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'*wCOMMUNITY SERVICES DEPARTMENT
CONTRACT CHANGE ORDER#01 (3-29-10)
PROJECT: Cedar River Trail Renovation CONTRACT#: CAG-10-017 PW#:
CONTRACTOR: Jr.G Concrete Design
ADDRESS: 2515 State St.
Everett,WA 98201
The following changes shall be made to the above referenced contract:
Change Order Proposal#01-Reset brick pavers in walkway $900.00
Total of CO#01 (Includes tax) Not to exceed $985.50
TIME EXTENSION: YES() NO(X)
1
!Days below are to Physical completion]
Original contract work days: 30 Original substantial completion date:April 3, 2010
Original physical date:X
Contract work days added by prior C/O:0 Revised substantial completion date due to prior C/O:X
Revised physical completion date due to prior C/O:X
Contract work days added by this C/O: 0 Revised substantial date due to this C/O:X
Total revised contract work days: 30 Revised physical completion date due to this C/O:X
COST MODIFICATION:$985.50(not to exceed)added to er deducted fFOFA the original construction contract amount:the
sum of Thirty Two Thousand Three Hundred Two Dollars and Fifty Cents ($32.302.50)(which includes State of Washington Sales
Tax). All other conditions of the original contract are a part of this change order. The payments and/or additional time specified
and agreed to in this change order include every claim by the contractor for any extra payment or extension of time with respect
to the work described herein, including delays to the overall project. The work covered by this change order must be performed
under the same terms anditio that included in the original contract.
Approved by: 43 i4
Contractor Date
Reason for Change: Owner Request(X) Unforeseen Q Other( ) Specify:
STATEMENT: Show all deductive amounts in parenthesis(-).
Original contract with sales tax $ 32,302.50
Amount this change(with sales tax) $ 985.50
New Contract Total(with Sales Tax): $ 33,288.00
Source of Funds: Contingency(X) M &0() Supplemental( )-Ordinance#
APPROVED:
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Project M ger Date Community Services Administrator Date
chgord.frm 8/30/04