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Home My WebLink About2012-151 CONT Chg Order #1 - Pilot Rock Excavation DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO.t-'°-'--"77- -`77---7, PROJECT: Schofield and Mont-e to LID, DATE ,<<_ -07/02/12 I LOCATION: (AshlandOR.,.,, . ..;': - _` _ .':-! PROJECT NOti-`. "2005-09� .� I CONTRACTOR. IPilot!ROck Fi cavation lne.�,1 `m You arc 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 I Unit Price Amount Item#1 Removal of Cone.Curb&Gutter 42 LF $ 3.00 $.;,,:= ,;iA26.00; Item#2 Removal of Concrete S/W 54.5 SF $ 6.00 $ �`.' ,'gM 06� Item#3 Retaining Walls,Conventional 196.88 SF $ 20.00 Item#4 Aggregate Base(me S/W and D/W) IS CY $ 3000 $, '-. , $450.000 Item#5 Cone.Curb and Gutter 59 LF $ 20.00 $ r"- '-'("1 180;00, Item#6 Concrete Sidewalk 35 SF $ 5.00 $�'.-".! INOW1,75 00 Item#7 Concrete Driveway 69 SF $ 6.00 $•`y,a< .,,,.,4.14:00; Item#8 6"Extruded Curb at 465 Schofield 19 LF $ 20.00 1 $'-" ' : r 380.00 Total this Change Order Previous Change Order $ ' Original Contract Total $ '`t+ 344,164.005 Revised Contract Total $ 351,153.60 PERCENT CHANGE OF ORIGINAL CONTRACT 2.0% The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment to the contract and Recommended By: r _ 1 17- Project Wairger Date Approved By: oZ L?- Public Works Director Date Accepted By: Pilot Rock Excavation Inc 'Y R50 E."Plne St [C tra P 91502 ontractor Representative Date &NGr.NEEMNG Te]:%NS Aar 20 E.Mem S. ru:541-058-6006 A+EhW,pegtn 97520 TTY:B 735-2900 www.u8lmd.— CITY RECORDER Page 1 / 1 �. ASHLAND CITY O F DATE PO NUMBER ,_ ASHLAND,E MAIN ST. 4/3/2012 10791 OR 97520 (541)488-5300 VENDOR: 010462 SHIP TO: Ashland Public Works PILOT ROCK EXCAVATION (541)488-5587 650 E PINE STREET SUITE 102B 51 WINBURN WAY CENTRAL POINT, OR 97502 ASHLAND, OR 97520, FOB Point: Req.No.: Terms: Net Dept.: Req.Del.Date: Contact: Scott Fleury _ Special Inst: Confirming? No ,_, Quantity Unit Description Unit Price Ext.Price THIS IS A REVISED PURCHASE ORDER Construction of Schofield and Monte 344,164.00 Vista LID Project 2005-08 Public Improvement Contract Effective date: March 20, 2012 Completion date: "90 calendar days from notice to proceed" Insurance/Bonds required/On file Processed change order 07/1812012 6,989.60 Contract Change Order No. 1 I I I j SUBTOTAL 351,153.60 BILL TO:Account Payable rnx 0.00' 20 EAST MAIN ST FREIGHT 541-552-2028 TOTAL 351,153.60 ASHLAND, OR 97520 Account Number Project Number Amount Account Number Project Number Amount , E 260.08.12.00.704200 E 200508.120 . 187 434.83 E 260.08.35.00.704200 E 200508.120 63 728.50 E 260.08.41.00.704200 E 200508.120 99,9-90-27 I I I orized Signature VENDOR COPY l FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier/Contractor/Consultant: pc � EY-C- w-ner-k Total amountof;this contract amendment: Purchase Order Number: lo"F`t( Title 1 Description: Su1tFt6�� F litenftE Vr scati u0 El Per attached contract amendment Contract Amendment Original contract amount $ 344 t 4 4 100 %of original contract Total amount of rep vious contract amendments 0 %of original contract Amount of this contract amendment G g3`►.40 z %of original contract TOTAL AMOUNT OF CONTRACT $ 3St,153• (.0 %of original contract In accordance with OAR 137-047-0800:1)The amendment is within the scope of procurement as described in the solicitation documents,Sole Source notice or approval of Special Procurement.2)The amendment is necessary to comply with a change in law that affects performance of the contract.3)The amendment results from renegotiation of the terms and conditions,including the contract price,of contract and the amendment is advantageous to the City of Ashland,subject to all of the following conditions:a)goods and services to be provided under the amended contract are the same as the goods and services to be provided under the unamended contract;b)The City determines that,with all things considered,the amended contract is at least as favorable to the City as the unamended contract;c)The amended contract does not have a total term greater than allowed in the solicitation document, contract or approval of a Special Procurement.An amendment is not within the scope of the procurement if the City determines that if it had described the changes to be made by the amendment in the procurement documents,it would likely have increased competition or affected award of contract Contract amendment is within the scope of procurement: YES NO' (If"NO",requires Council approval 1 Attach copy of CC.) Sourcing Method: SMALL PROCUREMENT-Less than$5.000 INVITATION TO BID or COOPERATIVE PROCUREMENT,QRF or ❑'YES",the total amount of contract and REQUEST FOR PROPOSAL EXEMPTION PURSUANT TO AMC 2.50 cumulative amendments<_$6,000. YES',the total amount of cumulative El'YES',the total amount of original contract and ❑ If'NO",amount exceeding authority requires amendments s 25%of original contract amount or cumulative amendments<_$100K for Goods& Council approval.Attach copy of Council $250,000 whichever is less. Services,<$75K for Personal Services,<$50K for Communication. ❑If'NO",amount exceeding authority requires Attorney Fees. ❑ Exempt—Reason: Council approval.Attach copy of Council ❑If'NO",amount exceeding authority requires Communication. Council approval.Attach copy of Council ❑ Exempt—Reason: Communication. ❑ Exempt—Reason: INTERMEDIATE PROCUREMENT SOLE SOURCE EMERGENCY PROCUREMENT Goods&Services-$5.000 to$100.000 ❑ 'YES",the total amount of cumulative ❑ Written Findings:Document the nature of the Personal Services -$5,000 to$75.000 amendments<_25%of original contract amount or emergency,including necessity and circumstances ❑ 'YES",the total amount of cumulative $250,000 whichever is less. requiring the contract amendment amendments s 25%of original contract amount. ❑If'NO',amount exceeding authority requires ❑ Obtain direction and written approval from City ❑ If'NO',amount exceeding authority requires Council approval.Attach copy of Council Administrator Council approval.Attach copy of Council Communication. ❑ If applicable,attach copy of Council Communication. ❑ Exempt—Reason: Communication ❑ Exempt—Reason: ❑ Exempt—Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑'YES",the total amount of original contract and cumulative [I'YES',the original contract was approved by City Council. amendments are within the amount and terms initially approved by Provide date approved by City Council: (Date) Council as a Special Procurement. If"NO",Council approval is required.Attach copy of Council Communication. ❑ If°NO",amount exceeding authority requires Council approval. ❑ Contract amendment approved and signed by City Administrator. Attach copy of Council Communication. Project Number 2ocaS__. p% Account Numberao_-a-1 --CIS. 104200 Account Number___-__-__- *Expenditure must be charged to ti ro ccount numbers for the financials to reflect the actual expenditures accurately. Afla h extra pages if needed. ployee Signature: Department Head Signature: 7 jf/i2-- (Equalto,orgreate than$5,000) ZF nds appropriated for c en fiscal y cur: ES / NO 7 Finance Director(Equal to or greater than$5,000) Date Comments: Form#10-Contract Amendment Approval Request Form,Request for a Change Order,Page 1 of 1,7/9/2012