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Home My WebLink About2016-259 CONT Chg Order #1 - VSS International I I CIT'Y' OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 1 PROJECT: 2016-08 Street Slurty Seal Project DATE: .69/06116 LOCATION: Ashland PROJECT NO.: :201 6=08. CONTRACTOR: VSS International Inc. You are requested to perform the following described work upon receipt of an approved copy of this document or as described by the Engineer: Item No,'' Descrpttan Quantity Unit Price Atnourt sq=yd. Item #I Additional Slurry Seal s - d 323.14 $2 $ : 646.28 Item #2 $ Item #3 Item #4 Item #5 $ Total this Change Order 646.28 Previous Change Order $ Original Contract Total 143,000.00., Revised Contract Total 143,646.28 PERCENT CHANGE OF ORIGINAL CONTRACT 0.4% The time provided for completion of this con ct is increased by no cal n days. This document shall become an amendment to the contract and all provisions of the contract w' apply. Recommended By: ~-7 treet Supervisor Date Approved By: r-- Public Works Director Date Accepted By: - VSS International Date 20 E, Mn Si ed Tel: 541-498-5347 WW~ 20 F. Main Sired Fax; 541-368-5006 Astdwd, Oregon 97520 C['Y: 800-735-2900 w+aw-"dxA,01.us G,* -wrk&%U01b Projtd Yee 16-0$ 2016 Stuffy ScWi Adrninl W08 2016 Street ShM Sra Projed.xisx Purchase Order Fiscal Year 2017 Page: 1 of: 1 _-Nu B City of Ashland I ATTN: Accounts Payable L 20 E. Main Purchase L Ashland, OR 97520 Order # 37 T Phone: 541/552-2010 O Email: payable@ashland.or.us V VSS INTERNATIONAL H C/O Public Works - Operations E PO BOX 981330 I 90 North Mountain Ave. N WEST SACRAMENTO, CA 95798 P Ashland, OR 97520 D Email: JEFF.ROBERTS@SLURRY.COM Phone: 541/488-5353 O O Fax: 541/552-2329 RIMINI - TAMI DEMILLE CAMPOS 07/20/2016 2110 FOB ASHLAND OR City Accounts Payable STREET SLURRY SEAL 1 2016 Street slurry seal 1 143,000.0000 $143,000.00 Public Im rovement Contract Project No 2016-08 Approve dpby council 06/21/16 Contract Effective 07/20/16 for 30 days after contractor is notified to proceed. 2 ADDED: Processed change order 09112/2016 1 $646.2800 $646.28 Additional Slurry Seal Per Change Order No. 1 GL SUMMARY 081200 602400 $143,646.28 By: Date: Mon 1TV $143,646.28] Authorized Signature FORM #lo r fP; CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLA D Requestlor a Change Order Name of Supplier 1 Contractor I Consultant: VSS International Total amount of this contract amendment: Purchase Order Number: 37 Title / Description: 2016 Street Slurry Seal $646.28 [a Per attached contract amendment Contract Amendment Original contract amount $ 143,000.00 100 % of original contract Total amount of previous contract amendments 0 0 % of original contract Amount of this contract amendment 646.28 .40 % of original contract TOTAL AMOUNT OF CONTRACT $ 143,646.28 100.40 % 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 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 $6,000. ® "YES", the total amount of cumulative amendments ❑ "YES", the total amount of original contract and ❑ If "NO", amount exceeding authority requires 25% of original contract amount or $250,000 cumulative amendments $100K for Goods & Services, 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:5$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 < 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 copy of Council Communication. ° ~ ~y14 Ct~ T Project Number _ _ _ _ _ _ - _ _ _ Account Number 260.08.12.004WOe-- Account Number *Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Attach tpges p if needed. Employee Signature: k ; VVV~ ~ h " epartment Head Signature: - - (Total amount of contract $5,000) City Administrator: (Equal to or greater than $25,000 or 105/o) Funds appropriated for current fiscal year YES / NO 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, 9/8/2016