HomeMy WebLinkAboutOLCO, Inc/Eng/CO #1/3,000/Crooked Stick Drainage ProjectCITY OF CARMEL
TO: CONTRACT CHANGE ORDER NO.: 1
OLCO, Inc. DATE: July 30, 2017
24053 Vote Road PROJECT NAME: Crooked Stick Drainage
Batesville, IN 47006 CITY REQ. NO.: 16 -SW -57
CITY PO NO: 34299
CITY PO DATE:
I. You are directed to make the following changes in this Contract:
Add Item 24. Early Completion Incentive Bonus per contract documents
SCHEDULED ADJUSTMENT
ITEM AMOUNT (+) OR (-) DAYS
24. Early completion incentive bonus $3,000 0
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.: N/A W.D.C. No.: N/A
Other:
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ $73,836.27
Contract Price will be increased/decreased by this Change Order $ 3,000.00
New Contract Price including this Change Order $ 76,836.27
Contract Time Prior to this Change Order 89 Days _ Open to Traffic
Net increased/decreased resulting from this Change Order 0 Days
Current Contract Time including this Change Order 89 Days Open to Traffic
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 The Above Changes Are A proved:
Recommended Accepted: r
_s
DB Engineering, LLC
ENGINEER
101 W OHIO St Suite ] 5
Indianapolis IN 4A20
Address
By-
BYia%�%/� U J
Phone:
Date:R
OLCO , INC
CONTRACTOR
24053 Vote Rd
Batesville, IN 47006
Address
By:
Phone: 812-934-6467
Date.
Braiwd, Mayor
Burke, Member
ATXST:
Je unan, itC
Christine S. Pauley,,Cleck-
Treasurer
Date: /
APPLICATION AND CERTIFICATION FOR PAYMENT
TO OWNER City of Cannel
One Civic Square
Cannel, IN
FROM CONTRACTOR:
OLCO, Inc
CONTRACT FOR: Crooked Stick
PROJECT: 16 -SW -57
VIA ARCHITECT:
CONTRACTOR'S APPLICATION FOR PAYMENT
Application is mate for paymenL as shown below, in connection with the Contract.
Continuation Sheet, AIA Document G703, is attached.
1. ORIGINAL CONTRACT SUM
2. Net change by Change Orders
3. CONTRACT SUM TO DATE (Line I t 2)
4. TOTAL COMPLETED & STORED 10
DATE (Column G on 0703)
5. RE•TANAGE:
a. %of Completed Work
(Culumn D + E on 0703)
b. %of Stated Material
(Column F on 0703)
Total Retainage (Lines 5A + 5h or
S 73,836.27
S 3,000.00
S 76,83627
1 U.00
$0.00
Included in above
Total in Column I of G703)
6. TOTAL EARNED LESS RETAINAGE
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT (Line 6 from prior Certificate)
B. CURRENT PAYME\T DUE
9. BALANCE TO FINISH, INCLUDING RETAINAGE
(Line 3 less Lane 6)
f U.Co
S — 7
rrt All
r P:
tN(,1& UKULH SUNIMAKI
L Itum
Total changes approved
in previous months by Owner
�.._._._._.._
Total approved this Month
Contractor named he i suattce nt and acceptance of payment are without
TOTALS_.._�_
50.00
NGT CIIANGES by Change Order
-- ------ .,_
5U.00
PAGE ONE OF PAGES
APPLICATION NO: 0 Distribution to:
OWNER
ARCHITECT
PERIOD TO: 1 11111 6-1 113 011 6 CONTRACTOR
r�
PROJECT NOS: 16 -SW -57
CONTRACT
Ile undersi ned Contractor certifies that to the hest of the Contra_tat s know•I N, R, Y
8 ` rdge� P ` A .
information and belief de Work co -::rd by this Application rot Payment h: •' •' • G
completed in accordance with the C- awned Documents, that all amounts have•Qf?.A paid by •"•.fr
the Contractor fur Work for which previous Certificates for Payment wemissitrA ";t1` °•f .
payments received from the Ouner, and that current payment shown hereat is,riovJ, :�
CONTRACTOR:OLCOInc
By: Date: 2-
State
Sate of --[:M IA n,A County of it n k-1 "n
Subscribed andstvo to bell this 10�
Notary Public: SSL.t\a3 _th. y�r(,I,_ jMlti7j>' t
My Commission expires:
I Vit+'
ARCHITECT'S CERTIFICATE FOR T
In accordance with the Contract Documents, based on onsite observations and the dot---.
comprising the application, the Architect certifies to the Owner that to the )est of Oe
Architect's knowledge- information and belief de Work has progressed as indicated.
the quality orthe Work is in accordance with the Contract Documcnts, and the Contractor
Ls solid it to payment of the AMOUNT CERTIFIED.
AMOIN"ICER1irw ..
bitlaclr explanation if am nt e t ed a rs from lite amount applied. Initial all figures on this
Application mnl orrthe 1 tint
ARCHITECT- A
ARCHITECT -
By:
• __...._
r ^ ei that are changed to canjnrm with the Haunt certified/
.+�
Date:.,,) � �.s/
This Certificate' not ne ,lite
— --- _-_.. -..L... _._. ---
JUNT CERTIFIED is pays only to the
Contractor named he i suattce nt and acceptance of payment are without
prcjudi:e to any ri& of Ute O
or Contractor under this Contract,
A UMENTG102 APPUCATIGN AND URTIFiCATCh FOR PAYMENT1 AN MM THE -t IAN wSatitTE 0; ARCMTECTS, 1735 NEW SAV ,Wit- WASHINGTON,'9-
Users may obtain validation of this document by requesting a completed AIA Document D401 - Certification of DocumenCs Authenticity from the Licensee.
Owner: qty of Carmel DLCO, Inc
Address: One Civic Square Contractor's Pay Estimate 11/1/2016 -11/30/2016
Carmel, IN 46032
Project No: 16 -SW -57 Pay Estimate No: 002
PO a: 34299 Partial Payment ( ( Final Payment (%
2/10/2017
Item I Item Description Unit Unit Cost Bid City I City Previous Est I Qty This Est I City to Date I Cost this Est I Cost to Date I % Completed
Incentive JEA 2501 121 0.00 12.001 12.00 3000 3000 100.00%
Total Billed to Date: $ 3,000.00
Less Retainage:
Less Previous Invoices:
Total Due This Invoice: $ 3,000.00