HomeMy WebLinkAbout2008-067 CONT Chg Order #2 - Pilot Rock Excavation
CITY OF ASHLAND L
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER ~HY 0', f\sh land
PROJECT:
LOCA nON:
2007 Misc. Utility Project
A Street Sanitary Sewer Replacement
DATE: 04/29/08
PROJECT NO.: 06-21
CONTRACTOR: Pilot Rock Excavation, 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. Description Quantity Unit Price Amount
Item #1 Signs & Posts Lump Sum - $493.62
Concrete Extras (Crosswalk,
Item #2 "High Early", Colored Concrete) Lump Sum - $5,650.00
Additional Storm Drain
Item #3 Replacement Lump Sum - $1,181.00
Item #4 8-in Waterline Replacement Lump Sum - $27,360.00
Additional HMAC for Driveway
Item #5 Approaches Lump Sum - $1,383.00
Total this Change Order
Previous Change Order
Revised Bid Schedule HB" Total
Revised Overall Contract Total
$36,067.62
$634,766.12
$877,903.62
Approved By:
The time provided for completion of this contract is increased by no calendar days.
become an amendment to th~ and all provis~Lhe contract will apply.
Recommended By: / ~ - ~............---
Engineer
Engin~ ~!/l)L--
This document shall
5~Ae
Date
S'/1/CJg
Date
Accepted By:
Pilot Rock Excavation, Inc.
650 E. Pine Street, Suite 102B
C~.t, OR 97502
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Contractor
+/Z9fr8
Date
ENGINEERING
20 E. Main Street
Ashland, Oregon 97520
Tel: 541-488-5347
Fax: 541-488-6006
TTY: 800-735-2900
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T & M for 12" HOPE SO Install
Item Quantity Unit Unit Price TOTAL
1 Excavation 3 HR 135 405
2 Loader 1 HR 100 100
3 Labor (man hours) 7 HR 48 336
4 Femco 12" Cone. x 12" HOPE 2@ 65 130
5 Trucking & Dump Fees LS 210
TOTAL 11811
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OF ~~ INC
CANTEL OF MEDFORD, INC.
3981 CRATER LAKE HWY.
MEDFORD, OREGON 97504
(541) 773-2765
DO NOT PAY FROM THIS CONTRACT.
AN INVOICE WILL BE MAILED FOR ACCT'S.
RENTALS ARE PER CALENDAR DAY NOT 24 HR DAY
CONTRACT
P?a.GE 1
CONTFU\CT NO
CONTRACT TYPE
CUHRENT DATE
EMPLOYEE
S.130592-~l)0
PDS
4:1 8/08
CHAIG
16.00
$ 465.00
BILL
Receipt of the equipment listed above is hereby acknowledged. I have inspected each piece and item of the equipment and
acknowledge that the same are in good working condition and order. I agree to use them in a safe, careful and workmanlike manner
and to hold the owner and/or lessor of the equipment harmless from any and all claims for any accident or damage resulting directly
or indirectly from the equipment until the equipment has been returned to the owner/lessor. I agree not to loan, sublet, mortgage or
in any manner dispose of the equipment to any person without the written consent of the owner. I agree to pay any and all costs that
may be incurred by owner/lessor in recovering possession of the equipment in event the equipment is not returned by me.
1 Y2% per month will be charged if not paid within 30 days from 1 st billing.
I have read this agreement for rentals and agree to return the equipment above listed in good condition togethe
with the payment of rental charges due. An extra charge will be made for equipment unreturned.
CANTEL OF MEDFORD INCORPORATED does not guarantee continuous operation of its equipment.
MINIMUM CHARGE $15.00
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APR 2 g 2008
City or
Field 01 Office 0 coun
CUSTOMER SIGNATURE (RENTER OR AUTHORIZED AGENT)
Than/( :You
, .
~ana
.--....-----------~_., -,.--.-...-. -------------- -.-~.-.----~ r--_._
~[b
OF ~t INC
CANTEL OF MEDFORD, INC.
3981 CRATER LAKE HWY.
MEDFORD, OREGON 97504
(541) 773-2765
DO NOT PAY FROM THIS CONTRACT.
AN INVOICE WILL BE MAILED FOR ACCT'S.
RENTALS ARE PER CALENDAR DAY NOT 24 HR DAY
CONTRACT
CONTRACT. NO:
CONTRACT TYPE:
CURRENT DATE:
EMPLOYEE:
PAGE 1
S 130594 - 0~)
pas
4/ B/eJB
JUDY
28.f.i2
0.00
$ 2.8. 62
BILL
Receipt of the equipment listed above is hereby acknowledged. I have inspected each piece and item of the equipment and
acknowledge that the same are in good working condition and order. I agree to use them in a safe, careful and workmanlike manner
and to hold the owner and/or lessor of the equipment harmless from any and all claims for any accident or damage resulting directly
or indirectly from the equipment until the equipment has been returned to the owner/lessor. I agree not to loan, sublet, mortgage or
in any manner dispose of the equipment to any person without the written consent of the owner. I agree to pay any and all costs that
may be incurred by owner/lessor ;n recovering possession of the equipment in event the equipment is not returned by me.
1 Y2% per month will be charged if not paid within 30 days from 1 st billing. r.,j ~= l""'" /,;,: ~ \ '!;:::
I have read this agreement for rentals and agree to return the equipment above listed in good condition togethet I L \...1 ri- i V C
with the payment of rental charges due. An extra charge will be made for equipment unreturned. .
CANTEL OF MEDFORD INCORPORATED does not guarantee continuous operation of its equipment. AI?R 2. B 20iJ8
MINIMUM CHARGE $15.00
w.:JZ{-~'~ fi-JJ2 V--
CUSTOMER SIGNATURE (RENTER OR AUTHORIZED AGENT)
rrlianf( ~OU
Cl'ry' nr ~~~':1nfl
i 'v ~ ., ~ I. .,:.' .' :...J
Field [] Office 0 Coun
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C!TY RECORDER
Page 1 / 1
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
11/9/2007
PO NUMBER
07930
VENDOR: 010462
PILOT ROCK EXCAVATION
650 E PINE STREET SUITE 102B
CENTRAL POINT, OR 97502
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Tenns: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Jim Olson
Confirming? No
Q(Jantitv Unit Description UnitPrice ElU. Price
THIS IS A REVISED PURCHASE ORDER
Provide construction services for the 243,137.50
2007 Utility Construction Project 05-33
E. Main Street & 8th Street Sanitary
Sewer Replacement & Blaine Alley
Sanitary Sewer & Storm Drain
A Street Storm Drain & Sanitary Sewer 583,278.50
RFP
Contract start date: October 22, 2007
Contract completion date: June 30,2007
Insurance required/On file
Approved by Council: 10/02/2007
Project No. 200533.120
Processed chanQe order 04/01/2008 15,420.00
ChanQe Order No. 01 - 2007 Misc
Concrete Project
Processed chanQe order 05/09/2008 36,067.62
ChanQe Order No. 02 for the 2007
Miscellaneous Utility Project
($27,360.00 of ChanQe Order to be
charQed to
670 08 18 00 704200)
SUBTOTAL 877 903.62
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 877,903.62
ASHLAND, OR 97520
AI;~6,,",ntt1ll:itri..1' ProjectN,",mbel' Amo,",nt Acco,",l'ItN,",mber proJectN umbel' Amount
E 260.08.17.00.70420 E 200533.120 348 722.90
E 260.08.34.00.70420 E 200533.120 85 054.36
E 670.08.18.00.70420 E 200533.120 27 360.00
E 675.08.17.00.70420 E 200533.120 340.217.41
E 675.08.38.00.70420 E 200533.120 76,548.95
r
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CITY OF
ASHLAND
REQUISTION FORM
Date of Request:
THIS IS A REQUEST FOR A:
[X ] Change Order (existing PO# 07930)
Required Date of Delivery/Service: I~
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
PILOT ROCK EXCAVATION
650 E. PINE STREET, SUITE 1028
CENTRAL POINT, OR 97502
2007 MISCELLANEOUS UTILITY PROJECT
200533.120
Services Only Solicitation Process:
[ ] Exempt [ ] 3 Written Quotes (copies
attached)
[ ] Sole Source [ X] Invltation to Bid (copies on
file)
[ ] Less than $5000 [ ] Request for Proposal (copies
on file)
Description
2007 Miscellaneous Utility - A Street Storm Drain & Sanitary Sewer
Total Cost
Change Order No. 01 for the 2007 Miscellaneous Utility Project
Change Order No. 02 for the 2007 Miscellaneous Utility Project
SEE NOTE BELOW
"
Account Number
(
Note: $27,360.00 of
Change Order #2 to be
charged to Acct. No.
670.08.18.00.704200
260.08.34.00.704200 - $870.76
. ."
------;>
675.08.38.00.704200 - $783.69
260.08.17.00.704200 - $3,570.12
675.08.17.00.704200 - $3,483.05
/
670.08,.n:OO.704200 - $27,360.00
(-eo
'Please attach the Original signed contract and Insurance Certtficates.
Supervisorl Dept. Head Signature:
certify tha the above request meets with Ctiy of Ashland SoIicitiation Process require
H:\PROJECTSI06-21 (2007 Miscellaneous Utility Projectl\Payments\06-21 2007 Miscellaneous Utility ProJect- Change Order #02 Requisition
Updated on: 10/13/03