036-21 - Active Construction, Inc. - Supplement / Change Order 1I CITY OF PORT ORCHARD
Authorization for Change Order No. 1
Date: November 4, 2021
Project: Sidney Sewer and Road Repair
Contract / Job # C036-21
Contractor: Active Construction, Inc
THIS CHANGE ORDER AUTHORIZES (add description). Unit quantity adjustments. See attached.
Amount Sales Tax Total Date Appvd b
Original Contract
$344 996.33
$13,361.67
$358,358.00
Council
Change Order #1
$2 693.35
-$289.41
$2,403.94
PWD
Total Contract $347 889.68
$13,072.26
$360,761.94
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
041W6y sgned by Tyler Ceccenli
ON: (--US.
E="YIArr. NNeeS5netruc6. CN-T,
Tyler Ceccanti n=• .e on. WC Mn Inc. N=Tye
ONO:�2021 11 O4 15:16:15-0T00'
Contractor Approval Signature
Printed Name & Title
Change Orders that do not exceed 10%, with a maximum of
$50,000, of either legally authorized budget limit or contract
amount established by City Council can be approved by the Public
Works Director.
Change Orders that do not exceed 10%, with a maximum of
$100,01DO, 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 101Y. require
Council Action.
s
— *%, '4 Z�7\ - Pub ' ctor City Engineer MCA
MARK R. DORSEY, P.E.
Printed Name
Approved:
Mayor
Attest:
ity Clerk
1 I/A
Council Approval Date
U:13_Capital Improvement ProgramlB ActiveProjeclsk8swerUtilitylSiileyAveSewerRepaiAI 0 Finemal Administrationll 6 Change OrderslChangeOrder#11ChangeOrder1 doc
Page 1
#
Bid Item
Adj Quantity
Cost Adj
Tax
total
8
Removal Conc. Pave
-30 SY
$
(1,140.00)
-102.60
$
(1,242.60)
9
Gravel Borrow
-362.02 TN
$
(4,344.24)
-390.98
$
(4,735.22)
13
Replace Conc. Panel
-30 SY
$
(3,750.00)
-337.50
$
(4,087.50)
14
HMA
13 TN
$
9,750.00
877.50
$
10,627.50
23
Inlet Pro
3 EA
$
300.00
27.00
$
327.00
24
Conc. Drivway
5.22 SY
$
704.70
63.42
$
768.12
26
Plastic Stop
12 SY
$
360.00
32.40
$
392.40
27
Minor change
-5096.17 DOL
$
(5,096.17)
-458.66
$
(5,554.83)
32
Removal Curb and G
168 SY
$
2,520.00
0
$
2,520.00
33
Removal Sidewalk & D
34 SY
$
1,020.00
0
$
1,020.00
35
Removal Conc. Pave
46 SY
$
1,955.00
0
$
1,955.00
37
CSTC
-64 TN
$
(2,880.00)
0
$
(2,880.00)
38
Repalce Conc. Panel
46 SY
$
5,750.00
0
$
5,750.00
39
HMA
-99.27 TN
$
(14,394.15)
0
$
(14,394.15)
43
Conc. Curb and Gutter
128 LF
$
6,690.56
0
$
6,690.56
44
Conc. Sidewalk
62.25 SY
$
5,291.25
0
$
5,291.25
47
Minor Change
-43.95 DOL
$
(43.95)
0
$
(43.95)
Total $ 2,693.00-289.41 $ 2,403.59
347689.68
344996.33
2693.35
City of Port Orchard
Sidney Sewer and Road Repair Project
Contractor: Active Construction Inc.
Address: 0
CONTRACT SUMMARY
Contract No.: C036-21
Estimate No.: 1
Payment Period Ending: 10/20/2021
Original Contract Amount Previous Approval This Estimate Total To Date
Original Contract $ 344,996.33 $ 347,689.68 $ 347,689.68
Contract Totals 1 $
SALES TAX (9.0%) $
TOTAL $
344.996.33 f $ 347.689.68 $
13,072.26 $ $ 13,072.26 $
358,068.59 $ $ 360,761.94 $
LESS RETAINAGE $ 17,384.48
TOTAL CONTRACT PAYMENT DUE THIS ESTIMATE $ 343,377.45
Percent of Contract Complete: 100.8%
CONTRACTOR AGREES TO THE ABOVE AMOUNTS AND CERTIFIES THAT PREVAILING
WAGES HAVE BEEN PAID IN ACCORDANCE WITH RCW 39.12 AND THE STATEMENT OF
INTENT TO PAY PREVAILING WAGES HAVE BEEN FILED BY THE CONTRACTOR AND ALL
SUBCONTRACTORS. I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT ESTIMATE;
THAT THE WORK WAS ACTUALLY PERFORMED AND MATERIAL FURNISHED; AND THAT
THE AMOUNT IS JUST AND DUE ME.
Tyler Ceccanti Nmr�r=
By 2021,1-15.14,so, Date: it 4 L7�
Active Construction Inc.
Reviewed and recommended for payment: Approved for payment:
City of Port ha
By: Date: �� 4 ` �� 1 By: Date: t L_
Ci of Port Or ard, Project Manager Puhlis ❑ or I City Engi er
13,072.26
360:761.94
Contractor:
Active Construction Inc.
Project No. PW21-
Contract No. C036-21
City of Port Orchard
Request for Payment No. One (1)
for
Sidney Sewer and Road Repair Project
Payment Data.,
RFP NUMBER: One (1)
FROM: 7/12/2021
TO: 10/20/2021
ORIGINAL CONTRACT
PREVIOUSLY APPROVED
CURRENT REQUEST
TOTAL TO DATE
PERCENT
COMPLETE
ITEM NO. ITEM DESCRIPTION
BID CITY UNITS UNIT PRICE BID AMOUNT
CITY DOLLAR AMOUNT
CITY DOLLAR AMOUNT
J QTY DOLLAR AMOUNT
1
(MOBILIZATION
1
LS
20,000 00
$ 20,000.00
0%
$
100%
S 20,000.00
100%
5 20,000.00
100.0%
2
Contractor Surveying
1
LS
1.500,00
$ 1,500.00
0%
5 -
100%
S 1,500.00
lao%
S 1,500.00
100.0%
3
SPCC Plan
1
LS
100.00
S 100.00
0%
$
100%
$ 100.00
100%
$ 100.00
100.0%
4
Temp Traffic Control
1
LS
15,000 00
$ 15,000.00
0%
$
100%
$ 15,000.00
100%
$ 15,000.00
100.0%
5
Removal of Struct and Obstruct
1
LS
2.500-00
$ 2,500.00
0%
5
100%
S 2,500.00
100%
S 2.500.00
100.0%
6
Removal of Conc. Sidewalk and Drive Entrance
24
SY
3000
S 720.00
0
S
24
$ 720.00
24
$ 720.00
100.0%
7
Removal of A halt Pavement
13
SY
2500
S 325.00
0
$
13
$ 325.00
13
$ 325.00
100.0%
8
Removal Of Concrete Pavement
151
SY
38-00
$ 5,738.00
0
5
121
5 4,59800
121
S 4,598.00
80.1%
9
Gravel Borrow. Incl. Haul
600
TN
12-00
$ 7,200.00
0
5
237.98
S 2,855.76
237.98
S 2.855.76
39.7%
10
Structural Excavation Incl Haul
333
Cy
10-00
$ 3,330.00
0
$ -
333
S 3,331100
333
$ 3,330.00
100.0%
11
Shoring
660
5F
1.00
$ 660.00
0
$ -
660
$ 660.00
660
$ 660.00
100.0%
12
CSTC
42
TN
45-00
$ 1,890,00
0
S
42
S 1.890.00
42
5 1.,890.00
100.0%
13
Replace Conc Panel
151
SY
125.00
$ 19,875.00
0
S -
121
$ 15,125.00
121
$ 15;125.00
80.1%
14
HMA for Pavement Repair
2
TN
750-00
S 1,500.00
0
$
is
$ 11,250.00
15
$ 11,250-00
750.0%
15
Ductile Iron Drain Pipe
20
OF
80.00
$ 1,600.00
0
$
20
$ 1.600.00
20
$ 1,600,00
100.0%
16
Type 1 CB
1
EACH
1.650.00
$ 1,650.00
0
S -
1
$ 1,650.00
1
S 1,650.00
100.0%
17
Inlet
1
EACH
4,500.00
5 4,500.00
0
$
1
$ 4,500.00
1
$ 4,500,00
100.0%
18
Manhole
1
EACH
9,750,00
$ 9,750.00
0
$ -
1
$ 9,750.00
1
$ 9,750.00
100.0%
19
Sewer Bi- ass Pumping
1
LS
5,000,00
$ 5,000.00
0
5
1
5 5.000.00
1
S 5,000.00
100.0%
20
PVC Sewer Pipe
35
LF
105.00
$ 3,675.00
0
S -
35
$ 3,675.00
35
5 3,675.00
100.0%
21
Repair Sewer Pipe Connection
1
LS
2.500-00
S 2,500.00
0
$
1
$ 2,500.00
1
$ 2.500.00
100.0%
22
CIPP
310
LF
92.50
$ 28,675.00
0
$ -
310
$ 28,675.00
310
$ 28,675.00
100.0%
23
Inlet Pro
9
EACH
100.00
$ 900.00
0
S
12
$ 1,200.00
12
S 1,200.00
133.3%
24
Cement Conc. Driveway Entrance
17
SY
135.00
$ 2,295.00
0
$ -
22.22
$ 2,999.70
22.22
5 2,999,70
130.7%
25
Paint Line
40
LF
25.00
S 1,000.00
0
$
40
$ 1,000.00
40
$ 1,000.00
100.0%
26
Plastic Stop Bar
36
SF
30.00
$ 1,08a00
0
$
48
$ 1,440.00
48
$ 1,440.00
13-13%
27
Minor Change 8005, BOOB
6,500
DOL
1,00
$ 6,500-00
0%
S -
1403.83
S 1,403.93
21.6%
S 1,403.83
21.6%
28
Moblization
1
LS
48,200.83
S 48,200.83
0%
$ -
100%
$ 48,200,83
100%
$ 48,200.83
100.0%
29
Contractor Surveying
1
LS
1,500-00
$ 1,500.00
0%
$
100%
S 1,500-00
100•9A
S 1,500-00
100-0%
30
SPCC Plan
1
LS
10000
$ 10000
0%
S -
100%
S 100.130
100%
S 100.00
100.0%
31
Temp Traffic Control
1
L5
25.000 00
S 25,000.00
0%
$
100%
$ 25,000,00
100%
$ 25,000.00
100.0%
32
Removal of Curb and Gutter
180
LF
1500
$ 2,700.00
0
$
348
$ 5,220,00
348
$ 5,220.00
193.3%
33
Removal of Conc. Sidewalk and Drive Entrance
49
SY
30.00
$ 1,470.00
0
5 -
83
S 2,490.00
83
5 2,490.00
169.4%
34
Removal of Asphalt Pavement
593
SY
15.00
5 8,895.00
0
S -
593
S 8,895.00
593
$ 8,995.00
100.0%
35
Removal of Concrete Pavement
123
SY
42-50
S 5,227.50
0
$ -
169
$ 7.1n50
169
$ 7,182.50
137.4%
36
Roadway Excavation and Haul
30
CY
25.00
$ 750.00
0
$ -
30
$ 750.00
30
$ 750.00
100.0%
37
CSTC
98
TN
45.00
$ 4,410.00
0
S -
34
S 1,530.00
34
S 1,530.00
34.7%
38
Replace Conc Panel
123
123
125.00
$ 15,375.00
0
$
169
$ 21,125.00
169
$ 2L125.00
137.4%
39
HMA for Pavement Repair
225
225
145-00
S 32,625.00
0
$ -
125.73
$ 18,230.85
125.73
$ 18,230-85
55.9%
40
Concrete Drain Pipe Repair
1
LS
2,500.00
$ 2,500.00
0
$
i
5 2.500.00
1
S 2,500.00
100.0%
41
Adjust CB removed rather than adusted
1
EACH
650.00
$ 650.00
0
S
1
$ 650.00
1
S 650,00
1000%
42
Adjust Man Hole
1
EACH
1,000,00
S 1,000.00
0
S
1
$ 1,OOa00
1
$ 1,000.00
100.0%
43
Cement Conc. Curb and Gutter
220
LF
52.27
S 11,500.00
0
$ -
348
$ 18,19a91
348
$ 18,190.91
158.2%
44
Cement Conc- Sidewalk
78
SY
85.00
$ 6,630.00
0
$
140.25
S 11,921.25
140.25
S 11,92125
179.8%
45
Cement Conc. Curb Ram COB(
5
EACH
3,500.00
$ 17,500-00
0
5
5
$ 17,500.00
5
S 17,500.00
100.0%
46
Cement Conc- Curb Ram WSDOT)
2
EACH
3.500.00
$ 7,000.00
0
$
2
$ 7,000.00
2
$ 7,000.00
100.0%
47
Minor Change (8011)
3,500
DOL
1.00
$ 3,500.00
0%
$ -
3456.05
$ 3,456.05
98.7%
$ 3,456.05
987%
cc
Change Order #1
$ 145,247.29
$ 145,247.29
PAY ESTIMATE TOTALS
CONTRACTTOTAL
S 344.996.33
TOTAL AMOUNT THIS ESTIMATE
$ -
S 347,689.68
$ 347;689.68
1008%
WASHINGTON STATE SALES TAX (9.0%)
$ 13,361.67
$ -
$ 13,072.26
$ 13,072.26
RETAINAGE 1
$ 17.394.48
S 17,384.48
TOTAL PAYMENT DUE THIS ESTIMATE
S 343,377.45
$ 343,377.45
Pay Notes
11/4/2021 Pay Estimate - 1