HomeMy Public PortalAboutChange Order No. 7 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686 Change Order No.: 007
INDIANA Department of Transportation Page. 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -35686 Letting Date:12/10/2014
District-GREENFIELD DISTRICT AE:Anthony, Oliver R. PE/S:Newkirk, Eric Status:Pending
Change Order Information Change Order No.: 007 EWA: Y or Force Acct: N
Date Generated: 11/06/2015 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Geotechnical Related
Description;T & M for 8-1-15 through 8-31-15 for foundation removals
Original Contract Amount $ 2,648,720.86
Current Change Order Amount $ 33,357.37 Percent: 1.259 %
Total Previous Approved Changes $-9,513.87 Percent: -0.359 %
Total Change To -Date $ 23,843.50 Percent:0.900 %
Modified Contract Amount $ 2,672,564.36
Time Extension Information
Date Initiated 11/06/2015 Date Completed 11/06/2015
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 10 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 12/21/2015 or SS Calendar/Work Days 10
SS Date 00/00/0000 or SP Days 0
Contract No:R -35686 Change Order No.: 007
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE: DCE: SCE: " DDCM: t
($ per Change Order) (- LE $ 250K-) (- LE $ 750K -) ( -- LE $ 2 M —) (- GT $ 2 M — }
(Days per Contract) ( 50 SS days ) (100 SS days) { 200 SS Days) ( GT 200 SS days)
Verbal Approval Required? Y / N If Y, by
Date Issued
Total Change To-Date>5%? Y / N If Y , Copy to Program Budget Manager
Scope/Design Recommendation Y / N If Y, Referred to Project Manager(PM)
Required?
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 Returned
" Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -35686 INDIANA Date:11/06/2015
Change Order No:007 Department of Transportation Pager 3
Contract: R -35686
Project: 0810267 - State:0810267
Change Order Nbr: 007
Change Order Description:T & M for 8-1-15 through 8-31-16 for foundation removals
Reason Code: CHANGED COND, Geotechnical Related
CLN PCN PLN Item Code Unit Unit Price Co oty Comment Amount Change
0104 0810267 0104 109-04299 DOL 33.357.370 1.000 C Amount:$ 33,357.37
Item Description: FORCE ACCOUNT WORK
Supplemental Descriptionl: Removal of unforseen foundations and slabs
Supplemental Description2:
Total Value for Charge Order 007 = 3 33,357.37
Milestone Time Adjustment
Milestone Nbr: 02
Milestone Description: INTERMEDIATE COMPLETION DATE 2
Original Completion dt: 12/1&2015 Adj compi dt 12/3l/2015 Adj No. of Days 10
Explanation: This work was unforseen and should be granted additional time.
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 covers work performed on this project in Time and Materials for work from 8-1-15 through 8-31-16 for unforseen work
demolishing, removing or modifying of existing structures in the way of construction.
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.
Contractor
Date:
Signed By:
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Contract No:R -35686 INDIANA
Change Order No:007 Department of Transportation
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Date: 11 /06/2015
Page: 4
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Approval Level Name of Approver Date Status
Project Engineer/Supervisor Newkirk, Eric 00/00/0000 Action Pending