Loading...
HomeMy WebLinkAbout2007-252 CONT Chg Order #2 - Taylor Site Development LOCATION: NORTH MAIN STREET & HWY 99 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: PROJECT: CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 2 NORTH MAIN PUMP STATION DATE: OCTOBER 3, 2007 04-06 PROJECT NO.: Item No. Description Quantity Unit Price Amount CO #2 Additional rock excavation 40CY $300.00 $12,000.00 Original Contract Amount Total this Change Order Previous Change Order Revised Contract Total $367,375.00 $12,000.00 $2,330.00 $381,705.00 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: Approved By: Accepted By: If lD//o/A"-? Date . /.() tJcx 07 Date Taylor Site Development, Inc. . ?7%w1c -rA~ Mark Taylor, Own';; Contractor /()-S-07 Date ENGINEERING 20 E. Main Street Ashland. O~on 97520 www.ashland.or.us G:lpub-wrkslengldept-adminIENGINEERIPROJEC1i2004104-06 Taylor N Main Pump CO 210 07.doc Tel: 541-488-5347 Fax: 541-488-6006 TTY: 800-735-2900 rA' ~~, CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CITY RECORDER I Page1/1 7/4/2007 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: Tonns: Net Roq. Dol. Date: Speclallnst: Roq. No.: Dopl: PUBLIC WORKS Contact: Paula Brown Conflnnlng? No THIS IS A REVISED PURCHASE ORDER North Main Pump Station Replacement Proiect 367,375.00 Contract for Public Works Construction Date of aQreement: June 15,2007 Insurance required/On file Processed chanQe order 1 0/03/2007 ChanQe Order No.1 for the additional utility trenchinQ and inlet port hole relocation and appurtenances Processed chanQe order 1 0/18/2007 ChanQe Order No.2 for additional rock excavation 2,330.00 12,000.00 BILL TO: Account Payable 20 EAST MAIN ST 541-552-2028 ASHLAND, OR 97520 SUBTOTAL TAX FREIGHT TOTAL E 675.08.17.00.70420 E 675.08.38.00.70420 200406.120 200406.120 286278.75 95 426.25 ~J ~d Signature /~~7 VENDOR COPY A request for a Purchase Order REQUISTION FORM CITY OF ASHLAND Date of Request:_ THIS IS A REQUEST FOR A: [X] ChangeOrder(exiStingp~O -;' 6 .rf'~ Required Dale of Oallvery/Servlce:_ Vendor Name: Address: City, State, Zip Phone: Project TiUe: Project Number: TAYLOR SITE DEVELOPMENT INC. 1501 SAGE ROAD STE B MEDFORD OR 97501 NORTH MAIN PUMP STATION REPLACEMENT PROJECT 200406.120 Services Only Oeser! lion North Main Sewer Pump Stalion replacement project. Total Cost Change Ordar No. 1 for the edditional utility trenching and Inlet port hela relocation and appurtanances Cha e Order No.2 for additional rock excavation. Account Number 675.08.17.00.704200 . 75% ($9,000.00) Account Number 675.08.38.00.704200 . 25% (S3,OOO.00) "PtN.8ItItchtheOriQln8laignedoontnK:tandlnuat'lCtl~ Employae SIgn......: ~-&' L- Suporvllorl [)opt. HOld Slgnolu..: NOTl!: By~fom.I...oryIhaIha___""ClJyd___'I be_.....IIOC:8I08y. G:~\eng\dept-admlnlB<<;lEER'IPROJEC1'\\04-00T~C02 ~.. Updeted on: 10113103