HomeMy WebLinkAboutTotal Site Services - Chapel Hill Park Change Order No.4 05.27.21CITY OF PASCO
PUBLIC WORKS DEPARTMENT
CONTRACT CHANGE ORDER NO.4
Project No: CP5-PK-8A-18-02 Project Title: 21002 Chapel Hill Park
Contractor: Total Site Services
Description of Change: TSS - COR 004
Detail as Appropriate: Concrete pad for irrigation booster pump
Contract Bid Amount:
SALES TAX @ 8.6%:
Total:
$ 682,908.00
$ 58, 730.09
$ 741,638.09
PREVIOUS CHANGE ORDER
CURRENT CHANGE ORDER
Subtotal $ 94,174.92
Subtotal $ 1,532,16
Sales tax @ 8.6% $ 8,099.04
Sales tax @ 8.6% $ 131.77
Total $ 102,273.96
Total $ 1,663.93
Total Change Orders To Date $ 103,937.89
New Contract Amount $ 845,575.98
IS CONTRACT TIME AFFECTED BY THIS CHANGE ORDER YES r 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:
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ShannonSi'..=na..o.ro,a.=o,o-roa r�
Toranzo / Z�
CONTRACTOR Date ECT MANAGER Dote
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: 004
Date: 5/26/2021
Schedule Impact: 0-Working Days
Contract Date: 1/15/2021
To:
projeft
City of Pasco
21002 CHAPEL HILL PARK (21002)
525 N. Third Ave.
CHAPEL HILL BLVD
Pasco WA 99301
PASCO WA 99301
D —w—a; i —w; #
Concrete pad for Irrigation Booster Pump
Project Original Contract Sum
670,000.00
Total of Previously Approved Change Orders
107,082.92
Contract Amount Prior to this Change Order
777,082.92
Proposed Contract Amount of this Change Order
1,532.16
Proposed Contract Amount Including this Change Order
778,615.08
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.
By:
Total Site Servinpc LLC
Contradnr (Campltray Name)
Brandon Larsen
Printed Name
BY (5i9Mture)
Owner (CwwnyN&w) Other ( YNWm)
By (519natrue?)
Printed Name
Dt (-%VkWLre)
Printed Name
Date Date
Owner's Mange Order Number
Page 1
Total Site Services, LLC
2780 Salk Ave.
Richland WA 99354
www.tssga.com
509-371-1000
509-371-1200
TOTAL SITE SERVICES
GENERAL CONTRACTOR
Change Order Request
CDR Number: 004
Date: 5/26/2021
To: City of Pasco Project 21002 CHAPEL HILL PARK
Item Deecrhwon Quantity UOM Unit Price B tended Price
C004 - Concrete Pad for Booster Pump
LANDSCAPE SUBCONTRACTOR 1.00 LS 1,368.00 1,368.00
12% PROFIT & OVERHEAD 12.00 Percent 13.68 164.16
Concrete Pad for Booster Pump Total: 1,532.16
Change Order Total: 1,532.16
Page 2
ESTIMATE
EST0107
C&M Landscape and
Excavation
DATE
05/25/2021
Partnership
Business Number 509387-3427
TOTAL
1338 Fairhaven ave Wenatchee
USD $1,368.00
5093873427
CMLandscapel@outlook.com
TO
Shannon
shannon@tss8a.com
DESCRIPTION RATE QTY AMOUNT
Concrete pad $1,368.00 1 $1,368.00
5x4 concrete pad
3 guys labor, Materials (Concrete)
TOTAL USD $1,368.00
Thanks for your business!