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6.8. SR 09-06-2011REQUEST FOR ACTION TO ITEM NUMBER Ci Council 6.8. AGENDA SECTION MEETING DATE PREPARED BY Consent Se tember 6, 2011 erem Barnhart, Plannin Mana er ITEM DESCRIPTION REVIEWED By Eagles Property Demolition, and Nuisance Abatement Robert Thistle, Interim City Administrator REVIEWED BY ACTION REQUESTED Council authorization for Jay Johnson Construction to complete the demolition, prepare health and safety plan, and remove the building at 824 Railroad Drive as described in the attached Request for Proposal. BACKGROUND/DISCUSSION After receiving a signed petition from the Eagles Fraternal organization to demolish the former auto parts store on their property, City staff prepared a request for proposals (RFP). The RFP was sent to 12 companies that either bid on the demolition of the former bowling alley or that have previously worked with the City's environmental engineer, due to the sensitive nature of the environmental hazards known. Those proposals were due at noon on September 1, 2011. The City received 3 proposals: Jay Johnson Construction $18,500 Veit and Co. $25,510 Frattalone Companies $46,500 A site walk-through was conducted on August 19, and about five companies were represented at the walk-through. A significant portion of the roof has collapsed, leaving the interior of the structure open to the elements. The site inspection noted that the basement of the building is filled with water. The City's environmental engineer will test the water to determine appropriate disposal methods, as oil or other contaminants may be hazardous to the sanitary sewer or storm sewer system. The entire project will consist of two phases. Phase I is the demolition and removal of the building, and is expected to be completed by October 1. Phase II is the remediation of the soils and the reestablishment of the area. This phase is expected (except for the establishment of grass) to be completed by December 31. N:\Departments\Community Development\Planning\Code Enforcement\Administration\Demolition\Demolition-Napa building 2010\SR Eagles demolition 9-6-1 l.docx FINANCIAL IMPACT The City will pay for the tests, demolition, and reestablishment of the area, and assess these costs to the property owner, who will reimburse the City through property tax payments over the next five years. Eight percent interest will be added. ATTACHMENTS Proposal summary Request for Proposal document Action Motion by Second by Vote Follow Up N:\Departments\Community Development\Planning\Code Enforcement\Administration\Demolition\Demolidon-Napa building 2010\SR Eagles demolition 9-G-11.docx Bid O enin 9/1/2011 Demolition of 824 Railroad Drive NW BUSINESS NAME BID Veit 8: Co. 1400 Veit Place Rogers, MN 55374 Zy ~~ 1 Frattalone Companies 3205 Spruce Street Little Canada, MN 55117 ,1 ` ~ 5~ Jay Johnson Construction 306 30th Street SW Montrose, MN 55363 l $ y 0O J~ttw~ ~iq~~~a~ ~' c~~5~~ ~l ~c°~ ,~ ~ ~ Y CITY OF ELK RIVER Request for Proposal Building Demolition - 824 Railroad Drive NW Specifications City of Elk River 08/16/2011 SPECIFICATIONS DIVISION 1 -GENERAL REQUIREMENTS 01110 SUMMARY OF WORK 01313 PROJECT MEETINGS 01330 SUBMITTAL PROCEDURES 01450 QUALITY CONTROL 01500 TEMPORARY FACILITIES AND CONTROLS 01501 SAFETY 01505 MOBILIZATION/DEMOBILIZATION 01770 CLOSEOUT PROCEDURES 01770-1 C:\Users\jbarnhart\AppData\L,ocal\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1P8X2PD\Eagles demo.doc C. The Work includes the furnishing of all labor, equipment, tools, machinery, materials, and other items required for the complete construction of the Work as specified. Equipment furnished shall be in safe operating condition and of adequate size, capacity, and condition for the performance of the Work. CONTRACTOR shall obtain all measurements necessary for the Work and shall be responsible for establishing all dimensions, levels, and layout of the Work. D. CONTRACTOR shall be solely responsible for the coordination of its .activities with regard to the work and the activities of Subcontractors and CITY. 1.05 PURPOSELY LEFT BLANK 1.06 WORK BY CONTRACTOR A. CONTRACTOR shall obtain all permits or authorizations that may be required to perform the Work including, but not limited to: 1. Asbestos notification prior to asbestos abatement 2. Other permits as necessary to complete the Work but not listed above. 1.07 CITY-FURNISHED PRODUCTS A. None. 1.08 CONTRACTOR USE OF PREMISES A. All CONTRACTOR activities shall be confined to work zones that shall be designated around the areas of work shown on the Drawings and approved by CITY. CITY will indicate at the preconstruction meeting, areas for staging materials and equipment and setting decontamination zones. If additional area is needed it shall be the CONTRACTOR'S responsibility to obtain access to such area. All material and equipment staging shall be confined to areas within the property boundaries. The parking of equipment, materials, and vehicles (either CONTRACTOR's or CONTRACTOR's employees or subcontractors) on public roads will not be allowed. All material and equipment staging shall be confined to areas other than public access roads within the construction limits. B. The CONTRACTOR'S hours of operation shall be confined to between 7:00 a.m. and 7:00 p.m. (local time) on weekdays. These hours may be expanded only with. approval of CTTY or OWNER. This includes starting and operation of machinery; delivery of equipment, materials and machinery to the property; construction activity and any other activity which, in the opinion of CITY or OWNER, may be disruptive to the surrounding community. C. Protection and Repair of Existing Facilities an operations carefully and in such a manner as t Facilities, and Utilities. Obstructions not shown exposed by CONTRACTOR without damage. damage to existing structures, Underground CONTRACTOR'S operations, .and shall repair satisfaction. 01770-1 d Utilities: CONTRACTOR shall perform o protect existing structures, Underground on the Drawings may exist and shall be CONTRACTOR shall be responsible for Facilities, and Utilities resulting from or replace damaged items to OWNER's C:\Users\jbarnhart\AppDataU.ocal\Microsoft\Windows\Temporary Internet Files\Content.0utlook\CIP8X2PD\Eagles demo.doc END OF SECTION 01010 01770-1 C:\Users\jbarnhart\AppData\L.ocal\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1P8X2PD\Eagles demo.doc a sufficient quantity of water to control dust generated by or as a result of CONTRACTOR'S activities. D. The cost of Roads/Dust Control shall be included in the Contract Price and no additional compensation will be provided. 1.03 SIGNS, FENCES, BARRICADES, AND WATCHMEN A. No signs, billboards, or other advertisements shall be erected on the premises by CONTRACTOR without CITY's prior written permission. B. CONTRACTOR shall furnish and maintain all warning lights, barricades, informational signs, and watchmen as needed for the execution of the Work as required by the Contract Documents, Laws and Regulations, for the protection of persons and property, and control of traffic in accordance with applicable manuals for Uniform Traffic Control Devices. C. Barricades, warning lights, and traffic control signage within public streets and roadways .shall, at a minimum, meet the technical requirements of the Institute of Transportation Engineers and the State Manual of Uniform Traffic Control Devices or similar publication. D. CONTRACTOR shall be solely responsible for the safety and security of the Property. E. CONTRACTOR'S security shall not interfere in any way or manner with the continued operation and security. The entire property and all work shall be available at all times (24 hours per day} for access by OWNER and CITY. F. The costs of signs, devices, fences, barricades, safety and security, and watchmen required to comply with the above stated minimum requirements including property security shall be included in the Contract Price and no additional compensation will be provided. 1.04 CONTRACTOR'S FIELD OFFICE [NOT USED] 1.05 TEMPORARY ENCLOSURES AND HEAT [NOT USED] 1.06 TEMPORARY EROSION CONTROL A. CONTRACTOR shall furnish, install and maintain temporary erosion controls as necessary to prevent the erosion of soils and transport of silt, mud and other debris off of the property or to other areas of the property where damage might result or that might otherwise be required by Laws and Regulations. 1.07 CLEANING A. CONTRACTOR shall clean the working area each day and shall remove all trash and waste materials, and shall maintain the property in a neat and orderly condition throughout the construction period. 01770-1 C:\Users\jbarnhart\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1P8x2PD\Eagles demo.doc SECTION 01770 CLOSEOUT PROCEDURES 1.01 CLEANUP A. CONTRACTOR shall keep the Property free from accumulations of waste materials, rubbish and other debris resulting from the Work, and at the completion of the Work, shall remove all waste materials, rubbish and debris from the premises as well as all tools, construction equipment and machinery, temporary facilities, and surplus materials. CONTRACTOR shall leave the property clean and ready for occupancy by OWNER. 1.02 GUARANTIES AND WARRANTIES A. CONTRACTOR shall guarantee all work and material against all defects as specified in paragraph 13.12 of the General Conditions or as otherwise required for specific items in these Specifications. 1.03 FINAL SUBMITTALS A. CONTRACTOR shall complete all submittals required by these Contract Documents prior to CONTRACTOR's fmal Application for Payment. END OF SECTION OI 770 01770-1 C:\Users\jbarnhart\AppData\Local\Microso8\Windows\Temporary Internet Files\Content.0utlook\C1P8X2PD\Eagles demo.doc 4. a detailed description of the personnel decontamination facilities to be employed including the planned phasing of decontamination facilities between work areas as the work progresses and the methods to be used to collect, store, treat, .and ultimately dispose of personnel decontamination waters and wastes; 5. a detailed description of the washdown area for decontamination of vehicles and equipment and the methods to be used to collect above, treat and ultimately dispose of washdown decontamination waters and sediments; 6. personal protective equipment types to be used and conditions. for use; 7. personal hygiene and personnel decontamination procedures; 8. respirator protection program and procedures; 9. personnel and ambient air monitoring; 10. emergency and first aid equipment and supply; 11. dust and particulate emission control; 12. monitoring and mitigation of worker heat and cold stress; 13. the types of materials .and substances likely to be encountered in the course of the work; and 14. property security, property access, and property control. In addition, CONTRACTOR'S HASP shall detail safety procedures appropriate for the Work. CONTRACTOR shall submit the HASP to CITY before beginning the Work and will not commence construction activities until its receipt is noted by CITY and distributed as herein below provided. CITY's review will be only to see that CONTRACTOR'S HASP meets the minimum requirements set forth in these Specifications. CONTRACTOR shall make reasonable changes required by CITY to make CONTRACTOR'S HASP conform to the minimum requirements. When CONTRACTOR'S HASP has been reviewed and accepted by CITY, CONTRACTOR shall distribute five copies to CITY and one copy to Subcontractors, Suppliers, and all other parties that will be required to enter the property for any purpose. Such distribution shall not impose on any party any obligation to approve CONTRACTOR'S HASP, but is intended only for informational purposes to make parties aware of CONTRACTOR'S requirements for entry to the Property. It is not intended that CONTRACTOR'S HASP cover routine construction activities that would not otherwise require a project specific health and safety plan under Laws and Regulations were it not for the potential for contact with contaminated soil and water. CONTRACTOR'S HASP shall designate a qualified individual to act as CONTRACTOR'S Site Safety Officer for purposes of assuring compliance by all persons with CONTRACTOR's HASP. CONTRACTOR'S Site Safety Officer shall be present on the property during all activities that could potentially result in exposure to contaminated soil or 01770-1 C:\Users\jbarnhart\,SppData\L,oca1\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1P8X2PD\Eagles demo.doc the action taken by CONTRACTOR in response to such an emergency, a Change Order will be issued to document the consequences of such action. 1.05 PROPERTY CHARACTERIZATION A. A list of contaminants identified to be on-site is presented in CITY's SSP. More detailed information is contained in documents located at CITY's offices and may be reviewed at CITY'S office upon request by CONTRACTOR or CONTRACTOR'S designee. 1.06 SUBMITTALS A. CONTRACTOR shall submit to CITY proof of worker training and proof of medical surveillance. B. CONTRACTOR shall submit 4 copies of the CONTRACTOR's HASP to the CITY 5 days prior to Work is scheduled to begin. PART 2: PRODUCTS [NOT USED] PART 3: EXECUTION [NOT USED] END OF SECTION 01501 01770-1 C:\Users\jbarnhart\AppDataU.ocal\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1P8X2PD\Eagles demo.doc At least two phone numbers shall be furnished which will provide 24-hour answering by a competent technical representative of CONTRACTOR in the event of an unanticipated condition requiring immediate attention. At least one person should be available at all times for immediate response to the site within 2 hours of being called. This person shall have authority to make field decisions for CONTRACTOR. 2. Permits a. CONTRACTOR shall submit copies of all permits to CITY a minimum of seven days prior to any work activities at the Property. b. CONTRACTOR shall get approval from utility companies prior to start of construction. C. Health and Safety Plan 1. CONTRACTOR shall submit to CITY a copy of CONTRACTOR's H&S Plan specific for this project. The H&S Plan shall be submitted in accordance with submittal procedures in Section 01330, ten days before Work is scheduled to begin. PART 2: PRODUCTS [NOT USED] PART 3: EXECUTION [NOT USED] PART 4: MEASUREMENT AND PAYMENT 4.01 MOBILIZATION/DEMOBILIZATION A. The CONTRACTOR will be paid for mobilization and demobilization on the basis of a lump-sum price that will include furnishing supervision, labor, equipment, and materials as are necessary for all mobilization and demobilization activities related to the work, including: mobilization and demobilization of equipment; cleanup and removal of waste and debris not counted elsewhere for payment; delivery of supplies, materials, and all incidentals; preparing and obtaining all permits, approvals, and record documents; preparing any submittals required; arranging for marking of underground utility locations and coordination with underground utility companies; establishing and maintaining all stockpiling, decontamination, treatment, and temporary storage areas and controls necessary for soil excavation; asbestos and lead paint abatement and regulated material removal; demolition; backfill and compaction; site restoration, and all other items not specifically listed but necessary to mobilize the operators and equipment in good working order and to remove from the Property all materials used by the CONTRACTOR. One unit per year will be counted for payment for the performance of these tasks. 4.02 HEALTH AND SAFETY PLAN A. The CONTRACTOR will be paid on the basis of lump-sum price for preparing and maintaining a H&S Plan as specified in the Contract Documents. Payment will include all C:\Users\jbarnhartWppData\LocalVNlicrosoft\Windows\Temporary Internet Files\Content.0utlook\C1 P8X2PD\Eagles demo.doc SECTION 02110 REMOVAL AND HANDLING OF REGULATED MATERIALS AND OTHER WASTE PART 1: GENERAL 1.01 DESCRIPTION All Work included in this Section shall be performed in accordance with the following paragraphs; the General Requirements set forth in Division 1 of these Specifications, and the provisions of the other Contract Documents. A. The Work covered under this section of the Specifications consists of furnishing all labor, materials, equipment, safety, sampling of wastes and performing all operations necessary to remove, collect, handle, package and label, transport, and dispose of all wastes on the Property. B. The attached March 24, 2010 Pre-demolition Asbestos Survey includes information concerning regulated waste materials that have been observed on the Property that require proper disposal. C. The Work includes removal of debris and solid waste on the Property. 1.02 RELATED WORK SPECIFIED ELSEWHERE 1. Section 01501 Safety 2. Section 02200 Demolition 1.03 [BLANK] 1.04 SEQUENCING AND SCHEDULING A. Removal of all wastes shall be completed before initiation of demolition activities. CITY and/or MPCA may require building and grounds inspection prior to start of demolition. PART 2: PRODUCTS [NOT USED] PART 3; EXECUTION 3.01 WASTE HANDLING A. All wastes shall be properly placed in DOT packages. B. All waste materials shall be handled in accordance with MPCA and OSHA requirements. This includes, but is not limited to, use of appropriate DOT, OSHA, and EPA drums and containers, use of appropriate fluid transfer devices, use of suitable absorbent materials, use C:iUsers\jbamhartWppData\LocalWlicrosoft\Windows\Temporary Internet Files\Content.0utlook\C1 P8X2PD\Eagles demo.doc SECTION 02220 DEMOLITION PART 1: GENERAL 1.01 DESCRII'TION A. All Work included in this Section shall be performed in accordance with the following paragraphs, as well as the General Requirements as set forth in Division 1 of these Specifications, and the requirements of all of these Contract Documents. B. The Work covered by this Section of the Specifications consists of, but is not limited to furnishing all supervision, labor, equipment, and materials and performing all operations necessary to: Disconnect, plug, and cap utilities at the Property line. 2. Remove asbestos, lead paint and other regulated building materials prior to demolition in accordance with Sections 02110. If waste materials or asbestos are encountered during demolition, remove in accordance with Section 02110. 3. Demolish all structures located on the Property to the elevation of the lowest floor elevation. Remove concrete basement floors and foundation; 4. Salvage, load, and recycle metal scrap and other salvageable materials; 5. Load, transport, and dispose of all demolition materials and rubble; 1.02 JOB CONDITIONS A. Conduct demolition, the removal of debris and rubble, and rough grading operations to minimize erosion in a manner that will ensure minimum interference, disruption, and damage to City streets, and curbs and walkways. Avoid disrupting adjacent residences and properties. Do not close or obstruct streets or walks without the permission from authorities having jurisdiction. Comply with all requirements of such authorities. B. CONTRACTOR shall be solely responsible for evaluating existing facilities and Property conditions and considering all factors that may affect-the progress or performance of the Work. C. CONTRACTOR shall become the OWNER of materials generated by the demolition of the facilities. D. Asbestos Containing Materials (ACM) and hazardous materials, and other waste are not included in this Section and are addressed in Section 02110 of these Specifications. 3.02 DISPOSAL OF MATERIALS AND DEBRIS A. CONTRACTOR shall remove and dispose of any debris, such as, but not limited to: tires, vehicles, junk, garbage, wood, railroad ties and rails, power poles, trees and shrubs necessary to facilitate demolition, and building residue. B. CONTRACTOR shall remove all solid waste from buildings and dispose prior to demolition, such as, but not limited to: paper, furniture, and appliances as discussed in Section 02110. 3.03 DEMOLITION A. CONTRACTOR shall demolish all buildings, rooms, structures, and appurtenances located on the Property. Any partial demolition of a building or structure shall be performed in a manner that maintains the structural stability of those portions of the building or structure that are not ready for demolition. B. Demolitions shall include, but are not limited to, all roofs, floors, walls, slabs, sidewalks, and door stoops to a maximum elevation of basement floor elevation and/or existing grade. C. All bituminous pavements shall be demolished .and disposed off-site or recycled off-site. D. CONTRACTOR shall furnish any shoring or bracing required for support of walls during demolition, if necessary.. E. All demolition shall be conducted such that the generation of dust is absolutely minimized. Generation of fugitive dust shall be prohibited. Generous application of water streams} during demolition is one method that may accomplish this requirement. CONTRACTOR shall modify means and methods of demolition to further reduce dust generation whenever, in the opinion of the CITY, or representative of regulatory authority, the demolition activities are generating excessive dust. F. The CONTRACTOR may use any method for .demolition, except blasting, as CONTRACTOR deems most practicable considering all applicable factors and requirements. G. CONTRACTOR shall conduct all demolition activities such as to prevent damage to .all adjacent real and personal property. 3.05 SALVAGE A. CONTRACTOR shall salvage all metal scrap and other salvageable materials from the demolition materials. Salvageable materials shall include those materials that are recyclable. Load and transport all salvageable materials. CONTRACTOR shall pay all costs or receive all proceeds that may result from salvage of metal scrap and other salvageable materials including floor plates and grates. B. CONTRACTOR shall submit copies of all load tickets, receipts, or other acceptable evidence for the disposal of all salvageable materials. C. CONTRACTOR shall pay. all transportation costs and other charges, tipping fees, and costs associated with recycling of salvageable materials. 3.06 DISPOSAL C:\Users\jbarnhart\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\C1 P8X2PD\Eagles demo.doc Other Terms and Conditions 1. All work shall comply with applicable State and Federal regulations and requirements. 2. All work must comply with all Petrofund and Minnesota Pollution Control Agency requirements. 3. All work shall be completed without damage to the adjacent roadway surface. Any disturbed paved surface shall be restored to the acceptability of the CITY and may require, up to, full depth, full width, repaving of the traffic lane adjacent to the damaged area. 4. The City will retain 5% of payments until final acceptance of the project. 5. All work must be completed by October 1, 2011. 6. Contractor is responsible for .all permits and compliance with all local, state, and Federal building and electrical codes. 7. Contractor must provide evidence of being bonded, licensed and insured. 8. The City Council reserves the right to reject any or all proposals or any alternates or to hold proposals for forty-five (45) days; or accept any proposal which, in the opinion of the City Council, serves the best interest of the City; and to waive any minor irregularities. C:\Users\jbarnhartWppData\LocalWlicrosoft\Windows\Temporary Internet Files\Content.0utlook\C1 P8X2PD\Eagles demo.doc NOTICE OF AWARD TO: CONTRACT: Building Demolition - 824 Railroad Drive NW OWNER's Contract No. DATE: You are notified that your proposal dated xxxx 2011., for the above Contract has been considered. You are the apparent Successful Bidder and have been awarded a Contract for Building Demolition - 824 Railroad Drive NW. The Contract Price of your Contract is dollars Three copies of each of the proposed Contract Documents accompany this Notice of Award. You must comply with the following conditions precedent within 15 days of the date you receive this Notice of Award. 1. Deliver to the OWNER three fully executed counterparts of the Contract Documents. 2. Deliver with the executed Contract Documents the Contract Security (Bonds) as specified. 3. (List other conditions precedent). Failure to comply with these conditions within the time specified will entitle OWNER to consider your proposal in default, to annul this Notice of Award and to declare bid your security, if any, forfeited. Within ten days after you comply with the above conditions, OWNER will return to you one fully executed counterpart of the Contract Documents. City of Elk River (OWNER) By: City Administrator END OF SECTION C:\Users\jbarnhart\AppData\LocallMicrosoft\Windows\Temporary Internet Files\Content.0utlook\C1 P8X2PD\Eagles demo.doc 8. This Agreement shall be binding upon all parties hereto and their respective heirs, executors, administrators, successors, and assigns. IN WITNESS WHEREOF, the parties hereto have executed, or caused to be executed by their duly authorized officials, this Agreement in triplicate, each of which shall be deemed an original on the date first above written. AGREEMENT 00520 - 2 PAYMENT BOND BOND NO. KNOW ALL PERSONS BY THESE PRESENTS; That a (corporation, a partnership, or an individual), hereafter called Contractor, and (Name of Surety) (Address of Surety) hereinafter called Surety, are held and firmly bound unto City of Elk River 13065 Orono Parkway, Elk River, MN 55330 hereinafter called CITY, and unto all persons, firms and corporations who or which may furnish labor or materials, as defined in Minnesota Statute 574, to perform as described under the contract and to their successors and assigns in the total aggregate penal sum of dollars ($~ in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION is based upon a certain contract by and between Contractor and CITY dated the day of , 2011, a copy of which is hereto attached and made a part hereof, for the construction of Building Demolition- 824 Railroad Drive NW. NOW, THEREFORE, if the Contractor promptly makes payment to all persons, firms, Subcontractors, and corporations furnishing materials for or performing labor in the prosecution of the Work provided for in such contract and any authorized extension or modification thereof, .including all amounts .due for materials, lubricants, oil, gasoline, coal and coke, repairs on machinery, equipment and tools, consumed or used in connection with the construction of such Work, and all insurance premiums on said Work, and for all labor, performed in such Work whether by Subcontractor or otherwise, then this obligation shall be void; otherwise to remain in full force and effect. PROVIDED, that beneficiaries or claimants hereunder shall be limited to the subcontractors, and persons, firms and corporations having a direct. contract with the principal or its subcontractors. PROVIDED, FURTHER, that the said Surety for value received hereby stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to the Work to be PAYMENT BOND 00615 - 1 IN WITNESS WHEREOF, this instrument is executed in two or more counterparts, each .one of which shall be deemed an original, this day of , 2011. SURETY: By Attorney-in-Fact (Address) ATTEST: (Surety) [SEAL] (Witness as to Surety) (Address) CONTRACTOR AS PRINCII'AL: By (Address) ATTEST: (Contractor as Principal) [SEAL] (Witness as to Contractor as Principal) (Address) NOTE: Date of BOND must not be prior to date of Contract. If Contractor is partnership, all partners should. execute BOND. IMPORTANT: Surety companies executing Bonds must appear on the Treasury Department's most current list (Circular 570 as amended) and be authorized to transact business in the state where the project is located. END OF SECTION PAYMENT BOND 00615 - 3 CHANGE ORDER INSTRUCTIONS A. GENERAL INFORMATION This document was developed to .provide a uniform format for handling contract changes that affect Contract Price or Contract Time. Changes that have been initiated by a Work Directive Change must Be incorporated into a subsequent Change Order if they Affect Price of Time. Changes that affect Contract Price or Contract Time should be promptly covered by a Change Drder. The practice of accumulating change order items to reduce the administrative burden may lead to unnecessary disputes. For supplemental instructions and minor changes not involving a .Change in the Contract Price or Contract Time, a Field Order may be used. B. COMPLETING THE CHANGE ORDER FORM An CITY's representative initiates the form, including a description of the changes involved and attachments based upon documents and proposals submitted by Contractor, or requests from CITY, or Both. Once the CITY's representative has completed and signed the form, all copies should be sent to Contractor for approval. After approval by Contractor, all copies should be sent to CITY for approval. The CITY's representative should make distribution of executed copies after approval by CITY. If a change only applies to price or to the time, cross out the part of the tabulation that does not apply. CHANGE ORDER 00671 - 2 2011 Seal Coat Improvements Elk River, Minnesota CONTRACTOR'S AFFIDAVIT State of Minnesota The County of The City of Date: of ,has furnished all labor and material entering into the Building Demolition - 824 Railroad Drive NW project for the City of Elk River (CITY). of , states further that Contractor has full knowledge of all obligations for such labor and materials which have entered into and become part of that certain project known and designated above, and Contractor further disposes and says that all debts and other obligations for such labor and materials have been fully and completely paid for in good and lawful money of the United States of American and that there are no suits for damages against them proceeding, prospective or otherwise, in consequence of their operations on the above said project. The said will hold the CTTYs, the City of Elk River, blameless of any and all Mechanic's Liens that may be hereafter entered or filed for record, so as to constitute charge against said premises for work or labor done or materials furnished by them. IN WITNESS WHEREOF, Contractor has heretofore put their hand and seal. SEAL Contractor's Authorized Agent I, ,Notary Public in and forthe above named County and State do hereby certify that personally known to me to be the affiant in the foregoing affidavit, personally appeared before me this day, and, having been duly sworn, deposes and say that the facts set forth in the above affidavit are true and correct. WITNESS my hand and seal this day of , 2011. my commission expires END OF SECTION CONTRACTOR'S AFFIDAVIT 00674 - 1