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Home My WebLink About2009-063 CONT Chg Order #1 - Triad Mechanical CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 1 PROJECT: Water Treatment Plant Process Improvements DATE: May 18, 2009 LOCATION: 1400 Granite St PROJECT NO.: 2006-02 CONTRACTOR: Triad Mechanical 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 Price Amount Item #I FY 2008 Field Engineering cuts' Lump Sum (8075.00) Item #2 See Attached Statement of Work Lump Sum $9626.00 Item #3 Sodium Hype Modifications Lump Sum - $7438.00 Item #4 Deferred M Meter Install Lump Sum - $1800.00- Total this Change Order $10789.00- Previous Change Order $969,322.00- Revised Overall Contract Total $980,111.00- The time provided for completion of this contract is increas y no calendar days. This document shall become an amendment to the contract and all rovisions o the contract will apply. Recommended By: Morgan Wa man 40W 1 L, 5/18/2009 Project Manager Date Approved By: Pieter Smeenk 5/18/2009 Engineer Date Accepted By: Dennis Carroll -;-fq-09 Contractor Date ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 5414886006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or.us GApubwrln\eng\06-02 WTP Process Impr\A\Triad\Chaage Order.doc City of Ashland WTP-Process Improvements 37-4698 BREAKDOWN OF CURRENT MONIES OWED PREVIOUSLY BILLED ITEMS The following Items were included in the fiscal yearend billing as change order charges/credits. They have already been included in the billings; just need to be ,included in a. change order to fomalize them. 60.18001 Pipe material change; l0" &30" .$(13;899.00) CO-18002 Soda ash transfer pumps 1,550.00 CO-18003 Earth anchor deletion ; (7;600.00) C048004- Change pipe saddle footings (81007.00) CO-18007 Chlorine branch line In pipe gallery $ 2,000.00 CO-18011 1100amp panel In chlorine room $ 8,859.00 C048013: Delete asphaft patching $ (900.00) CO-18014 Temporary system security services $ 4,909.00 CO-18018 Soda ash system modifications $ 8,252.00 CO-18021. Transfer hypo.from totes toetorage tank $ 961.00 CO-18031 Deferred mag flow meter installation $ (1,800.00) / $~(8;075~00)yJ (retention Withheld in billing' #005) CURRENT BILLABLE ITEMS The following 3 items were not yet completed, and therefore not billed when your fiscal yearended last year. They have since been completed. . . 0000400 Heat base & insulation $ 1,145.10 060000 Cleanup & demobilization $ 1,762.00 0000510 O&M manuals and as-builis $ 734.00 Balance remaining fromoriginal contract $ 3,641.10 The mag flow meter. has now been installed, so an adjustment is necessary tooffset CO-1a031 under previously. billed items.. / COAS031B Complete deferred mag meter work $ I'MOW ✓ Time and material work recently completed by Donnie on the sodium hypo system CO-18037 Sodium hypo syte.m modifications_ $ .7,438AB- Water pump/foot valveinstallation work that will be competedtoday CO-18038 Water pumpffoot valve installation $ '9;82B0WI Total currerd billableftems $ 22,505.10 Less retention (1,126.26) Current paym nt due $ 21 379.86 13OTTOM LINE 'T~o~ebarivng ~us ~up to being squares change order should be issued.for reviously:billedwork $ (8,075.00) Current billable items 22,505.10 $ .'la ACORD CERTIFICATE OF LIABILITY INSURANCE TRIAD 1 DA OS 29 9) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Anchor Insurance - Portland HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1201 SW 12th Ave., Suite 500 ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. ' Portland OR 97205-2030 Phone: 503-224-2500 Fax:503-224-9830 INSURERS AFFORDING COVERAGE NAICIS INSURED INSURER A. Travelers Indemnity Co. INSURER U: Tl.Y.I.z. Pre, C.. Co of A... Triad Mechanical Inc. INSURER C. SAIF Corporation 1419 NE Lombard §lace INSURER D' Portland OR 97211-4061 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONORIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRO TYPE OF INSURANCE I POLICY NUMBER ~LICY L'FFEOT OLICYE2PIJ GATE MMIOD/YY OATS M DRPWAMYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1 000,000 A X X COMMERCIALGENERALLIASILRY DTC06583M600INDO8 10/01/08 10/01/09 PREMISES Ear'EISROm ~w~e $100,00 O CLAIMS MADE OCCUR MED UP (An ono person) $10,000 X WA STOP GAP BLANKET CONTRACTU PERSONALS ADVINJURY S11000,000 $1,000,000 _ XC6U COVERAGE GENERAL AGGREGATE 52,000 000 GEN'L AGGREGATE LNITAPPLIES PER PRODUCTS - COMPIOP AGG 52,000,000 POLICY X PRO- JECT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X X ANY AUTO DT8106583M600TIL06 10/01/08 10/01/09 (EB °`aa•"') 51,000,000 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (PV person) X HIREDAUTOS BODILY INJURY ~X NON-OWNEDAUTOS (PoreCddenl) 5 PROPERTY DAMAGE S (Pere denl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGO i EXCESSNMBRELLALABILITY EACH OCCURRENCE 6 S,00010 0 0 B X OCCUR F-ICLAIMSIMDE DTSMCUP6583M600TIL08 10101/08 SO/01/09 AGGREGATE 35,000,000 _ i DEDUCTIBLE 5 X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORYLIMITS ER C EMPLOYERIETOFILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 811431 10/01/08 10/01/09 E.L. EACH ACCIDENT 5500,000 OFFICERrtMEMBER EXCLUDED'! OREGON E.L. DISEASE - EA EMPLOYEE $ 5D0, 000 R YY.., d..mb. ume, - 8 ECIAL PROVISIONS Delow E.L. DISEASE- POLICY LIMIT S500, 000 OTHER DESCRIPTION OF OPERATN)NS I LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: WTP PRocess Improvements Project No. 2006-02 It is agreed that the City of Ashland, its officers,.employees and agents are included as additional insureds as respects to General Liability and Automobile Liability, but solely in regards to work being performed by or on behalf of the Named Insured in connection with the project dexceibed herein where required under CERTIFICATE HOLDER CANCELLATION ASHLA-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRDTEN CITY OF ASHLAND NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TOM SO SHALL Attn: Morgan Wayman IMPOSE NO OBLIGATION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 51 Winburn Way ASHLAND OR 97520 REPRESENTATIVES. AUT R E E ACORD 25 (2001108) 0 ACORD CORPORATION 1988 NOTEPAD _ HOLDER CODE •ASHLA-1' TRIAD 1 ;t PAGE. 2rt INSURED'S.NAME Tr,'Lad Mechanical, Inc: OP tD ,CC DATE 05129%09 contract or agreement as per provisions of attached endorsements. Insured: Triad Mechanical Inc Policy Number:DT-CO-6583M600-IND-08 Endorsement EFfective: 10/01/08 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED - (Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to 'bodily injury' or agree in a 'written contract requiring insurance" "property damage" caused by your work" to include as an additional insured on this Cover- and included in the 'products-completed op- age Part, but: erations hazard" unless the 'written contract a) Only with respect to liability for "bodily Injury", requiring insurance" specifically requires you property damage" or "personal injury"; and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the Injury or the additional Insured applies only to such damage is caused by acts or omissions of "bodily injury' or 'property damage" that oc- you or your subcontractor in the performance curs before the end of the period of time for of "your work' to which the 'written contract which the "written contract requiring insur- requiring insurance" applies. The person or ance' requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever Is insured with respect to the independent acts earlier. or omissions of such person or organization. 3. The insurance provided to the additional Insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance", whether primary, a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However, if the "written contract requiring Insurance", the in- "written contract requiring insurance" specifically surance provided to the additional insured requires that this insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to "other insurance" surance". This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named Insured Section III - Limits Of Insurance. for such loss, and we will not share with that other insurance". But the insurance provided to b) The insurance provided to the additional in- the additional Insured by this endorsement still is sured does not apply to "bodily injury", "prop- excess over any valid and collectible "other in- erty damage" or "personal injury" arising out surance". whether primary, excess, contingent or of the rendering of, or failure to render, any on any other basis, that is available to the addi- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such "other insur- I. The preparing, approving, or failing to ance". prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove, drawings and specifications; and notice as soon as practicable of an "occur- rence" or an offense which may result in a Ii. Supervisory, inspection, architectural or claim. To the extent possible, such notice engineering activities. should include: CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. Pagel of 2 COMMERCIAL GENERAL LIABILITY I. How, when and where the "occurrence" any provider of 'other insurance" which would or offense took place; cover the addiflonai insured for a loss we If. The names and addresses of any injured cover under this endorsement. However, this persons and witnesses; and condition does not affect whether the Insur- ance provided to the additional Insured by Ili. The nature and location of any Injury or this endorsement is primary to "other Insur- damage arising out of the occurrence' or ante' available to the additional insured offense, which covers that person or organization as a b) If a claim is made or "suit" is brought against named Insured as described In paragraph 3. the additional insured, the additional insured above. must: 5. The following definition Is added to SECTION V. 1. Immediately record the specifics of the -DEFINITIONS: claim or "suit" and the date received; and "Written contract requiring insurance' means 11. Notify us as soon as practicable. that part of any written contract or agreement The additional Insured must see to It that we under which you are required to Include e receive written notice of the claim or "suit" as person or organization as an additional In sured soon as practicable. the "bodily o this Coverage Part, provided that t the injury' and 'property damage' oo- c) The additional insured must Immediately curs and the "personal Injury" is caused by an send us copies of all legal papers received in offense committed: connection with the claim or "suit", cooperate a. After the signing and execution of the with us in the investigation or settlement of contract or agreement by you; the claim or defense against the "suit', and otherwise comply with all policy conditions. b. While that part of the contract or d) The additional insured must tender the de- agreement Is In effect; and fense and indemnity of any claim or 'suit' to c. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 TR COMMERCIAL AUTO EAD MECHANICAL INC 'POLICY DUMBER: DT-810-6583M600-TIL-08 ISSUE DATE: 10-14-08 ENDORSEMENT EFFECTIVE: 10/01/08 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not altercoverage provided in the Coverage Form. SCHEDULE Name of Person(s) or Organization(s): ANY PERSON OR ORGANIZATION THAT YOU ARE REQUIRED TO INCLUDE AS AN ADDITIONAL INSURED ON THIS COVERAGE FORM IN A WRITTEN-CONTRACT OR AGREEMENT THAT IS SIGNED AND EXECUTED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS AND THAT IS IN EFFECTDURING THE POLICY PERIOD. i (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) , Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. r CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 CITY RECORDER Page 1 / 1 ~ . C I T Y OF DATE+' ``POiNUMBERv:? a ASHLAND 20 E MAIN ST. 7/1/2008 08062 ASHLAND, OR 97520 (541) 488-5300 VENDOR: 012974 SHIP TO: Ashland Public Works TRIAD MECHANICAL INC (541) 488-5587 1419 NE LOMBARD PLACE 51 WINBURN WAY .PORTLAND, OR 97211 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net Dept.: PUBLIC WORKS Req. Del. Date: Contact: Jim Olson Special Inst: Confirming? NO Unit Description,. Pnce, Ext'P.nce.. ' THIS IS A REVISED PURCHASE ORDER Construction of water treatment process 969,322.00 improvements at the Water Treatment Plant to achieve higher functions. Base bid $742,711.00 Additive A - Install Chemical Feed Line - $59,320.00 Additive B - Install overflow weir - $65,379.00 Additive C - Install soda ash feed - $101,912.00 Bid Contract start date: 12/15/2007 Contract completion date: 12/31/2009 Insurance required/On file Project No. 200602.120 Approved by City Council 11/20/2007 per Dawn Lamb's memo dated 12/1512007. Processed Change Order 06/01/2009 10,789.00 FY 2008 Field Engineering Cuts ($8,075.00) Water Pump/Foot Valve $9,626.00 Sodium Hypo Modifications $7,438.00 Deferred Mag Meter Install $1,800.00 dOtp-iot SUBTOTAL 980 111.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 980,111.00 ASHLAND, OR 97520 Accont'Numpeo:..reject -Number z.': ! Amount Ac`counf Number Prolect-.N'umber, ys., c, unt ; E 670.08.19.00.70420 E 200602.120 733 141.23 E 670.08.38.00.70420 E 200602.120 246 969.77 4~~9 Afithorized i nat re VENDOR COPY 'FORM CITY OF #11 GOODS AND SERVICES ASHLAND CHANGE ORDER/CONTRACT AMENDMENT APPROVAL REQUEST FORM Description of Change Order / Contract Amendment to original contract Contractor: ~L~ ~p ~(ce~ 4 Q "~q QJ ~Total,amo of~change o der. l Purchase Order Number: Description: Gd cC~e~o>.QP G(1~ or/s ekl7g / - der attached contract amendment Contract. Amendment for GOODS & SERVICES Original contract amount $ l° ? 2 100 % of original contract Total amount of reD yiouS contract amendments % of original contract Amount of this contract amendment % of original contract TOTAL AMOUNT OF CONTRACT $ f067 % of original contract Is the total aggregate cost change for the Goods & Services contract less than or equal to 350/d of the original contract amount? YES ✓NO Not Applicable- If "No", City Council approval is required. City Council approval was received on (Date) Are there any applicable performance or payment bonds and insurance coverages Gtr u v~.c that need to be adjusted to account for the change in the contract amount? YES ✓ NO Not Applicable _ Was the original contract approved by the City Council, or is it exempt? YES (Approved by Council) NO (Exempt/Not Required) (Dam ~ (Reason for exemption) Additional information: l i- - e9 7 Q y~ yam, Please circle: Prepared by: pproved 1 Not Approved Department: y Q 4L. a -S t c p/ OY Lee Tuneberg Date: Date: Form #11 - Contract Amendment Approval Request Form, Page 1 of 1, 6/1/2009 CITY OF A,requestfara Purchase Order ASHLAND REQUISITION FORM Date of Request: THIS REQUEST IS A: Change Order(existing PO It ) Required Date of Delivery/Service: / Z 3/ DI Vendor Name Address 2133 IV /44:L2 t/LFt City, State, Zip T)0.427 1-"D 02 97Z/'7 Telephone Number 503 _ 289 ?9~d Fax Number Contact Name 5D3 - Z8~ 0 SOLICITATION PROCESS Small Procurement ❑ Sole Source ❑ Invitation to Bid ❑ Less than $5,000 ❑ Written findings attached (Copies on file) ❑ Quotes (Not required) Cooperative Procurement ❑ Request for Proposal ❑ State of ORMA contract (Copies on file) Intermediate Procurement ❑ Other government agency contract ❑ Special / Exempt ❑ (3) Written Quotes ❑ Written findings attached (Copies attached) ❑ Copy of contract attached ❑ Emergency ❑ Contract # ❑ Written findings attached Description of SERVICES Total Cost - i i 1 Per attached PROPOSAL Item # Quantity Unit Description of MATERIALS Unit Price Total Cost 1 G s y 2DOe Fi Eti cd~ ~s. 2 ~s tdAr ~v~P Fa~[rAiv~ 9~z~.oo ~ 5 ~ .~rr~ l~1a /~1,e .e✓ ~~/is~<1-/f /,~or~,~v TOTAL"COST Per attached QUOTE ¢%s a L r '47 4L-Ipt- Pro ect Number Account NumbeOD -*-A-a-~Q ~Qa~)r e ~a Items and services must be charged to the approp ate acc numbers for the fin :Fets, t the actual expenditures accurately. By signing this requisition form, I certify that the information provided the City of Ashland public contracting requirements, and the documentation can be provided upon request. G: FlnanoetProcedureWPtFormS\8-Requisition form revised Updated on: 5/27/2009 Employee Signature: e*grr A/tIjwae: upervisor/Dept. Head Signature: 1 o e G: Finance\Prooedure\AP\Formsl8_Requisitlon form revised Updated on: 5/27/2009