HomeMy WebLinkAboutChange_Order__4202_-_Maddox_Industrial_Group,_Inc; Maddox Industrial Group; ($4,524.75); Water Treatment Filters 7 and 8; CO #4202 DocuSign Envelope ID:79725960-3BD2-4877-ABOF-3EFADABFDFCO A)G"/! I
By So pry Grech ukhin a!2:00 pm,OM 25,2021
CHANGE ORDER
Change Order No, 4202
Date: October 13, 2021
Contract Date:June 16, 2021
Name of Project: Carmel WTP 1 Filters 7 & 8
Owner: City of Carmel Utilities
Contractor: Maddox Industrial Group, Inc.
The following changes are hereby made to the Agreement:
Description of Change in Work: Contract time extension due to materials lead time.
Justification:
Original Contract Price: $1,015,000.00
Previous Changes to Contract Price: $5,300.00
Current Contract Price adjusted by previous
Change Order(s): $1,020,300.00
The Contract Price due to this Change
Order will be (increased)(decreased) by: $4,524.75
The new Contract Price including this
Change Order will be: $ 1,024,824.75
Change to Contract Time:
The Contract Time will be (increased)(decreased) by 90 —calendar days.
The date for completion of all work will be April 12, 2021
(Date)
Requested by: Jesse Carter 10-13-2021
fewner}(Contractor) (Date)
Recommended by:
(Consulting Engineer) (Date)
Accepted by:
(Contractor) (Date)
Approved by:
(Name and Title) (Date)
One Copy—Owner
One Copy—Contractor
One Copy—Engineer
Water Treatment Plant 1
Filters 7&8 Addition Cont 106 A-25 CITY OF CARMEL
Change Order Form
DocuSign Envelope ID:79725960-3BD2-4877-ABOF-3EFADABFDFCO
TIME AND MATERIAL TICKET
M I G
MADDOX INDUSTRIAL GROUP
INOLJST AL SOLUTION
l PECBAdIST
[Maddox Industrial Group Inc. 5906 S. Harding St. Indianapolis, IN. 46217
Customer Name: City of Carmel Change Order# 11202
Address: One Civic Square FCN# 1
Carmel, IN 46032 Date: 10/13/2021
Project Name: Carmel Filters 7&8 Project Number: Contract 106
Location: Carmel WTP 1 Foreman Name: Chris Sawyer
Discription of Changes
Additonal contract time because of material lead time and deliveries.
LABOR " , /,,,.
CLASSIFICATION HOURS REGULAR OT HOURS OVERTIME DT HOURS DOUBLE TIME EXTENDED
WORKED RATE WORKED RATE WORKED RATE TOTALS
GENERAL FOREMAN' f $ 78.00 I 1 $ 117.00 I $ 156.00 I $ -
JOURNEYMAN $ 74.00 $ 111.00 $ 148.00 $ -
APPRENTICE 7 $ 58.00 $ 87.00 $ 116.00 $
DRIVER $ 58.00 $ 87.00 $ 116.00 $ -
PROJECT MANAGER 8.00 $ 125.00 $ 187.50 1 $ 2�50 00 1,000.00
„ToTAL4, 1 //iiiiiii z/r
MATERIALS,,'CCU ;, T, tTORS %i v
Material,Consumables&Sub-Contractors Unit Cost/Unit Total
$ - $
$ - $ - I
IFillIllk
-- -Tax: 1
15%Mark-U : I 0.15 $,„ ,Tol / %„;i;f f,
Rental or Owned E u, ment 2 „l ,, ;
Equipment Description Unit Cost/Unit Total
I $ - I $ --I
Scissor Lift 3 $ 350.00 $ 1,050.00
Portable Restroom 3 $ 105.00 $ 315.00
6K TelehandIer 1 $ 1,700.00 $ 1,700.00
$ - $ -
L $ - $ -
$ - $
r
_
$ - $
Mileage: $ 1.25 $ -
�pment Only: 0.15 $ a 0125 00 $ 41 �"J 3i
15%
Mark-U on Rental E ui
Totals T 3;52 w2 .
Invoke Sum ma , '
Total Labor $ 1,000.00
Total Material f $ -
Total Equipment $ 3,524.75
Lodging
Per-diem
Travel Cost '
1 Total Due This Invoice 4 3"h u"'m
DocuSign Envelope ID:79725960-3BD2-4877-ABOF-3EFADABFDFCO
Approved and Adopted this 3 day of November ,20 21
CITY OF CARMEL, INDIANA
BY ITS BOARD OF PUBLIC WORKS
AND SAFETY
,—DDoc°Signed by:
James Tramard, Presiding Officer
Date: 11/3/2021
DocuSigned by:
6E37CAnn C 668E4
1V ary urke,Member
Date: 11/3/2021
DocuSigned by:
(fri (Pa{So1n,
on` a son, Member
Date: 11/3/2021
ATTEST:
Vut.t-
locuSig' Utneed by:
W �So n/3wo`irgang, Clerk
DocuSign Envelope ID:79725960-3BD2-4877-ABOF-3EFADABFDFCO
ACKNOWLEDGEMENT
STATE OF INDIANA )
SS:
COUNTY OF Hamilton )
Notary Public State of Indiana - Commission # NP0723135
Before me, a Notary Public in and for said County and State, personally appeared James
Brainard. Mary Ann Burke. and Lori Watson,by me known to be the Members of the City of Carmel
Board of Public Works and Safety, and Sue Wolfgang, Clerk of the City of Carmel, who acknowledged
the execution of the foregoing "Agreement" on behalf of the City of Carmel, Indiana.
Witness my hand and Notarial Seal this 3 day of November 2021.
c—DocuSigned by:
NOTAk2r`1UBLIC
Jennifer Stites
My Commission Expires: Printed Name
10/22/2027 My County of Residence: Hami lton
Date: 11/3/2021