HomeMy WebLinkAbout2008-004 CONT Chg Order #1 - DNA Excavation
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCATION:
Almond Street Storm Drain
Almond Street: Laurel to Manzanita Street
DATE: January 8, 2008
PROJECT NO.: 2007-07
CONTRACTOR: DNA Excavation
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
CO 1 Additional quantities due to 1 Lump Sum $1,022.00
altered pipeline location
Total this Change Order
Previous Change Order
Revised Contract Total
$1,022.00
o
$10,522.00
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:
HLlc:;?trl
Ins ect . Morgan Way,
c&~~
t : James . Olson
DNt:V~~~
intractor
/ ~ 1aE>
Date
Approved By:
I }/0/08
Date
Accepted By:
~/--o 9-17 ~
. ,
Date
ENGINEERING
20 E. Main Street
Ashland, Oregon 97520
www.ashland.or.us
G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\2007\07-D7 Change Order 1.doc
Tel: 541-488-5347
Fax: 541-488-6006
TTY: 800-735-2900
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Page 1 / 1
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CITY OF
ASH LAN D
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
12/5/2007
eOl t'l@MBER
07987
VENDOR: 011484
DNA EXCAVATION
PO BOX 1087
PHOENIX, OR 97535
SHIP TO: Ashland Public Works
(541) 488-5587
51 WINBURN WAY
ASHLAND, OR 97520
FOB Point:
Terms: Net
Req. Del. Date:
Speciallnst:
Req. No.:
Dept.: PUBLIC WORKS
Contact: Jim Olson
Confirming? No
Qualltitv . Unit Description UnifPrice Ext. Price
THIS IS A REVISED PURCHASE ORDER
Installation of 250 feet of storm drain 9,500.00
in Almond Street west to Laurel Street.
PW is supplyinQ the materials,
contractor is performinQ installation.
Bid
Contract for Services
BeQinninQ date: 11/05/2007
Completion date: 12/14/2007
Processed chanQe order 01/11/2008 1,022.00
Additional Quantities resultinQ from
pipe location chanQe.
SUBTOTAL 10 522.00
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 10,522.00
ASHLAND, OR 97520
.< F(. .<...'\ AecOunt:NuiTiber : = > =
..Yi YY
E 260.08.1 7.00.7041 O( E 200707.1 20 1 0.522.00
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Aut ized Siilnature r
VENDOR COPY
A request for a Purchase Order
REQUISTION FORM
CITY OF
ASHLAND
Date of Request:
THIS IS A REQUEST FOR A:
Required Date of Delivery/Service:_
[Xl Change Order (existing PO# 7987)
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
DNA EXCAVATION
PO BOX 1087
PHOENIX OR 97535
ALMOND STREET STORM DRAIN CONSTRUCTION
2007-07
Services Only -'- Solicitation. Process:
[I Exempt [ 1,3 Written Quotes (copies
att<lched)
[ f Sole Source [X I. Invitation to Bid (copies on
file)
[ I' lliss than $5000 [I Request for Proposal (copies
on file)
Description
Total Cost
Almond Street Storm Drain Replacement Project 2007-07
Additional quantities resulting from pipe location change.
Account Number
260.08.17 .00.704100
'Please attach the Original signed contract and Insurance CertifICates.
Account Number
Employee Signature: Supervisor/Dept. Head Signature:
NOTE: By signing this requistiion form, I certify tha the above request meets with Ctiy o( Ashland Solicitiation Process req . e
G:PubwrksIEngI07'{)7 DNA Excavation co No 1.x1s
Updated on: 7/15/02