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20-132.01 DW Excavating: Barker Road Widening Project i .,,i,Valley. CHANGE ORDER NO: 1 ENGINEERING DIVISION CONSTRUCTION CONTRACT NO: 20.132.01 PROJECT:BARKER ROAD WIDENING PROJECT CONTRACT DATE: 7/15/2020 PRIME CONTRACTOR:DW EXCAVATING,INC. CiP.NO: 275 • DESCRIPTION OF CHANGES . This change order pays for the additional v,ork needed to extend the water main in Euclid Road additional 600 feet to the east. Work includes the water main replacement,ir)cluding replacing its apparatuses(hydrant,meters)within these limits to be outside the final improved roadway. Additional traffic control and surveying needed for the work is also included in the change order. Item No. Description) Unit Quantity Unit Price Iota 301 (Sch C)PVC Pipe for Water Main 6 In.Diam. • L.F. 6 $ 61.50 $ 389.00 302 (Sch C)PVC Pipe for Water Main 8 In.Diam. L.F. 36 $ 54.50 $ 1,962.00 306 (Sch C)Pipe Casing L.F. 40 $ 48.00 $ 1,920.00 • • 307 (Sch C)Gate Valve,8 In. EACH 1 $ 1,245.00 $ 1,245.00 308 (Sch C)Gate Valve,8 In. EACH 1 $ 1,810.00 $ 1,810.00 310 (Sch C)Gate Valve,12 In. EACH 1 $ 3,500.00 S 3,500.00 312 (Sch C)Hydrant Assembly EACH 1 $ 6,000.00 S 6,000.00 313 (Sch C)Service Connection 1 In.Diam. EACH 4 S 1,140.00 $ 4,560.00 314 (Sch C)Service Connection 1 In.Dian.Pipe L.F. 120 $ 32.00 $ 3,840.00 318 (Sch C)PVC Pipe for Water Main 12 In.Diam.(CO#1) L.F. 600 $ 75.00 $ 45,000.00 319 (Sch C)Construction Surveying(CO#1) L.S. 1 $ 800.00 $ 800.00 320 (Sch C)Trench Excavation Safety System(CO#1) L.S. I S 500.00 $ 500.00 321 (Sch C)Project Temporary Traffic Control(CO#1) L.S. 1 S 500.00 $ 500.00 Total Amount of this Change Order: $ 72,006.00 8.9%Sales Tax(app cab a anti to 8 M Sch-due C e.D) $ 6,408.53 .. VERBAL APPROVAL AND JUSTIFICATION • Independent Justification on File Yes _ Verbal Approval N/A Verbal Approval by N/A PHYSICAL COMPLETION Original Contract Working Days: 90 Revision By This Change Order. 10 Revisions by Prior Change Orders: 3 Total Revised Contract Working Days: 103 CONTRACT AMOUNT' • ' • THESE CHANGES RESULT IN THE FOLLOWING ADJUSTMENTS OF TOTAL CONTRACT AMOUNT: ORIGINAL TOTAL CONTRACT AMOUNT ,-• . ___ $ 2,599,065,00 TOTAL PRIOR CONTRACT CHANGE ORDER AMOUNT(None) —__ ___ S 0.00 TOTAL CONTRACT AMOUNT PRIOR TO THIS CHANGE ORDER __ $ 2,599,085.00 NET THIS CHANGE ORDER ___ $ 72,006.00 TOTAL CONTRACT AMOUNT INCLUDING THIS CHANGE ORDER�- — $ 2,671,071.00 • CONTRACTOR ACCEPTANCE: ,got.' (_, DATE: 2-8-2021 The contractor hereby accepts this adjustment •'er the term o ection 1-04.4 of the original contract. - RECOMMENDED BY: off! DATE: 2/19/2021 1 Manager APPROVED BY: DATE: Z/Z/Oz( „ / Consord Dgtrict-No.19 APPROVED BY: /%J (4), . DATE: D Z'Z/•ZDZf /i1 Encneer �tAPPROVED BY: r/U (/�al�rl/lyl`� • DATE: 1102. i l City Manager ATTACHMENTS: Distnbuton: ORIGINAL TO: City of Spokane Valley Cleric's Office COPIES TO: Contractor,PW Project File,Project Inspector,Finance Department COSV Form 9/5/2014 C7f o°"kane IjValle3 Change Order No; 1 Construction Contract No: 20-132.01 THE CONTRACT IS MODIFIED AS FOLLOWS: WORK TO INCLUDE Background: As part of the contract work,Consolidated Irrigation District No. 19 is replacing their water main within the project limits. The work also includes replacing the water main in Euclid Avenue to the east. After consideration,both the City and the District determined that extending the water main in Euclid Avenue another 600 feet east,is in the best interest of the public. This portion of line was scheduled to be replaced with the next phase of the Barker Corridor improvements. However,due to the time needed to pressurize,test, disinfect and flush a new water main prior to connecting it the water system,a reduction in time,construction management costs,water outages to the District's customers and traffic restrictions can be achieved by, completing the pressure/disinfection work just once for the water main in Euclid Avenue,compared to having to the same work with a second installation. Completing this work with one contract,also provides a more uniform water main with only one manufacturer supplying the material. Description of Change: This change order pays for the additional work needed to extend the water main in Euclid Avenue additional 600 feet to the east. Work includes the water main replacement,including replacing its apparatuses.(hydrant,meters) within these limits to be outside the final improved roadway. Additional traffic control and surveying needed for the work is also included in the change order. This change order does not include any pavement patching for the water main work. If the City decides that pavement patching is needed,a separate change order will be negotiated and executed to pay for the pavement patching. Specification: No changes to the specifications because of this change. Plans: Sheet WA9 is revised and sheets WAl l and WA12 are added for this change. The plans sheets WA9,WA11 and WA12 are attached to this change order. Time: Ten working days are added to the contract because of this change Measurement: • There are no changes to measurement because of this change. Payment: This change order increases the quantity of existing bid item and will be paid using bid unit prices. The Contractor and the City agree to a reduce unit price for bid item#304-PVC Pipe for Water Main 12 In.Diam. The original Spokane •*Valley Change Order No: 1 Construction Contract No: 20-132.01 quantity bid price of bid item#304 will be paid on the original contract quantity(100 L.F.). New lump sum items will pay for the additional traffic control,surveying and trench shoring needed for this work. Summary of Quantities: 1 V:".,.', - :,,,-,;,:',-;),ii:-,-q •--,',c-771trvgi r.0",4 ..L.i::„1 ii.----.7.. 4',"-'::.',-,.,4i' 4 i',ZItA"- ,s.4''',r:?,,`,'-Z:.4 ;',',1'.:, j,j'kiltliii L.='!1;,:.,,,, li -,;;grev ti .1: , •Fai,-.9'.'s --Thr-X;.$1•41:f4vil., L. . ag,,,C: *iiitiOk' PVC Pipe for Water Main 6 301 L.F. 50 56 +6 $61.50 $369.00 In.Diam. PVC Pipe for Water Main 8 302 L.F. 100 136 +36 $54.50 $1,962.00 In.Diam. 306 Pipe Casing L.F. 180 220 +40 $48.00 $1,920.00 307 Gate Valve,6 In. EACH 4 320 +1 $1,245.00 $1,245.00 308 Gate Valve,8 In. EACH 2 3 +1 $1,810.00 $1,810.00 310 Gate Valve,12 In. EACH 1 2 +1 $3,500.00 $3,500.00 312 Hydrant Assembly 1 EACH 2 3 +1 $6,000.00, $6,000.00 313 Service Connection l'In.Diam. EACH 5 9 +4 $1,140.00 $4,560.00 Service Connection 1 in.Diam. 314 L.F. 160 280 +120 $32.00 $3,840.00 Pipe 318 PVC Pipe for Water Main 12 L.F. 0 600 +600 $75.00 $45,000 (NEW) In.Diam.(CO#1) 319 Construction Surveying L.S 0 1 +1 $800.00 $800.00 (NEVV) (C0#1) 320 Trench Excavation Safety L.S. 0 1 +1 $500.00 $500.00 (NEW) System(CO#1) 321 Project Temporary Traffic L.S. 0 1 +1 $500.00 $500.00 (NEW) Control(CO#1) SUBTOTAL $72,006.00 . SALES TAX @8.9% $6,408.53 TOTAL $78,414.53 _____-..-, DWEXCAV-01 MNEIGHBORS ACORCP. DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 7/14/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ACT Spokane Office HO A Paynewest Insurance,Inc. (Nc,No,Ext):(509)838-3501 ((aC,No):(509)838-3511 501 N.RIverpoint Blvd.,Ste 403 DDRE ASS: Spokane,WA 99202 INSURER(S)AFFORDING COVERAGE NAIL# _ INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travelers Indemnity Co of Connecticut 25682 DW Excavating Inc. INSURER C:Travelers Property Casualty Co of Amer 25674 PO Box 1089 INSURER D:Phoenix insurance Company 25623 Davenport,WA 99122 INSURER E: INSURER F: COVERAGES 'CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DOIYYYYL(MMIDD/YYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 V CLAIMS-MADE X OCCUR 4T-CO.0H97315A-COF-20 4/14/2020 4/14/2021 DAMAGE TO RENTED 300,000 X X PREMISES(Ea occwrenc� S MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X jpeT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: WA ND STOP GAP $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Fa accident) $ X ANY AUTO X X 810-9M235936-20-2S-G 4/14/20.20 4/14/2021 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE ONLY AUTOSN p BODILY INJURY(Per accident) $ • _ AUTOS ONLY � AUTOS ONLY 1711,9 acclde^tDAMAGE $ $ C X UMBRELLA X OCCUR EACH OCCURRENCE $ 7,000,000 EXCESS LIAB CLAIMS-MADE CUP-0H97315A-20-2S 4/14/2020 4/14/2021 AGGREGATE $ 7,000,000 DED X RETENTION$ 10,000 $ D WORKERS ND EMPLOYERS R LIABILITY X STATUTE ERH UB-3P087270-19-2S-G 10/28/2019 10/28/2020 1,000,000•j ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFILER/MEMBEREXCLUDED? N/A 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Project:Barker Road Widening,Project No.0275,Contract 20-132,In Spokane Valley,Washington the City of Spokane Valley and its officers,elected officials,employees,agents,and volunteers,Spokane County and Its officers,elected officials,employees, agents,and volunteers and Consolidate Irrigation District No.19 and Its officers,elected officials,employees,agents,and volunteers are additional Insured, on a primary/non-contributory basis,including waiver of subrogation,If required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cityof Spokane ValleyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. 10210 E.Sprague Ave. Spokane Valley,WA 99206 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DW EXCAVATING INC Page 1 of 2 041 STATE OF WASH1NGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage February 22, 2021 WA UBI No. I 603 543 995 L&I Account ID ,600,166-00 Legal Business Name DW EXCAVATING INC Doing Business As DW EXCAVATING INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2020 "51 to 75 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. DWEXCEI856QB License Expiration 11/02/2021 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information 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, limitations of coverage or waiver of https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=603 543 995&LIC=D... 2/22/2021 DW EXCAVATING INC Page 2 of 2 subrogation (See RCW 51.12.050 and 51.16.190). • https://secure.Ini.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=603 543 995&LIC=D... 2/22/2021