HomeMy WebLinkAbout2008-030 CONT Chg Order #1 - Copeland Construction
CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 1
PROJECT:
LOCATION:
2007 Misc. Concrete Project
Various Locations
DATE: 03/12/2008
PROJECT NO.: 06-30
CONTRACTOR: Copeland Construction, LLC.
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
Driveway Replacement @ 727
Item #1 Siskiyou Blvd Lump Sum - $3,505.79
Driveway Replacement @ 1341
Item #2 Iowa St. & 1375 Iowa St. Lump Sum - $2,769.86
Driveway Replacement to old
Parks Department Shop (North of
Item #3 Bandshell) Lump Sum - $1,819.20
Total this Change Order
Previous Change Order
Revised Contract Total
$8,094.85
$58,383.35
Recommended By:
The time provided for completion of this contract is increased by twelve (12) calendar days. This
document shall become an am t to the contract and all provisions of the contract will apply.
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Date
Approved By:
Accepted By:
Copeland Construction, LLC.
321 Pruett Rd.
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Date
ENGINEERING
20 E. Main Street
A,;hland. Oregon 97520
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Tel: 541-4gg-5347
Fax: 541-4gg-6006
TTY: 800-735-2900
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H:PROJECTS'06-30 (2007 Miscellaneous Concrete Project) Payments 06-30 2007 Miscellaneou,; Concrete Project - C
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CITY OF
ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
DATE
12/5/2007
PO NUMBER
07990
VENDOR: 012365
COPELAND CONSTRUCTION
321 PRUETT ROAD
EAGLE POINT, OR 97524
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: Paula Brown
Confirming? No
Quantity Unit Description Unit Price Ext. Price
THIS IS A REVISED PURCHASE ORDER
2007 Mise Concrete Project 06-34 50,288.50
The scope of this contract will include
the construction for several projects
throuqhout Ashland.
BID
Contract start date: 11/26/2007
Completion date: 07/01/2008
Insurance required/On file
Project No. 200634.120
Processed chanqe order 03/14/2008 8,094.85
Chanqe Order NO.1 (Per attached chanqe
order)
,
SUBTOTAL 58 383.35
BILL TO: Account Payable TAX 0.00
20 EAST MAIN ST FREIGHT 0.00
541-552-2028 TOTAL 58,383.35
ASHLAND, OR 97520
Account Number Project Number Amount Account Number Project Number Amount
E 260.08.12.00.70420( E 200634.120 58383.35
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Autho Ized Signature
VENDOR COpy
CITY OF
ASHLAND
REQUISTION FORM
Date of Request:
THIS IS A REQUEST FOR A:
Required Date of Delivery/Service:
[X ] Change Order (existing PO# 07990 )
Vendor Name:
Address:
City, State, Zip
Phone:
Project Title:
Project Number:
COPELAND CONSTRUCTION, LLC.
321 PRUETT ROAD
EAGLE POINT, OR 97524
2007 MISCELLANEOUS CONCRETE PROJECT
200634.120
Services Only Solicitation Process:
[ ] 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
2007 Miscellaneous Concrete - Miscellaneous Concrete Repairs in various
locations.
Total Cost
Change Order No.1 for the 2007 Miscellaneous Concrete Project
Account Number
260.08.12.00.704200 -100"10
'Please a/tach Ihe Original signed contracl and Insurance Certificales. , ___ / Ulf
Supervisorl Dept. Head Signature: ~ -t7J ~
lily tha the above request meets with Cliy of Ashland SoIicitiation Process requiremen a a can be provided when necessary.
H:\PROJECTS\06-30 {2007 Miscellaneous Concrete Project)\Payments\06-30 Miscellaneous Concrete Project - Change Order #01 Requisition
Updated on: 10/13/03