HomeMy Public PortalAboutChange Order No. 14 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686
Change Order No.: 014
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:Approved
Change Order Information
Change Order No.: 014
EWA: Y or Force Acct: N
Date Generated: 01 /21 /2016
Date Approved: 01 /2112016
Reason Code: ERRORS & OMISSIONS, Design/Plan Related
Description: castings and placement
Original Contract Amount
$ 2,648,720.86
Current Change Order Amount
$ 4,500.92
Percent: 0.170 %
Total Previous Approved Changes
$ 91,310.44
Percent: 3.447 %
Total Change To -Date
$ 95,811.36
Percent: 3.617 %
Modified Contract Amount
$ 2,744,532.22
Time Extension Information
Date Initiated 10/01/2015
Date Completed 10/02/2015
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 1 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 01/11/2016 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
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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.: 014
Page: 2
AE: DCE: SCE: * DDCM:
(-LE$250K-)(-LE$750K-)(—LE$2M—)(--GT$2M--)
( 50 SS days) (100 SS days ) ( 200 SS Days) ( GT 200 SS days)
Y / N If Y, by Date Issued
Y / N If Y , Copy to Program Budget Manager
Y / N if Y, Referred to Project Manager(PM)
Date to PM
Approval Authority Concurs with PM? Y / N If Y, Concurrence by,
If N,Resolution: Approved
Date Returned
Date
Disapproved
Resolved by Date
LPA Signatures Required? Y / N If Y, Date to LPA Date Returned
FHWA Signatures Required? Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer- ��� Date
Comments:
Contract NOR -35686 INDIANA
Change Order No:014 Department of Transportation
Contract: R -35686
Project: 0810267 - State:0810267
Change Order Nbr: 014
Change Order Description: castings and placement
Reason Code: ERRORS & OMISSIONS, Design/Plan Related
CLN PCN PLN Item Code Unit Unit Price co city Comment
0112 0810267 0112 105-06807 LS 4,500.920 1.000 C
Item Description: ADDITIONAL
Supplemental Description I:
Supplemental Description2:
Milestone Time Adjustment
Milestone Nbr: 02
Milestone Description: INTERMEDIATE COMPLETION DATE 2
Original Completion dt: 12/te/2015 Adj comps dt 01/1012018
Explanation: an additonal day is added for this extra work
Date:01/21 /2016
Page: 3
Amount Change
Amount:$ 4,500.92
Total Value for Change Order 014 = $ 4,500.92
Adj No. of Days 1
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
These existing drainage structures that were to remain needed new castings that were not shown on the plans as being replaced nor had a
quantity associated with the Item and are being added to the project as recoverable errors and ommissions changes.
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.
Contract" in i S Signed By:
Date: �2 !
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SlteManager system.
Contract No:R -35686 INDIANA
Change Order No:014 Department of Transportation
APPROVED
FOR LOCAL PUBLIC AGENCY
(SI NATURE) (TITLE)
-za ryw'nbex-
PETS
(TITLE)
SUBMITTED FOR CONSIDERATION
Date:01 /21 /2016
Page: 4
4-47
(DATE)
,2. 54- It,
(DATE)
Al -
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver
Project Engineer/Supervisor Newkirk, Eric