024-22 - Sascon, LLC - Supplement / Change Order 3CITY OF PORT ORCHARD
Authorization for Change Order No. 3
Date: 11/21/2022
Lippert Dr. Pavement Repair
Project: and Sidewalk Retrofit
Contract / Job # CO24-22
THIS CHANGE ORDER AUTHORIZES (add description).
Contractor: Sascon, LLC
20211 SE 210th St.
Maple Valley, WA 98038
Additional work for Bid Items: A-7, A-8, B-4, B-8, B-17, B-18, B-20, B-24, B-27, B-28, FA -Storm Drain Line.
A credit is provided for Bid Items: B-6, B-7, B.10, B.12, B.14, B-21, B-22, B-23.
See Cost Summary Change Order No. 3
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
$0.00
03-Oct-22
PW Director
Change Order 2
$0.00
$0.00
$0.00
31-Oct-22
PW Director
Change Order 3
1 $42,388.20
$0.001
$42,388.20
22-Nov-22
PW Director
Total Contract $599,701.20 $0.00 $599,701.20
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
,04 ;?� �, ,�-
Public Works Director
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
U:\3_Capital Improvement Program\B_ActiveProjects\Street\LippertPavementRepair&SidewalkRetrofit\1.0 Financial Administration\1.6 Change Orders\Change Order No. 3\Change Order No. 3.doc
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