HomeMy Public PortalAboutChange Order No. 6- to Contract No. 148-2018 - INDOT Coordination Agreement (R-37463) 1382810 - Bike Pedestrian facilitiesI
Contract No:R -37463 Change Order,No.: 006
INDIANA Department of Transportation Page: 'I
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -37463 Letting Date:10/12/2017
District:GREENFIELD DISTRICT AE:Prather, Michael PE/S:Stanley, William Status: Draft
Change Order Information Change Order No.: 006 EWA: Y or Force Acct: N
Date Generated: 11/19/2018 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Sawcut Exisitng Curb
Original Contract Amount $ 5,883,000.00
Current Change Order Amount $ 1,069.13 Percent: 0.018 %
Total Previous Approved Changes $ 0.00 Percent: 0.000 %
Total Change To -Date $ 1,069.13 Percent: 0.018 %
Modified Contract Amount $ 5,884,069.13
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
Previous Time Approved
Revised Contract Time
SS Days 0 SP Days 0 SP Days Value $ 0.00
SS Days by AE: DCE: SCE: DDCM:
SS Days SP Days Value $
SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
I
Contract No:R -37463 Change Order No.: 006
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE: x 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?
Total Change To-Date>5%?
Scope/Design Recommendation
Required?
Y / N If Y, by`like Prather Date Issued 10-19-18 -
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
LPA Signatures Required?
FHWA Signatures Required?
Resolved by
Date Returned
Date
Disapproved
Date
Y / N If Y, Date to LPA t 2 - :� - 18 Date Returned
Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Bill Stanley - United Date 11-19-18
Comments: United Recommends approval of Change Order 6
I
Change Order Nc:006 Department of TransporiaJon
r
37461
Project
1389-810 - Staie: 13828100OL03
Charge Order Nbr.
006
Charge Order Description:
Saiwcut Exisitnc Curb
Reason Cone:
CHANGED COND. Constructabilit;•• Reie;ed
CLM PC\ PLI
!tern Code unit Unit prce CO C.ty
:7; 1:iitcly i) 1741t•v2i
�;L�� i v%i ..-_ _'
item Description: rORC_ ACCCUti
! A'0R.K
Suppleneerzai CescripG0s1i exis!i - -u, L or% V.' _s: Sice o' 71h anC ^: Ciro,.,
Supplemental 09s7ri h�n�
ComtreIll
r-
Cate: -i :_. 04 J 2'1'
n
Amount Change
'ota; �,aiue far Change .Order 006 = S t3
Whereas. the Standard Saecifications for this contract provides for such work to be per�orrned. the foitowir.g change is recommended.
uenerat or Standarc Change Order Erplanetio�t
This Change Order compensates t4lestone am their si,!i CChtBCtO: ABC Cut; ne Contractors 'or Saw:.�_tt'.ng exisi'rg Curb on the ',Vest Side o",
North °th Street betvnaen East irlain Street and Service Drive a.so South 101h Street ber.veen East.Main Street and Alley behind Richmond Civic
Theatre. Grea Stiens •.•;:th the City of Richmond requestec the Sav:cutting to afiov; the brick pavers to lay flush :vith existing .uro Milestone did
not reauest anv acditional days be added to the Contract for this ..ork. PM HT Pf•ar. has been noti`oeo of the change order. Unitec reDarr.ntentl5
accepting the cost submitted by Vilestone be based on their cost breakdown per unit rather then the !N IDOT average vn;t p•ice due to the short
length. Attached Documentation.:.;;iiestore's Change Order Request Form
Chance Order Explanation for Specific Line item
tt is the intent of the parties that this change orcer is full and cc-..plete compensa::or ic= the'ncrn cescrioe;above
Notification and ccnsant to this change orders hereby ac no':'. edged. /
Milesto%e Contractors, L.P. j
/`
S:r:uned 6,C
,� � .
Date
NO-E Other required State and FHVVA signatures will be obtained electroniealh: through the- Sitehlanager system.
S
Contract NOR -37463 INDIANA
Change Order No:006 Department of Transportation
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APPROVED FOR LOCAL PUBLIC AGENCY
TURF (TITLE)
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(SIGNATURE) (TITLE)
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SUBMITTED FOR CONSIDERATION
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Approval Level
Date:12/04/2018
Page: 4
/Z /37 / 9
(DATE)
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(DATE)
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Name of Approver Date
14
Status
a'a q '•pp � --, c• /,,`11 �.>> � I;� �• ._.- N�j r. s =; c= �" �"❑' 4`,S Ft
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October 19,
CONTRACT NO. R-37463-B DATE OF SUBMISSION 2018
PROJECT DESCRIPTION ENHANCEMENT, BIKE AND PEDESTRIAN FACILITIES, WAYNE
COUNTY, ON E MAIN ST, 7T11 ST AND 10T" ST IN THE CITY OF
(route / intersection / bridge no(s).) RICHMOND, IN
CHANGE ORDER REQUEST SUMMARY SAWCUTTING CURB ON W SIDE OF 7T" & 10TH
DESCRIPTION
PROPOSED SOLUTION SUMMARY SAWCUT CURB
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE [Select Date) CHANGE ORDER TYPE 104.03 Extra Work
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): $ 1069.13
The cost adjustment shall include lump sum and estimated totaled unit -priced item costs. Attach a separate sheet of unit price items
including item description, unit of measurement, estimated quantity and unit price.
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE:
❑ 109.03 Altered Quantities ❑ 109.05(a) Agreed Price 0 109.05(b) Force Account ❑ 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: ❑ Labor ❑ Material ❑ Equipment ❑ Lease Agreement Z Subcontractor
TIME ADJUSTMENT INCREASE / (DECREASE): (work days) 0
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
❑ 108.08(a) Excusable, Non-Compensable 0 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Additional information may be entered by the contractor.
CHANGE ORDER ORIGINATION: ❑ INDOT / LPA 0 Contractor
DOCUMENTS AFFECTED:
❑ Contract Specifications (ref. doc name/no.) N/A
i ❑ Contract Plans (ref. doc name/no.) N/A
CHANGE ORDER AFFECTS DBE PARTICIPATION: ❑ yes ® no (if yes, attach details)
Ver 10.2317
CHANGE ORDER REQUEST FORM
CONTRACT NO. R-37463-B
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR [Select Date) SUBMITTAL DATE OF October 19, 2018
ADDITIONAL DETAIL ADDITIONAL DETAIL
DETAILED DESCRIPTION / JUSTIFICATION:
(Include location(s), actions of contractor, owner, and other stakeholders, key events and related couse(s), discoveries,
discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached
or available to support this change order request.)
INCORRECT DESIGN AND CITY REQUESTED CHANGE.
PROPOSED SOLUTION — ADDITIONAL DETAILS:
(Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted
scope and the effect on the contract schedule. Also include references to attached documents including, but not limited
to, sketches, calculations, photos, material information, and submittals and meeting minutes.)
---....- - - - --- - --- - - ------ ---- -- ---- ABC CUTTING CUTTING — SAWCUT CURB ON W. SIDE OF 7T" AND 10T".
SIGNATURES
Contractor:
Name: (print) SCOTA HES-TR
(signature) ` �'`�' �' Date: 10�1Q/1R
Project Engineer/Supervisor: (signature is to acknowledge receipt of the document and does not signify agreement of the change order)
Name: (print) B I l 54
(signature) t Date: ^/9
NOTE: The Contractor and PENS should retain a signed copy of this document for record.
pg. 2
CHANGE ORDER REQUEST FORM
CONTRACT NO. R-37463-B
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
SEE ATTACHED.
SAWCUT CURB 7TH & 10TH - 1 LS @ $1,069.13 = $1,069.13
Ps. 3
I v
Milestone Contractors, L.P.
Extra Work Pricing Summary
Project No: 99950-N/A
Date Requested: TO Date Submitted: 10/19/2018
INDOT "-
Description of Work: ABC SAWCUTTING CURB ON W SIDE OF 7TH & 10TH
Reason for Extra Work: INDOT REQUESTED
Has Work Already Been Completed? NO When: NIA THROUGH NIA
MCLP Project No. 184003 Cost Activity Code: 99950-NIA
Item: Quantity: 1 units LS
Labor.
Cost =
$0.00
Markup %
20% S Total
$ -
Equipment:
Cost =
$0.00
Markup %
12% S Total
$ -
Materials:
Cost =
$0.00
Markup %
12% S Total
$ -
Subcontract:
Cost=
$
969.22
Markup %
10% S 96.92
Markup %
7% S - Total
$ 1,066.14
Trucking:
Cost =
$
-
Markup %
12% S -
$ -
$
969.22
S 96.92
$ 1.066.14
Insurance & Bond
Cost =
$
2.67
Markup %
12% S 0.32 Total
$ 2.99
Total
S 1,069.13
Unit Price
1.00 1 LS
$ 1,069.13
Extra Days Requested Days Request will be at later date -
184003 R-37463-B SAWCUT CURB Page 1
MILESTONE CONTRACTORS, L.P. MCLP»: 99950-N,A
FORCE ACCOUNT WORK
CUSTOMER NO. -
Markup vnll be added per INDOT or CONTRACT specifications for Force Account Work DATE: 10(02118 TO 10103118
DESCRIPTION/SCOPE OF WORK: INDOT
ABC SAWCUTTING CURB ON W SIDE OF 7TH & 10TH
ADDRESS/LOCATION
JOB NO.: 184003 DATE EFFECTIVE:
EQUIPMENT (OPERATOR NOT INCLUDED)
LABOR
STRAIGHT TIME
TIME112
DBL.TIME
DESCRIPTION
EQUIP p
RATE HOURS
TOTAL (S)
RATE
HR
RATE
HR
RATE
HR
TOTAL (S)
SO.00
$0.00
SO.00
SO.00
SO.00
!!I
I
$0.00
SO.00
SO.00
SO.00
SO.00
SO.00
SO.00
SO.00
SO.00
so.ao
LABOR COST TOTAL
SO.00
so.00
MATERIALS & SUPPLIES
QUANTITY
UNIT
PRICES)
TOTAL (S)
so.00
$0.00
$0.00
SO.00
$0.00
S0.00
SO.00
$0.00
$0.00
S0.00
$0.00
I
SO.00
so.00
MATERIAL COST TOTAL
$0.00
so.00
ITRUCKING CO. 1 RATE
TON
TOTAL (S)
SO.00
S0.00
SO.00
SO.00
so.00
TRUCKING COST TOTAL
SO.00
so.00
SUBCONTRACTOR
TOTAL (S)
PICKUP TRUCKS ASSIGNED TO EMPLOYEE ON JOB:
$0.00
ABC SAWCUTTING INVP131176
5989.22
S0.00
50.00
S0.00
SO.00
$0.00
$0.00
so.00
SUBCONTRACTOR COST TOTAL
$969.22
SO.00
CATEGORY
COST TOTALS
MARKUP
TOTALS
$0.00
EQUIPMENT WITH MARKUP 12%
$0.00
$0.00
S0.00
SO.00
LABOR WITH MARKUP 20%
$0.00
$0.00
S0.00
$0.00
MATERIAL WITH MARKUP 12%
$0.00
Isom
$0.00
EEQUIPMENTOST
$0.00
TRUCKING WITH MARKUP (12%)
$0.00
$0.00
$0.00
TOTAL
$0.00
SUBCONTRACTOR WITH MARKUP (10% FIRST $3000, 7% AFTER S3000)
$11066.14
Milestone Contractors, L.P.
By: Jason Price
Printed: Jason Price
Title: Supt
..t+-9 2 (0&Wr01C1
Office Copy - White
Owners Authorized Representative
TOTAL $1066.14
By:
Printed:
Owner Copy - Yellow MCLP Superintendent Copy - Pink
INDIANAPOLIS AREA (317)885.8989 INVOICE
tting OUTSIDE INDIANAPOLIS (800) 327-3237
tractors, FAX (317)885-8980
INVOICE NO: 131176
INVOICE DATE: 10/08/18
ABC CUTTING CONTRACTORS, INC.
5230 COMMERCE CIRCLE PAYMENT TERMS: Net 30 Days
INDIANAPOLIS, IN. 46237 CUSTOMER #: 003749
PURCH ORDER #: R37463
JOB REQUEST #: 184003
MILESTONE CONTRACTORS, L.P. RDERED BY: SCOTT HESTER
PO BOX 2061 O-OT
RICHMOND, IN 47375
JOB SITE: R37463 184003 BIKEIPEDEST...
R37463 184003
7TH & FT.WAYNE AVE
RICHMOND, IN
QTY
ITEM
DESCRIPTION OF WORK
UNIT PRICE
AMOUNT
1.00 DSS
DIESEL SLAB SAWING
969.220 each
\ 969.22
�.J l L 6 �4 t
SUBTOTAL:
SALES TAX:
$969.22
$0.00
TOTAL: $969.22
Thank You
(check, credit, adjustment)
TERMS: NET 30 DAYS payment is due upon presentation of invoice. If any Invoice is not paid in full within 30 days after Its billing date, the Customer hereby agrees to pay interest at the rate
of 1.5% per month (18% per annum) upon the unpaid portion of the invoice. If action or suit is brought by ABC Cutting Contractors to collect any amount due or owing under this bill,
Customer agrees to pay all costs of collection including reasonable attorney fees.
ABC Cutting Contractors, Inc. Is committed to an Affirmative Action program to provide equal employment opportunity to any person who applies fora job or who works with this company.
Per E..O. 11246, as amended in Sec. 503 of the rehabilitation Act of 1973, as amended in the VEVRAA Act of 1974, as amended and their Implementing regulations of 41CFR CH.60, are herein
incorporated by reference.
"= CUTTING CONTRACTORS, INC. �: JOB TICKET
A - Indianapolis (317) 865-8989- Outside..Andpls 1-800=327-3237 NUMBER
B B T
C .0
B ADW1 SS
CITY ITYPEOFWORK-
�7) - _< - C-1
Operat_ nni
262444
DA11--� + f DATE
JOB#
�1 '1
P.O. #
NEAFtEST CRGS STREET
OTHER MEN O.N JOB:SAME DAY
-'PRICE 66
3
n ,
4
�. r ✓i
5
f
6
7
S.
8
t -
10
11
ACICVOWEDGEMENT
If is expressly agreed and understood that ABC CUTTING CONTRACTORS is -not responsible for:
�..I ayout .of. the.above work. • Any damage_to buried suuetures.or cables. - Barricading 8Csafeguatding. of openings a&ei job completion.
hel"above has bee the 'site itispected and found to be inclean and safe condition.
work satisfactofily coiripli ted and lob
X PRINr SU;N .J YP Fr.,
- .. �. ... .. .. Acknowledged,,:.. ..t-..'
.. Company
TERNiS: Net 30 Days payment is:due upon preseniatiori of Invoice. IFany Invoice is not paid in full within 30 days after its -billing date; It Customer thereby
agrees to pay interest at the rate of 10% PER AIVNUM upon the unpaid portion of the Invoice: If action of suit is brought by ABC Cutting Coniracrors to collect
any amount due or owing under this bill, Customer agrees to pay all costs of collection, including reasonable attorneys fee.
J
CUTTING CONTRACTORS, INC.
F
Indianapolis (317) 885-8989.Outside Indpls 1-800-327-3237
BILL TO
JOB ADDRESS
CITY TYPE OF WORK
Operator`
JOBTICKET
� 4/ I r 8
DAY DATE
JOB4
is
P.O. # _
NEAREST CROSS STREET
OTHER MEN ON JOB SAME DAY
• iDESCRIPTidN
a" cje `. ,� C�1 Arc
PRICE, .AMOUNT,,
2
3
4
5
s
�� c�"!✓ICEC
7
a
10
11
ACKNOWLEDGEMENT
It is expressly agreed and understood that ABC CUTTING CONTRACTORS is not responsible for:
• Layout of the above work. • Any damage to buried structures or cables. • Barricading & safeguarding of openings after job completion.
The above work has been satisfactorily completed and the job site inspected and found to be in a clean
'an�� saafe condition.
X PRINT �9fG�c, e. L'i _ SIGN l ��--�— �z%11c
TERMS: Net 30 Days payment is due upon presentation of Invoice. If any Invoice is not paid in full within 30 days after its billing date, Elie Customer thereby
agrees to pay inreresr at the rate of 10% PER ANNUM upon the unpaid portion of the Invoice. If action or suit is brought by ABC Cutting Contractors to collect
any amount due or owing under this bill, Customer agrees to pay all costs of collection, including reasonable attorney's fee.
From: Greg Stiens <gstiens@richmondindiana.gov>
Sent: Thursday, December 6, 2018 10:39 AM
To: 'Prather, Michael'; Stanley, Bill
Subject: RE: R-37463 Richmond SS [CO 6 - Saw Cutting Existing Curb on 7th & 10th Streets
(12-4-18)]
Ap,proved
Greg Stiens
From: Prather, Michael [mailto:mprather@indot.IN.gov]
Sent: Thursday, December 06, 201810:29 AM
To: Stanley, Bill <Bill.Stanley@ucindy.com>
Cc: Greg Stiens <gstiens@richmondindiana.gov>
Subject: RE: R-37463 Richmond SS [CO 6 - Saw Cutting Existing Curb on 7th & 10th Streets (12-4-18)]
i concur; please process for approval kk it lin SiteManager pondlinc,: conni-nent by G.-e ;.
From: Stanley, Bill[Ina ilto:Bill.Stanley@,?ucindy.com]
Sent: Tuesday, December 04, 2018 12:16 PM
To: Prather, Michael <mprather@indoUlq.&gavv>; Greg Stiens <_L tiens@richmondindiri,i_a..ov>
Subject: R-37463 Richmond SS [CO 6 - Saw Cutting Existing Curb on 7th & 10th Streets (12-4-18)]
'""'This is an EXTERNAL email. Exercise caution. DO NOT open attachments or click links from
unknown striders or unexpeeted email.:,...
Citrix Attachments
Expires January 3, 2019
R-3?463 Richmond SS [CO 6 Sawcutting Exis... 8);.pdf
Bill �'aanley use,; Citrix riles :c share deCUfP.-- 1S SeCUfel .
Mike/Greg,
Please review Change Order 6 — Saw cutting Existing Curb on N 71h & S 101h Street. United recommends the Change
Order for approval. -
Sincerely,
Bill Stanley
Construction Manager
United Consulting