HomeMy WebLinkAbout2006-194 CONT Chg Order #1 - Tobiasson Excavation
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
2005 Utility Construction Project
DATE: 9/21/06
LOCATION:
Granite St, Walnut St, Walker Ave.
PROJECT NO.: 2004-07
CONTRACTOR: Tobiasson 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 Quantitv Unit Price Amount
Granite St - Remove concrete
CO 1.1 valve vault Lump Sum $710.36 +$710.36
Granite St - Resolve waterline
CO 1.2 conflict Lump Sum $693.56 +693.56
Walnut St - Resolve pipeline
CO 1.3 conflict Lump Sum $1,126.32 +1,126.32
Walker Ave - Saw cut for trenching
mobilization for manhole
CO 1.4 construction Lump Sum $1,640.00 +$1,640.00
Elimination of contractor performed
CO 1.5 water service taps Lump Sum -$1,000.00 -$1,000.00
Elimination of Schedule C storm
CO 1.6 drain construction Lump Sum -$55,067.22 -$55,067.22
City fees for services provided
(manhole frame & cover, SS video
CO 1.7 inspection, street sweepinQ) Lump Sum -$1,265.32 -$1,265.32
Final reimbursement for materials
CO 1.8 on hand payment Lump Sum -$1,246.55 -$1,246.55
Total this Change Order
Previous Change Order
Revised Contract Total
-$54,408.85
$0.00
$305,558.15
ENGINEERING
20 E. Main Street
Ashland, OreQon 97520
www.ashland.or.us
G:lpub-wrkslengldept-adminIENGINEERIPROJECT\2004104-07 Tobiasson CO 1.doc
Tel: 541-488-5347
Fax 541-488-6006
TTY: 800-735-2900
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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 will
apply.
Recommended By:
Approved By:
Accepted By:
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Tobiasson Excavation Inc.
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ENGINEERING
20 E. Main Street
Ashland, OreQon 97520
www.aShland.or.us
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-07 Tobiasson CO 1.doc
Tel: 541-488-5347
Fax: 541-488-6006
TTY: 800-735-2900
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CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
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I 7/1/2006 I L 06680 . I
VENDOR: 002814
TOBIASSON EXCAVATION INC
3055 HIGHWAY 66
ASHLAND, OR 97520
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Tenns: Net
Req. Del. Date: 3/20/2006
Speciallnst:
Req. No.:
Depl: PUBLIC WORKS
Contact: Paula Brown
Confinnlng? No
THIS IS A REVISED PURCHASE ORDER
BLANKET PURCHASE ORDER
2005 Utility Construction Proiect
Schedule A: Walnut St Sanitary Sewer
Schedule B: Granite St Sewer & Water
Replacement
Schedule C: Walker Ave Storm Drain
Processed chanQe order 10/23/2006
Elimination of Payment Schedule C
129,116.00
145,675.00
85,176.00
54,408.85
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2028
ASHLAND, OR 97520
SUBTOTAL
TAX
FREIGHT
TOTAL
E 260.08.17.00.70420
E 670.08.18.00.70420
E 675.08.17.00.70420
200407.120
200407.120
200407.120
73 333.96
39 722.56
192 501 .63
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Auth zed Signature
VENDOR COPY
CITY OF
ASHLAND
A request for a Purchase Order
REQUISTION FORM
Date of Request:
THIS IS A REQUEST FOR A:
[X] Change Order (existing POI 6680)
Required Date of Delivery/service:_
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
Services Only
Description
TOBIASSON EXCAVATION INC.
3055 HIGHWAY 66
ASHLAND OR 97520
2005 UTILITY PROJECT
2004-07
2005 UTILITY CONSTRUCTION PROJECT
Total Cost
Elimination of Payment Schedule C
Employee Signature:
NOTE: By signing this
Account Number 675.08.17.00.704200 = 85%
Account Number 675.08.39.00.704200 = 15%
Account Number 260.08.17.00.702400 = 65010 ($3,536.75)
Account Number
Supervlsorl Depl Head Signature:
, I certify tha the above request meets with Ctiy of Ashland Solicitialion Process requirem
G:PubwrI<sIEngIQ4..07 Tobiasson Exc CO 1 Req.xls
Updated on: 7/15102