HomeMy WebLinkAbout2010-188 CONT Chg Orders 2-3-4 - Taylor Site Development
CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO.
#2.3&4
PROJECT:
LOCATION:
Jefferson A venue Improvement Project
Jefferson A venue
DATE: 11/10/10
PROJECT NO.: 05-10
CONTRACTOR: Taylor Site Development
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. Descriotion Ouantitv Unit Price Amount
Trench Excavation for Footing
Item #2 Base Lumo Sum - $41,516.40
Item #3 Extra Creek Excavation Lumo Sum - $2,445.00
AdditionallZ-in Rock
Item #4 Installation Lumo Sum - $1,050.00
Total this Change Order
Previous Change Order
Original Contract Total
Revised Contract Total
$45,0 \lAO
$2.340.00
$514,789.00
$562,140.40
The time provided for completion of this contract is increased by no calendar days. This document shall
become an amendment to the contract and all provisions of the contract will apply.
Recommended By:
~m~~
~.I> Q~\n. -
Public Works Director
////t"n/(6
Date
Approved By:
--..
l\ /1' 110
Date
Accepted By:
Taylor Site Development
1501 Sage Road
Suite B
Medfj rd o~
I.
11-/5/1 No
Date
ENGINEERING
20 E. Main Street
Ashland, Oregon 97520
www.a<;hland.or.u$
G:\pub-wrks\eng\05-1O Jefferson St Extension\A_Admin\Taylor\Payments\Change Orders\05-IO Jefferson Avenue - Ch
Tel: 541.488.5347
Fax: 541-488.6006
TIY: 8()().735.2900
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C 0 CITY RECORDER
I.T Y F
ASHLAND I' ,".
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
Page 1/1
'DATE::.:,
9/21/2010
"1
..
, ",:'PO:NOMBERP'"
09806
VENDOR: 001735
TAYLOR SITE DEVELOPMENT INC
1501 SAGE RD S.UITE B
MEDFORD, OR 97501
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Term.: Net
Req. Del. Date:
Special In.!:
Req. No.:
Dept.:
Contact: Mike Faught
Confirming? No
;.,ifl.Qua'ntiiV~y ffulm~r ;Mi~~'i?~?~;~j~~i~':E:';~~;:::~--c :_:'::.i~~.: 'c~', ,i1t;'Descriotion'1"" ::y .,Y": ',.' "I'.:',','..'. .:"',; ~ .~.'-Unl~FrHtlii::i~_I?;:t'.-rEXff'P.r1ce:::::
;:;\
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
Processed change order 11/17/2010 41,516.40
Change Order NO.2
Processed change order 11/17/2010 2,445.00
Change Order NO.3 -
Processed change order 11/17/2010 1,050.00
Change Order NO.4
SUBTOTAL 562 140.40
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 562,140.40
ASHLAND, OR 97520
~~c5'iTrit\Number~ t:~}o1eCifNumneri~l~~k. [-;--K- ':-': An:ioun-tCJ~;~~-f~' '.":> ;A,CCountTt..!urilhe'r .3:;i ~~~:diP.rojec(Nlm;her~;;~ ~~~mo_unt.l!ti,
E 260.08.12.00.70420( E 200510.120 562 140.40
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2i '/C7po
Author zed Signature
VENDOR COPY
~
I FORM #13 I
CONTRACT AMENDMENT APPROVAL REQUEST FORM
Request for a Change Order
CITY OF
ASHLAND
Description of Contract Amendment resulting from:
.."~~,..,.-,,,- ..".^-1..-.'....-",.. "'1':""",. ~....'..:..~....,~~". ~:.' -'.'" .-".^, ~.,,_..-.'- ~ ~~. -~.t', .,....,:+.. -~,.,...".. .....,':^--, :~.- "'c'" .. .'_.-.._-....~. -
','-- ,,-'...... .. .,," ,- -""'T ..TP.:^-....._~'... - , '"1;- :<."_ ,- ,'"_
1) Competitive '.Sealed" Bid.(I;rB); 2):Competitive Sealed Pro'posali (RFP) or 3) Sole Source Procurement,
,___,'~...."L,_'.'. ,,_.. .__.._...._,.___," __ ..... ...__ ,"_. ___+____~..~__ .__,_ ,,~.__.. ~ ..' _ '___'__~'.'_'_'~_'__'___ _...__.
Supplier / Contractor: ~ 2 /' ~'/I . L?
.:P R 7'~ '-.).'2:.-.".-'<< (S:.dC..<' y~ ",~~.A:
Purchase Order Number: tf) 7' g 0 6
Description: ~ 3 'I( ~
r!-.?( ;f4l~ r:O-r L4-?-" d>,;z /
o Per attached contract amendment
~:'~~;. ", '1\.", ,!;."'i ,,"~,,- '1':-'1" ,~;-,:^ ;~;, :._";~ .- ."
Colitract:Amelidfuent
Original contract amount
$ ~r'f7.g9_ d'Jt:J
;;2,3 ~t:J . -
-"'Y ~ <:') ,/ ,/ ~ .</l 0
$ 5'""c:;.:<. /40, .<,t1o
Total amount of previous contract amendments
Amount of this contract amendment
TOTAL AMOUNT OF CONTRACT
~ % of onginal contract
....!!.. +'~% of onginal contract
/2 '7-1 .
l? , % of original contract
/.&;1(9
r t7 (. % of original contract
Is the total amount of the cumulative amendments less than or equal to 25~ of the original contract amount pr $~~M(fo.
"'''~I!":'''''''_~'~,'>O''__,'-". _ .
\'I.hlc~.everis.l.es.s? YES / NO'
'If "No", a Special Procurement is required for the amount that exceeds authority. Council approved on
(Date)
In accordance with OAR 137-047-0800, the amendment is: 1) Within the scope of procurement 2) Necessary to comply with a change in
law that affects performance of the contract. 3) Results from renegotiation of the terms and conditions, including the contract price
making it advantageous to the contracting agency a) Provided goods and services are the same as in the unamended contract b) The
. amended contract does not have a total term greater than allowed in the solicitation document
/
YES
NO'
'if "No', a Special Procurement is required for the amount that does not meet these criteria. Councillapproved on (Date)
. <:'"7 (\/? " ~
. Vc:.U' ~1...e.t.Ls.,.I(~~
Project Number ______ - ___ Account Number ___ - __ - __ - __ - ______ Account Number ___' __ - __' __ - ______
Account Number - . - - Account Number - - - .
'Expenditure must be charged to e epproPria~e account ~m fD~th; ~e~~ls To ~eflecti;;e-a~i;;al expenditures accuratel~ "fliach eXiffi pages ifne;dOd~-
Prepared by: . .' d.. r I ." / ~epartment:r r ~ &.~ ~~Date: ,-/ r' - r 7 - I' D
S;~ ~/,~~{re.{leasedrcle~__.~
Reviewed by: I"C'-" 'I _ ~ved I Not Approved Date:
Departmint Head
Comments: .
Funds appropriated for current fiscal year: @ NO
.Lf2;{ .d
Finance Director
Comments:
<"")
,
'/~??"
Date
Form #13 - Contract Amendment Approval Request Form -ITB, RFP or SOLE SOURCE PROCUREMENT, Page 1 of 1,11/17/2010
CITY OF
ASHLAND
A request for a Purchase Order
REQUlSTION FORM
THIS IS A REQUEST FOR A: . &7
[X ] Change Order (existing P~~ tJ.1 ffr t)
Required Date of Delivery/Service: IAs~P.B"~1
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
200510.120
Services Only Sollcltailon Process:
[ J Exempt, f 1 3 Written QUotes (copies
, :.': attached)-
[ ] Sole Source'~ [ X J Invitation to B.id (copies on
file)"
L]. Les.s.!har ~ooo ' . [ I ReqUest for Prop\?sal (copies
.. .,,' on file).,
Description
Jefferson Avenue Improvement Project
Change Order No. 01
Change Order No. 02
Change Order No. 03
Change Order No. 04
Account Number
260.08.12.00.704200" 100%
Employee Signature:
NOTE: By signing !hi
'PIoase ,ttao" /he Orlgn" ,,,oed ""'''''' eM ''':"''''''' """""~es. ~
Supervlsorl Dept Head Signature: \'<\~ ~
rtify tha the above request meets w;th Ctiy of Ashland SoIicit/aiion Process requirements and can be provided when necessary.
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Updaledon: 10113103