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Home My WebLink About2012-270 CONT Chg Order #4-5 - Pilot Rock Excavation CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. #04 PROJECT: N. MainMlimer/Helsev Intersection Realignment DATE: 10115112 LOCATION: Miscellaneous Locations on Project PROJECT NO.: 2002.05 CONTRACTOR: Pilot Rock Excavation. Inc. You are requested to perform the following described work upon receipt of an approved copy of this document or as described by the Engineer: Quantity Unit Amount Item No. Description Additional Trench & Conduit - See Item #1 Field Change 404 1 LS S 990.00 Additional Trench & Conduit - See Item #2 Field Cbanae 906 1 LS $ 1,806.00 Additional Line Removal - See Item #3 Attached Chane Order Pa envork I LS $ 420.00 Bid Item Adjustments - See Item #4 Attached Summa I LS $ 29,92 Total this Change Order S 33,139.50 Previous Change Order - S 3.507.00 Original Contract Total S 580.545.00 Revised Contract Total S 617,191.50 PERCENTCHANGE OF ORIGINAL CONTRACT 6.31% The time provided for completion of this contract is ' 3creased by one calendar day. This document shall become an amendment to the contract and all provisions of the contract w Recommended By: d Zo/Z ect a Approved By: o ~C _c ten- to t"s ! Public Works Dir etor Date Accepted By: Pilot Rock Excm•ntion. Inc. 650 E. Pine Sireei. Suite 102B Cen - l Po R 97502 ctor Representative Date PUBLC WORK9L%GINEERING Tel: i.i118R-13+7 Qa E. h. d. al Fag 1499006 SW733?500 20 O 5 5.97lEO TTI xvv..yhlmd ar. u, wpuDV 3M ana1e2A5 N, Main Hersey Wmer Intersection ReWipnN Aar%n= 05 Prq Accl Waftook • Comnat=n. U Prot Rock Excavation, inc. "Excavation and Pipeline Specialists" REQUEST FOR CHANGE ORDER ADDITIONAL 6" SCH. 40 SLEEVES ACROSS N. MAIN Reference FC #04 (Aug. 15, 2012) For labor and material to install 130 If of sch. 40 pipe in a common trench that crosses N. Main at the Hersey/ Wimer intersection. LUMP SUM TOTAL $990.00 650 E. Pine St., Ste. 102B • Central Point, OR 97502 • Ph: 541-664-9288 • Fax: 541-664-9218 • CCB# 157139 Pilot Rock Excavation, Inc. "Excavation and Pipeline Specialists" REQUEST FOR CHANGE ORDER #4 N Main / Winner / Hersey Intersection Realignment 1 Sept. 26, 2012 As per FC #06 (see attached) Pilot Rock Excavation submits the following proposal: Complete electrical service for the business sign at Colwell Chiropractic 1 2" ELECTRCAL CONDUIT, CONDUCTORS, HOOK-UP $610.00 2 TRENCH, SHADE PIPE, BACKFILL - $1,196.00 TOTAL FOR FC #06 $1,806.00 650 E. Pine St., Ste. 1028 • Central Point. OR 97602 • Ph: 541-664-9288 • Fax: 541-664-9218 • CCB# 157139 CITY OF -ASHLAND September 7, 2012 Pilot Rock Excavation 650 E. Pine Street Suite 102B Central Point, OR 97502 - - Attn: Rand LeBaron RE: N. Main/Wimer/Hersey Intersection, Realignment (Project #2002-05) FC #06- Additional Electrical Conduit for Sign Dear Rand, The City of Ashland requests the installation of an additional 2-inch conduit from the sign location as shown on the project plans, to a location southwest of the access alley driveway. The additional conduit shall be terminated inside a junction box on each end. The total length of 2-inch conduit is approximately 145 linear feet and conduits shall be installed at an approximate depth of 2-feet from bottom of sidewalk. A sketch of the conduit layout has been attached to this Field Change for reference. The City of Ashland will expect a final additional cost summary from Pilot Rock for the material costs and the additional labor that will be needed to install this conduit. Once approved, this total will be added to the total overall cost of the project. One additional calendar day shall be included as part of this Field Change. If you have any further questions feel free to contact me. Sincerely, Karl Johnson, Associate Engineer cc: Mike Ussary, Pilot Rock FNms ion Jeff Fowler, Pilot Rock Excavation PUBLIC WORKSIENGINEERING DIV. Tel: 541488.5347 20 East Mann Street Fax: 541486.6W6 Ashland. Oregon 97520 TTY: 800-735.2900 vnnv.ashtand.or.us G:1pubwrks1mg102-05 N. Main Hersey Wuner Interseclion ReaOgn~C_Constructor\Conespmdanm%cmtmdoeFeld Charyes102-05 FC 06- Additional EecUtal conduit for sign - 09-07-12.docx H2O Contractors 86291 Blossom St. Eugene, OR 97405 541.746.1787 Office • 541.746.5800 Fax CCB #164604 CHANGE ORDER r1ob te: p= - Z,o I Z- Contact Name: tur, /bf .se, JJ e.-i<~ NomeA ocation b Number: Z- Job Phone: xisti Contract No: Date of Existing Contract: a hereby agree to make the than e(s) specified below: Item Description Qty Unit Price Total R ,~..~.f Io5 v YZO.Oc7 101 Note: This Change Order becomes part of and in conformance with the existing contract. WE AGREE hereby to make the change (s) specified above at this price: Date of Acceptance: / ACCEPTED - The above prices and specifications of this Authorized Signature: Change Order are satisfactory and are hereby accepted. All (Contractor/Proje ager work to be performed under same terms and conditions as Signature: specified in original contract unless otherwise stipulated. (H20 Can ' CtOrs) - f s a °o°o°o°0 000 v+o v. o0o o O F rv _ m m rv - T p ~ ~ N Q 0 y W g N w w w w w w w w g S O w w w w w w U O 6 Q N ~ °O C O = fi n h V m m °e m C ❑m wwww ww w wwwwwww w F w F 4 4} Q Q Q Q Q J J w w fail J ~L = J J w 4] W W F F F F a ~ F O 0 O a P P~ 0 0 0° O° O W O N w e m N P _ - ~ N r~ m - m e J S L 0 ~ F o0 SS°o°o 0000° ° O O v y. Fm > > p o aF wwww ww w wwwwwww w L kl m u O ~ ° S yrUm wwww ww w wwwwwww w ~ w 3 O= JJy{ail {ail {ail z Z77JJww {QiIJ S• 6 a ' "s E QI Z - 4 O o = S - ~ c a 0 O _ `y o 3 U V U g a a=_ ~ c ~ a V C+ o r n ~ c`C `L ~ Q 2 22 ~P v F ` ~ U~L y.= U C C a OUN 6 q ~.Y c r t _ E N c v, m v AN o mm `a n c o UC Uo 0 Uo E c p• K Q C 1' 0 U U m~~ J J J U 6] J ~ C5 ° $ q ° o °o° °'md ° ° o o°o~geeeo co 6 'L m O-~ 'L rv M 't n 't n e 'L e e Vl N y V`i VVi U' FORM #10 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ASHLAND Request for a Change Order Name of Supplier 1 Contractor) Consultant: Pilot Rock Excavation, Inc. Total amount of this contract amendment: Purchase Order Number: #10993 Title 1 Description: N. MainlWimerlHersey Intersection Realignment Project $900.00 ® Per attached contract amendment Contract Amendment Original contract amount $580,545.00 100 % of original contract Total amount of previous contract amendments $36,646.50 6.3 % of original contract Amount of this contract amendment $900.00 0.1 % of original contract TOTAL AMOUNT OF CONTRACT $618,091.50 106.4 % 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 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, contractor 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 X NO" (If "NO", requires Council approval /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 ❑'YES', the total amount of original contract and ❑ If 'NO", amount exceeding authority requires amendments s 25% of original contract amount or cumulative amendments :5 $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 SOLESOURCE 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 5 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: El Exempt -Reason: SPECIAL PROCUREMENT INTERGOVERNMENTALAGREEMENT ❑ "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 co of Council Communication. Project Number 200205.120 Account Number 260.08.12.00.704200 Account Number _ _ _ 'Expenditure must be chargedhaapo riate account numbers for the financials to reflect the actual expenditures accurately. Affac extra pages if needed. Employee Signature: Department Head Signature: ~i (Equ`al to or greater t ,000) Funds appropriated for curren ft iscal C YES / NO Finance Director (Equal to or greater than $5,000) Date Comments: G:Ipub-wrksleng102-05 N. Main Hersey Wimer Intersection RealignlA_AdminlCons Vendor (Pilot Rock)1Contmct DocumenWChange OrdersT2-05 Form #10 - Request for a Change Order -#05.dou CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO.! #OS_ PROJECT: N. Main/Wimer/Hersey Intersection Realignment DATE: 10/19/12 LOCATION: Miscellaneous Locations on Project PROJECT NO.: 2002-05 CONTRACTOR: Pilot Rock Excavation, Inc. 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. Description Quantity Unit Amount Additional Topsoil at 348 N. Main Item €I l Street 1 LS $ 900.00 Total this Change Order $ 900.00 Previous Change Order S 36 646.50 Original Contract Total _ $ 580,545.00 Revised Contract Total S 618,091.50 PERCENT CHANGE OF ORIGINAL CONTRACT 6.47% The time provided for completion of this contract i increased by one calendar day. This document shall become an amendment to the contract and all provisions of the contract w' ply. Recommended By: /d z2 1o/Z Project a r D e Approved By: C', 13 /~ao i z Public Works Director Date Accepted By: Pilot Rock Excavation, Inc. 650 E. Pine Street, Suite 102B Central Point, OR 97502 Contractor Representative Date PUBLC WORKS/ENGINEERING Tel: 541-3883347 20 E. Main Saee1 Fs: 541488.6006 AW.d, Orreon 97520 M: 800-7;5.2900 ,w xxxtadJmdor,us G:1pub-wrkMengW24S N. Main Hersey Winner Intersection Rea5gnW AdnnnW2-05 Proj Acci Workbook - Constmcbon.Asx Prot Rock Excavation, inc. "Excavation and Pipeline Specialists" REQUEST FOR CHANGE ORDER N Main/ Winner/ Hersey Intersection Realignment Oct. 19, 2012 As per request, Pilot Rock Excavation has placed additional topsoil at the SE corner of N Main and Hersey St. 20 CY Topsoil, 70/30 Blend (see truck slip)@ $45.00 $900.00 Thank you. 650 E: Pine St., Ste. 1026 • Central Point, OR 97502 • Ph: 541-664-9288 • Fax: 541-664-9218 • CCBrt 157139 JOHNNY CAT, INC. P.O. BOX 89 JACKSONVILLE, OREGON 97530 (541) 899-4494 MATERIAL SOURCE PHONE DATE NAME ADDRESS p`: ~.f. J E oLT .t ! ~ 3 DRIVER:- CASH C.O.D. CHARGE ON-ACCT. TRUCi(#'~:,, Y 1 OTy rr~~DESCRIPTION PRICE AMOUNT R I I y i 1 I ; I I 1 1 a~ I , i s TAX i RECEVED By ;TOTAL 11 C NOT RESPONSIBLE FOR DAMAGE f INSIDE PROPERTY LINES Thank you 5.363 I e CITY RECORDER Pagel/1 ~J~ CITY OF LAND T 7"~ DATE PO NUMBER 20 E MAIN ST. 7/18/2012 10993 ASHLAND, 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: Mike Fauqht - Karl Johnson Special Inst: Confirming? NO Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER N. Main/Wimer/Hersey Intersection 580,545.00 Realignment Project - Contractor will complete all work associated work involved with the completion of this project including but not limited to concrete work, asphalt paving, electrical conduit installation, etc. COA Public Improvement Contract Effective date: July 9, 2012 Completion date: Septemger 4, 2012 Insurance/Bonds required/On file Processed change order 08/07/2012 8,400.00 Change Order No. 1 Processed change order 09/12/2012 8,200.00 Change Order No. 2 -'Revised* Processed change order 09/12/2012 3,307.00 Change Order No. 3 Processed change order 10/31/2012 33,139.50 Change Order No. 4 Processed change order 10/31/2012 900.00 Change Order No. 5 SUBTOTAL 618,091-50 BILL To: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 618,091.50 ASHLAND, OR 97520 Account Number " Project Number Amount Account Number Project Number Amount E 260.08.12.00.70420 E 200205.120 6-18-10- 91.50 r//2V VENDOR Auth rized Signature COPY FORM #101 CITY OF CONTRACT AMENDMENT APPROVAL REQUEST FORM ~S H LAN D Request for a Change Order Name of Supplier/ Contractor/ Consultant: Pilot Rock Excavation, Inc. Total amount of this contract amendment: Purchase Order Number: #10993 Title 1 Description: N. Main/Wimer/Hersey Intersection Realignment Project $33,139.50 ® Per attached contract amendment Contract Amendment Original contract amount $580,545.00 100 % of original contract Total amount of previous contract amendments $3,507.00 0.6 % of original contract Amount of this contract amendment 33139.50 5.7 % of original contract Co17 19 f, 5a TOTAL AMOUNT OF CONTRACT ,$58#10MO . - N 106.3 % 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 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 X NO' (If "NO", requires Council approval I 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 s $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 :5 $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 SOLESOURCE 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: Communication ❑ Exempt - Reason: ❑ Exempt - Reason: SPECIAL PROCUREMENT INTERGOVERNMENTAL AGREEMENT ❑'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 co of Council Communication. Project Number 200205.120 Account Number 260.06.12.00.704200 Account Number *Expenditure must be charged to th priate account numbers for the financials to reflect the actual expenditu accurately. Attach eltxtra pages if needed. i Employee Signature: Department Head Signature: . r l = y ( ual to or greater thaq $5, 00) Funds appropriated for current fiscal year / NO JIOX /L °I I I ' Finance Director (Equal to or greiRi 5,000) Date Comments: G:Ipub-wrksleng102-05 N. Main Hersey Wimer Intersection Real'gMA-AdminlCons Vendor (Pilot Rock)IContract DocumentslChange Orders102-05 Form #10 - Request for a Change Order -#04.docc