HomeMy WebLinkAbout061112_ca05 JEFFERSON COUNTY
Sheet 1 of 1 DEPARTMENT OF PUBLIC WORKS
Date: May 17, 2012 CHANGE ORDER Order No. 1
Ordered by County Engineer under terms of
Section 1 - 04. 4 of the Standard Specifications
Project No. 180 542 1897
Change proposed by Contractor To:
Apply-A-Line, Inc.
Endorsed by: Apply-A-Line, Inc. 175 Roy Road SW Bldg. C
Co ractor Firm Name Pacific, WA 98047
Ph: 253-299-1250
Signature Date
Consent given by Surety: !when required,) Project Title 2012-2103 Pavement
Marking on Jefferson
By: NIA County Roadways
Attorney-in fact Date
You are ordered "to_perform the following described work upon receipt of an approved copy of this change order; __. __
Year 2012: Section 1-08.5 of the Specifications is modified as follows: Contractor will initiate Phase 1 pavement markings on
August 1, 2012 and shall have 12 working days in which to complete Phase 1 work.
Year 2013: Section 1-08.5 of the Specifications is modified as follows: Contractor will initiate Phase 1 pavement markings
between August 1 and August 15, to complete Phase 1 work.
All work materials and measurement to be in accordance with the provisions of the standard specifications and
special provisions for the of construction involved.
ORIGINAL CURRENT ESTIMATED ESTIMATED
CONTRACT CONTRACT NET CHANGE CONTRACT TOTAL
AMOUNT AMOUNT THIS ORDER AFTER CHANGE
$453,816.52 $453,816.52 $0.00 $453,816.52
2012 ORIGINAL 2012 CURRENT 2012 CONTRACT TIME 2012 NEW CONTRACT
CONTRACT TIME CONTRACT TIME CHANGE (Add/Del) TIME
15 days (Phase 1) 15 days (Phase 1) -3 days (used) 12 days (Phase 1)
10 days (Phase 2) 10 days (Phase 2) 0 days 10 days (Phase 2)
APPROVAL RECOMMENDED APPROVAL RECOMMENDED
Project Manager Date Road Operations Date
APPROV RE OMMENDED APP L RECOMMENDED
Engineering Services Manager Date County Engineer Date
APPROVED
Chair, Jefferson County Commissioners Date