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CITY OF CARMELDOCSs
CONTRACT CHANGE ORDER NO.: 5
DATE: 6/5/15
PROJECT NAME:
CITY REQ. NO.:
CITY PO NO.:
CITY PO DATE:
1. You are directed to make the following changes in this Contract:
Adjust Intermediate Completion Date due to delays imposed by the City of Carmel
SCHEDULED ADJUSTMENT
ITEM AMOUNT
II. The following referenced Documents further describe the changes outlined in Paragraph 1,
and are to be considered a part of this Change Order: R.F.P.: W.D.C. No.:
Other: INDOT Change Order 5
The changes result in the following adjustment of Contract Price and Contract Time:
Contract Price prior to this Change Order $ 890,008.01
Contract Price will be increased/decreased by this Change Order $ 0.00
New Contract Price including this Change Order $ 890,008.01
Contract Tiine Prior to this Change Order Days 11/30/15 Intermediate Completion Date
Net increased/decreased resulting from this Change Order 47 Days
Current Contract Time including this Change Order Days 6/5/15 Intermediate
Completion Date
(+) OR (-) DAYS
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
Recommended
CHA Companies
ENGINEER
300 S Meridian
Address
Indianapolis, In 46225
City/State/Zip
By: Thomas Gentry
Phone: 317-503-5250
Date: 6-5-15
The Above Changes Arc
Accepted:
C ON' f RACTOR
l'rJ' 1 Vol 1Z,9
Address
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City/State/Zip
By.f,
(/t'! / Ts«(i'i
Ihorie: ?I s. '',13- Y o
Date: 1-)/( )h
Approved:
`_%707- ele—Can i
Brai•.rd, Ma
Diana Cordray, C
Treasurer
Date: / 1 -2:15
JEREMY KASHMAN
4 ate` .. .. .e
Contract No:R -36869 INDIANA Date:10/05/2015
Change Order No:005 Department of Transportation Page: 3
Contract: R -36869
Project: State:138316600LC3
Change Order Nbr: 005
Change Order Description: Intermediate Completion Extension Due to Delays By Owner
Reason Code: INCENTIVE/DISINCENT, Intermediate Compl
CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change
Total Value for Change Order 005 = $ 0.00
Milestone Time Adjustment
MileStone Nbr: 01
Milestone Description: INTERMEDIATE COMPLETION DATE
OrigIna' Completion dt 11/30/2014 Adj comp) dt 06/05/2015
Explanation:
Adj No. of Days 47
Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended.
General or Standard Change Order Explanation
This change order extends the intermediate completion date 47 day to June, 6th 2015. The delays are due to the Owner considering scope
changes during construction This disrupted the fabrication of materials need to complete construction causing further delays.
Change Order Explanation for Specific Line Item
It is the intent of the parties that this change order is full and complete compensation for lite work describe above.
Notification and consent to this change order is hereby acknowledged.
Contractor: Ot_t_AJ .r
Date: Iii 714-1/..110
/..110
1
Signed By: 724. k111til/d
NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.