024-22 - Sascon, LLC - Supplement / Change Order 1CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: 10/3/2022
Lippert Dr. Pavement Repair
Project: and Sidewalk Retrofit
Contract / Job # CO24-22
Contractor: Sascon, LLC
20211 SE 210th St.
Maple Valley, WA 98038
THIS CHANGE ORDER AUTHORIZES (add description).
The extension of contract CO24-22 to October 31st, 2022. The original 65 working days to complete the
project will need to be extended to complete bid items: A-18(Paint Line), A-19(Painted Wide Line), A-
20(Plastic Wide Lane Line), A-21(Plastic Crosswalk Line), A-22(Plastic Stop Line), A-23(Plastic Traffic Arrow),
B-29(Permanent Signing).
Contract History
Amount Sales Tax Total Date Appvd b
Original Contract
$557,313.00
$0.00
$557,313.00
24-Ma -22
Council
Change Order 1
$0.00
$0.00
x
PW Director
Total Contract $0.00 $0.00 $557,313.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
Contractor Approval Signature
Derrick Sas, Owner
Printed Name & Title
o4 <
Public Wor s Direct
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
UA3_Cap1tal Improvement Program\B_AcliveProjects\Street\LippertPavementRepair&SidewalkRetrofil\1.0 Financial Administration\1.6 Change Orders\Change Order No.l.doc
Page 1