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Home My WebLink AboutSubSurface/ENG/CO 1/12,920.62/Bridleborne DrainageTO: Sub - Surface of Indiana, Inc. 7225 West 700 South Morgantown, IN 46160 CITY OF CARMEL CONTRACT CHANGE ORDER NO.: #1 DATE: February 25, 2015 PROJECT NAME: Bridlebourne Drainage Modifications Project No.13 -07 CITY REQ. NO.: CITY PO NO.: 25291 CITY PO DATE: You are directed to make the following changes in this Contract: (Brief Description) ITEM AMOUNT ( +) OR ( -) DAYS See Attached Sheets II. The following referenced Documents further describe the changes outlined in Paragraph I, and are to be considered a part of this Change Order: R.F.P.: NA W.D.C. No.: NA Other: The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $ 348,000.00 Contract Price will be increased h?','.' by this Change Order $ 12,920.62 New Contract Price including this Change Order $ 360,920.62 Contract Time Prior to this Change Order NA Days NA Completion Date Net increased /decreased resulting from this Change Order NA Days Current Contract Time including this Change Order NA Days NA Completion Date This Change Order is for full and final settlement of all direct, indirect, impact costs and time extensions incurred at any time resulting from the performance of the changed work. The Above Changes Are Recommended Department of Engineering ENGINEER One Civic Square Address Carmel IN, 46032 City /State /Zip By: Tao -.,trek print (signatu Phone: (317) 571 -2441 Date: February 25,2015 The Above Changes Are Accepted: Su Scsrtacc CONTRACTOR r / cJes. ?-00 Sou # Address /1cIP. an-i1,ur, -17 ∎I 46/ 60 Cityitate /Zip By: J r\ A[S +6.- (.rint nage jnature) hone:317- - 6q I . o .( Date: a- a6 i 5 CAta/W4- Diana Cordray, rk- Treasurer Date: Jer- Kash an City Engineer Date: a -27 -15- BRIDLEBOURNE DRAINAGE MODIFICATIONS (PROJECT NO. 13 -07) CHANGE ORDER #1 Item No. Item 9 Pipe, 12 RCP, Remove - Substantially as planned. (Overrun $60.00) 10 Pipe, 15 RCP, Remove - Substantially as planned. (Overrun $100.00) 20 Manhole, Type J - Overrun because there was an error in the plan quantity. One additional manhole was required. (Overrun $4,100.00) 24 Compacted Aggregate, No. 8 - Overrun because of an error in plan quantity. The plans did not account for backfilling all the RCP to the springline of the pipe as required by the Hamilton County Surveyor's Office. Additional stone was required to backfill the storm pipes than was estimated in the plans. (Overrun $1,800.00) EWA1 Lower Water Main overrun because an existing 6" water line was in conflict with the new storm sewer. The work was paid for by time and materials. (Overrun $6,860.62) Sub - Surface of Indiana, Inc. 7225 W. 700 S. Morgantown IN 46160 812 - 597 -4195 812 - 597 -4196 SUB-SURFACE OF INDIANA, INC. 7225 W. 700 S. • 812-597-4195 Morgantown, IN 46160 Change Order Request COR Number: 001 Date: 1/30/2015 Project Number: 13 017 Contract Date: 12/4/2013 To:,, Project: • City of Carmel One Civic Square Carmel IN 46032 Bridlebourne Drainage Modification Bridlebourne Subdivision Carmel IN Desc"ription'of Change;. Sub - Surface of Indiana was directed to lower 6" water line that was in conflict with proposed 36" RCP Storm Sewer on a time and material basis including investigative work with Vac Truck and Layout to verify depth and material prior to performing work. Time and Material Tickets are attached. Project Original Contract Sum Total of Previously Approved Change Orders Contract Amount Prior to this Change Order Proposed Contract Amount of this Change Order Proposed Contract Amount Including this Change Order 348,000.00 0.00 348,000.00 6,860.62 354,860.62 Accepted By:' Contractor (Company Name) Owner (Company Name) By (Signature) By (Signature) Printed Name Printed Name Date Date Owner's Change Order Number Other (Company Name) By (Signature) Printed Name Date Page 1 4URFACE, OF ;!_NP1A A. : 7225 W . 700 C. • Morgart o\'m, IN 46160 817-597-, l 195 - office • 817-597-1196 - fax Job Name: 4/rUe4a./.ra.. Job Number: [ 3-0/ 7 Description of work: EXTRA WORK AGREEMENT NC.. Date: Z . / - NO: 0 0 0 0 6 5 Customer: Lai,■-1.4-1 Address: City /State: Zip: Cost Code: Equipment Description--- --- -__ -_- __ .__Rate - - -Hr. - --- Total -S-- Skid 1.riader Dbl. Tim Total $ Laborer- — Backhoe '75 -- — _ Excavator S 6 crator Bull Dozer Total 1‘ aterial and Supplies s or 0 0. 6Q Serf Propelled Scraper y �/ a 20 Truck Driver -tractor &Pan Total $ t{. Li to . as Motor Grader Mechanic" Fri mtend f.oadkr Compactor Foreman Off Road Haul Truck Cpc Tractor & Disc ca0 Supcnntendenr Street Sweeper Trencher Project Mlanagcr Concrete Saw (Daily) -f Blades Plate Compactor (Dail-) Air Compressor (Daily) + Attachments Water Truck Total Labor Pick tip Truck Single Axle Dump Tntc.k Tri -Axle Dump Truck Lowboy Vac Truck Hoe Ram f t e.G.Iro 43 tstr el /--4.t4 a 41.4 yb.-0,- 41 .l, ..., /( , &. 4". , Gem,i4 110i- c S Total Equipment 5 - 0 oj Date Performed: Description Hr. Str. Time Hr Overtime Hr. Dbl. Tim Total $ Laborer- — t '75 -- — _ _ _ — F 10 - -- crator —12_..:Q Total 1‘ aterial and Supplies s or 0 0. 6Q Std -'Iota y �/ a 20 Truck Driver (L/J c L- Total $ t{. Li to . as Mechanic" Foreman O Cpc ca0 Supcnntendenr Project Mlanagcr Total Labor S ), 6 30 Includes Truck & Tools Material and Supplies Quan. Rate Total S IffiliffleflIMUMMINIMIN Z W�: I \Taterials ingenlig _ - _ 2- ILIIIIIII 1 :tbor 7-7-- /l ( 3o . 00 Sub - Contractor 11111111MMI 0 namorrammimP,, Total 1‘ aterial and Supplies s or 0 0. 6Q Sub - Contractor Total Sub - Contractor)$ Signature represents verifiention of lahor, material and eq tipment used for the ahr ve work. orner Rep. Signature Date Su -Ste ce of Indiana Signature SST - White Copy /Customer ellow Copy /-C1-15- Work Agreement Summary Equipment .g--- -0 \Taterials , C310.6Q Sales Ta / T£ 1 :tbor /l ( 3o . 00 Sub - Contractor 0 Overhead 7„ ) C L. Std -'Iota y �/ a Profit (L/J c L- Total $ t{. Li to . as Signature represents verifiention of lahor, material and eq tipment used for the ahr ve work. orner Rep. Signature Date Su -Ste ce of Indiana Signature SST - White Copy /Customer ellow Copy /-C1-15- €SUBSURFACE, 7925 trot 700 S • Priorciant. tt. ° <tl. iFd 41610 rJJ 81_.'ti.:f _.f�1'`, ltfia,._ • :Ji2_5C.t% - ilL,tl t<.{ Job Name: �f /( le b04 //le- job Number: j 3 - (J( 7 Description of work: 45 EXTRA WORK AGREEMENT Date: ( LO -f No: 000064 Customer: Ge�yr� rl r(r �eS Address: City/State: Zip: o k 146 71S Cost Code: (, 00 Equipment Description Rate Hr. Total S Skid 1.oader Dbl. Timc Total $ Laborer Backhoe 2/5 l .abor Excavator 9S 2. / 90 Bull Dozer • <C) jry GL Self Propelled Scraper 5-GO / ! 0l3 Truck Driver Tractor & Pan Total $ 5-(,, O Motor (Grader _ Mechanic' Frontend bander Compactor r'oreman Off Road Haul Truck Tractor & Disc Superintendent Street Sweeper Trencher Project Nfanager Concrete Saw (Daily) 4- fiiadeS Plate Compactor (Daily) Aix Compressor (Daily) 4- Attachments Water Truck Total Labor Pick Up Truck Single Axle Dump Truck 1 n-Axle Dump Truck Lowboy Vac I ruck Hoe Ram Total Equipment $ /90 Date Performed: Description Hr. Str. Time Hr Overtime Hr. Dbl. Timc Total $ Laborer 6 2/5 l .abor ;3 7-0 Sub - Contractor ,,,)4-0 Operator ? • <C) jry GL Sub -Totar 5-GO / ! 0l3 Truck Driver 1 A.) C 4- Total $ 5-(,, O Mechanic' r'oreman Superintendent Project Nfanager Total Labor $ 3-3-Q ° Includes Truck & Tools Material and Supplies Quan. Rate Total $ Total Material and Supplies Sub - Contractor Total Sub- ContractorlS Siaaature reprreesenn!s verification of labor, material and eq lip;1 ent used for the above tvork- wine.r is ner Rep. Signature / � /j Date Sub- Surface Indiana `.iitrnaturc SSI - White Copy /Customer - Yellow Copy Date Work Agreement Summary Equipment / 90 Materials O Sales Tic Q l .abor ;3 7-0 Sub - Contractor U Overhead jry GL Sub -Totar 5-GO Profit 1 A.) C 4- Total $ 5-(,, O Siaaature reprreesenn!s verification of labor, material and eq lip;1 ent used for the above tvork- wine.r is ner Rep. Signature / � /j Date Sub- Surface Indiana `.iitrnaturc SSI - White Copy /Customer - Yellow Copy Date -SU FACE ,OF ,I DI NA`, 7225 W . 700 5. o Morgantown, tntown, IN 46160 812-507-4195 - Cii!c e • 812-597-4196 fax EXTRA WORK AGREEMENT Job Name: c3/r d fe 6 ot�//1.0 G1 o /c 4 -., // Job Number: (3 -017 Date: ( -13 —I r NO: 000062 Customer: ct� Ore C-4,-"e-c p Address: City /State: Zip: / k/A Le/ l (o cc. Description of work: V4 EX et /Io 1 4 o je $ .+ f lC;(1 ej A ✓7 e tr D res 64 Cost Code: ®,0 Date Performed: Equipment Description Rate Hr. Total $ Skid Loader Dbl. Timc Total $ Laborer Backhoe 0 Labor Excavator Sub - Contractor Operator Bull Dozer 5 irs l yJ 6 L Self Propelled Scraper - 300 Truck Driver Tractor & Pan Total S / '%o Motor Grader Mechanic* Homeric! Loader Compactor Foreman Oil Road }-Iaul Truck 65 Tractor & Disc 90 Superintendent Street Sweeper Trencher Project \lanagcr Concrete Saw Pails-) + Blades Plate Compactor (Daily) Air Compressor (Dail-) 4- Attachments Water Truck $ 650 Total Labor Pick Up Truck Single Axle Dump Truck Tri-Axle Dump Truck Lowboy Vac Truck a 00 / / / aOo Hoe Ram Total E tripment $ IrS`U" Signature. represents verification of lat ur, material and equipmenrlused for the alai s tstu aer Rep. Sig-nature Date Description Hr. Str. Time Hr Overtime Hr. Dbl. Timc Total $ Laborer a 0 Labor 6 FO Sub - Contractor Operator 6 . 5 irs l yJ 6 L Sub Total - 300 Truck Driver / --770 C/.. Total S / '%o Mechanic* Foreman 6 65 90 Superintendent Project \lanagcr $ 650 Total Labor t Includes Truck & Tools Material and Supplies Qnan. Rate Total $ Total Material and Supplies Sub - Contractor Total Sub - Connactors$ Sub-Surface g ndiana Signature SSI - White Copy /Customer - Yellow Copy ( -13-1 Date Work Agreement Summary Equipment % 9c 0 Materials O Sales Tax 0 Labor 6 FO Sub - Contractor 0 Overhead l yJ 6 L Sub Total / 87-50 Profit / --770 C/.. Total S / '%o Sub-Surface g ndiana Signature SSI - White Copy /Customer - Yellow Copy ( -13-1 Date FERGUS° E TERPRISES, 6439 EAST 30TH STREET INDIANAPOLIS IN 46219-0000 Please contact with Ouestiors. 317-546-203 3414 1 MB 0.435 E9032 100555 710373893 P238 ;235 5302:0004 11111111iiiiiiiilliii11111111""i111111111"1111'111111111111 SUB SURFACE OF INDIANA 7225 W 700 S MORGANTOWN IN 461GO-9656 INN I SHiP SELL TAX COnc CuS410YIER-OROER,N1.4ms I WHSE. WHSE. I 1934 '19'34 1NONLY 13-L;7 - Gt3.3 1 ORDERED SHIPPED ITEM NUMBER I CUSTOMER • PAGE PLEASE REFER TO Nv0112E NUMBER WHEN MAKING PAImFN r AND REMIT TO "t-.POutiOrN ■,^.,'ATE.RVVOR.r,•S 41 PO BOX 6 4 4054 PiTTSRuRGH PA SHIP TO: SUB St..i1,'.F ACE OF 1NDiANA 108TH ST SHELBOuR1NE CARMEL :N DA t." Brc ' 10 DESCRiPTION UNIT PRicE ! :., A4 1 AMOUNT 2 i 2 i PEDI:rMiSSU -,--.... .: n4 t .. k,4 /..,, DE.-7. ,_ .1 .,.,, s-.,..- : , •.,:', --, 21 2 '. C'EN2C.,?;:).500 2 i 2 ' CT OGVJ354 I 6 -,',''',;n;;Z?Ci, .t. -:'•:\;:; 4 i 4 1 DM.j4L7,.: oom t.: NI, ::,....; ,.... SEND:. 8 1 6 I E 1 lOGOCC A,ECALVC ACC '..":(O '11. m, :2,E,-.- ; — .... :::... '..-..A 40 1 40 1 AFT350Pi• ' I 7 CI 350. Ct. 0: FAS TITE 22,-.. 1 I i i 1,..“.:.!...:: st....e.:-Totk._ i I i !LEAD LAW WAFRNaNG: TT iS iLLEAA,_ 'MINS:ALL PRODLiCTs THAT ARE NC•i- "t_EAD ERE' ;r, ‘,:...:',..‘;::-.:',.„-,,,,:::T iv7: 1:JS FEDERAL OR OTHER APPLIOABL.E LAW iN PO TABLONATER S I Ei...,ss AN : r ED :7or-: ,-,.....1A . C■.),..,:: _Li, +0, iPRODuC Ts wiTH NP IN THE DESCR:P'CiON ARE NO ■ Lt-_,AL,` FREE ANFJ Cr 0:,..„ f 55 '771 NON-P'OTABLR APPLICATIONS. BuER '..:, SOI.ELY RES9ONSISTE FOR PRODuC7 I 1 . i I fAA , flank you (-01 .g -. i,..4 u.._ , TERMS: NET 10TH PROX Ail past due amounts are subject to pay within terms, then in addition to ct rIro.as, fc.ac r'nrnrAtnrra trrrr- ORIGINAL 1NVO;CE TOTAL DUE $/,P 791 a service crrorge. of I 5% per month Cf 1DB rnaxnium a,iovvec Dv 2, f owec Bus fs other remeches, 8uyer agrees to pay Seer aft costs of cotteouon rictudirt9 reasonable, %•■•••-•