HomeMy Public PortalAboutChange Order No. 8 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686 Change Order No.: 008
INDIANA Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -35686 Letting Date.,12110/2014
District.GREENFIELD DISTRICT AEAnthony, Oliver R. PE/S:Newkirk, Eric Status:Approved
Change Order Information Change Order No.. 008 EWA: Y or Force Acct: N
Date Generated: 11/06/2015 Date Approved: 11/21/2015
Reason Code: CHANGED COND, Quantity Related
Description: Add Mulched Seeding R and delete Mulched Seeding U
Original Contract Amount $ 2,648,720.86
Current Change Order Amount $ 6,355.70 Percent: 0.240 %
Total Previous Approved Changes $ 23,843,50 Percent'. 0.900 % `
Total Change To -Date $ 30,199.20 Percent: 1.140 %
Modified Contract Amount $ 2,678,920.06
Time Extension Information
Date Initiated 00/0010000 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.: 008
Page: 2
AE: DCE: SCE: ' DDCM:
(-LE$250K-){-LE$750K-)(--LE$2M--)(--GT$2M—)
( 50 SS days) { 100 SS days) ( 200 SS Days) ( GT 200 SS days)
Y / N If Y, by Date Issued
Y / N If Y, Copy to Program Budget Manager
Y / N If Y, Referred to Project Manager(PM)
Date to PM
Approval Authority Concurs with PM? Y / N If Y, Concurrence by
Date Returned
Date
If N,Resolution: Approved Disapproved
Resolved by Date
LPA Signatures Required? Y / N If Y, Date to LPA Date Returned
FHWA Signatures Required? Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -35686
INDIANA
Change Order No:008
Department of Transportation
Contract:
R -35686
Project:
0810267 - State:0810267
Change Order Nbr:
008
Change Order Descriptio:
Add Mulched Seeding R and delete Mulched Seeding U
Reason Code:
CHANGED COND, Quantity Related
CLN PCN PLN
Rem Code Unit Unit Price CO City Comment
0044 0810267 0044 621-00500 SYS 20.150 -2.000 C
Item Description: MULCHED SEEDING, U
Supplemental Descriptionl:
Supplemental Descrlptlon.2:
0105 0810267 0105 621-06559
Item Description: MULCHED SEEDING R
Supplemental Descriptions:
Supplemental Description2:
Datel 1 /21 /2015
Page: 3
Amount Change
Amount:$ -40.30
SYS 0.780 8200.000 C Amount-3 6,396.00
Total Value for Change Order 008 = $ 8,355.70
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
Joe Sheedy Project Manager was made aware of this change order when he attended the Progress Meeting August 26, 2016.
General or Standard Change Order Explanation
Item 0105 Muiched Seeding R replaces item 0044 Mulched Seeding U that had insufficient quantity and an excessive unit price that was not
identified during the review of the bld.
Change Order Explanation for Specific Line item
It is the intent of the parties that this charge order is full and complete compensation for the work describe above
Notification and consent to this change order is hereby acknowledged
+ a3
Contractor.�� a t.:` 5 ___-_. _.. Signed By:_
Date: --- "
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NOTE: Other required State and FHWA signatures will be obtained electronica;ly through the SiteManager system.
Contract NOR -35686 INDIANA Date:11/21/2015
Change Order No:008 Department of Transportation Page: 4
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APPROVED FOR LOCAL PUBLIC AGENCY
(SIGNA E) (TITLE) (DATE)
(SIGNATURE) (TITLE) (DATE)
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SUBMITTED FOR CONSIDERATION
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level
game of Approver
Dale
Status
Project Engineer/Supervisor
Newkirk, Eric
11/21/2015
Approved