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HomeMy WebLinkAbout2004-014 CONT Chg Order #14 - LTM Inc CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS SISKIYOU BLVD/OTIA SISKIYOU BLVD. / 3RD STREET CONTRACT CHANGE ORDER NO. 14 DATE: JANUARY 13, 2004 PROJECT NO.: 99-38 (Schedule A) PROJECT: LOCATION: CONTRACTOR: LTM INCORPORATED 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 CO 14 Item A Extra Sod Installation Lump Sum $5,440.00 Item B Shrub Height Adjustment for Better Visibility Lump Sum $1,113.75 Original Contract Total this Change Order Previous Change Orders Revised Contract Total $802,592.60 $6,553.75 $15,823.75 $824,970.10 The time provided for completion of this contract is increased by no calendar days. This document shall become an amen~lm/~ft ~ the cogj~tract an~,d all provisions of the contract will app~ly. R eco m men d edBy: Engineer,//~' ~"" Date/ Approved By: ~z(~gi~er Date Accepted By: LTM Incorporated PO Box 1145 Medford OR 97501 Contractor Date ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541-488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or, us \\COMPAQ1\DATA\GOV~pub-wrks\eng\dept-admin\ENGINEER\PROJEC'R1999\99-38 Change Orders\Schedule A\99-38 Sch A CO [I n I1' A request for a Purchase Order REQUISTION FORM THIS IS A REQUEST FOR A: [ X ] Change Order (existing PC~ 3611 Schedule A) CITY OF -ASHLAND Date of Request: 01/14/2004 Required Date of Delivery/Serv ce I~ ============ I Vendor Name: Address: City, State, Zip Phone: Project Title: Project Number: LTM INCORPORATED PO BOX 1145 MEDFORD OR 97501 SISKIYOU BOULEVARD RECONSTRUCTION 99-38 Solicitation Process: ] Exempt ] 3 Written Quotes (copies attached) [ ] Sole Source [ X ] Invitation to Bid (copies on file) [ ] Less than $5000 ] Request for Proposal (copies on file) Services Only Description Total Cost Siskiyou Blvd/Ashland St Reconstruction Project $ 802,592.60 Original Contract Cost Change Orders 1 thru 13 $ 15,823.75 Change Order 14 - Itemized Below (total $6,553.75) Extra Sod Installation $ 5,440.00 co 14 ItemA Shrub Height Adjustment for Better Visibility $ 1,113.75 CO 14 Item B $ 824,970.t0 REVISED CONTRACT Account Number 260.08.12.00.704200 Employee Signature: ,~ .,~~~ Supervisor, Dept. Head Signature= NOTE: By signing this re~luisliion f~, I~ tha the above request meets with Ctiy of Ashland Solicitiation Process requiremey an~can be previded when necessary. G:Pubwrks\Eng\DeptAdmin\Engineer~Project\99-38 Schedule A Change Orders\99-38 CO 14 Sch A Requisition.xls Updated on: 10/13/03 I1' LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-30 Description of work: Extra Lawn Seeding Date: 12/3/2003 LABOR ST OT ST OT ] DATE CLASS NAME HOURS HOURS RATE RATE] TOTALS LABOR TOTAL $0.00 EQUIPMENT EQUIP. NO. Of DATE DESCRIPTION NO. HOURS RATEI TOTAL EQUIP. TOTAL $0.00 MATERIALS DESCRIPTION QTY. UNIT PRICEI Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL 12/03/03 Law Seeding 1 $5,000.00 $5,000.00 SERVICES TOTAL $5,000.00 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8°,/0 TOTAL AMOUNT DUE John Lotito, Jr - Construction Superintendent Date: $5,000.00 $0.00 $2OO.OO $240.00 $5,440.00 2003 '2'25PM MT VIEW LANDSCAPING uec Zb 2UU6 12:19 Nc.0510 P. 1 Mountain View Landscaping P.O. Box 404 Grants Pass, OR 97528 (54 I) 474~0224 Statement #001 Date 12/24/03 Account *LTM P.O. BOX 1145 ~.LEDFORD, OREGON 97501 Remit to: Mountam View Landscaping 12/03 Page 1 ,. Balanco 12/03 Description_ SCH B BID ITEM #89 SOIL CONDITIONER 40 CU. YDS SCH B BID ITEM #88 TOPSOIL 163 CU. YDS. SCH B BID ITEM #91 LAWN SEEDING 4278 SQ. YD$ SCH ^ mD ~r~M #7.4 L^w~ s~r>iN~, xms_~ ~x'r~ sor~ r~sr~.,vr~o~ as P~ P^U~^ 12/03 10/03-12/03 MAINTENANCE FOR SISKIYOU BLVD. Amouqt 1200.00 3749.00 13475.70 2637.00 5000.00 14,800.00 200.00 2/03 EXTRA PRUNING FOR SHRUB HEIGHT REDUCTION 1/03-12/22/03 EXTRA S= Hauling and Planting trees from city yard to library Planting Ashland Motel 26 plants 1 gallon, 33 plants 5 gallon Safeway planting 30 I gallon plants 993 Siskiyou blvd. planting and irrigation 993 Siskiyou blvd. install backflow etc. Repair sod damage Build Box for Sign Post 45,084.20 Payment is due in Net upon receipt. 2% interest and $5.00 service chaxge applicable on unpaid balance. Mountain View Landscaping Current $45,084.20 Total~$45,084.20 Re: Account LTM [I n I1' CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS PROJECT: LOCATION: CONTRACTOR: CONTRACT CHANGE ORDER NO. 14 SISKIYOU BOULEVARD CONSTRUCTION DATE: JANUARY 14, 2004 SISKIYOU BOULEVARD PROJECT NO.: 99-38, SCDL B LTM INCORPORATED You are requested to perform the following described work upon receipt of an approved copy of this Jocument or as described by the Engineer: Item No. Description Quantity Unit Price Amount CO :14 ~ :, ..... :, :,: ' ; ::~: "i..'::?::: :: ,i i'~:,:i, " . " Item A Hauling & Planting Trees from City Yard to Library Lump Sum $885.50 $885.50 Item B Planting Ashland Motel Plants Lump Sum $330.00 $330.00 Item C Safeway Plant Installation Lump Sum $467.50 $467.50 Item D 993 Siskiyou Planting & Irrigation Lump Sum $401.50 $401.50 Item E 993 Siskiyou Backflow Device Installation Lump Sum $396.00 $396.00 Item F Repair Sod Damage Lump Sum $830.50 $830.50 Item G Shrub Height Pruning Lump Sum $220.00 $220.00 Original Contract Total this Change Order Previous Change Orders Revised Contract Total $3,277,662.80 $3,531.00 $114,484.20 $3,395,678.00 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 Recommended By: Approved By: Accepted By: will apply. Engineer /,,/ JIM Incorporated PO Box 1145, Medford OR 97501 Contractor ~ Datg' Date ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 www.ashland.or, us \\COMPAQ1~DATA\GOV\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\1999~99-38 Change Orders\Schedule B\99-38 CO Sc B 1 [I ~ I1' A request for a Purchase Order REQUISTION FORM THIS IS A REQUEST FOR A: [ x ] Change Order (existing PO# 3742 Schedule B) CITY OF .SHLAND Date of Required Date of Delivery/Service: Vendor Name: LTM INCORPORATED Address: PO BOX 1145 City, State, Zip MEDFORD OR 97501 Project Title: SlSKIYOU BOULEVARD RECONSTRUCTION · Project Number: 99-38 Services Only SoliCitatiOn Process: ] Exempt · .' [ ] 3 VVritten Quotes (...c~p, ies attached) · · ] Sole Source [ X i Invitation to Bid (cocies on file) ] Less than $5000 ] Request for Proposal (copies on file) Description Total Cost Siskiyou Blvd Reconstruction Project Change Orders I thru 13 Change Order 14 - Itemized Below (Total $3.531.00) Hauling & Planting Trees from City Yard to Library Planting Ashland Motel Plants Safeway Plant Installation 993 Siskiyou Planting and Irrigation 993 Siski'you Backflow Device Installation Repair Sod Damage Shrub Height Pruning Account Number 260.08.12.00.704200 Employee Signature: Supervisor/Dept. Head Signature: NOTE: By signing i~i$ requi~ f~y~ertify th~ #~e ~b~e req~e$t rneets with cUy ~ Ashl~c~ $~i¢itia#~ Pmco$$ req~ireme~ts 7~ ~[~pr~vi~ed when ~eco$sa~. G:Pubwrks\Eng\99-38 LTM CO Scl B 14 RequisitJon.xls Updated on: 7/15/02 [I ~1 Ii' .......... ~,,,, ,~,J ¥~ L~UbUAWiNG No.0510 P. I Mountain View Landscaping P.O. Box 404 Gran~s Pass, OR 97528 (54 I) 474~0224 Statement #001 Data 12/24/03 Account }tm *LTM P.O. BOX 1145 MEDFO~, OREGON 97501 Romit to: Mountain View Landscaping Page 1 Descriotiop 12/03 SCH B BID ITEM #89 sorl. CONDITIONER a0 CU. YDS SCH B BID ITEM #88 TOPSOIL 163 CU. YDS. sc~ B Bn~ IT~.M #91 r.^W~ s~.eDiN~ 427s sq. ~o3 sc~ ^ BID ~T~M #7.4 LAW~ s~DIN~. ~ 12/03 EXTRA SOD INSTALLATION AS PER PAULA 10/03-12/03 MAINTENANCE FOR SISKIYOU BLVD. Amouqt._ , Balance 1200.00 3749.00 13475.70 2637.00 5000.00 .,*2,0 14,800.00 12/03 EXTRA PRUNRqG FOR SHRUB HEIGHT REDUCTION 11/03-12/22/03 EXTRAS= Hauling and Planting tr~es from city yard to library Planting Ashland Motel 26 plants I gallon, 33 plat~ts 5 gallon Safeway planting 30 I gallon plants 993 Siskiyou blvd. planting and irrigation 993 Siskiyou blvd. install backflow etc. Repair aod damage Build Box for Sign Post 2OO.O0 805.00 300.00 425.00 365.00 360.00 45,08.4.20 Payment is due in Net upon receipt. 2% interest and $5.00 ,ervice charge applicable on Un'paid balance. Mountain View Landscaping Current $45,084.20 Total-$45,08420 Re: Account LTM CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER'S COPY DATE 07/01/2003 Page 1 /3 "03611 ........ VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net 10th of Month Req. Del. Date: 09/09/2002 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Quantity U~!t' , Description * Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER = BLANKET PURCHASE ORDER Contract for the Siskiyou BIvd Redesign 802 592.60 Proiect 99-38B, This requisition is applicable to Bid Schedules A, C, & D only, Bid Schedule B will require a separate requisition. ; Bid ScheduleA- Bid Schedule C - 660,266.62 Bid Schedule D - * 174,600.00 Bid Contract date: Au.qust 28, 2002 Start date: September 9, 2002 Completion date: March 2003 Insurance required/On f le Revised purchase order 01-22-2003. 18,000.00 Chan.qe Order No. 1 CTB Excavation & Haul Away Rev sed purchase order 01-22-2003, 13 964,08 Change Order No. 2, Multiple Proiects, See attabh:ed list. · Revised purchase order 02-11-2003 960.00- Schedule C Chan.qe Order No. 3 - Si.qn Post Credit Change Order No 4 - Bi-D rectional 970.10 Markers S U BTOTAL BILL TO: TAX FREIGHT TOTAL Account Number Amount Account Number Amount E 260.08.12.00.704200 1,699,212.85 Authorized Signature VENDOR COPY ~I n 11' CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 07/01/2003 J Page 2 / 3 03611 'VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net 10th of Month Req. Del. Date: 09/09/2002 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Quantibj Unit Description Unit Price Ext. Pdce Chan.qe Order No. 5 1,457.69- (A) Bid Item 37 ArroWs Marking (B) Bid Item 38 Bicycle Lane Stencil (C) Bid Item 39 Line Markings i Chan.qe Order No. 6 ~ Joint Seal Bridge 1,471.13 ReVised pUrchase order 04/08/2003 9,955.57 Schedule A · chan.qe orders N©. 1 t°:9 Please see attached for descriptions of change orders I through 9, Revised purchase order 05/13/2003 1,023.01 Schedule A Chan.qe Order No. 10, Items A & B : Rev sed pUrchase order 05/13/2003 358 00 Schedule D Chan.qe Order No. 1 Revised purchase order 08/01/2003 143.00 SchedUle A : Chan.qe Order #11 Rev sed purchase order 08/01t2003 5 976.80 Schedule C Chan.qe Order #7 Revised purchase order 08/01/2003 604.42 Schedu e D Chan.qe Order #2 Re~ seal purchase order 11/18/2003 2 066.73 Change Order 12, Items A and B SUBTOTAL BILL TO: TAX FREIGHT TOTAL Authorized Signature II ~ I1' VENDOR COPY CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 07/01/2003 Page 3 03611 VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: Ashland Public Works (541) 488-5587 27-1/2 N MAIN STREET ASHLAND, OR 97520 FOB Point: Terms: Net 10th of Month Req. Del. Date: 09/09/2002 Special Inst: Req. No.: Dept.: PUBLIC WORKS Contact: Paula Brown Confirming? No Quantity Unit Description Unit Price Ext. Price Revised purchase order 01/15/2004 451.29 Schedule D Chan.qe Order 3 - Electrical Boxes Revised purchase order 01/15/2004 2,633.44 Schedule A · Chan¢le Order 13 (Items A-E) Revised purchase order 01/22/2004 6,553.75 Schedule A : Change Order 14, Item A & B : : SUBTOTAL 1,699,212.85 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 1,699,212.85 ASHLAND, OR 97520 Signature ' VENDOR COPY I I fl I1'