024-22 - Sascon, LLC - Supplement / Change Order 4DocuSign Envelope ID: D7D94FAA-5335-4B8C-875B-79B4A2525393
CITY OF PORT ORCHARD I
Authorization for Change Order No. 4
Date: 1/3/2023
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).
Additional work for Bid Items: A-9 (HMA Cl. 1/2 in PG58-22) FOR added additional area south of Becky Ave. and Lippert Dr.
(see PV2 on the drawings). Elevations of curb and gutter set high on the east half of Lippert to reduce roadway %, existing
road was S-6% slope from center line to flow line. A-10 (Planing Bitumous Pavement) Additional at Pottery Ave and Sidney
Ave and irregularities in the existing asphalt at 128 W. Lippert Dr.
Credit for Bid Items: A-12 (Extra Excavation and Backfill) subgrade was structurally acceptable in full depth milled areas. A-
2 (Minor Changes). See attached Cost Summary Sheet for break down.
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
$42,388.20
$0.00
$42,388.20
22-Nov-22
PW Director
Change Order 4
1 $13,342.801
$0.001
$13,342.80
03-Jan-23
Ma --
Total Contract $613,044.00 $0.00 $613,044.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
a"AZ�� 3:2-d-
Contractor Approval Signature
Derrick Sas - Owner
Printed Name & Title
i
L
Public Works Director
hY 1.19/1C;
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.
FDocuSigned by:
b �IMGIaA..IA,SIA.U.
E'31'38ztT ...
Mayor
FDocuSigned by:
� uJamt,
City C'I'e'r`
N/A
Council Approval Date
ll:\3_Capital Improvement Program\B_AcliveProjecls\Street\LippertPavementRepair&SidewalkRelrofil\1.0 Financial Administration\1.6 Change Orders\Change Order No. 4\Change Order No. 4.doc
Page 1
DocuSign Envelope ID: D7D94FAA-5335-4B8C-875B-79B4A2525393
Cost Summary Sheet
Chance Order 84
Additional
ITEM NO.
ITEM DESCRIPTION
EST. CITY
UNITS
UNIT PRICE
BID AMOUNT
A-7
Roadway Ex.. Incl. Haul
220
CY
115.00
$ 25,300.00
A-8
Crushed Surfacing Top Course
140
TN
45.00
$ 6,300.00
A-9
HMA CI. 1/2 In. PG58-22
700
TN
145.00
$ 101,500.00
A-10
Planing Bitumous Pavements
1,390
SY
12.00
$ 16,680.00
B-4
Removing Cement Conc. Sidewalk
470
SY
18.00
$ 8,460.00
B-8
Crushed Surfacing Top Course
30
TN
57.00
$ 1,710.00
B-17
Cement Conc. Pedestrian Curb
145
SY
43.00
$ 6,235.00
B-18
Cement Conc. Traffic Curb and Gutter
1,500
LF
40.00
$ 60,000.00
B-20
Cement Conc. Rolled Curb and Gutter
20
LF
60.00
$ 1,200.00
B-24
Cement Conc. Driveway Enterance Type 2
40
1 Y
99.00
$ 3,960.00
B-27
Cement Conc. Sidewalk
575
SY
82.00
$ 47,150.00
B-28
Cement Conc. Bus Pad
61
SY
217.00
$ 1,302.00
FA Work
Force Account Work- Redesigned Storm Line
0
Bid Total
$ 279,797.00
Credit
ITEM NO.
ITEM DESCRIPTION
EST. CITY
UNITS
UNIT PRICE
BID AMOUNT
A-2
Minor Changes
1
CALC
30,000.00
$ 10,000.00
A-12
Extra Excavtion and Backfll
1
FA
15,000.00
$ 15,000.00
B-6
Structural Excavation
180
CY
35.00
$ 6,300.00
B-7
Shoring Extra Excavation
1,330
SF
2.00
$ 2,660.00
B-10
I HDPE Pipe 12"
280
LF
95.00
$ 26,600.00
B-12
Catch Basin Type 1
3
1 EA
1,600.00
$ 4,800.00
B-14
Gravel Backfll for Pipe Zone Bedding
80
CY
30.00
$ 2,400.00
B-21
Cement Conc. Transition Curbs
10
LF
80.00
$ 800.00
B-22
Cement Conc. Driveway Enterance Type B
40
SY
99.00
$ 3,960.00
B-23
Cement Conc. Driveway Enterance Type 1
130
SY
99.00
$ 12,870.00
Bid Total
$ 85,390.00
Total Contract
$ 613,044.00
$ 6,900.00
$ 2,038.05
$ 29,788.80
$ 4,020.00
$ 540.00
$ 15,368.91
$ 3,010.00
$ 2,200.00
$ 690.00
$ 49.50
$ 3,450.56
$ 651.00
$ 18,903.16
87,609.98
Additional Total 1 $ 87,609.98
$5,466.00
$15,000.00
$313.88
$3,135.00
$1,600.00
$2,400.00 $31,135.58
$320.00
$722.70
$2,178.00
Credit Total I $31,878.98
Difference $ 55,731.00