HomeMy Public PortalAboutChange Order No. 10 to Contract No. 148-2014 - INDOT Coordination Agreement (R-37463) 1382810 - Bike Pedestrian facilitiesContract No:R -37463
Change Order No.: 010
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.: 010 EWA: N or Force Acct: N
Date Generated: 11/19/2018 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Removal of Existing Concrete Boxes 7th Street
Original Contract Amount
Current Change Order Amount
Total Previous Approved Changes
Total Change To -Date
Modified Contract Amount
Time Extension Information
Date Initiated 11/19/2018
Original Contract Time
$ 5,883,000.00
$ 0.00
$-40,320.70
$-40,320.70
$ 5,842,679.30
Date Completed 12/12/2018
Percent: 0.000 %
Percent: -0.685 %
Percent: -0.685 %
Page: 1
Status:Draft
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: Milestone while performing common excavation on North 7th Street & Fort Wayne Ave
Milestone uncovered a 3 x 3 exisitng concrete box that was use as a storm sewer. The concrete box storm sewer
ran on the West side of North 7th Street from the middle of North A Street to Fort Wayne Ave. This box impacted
Milestone from continuing work on the R-37463 contract until the storm work was completed. On 8-7-18 Greg
Stiens gave direction to remove the top of the box and place new dualwall HP pipe through a separate contract with
the city. See Attached Notice of Changed Condition Dated 8-7-18. Time Extension for the removal of theexisitng
concrete box 20 days. See Explanation 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 0 SP Days 0 SP Days Value $ 0.00
Previous Time Approved
SS Days by AE: DCE:
SS Days
SCE: DDCM:
SP Days Value $
Revised Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 20
SS Date 00/00/0000 or SP Days 0
Contract No:R -37463 Change Order No.: 010
INDIANA Department of Transportation Page:.2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE:, xDCE: x SCE: DDCM: '
($perChangeOrder)(-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--)
(Days per Contract) ( 50 SS days) (100 SS days) ( 200 SS Days) ( GT 200 SS days)
Verbal Approval Required?
Total Change To-Date>5%?
�Y / N If Y, by Greg Stiens Date Issued 9-19-18
Y / N If Y, Copy to Program Budget Manager.
Scbpe/Design Recommendation Y / N If Y, Referred to Project Manager(PM)
Required?
Date to PM Date Returned
Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date
LPA Signatures Required?
FHWA Signatures Required?
If N,Resolution: Approved Disapproved
Resolved by
(Y / N If Y, Date to LPA 12-12-18
Date
Date Returned
Y /ON If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Bill Stanley - United Date 11-19-18
Comments: United recommends Change Order 10 for approval
Contract F,I :R =37463 INDIANA Date;12r14/2G18
Change- Order No:010 Department of Transportation FaCJe:
Cortract: R -37463
Project 87ate:? 38281000LC3
Change Order Nor: 010
Change Order Description: Remov:; of Existing Concrete {foxes 7tr -treet
Reasor, Code. CHANPED COND. Constructabili:y Re!ated
CLN PCN PLN Item Code Unit Unit Pricc CO O..ty Comment Amount Change
Total "al,- 'or Chance Order 0, 0 = S 0 ^vi;
Contract Completion Date Time Adjustment l f
Original Ccmp!eltcr, •7t: 1 ;,3-0r20i$ %vj corr; l Lit ,- �ac - r.
��=% nG, fVO. C' Days 20
rxp,ena: or: 41,ilestore vrnae performing cornmon excavation On NCrih 711n Slreet $ Fro,-, Vfacre Ave ', aiesmr)c unccvared a 3 x 3 ex,sitna
concrete box tnai teas, -se as a stonTT s.:rer,
.�. t0 ACC t/t - The COncr@i8 COY. _tCr,^,7 cat•:8f rCr Cr the t/gyres: sloe cf Ncr,F 7lh $Cr:Ct from !�;e middle of iVorlh /:t
Street ayne A: has box impacted `,IileSten� fr m 'f
Greg Sti co.. ir,uinp ;•cork cr::he -37463 Contract Lntit the storm ;vorr; %ias Com;c!eted. On
8-7-18 ens cave direction to rentOve the t0 0f thy place
p 06x onC ^ 8 E n .d CLa, t:a,i HP pipe thro.ch a separate contracl',.4th th C
Attached Notice of Change-: Co ,dittos Dated 8.7.18 Time even ' re e c y Sea
and Attac:nmer.; in f cer r �, son or the mot 2t ;ne axisibTg cc.,crete oat A See gxp nab r, a..
eo Tnt; 'oi 'L. tr �Er 2t�1!3, This -irrie ems-• 2G C. Y5. i•0, C j
.. Gxt_i.i;on is tieing Create•^. �� the recLest o' fttllesi0ne
Whereas. the Standard Specifications for this contract provides for such .-cork to be periarmed, the following change is recommended.
Genera! Cr Standurr Chang: (irC3r cxptana;ivn
PM HT Phan has been nob' ec of the Change Order. See Attachment in Heacer fc" futher details. Nev. contract Cornple:ton cave Cf J,:^e 30th
2019 CO ~1 Jun: 7th 2019 + 3 ca s Co 1�5 -J.ne 101,h 2019 + 20 days Co *10 = A� Lst=d Completec Date June 30 201:.
Change Order explanation for Specific Line Item
It is the ir.Cent of the parties that thi order a a:e
p` s change ard.. is full nc corTph,,t. comper•sa-:or to file •crock cascrjhe =hove JJ-,
tv0:ii cFcn and consent to :his Chance orcer i8 hQreby ac'snovrlEdged
Contra:t•Or' Eppp�, `` ��{{.. �. {rg ./1� �.'✓ LJ', lYf �i,
—��fS:.7���1��ie6��ti.L�i�� �er. Signed°y,._ —
NOTE' Other rcc,uired State and ,H',tIA s; nVures writ be Cbtt in SC electronfr, ally thm yt. the Sltehlar,@ger system.
Contract NOR -374.63 INDIANA
Change Order No:010 __Department of Transportation
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APPROVED FOR LOCAL PUBLIC AGENCY
(SIGNATURE) (TITLE)
!IGNATUR (TITLE)
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SUBMITTED FOR CONSIDERATION
PE/S Bill Stanley - United
Date:12/14/2018
Page: 4
/ 2 - zo.- I P
(DATE)
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(DATE)
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Approval Level Name of Approver Date Status
CHANCE ORDER REQUEST FORM
CONTRACT NO. R-3746.3-B
DATE OF SUBMISSION
October 31, .
2018
PROJECT DESCRIPTION ENHANCEMENT; BIKE, AND, PEDESTRIAN FACILITIES, WAYNE
COUNTY, ON E MAIN ST, 7TH STAND LOTH ST IN THE CITY OF
(route/inrersectfon/bridgeno(s).) RICHMOND, IN
CHANGE ORDER REQUEST SUMMARY I ADD TO CONTRACT: 20 DAYS
DESCRIPTION
PROPOSED SOLUTION SUMMARY
DURING EXCAVATION .CO•NSTRUCTION LIMITS ON 7TH ST,
UNCOVERED. EXISTING CONCRETE BOX - REQUIRED REMOVAL ..
NOTE: Upon reguestfrom Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE August 7, 2018 TCHANGE ORDER TYPE 104.03 Extra Work
PROPOSED COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): $E=E
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 13 109.05�a) Agreed Price ®'109.05(6 Force.;Accotint ❑ 109:'0 .02 Delay Costs
PROPOSED COSTCHANGE INCLUDES: P. Labor.: O Material
..:❑ .Equipment ❑.Lease Agieernent . ❑
Subcontractor
TIME ADJUSTMENT INCREASE / (DECREASE): (work days)
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
❑ 108.08(a) Excusable, Non-Compensable ® 108.08(b) Excusable, Compensable
!VOTE: !f Compensable, attach details based on 109.05.2(a) Allowable Delay Costs,
SUPPLEMENTAL INFORMATION
AtiHifinnni Wnrmofinn mov ho onfororl by 41a nnn4r.3 i—
CHANGE ORDER ORIGINATION:
❑ INDOT/ LPA Z Contractor
DOCUMENTS AFFECTED:
❑ Contract Specifications (ref. doc name/no.)
N/A
❑ Contract Plans (ref. doc name/no.)
N/A: .
CHANGE ORDER AFFECTS DBE PARTICIPATION:
P yes ® no (if yes, attach details)
Ver. "10.23.17
CHANGE ORDER REQUEST FORM
CONTRACT NO. 9-37463-E
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR
[Select Date]
SUBMITTAL DATE OF
[Select Date]
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.)
CITY REQUESTED REMOVAL OF EXISTING CONCRETE BOX IN CONSTRUCTION LIMITS ON 7T" STREET
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.)
WHILE PERFORMING. COMMON EXCAVATION AT THE CONSTRUCTION LIMITS ON 7TH STREET @ FT
WAYNE AVE; MILESTONE UNCOVERED A 3'X3'. EXISTING CONCRETE BOX.
THIS BOX IMPACTED MILETSONEFROM CONTINUING WORK ON OUR R-37463 CONTRACT UNTIL THE
STORM WORK WAS COMPLETED.
THE CITY OF RICHMOND GAVE DIRECTION TO REMOVE THE LID OF THE BOX AND LAY NEW DUALWALL
HP PIPE THROUGH A SEPARATE CONTRACT WITH THE. CITY. (SEE ATTACHED NOTICE OF CHANGED
CONDITION DATED 08/07/i8)
SIGNATURES
Contractor:
Name: (print) S ST
(signature) Date: io/3i/18
pg: 2
CHANGE ORDER REQUEST FORM
Project Engineer/Supervisor: (slgnature is to acknowledge receipt of the document and does not sfgnify agreement of the change order)
Name: (print)
(signature)
NOTE: The Contractor and PENS should retain a signed copy of this document for record.
CONTRACT NO. L37463-B
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
Date:
MILESTONE REQUEST 20 DAYS BE ADDED TO THIS CONTRACT FOR IMPACT
DUE TO THE CONCRETE BOX DISCOVERED DURING COMMON EXCAVATION
ON 7TH ST @ FT WAYNE AVE.
pg. 3
Milestone Contractors, LP
Rig. Notice of a Changed Condition
To: ��0 ��Ie Contract #E:_R- 374 3
From:�5�/Jeic,e, Description: �teti,•��.��?! <<e �3- ��d,
Date: MCLP Job No.: t W O V 3
This is a Notice of a Changed Condition. The details of the changed condition are as follows:
Date of Discovery: % a if- `Q
Discovered by Whom:
Discovery Method: �� �$!i✓ ��via $�Q�✓
Nature and Circumstances: d�P/t: le2�l ice✓ &V02 s pi 6reA0 R)
�B �NSTiCG iihl `y i/ TS ram % 67-
r!✓ eve
l��coa�t•add 3'� 3' A0 . % Cr� 0a4
01
Ate-4mowi 4*s v.-vex i tsca0 u 5 afr/�e �¢tOh/ t) b wa ve. A4c- Lion oo
7-34 SOX f Z,04wes,! Ds'++W AV-41 W P o loedUu� �,��-tie
Controlling Operation Impact: i4aV'A 6^4iwrie. 0v1 A V&4&r, R' 37q`
L'a (441. tic 4nxin 4.eJ Se, 4Z/&A-d. VO-t4c o,! iy
Wj1jV64S 40e-O s A41 *ice ,w ®wv- w4 4�
oAle-teAr'
Prolect Cost impact:
RThe estimate of the cost is:
The estimate of the cost is unknown at this time. Daily records will be kept in accordance with the contract.
Protect Time Impact:
e estimate of the"time is:
The estimate of the time is unknown at this time. Dally records will be kept in accordance with the contract.
- - - , 4, efir" 9/fey
/OVcknowledgerneflt of Receipt
FM-04400 Rev. 419/2014
Milestone Representative
Stanley, Bill
From: Greg Stiens <gstiens@richmondindiana.gov> -
Sent: Friday, December 14, 2018 3:51 PM
To: Stanley, Bill; mprather@indot.in.gov
Subject: RE: R-37463 Richmond SS [CO 10 Revised Time Extension Concrete Sewer (12-14-18)]
Bill,
Looks good.
Please proceed with processing Change Order # 10.
Greg Stiens
From: Stanley, Bill[mailto:Bill.Stanley@ucindy.com]
Sent: Friday, December 14, 2018 3:34 PM
To: Greg Stiens <gstiens@rich mondindiana.gov>; mprather@indot.in.gov
Subject: RE: R-37463 Richmond SS [CO 10 Revised Time Extension Concrete Sewer (12-14-18)]
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Greg,
I have revised Change. Order 10 please review.
Sincerely,
Bill Stanley
Construction Manager
United Consulting
8440 Allison Pointe Blvd., Suite 200
Indianapolis, IN 46250
Phone: 317-796-3649
Email: Bill.Stanley@ucindy.com
Web: www.ucindy.com
From: Greg Stiens <gstiens@richmondindiana.gov>
Sent: Friday, December 14, 2018 8:18 AM
To: Stanley, Bill <Bill.Stanley@ucindy.com>; mprather@indot.in.gov
Subject: RE: R-37463 Richmond SS [CO 10 Time Extension Concrete (12-12-18)]
Bill,
The description says, "Milestone while performing common excavation on North 7`h and Fort Wayne Avenue
Stanley; Bill
From:
Prather, Michael <mprather@indot.IN.gov>
Sent:
Wednesday, December 12, 2018 1:01 PM
To:
Stanley, Bill
Cc:
Greg Stiens
Subject:
RE: R-37463 Richmond SS [CO 10 Time Extension Concrete (12-12-18)]
I concur; please process for approval within SiteManager pending comment from Greg.
From: Stanley, Bill[mailto:Bill.Stanley@ucindy.com]
Sent: Wednesday, December 12, 201812:56 PM
To: Prather, Michael <mprather@indot.IN.gov>; Greg Stiens <gstiens@rich mondindiana.gov>
Subject: R-37463 Richmond SS [CO 10 Time Extension Concrete (12-12-18)]
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Mike\Greg,
Please review Change Order 10 — Time Extension for Removal of Concrete Box Lids. United recommends the Change
Order for approval.
Sincerely,
Bill Stanley
Construction Manager
United Consulting
8440 Allison Pointe Blvd., Suite 200
Indianapolis, IN 46250
Phone:317-796-3649
Email: Bili.Stanley(aucindy.com
Web: www.ucindv.com
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