HomeMy Public PortalAboutChange Order No. 11 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686
Change Order No.: 011
INDIANA Department of Transportation Page: 1
Construction Change
Order and Time Extension Summary
Contract Information
Contract No.: R -35686 Letting Date:12/10/2014
Distdct:GREENFIELD DISTRICT
AE:Anthony, Oliver R. PE/S:Newkirk, Eric Status:Pending
Change Order Information
Change Order No.: 011 EWA: Y or Force Acct: N
Date Generated: 12/14/2015
Date Approved: 00/00/0000
Reason Code: STANDARDS/SPECS CHANGE, Money Related
Description: special topsoil
Original Contract Amount
$ 2,648,720.86
Current Change Order Amount
$ 48,880,89 Percent: 1.846 %
Total Previous Approved Changes
$ 37,768.23 Percent: 1.426 %
Total Change To -Date
$ 86,649.12 Percent: 3.272 %
Modified Contract Amount
$ 2,735,369.98
Time Extension Information
Date Initiated 11/03/2015 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 SS Days 0 SP Days 4 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 12/18/2015 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
Contract No:R -35686 Change Order No.: 011
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 $ 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
Total Change To-Date>5%?
Scope/Design Recommendation
Required?
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
LPA Signatures Required?
FHWA Signatures Required?
If N,Resolution: Approved Disapproved
Resolved by Date
Y / N If Y, Date to LPA
Date Returned
Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract NOR -35686
Change Order No:011
Contract:
Project:
Change Order Nbr:
Change Order Description:
Reason Code:
INDIANA
Department of Transportation
R -35686
0810267 - State:0810267
011
special topsoil
STANDARDS/SPECS CHANGE, Money Related
CLN PCN PLN Item Code Unit Unit Price Co Qty Comment
0109 0810267 0109 109.04299 DOL 48,880,890 1.000 C
Item Description: FORCE ACCOUNT WORK
Supplemental Descriptionl: Special Topsoil
Supplemental Description2:
Milestone Time Adjustment
MileStone Nbr: 02
Milestone Description: INTERMEDIATE COMPLETION DATE 2
Original Completion dt: 12/18/2015 Adj comp) dt 01/06/2016
Explanation: 4 days T and M to place Special Topsoil
Date:12/15/2015
Page: 3
Amount Change
Amount:$ 48,880.89
Total Value for Change Order011 = $ 48.880.89
Adj No. of Days 4
Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended.
General or Standard Change Omer Explanation
Due to a high unit price for topsoil of $216.55/CY, it was decided to request a new price for special topsoil. A price could not be agreed upon and
it was agreed to pay for additinal Special Topsoil based on Force Account. The cost of $48,880.89 is the total cost including profit and overhead
1014.3 CY of topsoil for an effective unit cost of $48.19/CY.
Change Order Explanation for Specific Line Item
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: ,.suns Q4l Signed By:
Date:. - -Sr
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:R -35686 INDIANA
Change Order No:011 Department of Transportation
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APPROVED FOR LOCAL PUBLIC AGENCY
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SUBMITTED FOR CONSIDERATION
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Date:12/15/2015
Page: 4
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status
Project Engineer/Supervisor Newkirk, Eric 00/00/0000 Action Pending