HomeMy WebLinkAbout1 - Original Submission_ 20220414_Change Order_For Review.docxCITY OF BREMERTON
CHANGE ORDER
CONTRACT CHANGE ORDER NO: 1
PROJECT NAME: 2021 Pavement Marking Project
PROJECT NO:
315040 CONTRACTOR: Stripe-Rite, Inc.
ORIGINAL CONTRACT AMOUNT: $221,852.50 DAYS: 40
PREVIOUSLY APPROVED
CHANGES:
0.00 DAYS: 0
THIS CHANGE: $13,568.65 DAYS: 15
REVISED CONTRACT AMOUNT: $235,421.15 DAYS: 55
This Change Order covers changes to the subject contract as described herein. The Contractor shall
construct, furnish equipment and materials, and perform all work as necessary or required to complete
the Change Order Items. The increase or decrease in contract price shown below includes any
applicable taxes.
Rule 170 Rule 171 DESCRIPTION OF CHANGES INCREASE IN
CONTRACT
AMOUNT
($)
(DECREASE) IN
CONTRACT
AMOUNT
($)
CONTRACT
TIME
EXTENSION
(DAYS:)
X Add and remove pavement markings at several locations. See
document “Plastic Change Order Clarifications” for scope of
work. Change is added to Bid Item 1(Minor Change).
Add to Bid Item 1 (attached) remainder of estimate number 21-
4767 - $3,568.65
Add to Bid Item 1- $10,000
Total: $13,568.65
13,568.65 15
NET CHANGE IN CONTRACT AMOUNT
INCREASE OR (DECREASE)
13,568.65
ESTIMATED SALES TAX AT 9.0% N/A
TOTAL INCLUDING SALES TAX 13,568.65
Contractor acknowledges and accepts that this Change Order constitutes final settlement of all claims
of any kind or nature arising from or connected with any work either covered or affected by this Change
Order, including, without limitation, claims related to contract time, on-site or home office overhead, or
lost profits. Nothing in this Change Order shall limit the City’s right to bring a claim for past performance.
The undersigned Contractor approves the foregoing Change Order as to the changes, if any, in the
contract price specified for each item, including any and all supervision costs and other miscellaneous
DocuSign Envelope ID: 004E1F90-8FC2-4649-BBCD-E57A7CFD7744
CONTRACT CHANGE ORDER NO: _1_
PROJECT NAME: 2021 Pavement Marking Project
Page 2 of 2
Change Order
Rev. 09/2021
costs relating to the change in work, and as to the extension of time allowed, if any, for completion of
the entire work due to said Change Order.
This document will become a supplement of the contract and all provisions will apply hereto. It is
understood that this Change Order shall be effective when approved by the City of Bremerton.
The parties whose names appear below warrant that they are authorized to enter into a change order
that is binding on the parties of this contract. In addition, Contractor warrants that it has or will inform
the surety of this change, and shall take appropriate action to modify any bonds required under the
contract to address this change.
CONTRACTOR
Approved: DATE:
PROJECT MANAGER
Recommended: DATE:
DIVISION MANAGER
Council action is required as project cost will exceed approved budget. Yes No
Council action is required as change exceeds Mayors authority per BMC 2.76.110. Yes No
Recommended: DATE:
DIRECTOR OF PUBLIC WORKS AND UTILITIES
Recommended: DATE:
MAYOR
Approved: DATE:
APPROVED AS TO FORM: ATTEST:
___
KYLIE. J. FINNELL, Bremerton City Attorney ANGELA HOOVER, City Clerk
R:\Legal\Legal\Forms\FORMS ON COBWEB\Change Order Rev. 09 2021.docx
DocuSign Envelope ID: 004E1F90-8FC2-4649-BBCD-E57A7CFD7744
6/1/2022
6/1/2022
x
6/1/2022
x
6/1/2022
6/2/2022