HomeMy WebLinkAboutOLCO/ENG/CO6/714/Shared Use Path Main StreetCITY OF CARMEL
TO: CONTRACT CHANGE ORDER NO.: $
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: Transverse Marking, Remove
SCHEDULED ADJUSTMENT
ITEM AMOUNT (-1-) OR (-) DAYS
EI: The following referenced Documents further describe the changes outlined in Paragraph 1,
and are to be considered a part of this Change Order: R.F.P.: W.D.C. No.:
Other: Contractor Pricing for Transverse Marking, Removal
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ 890,008.01
Contract Price, will be increased/decreased by this Change Order $ 714.00
New Contract Price indluding this Change Order $ 890,722.01
Contract Time Prior to this Change Order Days Completion Date
Net increased/decreased resulting from this Change OrderDays
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 perforrnance of the changed work.
The Above Changes Are
Recommended
CHA
ENGINEER
200 s. ME/2/134,W
Address
_,1, -346V -S.. 30, AGzzs'
City/State/Zip
By:
/cam &&-A177y
Phone: 3/7-SO3 -s zs v
Date:
�J S
The Above Changes Are
Accepted:
ra (02�r.r
CONTRA�CTOR
.x+10,3V.tVet
Address
triet,d1 t1 .. t(9 T C
City/State/Zip
B
!Ltaiim40
Phone:v;:3 3,3"J7.eri
Date: 77!'1 Y Ami
-- t
Approved:
s Bpi ard, Ma
Mary
k, ?4e, e
Lori (Watso
ATTE.,
Member
Diana Cordray, Cler!t-
Treasurer
Date: Q"1 / 91/5
JEREMY KASHMAN
Contract No:R -36869 Change Order No.: 006
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.: 006
Date Generated: 00/00/0000 Date Approved: 00/00/0000
Reason Code: ERRORS & OMISSIONS, Item Related
Description: Add Item: Transverse Marking Remove
Original Contract Amount $ 821,339.94
Current Change Order Amount $ 714.00
Total Previous Approved Changes $ 0.00
Total Change To -Date $ 714.00
Modified Contract Amount $ 822,053.94
Time Extension Information
Date Initiated 00/00/0000
Original Contract Time
Time Element Description:
Current Time Extension
Previous Time Approved
Revised Contract Time
Date Completed 00/00/0000
EWA: Y or Force Acct: N
Percent: 0.087 %
Percent: 0.000 %
Percent: 0.087 %
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.: 006
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?
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 / N If Y 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 Returned
Y / N If Y, Concurrence by Date
If N,Resolution: Approved Disapproved
Resolved by Date
Y / N If Y, Date to LPA Date Retumed
Y / N If Y, Date to FHWA Date Retumed
Page: 2
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -36369 INDIANA Date:06/26/2015
Change Order No:006 Department of Transportation Page: 3
Contract R -36869
Project: 1383166 - State:138316600LC3
Change Order N'ar: 006
Change Order Description: Add tem: Tr=ansverse Marking Remove
Reason Code: ERRORS & OMISSIONS, Item Related
CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Chance
0077 1383156 0077 808-06368 LFT 3.000 238.000 0 Amount$ 714.00
hem Description: TRANSVERSE MARKING REMOVE
Supplemental Descriptionl:
Supplemental Desaiption2:
Total Value for Change Order 006 = $ 714.00
Whereas, the Standard Specifications for this contract providss for such work to the pericr. , the following change is recommended.
General or Standard Change Order Explanation
This change order adds the Item Transverse Marking. Remove. Existing crosswalk and stop -bar striping is in conflict with the proposed new
crosswalk striping and must be removed. The contractors proposed unit pricing for the new pay item was compared against recent bid history for
this work and was deemed acceptable.
Chance 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: °LL O.
Date: ,/`i0� OI Li
r
Signed By: CL1t
NOTE: Other required State and SHWA signatures will be obtained electronically through the SiteManager system.
Contract No:R -36869 INDIANA
Change Order No:006 Department of Transportation
APPROVED FOR LOCAL PUBLIC AGENCY
!GNAT J ) C� i €fit
(GNAT RE) (TITLE) (DATE)
(SIGNATURE)
PENS
Date:06/26/2015
Page: 4
(TITLE) (DATE)
SUBMITTED FOR CONSIDERATION
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level �,s Name of Approver Date Status
Hand Grinder
Worksheet R-36869 EWA #1
Item. Quantity Sq.Ft. Grinder Grinder Onsite , ,La°abor
- vim
Costs Markup Hours, Costs ;
203CLabor + Truck Truck€`
"Markups ^;;Hours, Costs ` e.P...
1�2%Truck
Marku P
.Tota l Costs &d Unit
Markup Brice.,{
z
4"
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
50.00
$0.00
6"
202
101.00
$50.50
$6.06
1.01
$209.08
$41.82
1.52
$97.97
$11.76
$417.19
8"
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
$0.00
$0.00
12"
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0:00
$0.00
$0.00
$0.00
24"
36
72.00
$36.00
54.32
0.72
$149.05
529.81
1.09
569:84
$8.38
$297.40
Arrow
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
50.00
$0.00
Only
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
$0.00
$0.00
R x R
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
$0.00
$0.00
School
0.00
$0.00
$0.00
0.00
$0.00
$0.00
0.00
$0.00
$0.00
$0.00
Totals
238
173.00
$86.50
$10.38
1.73
$358.12
$71.62
2.61
$167.82
520.14
$714.59
$3.00
ON-SITE LABOR ° °
RT Hours Wage RT Wager OT•Hours° Wage OTWages
Driver
1.30
43.71
56.71
0.43
58.96
$25.50
Laborer
2.60
41.33
107.25
0.87
55.39
$47.91
SHOP & DRIVE TIME
Total On Site Labor Cost =
$237.38
Driver
0.66
$43.71
$28.85
0.22
$58.96
$12.97
Laborer
1.32
$41.33
$54.56
0.44
$55.39
$24.37
Total Shop -Drive Labor Costs =
$120.75
Total Labor Costs =
$358.12
°TRUCK RATE/HR = °
Hand Grinder/SFT =
$64.30
$0.50
Customer Name:
Contact Name:
Contract No:
ISB Job No:
Location:
Letting Date:
Completion Date:
Intermediate Date:
Indiana Sign & Barricade, Inc. is a
Certified DBE/WBE
CHANGE ORDER #1
OLCO Inc.
Nic Wonnell
R-36869
14-169
Main St Hamilton Co.
August 6, 2014
November 30, 2015
June 30, 2015
5240 E. 25th Street
Indianapolis, IN 46218
317-377-8000
317-377-8008
www.IndianaSB.com
DATE: June 13, 2015
Submitted by: Steve Apple
Cell Phone: 317-373-9368
saoplecd IndianaSB.com
Page 1 of 1
ITEM #
DESCRIPTION
QUANTITY
UNIT
UNIT
PRICE
EXTENSION
EWA 1-1
Transverse Marking Remove
238.00
LF
3.00
714.00
TOTAL
NOTES: Price is submitted due to the need to remove 202 of existing 6" crosswalk and 36' of existing 24' stop line.
This extra work also created an unplanned 2nd mobilization to the jobsite to complete the work.
Accepted:
Printed Name:
Company Name:
Litt. Presicent
Date:
Date:
"An Equal Opportunity Employer"
June 13, 2015
$714.00
720-44025 CASTING, 4, FURNISH AND ADJUST TO GRADE EACH
720 720-44045 CASTING, 8, FURNISH AND ADJUST TO GRADE EACH
Ng 720-44055 CASTING, 10, FURNISH AND ADJUST TO GRADE EACH
720-44080 CASTING, 15, FURNISH AND ADJUST TO GRADE EACH
720 720-44296
720 720-45005
720-45010
72Q 720-45015
720 72045030
222 720-45035
720-45040
722 720-45041
720 720-45042
720 720-45045
720 72445055
720 720-45065
720-45066
122 720-45070
720-45075
720 72045080
720-45055
720 720-45090 _
720 720-45095
720 -72045105
720 720-45115
720-45130
1M 720-45135
D2 720-45141
mg 720-45145
NLET, CAP
NLET, A2
NLET, A3
NLET, A8
NLET, E7
NLET, F7
NLET, G7
NLET, H5
NLET.1-1A5
NLET, J10
NLET, M10
NLET, N12
NLET, N12, MODIFIED
NLET, P12A
NLET, R13
NLET, 614
NLET, T14
NLET, UA
NLET, WA
NLET,'A2, MODIFIED
NLET, A8, MODIFIED
NLET, E7, MODIFIED
NLET, F7, MODIFIED
NLET, H5, MODIFIED .
NLET, J10, MODIFIED
5853.58 5450.00
51,130.99 5808.00
51,176.84 5900.00
$1,761.72
51,800.00
51,348.75
79
21
22
$1,458.67 51,200.00 51,776.00 8.00
EACH $536.19 5200.00 51,039.50 54
EACH 51,901.02 5973.00 52,529.40 63
EACH 51,868.43 51,580.29 $2,125.00 3
EACH - 51,999.65 51,648.23 52,600.00 21
EACH 51,705.77 5800.00 53,100.00 110
EACH 51,504.04 51,046.00 52,390.00 48
EACH $2,408.33 52,185.00 52,600.00 7.00
EACH $3,182.49 52,350.00 54,675.00 63
EACH 52,137.50 51,500.00 52,400.00 37.00
EACH 51,999.99 51,320.00. $2,850.00 73
EACH 52,023.15 51,375.00 52,850.00 44
EACH 58,082.50 53,800.00 512,365.00 3
EACH 55,800.00 55,800.00 55,800.00 3.00
EACH 54,552.48 $2,500.00 56,604.96 4.00
EACH 52,163.01 51,500.00 52,800.00 25
EACH 52,150.00 52,150.00 52,150.00 1
EACH 52,300.00 52,300.00 52,30000 1
EACH 52,000.00 52,000.00 52,000.00 __ 2.
EACH 52,000.00 52,000.00 52,000.00 2
EACH 51,749.20 51500.00 51,696.78.. cr. .'-.....> .8
EACH 51,973.28 51,646.55 52,300.00 - 6
EACH _ 51,583.33 51,500.00 51,700.03 5.00
EACH $2,075.00 52,075.00 52,075.00 2
EACH 52,655.00 52,655.00 52,655.00 7.00
EACH 52,517.50 51,535.00 53,500.00 4