HomeMy WebLinkAboutCAG2023-368 - Change Order - #1 - Black Creek Integrated Systems Corp. - SallyPort - 02/14/2024 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep:
KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover (optional)
W A S H I N G T O N Sheet forms.
Originator: Department:
Ikhra Mohamed IT
Date Sent: Date Required:
> 02/14/2024 02/21/2024
Q Director or Designee to Sign. Date of Council Approval:
Q N/A
Budqet Account Number: Grant? Yes ZNo
T20248.64160.1800
Budget?[z]YesD No Type: N/A
Vendor Name: Category:
Black Creek Integrated Systems Corp Contract
Vendor Number: Sub-Category:
2509826 Change Order
0
Project Name: Change Order No. 1
E
C Project Details:Change Order No. 1 - Modification of Description of Work: Cancellation of
"TridentCare Mobile X-Ray Custom Interface" ($-18,000) and "LabCorp LabRequest
*, Custom Interface" ($-12,000).
C
Agreement Amount: $-30,000.00 Basis for Selection of Contractor: Direct Negotiation
`Memo to Mayor must be attached
i Start Date: N/A Termination Date: N/A
Q Local Business'El YesFv(-]No* If meets requirements per KCC3.70.700,,pleosecompleteVendorPurchose-Local Exceptions"form onCityspoce.
Business License Verification:YesEl In-Process El Exempt(KCC 5.01.045)
Notice required prior to disclosure? Contract Number:
0YesFNo CAG2023-368
Comments:
_ <<Signature on attached Change Order No. 1 pg. 5/5>>
0
3 0 Tara Duckworth, on behalf of Mike Carrington
GJ y
�> i <<Date: Date on attached Change Order No. 1 pg. 5/5>>
M
c
in
Date Routed to the City Clerk's Offic, Interlocal Agreement has been uploaded to website: ❑
aa«W22373_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20210513
CREEK Black Creek Integrated Systems Corp. Quotation Documents Set
P.O. Box 10147 File: BcisQuoteSP05056-001.0.pdf
Irondale, AL 35210 Date:2/8/2024
Ph: (205) 949-9900 Page 1 of 2
Fax: (205) 949-9910
Quotation
Quotation No.: SP05056-001.0 By: DCH Date: 2/8/2024
Project Name: Kent WA SallyPort Proj. Ref.: DH 020724
Terms: Net 30 Days F.O.B. Jobsite Freight: Prepaid &Allowed
To: Kent County WA Phone: (253)856-4603
220 Fourth Avenue South Fax:
Kent, WA 98032 E-Mail: apape@kentwa.gov
Attn: Annette Pape, Project Manager
Item# Description Amount
1 Cancellation of"TridentCare Mobile X-Ray Custom Interface"and "LabCorp -30,000.00
LabRequest Custom Interface"
Total Quotation Amount: -30,000.00
CREEK Black Creek Integrated Systems Corp. Quotation Documents Set
P.O. Box 10147 File: BcisQuoteSP05056-001.0.pdf
51lIrondale, AL 35210 Date:2/8/2024
m
Ph: (205) 949-9900 Page 2 of 2
Fax: (205) 949-9910
Task List
No. Task Description
1 Cancel "TridentCare Mobile X-Ray Custom Interface"
2 Cancel "LabCorp LabRequest Custom Interface"
CHANGE ORDER NO. 1
NAME OF CONTRACTOR: Black Creek Integrated Systems Corp. ("Contractor")
CONTRACT NAME & PROJECT NUMBER: CAG2023-368
ORIGINAL CONTRACT DATE: 6/21/2023
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:
a. Cancel "TridentCare Mobile X-Ray Custom Interface" [$-18,000]
(Scope of Work > 1.0 Deliverables > 1.04.04)
b. Cancel "LabCorp LabRequest Custom Interface" [$-12,000]
(Scope of Work > 1.0 Deliverables > 1.04.05)
2. 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, $632,904.99
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $0.00
(incl. applicable WSST)
Current Contract Amount $632,904.99
(incl. Previous Change Orders)
Current Change Order $-30,000.00
Applicable WSST Tax on this Change $0.00
Order
Revised Contract Sum $602,904.99
Original Time for Completion 05/02/2024
(insert date)
Revised Time for Completion under N/A
prior Change Orders
(insert date)
Days Required (f) for this Change Order N/A
Revised Time for Completion 05/02/2024
(insert date)
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:
a oao C �
By: By:
(signature) (signature)
Print Name: Connie Hill Print Name: Tara Duckworth
Its Vice President Its Deputy IT Director
(title) (title)
DATE: 02/13/2024 DATE: 02/14/2024
ATTEST: APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent City Clerk Kent Law Department
TD TO SIGN_BlackCreek JMS Change Order 1
Final Audit Report 2024-02-14
Created: 2024-02-14
By: Ikhra Mohamed(imohamed@kentwa.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAxVaiC86frJvQfQy5407DIdsbLsTfC6GJ
"TD TO SIGN_BlackCreek JMS Change Order 1 " History
s Document created by Ikhra Mohamed (imohamed@kentwa.gov)
2024-02-14-9:54:12 PM GMT
Document emailed to Tara Duckworth (tuckworth@kentwa.gov)for signature
2024-02-14-9:54:19 PM GMT
Email viewed by Tara Duckworth (tuckworth@kentwa.gov)
2024-02-14-11:06:40 PM GMT
Cep Document e-signed by Tara Duckworth (tuckworth@kentwa.gov)
Signature Date:2024-02-14-11:06:57 PM GMT-Time Source:server
Agreement completed.
2024-02-14-11:06:57 PM GMT
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