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D-8077 White - City Clerk No. D g6 7 7 Pink - Finance Dept. Canary - Dept. Accounting Date /o„.)/ifs Blue - Engineer H. L. Holzschuh Green - Contractor 531 City Hall III CITY OF SAINT PAUL — OFFICE OF THE MAYOR ADMINISTRATIVE ORDER for CONTRACT CHANGE AGREEMENT NO. 1 ADMINISTRATIVE ORDER, Whereas, additions which proved to be necessary to the Improvement described as Auditorium Roof West Valley membrane replacement , known as Contract 1./.G26,41 , City Project No. 8152R , M & S Roofing Inc Contractor, is composed of the following: Wet insulation was discovered and replaced with new insulation and membrane $ 3,447.00 Tie-off flashing between the roof membrane and the metal edge of the barred roof was completed $ 776.00 $ 4,223.00 III ORDERED, That the City of Saint Paul, through its Mayor, approves the foregoing additions made in ac- cordance with the specifications in the sum of $ 4,223.00 _, said amount to be added to the lump sum con- sideration named in the contract, known as contract IL- G2643 , and which amount is to be financed from: C166-.20121,6:271-000 Summary: Original Contract $ 12,597.00 Amount this Change Order $ 4,223.00 $ 16,820.00 • • '•_IVED AS Ts OR■ / A '7 ' • �. V 19 g M & S Roofing Inc. _ .As istant ity A ..rney Contractor I • • BUILDING DESIGN SECTION DEPARTMENT " g-67 No 578 A_L. 'JLZ SCHUH CONTACT 298-47 PHONE I"e 'II JUNE 111,, 1986 DATE ASSIGN NUMBER FOR ROUTING ORDER (Clip All Locations for Signature) : 1 Department Director Director of Management/Mayor 4 Finance and Management Services Director City Clerk Budget Director 3 Supervisor of Code Enforcement _City Attorney 5 H. L. Holzschuh - 531 City Hall WHAT WILL BE ACHIEVED BY TAKING ACTION ON THE ATTACHED MATERIALS? (Purpose/ Rationale) : Wet insulation was discovered during repair and replaced with new roofing materials. COST/BENEFIT, BUDGETARY AND PERSONNEL IMPACTS ANTICIPATED: Original Contract $ 12,597.00 Change Order No. 1 $ 4,223.00 $ 16,820.00 III FINANCING SOURCE AND BUDGET ACTIVITY NUMBER CHARGED OR CREDITED: (Mayor's signa- ture not re- Total Amount of Transaction: $ 4,223.00 quired if under $10,000) Funding Source: -20121271AW Activity Number: ATTACHMENTS (List and Number All Attachments) : Letter or T c1,-•-0.°A DEPARTMEN REVIEW CITY ATTORNEY REVIEW Yes o Council Resolution Required? Resolution Required? Yes No es o Insurance Required? Insurance Sufficient? Yes No Yes No Insurance Attached: (SEE REVERSE SIDE FOR INSTRUCTIONS) Revised 12/84 HOW TO USE THE GREEN SHEET The GREEN SHEET has several PURPOSES: 1. to assist in routing documents and in securing required signatures 2. to brief the reviewers of documents on the impacts of approval 3. to help ensure that necessary supporting materials are prepared, and, if • required, attached. Providing complete information under the listed headings enables reviewers to make decisions on the documents and eliminates follow-up contacts that may delay execution. The COST/BENEFIT, BUDGETARY AND PERSONNEL IMPACTS heading provides space to explain the cost/benefit aspects of the decision. Costs and benefits related both to City budget (General Fund and/or Special Funds) and to broader financial impacts (cost to users, homeowners or other groups affected by the action) . The personnel impact is a description of change or shift of Full-Time Equivalent (FTE) positions. If a CONTRACT amount is less than $10,000, the Mayor's signature is not required, if the department director signs. A contract must always be first signed by the outside agency before routing through City offices. Below is the preferred ROUTING for the five most frequent types of documents: CONTRACTS (assumes authorized budget exists) 1. Outside Agency 4. Mayor 2. Initiating Department 5. Finance Director 3. City Attorney 6. Finance Accounting ADMINISTRATIVE ORDER (Budget Revision) ADMINISTRATIVE ORDERS (all others) 1. Activity Manager 1. Initiating Department 2. Department Accountant 2. City Attorney • 3. Department Director 3. Director of Management/Mayor 4. Budget Director 4. City Clerk 5. City Clerk 6. Chief Accountant, F&MS COUNCIL RESOLUTION (Amend. Bdgts./Accept. Grants) COUNCIL RESOLUTION (all others) 1. Department Director 1. Initiating Department 2. Budget Director 2. City Attorney 3. City Attorney 3. Director of Management/Mayor 4. Director of Management/Mayor 4. City Clerk 5. Chair, Finance, Mngmt. & Personnel Com. 5. City Council 6. City Clerk 7. City Council 8. Chief Accountant, F&MS SUPPORTING MATERIALS. In the ATTACHMENTS section, identify all attachments. If the Green Sheet is well done, no letter of transmittal need be included (unless signing such a letter is one of the requested actions) . Note: If an agreement requires evidence of insurance/co-insurance, a Certificate of Insurance should be one of the attachments at time of routing. Note: Actions which require City Council Resolutions include: 1. Contractual relationship with another governmental unit. 2. Collective bargaining contracts. 3. Purchase, sale or lease of land. • 4. Issuance of bonds by City. 5. Eminent domain. 6. Assumption of liability by City, or granting by City of indemnification. 7. Agreements with State or Federal Government under which they are providing funding. 8. Budget amendments.