HomeMy WebLinkAbout2010-181 CONT Chg Order #1 - Taylor Site Development
, .
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO, 1
PROJECT:
LOCATION:
Jefferson A venue Improvement Project
Jefferson A venue
DATE: 10/21/10
PROJECT NO.: 05-10
CONTRACTOR: Taylor Site Development
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 Ouantity Unit Price Amount
Over-Excavation @ S. end of
Item #1 Cui vert Lump Sum - $840,00
Item #2 Core Drill SS Manhole Lumo Sum - '$1,500.00
Total this Change Order
Previous Change Order
Original Contract Total
Revised Contract Total
$2,340,00
$514,789.00
$517,129.00
Approved By:
The time provided for completion of this contract is increased by no calendar days,
become an amendment to the contract and all provisions of the contract will apply,
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This document shall
Recommended By:
/O/Z-I/;()
Date
)O-~-/6
Date
Accepted By:
Taylor Site Development
1501 Sage Road
Suite B
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cotctor
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Date
ENGINEERING
20 E. Main Street
Ashland, Oregon 97520
www.ashland.or.us
G:\pub-wrks\eng\05-IO Jefferson 5t Extension\A_Admin\Taylor\Paymenrs\Change Orders\05-IO Jefferson Avenue - Ch
Tel: 541,488.5347
Fax: 541.488,6006
TTY: 800,735,2900
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Page 1/1
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ASHLAND CITY RECOR
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
,'. .DATE ,.:"
9/21/2010
I :<F'O;9U8~~ER:_' ,; I
VENDOR: 001735
TAYLOR SITE DEVELOPMENT INC
1501 SAGE RD SUITE B
MEDFORD, OR 97501
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Tenn.: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Depl.:
Contact: Mike Faught
Confirming? No
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..
THIS IS A REVISED PURCHASE ORDER
Construct Jefferson Avenue Improvement 514,789.00
Project No. 2005-10
Approved by Council on 9/07/2010
Processed change order 10/27/2010 2,340.00
Change Order No. 1
SUBTOTAL 517 129.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 517,129.00
ASHLAND, OR 97520
;;&PA'CcoUQt~'N'~mDer.:~;:~:~ ft:::;,:Proje:cfNumtiei_~_;'.~ ',. ... " Am'aunt> , . , Account Number-':' , I;::. Project Number,' "~'. nt-'-~~FAm(iiintt;r~;)"
,
E 260.08.12.00.70420 E 200510.120 51 7 129.00
P/~~~~i\b Ail-,
VENDOR COPY
A request for a Purchase Order
REQUISTION FORM
Ij)
J vVV t;
Y ,_~ Date of ReqUest! '1ql~Vici191
(~ ~u"ed Date of Delivery/Service:!ASA!?,'/ :1
-0 CITY OF
,I ASHLAND
THIS IS A REQUEST FOR A: /' /~ tJ
IX] ChangeOrder(eXistingp~353) -/ fj t;
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
TAYLOR SITE DEVELOPMENT
1501 SAGE ROAD, SUITE B
MEDFORD, OR 97501
E, MAIN RAILROAD CROSSING IMPROVEMENTS
200S10,120
Services Only Solicitation Process:
[ ] Exempt [ l 3 Written Quotes (copies
attached)
{ ] Sole Source [ X J Invitation to Bid (copies on
file)
[ ] Less than $5000 [ J Aequest for Prop.osal (copies
on fila)
Description
Jefferson Avenue Improvement Project
Total Cost
Change Order No, 01
Account Number
260,08,12,00,704200 - 100%
Employee Signature:
NOTE: By signing
"Pleas98ttachlhaOrlgrws/gnedcMtract8JldlnsursnceCertilJcates. 4--
Supervlsorl Dept. Head Signature: ~ ~ Q..
, I certify tha the above request meets with CUy of Ashland SoIicitfation Process requirements and can be provided when necessary.
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G:lpub>Wfks\eng\05-10 JeHerson 51 ExtenslonlA.-Admln\Taylor\Payments\Change OrOOrs\05-10 Jelferson Avenue - Change Order #01 Requlsltion.xls
Updated on: 10113103