067-21 - Stellar J Corporation - Supplement / Change Order 1CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: October 21, 2021
Project: Pottery Lift Station
Emergency Repairs
Contract / Job # C067-21
Contractor: Stellar J Corporation
1363 Downriver Dr.
Woodland, WA 98674
This Change Order Authorizes a contract time extension only due to delays in shipping of required
materials. C067-21 termination date shall be extended to November 30, 2021.
.Contract History
Amount Sales Tak Total Date Appvcl b
Original Contract
$235,000.00
$21 150.00
$256,150.00
22-Jul-21
Mayor
Change Order 1
$0.00
$0.00
$0.00
21-Oct-21
PW DIRECTO
Total Contract $235 000.00 $21 150.00 $256,150.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
per� /ZI
`r _
Cors{ractorApproval Signature
Printed Name & Title
Pu Works Dir r/Ci nginee r
MARK R. DOR5EY, P.E. �w
Printed Name
Change Orders that do not exceed 10%, with a maximum of
$50,000,ofeither legallyauthorized budget limit orcontract 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.
Page 1
Mayor
City Clerk
Council Approval Date