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Home My WebLink About2016-057 CONT Chg Order #2 - Minton Construction LLC CITY OF ASHLAND y CONTRACT CHANGE ORDER NO. 1 PROJECT: (~'l*:,.~Z ?1r DATE: j Z,(S-Z/ LOCATION: C-) PROJECT NO.: CONTRACTOR: ptj j You are requested to perform the following described work upon receipt of an approved copy of this document or as described b} the Engineer: Item No~ Description Quantity Unit Price Amount Item #1 Lc .1 Item #2 ' _„s+ux t- 0-i 1 Item #3 $ - Item #4 $ - Item #5 $ - Total this Change Order C.:- Previous Change Order L-, Original Contract Total Revised Contract Total $ PERCENT CHANGE OF ORIGINAL CONTRACT #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 contra will apply. Recommended By: '-4r /gyp P ject Manager Date Approved By: l Michael BI k Date Accepted By: Date ENGINEERING Tel 541-438-5347 '-0 E Main Street Fax 541-435-6006 Ashland- Oregon 97520 1 1 Y 800-735-2900 ashland or us C Lsers.minical Desktop`Change order fom xlsx 00, Minton Construction LLC CCB# 196124 1 608 W. Stewart Ave 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 Tear Out Entry Carpet Tile & Install $180.00 Floor Leveling Compound 1/19/16 ADDRESS 1175 E Main Ashland OR, 97520 PHONE 541-488-6002 SUBTOTAL $180.00 OTHER TOTAL $180.00 Thank you for your business! (pipe Plumbing LLC 201 Bateman Drive, #2 Central Point, OR 97502 US (541)821-8585 ipipepiumbingCa gmail.com http://www.ipipeplumbing.net ESTIMATE # 1295 DATE 03/11/2016 EXPIRATION DATE 05/11/2016 ADDRESS Richard Minton Please detach top portion and return with your payment. JOB SITE The Grove Ashland ACTIVITY QTY RATE AMOUNT 14 Plumbing 1 0.00 0.00 Plumbing change out aw box to a 3 comp sink 14 Plumbing 1 600.00 600.00 Plumbing 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 Proiect #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 Processed chanqe order 03/18/2016 780.00 Add sink in Restroom Remove entrvwav carpet and level SUBTOTAL 52 078.00 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 52,078.00 Account Number Project Number Amount Account Number Project Number Amount E 411.12.00.00.70410 E 000065.120 38 515.00 E 411.12.00.00.70410 E 000056.120 13 563.00 Authorized Signature VENDOR COPY FORM. #10 ' 4t-K_e4 a, LZ CITY OF CONTRACT AMENDMENT AP OVAL R QUEST FORM r equest for a Change Order RPASHLAND Name of Supplier 1 Contractor 1 Consultant: Total amount of this contract amendment: Purchase Order Number: Title/ Description: C,c ❑ Per attached contract amendment Contract Amendment 3 Original contract amount $ 100 % of original contract Total amount of previous contract amendments r~ 7 s•(.23 % of original contract Amount of this contract amendment ' ' o Ca0 % of original contract TOTAL AMOUNT OF CONTRACT $ , L` 'i : ~7, 1~3 % 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*--'-'-'(~f "NO", requires Council approval 1 Attach copy of CC.) Sourcing Method: S ALL PROCUREMENT - Less than $5,000 INVITATION TO BID or COOPERATIVE PROCUREMENT, QRF or "YES", the total amount of contract and cumulative R UEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 amendments :5 $6,000. "YES", the total amount of cumulative amendments ❑ "YES", th~ total amount of original contract and ❑ If "NO", amount exceeding authority requires s 25% of original contract amount or $250,000 cumulative amendments $100K for Goods & Services, Council approval. Attach copy of Council whichever is less. $75K fo~Personal Services, < $50K for Attorney Fees. Communication. ❑ If "NO", amount exceeding authority requires ❑J 'NO", amount exceeding authority requires Council ❑ Exempt-Reason: Council approval. Attach copy of Council 'lapproval. 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 K "YES", the total amount of cumulative whichever is less. requiring the contract amendment mendments 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 c, OO'? -1?& Account Number'4~(_ - - - - Account Number _ _ _ - _ _ - _ 'Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach ext pages if needed. Employee Signature. t:✓v~rt Department Head Signature: / (Total amount of contract>! $5,000) 6 City Administrator: (Equal to orgreater than $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, 3/15/2016