HomeMy WebLinkAbout2007-223 CONT Chg Order #1 - Taylor Site Development
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCATION:
NORTH MAIN PUMP STATION
NORTH MAIN STREET & HWY 99
DATE: AUGUST 22,2007
PROJECT NO.: 04-06
CONTRACTOR: TAYLOR SITE DEVELOPMENT, 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
Item 1 Utilitv trench relocation of electrical services Lump Sum $600.00
Item 2 inlet Dort hole relocation and aDpurtenances Lump Sum $1,730.00
Original Contract Amount
Total this Change Order
Previous Change Order
Revised Contract Total
$367,375.00
$2,33000
$0.00
$369,705.00
The time provided for completion of this contract is increased by no calendar days. This
document shall become an amendment to the contract and all provisions of the contract will
apply.
Recommended By:
\ . .
Ii/I .-
/<~---'V~' ~
E"g;"t)~
/ . I. '7-
Engir;eer /
,
'5/Z7/CJ7
Date
Approved By:
/ ,1cr(J7
Date
Accepted By: Ta.:~r S)Je Deve~-
-7. ./(1
rk aylor, Owner ' -
Contr~ctor
-/ _ ,/7"" "7
,
Date
ENGINEERING
20 E. Main Street
Ashland, Oregon 97520
www.ashland.or.us
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2004\04-06 Taylor N Main Pump CO 18 07.doc
Tel: 541-488-5347
Fax: 541-488-6006
TTY. 800.735.2900
~~,
08/21/2007 13:10 FAX
.....
Q)
"E
o
Q)
O'l
c:
CO
.r::.
U
"'C
Q)
rfl
o
0..
o
.....
a..
co
"
~
iJ5
b 0-
o"'~
(<) '"" '" 0-
OJ
~ "l""'"'::C ,5
~ '"" "l OJ
Ql ~.o::::;:
"C f/).......I::::-
.... ;;l""t::
o u.2:'"
::> -- z
~<t:U"
SQilri1l
..c 1ii ~e
U 060-
~
o
I,{)
I"-
m
c
g
~
o
"E
~
Ql
~
~
C
Ql
~
o
Ql
>
Ql
o
Ql
~
en
'-
o
1:
co
~
en
w
~ ;g
en " i;j
~~u..
}3-o-
~188
92",r-
',! . ,
co",,,,
cn~ti3
~I~ ~
o~~
I,{)........
~!:2..lJ'7
13
E
i::
8
OJ
c:
'co
o
Q)
5
"
-
t:
~
c:
~
:E
Q)
.s
'"
Q)
Q)
o
141002
g
o
'"
r-
11>
'"
..
e-~
~
o
u
u
:!.
Q)
'"
OJ
.r;:;
U
'"
.2
..
E
.E
co
g
'0
'C:
0-
r-
o
,.c
~
ro
u
Q)
t;;
'"
'"
E
'"
,EO
.~
a
TI .
"''''
-;2
'lil g
Q)
t3 >$
'" .8 '"
~ '" c:
1:: ~ Q)
005
U "' 0
~ c: "'
" 0 "'
0.._",
r3c
"" :0
<:it)
~!!'
tl'Jc '5
~ s::
.8<5 ~
to.s: cu
~,~ li3-e
- a l! S
-5.s= ==u
-.. "",- 0 '"
'" ~ '"
1:: 2S .-
:;I c ~
8 '" '"
ca'E b
L8~_t:
"''''(' :!
Q) c: q en
"6.."C, Q;l
ES"'E'".2l1S
, '" <>
-.!!l5~c9-E
",t:: ~
-r.;; 1;1) 4.l
<l) a. '"
- Q) ~
'" .0 0
Eo:!:
",- g
co"" c:
'" ~ '"
~~ {j
.8- VI
t'U n:l E
~ g ~
.c _~
"'''''
'E :g
>.~.2m
.c S 0 Q;l
-0_>
5'aQ).8
o ~ l':' <(
E "' '"
.0::"'<>::
(6~cu
,.;; '" ~
,';;; E
-'"
oE
Q) 0
.c: -
~~
c: E
'" >-
.c: '"
ou.
ti
!!'
-
'"
8
'"
c:
I:;;;
.'"
"
Q)
5
~
_EO
:;;
"
"'
'"
t'
o
~
E
.g
Ig
"
-
~
0;
o
z
~ I
i2
o
o
''l
I~ !;';
c:
Q)
eJ
<5
c:
"
E
'OJ
~
, .....~'-'
~~,
CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
7/4/2007
PO NUMBER
07645
VENDOR: 001735
TAYLOR SITE DEVELOPMENT INC
1501 SAGE RD SUITE B
MEDFORD, OR 97501
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Special Inst:
Req. No.:
Dep": PUBLIC WORKS
Contact: Paula Brown
Confirming? No
Quantitv Unit Description Unit Price Ext. Price
--
THIS IS A REVISED PURCHASE ORDER
North Main Pump Station 367,375.00
Replacement Project
Contract for Public Works Construction
Date of aQreement: June 15, 2007
Insurance required/On file
Processed chanQe order 10/03/2007 2,330.00
ChanQe Order NO.1 for the additional
utility trenchinQ and inlet port hole
relocation and appurtenances
SUBTOTAL 369 705.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 369,705.00
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 675.08.17.00.70420 200406.120 277 278.75
. ----
E 675.08.38.00.70420 200406.120 92,426.25 '.
- .
~ ;;L
/q~
F!' '//07
ffil--
Au orized Signature
VENDOR COPY
CITY OF
ASHLAND
l\ request for a Purchase C'rder
F.:EQUISTION FORM
Oate of H.equcst: ~i2007
THIS IS A REQUEST FOR JI
Required DiJ1C o' ncii'lcry/Servlcc: ~?~~} ~
X Change OrdE~r (existing PC' '~~. --- C) --.7 {~, -^I~ 0
'Jendor /\Jame:
I\ddress
TAYLOR SITE DI=VELOPMENT INC.
Sity. Stelte, Zip
;::Jholle:
1501 SAGE ROAD STE B
MEDFOF:D OR 97501
Project Title
Project Number
NORTH MAIN PUMP STATION HEPLACE'~E'H PROJECT
2004.06.110
Services Only
Solicitation Process:
1 Exempt
I] 3 VVritlcnQlJotes(c: :Pll";
<Jt1ZlcllCd,
[ J Sole Source
. ] LcssUklr $5UOU
[X] Invi:;iliuI11'J '-'id (copies un
fil())
I J Request tOI F"op()~;;11 (copies
orltilcl
Deschption
[North Mclin Sewer Pump Staticm ';oiaccrlcnt project
I'Chang;o;der No:-1'fc;r the ad-~'lional utility trenching--;~d--!~~ie': p( n hol(:
I relocation and appurtenances
Ac: Ai l'>Jumber
675.08.17.00.704200 -75% (:S1,747.50)
Ac::\U ',t Number
675.08.38.00.704200 ~ 25% ($582.50)
~ dj~/
frnPIOYe:os;ina;~~~;'llrfh;r;~-:::~ ~,,)(,,:,-)j;;dY !II;! 1/;(' ilbove req}'
!J
,'1" ':I''''.!U)I;!",CI:J,''''''JS,'Jrdr,,",'
/'
- /fu-J-----
Sl.fJC
sl II",',,/;;,~, C
sor! Dept. Head Signature:
,/ As/: :m(! SO!IL"ld!J(m PrrHJ\';"
Wi
:"" 'J'r"~',d011 ,,',,'1,,", J I\CI~I; <
'iI ,:L':'i(j'l',J-':"; rcl',.-k-,,-CO
I.Ir;-.J"t('d,J[' 1