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CHANGE ORDER CAG-02-119 Adden #4-03
OWNER City of Renton
CITY OF RENTON CONTRACTOR Clement Bros,Inc.
Project Name Coulon Play Area Improvements
Project Address 1201 Lake WA Blvd.N.
Renton,WA 98055 Date 11-Feb-03
Change order No.: 4
Contractor Name: Clements Brothers,Inc.
&Address P.O. Box 7964 City CAG No.: CAG-02-119
Bonney Lake,WA 98390 Contract For: 316.000000.020.5940.0076.64.020038
The Contract is hereby amended as follows:
1)Add one foot(1')of drain rock backfill to retaining wall(backfill by hand, Add $2,826.68
no access for equipment).
2)Install approx.fifty-foot(50')concrete curb @ west planter/lawn area; Add $1,302.95
dig out trench by hand;form, pour and finish(using wheelbarrow);backfill
curb and replace sod.
Subtotal $4,129.63
Washington State Sales Tax at 8.8% $363.41
TOTAL CONSTRUCTION COST IMPACT OF THIS CHANGE ORDER........................... Add $4,493.04
The change order shall include all Contractor(s) labor, material,overhead, profit,and all direct and/or indirect costs
allocated with the Change in Scope of Work. Excluding Bond Premiums.
This Change Order is not valid unless signed by the Owner and Contractor
The original Contract Sum was ..................................................................................... $102,860.61
Net Change by previously authorized Change Order(s)was ............................................. $46,794.79
The Contract Sum prior to this Change Order was........................................................... $149,655.40
The Contract Sum will be revised by this Change Order in the amount of.......................... $4,493.04
The new Contract Sum incorporating this Change Order will be........................................ $154,148.44
The Contract Time will be changed by .......................................................................... 65 days
The Substantial Completion Date including this Change Order is ...................................... February 14,2003
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.
OWNER CONTRACTOR
City of Renton Clements Brothers,Inc.
Community Services Dept. P.O. Box 7964
1055 South Grady way Bonney Lake,WA 98390
Renton,Washington 98055
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°°° °°° CLEMENTS BR
OS, INC.
P.O. Box 7964 Bonney Lake, WA 98390
°°° �, °°° (253) 852-0373 FAX: (253) 862-3268
° ° ° °
1131103
CITY OF RENTON, COMMUNITY SERVICES
1055 GRADY WAY
RENTON, WA 98055
attn: BILL RASMUSSEN
re: COULON MEMORIAL BEACH PARK-PLAY AREA IMPROVEMENTS
CAG-02-119
CHANGE #12
ADD 1' DRAIN ROCK BACKFILL TO RETAINING WALL (REF CHANGE #10)
* BACKFILL BY HAND(NO ACCESS FOR EQUIP)
DIRECT COSTS
DRAIN ROCK 12 YDS 19.95 ICY 239.40
KUBOTA RENTAL 1 DAY 250 /DAY 250.00
ADUL LABOR 4 MEN 400 /DAY 1,600.00
SUBTOTAL 2,089.40
OH@10% 208.94
PROFIT @ 10% 208.94
ADUL PERF BOND 80.00
TOTAL CHANGE#12 2,587.28
TOTAL COST CHANGE #12 LUMP SUM = 2,826.68
''- (TAX NOT INCLUDED)
TIM J. CLEMENTS, PRES
COMMERCIAL GENERAL CONTRACTORS
INVOICE ffINE UMBER
- DATE
' SAND AND GRAVEL
P.O. BOX 130 COMPANY .Y �vI.`,
ONGRETE ORDERS SAND & GRAVEL ORDERS ASHET ON PLANTIORDERS ACCOUNTING/SALES 4(253) 833-3700 UMBER(253) 922-9116 (253) 843-1787 (360) 426-3344(253) 922-1718 (253) 833-3705
(253) 922-0327 j EI+1E_N•Ti� 1w:1Fi[:1.1'I-JEfIS, II`d(�;x OX 964. BER
t1LlNNEY I__(1KE,
OBADDRESS 1; 01 LAKE—WASHINGTON 1-11—VD Iri
�t3631
THIS INVOICE COVERS THE FOLLOWING DELIVERY TICKETS)
TONS OR OTHER
CUBIC YARDS QUANTITY DESCRIPTION
PRODUCT UNIT
CODE PRICE AMOUNT
1 .vii WAS1-IED ROCK DE=:L.IVE RE:D �_.�I. ,�.
ENVIRONMENT-AL C�C)I�'IF'IIF1IVC:F�
CIA(3) �.�. 13. 7 � ��06,�, ;
c 'ID. 7.13 it
i
TERMS: NET 30 DAYS. INTEREST AT THE MAXIMUM ALLOWABLE RATE WILL SUB TOTAL
BE CHARGED ON PAST DUE ACCOUNTS. IF COLLECTION BECOMES 1 x,.7.`'7
NECESSARY REASONABLE ATTORNEYS FEES WILL BE ASSESSED. SALES TAX
TOTAL AMOUNT
TOTAL AMOUNT
Pagel
° ° °
° °°
CLEMENTS BROS, INC.
P.O. Box 7964 Bonney Lake, WA 98390
(253) 852-0373 FAX: (253) 862-3268
°° ° °o
1131/03
CITY OF RENTON, COMMUNITY SERVICES
1055 GRADY WAY
RENTON, WA 98055
attn: BILL RASMUSSEN
re: COULON MEMORIAL BEACH PARK-PLAY AREA IMPROVEMENTS
CAG-02-119
CHANGE #13 INSTALL APPROX 50'CONCRETE CURB @ WEST PLANTERILAWN AREA
* DIG OUT TRENCH BY HAND
* FORM, POUR&FINISH (USING WHEELBARROW)
* BACKFILL CURB&REPLACE SOD
DIRECT COSTS
LABORIEQUIP
1 LABORER 1.5 DAY $400 /DAY 600.00
FORM/POUR/FINISH 0.5 DAY $400 2 GUYS 400.00
TOTAL LABOR/EQUIP= 1,000.00
MTRLS 150.00
TOTAL MTRLS 150.00
SUMMARY
TOTAL LABOR/EQUIP= 1,000.00
TOTAL MTRLS= 150.00
TOTAL COSTS = 1,150.00
OH@ 10% 115.00
PROFIT @ 10% 115.00
TOTAL DIRECT COSTS= 1,265.00
ADD-L PER BOND @ 3%= 37.95
TOTAL AMOUNT CHANGE#13= 1,302.95
TOTAL
CHANGE #13 $19302.95 (TAX NOT INCLUDED)
a�
TIM J. CLEMENTS, PRES
COMMERCIAL GENERAL CONTRACTORS