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Home My WebLink AboutPW17-289 - Change Order - #1 - NW Relining LLC - Horseshoe Bend Levee Storm Outfall Pipe-Slip Lining - 12/05/2017 /%/i ,/% ,1 j/�, i 1111,�Itflll� *NT Documenf ' CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office. All portions are to be completed. If you have questions, please contact the City Clerk's Office at 253-856-5725. Vendor Name: NW Relining, LLC Vendor Number: JD Edwards Number Contract Number: 0" � n , �` J 0 This is assigned by City Clerk's Office Project Name: Horseshoe Bend Levee Storm Outfall Pipe-Slip Lininq Description: ❑ Interlocal Agreement Change Order ❑ Amendment ❑ Contract ❑ Other: Contract Effective Date: 9/14/2017 Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Richard Schleicher Department. Engineering Contract Amount: $2,100.20 Approval Authority: ❑ Director ❑ Mayor ❑ City Council Meeting Date Detail: (i.e. address, location, parcel number, tax id, etc.): Contractor purchased special pollution. insurance that was required as a part of the King County Special use Permit, that was not part of the contract. ........................... .. .. --►✓ K E 1+1 T w�5,I II ,0r CHANGE ORDER NO. # 1 NAME OF CONTRACTOR: NW Rellinin __LLC„ ("Contractor") CONTRACT NAME & PROJECT NUMBER: Horseshoe Bend Levee Storm Outfall Pine-Slap Lining ORIGINAL CONTRACT DATE: September 14. 2017 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: Contractor purchased special pollution insurance as it was a requirement of the King County Special Use Permit that was not part of the contract. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: Ori inal Contract Sum $87,879.00 (including applicable alternates and WSST) Net Change by Previous Change Orders $0.00 (incl. applicable WSST) Current Contract Amount $87,879.00 (incl. Previous Change Orders) Current Change Order $2,100.20 Applicable WSST Tax on this Change $210.02 Order Revised Contract Sum $90,189.22 CHANGE ORDER - 1 OF 3 Original Time for Completion 10 working days (insert date) ._........... .................._..- Revised Time for Completion under 0 prior Change Orders (insert date) _........._ Days Required (f) for this Change 0 calendar days Order Revised Time for Completion 10 working Days (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: B - Y� sr+�'2 B y: (signaYur ( ignaturey Print Name: i2_,e,-V M ,16g xxe0 Print Name: Timothy J. LaPorte P.E Its M r Its Public Works Director DATE: 1/�/7 1DATE: CHANGE ORDER - 2 OF 3 ..... . .......... ................................ ....._......... APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department [In this held,you may enter the electronic filepath where the contract has been saved] CHANGE ORDER - 3 OF 3 T FILE NO: 200.2 'ww✓' KEN CHANGE ORDER 'Vli ORKSHEET NO. 1 Construction Management Division - Public Works Project: Horseshoe Bend Slip-Lining Project No.: 17-3014 Project Engineer: Richard Schleicher Fed-Aid No.: N/A Project Manager: Phil McConnell Contractor: NW Relining Date: 10/4/2017 I. PROPOSED CHANGE Contractor purchased special pollution insurance II. REASON AND BACKGROUND FOR CHANGE Pollution insurance was required as part of the King County Special use Permit that was not part of the contract III. METHOD OF PAYMENT NEW PAY ITEM(S) [�] Not Applicable Change Order No. - FOR ACCOUNTING USE ONLY Sch. No. Item"Description Total Est Oty this Unit Unit Price Total Estimated Cost of Dty ',. PE I Item 4 Additional Pollution Insurance 1 1 LS $2,100.20 $2,100.20 Independent Estimate Attached EM ONLY Payment to be made PAY THIS PAY ESTIMATE -REOUIRED at a later date upon completion of work Material Submittals Reouired — CC' Ccnstrrictic n CoardMrlaQpr New Sub Reqrd? No " DELETE EXISTING PAY ITEM(S) per 1-09.5 E Not Applicable Change Order No. _ FOR ACCOUNTING USE ONLY Sch. No B I No Item Description oty _ Unit Unit Price Cost of Item Independent Estimate Attached - REQUIRED INCREASE/DECREASE TO EXISTING PAY ITEM(S) M Not Applicable Change Order No. _ FOR ACCOUNTING USE ONLY Sch No "31 No Item Description Oty Unit Unit Price Cost of Item I Independent Estimate Attached - REQUIRED 1 REV. DATE: 4/01/10 �* T FILE NO: 200.2 `�.✓' KE TOTAL ESTIMATED COST OF CHANGE ORDER * 2 100 20 .v..................... *Total of the Cost of Item Columns THIS PAY ESTIMATE z.loo.zo IV. WORKING DAYS Original Contract 10 Due This Change Order* 0 Previous Total 10 DATE: ....... ,,,,,,.,, .. DATE;, ..... -.. * Exolanation/Justification Reauired: TOTAL WORKING DAYS* 10 *This Change Order + Previous Total All work, materials and measurements to be in accordance with the Standard Specifications and Contract Special Provisions for the type of work described. Capital Projects Manager: \91,11 .cCoMn,�. 0 " -� Date: Construction Supervisor: �—.,..� ...._.._.,_.. Date Paul Kuehne Construction Manager: m� ,arR "".. Date: .. 1 ✓�./...! Eric Connor 2 REV. DATE: 4/01/10 FA Sheet I DAILY REPORT OF FORCE ACCOUNT WORKED -/""�' Project Name: Horseshoe Bend Pipe-Slip Lining Protect No: 17-3014 Item No. Schedule 4 Date 10/4/2017 Description of Work: Provide additional insurance per King County special use permit Work by Subcontractor?. no Prime Contractor: NW Linings Sub-Contractor: LABOR ' STRAIGHTTIME OVERTIME DOLLAR NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT $ - SUBTOTAL-LABOR: $ - LABOR OVERHEAD&PROFIT @ 29% $ LABOR TOTAL $ EQUIPMENT EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR Equipment# Equipment Description Hrs Hourly Rate Hrs Standby Rafe AMOUNT $ g $ $ $ SUBTOTAL-EQUIPMENT $ - EQUIPMENT OVERHEAD&PROFIT @ 21% S EQUIPMENT TOTAL $ MATERIALSfSERVICES)RENTALS MATERIALS SERVICES Quantity Units Unit Price DOLLAR AMOUNT 1 LS S 1,735,70 $ 1,735.70 $ S - $ SUBTOTAL $ 1,735,70 OVERHEAD&PROFIT @ 21% $ 364..50 TOTAL $ 2,100.20 Verification of Hours Worked: TOTAL: $ 2,100.20 12% MARKUP (for prime when subcontract work) $ Contrectots Representative Date SHEET TOTAL: $ 2,100.20 Owner's Representative Date Comments Nicholson & Associates INVOICE NO . 27195 Page 1 1802 Black Lake Blvd. SW "9C.$:'(911^vf NO, OI' Da'C"E` Olympia,WA 98512 NWRE1.-1 L"1 10/0412017 Pkune: 360-352-8444 Fax;360-943-9712 PROM TER Ben M. Houk NW Relining, LLC 232 Dutterow Rd SE Olympia,WA 98513 Itmn# Mute Date Trn Typo PO4CY# Description Amount 2"7509;! ICmWl7 NM POLL. EN'PdJC)00407 17/18 Now PoltLition $1,250.00 2e75093 10/04/17 CPR POLL ENP0000407 'faxes&Pets $485'70 im oice Rnla.m $1,735,70 aaa PLEASE RETCRN ONE COPY WITH YOUR REMFUrANCE"'+