HomeMy WebLinkAboutResolution - 2016-R0417 - Change Order To Contract - Utility Contractors Of America Inc - Pump Meters - 11/17/2016Resolution No.2016-R0417
Item No.6.7
November 17.2016
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock is hereby authorized and directed to execute for
and on behalf of the City of Lubbock. Change Order No 1to that certain Contract No. 12416by
and between the City of Lubbock and Utility Contractors of America, Inc., for Pump Station
Intake Meters Project No. 91033 per Bid #RFP-15-12416-TF and related documents.Said
Change Order No.CO-1 is attached hereto and incorporated in this resolution as if fully set forth
herein and shall be included in the minutes of the City Council.
Passed by the City Council on November 17.2016
ATTEST:
)^>ifa
ecca Garza.City Secretary
RES.ChgOrds 1,Contract-12416
9.30.16
DANIEL M.POPE.MAYOR
Contract No: 1206
City of Lubbock
Purchasing and Contract Management
Change Order
Contractor: Ulaity ConhadoraofAmeace,lnc.
Change Order No. 001 Contract Title: Rump Station Intake Meters
BID/RFP No. 15.12416•TF
Project Number: 9( a33
1. "Change Order" means a written order to at Contractor executed by the Owner in accordance with the contract authorizing an
addition to, deletion from, or adjustment or revision of the requirements of the contract documents, or an adjustment to the
compensation payable to Contractor, or to the time for performance of the contract and completion of the Project, or a
combination thereof, which does not alter the nature of the thing to be constructed and is an integral part of the project objective.
- Adjustments to "Estimated Quantities" to a line Item in a Unit Price contract do not require a Change Order. All work that alters
Description of change (alteration, deviation, addition, or deletion) caused by conditions encountered during construction
not covered by the specifications and drawings of the project farmch addilonal pages Jfneensal ):
1. Deduct for Demo Existing SCRC Pipe - ($8r325.00)
2. Deduct for Epoxy Coated Pressure Pipe • ($33,000.00)
3. Deduct for SCRC Pipe • ($5,980.00)
4. Deduct for 4" Blow off Assembly - ($2,400.00)
5. Add Test Port - $550.00
2. Where the Change Order is negotiated, the Change Order must be fully documented and itemized as to costs, including material
quantities, material costs, lazes, Insurance, employee benefits, other related costs, profit and overhead. Where certain unit prices
are contained in the initial contract, no deviations arc allowed in computing negotiated change order costs.
ITEMIZED COSTS MUST BE FULLY DOCUMENTED AND ATTACHED TO THIS FORM
ITEM
DESCRIPTION
AMOUNT
A.
ORIGINAL CONTRACT VALUE:
$ wo.4:6e^
B.
AMOUNT OF THIS CHANGE ORDER: cewmOnppmrai nga1rrdrfuwrS25.0o0
$(4r.lcseo)
COST CENTER: ACCOUNT:
lac
C.
PERCENT OF CONTRACT VALUE THIS CHANGE ORDER (B/A):
%
D.
AMOUNT OF PREVIOUS CHANGE ORDERS:
$ 0•00
E.
TOTAL AMOUNT OF ALL CHANGE ORDERS(B+D):
$(ro,lssoq
F.
PERCENT OF CONTRACT OF ALL CHANGE ORDERS (FJA): 25% rwr .,
%
or drrrcmr
G.
NEW CONTRACT AMOUNT (A+E):
$59a270.00
3. It is mutually agreed that the above dollar amount end the time extension, as applicable, as set forth in this Change Order constitutes
full compensation to the Contractor for all costs, expenses and damages to the Contractor, whether direct, consequential or otherwise,
in anyway Incident to, or arising out of or resulting directly or indirectly; from the %%vrk performed or modified by the Contractor
under this Change Order.
(5) CAPITAL PROJECTS MANAGER Date
Orden over $25,000 require a Contract Cover Sheer and thefullowing Signatures:
CITY
(7)MAYOR v Date (8) CITY SECRETARY V Date
Council Date: November 17, 2016 Agenda)tem 0: 6.7 Resolutiong: ?016-R0417
PUR45 (Rev 1212012)
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1of1
Complete Nos. 1- 4 and 6 if there are interested parties.
OFFICE USE ONLY
Complete Nos.1, 2, 3, 5, and 6 if there are no interested parties.
CERTIFICATION OF FILING
Certificate Number:
12016-118178
1 Name of business entity filing form, and the city, state and country of the business entity's place
of business.
Utility Contractors of America, Inc.
Lubbock, TX United States
Date Filed:
09/29/2016
2 Name of governmental entity or state agency that is a party to the contract for which the form is
being fled.
City of Lubbock
Date Acknowledged:
10/06/2016
3
Provide the identification number used by the governmental entity or state agency to track or identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
15-12416-TF
Pump Station Intake Meters - Change Order
4
Name of Interested Party
City, State, Country (place of business)
Nature of interest
(check applicable)
Controlling
Intermediary
Lane, Ty
Lubbock, TX United States
X
Ziegner, Jonathan
Lubbock, TX United States
X
5
Check only if there is NO Interested Party.
6
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP / SEAL ABOVE
Sworn to and subscribed before me, by the said , this the
day of ,
20 , to certify which, witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath
Title of officer administering oath
rorms proviaea uy i exas t[nics t.ommission www.etnics.state.tx.us Version V1.0.277
CERTIFICATE OF INTERESTED PARTIES FORM 3295
1of1
Complete Nos. 1- 4 and 6 N there are Interested parties.
OFFICE USE ONLY
Complete Nos.1, 2, 3, 5. and 6 If there are no Interested parties.
CERTIFICATION OF FILING
Certificate Number:
1
Name of business entity filing form, and the city, state and country of the business entity's place
of business.
2016-118178
Utility Contractors of America, Inc.
Lubbock, TX United States
Date Filed:
09/29/2016
2
Name of governmental entity or state agency that is a party to the contract for which the form is
being filed
City of Lubbock
Date Acknowledged:
3
Provide the identification number used by the governmental entity or state agency to track or Identify the contract, and provide a
description of the services, goods, or other property to be provided under the contract.
15-12416-TF
Pump Station Intake Meters - Change Omer
4
Name of Interested Party
City, State, Country (place of business)
Nature of Interest
(check applicable)
Controlling
I Intermediary
Lane, Ty
Lubbock, TX United States
X
Ziegner, Jonathan
Lubbock, TX United States
X
5
Check only if there is NO Interested Party. F1
6
AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct.
BROOKLYN HAMM
Notary Public; State of Texas
~, ;= My Commission Expires /
'%,,,,,• November 12.2018
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP ! SEAL ABOVE
1
20��to and subscribed before me, by the said i `V' `) IIYtI io , this the day of )^ ,
to certify which, witness my hand and seal of office.
'Vamm .
Signature of cer minlstering 6ath Printed name o o cer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethlcs.state.tx.us Version V1.0.277