HomeMy WebLinkAbout2008-210 CONT Chg Order #1 - Knife River Materials
CITY OF
ASHLAND
DEPARTMENT O}4"' PUBI.JIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCA TIOi\:
E. Main Railroad Crossing
E. Main Street - California St to Fordyce St
DATE: 10/06/2008
PROJECT NO.: 05-15A
CONTRACTOR: Knife River Materials
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 Ko, Description Quantity Unit Price Amount
Item # 1 OBEC Design Change Delay Lump Sum - $786.95
OBEC Design Change -
Item #2 Resurvey Lump Sum - $665.20
Item #3 Remove Additional Sidewalk Lump Sum - $319.44
Railroad Electrical Box
'I Item #4 Adjustment Lump Sum - $213.92
Total this Change Order
Previous Change Order
Original Contract Total
Revised Contract Total
$1,975.51
$122,902.00
$124,877.51
The time provided for completion of this contract is increased by no calendar days. This document shall
become an amendment to the c n ct and all provisions of the contract will apply.
Jl)~~
Date /
Recommended By:
Approved By:
"'^ J. =-~ ~ ~ -\~
~r ~ ~~(e~ ~
10/ ~/o~
Date
Accepted By:
Knife River Materials
P.O. Box 1145
Medford 97501
actor
JIlt 1~1f&~v't~.....
I~~~ I~SI
__m_.__.._~--_._---t- ~----.--..-I ~-_.__...-
Date
~ T:#Il~AA-~AJ.S ~~ .
E:\GI:\EERI:\G
20 E, :'v1ain Street
Ashland, Oregon 97520
www.ashland.or.us
Tel: 541A88-5347
Fax: 541488-6006
TrY 800 735-2900
~.l'
G:\pub-wrks\eng\05-15A \Payments\05-15A E, :'v1ain Railroad Crossing Cha:1ge Order #01 ,doc
11I---
r.,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER
Page 1 1 1
VENDOR: 013200
KNIFE RIVER MATERIALS, L TM (DBA)
PO BOX 1145
MEDFORD, OR 97501
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net 10th of Month
Req. Del. Date:
Special'nst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Jim Olson
Confinning? No
THIS IS A REVISED PURCHASE ORDER
East Main Railroad CrossinQ Improvements
122,902.00
BID
Contract start date: OS/20/2008
Contract completion date: 07/30/2008
Proiect No. 2005-15A
Insurance reQuired/On file
ChanQe Order No. 1
E. Main Railroad CrossinQ
1,975.51
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
124877.51
0.00
0.00
124,877.51
E 260.08.12.00.70420
E 260.08.35.00.70420
/eJ/
,&.{ ~ h.Yd~.
thorized Signa ure
VENDOR COpy
A request for a Purchase Order
REQUISTION FORM
CITY OF
ASHLAND
Date of Request:
THIS IS A REQUEST FOR A:
Required Date of Delivery/Service:
[X ] Change Order (existing PO# 08353)
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
KNIFE RIVER MATERIALS
P.O. BOX 1145
MEDFORD, OR 97501
E. MAIN RAILROAD CROSSING IMPROVEMENTS
200515.120
Services Only
Description
E. Main Street Railroad Crossing Improvements
Total Cost
Change Order No. 01 for E. Main Railroad Crossing
Account Number
260.08.12.00.704200 - 85%
260.08.35.00.704200 -15%
*Please attach the Original signed contract and Insurance Certificates.
G:\pub-wrks\eng\05-15A\Payments\Knife River Change Order Paperwork\05-15A E. Main Railroad Crossing - Change Order #01 Requisition
Updated on: 10/13/03