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Home My WebLink AboutCO 15 Fully ExecutedDocusign Envelope lD: A8A88714-EAE8-8064-81 23-71 ODB1 F2CD3C Change Order 'WAIA Document GToi " - 2017 PROJECT: (Name and address) Kittitas County tail Facilities Renovation Task I 205 West sthAvenuo EUersburg, wA 98926 OWl'lER (Name and addressl Kittitas Coutrty 205 West 5" Avenue CONTRACI INFORMATION: ContractFor: Renovation Date:04-30-2025 ARCHIIECT: (Name arul addres$ thir 7826 Leary Way. Ste. 200 CHANGE ORDER INFORIIAflON: Change Order Number: 015 Date: 06-30-26 C0I{TRACTOR: (Name and addressl Belsaas & Smith Cooshrction, Inc. 103 East 46 Aveuue. suite 209 Ellensburs. WA 98926Ellensburbe. WA Redrnond. WA THE CONTRACT IS CHANGED AS FOLLOWS: (nsen a detailed description olthe change and, ifapplicable, attach or reference specitic ethibits' Also include agreed upon adjustmews anributable to q,eculed consfillction Change DirectivesJ This change order includes a cost adjustmeut related to the added Scop of Work ideutifiedin COP#24 The origiaal Contract Sumrvas The net change by previously authorized Change Orders The ConEact Sum prior to rhis Change Order rvas The Conuact Sum rvill be unchanged by this Change order in the amount of Tho nerv Contract Sum including this Charye Order will be 2.457,000.00 1,71 1,519.89 4,168,519.89 9.919.17 4,178-439_06 Tbe Coffract Tim€ will be unchanged by ( ) days. The trew date of Substantial Completion rvill be l,lorE; This Change Order does not include adjustrnents to the Contract Sum or Guaranteed Maximum Price, or the Contract TIme, that have been authoriz;d by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor. in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, COT{TRACTOR AND OWNER. Ooouslgned by:by: bl^n ilwh*uw Sdt Wsow BY: Iobn Aoderson, Principal BY: Scott Carlsor, Project Ntanager BY: Kittitas County (Printed name, title, and license nwfuer if required) 7tlt2026 @rinred nante and ritle)(h'inted name and title) 7t1t2026 Date Date ,l Docusign Envelope lD: A8A88714-EAE8-8064-8123-71oDBlF2CD3C p.o. Box926 | 700 EAST MOUNTAIN VIEW AVE, SUIIE 504 ELLENSBURG, WA 98926 O: 509-925-9747 C| 6t9'278-8554 scottc@belsmith.com arLtatcotaon Junet7,2026 Re: Walk-off Mat and Vestibule Outlet per your request, we are pleased to offer the following change order proposal #25 (COP 25). lf 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 staffs desired height. Total cost of proposal: Nine Thousand Four Hundred Forty-Nine Dollars 59,9L9.L7 + WSST Time Extension Required: 98 Days - Walk-off Mat Lead Time 12 Weeks Sincerely, Scott Carlson Belsaas & Smith Construction Docusign Envelope lD: A8Ag8714-EAE8-8064€123-71 ODBl F2CD3C BELSAAS & SMITH CONSTRUCTION CHANGE ORDER PROPOSAL BREAKDOWN SHEET SHEET 1 of 2 c.o.P. #25 s $ $ $ S $ $ s $ $ $ $ $ $ $ $ $ $ s $ $ $ $ 1.020.00 $ 1.020.00 $ $ $ $ $ $ $ LABOR COST s $ $ $ $ s $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ MATERIAL cosT $ 7,605.40 $ $ $ $ $ $ $ $ s 580.40 $ s $ $ $ $ $ $ $ $ $ $ $ $ $ SUB cosr $ 6.925.00 $ $ $ $ s $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ s $ $ $ s $ $ EOUIP cosr s $ 102.00 LABOREQUIP UNIT COSTS Mat. Hrs UNIT LS LS OUAN. 1 1 10Floor Prep (2 Carpenter x 5 Hrs @$102) TOTALS Outlet DESCRIPTION Walk Off Mat and Outlet - Vestibule Walk Off Mat # Docusign Envelope lD: ABAB8714-EAE8-8064-8123-710D8'l F2CD3C BELSAAS & SMITH CONSTRUCTION CHANGE ORDER PROPOSAL BREAKDOWN SHEET TIME EXTENTION REQUIRED:98 DaYs NOTICE TO PROCEED REQUIRED BY: SHEET 2 of 2 c.o.P. #25 WE RESERVE OUR RIGHTS UNDER THE CONTMCT TO ACCESS THIS CHANGE CUMULATIVELY AS IT AFFECTS TIME AND AMOUNT. $ 1.172.99 $ 1.172.99 $ $ 9.9 $ 105.06 $ 17.33 $ 1.172.99 $ 1.020.00 $ s 8.746.17 $ 9.919.17 LABOR cosT 30.60$ $ $ $ $ $ MATERIAL cosr s $ 7.605.40E 22A.16 E 8.746.17 TOTAL s 783.36s 129.25s 8.746.17 SUB TOTAL SUB COST $ $ EQUIP COST $ $ $ $ TOTALS FROM PREVIOUS PAGE PREVIOUS CO ALLOWANCE SUB TOTAL MATERIAL VERHEAD 3% iOUIPMENT GMND TOTAL BONDING 1.5olo SUB TOTAL LABOR SUBCONTRACTORS SUB TOTAL PROFIT 10o/o Docusign Envelope lD: A8A88714-EAE8-8064-8123-71 ODBl F2CD3C -Il-.TTTAN Project: Kittitas Jait 205 W SthAve Ellensburg, WA 98926ET.ECTIiIICAL U POTENTIAL GHANGE ORDER TO: contractor Scott Carlson Belsaas and Smith FROM: Subcontractor Charles Espinoza Titan Electricat LLC Date: Change # Amount: lnitiated By: Reason: Type: 6t1112026 I $eeo.ao Titan EtectricaI Unforeseen Conditions Additive - Lump Sum PCOS Added in Vestibute E109E TITLE THIS CONTRACTWILL BE MODIFIED AS FOLLOWS: lnstatt (1) duptex receptacle in vestibute E109 from nearest existing power in ceil,ing space Cost Breakdown This Change Labor Material Other o&P Totat $500.00 $67.00 $o $113.40 $680.40 Authorized By: Signature: Print Name: Titte: Date: CONTRACTOR Accepted By: Signature: Print Name: Titl.e: Date: SUBCONTRACTOR Page 1 of 1 Docusign Envelope lD: ABA8B714-EAE8-8064-81 23-71 0DB1 F2CD3C NABTHWEST Customer Name Address KITTITAS FACILITIES CARPET ENTRY WALK OFF City Phone ELLENSBURG WA 98926 2501 River Road Yakima WA 98902 509-620-4372 Misc Date S/M Rep Mat. Only BID 5t28t2026 Rtco Address City Phone State zip Qtv Unit Price TOTAL 1 ALL 8FT 2 INCHES X12FT CS PEDIMENT MODEL MlMWNG RECESSED MAT WITH RUBBER INSERT IN 8501 BLACK MILL FINISH RECESSED TAPERED ANGLE FRAME MILL FINISH DOES NOT INCLUDE DEMO OF EXISTING DOES NOT INCLUDE UNFORSEEN FLOOR DAMAGE DOES NOT INCLUDE3 FURNITURE R AND R INSTALL DURING REGULAR BUSINESS HOURS $6,925.00 $ 6,925.00 $ 6,925.00 0.00o/o $ $ 6,925.00Comments Name cc# Expires Tax Rate(s) SubTotal Shipping TOTAL lnvoice Due Date