049-20 - Apply-A-Line, LLC - Supplement / Change Order 1r.65A6001
Authorization for Change Order No. I
Date: 71912020 Contractor: Apply-A-Line, LLC
Project:
Contract I lob#
2020 Thermoplastic
Application 175 Roy Rd SW c
Pacific, WA 98047
THIS CHANGE ORDER AUTHORIZES A TIME EXTENSION ONIY _ EXTEND CONTRACT END DATE TO
'ULY3lst,2020.
Amount
Contract History
Sales Tax Total Date Appvd by
Original Contract $za,qsz.zt 5:,zBo.zg S39,734.00 09-Jun-20 COUNCIL
Change Order 1 $o.oo 5o.oo $o.oo 09-Jul-20 PW DIRECTOF
Total Contract s36,453.21 s3,280.79 s39,734.00
I have reviewed the Change Order information above and certify that to the best of my knowledge descriptions and
costs are true and accurate.
"-.F
r Approval re Pub /City Engi
Ron Reilly, Assistant Vice President MARK R. DORSEY, P.E
c049-20
Printed Name & Title
Change Orders that do not exceed 10/", with a maximum of
S50,000, 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
$100,000, of either legally authorized budget limit or contract
arfiount established by city council are to be approved bythe
Mayor.
Change Orders over $100,000 or exceed a total of 10% require
Council Action.
Printed Name
Approved
Attest:
Mayor
City Clerk
UIENGINEERING\STREEnThermoplaslic\202o\Apply-A-Line\CO#1- C04g-20.doc
Council Approval Date