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Home My Public Portal AboutChange Order No. 5 to Contract No. 148-2014 - INDOT Coordination Agreement (R-37463) 1382810 - Bike Pedestrian facilitiesContract No:R -37463 Change Order No.: 005 INDIANA Department of Transportation 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 Change Order Information Change Order No.: 005 EWA: Y or Force Acct: N Date Generated: 11/19/2018 - Date Approved: 00/00/0000 Reason Code: CHANGED COND, Constructability Related Description: Rock Excavation Original Contract Amount $ 5,883,000.00 Current Change Order Amount $ 2,550.00 Percent: 0.043 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $ 2,550.00 Percent: 0.043 % Modified Contract Amount $ 5,885,550.00 Time Extension Information Date Initiated 06/25/2018 Date Completed 06/28/2018 Page: 'I Status: Draft Original Contract Time SS Completion Date 11/30/2018 or SS Calendar/Work Days 0 SP Date 00/00/0000 or SP Days (SS = Standard Specification, SP = Special Provision) Time Element Description: During excavation for storm structures, Milestone encountered rock that obstructed the removal and placement of storm structures on June 25, 26, 27 and 28, 2018. Time Extension for the rock excavation = 3 days. See Explananation Tab and attachment in Header Tab for further details. This Time Extension is being created by the request of Milestone. Current Time Extension SS Days 9 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 3 SS Date 00/00/0000 or SP Days 0 Contract No:R -37463 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.: 005 Page: 2 AE: x DCE: x 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 Mike Prather Date Issued 10-23-18 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 Date Returned Date - Resolved by LPA Signatures Required? Y / N If Y, Date to LPA 11-19-18 FHVVA Signatures Required? Y / N If Y, Date to FHWA * Field Engineer Recommendation (Required for SCE or DDCM Approval) Disapproved Date Date Returned Date Returned Field Engineer Bill Stanley - United Date 11-19-18 Comments: United recommends approval of Change Order 5 CWASL:: F? -37463 S C'L 1382310 . Biwa 102500003 Charge Order MY 0 0 5. Charge Order DeSCAP00n: Rack Excavator.. HIA Reason Code: CNGE-Di C-ONC). C. L N PC,., ;.-I". FL M Rem code Unit ink Me Cc my Suponmenmi Mazy P 3. L! -! . C " I a ,l 9 il 1"S 2,5-5- N, Too Me 0 Qaqe Day 05 = i 2 5K Conmo CwQx1r; We Title A junmem 0KA10#16, No W DPS Eanatcn Wn annsyn V Vam ov"M W-We 0 Z"m*Qc =A PX =W"VA En QTWV am Nummew 0 vorn Enmms on Me 2& 25 27 xn 26 2W 8 One Ereason Or me OW WIMM = a cay 5je EgionvyCon Tat and anechmmon Hea cc Too 'or !Wv demo WN Me We::si-rt is Li�ilg o-eu*.ed Jb-� �hc Mor.. the SWAM sj;-,Cifirntions for this contract ryovides for such wcrk to ba perlorm:c, inn foliowing Change is recartIrric-Ided. GW IN of snman chany Go. 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Contract No:R -37463 INDIANA Change Order No:005 Department of Transportation .... ..,.>..... .,,,... ,.......... ...... ,,,,, I APPROVED FOR LOCAL PUBLIC AGENCY (SIGNATURE) (TITLE) (SIGNATURE (TITLE) .>.>,.,....>.«.,,>.,..«..,..,,>,.,,.,.,>......,..,.»,...,..,..,,>............. >....>........... ,,,,>..,,.....,,...,,,..,». SUBMITTED FOR CONSIDERATION pEIS Bill Stanley - United Date:12/04/2018 Page: 4 iz•za—iF (DATE) la-/s� (DATE) APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION Approval Level Name of Approver Date Status 000TRA[TNO. R-37463'B PROJECT DESCRIPTION knvto/intersection /b»do«no(s)./ CHANGE ORDER REQUEST SUMMARY DESCRIPTION PROPOSED SOLUTION SUMMARY Ootnber1Q, DATE OFSUBMISSION 20i8 ENHANCEMENT, BIKE AND PEDESTR|A NFACILITIES, kNA//NE COUNTY. ONE0A|NST.7mSTAND 1On'ST}NTHE CITY OF R|CHMOND.|N ROCK EXCAVATION REMOVAL OF ROCK NOTE: Upon mouestfrnmEngineer, enter detailed description unpage l ONSET DATE OF CHANGE June 26, 2018 CHANGE ORDER TYPE 104-03 Extra Work COST COST COSTINCREASE /(DECREASE: $ 2,S50.00 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 ol measurement, estimated quantity and unit price. CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OFCOST CHANGE: [] I09.03A|tered Quantities [] 109.05(a)Agreed Price [] 109.05(b) Force Account [] 109.05.02 Delay Costs PROPOSED COST CHANGE INCLUDES: 1ZLabor El Material Z Equipment 21 Lease Agreement [Z Subcontractor TIME ADJUSTMENT INCREASE/(DECREASE): (work days) 3 CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OFTIME CHANGE: O108.08(a)Excusable, Non-Compensable 0 108.08(@Excusable, [ompensable NOTE: If[ompensob4e,attach details based onI89.D5.2(c)Allowable Delay Costs. Additional information maybaentered bythe contractor. CHANGE ORDER ORIGINATION: |ND0T/LPA ID Contractor DOCUMENTS AFFECTED: OCuntmctSpedfications(re[ducname/no.) Zo328'l]ZO(pO175)ZVzDStandards [] Contract Plans (,ef. docoame/no.) CHANGE ORDER REQUEST FORM CONTRACT NO. R-37463-B DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF ADDITIONAL DETAIL [Select Date] October 19, 2018 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.) DURING EXCAVATION, THE CONTRACTOR ENCOUNTERED ROCK THAT OBSTRUCTED THE REMOVAL AND PLACEMENT OF STRUCTURES 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.) EXCAVATION AND REMOVAL OF ROCK Contractor: Name: (print) SC'CITT A-HESTER (signature) Date: 10/iq/A Project Engineer/Supervisor: (signature is to acknowledge receipt of the document and does not signify agreement of the change order) Name: (print) 11 S4 Q rl (signature) Date: /o - 7— NOTE: The Contractor and PENS should retain a signed copy of this document for record. CHANGE ORDER REQUEST FOW.-I CONTRACT NO. R-37463-E ATTACHMENT: UNIT PRICE ITEMS DETAIL Attach or paste a Unit price item detail. ROCK EXCAVATION PER SPECIFICATION IS PAID AT S125.00 CY; THE TOTAL CY OF ROCK EXCAVATION THRU o6/28/18 WAS 20.40/CY C S125.00/CY=S2,550.00 DATES AND CY BELOW: 06/25/18 5.60/CY 06/26/ 18 1.33/CY 06/27/ 18 11.40/CY 06/28/18 2.07/CY TOTAL: 20.40/CY 203,?8 is included in the Schedule of Pay Items. Common excavation and unclassified excavation will be paid for on the unit basis or contract quantities in accordance w-vith 203.27(a), wvithout any quantity limit. unless otherwise shown in the Schedule of Pay Items. Combined quantities of borrow, common and unclassified excavation not exceeding 15,000 cu yd will be paid for on the basis of contract quantities in 1290 accordance with 203.27(a) with no adjustment to plan shrinkage factor. Except as noted above, borrow, as well as all other excavation, will be paid for on the basis of measured quantities in accordance with 203.27(b), unless otherwise shown in the Schedule of Pay Items. Linear grading will be paid for at the contract unit price per linear foot. If the class of excavation is linear grading, additional borrow and the excavation of and disposal of unsuitable material not included as pay items will be paid for as follows: 1300 If the total quantity exceeds 5,000 cu yd at a given location, it will be paid for at S8.00 per cu yd. If the total quantity exceeds 1,000 cu yd, but does not exceed 5,000 cu yd at a given location, it will be paid for at $12.00 per cu yd. If the total quantity does not exceed 1,000 cu yd at a given location, it will be paid for at $15.00 per cu yd. Linear grading includes only such grading within the construction limits. All gt ading the Contractor is directed to perform outside the construction limits, except for the Contractor's convenience, will be paid for in accordance with 104.03 or 109.03 unless such grading is shown on the plans or in the Contract Information 1310 book. Existing concrete building foundations, concrete walls, concrete columns, or concrete steps not visible and not shown on the plans within the limits of the planned excavation will be paid for at 10 times the contract unit price per cubic yard for common or unclassified excavation, whichever is set out as a pay item. Unless a waste area is established within the contract limits, the minimum pay for this work will be $80.00 per cu yd. Excavation and disposal of unsuitable material will be paid for at the contract 1320 unit price for the class of excavation involved. If no such pay item is included in the contract and embankment is included as a pay- item, the excavation and disposal will be paid for at the contract unit price for embankment, unless otherwise directed. If there is no pay item for rock excavation and such is encountered, it will be paid for at $125.00 per cu yd for quantities less than or equal to 100 cu yd. For quantities greater than 100 cu yd pay will be determined in accordance with 104.03. If there is no pay item for common excavation and if such is encountered, it will be paid for at the contract unit price per cubic yard for borrow. 1330 176 99950-801 Rock Date Excavation 5.60 096/25/18 06/26/18 1.33 06/27/18 5.18 06/27/18 6.22 06/28/18 2.07 TOTALS: 20.40 30,i ;c Milestone Contractors, L.P. Job Name: R-37463-B BIKE PEDESTRIAN FACILITIES ®ally Report Diary: Date - 06/25/2018 (Monday) Normal Ground; High 80-90; Low above 60; Partly Sunny / Cloudy Started digging to install structure 1/303 hit rock at 2 foot deep . Rock removal 151.20 c.f.! 5.60 c.y rented hoe ram from Mcaleslers Busted rock oul set structure. —Note Index Notes— [SAFE10] 69 safe days Time Card: Date - 06/25/2018 (Monday) SAFE10 Cost Codes 56000-102 j 99950-801 Description TYPE HA5 INL ', ROCK EXCAVA i Prod. Qty. 1 EA 5.6 LS x Code Name Class --- BUTTON,GEOR George W Button FOR 114 7 STOLLE,CHRI Christopher Stolle HSUP 1/3 7 BLEVINS,JAM James E Blevins OPR 1/3 7 Totals for Labor Hours: 34 Totals for Equipment Hours: 0 , - indicates a completed item. '(R)' - indicates a rework quantity. Job Code184003 Foreman - BUTTON,GEOR Foreman - BUTTON,GEOR Revision - 1 Shift - -t Broken Out: (24/10/0) Broken Out: (0/0/0) Printed on: 0711312018 10:52:32 Page 1 Totals 8/4 8/3 8/3 Milestone Contractors, L.P. Job Name: R-37463-B BIKE PEDESTRIAN FACILITIES Mealy Report Diary: Date - 06/26/2018 (Tuesday) Low above 60, High 70-80, Overcast, Heavy Rain, Ground Wet - Workable Safe Day Number # 7 of 7 Excavated and place str. 11 104 had to use hammer to remove old structure that was poured in place Excavated 5X6X1 rock to set bottom. t'� 1 Heavy rain came in before we could get pipe in. after rain placed pipe and sand bagged around them. to much water to pour concrete. Job Code184003 Foreman - DULL,VERNON Time Card: Date - 06/26/2018 (Tuesday) Revision. - 0 Shift - 1 Cost Codes 10120-13 10160-15 56000-89 /Foreman---DU�L,VERNON 99950-801 ` 56000-102 Description Prod:.Qty. CURB CONCR 28 LF REMOVE EXIS 1 EA STORM 24" RC 11 LF ROCK EXCAVA 1I 0 LS / TYPE HA5 INL 0.5 EA Code Name Class ---- Totals 27931 Vernon Scott Dull HSUP 8/2 8/2 26651 Michael W Burt OPR 1 1 31.5 1 2 8/0.5 28332 Diane K Reese LAB 1 1 4/.5 2 8/0.5 -- - - - - 5755 ----.._..- ..- -- --- -- - ------ R-Cat314EL CR Excav - - - ._.._ .. ----- - - —..... -......... 1 1 - 2 1 3 8 Totals for Labor Hours: 27 Broken Out: (24/3/0) Totals for Equipment Hours: 8 Broken Out: (8/0/0) Cost Code Notes: Date - 06/26/2018 (Tuesday) Code. Slot Notes 99950-801 4 1.33 CY Inspector Note x Date: c' - indicates a completed item. '(R)' - indicates a rework quantity. Foreman - DULL,VERNON Printed on: 06/29/2018 07.59:17 Page 1 Milestone Contractors, L.P. Job Name: R-37463-B BIKE PEDESTRIAN FACILITIES Daily Report Diary: Date- 06127/2013 (Wednesday) Normal Ground; High 80-90; Low 50-60; Sunny Started digging to install structure 11304 high voltage power duct run is in conflict with structure . Moved to structure 4306 dug and installed structure. 3 feet of 24"plastic 3 feet of 12" plastic Had 8 feet by 7 feet by 30" rock removal 5.1 t; Moved to structure 11307 helped Mike Burk and Kali finish digging and set structure. *"Note Index Notes - [SAFE 10) 72 safe days Time Card Date - 06127/2018 AN d d SAFE10 Job Code184003 Foreman - BUTTON,GEOR e nes ay) Cost Codes 15200-27 56000-102 `99950-801 Foreman - BUTTON,GEOR Revision - 1 Shift - ? / Description STRUCTURE B TYPE FiA5 INL ROCK EXCAVA Prod. Qty. 2 CY 1 EA 5.18 LS Code Name Class ''- — _. _-' Totals BUTTON,GEOR George W Button FOR .I 2/4 5 8/4 STOLLE,CHRI ChristopherJ Stolle - -- - --- - --- - FISUP --._._.. -- 1 - - 2/3 5 8/3 BLEVIN ,JAM James E Blevins OPR - - ---- --- - - ----------- _..._.. 1 _ -- 2/3 - - - -- - - -- - 5 -------------- -. _.. _ . _.._ ... 8/3 Totals for Labor Hours: 34 Broken Out: (24/10/0) Totals for Equipment Flours: 0 Broken Out: (0/0/0) x---- --- -- -- - — -- --- --— Date: ---------- --------- - ---- -- - --- --- c' -indicates a completed item. -- - --------- -- _._--------- indicales a rework quantify. Printed on: 07/13/2018 10:56:04 Page 1 Milestone Contractors, L.P. Job Name: R-37463-B BIKE PEDESTRIAN FACILITIES Job Code 184003 Daaly Report Diary: Date - 06/2712018 (Wednesday) Foreman - DULL,VERNON Low above 60, High 80-90, Partly Sunny / Cloudy, Ground Wet - Workable Safe Day Number # 8 of 8 6� Finished str. 11 104 Used 3 cy of concrete from Andy's truck to pour collars and flow line. Excavated and removed old str. and placed str. 307 Excavated 8X7X3' of rock6.22 Cy Time Card: Date - 0612712018 (Wednesday) Foreman - DULL,VERNON Revision - 0 Shift - 1 COsfCodes:''' 10120-13 10160-15 56000-93 56000-102 Description CURBCONCR REMOVE EXIS 7ROCKEXCAVA STORM 18" PV TYPE HA5 INL Prod:-Qty. 0 LF ' 1 EA 0 LF 1.5 EA Code Name' Class ._ Totals 27931 Vernon Scott Dull HSUP 4 8 26651 Michael W Burt OPR 1 2 5/3 8/3 28332 Diane K Reese LAB 1 2 5/3 8/3 5755 R-Cat 314EL CR Excav 1 2 5 8 Cost.Codes Description Prod: Qty.- Code 27931 26651 28332 5755 99110-900 LOST TIME SUPERINTEND Enter all non-ch 0 LS 0 LS.. Name Class Totals Vernon Scott Dull HSUP E4 8 Michael W Burt OPR 8/3 Diane K Reese LAB 8/3 R-Cat 314EL CR Excav 8 x c' - indicates a completed item. '(R)' - indicates a rework quantity. Date: Printed on: 06/29/201 B 08:00:03 Page 1 Milestone Contractors, L.P. Job Narne: R-37463-B BIKE PEDESTRIAN FACILITIES Daily Report Diary: Date - 06/28/2018 (Thursday) Normal Ground: High 80-90; Low above 60; Sunny SAFE10 Poured 4yds of concrete at structure #306 and #307 2 yds each backfill with type 1 8s 10 cyds each (finiishing up 2 previous str installed) Moved to structure #308 14' of curb and gutter. 8'x7'xV rock removal 2.07. cu yds Will set structure tomorrow 56000-102 Class A Concrete = 4 cyds —Note Index Notes— [SAFE10] 73 safe days rev Job Code184003 Foreman - BUTTON,GEOR Time Card: Date - 06128/2013 (Thursday) - - - - -- •.• Foreman - BUTTON,GEOR Revision - 2 Shift - 1 Cost Codes 10120-13 �/s0s50-801 Description CURB CONCR ROCI< EXCAVA Prod. Qty. 12 LF 2.07 LS X Code Name Class -- - Totals BUTTON,GEOR George W Button FOR 5/2 3 8/2 STOLLE,CHRI Christopher J Stolle HSUP 5/1 --- -- ----- 3 8/1 BLEVINS,JAM James E Blevins OPR 5/1 3 8/1 BURT,MICHAE Michael W Burt OPR 5/1 3 8/1 REESE,DIANE Diane K Reese LAB 5/1 3 8/1 Totals for Labor Hours: 46 Broken Out: (40/610) Totals for Equipment Hours: 0 Broken Out: (0/0/0) Date: 'r.' - indicates a completed item. '(R)' - indicates a rework quantity. Printed on: 0711312018 11:03:28 Page 1