HomeMy WebLinkAbout2012-050 CONT Chg Order #1 - Gage It Construction 09 12 02:26p Gage It Construction 5417797227 p.1
C I T Y 01F
ASHLAND
DEPARTMENT OF PUBLIC WORI•_
CONTRACT CHANGE ORDER NO.
:, JECT: North Main Guardrail Replacement
LOCATION: shland OR DATE 9112
PROJECT NO.:CONTRACTOR: Gage m uclton
2012 T17. ;: C:
You are requested to perform the followuig deuribed Work upon receipt of an
Engineer: approved copy of this document or as described by the
Item No. Descri lion Quanti
I Unit Price Amount
Item#1
Additional Guardrail Work
Item #2
Q;310:00
Item#3
item#4 $
Item 95
Total this Change Order
Previous Change Order $ `:::.` 1310.0
Ori>iva] Contract Total
xevtsed Contract Total $ 2895,00
$ 4,205 00
U
PERCENT CHANCE OFORIGTNAL CONTRACT 313/a e
The time provided for comp of this contract is incr
the eontreet and all provisions ns of the contest[will eased by no calendar days. This document shall become an wendmrnt to
of a ly. -
Recommended By:
roject M Date
Approved By: ? t Z
Engm ces M ger Date
Accepted By: r7
ris Gage �2
Ga It Construction Dat
PO Box 3483
Central Point Oregon
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O5 12 02:13p Gage It Construction 5417797227 p.1
GAGEIT.CONSTRUCTION, LLC Invoice
4778 AIRWAY DRIVE
CENTRAL POINT, OR 97502 Date Invoice#
Phone 541/779-7007
6/272012 4794
Bill To �JJ (�^^
City Of Ashland R C QQ��'-(/V E I`V E U
_ Fax:541/4886006
Attn:Karl Johnson
JUL 0 5 2012
City of Ashland
Project Contract# Terms
N Main/G-Rail - Due on receipt
Quantity Description Rate Amount
I Mobilization 750.00 750.00E
37.5 Guardrail Type 2A 28.00 (5n o 1,050.00 '
1 Nested Double Thick Rail 185.00 ages=
2 Type 1 Modified Anchor 550.00 1,100.00
2 Type B End Piece 85.00 170.00
1 Traffic Control w/Signs-lncluded 0.00 0.00
10 Flagging on 621/12(2 flaggers x 5 hrs) 35.00 -$30;00-
1 Vac Services to Vac Holes and Backfill 60000
.,a•a of nc,.t,�.L cos r orziG- . Go^t
(7 S,00 _ tucLE 2.00-:(L. oa
IS'S•m ,po et-E M'ILt + t3to .o0
35o•no fir tc -
('pp.00 Yom• '5"-U(t*3 L€ 2QC . Ib
I3 to cetasicnE
it Z(�It2
Thank you for your business.
Total $4.20 .00
Page 1 /1
�. C- , T Y OF Vi r rttC(?RDER
ASHLAND DATE PO NUMBER
20 E MAIN ST. 6/1/2012 10894
ASHLAND, OR 97520
(541)488-5300 . �.
VENDOR: 005867 SHIP TO: Ashland Public Works
GAGE IT CONSTRUCTION, LLC (541) 488-5587
P O BOX 3483 51 WINBURN WAY
CENTRAL POINT, OR 97502 ASHLAND, OR 97520 -{
FOB Point: Req.No.:
Terms: Net Dept.:
Req.Del. Date: Contact: Scott Fluery
Special Inst: Confirming? No
Quantity Unit Description Unit Price Ext.Price
THIS IS A REVISED PURCHASE ORDER
Guardrail Installation 2,895.00
(� North main Pump Station
Contract for Goods & Services
Beqinninq date: 05/21/12
Completion date: 06/21/12
Insurance required/On file
Processed chanqe order 07/18/2012 11310.00
Addtional quardrail work
o
SUBTOTAL 4,205.00
BILL TO:Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 4,205.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 260.08.12.00.704200 E 201207.999 4,205.00
Authorizbd Signature VENDOR COPY
FORM #10 1 CITY OF
CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order
Name of Supplier/Contractor/Consultant: VIE =T— c Total amount of this
contract amendment:
Purchase Order Number:
Title/Description: �ua�DP�t� T�cSTa�t�ROrt Q �. � $
puwp _5192.-Tkcl r�
❑ Per attached contract amendment
Contract Amendment
Original contract amount $ Z S4 S '(:D 100 %of original contract
Total amount of rep vious contract amendments C7 %of original contract
Amount of this contract amendment 13 10 IVA _%of original contract
TOTAL AMOUNT OF CONTRACT $ A,7_05 •c)O %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 thataffects performance of the contract.3)The amendment results from renegotiation of the terns and
conditions,including the contract price,of a 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
emulative amendments<–$6,000. ❑ 'YES',the total amount of cumulative ❑'YES',the total amount of original contract and
❑ If'NO",amount exceeding authority requires amendments s 25%of original contract amount or cumulative amendments 15$100K for Goods&
Council approval.Attach copy of Council $250,000 whichever is less. Services,s$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 EMERGENCYPROCUREMENT
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 s 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: Communicattion
El Exempt–Reason: ❑ Exem –Reason:
SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT
El'YES',the total amount of original contract and cumulative ❑'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 zDtz . O7- Account Number ZbQ-_C&1?-_og-}C4?,M Account Number—__•_—•_
*Expenditure must he charged to the appro ' to account numbers for the financials to reflect the actual expenditures accurately. Attach ex t a pages if needed.
Employee Signature: Department Head Signature: r \'ll:L r J c._ 7Z5 it Z
(Equal to or greater han$5,000)
Funds appropriated fo cur: E 0 O�;t
Finance Director(Equal too greaterthan$5,000) Date
Comments: -- i rlsUe-a"{F_ ytfc,µP.VdS�UI£�•f�i — —S+l eap—l.p�.t�
Form#10—Contract Amendment Approval Request Form, Request for a Change Order,Pagel of 1,7/9/2012