HomeMy WebLinkAboutChange Order - 22Docusign Envelope ID: 6AC6E5A 1-30E0-4F9A-95A0-E8BE7585335B
0 Change Order No.22
Contract Title: Park Avenue North Extension
Contractor: Olson Brothers Excavating, Inc.
Contract No.: CAG-22-265
Federal Aid No.: NA
181 Ordered by Engineer Force Account
Proposed by the Contractor (VECP)181 Bid Item
Unilateral Bid Item Price Adjustment
181 Lump Sum
Affects DBE Work: No Yes
If yes, must receive concurrence from Local Programs
prior to execution.
Original Contract:
Current Contract:
Estimated Net Change This Order:
New Contract:
Prepared By: /
71 , fl..,.,,n ,A _Date: 2025.04.04
wv--11 :35:42-07'00"
Resident Engineer
Reviewed By:
Engineer of Record
Reviewed By:
Date
2025.04.03
13:15:23-07'00'
Date
Hebe C. Bernardo:'"'.5:I'."""J!=="-zon.tMm,i,,,IHl1'01r
City of Renton Project Manager
Reviewed By:
City Attorney
Change Order No.
Contract Title:
Contract No.
22
PARK AVE N
CAG-22-265
Date
Date
Amount Working Days
3,636,341.81 100
4,116,283.40 213.5
10,032.29) 17
4,106,251.11 230.5
of Renton Transportation
Design Manager)
Consent By:
Surety (Greater than 25% cost and/or 20%
time increase)
Endorsed By:
Contractor
Executed By'"'""
Martin Pastucha
888131 FD9884490
City of Renton Public Works
Administrator/ Mayor
Date
Date
Date
4/18/2025 I 10:59 AM
Date
Page 1 of 4
CAG-22-265,CO #22-25
Approved by Cheryl Beyer via email 4/2/2025
Docusign Envelope ID: 6AC6E5A1-30E0-4F9A-95A0-E8BE7585335B
THE CONTRACT IS MODIFIED AS FOLLOWS:
Description of Change:
Description:
This Change Order covers the cost of the signal pole adaptor assembly, which was
purchased directly by the City from Everett Engineering and provided to the contractor
for realigning the signal pole arms. This adjustment compensates the City for the
manufacturing cost of the adaptor plate.
Proposal Schedule of Prices:
The new bid item A79-3 "Adaptor Plate" shall be measured by Lump Sum.
Specification and/or Special Provision:
Description:
Measurement:
The ne w Bid Item A79-3 "Adaptor Plate" shall be paid as a lump and shall cover the
complete credit cost of providing all labor, materials, tools, equipment required for
Everett Engineering to complete the adaptor plate fabrication work.
Payment: The new Bid Item A79-3 "Adaptor Plate" shall be paid as a lump.
Materials: NA
Plans: NA
REASON FOR CHANGE:
Signal pole 4's base and signal arm were installed incorrectly, causing a direct conflict
with the railroad gate arm. The city determined the bolt alignment, and pole base
installation to be nonconforming work and required the Contractor to correct it in
accordance with SSl-05.7. However, the City accepted the corrected installation after
the contractor installed a city-obtained adaptor plate and agreed to a corresponding
price adjustment to reimburse the City for the cost of the adaptor plate assembly.
Change Order No.
Contract Title:
Contract No.
22
PARK AVE N
CAG-22-265
Page 2 of4
Docusign Envelope ID: 6AC6E5A1-30E0-4F9A-95A0-E8BE7585335B
EQUITABLE ADJUSTMENT: This Change Order does/does not include an equitable adjustment
per Section 1-09.4 of the 2022 WSDOT/APWA Standard Specifications. See attached.
Estimated Cost: ($10,032.29)
Extended Overhead: $ 0
Force Account Time related $ 0
damages per 1-09.6, 6.d.:
Total: $ ($10,032.29)
EXTENSION OF TIME: The Time for Completion is extended 17 Working Days.
AFFECTS DBE WORK: Explain how this Change Order affects DBE work.
NA.
Sections 1-04.4 and 1-04.5 of the 2022 WSDOT/APWA Standard Specifications shall govern
this Change Order. The Work of the referenced Contract is modified to include the changes
detailed herein. The payment provided for herein shall constitute the complete and final
settlement for all costs of labor, equipment, materials, overhead, profit, permit fees, and all
other claims that may be made by the Contractor as a result of this change.
To be attached to Change Order:
D 1-Field Directive/Request for Information Response
D 2-Estimated Change Order Cost
D 3-Plans
D 4-Change Order Quotation
D 5-Project Labor List
D 6-Force Account Equipment Rate Request (DOT Form 422-010 EF)
181 7-Equitable AdjustmentDetermination
D 8-Additional Working Days Calculation
Change Order No.
Contract Title:
Contract No.
22
PARK AVE N
CAG-22-265
Page 3 of 4
Docusign Envelope ID: 6AC6E5A 1-30E0-4F9A-95A0-E8BE7585335B
EVERETT
ENGINEERING. INC
BILL TO
EverettEngineering, Inc.
P.O. Box 12100
Everett, WA 98206-2100
Phone:425-259-3117
Fax: 425-258-1288
CITY OF RENTON
P.O. NO.
DESCRIPTION
FABRJCATE I EA BASE ADAPTORBASSED OFF PREVIOUS DISCUSSION
AND CUSTOMER SUPPLIED ORA WINGS.
SALES TAX (SHIP TO: EVERETT RTA-3105)
Pay invoice
TERMS
COD
RATE
Total
Use account
317.122190.015.595.30.63.001
9.90%
Invoice
DATE INVOICE#
9/30/2024 35779
DUE DATE
9/30/2024
AMOUNT
9,128.56
903.73
10,032.29