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GR Morgan Construction ~ C200087 CONTRACT CHANGE ORDER/ AMENDMENT SUMMARY FIELD CHANGE ORDER FORM City of Tigard 13125 SW Hall Blvd. Tigard, Oregon 97223 Phone - (503) 639-4171 Fax - (503) 684-7297 www.tigard-or.gov Project Title: Jack Park Playground Equipment & Tile Installation Project Manager: Greg Stout Contractor: GR Morgan Construction Original Contract #: C200087 Effective Dates: Change Order/Amendment Amount: 0.00 Accounting String: Amendment Percentage Running Total: AMENDMENT DETAILS Extend end date as weather and air quality has delayed contract. CHANGE ORDER DETAILS UNIT QTY UNIT $ TOTAL $ REASONING FOR CHANGE ORDER/AMENDMENT BUDGET IMPACT AND REQUIRED ACTIONS REQUESTING PROJECT MANAGER APPROVING CITY STAFF Signature Signature Date Date Contractor is hereby authorized by the City of Tigard to perform the additional work described below in accordance with the terms and conditions detailed in the original contract along with all applicable rules, regulations, and laws that may be in effect for the work. The unit pricing in the original contract shall apply to all additional work. A copy of this form, once completed, is to be forwarded to the Purchasing Office to ensure all changes to the encumbrances are met. Remember – the cumulative total of Amendments cannot exceed the project’s FY budget. CONTRACTOR Signature Date 9/15/2020 Martha Wine 9/15/2020  CITYOFTIGARD,OREGON-CONTRACTSUMMARYFORM ContractTitle:JackParkPlaygroundEquipmentandTileInstallation Number:C200087   Contractor:GRMorganConstruction. ContractTotal:$42,290.00   ContractOverview:ContractorwillprovideinstallationservicesforJackParkplaygroundequipment.                 InitialRiskLevel:ExtremeHighModerateLow RiskReductionSteps:Standardinsuranceclauseincluded.          RiskComments:       RiskSignature:    ContractManager:MartinMcKnight Ext:2609 Department:PW   Type:PersonalSvcProfessionalSvcPublicImpGeneralSvcCoopPurchase Other:      StartDate:04/27/2020EndDate:09/30/2020    Quotes/Bids/Proposal:FIRM AMOUNT/SCORE GRMorganConstruction$42,290.00 CascadianLandscaperNoResponse PrecisionRecreationContractorsNoResponse              AccountString:Fund-Division-AccountWorkOrder–ActivityTypeAmount FY20420-8000-5600592053$42,290.00 FY                        FY                        FY                        FY                         Approvals-LCRBDate:Notrequired  DepartmentComments:Oktogo…          DepartmentSignature:JoeBarrett   PurchasingComments:OK          PurchasingSignature:    CityManagerComments:                CityManagerSignature:    C200087 4/27/2020