053-22 - Stripe Rite, Inc. - Supplement / Change Order 1CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: September 12,2022
2022 Thermoplastic
Project: Application
Contract / lob # C053-22/PW2022-009
Contractor: Stripe Rite, Inc
1813137" Ave E
Sumner WA 98390
Description of reason for Change Order: This Change Order authorizes a time extension only change to
Contract C053-22 due to a missed item from Schedule B that was not completed. The "Yield" message
was not removed and recentered on S. Kitsap Blvd as indicated on Exhibit B. The extension to complete
the work shall be extended to October 14, 2022
Contrad History
v, lirih n*_ Sales Tax Total Oaie
Original Contract
$63,165.00
NA
$63,165.00
14-Jun-22
Council
Amendment #1
$0.00
$0.00
$0.00
12-Se -22
interim PW Director
Total Contract $63,165.00 $0.00 $63,165.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accu te.
Contractor Approval Signature
Steve Bateman, President
Printed Name & Title
Int im Ic Works Director/City Engineer
K. Chris Hammer, P.E., PMP
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.
Mayor
City Clerk
Council Approval Date