HomeMy WebLinkAboutChange_Order__2_-_TSW_Utility_Solutions; TSW Utility Solutions; ($3,385.00); Smokey Row Road Utility Extension; CO #2; Utilties DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCCA ,D
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EJCDC
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U(JCUYfVI'r. U CUYNENUIplf.E Change Order No. 2
Date of Issuance: 5/06/2021 Effective Date: 5/06/2021
Owner: City of Carmel Owner's Contract No.: PO#2050
Contractor:TSW Utility Solutions Contractor's Project No.: 20-84
Engineer: Shrewsberry &Associates Engineer's Project No.: 19-0151
Project: Smokey Row Road Utility Extension Contract Name: Smokey Row Road Utility Extensior
The Contract is modified as follows upon execution of this Change Order:
Description: 12"Water Main Lowering designed into the project after it has commenced, at STA 57+90 +/=.
Attachments: [List documents supporting change] Backup attached
CHANGE IN CONTRACT PRICE I CHANGE IN CONTRACT TIMES
[note changes in Milestones if applicable]
Original Contract Price: Original Contract Times:
Substantial Completion: No Change
$41.7,51.6.25 Ready for Final Payment:
days or dates
[Increase] [Decrease] from previously approved Change [Increase] [Decrease]from previously approved Change
Orders No._ to No._: Orders No._ to No._:
Substantial Completion:
$ N/A Ready for Final Payment:
days
Contract Price prior to this Change Order: Contract Times prior to this Change Order:
Substantial Completion: 05/08/2021
419,346.25 Ready for Final Payment: 06/07/2021
days or dates
Ills [Decrease] of this Change Order: [Increase] [Decrease] of this Change Order:
Substantial Completion:
$3,385.50 Ready for Final Payment:
days or dates
Contract Price incorporating this Change Order: Contract Times with all approved Change Orders:
Substantial Completion:
422,731 .25 Ready for Final Payment:
days or dates
REC MMENDED: ACCEPTED: CE TE
By: oLU— }Iweta By: re By: Contr ctor(Authorizedr
Engineer(if required) Owner(Authorized Signature) Signature)
Title: Title Title Andrew R. Hammond - PM/Estimato
Date: Date Date 5/06/2021
Approved by Funding Agency(if
applicable)
By: ..
Date:
Title:
EJCDC C-941,Change Order.
Prepared and published 2013 by the Engineers Joint Contract Documents Committee.
Page 1 of 1
DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCC
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DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCC
Approved and Adopted this 15 day of September 20 21
"OWNER"
CITY OF CARMEL, INDIANA
By and through its Board of Public Works and Safety
BY:
Not Present
James Brainard, Presiding Officer
Date:
EDocuSigned by:
3E37i,C0i3OoaE4C4...
Mary Ann Burke Member
Date: 9/15/2021
a—DocuSigned by:
— 00 B434.
LoAE7ri Watson, Member
Date: 9/15/2021
ATTEST: ,--DocuSigned by:
5r..t. WOK301
'-683A89D7A9811C5...
Sue Wog(gang Clerk
Date:
DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCC
FERGUSON& INVOICE NUMBER TOTAL DUE CUSTOMER PAGE
0230743 $2,266.40 13016 1 of 1
WATERWORKS
6439 EAST 30TH STREET PLEASE REFER TO INVOICE NUMBER WHEN
INDIANAPOLIS, IN 46219-0000 MAKING PAYMENT AND REMIT TO:
FERGUSON WATERWORKS#1934
PO BOX 644054
Please contact with Questions: 832-742-2930 PITTSBURGH,PA 15264-4054
SHIP T'O:
COUNTER PICK UP
6439 EAST 30TH STREET
TSW UTILITY SOLUTIONS INC INDIANAPOLIS, IN 46219-0000
3120 W MORRIS ST
SMOKEY ROW RD CARMEL
INDIANAPOLIS,IN 46241
SHIP SELL TAX CODE CUSTOMER ORDER NUMBER SALESMAN JOB NAME INVOICE DATE BATCH
WHSE. WHSE. 10
1934 1934 INE FY20-84 BAH SMOKEY ROW RD CARMEL 03/16/21 20508
ORDERED SHIPPED ITEM NUMBER DESCRIPTION UNIT PRICE UM AMOUNT
4 4 DMJ4LA12 DOM 12 MJ C153 45 BEND LUA 352.000 EA 1408.00
8 8 E1112DSCY 12 MEGALUG F/DI W/BLUE BLT ACCY 107.300 EA 858.40
INVOICE SUB-TOTAL 2266.40
LEAD LAW W NING•IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT'LEAD FREE"IN ACCORDANCE WITH
US FEDERAL+r'R OTHER APPLICABLE LAW IN POTABLE(WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION
PRODUCTS TH'NP IN THE DPSCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN
NON-POTABL:APPLICATIONS.eUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION.
64- akr°4)
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TERMS: NET 10TH PROX ORIGINAL INVOICE TOTAL DUE $2,266.40
All past due amounts are subject to a service charge of 1.5% per month, or the maximum allowed by law, if lower. If Buyer fails to
pay within terms, then in addition to other remedies, Buyer agrees to pay Seller all costs of collection, including reasonable
attorney fees. Complete terms and conditions are available upon request or at
https://w.ferguson.com/content/website-info/terms-of-sale, incorporated by reference. Seller may convert checks to ACH.