HomeMy Public PortalAboutChange Order No. 6 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentI
Contract No:R -35686
Change Order No.: 006
1NDIANA Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -35686
Letting Date:12/1012014
District:GREENFIELD DISTRICT AE:Anthony, Oliver R.
PE/S:Newkirk, Eric Status:Approved
Change Order Information Change Order No.: 006
EWA: Y or Force Acct: N
Date Generated: 09/18/2015 Date Approved: 0911812015
Reason Code: SCOPE CHANGES, Project Acceleration
Description: 2" Water Service Connections, 2 Each
Original Contract Amount $ 2,648,720.86
Current Change Order Amount $14,800.00
Percent: 0.559 %
Total Previous Approved Changes $-24,313.87
Percent: -0.918 %
Total Change To -Date $-9,513.87
Percent: -0.359 %
Modified Contract Amount $ 2,639,206.99
Time Extension Information
Date Initiated 00/00/0000 Date Completed 00/00/0000
Original Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SP Date 00/00/0000 or SP Days
(SS = Standard Specification, SP = Special Provision)
Time Element Description:
Current Time Extension SS Days 0 SP Days 0 SP Days Value $ 0.00
Previous Time Approved SS Days by AE: DCE: SCE: DDCM:
SS Days SP Days Value $
Revised Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
Contract No: R -35686
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority
($ per Change Order)
(Days per Contract)
Verbal Approval Required?
Total Change To-Date>5%?
Scope/Design Recommendation
Required?
Change Order No.: 006
Page: 2
AE: DCE: SCE: " DDCM:
(-LE$250K-)(-LE$750K-)(—LE$2M—)(—GT$2M—)
( 50 SS days) (100 SS days) ( 200 SS Days) ( GT 200 SS days)
Y / N If Y, by Date Issued
Y / N If Y , Copy to Program Budget Manager
Y / N If Y, Referred to Project Manager(PM)
Date to PM Date Returned
Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date
If N,Resolution: Approved Disapproved
Resolved by Date
LPA Signatures Required? Y / N If Y, Date to LPA Date Returned
FHWA Signatures Required? Y / N If Y, Date to FHWA Date Retumed
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -35686 INDIANA
Change Order No:006 Department of Transportation
Contract: R -35686
Project: 0810267 - State:0810267
Change Order Nbr: 006
Change Order Description: 2" Water Service Connections, 2 Each
Reason Code: SCOPE CHANGES, Project Acceleration
CLN PCH PLN Item Code Unit Unit Price CO Qty Comment
0103 0610267 0103 715-02574 EACH 7,400.000 2.000 C
Item Description: WATER SERVICE CONNECTION, 2 IN,
Supplemental Descriptionl:
Supplem mal Description2:
Date:09/16/2015
Page: 3
Amount Change
Amount:$ 14,800.00
Total Value for Change Order 006 = $14,800.00
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
Sunesis (Contractor) is to pay for the 2 each 2" water service connection fees upfront and be reimbursed by the City of Richmond at a later date.
General or Standard Change Order Explanation
INDOT Project Manager has been made aware of this change order
Change Order Explanation for Specific Line Item
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It is the intent of the parties that this change order Is full and complete compensation for the work describe above.
Notification and consent to this change order Is hereby acknowledged.
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
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Contract No:R -35686 INDIANA
Change Order No:006 Department of Transportation
APPROVED FOR LOCAL PUBLIC AGENCY
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Date:09/18/2015
Page: 4
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status
Project Engineer/Supervisor Newkirk, Eric 09/18/2015 Approved