HomeMy WebLinkAboutCAG2020-133 - Change Order - #15 - Northwest Cascade, Inc. - 76th Ave S Improvements - 10/05/2021KENT
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cheny colored paper)WASHINGTOX
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oLo.o.
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
10t6t21
Date Required
N/A
Authorized to Sign:
E Director or Designee E Mayor
Date of Council Approval:
N/A
Budget Account Number:
R20082.641 10.120
Budget? EYes E No
Grant? trYes ENo
Type: N/A
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Vendor Name:
Northwest Cascade, lnc.
Category:
Contract
Vendor Number:
72783
Sub-Category:
Change Order #15
projecr Name: 76th Ave. S. lmprovements - S. 220th St. to S. 214th St.
project Details:Revision S directed the change of 18 inch Dl to 24 inch Dl storm pipe for a portion
of the new storm system due to finding an additional private storm system.
Agreement Amount: $9,898.26
Start Date: N/A
Basis for Selection of Contractor: $i6l
Termination Dare: 173 Working Days
Local Business? E Yes El No*
*lf meets requirements per KCC 3.70.100, ptease complete "Vendor Purchase-Local Exceptions" form on Cityspace.
Notice required prior to disclosure?
trYes E No
Contract Number:
cAG2020-1 33
ulc.TI)
E$o=Ei
tgtr
.9vl
Date Received by City Attorney:Comments:
Date Routed to the Mayor's Office:
Date Routed to the City Clerk's Office:
ad(W22l7l I 20 Visit Documents.KentWA.gov to obtain copies of all agreements
ut
KENT
WASHINGTON
CHANGE ORDER NO. #L5
NAME OF CONTRACTOR:Northwest Cascade, Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER:TAth arra C Tmnrnrramanfc -c ttnth Qf fn C,r 1/th c{-
ORIGINAL CONTRACT DATE :May 5, 2020
This Change Order amends the above-referenced contract; all other provisions of the
contract that arq 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 :
Revision 5 directed the change of 18 inch DI to 24 inch DI storm pipe
for a portion of the new storm system due to finding an additional
private storm sYstem.
Z. 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,
(including applicable alternates and
WSST)
$4,472,667.25
Net Change by Previous Change Orders
(incl. applicable WSST)
$169,734.31
Current Contract Amount
(incl. Previous Change Orders)
$4,642,401.56
Current Change Order $9,898.26
Applicable WSST Tax on this Change
Order
$o.oo
Revised Contract Sum $4,652,299.82
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
120 working days
Revised Time for Completion under
prior Change Orders
(insert date)
51 working days
Days Required (+) for this Change Order 2 calendar days
Revised Time for Completion
(inseft date)
173 working days
In accordance with Sections L-O4.4 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:
By
I
Print Name:
DATE: q
Print Name: Chad BierenIts Public Works Director
CITY OF KENTr
{title)
tuh
P.E
(signature)
DArE: to/s/ar
CHANGE ORDER. 2 OF 3
ATTEST tIh 6,,,b
Kent City Clerk
APPROVED AS TO FORM:
(applicable if Mayarb signature required)
Kent Law Department
[In tlls tldd, you m.y ent€r the el€€trontc fllepath where the entEd has bc€n sryed]
CHANGE ORDER - 3 OF 3
KF.IIT
CHANGE ORDER WORKSHEET NO' }( 15
construction Engineering Division - Public works
Project No:
Fed-Aid No:
Contractor:
File No. 2OO.2
19-3006
N/A
Northwest Cascade
Project: 76th Av S
Project Engineer: Mark Madfai
Capital Projects phil McConnell
Ma er:
Date:Various
I Pro ed Chan e
system. Extra Work 56
ortion of the new stormh DI storm PiPe for a P18 inch DI to 24 incRevision 5 directed the change of
II. Reason and Bac round for Chan e
III. Method of PaYment
NEW PAY ITEMS P t'totaPPlicable
g into the new sYstemnmstermstoatetynvitidasyonnoafadpnfitodnduedegu5nasWissVRetotsednnstaibeistoofmrIslsedzepeecrenapdictatethdThtsednnstabeig
Sch.
No
Item DescriPtion Total Est.
Otv Unit Unit Price Total Estim ated Cost of
Item
4
Revision 5, was issued increasing the size
of the storm pipe being installed' Price
difference was 56.03 LF. Extra Work 56'
1 LS $9,898.26 $9,898.26
$
$
New PaY ltems Total: $9,898.26
DELETE EXISTING PAY ITEM(S) per 1-O9'5 E ruot applicable
Sch
No.Bid Item No.Item DescriPtion Qtv Unit Unit Price Cost of Item
Page L
$
Delete Existing PaY ltems Total: $
DECREASE TO EXISTING PAY ITEM(S) E ruotappricabre
Sch
No.Bid ltem No.Item DescriPtion Qtv Unit Unit Price Cost of ltem
TNcREASE/
IV. WORKING DAYS
Increase / Decrease to Existing Pay Items Total: $
*ToTAL ESTIMATED cosT oF CHANGE oRDER:.26
* Total of the Cost of Item Co lumns
t78Previous Total:oDue This Change Order:L20Original Contract:
rkiWoAddronal DaysngitifotionJustificaExlanation/p
*TOTAL WORKING DAYS; NE
x This Change Order + Previous Total
DateCapital Projects Manager:
Construction Engineering
Supervisor:
Construction Manager:
Phil McConnell
ul Kuehne
Date: f/z
Date
Eric Connor
Page 2
FA Sheet No.:
.rA\_/ KENTFORCE AGCOUNT WORKED
DAILY REPORT OF
Project Name
ed 18 inch Dlto 24 inch DlStrom
40
76th Av S
Prime Gontractor: NW Gascade
Project No: 19-3006
Description of Work: Per Revision5
Item No.
Sub-Contractor:
Work by
Date: Various
STMIGHT TIME DOLLAR
AMOUNTOT RateHrsHourly RateHrsOCCUPATIONCODENAME
LABOR OVERHEAD & PROFIT, INCLUDING SICKLEAVE FOR THE MEDICAL LEAVE @ 31%
LABOR TOTAL
SUBTOTAL . LABOR: $
$
I
STANDBYOPERATED DOLLAR
AMOUNTRateHourly Raters
EOUIPMENT OR ATTACHMENTS
EquipmentEquipment #
$
$
$EQUIPM ENT TOTAL
SUBTOTAL - EAUIPMENT
EOUIPMENT OVERHEAD & PROFIT @ 21%
DOLTARAMOUNTUnit PriceUnitsQuantitY
MATERIALS / SERVICES I,180.38$5 56.03LF
dilferencedollars 24'to DIIB8"1 DIfromLF
$
$
SUBTOTAL
oVERHEAD&PRoFlr@21%
TOTAL $9,898.26
717.88
180.
of Hours Worked
DateRepr€sentative
392A 120,000 = 0'196
12% MARKUP
Prime when subcontract work)
9,898.26
9,898.26TOTAL:
(for
SHEETTOTAL: $
Corporate Office
3633 136th Pl SE, Ste 100, Bellevue, WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 425-654-8800 - Fax 425-641-8885
IN-HOUSB
Page 1 of t
dH.D. FoHJ#s
Ceun: Po Box 84368, Seattle, WA 98124
15588103 COPYlnvoice
Number PADS
# 143940
Ship to:21441 76TH AVE SO
KENT WA 98032
Ben Pimentel09117120
nv
06692187
ro: NoRTHWEST CAScADE
- PO BOX 73399
PUYALLUP WA 98373-0399
#255 76TH AVE SOUTHShip via: FACTORY TRUCK
Terms:
FOB:
1
FACTORY
Line
otv
BO',d
Extended T
Price X
Unit
PricePart #
UoM DescriPtion
otv
Ship'd
31,265.49
31,265,49
5 6 1 EA NS-IP2.5681
18'' CL.sO DI PIPE 18,25'LENGTHS UNLINED TJ
RECEIVED BY
SIGNATURE: -
Sub total
Freight
Tax
Grand TotalPRINTED NAME:isaac
Serving the Pacific Northwest si
www.hdfowler'com
nce 1911
7
a
WH.D. FoH##S
ngl,,ltf. pO Box 84368, Seattle, WA 98124
Corporate Office
3633 136th Pl SE' Ste 100, Bellevue' WA 98006
PO Box 160, Bellevue, WA 98009-0160
Phone 425-654-8800' Fax 425-641-8885
Ih[-[IOUSE-
COPY
Page { of I
lnvoice
Number r5560016 PSWH
# 143940
Ship to:
KENT WA 98032
21441
Jeff Workman08119t20
lnv
06749109
ro: NoRTHWEST cAscADE
PO BOX 73399
PUYALLUP WA 98373-0399
#r',255 76TH AVE SOUTHshlpvia: OUR DOCKFoB: H. D. FOWLER COMPANY
otvotv
Line ShiP'd BO'd
Extended T
Price X
Unlt
PricePart #
UoM DescriPtion
14,583.94
16,083.94
16,083.94
EA MSOUTBOUND
OUTBOUND FREIGHT CHARGE freight from pasco to
Pacific from tql logistics'
FT IPsOOGTJ
24" CLSO DIPIPE TJ 18'25'LENGTH ASPHALTIC
COATED ANSUA\AAA/A C1 51 I A21'51 AND CEM ENT
LINED ANSUA\AM/A C1O4IA21'4WITH SBR GASKET
99.89
146
RECEIVED BY
SIGNATURE:
Sub total
Freight
Tax
Grand TotalPRINTED NAME:isaac
Serving the Pac ific Northwest since 91
2
1
Total cost for 24" DI
$/shipPing $/PiPe total cost
1500 L4583.94 16083'94
18 inch Purchase Price LF
LFlpiPe
r46
cost difference Per LF
cost difference
1 10.16
L46 54.13
56.03
8180.96 8180.96