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HomeMy WebLinkAboutCAG2024-143 - Change Order - #2 - King County Directors Association - Lake Meridian Park Playground Equipment & Safety Surface - 7/31/24 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form Dir Asst: • For Approvals,Signatures and Records Management Dir/Dep: KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover Sheet forms. (Optional) WA S H I N G T O N Originator: Department: KateLynn Jennings for Bryan Higgins Parks, Recreation&Community Services Date Sent: Date Required: 8/1/2024 8/8/2024 0 CL Authorized to Sign: Date of Council Approval: C [ZDirector or Designee Mayor N/A Budget Account Number: Grant? Yes WIN P21085 Budget?w]Yes:No Type: N/A Vendor Name: Category: King County Directors Association Contract Vendor Number: Sub-Category: = 34116 Amendment Project Name: Lake Meridian Park- Playground Equipment& Safety Surfacing - Change Order 2 E = Project Details: Temporary fencing for the duration of the project. C d 4) Agreement Amount: $3,306 Basis for Selection of Contractor: Other 47 `Memo to Mayor must be attached 3- Start Date: 1/1/2023 Termination Date: 12/31/2024 Im Q Local Business?F--]YeslzNo* If meets requirements per KCC3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:Yes:In-Process Exempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: FTesQNo CAG2024-143 Comments: CA C 3 4) > i N pC a3, Date Received by City Attorney: N/A R Date Routed to the Mayor's Office: N/A N Date Routed to the City Clerk's Office: ,c00)373_-_70 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20200218 Northwest Playground Equipment, Inc. PO Box 2410, Issaquah,WA 98027-0109 Phone(425)313-9161 FAX(425)642-8117 Email: sales@nwplayground.com QUOTE Quote# DN-7312024-00007573 Quote Name: Temp Fencing - Lake Meridian Park Date: 07-31-2024 Bill To: Kent, City of Ship To: Kent, City of 220 Fourth Ave S 14800 Southeast 272nd Street Kent, WA 98032 Kent, WA 98030 Site Address: 14800 Southeast 272nd Street Kent, WA 98030 Name: Bryan Higgins Phone: 253-856-5113 Email: bhiggins@kentwa.gov Cell: 206 348 4957 Item # Qty Description Price Total Price EQUIPMENT Equipment Subtotal (less tax): $0.00 FREIGHT Equipment Total (less tax): $0.00 CERTIFIED INSTALLATION Site Prep 1 Supply and Install Temporary Fencing for the Playground Safety $3,000.00 $3,000.00 Surfacing Replacement Project Installation Total: $3,000.00 Performance Bond (If Required): 3.0% Credit Card Fee (If Required): 3.5% Location Code: 1715 Resale Certificate Required for Tax Exemption: Tax: 10.20% $306.00 ORDER TOTAL: $3,306.00 Acceptance of Proposal: (Please be sure you have read, signed, initialed and understand the Terms and Conditions on the next page of this Quote) The items, prices and conditions listed herein are satisfactory and are hereby accepted. Doug Nelson a ��8�'� 8/1/24 Sales Rep Customer Signature Date Page 1 of 2 Thank you for considering Northwest Playground Equipment,Inc for your Park,Playground,Shelter and Sports Equipment requirements Signature: k1w kowo�o Kim Komoto(Aug 1,202416:05 PDT) Email: cityclerk@kentwa.gov PPD-KC DA_Playg rou nd Eq u i pment-CAG2024-1 43-CO2 Final Audit Report 2024-08-01 Created: 2024-08-01 By: KateLynn Jennings(kjennings@kentwa.gov) Status: Signed Transaction ID: CBJCHBCAABAAvUzRBQzvJHg7m2lonli22T19RDhYuvrR "PPD-KCDA_PlaygroundEquipment-CAG2024-143-CO2" Histor y Document created by KateLynn Jennings (kjennings@kentwa.gov) 2024-08-01 -10:27:23 PM GMT Document emailed to Bryan Higgins (bhiggins@kentwa.gov) for signature 2024-08-01 -10:28:53 PM GMT Email viewed by Bryan Higgins (bhiggins@kentwa.gov) 2024-08-01 -10:29:12 PM GMT dp Document e-signed by Bryan Higgins (bhiggins@kentwa.gov) Signature Date:2024-08-01 -10:36:50 PM GMT-Time Source:server Document emailed to cityclerk@kentwa.gov for signature 2024-08-01 -10:36:52 PM GMT Email viewed by cityclerk@kentwa.gov 2024-08-01 -11:03:48 PM GMT Signer cityclerk@kentwa.gov entered name at signing as Kim Komoto 2024-08-01 -11:05:40 PM GMT Document e-signed by Kim Komoto (cityclerk@kentwa.gov) Signature Date:2024-08-01 -11:05:42 PM GMT-Time Source:server fl Agreement completed. 2024-08-01 -11:05:42 PM GMT Powered by Adobe ` ENT Acrobat Sign