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Home My WebLink About2016-051 CONT Chg Order #1 - Minton Construction LLC CITY OF ASHLAND CONTRACT CHANGE ORDER NO. I PROJECT: DATE: CL~ LOCATION: PROJECT NO.: CONTRACTOR: /Irl ; },4„ Co.4s4-faZ4-,~.W% You are requested to perform the following described work upon receipt of an approved copy of this document or as described by the I'.ri inter: Item No. Description Quantity Unit Price Amount Item # 1 11 t, V00 14w~ 30x / 1$ -goo vo , c~v Item #2,►u, s ~~SU CArs -E ;.~F.11 1 3~ $ / y'35~-~ Item #3 $ - Item #4 $ - Item #5 $ - Total this Change Order $ a7 3 s~ - bu Previous Change Order $ - Original Contract Total S10:5 W Revised Contract Total PERCENT CHANGE OF ORIGINAL CONTRACT .5,-, o/G #DIV/0! 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 contrac will apply. Recommended By:2 G r Pr ject Manager Date Approved By: V ! Michael Black Date Accepted By: ` 2' Date l 7 ~ ' f V 20 E MaERI\et Tel Sd1--188- ~.,t ?0 E Stain Street Fax. 541--388-600 6006 :Ashland. Oregon 975'_0 TTY 800-735-2900 %v~v~cashland or us C 1 scrs`minical AppData Local`%licrosoft`windotis'Temporarv Intemet Files,Content Out look '0066w028`Prolect Accounting, worksheet and PaNment Alemo Template ( 7) \ IS\ Minton Construction LLC CCB# 196124 1 608 W. Stewart Ave I Medford OR, 97501 Rick 1 541-261-1376 1 rm28640@gmail.COM CUSTOMER QUANTITY DESCRIPTION SUB AMOUNT DESCRIPTION City Of Ashland Purchase Order # 000056.120 The Grove & Pioneer Interior Remodel The Grove Change Order DATE Water Damage Repair Under Exterior $600.00 Window In Conference Room 1/19/16 Construct Chase For Electrical & Data @ $200.00 Vestibule ADDRESS 1175 E Main Ashland OR, 97520 PHONE 541-488-6002 SUBTOTAL $800.00 OTHER TOTAL $800.00 Thank you for your business! Ror ueValle AGREEMENT Electric Servicing all your electrical needs P.O. Box 475 Phoenix, OR 97535 CCB #51466 PH. / FAX (541) 512-0530 To: Date: 1/26/16 Rick Minton Construction Project Name: Change Order 608 West Stewart Ave Address: Same Medford , OR 97501 Phone: 541-261-1376 E-Mail rm28640(Dgmail.com E-Mail minicae(&ashland.or.us Schedule for Completion of Work: Fax: Approximate Starting Date: Approximate Ending Date: Description of Work: Additional electrical work requested to the Grove renovation project: #1 Installation of 12 CATS-E lines from IT room to three desk locations on wood framed common wall. #2 Installation of low voltage PVC chaseway from T bar ceiling to IT room. #3 Installation of two 1" chaseways from desk locations on window wall to T bar ceiling. #4 Installation of one 1" chaseway from entry desk to attic space above music room. #5 Installation of one 2" EMT chaseway from wood framed division wall to attic space above music room. #6 Provide 2" D Rings for above division wall. #7 Installation of a concrete floor box with brass cover in office space. Provide 120 volt receptacle and chaseway for low voltage wiring. Payment Schedule: Owner will pay the Contractor the sum of $1,935 in installments as follows: Date Amount of Work / Services to be Performed Amount of Payment Upon completion of electrical work $1,935 Terms and Conditions: The terms and conditions on the reverse side of this document are expressly incorporated into this Agreement. Exceptions: Special Provisions: Additional electrical work requested by electrical inspector to be billed at $78 per man hour plus materials. Acceptance of Agreement: Authorized Signature Date Owner Signature Date Additional Agreement Provisions on reverse Page 1 / 1 ASHLAND PARK COMMISSION 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 1/13/2016 00527 (541) 488-5300 VENDOR: 004711 SHIP TO: MINTON CONSTRUCTION LLC 608 W STEWART AVENUE MEDFORD, OR 97501 FOB Point: Req. No.: Terms: net Dept.: Req. Del. Date: Contact: Michael Black Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER Renovate The Grove, 1195 E. Main Street 35,000.00 Protect #000065.120 Renovate Parks Office, 340 S. Pioneer 13,563.00 Proiect #000056.120 Processed chanqe order 03/3/2016 2,735.00 Repair water damaqe $800.00 Additional electrical work $1,935.00 SUBTOTAL 51 298.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 51,298.00 Account Number Project Number Amount Account Number Project Number Amount E 411.12.00.00.70410 E 000065.120 37 735.00 E 411.12.00.00.70410 E 000056.120 13,563.00 2~ . r 311 Authfdrized Signature VENDOR COPY Qom! ,/J, FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM Request for a Change Order ASHLAND Name of Supplier/ Contractor/ Consultant: Total amount of this contract amendment: Purchase Order Number: i~ Title 1 Description: t~~kr=~1 tea}'~^ De-" Q- $ 2,-735-.c>6 ❑ Per attached contract amendment Contract Amendment Original contract amount $ ~J 5 100 % of original contract Total amount of previous contract amendments b O % of original contract Amount of this contract amendment `7 3S S, ~3 % of original contract TOTAL AMOUNT OF CONTRACT $ 1-1:2,949 % of original contract In accordance with OAR 137-047-0800: 1) The amendment is within the scone 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 I 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 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 ❑ 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 Numbero o &K>105' _ ! Zn Account NumberV/ -40 - C'0-_76#1b0 Account Number _ _ - - - _ - _ *Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach extra pages if needed. Employee Signature: ac~m G2uutt,.~ Department Head Signature: l (Total amount of contract? $5,000) City Administrator: (Equal to orgreater th $2 ,000 or 10%) Funds appropriated for current fiscal year YE I NO 7/ Finance Director (Equal to or greater than $5,000) 'Date Comments: Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 1/25/2016