HomeMy WebLinkAboutPK14-103 - Change Order - #1 - Blue Line Water, Inc. - Clark Lake Shared Well Dissolution - 05/12/2014 Records M 4 gemer
KENT Document
WASHINGTON
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 City Clerk's Office.
Vendor Name: Blue Line Water, Inc.
Vendor Number: 716234
ID Edwards Number
Contract Number: PK14-103
This is assigned by City Clerk's Office
Project Name: Clark Lake Shared Well Dissolution - Change Order #1
Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract
❑ Other:
Contract Effective Date: 4/15/14 Termination Date: 5/15/14
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Brian Levenhagen Department: Parks Planning & Dev.
Detail: (i.e. address, location, parcel number, tax id, etc.):
Permit fees above contract amount
PPD Contract # PPD13-23
S•Publlc\RecordsManagement\Forms\ContractCover\adcc7832 1 11/08
KENT
WASHINGTON
CHANGE ORDER NO. #1
NAME OF CONTRACTOR: Blue Line Water Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER: Shared Well Dissolution, #PPD13-23
ORIGINAL CONTRACT DATE: 4/15/2014
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 to
add additional work or revise existing work as follows:
In addition to work required under the original Agreement and any
prior Amendments, Contractor shall provide all labor, materials, and
equipment necessary to:
Purchase Electrical Work Permit #2356672E and
File WA State Prevailing Wage Intent
2. The contract amount and time for performance provisions of Section II "Time of
Completion," and Section III, "Compensation," are hereby modified as follows:
Original Contract Sum, $8,147.90
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $0
(incl. applicable WSST)
Current Contract Amount $89147.90
(incl. Previous Change Orders)
Current Change Order $139.50
Applicable WSST Tax on this Change $n/a
Order
Revised Contract Sum $8,287.40
CHANGE ORDER - 1 OF 3
Original Time for Completion 5/15/2014
(insert date)
Revised Time for Completion under N/A
prior Change Orders
(insert date)
Days Required (t) for this Change N/A calendar days
Order
Revised Time for Completion N/A
(insert date)
In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard
Specifications, and Section VII of the Agreement, 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. This Change Order, unless otherwise provided, does not
relieve the Contractor from strict compliance with the guarantee and warranty provisions of the
original contract, particularly those pertaining to substantial completion date.
All acts consistent with the authority of the Agreement, previous Change Orders (if any),
and this Change Order, prior to the effective date of this Change Order, are hereby ratified and
affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change
Order shall be deemed to have applied.
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.
IN WITNESS, the parties below have executed this Agreement, which will
become effective on the last date written below.
CONTRACTOR:
CITY OF KENT:
By: �y -�" By: Z4" & -
(signature) 11 (si nature)
Print Name; Lee- Print Name: tkr2l- r b'
Its P'.'gs.L.} Its
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DATE: MT� M�� S, °�� DATE: i1/ly
CHANGE ORDER - 2 OF 3
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
P/Planning/Acquisitions/Clark Lake/Schulte/Blue Line Water-Schulte&LeCompte Shared Well Dissolution CHANGE ORDER#1 pdf
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CHANGE ORDER - 3 OF 3