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Public Works Department
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: CAG 12-106 Sanitary Sewer Rehabilitation 2012 and C.O.# 2
Lake Washington Blvd Pipe Rehabilitation
CONTRACTOR: Insituform Technologies, Inc.
SUMMARY OF PROPOSED CHANGE:
Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra
work performed in 2013 calendar year as outlined below:
ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price
SCHEDULE A
A13. NEW ITEM:Additional Costs to Install 6"CIPP liner in Sewers that were originally LS 1 $9,289.48 $9,289.48
shown on plans to be 8".
(Insituform Technologies,Inc.Request for Change Order#1 dated 11412013)
SCHEDULE B
1310. NEW ITEM:Additional work to Clean and CCTV Inspect 24"Storm Culvert LS 1 $165.00 $165.00
located at Taylor PI NW and Lind Ave NW.
(Insituform Technologies, Inc.Request for Change#3 Dated 214 12013)
1311. NEW ITEM:Additional work to install 24"CIPP in Storm Culvert LS 1 $36,055.86 $36,055.86
located at Taylor PI NW and Lind Ave NW.
(Insituform Technologies,Inc.Request for Change#5 Dated 2113 12013)
1312. NEW ITEM:Asphalt Road Restoration cost associated with 12"Culvert LS 1 $39,310.84 $40,482.50
replacement performed under item B09 in Change Order No. 1
work performed in 2013
Sub Total Schedule A $9,289.48
Sales Tax (9.5%) $882.50
Total Schedule A $10,171.98
Sub Total Schedule B $76,703.36
Total Schedule A&B $86,875.34
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET CHANGE ESTIMATED CONTRACT TOTAL
AMOUNT AMOUNT THIS ORDER AFTER CHANGE
$247,327.03 $302,794.80 $86,875.34 $389,670.14
SIGNATURES: f,2,
J � May 7, 2013
Contractor: Date:
Denise Carrrol , on ing an ttesting icer
Project Engineer: 4 Date: A11W 20i3
Approved By: Date: MA+ VO Z49i-3
Utilitie em Direc or)
H:FileSys\W WP-Wastewater\W WP-27-3624&SWP-27-3618\CO-2-Sanitary Sewer Rehab 2012 and Lk Wash Pipe Rehab/JDH