HomeMy WebLinkAbout2010-152 CONT Chg Order #2 - Visar Construction
RECEIVED
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
, City of Ashland
CONTRACT CHANGE ORDER NO. 2
SEP 2 0 2010
PROJECT:
LOCATION:
Liberty Street Improvement
Liberty Street
DATE: 9/13/10
PROJECT NO.: 2004-21
CONTRACTOR: Visar Construction Co. 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. DescriDtion Quantity Unit Price Amount
CO2-II Re-route phone service at sta. 6 + 90 L.S. $1,821.00 $1,821.00
Re-route sanitary sewer service in
C02-12 conflict with storm Sewer L.S. 250.00 250.00
Replace 12" HOPE with 12"
CO 2-13 CL.V.RCP Not aooroved
Acquire additional water service
CO 2-14 permits L.S. 204.00 204.00
Replace existing broken 12" storm
CO2-IS drain 'L. S. 408.00 408.00
Original Contract Amount
Total this Change Order
Previous Change Order
Revised Contract Total
,
$142,798.75
$2,683.00
6,690.00
$152,171.75
(6.56% total increase)
Recommended By:
The time provided for completion of this contract is increased by 10 calendar days.
become an amendment to the contract and all provisions of the contract will apply.
r/fJ~ff'r~
j___~)h
. y of Ashland
~~~
This document shall
~J71/()
Date
Approved By:
.., /ZO//b
Date
Accepted By:
-Jl1~ 1)0
Oat
ENGINEERING Tel: 541-488.5347
20 E, Main Street Fax: 541-488-6008
Ashland, OreQon 97520 " TTY: 800-735.2900
www,ashland,or,USG:lpub-wrkslengI04.21 Liberty StreetlA_Admin\Cons Vendor1\Contract DocumentslChange OrdersI04-,
r~'
doc
,
i 1.
Page 1/1
~~,
ASHLAND CITY RECO
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
7/1/2010
PO NUMBER
09585
VENDOR: 015201
VISAR CONSTRUCTION CO INC
PO BOX 3101
CENTRAL POINT, OR 97502
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINI;lURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Special Inst:
Req. No.:
Dept.:
Contact: Mike Faught
Confirming? No
Q'uantitv -. . Unit ; - - :. Descrlpti"on
THIS IS A REVISED PURCHASE ORDER
Construct the Liberty Street
Improvement Project #2004-21, Payment
to be made in accordance with the
proposal received on 05/06/10 and
attached to the contract.
I.:' Unit Price
Ed. Price
142,798.75
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
Change Order No. 1
Processed change order 09/23/2010
Change Order NO.2
Change Order NO.2 - Cumulative change
6,69000
2,683.00
:ILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
152171.75
0.00
0,00
152,171.75
Account Number Project -Number", Amount Account Number Project Number Amount.
: 260.08.35.00.70420 E 200421.120 27 390.92
: 260.08.41.00.70420 E 200421.120 124780.83
,
.
~J.-
fut~ E:.:ied
VENDOR COPY
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: l;z{~::;:;':::;_::-;": I
[X ] Change Order (existing PO #9585
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
Liberty Street Improvement
2004-21
Services Only Solicitation Process:
[] Exempt ( I 3 Written Quotes (copies
attached)
I ) Sole Source [X) Invitation to Bid (copies on
fife)
[ ] less than $5000 { ] Request for Proposal (copies
on file)
Description
Original Contract Amount
Change Order No.1
Change Order NO.2
Employee Signature:
Total Cost
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.
--~
Supervisorl Dept Head SIgnature:
/jt:.h":)
G:\pub-wrks\eng\04-21 liberty StreellA_Admin\04-21 Change order 2 Req Visar.xls