HomeMy WebLinkAboutMilestone/ENG/CO 001/Main Street PathContract No:R -36869 Change Order No.: 001
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -36869 Letting Date:08/06/2014
District:GREENFIELD DISTRICT
AE:Nierman, Chad PE /S:Gregg, Michael
Change Order Information Change Order No.: 001 EWA: Y or Force Acct: N
Date Generated: 00 /00 /0000 Date Approved: 00 /00 /0000
Reason Code: SCOPE CHANGES, Added Quantities /Items
Description: ADDITIONAL PIPE REPLACEMENT, TYPE 2, DEFORMED, AREA 8. 8
Original Contract Amount
Current Change Order Amount
Total Previous Approved Changes
Total Change To -Date
Modified Contract Amount
Time Extension Information
Date Initiated 00 /00 /0000
Original Contract Time
Time Element Description:
Current Time Extension
Previous Time Approved
Revised Contract Time
$ 821,339.94
$ 55,667.40
$ 0.00
$55,667.40
$ 877,007.34
Date Completed 00 /00 /0000
Percent: 6.778 %
Percent: 0.000 %
Percent: 6.778 %
Status:Draft
SS Completion Date 00 /00 /0000 or SS Calendar/Work Days 0
SP Date 00 /00 /0000 or SP Days
(SS = Standard Specification, SP = Special Provision)
SS Days 0 SP Days 0
SS Days by AE:
SS Days
SP Days Value $ 0.00
DCE: SCE: DDCM:
SP Days Value $
SS Completion Date 00 /00 /0000 or SS Calendar /Work Days 0
SS Date 00 /00 /0000 or SP Days 0
Contract No:R -36869 Change Order No.: 001
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority
($ per Change Order)
(Days per Contract)
Verbal Approval Required?
Total Change To- Date >5 %?
Scope /Design Recommendation
Required?
Approval Authority Concurs with PM?
LPA Signatures Required?
FHWA Signatures Required?
Page: 2
AE: DCE: SCE: * DDCM: *
(- LE $ 250K-) (- LE $ 750K - ) ( — LE $ 2 M -- ) ( -- GT $ 2 M -- )
(50 SS days ) ( 100 SS days ) ( 200 SS Days ) ( GT 200 SS days)
Y /NIfY,by
Date Issued
Y / N If Y , Copy to Program Budget Manager
Y / N If Y, Referred to Project Manager(PM)
Date to PM Date Retuned.
Y / N If Y, Concurrence by Date
If N,Resolution: Approved Disapproved
Resolved by Date
Y / N If Y, Date to LPA Date Returned
Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -36869 INDIANA Date:01/21/2015
Change Order No:001 Department of Transportation Page: 3
Contract:
Project:
Change Order Nbr:
R -36869
1383166 - State:138316600LC3
001
Change Order Description: ADDITIONAL PIPE REPLACEMENT, TYPE 2, DEFORMED, AREA 8.8
Reason Code: SCOPE CHANGES, Added Quantities /Items
CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change
0014 1383166 0014 202 -96133 LFT 24.750 170.000 C Amount:$ 4,207.50
Item Description: PIPE, REMOVE
Supplemental Descriptionl:
Supplemental Description2:
0025 1383166 0025 211 -09264 CYS 22.180 130.000 C Amount:$ 2,883.40
Item Description: STRUCTURAL BACKFILL, TYPE 1
Supplemental Descriptionl:
Supplemental Description2:
0029 1383166 0029 604 -05528 TON 163.050 70.000 C Amount:$ 11,413.50
Item Description: HMA FOR SIDEWALK
Supplemental Descriptionl:
Supplemental Description2:
0052 1383166 0052 715 -05149 LFT 38.000 - 30.000 C Amount:$ - 1,140.00
Item Description: PIPE, TYPE 2 CIRCULAR 12 IN
Supplemental Descriptionl:
Supplemental Description2:
0058 1383166 0058 715 -09919 LFT 189.000 170.000 C Amount:$. 32,130.00
Item Description: PIPE, TYPE 2 DEFORMED MIN AREA 8.8 SFT
Supplemental Descriptionl:
Supplemental Description2:
0062 1383166 0062 720 -45005 EACH 973.000 1.000 C Amount:$
Item Description: INLET, A2
Supplemental Descriptionl:
Supplemental Description2:
973.00
0064 1383166 0064 720 -45416 EACH 5,200.000 1.000 C Amount:$ 5,200.00
Item Description: MANHOLE, E4
Supplemental Descriptionl:
Supplemental Description2:
0072 1383166 0072 801 -06775 LS
item Description: MAINTAINING TRAFFIC
Supplemental Descriptionl: Red Oak Lane Cut
Supplemental Description2:
0.000 1.000 C Arnount:3
0.00
Total Value for Change Order 001 = $ 55,667.40
Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended.
General or Standard Change Order Explanation
The existing Deformed Corrigated Metal Pipe from Station 28 +73 to Station 30 +45 was rusted out at the flowtine. The City of Carmel Engineer
requested the contractor replace the pipe as pars of the project. Replacing the pipe also required replacing the existing Structure No. 11; Station
29 +04, with a Type E Inlet. The existing inlet is only a hole cut in the existing CMP with concrete poured under the casting. Replacing this section
Contract No:R -36869 INDIANA Date:01/21/2015
Change Order No:001 Department of Transportation Page: 4
of pipe requires open cutting across Red Oak Lane. Red Oak is a dead end street and the contractor will have to maintain traffic in and out with
Steel, street plates. The Contractor submitted a cost breakdown for renting these plates and maintaining traffic in and out of Red Oak Lane.
Change Order Explanation for Specific Line Item
It is the intent of the parties that this change order is full and complete compensation for the work describe above.
Notification and consent to this change order is hereby acknowledged.
Contractor: Signed By:
Date:
NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:R -36869 INDIANA Date:01/21/2015
Change Order No:001 Department of Transportation Page: 5
IGNA`rURE)
(SIGNATURE)
APPROVED FOR LOCAL PUBLIC AGENCY
Crly Eel &r.J
(TITLE)
1,121t5
(DATE)
(TITLE) (DATE)
PE /S
Approval Level
SUBMITTED FOR CONSIDERATION
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Name of Approver Date Status
Date: January 15, 2014
Contract: R -36869
ATTV: Mr. Mike Gregg
CHA
Union Station, 300 South Meridian Street
Indianapolis, IN 46225
24053 Vote Road, Batesville, IN 47006
Phone: 812- 933 -0205 FAX: 812 -934 -6467
Re: Additional Traffic Control for CO #2 Pipe Replacement
Dear: Mr. Mike Gregg
The Following is OLCO's quotation for the additional traffic work required on the above referenced project.
This price includes all labor and equipment to complete the required work to INDOT /Plan specifications. All
other pay items associated with this work wilt be paid per bid item. If acceptable, please issue a change
order so we may complete this work within the Droiect time lines.
City
UN
Description
Unit Price
Price
1
LS
Additional Traffic Maintainance
$ 5,463.67
$ 5,463.67
Total:
$ 5,463.67
For your convenience I have attached a breakdown of all costs associated with this work. If you have any
questions or require any additional information please let me know.
Thank you,
Nic Wonneil - Operations
An Equal Opportunity Employer
Page 1 of 5
1.C.I. EXTRA WORK AGREEMENT
Date: January 15, 2014
Contract: R -36869
Project: Carmel Main Street Shared Use Path
Description: Walk and bike path along north side of Main Street west of Grey
Road.
FORCE ACCOUNT / EXTRA WORK / LOST TIME / CHANGE ORDER
LABOR : 109.05 (a )
Plating
Milling
Sawcutting
Flagging
Plating
Employee
1 Regular
Overtime
Dbltime 1
Pay Hrs.
RATE
Total
OPERATOR
5
5
HRS 1
5
$ 29.75 1
$ 148.75
OPERATOR
5
OPERATOR
5
5
$ 29.75
I $ 148.75
LABORER
5
83.75
LABORER
5
1 $ 22.62
I $ 113.10
LABORER
40
$
64.00
40
1 $ 22.62
$ 904.80
LABORER
10
=
$
10
$ 22.62
$ 226.20
LABORER
X
$ 12.80
=
1 $
$ 22.62
LABORER
CARPENTER
HRS
X
$ 12.80
=
$ 24.54
CARPENTER
HRS
X
$ 17.30
$ -
HRS j
.X
$ -
_
HRS
$ -
$ -
(1) TOTAL LABOR
(2) FICA 7.65% X LINE (1)
Employee
No.
Fringe 1
Total
OPERATOR
5
HRS 1
X
$ 16.75
=
$
83.75
OPERATOR
5
HRS
X
$ 16.75
=
$
83.75
LABORER
5
HRS 1
X
$ 12.80
=
$
64.00
LABORER
40
HRS i
X
$ 12.80
=
$
512.00
LABORER
10
HRS ':
X
$ 12.80
=
1 $
128.00
LABORER
HRS
X
$ 12.80
=
CARPENTER
HRS
X
$ 17.30
=
HRS j
.X
$ -
_
HRS
X
$ -
=
HRS
X
$ -
=
1,541.60
$ 117.93
(3) TOTAL FRINGES $ 871.50
(4) WORKMEN'S COMPENSATION 7.10% X LINE ( 1) $ 109.45
(5) BODILY INJURY INSURANCE 2.10% X LINE ( 1) $ 32.37
(6) PROPERTY DAMAGE INSURANCE 0.42% X LINE (1) $ 6.49
(7) STATE UNEMPLOYMENT 5.60% X LINE ( 1) $ 86.33
(8) FEDERAL UNEMPLOYMENT 0.80% X LINE ( 1) $ 12.33
(9) TRAVEL ALLOWANCE OR SUBSISTENCE $
(10) TOTAL: LINES (1) +(2) +(3) +(4) +(5) +(6) +(7) +(8) +(9) $ 2,778.00
( 11) 20% X LINE (10) $ 555.60
( 12) GRAND TOTAL LABOR : LINES (10) + ( 11) $ 3,333.60
An Equal Opportunity Employer
Page 2 of 5
INSURANCE, TAXES : 109.05 (b )
(13) INSURANCE: [ 1.80 % X LINES (12) + (20) + (26)) $ 95.28
( 14) TAXES $ -
( 15 ) TOTAL: LINES ( 13 ) + ( 14 ) $ 95.28
(16) 10%X LINE (15) $ 9.53
( 17) GRAND TOTAL FOR INSURANCE, TAXES : LINES (15) + (16) $ 104.81
MATERIALS : 109.05 (c )
(18) TOTAL MATERIALS $ 345.00
(19) 12% X LINE ( 18 ) $ 41.40
( 20) GRAND TOTAL MATERIALS : LINES (18) + (19) $ 386.40
MATERIALS:
Qty Unit Description
Unit Cost
Total.
3 EA
8' x 12' x 1" Road Plates
$ 115.00
$ 345.00
An Equal Opportunity Employer
Page 3 of 5
Total Above $ 345.00
0% Misc. Materials $
Total Materials $ 345.00
EQUIPMENT : 109.05 ( d )
(21) TOTAL CONTRACTOR OWNED EQUIPMENT
( 22) RENTED EQUIPMENT (INSERT EQUIPMENT)
( 23) FUEL, LUBRICANTS, & TRANSPORTATION COSTS
(24) TOTAL: LINES (21) + (22) + (23)
(25) 12% X LINE (24)
( 26) GRAND TOTAL EQUIPMENT : LINES (24) + (25 )
An Equal Opportunity Employer
Page 4of5
$ 1,404.95
$ 1,404.95
$ 168.59
$ 1,573.54
BLUE BOOK
ADJ. MO.
RATE /176 HRS
BLUE BOOK
OPERATING
RATE /HR
BLUE BOOK
TOTAL
RATE /HR
CONTRACTOR OWNED EQUIPMENT,
MACHINERY OR SPECIAL EQUIPMENT:
NO. OF
HOURS
Total
SERVICE TRUCK $ 10.25
$ 36.01
$ 46.26
15.00
$ 693.86
EXCAVATOR PC -88 KOMATSU $ 25.43
$ 29.68 I
$ 55.11
DUMP TRUCK TRI AXLE $ 28.52
$ 64.60
$ 93.12
DUMP TRUCK SINGLE AXLE $ 16.40
$ 32.81
$ 49.21
PICK UP TRUCK F -350 $ 6.31
$ 21.66 1
$ 27.97
SKID STEER JD 33D $ 16.45
1 $ 25.53
$ 41.98
PICK - UP TRUCK
$ 6.78
1 $ 17.72
$ 24.50
BACKHOE - CASE # 580 L, 90 HP, 1.03 CYD, EXTND., 41A
$ 21.34
1 $ 22.91
$ 44.25
BUCKET 12 INCH
$ 2.59
$ 1,89
$ 4.48
BUCKET 18 INCH
$ 2.59
$ 1.89
$ 4.48
BUCKET 24 INCH
$ 2.59
$ 1.89
$ 4.48
BUCKET 42 INCH
$ 5.23
$ 2.44
$ 7.67
BACKHOEJD -310
$ 17.87
$ 27.18
$ 45.05
ROLLER - CAT CC -24
$ 9.01
$ 11.80 (
$ 20.81
HYDRAULIC EXCAVATOR - Komatsu PC270LC -8
$ 62.14
$ 69.31
$ 131.45
HYDRAULIC EXCAVATOR -JD -85
$ 38.96
$ 30.17
$ 69.13
5.00
$ 345.67
LOADER - SKID STEER B/C # 773 -T
$ 13.77
$ 14.66
$ 28.43
5.00
$ 142.16
LOADER - SKID STEER B/C # 863
$ 15.98
$ 17.67
$ 33.65
80 HP TRACTOR
$ 16.87
$ 16.75
$ 33.62
ROCK BREAKER - Z -96, FOR SKID STEER
$ 10.23
1 $ 2.10
$ 12.33
TRAILER, CARGO
1 $ 11.15
$ 8.17
$ 19.32
TRAILER, EQUIPMENT, - 3 AXLE, 20 FT., 70 TON
( $ 10.62
$ 7.15
$ 17.77
WATER TANK ON TRAILER
$ 8.97
$ 5.55
$ 14.52
TRAILER, EQUIPMENT, - 2 AXLE, 6 TON
$ 18.66
1 $ 45.65
$ 64.31
BOBCAT MILLING ATTACHMENT - 24"
$ 5.85
$ 14.72
$ .20.57
5.00
1 $ 102.87
PAVEMENT BREAKER - 90 LB.
$ 1.23
1 $ 0.45
f $ 1.68
,
CHIPPING HAMMER 1 $ 5.56
$ 0.45
$ 6.01
SMALL GENERATOR - 5 KW MAX. 1 $ 1.23
$ 4.98
$ 6.21
VIBRATORY PLATE COMPACTOR, MANUAL GUIDED, 41 $ 4.30
$ 4.17
$ 8.47
CUT -OFF SAW
$ 1.63
$ 22.45
$ 24.08
5.00
1 $ 120.39
CONCRETE SAW - 40 HP
$ 7.41
$ 26.35
$ 33.76
ARROW BOARD - DIESEL
$ 2.19
$ 2.27
$ 4.46
ARROW BOARD - SOLAR
$ 2.20
$ 0.50
$ 2.70
TRASH PUMP W / HOSE & GENERATOR 1 $ 5.10
$ 8.25
$ 13.35
�$ 1$ -
$ -
$ - 1$ -
$ -
(21) TOTAL CONTRACTOR OWNED EQUIPMENT
( 22) RENTED EQUIPMENT (INSERT EQUIPMENT)
( 23) FUEL, LUBRICANTS, & TRANSPORTATION COSTS
(24) TOTAL: LINES (21) + (22) + (23)
(25) 12% X LINE (24)
( 26) GRAND TOTAL EQUIPMENT : LINES (24) + (25 )
An Equal Opportunity Employer
Page 4of5
$ 1,404.95
$ 1,404.95
$ 168.59
$ 1,573.54
SUBCONTRACTS : 109.05 (f )
SUBCONTRACTS WEEK ENDING :
Qty Description
AMOUNT
( 27) TOTAL SUBCONTRACTS WEEK ENDING
(28) TOTAL SUBCONTRACTS TO DATE
( 29) 10% X LINE ( 28 ), FOR FIRST $3,000.00
( 30) 7% X BALANCE OF LINE (28) , IF LINE (28) IS OVER $3,000
( 31) GRAND TOTAL SUBCONTRACTS : LINES (28) + (29) + (30 )
( 32) TOTAL : LINES (12 ), (17 ), (20 ), (26 ), & (31) $ 5,398.35
( 33) 1.1% BOND RATE BASED UPON LINE (32) $ 59.38
(34) 10% X LINE (33) $ 5.94
( 35) TOTAL EXTRA WORK : LINES (32) + (33) + (34) $ 5,463.67
NOTES :
An Equal Opportunity Employer
Page 5 of 5
Board of Public Works and Safety:
Maxo`r —
J. es Brainard
Me
ry Ann Burke
Member t Lori W on
Attest:
Date // /5
Date
DiarJ4 L Cordray, Cle T easurer Date