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HomeMy WebLinkAboutChange Order - 1͘K͘η ϭ ^hDDZzK&WZKWK^,E'͗ / /dD EK͘ hŶŝƚdLJƉĞ Ɛƚ͘YƚLJ͘ hŶŝƚWƌŝĐĞ dŽƚĂů ŵŽƵŶƚ ϭϱ & ϭ ΨϭϮ͕ϱϳϯ͘ϱϯ ΨϭϮ͕ϱϳϯ͘ϱϯ ^ƵďdŽƚĂů ^ĂůĞƐdĂdž;ϭϬ͘ϭйͿ /dzK&ZEdKE ĚĚŝƚŝŽŶĂůYƵĂŶƚŝƚŝĞƐhŶĚĞƌdŚŝƐŚĂŶŐĞKƌĚĞƌĞƐĐƌŝƉƚŝŽŶ WƵďůŝĐtŽƌŬƐĞƉĂƌƚŵĞŶƚ KEdZd,E'KZZ'ZDEd KEdZd'η͗ KEdZdKZ͗ 'ͲϮϱͲϬϰϳ KDŽŶƐƚƌƵĐƚŝŽŶ͕/ŶĐ͘ WƌŽǀŝĚĞĂůůůĂďŽƌ͕ĞƋƵŝƉŵĞŶƚ͕ƐƵďĐŽŶƚƌĂĐƚŝŶŐ͕ďŽŶĚŝŶŐ͕ŝŶƐƵƌĂŶĐĞĨŽƌƚŚĞĐŽŵƉůĞƚĞǁŽƌŬƌĞƋƵŝƌĞĚĨŽƌƚŚĞ ĞdžƚƌĂǁŽƌŬĂƐŽƵƚůŝŶĞĚďĞůŽǁ͗ WZK:dED͗^ϭϳϮŶĚ^ƚ'ƌĞĞŶ^ƚŽƌŵǁĂƚĞƌ/ŶĨƌĂƐƚƌƵĐƚƵƌĞ ^ĂŶŝƚĂƌLJ^ŝĚĞ^ĞǁĞƌŽŶĨůŝĐƚĂƚϭϮϱϭϰ^ϭϳϮŶĚ^ƚ dŽƚĂů ^ĂŶŝƚĂƌLJ^ŝĚĞ^ĞǁĞƌŽŶĨůŝĐƚĂƚϭϮϱϭϰ^ϭϳϮŶĚ^ƚ ΨϭϮ͕ϱϳϯ͘ϱϯ Ψϭ͕Ϯϲϵ͘ϵϯ Ψϭϯ͕ϴϰϯ͘ϰϲ ŚƚƚƉƐ͗ͬͬĐŝƚLJŽĨƌĞŶƚŽŶǁĂ͘ƐŚĂƌĞƉŽŝŶƚ͘ĐŽŵͬƐŝƚĞƐͬWdͺWtͺĚŵŝŶͬ^ŚĂƌĞĚŽĐƵŵĞŶƚƐͬ^ƵƌĨĂĐĞtĂƚĞƌŶŐŝŶĞĞƌŝŶŐͬ/WͬϮϳͲϰϬϯϳ^ϭϳϮŶĚ'^/ͬϭϲϬϬŽŶƐƚƌƵĐƚŝŽŶͬϭϲϬϲͲŚĂŶŐĞKƌĚĞƌƐͬKͲϭͬŚĂŶŐĞKƌĚĞƌϭ ϭŽĨϮ          #"$ !      CAG-25-047, CO #1-26 11/15/2025  #"$ !       %  Approved by Cheryl Beyer via 11/14/2025 email 11/14/2025 KǁŶĞƌ͗ŝƚLJŽĨZĞŶƚŽŶ ĂƚĞ͗ ϴͲ^ĞƉ ŽŶƚƌĂĐƚEĂŵĞ͗ϭϬϬƚŚǀĞE<ŝƌŬůĂŶĚ KD:Žďη ϭϵϯϳ 'ĞŶĞƌĂůŽŶƚƌĂĐƚŽƌ͗KDŽŶƐƚƌƵĐƚŝŽŶ͕/ŶĐ͘ KD&͘͘η͗ϭ ĞƐĐƌŝƉƚŝŽŶ͗ >KZ͗ dŽƚĂů ^ƚƌĂŝŐŚƚ KǀĞƌƚŝŵĞ ^ƚƌĂŝŐŚƚ KǀĞƌƚŝŵĞ ŵŽƵŶƚ ĞŶtĂƵĚ &ŽƌĞŵĂŶ ϰ͘ϬϬ ϭϬϭ͘ϳϱΨ ϰϬϳ͘ϬϬΨ <LJůĞ<ĂLJƐĞƌ KƉĞƌĂƚŽƌ ϰ͘ϬϬ ϵϮ͘ϴϱΨ ϯϳϭ͘ϰϬΨ ƌĂŶĚŽŶ<ŽĐŚ KƉĞƌĂƚŽƌ ϰ͘ϬϬ ϵϮ͘ϴϱΨ ϯϳϭ͘ϰϬΨ DĂƚƚ<ŽĐŚ >ĂďŽƌĞƌ ϰ͘ϬϬ ϲϵ͘ϯϲΨ Ϯϳϳ͘ϰϰΨ ^ŚĂŶŶŽŶĞƚŚĂŵ >ĂďŽƌĞƌ ϰ͘ϬϬ ϲϵ͘ϯϲΨ Ϯϳϳ͘ϰϰΨ >LJůĞDĐEĂŝƌ KƉĞƌĂƚŽƌ ϰ͘ϬϬ ϵϮ͘ϴϱΨ ϯϳϭ͘ϰϬΨ ŚĞLJĂŶŶĞĂŬĞƌ d^ ϰ͘ϬϬ ϳϳ͘ϮϰΨ ϯϬϴ͘ϵϲΨ :ĂŵŝĞůĂƌŬ &ůĂŐŐĞƌ ϰ͘ϬϬ ϲϵ͘ϯϲΨ Ϯϳϳ͘ϰϰΨ ZĂƐŚĂƵŶEĂŝƌ &ůĂŐŐĞƌƉƉƌĞŶƚŝĐĞ ϰ͘ϬϬ ϰϴ͘ϮϬΨ ϭϵϮ͘ϴϬΨ >ĂďŽƌ^ƵďƚŽƚĂů Ϯ͕ϴϱϱ͘ϮϴΨ Yh/WDEd͗ dŽƚĂů ^ƚƌĂŝŐŚƚ ^ƚĂŶĚďLJ ^ƚƌĂŝŐŚƚ ^ƚĂŶĚďLJ ŵŽƵŶƚ ͲϮϭϯ <ŽŵĂƚƐƵϮϮϴ Ϯ͘ϬϬ ϵϬ͘ϲϰΨ ϭϴϭ͘ϮϴΨ ͲϮϮϴ :ϲϰϰ Ϯ͘ϬϬ ϴϲ͘ϵϱΨ ϭϳϯ͘ϵϬΨ ^ͲϭϯϬ ŚĞǀLJϯϱϬϬ ϰ͘ϬϬ ϮϮ͘ϰϲΨ ϴϵ͘ϴϰΨ ^Ͳϭϰϵ &ŽƌĚZĂŶŐĞƌd^ Ϯ͘ϬϬ ϮϮ͘ϱϯΨ ϰϱ͘ϬϲΨ ƋƵŝƉŵŶĞƚ^ƵďƚŽƚĂů ϰϵϬ͘ϬϴΨ DdZ/>^ͬZEd>^ͬ^Zs/^͗ hŶŝƚƐ YƵĂŶƚŝƚLJ ZĂƚĞ ŵŽƵŶƚ >^ ϭ͘ϬϬ ϮϮϬ͘ϰϴΨ ϮϮϬ͘ϰϴΨ DĂƚĞƌŝĂůƐͬZĞŶƚĂůƐ^ƵďƚŽƚĂů ϮϮϬ͘ϰϴΨ ^hKEdZdKZ^͗ hŶŝƚƐ YƵĂŶƚŝƚLJ ZĂƚĞ ŵŽƵŶƚ ͲΨ ͲΨ ^ƵďĐŽŶƚƌĂĐƚŽƌƐ^ƵďƚŽƚĂů ͲΨ ^hDDZzK&&KZKhEdK^d^^ƵďƚŽƚĂůƐ 'ƌĂŶĚdŽƚĂůƐ Ϯ͕ϴϱϱ͘ϮϴΨ ϴϮϴ͘ϬϯΨ ϱϳ͘ϭϭΨϯ͕ϳϰϬ͘ϰϮΨ ϰϵϬ͘ϬϴΨ ϭϬϮ͘ϵϮΨϱϵϯ͘ϬϬΨ ϮϮϬ͘ϰϴΨ ϰϲ͘ϯϬΨϮϲϲ͘ϳϴΨ ͲΨ ͲΨͲΨ ĞƐĐƌŝƉƚŝŽŶͬsĞŶĚŽƌͬ/ŶǀŽŝĐĞEŽ͘ ,&ŽǁůĞƌ/ŶǀŽŝĐĞ ĞƐĐƌŝƉƚŝŽŶͬ^ƵďĐŽŶƚƌĂĐƚŽƌͬ/ŶǀŽŝĐĞEŽ͘ &ŽƌĐĞĐĐŽƵŶƚtŽƌŬ^ŚĞĞƚ ŵƉůŽLJĞĞEĂŵĞ :ŽďůĂƐƐŝĨŝĐĂƚŝŽŶ ,KhZ^ Zd^ ƋƵŝƉŵĞŶƚEƵŵďĞƌ ƋƵŝƉŵĞŶƚĞƐĐƌŝƉƚŝŽŶ ,KhZ^ Zd^ ^ŝĚĞ^ĞǁĞƌŽŶĨůŝĐƚ ϰ͕ϲϬϬ͘ϭϵΨ ^ƵďƚŽƚĂů>ĂďŽƌ ϮϵйDĂƌŬƵƉŽŶ>ĂďŽƌ ϮйDĂƌŬƵƉŽŶ>ĂďŽƌĨŽƌWĂŝĚ^ŝĐŬ>ĞĂǀĞ ^ƵďƚŽƚĂůƋƵŝƉŵĞŶƚ ϮϭйDĂƌŬƵƉŽŶƋƵŝƉŵĞŶƚ ^ƵďƚŽƚĂůDĂƚĞƌŝĂůƐͬZĞŶƚĂůƐͬ^ĞƌǀŝĐĞƐ ϮϭйDĂƌŬƵƉŽŶDĂƚĞƌŝĂůƐͬZĞŶƚĂůƐ ^ƵďƚŽƚĂů^ƵďĐŽŶƚƌĂĐƚŽƌƐ ϭϮйDĂƌŬƵƉŽŶ^ƵďĐŽŶƚƌĂĐƚŽƌƐ;ΨϬͲΨϱϬ͕ϬϬϬͿ dŽƚĂů>ĂďŽƌ͕ƋƵŝƉŵĞŶƚ͕DĂƚĞƌŝĂůƐͬZĞŶƚĂůƐͬ^ĞƌǀŝĐĞƐ͕^ƵďĐŽŶƚƌĂĐƚŽƌƐ          #"$ !               #"$ !      Corporate Office To: Ship to: Serving the Pacific Northwest since 1911 www.hdfowler.com Terms & Conditions: hdfowler.com/tcs T-0 OMA CONSTRUCTION INC REMIT: PO Box 84368, Seattle, WA 98124 3633 136th Pl SE, Ste 100, Bellevue, WA 98006 PO Box 160, Bellevue, WA 98009-0160 Phone 425-654-8800 * Fax 425-641-8885 PO BOX 429 MAPLE VALLEY WA 980380429 Invoice Number Order# Inv Date: Order Writer: Terms: Due: PO/JOB: Qty Qty Part # Unit Extended T FOB: Ship Via: Line Ship'd BO'd UoM Description Price Price X I7120110 # 150485 BEWH HD Fowler Company - Bellevue 1/1 Bellevue WA 98005 O8672653 09/08/25 Cooper Woodard NET 10TH PROX 10/10/25 H. D. FOWLER WILL CALL #1937 - SE 172ND STREET WATE BEN WAUD Bellevue Branch 13440 SE 30th St Bellevue, WA 98005 (425) 746-8400 Fax (425) 641-8885 150EAFOAM VALVE BOX CUSHION 2" THICK 12" X 12" SQ.14.640 73.20 240EA6" CONC X 6" CI/PL STRONG BACK RC COUPLING 70.370 281.48 5006-66RC *SUPPLIED WITH REDUCER* FERNCO 3140FT6" SDR35 3034 GASKETED PVC SEWER PIPE 14' 4.650 65.10 LENGTH Sub total Freight Tax Grand Total 419.78 0.00 0.00 419.78 1 2 14.640 140.740 220.48 220.48          #"$ !      KǁŶĞƌ͗ŝƚLJŽĨZĞŶƚŽŶ ĂƚĞ͗ ϵͲ^ĞƉ ŽŶƚƌĂĐƚEĂŵĞ͗ϭϬϬƚŚǀĞE<ŝƌŬůĂŶĚ KD:Žďη ϭϵϯϳ 'ĞŶĞƌĂůŽŶƚƌĂĐƚŽƌ͗KDŽŶƐƚƌƵĐƚŝŽŶ͕/ŶĐ͘ KD&͘͘η͗ϭ ĞƐĐƌŝƉƚŝŽŶ͗ >KZ͗ dŽƚĂů ^ƚƌĂŝŐŚƚ KǀĞƌƚŝŵĞ ^ƚƌĂŝŐŚƚ KǀĞƌƚŝŵĞ ŵŽƵŶƚ ĞŶtĂƵĚ &ŽƌĞŵĂŶ ϴ͘ϬϬ ϭϬϭ͘ϳϱΨ ϴϭϰ͘ϬϬΨ <LJůĞ<ĂLJƐĞƌ KƉĞƌĂƚŽƌ ϴ͘ϬϬ ϵϮ͘ϴϱΨ ϳϰϮ͘ϴϬΨ ƌĂŶĚŽŶ<ŽĐŚ KƉĞƌĂƚŽƌ ϴ͘ϬϬ ϵϮ͘ϴϱΨ ϳϰϮ͘ϴϬΨ DĂƚƚ<ŽĐŚ >ĂďŽƌĞƌ ϴ͘ϬϬ ϲϵ͘ϯϲΨ ϱϱϰ͘ϴϴΨ ^ŚĂŶŶŽŶĞƚŚĂŵ >ĂďŽƌĞƌ ϴ͘ϬϬ ϲϵ͘ϯϲΨ ϱϱϰ͘ϴϴΨ ƵƐƚŝŶZƵƚŚ >ĂďŽƌĞƌ ϴ͘ϬϬ ϲϵ͘ϯϲΨ ϱϱϰ͘ϴϴΨ ŚĞLJĂŶŶĞĂŬĞƌ d^ ϴ͘ϬϬ ϳϳ͘ϮϰΨ ϲϭϳ͘ϵϮΨ :ĂŵŝĞůĂƌŬ &ůĂŐŐĞƌ ϴ͘ϬϬ ϲϵ͘ϯϲΨ ϱϱϰ͘ϴϴΨ ZĂƐŚĂƵŶEĂŝƌ &ůĂŐŐĞƌƉƉƌĞŶƚŝĐĞ ϴ͘ϬϬ ϰϴ͘ϮϬΨ ϯϴϱ͘ϲϬΨ >ĂďŽƌ^ƵďƚŽƚĂů ϱ͕ϱϮϮ͘ϲϰΨ Yh/WDEd͗ dŽƚĂů ^ƚƌĂŝŐŚƚ ^ƚĂŶĚďLJ ^ƚƌĂŝŐŚƚ ^ƚĂŶĚďLJ ŵŽƵŶƚ ͲϮϭϯ <ŽŵĂƚƐƵϮϮϴ Ϯ͘ϬϬ ϵϬ͘ϲϰΨ ϭϴϭ͘ϮϴΨ ͲϮϮϴ :ϲϰϰ Ϯ͘ϬϬ ϴϲ͘ϵϱΨ ϭϳϯ͘ϵϬΨ ^ͲϭϯϬ ŚĞǀLJϯϱϬϬ ϰ͘ϬϬ ϮϮ͘ϰϲΨ ϴϵ͘ϴϰΨ ^Ͳϭϰϵ &ŽƌĚZĂŶŐĞƌd^ ϰ͘ϬϬ ϮϮ͘ϱϯΨ ϵϬ͘ϭϮΨ ƋƵŝƉŵŶĞƚ^ƵďƚŽƚĂů ϱϯϱ͘ϭϰΨ DdZ/>^ͬZEd>^ͬ^Zs/^͗ hŶŝƚƐ YƵĂŶƚŝƚLJ ZĂƚĞ ŵŽƵŶƚ >^ ϭ͘ϬϬ ϳϱ͘ϯϰΨ ϳϱ͘ϯϰΨ DĂƚĞƌŝĂůƐͬZĞŶƚĂůƐ^ƵďƚŽƚĂů ϳϱ͘ϯϰΨ ^hKEdZdKZ^͗ hŶŝƚƐ YƵĂŶƚŝƚLJ ZĂƚĞ ŵŽƵŶƚ ͲΨ ͲΨ ^ƵďĐŽŶƚƌĂĐƚŽƌƐ^ƵďƚŽƚĂů ͲΨ ^hDDZzK&&KZKhEdK^d^^ƵďƚŽƚĂůƐ 'ƌĂŶĚdŽƚĂůƐ ϱ͕ϱϮϮ͘ϲϰΨ ϭ͕ϲϬϭ͘ϱϳΨ ϭϭϬ͘ϰϱΨϳ͕Ϯϯϰ͘ϲϲΨ ϱϯϱ͘ϭϰΨ ϭϭϮ͘ϯϴΨϲϰϳ͘ϱϮΨ ϳϱ͘ϯϰΨ ϭϱ͘ϴϮΨϵϭ͘ϭϲΨ ͲΨ ͲΨͲΨ &ŽƌĐĞĐĐŽƵŶƚtŽƌŬ^ŚĞĞƚ ^ŝĚĞ^ĞǁĞƌŽŶĨůŝĐƚ ŵƉůŽLJĞĞEĂŵĞ :ŽďůĂƐƐŝĨŝĐĂƚŝŽŶ ,KhZ^ Zd^ ĞƐĐƌŝƉƚŝŽŶͬ^ƵďĐŽŶƚƌĂĐƚŽƌͬ/ŶǀŽŝĐĞEŽ͘ ^ƵďƚŽƚĂů>ĂďŽƌ ƋƵŝƉŵĞŶƚEƵŵďĞƌ ƋƵŝƉŵĞŶƚĞƐĐƌŝƉƚŝŽŶ ,KhZ^ Zd^ ĞƐĐƌŝƉƚŝŽŶͬsĞŶĚŽƌͬ/ŶǀŽŝĐĞEŽ͘ ,&ŽǁůĞƌ/ŶǀŽŝĐĞ ^ƵďƚŽƚĂů^ƵďĐŽŶƚƌĂĐƚŽƌƐ ϭϮйDĂƌŬƵƉŽŶ^ƵďĐŽŶƚƌĂĐƚŽƌƐ;ΨϬͲΨϱϬ͕ϬϬϬͿ dŽƚĂů>ĂďŽƌ͕ƋƵŝƉŵĞŶƚ͕DĂƚĞƌŝĂůƐͬZĞŶƚĂůƐͬ^ĞƌǀŝĐĞƐ͕^ƵďĐŽŶƚƌĂĐƚŽƌƐ ϳ͕ϵϳϯ͘ϯϰΨ ϮϵйDĂƌŬƵƉŽŶ>ĂďŽƌ ϮйDĂƌŬƵƉŽŶ>ĂďŽƌĨŽƌWĂŝĚ^ŝĐŬ>ĞĂǀĞ ^ƵďƚŽƚĂůƋƵŝƉŵĞŶƚ ϮϭйDĂƌŬƵƉŽŶƋƵŝƉŵĞŶƚ ^ƵďƚŽƚĂůDĂƚĞƌŝĂůƐͬZĞŶƚĂůƐͬ^ĞƌǀŝĐĞƐ ϮϭйDĂƌŬƵƉŽŶDĂƚĞƌŝĂůƐͬZĞŶƚĂůƐ          #"$ !               #"$ !      Corporate Office To: Ship to: Serving the Pacific Northwest since 1911 www.hdfowler.com Terms & Conditions: hdfowler.com/tcs T-0 OMA CONSTRUCTION INC REMIT: PO Box 84368, Seattle, WA 98124 3633 136th Pl SE, Ste 100, Bellevue, WA 98006 PO Box 160, Bellevue, WA 98009-0160 Phone 425-654-8800 * Fax 425-641-8885 PO BOX 429 MAPLE VALLEY WA 980380429 Invoice Number Order# Inv Date: Order Writer: Terms: Due: PO/JOB: Qty Qty Part # Unit Extended T FOB: Ship Via: Line Ship'd BO'd UoM Description Price Price X I7121364 # 150485 BEWH HD Fowler Company - Bellevue 1/1 Bellevue WA 98005 O8674188 09/09/25 ISAAC SANDOVAL NET 10TH PROX 10/10/25 1937 H. D. FOWLER WILL CALL #1937 - SE 172ND STREET WATE BEN WAUD Bellevue Branch 13440 SE 30th St Bellevue, WA 98005 (425) 746-8400 Fax (425) 641-8885 LENGTH 240EA6" PSM 22-1/2 ELBOW GASKETED FOR SEWER OR 37.670 150.68 DRAIN Sub total Freight Tax Grand Total 566.68 0.00 0.00 566.68 2 75.34 75.34 75.34          #"$ !      1