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CHANGE ORDER
OWNER
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CITY OF RENTON CONTRACTOR �
Project Name Public Works Shops Bldg.D Remodel
Project Address 3555 NE 2nd
Renton,WA 98056 Date: 3120T2013
Change order No.- 1
Contractor Name:: Northern Paciflc Construction
.&Address 15.310SE21 COR Project.No.: CAG-13:003
Bellevue,WA 90009
The Contract Is hereby amended as follows:
1)Add 2"rigid Insulation boards at the top of the south and westwalis.
Add $1,035.00
2)Add plastic laminate wainscot and aluminum'trim to1nterlor restroom walls. Add $1,346.65
TOTAL CONSTRUCTION COST IMPACT OF THIS CHANGE ORER Add '.x"2,381.65 1
The change order shall.Include 611 Contractor(s)labor,material,overhead,profit,and all.direct and/or Indirect cost& E
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allocated with the Change in Scope of Work.Excluding Bond Premiums.
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This Change Ordor is not valid unless signed by the Owner and Contractor
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The orlginai Contract Sum was $06,321.00 i
Net Change by previously authorized Change Order(s)was.... ..... $0.00
The Contract Sum prior to this Change Order was............................
............................... $86;321:00
The Contract Sum will be revised by this Change Order In the amount of $2,381:65
The new Contract Sum Incorporating this Change Order will be „..... ....:.:. $88,70285 ;
The Contract Time will be changed by..... y
0 days
The Substantial Completion Date Inciuding this Change Order Is...................................... April 26,2613
NOTE:The above summary does not include any changes in the Contract Sum or Contract Time which have been approved
by Construction.Change.Directive or Field Directive forms:
ARCHITECT CONTRACTOR GINNER
Wagner Architects Northern Pacific Construction City,Of Renton
1916 Pike Place 15310 SE Z1 Community Services Dept
Seattle,WA 98101 Bellevue,WA 98007 1055 South Grady way
Renton,Washington 90055
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Date Date
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City of Renton Finance Department
PAYMENT TO CONTRACTOR
1
DATE: May 8, 2013
TO: Tracy Schuld, Finance Department
FROM: Michael Nolan, Facilities Department
CONTRACTOR: Northern Pacific Construction
PROJECT NAME: PW Shops Bldg. D Remodel f
CONTRACT NO.: CAG-13-003
ESTIMATE NO.
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1. CONTRACTOR EARNINGS THIS ESTIMATE $19,356.66
2. SALES TAX @ 9.5% $1,838.88
3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $21,195.54:
4. EARNINGS PREVIOUSLY PAID CONTRACTOR $61,342.45
5. "' EARNINGS DUE CONTRACTOR THIS ESTIMATE $18,388.82
6, SUBTOTAL - CONTRACTOR PAYMENT $79,731.27
7. RETAINAGE ON PREVIOUS EARNINGS $3,228.55
8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $967.83
9. SUBTOTAL - RETAINAGE $4,196.38
10. SALES TAX PREVIOUSLY PAID $6,134.25
11. SALES TAX DUE THIS ESTIMATE $1,838.88
12. SUBTOTAL $7,973.13
(95% x Line 1)
** (RETAINAGE @ 5%)
GRAND TOTAL $91,900.78
FINANCE DEPARTMENT ACTION
PAYMENT TO CONTRACTOR. (LINES 5 AND 11) No. 3 $20,227.70
Account 316.220035.020.594.1118.62.000
RETAINED AMOUNT (LINE 8) No. 3 $967.83
Account 316.220035.020.594.18.62.000
TOTAL THIS ESTIMATE: $21,195.53
CHARTER 116, LAWS OF 196.5
1,THE UNDERSIGNED DO HEREBY CERTIFY UNDER.PENALTY OF PERJURY,THAT THE MATERIALS HAVE
BEEN FURNISHED,THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,
AND THAT THE CLAIM.IS A JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND
THAT i AM AUTHORIZE TO HENT]CAT CERTIFY TO SAID CLAIM.
SIGNED; '�� ���
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