043-14 - WA State Public Works Board - Contract Amendment AAMENDMENT FACE SHEET
Loan Number: DM13-952-185
Amendment Number: A
Washington State Department of Commerce
PUBLIC WORKS BOARD
DRINKING WATER STATE REVOLVING FUND
1. Contractor 2. Contractor Doing Business As (optional)
City of Port Orchard N/A
216 Prospect Street
Port Orchard, WA 98366
3. Contractor Representative (only if updated) 4. Public Works Board Representative (only if updated)
N/A N/A
5. Original Contract Amount
$ 6,060,000.00
6. Amendment Amount 7. New Contract Amount
N/A $ 6,060,000.00
8. Amendment Funding Source
Federal: ® State: Q Other: ❑ N/A: ❑
11. Federal Funds (as applicable):
N/A
9. Amendment Start Date 10. Amendment End Date
Amendment Execution Date October 1, 2037
Federal Agency: CFDA Number:
EPA 66.468
12. Amendment Purpose:
The purpose of this amendment is to revise the Scope of Work of the Loan.
The Board, defined as the Washington State Public Works Board, and Borrower/Contractor acknowledge and
accept the terms of this Agreement/Contract As Amended and attachments and have executed this
Agreement/Contract Amendment on the date below to start as of the date and year referenced above. The rights
and obligations of both parties to this Agreement/Contract As Amended are governed by this
Agreement/Contract Amendment and the following other documents incorporated by reference: Amendment
Terms and Conditions, including any attachments. A copy of this Agreement/Contract Amendment shall be
attached to and made a part of the original Agreement/Contract between the Board and the Borrower/Contractor.
Any reference in the original Agreement/Contract to the "Agreement" or the "Contract" shall mean the
"Agreement As Amended" or "Contract As Amended," respectively.
FOR THE =ONTRACTOR FORM,-7,
SBOARD
Signature J.C. Bald in, n eri C Public Works Board
A ��,�
Print Name ,QpR7 QR''•y,,• Date 1 ■ r
Title
� APPROVED AS TO FORM ONLY
of
• ATT -
S �L� I -This 141� Day of March. 2013
�3 Bob Ferguson
Date %e�+�; F� R+►�.''�; Attorney General
Si nature on File
Kathryn Wyatt
Assistant Attornev General
Page 4 Revised Scope of Work Amendment
3/16/2017 Drinking Water State Revolving Fund
AMENDMENT TERMS AND CONDITIONS
Washington State Department of Commerce
PUBLIC WORKS BOARD
DRINKING WATER STATE REVOLVING FUND
Amendment Number: A
Contractor/Borrower: City of Port Orchard
Contract Number: DM13-952-185
Amendment Number: Enter Amendment Designator
The purpose of this amendment is to revise the Scope of Work of the above referenced Drinking Water State
Revolving Fund.
The Public Works Board (or its successors), a department of the State of Washington, (hereafter referred to as
the "Board") and the Contractor, listed above and on the attached Face Sheet, agree to amend the declared loan
as described below.
The SCOPE OF WORK is amended to delete the original declared Scope of Work and replace it with the SCOPE
OF WORK as shown on the attached Declarations Page. The Scope of Work, where referenced in the Contract's
Special Terms and Conditions section, shall refer to this amended text.
Page 5 Revised Scope of Work Amendment
3/16/2017 Drinking Water State Revolving Fund
DECLARATIONS
CLIENT INFORMATION
Legal Name:
Loan Number:
Amendment:
PROJECT INFORMATION
Project Title -
Project City:
Project State:
Project Zip Code:
LOAN INFORMATION
Loan Amount:
Loan Term:
Interest Rate:
Payment Month:
Earliest Date for Construction Reimbursement:
Time of Performance
City of Port Orchard
DM13-952-185
A
City of Port Orchard Well 10 Water Treatment
Project
Port Orchard
Washington
98366
$ 6,060,000.00
24 years
1.50%
October 1
7/1/2013
48 months from Contract execution date to
Project Completion date.
SPECIAL TERMS AND CONDITIONS GOVERNING THIS LOAN AGREEMENT
none
Scope of Work (revised):
The primary elements of the project include:
1. Well 13 Water Campus Improvements.
a. Well 13. Drill a new Well 13 on City -owned property adjacent to the existing Sedgwick Reservoir
in the southeast section of the City's water supply area. Equip with high -efficiency, variable speed
well pumps.
b. Conveyance. Well 13 discharge will be treated onsite and discharged into the existing Sedgwick
Reservoir.
c. Water Treatment Facility. Construct a new water treatment facility at the Well 13 site, including a
new building with pressure filters, fluoridation and disinfection.
d. Additional project elements include telemetry and instrumentation, controls, standby electrical
generator, landscaping, parking, fencing, security improvements, site work and site restoration.
2. Conveyance.
a. Water will be conveyed from the Sedgwick Reservoir through existing pipelines to an intertie
with a new pipeline on the east edge of Blackjack Creek ravine.
b. A new 12-inch diameter pipeline will convey water south to a connection point with existing
piping at the existing Well 6 site. Road and slope stabilization along the pipeline route will be
included.
3. Overall project activities will include, but not be limited to, engineering and design, cultural and
historical resources review, environmental review, permits, public involvement, bid documents,
construction administration, staking, site work and facility construction.