HomeMy Public PortalAboutChange Order No. 20 to Contract No. 148...82810 - Bike Pedestrian facilities1
Contract No:R -37463
Change Order No.: 020
INDIANA Department of Transportation Page: 1
Construction change order and Time Extension summary
Contract Information
Contract No.: R -37463 Letting Date:1011212017
District:GREENFIELD DISTRICT
AE:Prather, Michael PEIS:Stanley, William Status:Draft
Change order Information
Change Order No.: 020 EWA: Y or Force Acct: N
Date Generated: 05/01/2019
Date Approved: 00/00/0000
Reason Cade: PAYMENT ADJUST, Material Related
Description: HMA Material Credit
Original Contract Amount
$ 5,883,000.00
Current Change Order Amount
$ -4,414.56 Percent: -0.075 %
Total Previous Approved Changes
$-30,119.55 Percent: -0.512 %
Total Change To -Date
$--34,534.11 Percent: -0.587 %
Modified Contract Amount
$ 5,848,465.89
Time Extension Information
Date Initiated 00/00/0000
Original Contract Time
Time Element Description:
Current Time Extension
Previous Time Approved
Revised Contract Time
Date Completed 00/00/0000
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)
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
1
7
Contract No:R -37463
1NDIANA 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°/o?
Scope/Design Recommendation
Required?
Change Order No.: 020
Page: 2
AE: M.Prather DCE: - SCE: * DDCM:
(-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--)
( 50 SS days) (100 SS days) (200 SS Days) (GT 200 SS days)
N)l N If Y, by G.Steins Date Issued 4/24/19
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 1 N If Y, Concurrence by
If N,Resolution: Approved
Resolved by
LPA Signatures Required? CY/ N If Y, Date to LPA 5/1119
FHWA Signatures Required? Y 1 NIf Y, Date to FHWA
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Date
Disapproved
Date
Date Returned
Date Returned
Contract No: R -37463 I N DIANA Date:05/0112019
Change Order No:020 Department of Transportation Page: 3
Contract: R -37463
Project: 1382810 - State:138281 OOOLC3
Change Order Nbr: 020
Change Order Description: �HMA Material Credit
Reason Code: PAYMENT ADJUST, Materiai Related
CLN PCN PLN i#em Code Unit Unit Price CO [sty - Comment - n - Amount Change
0187 1382810 0187 •--1 Qg-04631 DOL 1.000-4414.560 C Amount:S-4.414.56
Item Description: CREDIT TO THE STATE
Supplemental Description's : HMA Paver Base
Supplemental Description2: Material Credit
Total Value for Change order-020 = S-4,414.56
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
This change -order credits the project -for unapproved materials placed as HMA paver base. The material wasplaced on December 6 and
December 12, 2018 by Decorative Paving. The contractor was unable to produce a Type D certification or an approved job mix formula for the
material delivered and placed. The contractor also placed material without notifying the PEIPS or inspection staff. Therefore, the material has
been rejected,by the authority of the.AE, Alike Prather. The LPA city representative Greg Steins has agreed to accept the material as to avoid
possible damage to the, surrounding work -completed in place. A recent field inspection of the area along 10th Street just south of D, did not reveal
any signs of failure or poor performance. The contractor was directed by the AE to provide invoices and supporting documentation which would
provide the project with a material only credit. The.tickets and invoices are attached to this Change Order as supporting documentation.
Change order Explanation for Specific Line item
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: Mil to� Contractors, L-Pa signed By:
Date: 3 r ) 9
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NOTE: Other required State and FHwA signatures will be obtained electronically through the SiteManager system.
Contract No:R .37463 INDIANA Date:0510112019
Change Order No:020 Department of Transportation Page: 4
-It+k*Irlr***riirir**vk####***Ir******ir##***iii***#*iw#i**�4i*i*#ii*###i#i*i*ii**#t4***!t*i*iiiiii�kfi�kf!##*##i*ii�4i�k�kyk#*!r*iieiiriii�kykeF#*iiiiei '
APPROVED FOR LOCAL PUBLIC AGENCY
(SIGNATURE) (TITLE) (DATE)
(SIGNATURE) (TITLE) (DATE)
*** * * �# ii* i *##**ii*i*ii#yti*itek*#*i*iiiieiii*i*!r#**#** * i*iiri+k#**yk*#Ir*#*ir**i#itkykilrlri � •
SUBMITTED FOR CONSIDERATION
PEIS
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Approval Level Name of Approver- Date Status
CHANGE ORDEAREQUEST FORM
CONTRACT NO. R•37463-B
DATE OF SUBMISSION May 1, 2019..
PROJECT DESCRIPTION ENHANCEMENT, BIDE AND PEDESTRIAN FACILITIES, WAYNE
COUNTY ONE MAIN ST, 7TH ST AND-1 OTHST IN THE C_ ITY 'OF
(route/intersection/bridge no(s).) RICHMOND,, IN
CHANGE, ORDER REQUEST SUMMARY CREDIT FOR ASPHALT PROVIDED 12/611:8 & 12/12/18
DESCRIPTION
PROPOSED SOLUTION SUMMARY DECORATIVE PAVING TO PROVIDE'CREDIT FOR -ASPHALT MATERIAL
USED ON 121,6/18 & 121121/8
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE December 6, 2018 CHANGE ORDER TYPE 104.03 Extra Work
PROPOSED- COST AND TIME ADJUSTMENT
COST COST INCREASE / (DECREASE): $ -(4,414.56)
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 ❑ 109.05(b) Force Account ❑ 109.05.02 Delay.Cbsts
PROPOSED COST CHANGE INCLUDES: ❑ Labor ❑ Material ❑' Equipment ❑ Lease Agreement ® Subcontractor
TIME ADJUSTMENT INCREASE / (DECREASE): (work days) 0
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
❑ 108.08(a) Excusable, Non-Compensable 9 108.08{b}- Excusable, Compensable
NOTE:. !f Compensable, attach details based on 309.05.2(a) allowable Delay Costs.
SUPPLEMENTAL INFORMATION
Aririifinnnl infnrmatinn mau hp PntQrari hu the irnntrartnr_
CHANGE ORDER ORIGINATION:
❑ INDOT/ LPA ® Contractor
DOCUMENTS AFFECTED:
❑ Contract Specifications (ref. doc name/no.)
N/A
❑ Contract Plans (ref. doc name/no.)
N/A
CHANGE ORDER AFFECTS DBE PARTICIPATION:
❑ -yes ® no (if yes, attach details)
Ver. ''1 0.23.'17
CHANGE ORDER REQUEST FORM
CONTRACT NO-. R-37463-B
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
ADDITIONAL DETAIL [Select Date] ADDITIONAL DETAIL [Select Date]
DETAILED DESCRIPTION / JUSTIFICATION:
(Include-location(s),- actions of contractor, owner, and other stakeholders, key,events and related cause(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.)
OWNER REQUESTED- CREDIT FOR FIRST TWO LOADS OF ASPHALT MATERIAL THAT WERE DELIVERED AND
USED ON 12/6/19 & 12/12/19 THAT CERTS WERE NOT ON THE TRUCKS,
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.)
-OWNER REQUESTED CREDIT FOR FIRST TWO LOADS, OF ASPHALT MATERIAL.THAT WERE- DELIVERED AND
USED IN LAYING OF BRICK PAVERS ON THOSE DATES THAT -THE MATERIAL CERTS WERE NOT ON THE
TRUCKS. AS REQUIRED. BY INDOT. THE AGREEMENT -IS THAT PAVER S STAY'INPLACE AND, OWNER. GETS
CREDIT FOR MATERIAL COSTS OF THE TWO LOADS' USED.
.SIGNATURES
Contractor: r
S ITT A. H ESTFR,
Name: (print)
r
(signature) Date:
05/01/19
Project Engineer/Supervisor: (signoture is to acknowledge receipt of the document and does not signify agreement of the change order)
Name: (print) Christopher Miller
pg. 2
CHANGE ORDER REQUEST FORM
(signature) _� oigitatly signed by Chris K11er Date • 5 / 1 / 19
1 . ON: cn'hris Miller o ou email=chr[LrnUleroucin corn, c=1J5
i
sDate. 2019.05.01 16:43:26.84W
.NOTE.- The Contractor and PE/S should retain a signed copy of this document for record.
'CONTRACT NO. R-37463-B
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste- a unit price item detail.
DECORATIVE PAVING CREDIT
1 LUMP SUM- ($4,414.56)
DEFERENCE HARDING MATERIAL INVOICES TO DECORATIVE PAVING (TICKETS BEHIND. INVOICES)
#26154 DATED 1216/18 $2,264,63
#26272 DATED 12112/18 $21149.93
A�• 3
Milestone Contractors, L.P.
.
Extra 1Nork Pricing
Summa _
Project No:
184003
Date Requested:
TO
Date, Submitted.-
5/112019.
INDDT R-37463-B BIKEIPED ENHANCE
Description of Work:
DECORATIVE PAVING (CREDIT FOR ASPHALT PROVIDED 1216 & 12114-
Reason for'Extra Work:
INDOT REQUESTED
Has- Work Already Been Completed? YES
When: 6-Dec-18 THROUGH
1 2-Dec-18 -
MCLP Project- No.
184003 Cost Activity Code: 184003
Item:
Quantity: 'I Units
LS.
Labor:
Cost = $0.00 Markup %
a% S - Total
$
Equipment.-
Cost $0.00 Markup %
4°/fl S. - Total
$ _
Materials:
Cost $0.00 Markup %
. o°I0 S - Total
$ -
Subcontract:
Cost $ (4,414.56) 'markup l
o% S -
Markup %.
a 0 S Total
$ (4 941.4.56 )
Trucking:
Cost = $ - Markup %
00 S -
$ _
$ (41414:56)
S -
$ (43414.56)
Insurance & Bond
Cost = $ - Markup %
(r/o S - Total
Total
$ (4,414.56)
Unit Price
1 LS
-$ (49414.5
Extra Days Requested
.f-R .. _ .. .... ..,z-c +'..ti _.w•.. �- .«.
0.0
�. .. •+.- - --. ..-.4„x. • �- _ _� -. -y. _. .. e -__.-
-• -_. - -__ ��-..�_.. v,.�-,�..: »r ._ r.—wr-.+....-n+.e
-
rue^.- �.Y _.-...� ....-...
'184003 R 37463. B ' DECORATIVE HARD03 CREDIT
ECORATIVE
PAN71NG CO
39 Glendale Milford Rd'.
Loveland', OH 45140
Nmo
To.: Milestone Attn Dot Schlegel
8,24 Dillon. Drive Date, 511I19
Richmond, IN. 47374 Project: R-37463 Bike/Ped
Amended Agreement — Purchase Orders as Follows:
RFC 9 -
Value
Mates
1
($49414-.56)
Credit for Sand Mix AS'phalt provided by Larding on-12/6 &
121120
This change order becomes an integral part of the subcontract -purchase order?_ all other terms,
cvnditinns� and stipulations remaining in fiill force and effect and applying. hereto.
Please sign & return for: our records.
Decorative Paving Coi pang: -mile ne:
(Authorized signature) (Authorized signature -- title)
Schlegel, Dot
From: Bryant -Spider <Bryant@DecorativePaving.com>
Sent: Wednesday; May 01, 20191:33 PM
To: Schlegel, Dot
Subject: EEXTERNAL] RE: 184003 R-37463-B Bike/Ped Enhance J DECORATIVE PAVING J Harding
Matl Certs
Attachments:. Harding Invoice #26154.pdf;'Harding-Invoice #26,272.pdf
****Warning: This is an external email.****
Dot,
Here are the two invoices for the asphalt provided from Harding.far Richmond on 12/6 & 12/12. Total Credit
would be $4,414.56
Also do you have the inspectors contact information for this job, the one who will be out measuring completed work
each -day. When we remobilize we would like this inspector to measure the end of each day -with our foreman or
superintendent to ensure accurate measurements so we do not have the quantity discrepancies we -have now. Also -on
previous INDOT projects the inspectors have provided a detailed drawing and report identifying their measurements for
each item and area they pertain to. Does United provide this?
Thanks,
Bryant Snider
Project Manager / Estimator
Decorative- Paving-CompanV
513-576-1222 (Office) EXT: 9006
513-680-6182 (Mobile)
513-716-9006, (Direct)
From: Schlegel, Dot <Dot.Schlegei@milestonelp.com>
Sent: Wednesday, May 1, 201912:53 PM
To: Kevin Piers <Kevin@DecorativePaving.com�; Bryant Snider <Bryant@ Deco rativePaving.com>
Subject: FW: 184003 R-37463-B.Bike/Ped Enhance / DECORATIVE PAVING / Harding Matl Certs
Kevin,
Still need the credit as discussed at meeting. You were going to work on it and get it to me along. with copies of the
invoices from Harding for the couple of loads of material etc etc. Send to me as soon as you can as' 1 need to submit
request for change order covering the credit. Thank you.
dot
From: Schlegel, Dot
.Sent: Wednesday, April 17, 2019 2:10 PM.
To: Bill Stanley <BiII.Stanley@ucindy.com>; Greg Stiens (gstiens@richmondindiana.goy)
<gstiens@nchmondindiana.gov>; Jester, Wayne <Wayne.lester@milestonelp.com>; 'Michael Prather'
-5mprather@indot.in.gov>
Subject: RE: 184003 R-37463-8 Bike/Ped Enhance / DECORATIVE PAVING / Harding Matl Certs
Jr
H-ARDING NIATERIALS INC.
10 151 Flag�rL Road
INVOICE
Indiapapolis;-.Indiana. 46- 56
26154
I-844-FIARDING
Fax: (317) 570-=1317
INVOICE DATE
I-lardin4Group.conf
1 ?f61?41 S
BILL TO:
SHW TO:
DEC200
DECORATIVE PAVIiNG
39 GLENDALI-MILFORD RD
LOVELAND, OFI 45140
(513) 259-9966.
ORDER DATE: l ?I6I?015
TERMS: Net 0
TAX JUR.IS: EX
6-Dec
r ITEM 9 ORDERED SHIPPED
DESCRIPTION
[SNIT EXT.
PRICK
120ON 20:93TN 20.93TN
SAND 1%v1IX,1200,
108.20 2-264.63
VIRGIi-N LIQUID;
DOT
-Sales Tax Deposit Total
r� FINAIcr: 01ARGE o[=_ [ "20 IT ��r�ti�` 1I PERIODIC BATE. WHICH Is AN ANNUAL PLEASE REMIT 1,0151 HAGDE
-1ZATE. 01= 18% WILL.13E INCURRED ON ALL PAST MI: AMOUNTS. CUSTOINIER.SHAL-I. TO` ROAD
BE LIABLE 1-bR ALL. C:US'IS OF CQLI.ECTION r1tD ATTORNEY FEES 1NCUIZIZE[) 13Y
-I'l.AIZDING ,*vlA'I'El�IAI,5, INC'I'O EN,I'Q1iL"-'FI.IE,ri:.iiti.ISQF-COLLEC1'i0N: I I'AYI Ci [3Y INDIANAPOLIS.
CREDIT CARD A Y% I'.ROCI:SSING I'I:L WILL BE ADDED TO 1TIE TUr AL X ol.IN 1' IN 46256
BEING PAID X171'VNIL 01' PAYANIF.Nl'.
mate
I n,d i Hac
apolas
(31 7) 8�
Dat-��OG/a18 �- ��_ �
Time: 07:05
X** Silo 1 Loadout
CuStomer: DEC20
C
Decorative Paving
g Co.
550 Conover Drive
Franklin , OH 45005
937-740-6666
CO-rri er. Pen
Pendleton Trucking
Truck: Pen317
License:
Product: 120ON
Sand Mix
ia
:
lilv) Loads:
-Date) Loads:
20.
20.
32-76
TN
65520
lb
29.72
11.83
TN
23660
lb
10-73
20.93
TN
41860
lb
18.99
Received By:
Weighmaster: NEIL
HARDING MATERIALS.INC.
10 15 1 Flaollc Rocid INVOICE #
Indianapolis. Indiana 46256' 2627
1-844-I-IARDING
I"ax; �J 1 i} �7U-=I 17 INVOICE�DATE
1-1al-d i n oG rollp.colii 12/ 12/2018
BILL TO: SHIIII- TO:
D EC200
DECORATIVE PAVING
39 GLENDALE-MILFORD RD.
LOVELAND, OH 45140.
(S l 3) 289-9966
C7RDER. DATE: 1?f 1 ?f I S TERMS: Net 0 TAX JURIS: EX
17fd
Rlchn]Dnd
CDC
ITEM ORDERED SHIPPED DESCRIPTION UNIT EXT.
PRICE
120ON 19.87TN 19.87TN SAND iVIIX,1 ?III, 148.20 2,149.93
VIRGIN LIQUID.
DOT
Sales
.,149.93
Taff
0.00
Deposit
00
Total
?. i = 9. "
A FINANCE CIIARGE OF I ""90 I'ER &MOON-1-1 I PERZIOVIC RM'F. WIII(..H IS AN ANNUAI_ PLEASE_ REyIIT 10151' 1-IAGUE
RATI: GF i S%.��' IL[_ BE' INCURRED WALL PAS"f DUE A&IOUN'i�S. CIIS'1'Oti-IEII SHALL TO: ROA ❑
BE LIABLE FAR ALL COSTS OF COLLECTION :1 D 111"i'o[ I'Y PEES INCURRED BY
I IAft DING XIATI RIAI_S, INC. 'I*O 1:NFORE 'FI 11: 'CI:It%.IS 01- C01-1,ECTION. 11: I'AYlNG BY IitiDIANAPOLIS.
CREDIT CART] A 3% PROCESSING FE . WILL 131 AI]l]I !] 'I"[� '!'[!I: '!'[]'I'rLI_ ��1lt]L�ti'I" IN 46256
BEING PAID OF PAYNIENT,
Hard 'n9 Materials, Inc,
1015, Hague Road
an a p o 1 i s IN 4625E.
(31-7) 84E;--7401
O t 3 1 7) 8 4__.g - � 6 6-6 -----
Date: 12/12/18.-- ticket #: N37532�t
Time: 07:41 Plant: 100
**K Silo 1 Loadout ***
Customer: DEC200
Decorative Paving Co.
550 Conover Drive
Franklin OH 45005
937-746-6666
Product:
Sand Mix
JMF:
(Daily)
(To -Date)
Pen
Trucking
Pen317
120ON
Loads: 1
Loads: �2
Job: 12/6
Richmond
P's 0', #:
Phase: 1
Crew:
..t.
Amount:
19.87
TN
A8qO3
Mg
AmOUnt:
40.80
TN
37&01
Mg
31.79
TN
63580
lb
28.84
Mg
11e92
TN
23840
lb
10*81
Mg
19087
TN
39740
lb
18*03
Mg