058-23 - Bremerton Backflow Services - Supplement / Change Order 1CITY F PORT ORCHARD
Authorization for Change Order No.1
Date: 8/2/23
Project: City -Owned Backflow Device
Testing
Contract / Job # C058-23
Contractor: Bremerton Backflow Services
PO Box 3071
Bremerton WA 98310
THIS CHANGE ORDER AUTHORIZES THE FOLLOWING CHANGES TO THE CONTRACT:
An increase to the contract amount of $219.20 (applicable tax included) to capture four additional
Backflow tests, See attached list.
In all other respects the Underlying Agreement between the parties shall remain in full force and effect,
amended as set forth herein, but only as set forth herein.
Amount Safes Tax Total Date Appvd b
Original Contract
$2,200.00
$204.60
$2,404.60
PW Director
Change Order 1
$200.00
$18.60
$218.60
8/2/2023
Interim PW
Director
Total Contract $2,400.00 $223.20 $2,623.20
I have reviewed the Change Or r information above and certify that to the best of my knowledge
d criptions and sts are t e a accurate.
Co et rovalSignature Public Works Directm
3i�-_F MtHVLL,-A UJlUSiZ
Printed Name & Title
Jacki Brown
Printed Name
Public Works Contracts Greater than $35,000: 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. Mayor
Total Contract Amount shall reset to reflect new Council -approved contract totals
authorized prior to the requested change order. $50,000•$100,000 require Mayoral
Approval. $100,000 and over require Council Approval Attest:
City Clerk
Public Works Contracts under $35,000, change orders that individually do not exceed
$7,500 with an aggregate cap of $10,000.
Public Works Contracts unbudaeted and under $7,500: All Change Orde3rs that do
not exceed an aggregate cap of $7,500 (Excluding underlying value), provided there are
departmental funds available in the budget.
All Departments: Mayor approves any and all Change orders that do not exceed 10%
of aithar auith4 67ed budget limit or contract amount established by City Council. With
a maximum aggregate amount of $100,000. Total Contract Amount shall reset to
reflect new Council -approved contract totals authorized prior to the requested change
order. Any individual Change order that is over $100,000 requires Council approval.
Council Approval Date
3
Additional sites:
Owner
Address
Location
MFR
Model
Serial
Size
Type
City Of Port Orchard
SOS Sedgwick
In landscape Box near Hotbox
Watts
LF007M S (IT
201485
1"
D&A
City Of Port Orchard
4383 Riflabird PI
in hotbox inside fence
Watts
909QT
626542
.75"
RPBA
City Of Port Orchard
4151 Lone Bear Ln
in hotbox inside fence
Wilkins
975cxL
3440633
.75"
RPBA
City Of Port Orchard
619 Bay St
SE side of building near meter
Febco
805Y
A003705
I"
DCVA