HomeMy Public PortalAboutChange Order No. 10 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686
Change Order No.: 010
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
AEAnthony, Oliver R.
PE/S:Newkirk, Eric Status:Pending
Change Order Information
Change Order No.: 010
EWA: Y or Force Acct: N
Date Generated: 12/14/2015
Date Approved: 00/00/0000
Reason Code: ERRORS & OMISSIONS,
Design/Plan Related
Description: Lift Station 1 and 2 Power Cables modifications
Original Contract Amount
$ 2,648,720.86
Current Change Order Amount
$ 6,176.86
Percent. 0.233 %
Total Previous Approved Changes
$ 31,591.37
Percent: 1.193 %
Total Change To -Date
$ 37,768.23
Percent: 1.426 %
Modified Contract Amount
$ 2,686,489.09
Time Extension Information
Date Initiated 11/04/2015 Date Completed 11/05/2015
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
Previous Time Approved
Revised Contract Time
SS Days 0 SP Days 2 SP Days Value $ 0.00
SS Days by AE: DCE: SCE: DDCM:
SS Days SP Days Value $
SS Completion Date 01/02/2015 or SS CalendarNVork Days 1
SS Date 00/00/0000 or SP Days 0
Contract No:R -35686 Change Order No.: 010
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE: DCE: SCE: * DDCM:
($ per Change Order) (-LE$250K-)(-LE$750K-}(—LE$2M--)(--GT$2M—}
(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:
• s'
Contract NOR -35686 INDIANA
Change Order No:010 Department of Transportation
Contract: R -35686
Project: 0810267 - State:0810267
Change Order Nbr: 010
Change Order Description: Lift Station 1 and 2 Power Cables modifications
Reason Code: ERRORS & OMISSIONS, Design/Plan Related
CLN PCN PLN Item Code Unit Unit Price Co oty Comment
0108 0810267 0108 $07-02560 LS 6,176.860 1.000 C
Item Description: ELECTRICAL WORK
Supplemental Descriptionl : Lift Stsion 1 and 2 cable and conduit modifications
Supplemental Deskxiption2:
Date:12/14/2015
Page: 3
Amount Change
Amount:$ 6,176A6
Total Value for Change Order 010 = $ 6.176.86
Milestone Tirne Adjustment
Milestone Nbr: 02
MNestone Description: INTERMEDIATE COMPLETION DATE 2
Original Completion dt: 12118/2015 Adj compi dt 0110212016 Adj No. of Days 2
Explanation: 2 additional days are added as the need for different sized cables has caused delay.
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
The power cables to Lift Station 1 and 2 pumps were undersized and needed to be changed to include operation of 2 pumps at the same time for
each location.
Change Order Explanation for Specific Line Item
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It is the intent of the parties that this change order is futi and complete compensation for the work describe above.
Notification and consent to this change order is hereby acknowledged.
Contractor: Signed By:
Date:
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:010 Department of Transportation
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APPROVED FOR LOCAL PUBLIC AGENCY
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SUBMITTED FOR CONSIDERATION
Date:12/14/2015
Page: 4
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11 -17
(DATE)
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status
Project Engineer/Supervisor Newkirk, Eric 00/00/0000 Action Pending