D-8111 White --City Clerk No. 0 A
Pink - Finance Dept.
Canary - Dept. Accounting Date //,y�j
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 reroofing Sylvan Recreation Center
known as Contract IL- G2671 , City Project No. 8530 Berwald Roofing Company ,
Contractor, is composed of the following:
Rotted wood decking was removed and replaced with ilea decking
under Unit Price Bid. Deck replaced was 972 sq. ft. at $2.00/sq. ft. . . $ 1,944.00
•
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 $ 1,944.00 , said amount to be added to the lump sum con-
sideration named in the contract, known as contract G?67 , and which amount is to be financed from:
001-03102-0271-33047 Summary:
Original Contract $ 27,636.00
Amount this Change Order $ 1,944.00
$ 29,580.00
DASTOFAR
A R
c
5—2-1 19 g( Berwald Roofing Company
As 'stant C' At • sey Contraceej
L." ..—.AA_ _11_ .$ 2-1 At.r.:. 19$x, By %,,-/--L--
1.
Engineer
• Q r /, '--&i-A-Y-°'\ csxkl
Ch' En 'neer/City Architect H of D p tme o Fy�iance
19 __
rector of -f P-4' 1 ' -c- Ar cw-4. Administrative Assistant to the Mayor
BUILDINC DESIGN SECTION DEPARTMENT g/// N? 5 95
' H. L. HOLZSCHUH CONTACT
: 82. PHONE 1986 DATE e/ Se e3
ASSIGN NUMBER FOR ROUTING ORDER (Clip All Locations for Signature) :
2 Department Director Director of Management/Mayor
4 Finance and Management Services Director City Clerk
Budget Director 5 Jan Gasterland
7/City Attorney 6 H. L. Holzschuh, 531 City Hall
1 Contractor
WHAT WILL BE ACHIEVED BY TAKING ACTION ON THE ATTACHED MATt RIALS? (Purpose/
Rationale) :
Additional rotted decking was revealed and replaced under unit prices taken 1'! CNEa D
SEP 9 '19�
RECEIVED R S ()MU
COST/BENEFIT, BUDGETARY AND PERSONNEL IMPACTS ANTICIPATED: S E P 8 1986
Original Contract $ 27,636.00 OFFICE OF THE DIRECTOR
Change Order #1 $ 1,944.00 DEPARTMENT OF FINANCE
$ 29,580.00 AND MANAGEMENT SERVICES
•
FINANCING SOURCE AND BUDGET ACTIVITY NUMBER CHARGED OR CREDITED: (Mayor's signa-
ture not re-
Total Amount of Transaction : $ 1,944.00 quired if under
$10,000)
Funding Source:
Activity Number: 001-03102-0271-33047
ATTACHMENTS (List and Number All Attachments) :
ONx)rtw.,T?T )E C>7-ic> la
Co NI"C244 -ro i2-' 1 t•1 V v t G<-
DEPARTMENT/ E EW CITY ATTORNEY REVIEW
Yes + • Council Resolution Required? Resolution Required? Yes '' No
III1Yes ,r/ No ,Insurance Required? Insurance Sufficient? Yes No 41
Yes I 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.