HomeMy WebLinkAboutPW06-283 - Change Order - #1 - David Lanning - S 277th St Pedestrian Bridge Railing - 10/16/2006 a b ®ti
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KENT Document
WASHINGTON
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CONTRACT COVER SHEET
This is to be completed by the Contract Manager prior to submission to City Clerks Office. All
portions are to be completed, if you have questions, please contact Mary Simmons, City
Clerks Office.
Vendor Name: David Lanning
Contract Number: e ) c) o,
This is assigned by Mary Simmons
Vendor Number:
Project Name: S. 227th Street Pedestrian Bridge Railina
Contract Effective Date: October 16, 2007
Contract Termination Date: January 31, 2007
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nick Horn
Department: Engineering
Abstract:
Extend the completion date of the agreement to January 31, 2007.
ADCL7832 07/02
KENT
WASHINGTON
CHANGE ORDER NO. 1
NAME OF CONTRACTOR, CONSULTANT, OR VENDOR David Lannmg ("Contractor")
CONTRACT NAME & PROJECT NUMBERS. 277th Street Pedestrian Bridge Railing
ORIGINAL CONTRACT DATE. August 30, 2006
This Change Order amends the above-referenced contract; all other provisions of the contract that are
not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual
consent of the parties, the project contract is modified as follows:
1. Section I of the Agreement, entitled"Description of Work,"is hereby modified as follows:
Provide all labor, materials, and equipment necessary to:
No change is necessary to the description of work, however a change order is
necessary to extend the time for completion to January 31, 2007.
2. The c ontract amount and time for p erformance p revisions o f S ection II"Compensation," and
Section III, "Time for Completion," are hereby modified as follows.
Original Contract Sum, $1,840.00
including applicable alternates and WSST.
Net Change by Previous Change Orders $0.00
(incl applicable WSST)
Current Contract Amount $1,840.00
(incl Previous Change Orders)
Current Change Order $0.00
Applicable WSST Tax on this Change Order $0.00
Revised Contract Sum S1,840.00
Original Time for Completion October 31, 2006
(insert date)
Revised Time for Completion under 0
prior Change Orders
(insert date)
Days Required ± for this Change Order 92 calendar days
Revised Time for Completion January 31, 2007
(insert date)
Pursuant to Section XIII F., entitled "Changes," of the Contract executed by the parties, the Contractor
accepts all requirements of this Change Order by signing below Also, pursuant to the above-referenced
contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges
and accepts that this Change Order constitutes final settlement of all claims of any kind or nature ansmg from
or connected with any work either covered or affected by this Change Order, including, without limitation,
claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits
The parties whose names appear below swear under penalty of perjury that they are authorized to enter
into this contract modification, which is binding on the parties of this contract
3. The Contractor will adjust the amount o f its p erformance b and (if any) f or this project to b e
consistent with the revised contract sum shown in section 2, above.
IN WITNESS, the parties below have executed this Agreement, which will become effective on the
last date written below.
CONTRACTOR: CITY OF KENT:
By; �dT/I.C� � By:
(signatrae) s nature/
Print Name: dA411D t AW AJ11% JC7 Print Name: Timothy J. LaPorte
Its f'n;4<,a4 Its Dest 1 Enlineerin Manager
(Yule) (Title)
DATE: ro�lr�ob DATE: �U OG
APPROVED AS TO FORM:
Kent Law Department
Lammng-277th Ped Bndge MPH=
CONTRACT MODIFICATION-2 OF 2
Ju,., UL(LVVU VU../� LJJJUUYJVJ WI IYIHIY1/11A SIAIt rAKM PAGE 01
STATE TAAEI
I NEUR�NCE
N
AUTO POLICY STATUS AUGUST 02, 2006
H PHONE: (253) 631-0525
I,ANNING, DAVID & MAVIS M MUTT, 256 8596-B08-47J IRG: 19 LRG: 04
23029 164TH AVE SE TERR: 031
KENT WA 98042-3703 98 LEXUS ES 300 CLASS: 6B3050E.
4DR ACC FREE: AUG-08-86
VIN: JT8BF28G6W0135740 BIRTH: AUG-18-36
STATUS:RENSL DUE DATE :AUG-08-06 TERM DATE: TOT PREM: 283 . 35
AMT DUE: 283.35 OXD:AUG-08-86 COV DATE:AUG-08-01 PREY PREM: 283 . 35
A 100 /300 /50 125. 92 R1 80% /500 9. 60
P1 24 .34 UU1 25 /50 /50 23 . 04
D100 38 . 82
G1000 57 .43
H 4 .20
AMT PAID: 283. 35 DATE PAID: FEB-07-06
CRI 1578, AGE 69, GRP 08/08/96, MCD 60. 56,
AFD 10YR $69. 23, VSD 20% 6. 08, APP DATE 09-17-06,
ODM 300 08-98, MLA 14% $40. 13 HOMEOWNERS .
NAME: LANNING,DAVID & MAVIS M H PHONE: (253) 631-0525
E LACED POLICY: 2568596-47I POLICY FORM: 98477
EXCEP. & END:
REC CHG:
COV. S NAMES S AMT
,TAn revm-mmm% Michael G. Mandiak,CLU
Agent
10233 Bridgeport Way 5W
INEY!<ANC Lakewood,WA. 98A99
Phone(263)5584833