HomeMy WebLinkAboutChange_Order__3_-_TSW_Utility_Solutions; ($1,782.78); Smokey Row Road Utility Extension; CO #3; Utilities DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCC
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Change Order No. 3
Date of Issuance: 7/16/2021 Effective Date: 7/16/2021
Owner: City of Carmel Owner's Contract No.: PO#W2050
Contractor: TSW Utility Solutions Contractor's Project No.: 20-84
Engineer: Shrewsberry &Associates Engineer's Project No.:19-0151
Project: Smokey Row Utility Extension Contract Name: Smokey Row Utility Extension
The Contract is modified as follows upon execution of this Change Order:
Description: Compaction Testing requested by Shrewsberry &Associates representing the City of
Carmel.
Attachments: [List documents supporting change] Invoice attached
CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES
(note changes in Milestones if applicable]
Original Contract Price: Original Contract Times:
Substantial Completion: No Change
$4.17,5 1 6IT_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
$ 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
$422,731 .25 Ready for Final Payment: 06/07/2021
days or dates
Vncr e ase [Decrease] of this Change Order: [Increase] [Decrease] of this Change Order:
Substantial Completion: N/A
$1 ,782.78 Ready for Final Payment:
days or dates
Contract Price incorporating this Change Order: Contract Times with all approved Change Orders:
Substantial Completion:
$424,514.03 Ready for Final Payment:
days or dates
RECOMMENDED: ACCEPTED: CE TECH:
By: _ By: By:
Engineer(if required) Owner(Authorized Signature) Contraetoc
(Autho rrii,
zed Signature)
Title: Title Title Andrew Hammond-TSW PM/Estimator
Date: Date Date 7/16/2021
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 1of1
DocuSign Envelope ID:OCD3F9CC-5635-4395-A495-376EA75AABCC
III %ley`; it If
www.7nteng.corra
TSW Utility Solutions, Inc. Please Remit Payment To:
3120 W.Morris St. 7NT
Indianapolis, Indiana 46241 3090 South Tech Blvd
Miamisburg,OH 45342
Project: Smokey Row Project Invoice No.: 5554
Location: Carmel, Indiana Billing Date: 7/12/2021
Client Job No.: Job No.: T717-IN
PO No.:
PROFESSIONAL SERVICES
REPORT# I DATE 7 EMPLOYEE I ACTIVITY UNITS J UNIT PRICE AMOUNT
RPT 001 2/11/2021 Testing Technician II 4.00 $ 89.31 $ 357.24
2/11/2021 Nuclear Densitometer 1.00 $ 42.00 $ 42.00
2/11/2021 Mileage 50.00 $ 0.39 $ 19.50
RPT 002 2/19/2021 Testing Technician II 4.00 $ 89.31 $ 357.24
2/19/2021 Nuclear Densitometer 1.00 $ 42.00 $ 42.00
2/19/2021 Mileage 50.00 $ 0.39 $ 19.50
RPT 003 2/23/2021 Testing Technician II 6.00 $ 89.31 $ 535.86
2/23/2021 Nuclear Densitometer 1.00 $ 42.00 $ 42.00
2/23/2021 Mileage 50.00 $ 0.39 $ 19.50
RPT.RVW. 2/26/2021 Project Manager 1.20 $ 152.45 $ 182.94
LABORATORY AND ADDITIONAL SERVICES
REPORT# -1 DATE-III-1 ACTIVITY UNITS UNIT PRICE I AMOUNT
$ ..
TOTAL INVOICE DUE $ 1,617.78
PREVIOUS MONTH TOTAL $ -
BILLED TO DATE $ 1,617.78
REMAINING CONTRACT $ 3,369.42
TSVV Project Manager 1 hr X $165.00
Total = $1,782.78
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:
DocuSigned by:
litl an, awn, l t,
6 E 3,C-0 C,O b ES t4 C;4...
Mary A9n1 B Ze1, Member
Date:
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DocuSigned by:
i (Pa tsaln,
- C7D100C090B434...
Lori S. Watson, Member
Date: 9/15/2021
ATTEST: DocuSigned by:
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'-683A89D7A9891C5...
Sue Wol , plerk
Date: