HomeMy WebLinkAboutIntermountain Slurry Seal MC-OV-3R-14-04 Change Order No 1CITY OF PASCO
PUBLIC WORKS DEPARTMENT
CONTRACT CHANGE ORDER NO. 1
Project No: M3 -OV -3R-14-04 Project Title: 2014 Microsurfacing
Contractor: Intermountain Slurry Seal
Description of Change: Additional quantity added to Sylvester St
Detail as Appropriate: Additional Type III added to Sylvester St. (1943 sy @ $3.40/sy = $6,606.20)
Contract Bid Amount: $ 286,995.00
SALES TAX @ 8.6°x: N/A
Total: 286,995.00
Total Change Orders To Date $ 6,606.20
New Contract Amount $ 293,601.20
IS CONTRACT TIME AFFECTED BY THIS CHANGE ORDER YES NO
Contract Time Prior to this Change Order ................................. 25
Modification to Contract time by this Change Order ...................
revised Total Contract Time .................................................... 25
It is mutually agreed by both parties that this Change Order fully describes the change(s) that is (are) being
made and that the compensation for this Change Order is full and complete and is the only compensation
due or owing for this Change Order. Further, it is mutually agreed that this document will supplement the
present Contract Documents and that the provisions of the previously executed Contract Documents shall
apply to this Change Order.
AGREED TO AND ACCEPTED: /APPROVED:
CONTRAGTJZR ate " P JECT MANAGER Date
APPROO
CITY ENGINEER ale
APPROVED:
PUBLIC W Date
DIRECTOR
PREVIOUS CHANGE ORDER
CURRENT CHANGE ORDER
Subtotal
Sales tax @ 8.6% $
Total
Subtotal $ 6,606.20
Sales tax @ 8.6% N/A
Total 6,606.20
Total Change Orders To Date $ 6,606.20
New Contract Amount $ 293,601.20
IS CONTRACT TIME AFFECTED BY THIS CHANGE ORDER YES NO
Contract Time Prior to this Change Order ................................. 25
Modification to Contract time by this Change Order ...................
revised Total Contract Time .................................................... 25
It is mutually agreed by both parties that this Change Order fully describes the change(s) that is (are) being
made and that the compensation for this Change Order is full and complete and is the only compensation
due or owing for this Change Order. Further, it is mutually agreed that this document will supplement the
present Contract Documents and that the provisions of the previously executed Contract Documents shall
apply to this Change Order.
AGREED TO AND ACCEPTED: /APPROVED:
CONTRAGTJZR ate " P JECT MANAGER Date
APPROO
CITY ENGINEER ale
APPROVED:
PUBLIC W Date
DIRECTOR