HomeMy WebLinkAboutCAG2020-139 - Change Order - #1 - Northwest Playground Equipment, Inc. - Poured in Place Rubber Surfacing at Lake Meridian Park - 09/30/2020FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
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KENT
W A S H I N G T O N
Dir Asst: ez-
Dir/Dep: dm
For Approvals, Signatures and Records Management eL
This form combines & replaces the Request for Mayor's Signature and Contract Cover Sheet forms.
(Print on pink or cherry colored paper)
Agreement Routing Form
Originator:
Department:
Jan Applegate
Parks, Recreation & Community Services
Date Sent:
Date Required:
>
09/30/2020
09/30/2020
O
Q
Authorized to Sign:
Date of Council Approval:
CL
Q
m Director or Designee ❑ Mayor
n/a
Budqet Account Number:
Grant? ❑ Yes m No
15106404.64110.5380
Budget? OYes ❑ No
Type: N/A
Vendor Name:
Category:
NW Playground Equipment
Contract
Vendor Number:
Sub -Category:
37649
Change Order
O
Poured in Place Rubber Sur -facing at Lake Meridian Park
Project Name: g
E
O
Project Details: Provide and install repairs of (3) 12 inch diameter circles at Lake Meridian
},
Park.
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Agreement Amount: 15027.10
Basis for Selection of Contractor: Other
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w
i
Start Date: 05/18/2020
Termination Date: 1 1 /30/2020
M
Q
Local Business? ❑ Yes ❑ No*
*If meets requirements per KCC 3.70.100, please complete "Vendor Purchase -Local Exceptions" form on Cityspoce.
Notice required prior to disclosure?
Contract Number:
❑Yes ❑ No
CAG2020-139
Date Received by City Attorney:
Comments:
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Date Routed to the Mayor's Office: N/A
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Date Routed to the City Clerk's Office: 09/30/2020
a&rV, M__C Visit Documents.KentWA.govto obtain copies of all agreements
rev. 200804
CHANGE ORDER - 1 OF 3
CHANGE ORDER NO. 1
NAME OF CONTRACTOR: Northwest Playground Equipment, Inc.
CONTRACT NAME & PROJECT NUMBER: Poured in Place Rubber Surfacing at Lake Meridian Park
ORIGINAL CONTRACT DATE: 05/18/2020
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 parties, the project contract is modified as follows:
1.
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:
No change to original description of work. This Change Order is for
extension of the time of completion only.
2. Time of
Original Contract Sum,
(including applicable alternates and
WSST)
$15,027.10
Net Change by Previous Change Orders
(incl. applicable WSST)
$0.00
Current Contract Amount
(incl. Previous Change Orders)
$15,027.10
Current Change Order $0.00
Applicable WSST Tax on this Change
Order
$0.00
Revised Contract Sum $15,027.10
CHANGE ORDER - 2 OF 3
Original Time for Completion
(insert date)
09/30/2020
Revised Time for Completion under
prior Change Orders
(insert date)
Days Required (±) for this Change
Order
61 calendar days
Revised Time for Completion
(insert date)
11/30/2020
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:
By:
(signature)
Print Name:
Its
(title)
DATE:
CITY OF KENT:
By:
(signature)
Print Name:
Its
(title)
DATE:
CHANGE ORDER - 3 OF 3
ATTEST:
___________________________
Kent City Clerk
APPROVED AS TO FORM:
(applicable if signature required)
Kent Law Department
NW_Playground_ContractChangeOrder_No.1
Final Audit Report 2020-10-01
Created: 2020-09-30
By: Janice Applegate Qapplegate@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAOPPUbKVtond7hP6NWPn3gO-RmgLoEVPO
"NW_Playground_ContractChangeOrder No.1" History
s Document created by Janice Applegate (japplegate@kentwa.gov)
2020-09-30 - 6:36:17 PM GMT- IP address: 146.129.252.126
Document emailed to Chris McGarvey (chris@nwplayground.com) for signature
2020-09-30 - 6:47:57 PM GMT
s Email viewed by Chris McGarvey (chris@nwplayground.com)
2020-09-30 - 7:05:29 PM GMT- IP address: 73.118.187.131
L-5Q, Document e-signed by Chris McGarvey (chris@nwplayground.com)
Signature Date: 2020-09-30 - 7:06:01 PM GMT - Time Source: server- IP address: 73.118.187.131
Document emailed to Janice Applegate (japplegate@kentwa.gov) for signature
2020-09-30 - 7:06:04 PM GMT
`1 Email viewed by Janice Applegate (japplegate@kentwa.gov)
2020-09-30 - 7:08:25 PM GMT- IP address: 146.129.252.126
rho Document e-signed by Janice Applegate (japplegate@kentwa.gov)
Signature Date: 2020-09-30 - 7:08:48 PM GMT - Time Source: server- IP address: 146.129.252.126
7. Document emailed to Garin Lee (glee@kentwa.gov) for signature
2020-09-30 - 7:08:50 PM GMT
3 Email viewed by Garin Lee (glee@kentwa.gov)
2020-09-30 - 7:59:51 PM GMT- IP address: 146.129.252.126
L-5Q, Document e-signed by Garin Lee (glee@kentwa.gov)
Signature Date: 2020-09-30 - 8:01:10 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Ronald Lashley (rlashley@kentwa.gov) for signature
2020-09-30 - 8:01:13 PM GMT
a Adobe Sign
s Email viewed by Ronald Lashley (rlashley@kentwa.gov)
2020-09-30 - 8:46:40 PM GMT- IP address: 146.129.252.126
b Document e-signed by Ronald Lashley (rlashley@kentwa.gov)
Signature Date: 2020-09-30 - 8:47:31 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Brian Levenhagen (bjlevenhagen@kentwa.gov) for signature
2020-09-30 - 8:47:33 PM GMT
`1 Email viewed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
2020-09-30 - 10:44:30 PM GMT- IP address: 146.129.252.126
6 0 Document e-signed by Brian Levenhagen (bjlevenhagen@kentwa.gov)
Signature Date: 2020-09-30 - 10:45:46 PM GMT - Time Source: server- IP address: 146.129.252.126
CT--b Document emailed to Kim Komoto (kkomoto@kentwa.gov) for signature
2020-09-30 - 10:45:48 PM GMT
6"1 Email viewed by Kim Komoto (kkomoto@kentwa.gov)
2020-10-01 - 3:40:33 PM GMT- IP address: 146.129.252.126
b Document e-signed by Kim Komoto (kkomoto@kentwa.gov)
Signature Date: 2020-10-01 - 3:41:01 PM GMT - Time Source: server- IP address: 146.129.252.126
Document emailed to Kathryn McKee (cityclerk@kentwa.gov) for signature
2020-10-01 - 3:41:02 PM GMT
" Email viewed by Kathryn McKee (cityclerk@kentwa.gov)
2020-10-01 - 8:36:45 PM GMT- IP address: 146.129.252.126
do. Document e-signed by Kathryn McKee (cityclerk@kentwa.gov)
Signature Date: 2020-10-01 - 8:51:52 PM GMT - Time Source: server- IP address: 146.129.252.126
Agreement completed.
2020-10-01 - 8:51:52 PM GMT
a Adobe Sign