HomeMy WebLinkAbout2004-097 CONT Chg Order #2 - Adroit Construction05/11/2004 TUE 16:48 FA)~ 5414886006 City of Ashland Comm Der
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CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 2
PROJECT:
LOCATION:
CONTRACTOR:
T-HANGAR CONSTRUCTION
ASHLAND MUNICIPAL AIRPORT
ADROIT CONSTRUCTION
DATE: MAYA 11, 2004
PROJECT NO.: 03-37
You are requested to perform the following described work upon receipt of an approved copy of this
document or as described by the Engineer:
i ,
.?m No. Description Quantity Unit Price Amount
CO 2 Additional Building Costs ,4~,-~,,z.~ Lump sum $17,040.00 $17,040.00
Original Contract Amount $349,476.00
Total this Change Order $!7,04000.00
Previous Change Order $500.00
Revised Contract Total $367,016.00
Recommended By:
The time provided for completion of this contract is increased by 30 calendar days. '['his
document shall become an amendment to the contract and all provisions of the contra~ will
Approved By:
Engineer
Co~ract~/
Thomas Walker, PE
Adroit Construction
PO Box 609
Ashland OR 97520
Accepted By:
Date
0~'-/z.
Date
ENGINEEt~IN6 Tel: 541-488.5347
20 E. Main Sl~eet ;ax: 541-488-6006
Ashland, 0f~jon 97520 TrY: 800.735.2900
www.ash]and.or, us
G:~pub-wrks\eng\dept.admin\ENGINEER~PROJECT~2003~03-37 Ch Od 2.doc
CITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541 ) 488-5300
Page 1 / 1
04893
VENDOR: 000013
ADROIT CONSTRUCTION, INC
P O BOX 609
ASHLAND, OR 97520
SHIP TO: Ashland Public Works
(541 ) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date: 2/23/2004
Special Inst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Paula Brown
Confirming? No
Quantity Unit ' Description Unit Price Ext. Price
THIS IS A REVISED PURCHASE ORDER
BLANKET PURCHASE ORDER i :: :: '" ::,': .: : : '
T-Hanger ,Construction at the Ashland 349,476.00
~:.~ Municipal Airport, Project No. 03-37 :.:~. ::: . .. :~ i.:,;,' .... .
· . ~: .:.,..; ;' ;BiD:'.ii:.i.'./':;.;"-?;.::i:.:~'.~.'....':..;..;,:.;:..~':.;i,.;.' ?..;,.: ..;;'..... ..:... .':'... · . . . · . ~, ... . :
Date of contract: 02/12/2004
: :'::: Beginning date: 02/23/2004 ~ :.:iii: '.i .i' . .. ... :i:i;: ..' '.
Insurance required/On file
Revised purchase order 03~26~2004 : ~ ;:;': ~.: · '.: ::. i.': ::: :',:~i:.:;:i.:: . 500;00
Change Order No. 1
': Builders Insurance Coverage ' .' ' ".'. :'".'""i".:.::.;...' · ".':. ':. : :.
Revised purchase order 05/20/2004 17,040.00
· · ..
Change Orq[er No.2 . .... · · .
Additional Bf~ilding Costs
' ' *** This is a change order. *** ' :i :: · : : ':: :::. ~: :~::i'::~ ' ~
SUBTOTAL 367,016.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 367,016.00
ASHLAND, OR 97520
Account Number. Amount Account Number Amount
E 280.08.00.00.,704100 17,040.00
I E 280.08.00.00.704100 349,976.00
Signature
VENDOR COPY
REQUISTION FORM
THIS IS A REQUEST FOR A:
[ ] Change Order (existing PO# )
CITY OF
H LAN D
Date of Request: I 5/11/20041
Required Date of Delivery/Service: IASAP t
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
ADROIT CONSTRUCTION
PO BOX 609
ASHLAND OR 97520
482-4098
T-HANGAR CONSTRUCTION AT THE ASHLAND MUNICIPAL AIRPORT
03-37
, ,L ,
Solicitation Process::
Ii "]" Exe~pt ......... ["] 3 Written Qu,)ies (co'Pies
attached)
[ '] sole sourCe'
[ X ] Invitation to Bid (co~ie~"0n
file)
i '] "[.ess than $~00o' ' [ ] ReqUest for F~roposal (cOpies
on file)
.......
Services Only
Description Total Cost
$ 349,476.00 Original Contract Cost
!Change Order No. 1 Builders Insurance Coverage $ 500.00
Change Order No. 2 Additional Building Costs $ 17,040.00
Prior Change. Orders
Change Order Amount
$ 367,016.00 REVISED CONTRACT
Account Number 28'/~, C"o~. cc ,, ~,,c,
*P/ease attach the Original signed contract and Insurance Certificates.
Account Number
Employee Signature: Supervisor/Dept. Head Signature: /)~¢/~7~/~ - /~.d/1.~
NOTE: By signing this requistiion form, I certify tha the above request meets with Ctiy of Ashland Solicitiation Process requirem~c~ts a~d can be provided when necessary.
G:Pubwrks\Eng\03-37 Admit CO No 2
Updated on: 7/15/02