HomeMy WebLinkAboutCAG2021-223 - Change Order - #7 - Lakeside Industries, Inc. - S. 212th Street Preservation - 09/01/2022KENT
Agreement Routing Form
For Approvals, Signatures and Records Management
This form combines & repiaces the Request for Mayor's Signature and Contract Cover Sheet forms,
(Print on pink or cheny colored paper)WasHrNcroN
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oLec
Originator
C. Frame
Department:
PW Engineering
Date Sent:
9t7t2022
Date Required
N/A
Authorized to Sign:
E Director or Designee E MaYor
Date of Council Approval:
4t20t2021
Budget Account Number:
R901 13.641 10.120
Budget? EYes ENo
Grant? EYes E No
Type: N/A
E
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G
ELoh
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Vendor Name:
Lakeside lndustries, lnc.
Category:
Contract
Vendor Number
34030
Sub-Category:
Change Order #7
Project Name: S 212th St. Preservation - 72nd Ave. S. to 84th Ave. S
project netaits:Add additional bid item to provide compensation for extra work associated
with installing PPB and replacing concrete pads
Agreement Amount: $4,885.59
Start Date: N/A
Basis for Selection of Contractor: $id
Termination Date: 72 Working Days
Local Business? El Yes E No*
*lf meets requirements per KCC 3.70.100, please complete 'Vendor Purchase-Local Exceptions" form on Atyspace.
Notice required prior to disclosure?
EYes E No
Contract Number
cAG2021-223
ttlce5\.o
.i ,,qagC,E
IUe
.9ttt
Date Received by city Attorney Comments
Date Routed to the Mayort Office:
Date Routed to the City Clerk's Office:q
ad(cw22173 I 20 Visit Documents.KentwA.gov to obtain copies of all agreements
T<ENTw^!Hlrotox
CHANGE ORDER NO. #7
NAME OF CONTMCTOR: Lakeside Ind-tlstries, Inc. ("Contractor")
CoNTMCT NAME & PROJECT NUMBER: s. 212ttr st. Preservation-72nd Ave. S. to 84T Ave. s.
ORIGINALCONTRACTDATE: MAY 06.2021
This Change Order amends the above-referenced contracU 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:
l. 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:
Add an additional bid item to provide compensation for extra work
associated with instatling 1) PPB extensions and signal wiring, and
2) Replacing concrete pads at pedestrian and traffic signal bases.
Z. The contract amount and time for performance provlsions of Section II "Time of
Completion,o and Section IlI, "Compensation,'are hereby modified as follows:
Original Contract Sum,
(including applicable alternates and
wssT)
$1,859,E68.10
Net Change by Previous
(incl. applicable WSST)
Change Orders s24306.62
Current Contract Amount
(incl. Previous Change Orders)
$1,88+174.72
Current Change Order $4,885.59
Applicable WSST Tax on this Change
Order
$0.00
Revised Contract Sum $1$89,0C0J1
CHANGE ORDER - 1 OF 3
Original Time for ComPletion
(insert date)
70 working days
Revised Time for Completion under
prior Change Orders
(insert date)
72 working days
Days Required (*) for this Change Order o calendar days
Revised Time for Completion
(lnsert date)
72 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 thls
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
aicepts that this Change Order constitutes final settlement of all claims of any klnd 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 (lf 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 partles 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 wlll 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 WITIIESS, the parties below have executed this Agreement, which wlll
become effectlve on the lact date written below.
K?
CONTRACTOR:
By:
Print Name:
?t-frJDATE:(.L
CITY OF KENT:
By . chad Bierenffi'um'
(slgnature)
Prlnt Name: Chad Bieren. EE.
Ilc Dr rhlia lilrrrlzc Direcfor
(tide)
DATE:
CHANGE ORDER - 2 OF 3
ATTEST:
t
Kent Clerk
APPROVED AS TO FORI{:
(appttcable if Mayals stgnatutc reqrulr"n)
Kent Law DePaftment
ltr fib idd, t!i, mrlr fts rlt sL.tloilc thedr rfidr lllc strrct it b*l tlt aaD
CHANGE ORDER. 3 OF 3
Flle l{o. 2OO.2
KE T
w^txrroroi
CHANGE ORDER WORKSHEET NO. 7
Construction Engineering Division - Public Works
S. 212th St. Preservation 72nd Ave. S. toFrolecE: 84th Ave. S. (East Valley Highway)
Proiect Engineer: Drew Holcomb
Project No:
Fed-Aid No:
Contractor:
19-3003
STPUL-12s0(009)
Lakeside Industries,
Inr:-
Capital Proiects
Manaoer:Cameron Bloomer (KBA, Inc.)
Date: 8lLgl2O22
I Chan e
sions and signal wiring, and 2) Replacing concrete pads at pedestrian and traffic signal bases.
an additional bid item to provide compensation extra work associated with installing 1) PPB
IL Reason and nd for Cha
1) PPB Extension and Wiring: at the NW corner 7 plans call for the installation of new PPBs
on an existing signal pole. During construction it was determined the buttons would not be ADA
plaint without extension. This change pruoides compensation for the installation of those
nsions, which were not shown on the plans.
During sawcutting ont the NW corner of 77th, and existing signal conduit had been poured into the
concrete and was cut.
work was performed without notification to the owner, and the work was not able to be tracked on
account. The City has reviewed the submitted cost and finds if fair and reasonable for the work
rformed. This change provides compensation for installing new wires.
2) New concrete pads at Signals: It was discovered during construction that some existing concrete
pads at pedestrian signal heads and signal poles were cracked. These were replaced while new ramps
were being poured adjacent to them. This work was tracked on force account and this change provides
compensation for that work.
fff. Method of Payment
Page 1
NEW PAY ITEMS E NotapPlicable
New Pay ltems Total: $
DELETE EXISTING PAY ITEM(S) per 1-09.5 E Notappricable
INCREASE/DECREASE TO EXISTING PAY ITEM(S) El Notappricabre
4,885.59
Sch
No Item Description Total Est.
ow Unit Unit Price Total Estimated Gost of
Item
VI Replace Concrete Pads at Electrical Bases 1 LS $2,178.55 $2,r78.55
VI PPB Extensions and Signal Wiring 1 LS $2,707.O4 $2,707.44
$
Unit Unit Price Cost of ltemBid Item No.Item Description QtvSch
No.
$
$
$
Sch
No.Bid ltem No.Item Description Qtv Unit Unit Price Cost of Item
$
$
$
$
$
crease to ng Pay Items
*TOTAL ESTIMATED COST OF CHANGE ORDER:$4,885.59
x Total of the Cost of Item Columns
IV. WORKING DAYS
Oriqinal Contractr Due This Chanoe Order:o Previous Total:
Work associated with this change order was performed outside of the critical path. No adjustement to contract
lime is being made with this change order.
*TOTAL WORKING DAYS:
Page2
o
* This Change Order + Previous Total
Capital Proiecft Manager:
Gonstruction Enginerlng
Supervisor:
0r,,*r,t.am*Date: 812912022
Cameron Bloomer, KBA Inc.
Jason Barry ffiiffiffi*Date: 8129122
Jason Bany
Construction ltlanager:4,-Date: 8t30t22
Eric Connor
Page 3
KENT
WagHrNGrota
S, 272th Preservation 72nd Aves S. to
84tr Ave S. (East Valley Highway)
Lakeside lndustries, lnc.
Pedestrian Signal at 77th
Field Work Directive
PW Proiect Number:
FederalAid Number:
Date:
FWD OO1
19-3003
srPUL-12s0pa9)
6/10/2021
Project Name:
Contractor:
Subiect:
Scope: Make the following changes to the Contract Documents:
o At the NW corner ol77th and2L2th, where the existing conduit/cable was damaged during saw cutting:
o Remove temporary cable, repair the damaged conduit, the remove and replace the 5 conductor
and 2 conductor cables between the ped signal and the controller cabinet.
Measurement and Payment:
r Track Time and Material efforts, payment via change order
Attachment{s}:
o None
Contractor Acknowledgement :
By Date:
Eric Mock, Project Manager
Orner Approval:
6t10t2021
By:Date:
Cameron Bloomer, KBA lnc.
By:
/-/<,/-; ,- z-4d7zttz>z' '?'rt'- n Date:6t10t21
Eric Connor, City of Kent
THIS FIETD WORK DIRECTIVE DOES NOT PROVIDE FOR EITHER A TIME EXTENSION OR A CHANGE IN THE CONTRACT PRICE, IABOR, EQUIPMENT, AND/OR
MATERIAL OUTLINED IN THIS FIELD WORK DIRECflVE SHAtt SE PAID BY 8ID ITEM(S) OR A CHANGE ORDER SHATL 8E DEVELOPED FOR TIME DffENSION OR
CONTRACT PRICE INCREASES. ANY PROTEST TO THE FIEID WORK DIRECTIVE SHATL FOLLOW 1.&I,5 OF THE WSDOT STANDARD SPECIFICANONS,
DAILY REPORT OF FORGE ACCOT,T{TWORKED
1{ 37A\
DATG 9t9t2021CONTRACTOTLakeside lndustries
PAYESTIJ&G ConcreteS['BCOIITRAGT(X
19€0Glftojrct No.coITEII
FodBr.lAld No.sTPUL-r260(0001
FA*
Colilrtctor
FA!
I
Rsplace corrcr€ao p.d3.t ol.clrlcrl br!c.DEseRlPnofloFWtru
PERFORIED
s2,178.55LtBoRTOTALCOST
REG RATE OTHRS OT RATE AMOUNTWORKER'SNAME WORKER'S OCCUPANON REG HRS
u25.OE3.00 s 75.03 s,oroo Volica Cdnent irasorl
3225.0S3.00 $ 75.03 ttoberto B€lica Comont Masdr
t w5.asCff€nt Masotl 3.m I 75.fi!Juan Manzatro
$31E2.91MarcGVslica3.00 s 60.97
I 60.97 t sl82.91sr86l Cordova L&trFinishT€{dor 3.(x)
3.@ 3 60.97 $$182.91Guillefino Vald€z G€n€ral Laborer
91,224.ULABOR SUBTOTAL
$35.t.962996 OVERHEAD AND PROFIT, BONDING,INSUMNCE AND TAX
ITOTAL I
REG HRS REG RATE STDBY HRS STOBY RATE AMOUNTEQUIPMENTTYPEEQUIPMENTSIZE
1 s 36.16 2.6 $ 20.06 676.28J&G 2016 HD3500 Flatbed Diesel
$76.2813 36.16 2.00 $ 20.06JaG 2017 HD3500 Flatb€d Di$el
$E $o.00
$162.56
$32.042'96 OVERHEAO
MATERIAL SUBTOTAL IA AMOUNTVENDOR & INVOICE#
tr36.2€s13.71 t150.06
$0.00 $o.00
t0.00 90.00
$150.06MAIER!\LS SUBIOTAL INCLUDING TAX
131.5121% OVERHEAD AND PROFIT' EONDING, INSURANCEANO TAX
llEr.57TOTAL
AMOUNTVENDOR & INVOICE#WORKDESCRIPTION
s0.00
$.00
$0.o0SUEGONI RACTO'I INV t'Uts I 9 IAL
so.mTN(
s0.00PRIilE $fld.1 ot L.bor, Equlpm.il, A llilsd.l Wott
fi,945.13St BCOIITRACTOR$6tot l of t bor, Eqdpmoril. motlal, & slrbcordtrc'torlffolc.d luotl
12%itarkups of, v(rd( perturn€d by subcontractor up to $25,('0(F12%, $25,000"t10o,00o = lo% Gfsator th6n 910o,m0 = 7%
8233.4'SDcontrrchUrrt{ry
32.r78.55TOTAL COST
ffi Itchod(sd, fib uod( is ln dspuh. By st$fttg $b tom, pdtle3 re tgr..ll{ to Ulo tme Jd !fiod
nood€db.ccolDli$ ftet.slc En$0ensltb be ddonnined dt ltbrdtte
FmDaleTli2O2O
I & G CONCRETE CORPORATION
P.O. Box 1062 Milton, WA.98354
Phone : (2531737-7892 Fax: (253) 333-8085 jorgev@gconcretecorp.com
Force Account
Project Number:2020-258 G (1-1)
Date: 9i9n021
212th Preservation - KentWA
Lakeside lnc.
Cement Concrete Extra Work - Electric Post
Prime Contractor
WA-
NAME OCCUPATION
STRAIGHTTIME
HOURS RATE
OVERTIME
HOURS RATE
DOLLAR
AMOUNT
$225.093.0 $75.03Joroe Velica Cement Mason
$225.09Cement Mason 3.0 $ 75.03Roberto Belica
$75.03 $225,09Juan Manzano Cement Magon 3.0
182.91$Laborer Finisher Tender 3.0 $60.97Marcos Velica
182.91$Laborer Finisher Tender 3.0 $ 60.97lsraelCordova
3.0 $60.97 182.91$Guillermo Valdez Genenal Laborer
EOUIPMENT OR ATTACHMENTS
1
LABORTOTAL $
354.96
1,578.96
DOLLAR
AMOUNT
HOURS
WORKING
WORKHOURS
RATE
HOURS
STANDBY
STANDBY
RATE
SUBTOTAL- LABOR:
Profit / Ovefiead 29%
1.0 36.16$$ 2.00 $20.06 76.28$2016 HD 3500 Flatbed Diesel
1.0 $ 36.16 $ 2.oo $20'06 76.28$2017 HD 3500 Flatbed tJtesel
$
OUANTITY UNIT PRICE AMOUNTIt ATERI/ALS
152.56
184.59
32.03
TOTAL
SUBTOTAL - EOUIPMENT
Proft / Overhead 2'l%
1.00 CY $ 150.05 150.05$CADMAN Cement Concrete lnvoice#1779303
SUBTOTAL - MATERIALS
Profit / Overhead 2106
ilIATERIALS TOTAL
31.51
ll8l.58
$
$ 150.05
TOTAL AMOUNT : $1,945.{ I
Work Performed By: t/ory [/ilrba / P,"steat
LABOR
EQUIPMENT
MATERIALS
WWR: W€ightod Wagp Rata
K20
J&GCONCRETECORP
P O BOX 1062
MTLTON wA 98354
09-09-21 wP40003
0s-09-21 2
09-09'21 8510
09-09'21 6075
09-09-21 6045
,*" TICKET(S) FROM PI.ANT ISSAQUAH PLANT
1214924, 1215091
tnvolce Number:
lnvoice Date:
Page:
Terms of $ale:
Customer Number:
Customer Job:
Tax Code:
1779303
09ta9t2021
1
Nel 10th Follodng Month
9530180
lnvoice
WSDOT CL 4OOO AIR,
ENVIRONMENTAL SURCHARGE - RM
STANDBY TIME - READY MtX
FUELSURCHARGE. RM
WA ST SICK LEAVE SURCHARGE
Cadman taterials,lnc.
TO ENSURE PROPER CREDII, PIEASE ,NCLUIE
THE ITTIIO'CE NUNBERWIIH YOUR PAYI'IENT
REt#lfo:
15620 Gollec,tion Center Dr'
Ghicago,lL 60693
Tax lD # 9l-1504256
Extension
14.00
14.00
60.00
2.OO
14-00
cy
ea
ea
ea
ea
$112.50
$6.00
$3.50
$12.50
$1.00
Subtotal -
TAX.
$1,575.00
$&4.00
$210.00
$2s.00
$14.00
$1,90s.00
$152.71
AI
dt
o{6\t*\{0'
t
tf6 c95301803S 212TH ST & 76TH AVE S
uom Unit PdceOuanUtyProduct
Number Product DescriPtionPlantTicketTicket
Date
Total Qty:Total Tax:
ql92.7114.00
a
terms
at
ne (425) 432-1325
Fax 425) 432-9155
G &G fnc.
Sincerely
Bonnie Graham
President
Material
2 extension brackets 125.00ea
350' 5c signal wire
350 2csh wire
IO' PVC
x2t% oH & P
TotalMaterial
Labor 16 M hours @ 76.00hr
x29% OH&P
Total Labor
TOTAL REQUEST
$2s0.00
27t.2s
155.75
25.00
$702.00
147.OO
$849.00
$1,216.00
352.00
$1,568.00
$2,417.00
Prlme Markup @ t2o/o = 290.04
Total= SZ,7O7.O4
JUNE 3RD, 2O?2
I.AKESIDE INDUSTRIES
6505 226TH PL SE
ISSAQUAH WA
RE: S ?I2THPRESERVATION
FORCE ACCOUNT
Gentlemen,
At the intersection of 77th & 2l2th we installed some extra work as follows:
Wu,WlN
18044 SE 224th St,, Kent, Wa. 981142
tamarasleeman.onq@qmail.com
o:{425)432-1 325 - c:(206}271.7803
Purchase 0rilel
TO: WESTERN SYSTEMS
QT#
Bid #
SO. 212TH SI'- KENT
Purchase Order No.
Job: 2563
SO, 212TH ST. KENT
Date: 1Al4l21
2563
TERIAL OTY Unit Price
Exlension bracket - Green 'l-2.5" GW teloscoping (Guardian & WIAPB)
Parl#721AO204M
x7
TOTAL
SHIPPING
EW JOB 2563
CONTRACTOR LAKESIDE INDUSTRIES
SO. 212TH ST - KENT
1 $'t 14.29
$114.29
Subtotal
Total
$1 14,29
Special Instructions:
1) Submit drawinga for approval, immediately'
2) Material must be manufactured per returned, "Approved Drawings" tor the
Project- SO.212THST'KENT
4}4SHouRDELIVERYNoTIcEREQUIREDoNALLMATERIALSHIPMENTS'
iIATERIAL SHIPPED WITHOUT A 48 HOUR NOTICE, WILL BE RECEIVED AT G & G INC.'S
CONVENIENCE, CONTACT BONNIE OR STACY AT 425432.1325,
5) Ship Poles to Job site'CALL FOR ADDRESS
6) Ship all other malerials to our offlce @ G A G, lnc. 18044 SE 224th Street
Kent, Washlngton 98042
7) L|FT GATE lS REQUIRED FOR DELIVERIES TO OUR OFFICE.
1
o
INVOICE
lnvoice Quecdone Please Gell or Emall
253-779-3600 or ARQuestions@graybar.com
lnvoice Nor 9326tf43610
lnvoice Date: 0411412022
Account Number: JP8965623
ACCoUnt Name: G&G INC / 2588 REVITALIZII{G TACOMA'S
Rcmlt Pavmants To:
GRAYBAR ELECTRIC COMPANY, INC.
P.O. Box 57073
LOS ANGELES CA 90074.7073
Ship to:
G&G INC / 2588 REVITALIZING TACOMA'S
REVITALIZING TACOMA'S BREWERY DISTRICT
18044 SE 224TH ST
KENT WA 98042
1414 CENTER ST
TACOMA WA 98409-821 1
ffi
1139 ? MB 0.485 t0031 10245 08967895250 S2 P8902068 0003:0006
;ll,grlgpprlrgll,tll'lllllt'lltlt;llprgrllplllltt'lllltllllhll
G&GINC
18044 SE 224TH ST
KENT WA 98042-7215
PO#: 2588 SO#: 3782'17545
Del. Doc. #:PRO #Routinq Date Shipped Shipped From F.O.B,Rt. To
8042399071 8042399052 GRAYBAR TRUCK 04t14t2022 NW SERVICE CENTER S/P. F/A
Siqned/Ordered by: TAMARA/Bonnie Graham
Quantity Cataloo # / Description Unit Price / Unit Amounl
4000 sA-14-5/20-1 REEL FALCON FINE WIRE C 774.00 / 1000 #3,096.00
rMSA-14-5/20-1-STR
x 2000'
2500 4.2/50-2.STR-FFW-CUT REEL FALCON FINE WIRE a/cs t\441.50 / 1000 #1,103.75
rMSA-14-2/50-2-STR
1 X 2500'
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# lndicales Taxable ltem
Terms of Payment
1% 10th Prox., net 15th Prox.
As a condition of the sales agreement, a monthly service charge of the lesser of
1-112o/o arlhe maximum permitted by law may be added to all accounls not paid
by net due dale. Visa, MasterCard, American Express, and Discover credil cerds
are accepled at point of purchase only.
Sub Total
Freight & Handling
Tax
Total Due
Cash Discount (if paid within terms)
4,199.75
0.00
365.38
4,565.13
-42.00
SUBJECT TO THE STANDARD TERMS AND CONDITIONS LISTED ON vvww.GRAYBAR.coJ$."
0003:0006
lofl