HomeMy WebLinkAbout2011-264 CONT Chg Order #1 - Knife River Materials CITY OF
ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO.F- 1 7
PROJECT: FAIP Runway:Rehabilitation DATE: 09/Ol/„11
LOCATION: (A"shland OR:' }w PROJECT NO.:( ": 2008-62- ^' ' 1
CONTRACTOR: IlKnife 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 No Descri lion Quantity Unit Price Amount
Item #1 Six Day Construction Sched. NTE 1 $27,640 $ 27;640:00
Item#2 $
Item #3 $
Item #4 $_
Item #5 $
Total this Change Order $ 27,640.00
Previous Change Order $ ,
Ordinal Contract Total $ 1,285,969,00 !
Revised Contract Total $ 1,313,609.00
PERCENT CHANGE OF ORIGINAL CONTRACT 2.1%
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: 11ytz°t t
Project ger Date
Approved By:
lic Works birector aC7"lq7 Date
Accepted By: Knefe RrverMaterials'
PO Box 1145
lMedford OR. 97501
Contractor Representative Date
ENGINEERING TO 541488-5347
20 As E.Main Street Fax:541488-6006
800-7 5-29
Ashland,Oregon 97520 TTY: 800-]35-2900
www.ashland.or.us
G\pub-wrks\eng\0"2 Airport AIP PrpjecAA AdminTans Vendor Knife River\Contract Documents\Change Orders\Change Order 08-6241
f
1
U.S.DEPARTMENT OF TRANSPORTATION
FEDERALAVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
CONTRACT CHANGE ORDER NO. 1 or SUPPLEMENTAL AGREEMENT NO.
AIRPORT S03 Ashland Muncipal Airport DATE 5-9-2011
LOCATION Ashland Oregon AIP PROJECT NO. 3-41-0002-09
CONTRACTOR Knife River Materials
You are requested to perform the following described work upon receipt of an approved copy of this
document or as directed by the engineer:
Item
No. Description 'Unit Unit Price Quantity .Amount
j 1 Six Day a week construction LS $27,640.00 1 $27,640.00
schedule NTE
i
This Change Order Total $27,640.00 _-
Previous Change Order(s)Total $0
Revised Contract Total $1,313,609.00
I
I The time provided for completion in the contract is (unchanged) (decreased) (increased) by
working days. This document shall become an amendment to the contract and all provisions of the
contract will apply. Changes are shown on Drawing(s) No. dated three copies
attached.
Recommended by: —Qf -
Eng(neer Date
Approved by:
wner c_ar es D. Ross ate
Accepted by: Chief Estimator ( R
Cont for Da te
iConcurred by:
SJ�te .Fronautics(If applicable) Date
Approved by: -e /, �//./li��� 4&IlI
'Federal'Aviation Administra ion Date
NOTE: Change Orders and Supplemental Agreements require FAA approval prior to construction,
otherwise no Federal participation can be granted. State Aeronautics concurrence is required when
state participation is anticipated.
Cedifi�l rni mal{:5t15120t7?
I
2
AIP PROJECT NO. 3-41-0002-09 CHANGE ORDER NO. 1
(Supplemental Agreement)
AIRPORT S03 Ashland Municipal Airport LOCATION Ashland Oregon _
JUSTIFICATION FOR CHANGE
1. Brief description of the proposed contract change(s) and location(s).
Change order allows for a six day a week construction schedule to reduce overall runway closure
time by approximately 5 days.
2. Reason(s)for the change(s) (Continue on reverse if necessary)
Ashland Airport has onsite businesses that rely on inbound and outbound traffic as part of their
income. The majority of traffic occurs from April through September as the weather improves in
southern Oregon during this time frame.
3. Justifications for unit prices or total cost.
The not to exceed price was calculated by Knife River Materials for the additional man hours required
to perform necessary contract work during the six day a week schedule.
4. The sponsor's share of this cost is available from:
The City has applied for and received a Connect Oregon III grant to cover its associated 5%
matching cost for this AIP project.
5. If this is a supplemental agreement involving more than $2,000, is the cost estimate based on the
latest wage rate decision: Yes ® No ❑ Not Applicable ❑
6. Has consent of surety been obtained? Yes❑ Not Necessary®.
7. Will this change affect the insurance coverage? Yes ❑ No Z.
8. If yes, will the policies be extended? Yes ❑ No P.
9. Has this(_Change Order) (Supplemental Agreement) been discussed with FAA officials?
Yes® No When With Whom Kevin Latschaw
Comment
Submit 4 copies to the FAA
G, ,ii5e0 anent 5115r2rn
11��
ASHLAND. L
' Page 1 / 1
�® C I T Y OF CITY REC0i`! M ATE ;PO NUMBER.,
20 E MAIN ST. 7/1/2011 09960
ASHLAND, OR 97520
(541)488-5300
VENDOR: 013200 SHIP TO: Ashland Public Works
KNIFE RIVER MATERIALS, LTM (DBA) (541) 488-5587
PO BOX 1145 51 WINBURN WAY
MEDFORD, OR 97501 ASHLAND, OR 97520
FOB Point: Req.No.:
Terms: Net 30 days Dept.:
Req.Del.Date: Contact: Scott Fleury ,
Special Inst: Confirming? NO
quanti Uni[',: Description Unit Price Ext.Price.
. ;.t.
THIS IS A REVISED PURCHASE ORDER
AIP Construction Project 1,285,969.00
Project No. AIP No. 3-41-0002-008
Runway 12/30 Rehabilitation and PAPI
Installation at Ashland Municipal
Airport
Approved by City Council Sept 7, 2010
COA Public Improvement Contract
Effective: January 1, 2011
Insurance required/On file
Processed change order 10/07/2011 27,640.00
Change Order No. 1
Six day a week construction schedule
change
SUBTOTAL 1 313 609.00
BILL TO:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 1,313,609.00
ASHLAND, OR 97520
_",. ,
Qccdunt NumtieY. ,P�oJect Numtier "- ;Amount .Account Number ?Project Number "' , _Amount
E 410.08.24.00.70420 E 200862.120 1 313 609.00
F-
Authorqeed Signature VENDORCOPY
CITY OF
ASHLAND
A request for a Purchase Order
REQUISITION FORM Date of Request: 9/9/2011
THIS IS A REQUEST FOR A: Required Date of Delivery/Service: ASAP
[X I Change Order(existing PO#09960 )
Vendor Name: Knife River Materials
Address: PO Box 1145
City, State, Zip MEDFORD OR 97501
Phone:
Project Title: Airport Improvement Project-Runway Rehabilitation and PAPI installation
Project Number: 08-62
Services Only Solicitation Process:
[ ] Exempt [ 1 3 Written Quotes(copies
attached)
[ ] Sole Source I ] Invitation to Bid(copies on
rile)
[ I Less than$5000 IX] Request for Proposal
(copies on rile)
Description Total Cost
Original Contract 7W$ I,286' 59.00 Change Order#1 Six day a week construction schedule change 7,„640.00
$ 113,13,59900 REVISEDCONTRAC,
Account Number 410.08.24.00.704200
'Please attach the Original signed contract and Insurance Certificates.
Account Number
Employee Signature: Supervisor/Dept.Head Signature:
NOTE: Sy lignin his requisb iron to ,I cer ily tha the ove request meets into Ctiy olAshfand Soficifialion Process requirement^ d con be ionavided4hen necessary.
G:Pubwlks%Eng`W62 requisition farm change order 1 Updated on:7115102