HomeMy WebLinkAbout2005-149 CONT Chg Order #1 - R&G Excavating
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCATION:
MAIN FEEDER/RAW WATER LINE UPGRADE DATE: ..JUNE 30,2005
ASHLAND WATERSHED PROJECT NO.: 03-15
CONTRACTOR: R&G EXCAVATING
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
Purchase & InstaIl6!' FLG CLA-VAL
CO 1 #210-09BSKC Valve. At City of Lump sum $1,835.00 $1,835.00
Ashland request for alternate valve.
Original Contract Amount
Total this Change Order
Previous Change Order
Revised Contract Total
$2,018,876.54
$1,835.00
$0.00
$2,020,711.54
The time provided for completion of this contract is increased by 28 calendar days. This
document shall become an amendment to the contract and all provisions of the contract will
apply.
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5:
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Engineer
~tr ~J)
Contractor:
7/J7)C)5
Date
Recommended By:
Approved By:
~
7/r7/ D5
~
Accepted By:
7- 11-
Date
,if
H&G Excavating Inc.
Brett Stark
~39300 Montgomery Drive
Scio OR 97374
ENGINEERING
20 E. Main Street
Ashland, Or~on 97520
WWW.aShland.or.us
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2003\03-15 Ch Cd 1 R G.doc
Tel: 541-488-5347
Fax: 541-488-6006
TTY: 800-735-2900
r~'
R
&
G
Excavating, Inc.
39300 Montgomery Drive
Seio, OR. H7374
503-394-21 ~IO
FAX 503-394-2169
CHANGE OR[)ER
Number
0502-01
TO:
City of Ashland
Pieter Smeenk. P.E.
DATE
PHONE
JOB NAME
JOB LOCATION
JOB NUMBER
JOB PHONE
6/28/2005
503-6213-2320
Mainfeeder pipeline
Ashland
0502
541-488-5587
***THIS CHANGE ORDER BECOMES PART OF AND IN CONFORMANCE
\NITH THE EXISTING CONTRACT***
Cost associated with using the Clay-Val Altitude Valve.
R & G originally submitted on the OCV valve, as the specs allow. However, per the
request of the owner, R ~k G will supply and install the 6" FLG CLA-VAL #210-09BSKC
Valve.
TOTAL
$1,835.00
AUTHORIZED SIGNATlJRE(CONTRACTOR)
Brett Stark
6/28/2005
***With acceptance of this Change Order, 4 weeks will be added to the contract time***
ACCEPTED - The above prices and specifications of this
Change Order are satisfactory and are hereby accepted.
All work to be performed under same terms and
conditions as specified in original contract unless
otherwise stipulated.
Date of acceptance
Signature( owner)
1
rA'
C I T Y 0 F CITY RECORDER'S COpy
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
Page 1 /1
3/22/2005
05851
VENDOR: 009545
R & G EXCAVATIING INC
39300 MONTGOMERY DRIVE
SCIO, OR 97374
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date: 3/19/2005
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Joe Strahl
Confirming? No
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
2020711.54
0.00
0.00
2,020,711.54
E 670.08.15.00.70420
E 670.08.36.00.70420
~ .:1.-. .~.. ~'ZfJ-
Au ized Si~Jnature
VENDOR COpy
CITY OF
AS 1--1 LAN D
REQUISTION FORM
Date of Request:
THIS IS A REQUEST FOR A:
[X] Change Order (existing PO#: 5851)
Required Date of Delivery/Service:
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
R&G EXGAVATING INC.
39300 MONTGOMERY DRIVE
SCIO OR 97374
503/626-A!~320
MAIN FEEDER WATERLINE REPLACEMENT PROJECT
03-15
Services Only Solicitation Proces~.:
[ ] Exempt [ ] 3 Written Quotes (copies
attached)
[ ] Sole Source [ X] Invitation to Bid (copies on
file)
[ ] Less than $5000 [ ] Request for Proposal (copies
on file)
Description
Total Cost
Change Order NO.2
Alternate Valve Assembly: 6" FLG CLA-VAL #210-09BSKC
Account Number 670.08.15.00.704200 = 75%
.Please attach the Original signed contract and Insurance Certificates.
lid '\ ~ Account Number 670.08.36.00.704200 = 25%
Employee Signature: ;/iA ~ Supervisor! Dept. Head Signature: '-~ tl
NOTE: By signing thi requistiion fonTl, I certify tha the above request meets with Ctiy of Ashland Solicitiation Process requi'ft can be' provided when necessary.
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2003\03-15 RG CO 1 Req 7 05.xls
Updated on: 7/15/02