HomeMy WebLinkAbout2008-126 CONT Chg Order #1 - Johnny Cat
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCATION:
1-5 Sanitary Sewer Project
East Hills Dr.
DATE: 4/10/08
PROJECT NO.: 2007-15
CONTRACTOR: Johnny Cat Inc.
This Change Order is the result of changes made to the work during the course of construction:
Item No. Description Quantity Unit Price Amount
CO 1 1. Geotextile Fabric 418.1 SY $ 0.80 (+) $ 334.48
2. Retrofit Slab Inserts (Deck) 1 Lump $ 2,282.37 (+) $ 2,282.37
3. Retrofit All Thread Bolts (Curb) 1 Lump $ 500.00 (+) $ 500.00
4. Tie-in to existing 12" Sewer 1 Lump $ 12,412.94 (+) $ 12,412.94
5. Rip-Rap at Bridge Abutment 5CY $ 70.00 (+) $ 350.00
6. ~ - Aaar. Rd. Base (decrease) - 7.9 Tons $ -14.50 (-) $ 114.55
Total this Change Order
Previous Change Order
Revised Contract Total
$15,765.24
0.00
$103,171.24
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
Reco:::nded By: tWr~~~ D:!~ /O~
Approved By: ~n=- ifzJ 1----. Da;; / I" I 08
Accepted By:
Johnny Cat Inc.
P.O. Box 89
670 Powderhorn Dr.
~R 975~
Co ctor
~ /
~13/e8
Date /
ENGINEERING Tel: 541-488-5347
20 E. Main Street Fax: 541-488-6006
Ashland, O~ 97520 TTY: 800-735-2900
WWW.aShland.or.USH:\I-5 Sanitary Sewer\Change Order No 1.doc
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RECORDER
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Page 1 1 1
CITY OF
A.SHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
:n.w'.
217/2008
~~~: '~I
08106
""1 r'
VENDOR: 001768
JOHNNY CAT
POBOX 89
670 POWDERHORN DRIVE
JACKSONVillE, OR 97530
FOB Point:
Tenns: Net
Req. Del. Date:
Speclallnst:
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
Req. No.:
Depl: PUBLIC WORKS
Contact: Jim Olson
Conflnnlng? No
THIS IS A REVISED PURCHASE ORDER
1-5 Sanitary Sewer Construction Project
Connection to the 1-5 port of entry
facilities
87,406.00
Bid
Date of aQreement: January 30,2008
BeQinninQ date: February 1 , 2008
Completion date: April 30, 2008
Insurance reQuired/On File
Processed chanQe order 06/05/2008
ChanQe Order No. 1 - ChanQes made to
work durinQ the course of construction
per the attached chanQe order.
15,765.24
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
1 171.24
0.00
0.00
103,171.24
E 260.08.12.00.70420
E 675.08.17.00.70410
E 675.08.38.00.70410
E 200715.120
E 200715.120
E 200715.120
_~ ~ <cJ~y
CITY OF
ASHLAND
A request for a Purchase Order
REQUISTION FORM Date of Request:
THIS IS A REQUEST FOR A: Required Date of Delivery/Service:
[Xl Change Order (existing PO# 8106
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
Johnny Cat
PO Box 89
Jacksonville, OR 97530
541-899-4494
1-5 Sanitary Sewer
2007-15
Services Only Solicitation Process:
[ ] Exempt [ ] 3 Written Quotes (copies
attached)
[ ] Sole Source [ ] Invitation to Bid (copies on
file)
[ ] Less than $5000 [X] Request for Proposal
(copies on file)
Description
Total Cost
Original Contract Cost for the TSP CIP UPDATE
CHANGE ORDER NO.1 Changes made to work during the course of
construction = $15,765.24
Geotextile fabic $334.48/ Retrofit slab inserts (deck) $2,282.37
Employee Signature:
Account Number
260.08.12.00.704200
.Please attach the Original signed contract and Insurance Certificates.
Account Number
Supervisorl Dept. Head Signature:
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2007\07-15 Johnny Cat CO No.1