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CITY OF RENTON Page 1 of 1
Public Works Department
CHANGE ORDER NO. 17
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: South Lake WA Roadway Improvements (Garden Ave. Widening) CAG -12 -021
CONTRACTOR:
DATE:
ICON Materials
May 2, 2013
SUMMARY OF PROPOSED CHANGE:
Reason /Justification: The Contractor incurred delays as a result of staked curb and gutter grades at the NE corner of Lake WA blvid /N.
Park Dr. not matching up to existing conditions. The issue was discovered after forms for the curb had been installed. As a result,
scheduled paving was delayed and subsequent switch from Stage 1 configuration to Stage 2 configuration, delaying a scheduled utility
boring across Garden Ave. N. Delays in setting up Stage 2 configuration resulted in paving and permanent striping delays.
Contract Change: Lump sum for all labor, equipment and coordination to compensate for the costs incurred by delaying the pouring of
the curb and gutter at the NE comer of Lake WA Blvd /N. Park Dr. Eight (8) additional working days are requested to compensate for the
delays. This change order resolves all issues with regard to delays associated with construction of the curb and gutter in the NE corner
and reimburses the Contractor for all costs associated with such delays.
Add the following quantities to existing bid item Dlan quantities in the schedule of prices.
Item
Approx
Units
Description
Unit Price
Amount
No.
Quantity
116A
I 1
I LS
IGrade Changes Delay
$ 3,759.95
1 $ 3,759.95
Subtotal: $ 3,759.95
Washington State Sales Tax (9.5 %): $ 357.20
Total this Change Order (Subtotal Plus Sales Tax): $ 4,117.15
Working Days:
8 Additional Working Days are Granted to complete this work.
All work, materials and measurement to be in accordance with the provisions of the Standard Specifications
and Special Provisions for the type of construction involved.
ORIGINAL CONTRACT
AMOUNT
CURRENT CONTRACT
AMOUNT
ESTIMATE NET CHANGE
THIS ORDER
ESTIMATED CONTRACT
TOTAL AFTER CHANGE
$1,968,690.65
$276r3
$4,117.15
$2695:7 -, 88—
107, SBk
Jet'/
SIGNATURES:
,2, i 1 Z1 003
q3
Change Order Time & Material Calculations
Perteet
505 Fifth Avenue South, Suite 3001 Seattle, WA 98104 I PH: 206.436.0515 FAX: 206.436.0516
Project: South Lake Washington Roadway Improvements Date of Work: 8/20 -22/12
Fed Aid No.: (Garden Avenue Widening) Project No. CAG 12 -021 Bid Item: Change Order
TIB No.: 9 -P- 102(014) -1
Work Performed By: ICON Materials PRIME
Work Authorized By: James P Wilhoit, Project Manager
Description of Work / Location :
ICON Costs to re -work grades for the East side of Stage IA
8120/12: Grade bust at IA, STA 50 +00 to 52 +00
8/21/12: Grade Bust IA East, STA 50 +00 tp 50 +00 approx. Started topo in the morning at the request by KPG. Stopped topo after KPG email. Work out with Bob Case
(Perteet) to calc grades to correct issue. Will continue in the morning.
8/22/12: Jason B. with Bob Case working on corrections to grades at Stage I A East, STA 50 +00 to 52 +00, centerline to curb & gutter.
LABOR
Time
Rates
COST
ID No.
Name
Classification
REGULAR
OVERTIME
REGULAR
OVERTIME
LIDNo.
3
Richard Walker
Laborer Foreman (Grp 5)
5.0
$ 37.09
$ 49.71
$ 69.24
$ 248.55
2
Jason Betzer
Operator (Grp 2)
15.0
$ 34.38
$ 56.37
$ 76.23
$ 845.55
Subtotal - Materials
12% I
$
TOTAL SERVICE with OH /P and WSST
Sales Tax on Subtotal Materials at
( I
$
Subtotal - Equipment
$ 322.95
21% f
Overhead /Profit on Equipment at 21% i
$ 67.82
TOTAL EQUIPMENT with OH /P
I $ 390.77
Subtotal - Labor
$ 1,094.10
Overhead /Profit on Labor at ? 29%
$ 317.29
TOTAL LABOR with OH /P
$ 1,411.39
EQUIPMENT
Time
Hourly Rates
COST
QTY
Year, Make Model, Power...
Blue Book Description
0.EGULAR
STANDBY
REGULAR
STANDBY
LIDNo.
2006 Ford F450 (Rick Walker)
On- Highway Light Duty Truck
5.0
$ 37.09
$ 1.38
$ 185.45
Trimble Total Station TSC -2, AT1 SP5 70
Survey Data Collector
4:0
$ 1,748.03
$ 34.38
Sales Tax on Subtotal Service at
$ 137.50
$ -
Subtotal - Materials
12% I
$
TOTAL SERVICE with OH /P and WSST
Sales Tax on Subtotal Materials at
( I
$
Subtotal - Equipment
$ 322.95
21% f
Overhead /Profit on Equipment at 21% i
$ 67.82
TOTAL EQUIPMENT with OH /P
I $ 390.77
r1A 1 r-K1ALb
Supplier
Description
From
INV. #
QTY
UNIT $
COST
3061
$ 1,748.03
Subtotal - Service
$ 1,748.03
Sales Tax on Subtotal Service at
1
$ -
Subtotal - Materials
12% I
$
TOTAL SERVICE with OH /P and WSST
Sales Tax on Subtotal Materials at
( I
$
Overhead /Profit on Materials (including Sales Tax) at
21% f
$
TOTAL MATERIALS with OH /P and WSST
$ -
JV6% -U1V 1 111.146.1 UK (OT IIMVUI% -G)
Name
Description
Prime Contractor Markup (If Work Performed by Subcontractor) Rate: I 12% s
INV. #
COST
Tyee Concrete Construction Inc.
Delay and Disposal of 5 yds concrete, 8/20/12
3061
$ 1,748.03
Subtotal - Service
$ 1,748.03
Sales Tax on Subtotal Service at
1
$ -
Overhead /Profit on Service (including Sales Tax) at
12% I
$ 209.76
TOTAL SERVICE with OH /P and WSST
$ 1,957.79
Cumulative Subtotal - THIS PAY TICKET
I $ 3,759.95
Prime Contractor Markup (If Work Performed by Subcontractor) Rate: I 12% s
N/A
TOTAL FORCE ACCOUNT COST - THIS PAY TICKET - Including all Markups
$ 3,759.95
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Tyee Concrete Construction Inc
6423 Pacific Highway East
Fife, WA 98424
BILL TO:
................................................................................
Icon Materials Incorporated
1.508 Valentine Ave SE
Pacific, WA 98047
QUANTITY
TERMS
............. I .................
Net 30
DESCRIPTION
WedEQr,der-;�1467 SeeA#aehed
1- Wefk Order- 414 10 ✓ gee A44ashe
1 Sent Djr-eAy te Supplie
DATE: 10/30/2012
................................................................
INVOICE: 3061
PROJECT
........... I ............................................................................
S Lake Washington Roadway Imp 12.2394
RATE
1,748.03;
84.80
ymo.80
1,104.8
TOTAL
E-mail PHONE FAX
........... ................................................................................................................................ . ........................... I ......................
reese@tyeeconcrete.com 253-507-8933 253-507-8934
............................................................................................................................................ ..................................................
AMOUNT
U1, 0
84.80
- TTVT8-7
Customer Order f P.O. No. � -� TC.Cf Re restrOtisve..
38/20 201-267937 11..00 CY MVIROMMAL COMPLlA,l\TC.;. .3.000 3.14 36.14
(SURCHARGI (;2.500
--j2;0f i - �o
(S. 0107) FC)?�-F04C4A F320.29�
0 1-267- .0c
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)8/26 1-267966 5. m
JOB TOTAL LINE
FaMM9.24147 6082F 4394131
1104.87
000184
N GARDEN
& X IOTH:ST s px WASH ROAD III'; R914TON
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Mill
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&
INVOICE
No= . L -ARY
SAND & GRAVE
CY .04C4A 58.54x0 61.13 704-63
78/20
400 VALLSV-ANWk=- PUYALLUP, WA 9472-2!0i • (M) 833737
wwwMHw$Sn0jsr#dGmvW.QQm
6&/26/2612 82-909z3
LJDI.FUEL SURCHARGE�READY Ml ;2,500 :1.19 13.69
08/20
201-267937
11-00
TYEE CONCRETE CONSTRUCTION iNc
6423 PACIFIC HWY E
FIFE, WA 98424
38/20 201-267937 11..00 CY MVIROMMAL COMPLlA,l\TC.;. .3.000 3.14 36.14
(SURCHARGI (;2.500
--j2;0f i - �o
(S. 0107) FC)?�-F04C4A F320.29�
0 1-267- .0c
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/201' [21-26796�i .00�rCTY R:M.TRAINM.NT MB-AE96
38 !;- FJO—C
2
.16=43
)8/26 1-267966 5. m
JOB TOTAL LINE
FaMM9.24147 6082F 4394131
1104.87
000184
N GARDEN
& X IOTH:ST s px WASH ROAD III'; R914TON
08/20
201-267937
11.00
CY .04C4A 58.54x0 61.13 704-63
78/20
201-267937
1.00
LJDI.FUEL SURCHARGE�READY Ml ;2,500 :1.19 13.69
08/20
201-267937
11-00
CtAIR SNTRM.NMENT M-AE90
38/20 201-267937 11..00 CY MVIROMMAL COMPLlA,l\TC.;. .3.000 3.14 36.14
(SURCHARGI (;2.500
--j2;0f i - �o
(S. 0107) FC)?�-F04C4A F320.29�
0 1-267- .0c
/2 20 2-- 96�� i (I�D FUEV —".—)D �lm; 1,'19 li. 69j
0
/201' [21-26796�i .00�rCTY R:M.TRAINM.NT MB-AE96
38 !;- FJO—C
2
.16=43
)8/26 1-267966 5. m
JOB TOTAL LINE
FaMM9.24147 6082F 4394131
1104.87