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Home My WebLink About2015-325 CONT AMND - Xylem Dewatering Solutions CITY OF ASHLAND Pay Request November 3, 2015 From: Morgan Wayman - Senior Project Manager 70 ~ To: Accounts Payable Subj: TAP Waterline Intertie: PWE Project No.; 2008-08 Pay Request No. 5 (FINAL) Contractor: Xylem Dewaterii J P.O. Box 935152 /~`'f~ /a r,..' •~.~,f Atlanta, GA 3111 Original Contract Amount: $50,901.00' Change Orders to Date $7,886.00 Cry GG/~,/ Total Contract $58,787.00 Completed to date " $58,787.00 Prior Payments $50,453.00 Current Payment Request: $8,334.00 Amount to Pay $8,334.00 Total Retainage Held to Date $0.00 Remaining Contract Amount: $0.00 Project Title: TAP Waterline Intertie - Reservation/Rental - Summer 2015 Project Number: #2008-08 PO Number: #12863 Vender No. #017093 Please Pay Account No.: 670.08.15.00.704200 100.00% _ $8,334.00 PUBLIC WORKS DEPARTMENT Tel: 541-488-5347 20 E. Main Street Fax: 541-488-6006 pwa Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us cjNNco U-) U-) co r rrcp O' co O O O - 1 LO LO cl? Z CD N N N O O X-~ O Z O c\l ~ LO N N O O m co ID > O w. co o c. p m O U) < co "T ~ O (D ' z t- ~r M ~n a m CU n o 0 o ~ ❑ Q U' LO N = 0) Cl O O L1~ N (O ? = O O O L a N O r Q m O r r T O r ti X i Lj IM m m LO er d I~ Y J F, N r 7y O Q) O O O Q' 17:1 U O U (L' u I C ID 0 ('P' t~l1 O_ ' j y ` OL U O O ~I O 4-' ' o r_` U) C) . cn y J Q, O ~ Q. a Lo d, s ~ Z cd o 0) "M d N N CY) CD O' O U > O N Cc 00 04 NO a)O V la) LO ~N aic co D, N 0)00i C>>O ti4 V O=I,- rr Nv- .w m r- " O U ' s. O rn 00 °J Q O N -O ~1 LO ; N O O W i O p O: 0 U~ , , O N~ c U O O > R. O cu c~ LS) (06000 >,i~L O EA M 0Uc$SQ N ~ LO ca a) r E r- ~r CD Q O m LO = cn = - (L I•- O Z N U) LO _O O O X O:j O (6 W j! Lo rC3 . d O L co co Uj LO d CU (D Zf p o O, O O co N p 0- (i4 ~ ~ O C:1 V ~O O co O O f- O O U C O co J ~ O O C N ~U` is 3 wQ o, C7 c~ h U) W 04 LO S- O WU o rn Q> L6 U) IZ' L Q (n W U) 0 a a 2 c LO C? Q 0 r~ O N M O > Z - H M CD Z O E _0 :t-- V) 0°Q Q z w~ a) : o N U) o cnO -j° f-O N r ILr O r r r Q cY Page 1 / 1 CITY xJ~® OF SHL.1`ND /7/27/200,15 ;.•;a ::':i :a ~c>ES:P0:NUMBER:-. _ 20 E MAIN ST_ 5/ 12863 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 017093 smPTo: Ashland Public Works XYLEM DEWATERING SOLUTIONS INC, GODWIN (541) 488-5587 PO BOX 935152 51 WINBURN WAY ATLANTA, GA 31193 ASHLAND, OR 97520 POs Point: Ashland, Oregon Req. No.: Terms: Net Dept: Req. Del- Date: contact: Morgan Wayman Special Inst: confirming? NO . :U i, - . ::ii`•:is::':'_yi,•?:'f'~'::n"::~:i::':i:•:! ~.•::.:.J r.,.;,.,..d is ::i ~~.•.c:::=:.iLi:'-_ _ _ escr~ ton--::a:':, , 'il: 4uan6 Unit. _ .p i.. - - ~Unit-Pricei: Ext:;Price-- THIS ISAREVISED PURCHASE ORDER Reservation and rental fees for the 50,901.00 electric pump intended for use atthe TAP emergency pump station, Per attached quotation 125010725 Quote does not include: Rental rates for hoses and fittings, etc. Freight from Hubbard, Oregon to jobsite Equipment installation or labor costs Processed change order 06111/2015 Changed a/c from-67.0_08 18 00 704 200 to 670 08 15 00 SUBTOTAL 50 901.130 ELL, TO: Account Payable 3 Ga ' ~g. oo TAX 100 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 50,901.00 ASHLAND, OR 97520 : AccountNumberi;•=:::;.•? Amount";<°>::=' ceovntNgm6ei'.~ ` ~ ::Pio acE~Ni~mber:: ~>~•;:.-:=:::•::Amounft-:.:::.•: E 670.08.15.00.70420 E 200808.999 50 901.00 Auth zed Signature VENDOR COPY Page 1 / 1 CITY OF -AS H LAND DATE PO NUMBER 20 E MAIN ST. 7/1/2015 12863 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 017093 SHIP To: Ashland Public Works XYLEM DEWATERING SOLUTIONS INC, GODWIN (541) 488-5587 PO BOX 935152 51 WINBURN WAY ATLANTA, GA 31193 ASHLAND, OR 97520 FOB Point: Ashland, Oreqon Req. No.: Terms: Net Dept.: Req. Del. Date: Contact: Morqan Wayman Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Reservation and rental fees for the 50,901.00 electric pump intended for use at the TAP emergency pump station. Per attached quotation 125010725 Quote does not include: Rental rates for hoses and fittinqs, etc. Freiqht from Hubbard, Oreqon to iobsite Equipment installation or labor costs Processed chanqe order 06/11/2015 Chanqed a/c # from 670 08 18 00 704 200 to 670 08 15 00 704 200 Processed chanqe order 11/09/2015 ! 7,886.00 Additinal time required for reservation and pump rental fees for TAP temporary pump station. SUBTOTAL 58 787.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 58,787.00 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount E 670.08.15.00.70420 E 200808.999 58 787.00 Author'r#ed Signature VENDOR COPY FORM 910 CITY Of CONTRACT AMENDMENT APPROVAL REQUEST FORM S H LAN Request for a Change Order Name of Supplier: Xylem Total amount of this 4- contract amendment: Purchase Order Number: 12883 / Title 1 Description: Additional time required for Reservation and Pump Rental fees: $7,886.00 TAP temporary pump station ® Per attached contract amendment explanation Contract Amendment Original contract amount $50,901.00 100 % of original contract Total amount of previous contract amendments % of original contract Amount of this contract amendment $7,886.00 15.5 % of original contract TOTAL AMOUNT OF CONTRACT $58,787.00 115.5 % 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 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 5 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!-. $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 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 ❑ Exempt- Reason: ❑ Exem t- 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 :2008.08 Account Number: 670.08.15.00.704200 *Expenditure must be charged to the appropriat account numbers for the financials to reflect the actual expenditures accura~ Attach extra pages if needed. Employee Signature: G'L Department Head rgnature: (7"o[atar~o t? $5,000) City Administrator. (Equal to or greater than $25,000 or 10%) Funds appropriated for current fiscal year dQ/ NO Finance Director (Equal to orgreatc~than $5,000) T Date Comments: Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 11/3/2015 11/3/2015 This Purchase Order Amendment is to cover extra pump rental costs for additional rental time required for the operation of the TAP Temporary Pump Station during the summer of 2015. Original Purchase Order #12883: $50,901.00 Current balance = $448.00 Final Pay Request = $8,334.00 P.O. Amendment Request = $7,886.00