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Home My WebLink About4440 +--------------------------------------------------------------------------+ -~nter Search Criteria, Press Esc Key to Transmit =l= --Press Del Key to Terminate Delete Mode =l= =f CHANGE Contract Transactions =l= =l= Contract Number 4440 =l= 1= 1= - -Vendor Name HOKKAIDO DRILLING INC - - - -Subject WELLFIELD IMPROVEMENTS - ANDERSON CREEK n "fDepartment ENGINEERING =f --Status Code CON 1= - - Amount $480149.65 -- n Begin Date 08/03/2004 -- - - Insurance End Date 10/28/2005 =f =f Type Amount Review Date 02/15/2007 =l= =l= GL $2000000.00 =l= 1= AL $1000000.00 =l= -- =l= "( Insurance Total $3000000.00 1= =l= Insurance Review Date 06/01/2005 -- =l= - - =l= Comments CHANGE ORDER #1-4/05 #2-8/05 =1= =l= VAULT 01/01/2007 - - =l= - - +--------------------------------------------------------------------------+ PUBLIC WORKS AND UTILITIES 3027 Olympus Drive * Bremerton, WA 98310-4799 * (360) 478-5318 * FAX (360) 478-5018 MEMORANDUM ~ ENGINEERING DIVISION TO: Paula Johnston FROM: Ned Lever DATE: October 28, 2005 SUBJ: Hokkaido Well Drilling, Anderson Creek Wellfield Improvements Project 'Ie; (j 0 I have received all the releases from the State of Washington and completed the necessary procedures for project closeout. The following documentation is attached for your files: Acceptance of Compensation and Release of all Claims Affidavit of Wages Paid ''Notice of Final Completion", Affidavit of Publication Certificate of Payment of State Excise Taxes by Public Works Contractor Certificate of Payment from the Employment Securities Department If release of retainage for this project is acceptable to you, please indicate by signing below then return this to me. I will see that the necessary accounting paperwork is processed to release the retainage. Please call me if you have any questions at X2398. ACCEPTANCE OF COMPENSATION & RELEASE OF ALL CLAIMS ft~'lderson Creek Wellfield Improvements General Construction Project Number R0241102 - Contract Number 4440 Hokkaido Drilling Inc. hereby indicates agreement with, and acceptance of, the final Contract Payment of$45,108.67, total retainage of$24,007.48, the total Contract Price of $521,442.52, including Washington State sales and/or use taxes, and the final Contract Time of 338 days, as full and final compensation for all Work performed in connection with Contract Number 4440, and does hereby release the City of Bremerton from all claims, liability, demands, daInages and actions of any kitld whatsoever, arising from performance of that Contract. Hokkaido Drilling Inc. By o:t1~ Date: S!P1lM3B112, 2ffii Title: - S1 NT Certificate of N otarv Subscribed and sworn to before me this 12TH day of SEPTEMBER , 2005 dr~ tl~ -. Prevailing Wage Section ,,;;,, ' Department of Labor & . ~ . __ _ _ - if - I, ".:':" i\ Affidavit of Wages Paid Industries _i,.... I.' -: .", if.% ,". ' PO Box 44540 Olympia, WA 98504-4540 Received: Affidavit Id: Status: 09/23/2005 79875 Approved on 09/29/2005 _,=-m"'A~~~_~~~"",""~~"",,"""~~"""" COMPANY Company HOKKAIDO DRILLING INC Information: HOKKADI017M8 600476850 License History 283,216-00 POBOX100 Industrial Insurance GRAHAM, WA 98338 Premium Status (253) 847-3579 Check Number: 29065 Company Signature: Yes ...,,.... - PROJECT Public Agency: BREMERTON, CITY OF County: KITSAP Multiple Counties? No City: KITSAP COUNTY Project Name: ANDERSON CREEK WELLFIELD IMPS Contract Number: 4440 Date Intent Filed: 07/28/2004 Bid Due Date: 06/09/2004 Award Date: 07/01/2004 Date Work 07/19/2005 Completed: Prime Contractor: HOKKAIDO DRILLING INC HOKKADI017M8 (253) 847-3579 Did Your Company Hire Subcontractors To Perform All Work? No Did Your Company Hire Any Subcontractors? No $ Amount: $499,782.63 Number of Owners: 0 EMPLOYEES' WAGES Journey Level Trades/Occupations County Trade Occupation Wage Fringe W~rl HoUl WELL DRILLERS & IRRIGATION -- KITSAP PUMP INSTALLERS WELL DRILLER $25.00 $0.00 1 1659. -- KITSAP WELL DRILLERS & IRRIGATION WELL DRILLER $22.50 $0.00 2 109.5 PUMP INSTALLERS WELL DRILLERS & IRRIGATION -- KITSAP PUMP INSTALLERS OILER $20,00 $0,00 1 83,5 Apprentice Trades/Occupations Dep~entofLaborandIndustries __ AFFIDAVIT OF WAGES PAID PrevaIlmg Wage .7 a () 75 (360) 902-5335 / '& Public Works Contract www.lni.wa.gov/prevaling wage $25.00 Filing Fee Required . This form must be typed or printed in ink. Project Name ANDERSON CREEK Contract # . Fill in all blanks or form will be returned for correction (see back). ~JELLFIELD IMPROVEMENTS 4440 . Please allow a minimum of 10 working days for processing. Contract Awarding Agency (public agency - not federal or private) fi~f!IIIII.II"IIIII.III'111!ll1!11'IIIIIJI!.1IIIIItlll!III;\1!,\1'. A~d~eTsY g~B~~~M ~~~~~ AND UTILITIES Contractor, company or agency name, address, city, state & ZIP + 4 3027 OL YMPUS DRIVE City State ZIP + 4 HOKKAIDO DRILLING, INC. BREMERTON WA 98310 P.O. BOX 100 Awarding Agency Project Contact Person Phone # GRAHAM WA 98338-0100 NED LEVER, PE . (360)473-2398 , County where work was perfonned City where work was perfonned KITSAP KITSAP COUNTY Bid due date (m/dly) Date contract awarded (mldly) 6 / 9 / 2004 7 / 1 / 2004 Prime contractor (has contract with the public agency) Contractor Registration No. Date work completed (m/dly) Date Intent filed (m/dly) -- HOKKAIDO DRILLING. INC. HOKKADI017M8 7 / 1,8 / 0!1 7 / ?R / 04 Craft/trade/occupation and apprentices (For apprentices, give name, Number i Total # hrs Rate of : Rate ofhOlrrly registration #, trade, dates of work on project and stage of progression) of Workers : worked-ea trade Hourly Pay j fringe benefits WATER WELL DRILLER/OWNER-OPERATOR 1 WATER WELL DRILLER 1 i 1659% 25.00. -0- -------------.---.----~------. I WATER WELL DRILLER 2 109% 22.50 i -0- -.----------- WATER WELL OILER 1 83% 20.00 -0- ! I , i Company name, address, city, state, ZIP+4 Indicate total dollar amount .........mmHOKKAIDO.DBTLLTNG...INC'm.. of your contract $ 499.782.63 I hereby certify that the above information is correct and that all P .0. BOX 100 workers I employed on this Public Works Project were paid no mmw. m less than the Prevailing Wage Rate(s) as determined by the GRAHAM, WA 98338-0100 Industrial Statistician of the Department of Labor and Industries. Contractor Registration No. UBI Sign HOKKADI017M8 600 476 850 Email address Phone number HOKDRILL@AOL.COM (253) 847-3579 CERTIFIED: Department of Labor and Industries t Issued By: I ; ~ 1 PAYMENT RECEIVED ! ~ . __._..,.,-,,-.,,-.,c::,;-;c; ! SEP 2 32005 INliUSTRIHL '.:~~H{ ~ji.~ i l.j..-! .~._-' ~ I By ! L&l i lnd . IS . . . ! CASHIERS J ustna. tahshclan ~.,.,.,.w..,. .......w...w.w.w....u.wu ...J ....."m.".'.'.M ...,,,., ,"".". ..w.<<.......,....,..w..~..w.. ,..,.....'w......,..., ........,.....,.w.w,"'....m....'....,>>...w,....'"mMwm.""".;4 F700-007-000 affidavit of wages 2-02 After APPROVAL. send white copy to Awardinll Allency. Canary copy - L&I AFFIDAVIT OF PUBLICATION Account #42742 / Ad # 100171288 STATE OF WASHINGTON COUNTY OF KITSAP I, Sarah Weller, being first duly sworn on oath, deposes and says: That she is now, and at all times embraced in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in which County it is published and is now and has been for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, a weekly newspaper in Kitsap County, Washington and is now and during all of said time, was printed in an office maintained in the aforesaid place of publication of said newspaper; that the following is a true text of a legal advertisement as it was published in regular issues (and not in supplement form) of said newspaper on the following dates, to wit: , September 20, 2005 and that such newspaper was regularly distributed to its subscribers during $28.15 which amount has not been paid in full. 'B, . LL (. . ,'" >',---- '" ~ ~.l,~T(/ / .. ~ ~ . ~ ~_..- (Signature of Principal Clerk) Subscribed and sworn to before me this day of September 22,2005. -. , \ ~ Notary Public in and for the State of Washington, Kitsap County. NOTICE OF FINAL COMPLETION. - Notice of final completion has been issued to Hokkaido Drilling Inc., on Contract No. 4440 for the Anderson Creek Wellfield Improvements project. Any parties having a claim for material, labor or damages with reference to this contract have forty five (45) days from the date of publication of this notice to file a claim.- Paula Johnson, City Clerk- 345 6th StreeC Bremerton, Washington 9833T September 20, 2005,,#100171288- Washington State Department of Revenue PO Box 47474 Olympia. WA 98504-7474 600 476 850 Certificate of Payment of State Excise Toxes by D..hI;c Wo"'k<' r.nr>t...a....tor ..L a ..L uu J. J. ~ ,"-,VJ.J.LJ. '-L HOKKAIDO DRILLING INC CITY OF BREMERTON POBOX 100 DEPT OF PUBLIC WORKS & UTILITIES GRAHAM WA 98338 0100 3027 OLYMPUS DR BREMERTON WA 98310 - We hereby certify that taxes, increases and penalties due or to become due from the above-named contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: CITY OF BREMERTON ANDERSON CRK WELLFIELD IMPS PROJ together with all other taxes, increases and penalties due from such contractor, have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained percentage. This certificate is issued pursuant to the provision of Chapter 60.28 Revised Code of Washington for the sole purpose of infonning the state, county, or municipal officer charged with the duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for excise taxes due from said contractor. This certificate does not release said contractor from liability for additional tax that may be later determined to be due \vith respect to the above-mentioned contract or other activities. Dated ()G-inb.tv- l3 IOS at Olympia, Washington, State of Washington Department of Revenue - . l'-~.L ~ Certifying Officer To inquire about the availability of this document in an. alternate format for the visually impaired or in a language other than English. please call (360) 486-2342. 1TY users may call 1-800-451-7985. REV 310028 (10-01-02) ROUTING: Disbursing Officer, Contractor, File, Special File . ~ -- Employment Security Department WASHINGTON STATE PO Box 9046 · Olympia, W A 98507-9046 CONTRACTOR: HOKKAIDO DRILLING INC ) CERTIFICATE OF POBOX 100 ) PAYMENT OF CONTRIBUTIONS GRAHAM, WA 98338-0100 ) PENALTIES AND INTEREST ON ) PUBLIC WORKS CONTRACT ES Reference No. 524877004 TO: CITYOF BREMERTON, PUBLIC WORKS & UTILITIES 3027 OL YMPUS DR BREMERTON, W A 98310 Tne Employment Security Department hereby certifies those contributions, penalties and interest due from the above named contractor under the Employment Security Act have been paid in full or provided for with respect to the following public works contract: ANDERSON CREEK WELLFIELD IMPROVEMENTS The Employment Security Department hereby certifies that it has no claim pursuant to RCW 50.24.130 against the public body named above for tax attributable to service performed for said public body by the above named contractor on the above described contract. The Employment Security Department releases its lien on the retained percentage, which is provided by RCW 60.28.040 for contributions, penalties and interest due from said contractor. This certificate does not release said contractor from liability for additional contributions, penalties and interest which may be later determined to be due with respect to the above mentioned contract. Dated at Olympia, Washington on October 3,2005. COMMISSIONER EMPLOYMENT SECURITY DEPARTMENT By ~. (Authorize Original-Disbursing Officer Duplicate-Employer Triplicate-Central Office Files EMS 8449 760 R3-98 - Verify Workers' Comp Premium Status: Account Information Did you know... ... that under Washington State law*, you may be liable for the unpaid workers' compensation (industrial Insurance) premiums of any business you hire or contract with? (*See RCW 51.12.070) Lal will track a contractor for you and tell you if their status changes. If this is a contractor whose premiums and license are current, a "Submit Contractor Tracking Request" link will appear in the certificate below. Click it to fill out a Tracking Request. If the contractor fails to pay workers' comp premiums or renew their contractor registration or if their electrical contractor license is suspended or revoked within one year of the start-date on your tracking request, Lal will send you a notification letter. Department of Labor and Industries Employer Liability Certificate Date: 10/28/2005 UBI #: 600 476 850 Business Name: HOKKAIDO DRILLING INC Legal Business Name: HOKKAIDO DRILLING INC Account #: 283,216-00 'Doing Business As' Name: HOKKAIDO DRILLING ft DEVELOPING Quarterly Premium Reports: Quarter 3 of Year 2005 Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid their premiums. Licensed Contractor? Yes -- Get contractor's License history. Submit Contractor Tracking Request here to be notified if this contractor's premium or license status changes during the next year. Risk Classification: Get risk classification information. Experience Factor: Get experience factor history. Account Representative: T7 I LINDA NEAL (360) 902-4873 - E-mail: REID235@lni.wa.gov Industrial Insurance Information The information above shows the employer's industrial insurance (workers' compensation) premium status with the Department of Labor and Industries. Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates or limitations of coverage. (See RCW 51.12.050 and 51.16.190.) About L&I I Find a job at L&I I Informacion en espanol I Site Feedback I HmO-54?- 8367 ~) Washington State Dept. of Labor and industries. Use of this site is subject to the lavvs of the state of Washington. Access/\greement I Privacy and security statement I Intended useiextemal content policy: Staff only link +--------------------------------------------------------------------------+ -~nter Search Criteria, Press Esc Key to Transmit 1= --Press Del Key to Terminate Delete Mode - - ;= CHANGE Contract Transactions -1- =1= Contract Number 4440 =1= =1= =1= 1=Vendor Name HOKKAIDO DRILLING INC =1= - =Subj ect WELL FIELD IMPROVEMENTS - ANDERSON CREEK =1= = -Department ENGINEERING =1= =l=Status Code CON =1= - - Amount $480149.65 =1= - - Begin Date 08/03/2004 =1= =f Insurance End Date 07/31/2005 =1= =1= Type Amount Review Date 02/15/2007 =f t GL $2000000.00 =1= AL $1000000.00 =1= - - =1= - - Insurance Total $3000000.00 =1= 1= Insurance Review Date 06/01/2005 =1= - - =1= - - Comments CHANGE ORDER #1-4/05 #2-8/05 =1= =f VAULT 01/01/2007 =1= =1=' =1= +---------------------------.-----------------------------------------------+ -dC{{;ttU AFFIDAVIT OF PUBLICATION Account #42742 / Ad # 100171288 STATE OF WASHINGTON COUNTY OF KITSAP I, Sarah Weller, being first duly sworn on oath, deposes and says: That she is now, and at all times embraced in the publication herein mentioned was the principal clerk of the printers and publishers of KITSAP SUN; that said newspaper has been approved as a legal newspaper by order of the Superior Court of the County of Kitsap, in which County it is published and is now and has been for more than six months prior to the date of the publication hereinafter referred to, published in the English language continually as a daily newspaper in Bremerton, Kitsap County, Washington, a weekly newspaper in Kitsap County, Washington and is now and during all of said time, was printed in an office maintained in the aforesaid place of publication of said newspaper; that the following is a true text of a legal advertisement as it was published in regular issues (and not in supplement form) of said newspaper on the following dates, to wit: , September 20, 2005 and that such newspaper was regularly distributed to its subscribers during $28.15 which amount has not been paid in full. (-) ", ~.. ~~~~ ~. _2 Subscribed and sworn to before me this day of September 22, 2005. (Signature of Principal Clerk) Notary Public in and for the State of Washington, Kitsap County. NOTICE OF FINAL COMPLETION' Notice of final completion has been issued to Hokkaido Drilling Inc., n Contract No. 4440 for e Anderson Creek Wellfield Improvements project. Any parties having a c mm or ma ena, abor or damages with reference to this contract have forty five (45) days from the date of publication of this notice to file a claim.- Paula Johnson, City Clerk- 345 6th StreeC Bremerton, Washington 9833T September 20,2005"#100171288- CITY OF BREMERTON CHANGE ORDER CONTRACT CHANGE ORDER NO: 2 PROJECT NAME: Anderson Creek Wellfield Improvements PROJECT NO: R0241102 CONTRACTOR: HOKKAIDO WEll DRilLING $460,205.00 DAYS: ($16,395.58) DAYS: $36,340.23 DAYS: $480,149.65 DAYS: 247 ORIGINAL CONTRACT AMOUNT: PREVIOUSLY APPROVED CHANGES: 91 THIS CHANGE: o REVISED CONTRACT AMOUNT: 338 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. DESCRIPTION OF CHANGES INCREASE IN (DECREASE) IN CONTRACT 0 ..... CONTRACT CONTRACT TIME ...... ...... AMOUNT AMOUNT EXTENSION ..... ..... Q) Q) ($) ($) (DAYS:) '3 '3 r:r: r:r: -- Increase Bid Schedule A - Well1R (N-2 Reconstruction): 13,581.45 0 Final adiustment for completed work. Additional costs incurred due to voids encountered. Well screen removal and reinstallation required to address subsurface subsidence. Increase Bid Schedule B - Replacement Well 6R: Final 10,788.34 0 adiustment for completed work. Additional time required for redevelopment and additional sand pack required to fill voids. Increase Bid Schedule G - Well 8 Rehabilitation: Final 7,710.44 0 adiustment for completed work and (WCD#5) Additional time required for redevelopment. Additional sand pack required to fill voids. Includes WCD#5 - Reconstruct old wellhead to eliminate leaks. Increase Bid Schedule J - Well 6 Abandonment: Final 4,260.00 0 adiustment for completed work. Additional time and materials required for grouting the well. NEt CHANGE IN CONTRACT AMOUNT 36,340.~3 0 INCREASE OR (DECREASE) Page 1 of2 CONTRACT CHANGE ORDER NO: L PROJECT NAME: 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 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. RECOMMENDED: -/ /L - p;eCT ENGINEER RECOMMENDED: ~ / t U CITY ~GINEER'7DIRECTOR OF PUBLIC WORKS 8/~l./oJ . , Date eJzr~ Date ACCEPTED: ~ / / L)/J """,L/ ~~) CONT~Td~ ~/t:io. .)~;y} ~G' .?/ ~ar- / ate APPROVED: tf-0?5- - Date APPROVED AS TO FORM: Page 2 of2 - '14011 ~-R 1:fI0" 11-2 ROCOnst",c\IOlIl "Tn'l0\c\n9 , tst"1\a~eo un\t. pr\Ce words a\d pr\ce 1'ot.a\S Quant.\\'.Y un\t.s un\t pr\ce oescript\on 1'\1irt.'/ se\len 1'\10usand $31,000.00 $37,000.00 Mobi\\'te and oemobi\iZe ~ Lump Sum $ _?-7 nOlL 'J'Jo "T\10Usand se\len $2,150.00 $2,760.00 l' complete sunaco seal I cernenl ~ Lump Sum $ ~ Hundred fi~ four "T\10usand fi\le $4,500.00 $4,600.00 cut ~6-inc\1 casing at 400 ~eet ~ Lump Sum $~ Hundred 1'32.~\)1J $"\,062.26 "\'j "CubIC "'f ards $---=::. ~ :Twent'J-fi\le "$44~O\):U\J $66~ ~uft'\ISn aean pea gra\l6\ ~~\J "Rours ~--.:: ~ one Hundred S~ . -a:."'2 ,.., 111 :01: $4,480.00 ~U\\10f\zed "f\OU1W 'NOrK ~u ~our $--.:: ~ one Hundred sii\'l Au1.nonie<fsnop ~ourW "\NOrK 1''J'Jen~ "T\10Usand 'FUft'\IStI 1 '1pe -:3Uq ~\a\\i\eSS- . $20,000.00 $2"\ ,976.00 steel Well screen \ ~ O-inc\1 pIpe fi~ed Est. LumP Sum $..1~ 1''J'Jen~-"T'J'Jo Oo\\ars and sIze) $~ ,515.00 $"\,576.00 10 L.f. $-~ fift\J cents $666.00 furnish ~ O-incn Well casing se\len Oo\\ars >l/""" . 120 "501f sacKS $~ :'FUft'\ISl\-oentonlte cNPS Nine Oo\\ars and $3,100.00 $6,087.60 400 50# sacKS $~ 1''J'Jent-l-fi\le cents fuft'\is\1 Co\orado Smca sand fi\le "ThOUsand furniSh EJdf" t-Aa\Ooals, ~2-inch $5,000.00 $2,77130 fi~ed Est. Lump sum $-~ E\e\len "ThOUsand fi\le riser and ~2~~0 be\\ reducer 'F""uft'\ISn, lns1al\.uperate ano Hundred Remo\le "Test pumP, power $~ ~ ,500.00 $"\"\ ,600.00 Source, and Equipment ~ LumP Sum $.J~ l\Operate 30 hOurs) $"\36,225.00 $"\48,806.46 subtota\ $~'\,629.35 $,\2,191.35 ~ $~46,854.35 $~6,\,603.80 total subtota\ ....- I~ ......-; ,total !~1,619.~ $11,797.3& ;46,8&4:3~ $~6~,603~ Replacement Well 6-R I Invoicing Description I Estimated Quantity I Units I Total Price Total Mobiliz~C!Jld Demobilize I 1 I Lump Sum I 50001 Drill for ahdlnstall I I Lump Sum I 330~ Surface Seal 1 Drill 16-inch Hole I 370 I L.F. I 203501 Furnish 16-inch Casing I 400 I L.F. I 140001 $12,110.00 Furnish and Install 16- I I Lump Sum 1 9001 inch Drive Shoe 1 $900.00 Drill 12-inch Hole I 240 I L.F. I 120001 $14,650.00 Furnish 12-inch Casing I 640 I L. F. I 256001 $25.880.00 Furnish and Install 12- 1 1 Lump Sum 1 400~ inch Drive Shoe 1 $400.00 Cut 12-inch Casing I 1 I Lump Sum I 40001 $4.000.00 Credit 12-inch Casing I 40 I L. F. I -6001 -$405.00 Furnish Well Screen I 1 Lump Sum 1 135001 Assembly Fixed Est. $6,496.95 Furnish Extra Materials I Fixed Est. I Lump Sum I 150J $2,216.55 Authorized Hourly Work I 80 I Hours I 128001 $28,400.00 Authorized Shop Hourly I 1 1 128~ Work 8 Hours $1,920.00 I I I I Furnish, Install, Operate and Remove Test Pump, Power Source, and Equipment (operate 30 hours) I 1 I Lump Sum I 100001 $10,000.00 WCD 3 - Furnish and I 1 Lump Sum 1 380001 Install Pump 1 $38.000.00 WCD 3 - Discharge I 1 Fixed Est 1 40001 Piping Materials 1 $5,369.84 WCD 3 - Discharge I 1 Lump Sum 1 500~ Piping Materials 36 $5.760.00 subtotal I 171,030.001 181.818.341 tax I 14,708.581 15,636.38 total I 185,738.581 197,454.72 Well 8 Rehabilitation I Estimated I Units I Unit Price I 1101 ALS Description Quantity Total Price Mobilize and 1 1 Lump 1 $4,500.001 $4,500.001 Demobilize 1 Sum $4,500.00 Authorized Hourly 1 1 1 $12,800.001 $12,800.001 Work 80 Hours $16,960.00 Authorized Shop 1 1 I $960.001 $960.001 Hourly Work 6 Hour $0.00 Furnish Extra 1 ILump suml $1,000.001 $1,000.001 Materials Fixed Est. $1,963.75 Pump 1 Fixed Est. kump suml $9,550.001 $9,550.001 $9,550.00 WCD 5 Replace I I I $160.0J $2.400.0J Wellhead - Hourly Work 15 Hours WCD 5 Replace 1 ILump suml $1,200.001 $1,200.001 Wellhead - Mat'l Fixed Est. Bid Sub-Total 1 $28,810.001 $36.520.441 Bid Tax 1 $2,477.661 $3,140.76 Bid Total I $31,287.661 $39,661.20 -EstUnated unit price 1'ota\ price 101 ALS Description Quantity units Mob\\\Ze and Lump $500.00 $600.00 ~ sum $500.00 oemobmze perforate 12 lnch 340 Lf $H.50 $5,950.00 $6,960.00 cas\nQ fum\sh Neat cement cublc $4,800.00 $$,1ao.08 ~6 'If ards $300.00 Grout Authorlzed Hour\"j ~O Hours $~60.00 $~ ,600.001 $2.,~'00 Wor\< l' ota\ $12.,860.00 $17 ;\10.00 1,106.10 $1,471.46 $13,965.10 $18,681.4E we\\ 6 Abandonment eia Sub-Iota\ BId ,a;: BId ,018\ $'\'7,1,\0:00 $1,471.16 $18,681.46 CITY OF BREMERTON WORK CHANGE DIRECTIVE WCD#: Five Page 1 Of 1 PROJECT: Anderson Creek Wellfield Project #: R0241102 Date: June 28, 2005 CONTRACTOR: Hokkaido Drilling Inc. YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOLLOWING CHANGE(S): Reconstruct the wellhead for Well 8 in accordance with the attached Drawings A TT ACHMENT(S): Wellhead detail Drawing. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following mE;!thods of getermining ttJe effect of the change(s). The Change Order will be executed in accordance with Section 1-04.4 of the WSDOT Standard Specifications. or Article 10 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: Unit Price o o Contractor's Records o o ~ o Lump Sum Time & Materials Engineer's Records Other: o Other: Negotiated Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract Times: $3,000 plus tax Substantial Completion: o days; $ If the change involves an increase, the estimated amount is not to be exceeded without further authorization. Ready for final payment: 0 days; If the change involves an increase, the estimated times are not to be exceeded without further authorization. RECOMMENDED: AUTHORIZED: CONTRACTOR CITY OF BREMERTON By: ~~~/ Lh,J By: 7;,/( /1 ab, FO~MS, Work Change Directive, 3-00 +--------------------------------------------------------------------------+ 9=Enter 9=Press + Search Criteria, Press Esc Key to Transmit Del Key to Terminate Delete Mode CHANGE Contract Transactions Contract Number 4440 9= 9= 9= =1. =l=vendor Name . 'Subj ect = .Departmen t =l=Status Code HOKKAIDO DRILLING INC WELL FIELD IMPROVEMENTS ENGINEERING CON - ANDERSON CREEK =1= + + Insurance Type Amount GL $2000000.00 AL $1000000.00 Amount Begin Date End Date Review Date $443809.42 08/03/2004 =1: 03/31/2005 -- 02/15/2007 + + + 9= 9= 9= 9= 9= 9= +--------------------------------------------------------------------------+ Insurance Total Insurance Review Date $3000000.00 .- 06/01/2005 -- Comments CHANGE ORDER #1-4/05 VAULT 01/01/2007 + /i C~H~::~~~~~ON A~~ , ... "0'" I " "~ Ii. '" ilJiJ:J I . ENGiNr:/:::DI" I' , CONTRACT CHANGE ORDER N : -f:;E~!.~~_qL~ PROJECT NAME: Anderson Creek Wellfield Improvements PROJECT NO: R0241102 CONTRACTOR: 460,205.00 DAYS: 0.00 DAYS: 247 ORIGINAL CONTRACT AMOUNT: , PREVIOUSLY APPROVED CHANGES: o (16,395.58) DAYS: 443,809.42 DAYS: 91 THIS CHANGE: REVISED CONTRACT AMOUNT: 338 This Change Order covers changes to the subject contract as described herein. The Contractor shall construct, furnish equipment and materials, and perform all work as necessary or required to complete the Change Order Items. The increase or decrease in contract price shown below includes any applicable taxes. DESCRIPTION OF CHANGES INCREASE IN (DECREASE) IN CONTRACT 0 ..... CONTRACT CONTRACT TIME ..... ..... AMOUNT AMOUNT EXTENSION ..... ..... Q) Q) ($) ($) (DAYS:) "3 "3 ~ ~ Replace Bid Schedule A - Well 1 R (N-2 Reconstruction): 31,575.00 30 (WCD#1) Rather than drilling a new WeIl1-R, Robinson & Noble recommended Well N-2 be reconstructed as a shallow aquifer well. Well N-2 will become WeIl1-R. Time extended due to change in scope. Delete Bid Schedule C - Replacement Well 3R: This well is (69,865.00) 0 being deleted from the project as the creek crossing has not been constructed to allow access to the site. Decrease Bid Schedule D - Well 7 Reconstruction. Final (3,829.36) adiustment for completed work. Delete Bid Schedule E - Well 5 Reconstruction. This well is (48,095.00) being deleted from the project as new information indicates that site soils encountered and setback restrictions from other wells make this well un-useable. See the attached letter from RtN. Increase Bid Schedule F - Well2R Rehabilitation: Fin~1 adjustment for completed work. Additional costs due tQ'"l" 6846.36 unforeseen drop in sand pack and resultant increase in development time. Increase Bid Schedule G - Well 8 Rehabilitation: (WCD#2) Purchase and installation of Pump and Motor, Pump Column, and Cable. 9550.00 Increase Bid Schedule H - Well 1 Abandonment: Final adiustment for completed work. Additional materials required. 222.42 CONTRACT CHANGE ORDER NO: 1 PROJECT NAME: Delete Bid Schedule 1- Well 4 Abandonment: This work is being deleted from the project as the creek crossing has not been constructed to allow access to the site. (11,800.00) Work Change Directive #3: Well 6R Pump: Purchase and Install WeileR pump and motor, pump column, and discharge piping. Time extended for materials purchase. 47,000.00 41 Work Change Directive #4: Abandon Well N-1 This well has been used as a monitoring well in the past. Recent monitoring has shown that it is not a suitable monitoring well. 22,000.00 20 NET CHANGE IN CONTRACT AMOUNT INCREASE OR (DECREASE) (16,395.58) 91 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 costs relating to the change in work, and as to the extension of time allowed, if any t 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. Page 2 of3 CONTRACT CHANGE ORDER NO: 1 - PROJECT NAME: 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. RECOMMENDED: "*;1/L PROJf'CT ENGINEER 1/zr)r Date RECOMMENDED: C ACCEPTED: ~ ;#~1- Date APPROVED: ~ MAYOR APPROVED AS TO FORM: Page 3 of3 CITY OF BREMERTON WORK CHANGE DIRECTIVE WCD#: One Page 1 Of 1 PROJECT: Anderson Creek Wellfield Project #: R0241102 CONTRACTOR: Hokkaido Drilling Inc. Date: February 1, 2005 YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOLLOWING CHANGE(S): Delete Bid Schedule A - Bid Form Replacement Well 1 R in its entirety and replace it with the revised Bid Schedule A - Replacement Well1R (Well N-2 Reconstruction). ReplacementWell1R will be moved to the existing Well N-2 which will be reconstructed in lieu of drilling a new well. See the attached Robinson & Noble recommendation letter dated November 1, 2004 which outlines the reconstruction scope of work and screen design. The scope will also include placing 2-3 inches of 2" minus gravel on the existing road access (approximately 700 feet). A TT ACHMENT(S): Robinson & Noble Letter, Revised Bid Schedule A - Replacement Well 1 R (Well N-2 Reconstruction) If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following methods of determining the effect of the change(s). The Change Order wiii be executed in accordance with Section i -04.4 of the WSDOT Standard Specifications,. or Article i 0 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: o Contractor's Records o Engineer's Records ~ Unit Price 0 Lump Sum 0 Time & Materials 0 Other: o Other: Negotiated Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract Times: $ 34,290.45 Substantial Completion: 30 days; If the change involves an increase, the estimated amount is not to be exceeded without further authorization. Ready for final payment: 30 days; If the change involves an increase, the estimated times are not to be exceeded without further authorization. RECOMMEND~ CO~~~ ~ By d~~ ,t;u)Jr ~nL AUTHORIZED: ~;?/C / CITY pF BREMERTON zh/~r By: ab, FORMS, Work Change Directive, 3-00 ROBINSON & NOBLE, INC. and Saltbush Environmental Services GROUNDWATER [, ENVIRONMENTAL SCIENTISTS Established 1947 t'-lovember 1, 2004 Ned Lever, P.E., Project Manager City of Bremerton Public Works & Utilities 3027 Olympus Drive Bremerton, W A 98310 Subject: Anderson Creek Wellfield Improvements Well Screen Design Recommendation for Reconstruction of Well N-2 Dear Ned, This letter provides our recommendation for the well screen design for the reconstruction of Well N-2. A rough drawing (not to scale) is attached for your review. Our research for the Task 1 Pre-design Evaluation showed that the SAA is present in Well N-2. This well was drilled into the Deep Artesian Aquifer (DAA) in 1986 but its yield was not acceptable and it was capped. At that time, a recommendation was made to complete it in the SAA, but the reconstruction was Rot authorized. Because the Well N-2 geologic log shows a thicker section of SAA than shown for any other Anderson Creek well, we recommend abandonment of the DAA completion and reconstruction into the SAA. This design utilizes the complete thickness of aquifer sediments present. Our proposed screen design for Well N-2 is listed below in Table 1. Table 1: Well N-2 Screen Asse,~blyDetails" 'q"., 'H~J~?f~i)X :)(~~{":":;'~1~1! ;:<> .. ..; :;.:"'(:";~tp~h}~~{~i'{;\~;~}f:;::~Y~~:;;~:";':. .l ,:':. .,. ~ < - -:. .'. .- ~: ~.. . ..,~ ,,-,." ,. . . '". ".' Riser 140 149 12-inch pipe with Centralizer at top Reduction 149 150 12 to 1 a-inch bell reducer 0.040-slot screen 150 155 Relief screen B lank riser 155 180 Centralizer 0.040-slot screen 180 26()'. Blank 260 270 Centralizer 0.040-slot screen 270 280 Blank 280 290 Centralizer 0.040-slot screen 290 300 Blank 300 310 Centralizer 0.040-slot screen 310 325 Blank 325 335 Centralizer 0.040-slot screen 335 345 Tailpipe 345 350 Flat steel plate bottom Notes: All screens are 1 a-inch pipe size. All screens are Type 304 stainless steel, v-wire construction with extra column and collapse strength. All measurements are referenced to ground surface at the time of well construction. 5320 Orchard Street West . Tacoma, Washington 98467. (253) 475-7711 . Fax: (253) 472-5846 e-mail: mail@robinson-noble.com Ned Lever November 1, 2004 Page 2 We have specified extra column and collapse strength for these well screens because of the 10-inch pipe size assembly's 210 foot length. The assembly \fvill be placed inside the 16-inch well casing that will be extracted from 350 to 180 feet as the Colorado silica sand size 8-12 filter pack is installed in the annulus. We estimate it will require at least 270 sacks (50 pound) of sand. We have sent our proposed sealing plan to Bill Lum (Kitsap Department of Health) who passed it on to the Department of Ecology for review. Backfilling the existing well between 876 and 405 feet will require placement of about 12.6 cubic yards of clean pea gravel. The 16-inch casing will be cut at 400 feet and extracted before the seal is placed in the open borehole between 405 and 355 feet. The seal will require approximately 40 sacks (50 pound) of bentonite chips. Approximately five feet of pea gravel will be placed on top of the chips to provide a solid base for the well screen assembly. Please call if you have any questions or need additional information. Sincerely, R~Noble & Saltbush, InC'0 . II-/~C:~ Douglas C. Dow, L.HG. Senior Associate Hydrogeologist/Project Manager Enclosure CC: Hokkaido Drilling, Inc. BID SCHEDULE A (Revised) - BID FORM - WELL 1 R (N-2 RECONSTRUCTION) litem I Description I Estimated I Units I Unit Price I Unit Price Words I Total Price Quantity 11, 1 Mobilize and Demobilize I 1 I Lump Sum I $ 37,000 I Thirty Seven I $. 37.000 Thousand 12. I Complete surface seal/cement I 1 I Lump Sum 1$ 2.750 I Two Thousand 1$. 2.750 Seven Hundred Fifty 13. I Cut 16-inch Casing at 400 feet I 1 I Lump Sum 1$ 4.500 I Four Thousand Five 1$, 4.500 Hundred 4. I Furnish clean pea gravel I 13 I Cubic Yards I $ 25 I Twenty-Five 1$, 325 5. I Authorized Hourly Work I 280 I Hours I $_ 160 lOne Hundred Sixty I $, 44.800 6. I Authorized Shop Hourly Work I 20 I Hour I $_ 160 lOne Hundred Sixty 1$, 3.200 7. I Furnish Type 304 Stainless-steel Well I Fixed Est. I Lump Sum I $ 20.000 I Twenty Thousand I $, 20.000 Screen (1 O-inch pipe size) 8. I Furnish 1 O-inch Well Casing I 70 I L.F. 1$ 22.50 I Twenty-Two Dollars 1$ 1.575 and Fifty Cents 19. I Furnish bentonite chips I 125 I 50# sacks 1$ 7 I Seven Dollars I $_ 875 ~10 I Furnish Colorado Silica Sand I 400 I 50# Sacks 1$ 9.25 I Nine Dollars and I $- 3.700 Twenty-Five Cents 11. I Furnish Extra Materials, 12-inch riser I Fixed Est. I Lump Sum 1$ 5.000 I Five Thousand 1$ 5.000 and 12x10 bell neducer Furnish, Install. Operate and Remove I I 1$ 11.500 I Eleven Thousand 12. I Test Pump, Power Source, and 1 Lump Sum Five Hundred 1$ 11.500 Equipment (operate 30 hours) Subtotal for Bid Schedule A (Revised 2/2/05) $ 135.225.00 Sales Tax 8.6% $ 11.629.35 Schedule A (Revised) Total Bid $ 146.854.35 ANDERSON CREEK WELLFIELD IMPROVEMENTS BID SCHEDULE A (Revised 2/2/05) WELL 1 R (N-2 RECONSTRUCTION) PAGE 00300- CITY OF BREMERTON WORK CHANGE DIRECTIVE WCD#: Two Page 1 Of 1 PROJECT: Anderson Creek Wellfield Project #: R0241102 CONTRACTOR: Hokkaido Drilling Inc. Date: March 22, 2005 YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOllOWING cHANGE(S): Provide and install a Grundfos 625S400-2, 40 hp pump and motor, motor cable, spice kit, and labor and equipment to install pump and motor and well column. The City will retain ownership of the existing pump and motor. The City of Bremerton will be responsible for coordinating the electrical service upgrade with PSE and any electrical upgrades in the well house. A IT ACHMENT(S): Price estimate from Hokkaido Drilling. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following methods of determining the effect of the change(s). The Change Order will be executed in accordance with Section 1-04.4 of the WSDOT Standard Specifications, or Article 10 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: Unit Price o o Contractor's Records o [gJ o D Lump Sum Time & Materials Engineer's Records Other: o Other: Negotiated Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract Times: $ 10,371.30 ($9,550 plus tax) Substantial Completion: o days; If the change involves an increase, the estimated amount is not to be exceeded without further authorization. Ready for final payment: 0 days; If the change involves an increase, the estimated times are not to be exceeded without further authorization. RECOMMENDED: AUTHORIZED: ~/O(lVi.7t> ~/l~'/h/Jttl sz1/l.<:' CONTRACTOR CITY OF BREMERTON By ~J~.~LJ~~- ~~) By: ~/C / ~) LEvez.. g/t"Z~J . ab, FORMS, Work Change Directive, 3-00 i ~ Hokkaido Drilling, Inc. Phcjme (253) 847-3579 . Fax (253) 847-7404 .. E-mail: HOKDRILL@AOLCOM i ! March i2l, 2005 City or Bremerron 3027 Qlympus Drive Breme..,ltf:on, Wash. 98310 ATTENTION: NED LEVER RE: P1[ice estimate for replacement pump for WellS Mr. Lever: Please find the following estimate for Well 8 Pump Replacement. , This espmate is based upon our conversations regarding a 40 h.p. pump. If you "ave any questions or need any additional intbnnation, please contact us at anytim~. Thank-you very much for considering us for this phase of work. We appreciate this OPPOIl~nity to be of service. Sincerely, HOK.K~O DRllLING, INe. BILL Y! A. DODGE Presidept 1. Proyide Grundfos Pump with motor (Mpde1625S with Centripro motor) . I 7 : qt::-(~,..-:-- $5,000.00 plus tax ; "An Equal Opportunity Employe,." · ']-800-833-63881TY (TDD) 245~ 1 - 104th Avenue Court East . P.O. Box 100 . Graham. Washington 98338 7a ~I:'\H..J nnTH">l">lnW babJJbA!:'C7 hT:aT Caa7JT7/!:'a ~ Hokkaido Drilling, Inc. Phone (253} 847-3519 . Fax (253) 847-7404 - E-mail: HOKDRILl@AOl.COM PAGE 2 ATTE~TION; f'JED LEVER I . 2. ProividG C6td~3 P~I' ':litk fReter. (~~8el go> ~C \vith CeRt:rlf.lFs meter) pille t~y I Nor USeD i4, 17).00 )-."* 3. Provide and iOstall Grundfos pump assembly $9,550.00 plus tax * q - Previae ;u~d iest:!!! Gm:aIes: (3HfRl' CeefR8!y . . $8,80e.QQ t f>lw EfBi Mr vrfD * Includes: 1) Pump 2) Motor 3) Pump cable 4) Splice kit 5) 1" PVC sounding tube 6) Labor and equipment to install "An Equal Opportunity Employer" . 1-800-833-63881TY (TDD) 245:11 . l04~b Avenue Court East. P.O. Box 100 . Graham. Washington 98338 "Cl ":lC'lH..l nn T tj)f>lnl-l bCl!:>.} } !:>A~C:7. kT:ClT C:ClCl7.JT7.}~Cl Mar. 17. 2005 2:S5pfll Ferguson Enterprises 3037 PERFORMANCE;:CURVES 625 GPM No. 3367 P. 5 MODEL 6255 I. I' FLOW RANCfF: '125 - ~O GPM I ~ ' . OUTLET SIZE: 6" NPT NOMlr-fAl 01A. 10" . ; 500 90 600 .,.---. -.,.---_.- 80 I=' w ill u.. - ~ 300 ' ) X . . ~ t... f) ffi u [[ u. W' . --'!'---- ----~--...c::::---- :..........:;:---~-- r--- p-==- i:~: :;~~:;:= --:1:----------- :c _ _ :: ~ III .. :=.- - - - - ~ --::??:;;.~:;::t;;:-- - ____._____ _____ ____::t:: -~ _ _ _ _ _ _ _ _ _ _ _ _ _ _._ _ _ _ _ I _ _ ~ - ------------ ~=~==----- 200 100 -r-- -"T'--- I. .1. :..a.p - - o o 100 200 300 400 500 CAPACllY (GPM) 600 700 800 ..,' PBtfonnanca conforms to ISO ~oo AAIliX A "m) 8 , 0 Il mIn. Stlbml!fU8f1C'l, --r . l SPECI~ SUB. ECT TO CHilNGE WliHOUl NOTICE. f' l\lOJOR SfANOAFIq 5.ftO HP~P APM. 8' MOroR ~ ~1GO HP~ APM. . Al\em818 moIOl' :lil.e:i ~ JalIatI6. . !. i", C:_UNDFOSi',' , 4-28 ....0 'J,t:\H--.J nrtTld"f'>lnU bfAbJJbR~G7. hT.:fAT. GfAfA7.JT.lJEfA ?FS~~ 'C> ....., ",,, ....., .,; :z 4C) ~ 3C) w r-- ~ "'""' <:::> ~ 2() m ... 15 ... "" c.. - I .. i to 0. '- .... ~ c ~ l.U 2p :~:"' C"P""\ ~ .. C""'l rCJ.lUl4 &CU<<:l. (S) w --. N .... --. N (S) cs:: (J" I~~IO. 'CLl6rt:ll4ll~C.IIC1.' r-C..o"'~E 1&iIMcE t"EMNO. ICWlTOMI!F'1 laNCN'ACrrY l"IFR:IENtV rFJ.l ,F.T.1DH ... cs:: .. ~ ... '" hETstS r....: (J l.L CC $> "' "' $> cs:: $> , , EFFICIENCV COAAECTION I . I I I PERFBASlED ON STD. MTL'S lmpeller= ASt5:! Ns" 2 El49 f<,.. 4.00.1.BS/FT 5.9i KG 1M K (Bal.)== "fA :r c ;,; r I: ... l: C " l I G r ( ~LIJJe? - ~ =_.~~. C t CITY OF BREMERTON WORK CHANGE DIRECTIVE WCD#: Three Page 1 Of 1 PROJECT: Anderson Creek Wellfield Project#: R0241102 Date: April 18, 2005 CQNTRACTOR: Hokkaido Drilling Inc. YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOllOWING cHANGE(S): Well6R Pump. Provide and install a Grundfos 1100S1250-3, 125 hp pump and motor, motor cable, spice kit, and labor and equipment to install pump and motor, well column and discharge piping. The mag-meter and vault, controls, telemetry, and power service will be installed at a later date. A IT ACHMENT(S): Well 6R Drawing. Price estimates from Hokkaido Drilling. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following methods of determining the effect of the change(s). The Change Order will be executed in accordance with Section 1-04.4 of the WSDOT Standard Specifications, or Article 10 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: D Contractor's Records D Engineer's Records D Unit Price D Lump Sum ~ Time & Materials D Other: D Other: Negotiated Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract Times: $ $47,000 plus tax Substantial Completion: 41 days; If the change involves an increase, the estimated amount is not to be exceeded without further authorization. Ready for final payment: 41 days; If the change involves an increase, the estimated times are not to be exceeded without further authorization. RECOMMENDED: AUTHORIZED: ^r6~/<6vdo tA/~1f J ~L. CONTRACTOR ~/( CITY oF'SREMERTON By: ~~~ CAs) By: ab, FORMS, Work Change Directive, 3-00 ~ Hokkaido Drilling, Inc. Phone (253) 847-3579 . Fax (253) 847-7404 . E-mail: HOKDRILL@AOL.COM April 8, 2005 City ofBremerton 3027 Olympus Drive Bremerton, Wash. 98310 ATTENTION: NED LEVER RE: Price estimate for pump for Well 6R Mr. Lever: Please find the following estimate for We1l6R pump. This estimate is based upon the "Well 6R Development Pump and Piping Installation" sheet I received from you on April 1, 2005. If you have any questions or need any additional information, please contact us at anytime. Thank-you very much for this opportunity to be of service. Sincerely, HOKKAIDO DRILLING, INC. ~ President "An Equal Opportunity Employer" · 1-800-833-6388 TIY (TDD) 24511 - 104th Avenue Court East . P.O. Box 100 . Graham, Washington 98338 ~ Hokkaido Drilling, Inc. Phone (253) 847-3579 . Fax (253) 847-7404 . E-mail: HOKDRILL@AOL.COM PAGE 2 ATTENTION: NED LEVER WELL 6R 1. Provide and install 125 h.p. Grunfos pump - LUMP SUM $ 38,000.00 plus tax Includes: a) 1l00S125-3 GR 10" sub. pump end b) Centripro 8" 125 h.p. 460 volt 3 phase motor c) 6" pump column - 294' d) Two (2) 6" check valves e) 16" x 6" well head base plate t) 0000/3 flat pump cable g) Two (2) 1" sounding tubes h) 16" weld on flange Does not include: a) Mag starter or any other electrical components. b) Any piping or fittings beyond well head. "An Equal Opportunity Employer" · 1-800-833-6388 TlY (TDD) 24511 - 104th Avenue Court East. P.O. Box 100 . Graham, Washington 98338 ~ Hokkaido Drilling, Inc. Phone (253) 847~3579 . Fax (253) 847-7404 . E-mail: HOKDRILL@AOLCOM April 18,2005 City of Bremen on 3027 Olympus Drive BremertoIl, Wash. 98310 ATTENTION: NED LEVER RE: Price estimate tor We1l6R piping from wellhead to City ofBremerton mainline Mr. Lever: Please tind the following estimate for the above referenced project. per your request. This estimate is based upon "WeIl6R Development Pump and Piping Installation" drawing and our recent phone conversations. Please note that this estimate does not include any vaults. If you have any questions or need any additional information please contact us anytime. Thank-you very much fortbis oPPOrtunity to be of service. Sincerely, HOKKAIDO DR.ll..LING. INC. BILLY A. "DODGE President "An Equal Opportunity Employer" · J-800-833-6388 TlY (TDO) 24511. t04th Avenue Court East · P.O. Box. 100 . Graham. Washington 98338 l0 39tld OaItl>l>lOH P0PLLP8E9l 61:60 900l/B1/P0 .. ~ Hokkaido Drilling, Inc. PlIo... (253) 847-3579 · fax (253) 847-7404 · E-mail: HOKDRlU-@AOL.COM PAGE Z ATTENTION: NED LEVER 1. Provide materials at cost, plus 15% (estimate) $ 3,000.00 2. Labor to install piping - Estimate 30 hours@ $160.00/hr. 4,800.00 Washington State Sales Tax @ 8.6% $ 1,800.00 610.80 $ 8,470.80 "An Equal Opportunity Employe," · ]-800-833-6388 TrY (TOD) 24511 - 104th Avenue Court East. P.O. 80x 100 . G..aham, Washington 98338 Hl 39t1d OOI!;1)i)iOH vlavLLv8E9l 61:6la 9lalal/81/vla powER CABlE aJ ,..NCH A.RNACUUM ASSEMBl'l '" A.R VACUUM ~1ANCHVEt<t1\JBE WrrH SCREEI1 ~ '-\NCHAlflJVACUUM p.SSEM6L'I ApCO (l'IP. 2 PlACES) ,..NCH OAlV. S1EE" "1" wm< JI, _ INCH \lA1.l. VAlVE. ~ 114 114 8<'S"NO ,,,INCH CAS.NG 6" SCH. 40 S1EEL pUMP COl.IJMloI ~Y'JELL HEAO OETA\L '1" :: '1' . 0" ~ ~ % '\ _800-424-5555 NO. REVISIONS DESCR.P1l0N DAlE 6'1 o ," 2~ ~ 'FNO'S~ ~ HORa. HSCALE valT. VSCALE ALL ,,,PS SHALL BE M"OE cROM ""CH SIDE Of ....10 p,-,,-rE ,O....E MIOOLE 01'....10 p,-,,-rE ,0 ALLoW p,-",E 10 BE USED AS A COUPLING. '" DRILL & ,J>J' cOR 1" N.P.'. pLUG (3 REO'O). OJ DRILL & ,J>J' cOR 2" N.P.'. PLUG (1 REQ'O). NO,E: BOL' HOLES MUS' BE ORIU.EO VII.... UNIfORM "NGULI'J'. Sp"CING ,0 ALLOW ROT" TION IN l'5SEMBL ~ OrTHE SURf",cE plJ'-rE W.R.'. ,HE 150LB. SLlP-ON fLANGE. o ORIU. (12) 1" OIl\. 1<0LES ON 1'S' OIl\. BOlO CIRCLE. '\ \ \ \ \ \ \ '\ \ \ C\TY Of BRENlERTON D............'" DF PUBLIC WD1U<' & UT.UTIES ENGltlEER\NG ONlSlON OAlE 2005 nELO BOoK fl8J)BOoK CHECKED B'I: 11< DRAWING NO. \ DRAWN B'I: Lf ~OAlE 2005 DESIGN B'I: EDWlN. r.LEVCR WASH. P.E. U 30747 DAn: 2005 ------ sueMERSI13LE PUMP INSI ALLA liON WELLli ~ SURfACEPlA1EO.D.~ n;'I<~ .11'. :T\Q!J. ~~ MAKE ___ #OfSTAOES ~ oP!.l ~ T.O.H. MAKE ~ ~ ~ ~ ~ ~ ~ --- p(OdUC\ NalT\e: product NUJl'bef: HP. R.Pj,\. VOTA~ AMPEflAGE MA 1ERlA\.; cOMMEtfTS: ======--== NOlES: ,. pUlAP cor<fROL ""0 ELECmIC"'- SER\I1CE WILL BE PROVIDED BY 01\-\ERS. 2. PR0\l10E" PRECl'5' V "UL, fROIA UTILITY V "UL'. MODEL 515-1J'. LID SI<ALl BE "'" ALUMINUM'TWO LEf'J' H" ,CH ,.p'TE[) cOR >1-20 LOpJ)ING. V "UL, s>-\,b.I..L H" VE NO BOnOM ","0 SHALL Sf>JloLE TI<E PIPE. 3. PROVIDE 'TWO 1_INCH "PCO 143-C COMBI"" TION NR V"LVES wrrH1-INCH '-"RGE ORIfiCE. PROVIDE 1-INCI-l G",-v"NIZEO S,EEL VEI'If W"H SCREEN. APPROvED 8'1: RECOMMENDED 6"(: ~ CITY ENGINE(R WASHINGTON p.(.# SB595 ~ MAN AGING_Ei'\GINE(R-U1\LI 1\ES WASHINGTON P.E.# S074S SrlEEf V4ELL 6R DEVELOPMENT pUMP AND PIPING INSTALLATION '" " z g 0. 'i 0. Of .------------------- CITY OF BREMERTON WORK CHANGE DIRECTIVE WCD#: Four Page 1 Of 1 PROJECT: Anderson Creek Wellfield Project #: R0241102 CONTRACTOR: Hokkaido Drilling Inc. Date: April 18, 2005 YOU ARE DIRECTED TO PROCEED PROMPTLY WITH THE FOLLOWING CHANGE(S): Abandon Well N-1 in accordance with the plans and specifications. A IT ACHMENT(S): Price estimate from Hokkaido Drilling. If a claim is made that the above change(s) have affected Contract Price or Contract Times any claim for a Change Order is based thereon will involve one or more of the following methods of determining the effect of the change(s). The Change Order will be executed in accordance with Section 1-04.4 of the WSDOT Standard Specifications, or Article 10 of the General Conditions. Method of determining change in Contract Price: Method of determining change in Contract Times: o Contractor's Records o Engineer's Records 0 Unit Price 0 Lump Sum ~ Time & Materials 0 Other: o Other: Negotiated Estimated increase (decrease) in Contract Price: Estimated increase (decrease) in Contract Times: $ $22,000 plus tax Substantial Completion: 20 days; If the change involves an increase, the estimated amount is not to be exceeded without further authorization. Ready for final payment: 20 days; If the change involves an increase, the estimated times are not to be exceeded without further authorization. RECOMMENDED: AUTHORIZED: ~~~o..J;/o ~/~~C-. CONTRACTOR ~// CI-7"OF BREMERTON -.. By: ~cy2r/ CP'/./W" ) ~ By: ab, FORMS, Work Change Directive, 3-00 ~ . '. '.. ........ ... '.._ - -'_'- -i" ,~- ;~--" ,,-- -, _ _ ... ... ... . ,- ,,- ~ ,','J, ',- '.'_ .- "" 'm ,_ _ _ - - ,-",.' ,-._' ,--, -. - - -. HokkaidoDrilling, Inc. . __ _ _ _ _ __ d __ _ _ _, _ 'd _ _ , _. _, __ . _____~___ _ _, . _ _ _ _ Phone (253) 847-3579 . Fax (253) 847-7404 . E-mail: HOKDRILL@AOL.COM April 5, 2005 City ofBr~lllerton 3027 ()lympu,sDrive Bremerton; Wash. 98310 ATTENTION: NED LEVER RE: Price estimate to Decommission Well N-1 Mr.' Lever: Pleasefin(ltij~ foU?wn,gprice estilllClte to ,decommission Well N-l. This estimate is b~sedupon()ur convetsationsand Infotmation pr()videdby Doug Dow. If yo;uh,~veanyquesti()ns or need any Cldditiotial infortuation, please contact us .at anY:tiInl~~ thatlk~Y()ll\l'~ryni~~I1::~e'apprecjaf~thi~';QPBQ~mtyto he. of service. . . , . " H0~O~I)R:iLhiN6INC - - ., --~' - -- '- " '" ,', - , '. -, -, . , ,,; .,' '.'.'\"~""'.'>...... ~"......,..., ...,. .' :,.."..., ., '.,..... '. '. . ';:y.kl)Q~~ · Pfesi<t~1it ., . " , 1.Dec()IDIIli~si0none{1)16" wellx252' 'deep~per . WAC; r73;'l6.0-381'(1)(~)(i)(ii)(iii)- LUMPS-tIM, . ,IncluQes:'a)~o1)iliia.tion~DeIriobiliiation . p) 'Petfora'tiIlgJ6"qasmg .from .. ..... ...~~.}~~~~~~f;~; .. ....' .......................-:1 ~R et:t;lV'J;!O.' ,',.' " '-'. --':~;:' --.. ~'--- -c-:~:x:'<;'---' ::-:' .APR,~:1'~~~~'.... , j,.- ,j '-':'f',: ;,;: 2*5il,1~:=~::.;::~~~~:;t:~3'631lli..,j~rlfhrll'. _ . :~'~':/ ,:: _ )" c': ':>~'~'" 'T' ',''', '; -'_~ _~ -; , , '< -;,'_:) :- - -: ~, _ -'.: ~~.~' :' ~(',~:-";:;~" >;' \EN~\Nf;eRI~l~1~jl~I~19~L . - , -' ~ ,-,-_., ~ .. . .. '< - -=: ',," . ;,:~ ~~~::"": . ;.. .. ',-,,',-,:. ", -", -- -', - .'~ 0' .c, ',~", - , 'I'" " .- - - Holf1caido Drilling, Inc. _ ,,, _ _ __~-_ _"__ ,..', c_ _ ,_ _ _ H _ __ _ _ _ . __ _ _ _ _____ _ _~ _ __, _ _, __0__ -;c- d _ . Phon~ (253) 847-3579 . Fax (253) 847'-7404 . E-mail: HOKDRILL@AOL.COM PAGE 2 ATTENTION: NED LEVER c ) Pressure grouting fi;~11l,252:~01Cl.Ildsurface with 30% high-solids bentonite grout. d) Installing 20" surrace s~alandrern()vihg 20" surfacecasiIig. ASSUMPTIONS: 1) Procedure is approved by Kitsap County Health Dept. 2) Nothingneedsto'bec,iop.eiyithtlie:wellfrom 252' to 335' 3)---SIifface-cast1jgts~ncrp:ee.lrei.;t1p;tn~~()'c;frolll~land-surface~.~... 4) \Me~wi1!;~~H~~;~RW'~?rf~p..~li~,.~~~~1~~~I..Pf:~9J:l,t;' whiChis.15o/lill:Qf;e'thail:the.ca;&A'f ;YQhtme. . WQulithe ~tmf~~~J$\i\tili(t~t~~lli],~"'. . 5) lO"W~U':~~s'i~~i~,t~ei~q;toAA~;iioai19\V .ro{~e~or~ting. , . '24511.:':4:";~::::i:;;T;;~;;:!:i~~ii,~~~j~~~1J) +--------------------------------------------------------------------------+ ~Press Esc Key to Insert new record, Ctrl-Z to Clear form + "Press Del Key to Terminate Insert Mode t .. INSERT Contract Maintenance . Contract Number 4440 .. = :Vendor Name "Subject , 'Department "Status Code HOKKAIDO DRILLING INC WELLFIELD IMPROVEMENTS - ANDERSON CREEK ENGINEERING CON =. Insurance .. Type Amount " Press F1 for GL $2000000.00 .. valid insuranceAL $1000000.00 " type codes Amount Begin Date End Date Review Date $499782.63 O. 08/03/2004 " 03/31/2005 O( 03/01/2005 'f 1 Insurance Total Insurance Review Date $3000000.00 .. 06/01/2005 Comments " , +--------------------------------------------------------------------------+ SECTION 00500 - AGREEMENT THIS AGREEMENT is dated the ~ day of ~ in the year 20 by and between City of Bremerton (hereinafter called OWNER) and HOKKAIDO DRILLINC: IN£. (hereinafter called CONTRACTOR). OWNER and CONTRACTOR, in consideration of the mutual covenants hereinafter set forth, agree as follows: ARTICLE 1. WORK. CONTRACTOR shall complete the WORK as specified or indicated in the OWNER's Contract Documents entitled Anderson Creek Wellfleld Improvements. ARTICLE 2. CONTRACT TIMES. The WORK shall be completed by March 31,2005. ARTICLE 3. LIQUIDATED DAMAGES. OWNER and the CONTRACTOR recognize that time is of the essence of this Agreement and that the OWNER will suffer financial loss if the WORK is not completed within the time specified in Article 2 herein, plus any extensions thereof allowed in accordance with Article 12 of the General Conditions and Supplementary Conditions. They also recognize the delays, expense, and difficulties involved in proving in a legal proceeding the actual loss suffered by the OWNER if the WORK is not completed on time. Accordingly, instead of requiring any such proof, the OWNER and the CONTRACTOR agree that as liquidated damages for delay (but not as a penalty) the CONTRACTOR shall pay the OWNER $700 for each day that expires after the time specified in Article 2 herein for Substantial Completion and Final Completion of the WORK and all fines levied against the City. ARTICLE 4. CONTRACT PRICE. OWNER shall pay CONTRACTOR for completion of the WORK in accordance with the Contract Documents in current funds the amount set forth in the Bid Schedule(s). ARTICLE 5. PAYMENT PROCEDURES. CONTRACTOR shall submit Applications for Payment in accordance with Article 14 of the General Conditions. Applications for Payment will be processed by ENGINEER as provided in the General Conditions. C~-ntr~ctor Initials AGREEMENT ANDERSON CREEK WELLFIELD IMPRQVEMENTS PAGE 00500-1 ARTICLE 8. ASSIGNMENT No assignment by a party hereto of any rights under or interests in the Contract Documents will be binding on another party hereto without the written consent of the party sought to be bound; and specifically but without limitation monies that may become due and monies that are due may not be assigned without such consent (except to the extent that the effect of this restriction may be limited by law), and unless specifically stated to the contrary in any written consent to an assignment, no assignment will release or discharge the assignor from any duty or responsibility under the Contract Documents. The OWNER, in its sole discretion, may refuse to allow the CONTRACTOR to assign any or all of its duties, rights and/or responsibilities under the Agreement, except with regards to an assignment of funds for security purposes. In the case of an assignment for security purposes the OWNER may condition its approval to the extent it deems necessary to assure that there will be adequate funds to complete the WORK and to pay a subcontractors and suppliers. OWNER and CONTRACTOR each binds itself, its partners, successors, assigns and legal representatives to the other party hereto, its partners, successors, assigns and legal representatives in respect of all covenants, agreements and obligations contained in the Contract Documents. IN WITNESS WHEREOF, OWNER and CONTRACTOR have caused this Agreement to be executed the day and year first above written. O~W~i~ CONTRACTOR ~ ~/~'~',~ c, Attestj~/~ -,,. '/ ..... _ [CORPORATE SEAL] Address for giving notices. Address for giving notices 239 4th Street, Bremerton, WA 98337 .'~.0 '(~ /GO, ~¢'¢-J~y~, License NO.. ~0~/('~Z.o Iq Agent for service of process:. (Signature) City Attorney (Title) AGREEMENT ANDERSON CREEK WELLFIELD IMPROVEMENTS PAGE 00500-3 AGREEMENT CERTIFICATE (if Corporation) STATE Of ~O~5~t~.~'~o,~ ) ) SS: COUNTY OF ~l~...v'C~ ) I HEREBY CERTIFY that a meeting of the Board of Directors of the a corporation existing under the laws of the State of ~0¢~ 5~/,.~. v.~,-'~a ~J , held on ~?..-/~. /~? 20 ~ , the following resolution was duly passed and adopted: President of the Corporation, be and is hereby authorized to execute the Agreement dated 0 , by and between th~s Corporation and City of Bremerton and that his/her execution thereof, attested by the Secretary of the Corporation, and with the Corporate Seal affixed, shall be the official act and deed of this Corporation." I further certify that said resolution is now in full force and effect. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the official seal of the corporation this /~ ~, day of (~z.. ,20 ~ . (SEAL) AGREEMENT ANDERSON CREEK WELLFIELD IMPROVEMENTS PAGE 00500-4