004-13 - Pacific Air Control, Inc. - Supplement / Change Order 1(2017)CITY OF PORT ORCHARD
Authorization for Change Order No. 1(2017)
Date: September 21-2017 Contractor: PACIFIC AIR CONTROL
Project: HVAC MAINTENANCE 1916 220T" STREET SE, M#101
Contract / Job # 0004-13-2017 EXTENSION BOTHELL, WA 98021
THIS CHANGE ORDER AUTHORIZES THE REPLACEMENT OF INDOOR BLOWING MOTOR & BEARINGS
AND WIRE FROM VFD TO MOTOR FOR PROPER OPERATION AND AUTHORIZES THE ADDITION OF OIL TO
THE CHILLERS AS LEVELS ARE NOT UP TO FACTORY STANDARDS.
Amount
Contract History
Sales Tax Total Date vd b
Original Contract
1 $7,616.071
$685.451
$8,301.52 I11-Dec 12 CouNCIL
CONTRACT ANNl1AL RENEWAL a1)nl/2017-11/31/2017. TOTAL IITPACE AMWNT OIFFERS FROM OR6 NAL ONE TO INCREASE IN SALES 1AY FROM x%i05%
Change Order 1
$4,573.00
$411.57
$4,984. 7
26-Se -17
COUNCIL
Total Contract $4,573.00
$1,097.02 $13,ZB6.09
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accura e.
Contract pproval Signature Pub i Work ' ec or/City En 'Weer
"el G s� Ssrr'rr 9 �/
P ted Name & Title Printed Name
Change Orders that do not exceed 10%, with a maximum of
$50,000, of either legally authorized budget limit or contract Approved:
amount established by City Council can be approved by the Public
Works Director,
Change Orders that do not exceed 10%, with a maximum of Attest:
$100,000, of either legally authorized budget limit or contract
amount established by City Council are to be approved by the
Mayor.
Change Orders over $100,000 or exceed a total of 10% require
Council Action.
`—L
Mayor
City Cier
�1�r�(kl%iLl�
Council Approval Date
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