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HomeMy WebLinkAbout2004-069 CONT Chg Order #1 - Adroit Construction CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. I T-HANGAR CONSTRUCTION ASHLAND MUNICIPAL AIRPORT PROJECT: LOCATION: DATE: PROJECT NO.: MARCH 9, 2OO4 03-37 CONTRACTOR: ADROIT CONSTRUCTION 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 1 Builders Insurance Coverage Lump sum $500.00 $500.00 Original Contract Amount Total this Change Order Previous Change Order Revised Contract Total $349,476.00 $500.00 $349,976.00 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. Approved By: _ Accepted By: Contractor: Date Date Date Thomas Walker, PE Adroit Construction PO Box 609 Ashland OR 97520 ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541-488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us \\COMPAQl\DATA\GOV~pub-wrks\eng\dept-admin\ENGINEER\PROJECT~2003\03-37 Ch Od 1,doc CITY OF ASHLAND 20 E MAIN ST. ASHLAND, (DR 97520 (541) 488-5300 CITY, ,ECORDER S COPY DATE 03/04/2004 Page 1 PO NUMBER 04893 VENDOR: 000013 ADROIT CONSTRUCTION, INC P O BOX 609 ASHLAND, OR 97520 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net Req. Del. Date: 02/23/2004 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? NO Quantity Unit Description Unit Price Ext. Price THIS iS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER T-Han.qer Construction at the Ashland 349,476.00 Municipal Airport, Proiect No. 03-37 BID Date of contract: 02/12/2004 Be.qinnin.q date: 02/23/2004 Insurance required/On file Revised purchase order 03/26/2004 500.00 Chan.qe Order No. 1 Builders Insurance Covera.qe *** This is a chanqe order. *** SUBTOTAL 349,976.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 349,976.00 ASHLAND, OR 97520 Account Number : Amount Account Number Amount E 280.08.00.00.704100 349,976.00 (~8~drize8 signature VENDOR COPY MAR 4 2004 CITY OF -ASHLAND NOTICE OF TRANSMITTAL TO: KARl OLSON DATE: PURCHASING PROJECT: JOB NO.: SUBJECT: MARCH 22, 2004 T-HANGAR CONSTRUCTION 03-37 CHANGE ORDER NO. 1 THE FOLLOWING ITEMS ARE BEING SENT TO YOU: Please find attached change order number one for Adroit Construction's T-Hangar Contract. Please reflect this addition to the purchase order as soon as possible. ENCLOSED /../"J UNDER SEPARATE COVER REMARKS: COPIES TO: Department of Public Works By: Dawn Lamb Title: Administrative Assistant PUBLIC WORKS Tel: 541-488-5587 20 E. Main Street Fax: 541488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT~2003\03-37 CO IH NOT 3 04,doc A request for a Purchase Order REQUISTION FORM THIS IS A REQUEST FOR A: [ ] Change Order (existing PO# ) CITY OF SHLAND Date of Request: I 03/:~5/2004 Required DateofDelivery/Service:lASApii!i!iii!!:iii?iiiiiit Vendor Name: Address: City, State, Zip Phone: Project Title: Project Number: ADROIT CONSTRUCTION PO BOX 609 ASHLAND OR 97520 482-4098 T-HANGAR CONSTRUCTION AT THE ASHLAND MUNICIPAL AIRPORT 03-37 Solicitation Process: Exempt ] 3 Written Quotes (copies attached) Sole Source X ] Invitation to Bid (copies on file) Less than $5000 ] Request for Proposal (copies on file) Services 0nly Description Total Cost $ 349,476.00 Original Contract Cost Change Order No. 1 Builders Insurance Coverage $ 500.00 Prior Change Orders Change Order Amount $ 349,976.00 REVISED CONTRACT Account Number Z_~. _~_~,~ (~(~, 7~.3/~ *P/ease attach the Origina/ signed contract and/nsurance Certificates Account Number E mployeeSignature: % ~----,-..---~,~----"~ Supervisor/Dept. Head Signature: NOTE: By $igning t~ui$tii~n ~rr;i~ ~ certi~ tha the ab~ve r~que$t meets with Ctiy ~f Ash~and $~ici~iati~n Pr~ce$s r~quir~ts~nd can be pr~vided when nece$saty~ G:Pubwrks\Eng\03-37 Adroit CO No 1 .xls Updated on: 7/15/02