HomeMy WebLinkAboutTotal Site Services - Chapel Hill Park Change Order No.7 08.30.21CITY OF PASCO
PUBLIC WORKS DEPARTMENT
CONTRACT CHANGE ORDER NO.7
Project No: CP5-PK-8A-18-02 Project Title: 21002 Chapel Hill Park
Contractor: Total Site Services
Description of Change:
Detail as Appropriate
TSS - COR 007
Moving water fountain and ripping out 3 concrete pads to meet 6'
playground use zone.
Contract Bid Amount: $ 682,908.00
SALES TAX @ 8.6%: $ 58,730.09
Total: $ 741,638.09
PREVIOUS CHANGE ORDER CURRENT CHANGE ORDER
Subtotal $ 74,198.78 Subtotal $ 2,742.10
Sales tax @ 8.6% $ 6,381.10 Sales tax @ 8.6% $ 235.82
Total $ 80,579.88 Total $ 2,977.92
Total Change Orders To Date $ 83,557.80
New Contract Amount $ 825,195.89
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:
Dg Wa sgnedbyShannonl—
S h a n n o n To ra nzo DR —Shannon Tor— —To a156e Serc7oes LLC,a
email=shannon@tssea.—, c=D 5
Date M21.%20 t 2.0520 rW
CONTRACTOR Date
AP OVE
Date O•...sr.,n Manager
Yrod. �s
APPROVED: j
OJ CT MANAGER Date
APPROVED:
Total Site Services, LLC
2780 Salk Ave.
Richland WA 99354
www.tss8a.com
509-371-1000
509-371-1200
To:
City of Pasco
525 N. Third Ave.
Pasco WA 99301
TOTAL SITE SERVICES
GENERAL CONTRACTOR
Change Order Request
CDR Number: 007
Date: 8/6/2021
Schedule Impact: 0-Working Days
Contract Date: 1/15/2021
Project:
F
APEL HILL PARK (21002)
ILL BLVD
A 99301
Description of Change:
Moving Water Fountain and ripping out three concrete pads to meet 6' playground use zone.
Project Original Contract Sum
Total of Previously Approved Change Orders
Contract Amount Prior to this Change Order
Proposed Contract Amount of this Change Order
Proposed Contract Amount Including this Change Order
670,000.00
70 107,082.92
-7 57, ! Dld z8 777,082.92
2,742.10
759,8V5 60 779,825.02
QUALIFICATIONS:
• This proposal covers only the speck 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:
Total Site Services, LLC
Contractor (Company Name)
Brandon Larsen
Printed Name
' Db�r.b+.b s•mmwn
ON Ei6. E•hndoriia.np•W mnn
Brandon Larsen
By (Signature)
6/0121
Date
Owner (Company Name)
By (Signature)
Printed Name
Date
Owner's Change Order Number
Page 1
Other (Company Name)
By (Signature)
Printed Name
Date
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: 007
Date: 8/6/2021
10 City of Pasco 'Project: 21002 CHAPEL HILL PARK
Item Description Quantity UOM Unit Prloe Extended Prue!
C007 - Moving WF & ripping out concrete pads
CEMENT MASON
CEMENT MASON
CEMENT MASON
CEMENT MASON
CONCRETE SUPPLIER
PROFIT & OVERHEAD ON LABOR
PROFIT & OVERHEAD ON MATERIAL
8.60 HR 55.64
445.12
8.00 HR 55.64
445.12
&DO HR 55.64
445.12
8.00 HR 55.64
445.12
1.00 LS 368.00
368.00
29.00 Percent 17.80
516.34
21.00 Percent 3.68
77.28
Moving WF & ripping out concrete pads Total:
2,742.10
Change Order Total:
2,742.10
Page 2
Kancrete Industries,Inc
P.O. Box 911
502 North 13th Avenue
Walla Walla, WA 99362
Phone(509)525-9143
TOTAL SITE SERVICES LLC
TRI CITIES MOBILE DRUG & ALCOH
2780 SALK AVE
RICHLAND WA 99354-1787
INVOICE
WNCME
Customer No.
Invoice Date
Invoice No#
Job Id
Ordered By
PO#/Lot #
Credit Terms
Date
T Ticket 1
Qty
I Desciipton
07/15/21
; 2022270
2.00 CY
6 SK EXTERIOR 4000 PSI
07/15/21
� 2022270
1.00 EA
I
SHORT LOAD FEE CONCRETE
Total Cubic Yards 2.00
TOTALSITE
7/15/2021
65935
CHAPEL HILL
RD68
Net 60 Days
Pace! Amount
109.00 218.00
150.00 150.00
THANK YOU +� Sub-Totall 368.001
Call/email: Kathryn at 509-525-9143 to make pmts Sales Tax- FR5 0.00
a-counting@koncreteindustries.com Invoice Total 368.00
-- ----- ------------------------------------------------------------------
FOR YOUR CONVENIENCE, A REMITTANCE STUB IS PROVIDED TO INCLUDE WITH YOUR PAYMENT. TO ENSURE THE TIMELY APPLICATION
OF FUNDS TO YOUR ACCOUNT PLEASE WRITE THE INVOICE NUMBER(S) ON THE CHECK ADVICE AND FORWARD TO THE REMITTANCE ADDRESS:
Make Check Payable to: Koncrete Industries, Inc
P.O.Sox 911
Walla Walla, WA 99362
Please note any address Changes to your account:
From: TOTAL SITE SERVICES LLC
TRI CITIES MOBILE DRUG & ALCOH
2780 SALK AVE
RICHLAND WA 99354-1787
INVOICE# 65935 PAYMENT $
If paying with credit card please specify what type of card and fGl in account information
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