HomeMy WebLinkAboutNorth Shore Electric, Inc.Change Order No. 2 - 110915JEFFERSON COUNTY
Sheet t of 1 r
CENTRAL SERVICES DEPARTMENT
Chan e
Jefferson County Jail Fire Alarm Replacement Project
Order 2
Date: 22-Oct-15
CHANGE ORDER
Number
Ordered by Coonry Eughaer ander terms of
❑a Comvact documents
Contract No.: 301 594 1901
Change proposal by Contractor
To:
North Shore Electric, Inc.
Endorsed by: North Shore Electric, Inc.
AT rN: Isaac Conrad
conrraaor F.,a nr,me
14590 Cavalli Rd. SE
Project Title:
Signature Dote
gide
Consent given by Surety.(when required)
Jefferson County Jail - Fire Alarm
By
Replacement Project
Atrorney-in-fact Date
You are directed to perform the following described work upon receipt of an approved copy of this change order:
COP 94 Contractor Costs OH&P/WSST
Guardian (GS) wry
Design (GS) S 2,500.00
Material (GS) $ 1,953.88 iT
Labor (GS) $ 8,280.00
$ 12,733.88
gga
Enertcc-BAS $ 5,009.89 Y 4
b •�
North Shore (NSE) U
Labor (NSE) $ 3,178.35 W '�
Materials (NSE) $ 1,950.00
S 5,128.35 ys
i�
Sub-total $ 22,872.12 U
Mark up at 15% $ 3,430.82
�^
O
$ 26,30194
WSST@9% $ 2,367.26
TOTALADD $ 28,670.20
All work materials and measurement to be in accordance with the provisions of the specifications and
speciallalnn5 for the a of construction involved.
AL
CURRENT
ESTIMATED
ESTIMATED
ACT
CONTRACT
NET CHANGE
CONTRACTTOTAL
NT
AMOUNT
THIS ORDER
AFTER CHANGE
5.00
5140,228.33
28,670.20
$168,898.53
ONTRACT
CURRENT
CONTRACT TIME
EXISTING CONTRACT
N DATE
CONTRACT TIME
CHANGE(AWDel)
COMPLETION DATE
g-15
90 calendar days
No Change
20-Aug-15
RECOMMENDED APPROVALRECOMME DED
/0-2
jest Monger Date Centra! Services Direc r Date
APPROVAL RECOMMENDED APPROVED
Fapfu,#90 Date Chair. Jefferson County Commissioners Dote
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: Gordon Ramstrom, Project Manager
Agenda Date: November 9, 2015
Subject: Jefferson County Jail Fire Alarm Replacement Project
Change Order #2
Project no. 301 594 1901
Statement of Issue: Execution of Contract Change Order #2 with North Shore
Electric, Inc. for the Jefferson County Jail Fire Alarm Replacement Project. This
Change Order will provide for electrical work to upgrade the existing control system
operating the heating, ventilating and air conditioning to interface as necessary with
the new Fire Alarm System.
Analysis/Strategic Goals/Pro's 13 Con's: This Contractor was obtained via
competitive sealed bids. The attached Change Order and documents costs for this
necessary work.
Fiscal Impact/Cost Benefit Analysis: The amount of this Change Order is $28,670.20
including WSST.
Recommendation: We recommend that this Contract Change Order 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:
ilip Morl unty for Date
CONTRACT REVIEW FORM
CONTRACT WITH: NORTH SHORE ELECTRIC, INC.
CONTRACT FOR: JC JAIL FIRE ALARM REPLACEMENT TERM: December 31, 201
Change Order #2 Project no. 301 594 1901
COUNTY DEPARTMENT: Central Services 20 15
For More Information Contact: Gordon Ramstrom
Contact Phone #: 385-9380
RETURN TO: Renee RETURN BY: October 30, 2015 14
(Person in Department) (Date)
AMOUNT: $28,670.20 PROCESS:
Fund: 301-000-010
Revenue: 39700.62.0000
Expenditure:
Matching Funds Required:
Sources(s) of Matching Funds
59410.62
Step 1: REVIEW BY
Review by: /
Date Reviewed:
APPROVED FORM
Comments
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)
Step 2: REVIEW BY PR EC I ATTORNEY
Review by: David Alvarez
Date Reviewed: Z
APPROVED AS TO FORM Returned for revision (See'CorJ ments
Co Lents
Step 3: (If required) DEPARTMENT MAKES REVISIONS AND RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY
Step 4: CONTRACTOR/CONSULTANT SIGNS APPROPRIATE NUMBER OF ORIGINAM rla��602D
Step 5: SUBMIT TO BOCC FOR APPROVAL ll��ii LS VV IISS
Submit originals and 6 copies of Contract, Review Form, and Agenda Bill to BOCC Office. OCT 2 9 0015 1..
Place "Sign Here" markers on all places the BOCC needs to sign. L IJ
MUST be in BOCC Office by 4:30 p.m. TUESDAY for the following Monday's agenda. �p�t
(This form is to stay with the contract throughout the contract review process and accompany the�¢ CdUt fhtSON COUNTY 1
PROSEC TING ATTORNEY
C:\Users\rmee\AppData\f o anMicmwft\windows',Tempomry mtemet Files\Contem.Outlook\DSSDJGLA\102015 JCJFA CO#2 Review
FOrm.doex rev. 12/10/2014 _