HomeMy Public PortalAboutChange Order No. 18 to Contract No. 95-2014 - Metro - INDOT (R35686) - Consultant - Rundell Ernstberger - Starr Gennett area redevelopmentContract No:R -35686 Change Order �10.: 018
INDIANA Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -35686 Letting Date:12/10/2014 i
District:GREENFIELD DISTRICT AE:Anthony, Oliver R. PE/S:Newkirk, Eric Status:ApprovE
Change Order Information Change Order No.: 018
Date Generated: 06/02/2016 Date Approved: 06/03/2016
Reason Code: STANDARDS/SPECS CHANGE, Time & Mon Rel
Description: special toposoil
Original Contract Amount $ 2,648,720.86
Current Change Order Amount $ 15,197.98
Total Previous Approved Changes $ 177,299.45
Total Change To -Date $ 192,497.43
Modified Contract Amount $ 2,841,218.29
Time Extension Information
EWA: Y or Force Acct: N
Percent: 0.574 °/a
Percent: 6.694 0(0
Percent: 7.268 °10
Date Initiated 02/03/2016 Date Completed 04/01/2016
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: DDCI4:
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>S%?
Scope/Design Recommendation
Required?
Change Order No.: 018
Page:2
AE: DUE: SCE: " DDCM: 1 k
(-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$i )
( 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 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
R Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer - f
Date �� >
Comments.
Contract No:R -35686 INDIANA Date:06/03/2016
Change Order No:018 Department of Transportation Page: 3
Contract: R -35686
Project: 0810267 - State:0810267
Change Order Nbr: 018
Change Order Description: special toposoil
Reason Code. STANDARDS/SPECS CHANGE. Time & Mon Rel
CLN PCN PLN Item Code Unit Unit Price CO City Cornrnent Amount Change
0118 0810267 0118 109-04299 DO[ _ 5.197,980 1000 C Amourit:S 15,147.98
(tern Description: FORCE ACCOUNT `A'ORK
Suppl•�menlal J+srript!on i Special Topscnd
Su;t,l:rnier,[al r7es;rif;'�r,n2
natal Value for Change Order 018 = S 15,197.98
Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended.
C>eneri� or Change Order Explonalrun
nasis req lesteo that ac;G: ondl topsoil b 3 inn ,uded for nal,ve seeding as the existmy i+n-situ soi, ,ias riv)stiy rocks Bil Th!s'.iethwail agreed and
IND01 doreed and all agreed to ulwx based un T & h1 as previously done with change orrier 8.
Genera; or Standard Change Order Explanation
6t+ck1eyS in Rii_nin-,Id suppled ific lur., it at a reed upon prices.
Genera' or Stand,ur.1 Change Order Explanalic
Jere Sheedy "'vas made aware of ,his proposes, ihanoe on 3-2-16.
Gerrerat or Sland<e o Change Order Explanatio7
The north east ar;d ;vest perimeter of the Stan Genriett site rer:eivea 3 :riches of special topsoil fcr the bericf:t of the Native Seed ncj required in
thew: Iocation6 its we in situ soil was cOmpriscd of mostly rockS
Change Order Explanation for Specific line ftenn
( ntr r ri ai,::,:: Ul;;t Ure change nrdrar is full and compete compensation for lhfs v.ork describe abnve
fuWatuni r rr-to th i; 0,anqu order is horvu aucn dedged.
Signed B
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IvC;1 E. Othr r r yuir;(7 State and PH;^f:, vi•,nuhnes will be obtained e ectronically'hrouyh the Sitefvtanager systeern_
Contract NOR -35886
|N0ANA
Change Order No:018
Department ofTransportation
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APPROVED FOR LOCAL PUBLIC AGENCY
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(TITLE)
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SUBMITTED FOR CONSIDERATION
APPROVED FOR /womwADEPARTMENT oFrnAwoponxTmw
Approval Level Name ofApprover Date
[}e :O0/03/2O18
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