HomeMy WebLinkAboutCO-15Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C
7/1/2026 7/1/2026
P.O. BOX 926 / 700 EAST MOUNTAIN VIEW AVE, SUITE 504
ELLENSBURG, WA 98926
O: 509-925-9747 C: 619-278-8554
scottc@belsmith.com
June 17, 2026
Re: Walk-off Mat and Vestibule Outlet
Per your request, we are pleased to offer the following change order proposal #25 (COP 25).
If approved, Belsaas and Smith’s onsite team will order and install the specified walk-off mat
after the existing floor has been prepped and install an outlet on the east wall of the vestibule
at the staff’s desired height.
Total cost of proposal: Nine Thousand Four Hundred Forty-Nine Dollars $9,919.17 + WSST
Time Extension Required: 98 Days - Walk-off Mat Lead Time 12 Weeks
Sincerely,
Scott Carlson
Belsaas & Smith Construction
Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C
BELSAAS & SMITH CONSTRUCTION
SHEET 1 of 2 C.O.P. #25
CHANGE ORDER PROPOSAL BREAKDOWN SHEET
UNIT COSTS EQUIP SUB MATERIAL LABOR
#DESCRIPTION QUAN.UNIT Mat.EQUIP LABOR COST COST COST COST
Walk Off Mat and Outlet - Vestibule
Walk Off Mat 1 LS -$ 6,925.00$ -$ -$
-$ -$ -$ -$
Outlet 1 LS -$ 680.40$ -$ -$
-$ -$ -$ -$
Floor Prep (2 Carpenter x 5 Hrs @$102)10 Hrs 102.00 -$ -$ -$ 1,020.00$
-$ -$ -$ -$
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*TOTALS -$ 7,605.40$ -$ 1,020.00$
Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C
BELSAAS & SMITH CONSTRUCTION
SHEET 2 of 2 C.O.P. #25
CHANGE ORDER PROPOSAL BREAKDOWN SHEET
EQUIP SUB MATERIAL LABOR
COST COST COST COST
TOTALS FROM PREVIOUS PAGE -$ 7,605.40$ -$ 1,020.00$
OVERHEAD 3%-$ 228.16$ -$ 30.60$
PROFIT 10%-$ 783.36$ -$ 105.06$
BONDING 1.5%-$ 129.25$ -$ 17.33$
SUB TOTAL -$ 8,746.17$ -$ 1,172.99$
SUB TOTAL -$ 8,746.17$ -$ 1,172.99$
LABOR 1,172.99$
MATERIAL -$
EQUIPMENT -$
SUBCONTRACTORS 8,746.17$
SUB TOTAL SUB TOTAL 9,919.17$
PREVIOUS CO ALLOWANCE
GRAND TOTAL TOTAL 9,919.17$
TIME EXTENTION REQUIRED: 98 Days
NOTICE TO PROCEED REQUIRED BY:
WE RESERVE OUR RIGHTS UNDER THE CONTRACT TO ACCESS THIS CHANGE
CUMULATIVELY AS IT AFFECTS TIME AND AMOUNT.
Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C
Project: Kittitas Jail
205 W 5th Ave
Ellensburg, WA 98926
Page 1 of 1
POTENTIAL CHANGE ORDER
TO: Scott Carlson Date: 6/11/2026
Contractor Belsaas and Smith Change # 8
- Amount: $680.40
Initiated By: Titan Electrical
FROM: Charles Espinoza Reason: Unforeseen Conditions
Subcontractor Titan Electrical LLC Type: Additive - Lump Sum
CHANGE TITLE PCO8 Added Receptacle in Vestibule E109
THIS CONTRACT WILL BE MODIFIED AS FOLLOWS:
Install (1) duplex receptacle in vestibule E109 from nearest existing power in ceiling space
Cost Breakdown This Change: Contract Revision Summary:
Labor $500.00 Original Contact
Material $67.00 Prior Approved Changes
Other $0 Contract After Changes
O&P $113.40 This Change
Total $680.40 Total Contract to Date
Authorized By: Accepted By:
CONTRACTOR SUBCONTRACTOR
Signature: Signature:
Print Name: Print Name:
Title: Title:
Date: Date:
Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C
2501 River Road
Yakima WA 98902
509-620-4372 BID
Customer Misc
Name Date 5/28/2026
Address S/M
City
ELLENSBURG WA
98926 Rep RICO
Phone Mat. Only
Ship To Address
Name Same
Address
City State Zip
Phone
Qty Unit Price TOTAL
1 6,925.00$ 6,925.00$
SubTotal 6,925.00$
Shipping
Payment Select One…Tax Rate(s)0.00%-$
Comments TOTAL 6,925.00$
Name
CC #
Expires
Invoice Due Date
KITTITAS FACILITIES CARPET ENTRY WALK OFF
INSERT IN 8501 BLACK MILL FINISH RECESSED TAPERED ANGLE
FRAME MILL FINISH
Description
FURNISH AND INSTALL 8FT 2 INCHES X 12 FT
CS PEDIMENT MODEL M1MVTNG RECESSED MAT WITH RUBBER
INSTALL DURING REGULAR BUSINESS HOURS
DOES NOT INCLUDE3 FURNITURE R AND R
DOES NOT INCLUDE UNFORSEEN FLOOR DAMAGE
DOES NOT INCLUDE DEMO OF EXISTING
Docusign Envelope ID: A8A8B714-EAE8-8064-8123-710DB1F2CD3C