HomeMy WebLinkAboutCAG2020-133 - Change Order - #18 - 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 cherry colored paper)WasHtNoToN
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oLgg
Originator:
S. Anderson
Department:
PW Engineering
Date Sent:
1ot6t21
Date Required
N/A
Authorized to Sign:
EI Director or Designee E MaYor
Date of Council Approval:
N/A
Budget Account Number:
R20082.641 10.120
Budget? EYes EINo
Grant? E Yes El No
Type: N/A
Eoa-flo
ELob
E
tPg
o
EooLgl
Vendor Name:
Northwest Cascade, lnc.
Category:
Contract
Vendor Number:
72783
Sub-Category:
Change Order #18
project t,tame: 76th Ave. S. lmprovements - S. 220th St. to S. 214th St
prolect Detaits:Restocking fee for unused materials that were ordered per the quantities of the
contract and were not used or deleted through the progression of the project
Agreement Amount: $1,172.01
Start Date: N/A
Basis for Selection of Contractor: $igl
Termination Date: 188 Working DaYs
Local Business? EYes E No*
*lf meets requirements per KCC 3.10.100, please complete'Vendor Purchase-Local Exceptions" form on Cityspace.
Notice required prior to disclosure?
EYes E No
Contract Number:
cAG2020-133
Comments:Date Received by city Attorney
Date Routed to the MaYor's Office:
g|g.-tht)\rois
o=E,i
Ge
.9ta
Date Routed to the City Clerk's Office:
ad(W22373,1,20 Visit Documents.KentwA.gov to obtain copies of all agreements
KENT
WasHrN6ToN
NAME OF CONTMCTOR:
CHANGE ORDER NO. #18
Nofthwest Cascade. Inc. ("Contractor")
CONTMCT NAME & PROJECT NUMBER:76th Ave. S.orovements - S. 220th St,to s. 214th St
ORIGINAL CONTMCT DATE:Mav 5 . 2020
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 pafties, the pr{ect contract is modified as follows:
t. 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:
Restocking fee for unused materials that were ordered per the quantities
of the contract and were not used or deleted through the progression of
the project.
2, The contract amount and time for performance provisions of Section II "Time of
Completion," and Section [II, "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)
$217,987.51
Current Contract Amount
(incl. Previous Change Orders)
$4,690,654,76
Current Change Order $1,064.50
Applicable WSST Tax on this Change
Order
$107.s1
Revised Contract Sum $4,691,826.77
CHANGE ORDER - 1 OF 3
Original Time for Completion
(insert date)
120 working days
Revised Time for Completion under
prior Change Orders
(insert date)
68 working days
Days Required (*) for this Change Order o calendar days
Revised Time for Completion
(inseft date)
188 working days
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.
Print Name: Chad Bieren
CITY OF KENT:
/h E),,^
DArE: u/s/ar
(titte)
Director
P.E
Its Public W
(signature)
CONTRACTOR:
Its
By:
DATE:
Print Name:
CHANGE ORDER. 2 OF 3
at
ATTEST:
Kent City Clerk
APPROVED AS TO FORM:
(applicable lf Mayorb signature required)
Kent Law Depaftment
[In thls ff€ld, you may €nter the electrcoic ffleDath wheE th€ ontnct has bs s.v€d]
CHANGE ORDER - 3 OF 3
File No. 2OO'2
KENT
CHANGEoRDERWoRKSHEETNo.IS
construction Engineering Division - Public works
Project: 76th Av S Project No: 19-3006
Project Engineer: Mark Madfai Fed-Aid No: N/A
Capital Projects phil McConnell Contractor: Northwest Cascade
Date:Various
I. Pro d Chan e
Restocking fee for un used materials
I. Reason and Bac round for Cha e
III. Method of PaYment
NEW PAY ITEMS B ruotaPPlicable
I and descriPtions that wereauresntitncortctareeqthlsaerordrfoaterimnpaWSecessakiRestocrYngcteofnethoroJresslthhephtrogrouroetedpdelreotnsedIuithe
Sch.
No
Item DescriPtion Total Est.
Qtv Unit Unit Price Total Estimated Cost of
Item
2 Restocking of fees for unused materials 1 LS $1,064.50 $1,064.50
$
$
New PaY Items Total: $1,O64.5O
DELETE EXISTING PAY ITEM(S) per 1-O9'5 E ruot applicable
Sch
No.Bid ltem No'Item DescriPtion Qtv Unit Unit Price Cost of ltem
Page 1
$
Delete Existing PaY ltems Total: $
TNCREASE/DECREASE TO EXTSTTNG PAY rTEM(S)E ruot applicable
Sch
No.Bid Item No.Item DescriPtion Qtv Unit Unit Price Cost of Item
$
Increase f Decrease to Existing Pay Items Tota l:$
*TOTAL ESTIMATED COST OF CHANGE ORDERT@
x Total of the Cost of Item Columns
IV. WORKING DAYS
L79Previous Total:oDue This Change Order:L20Original Contract:
Days:wonalitionrfo orkingAddnJustcatfianatio/Exp
*TOTAL WORKING DAYS:
* This
nell
L79
Change Order + Previous Total
Date:
Date
Capital Projects Manager:
Construction Engineering
Supervisor:
'4t
Construction Manager:
Phil
ul Kuehne
Date ,/q/q
c Connor
Page 2
Part Description12x6 FL tee12x4 MMF13MF4 MJ 90 bendthread2x48nt8M190Qty Price Total Price allowed part usage description4 546.47 2185.88 0.r 267.34 267BI 2135 2-4"connections 21 384.09384.09 I believe one of the 10 inch co0.00 No 3" shown onlans2 44.86 89.72 49.72 Possirhrts were order. 12x6could have been used onshown andI was 12 to 12werein full2reducernuts- import2 45.3t6 33.26o71 189.70 108.40 could of38.56 23t.36 0.00 All1 136.31 136.31been custom lenonB" was in 52the o.55 hard todon't knowtotalmhave been orderednt at 6x6=36 or 4al49 27.06 243.54 0.00deletionBI 2215 for 1-7)0.00 Br 22_15a)89.94 29.98 Airvacetion 2t 7.79 7.79 7.79 Airvac deletion multiple 90snds to Rev 1 and theon ofordered. And Pozzi eover BIntitiesid at or over BIuantities41.19 4t.L9 hard to'tworkM]t2solid wire12" black1bolt74.2 IP comFL2 qalv 90feet126L.a7 309.352 3.O7 6.L41 61.13T12deleted2 airvac2 AVK1 631.82 631.82 631.82 Airvact 267.75 267267.75GV deleted2x6 galv nipple8 4.95 39.60 29.70 Airvac deletion 6 bends wou2 18.69 37.38 0.00 I don't see a reason these qot ordered6 17.66 105.96o.0O I don't see a reason these oot ordered2 67.a9 135.78 67.89 Airvac deletion 1 beehive deleted43.5 87.00 87.00 Possible orderld have been removed2 CI meter flanqe7 112 Cl meter flanoe4 long patteE Qllleeye2 beehive4Mlcaface6 CL52 DI10 CL52 DI DiDe TR Flex4.2O Possible order61.08 0.00 This5 16.41 1796.90 299.44ard toknblehard to sav, don't know the total ordered. 81 paid to maxs to Rev 1 and2"GVto1id at 19d118.25 40.t3 732.3710 cL52 DITR FIex18.25 40.13don't know the total ordered. BIto max6 CL52 DITRex8489.10 489.10 hard to sadon't knowL46 37.31 5447.26 680.91 hard todon't knoweordeTh8 was in S212th and then theadditiostick possiblevalve6 34.09 204.54Mnothirelated to bid items3 detectable3 36.95 110.85 0.00 I don'tordered3 FL tee2 76.58 153.16 0.00 I doordered3 qalv 90 bend1 31.46 3r.46 31.46rantsOVCT BIhit4x2 tapped blind FL 1 60.81 60.81 0.00 Maybe ordered for blow offs, nothing directly related to bid items.4x3 MJ reducer 2 35.34 70.68 I don't see a reason these got ordered2x1l8 qasket 2 O.9l 1.82 0.91 Airvac deletion 1 gasket deleted as part of the breakaway flange9 l67a.A7 15109.83 0.00 REV 1 chanB 7.79 62.32 0.00 I don't see a reason these got orderedthe 12" GV3 L759.5 5278.50 0.00 REV l change the 12" GV reduced to 18; BI pqid to 19363393662.40112AVK MJ qate valverestock fee 15o/orestock fee 15olo0.150.1529242.94Ct\5Orl\Q<-
t,
Corporate Office
d Page 6 of 6
Credit
Memo
I{.D. FOWLER
COMPANY
c509917
IN.HOUSE
COPYPAWH
# 143940
ro: NORTHWEST CASCADE
PO BOX73399 .
PUYALLUP WA 98373-0399
Return #
RA407307
Credit Date
a9to1t20
Credit Writer:
Kellen Camus
PO/JOB:
#l'255 76TH AVE SOUTH
Line atv
Part #
UoM Description
Unit
Price
Credit T
Price X
37
38
39
40
41
1 EA IFF1STFS
4" X2" IP TAPT BLIND FLANGE DI, AWAIA C110
NORMALLY BARE FINISH (14 LBS)
Sales lnvoice <15506944>
EA IFRlSgMMSEBL
4" X 3'' MJ SEB REDUCER DI, A\A^/VA C153, C/L
LESS ACCESSORIES (17 LBS)
Sales lnvoice <15496910>
EA FGRRST
2" 118" RING GASKET RED RUBBER, 150#
Sales lnvoice <15505398>
EA NS€5252-660
12'' AVK GATE VALVE, MJ X FLG, RESILIENT
SEATED, A\AAA/A C5O9 FULL BODY DI, LESS MJ
ACC.
Sales lnvoice <15507353>
EA NS-65252-661
60.81
2 s5.34
2 0.91
I 1678.87
lrltv
3 1759.50
12" AVK GATE VALVE, MJ X MJ, RESILIENT r lt[^
SEATED, A\MA'A C5O9 FULL BODY DI, LESS MJ bI '"
ACC.
Sales lnvoice <15507353>
Sub total
Charges
Freight
Tax
Grand Total
Serving the Pacific Northwest since 1911
wwwhdfowler.com
-60.81
-70.68
-1.82
-15,109.83
-5,278.50
-36,339.64
5,450.95
-30,888.69
Corporate Officed Page 5 of 6
Credit
Memo
H.D. FOWTER
COMPANY
c509917
IN-HOUSE
COPYPAWH
# 143940
ro: NoRTHWEST CASCADE
PO BOX 73399
PUYALLUP WA 98373-0399
Return #
RA407307
Credit Date:
09t01t20 Kellen Camus
#/.255 76TH AVE SOUTH
T
x
Part #
UoM Descriptlon
Unit
Price
Credit
Line atv Price
32
33
34
35
36
31 146
Sales lnvoice <1551 1654>
FT IP523GTR
8- CL 52 DI PIPE TR FLEX 18.25' LENGTH
ASPHALTIC COATED ANSI/A\AM/A C1 5'I I A21 .51
AND CEMENT LINED ANSYA\AA/fA C1041A21.4 WTH
SBR GASKET INCLUDES 1 LEFTAND RIGHT
SEGMENTAND 1 RUBBER RETAINER
Sales lnvoice <15515406>
EA BVGTNL
2'' BRASS GATE VALVE THREADED NRS 2OO WOG
NO-LEAD
Sales lnvoice <15505398>
EA \MA/TAPEDET3B
3" DETECTABLE TAPE WATER BLUE IOOO'ROLL
Sales lnvoice <15505398>
EA IFTS9F
3" FL TEE Dt, AW^/A C110, CIL (40 LBS)
Sales lnvoice <15496898>
EA GFL77
2" SCH 40 GALVANIZED 90 ELBOW IMPORT
Sales lnvoice <15505398>
EA IFZ2
6" COMPACT BODY MJ ACCESSORIES KIT
coMpLETE W|TH GI-AND, GASKETAND (6) 314" X
3-1/2" T-BOLTS
Sales lnvoice <15269652>
Serving the Pacific Northwest since 1911
www. hdfowler.com
1 /z
37.31
34.09
36.95
76.58
7.79
31.46
b
3
2
I
1
6[r>
-5,447.26
-244.54
-1 10.85
-153.16
-62.32
-31.46
t't,
Corporate Officed Page 4 of 6
Credit
Memo
H.D. FOWLER
COMPANY
c509917
IN.HOUSE
COPYPAWH
#M3944
ro: NoRTHWEST cAScADE
PO BOX 73399
PUYALLUP WA 98373.0399
Return #
RA407307
Credit Date:
agtulza
Credit Writer:
Kellen Camus
PO/JOB:
#/'255 76TH AVE SOUTH
Line otv
Parl#
UoM Descriptlon
Unlt
Price
Credit T
Price X
25
26
27
28
29
30
4
Sales lnvoice <15536400>
EA IFDIML
4" MJ CAP DI, SSB, A\AAA'A C153, LESS
ACCESSORIES (10 LBS)
Sales lnvoice <15536400>
EA FGNEFFS
12" 118" FULL FACE GASKET, NEOPRENE, 150#
Sales lnvoice <15505398>
FT IP522GTJ
6'' CL 52 DI PIPE TJ 18.25'LENGTH ASPHALTIC
COATED ANSI/AIAMA C1 51 I A21,51 AND CEMENT
LINED ANSI/A\AAA/A AA4IA21.4 WITH SBR GASKET
Sales lnvoice <1551 5318>
FT IP524GTR
1O'CL 52 DI PIPE TR FLEX 18.25'LENGTH
ASPHALTIC COATED ANSIIA\A/WA Cl 51 I A21 .51
AND CEMENT LINED ANSIIA\AM/A C1041A21.4 WITH
SBR GASKET INCLUDES 1 LEFT AND RIGHT
SEGMENTAND 1 RUBBER RETAINER
Sales lnvoice <15515318>
FT IP524GTR
1O'' CL 52 DI PIPE TR FLEX 18.25'LENGTH
ASPHALTIC COATED ANSI/AIAMIA C1 51 I A21 .51
AND CEMENT LINED ANSYA\AM/A C1O4IA21.4]vli/Tl{.
SBR GASKET INCLUDES 1 LEFTAND RIGHT
SEGMENTAND 1 RUBBER RETAINER
Sales lnvoice <1551 531 8>
FT IP522GTR
6" CL 52 DI PIPE TR FLEX 18.25'LENGTH
ASPHALTI C COATED ANSIIA\AAruA C1 51 I A2'',51
AND CEMENT LINED ANSIIAWA/A C1O4IM1.4W'TH
SBR GASKET INCLUDES 1 LEFTAND RIGHT
SEGMENTAND 1 RUBBER RETAINER
servins \ffii:i$lhw€st since 1e11
18.30
6 10.18
109.5 16.41
6 [t>-
18.25 40.13
6l',
18.25 40.13
6{,^
18.25 Al^26.80
-73,24
-61.08
-1,796.90
-732.37
-732.37
-489.10
Corporate Officed Page 3 of 6
Gredit
Memo
H.D. FOWLER
COMPANY
c509917
IN-HOUSE
COPYPAWH
# 143940
ro: NoRTHWEST cAscADE
PO BOX 73399
PUYALLUP WA 98373.0399
Return #
RA407307
Credit Date:
09t01t20
Credit Writer:
Kellen Camus
PO/JOB:
#4.255 76TH AVE SOUTH
Part #
UoM Description
Unit
Price
Gred it T
xLineatvPrice
16
17
18
19
20
21
22
23
24
o EA IFFSTSTFS
2'IP COMPANION FI.ANGE, DI/CI NORMALLY BARE
FrNtsH (6 LBS)
Sales lnvoice <15505398>
EA GFL77
2- SCH 40 GALVANIZED 90 ELBOW IMPORT
Sales lnvoice <155247 16>
EA AV202C
2" 202C,2 COMBINATION AIR RELEASE & VACUUM
VALVE CI BODY SS TRIM 5/64'' ORIFICE 3OOPSI
VALMATIC
Sales lnvoice <15505398>
EA AAVK03063TTN t 1.,
2'AVK GATE VALVE, NPT X NPT, RESILIENT bI\V
SEATED, A\AM/A C5O9 DI BODY, O31TTN
Sales lnvoice <15507353>
EA GFN7X6
2" X 6" SCH 40 GALVANIZED NIPPLE A53 ERW
Sales lnvoice <15505398>
EA ROFT
2" Ct METER FLANGE 2-BOLT rypE (BODY ONLY)
Sales lnvoice <15515318>
EA ROF6
1-1t2',Cl METER FLANGE 2-BOLTTYPE (BODY
oNLY)
Sales lnvoice <1551 531 8>
EA TAM/BEEHIVE
2'' BMSS BLOWOFF STRAINER
Sales lnvoice <1551 53iB>
EA rFcllMML , l,^
4'' MJ SLEEVE LONG PATTERN DI, AIMA/A C153 b I I A
LESS ACCESSORTES (24 LBS)
servins \t#.i:l:"#hwest since 1 e 1 1
1 7.79
1 631.82
1 267.75
I 4.95
2 18,69
6 17.66
2 67.89
2 43.50
-89.94
-7.79
-631.82
-267.75
-39.60
-37.38
-105.96
-135.78
-87.00
Corporate Office
d Page 2 of 6
Credit
H.D. FOWLER
COMPANY
c509917
IN-HOUSE
COPYMemoPAWH
# 143940
ro: NoRTHWEST cAscADE
PO BOX 73399
PUYALLUP WA 98373-0399
Return #
RA407307
Credit Date:
a9t01t20
Credit Writer:
Kellen Camus
PO/JOB:
#/'255 76TH AVE SOUTH
Line otv
Part #
UoM Description
Unlt
Price
Credit T
Price X
o
1 0
11
1 2
1 3
1 4
1 5
6
Sales lnvoice <15514703>
EA IFZWARGlK
4'WEDGE ACTION MJ KIT FOR DI PIPE WBOLTS,
WEDGE ACTION GLAND & GASKET (BOXED WITH
BLACK LETTERING)
Sales lnvoice <15536400>
EA IFZWARG2K
6" WEDGE ACTION MJ KIT FOR DI PIPE WBOLTS'
WEDGE ACTION GLAND & GASKET (BOXED WITH
BI.ACK LETTERING)
Sales lnvoice <15514703>
RL W12BLUsOO
12 GA BLUE WIRE 5OO'ROLL
Sales lnvoice <15505398>
EA BNBKITs
12'' BLACK BOLT & NUT KIT 12 PER 718" X3.314", A
3O7,GRADE A,IMPORT
Sales lnvoice <15505398>
EA BNGKITSo
1-112" PLATED BOLT & NUT KIT, A3O7 GRADE A,
(4EA 5/S" X 2" BOLT WlrH NUT) IMPORT
Sales lnvoice <1551 531 8>
EA RO281438X7
14.38X2" lP 202 SADDLE BODY ONLY 13.20 - 14.38
ROMAC
Sales lnvoice <15505398>
EA ROUBS1438
14.38 S S STMP WITH NUTS FOR SADDLE RANGE
13.20 - 14.38 ROMAC
Sales lnvoice <15533342>
33.26
1 41.19
5 61.87
I 27.06
2 3.07
1 61.13
2
Serving the Pacific Northwest since 1911
www.hdfowler.com
42.22
-199.56
-41.19
-309.35
-243.54
-6.14
-61.13
-84.44
Corporate Officed Page 1 of 6
Credit
Memo
H.D. FOWLER
COMPANY
c509917
rN-ErousE HffirECOPY ffiffiPAWH
# M394A
ro: NoRTHWEST cAscADE
PO BOX 73399
PUYALLUP WA 98373-0399
Relurn #
R4407307
Credit Date:
09t01t20 Kellen Camus
76TH AVE SOUTH
Unit
Price
Credit T
Price X
Part #
UoM DescriptionLineotv
1
2
3
4
5
6
7
I
4
1
2
70
COMMENTS: RETURNING CHANGE OF PARTS
FROM JOB #4255
Restock Charge %15
EA IFTss2FFF
12" X6" FL TEE Dt, A\M /A C110, CiL (295 LBS)
Sales lnvoice <15496898>
EA IFT55lMMFL
Sales lnvoice <15537010>
EA IFLI1MML
4'' MJ 90 ELBOWDI, AWA/A C153, C/L LESS
ACCESSORTES (26 LBS)
Sales lnvoice <15496898>
FT BNROD3G
blt>546.47
267.34
384.09
45.31
44.86
2.71
38.56
136.31
1
2
12 X 4" MJ X FL TEE Dt, Al /WA C153, CtL reSS f /r ).
ACCESSORTES (117 LBS)
Sales lnvoice <15496887>
EA IFRs4FF
12" X 1O'' FL CONCENTRIC REDUCER DI, A\AM/A / I ,-,
c110, c/L (170 LB) to I '^
Sales lnvoice <15554457>
EA IFLS9S9MFL
3' MJ X FL 90 ELBOW DI, AIAAA'A C153, C/L LESS Ir ,, -AccEssoRrES (22 LBS) b lt>
61,^
o
3/4'' PI-ATED ALL THREAD A36 ROD 1O FT LENGTH
IMPORT
Sales lnvoice <lS50S3gB>
EA GFN7X48
2" X 48" SCH 40 GALVANIZED NIPPLE A53 ERW
Sales I nvoice <15505398>
EA IFL33MML
8" MJ 90 ELBOW DI, AWA/A C153, C/L LESS A h>ACCESSORIES (68 LBS)
servins \f;]l.rf#hwesr since rel1
1
-2,'lg5.gg
-267.34
-384.09
-90.62
-89.72
-189.70
-231.36
-136.31