HomeMy WebLinkAboutApply-a-Line, Change Order No. 1 - 010322 at(J11-: -1) 1\I 1 -3 -a-,)-- --4 ..- 44';
JEFFERSON COUNTY
Sheet 1 Of 1 DEPARTMENT OF PUBLIC WORKS Change
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Date: 12/9/2021 CHANGE ORDER Order No.
Ordered by County Engineer under terms of
l Section 1-04.4 of the Standard Specifications
Contract No.
Change proposed by Contractor To:
Ron Reilly
Endorsed by: Apply-a-Line Apply-a-Line
ifi� Contractor Firm Name 175 Roy Road SW,Bldg.C
ll'' f��! 12/16/2021 Pacific WA 98047
Signature Date
Michelle Henry,Assistant Vic sident
Title
Consent ll
.• - . h re ui'. C.O.for Bond No.107043568 Project Title Pavement Marking on
Travels >+>l .mean. Jefferson County
By; 12/16t2021 Roads in Calendar
''`tumn Stockton — Attomey-in-f= Date Year 2019-2021
You are ordered to perform the following described work upon receipt of an approved copy of this change order:
This change order will make the following changes to the contract:
Addition of Jefferson County annual pavement marking for 2022 to the existing
(2019-2021) 3-year contract.
2021 rates will be used for 2022:
493(lineal miles)@$290 per lin. mile=$142,970
1 (lump sum)Spill Prevention, Control, and Countermeasure(SPCC)Plan=$1,250
All work materials and measurement to be in accordance with the provisions of the standard specifications and
special provisions for the type of construction involved.
ORIGINAL CURRENT ESTIMATED ESTIMATED
CONTRACT CONTRACT NET CHANGE CONTRACT TOTAL
AMOUNT AMOUNT THIS ORDER AFTER CHANGE
$402,330.00 $402,330.00 $144,220.00 $546,550.00
ORIGINAL CONTRACT CURRENT CONTRACT CONTRACT TIME NEW CONTRACT
TIME(days) TIME(days) CHANGE(Add/Del) TIME(days)
Annual(2019-2021) Annual(2019-2021) Add 2022 Annual(2019-2022)
APPROVAL RECOMM DED APPRO RECOMME DED
i 2-/t-/—2 I 1E1 .t9/l 16'9-✓
Pitied M na Date Cou ty En • Date
APPRO AL MMENDED APP VED
E3 [EY'' \,(. -...____,--- ,/
En ineenServices Manager r Date Chair,Jefferson County Commissioners Date
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Change Order, Contract G, Version 1, Risk Legal Review Date xx/xx/xxxx(TBD) Page I of I
Department of Public Works
O Consent Agenda
Page 1 of 1
Jefferson County
Board of Commissioners
Agenda Request
To: Board of Commissioners
Mark McCauley, Interim County Administrator
From: Monte Reinders,
Public Works Directo County Engineer
Agenda Date: January 3, 2022
Subject: Change Order No. 1 to the 2019-2021 Pavement Marking on Jefferson
County Roads Contract to include Pavement Marking in 2022
County Project #1805422049
Statement of Issue:
In 2019 the BoCC approved a competitively bid contract with Apply-A-Line of Pacific, WA to
provide Pavement Marking on County Roads in Calendar Years 2019 through 2021. This Change
Order No. 1 would modify the existing contract to include County pavement marking in 2022.
Analysis/Strategic Goals/Pro's Et Con's:
Pavement markings require annual refurbishing and/or replacement. To attain improved
economy for this work, all project materials will be obtained and supplied by Public Works.
This one-year contract extension is for labor and equipment only. The pavement marking
program is consistent with County goals in that it provides for preservation of traffic control
infrastructure on Jefferson County roads.
Fiscal Impact/Cost Benefit Analysis:
Maintenance of pavement markings is accounted for in the Public Works Road Operations
Budget for year 2022. The original 2019-2021, 3-year contract total was $402,330. The same
competitively bid rates for 2021 will be used again for 2022. The total estimated amount to
provide pavement marking labor and equipment in 2022 is $144,220.
Recommendation:
Public Works recommends that the Board authorize Change Order No. 1 and return two signed
originals to Public Works for further processing.
Department Contact: Eric Kuzma; 360-385-9167
Reviewed By:
Mark McCauley, Interim County Administrator Date
CONTRACT REVIEW FORM Clear Form
(INSTRUCTIONS ARE ON THE NEXT PAGE) /
CONTRACT WITH: Apply-a-Line Contract No: Pitta ,'�l V—I/
Contract For: Change Order to 2019-2021 Pvmnt.Marking Contract Term:
COUNTY DEPARTMENT: Public Works
Contact Person: Eric Kuzma
Contact Phone: 360-385-9167
Contact email: ekuzma@cajeferson.waus
AMOUNT: $144,220 PROCESS: _ Exempt from Bid Process
Revenue: 1ao.000.010.311.10 Cooperative Purchase
Expenditure: 180.000.010.54200.48 1 Competitive Sealed Bid
Matching Funds Required: N/A Small Works Roster
Sources(s)of Matching Funds N/A _, Vendor List Bid
Fund# _ RFP or RFQ
Munis Org/Obj Other:
APPROVAL STEPS:
STEP 1:DEPARTMENT CERTIFIES COMPLIA CE W TH JCC 3.55.080 AND CHAPTER 42.23 RCW.
CERTIFIED: LJ N/A:n //i, ♦- 12/13/2021
Signatu,- Date
STEP 2: DEPARTMENT CERTIFIES THE PERSON PROPOSED FOR CONTRACTING WITH THE
COUNTY (CONTRACTOR) HAS NOT BEEN DEB• RRED BY ANY FEDERAL, STATE, OR LOCAL
AGENCY.
CERTIFIED: N/A: 1 ' /ff 4• 1243/202f
Signa e Date
STEP 3: RISK MANAGEMENT REVIEW(will be added electronically through Laserfiche):
Electronically approved by Risk Management on 12/14/2021..
STEP 4: PROSECUTING ATTORNEY REVIEW(will be added electronically through Laserfiche):
Electronically approved as to form by PAO on 12/14/2021.
Contract amendment.
STEP 5: DEPARTMENT MAKES REVISIONS & RESUBMITS TO RISK MANAGEMENT AND
PROSECUTING ATTORNEY(IF REQUIRED).
STEP 6:CONTRACTOR SIGNS
STEP 7:SUBMIT TO BOCC FOR APPROVAL
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