HomeMy WebLinkAboutNorth Shore Electric, Inc.Change Order No. 1 - 090815(!G
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JEFFERSON COUNTY
Sheet 1 of 4
CENTRAL SERVICES DEPARTMENT
Change
Jefferson County Jail Fire Alarm Replacement Project
Order 1
Date: 12- Aug -15
CHANGE ORDER #1
Number
Ordered by County Engineer under terms of
Ex Contract documents
Contract No.: 301 594 1901
Change proposed by Contractor
To:
North Shore Electric, Inc.
Endorsed by:
North Shore Electric, Inc.
ATTN: Isaac Conrad
14590 Cavalli Rd. SE
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Contraelor Firm Name
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Olal la WA 9835
Project Title:
Signature Date
V; ce. Vrc s
Title
Gnavent given ty. Surety: rir hen requiretiJ
Jefferson County Jail Fire Alarm
By
Replacement Project
Attorney -+n- /act Dare
You are directed to perform the following described work upon receipt of an approved copy of this change order:
COP No. DAYS
ADDED COST WSST d 9.0 % COST W/ WSST
COP #1
2 $ 2,617.40 $ 235.57 = $ 1852.97
COP #2
0 $ 439.61 $ 39.56 = $ 479.17
CO P#3
2 $ 2,092.83 $ 188.35 = $ 2,281.18
TOTAL ADD
$ 5,149.84 S 463.49 = $ 5,613.33
Approved as o form only
ffice
Je rson Co. Prosecutor'
David Alvarez, Chief Ci DPA
All work materials and measurement to be in accordance with the provisions of the specifications and
special provisions for the
of construction involved.
ORIGINAL
CURRENT
ESTIMATED
ESTIMATED
CONTRACT
CONTRACT
NETCHANGE
CONTRACT TOTAL
AMOUNT
AMOUNT
THIS ORDER
AFTER CHANGE
$134,615.00
$134,615.00
5,613.33
$140,228.33
1
ORTGTNAL CONTRACT
CURRENT
CONTRACT TIME
NEW CONTRACT
ki l Pi 3 I� tlr i ry+
lin
COMPLETION DATE
CONTRACT TIME
CHANGE (Add/Del)
TIME
,)t� t,
14- Aug -15
90 calendar days
ADD 4days
20- Aug -IS
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APPROVAL RECD D
APPROVAL RECP NDED
P914 et Manager:
Date Central Services Direeror Date
APPROVAL RECOMMENDED
APPROVED
�.
� may,- ❑
Foci!- sLe
Date Chair,.7ejferson County Commissioners Date
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Department of Central Services
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Philip Morley, County Administrator
From: Frank Gifford
Central Services Director
Agenda Date: September , 2015
Subject: Jefferson County Jail Fire Alarm Replacement Project
Change Order #1
Project no. 301 594 1901
Statement of Issue: Execution of Contract Change Order #1 with North Shore
Electric, Inc. for the Jefferson County Jail Fire Alarm Replacement Project. This
Change Order will provide for added work to upgrade existing wiring to comply with
the Electrical Code.
Analysis /Strategic Goals /Pro's ft Con's: This Contractor was obtained via
competitive sealed bids. The attached Change Order and attachments detail this
necessary work.
Fiscal Impact /Cost Benefit Analysis: The amount of this Change Order is $5,613.33
including WSST.
Recommendation: We recommend that this Contract Change Order #1 be signed by
the Board. Please sign and return (2) originals to Central Services, retaining one
original for your records.
Department Contact: Gordon D. Ramstrom, Architectural Projects Planner, 385 -9380
Reviewed By:
w 1 61
v
Philip Morl County AdminAtrator
Date
CONTRACT WITH:
CONTRACT REVIEW FORM
NORTHSHORE
INC.
(Contractor /Consultant)
CONTRACT FOR: JC JAIL FIRE ALARM REPLACEMENT
Change Order #1 Project no. 301 594 1901
"OUNTY DEPARTMENT: Central Services
For More Information Contact: Gordon Ramstrom
Contact Phone #: 385 -9380
TE?RM'°:lq ?� X15
RETURN TO: Renee RETURN BY, August 24, 2015
AMOUNT: $5,613.33 PROCESS
Fund: 301 - 000 -010
Revenue: 39700.62.0000
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
Step 1:
Review
Date Re
APPROVED FORM
omments
59410.62
Step 2: REVIEW BY
Review by:
Date Reviewed:
APPROVED AS TO FORM
X Exempt from Bid Process
Consultant Selection Process
Cooperative Purchase
Competitive Sealed Bid
Small Works Roster
Vendor List Bid
RFP or RFQ
Other
Returned for revision (See Comments)
ATTORNEY
Returned for revision
Step 3: (If required) DEPARTMENT MAKES REVISIONS AND RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINALS
Step 5: SUBMIT TO BOCC FOR APPROVAL
Submit originals and 6 copies of Contract, Review Form, and Agenda Bill to BOCC Office.
Place "Sign Here" markers on all places the BOCC needs to sign.
MUST be in BOCC Office by 4:30 p.m. TUESDAY forthe following Monday's agenda.
(This form is to stay with the contract throughout the contract review process and accompany the Agenda Bill.)
G: \Pw CIPVCJ FARP\Comtmct ion \Change Order \CO #1 \081215JCJFA C0#1 Review Fortn.docx rev. 12AW2014