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Home My WebLink About2018-063-Public Works Change Order-Lithia Springs CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CHANGE ORDER CONTRACT CHANGE ORDER NO. 1 PROJECT: Lithia Springs Wetland Remediation & Mitigation DATE: 05/04/18 LOCATION: Lithia Springs Property/Ashland Gun Chub PROJECT NO.: 200907-999 CONTRACTOR: Henderson 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. Description Quantity Unit Price Amount Item #1 Grading, surplus fill provided by COA 1 $ 491.10 $ 491.10 and AGC Item #2 Tracer Wire on Perf Pipe/Drainage 1 $ 78.45 $ 78.45 Item #3 Furnish & install 110-linear foot French 110 $ 11.79 $ 1,296.90 drain Item #4 $ - $ - Item #5 $ $ - Total this Change Order: $ 1,866.45 Previous Change Order: $ - Original Contract Total: $ 211,020.00 Revised Contract Total: $ 212,886.45 PERCENT CHANGE OF ORIGINAL CONTRACT: 0.9% 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 contract will apply. Recommended By: Project ger Date J l )l Accepted By: ( / ( Cam! Contract Date Approved By: !t'!LA~ Pit Works Di ctor Date ENGINEERING 20 E. Main Street Tel: 541-488-5347 Ashland, Oregon 97520 Fax: 541-488-6006 wwm ashland.or. Lis TTY: 800-735-2900 , FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ~S ~ /~11 D Request for a Change Order Name of Supplier 1 Contractor 1 Consultant: Henderson Total amount of this contract amendment: Purchase Order Number: 20181308 Title I Description: Ashland Gun club $ 1866.45 ■W Per attached contract amendment Contract Amendment Original contract amount $ 211020.00 100 % of original contract Total amount of previous contract amendments 0 0 % of original contract Amount of this contract amendment 1866.45 9 % of original contract TOTAL AMOUNT OF CONTRACT $ 212886.45 109 % 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 affect2"Wa d-d'Gontract. Contract amendment is within the scope of procurement: YES NO' ■ ! (If "NO", requires Council approval 1 Attach copy of CC.) Sourcing Method: r 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 s $6,000. 9 "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, 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 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 copy of Council Communication. Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number 2 0 0 9 0 7- Account Number 0 3 2 2 0 0. 7 0 4 2 0 0 $ 1, 8 6 6, 4 5 Project Number Account Number Project Number Account Number Employee Signature:0CA M+LPd D Department Head Signature: z~,~ a Z~rrr~ ;TTotal amount of"eontract 2: $5,000) City Administrator: (Equal to or greater than $25,000 or 10%) Funds appropriated for current fiscal year: t, ES 1 NO ` ° - 011 t Fi Ce Direct (Equal to orgreaterthan $5,000) ate Comments: F Form #10 - Contract Amendment Approval Request Form, Request for a Change Order, Page 1 of 1, 3/15/2018 Purchase Order Fiscal Year 2018 Page: 1 of: 1 THI ' PO NUMBER MUST APPEAR ON ALL:. INVOICES, AND SHIPPING DOCUMENTS. B City of Ashland _ I ATTN: Accounts Payable Purchase v L 20 E. Main 20181308 Ashland, OR 97520 Order # T Phone: 541/552-2010 O Email: payable@ashland.or.us V S C/O Public Works Department E HENDERSON, LLC H 200 N STATE STREET 1 51 Winburn Way D SUITE 103 P Ashland, OR 97520 O LAKE OSWEGO, OR 97034 Phone: 541/488-5347 R TO Fax: 541/488-6006 Ka lea Kathol a--r e $parrment/Locatlon 04/23/2018 2056 FOB ASHLAND OR/NET30 Cit Accounts Pa able Jtern# _e, t 007 T TTW~ - Unit Price Extended Per= Earthwork at Gun Club 1 Earthwork and landscaping at Ashland Gun Club 1 211,020.0000 $211,020.00 Public Improvement Contract for Ashland Gun Club Wetland Remediation & Mitigation Project Completion date: 120 Calendar days following Contractor's receipt of the Project Account: E-200907-999 2 ADDED: Processed change order 05/09/2018 1 $1,866.4500 $1,866.45 Change Order No. 1 Project Account: E-200907-999 GL SUMMARY 030022 00 200 - 704200 $1,866.45 032 Date: A thoriz signature PQ Total _ $212,886.45