HomeMy WebLinkAboutYardberry/ENG/CO 3/0/Shared Use Path 136thTO:
CITY OF CARMEL
CONTRACT CHANGE ORDER NO.: 3
DATE: 8/5/15
PROJECT NAME: Shared Use Path 136th Street
CITY REQ. NO.:
CITY PO NO.:
CITY PO DATE:
I. You are directed to make the following changes in this Contract:
Adjust contract completion date due to late notice to proceed
SCHEDULED ADJUSTMENT
ITEM AMOUNT (+) OR (-) DAYS
11. 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: Notice to proceed
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ 691 912.50
Contract Price will be increased/decreased by this Change Order $ 0.00
New Contract Price including this Change Order $ 691,912.50
Contract Time Prior to this Change Order Days 5/22/15 Completion Date
Net increased/decreased resulting from this Change Order 19 Days
Current Contract Time including this Change Order Days 6/10/15 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
CHA
ENGINEER
Union Station
Address
Indianapolis
City/State/Zip
By: Tom Gentry
Phone: 317-503-5250
Date:_8-5- 15
The Above Changes Are
Accepted:
CO JTRACTOR
Address
City/State/Zip
By:
Date:
Approved
iana Cordray, Cl
Treasurer
Date: /y IL' -15
JF_IREMY KASHM AN, PE
Contract No:R -36889 INDIANA
Change Order No:003
Department of Transportation
Date: 10/19/2015
Page: 4
(SIGNATURE)
(SIGNATURE)
APPROVED FOR LOCAL PUBLIC AGENCY
(TITLE) (DATE)
(TITLE) (DATE)
PE/S
•11 -le 1.111.111-111
SUBMITTED FOR CONSIDERATION
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level
Project Engineer/Supervisor
Area Engineer
Name of Approver
Gentry, Thomas
Nierman, Chad
Date
00/00/0000
00/00/0000
Status
Action Pending
Action Pending