HomeMy WebLinkAboutCHANGE ORDER - PURCHASE ORDER - 9122605CHANGE ORDER NUMBER C-1 AeX
PROJECT TITLE:
Emergency Pipeline Repair Mobilization - Gamey
CONTRACTOR:
Garney Construction
P.O. NUMBER:
9 60D
VENDOR NUMBER:
166269 f
CHARGE NUMBER:
5026415021
DESCRIPTION:
1. Reason for change. Substantial and Final Completion dates of the Contract have been exceed(
2. Description of change. Extend Contract Times
3. Change in contract cost. No change in Contract Cost
4. Change in contract time. Add 365 calendar days to Contract Times
ORIGINAL CONTRACT COST
TOTAL APPROVED CHANGE ORDERS
TOTAL PENDING CHANGE ORDERS
TOTAL THIS CHANGE ORDER
TOTAL % OF ORIGINAL CONTRACT, THIS CO:
TOTAL % OF ORIGINAL CONTRACT, ALL CO'S:
ADJUSTED CONTRACT COST
(Assuming all change orders approved)
ACCEPTED
REVIEWED BY!
APPROVED BY:
ntative
Dead Saye, Spec-la-1--Projects Manager
xL �=Z 1%
Owen Pndall, Chief Engineer
APPROVED BY:
Jon Haukaas, Water Engineering and
Field Services Operations Manager
CC: Contractor
Project File
Purchasing
0.0%
0.0%
$100,000.00
$0.00
$0.00
$0.00
$100,000.00
DATE: ft •-Ili u13
DATE: a�- t
DATE: Z =S l,�
DATE: Z /- r
NOTE: Signature of Contractor indicates
agreement herewithin, including any adjustmei
in contract sum or contract time.
I:Eng/pmmanual/general/forms/change order form
Nikia Steppins
From: Nutt, Linda [Inutt@thomasmcgee.com]
Sent: Saturday, February 09, 2013 1:17 PM
To: Nikia Steppins
Cc: Steve McCandless; Joyce, Doug
Subject: RE: Bond Continuation/Renewal - 6628
Hi Nikia,
These are contract or construction bonds and will not need a continuation certificate to extend the coverage. Because
construction bonds follow and become a part of the contract agreement, any changes to the contract also apply to the
bonds. The bonds will remain in full force and effect through the entire project until acceptance by the owner.
Because there is no change in contract price and the completion time even with extension is still under a 24 month time
period, the is no premium adjustment applicable. Unless the project owner has specifically asked for surety
acknowledgment of the time extension, we are okay in doing nothing on this bond.
If you have other questions, please let us know. Thanks.
Linda Nutt - Thomas McGee, L.C. - 816.843.4414 / www.thomasmcgee.com
Please be advised that you cannot bind coverage without speaking directly to a licensed representative. Thomas McGee, L.C. is a full service Insurance Broker
providing products and services for Commercial, Personal Lines, Group Life & Health, Surety and Risk Management Clients. CONFIDENTIALITY STATEMENT: This e-mail
contains information from Thomas McGee, L.C. and may be confidential or privileged. The information is intended solely for the use of the individual(s) or entity(ies)
named above. If you are not the intended recipient, be aware that any use of the contents of this message is prohibited. If you have received this e-mail in error,
please notify me immediately by e-mail reply and delete this message. Although this e-mail and any attachments are believed to be free of any virus or other defect,
it is the responsibility of the recipient to ensure that this is virus free and no responsibility is accepted by Thomas McGee, L.C. for any loss or damage arising from its
use. Nothing contained within this e-mail, including any attachments, is intended to include or constitute an "electronic signature" as defined in 15 U.S.C. 7006(S).
Thank you.
From: Nikia Steppins [mailto:nstep iinnsftarney.com]
Sent: Friday, February 08, 2013 4:17 PM
To: Nutt, Linda; Joyce, Doug
Cc: Steve McCandless
Subject: Bond Continuation/Renewal - 6628
Importance: High
Hi Linda,
We have been issued a change order to the attached contract, extending the duration through 12/31/13. I've attached
the bonds that you issued for us originally — do we need a continuation certificate for this? The contract amount did not
change, so I'm not sure a Bond Rider is appropriate. But you would know more than I! Please let me know if you need
anything else — the Change Order is the only new document I've received.
Thank you,
Nikia Steppins
GARNEY CONSTRUCTION Advancing Water
PH:303.791.3600 DIRECT:720.348.8413 FAx:303.791.1801
ADDRESS: 7911 Shaffer Parkway, Littleton, CO 80127 GARNEY.COM
This e-mail message is intended only for named recipients. It contains information that
may be confidential, privileged, or otherwise exempt from disclosure under applicable
law. If you have received this message in error, are not a named recipient, or are not
the employee or agent responsible for delivering this message to a named recipient, be
advised that any review, disclosure, use, dissemination, distribution, or reproduction of
this message or its contents is strictly prohibited. Please notify us immediately at
816.746.7274 or at dmeyer@garney.com that you have received this message in error, and
delete the message. Thank you. Visit us on the web at http://www.Garney.com
Please be advised that you cannot bind coverage without speaking directly to a
licensed representative. CONFIDENTIALITY STATEMENT: This e-mail contains
information from Thomas McGee, L.C. and may be confidential or privileged. The
information is intended solely for the use of the individual(s) or entity(ies)
named above. If you are not the intended recipient, be aware that any use of the
contents of this message is prohibited. If you have received this e-mail in
error, please notify me immediately by e-mail reply and delete this message.
Although this e-mail and any attachments are believed to be free of any virus or
other defect, it is the responsibility of the recipient to ensure that this is
virus free and no responsibility is accepted by Thomas McGee, L.C. for any loss
or damage arising from its use. Nothing contained within this e-mail, including
any attachments, is intended to include or constitute an "electronic signature"
as defined in 15 U.S.C. 7006(5). Thank you.
Certificate of Insurance
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICAFE HOLDER. THIS CERTIFICATE IS NOT AN
INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. POLICY LIMITS ARE NO LESS THAN THOSE
LISTED, ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW.
This is to Certify that
Carney Companies Inc
1333 NW Vivion Road NAME AND
Kansas
Liberty Mutual
Kansas City MO 64118 ADDRESS •
OF INSURED
L INSURANCE
is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terns, exclusions and
Conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued.
EXP DATE
TYPE OF POLICY
❑ CONTINUOUS
❑ EXTENDED
POLICY NUMBER
LIMIT OF LIABILITY
❑ POLICY TERM
WORKERS
COMPENSATION
10/1/2013
WA2-64D-426942-732
COVERAGE AFFORDED UNDER WC
LAW OF THE FOLLOWING STATES:
AL, AR AZ CO FL GA, IA KS
KY, M(S, NtJ, N�, NM, OK, §C,1
TX, VA
EMPLOYERS LIABILITY
Bodily Injury by Accident
1 O0O OOOeaehA ideal
Bodily Injury By Disease
1 000 000
Bodily Injury By Disease
1 000 000
COMMERCIAL
GENERAL LIABILITY
10/1 /2013
T62-641-426942-722
General Aggregate
$2,000,000
m OCCURRENCE
Products / Completed Operations Aggregate
$2,000,000
❑ CLAIMS MADE
Each Occurrence
$1 000 000
Personal & Advertising Injury
$1,000,000 Per Personl Organvation
RBTRO DATE
Other Other
$300,000 Fire Legal
$10,000 Medical
AUTOMOBILE
LIABILITY
10/1/2013
AS2-641-426942-712
Each Accident —Single Limit
$2 000 000 B.I. And P.D. Combined
OWNED
Each Person
Each Accident or Occurrence
mNON -OWNED
m HIRED
Each Accident or Occurrence
OTHER
ADDITIONAL COMMENTS
RE: Job # 6628 Emergency Mobilization Contract Through 2013.
City of Fort Collins, Colorado, Stanlec Consulting Services is an additional insured under the General Liability and Automobile Liability policy if
required by a written contract with the Named Insured, but only for the coverage and limits provided by the policy and the
additional insured endorsement.
If the certificate expiration date is continuous or extended teen you will be notified if coverage is terminated or reduced before the certificate expiration date.
NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.)
Liberty Mutual
Y
BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL
INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST
OR REDUCE THE
60 DAYS NOnCE
Insurance Group
OF SUCH CANCELLATION HAS BEEN MAILED TO:
RE: Job # 6628;
FCity of Fort Collins
300 LaPorte Avenue
Laura Rudolph
H Fort Collins CO 80521
c a`
Si. Louis / 0442 AUTHORIZED REPRESENTATIVE
y _
12250 Weber Hill Road
St. Louis MO 63127 800-392-9223
2/8/2013
1
OFFICE PHONE
DATE ISSUED
This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10
CERT NO.: 15463661 CLIENT CODE: LM_2660 Nicholas Misoni 2/6/2013 3:06:45 PM Page 1 of 1
LDI COI 268896 02 11