HomeMy Public PortalAboutChange Order No. 7 to Contract No. 62-2020 - Butler Fairman & Seufert - Professional Services - Whitewater Gorge Connector Trail - INDOT - R-41306 P
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Contract No:R-41306 Change Order No.: 007
INDIANA Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R-41306 Letting Date:11/10/2020
District:GREENFIELD DISTRICT AE:Prather, Michael PE/S:Whitesel, Chad Status:Draft
Change Order Information Change Order No.: 007 EWA: Y or Force Acct: N
Date Generated: 11/03/2021 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Slope Seed Mix
Original Contract Amount $ 1,388,682.00
Current Change Order Amount $3,463.02 Percent: 0.249 %
Total Previous Approved Changes $ 104,455.80 Percent: 7.522
Total Change To-Date $ 107,918.82 Percent: 7.771 %
Modified Contract Amount $ 1,496,600.82
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
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Contract No:R-41306 Change Order No.: 007
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE: DCE: SCE: * DDCM: *
($ per Change Order) (- 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? Y/N If Y, by Date Issued
Total Change To-Date>5%? Y/N If Y , Copy to Program Budget Manager
Scope/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
If N,Resolution: Approved Disapproved
Resolved by Date
LPA Signatures Required? Y/N If Y, Date to LPA Date Returned
FHWA Signatures Required? Y/N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R-4.1.306 INDIANA Date:11110021
Change.Order No:007 Department of:Transportation Page:3
Contract:: R-41306
Project: 1702760-State:i70276000LC3
Change Order Nbr: 007
Change Order Description: Slope Seed MO(
Reason Code: CHANGED COND,.Constructahility.Related
CLN PEN: PLN Item Code Unit Unit Price CO:Qty• Comment Amount Change
0054 1702760. 0054 .621-04258 LBS 66000 52.470 C Amourit$ 3,46.3.02.
Item Oescription:•.SEED.MIXTURE
Supplemental Descriptiont.Stripe.Stabilizing Seed Mixture:
Supplemental.Description2:
Total Value ftir Change Order 007=4.3,463:02
Whereas,theStandard Specifications for this contract provides for such Workto bperfbrthed,the following change is.recommended:
General or Standard Change Order Explanation •
This change orderis necessary per the City of RIchmoncisrequest to use•a•slope StabiliatiOn seed mixture In place of the Type Reeed mixture.
City of Richmond expressed concerns that could be difficult err the slope betWede•thaneWretaining:Well and existing ground.They
requested recommendations for Vegetative cotter thatWOuld net require mowing After reviewing ciPtione,the slopestabilizatibrreeed mix will be
added to the&oared-as CLN.0054 PIN.0054 Seed Mtge,Slope Seed'MixtUre.Ncitime iC hbedfor this change order.
ChangeOrder Explanation for Specific:LIne Item
.1.4.1r4-14.441.14*.lifei-kielrfrint***1.10.******.ttir**10,irk ii***.***1.1 ttitir.4.1.4.....444*********.inye*gra-
It is the interitqf the parties that this change order is full and complete compensation for triewpric describe above.
Notification.and conSent to this change order is hereby acknowledged.
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Contractor: United Construction Services, LLC •
Signed:By:
Date: 11/10/2021
NOTE:Other required State and FHWA signatures will be obtained plectronically:thrciugh the.SiteMatiager system.
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Contract No:R-41306 INDIANA Date:11/10/2021
Change Order No:007 Department of Transportation Page: 4
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/f/ APPROVED FOR LOCAL PUBLIC AGENCY
h;Ie er li-/S-2/
(SI NATUR ) (TITLE) (DATE)
(SIG T ) (TITLE) {1/ (DATE)
SUBMITTED FOR CONSIDERATION
PE/S
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status _d_�__.�