HomeMy WebLinkAboutCO 9CITY OF RENTON
CITY OF RENTON FEB 13 2x12
Public Works Department RECEIVED
CONTRACT CHANGE ORDER AGREEMENT CITY CLERKS OFFICE
CONTRACT: CAG 09-171— 2009 Earlington Water and Sewer Improvements Project C.O.# 9
CONTRACTOR: Laser Underground and Earthworks, Inc.
SUMMARY OF PROPOSED CHANGE:
Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra
work as outlined below:
11 F -M HUUILIUIIdl LJUd11LILICb U11UU1 I IIIb 1.11d116C UI UU1 UIIIL L4Ud11LILY U111L I UL[71 rI IL C;
C09 Change order for repairing roadway settlement due to LS 1 $19,946.68 $19,946.68
poor soils that occurred outside of utility trench. Work
includes excavation, placing geogrid, placing and
compacting quarry spalls; placing geotextile, backfilling,
compacting, and installing new roadway.
Subtotal $19,946.68
9.5% Sales Tax $1,894.93
Total $21,841.61
ORIGINAL CONTRACT
AMOUNT
CURRENT CONTRACT
AMOUNT
ESTIMATED NET
CHANGE THIS ORDER
ESTIMATED CONTRACT -
TOTAL AFTER CHANGE
$2,162,511.12
$2,454,365.35
$21,841.61
$2,476,206.96
Cost Allocation
Water Utility 425.455170.018.595.34.63.000 $21,841.61
SIGNATURES:
Contractor.:
Project Engineer:
Approved By: _
(Water Utility Supervisor)
Date: /
XV
Dater 1 9 _ZOIC
Date: 10 lq 20 v
HAFile Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3082- 2009 Earlington Water and Sewer Improvements\ConstiuctionTay
Estimates\ChanQeOider9 08-15-11 waiver.DDC/AWah
State of Washington
Department of Revenue
PO Box 47474
REVENUE Olympia WA 98504-7474 C tr or
t s Re istration No (1JBI N 601
o) 69 998
on ac g 2
Date
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
rom:
Notice is hereby given relative to the completion of contract or project,described below
Description of Contract
Contract Number
2009 Earlington Water and Sewer Improvements Project
CAG -09-171
Contractor's Name
Telephone Number
Laser Underground and Earthworks, Inc.
425-251-1636
Contractor's Address
20417 87`s Ave. SE Snohomish, WA 98296
Date Work Commenced
Date Work Completed
Date Work Accepted
2/15/10
9/17/11
10/24/11
Surety or Bonding Company
RLI Insurance Company
Agent's Address
Niehl Insurance Agency 375 118`h Ave. SE, 4103 Bellevue, WA 98005
Contract Amount $ 1,974,896.00
Additions $ + 378,513.22 Liquidated Damages $ 0.00
Reductions $ — 0.00
Sub -Total $ 2,353,409.22 Amount Disbursed $ 2,459,312.64
Amount of Sales Tax Paid at 9.5% $ 223,573.88 Amount Retained $ 117,670.46
(If various rates apply, please send a breakdown)
TOTAL $ 2,576,983.10 TOTAL $ 2,576,983.10
Disbdl rsin Officer_ -
g
Comments: Signature
Type or Print Name Natalie Wissbrod
Phone Number 425.430.6919
The Disbursing Officer must complete and mail THREE copies of this notice to the Department.of Revenue,
PO Box 47474, Olympia, WA 98504-7474, immediately after acceptance of the work done under this contract. NO
PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of Department's certificate, and then only in
accordance with said certificate.
To inquire about the availability of this document in an alternate format for the visually impaired, please call (360) 753-3217. Teletype
(TTY) users please call (800) 451-7985. You may also access tax information on our Internet home page at http://dor.wa.gov.