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HomeMy WebLinkAbout2003-152 CONT Chg Order #2/7/11 - LTM Inc CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS PROJECT: LOCATION: CONTRACTOR: CONTRACT CHANGE ORDER NO. 11 SISKIYOU BLVD/OTIA DATE: APRIL 30, 2003 SISKIYOU BLVD. / 3RD STREET PROJECT NO.: 99-38 (Schedule A) LTM INCORPORATED 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 CO It Item A Transplant two trees in the Gateway Lump Sum $143.00 $143.00 Original Contract $802,592.60 Total this Change Order $143.00 Previous Change Orders $10,980.58 Revised Contract Total $813,716.18 The time provided for completion of this contract is increased by no calendar days. This document shall become an amen,d~t~ the/c,)ontrac.~t an~ all provisions of the contract will appl~v. ! Recommended By:?~/~' ~/' ~.~/../~ /~//~/~_~ Eng'ineerc.~//.~.''~ .~-/.' Date / / Approved By: /E'~~ ~ ~'4''--~g'~eer ' Date;Z ,/~ _,/~.~. o Accepted By: LTM Incorporated PO Box 1145 Contractor Date ENGINEERING Tel: 541~88-5347 20 E. Main Street Fax: 541488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 w'ww ashland or. us \\COMPAQ l\DATA\GOV~pub-wrks/eng\dept-admin\E NGINE ER\PROJECT\1999\99-38 Sch A CO 11.doc LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Transplant two trees f/~-~ LABOR ~ DATE CLASS N~M~ HOURs HOURS Job No.: 02271-259 CT RATE Date: 7/8/2003 7/9/2003 TOTAES $0.00 LABOR TOTAL EQUIPMENT NO, HOURS 'RATE EQU PiTOTAL DATE DESCRIPTION MATERIALS UNIT DATE DESCRIPTION PRICE Discount MATERIAL TOTAL { $o.ool ToTA": $o.ool SERVICES / MISC. 06/30/03 Mountain View-transplant 2 trees $130.00 $13000 SERVICES TOTAL $130.00 Submitted by: Johr~t Accepted by: /, Costs Subtotal (no markup) Sub Contract Mark-up Sub Contract Mark-up Materials/Equipment/Labor Mark-up '""~/TOTAL AMOUNT DUE "Jr - Construction Superintendent ~,~//,,~ _,_.-_ Date: ,/0 J~' ~. O~ $130.00 10% $13.00 8% $0.00 15% $0.00 $143.00 CITY OF -ASHLAND A request for a Purchase Order REQUISTION FORM Date of Request THIS IS A REQUEST FOR A: [ X ] Change Order (existing PO# 3611 Schedule C) Required Date of Delivery/Service~ Vendor Name: LTM INCORPORATED Address: PO BOX 1145 City, State, Zip MEDFORD OR 97501 Phone: Project Title: ASHLAND STREET RECONSTRUCTION Project Number: 99-38 Solicitation Process: Exempt [ } 3 Written Quotes (copies Services Only Description Total Cost Siskiyou Blvd/Ashland St Reconstruction Project $ 660,266.62 Original Contract Cost Change Orders 1 through6 $ 31,987.62 Pdor Change Orders Change Order 7 Items Below ($5,976.80) Additonal Arrowboard on Ashland Street $ 5,750.00 item A Additonal wire to controller on Ashland Street $ 226.80 Item B $ 698,231.04 Account Number 260.08.12.00.704200 G Pubwrks\Eng\99-38 LTM CO 7 Sci C Requisition xls Updated on: 7/15/02 CITY OF SHLAND CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS ASHLAND STREET REDESIGN ASHLAND STREET CONTRACT CHANGE ORDER NOS. 7 DATE: JULY 15, 2003 PROJECT NO.: 99-38 PROJECT: LOCATION: CONTRACTOR: LTM INCORPORATED 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 CO 7 item A Additional arrowboard for Ashland St. Lump Sum $5,750.00 $5,750.00 Item B Add wire to controller on Ashland St. Lump Sum $226.80 $226.80 Original Contract Cost $660,266.,62 Total this Change Order $5,976.80 Previous Change Order $31,987.62 Revised Contract Total $698,231.04 The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment/t~ the contract and all provisions of the contract will apply. Approved By: E/n~y~''/-~-n~e( Date26 J~- ,~ ~ Accepted By: LTM Incorporated PO Box 1145 Medford OR 97501 Contractor Date ENGINEERING Tel: 541488-5347 20 E. Main Street Fax: 541~.88-6006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us G:\pub-wrks\eng/dept-admin\ENGINEER\PROJECT\1999\99-38 LTM Sch C CO 7~doc LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Additional Arrowboard LABOR Job No.: Date: DATE I CLASS NAME ST OT ST OT HOURS HOURS RATE RATE I LABOR TOTAL 02271-233 3/11/2003 7/8/2003 ToTALs $o.ooI EQUIPMENT DATE DESCRIPTION EQUIP. NO. NO. OF TOTAL HOURS RATE I EQUIP. TOTAL $0.00 MATERIALS DATE UNIT PRICE DESCRIPTION QTY. UNIT Discount MATERIAL TOTAL ;ERVlCES / MISC. TOTAL $0.00 INVi DATE DESCRIPTION NO~ AMOUNT TOTAL 03/01/03 Hertz-Arrowboard 4331036 $512.00 $512.00 03/13/03 Her~.-Arrowboard 4331036 $640.00 $640.00 03/28/03 Her[z-Arrowboard 4331036 $512.00 $512.00 04/21/03 Hertz-Arrowboard 4431056 $640.00 $640.00 04/25/03 Hertz-Arrowboard 4331036 $512.00 $512.00 05/19/03 Hertz-Arrowboard 4431056 $640.00 $640.00 05/23/03 Hertz-Arrowboard 4331036 $512.00 $512.00 06/16/03 Hertz-Arrowboard 4431056 $640.00 $640.00 06/25/03 Hertz-Arrowboard 4431056 $392.00 $392.00 I SERVICES TOTAL $5,000.00 Costs Subtotal (no markup) $5,000.00 Service Mark-up 15% $750.00 Materials/Equipment/Laborer Mark-up 0% $0.00 Submitted by: Accepted by: / TOTAL AMOUNT DUE t~-~ Construction Superintendent Date: IO Jo ~. o"-~ $5,750.00 LTM Incorporated Time and Materials Billing Summary Project Name: Description of work: LABOR SISKIYOU BLVD. Add wire to controller Job No.: 02271-424 Date; 07/08/2003 07/08/2003 TOTA~S LABOR TOTAL $0.00J EQUIPMENT DATE DESCRIPTION EQUIP. NO. OF I NO: HOURS PATE EQU P: T(~TAL TOTAL I $0.°01 MATERIALS DATE UNIT Discount MATERIAL TOTAL $0.00 SERVICES / MISC. 0~TE DESC~i~ION 06/30/03 Mt. View Landscaping-add wire to ~ontroller NO. [AMOUNtI / $21°'°°1 /SERVICES TOTAL ;TOTAL $210.00 $210.00 Costs Subtotal (no markup) $210.00 Labor Mark-up $0.00 Materials/Equipment/Services Mark-up $0.00 Sub Contract Mark-up 8% $16.80 Submitted by: Accepted by: Loti,t~t~ Jr - C~nstruction TOTAL AMOUNT DUE Superintendent Date: /~ J~ c ~ '~ $226.80 CITY OF -ASHLAND A request for a Purchase Order REQUISTION FORM Date of Request: THIS IS A REQUEST FOR A: IX ] Change Order (existing PO# 3611 Schedule D) Required Date of Delivery/Service Vendor Name: LTM INCORPORATED Address: PO BOX 1145 City, State, Zip MEDFORD OR 97501 Phone: Project Title: SISKIYOU BOULEVARD RECONSTRUCTION Project Number: 99-38 Services Only Solicitation Process: [ ] Exempt ] 3 W~itten Quotes (copies Description Total Cost Change Order No. 1 $ 358.00 Prior Change Order Drain line for bus shelter on GaHield Street $ 604.42 Change Order 2 $ 175,562.42 REVISED CONTRACT Account Number 260.08.12.00.704200 Employee Signature: /~/Y~ Supervisorl Dept. Head Signature: NOTE: Sy signing this 're(~uistiion fofT~certi~l~a the above request meets with Ctly of Ashland Solicitlatlon process requireme~s and can be provided when necessary G:Pubwrks\Eng199-38 CO 2 Sch D Requisition xl$ Updated on 7/15/02 CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS PROJECT: LOCATION: CONTRACTOR: CONTRACT CHANGE ORDER NO. 2 SISKIYOU BOULEVARD CONSTRUCTION DATE: JULY 15, 2003 SISKIYOU BOULEVARD PROJECT NO.: 99-38, SCDL D LTM INCORPORATED 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 CO 2 Drain line for bus shelter on Garfield Street Lump Sum $604.42 $604.42 Original Contract $174,600.00 Total this Change Order $604.42 Previous Change Orders $358.00 Revised Contract Total $175,562.42 The time provided for completion of this contract is increased by no calendar days. This document shall become an amendmen~to t,he contract and all provisions of the contract will apply. Engl,~,~~ Date Approved By: E ~(ne~ Date Accepted By: LTM Incorporated PO Box 1145 Medford OR 97501 Contractor ~- '"'" Date ENGINEERING Tel: 5414884347 20 E. Main Street Fax: 5414884006 Ashland, Oregon 97520 TT?: 800-735-2900 www,ashland.or.us G:\pub-wrks\eng\dept-admin\ENGIN E ER\PROJ ECT\1999\99-38 CO Sc D 2doc LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. D Job No.: 02271-603 Description of work: Drain line for bus shelter on Garfield St Date: 4/17/2003 LABOR 7/8/2003 ST OT ST Ot DATE CLASS NAME : HOURS HOURS RATE RATE TOTALS 04/18/03 Laborer Fay 6.00 27,74 $166.44 04/18/03 Laborer Luster 4.00 27.74 $110.96 04/18/03 Foreman Easter 2.00 32.94 $65.88 LABOR TOTAL $343.28 EQUIPMENT DATE DESCRIPTI°N 04/18/03 1/2 ton pickup I EQUIP NO. OFI 20rNT~©..._ HOURSI RATE 2.00 $8.251 EQU P. TOTAL TOTAL $i6.5oI I $16-5°1 MATERIALS DATE 04/18/03 DESCRIPTION United Pipe-4" pipe, attachments QTY. UNIT LIS UNIT I PRICE Discount $165.80 MATERIAL TOTAL TOTAL $165.80 $165.80 SERVICES / MISC. DATE DESCRIPTION INV,No, AMOUNT I TOTAL SERVICES TOTAL[ $0.00 Costs Subtotal (no markup) $525.58 Labor Mark-up 15% $51.49 Materials/Equipment Mark-up 15% $27.35 Submitted by: Accepted by: TOTAL AMOUNT DUE ~¢'~'~ '// nSu erin n nt Joh.~.ti'to,(~-Co~tructio p 'te de /~ Date: /' -&'g- ',.~ $604.42 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER'S COPY DATE 07/01/2003 Page 1 / 2 PO ~MBER I 03~11 j VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net lOth of Month Req, Del. Date: 09/09/2002 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Quantity I Unit Description UnitPrice F-xt, Price THIS IS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER Contract for the Siskivou Blvd Redesign 802 592.60 ProieCt 99-38B. Th s requ s t on s applicable to Bid Schedules A C, & D only, 13i(I sChedule B will require a separate requisition. Bid S~heduie A: ' Bid Schedule C - 660,266.62 Bid Schedule D ~ 174,600100 Contract date: Auqust 28, 2002 : : Startdate: SeDte~ber 9 2002 Completion date: March 2003 ,, Insurance requ red/On fie ' Revised purchase order 01-22-2003· 18,000.00 >' : Change Order No. 1 CTB Excavation & Haul Away :; ReviSed PurchaSe order 01-22-2003 13 964.08 Change Order No. 2, Multiple Proiects, See attached st. Revised purchase order 02-11-2003 960·00- ScbedU e C Change Order No. 3 - Siqn Post Credit Change Order NO. 4 - Bi-Directiona 970.10 Markers SUBTOTAL BILL TO: TAX FREIGHT TOTAL E 260.08.12.00.704200 1,687,507.64 Authorized Signature VENDOR COPY CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 o7/oli?OO3 Page 2 / 2 ~ ~UM~E~ 03611 _ [ VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net 10th of Month Req. Del. Date: 09/09/2002 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Quantity U~it Description Unit Price F-xt, Price Change Order No. 5 1 457.69. : (A) Bi~ Ite~ 37 Arr°ws Markin~ (B) Bid I!em 38 Bicycle Lane Stencil ~C) Bid I~tem 39 Lne Markings Change Order No. 6 - Joint Seal Bridge 1 471.13 : , ReviSed purchase order 04/08/2003 9,955.57 Schedule A Chah~e orders N0, 1 to9 Please see attached for descriptions of Chan.q~ 0rders ~1 thr°u.qh 9, Revised purchase order 05/13/2003 1,023.01 Sch~dbleA Change Order No. 10, Items A & B R~yised purchase order 05/13/2003 358,00 Schedule D Change Order N~. ;I Revised purchase order 08/01/2003 143.00 ScheduleA Change Order #11 ReViSed PUrChase order 08/0'1/2003 5,976,80 Schedule C iChan.qe Order #7 Revised purchase order 08/01/2003 604.42 ': SCbed:ute D Change Order #2 SUBTOTAL 1,687,507.64 HILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 1,687,507.64 ASHLAND, OR 97520 ~.uthorized Signature VENDOR COPY CITY OF --ASHLAND A request for a Purchase Order REQUISTION FORM Date of Request THIS IS A REQUEST FOR A: tX ] Change Order (existing PO# 3611 Schedule A) Required Date of Delivery/Service~ Vendor Name: LTM INCORPORATED Address: PO BOX 1145 City, State, Zip MEDFORD OR 97501 Phone: Project Title: SISKIYOU BOULEVARD RECONSTRUCTION Project Number: 99-38 Services Only Solicitation Process: [ ] Exempt [ ] 3Wr~er~ Quotes (copies Description Total Cost Siskiyou Blvd/Ashland St Reconstruction Project $ 802,592.80 Original Contract Cost Change Orders 1 thru 10 $ 10,980.58 Change Order 11 - Itemized Below Transplant two trees in the Gateway $ t43.00 co 11 ItemA $ 813,716.18 REVlSED CONTRACT Account Number 260.08.12.00.704200 Employee Signet ure: ~/////~ ~ ~Plu~iearvit~iiilh~e~n:ir~le!la~igC~itariltr~idlnsuranceCe~~ G:Pubwrks\Eng\99-38 CO ~ 1 Sch A Requisition xls Updated on: 7/15102