036-21 - Active Construction, Inc. - Supplement / Change Order 2CITY OF PORT ORCHARD
Authorization for Change Order No. 2
Date: December 4, 2021
Project: Sidney Sewer and Road Repair
Contract / Job # C036-21
Contractor: Active Construction, Inc
THIS CHANGE ORDER AUTHORIZES (add description). Hydrant replacement at Dekalb/Harrison
Intersection (8003), Concrete Dowels (8006), Dekalb alley grading (8007), CSTC for Dekalb/ Harrison
Intersection (8010), and Stormwater revisions and additions at Sidney/ Kitsap intersection, Sidney
Dekalb Intersection, and Dekalb Harrison Intersection (CO Storm). Refer to City Change Directives 1
thru 6. Note that Change Order 2a is utility work and tax is added.
Amount Sales Tax Total Date Appvd by
Original Contract
$344,996.33
$13,361.67
$358,358.00
Council
Change Order #1
$2,693.35
-$289.41
$2,403.94
PWD
Change Order #2a
$12,504.47
$1,125.40
$13,629.87
PWD
Change Order #2b
$24,394.57
$0.00
$24,394.57
PWD
Total Contract $384,588.72 $14,197.66 ✓ $398,786.38
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
Digitally signed by Tyler Ceccanli
DN: C=US,
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Tyler Ceccantia=AGlvr. Cw�slnx:li-Inc,CN=Tyler
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Dale: 2022 01 20 15:47 12-08'00'
Contractor Approval Signature
Printed Name & Title
Public rks Director Engineer 1
MARK R. DORSEY, P.E.
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.
Page 1
Mayor
r
UtVtferk
Council Approval Date
Contractor: Active Construction Inc.
Address: 0
City of Port Orchard
Sidney Sewer and Road Repair Project
Contract No.: C036-21
Estimate No.: 2
Payment Period Ending: 10/20/21
CONTRACT SUMMARY
Original Contract Amount
Previous Approval
This Estimate
Total To Date
Original Contract
$
344,996.33
$ 344.996.33
$
344,996.33
Change Order #1
$
2,693.35
$2.693.35
$
2,693.35
Change Order #2
$
36,899.04
$36.899.04
$
36,899.04
Contract Totals
$
384,588.72
$ 347.689.68
1 $ 36,899.04
$
384,588.72
SALES TAX (9.0%) $
TOTAL $
14,197.66 $ 13,072.26 $ 1,125.40 $
398,786.38 ✓ $ 360,761.94 $ 38,024.44 $
kINAGE $
TOTAL CONTRACT PAYMENT DUE THIS ESTIMATE $ 36,123.22
Percent of Contract Complete: 100.0%
14,197.66
398,786.38
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 Ceccantia;"` "°�
Sy
Active Construction, Inc.
(Reviewed and recommended for payment:
Date:
City of Port Orchard
BY Date: tt
City of Port Orchard, Project Manager
for payment:
Puhlle Works
Engineer