HomeMy WebLinkAboutPW06-283 - Amendment - #2 - David Lanning - S 277th St Pedestrian Bridge Railing - 01/30/2007 Records Managerne-nt
KENT Document
4A 5Mf N0TON
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: PWO(O -983
This is assigned by Mary Simmons
Vendor Number:
Project Name: S. 277th St. Pedestrian Bridge Railing
Contract Effective Date: January 30, 2007
Contract Termination Date: March 31, 2007
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Nick Horn
Department: Engineering
Abstract:
Extended the completion date.
ADCL7832 07/02
KENT
WAS H IN GTON
CHANGE ORDER NO. 2
NAME OF CONTRACTOR, CONSULTANT, OR VENDOR- David Lammng ("Contractor")
CONTRACT NAME &PROJECT NUMBER: S 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 March 31, 2007.
2. The c ontract amount and t ime for p erformance p rovisions o f S ection I I"Compensation,"and
Section II1, "Time for Completion," are hereby modified as follows:
Original Contract Sum, $19840.00
including applicable alternates and WSST.
Net Change by Previous Change Orders $0.00
(mcl 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 $1,840.00
Original Time for Completion October 31, 2006
(insert(late)
Revised Time for Completion under January 31, 2007
prior Change Orders
(insert date)
Days Required ± for this Change Order 59 calendar days
Revised Time for Completion March 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
4
and accepts that this Change Order constitutes final settlement of all claims of any kind or nature ansmg from
or c onnected w ith any work e ither c overed o r affected b y this C hange Order, i ncluding, w ithout 1 imitation,
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: CIT NT:
By Z� By:
e 4C
(Aignaturel) (s nature)
Print � L Name. DAVI f114J/J/-AJ6a Print Name: Timothy J., LaPorte
ItS &rl;l l_%p>a-1 Its r i tyr Eng i nea r
(Tale) (Tale)
DATE: DATE:
APPROVED AS TO FORM:
Kent Law Department
Lannmg-277th Ped Bridge Railing CO2/1-lorn
CONTRACT MODIFICATION-2 OF 2
m inwnLl�r, 5 i H i t r AKM PAGE 01
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S(ADo
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AUGUST 02, 2006
AUTO POLICY STATUS
H PHONE: (253) 631-0525
LANNING, DAVID & MAVIS M MUTL 256 8596-B08-47J IRG: 19 LPG: 04
23029 164TR AVE SE TERR: 031
KENT WA 98042-3703 98 LEXUS ES 300 CLASS: 683050E
4DR ACC FREE: AUG-08-SE
VIN: JT88F28G6W0135740 BIRTH: AUG-16-36
STATUS:RENBL DUE DATE:AUG-08-06 TERM DATE: TOT PREM: 283. 35
AMT DUE: 283.35 QXD: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% W. 13 HOMEOWNERS.
14 ME: LANNING, DAVID & MAVIS M H PHONE: (253) 631--0525
I LACED POLICY: 2568596-47I POLICY FORM: 98477
EXCEP. & END:
REC CHG:
CQV. S NAMES S AMT
fmm ��ar Michael G.Mandl*CLU
Agent
10233 Bridgeport WS SW
iMwaww< Lakewood,WA. 984 phone(253)558-J8' 33