HomeMy WebLinkAboutOLCO/ENG/CO3/7385/Shared Use Path Main StreetTO:
CITY OF CARMEL
CONTRACT CHANGE ORDER NO.: 3
DATE: 6/5/15
PROJECT NAME: Shared Use Path Main Street
CITY REQ. NO.:
CITY PO NO.:
CITY PO DATE:
1. You ate directed to make the following changes in this Contract:
Delete item: Seed Mixture U
Add Item Mulched Seeding U
SCHEDULED ADJUSTMENT
ITEM AMOUNT (+) OR (-) DAYS
I1. The following referenced Documents further describe the changes outlined in Paragraph I,
and are to be considered a part of this Change Order: R.P.P.: W.D.C. No.:
Other: Contractors Unit Pricing
The changes result in the following adjustment of Contract Price and Contract Time:
$ 882,623.01
Contract Price prior to this Change Order
Contract Price will be increased/decreased by this Change Order $ +7,385.00
New Contract Price including this Change Order $ 890,008.01
Contract Time Prior to this Change Order Days 7/19/15 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
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ENGINEER
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Address
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City/State/Zip
By:
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Phone: 3) 7-- 5' 0 3 y z
Date:
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Phone: $13- q3"s''3:105
Date: Vi,Z1t/,`�Oic
Approve
ana Cordray,
Treasurer
Date: 0
JEREMY KASHMAN
Contract No:R -36869 Change Order No.: 003
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:Approved
Change Order Information Change Order No.: 003 EWA: Y or Force Acct: N
Date Generated: 00/00/0000 Date Approved: 07/08/2015
Reason Code: ERRORS & OMISSIONS, Item Related
Description: Add Item: Mulched Seeding, U; Remove Item Seeding Mixture, U
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
$ 7,385.00
$ 61,283.07
$ 68,668.07
$ 890,008.01
Date Completed 00/00/0000
Percent: 0.899 %
Percent: 7.461 %
Percent: 8.360 %
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.: 003
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)
¥/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 Retumed
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
Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -36869 INDIANA Date:06/08%2015
Change Order No:003 Department of Transportation Page: 3
Contract: R -36865
Project: 1383166 - State:1383166001-C3
Change Order Nbr: 003
Change Order Description: Add Item: Mulched Seeding, U; Remove Item Seeding Mixture, U
Reason Code: ERRORS & OMISSIONS, Item Palated
CLN ECU PLN !tarn Ca, Unit Unit Prtco CO Qty Comment Amount Chang:
0041 1383166 0041 321-06554 LBS 7.000 -89.000 C Amount:$ -623.00
Item Description: SEED MIXTURE, U
Supplemental Descdptionl:
Supplemental Descdption2:
0076 1383166 0075 621-06560 SYS
Item Description: MULCHED SEEDING U
Supplemental Descriptiont:
Supplemental Descdption2:
2.800 2860.000 C Amount:$ 8,008.00
Total Value for Change Order 003 = $ 7,385.00
Whereas, the Standard Specifications for this contract provides for such work to bo p.;rforned, the following chance M recommended.
General or Standard Change Order Explanation
This change order will accomodate payment for fertilizer and mulching material required under Secification 621 for seeding. The contract did not
include items for fertilizer and mulch. A new item Mulched Seeding, U is being added to the contract to replace Item 0041 Seed Mixture, U. The
contractor's proposed unit pricing for the new pay item 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.
Contractor: 01 (10 •. /ink
Date: o-/ '3 A0145
Signed By: ii''/. /1/724,14
NOTE: Other required State and FHWA signatures will be obtained electronically through tire SiteManager system.
Contract No:R -36869 INDIANA
Change Order No:003
(SIGNATURE)
PENS
Department of Transportation
APPROVED FOR LOCAL PUBLIC AGENCY
Date:07/08/2015
Page: 4
(TITLE) (DATE)
(TITLE) (DATE)
SUBMITTED FOR CONSIDERATION
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name ofApprover RASw�� Date Status
Project Engineer/Supervisor Gentry, Thomas 07/08/2015 Approved
Pei iSINIS F WSW
Eite a
August 6, 2014
INDIANA DEPARTMENT OF TRANSPORTATION
Mr. David Littlejohn
City of Carmel
One Civic Sq
Carmel, IN 46032
Greenfield District
32 South Broadway
Greenfield, IN 46140
PHONE (317)467-3411 Michael R. Pence, Governor
FAX: (317) 467-3955
Karl B. Browning, Commissioner
RE: LPA Award Recommendation
Dear Mr. Littlejohn:
Please sign and return this notification to verify the LPA is in agreement and wishes to award
the contract below, which is within INDOT LPA guidelines for approval.
Contract #:
R-36869
Des #:
1383166
Low Bid Consultant:
OLCO, Inc.
Low Bid Amount:
$821,339.94
Letting Date:
08/06/2014
Local Public Agency mployee of Responsible Charge
Please do not hesitate to contact me if you have any questions.
Sincerely,
Ccwesanctra. Had -sew
LPA Program Director
Greenfield District
www.in.gov/dot/
An Equal Opportunity Employer
8/11
Date Signed
Indiana
A Sint Pi Yb:l)