HomeMy Public PortalAboutChange Order No. 8 to Contract No. 62-2020 - Butler Fairman & Seufert - Professional Services - Whitewater Gorge Connector Trail - INDOT - R-41306 a
Contract No:R-41306 Change Order No.: 008
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.: 008 EWA: N or Force Acct: N
Date Generated: 11/03/2021 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Added Erosion Control Blanket
Original Contract Amount $ 1,388,682.00
Current Change Order Amount $ 11,148.32 Percent: 0.803 %
Total Previous Approved Changes $ 104,455.80 Percent: 7.522 %
Total Change To-Date $ 115,604.12 Percent: 8.325 %
Modified Contract Amount $ 1,504,286.12
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
Contract No:R-41306 Change Order No.: 008
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 I 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:
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Contract No:R-41306. INDIANA Date:11/0g/2021
Change Order No,:0.08 Department of Transportation Page: 3
Contract R-41306
Project: 1702760:-State:170276.000LC8
Change Order Nbr: 008 •
Change Order Description: Added Erosion Control Blanket
Reason Code: CHANGED•COND,'Constructebility Related
CLN PCN PLN t tifi
0033 1702780 *0033 621-02770 SYS 1.650. 675S.860. Amount:$ 11,148.32
item-besmiption.:EROSION CONTROL BLANKET
Supplemental PescripifionI: . •
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Supplemental beScription2:
TotalValue•for Change Order 008=.$11148.32
Whereas,the Standard:apecificatiens-ferthis.contraaprovideS farettch work to be performed,the following Change is recommended.
General or Standard Change.Order Etplanatioii
.The city Wanted ta make sure seed was held in place-and erasion did,notoccur on.the.project.Much.oftbe.areas an this Oontract had slopes at
or near 2 to 1 and the added erosion control blanket was to.onsure protection of seed du ringgerniination periods No contract time extension is
warrented.by.this Change order.
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Change Order Explanation for•Specific tine Item
It'sine:intent:0 the parties that this change.orderis full and complete cdmpensation for.thework describe above.
Notification and consentio.this change otter isthereby.acknowledged, •
United Construction Services, LLC
Contractor. SignertBy:
Dte: 11/11/2021
• ,..**16.,..4414114***10.4.431ninfn Niteldnirink**AVIIII*11,1t1H,....**".11,11".t,......-14.1****.
NOTE:Other required.State and FHWA signatures will heobtained electronically through the SiteManager system.
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Contract No:R -41306 INDIANA Date:11/09/2021
Change Order No:008 Department of Transportation Page: 4
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status