HomeMy WebLinkAboutTotal Site Services - Chapel Hill Park Change Order No.3 03.15.21Project No:
CITY OF PASCO
PUBLIC WORKS DEPARTMENT
CONTRACT CHANGE ORDER NO.3
CP5-PK-8A-18-02
Contractor: Total Site Services
Description of Change:
Detail as Appropriate:
Project Title: 21002 Chapel Hill Park
TSS - COR 003
Poligon Shelter (2) & Portable Lavatory � 1)
Contract Bid Amount: $ 682,908.00
SALES TAX @ 8.6%: $ 58,730.09
Total: $ 741,638.09
PREVIOUS CHANGE ORDER
CURRENT CHANGE ORDER
Subtotal $ 4,751.73
Subtotal $ 89,423.19
Sales tax @ 8.6% $ 408.65
Sales tax @ 8.6% $ 7,690.39
Total $ 5,160.38
Total r 97,113.58
Total Change Orders To Date $ 102,273.96
New Contract Amount $ 843,912.05
IS CONTRACT TIME AFFECTED BY THIS CHANGE ORDER YES NO
Contract Time Prior to this Change Order .................................
Modification to Contract time by this Change Order ....................
revised Total Contract Time .................................................... 0
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:
ON: asNannm To
OlgkaFyslgned Tmannon Tenor
nnm, o•To1a1511e Servlws
S annon Toranzo u4:Mna_,�nne ,aa i
CONTRACTOR Date �—PROJECT MANAGER Date T
frojer.f Xotyte-&r
Total Site Services, LLC
2780 Salk Ave.
Richland WA 99354
www.tss8a.com
509-371-1000
509-371-1200
TOTAL SITE SERVICES
GENERAL CONTRACTOR
Change Order Request
COR Number: 003
Date: 3/11/2021
Schedule Impact: 0-Working Days
Contract Date: 1/15/2021
To: I Project:
City of Pasco 21002 CHAPEL HILL PARK (21002)
525 N. Third Ave. CHAPEL HILL BLVD
Pasco WA 99301 PASCO WA 99301
Description of change:
Poligon Shelter(2) & Portable Lavatory(1) provided by Northwest Playground and Installed by Total Site Services
Project Original Contract Sum 670,000.00
Total of Previously Approved Change Orders 17,659.73
Contract Amount Prior to this Change Order 687,659.73
Proposed Contract Amount of this Change Order 89,423.19
Proposed Contract Amount Including this Change Order 777,082.92
QUALIFICATIONS:
• This proposal covers only the specific items that have been priced as listed on the attached cost breakdown.
• Our pricing is based on the quotes of our subcontractors and suppliers and includes any clarifications, qualifications, and exclusions contained
in their quotes.
• Pricing proposal Is valid for only 14 days.
• Excludes Sales Tax.
i Accepted By:
Total Site Services, LLC
Contractor (Company Name)
Brandon Larsen
Printed Name
By (Signature)
3/11121
Date
Owner (Company Name)
By (Signature)
Printed Name
Date
Owner's Change Order Number
Other (Company Name)
oy torgnarrirei
Printed Name
Date
Page 1
Total Site Services, LLC
TOTAL SITE SERVICES
2780 Salk Ave.
Richland WA 99354
GENERAL CONTRACTOR
www.tss8a.com
509-371-1000
509-371-1200
Change Order Request
COR Number: 003
Date: 3/11/2021
Schedule Impact: 0-Working Days
Contract Date: 1/15/2021
To: Project:
City of Pasco 21002 CHAPEL HILL PARK (21002)
525 N. Third Ave. CHAPEL HILL BLVD
Pasco WA 99301 PASCO WA 99301
Description of Change:
Poligon Shelter(2) & Portable Lavatory(1) provided by Northwest Playground and Installed by Total Site Services.
Project Original Contract Sum 670,000.00
Total of Previously Approved Change Orders 17,659.73
Contract Amount Prior to this Change Order 687,659.73
Proposed Contract Amount of this Change Order 89,423.19
Proposed Contract Amount Including this Change Order 777,082.92
QUALIFICATIONS:
• This proposal covers only the specific items that have been priced as listed on the attached cost breakdown.
• Our pricing is based on the quotes of our subcontractors and suppliers and includes any clarifications, qualifications, and exclusions contained
in their quotes.
• Pricing proposal is valid for only 14 days.
• Excludes Sales Tax.
Accepted By:
IgIal itl�. Servicgs, LLC
Contractor (Company Name)
Brandon Larsen
Printed Name
��QKdANG ZEVLOLIr
By (Signature)
,111121
Date
Owner (Company Name)
By (Signature)
Printed Name
Other (Company Name)
By (Signature)
Printed Name
Date Date
Owner's Change Order Number
Page 1
Total Site Services, LLC
2780 Salk Ave.
Richland WA 99354
www.tss8a.com
509-371-1000
509-371-1200
TOTAL SITE SERVICES
GENERAL CONTRACTOR
Change Order Request
COR Number: 003
Date: 3/11/2021
To: City of Pasco I Project: 21002 CHAPEL HILL PARK
Item Description
Quantity UOM Unit Price
Extended Price
C003 - Poligon Shelter & Portable Lavatory
Poligon Shelter (2) & Portable Lavatory
1.00 LS 57,816.03
57,816.03
CARPENTER FOREMAN
64.00 HR 68.00
4,352.00
PICK UP TRUCK HALF TON
8.00 DAY 40.48
323.81
CARPENTER JOURNEYMAN
64.00 HR 65.00
4,160.00
CARPENTER JOURNEYMAN
64.00 HR 65.00
4,160.00
Reach Forklift
2.00 WK 875.00
1,750.00
Scissor Lift
2.00 WK 280.00
560.00
PROFIT & OVERHEAD ON LABOR
29.00 Percent 126.72
3,674.88
PROFIT & OVERHEAD ON MATERIAL
21.00 Percent 578.16
12,141.37
PROFIT & OVERHEAD ON EQUIPMENT
21.00 Percent 23.10
485.10
Poligon Shelter & Portable Lavatory Total:
89,423.19
[ Change Order Total:
89,423.19
Page 2
Northwest Playground Equipment, Inc.
PO Box 2410, Issaquah, WA 98027-0109
Phone (425) 313-9161 FAX (425) 313-9194
Email: sales(or nwplayground.com
QUOTE
This quote is only valid for 30 days.
To: City of Pasco Quote # 12102020ARL4
Re: Chapel Hill Park - Poligon Structures Date: 3/9/2021
Contact Name: Brandon Larsen Phone:
(509) 371-1000
Email: brandonlli tss8a.com Cell/Fax:
Item # Qty Description
Price Total Price
EQUIPMENT
Poligon
Portable Lavatory Shelter
146424 1 PLE-HC1TG Steel Shelter with Primary Standing Seam Roof with Tongue and
$ 13,508.00
Groove, 6in Square K01 Columns, 3 Sides with Perforated Metal
Windscreens, Frame - Mystic Blue and Roof - Copper Penny, IBC 2015
Building Code, Wind Speed 110MPH, Ground Snow Load 15, Min Clearance
Height 7.5ft, Upper Roof Slope 4.0/12 and Anchor Bolts.
1 Sealed and Stamped Engineered Drawings with Calculations
$ 1,000.00
Each Drawing and Stamp Revision will Incur a $375 fee
Small Shelter
146425 2 CAR-161MR Steel Shelter with Primary Multi -Ribbed Metal Roof, 8in Square
$ 32,756.00
K01 Columns, Frame - Mystic Blue and Roof - Copper Penny, IBC 2015
Building Code, Wind Speed 110MPH, Ground Snow Load 15, Min Clearance
Height 7.5ft, Upper Roof Slope 6.0/12 and Anchor Bolts.
1 Sealed and Stamped Engineered Drawings with Calculations
$ 1,000.00
Each Drawing and Stamp Revision will Incur a $375 fee
Notes: Please Note that the Customer is Responsible for Offloading Equipment and
Verifying Quantities and Descriptions.
Equipment Subtotal $ 48,264.00
Poligon Northwest Playground Equipment Discount: NPEI 10.00% $ (4,826.40)
Combined Freight for ALL Three Structures: $ 9,800.00
Equipment Total (less tax) $ 53,237.60
CERTIFIED INSTALLATION
1 Installation Not Included, Available Upon Request.
Prevailing Wage Job Installation Total: $ -
Bond or CC Convenience Fee: Performance Bond (If Required): 3.0% $ -
Location Code: Resale Certificate Required for Tax Exemption: Tax: 8.6% $ 4,578.43
ORDER TOTAL: $ 57,816.03
All quotes are subject to material and fuel surcharges.
Acceptance of Proposal:
(Please be sure you have read, signed, initialed and understand the Terms and Conditions on Page 2 of this Quote)
The items, prices and conditions listed herein are satisfactory and are hereby accepted.
TITLE Customer Signature Date
Thank you for considering Northwest Playground Equipment, Inc. for your
Park, Playground, Shelter and Sports Equipment requirements.
PAGE 1 of 2 Revised 8/11/2017
Northwest Playground Equipment, Inc.
PO Box 2410, Issaquah, WA 98027-0109
Tlt Phone (425) 313-9161 FAX (425) 313-9194
Email: sales[cynwplayground.com
Project Name: Chapel Hill Park - Poligon Structures Quote # 12102020ARL4
TERMS AND CONDITIONS
QUOTE CONDITIONS AND ACCEPTANCE:
This quote is only valid for 30 days.
Orders placed or requested for delivery after 30 days are subject to price increases.
*** (Pis Initial) It is the Buyer's responsibility to verify quantities and description of items quoted.
Once your order has been placed, any changes including additions, deletions or color changes, will delay your shipment.
EXCLUSIONS: Unless specified, this quote specifically excludes all of the following:
Required Permits; Davis Bacon, Certified Payroll or Prevailing Wage fees
Performance/Payment Bonds
Site work and landscaping
Removal of existing equipment
Unloading; Receiving of inventory or equipment; Storage of equipment
Equipment assembly and/or installation
Safety surfacing; Borders or drainage requirements
Landscaping Repairs DUE to poor access or in climatic weather
FREIGHT AND DELIVERY:
Shipping is FOB Origin. A 24-hr Call Ahead is available at additional cost.
Delivery is currently 5+ weeks after order submittal. Unless otherwise noted, all equipment is delivered unassembled.
*** (Pis Initial)Buyer is responsible to meet and provide a minimum of 2 ADULTS to unload truck
A Check List, detailing all items shipped, will be mailed to you and a copy will be included with the shipment.
Buyer is responsible for ensuring the Sales Order and Item Numbers on all boxes and pieces match the Check List.
*** (Pis Initial)Shortages or damages must be noted on the driver's delivery receipt. Shortages or damages not noted become
the buyers financial responsibility.
Damaged Freight must be refused. Please notify Northwest Playground Equipment immediately of any damages.
Shortages and Concealed Damage must be reported to Northwest Playground Equipment within 10 days of delivery.
A reconsignment fee will be charged for any changes made to delivery address after order has been placed.
TAXES:
All orders delivering in Washington are subject to applicable sales tax unless a tax exemption or Reseller Permit is on file
at the time the order is placed.
PAYMENT TERMS: An approved Credit Application is required for new customers. 50% down payment is due at time of order
with balance due upon delivery, unless other credit terms have been approved. Interest may be charged on past due
balances at an annual rate of 18%. A 3% charge will be added to all credit card orders.
RESTOCKING: Items canceled, returned or refused will be subject to a minimum 25% restocking fee. All return freight
charges are the responsibility of the Buyer.
MAI N T E N AN C EIWAR RAN TY:
Manufacturer's standard product warranties apply and cover equipment replacement and freight costs only; labor is not included.
Northwest Playground Equipment offers no additional warranties.
Maintenance of the equipment and safety surfacing is the responsibility of the customer.
Any unauthorized alterations or modifications to the equipment (including layout) will void your warranty.
INSTALLATION: (if applicable)
A private locate service for underground utilities must be completed before your scheduled installation.
Site must be level and free of loose debris (this includes ground cover/chips).
A minimum 6 foot opening with good access must be available to the site for delivery trucks and tractor.
An onsite dumpster must be provided for disposal of packaging materials.
Arrangements must be made in advance for the disposal of dirt/rocks from within the installation area.
Arrangements must be made in advance for the removal/disposal of existing equipment.
Additional charges may apply if large rocks or concrete are found beneath the surface.
Access to power and water must be available.
Site supervision is quoted in 8-hour days.
Acceptance of Terms & Conditions
Acceptance of this proposal, made by an authorized agent of your company, indicates agreement to the above terms and conditions.
TITLE Customer Signature Date
Thank you for choosing Northwest Playground Equipment
PAGE 2 of 2 Revised 8/11/2017