HomeMy WebLinkAboutCO_8_96th_&_Delegate_ROW_RAB__16-ENG-33 DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
City of Carmel Project 16-ENG-33 �� # ,
96th Street and Delegate Row RAB
g 6fIk
CHANGE ORDER #8 - COLD WEATHER CONCRETE PROTECTION & CURB
REPAIR AT BAUER DR.
Due to the multiple utility relocation delays associated with this project, caused construction to not be able
to begin until 9/16/19. Due to the inclement weather conditions during late fall 2019, Rieth-Riley was
required to provide cold weather concrete protection and asphalt testing.The costs associated with this was
not included in Rieth-Riley's original bid since the original substantial completion was September 27t•
which typically would not require cold weather concrete protection. This Change Order 8 will result in an
increase of$6,698.80 to the project for the addition of Cold Weather Concrete protection.
Due to the job wintering over into 2020 in order to finish asphalt surface and pavement markings,there was
some damaged caused by snowplows and traffic around the radius'at Bauer Dr. When creating the punchlist
for the project it was determined to have Rieth-Riley repair this curb. The damage was at no fault of the
Contractor,so the work was tracked as time and material since it was a small amount. This will result in an
increase of$3,161.72 to the project for the additional curb repair work.
Contract Price prior to this Change Order $ 1,639,731.59
Contract Price will be increased/decreased by this Change Order $9,860.52
New Contract Price including this Change Order $1,646,430.39
Amount Adjusted Contract Cumulative%Change
Price from Original Contract
Original Contract $1,480,798.49 $1,480,798.49 N/A _
CO1—In-Line BMP $2,580.00 $1,483,378.49 0.17%
Storm Water Bond
CO2—Wood Mortgage $0.00 $1,483,378.49 0.17%
Add Insured
General Ob1ig. Bond
CO3—CDG & $0.00 $1,483,378.49 0.17%
Precedent Add Insured
General Oblig. Bond
C04—Const. Chng. 1 $3,556.39 $1,486,934.88 0.41%
Storm Water Bond
CO5-Const. Chng, 2 $9,292.71 $1,495,687.59 1.04%
General Oblig. Bond
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
CO6—2018 & 2019 $136,467.67 $1.632.[55.26 10.2%
Escalation Costs
General Oblig. Bond
CO7—Temporary $7,576.33 $1,639,731.59 10.6%
Pavement Markings,
Paint
General Oblig. Bond
CO8—Cold Weather $9,860.52 $1,639,731.59 11.4%
Concrete Protection &
Curb Repair @ Bauer
j General Oblig. Bond
2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
CITY OF CARMEL
TO: CONTRACT CHANGE ORDER NO.: 8 -
Chris Ogg DATE: 9/29/20
One Civic Square PROJECT NAME: I6-ENG-33
Carmel, IN 46032 CITY REQ.NO.: N/A
CITY PO NO.: 100520—General Obligation Bond
CITY PO DATE: 6/22/2017
I. You are directed to make the following changes in this Contract:
(Brief Description)
Due to the multiple utility relocation delays associated with this project, caused construction to not
be able to begin until 9/16/19.Due to the inclement weather conditions during late fall 2019,Rieth-
Riley was required to provide cold weather concrete protection and asphalt testing. The costs
associated with this was not included in Rieth-Riley's original bid since the original substantial
completion was September 27t. which typically would not require cold weather concrete
protection. This will result in an increase of$6,698.80 to the project for the addition of Cold
Weather Concrete protection.
Due to the job wintering over into 2020 in order to finish asphalt surface and pavement markings,
there was some damaged caused by snowplows and traffic around the radius' at Bauer Dr. When
creating the punchlist for the project it was determined to have Rieth-Riley repair this curb. The
damage was at no fault of the Contractor, so the work was tracked as time and material since it
was a small amount. This will result in an increase of$3,161.72 to the project for the additional
curb repair work.
SCHEDULED ADJUSTMENT
ITEM UNIT/AMOUNT (+) OR(-)DAYS
120—Cold Weather Concrete & Asphalt 1.0 LS —$6,698.80 0
121 —Concrete Curb Repair,Bauer Dr. 1.0 LS =$3,161.72 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 $_1,639,731.59
Contract Price will be increased/decreased by this Change Order $ 9.860.52
New Contract Price including this Change Order $ 1,649,592.11
Contract Time Prior to this Change Order 74 Days 10/13/17_Completion Date
Net increased/decreased resulting from this Change Order 0 Days
Current Contract Time including this Change Order 74 Days_10/13/17 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.
AR-6
Version 2016-08-31
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
The Above Changes Are The Above Changes Are Approved:
Recommended Accepted:
CHA Rieth-Riley Construction Not Present
ENGINEER CONTRACTOR James Brainard. Mayor
300 S. Meridian Street 1751 W. Minnesota Street
Address Address -Malty-Ann Burke, Member
Indianapolis. IN 46225 Indianapolis, IN 46221 Idw OafseL
tson. Member
City/State/Zip City/State/Zip Ter y ashman, E, City
gIneer
By: ATTEST:
tea- ( �V
—DocuSigned by:
Phone: ?17-4{i7-.7(() Phone:317- 6,/-554,J Sup (PotroouA.1
Sue "rol1gang, City Clerk
Date: Q 0 20 Date: /t) •2. ZpZQ Date: 10/22/2020
AR-6
Version 20 E 6-08-31
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
AR—6
Version 2OI6-0i-3I
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
IE
CONSTRUCTION Co. INC.1L�Y
100% Quality • 100% Employee Owned • Over 100 Years
September 4th, 2020
Brian Andres
Project Engineer Sent Via Email: BAndres@chacompanies.com
CHA Companies
Contract: 16-ENG-34; 96`h St. & Gray Rd. RAB
RE: 2019 T&M Winter Concrete
Brian,
The following is the pricing and backup documentation for the cost that Rieth-Riley incurred for
winter concrete and HMA services.
ITEM DESCRIPTION QTY UNITS UNIT PRICE TOTAL
2019 Winter Concrete 1 LS $ 5,551.65 $ 5,551.65
IMf Winter Service 253 CYS $4.53 $1,147.15
Total $ 6,698.80
Please let me know if you have any questions regarding this proposal.
Thanks,
Tyler Joseph
Project Manager
Rieth-Riley Construction Co., inc.
Cell: (419)-966-4890
P.D. Box 276 •1751 W. Minnesota St.•Indianapolis, IN 46206 Phone'(317) 634-5561 • www.rieth-riley.com
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 9/4/20 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: IMI Winter Service Fee
LABOR 109.05(b)(f)
HOURS
EMPLOYEE Regular Overtime DoubletIme TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 $26.77 $0.00
FOREMAN(Thomas Denning) 0.00 $37.80 $0.00
LABORER 0,00 $25.77 $0.00
LABORER(Chad Layton) 0.00 $25.77 $0.00
MECHANIC 0.00 _ $37.80 $0.00
OPERATOR(103)(Steven Burton) 0.00 $36.80 $0.00
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOROILER(103} 0.00 $31.91 $0.00
OA TECH 0.00 $25.77 $0.00
SUPERINTENDENTIPROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $0.00 (2)
FICA Mili,-..:,,I % x LINE(2) $0.00 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 X $22.32 = $0.00
CARPENTER FOREMAN 0.00 X $22.32 = $0.00
COMBINATION 0.00 x $16.14 = $0.00
FINISHER 0.00 X $15.86 = $0.00
FOREMAN(Thomas Denning) 0.00 x $18.71 = $0.00
LABORER 0.00 X $15.86 = $0.00
MECHANIC 0.00 X $18.71 = $0.00
OPERATOR(103)(Shaven Burton)_ 0 00 X $18.71 = $0.00
OPERATOR(841) 0-00 X $21.36 = $0.00
OPERATOR OILER(103) 0.00 X $18.71 = $0.00
GA TECH 0.00 X _ $15.86 = $0.00
SUPERINTENDENT/PROJECT MAN 0.00 X $18.71 = $0.00
TEAMSTER 0.00 x $15.62 = $0.00
TOTAL FRINGES $0.00 (4)
WORKERS COMPENSATION 72,. % X LINE(2) $0.00 (5)
BODILY INJURY!PROPERTY DAMAGE INSURANCE 6 tai % X LINE(2) $0.00 (6)
STATE UNEMPLOYMENT -$i. % X LINE(2) $0.00 (7)
FEDERAL UNEMPLOYMENT Z,63. % X LINE(2) $0.00 (6)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE#3) $0.00 (9)
TOTAL LINES 2,3.4,5,6,7,889 $0.00(10)
20%x LINE(10) $0.00(11)
GRAND TOTAL LABOR LINES(10)*(11) $0,00(12)
Page 1of2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
Purchased or
Manufactured Description Guarlity Unit Unit Price Exterstion
M Winter Service Fee 253.00 CYS S 4.00 S 1.012.00
S • S -
5 - S •
$ - 5 -
S S -
5 - S -
MATERIALS PURCHASED $0.00 (16)
MATERIALS MANUFACTURED $1,012.00 (19)
TOTAL: LINE{I6)+(19) _ $1,012.00 (20)
12%x LINE(20) $121.44 (21}
GRAND TOTAL FOR MATERIALS:LINE(20)+(21) $1,133.44 (22}
EQUIPMENT 109.05(b)(4)
Equip pert tt CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
$0.00
$0.00
50.00 $0.00
50.00 $0.00
S6.00 $0.00
_ 50.00 $0.00
s0.00 $0.00
Moo $0.00
56.00 $0.00
Trucking-SUiaght Time 50.00 $0.00
Trucking-Over Tune 53.00 $0.00
Trucking-Double Time 50.00 $0.U0
TOTAL EQUIPMENT $0.00 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)4{25) $0.00 (26)
12%x LINE(26) $0.00 (27)
GRAND TOTAL FOR EQUIPMENT:LINES(26)+(27) $0.00 (28)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 (29)
10116*LINE(30)$3.00000ORLESS $0.00 (31)
7%x LINE(30)OVER S3,00006 $0.00 (32)
GRAND TOTAL FOR SUBCONTRACTORS:LINES(30)+(31)+(32) $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINE_S(12).(17).(22),(28)&(33) $1,133.44 (34)
1.1 T OF BOND RATE BASED UPON LINE(34) $12.47 (35)
10%x LINE(35) $1.25 (36)
TOTAL EXTRA WORK LINES:434)+(35)+(36) $1,147.15 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 11/21/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 11121 T&M Ticket:Picked up blankets placed on C&G
LABOR 109.05(8)(1
HOURS
EMPLOYEE Regular Overtime Doublelime TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 $26.77 $0.00
FOREMAN 0.00 $37.80 $0.00
LABORER(Louis Gutierrez) 4.00 4.00 $25.77 $103,08
LABORER(Jose Gomez) 4.00 4.00 $25.77 $103.08
MECHANIC 0.00 $37.80 $0.00
OPERATOR(103) 0.00 $36.80 $0.00
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOR OILER(103) 0.00 $31.91 $0.00
QA TECH 0.00 $25.77 $0.00
SUPERINTENDENT/PROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $206.16 (2)
FICA '7,5U r� % x LINE(2) $15.46 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 X $22.32 - $0.00
CARPENTER FOREMAN 0.00 X $22.32 = $0.00
COMBINATION 0.00 X $16.14 = $0.00
FINISHER 000 X $15.86 = $0.00
FOREMAN 0.00 X $18.71 $0.00
LABORER(Louis Gutierrez) 400 x $15.86 _ $63.44
LABORER(Jose Gomez) 4.00 x $15.86 - $63.44
MECHANIC 0.00 x $18.71 = $0.00
OPERATOR(103) 0.00 _ x $18.71 - $0.00
OPERATOR(841) 0.00 X $21.36 - $0.00
OPERATOR OILER(103) 0.00 X $18.71 = $0.00
QA TECH 0.00 X $15.86 = $0.00
SUPERINTENDENT/PROJECT MAN 0.00 X $18.71 = $0.00
TEAMSTER 0.00 x $15.62 = $0.004
TOTAL FRINGES $126.88 (4)
WORKERS COMPENSATION ,_5.72 j % x LINE(2) $11.79 (5)
BODILY INJURY!PROPERTY DAMAGE INSURANCE 5.80 ) % X LINE(2) $11.96 (6)
STATE UNEMPLOYMENT 3.85 1 % x LINE(2) $7.94 (7)
FEDERAL UNEMPLOYMENT 0.40 I 16 X LINE(2) $0.82 (8)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE#3) $0.00 (9)
TOTAL LINES 2.3.4,5,6.7.8&9 $381.01 (10)
20°/xLINE(10) $76.20(11)
GRAND TOTAL LABOR LINES(10)+(11) $457.22 (12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
purchased er
Manufactured DescripIion Quantity Uu l Lint Puce Extenstion
5 - 5 -
5 - S
S 5
S - 5
S - S -
5 - 5 -
MATERIALS PURCHASED $0.00 {18)
MATERIALS MANUFACTURED $0.00 (19)
TOTAL': LINE(18)+(19) $0-00 (20)
12%*LINE{20) $0.00 (21)
GRAND TOTAL FOR MATERIALS:LINE(20)+(21) $0.00 (22)
EQUIPMENT 109.05(b)(4)
Equipment CONTRACTOR OWNED EQUIPMENT FiWA HOURLY RATE HOURS EXTENSION
50.00 $0.00
50.00 $0.00
S0.00 $0.00
50.00 $0.00
$0.m] $0.00
sa.a0 $0.00
sa-oa $0.00
50-00 $0.00
50.00 $0.00
Trucking-Stragbt Time 50.00 $0.00
Tricking-Over Time 50.00 $0.00
Trucking-Double Time 50.00 $6.0
TOTAL EQUIPMENT $0.00 (23)
TOTAL TRUCKING $0.00 (24)
FUEL.LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES{23)+(24),(25) $0.00 (26}
12%a LINE(26) 50.00 (27)
GRAND TOTAL FOR EQUIPMENT:LINES(26)+(27) $0.00 (2a)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 (29)
10%x LINE(30)53.000 00 OR LESS $0.00 (31}
7%x LINE(30)OVER 53.000.00 $0.00 (32}
GRAND TOTAL FOR SUBCONTRACTORS:LINES(30)+(31)+{32) $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12).(17),(22).(28)8(33) 3457.22 (34)
1:1 c.1%OF BOND RATE BASED UPON LINE(34) $5.03 (35)
10%'<LINE(35) $0.50 (36)
TOTAL EXTRA WORK LINES:(34)+(35}+{36} $462.75 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 11/26/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 11/26 T&M Ticket:Picked up blankets placed on C&G
LABOR 109.05(b)(1)
HOURS
EMPLOYEE Regular Overtime Doublelime TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 $26.77 $0.00
FOREMAN 0.00 $37.80 $0.00
LABORER(Louis Gutierrez) 4.00 4.00 $25.77 $103.08
LABORER(Jose Gomez) 4110 4.00 _ $25.77 $103.08
MECHANIC 0.00 $37.80 $0.00
OPERATOR(103) 0.00 $36.80 $0.00
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOR OILER(103) _ 0.00 $31.91 $0.00
CA TECH 0.00 $25.77 $0.00
SUPERINTENDENT/PROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $206.16 (2)
FICA 7.50 , % x LINE(2) $15.46 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 x $22.32 = $0.00
CARPENTER FOREMAN 0 00 x $22.32 = $0.00
COMBINATION 0.00 x _ $16.14 - $0.00
FINISHER 0,00 X _ $15.86 = $0.00
FOREMAN 0.00 x $18.71 = $0.00
LABORER(Louis Gutierrez) 4.00 x $15.86 = $63.44
LABORER(Jose Gomez) 4.00 x $15.86 = $63.44
MECHANIC 0.00 X $18.71 = $0.00
OPERATOR(103) 0.00 x $18.71 = $0.00
OPERATOR(841) 0.00 X $21.36 = $0,00
OPERATOR OILER(103) 0.00 x $18.71 = $0.00
OA TECH 0.00 x $15.86 = $0.00
SUPERINTENDENT/PROJECT r N 0.00 x $18.71 = $0.00
TEAMSTER 0.00 x $15.62 - $0.00
TOTAL FRINGES $126.88 (4)
WORKERS COMPENSATION 5.72 • % x LINE(2) $11.79 (5)
BODILY INJURY/PROPERTY DAMAGE INSURANCE 5.80 % x LINE(2) $11.96 (6)
STATE UNEMPLOYMENT 3.85 % X LINE(2) $7.94 (7)
FEDERAL UNEMPLOYMENT 0.40 l % X LINE(2) $0.82 (8)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE 03) $0.00 (9)
TOTAL LINES 2.3,4,5,6,7.8&9 $381.01 (10)
20%x LINE(10) $76.20(11)
GRAND TOTAL LABOR LINES(10)+(11) $457.22 (12)
Page 1 of 2
1
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
Purchased or
Manufactured Description Quantity Unit Unil Price Exlenstion
$ - S -
5 - S -
` - S -
$ - S •
S - S -
( - S
MATERIALS PURCHASED $0.00 I la)
MATERIALS MANUFACTURED $0.00 (191
TOTAL:LINE(16)*(19) $0.00 (20)
12%xLINE(20) $0.00 (21)
GRAND TOTAL FOR MATERIALS:LINE(20)+(21) 50.00 (22)
EQUIPMENT 109.05(b)(4)
Equipment# CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
$0.00 $0.00
s0.o0 50.00
so.00 $0.00
sow 50.00
sE.00 $0.00
moo $0.00
$oco $0.00
$0.00 $0.00
woo $0.00
Trucking-Strlaght Time 50.00 $0.00
Trucking-Over Time 50.00 $0.00
Trucking-Double Time 50.00 $0.00
TOTAL EQUIPMENT $0.00 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)•(25) $0.00 (26)
12%x LINE(26) $0.00 (27)
GRAND TOTAL FOR EQUIPMENT'LINES(26)*(27) $0.00 (28)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 (29)
%x LINE(301$3,000.00 OR LESS $0.00 (31)
7%x LINE(30)OVER 53,000.00 $0.00 (32)
GRAND TOTAL FOR SUBCONTRACTORS:LINES(30)*(31)•(32) 50.00 {33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12),I17),(22),(28)8{33) $457.22 (34)
1.1 %OF BOND RATE BASED UPON LINE(14) $5.03 (35)
10%x LINE(35) $0.50 (36)
TOTAL EXTRA WORK LINES:(34)+(35)*(36) S462.75 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 12/3/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96(h&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 12/3 T&M Ticket:QC Tech for 12/2&12/3.Cold weather paving 8 hours per day
LABOR 109.05(b)(1)
HOURS
EMPLOYEE Regular Overtime Ooubletime TOTAL RATE EXTENSION
CARPENTER _ 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 s $26.77 $0.00
FOREMAN 0.00 $37.80 $0.00
LABORER 0.00 $25.77_ $0.00
MECHANIC 0.00 $37.80 $0.00
OPERATOR(103) 0.00 $36.80 $0.00
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOR OILER(103) 0.00 $31.91 $0.00
OA TECH 16.00 16.00 $25.77 $412.32
SUPERINTENDENTIPROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER i 0.00 $29.96 $0.00
TOTAL LABOR $412.32 (2)
FICA 7.50 1 % x LINE(2) $30.92 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 X $22.32 = $0.00
CARPENTER FOREMAN 0.00 X $22.32 = $0.00
COMBINATION 0.00 x $16.14 = $0.00
FINISHER 0.00 X $15.86 = _ $0.00
FOREMAN 0.00 X $18.71 = $0.00
LABORER 0.00 x $15.86 = $0.00
MECHANIC 0.00 X $18.71 = $0.00
OPERATOR(103) 0.00 x $18.71 = $0.00
OPERATOR(841) 0.00 x $21.36 = $0.00
OPERATOR OILER(103) 0.00 X $18.71, = $0.00
QATECH 16.00 x $15.86 = $253.76
SUPERINTENDENT/PROJECT MANr 0,00 X $18.71 = $0.00
• TEAMSTER 0.00 x $15.62 = $0.00
TOTAL FRINGES $253.76 (4)
WORKERS COMPENSATION 5.72 % X LINE(2) $23.58 (5)
BODILY INJURY I PROPERTY DAMAGE INSURANCE 5.80 % x LINE(2) $23.91 16)
STATE UNEMPLOYMENT 3.85 1 % X LINE(2) $15.87 (7)
FEDERAL UNEMPLOYMENT 0.40 % K LINE(2) $1.65 (8)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE#3) $0.00 (9)
TOTAL LINES 2,3,4,5,6,7,8&9 $762.03(10)
20%x LINE OD) $152.41 (11)
GRAND TOTAL LABOR LINES(10)+(11) $914.43(12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
Purchased or I
Manufactured Description OuaiI1 Unit Unit Price Extenslion
- S -
$ - S
5 - $ -
S - 5 -
S - 5
S S -
MATERIALS PURCHASED $0.00 (18)
MATERIALS MANUFACTURED $0.00 (19)
TOTAL: LINE(18)+(19) $0_00 (20)
12 71 x LINE(20) $0.00 (21)
GRANO TOTAL FOR MATERIALS:LINE(20)+(21) $0.00 (22)
EQUIPMENT 109.05(b)(4)
Equipment# CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
314 Tan Pickup 528.14 16.00 $450,24
S0.00 $0.00
S0.00 $0.00
50.00 $0.00
SOLO $0.00
50.00 $0.00
$0.00 $0.00
$0.20 $0.00
$0.00 $0.00
Trucking-Slnaght Time 50.00 $0.00
Trucking-Over Time SO 00 $0.00
Trucking-Double Time $0.00 $0.00
TOTAL EQUIPMENT $450.24 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)+(25) $450.24 (25)
12%x LINE(26) $54.03 (27)
GRAND TOTAL FOR EQUIPMENT'LINES(26)+(27) $504.27 (28)
SUBCONTRACTORS 109.05(b){6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 {29)
10%x LINE{30)S3,000.000RLESS $0.00 (35)
7%x LINE{30)OVER 53,000.00 $0.00 (32)
GRAND TOTAL FOR SUBCONTRACTORS:LINES(301+(31)+(32) 50.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12).(17),(22).128)&(33) $1,418.70 (34)
_
1,1 7%OF BOND RATE BASED UPON LINE(34) $15.61 (35)
10%K LINE(35) $1.56 (36)
TOTAL EXTRA WORK LINES:(34)+(35)+(36) $1,435.87 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 12/10/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 12110 T&M Ticket:Covered up subgrade with blankets
LABOR 109.05(b)(11
HOURS
EMPLOYEE Regular Overtime Dauhlohms TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN _ 0.00 $29.01 $0.00
COMBINATION(Pedro Rodriguez) 2.00 2.00 $31.26 $62.52
FINISHER{Armando Reynosa} 2.00 2.00 $26.77 $53.54
FOREMAN(Jon Greathouse) 2.00 2.00 $37.80 $75.60
LABORER 0.00 $25.77 $0.00
LABORER 0.00 $25.77 $0.00
MECHANIC 0.00 $37.80 $0.00
OPERATOR(103) 0.00 $36.80 $0.00
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOR OILER(103) 0.00 $31.91 $0.00
GA TECH 0.00 $25.77 $0.00
SUPERINTENDENT/PROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $191.66 (2)
FICA 7.50 % x LINE{2) $14.37 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 X $22.32 = $0.00
CARPENTER FOREMAN 0.00 X $22.32 = $0.00
COMBINATION(Pedro Rodriguez) 2.00 x $16.14 = $32.28
FINISHER(Armando Reynosa) 2.00 X $15.86 = $31.72
FOREMAN(Jon Greathouse) 2.00 X $18.71 = $37.42
LABORER 0.00 X $15.86 = $0.00
MECHANIC 0.00 X $18.71 = $0.00
OPERATOR(103} 0.00 X $18.71 = $0.00
OPERATOR(841) 0.00 X $21.36 = $0.00
OPERATOR OILER(103) 0.00 x $18.71 = $0.00
OA TECH 0.00 , x $15.86 = $0.00
SUPERINTENDENT/PROJECT MAN 0.00 x $18.71 = $0.00
TEAMSTER 0.00 x $15.62 - $0.00
TOTAL FRINGES $101.42 (4)
WORKERS COMPENSATION 5.72 % X LINE(2) $10.96 (5)
BODILY INJURY!PROPERTY DAMAGE INSURANCE 5.80 : % X LINE(2) $11.12 (6)
STATE UNEMPLOYMENT 3.85 % X LINE(2) $7.38 (7)
FEDERAL UNEMPLOYMENT 0.40 % X LINE(2) $0.77 (e)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE#3) $0.00 (9}
TOTAL LINES 2,3,4,5,6,7,8&9 _ $337.68{10)
24%x LINE(10) $67.54{11)
GRAND TOTAL LABOR LINES(10)+(11) $405.22 (12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b1(3)
Purchased or
Manufactured Description Quantity Und Unit Price Extenstion
5 -
$
5 • 5
5 - 5
5 • 5
5 - S
5 S
MATERIALS PURCHASED $0.00 (18)
MATERIALS MANUFACTURED $0.00 (19)
TOTAL: LINE(18)+(19) $0.00 (20)
12%a LINE(20) $0.00 (21)
GRAND TOTAL FOR MATERIALS:LINE(20)+(21) $0.00 (22)
EQUIPMENT 109.05(b)(4)
Equipment 4 CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
TruckdTrailer 528.14 2.00 $56.28
$0.aa $0.00
saw $0.00
saw $0.00
so.00 $0.00
5o.w $0.00
So.00 $0.00
s0.00 $0.00
S0.00 $0.00
Trucking-Sldaght Time $0.00 $0.00
Trucking-Over Time $0.00 $0.00
Trucking-Double Time $0.00 $0.00
TOTAL EQUIPMENT $56.28 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)+(25) $56.28 (20)
12%x LINE(26) $6.75 (27)
GRAND TOTAL FOR EQUIPMENT:LINES(28)+(27) $63.03 (28)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 (29)
10%x LINE(30)53.000,00 OR LESS $0.00 (31)
7%x LINE(30)OVER S3,000.00 _ $0.00 (32)
GRAND TOTAL FOR SUBCONTRACTORS:LINES(30)+(31)+(32) $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12).(17),(22),(28)&(33) $468.25 (34)
E.1 ..`j%OF BOND RATE BASED UPON LINE(34) $5.15 (35)
10%x LINE(35) $0.52 (36)
TOTAL EXTRA WORK LINES:(34)+(35)+(36) $473.91 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 12/19/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 12/19 T&M Ticket:Picked up blankets and covered concrete.
LABOR 109.05(b)(1)
HOURS
EMPLOYEE Regular ' Overtime Doubletirne TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 $26.77 $0.00
FOREMAN(Jon Greathouse) 2.00 2.00 $37.80 $75.60
LABORER 0.00 $25.77 $0.00
LABORER(Chad Layton} 2.00 2.00 $25.77 $51.54
MECHANIC _ 0.00 $37.80 $0.00
OPERATOR(103)(Steven Burton) 2.00 2.00 $36.80 $73.60
OPERATOR(841) 0.00 $34.00 $0.00
OPERATOR OILER(103} 0.00 $31.91 $0.00
GA TECH 0.00 $25.77 $0.00
.-
SUPERINTENDENT/PROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $200.74 (2)
FICA : 7.50 , 1 % x LINE(2) $15.06 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 X $22.32 = $0.00
CARPENTER FOREMAN 0.00 x - $22.32 = $0.00
COMBINATION 0.00 X $16.14 = $0.00
FINISHER 0.00 X $15.86 = $0.00
FOREMAN(Jon Greathouse) 2.00 x $18.71 = $37.42
LABORER 2.00 X $15.86 = $31.72
,MECHANIC 000 X $18.71 = $0.00
OPERATOR(103)(Steven Burton)` 2.00 X $18.71 = $37.42
OPERATOR(841} 0,00 X $21.36 = $0.00
OPERATOR OILER(103) 0.00 X $18.71 = $0.00
oA TECH 0.00 , x $15.86 - $0.00
SUPERINTENDENT/PROJECT MAN 0.00 x $18.71 = $0.00
TEAMSTER 0.00 x $15.62 = $0.00
TOTAL FRINGES $106.56 (4)
WORKERS COMPENSATION 5.72 % X LINE(2) $11.48 (5}
BODILY INJURY/PROPERTY DAMAGE INSURANCE 5.80 ! % x LINE(2) $11.64 (6)
STATE UNEMPLOYMENT 3.85 % X LINE(2) $7.73 (7)
FEDERAL UNEMPLOYMENT 0.40 % X LINE(2) $0.80 (8)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE#3) $0.00 (9)
TOTAL LINES 2,3,4,5,6,7,8&9 $354.01 (10}
20%x LINE(10) $70.80(11)
GRAND TOTAL LABOR LINES(10)+(11) $424.81 (12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
Purchased or
Manufactured Description Quantity Unit Unit Price Extenstion
S - S
5 - S
S - 5 -
S - S
--- _.-
S S
S - 5 -
MATERIALS PURCHASED $0,00 (18)
MATERIALS MANUFACTURED $0.00 (19)
TOTAL: LINE(18)+(19) $0.00 (20)
12%x LINE(20) $0.00 (21)
GRAND TOTAL FOR MATERIALS:LINE{20)+(21) $0.00 {22)
EQUIPMENT 109.05(b)()
Equipment B CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
S0.00 $0.00
50.00 $0.00
50.00 50.00
50.00 $0.00
sa.OD $0.00
50.00 $0.00
s0.00 $0.00
SD.00 $0.00
50.0a - $0.00
Trucking-SUisight Time 50.00 $0.00
Trucking-Over Time S0.00 $0.00
Trucking-Double Time 50.00 $0.00
TOTAL EQUIPMENT $0.00 (23)
TOTAL TRUCKING $0.00 (24)
FUEL.LUBRICANTS AND TRANSPORTATION COSTS 50.00 (25)
TOTAL LINES(23)+(24)+(25) $0.00 (26)
12%x LINE(25) $0.00 (27)
GRAND TOTAL FOR EQUIPMENT:LINES{26)+(27) $0.00 128)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING __ $0.00 (29)
10%x LINE(30)53,000.00 OR LESS $0.00 (31)
7%x LINE(30)OVER S3.000.00 $0.00 (32)
GRANO TOTAL FOR SUBCONTRACTORS:ONES(30)-{31)•1321 $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12),(17).(22),(28)&(33) $424.81 {34)
1.1 I%OF BOND RATE BASED UPON LINE(34) $4.67 (35)
10%x LINE(35) $0.47 (36)
TOTAL EXTRA WORK LINES:{34)+(351•(36) $429.95 (37)
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 12/19/19 Work Performed: Winter Concrete
CONTRACT: 16-ENG-33 PROJECT: 96th&Delegates
FORCE ACCOUNT/EXTRA WORK FOR: 12/19 T&M Ticket:Picked up blankets and covered concrete.
LABOR 109.05(b)(1)
HOURS
EMPLOYEE Regular Overtime Daubtetime TOTAL RATE EXTENSION
CARPENTER 0.00 $27.51 $0.00
CARPENTER FOREMAN 0.00 $29.01 $0.00
COMBINATION 0.00 $31.26 $0.00
FINISHER 0.00 $26.77 $0.00
FOREMAN(Thomas Denning) 8.00 8.00 $37.80 $302.40
LABORER 0.00 $25.77 $0.00
LABORER(Chad Layton) 8.00 8.00 $25.77 $206.16
MECHANIC 0.00 $37.80 $0.00
OPERATOR(103)(Steven Burton) 8.00 8.00 $36.80 $294.40
OPERATOR(841) 0.00 $34.00 _ $0.00
•
OPERATOR OILER(103) 0.00 $31.91 $0.00
QA TECH 0.00 _ $25.77 $0.00
SUPERINTENDENT/PROJECT MANAGER 0.00 $46.80 $0.00
TEAMSTER 0.00 $29.96 $0.00
TOTAL LABOR $802.96 (2)
FICA 7.50 I 'A x LINE(2) $60.22 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 x $22.32 = $0.00
CARPENTER FOREMAN 0.00 x $22.32 = $0.00
_COMBINATION 0.00 X $16.14 = $0.00
FINISHER 0-00 X $15.86 = $0.00
FOREMAN(Thomas Denning) 8.00 x $18.71 = $149,68
LABORER 8.00 x $15.86 = $126.88
MECHANIC 0.00 X $18.71 = l $0.00
OPERATOR 1103)(Steven Burton) 8.00 X $18.71 = $149.68
OPERATOR(841) 0.0D x $21.36 = $0.00
OPERATOR OILER(103} _ 0.00 X $18.71_ = $0.00
OA TECH 0,00 X $15.86 = $0.00
SUPERINTENDENT/PROJECT MAN 0.00 X $18.71 = $0.00
TEAMSTER 0.00 X $15.62 = $0.00
TOTAL FRINGES $426.24 (4)
WORKERS COMPENSATION 5.72 , % X LINE(2} $45.93 (5)
BODILY INJURY!PROPERTY DAMAGE INSURANCE 5.80 h % x LINE(2) $46.57 (8}
STATE UNEMPLOYMENT 3.85 % X LINE(2) $30.91 (T)
FEDERAL UNEMPLOYMENT 0.40 % X LINE(2) - $3.21 (8)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE 1t3) $0.00 (9)
TOTAL LINES 2,3,4,5,6,7,8&9 $1,416.05 (10)
20%a LINE(10) $283.21 (11)
GRAND TOTAL LABOR LINES(10)+(11) $1,699.26 (12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(b)(3)
Purchased or
klenufactured Description Quantity Unit Unit Price Extenslicn
5 - S
5 - 5 -
S • 5 -
5 S
S S -
S - S -
MATERIALS PURCHASED $0.00 (18)
MATERIALS MANUFACTURED $0.00 (19)
TOTAL: LINE(18)•(19) $0.00 (20)
12%x LINE(20) $0.00 (21)
GRAND TOTAL FOR MATERIALS:LINE(20)+(21) $0.00 (22)
EQUIPMENT 109.05(b)(4)
Equipment x CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
CTLTL06462 Skid Steer 537.48 8.00 $299.84
5WP0819291 Broom 525.00 8.00 $200,00
s0.00 $0.00
s0.00 $0.00
S0.0o $0.00
50.00 $0.00
SO.00 $0.00
Moo $0.00
50.00 $0.00
Trucking-Slriaghl Time 50.00 $0.00
_Trucking-Over Time _ 50.00 $0.00
Trucking-Double Time S0.00 $0.00
TOTAL EQUIPMENT $499.84 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)+(25) $499,84 (26)
12%x LINE(26) $59.98 (27)
GRAND TOTAL FOR EQUIPMENT.LINES(26)+(27) $559.82 (2a)
SUBCONTRACTORS 109.05(b)(6)
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT WEEK ENDING $0.00 (29)
10%x LINE(30)53.000.00 OR LESS $0.00 {31)
7%x LINE 430)OVER S3,000.00 $0.00 (32)
GRAND TOTAL FOR SUBCONTRACTORS:LINES(30)+(31) (32) $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12).(17),(221,(28)&(33) $2,259 08 (34)
1.1 %OF BOND RATE BASED UPON LINE(34) $24.85 (35)
10%a LINE(35) 52.48 (36)
TOTAL EXTRA WORK LINES:(34)+(35)+(36) 52,286.41 (37)
Pere 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
CONSTRUCTION
I�r�J�' 1L�`YCo. Inc.
100% Quality • 100% Employee Owned • Over 100 Years
June 12th, 2020
Brian Andres
Project Engineer Sent Via Email: BAndres@chacompanies.com
CHA Companies
Contract: 16-ENG-33; 96th St. & Delegates Row
RE: T&M Remove and Replace Curb at Bauer Dr. (5.14.20)
Brian,
The following is the pricing and backup documentation for the above referenced T&M work.
ITEM DESCRIPTION QTY UNITS UNIT PRICE TOTAL
T&M Remove & Replace Bauer Dr. Curb 1 LS $3,161.72 $3,161.72
Thanks,
Tyler Joseph
Project Manager
Rieth-Riley Construction Co., Inc.
Cell: (419)-966-4890
P.O. Box 276 • 1751 W. Minnesota St.• Indianapolis. IN 46206 Phone:(317) 634-5561 • www.rieth-riley.com
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
RIETH-RILEY CONSTRUCTION
EXTRA WORK AGREEMENT
DATE: 5/14/20 Work Performed: T&M Remove&Replace Curb @ Bauer
CONTRACT: 16-ENG-33 PROJECT: 98th&Delegates Row
FORCE ACCOUNT/EXTRA WORK FOR: Remove and Replace curb at Bauer Dr.and 96th St.Total=28 LF
LABOR 109.05(b)(1)
HOURS
EMPLOYEE Regular Overtime Doubletime TOTAL RATE EXTENSION
CARPENTER 0.00 $28.86 $0.00
CARPENTER FOREMAN 0.00 $30.86 $0.00
COMBINATION(Alfonso Teliz°cameo) 1.00 3.50 4.50 $32.01 $200.06
FINISHER 0.00 $27.60 $0.00
FOREMAN(Mitchell L Morgan) 1 5e 3.00 4.50 $39.48 $236.138
LABORER 27.00 1,00 28.00 $26.60 $758,10
MECHANIC 0.00 $39.48 $0.00
OPERATOR(103) 0.00 $38.48 $0.00
OPERATOR(841) 0.00 $35.25_ $0.00
OPERATOR OILER(103) 0.00 $32.51 $0.00
QA TECH 0.00 $26.60 $0.00
SUPERINTENDENT/PROJECT MANAGER 0.00 $48.48 $0.00
TEAMSTER 0.00 $31.41 $0.00
TOTAL LABOR $1,195.04 (2)
FICA 7.50 • % x LINE(2) $89.63 (3)
FRINGES
EMPLOYEE HOURS RATE EXTENSION
CARPENTER 0.00 x $24.81 = $0.00
CARPENTER FOREMAN 0.00 x $24.81 = $0.00
COMBINATION(Alfonso Teliz Ocemf 4.50 x $16.54 = $74.43
FINISHER 0.00 , X $16.38 = $0.00
FOREMAN(Mitchell L Morgan) 4.50 x $19.71 = $88.70
LABORER 28.00 x $16.38 = $458.64
MECHANIC 0,00 X $19.71 = $0.00
OPERATOR(103) 0,00 X $19.71 = $0.00
OPERATOR(841) 0-00 x $23.21 = $0.00
OPERATOR OILER(103) 0.00 x $19.71 = $0.00
QA TECH 0.00 X $16.38 = $0.00
SUPERINTENDENT/PROJECT MAN 0.00 X $19.71 = $0.00
TEAMSTER 0.00 x $16.54 = $0.00
TOTAL FRINGES $621,77 (4)
WORKERS COMPENSATION 4.70 I % X LINE(2) $56.17 (5)
BODILY INJURY I PROPERTY DAMAGE INSURANCE 0.00 % X LINE(2) $0.00 (6)
STATE UNEMPLOYMENT 3.85 % X LINE(2) $46.01 (7)
FEDERAL UNEMPLOYMENT 0.40 % X LINE(2) $4.78 (a)
TRAVEL ALLOWANCE OR SUBSISTENCE(NOTE tI3) $0.00 (9)
TOTAL LINES 2,3,4,5,6,7,8&9 $2,013.40 (10)
20% x LINE(10) $402.68 (11)
GRAND TOTAL LABOR LINES(10)4-(11) $2,416.08 (12)
Page 1 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
MATERIAL 109.05(bj(3)
Purchased Cr Manufactured Description Quantity Unit Unit Price Extension
P Concrete Gies A 1.50 CY $ 114.35 S 171.53
$ - S -
5 - 5
5 - S -
$ - S -
5 - S -
MATERIALS PURCHASED $171.53 (IS)
MATERIALS MANUFACTURED $0.00 (1g)
TOTAL:LINE(18)+(IS) $171.53 (20)
12% x LINE(20) $20.58 (21)
GRAND TOTAL FOR MATERIALS,LINE(20)•121) $192.11 (22)
EQUIPMENT 109.05(b1L4l
Equipment F CONTRACTOR OWNED EQUIPMENT FHWA HOURLY RATE HOURS EXTENSION
314 Ton Truck 528.14 4.50 S126.63
F450 Truck 528.14 4.50 S126.63
Runyan Invoice(compressor.hammer,hose) 5207.21 1.00 $207.21
50.00 30.00
50.00 50.00
S0.00 S0.00
50.00 50.00
5000 S0 00
S0.00 50.00
Trucking-Straight Time S0.00 S0.00
Trucking-Over Time 50.00 5D00
Trucking-Double Time 50.00 5000
TOTAL EQUIPMENT $460.47 (23)
TOTAL TRUCKING $0.00 (24)
FUEL,LUBRICANTS AND TRANSPORTATION COSTS $0.00 (25)
TOTAL LINES(23)+(24)+(25) $460.47 (26)
12% X LINE(28) $55.26 (27)
GRAND TOTAL FOR EQUIPMENT:LINES(26).(27) $515.73 (26)
SUBCONTRACTORS 109.05(b)(61
DESCRIPTION AMOUNT
TOTAL SUBCONTRACT $0.00 (29)
10% x LINE(30)33.000,00 OR LESS $0.00 (31)
7°5 x LINE(30)OVER 53,000.00 _ $0.00 (32)
GRAt GRAND TOTAL FOR SUBCONTRACTORS:LINES(30).(31)+(32) $0.00 (33)
TOTAL OF WORK COMPLETED FOR THE WEEK
TOTAL LINES(12),(17),(22),(28)8(33) $3,123.92 )34)
4:17
7.71.%BOND RATE BASED UPON LINE(34) $34.36 (35)
10%x LINE(35) S3.44 (36)
TOTAL EXTRA WORK LINES:(34)+(35)+(36) $3.161.72 (37)
UNITS -
UNIT PRICE $0.00
Page 2 of 2
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
LY SV LY.rre till qty.L`om
Y=-ti£dr6
Feld Work Order
Job Number: ,A.t,a 0. 1 a, Date Issued: 5'— /q_. 3.0
Owner Job Number: Address:
Job Name: 1%544' be 34..te 5 120 V,)
Rieth-Riley is hereby authorized to perform the following described work and charge to the above mentioned owner:
-rioti4e 0La kc PI c E)AoPeg. be. - qcs+
0 V `i3 L . .
Trade Reg Hrs OT Hrs
eeeW C7V
Equipment Quantity Hours Used Hours Idle
roan rRe5S a12-
' _Ael' H4,1 EP
[ I
Material/Sub Oty
'X- "4 -r, C I. 5-
•
This work shall be on a time and material basis to which will be added all applicable taxes, insurance, fringe benefits, travel pay
(per diem), expendable item charge, overhead and profit.
Work Supervised By: c ,�„ Work Ordered By: "pi i f C gu H
Rieth-Riley Construction Owner/Owner's Rep
Signed by: Signed by:
Title: D �C ,ei-e V 0¢2e 1,4741 ) Title:
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
111 1VECE.ITED i'l,'4 i oa.
o 0 P.C.Box 7048.Group*2 ilmfilaiNvosAim
11M.D. Indianapolis,IN 46207-70,18
Phone 13171326-310/
Irving llatertels,Inc. Fox(317)326-3105 Customer Na ,iivoica Dale
w.visinmat.com
E62-81 65/14/2020 H HI WIIIH"" •
For oilling quostions.goose call our office.ar (317).126.3701 TO.tal Dna 10, 06/1012020 0121_05
a Paid by
TolalDue 'OF 06/10/202.0 8331.05
RIETH RILEY CONSTRUCTION -CO ()-6 lead atiei
P. O. PDX 276 nal•eety Addies z.r..,...'.
INDIANAPOLIS IN 46206 '96-11-1 E KEYST'Ia•:E I CITY. .3,5 al...,.y..:_il
1 i i' .!1-1, -ii In julL_ ,.
4 ,,.,,,,, ,,,, .• - , ! i ,,. :1 7 -"le,i1. i lirliH
OCibt4 Thank You for Your Business'
I . . P.O.No. -- . Job No •. J Project NO 1;-'7 r:ti .7:'Il'•'- ''iqklet Nt"-• alill•
3204964 1200113 8-00542 1111 i
.Plant I _item No ' ': Desonphon ' City 'UOMJ Ill pbdej I l'l.Exle :01.1ygrgint I
123 9000IN CLASS A STONE 3.00 cy 106 35 319.05
123 32 MINIMUM LOAD CHARGE 1.00 ea 0.00 0.10
123 31 Et-iviaximErn'AL FEE 1 00 ea 12.00 12.00
' 12352758
Only used 1.5 CY.
Total=5171.53
-i-N'rESS4 J6.!YY14171_-____
%,PROVED . IIIIiIii
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Discount 1)--. Paicr*y— —imei:•Cluailfily I Sublb1N- Saves Tax gEglE5
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11„n1 11 Po.8ox 7048.Group#2 T 6.6 6_i 0 5/14/262 0 /ri( !I)tiJ's 1271 ----.
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otal Due ), __,
Irrhag Materials,Inc. Inchanapchs.IN 46267-7046 a Paid by 0\\6..':.-11 -13-2-0--...." CL!-.....: 1-7-cS
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;bpi:Tu.'. T 0.6/10/2020 : - -1:747,1
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. ololcir - Make check payable to Irving Materiels,lop
RIETHL RILEY CONSTRUCTION CO •
F. 0-. BOX 276 ' i!•. _
INDIANAPOLIS IN 46206 Plry:n:Materials,Inc. • "Ir
PO BOX 7048.GROUP 42 •
INDIANAPOLIS,IN 46207-76413 - •
1:
DocuSign Envelope ID:422537DA-D5FF-431A-88FD-A986FF6D1BEF
IIIII II II IIIII IIIi1111 I illll Il l ill) Page 1 of 1
'-'gp�� 6f ] �C 14iE, D Status: Closed
�t1'*Y(e`/ 410 W041 Carmel Drive
Carmel,IN 4fi97i InvolcC : 544790
��JJ Invoice Date: Thu 5f1A12020
EQUIPMENT RENTAL' www•runyonrental.com MAY 1.5 2020 Date Out: Thu 51i412020 -13;45AM
317-5664 E00 phone
Don't he a tool-Rent one. 717-Se6.2 550 Fax Operator: ODESSA TYNAN
�1A - rCutl.ma•a. Teas I Termrs: OR ACCOUnI
(a r RIETH-RILEY CONSTRUCTION CO. 31Tb74.5561 Phona
(4J} 317411.6423 pa.
P.O.BOX 27G
IHOIANAPOUS,IN en206 PO a: 3200717 Job N �a Dry 32flfl712
Open Monday•Friday 7:00am-5:30pm.Saturday 7:oCam-]:00pm.Sunday 9:00am-1.00pm. ..'"__-
Picked up by:TELIS,ALFONSO
Salesman:TONY BACA
aT N m
ay !terra Rnlumerl Cala Status Each Preca
1 0100.1 NOSE AIR 234'X 5P The 511412020 5:17PM Adumad SO CC 5600
1oa4 56,00 twee)310 01...sell,350 60
1 0.3050007 HAMMER JACK 601/ALP Tau 511el7000::17P1A Roma. 558e7 55500
Ida.155C0 sweet moo oo aS.,eeks 55a0.00
7 0102, PCI'II I CH15EL LARGE Tau 511.11120313 1:17PM RHum.d SI CO 51800
lacy 531 CO mess Ia.00 3woa5453 00
1 031ee00J2 AIR COMPRESSOR 155 CFLI Thu 51144020 1:16PM Relumed 560.00 50000
Mee(Out'I5205 Moor to 15231 Idol hagra on manna 33
ill-41 MAN 1101.5115.CM Tweet 5.20.00 e..esse 5675.00
DO NOT EACEED'$5 MPH xmLE 104201G TRAILER a_
GU070500a IS TO1ALLT LIAoLc FOR TIRE REPAIR.PLEASE
GNE00 TIRES POOR SO LFA91C0 LOT 1
ECCIPMErIT 18 FOR LOCAL RcaTAL ONLY IS MILE PAOUS FROM 0111 STORE YOU ARE
RESPONs101-u FOR RCTUflN 0CIfJOR RECOVERY k
e1 DIES-1 01ESEL ..,.�------",-,.... P1eea 5650 535.55
•
Thank You for your Business
Contract Signalure '
_,z`-'. TELIS.ALFONSO
_•_n.�t- Dale.0001002020 Ntsthlicah.n a 1
-
- Rental Conlratt Noma:: $157.33
I o'iearand that.(al,l a ruu:tuned la no In:uvula ne1`1nP.a mis)to nay n:M pmaen;fe1 THE.T2 RT5e ITEMLSI 1S1AR5
FULL of WUEL AND RU51 OE RETURNED A5 SVCH Oa ADOITIONAL CHANGES PALL AF5LOIOI ule H aeensalko wets to a
1
0cd e ere)605,a1.,Rained 11em14lapr.dd!L410Ml1...11,.pid.or1lar al 1am. waSgu. 1 and IepILa la0n Jtelnat.e • Sa11o' $10.65
4.44A no araa:0411 WS as svpplad wldl syelr 7aunueu p\o,tar ula..in¢m:.ded RAIa to Ea•:apl!y coon).Y.,I:a14d_ '
aAGr-aFWe,o rvlst,a1W 1 am 101po'.all•Al,. 11t]ad on 5450 Ly,NI R'.11ron it au'.brued to rnaryo my deb11 or at ed1
cars tar all smut.tymenre.R.a Fawner uOhldrl for arable to tea norred 5,031 wort.a rracan'Moa.her Ina Renee
Ilompl roan now Iramad ar.d I010011U11 is rfo0e.a S05 CO Fd Faa .
Subtotal: 5107;65
Indlena Sales Tan: _ 417.56
Total: $207.21
Paid: 00:00
Signature:
TELIS,ALFONSO Amount Duo:1 5207.21