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Home My Public Portal AboutChange Order No. 17 to Contract No. 120-2013 - LPA - Construction Engineering Services - Salisbury Road Project Phase 2 (R32799)Contract No:R -32799 Change Order No.: 017 INDIANA Department of Transportation Page: 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -32799 Letting Date:08/07/2013 District:GREENFIELD DISTRICT AE:Anthony, Oliver R. PE/S:Randle, Scott Status: Draft Change Order Information Change Order No.: 017 EWA: N or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: FINAL QUANTITY ADJUSTMENT Description: Over / Under Runs Original Contract Amount $ 2,957,957.00 Current Change Order Amount $ 115,058.93 Percent: 3.890 % Total Previous Approved Changes $ 563,098.56 Percent: 19.037 % Total Change To -Date $ 678,157.49 Percent: 22.927 % Modified Contract Amount $ 3,636,114.49 Time Extension Information Date Initiated 00/00/0000 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. 120-2013 Contract No:R -32799 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.: 017 Page: 2 AE: DCE: SCE: * DDCM: (-LE$250K-)(-LE$750K-)(--LE$2 M--)(--GT$2 M--) ( 50 SS days) ( 100 SS days ) ( 200 SS Days) ( GT 200 SS days) Y / N If Y, by Date Issued Y / N If Y , Copy to Program Budget Manager Y / N If Y, Referred to Project Manager(PM) Date to PM Date Returned Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date_ If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? Y / N If Y, Date to LPA FHWA Signatures Required? Y / N If Y, Date to FHWA " Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Date Returned Date Returned Contract No:R -32799 INDIANA Date:11/16/2016 Change Order No:017 Department of Transportation Page: 3 Contract: R -32799 Project: 0800343 - State:0800343 Change Order Nbr: 017 Change Order Description: Over / Under Runs Reason Code: FINAL QUANTITY ADJUSTMENT CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change 0013 0800343 0013 203-02000 CYS 8.940-8784.210 C Amount:$ -78,530.83 Item Description: EXCAVATION, COMMON Supplemental Descriptionl: Supplemental Description2: 0014 0800343 0014 205-06932 LFT 22.100 20.000 C Amount:$ 442.00 Item Description: TEMPORARY CHECK DAM, STRAW BALES Supplemental Descriptionl: Supplemental Description2: 0015 0800343 0015 205-06933 EACH 95.000 9.000 C Amount:$ 855.00 Item Description: TEMPORARY INLET PROTECTION Supplemental Descriptionl: Supplemental Description2: 0019 0800343 0019 211-09264 CYS 29.000 2108.000 C Amount:$ 61,132.00 Item Description: STRUCTURAL BACKFILL, TYPE 1 Supplemental Descriptionl: Supplemental Description2: 0020 0800343 0020 303-01180 TON 18.000-384.940 C Amount:$ -6,928.92 Item Description: COMPACTED AGGREGATE, NO. 53 Supplemental Descriptionl: Supplemental Description2: 0021 0800343 0021 303-07449 TON 18.000-405.440 C Amount:$ -7,297.92 Item Description: COMPACTED AGGREGATE, NO. 73 Supplemental Descriptionl: Supplemental Description2: 0024 0800343 0024 401-07321 TON 67.000-62.500 C Amount:$ -4,187.50 Item Description: QC/QA-HMA, 2, 64, SURFACE, 9.5 mm Supplemental Descriptionl: Supplemental Description2: 0025 0800343 0025 401-07390 TON 58.750 99.780 C Amount:$ 5,862.07 Item Description: QC/QA-HMA, 2, 64, INTERMEDIATE, 19.0 mm Supplemental Descriptionl: Supplemental Description2: 0026 0800343 0026 401-07423 TON 54.500 173.180 C Amount:$ 9,438.31 Item Description: QC/QA-HMA, 2, 64, BASE, 19.0 mm Supplemental Descriptionl: Supplemental Description2: 0027 0800343 0027 401-07429 TON 55.500 584.030 C Amount:$ 32,413.66 Item Description: QC/QA-HMA, 5, 76, INTERMEDIATE, OG, 19.0 mm Supplemental Descriptionl: Contract No:R -32799 INDIANA Change Order No:017 Department of Transportation Supplemental Description2: 0039 0800343 0039 605-06140 LFT 11.000 307.000 Item Description: CURB AND GUTTER, CONCRETE Supplemental Descriptionl: MODIFIED Supplemental Description2: 0040 0800343 0040 610-07487 TON 82.590 373.140 Item Description: HMA FOR APPROACHES, TYPE B Supplemental Descriptionl: Supplemental Description2: 0041 0800343 0041 610-08446 SYS 39.000 53.170 Item Description: PCCP FOR APPROACHES, 6 IN Supplemental Descriptionl: Supplemental Description2: 0046 0800343 0046 621-02770 SYS 1.460 8184.600 Item Description: EROSION CONTROL BLANKET Supplemental Descriptionl: Supplemental Description2: 0052 0800343 0052 628-09402 MOS 1,550.000 2.500 Item Description: FIELD OFFICE, B Supplemental Descriptionl: Supplemental Description2: 0055 0800343 0055 715-05024 LFT 72.000 888.110 Item Description: PIPE, TYPE 2 CIRCULAR 36 IN Supplemental Descriptionl: Supplemental Description2: 0056 0800343 0056 715-05032 LFT 29.000 597.000 Item Description: PIPE, TYPE 2 CIRCULAR 15 IN Supplemental Descriptionl: Supplemental Description2: 0057 0800343 0057 715-05048 LFT 2.900-665.000 Item Description: PIPE, TYPE 4 CIRCULAR 6 IN Supplemental Descriptionl: Supplemental Description2: 0059 0800343 0059 715-05152 LFT 38.000 125.000 Item Description: PIPE, TYPE 2 CIRCULAR 18 IN Supplemental Descriptionl: Supplemental Description2: 0060 0800343 0060 715-05154 LFT 62.000-61.000 Item Description: PIPE, TYPE 2 CIRCULAR 24 IN Supplemental Descriptionl: Supplemental Description2: 0061 0800343 0061 715-05156 LFT 69.000-853.000 Item Description: PIPE, TYPE 2 CIRCULAR 30 IN Supplemental Descriptionl: Supplemental Description2: Date: 11 /16/2016 Page: 4 C Amount:$ 3,377.00 C Amount:$ 30,817.63 C Amount:$ 2,073.63 C Amount:$ 11,949.51 C Amount:$ 3,875.00 C Amount:$ 63,943.92 C Amount:$ 17,313.00 C Amount:$-1,928.50 C Amount:$ 4,750.00 C Amount:$-3,782.00 C Amount:$-58,857.00 Contract No:R -32799 INDIANA Change Order No:017 Department of Transportation 0066 0800343 0066 71852610 CYS 41.220 -227.410 C Item Description: AGGREGATE FOR UNDERDRAINS Supplemental Descriptionl: Supplemental Description2: 0068 0800343 0068 720-01092 EACH 3,600.000 -1.000 C Item Description: MANHOLE, J15, MODIFIED Supplemental Descriptionl: Supplemental Description2: 0072 0800343 0072 720-45045 EACH 1,900.000 3.000 C Item Description: INLET, J10 Supplemental Descriptionl: Supplemental Description2: 0073 0800343 0073 720-45069 EACH 2,775.000 -1.000 C Item Description: INLET, P12 Supplemental Descriptionl: Supplemental Description2: 0074 0800343 0074 720-45270 EACH 800.000 3.000 C Item Description: PIPE CATCH BASIN, 18 IN Supplemental Descriptionl: Supplemental Description2: 0075 0800343 0075 720-45410 EACH 2,700.000 -6.000 C Item Description: MANHOLE, C4 Supplemental Descriptionl: Supplemental Description2: 0076 0800343 0076 720-95422 EACH 3,900.000 12.000 C Item Description: MANHOLE, J4 Supplemental Descriptionl: Supplemental Description2: 0077 0800343 0077 720-98174 EACH 2,200.000 -2.000 C Item Description: INLET, B15 Supplemental Descriptionl: Supplemental Description2: 0078 0800343 0078 801-03290 EACH 305.000 14.000 C Item Description: CONSTRUCTION SIGN, C Supplemental Descriptionl: Supplemental Description2: 0080 0800343 0080 801-06203 LFT 0.550 6214.000 C Item Description: TEMPORARY PAVEMENT MARKING, 4 IN Supplemental Descriptionl: Supplemental Description2: 0081 0800343 0081 801-06207 LFT 1.100 -1700.000 C Item Description: TEMPORARY PAVEMENT MARKING, REMOVABLE, 4 IN Supplemental Descriptionl: Supplemental Description2: 0084 0800343 0084 801-06640 EACH 264.000 15.000 C Date: 11 /16/2016 Page: 5 Amount:$-9,373.84 Amount:$ -3,600.00 Amount:$ 5,700.00 Amount:$ -2,775.00 Amount:$ 2,400.00 Amount:$-16,200.00 Amount:$ 46,800.00 Amount:$-4,400.00 Amount:$ 4,270.00 Amount:$ 3,417.70 Amount:$-1,870.00 Amount:$ 3,960.00 Contract No:R -32799 Change Order No:017 Item Description: CONSTRUCTION SIGN, A Supplemental Descriptionl: Supplemental Description2: INDIANA Department of Transportation Date: 11 /16/2016 Page: 6 Total Value for Change Order 017 = $ 115,058.93 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 Item 0013 Common Excavation There was a redesign on the project in 2014 construction season. Due to the redesign the common excavation quanity decreased which caused the the item to under -run. General or Standard Change Order Explanation Pay Item 0019 Structural Backfll, Type 1 Due to redesign of the storm sewer the pipe size changed which caused the structual backfill to over -run. General or Standard Change Order Explanation Pay Item 0020 Compacted Aggregate Number 53 Stone Actual field measurment quanitity is lower than plan quanitity. General or Standard Change Order Explanation Pay Item 0021 Compacted Aggregate number 73 stone Item not utilized General or Standard Change Order Explanation Pay Item 0025 QC/QA HMA Intermediate 19mm The City of Richmond wanted to re-locat the underdrain to under the curb and gutter which cauased the asphalt to over -run General or Standard Change Order Explanation Pay Item 0026 QC/QA HMA Base 19mm The City of Richmond wanted to re-locat the underdrain to under the curb and gutter which cauased the asphalt to over -run General or Standard Change Order Explanation Pay Item 0027 QC/QA HMA Intermediate Open Grade 19mm The City of Richmond wanted to re -locate the underdrain to under the curb and gutter which cauased the asphalt to over -run General or Standard Change Order Explanation Pay Item 0040 HMA for Appraoches Type B The actual tons used measured in the field is differant than plan quanitity General or Standard Change Order Explanation Pay Item 0046 Erosion Control Blanket The plans show erosion control blanket to the construction limits of the project. The City of Richmond wanted to have seed and erosion control blanket to the end of righ of way. Placing the extra erosion control blanket caused the item to over -run. General or Standard Change Order Explanation Pay Item 0056 36in Circular Type 2 Pipe See Change Order 001 for details General or Standard Change Order Explanation Pay Item 0056 15in Circular Type 2 Pipe See Change Order 001 for details General or Standard Change Order Explanation Pay Item 0061 30in Circular Type 2 Pipe See Change Order 001 for details General or Standard Change Order Explanation Pay Item 0066 Aggregate for underdrain Actual field measurement is different from plan quantity General or Standard Change Order Explanation Pay Item 0072 Inlet J10 See Change Order 003 for details General or Standard Change Order Explanation Pay Item 0076 Manhole J4 See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Contract No:R -32799 INDIANA Date:11/16/2016 Change Order No:017 Department of Transportation Page: 7 Pay Item 0076 Manhole J4 See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0024 QC/QA HMA Surface 9.5mm Actual field measurement tons is different from plan quantity General or Standard Change Order Explanation Pay Item 0039 Curb and Gutter Modified Actual field measurement is higher than plan quantity General or Standard Change Order Explanation Pay Item 0041 PCCP for Approaches bin Actual field measurement is higher than plan quantity General or Standard Change Order Explanation Pay Item 0052 Field Office The actual time needed to complete the project went longer than orginally expected due to delays. See time extension change orders for details General or Standard Change Order Explanation Pay Item 0057 6in Circular Type 4 Pipe Actual field measurement is lower than plan quantity General or Standard Change Order Explanation Pay Item 0059 18in Circular Type 2 Pipe See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0060 24in Circular Type 2 Pipe See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0068 Manhole J15 Modified Item not utilized See Change Order 001 and Change Order 002 for details General or Standard Change Order Explanation Pay Item 0072 Inlet P12 Item not utilized see Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0074 181n Catch Basin See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0077 Inlet B15 See Change Order 001 and Change Order 003 for details General or Standard Change Order Explanation Pay Item 0078 Construction Sign C The City of Richmond wanted to add additional signs to help the public avoid the construction site causing the item to over -run General or Standard Change Order Explanation Pay Item 0080 Temporary Pavement Markings The project had several delays due to Frontier and HMA Asphalt. Addtional stripping was needed to allow the road to be open to the public. General or Standard Change Order Explanation Pay Item 0081 Temporary Marking Removable 4in Actual field measurement is lower than plan quantity General or Standard Change Order Explanation Pay Item 0084 Construction Sign A The City of Richmond wanted to add additional signs to help the public avoid the construction site causing the item to over -run General or Standard Change Order Explanation Pay Item 0014 Additional Straw Bails needed for Erosion Control General or Standard Change Order Explanation Pay Item 0015 Additional Inlet Protection needed for additional inlets added through re -design. Change Order Explanation for Specific Line Item #ffff###ilfYtkif**#f#Y#YY**}*#ffffYif#*f*i##fiti#*ff*fY#Y*4tff*f*#*f#iYt#fftf#*f#i#tfYff*f}*}}#ifYflff#*t*iffYfff*f*#*ftY#tf Contract No:R -32799 INDIANA Change Order No:017 Department of Transportation 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: Signed Date: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Date: 11/16/2016 Page: 8 Contract No:R -32799 INDIANA Date:11/16/2016 Change Order No:017 Department of Transportation Page: 9 / APPROVED FOR LOCAL PUBLIC AGENCY l i IGNATURE) (TITLE) (DATE) , (SIGNATURE) (TITLE) (DATE) lflflflflfltt!!!!t!!!f!!!!ltit4lfifflifl4fllff!l111f111ffl11111l1111flffflltflllfl11llRflf!!!flfllt!!1!!!f!!!f!fl1fR!!!!fflf SUBMITTED FOR CONSIDERATION PENS APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status