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