HomeMy WebLinkAboutPK07-211 - Change Order - #1 - Duncan Asphalt & Sealcoating - Fire Station 73 Parking Lot Sealcoat Prep - 09/20/2007 h
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KENO Document
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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 City Clerks Office.
Vendor Name: dVL �n ' r Number:
Edwards Number
Contract Number: �KO7 ^ail
This is assigned by Deputy City Clerk
Description: �� � 00:r�
Detail: ti
Project Namesej
Contract Effective Date: Termination Date: / O b S d
Contract Renewal Notice (Days): o CJr /y
Number of days required notice for termination or re ewal or amendment
ait
Contract Manager: ► Department:
Abstract:
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CHANGE ORDER NO. 1
NAME OF CONTRACTOR, CONSULTANT, OR VENDOR- Ducncan Asphalt& Sealcoating ("Contractor")
CONTRACT NAME &PROJECT NUMBER:Sealcoat and Patch Parking Lot Station 73
ORIGINAL CONTRACT DATE:August 17, 2007
This Change Order amends the above-referenced contract; all other provisions of the contract that are
not inconsistent with this Change Order shall remain ip 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:
Additional asphalt patch work that was not in the actual contract and was
requested by the Fire Department.
2. The contract amount and time for performance provisions of Section II "Compensation," and
Section III, "Time for Completion," are hereby modified as follows:
Original Contract Sum, $15,745.83
including applicable alternates and WSST.
Net Change by Previous Change Orders $0
(incl applicable WSST)
Current Contract Amount $15,745.83
(incl Previous Change Orders)
Current Change Order $1,760.00
Applicable WSST Tax on this Change Order $ 156.64
Revised Contract Sum $17,662.47
Original Time for Completion Oct. 15, 2007
(insert date)
Revised Time for Completion under
prior Change Orders
(insert date)
Days Required ± for this Change Order 0 calendar days
Revised Time for Completion 0
(insert date)
Pursuant to Section VII, 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 arising 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 of its performance bond (if any) for this project to be
consistent with the revised contract sum shown in section 2, above.
WITNESS the parties below have executed this Agreement, which will become effective on the
IN p g ,
last date tten below.
CONTRA R: CITY OF KENT:
By: By:
tg,xalure) fsignatur
Print Name. Prin l2 C -C
Its Its C�
(TrtleJ
DATE: ��1 DATE: I?
APPROVED AS TO FORM:
Ike t Law be ment
[Station 731)uncanParkmgloit
CONTRACT MODIFICATION-2 OF 2
. P O Box 7426• Bonney Lake, WA 98391
00a
Office (253) 863-3715- Fax (253) 863-4604
Contractor Registration Number DUNCA"973BZ
ASPHALT & Change Order
SEALCOATING
DATE: JOB#: `7 4�
ATTENTION: /'- '`, "�'•'�R -�� PO#
r r f
CUSTOMER/COMPANY.
JOB SITE ADDRESS: .
QUANTITY DESCRIPTION OF CHANGES PRICE / UNIT AMOUNT
.Fa 4
Acceptance of Change Order- By signing below, hereby represents that he/she is the
Property Owner/Authonzed Representative for Customer and hereby acknowledges that
the above change order and prices are acceptable and authorized Duncan's Asphalt &
Sealcoating, Inc. to proceed with approved changes. ry
Print name j� r Print name
Owner/Authonzed Representative i' Duncan's Asphalt & Sealcoating, Inc.
Distribution: While-Duncan's AsphaU&Sealcoating,Inc. Yellow-Owner