034-21 - Pacific Northwest Guardrail Services - Supplement / Change Order 1CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: May 18, 2021
Project: Old Clifton Rd and Tracy Ave
Guardrail Removal &
Replacement
Contract / Job # C034-21
Contractor: Pacific Northwest Guardrail Services
17936 Upland Dr SE
Yelm, WA 98597
This Change Order Authorizes a contract time extension only due to shipping delays of required
materials to execute the contracted work. C034-21 shall be extended to June 30, 2021.
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
f
Contractor Approval nature P iit Works Dir arJCity Engineer
Si
' () j J— MARK R. DORSEY, P.E.
Printed 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 Mayor
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.
City Clerk
Council Approval Date
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