058-23 - Bremerton Backflow Services - Supplement / Change Order 2CITY OF PORT ORCHARD
Authorization for Change Order No. 2
Date: 8/28/23
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 $163.95 (applicable tax included) to capture three additional
Backflow tests for a total of 51 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 Sales 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
Dkector
Change Order 2
$150.00
$13.95
$163.95
8/18/2023
Interim PW
Director
Total Contract $2 550.00 $237.15 $2,787.15
I have revieyfed the Change Ord
information
ove and certify that to the best of my knowledge
d criptio an cos are true
accurate.
n ctor Aal ignature
Public Works6xector
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Jacki Brown
Printed Name &Title
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
amount established by City Council can be approved by the Public Works Director.
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
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 unbudgeted 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 either authorized 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 $200,000 requires Council approval.
Approved:
Attest:
Mayor
City Clerk
Council Approval Date
Owner Address
4045 McCormick Village Dr SW
3201 SW Old Clifton Rd
5000 SW Hovde Rd
Location MFR Model Serial Size
in hotbox Wilkins 350 AJU5517 .75"
in Utility Building Wilkins 975XL2 4977180 2"
in hotbox Wilkins 975XL2 4941286
Type
DCVA
RPBA
0.75 RPBA