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Home My WebLink AboutOLCO/ENG/CO7; 2,548.25/Shared Use Path main StreetTO: CITY OF CARMEL CONTRACT CHANGE ORDER NO.: 7 DATE: 6/5/15 PROJECT NAME: Shared Use Path Main Street CITY REQ. NO.: CITY PO NO.: CITY PO DATE: I. You are directed to make the following changes in this Contract: Add Contract Item: Inlet, E-7 ITEM SCHEDULED ADJUSTMENT AMOUNT (+) OR (-) DAYS 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.: W.D.C. No.: Other: Contractor Pricing for Inlet E-7, Grading and Restoration The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $_ 890,722.01 Contract Price will be increased/decreased by this Change Order $ 2,548.25 New Contract Price including this Change Order $ 893,270.26 Contract Time Prior to this Change Order Days Completion Date Net increased/decreased resulting from this Change Order Days Current Contract Time including this Change Order Days 7/19/15 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 e/%9 ENGINEER 300 3. 27/iL2,tv Address --y.✓,0,25. 1`n/ City/State/Zip By: 4-7, 12/ Phone: 3/ 7-.5V.3 Se Sv Date: 7/26: i5-- The Above Changes Are Accepted: QLCo__i}5� CONTRACTOR .21053 Vc+< Rol Address etki5Vific.y P' Elie City/State/Zip By: 01,1-J 4114 Phone: fr;I'1.'133-0)05 Date: 2/93/2015 Approved: Attmr Braira d MA Lor Wat A rt. Member Diana Cordray, C..rk- Treasure� / Date: JEREMY KASHMAN Contract No:R -36869 Change Order No.: 007 INDIANA Department of Transportation Page: 1 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 Status:Draft Change Order Information Change Order No.: 007 Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: ERRORS & OMISSIONS, Design/Plan Related Description: Add Item Inlet E-7; Which includes grading and restoration. Original Contract Amount EWA: Y or Force Acct: N 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 $ 0.00 $ 0.00 $ 0.00 $ 821,339.94 Date Completed 00/00/0000 Percent: 0.000 % Percent: 0.000 % Percent: 0.000 % 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 SP Days Value $ 0.00 SS Days by AE: DCE: SCE: DDCM: SS Days 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.: 007 INDIANA Department of Transportation Page: 2 Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority AE: DCE: SCE: * DDCM: * ($ per Change Order) (-LE$250K-)(-LE$750K-)(--LE$2M—)(—GT$2M—) (Days per Contract) (50 SS days) ( 100 SS days ) ( 200 SS Days) ( GT 200 SS days) Verbal Approval Required? Y /N If Y by Date Issued Total Change To-Date>5%? Y / N If Y , Copy to Program Budget Manager Scope/Design Recommendation Y / N If Y, Referred to Project Manager(PM) Required? Date to PM Date Returned Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? Y / N If Y, Date to LPA Date Retumed FHWA Signatures Required? Y / N If Y, Date to FHWA Date Retumed * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36869 INDIANA Date:06/26/2015 Change Order No:007 Department of Transportation Page: 3 Contract: R -36869 Project: 1383166 - State:138316600LC3 Change Order Nbr: 007 Change Order Description: Add Item Inlet E-7; Which includes grading and restoration. Reason Code: ERRORS & OMISSIONS, Design/Plan Related CLN PCN PLN Item Code Unit Untt Price CO Qty Comment Amount Change 0078 1383166 0078 720-45030 EACH 2,548.250 1.000 C Amount:$ 2,548.25 Item Description: INLET E7 Supplemental Descriptionl: Supplemental Description2: Total Value for Change Order 007 = $ 2,548.25 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 This change order covers costs to install an E-7 inlet, re -grade adjacent areas to channel water into the inlet and restore the area with permanent erosion control. This will correct the drainage pattern along the pathway in order to improve the public safety of the pathway. Currently the water from Hawthorn Street is designed to be conveyed along the north side of the pathway and cross over the pathway at station 34+00. The volume of water crossing the path during and after rain events presents a safely hazard to users. The proposed E-7 Inlet is designed to capture the water from Hawthorn Street and convey it into a storm sewer, thus eliminating the majority of the water crossing the pathway. The contractors proposed unit pricing for the new pay iters which includes the E-7 inlet grading and restoration was compared against recent bid history for This work and was deemed acceptable. Change Order Explanation for Specific Line Item It is the intent of the parties that this change order is hill and complete compensation for the work describe above. Notification and consent to this change order is hereby acknowledged. /j,( Contractor:: !L (0 , /;/-rl �Aw! Signed By: L.1 47,44414 Dale: (r NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract No:R -36869 INDIANA Change Order No:007 Department of Transportation Date:06/26/2015 Page: 4 (SIGNATURE) PEJS APPROVED FOR LOCAL PUBLIC AGENCY C -c -re f.) EAIz (TITLE) (DATE) 1'2-9 15 (TITLE) (DATE) SUBMITTED FOR CONSIDERATION APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status (\c' -c 24053 Vote Road, Batesville, IN 47006 nciorpara zd Phone: 812-933-0205 FAX: 812-934-6467 Date: June 16, 2015 Contract: R-36869 ATTN: Tom Gentry CIA 300 South Meridian Indianapolis, IN 46255 Re: Drainage at Hawthorn North of New Walk Dear: Mr. Tom Gentry The Following is OLCO's quotation for the additional 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 will be paid per bid item. If acceptable, please issue a change order so we may complete this work within the oroiect time lines. Qty U/M Description Unit Price Price 1 LS Structure and Grading $ 2,548.25 $ 2,548.25 Total: $ 2,548.25 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 Wonnell Operations An Equal Opportunity Employer Page 1 of 5 Date: June 16, 2015 Contract: R-36869 Project: Main Street Pedestrian Path I.C.I. EXTRA WORK AGREEMENT Description: Insatllation of a E7 structure to alleviate some drainage issues north of the trail and water off of Hawthorn. FORCE ACCOUNT / EXTRA WORK / LOST TIME / CHANGE ORDER LABOR : 109.05 (a ) Employee Regular Overtime Dbltime Pay Hrs. RATE Total OPERATOR 4 HRS X 4 $ 29.75 $ 119.00 OPERATOR 2 HRS X $ 16.75 $ 29.75 $ 33.50 LABORER 4 HRS X 4 $ 22.62 $ 90.48 LABORER 4 HRS X 4 $ 22.62 $ 90.48 LABORER HRS X $ 12.80 $ 22.62 LABORER HRS X $ 12.80 $ 22.62 CARPENTER HRS X $ 17.30 $ 24.54 HRS X $ - $ HRS X $ $ HRS X $ - $ (1) TOTAL LABOR (2) FICA 7.65% X LINE (1 ) Employee No. Fringe Total OPERATOR 4 HRS X $ 16.75 = $ 67.00 OPERATOR 2 HRS X $ 16.75 = $ 33.50 LABORER 2 HRS X $ 12.80 = $ 25.60 LABORER 4 HRS X $ 12.80 = $ 51.20 LABORER HRS X $ 12.80 = LABORER HRS X $ 12.80 = CARPENTER HRS X $ 17.30 = HRS X $ - = HRS X $ HRS X $ - _ 299.96 22.95 (3) TOTAL FRINGES $ 177.30 (4) WORKMEN'S COMPENSATION 7.10% X LINE ( 1) $ 21.30 (5) BODILY INJURY INSURANCE 2.10% X LINE ( 1) $ 6.30 (6) PROPERTY DAMAGE INSURANCE 0.42% X LINE (1) $ 1.26 (7) STATE UNEMPLOYMENT 5.60% X LINE (1) $ 16.80 (8) FEDERAL UNEMPLOYMENT 0.80% X LINE (1) $ 2.40 (9) TRAVEL ALLOWANCE OR SUBSISTENCE $ - (10) TOTAL: LINES (1)+(2)+(3)+(4)+(5)+(6)+(7)+(8) +(9) $ 548.27 ( 11) 20% X LINE (10) $ 109.65 ( 12) GRAND TOTAL LABOR : LINES (10) + (11) $ 657.92 An Equal Opportunity Employer Page 2 of 5 INSURANCE, TAXES : 109.05 ( b ) (13) INSURANCE: [ 1.80 % X LINES (12) + (20) + (26) ] $ 44.44 (14) TAXES $ - (15) TOTAL: LINES (13) + (14) $ 44.44 (16) 10% X LINE (15) $ 4.44 ( 17) GRAND TOTAL FOR INSURANCE, TAXES : LINES (15) + (16) $ 48.88 MATERIALS : 109.05 (c ) ( 18) TOTAL MATERIALS (19) 12%XLINE (18) ( 20) GRAND TOTAL MATERIALS : LINES (18) + (19 ) MATERIALS: $ 781.00 $ 93.72 $ 874.72 Qty Unit Description Unit Cost Total 1 EA Structure - Type E $ 315.00 $ 315.00 1 EA Grate Casting - Type 7 $ 230.00 $ 230.00 1 EA 12" Pipe - 8' $ 90.00 $ 90.00 1 EA Dump Fee $ 75.00 $ 75.00 Total Above $ 710.00 10% Misc. Materials $ 71.00 Total Materials $ 781.00 An Equal Opportunity Employer Page 3 of 5 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 4 of 5 835.95 $ 835.95 $ 100.31 $ 936.26 BLUE BOOK ADJ. MO. ATE/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 4.00 $ 185.03 EXCAVATOR PC -88 KOMATSU $ 25.43 $ 29.68 $ 55.11 DUMP TRUCK TRI AXLE $ 28.52 $ 64.60 $ 93.12 4.00 $ 372.48 DUMP TRUCK SINGLE AXLE $ 16.40 $ 32.81 $ 49.21 PICK UP TRUCK F-350 $ 6.31 $ 21.66 $ 27.97 SKID STEER JD 33D $ 16.45 $ 25.53 $ 41.98 PICK - UP TRUCK $ 6.78 $ 17.72 $ 24.50 BACKHOE - CASE N 580 L, 90 HP, 1.03 CYD, EXTND., 4N $ 21.34 $ 22.91 $ 44.25 BUCKET 12 INCH $ 2.59 $ 1.89 $ 4.48 BUCKET 18 INCH $ 2.59 $ 1.89 $ 4.48 BUCKET24 INCH $ 2.59 $ 1.89 $ 4.48 BUCKET42 INCH $ 5.23 $ 2.44 $ 7.67 BACKHOE JD -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 -1D-85 $ 38.96 $ 30.17 $ 69.13 2.00 $ 138.27 LOADER - SKID STEER B/C tJ 773-T $ 13.77 $ 14.66 $ 28.43 2.00 $ 56.86 LOADER - SKID STEER B/C 1863 $ 15.98 $ 17.67 $ 33.65 80 HP TRACTOR $ 16.87 $ 16.75 $ 33.62 ROCK BREAKER - Z-96, FOR SKID STEER $ 10.23 $ 2.10 $ 12.33 TRAILER, CARGO $ 11.15 $ 8.17 $ 19.32 4.00 $ 77.29 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 $ 45.65 $ 64.31 AIR COMPRESSOR - ROTARY SCREW, 185 CFM $ 5.85 $ 14.72 $ 20.57 PAVEMENT BREAKER - 90 LB. $ 1.23 $ 0.45 $ 1.68 CHIPPING HAMMER $ 5.56 $ 0.45 $ 6.01 1.00 $ 6.01 SMALL GENERATOR - 5 KW MAX. $ 1.23 $ 4.98 $ 6.21 VIBRATORY PLATE COMPACTOR, MANUAL GUIDED, 4 $ 4.30 $ 4.17 $ 8.47 CUT-OFF SAW $ 1.63 $ 22.45 $ 24.08 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 $ 5.10 $ 8.25 $ 13.35 $ - $ - $ $ - $ - $ ( 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 4 of 5 835.95 $ 835.95 $ 100.31 $ 936.26 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) $ 2,517.78 ( 33) 1.1% BOND RATE BASED UPON LINE (32) $ 27.70 (34) 10% X LINE (33) $ 2.77 ( 35) TOTAL EXTRA WORK : LINES (32) + (33) + (34) $ 2,548.25 NOTES : 1) 2) 3) An Equal Opportunity Employer Page 5 of 5 720-44025 CASTING, 4, FURNISH AND ADJUST TO GRADE EACH 585358 5450.00 51,761.72 79 720 720-44045 CASTING, 8, FURNISH AND ADJUST TO GRADE EACH 51,130.99 580800 51,800.00 21 720 720-44055 CASTING, 10, FURNISH AND ADJUST TO GRADE EACH 51,176.84 5900.00 51348.75 22 720 720-44080 CASTING, 15, FURNISH AND ADJUST TO GRADE EACH 51,458.67 51,200.00 51,776.00 8.00 720 720-44296 720 720-45005 720-45010 720-45015 720 720-45030 720 72045035 222 720-45040 1M 720-45041 720 720-45042 720 720-45045 720 720-45055 720 720-45065 720 720-45066 720-45070 720 720-45075 720 720-45080 720 720-45085 720 720-45090 720 720-45095 720 720-45105 720 720-45115 720 720-45130 720-45135 720-45141 720-45145 NLET, CAP _ EACH 5536.19 5200.00 51,039.50 54 NLET, A2 EACH 51,901.02 5973.00 52,529.40 63 NLET, A3 EACH 51,868.43 51,580.29 52,125.00 3 NLET, A8 EACH $1999.65 $1,648.23 52,600.00 21 NLET, E7 EACH 51705.77 5800.00 53,100.00 110 NLET, F7 EACH 51,504.04 51,046.00 52,390.00 48 NLET, G7 EACH $2,408.33 52,185,00 52,600.00 7.00 NLET, H5 EACH 53,182.49 52,350.00 54,675.00 63 NLET, HA5 EACH 52,137.50 51,500.00 52,400.00 37.00 NLET, J10 EACH $1,999.99 51,320.00 52,850.00 73 NLET, M10 EACH 52,023.15 51,375.00 52,850.00 44 NLET, N12 EACH 58,082.50 53,800.00 512,365.00 3 NLET, N12, MODIFIED EACH 55,800.00 55,800.00 55,800.00 3.00 NLET, P12A EACH 54,552.48 52,500.00 56,604.96 4.00 NLET, R13 EACH 52,163.01 51,500.00 52,800.00 25 NLET, S14 EACH 52,150.00 52,150.00 52,150.00 1 NLET, T14 EACH 52,300.00 52,300.00 52,300.00 1 NLET, UA EACH 52,000.00 52,000.00 52,000.00 2 NLET, WA EACH 52,000.00 52,000.00 52,000.00 2 NLET, A2, MODIFIED EACH 51,749.20 51,500.00 51,896.78 8 NLET, A8, MODIFIED EACH 51,973.28 51,646.55 52,300.00 6 NLET, E7, MODIFIED EACH 51,583.33 51,500.00 $1,700.00 5.00 NLET, F7, MODIFIED EACH 52,075.00 52,075.00 52,075.00 2 NLET, H5, MODIFIED EACH 52,655.00 52,655.00 52,655.00 7.00 NLET, J10, MODIFIED EACH 52,517.50 51,535.00 53,500.00 4 Main Street Improvements Project Contract Dates Original Dates per Contract Bid Documents • BID—August 20, 2014 • ROW —September 15, 2014 (Addenda Two) • Utilities o Duke (Controling Schedule) • Plan Approved — August 18, 2014 • Preconstruction Activities — 60 Days — October 17, 2014 • Construction —120 Days — February 14, 2015 • Closure — September 2, 2014 to November 26, 2014 — 86 Days • Final Completion —June 1, 2015 minus Streetscape —61 Additional Days (April and May) Actual Dates • NTP—August 29, 2014 • ROW — November 14, 2014 • Utilities o Duke — Notice to Proceed —August 27, 2014 • Started —Week of January 12, 2015 per email from Christina • Finished —April 2, 2015 per email from Christina o Brighthouse/TwTelcom — I believe the tie-in for TwTelecom and Brighthouse was simultaneous. Email from Joe Burton finished week of April 6, 2015 o Windstream-?? • Closure — March 23, 2015 to August 8, 2015 —139 days Weather Days Month Anticipated No. of Weather Days per INDOT Actual Weather Days per Accuweather Difference September 5 8 3 October 6 13 7 November 12 8 -4 April 18 13 -5 May 8 11 3 June 5 15 10 July 5 10 5 August 4 1 -3 TO: CITY OF CARMEL CONTRACT CHANGE ORDER NO.: 7 DATE: 6/5/15 PROJECT NAME: Shared Use Path Main Stre�t CITY REQ. NO.: CITY PO NO.: CITY PO DATE: 1. You are directed to make the following changes in this Contract: Add Contract Item: Inlet, E-7 ITEM SCI-IEDULED ADJUSTMENT AMOUNT (+) OR (-) DAYS 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.: W.D.C. No.: Other: Contractor Pricing for Inlet E-7. Grading and Restoration The changes result in the following adjustment of Contract Price and Contract Time: Contract Price prior to this Change Order $890,722.01 Contract Price will be increased/decreased by this Change Order $ 2,548.25 New Contract Price including this Change Order $ 893,270.26 Contract Time Prior to this Change Order Days Completion Date Net increased/decreased resulting from this Change Order Days Current Contract Time including this Change Order Days 7n9/15 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 e/f/% ENGINEER 340 3 nbei,oi by Address :1.✓QPI S . .<n/ 7622 S' City/State/Zip By: Phone: 3,7--Cv3 Sz Cc? Date: 7/26://.`; The Above Changes Are Accepted: CONTRACTOR .2(;')53 V I. Approved: .James Brainard, Mayor Address Mary Ann Burke, Member cit3.vhtli_,,. 1'14 City/State/Zip' Lori Watson, Member By: i A 1 1 EST: 4-y tics -714444 Phone: ;j')-• '; 3:--D Date: CV) , 06 Diana Cordray, Clerk - Treasurer Date: JEREMY KASHMAN Contract No:R -36869 Change Order No.: 007 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Contract Information District:GREENFIELD DISTRICT Change Order Information Contract No.: R -36869 AE:Nierman, Chad Change Order No.: 007 Page: 1 Letting Date:08/06/2014 PE/S:Gregg, Michael Status:Draft EWA: Y or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: ERRORS & OMISSIONS, Design/Plan Related Description: Add Item Inlet E-7; Which includes grading and restoration. Original Contract Amount $ 821,339.94 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 $ 0.00 $ 0.00 $ 0.00 $ 821,339.94 Date Completed 00/00/0000 Percent: 0.000 % Percent: 0.000 % Percent: 0.000 % 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 SP Days Value $ 0.00 SS Days by AE: DCE: SCE: DDCM: SS Days 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.: 007 INDIANA Department of Transportation Page: 2 Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority AE: DCE: SCE: * DDCM: ($ per Change Order) (-LE$250K-)(-LE$750K-)(--LE$2M—)(--GT$2M—) (Days per Contract) (50 SS days ) ( 100 SS days) ( 200 SS Days ) ( GT 200 SS days) Verbal Approval Required? Y/ N If Y by Date Issued Total Change To-Date>5%? Y / N If Y , Copy to Program Budget Manager Scope/Design Recommendation Y / N If Y, Referred to Project Manager(PM) Required? Date to PM Date Returned Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? Y / N if Y, Date to LPA Date Returned FHWA Signatures Required? Y / N If Y, Date to FHWA Date Returned Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36869 INDIANA Date:06/26/2015 Change Order No:007 Department of Transportation Page: 3 Contract: R -36869 Project: 1383166 - State:138316600LC3 Change Order Nbr: 007 Change Order Description: Add Item Inlet E-7; Which includes grading and restoration. Reason Code: ERRORS & OMISSIONS, Design/Plan Related CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change 0078 1383166 0078 720-45030 EACH 2,548.250 1.000 C Amount:$ 2,548.25 Item Description: INLET E7 Supplemental Descriptionl: Supplemental Desaiption2: Total Value for Change Order 007 = $ 2,548.25 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 This change order covers costs to install an E-7 inlet, re -grade adjacent areas to channel water into the inlet and restore the area with permanent erosion control. This will correct the drainage pattern along the pathway in order to improve the public safety of the pathway. Currently the water from Hawthorn Street is designed to be conveyed along the north side of the pathway and cross over the pathway at station 34+00. The volume of water crossing the path during and after rain events presents a safety hazard to users. The proposed E-7 Inlet is designed to capture the water from Hawthorn Street and convey it into a storm sewer, thus eliminating the majority of the water crossing the pathway. The contractors proposed unit pricing for the new pay itern which includes the E-7 inlet grading and restoration was compared against recent bid history for this work and was deemed acceptable. 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. i 1// .X44 Q -J ContractorJ3 C O � �4�t Signed By: A� Dale: (e/R.Qa171Fi NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract No:R -36869 INDIANA Date:06/26/2015 Change Order No:007 Department of Transportation Page: 4 APPROVED FOR LOCAL PUBLIC AGENCY ,48MNATURE) (TITLE) (DATE) (SIGNATURE) (TITLE) (DATE) PE/S SUBMITTED FOR CONSIDERATION APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status Date: June 16, 2015 Contract: R-36869 ATTN: Tom Gentry CHA 300 South Meridian Indianapolis, IN 46255 Re: Drainage at Hawthorn North of New Walk Dear: Mr. Tom Gentry 24053 Vote Road, Batesville, IN 47006 Phone: 812-933-0205 FAX: 812-934-6467 The Following is OLCO's quotation for the additional 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 will be paid per bid item. If acceptable, please issue a change order so we may complete this work within the project time lines. Qty U/M Description Unit Price Price 1 LS Structure and Grading $ 2,548.25 $ 2,548.25 Total: $ 2,548.25 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 Wonnell Operations An Equal Opportunity Employer Page 1 of 5 Date: June 16, 2015 Contract: R-36869 Project: Main Street Pedestrian Path I.C.I. EXTRA WORK AGREEMENT Description: Insatllation of a E7 structure to alleviate some drainage issues north of the trail and water off of Hawthorn. FORCE ACCOUNT / EXTRA WORK / LOST TIME / CHANGE ORDER LABOR : 109.05 (a ) Employee Regular Overtime Dbltime Pay Hrs. RATE Total OPERATOR 4 HRS X 4 $ 29.75 $ 119.00 OPERATOR 2 HRS X $ 16.75 $ 29.75 $ 33.50 LABORER 4 HRS X 4 $ 22.62 $ 90.48 LABORER 4 HRS X 4 $ 22.62 $ 90A8 LABORER HRS X $ 12.80 $ 22.62 LABORER HRS X $ 12.80 $ 22.62 CARPENTER HRS X $ 17.30 $ 24.54 HRS X $ $ HRS X $ - $ HRS X $ - $ (1) TOTAL LABOR (2) FICA 7.65% X LINE (1 ) Employee No. Fringe Total OPERATOR 4 HRS X $ 16.75 = $ 67.00 OPERATOR 2 HRS X $ 16.75 = $ 33.50 LABORER 2 HRS X $ 12.80 = $ 25.60 LABORER 4 HRS X $ 12.80 = $ 51.20 LABORER HRS X $ 12.80 = LABORER HRS X $ 12.80 = CARPENTER HRS X $ 17.30 = HRS X $ HRS X $ - _ HRS X $ - = $ 299.96 $ 22.95 (3) TOTAL FRINGES $ 177.30 (4) WORKMEN'S COMPENSATION 7.10% X LINE (1) $ 21.30 (5) BODILY INJURY INSURANCE 2.10% X LINE (1) $ 6.30 (6) PROPERTY DAMAGE INSURANCE 0.42% X LINE (1) $ 1.26 (7) STATE UNEMPLOYMENT 5.60% X LINE (1) $ 16.80 (8) FEDERAL UNEMPLOYMENT 0.80% X LINE (1) $ 2.40 (9) TRAVEL ALLOWANCE OR SUBSISTENCE $ - (10) TOTAL: LINES (1)+(2)+(3)+(4)+(5)+(6)+(7)+(8) +(9) $ 548.27 ( 11) 20% X LINE (10) $ 109.65 ( 12) GRAND TOTAL LABOR : LINES (10) + (11) $ 657.92 An Equal Opportunity Employer Page 2 of 5 INSURANCE, TAXES : 109.05 ( b ) (13) INSURANCE: [ 1.80 % X LINES (12) + (20) + (26) (14) TAXES ( 15) TOTAL: LINES (13) + (14 ) (16) 10% X LINE (15) ( 17) GRAND TOTAL FOR INSURANCE, TAXES : LINES (15) + (16 ) MATERIALS : 109.05 (c ) (18) TOTAL MATERIALS (19) 12% X LINE (18) ( 20) GRAND TOTAL MATERIALS: LINES (18) + (19 ) MATERIALS: $ 44.44 $ 44.44 $ 4A4 $ 48.88 $ 781.00 $ 93.72 $ 874.72 Qty Unit Description Unit Cost Total 1 EA Structure - Type E $ 315.00 $ 315.00 1 EA Grate Casting - Type 7 $ 230.00 $ 230.00 1 EA 12" Pipe - 8' $ 90.00 $ 90.00 1 EA Dump Fee $ 75.00 $ 75.00 Total Above $ 710.00 10% Misc. Materials $ 71.00 Total Materials $ 781.00 An Equal Opportunity Employer Page 3 of 5 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 4 of 5 835.95 $ 835.95 $ 100.31 $ 936.26 BLUE 800K ADJ. MO. 2ATE/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 4.00 $ 185.03 EXCAVATOR PC -88 KOMATSU $ 25.43 $ 29.68 $ 55.11 DUMP TRUCK TRI AXLE $ 28.52 $ 64.60 $ 93.12 4.00 $ 372.48 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 $ 25.53 $ 41.98 PICK - UP TRUCK $ 6.78 $ 17.72 $ 24.50 BACKHOE - CASE # 580 L, 90 HP, 1.03 CYD, EXTND., 4\A $ 21.34 $ 22.91 1 $ 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 BUCKET42 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 2.00 $ 138.27 LOADER - SKID STEER B/C 4 773-T $ 13.77 $ 14.66 $ 28.43 2.00 $ 56.86 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 $ 2.10 $ 12.33 TRAILER, CARGO $ 11.15 $ 8.17 1 $ 19.32 4.00 $ 77.29 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 $ 45.65 $ 64.31 AIR COMPRESSOR -ROTARY SCREW, 185 CFM $ 5.85 $ 14.72 1 $ 20.57 PAVEMENT BREAKER - 90 LB. $ 1.23 $ 0.45 I $ 1.68 CHIPPING HAMMER $ 5.56 $ 0.45 $ 6.01 1.00 $ 6.01 SMALL GENERATOR - 5 KW MAX. $ 1.23 $ 4.98 $ 6.21 VIBRATORY PLATE COMPACTOR, MANUAL GUIDED, 4 $ 4.30 $ 4.17 $ 8.47 CUT-OFF SAW $ 1.63 $ 22.45 I $ 24.08 CONCRETE SAW - 40 HP $ 7.41 $ 26.35 1 $ 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 5 5.10 $ 8.25 $ 13.35 $ - $ - 1$ - $ - $ - I$ - (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 4 of 5 835.95 $ 835.95 $ 100.31 $ 936.26 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) ( 33) 1.1% BOND RATE BASED UPON LINE (32 ) ( 34) 10% X LINE (33 ) ( 35) TOTAL EXTRA WORK : LINES (32) + (33) + (34 ) NOTES: 1) 2) 3) An Equal Opportunity Employer Page 5 of 5 $ 2,517.78 $ 27.70 $ 2.77 $ 2,548.25 720 720-44025 720 ' 720-44045 720 720-44055 720 720-44080 720-44296 720-45005 720-45010 720-45015. 720-45030 720-45035 720-45040 720.45041 720-45042 720-45045 720-45055 '720-45065 720 720-45066 720 -720-45070'. 720 720-45075 720 - - . 720-45080. 720 72045085 .720 72045090 C 720 72045095 ,. 720 - . 72045105' 720 720-45115 .220 '.720-45130 - 720 720-45135 720 , - 720-45141 720 720-45145 CASTING, 4, FURNISH AND ADJUST TO GRADE EACH CASTING, 8, FURNISH AND ADJUST TO GRADE EACH CASTING, 10, FURNISH AND ADJUST TO GRADE EACH CASTING, 15, FURNISH AND ADJUST TO GRADE EACH 720 INLET, CAP EACH 720- INLET, A2 EACH 720 INLET, A3 EACH 720 INLET, A8 EACH 720 INLET, E7 EACH ;720 . INLET, F7 EACH 720 INLET, G7 EACH 720 INLET, H5 EACH 720 INLET, HA5 EACH 720 INLET, J10 EACH 720 INLET, M10 EACH ,UNLET, N12 - - EACH INLET, N12, MODIFIED EACH -INLET,- P12A- _ EACH INLET, R13 _ EACH INLET, S14 EACH INLET, T14 EACH :INLET, UA EACH INLET, WA EACH INLET, A2, MODIFIED _ EACH INLET, A8, MODIFIED EACH INLET; E7, MODIFIED EACH INLET, F7, MODIFIED EACH .INLET;H5, MODIFIED EACH INLET, J10, MODIFIED EACH 5853.58 5450.00 51,761.72 79 51,130.99 5808.00 51,800.00 21 51,176.84 5900.00 51,348.75 22 51,458.67 51,20030 $1,776.00 8.00 $536.19 . $1,901.02 $1,868.43 51,999.65 $1,705.77 51,504.04-. 52,408-33 53,182.49 52,137.50 $1,999.99 52,023.15 ..''$8,082.50 55,800.00 54,552.48 52,163.01 $2,150.00 $2,300.00 .:$2,000.00 52,000.00 51,749.20 51,973.28 $1,583.33 $2,075.00 52,655.00 $2,517.50 $20000 51,039.50 54 5973.00 $2,529.40 63 51,580.29 52,125.00 3 51,648.23 . - 52,600.00 21 5800.00 53,100.00 110 51,046.00 52,390.00 48 52,185.00 52,600.00 7.00 52,350.00 54,675.00 63 51,500.00 52,400.00 37.00 51,320.00 52,850.00 73 51,375.00 52,850.00 44 $380000 "512,365.00 " 3 55,800.00 55,800.00 3.00 52,50000 $6,604.96 4.00 51,500.00_ 52,800.00 25 $2,150.00 52,150.00 1 52,300.00 52,300.00 1 52000.00 ... 52,000.00. 2 $2,000.00 52,000.00 2 51500.00 51,896.78 8 51646.55 52,300.00 6 $1500.00 : $1-,,700.00 - 5.00 52,075:00 52,075.00 2 52,655:00 52,655.00 700 51,535.00 53,500.00 4