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Home My WebLink About2010-145 CONT Chg Orders 1-10 - Visar Construction ,I ----r--.i' , CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 1 PROJECT: LOCATION: Liberty Street Improvement Liberty Street DATE: 8/4/10 PROJECT NO.: 2004-21 CONTRACTOR: Visar Construction Co. Inc. You are requested to perfonn 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 I-I Utility conflict resolution L.S. $2,257.00 $2,257.00 . CO 1-2 Place red slurry in power trench L.S. 613.00 613.00 CO 1-3 Reconnect 4" sewer lateral L.S. 306.00 306.00 CO 1-4 Utility conflict (al sta. 10 + 48 L.S. 294.00 294.00 CO 1-5 Utility conflict (al sta. 10 + 24 L.S. 589.00 589.00 CO 1-6 Utility conflict (al Sta. 9 + 97 L.S. 272.00 272.00 CO 1-7 Utility conflict (al sta. 10 + 23 L.S. 589.00 589.00 CO 1-8 Reconnect 6" sewer lateral L.S. 654.00 654.00 CO 1-9 Install sewer cleanout L.S. 916.00 916.00 CO 1-10 Relocate I ~"water service L.S. 200.00 200.00 Total this Change Order Previous Change Order Revised Contract Total $6,690.00 -0- $149,488.75 The time provided for completion of this contract is . creased by 10 calendar days. This document shall become an amendment to th contract and all pro sions of the contract will apply. i'/~4l:J/p Date Recommended By: Approved By: Accepted By: <g Is- / 10 Date J/411n ENGINEERING Tel: 541488.5347 20 E. Main Street Fax: 541488-6006 Ashland, O'!'Qon 97520 m: 800.735.2900 WWW.aShland.0r.usG:\pub-WrkS\eng\04.21 Liberty Street\A~dmln\Cons Vendor1\Contract Oocumenis\Change Orders\04-, ~.l' doc , Visar Construction Inc. General Contractor PO Box 3101, Central Point, OR 97520 Phone: 541-944.9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Proposal/Change Order CHANGE ORDER NO. 'J ( Job Name: Liberty Street Line # Description 1 , 8 " Sanitary Sewer $2,257 Total Proposed change order $2,257 Notes: Due to conflict with other utilities from Sta. 9+88 to 5ta. 10+68, normal sewer line productivity rates were not attainable. The gas line and Ashland Fiber Network conduit were directly in the proposed sewer trench. Sheet 4 of the contract drawings clearly shows the gas line clear of the proposed sewer. AFN is not shown on the drawings. The Differing 5ite Conditions led to an additional day of production. Approved 8y: Date: Disapproved By: Date: , 8" Sanitary Sewer Cost Work Sheet Manhours labor 8 8 8 Name/Description Rates laborer Ope-ratar Driver Hrly Rate $37AO $45.21 $39.90 Fringes Overhead Bare Cost Daily TTL 40.00% $14:96 , $52.36 $418.88 $18.08 $63.29 $506.35 $15.96 $55.86 $446.88 $0.00 $0.00 $0.00 $0.00 Man hours Per Day Mise 24 Equip Hrs. 8 8 EXdBH TruCk Ave $ per Manhour Hourly Cost $40.00 $45.00 $57.17 $171.51 $40.00 $45.00 $0.00 $0.00 $0.00 Subs Mise Ave $ per Manhour Houny Cost $28.33 $85.00 Supplier Material $0.00 In Place Quantity $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 CosUUnit Total Cost per Man hour = Cost I MH Daily Output Bare Unit Cost per unit Markup 10.00% Ave $ per Manhour Quantity I L 1 $85.50 1.00 $2,052.11 $2,257.32 n ~J day Iday Total # of Days Total Manhours Total Labor Total Equipment T atal Subs T atal Materials Total Bare Cost Retail Cost $1,372.11 $320.00 $360.00 $0.00 $0.00 $0.00 $680.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. Total Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1.0000 24 $1,372.11 $680.00 $0.00 $0.00 $2,052.11 $2,257.32 . ' , , ,,- , ..",~ """~ ..",..~ '?iI'''' , . '00 ;t. ~""~~~;~~~i,-":'''i'-'.~_ ,:"1. " '..~f.'" ~.. "'" ", "'.. :r .. "_'" . "'''.ut '<"""""',' '.,. ...f"'",,,,,,,,, ~-~~ !i1j~~, ~..l.4.~1p:"':';..r.~ '_;',.: ~ .N... .... t, ; i't'g\ i/l- g"J'V' ,"~.. . ~- l1J i-: '~ _~.-~ ' .~. .. -. ..~ "....d;,j. -.'" .' "~ri:i''''~~''n;,..~. ,', ~'1'"':"t&'~:"" -,:;.. / i';"," .' '...._. "', , ,.:~ ," .t..-~~~:"~ ""':Ti - """":"~~ // 'i.r, "C.f.. ,.,~ ;;-',~..".,.. .}j< 1> J\ ... i '''.' ~'-l.:~, ~": .. "~.;,~. "......-,,,-, \ -1 J ~~:~ ~, .'-.." \ ".. . .~, '! .. r_~.. ,.' ~rl'l'''' ~."'7 " ~ ~. \ tI 'Jf~ ' ",j"" ,.-~t:( ~~' \''Ll~}r:!~'" ~~~'''''''' ". ~"~t...\,';-1(i('-"";", ~-."'._"",,, .:-)- .,' .:.-~, _l~ ' . ',' \". :, ,. . "...:,i, \) 'f~~~\ I .f..J!;' .~..~,' ~ \ ,..;io." \ .1'"':. " ':','. 7{.. \,~.. "! .- , .\\."' ... .. ..",.}-.~.: .- ;', To' -.~:' .0:''''-: '-;"~"; .;,,-r 'C'~'-::.':'l-;;" - ~-\ '. '''' , ~ Visar Construction Inc. General Contractor PO Box 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon .< Proposal/Change Order' CHA~~OFlOER NO.r2' 'l I Job Name: Liberty Street Line # Description 5 Cubic Yards Red Sluny in power trench $613 Total Proposed change order $613 Notes: , Due to confilct with other utiiities from Sta. 9+95 to Sta. 10+55, the power conduit was laid at or near 3 feet in depth. Due to the congestion with othr utilities it is recommended that red slurry be used to cap the power trench to alert any future excavations of the presence of power at this location. Approved By: Date: Disapproved By: Date: SPLIT COST WITH ELECTRIC ACC. # 690.11.18.00.707100 .. Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order #3 Job Name: Liberty Street Line # Description 1 4" Sewer Ser.vice Reconnect at Sta. 10+54 306.05 Total Proposed change order 306.05 Notes: At 5tation 10+54 a Live 4" sewer service was encountered during sewer main construction. The 5ervice is believed to serve 775 Liberty Street. The service is not noted on the contract . Drawings. The plan shows 5 proposed service connections on the back side of the manhole at 10+58, one of which was planned for 775 Liberty St. Ail 5 services out the back of the Manhole were instailed as per plan. Approved 8y: Date: Disapproved By: Date: . 'co # 3 ,4" Sewer Service Reconnect at Sta. 10+54 ~ Manhours Name/Description Hrly Rate Fringes labor Rates 8 Laborer $37.40 8 Operator' $45.21 Overhead Bare Cost Daily TTL 40.00% $14,96 $52.36 $418.86 $18.08 $63.29 ' $506.35 $0,00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 16 Man hours Per Day Ave $ per Manhour 557.83 $115.65 5925.23 Equip Hrs Hourly Cost Mise 8 Excavator $40.00 $40.00 $320.00 8 Loader $45.00 $45.00 5360.00 $0.00 $0.00 50.00 50.00 50.00 $0.00 Subs Ave $ per Manhour Hourly Cost Mise $42.50 $85.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 CosUUnit $35.00 $6.20 $6.00 $11.00 Ave S per Manhour 50.00 Supplier Material Quantity In Place Quantity Wye 1 ea 1 ea 4" feineD 1 ea 1 .ea 45Deg Bend 2 ea 2 ea Crushed Rock 1 'In 1 tn Total Cost per Man hour = Cost I MH Daily Output I ~1 5100.33 7.50 Total # of Days Iday Iday Bare Unit Cost per unit Markup 10.00% Total Labor Total Equipment Total Subs Total Materials Total Bare Cost Retail Cost $278.23 $306.05 $680.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 50.00 Total Cost $35.00 56.20 $12.00 $11.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 $64.20 0.1333 $123.36 $90.67 $0.00 $64.20 $278.23 $306.05 c Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order #4 Job Name: Liberty Street Line # Description 1 Utility Conflict with Conduit Trenching at Sta. 10+48 $294 Total Proposed change order $294 Notes: At Station 10+48 during trenching for conduit out of the vault, existing conduit for Charter, Power, and Qwest was encountered. These utilities run west and serve the residence uphill to the west. These utilities are not located on the contract draWings. Additional Man and equipment hours were required to complete the work. Approved By: Date: Disapproved 8y: Date: Overhead Bare Cost Daily TTL 40.00% $14.!16 $52.36 $418.88 $18.08 $63.29 $506.35 $0.09 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 'CO #4 Conduit Conflict at Vault Sta. 10+48 . Manhours Labor 8 8 . !\lame/Description Rates laborer ;Operator Hrly Rate Fringes $37:40 $45,21 16 Equip Hrs. 8 8 Man hours Per Day Ave $ per Manhour Hourly Cost $40.00 $45.00 $57.83 $115.65 Mise ExC{lvator Loaoer $40.00 $45.00 $0.00 $0.00 $0..00 Subs Ave $ per Manhour Hourly Cost Mise $42.50 $85.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 CosUUnit Supplier Ave $ per Manhour Quantity $0.00 In Place Quantity Material Total Cost per Man hour = Cost I MH Daily Output 1 $100.33 6.00 day Iday Total # of Days Bare Unit Cost per unit Markup 10.00% Total Labor Total Equipment Totai Subs Total Materials Total Bare Cost Retail Cost $267.54 $294.29 $925.23 $320.00 $360.00 $0.00 $0.00 $0.00 $680.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.1667 $154.21 $113.33 $0.00 $0.00 $267.54 $294.29 . Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order #5 Job Name: Liberty Street Line # Description 1 Utility Conflict with Conduit and Water Service at Sta. 10+24 $589 Total Proposed change order $589 Notes: At Station 10+24 during trenching for Utility Conduit, a water service for 800 & 775 Liberty St. was encountered. Contract Drawings show the water service line well south of the proposed utility trench. The diagonal nature of the service relative to the utility trench caused a reduction in productivity and a resultant increase in labor and equipment cost. Approved By: Date: Disapproved 8y: Date: . CO # 5, Confiict with Utility Trench and Water Service . . Manhours Name/Description Hrly Rate Fringes Labor Rates ~ Laborer $37.40 , 8 Operator $45.21 Overhead Bare Cost Daily TTL 40.00% $14,96 $52.36 $418.88 $18.08 $63.29 $506.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $85.00 $680.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 CosUUnit Total Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total # of Oays 0.3333 Total Labor $308.41 Total Equipment $226.67 Total Subs $0.00 Total Materials $0.00 Total Bare Cost $535.08 Retail Cost $588.59 16 Equip Hrs. 8 8 Man hours Per Day Ave S per Manhour Hourly Cost $40.00 $45.00 $57.83 $115.65 Mise Excavator Loader $40.00 $45.00 $0.00 $0.00 $0.00 Subs Ave $ per Manhour Hourly Cost Mise $42.50 , Supplier Ave $ per Manhour Quantity $0.00 In Place Quantity Material Total Cost per Man hour = Cost I MH Daily Output I 1 $100.33 3,00 Iday Jday Bare Unit Cost per unit Markup 10.00% $535.08 $588.59 $925.23 $320.00 $360.00 $0.00 $0.00 $0.00 . .> . Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97S20 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works. Ashland, Oregon Change Order # 6 Job Name: Liberty Street Line # Description 1 Utility Conflict with Conduit and Phone Drops at Sta. 9+97 $272 T otai Proposed change order $272 Notes: At Station 9+97 during trenching for Utility Conduit to the Secondary Pedestal, phone drops were encountered. The drops are not shown on the contract drawings. Additional time was required to complete this task resulting in additional labor and equipment hours. Approved By: Date: Disapproved 8y: Date: CO # 6, Conflict with Utility Trench and Phone drops " . .. Manhours Name/Description Hrly Rate Fringes Labor Rates 8 laborer 'S37.40 '8 Operator S45.21. Overhead Bare Cost Daily TTL . 40.00% St4.96 S52.36 $418.88 $18.08 S63.29 $506.35 $o.ob' $0.00 SO.OO SO.OO $0.00 $0.00 $0.00 16 Man hours Per Day Ave $ per Manhour $57.83 Equip Hrs. Hourly Cost Mise 8 Excavator S40.OO 8 Loader 545.00 $115.65 S925.23 540.00 S320.00 $45.00 $360.00 SO.OO $0.00 " $0.00 SO.OO SO.OO SO.OO , Subs Ave $ per Manhour Hourly Cost S42.50 , S85.00 S680.00 SO.OO $0.00 SO.OO $0.00 $0.00 SO.OO $0.00 $0.00 $0.00 SO.OO $0.00 $0.00 $0.00 $0.00 Cost/Unit Total Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total # of Days 0.1538 Total Labor $142.34 Total Equipment $104.62 Total Subs $0.00 Total Materials $0.00 Total Bare Cost $246.96 Retail Cost $271.65 Mise Supplier Material Ave $ per Manhour Quantity $0.00 In Place Quantity Total Cost per Man hour = Cost I MH Daily Output 1 $100.33 6.50 . day Iday Bare Unit Cost per unlt Markup 10.00% $246.96 $271.65 ~~~~~::" 'Q-'~':~r."'.!.\':'; '. 1:,~'.~._4' h,.,',. . I,.... \. "II, .... ...:~~~l" ';j ,,~. Phone Drops , . .. . Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order # 7 Job Name: . Liberty Street Line # Description 1 Wateriine and water service conflict at Sta. 9+97 to Sta 10+23 $589 Total Proposed change order $589 Notes: From Station 9+97 to 5ta. 10+23 during trenching for the 6" waterline, a galvanized water service was encountered. It is believed the service was for. 775 & 800 Liberty Street. The galvanized 1" line ran diagonal across the new trench for about 20 feet and caused a reduction in planned productivity. The water service is not as per plan. Approved 8y: Date: Disapproved 8y: Date: / .i CO # 7, Conflict with waterline and water service . Manhours . Name/Description Hrly Rate Fringes labor Rates B Laborer '.$37.40 8 Operator $45.21 . Overhead Bare Cost Doily TTL 40.00% .$14.96 $52.36 $418.88 $18.08 $63.29 $506.35 $OcOO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Excavat9f Loader Ave S per Manhour Hourly Cost $40.00 $45.00 $57.83 . $115.65 $925.23 16 Equip Hrs. 8 8 Man hours Per Day Mise $40,00 $45.00 $0.00 $0.00 $0.00 $320.00 $360.00 $0.00 $0.00 $0.00 Subs Ave $ per Manhour Hourly Cost S42.50 $85.00 S680.00 SO.OO $0.00 SO.OO SO.OO $0.00 SO.OO $0.00 SO.OO $0.00 $0.00 SO.OO $0.00 SO.OO SO.OO CosUUnit Total Cost SO.OO $0.00 $0.00 SO.OO SO.OO SO.OO SO.OO $0.00 $0.00 SO.OO $0.00 Total # of Days 0.3333 Total Labor $308.41 Total Equipment $226.67 Total Subs $0.00 Total Materials SO.OO Total Bare Cost S535.08 Retail Cost S588.59 Mise Supplier Material Ave $ per Manhour Quantity $0.00 In Place Quantity Totai Cost per Man hour = Cost I MH Daily Output IH 1 $100.33 3.00 lday Iday Bare Unit Cost per unit Markup 10.00% S535.08 $588.59 . .. Note Blue locate line of Galvanized service line. " # J . Visar Construction Inc. General Contractor PO Box 3101, Central Point, OR 97S20 Phone: S41-944-9060 Fax S41-664-3032 CCS # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order # 8 Job Name: Liberty Street Line # Description 1 6" Sanitary Sewer Reconnect $6S4 Total Proposed change order $6S4 Notes: At Station 7+S8 an unmarked 6" Sanitary Sewer lateral was encountered during Sewer Construction. The lateral is not noted on the contract drawings. The service was reconnected to the original service. Approved By: Date: Disapproved 8y: Date: Overhead Bare Cost Doi Iy TTL 40.00% $14:96: $52.36 $418.88 $18.08 $63.29 $506.35 $0:00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 . -' CO # 8, 6" Sanitary Sewer Reconnect .. ~!- . Manhours Labor 8 8 Name/Description Rates . Laborer Operator Hrly Rate Fringes $37:40 $45.21 16 Man hours Per Day Ave $ per Manhour $57.83 $115.65 $925.23 Equip Hrs. Hourly Cost Mise I 8 Excavator $40.00 $40.00 $320.00 8 Loader $45.00 $45.00 $360.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Subs Ave $ per Manhour . Hourly Cost Mise $42.50 $85.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 CosUUnit $35.00 $1.82 $13.27 Ave $ per Manhour $0.00 Supplier Material Quantity In Place Quantity 6"Wye 1 ea 1ea 6" Pipe 6 If 6 If e". Femco 1 ea 1 ea Total Cost per Man hour = Cost I MH Daily Output I 1 $100.33 3.00 Total # of Days Iday Iday Bare Unit Cost per unit Markup 10.00% Total Labor Total Equipment Total Subs Total Materials Total Bare Cost Retail Cost $594.27 $653.69 $680.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Cost $35.00 $10.92 $13.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $59.19 0.3333 $308.41 $226.67 $0.00 $59.19 $594.27 $653.69 .. '-0' ". .... . .'>> ) "' . ,. Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order # 9 Job Name: Liberty Street Line # Description 1 New Sewer Cleanout at Sta 7+58 $916 Total Proposed change order $916 Notes: At Station 7+58 the proposed Sanitary Sewer Manhole was eliminated due to conflicts with phone drops. A c1eanout was installed to replace the manhole. Approved By: Date: Disapproved 8y: Date: ,..'. . CO #9, New Clean out .j .. ,. Manhours Labor '8 8 Name/Description Rates Labo(~( -Operator Hrly Rate Fringes Overhead Bare Cost Daily TTL 40.00% $14.96 $52.36 $418.88 $18.08 $63.29 $506.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $37040 $45.'21 16 Equip Hrs. 8 8 Man hours Per Day Excavator Loader Ave $ per Manhour Hourly Cost $40.00 $45.00 S57.83 $115.65 S925.23 Mise $40.00 $45.00 $0.00 SO.OO SO.OO $320.00 S360.00 $0.00 SO.OO SO.OO Ave $ per Manhour $42.50 $85.00 S680.00 Subs Hourly Cost Mise SO.OO SO.OO $0.00 $0.00 SO.OO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Ave $ per Manhour $0.00 $0.00 $0.00 Supplier Material Quantity In Place Quantity Cost/Unit Total Cost Cover 1 ea 1 ea $200.00 $200.00 221/4 1 ea t ea $13.20 $13.20 Pipe 8 If 8 If $2.25 $18.00 Crushed Roc!< 6 tn 6 tn $11.00 $66.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total I 1 . rday $297.20 Cost per Man hour = Cost I MH $100.33 Dally Output 3.00 !day Total # of Days 0.3333 Total Labor $308.41 Total Equipment $226.67 Total Subs $0.00 Total Materials $297.20 Bare Unit Cost per unit $832.28 Total Bare Cost $832.28 Markup 10.00% $915.51 Retail Cost $915.51 4 ,"..;' 'J- 4 ...._.. ..>1. .. .> Visar Construction Inc. General Contractor PO 80x 3101, Central Point, OR 97520 Phone: 541-944-9060 Fax 541-664-3032 CCB # 146009 To: City of Ashland Public Works Ashland, Oregon Change Order # 10 Job Name: Liberty Street Line # Description Reconnect Existing 1 1/2" Water service at Power Vault $200 Total Proposed change order $200 Notes: At the new power vauit, an existing 11/2 water service was encounterd. The service was rerouted around the new vault and reconnected. Approved 8y: Date: Disapproved By: Date: of II::.... .... .....J:. .." ~.. ._.~ CITY OF ASHLAND 20 E MAIN ST. ASHLAND. OR 97520 (541) 488-5300 CITY RECORDER Page 1/1 :'<<}~;DATE ..::{-;o":;'~ ~::I: -~'P.O:NUMBER~" ::<:Q 7/1/2010 09585 VENDOR: 015201 VISAR CONSTRUCTION CO INC PO BOX 3101 CENTRAL POINT, OR 97502 FOB Point: Terms: Net Req. Del. Date: Speclallnst: SHIP TO: Ashland Public Works (541) 488-5587 51 WINBURN WAY ASHLAND, OR 97520 Req. No.: Dept.: Contact: Mike Faught Confirming? No ':Ji,:auariti~7'~ \~:Unit;:L . ':.[IT,,' . .:';'U;Di;1.'tii~ia-ii;( <;..c.....:' ~ ::" ":''lfnitj~:ricet ~~_~ '>:,,~.. ..N'....~.<;;-.,,-_.---~ _.~,," - c. ExC-P.r1ce>~~....L; THIS IS A REVISED PURCHASE ORDER Construct the Liberty Street 142,798.75 Improvement Project #2004-21, Payment to be made in accordance with the proposal received on 05/06/10 and attached to the contract. Contract for Public Works Construction Date of contract: June 7, 2010 Insurance &.Bonds required/On file Approved by City Council May 18, 2010 Insurance & Bonds required/On file Processed change order 08/18/2010 6,690.00 Change Order No. 1 - Change order is 4.684% of original colitract amount . SUBTOTAL 149488.75 BILL TO: Account Payable TAX o.ob 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 149,488.75 ASHLAND, OR 97520 _Account!liIUi'iioe, n IIRIP.rOJo"t;NU;;;DEl'f.f)'!i,'l!! ~"~~ttl 1PitAC'couni1Number:;~1:-:~ .. ':~T~'rojectrNumi)er~f!::~':2 ~~Z~mo_unt~ " E 260.08.35.00.70420 E 200421.120 26 907.98 E 260.08.41.00.70420 E 200421.120 122 580.77 ~.2 A~g~~fa VENDOR COPY f , CITY OF ASHLAND A request for a Purchase Order REQUISTION FORM Date of Request 1.8/5/20;1[01 THIS IS A REQUEST FOR A: [X ] Change Order (existing PO #9585 Required Date of Delivery/Service: I Vendor Name: Address: City, State, Zip Phone: Project Title: Project Number: Visar Construction Co. Inc. PO Box 3101 Central Point, OR 97502 541-944-9060 Lib~ IJJlprovement 20~ ./' Services Only ?-p~{J- ;J-( Solicitation Process: [1 Exempt ( ] 3 W~tten Quotes (copies attached) [ ] Sole Source (X I InvltaUon 10 Bid (copies on file) [ ] less than $5000 I I ~eciuest for Proposal (copies on file) Description Total Cost Change Order NO.1 Account Number Account Number 260.08.35.00.704200 (18%) 260.08.41.00.704200 (82%) "Please attach the Original signed contract and Insurance Certificates. Employee Signature: > ~I(zc Supervisorl Dept. Head Signature: ~:J..co.o~L G:F'1.bNr1G\Eng\DeplAdmin\Engineer\Project\99-38 Schedule A Change Qrders\04-21 Change order Req Visar.x1s Updated on: 10113103