZ1VIT[liZ~ 541-664-5550 Fax: 665-0929 4619 Table Rock Road Central Point, OR 97502 November 24, 2014 Customer: City of Ashland/ Dale Peters Job Site: City Hall 20 E. Main Street Ashland, OR 97520 BILL Project: New reception desk cabinets Project: New laminate countertops for the reception desk and lobby Original cost of the cabinet and countertop project $4,988 Cost of changes on change order $388 Payment received so far $0 Balance due at this time $5,376 Please make balance payable to: Brother's Custom Cabinets and Furniture 4619 Table Rock Road Central Point OR 97502 Thank you for your business. We intend to meet high quality standards, please call if you have any questions or'concerns. Payment is due within 10 days. A late payment charge of 1 1/2% per month will be incurred on past due amounts. Oct. 2. 2014 7:27AM No-0101 P. 1/1 i CiJSrOM CABS AID F NrnJK 541-664-5550 Fax: 665-0929 Mailing Address:'4619 Table Rock Road Central Point, OR 97502 October 1, 2014 Customer: City of Ashland / Dale Peters Job site: City Hall 20 E. Main St. Ashland, OR 97520 CHANGE ORDER Project: New reception desk cabinets: Project: New laminate countertops for the reception desk and lobby. ""Additional laminate countertop in "storm cirrus" color 20" wide x 77 13/16"-long with•a finished edge on all sides .....$388 Original cost of cabinet job :.$4,988 Cost of the changes on this change order ..............................................$388 Payment received so far ........$0 Payment due at end of job • .................---$5;376 Acceptance of proposal: The above-price and'specifcations are satisfactory and are hereby accepted. Brothers Custom Cabinets is now authorized to do the work as specified. Payment will be made as outlined -above. Customer signature: Date: ~~`r- l 4.,a 7' -77 a ~il Page 1 / 1 CITY OF ' JW AS H LA1~1 L DATE PO NUMBER 20 E MAIN ST. 10/17/2014 12563 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 017710 SHIP To: Ashland Building Maintenance BROTHERS CUSTOM (541) 488-5358 CABINETS & FURNITURE 90 N MOUNTAIN AVENUE 4619 TABLE ROCK ROAD ASHLAND, OR 97520 CENTRAL POINT, OR 97502 FOB Point: Ashland, Oreqon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Dale Peters Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Remove old cabinets, replace with newly 4,988.00 desiqned cabinet and countertop. Contract for Goods and Services Beqinninq date: Julv 23, 2014 Completion date: Auqust 29, 2014 Processed chanqe order 11/06/2014 Contract Addendum Completion date extended to 11/29/2014 Processed chanqe order 12/05/2014 388.00 Additional amount for chanqe order SUBTOTAL 5,376.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 5,376.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 4110.08.24.00.704200. E 000385.999 5,376.00 ~T VENDOR COPY Authorized 'nature FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM S H LAN Request for a Change Order Name of Supplier I Contractor I Consultant: Brothers Custom Cabinets Total amount of this contract amendment: Purchase Order Number: 12563 Title I Description: Remove Replace Cabinets at UB $ 388.00 ❑ Per attached contract amendment Contract Amendment Original contract amount $ 4988.00 100 % of original contract Total amount of previous contract amendments % of original contract Amount of this contract amendment 388.00 % of original contract TOTAL AMOUNT OF CONTRACT $ 5376.00 % 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 X NO* (If "NO", requires Council approval 1 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 appointments $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 s 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. 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 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. 3 Project Number _000385.999_____-___ Account Number 410.08.24:704200 Account Number___•__-__- - *Expenditure.must be charged to the app he ccount numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signature:-- Department Head Signature: (Total amount of contract? $5,000) City Administrator: (Equal to or greater than 25 00 or 10%) Funds appropriated for current fiscal year ~t / NO Finance Director (Equalto orgreat an $5,000) Date Comments: Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1,12/1/2014