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Home My Public Portal AboutChange Order No. 1 to Contract No. 111--2021 - Engineering - RP&L - Utility Reimbusement agreement for the Complete Street Loop Project (#R-41309) Contract No:R -41309 Change Order NO. UN0iANA Department mfTransportation : 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -415O9 Letting Date:11/15/2O23 OiStri[t:GREENF|ELDO|8TF||CT AE'PnsUler. K4iChGe| PE/G:TrVeb|OOd. Ka|eb t8tuo:Dngft Change Order Information Change Order No.: O01 EVVA: Yor Force Aoct: N Date Generated: O4/O3/2O24 Date Approved: O0/OO/0OOO Reason Code: CHANGED C{)NO' Utility Related Description: Temporary Ligliting - Main Street Closure Original Contract Amount $ 4.74O.00O.00 Current Change Order Amount $ 31.651.08 Percent: O.607Y6 Total Previous Approved Changes SU.00 Percent: O.00OY6 Total Change To-Date $ 31'051.08 Percent: O.O57 % Modified Contract Amount $ 4.77S`551.Q8 Time Extension Information � � Date Initiated 00/00/0000 Date Completed 00/00/0000 Original Contract Time SS Completion Date 80/00/0000 or SS Ca|endar8Nnrk Days O SP Date OO/OO/OOOO nrSPDays � (SS = Standard Specification, 8P = Special Provision) Time Element Description: � Current Time Extension 88 Days OSP Days SP Days Value $ 0.00 Previous Time Approved SS Days byAE:__ _ DCE:__ GCE: [)[)CM SS Days _ _ OP Days Value $ Revised Contract Time SS Completion OateOO/0O/O0OO or SS Calendar/Work Oa O 38 Date OO/0O/00OO OrSP Days O � � � � Contract No:R -41309 Change Order NO. UNOIANA Department mfTransportationPage: 2 Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority AE: _ [)CE: SCE: ° DO{}K8- /$ pSrCh8ngeOrder\ /- LE $ 250K-) /' LE $ 750K ' ) / — LEG2M — \ / — GT $ 2 — \ (Days per Contract) ( 5O3S days \ ( 1OU8S days \ / 2OOGS Days \ / GT2OOS days) Verbal Approval Required? Y / N If Y, by _ Date |SSU8d _ Total Change T8-Date>5%? Y / N |fY . Copy tO Program Budget Manager Scope/Design Recommendation Y / N If Y, Referred to Project Manager(PM) Required? Date to PM Date Returned AppFOV8| Authority Concurs with PM? Y / N If Y, COOCU[r8DCe by_ Date— If N,Resolution: Approved _ Disapproved Resolved by Date LPA Signatures Required? Y / N If Y, Date to LPA. _ __ Date Returned FHVVA Signatures Required? Y/ N If Y, Dote to FHVVA. Date Returned, � Field Engineer Recommendation (Required for SCE or []QCK4Approval) Field Engineer _ Date __ � Comments: � � � � Contract No:R -41309 INDIANA Date:04/03/2024 Change Order No:001 Department of Transportation Page: 3 Contract: R -41309 Project: 1702769 - State:1702769 Change Order Nbr: 001 Change Order Description: Temporary Lighting - Main Street Closure Reason Code: CHANGED COND, Utility Related CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change 0165 1702769 0166 801-03621 LS 31,651.080 1.000 C Amount:$ 31,651.08 Item Description:TEMPORARY ILLUMINATION Supplemental Description1: Supplemental Description2: Total Value for Change Order 001 =$31,651.08 Whereas,the Standard Specifications for this contract provides for such work to be performed,the following change is recomrnended. General or Standard Change Order Explanation A contract time adjustment is not required for this change. General or Standard Change Order Explanation This change order is being generated to add temporary illumination to this contract,Temporary illumination will consist of utilizing temporary light plants to provide light at night for pedestrian traffic for residents who live of Main St.Temporary lighting for Main St. is being added to the contract at the City of Richmonds request and will be paid for utilizing 100 percent local funds. Change Order Explanation for Specific Line Item .1....,,k1k.*111,0r..*****“•1,*”..***/..“.*11,1.”,,,,..,*“.11.**11*.*"*“,..Ir ich.***1"•",,,,!•..**”*."..."*.111,4*"*“•*. 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, picfiTaity skxlecl by Br rtley Jk Britley Jack,°;,. E.trItioyArmlontonelp c,orn jica,,C,..koractors,L.P Contractor: Milestone Contractors, L.P. Signed By: paw 2024 04,0i107 09 50 04°00° Date: 004/09/2024 *".**•11**•••••.*****41,1•1r."..!...******1.4“...11",..t.•“•***,..",*"i..******"*.****“*Ie***.1***"*.*****“..*41*".*** NOTE:Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract No:R -41309 INDIANA Date:04/03/2024 Change Order No:001 Department of Transportation Page: 4 APPROVED FOR LOCAL PUBLIC AGENCY 1,1 -IT, 7 ai (S GNATURE) (TI TLE 427 4/... (DATE) two /1):b41 010_ //: • (TITLE) (DATE) /17 h te, .** 4 44.*****.***..***.******************.*..****..***„.**.4445,-,**- **„„,47* * 'V/ hy/ SUBMITTED FOR CONSIDERATION PE / 4,4-6 /S APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status. • ° • • CONTRACT NO. R-41309 DATE OF SUBMISSION April3, 2024 PROJECT DESCRIPTION Bike and Pedestrian Facilities on Main St., Ft. Wayne Ave., & N E St. in the town of Richmond (route/intersection/bridge no(s).) CHANGE ORDER REQUEST SUMMARY Temporary Lighting for Main Street Closure—needed for pedestri n access DESCRIPTION to business and apartments. PROPOSED SOLUTION SUM A RY Add item for temp. illumination to contract NOTE: Upon request from Engineer, enter detailed description on page.1 ONSET DATE OF CHANGE April 3, 2024 CHANGE ORDER TYPE 104,03 Extra VV .rk PROPOSED COST A D T1 E ADJUST E T COST INCRE (DECREASE): $ 31651.08 The cost adjustment shall include lump sum and/or 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: CD 109.03 Altered Quantities El 109.05(a)Agreed Price LI 109.05(b) Force Account L] 109.05.02 Dlay Costs PROPOSED COST CHANGE INCLUDES: X Labor ri Material El Equipment 0 Lease Agreement [1 Subcontractor TIME ADJUSTMENT INCREASE/(DECREASE): (work days) 0 CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: 0 108.08(a) Excusable, Non-Compensable 0 108.08(b) Excusable, Compensable NOTE:If Campensable, attach details based on 109.05.2(a)Allowable Delay Costs. SUPPLE ENTAL INFORMATION Additional information. CHANGE ORDER ORIGINATION INDOT IPA 0 Contractor DOCUMENTS AFFECTED: None 0 Contract Specifications(ref.doc name/no.) Click here to enter text 0 Contract Plans(ref.doc name/no.) Click here to enter text re. CHANGE ORDER AFFECTS DBE PARTICIPATION: D yes Cittl no (if yes,attach details) Ver. 10,18 18 CHANGE ORDER REQUEST FORM CONTRACT NO. R-41309 UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF [Select Date] [Select Date] ADDITIONAL DETAIL ADDITIONAL DETAIL 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.) Click here to enter text. 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.) Click here to enter text. L., SIGNATURE Contractor: Name: (print) Milestone Contractors, L.P. (signature) Britley Jack 01.4,04007104].. Date: 04/09/2024 NOTE: The Contractor should retain a signed copy of this document for record. pg. 2 , CHANGE ORDER REQUEST CONTRACT NO. R41309 ATTACHMENT: UNIT PRE ITEMS DETAIL Attach or paste a unit price item detail, 1 I P i 1 I 9 i S, 3 NUM LABOR HOURS RATE AMOUNT EQUIPMENT HOURS RATE AMOUNT Regular Time Hours 1 PAVER 0 HOURS@ $0 00 PER/HR $0.00 1 FOREMAN 60 HOURB@ $69.27 PER HR $4,156.20 ROLLER 0 HOURS@ $0.00 PER/HR $0.00 1 OPERATOR 0 HOUR 1) $0.00 PER HR $0.00 SM DOZER 0 HOURS@ $0,00 PER/HR $0.00 1 LABORER 0 HOURS-frO $0.00 PER HR $0,00 GRADER 0 HOURS@ $0.00 PER/HR. $000 1 SCREEDMAN 0 HOUR$0), $0.00 PER HR $0.00 CURB MACH 0 HOURS@ $0.00 PER/HR $0.00 1 FINISHER 0 HOURS$$ $0.00 PER HR $0.00 PICK,UP 120 HOURS@ $30.00 PER/HR $3,60000 1 COMBO MAN 0 HOURS@ $0,00 PER HR $0.00 WAT"TRUCK 0 HOURS@ $0.00 PER/HR $0.00 1 TEAMSTER DIS 0 HOURS@ $0,00 PER HR $0,00 DIST TRUCK 0 HOURS@ $0.00 PER/HR $ao() 1 TEAMSTER LOWBOY 0 HOURS $0.00 PER TIR $0,00 LOADER 0 HOURS@ $0.00 PER/HR $0 00 1 CARPENTER 0 HouRsg $0.00 PER HR $0 00 EXCAVATOR 0 ilOURS(4). $0.00 PER HR $0.00 '1 MECHANIC 0 HOURS5I) $0.00 PER HP $0.00 BROOM 0 HOURS@ $0.00 PER/HR $0.00 1 QA 0 HOURS@ $0.00 PER HR $0.00 BK-HOE 0 HOURS@ $0.00 PER/HR $0,00 1 Other 0 HOURS@ $0 00 PER HP $0.00 SKIDS IF 0 HOURS@ $0.00 PER/HR • $0 00 1 Other 0 HOURS@ $0.00 PER HR $0.00 0 HOLIRsg $0.00 PER/HR $0.00 1 Other 0 HOURS@ $0.00 PEP tli $0.00 0 mouRsg $0.00 PER FIR $0.00 1 Other 0 HOURS/b $0.00 PEER HR $0.00 0 HOURS@ $0,00 PER/HR $0.00 0 HOURS@ $0.00 PER/HR $0.00 Overtime Hours 0 HOURS@ $0.00 PER/HR $0.00 1 FOREMAN 60 HOURS@ $96.96 PER HR $5,617,87 0 HOURS@ $0.00 PER/HR $0.00 1 OPERATOR 0 HOURS@ $0.00 PER HR $0.00 0 HOURS@ $0.00 PER/HR $0.00 1 LABORER' 0 HOURS$1 $0.00 PER HR $0,00 0 hiounsg s0 00 PER/HR $0.00 1 SCREEDMAN 0 HOURS@ $0.00 PER HR $0.00 LOWBOY 0 HOURS@ $0.00 PER/HR . $0,00 1 FINISHER 0 HOURS/cr $0.00 PER HR $0.00 1 COMBO MAN 0 HOURS@ $0,00 PER HR $0.00 TOTAL EQUIPMENT $3,600.00 1 TEAMSTER DIS 0 HOURS@ $0.00 PER HR $0.00 UNIT EQUIP COOT 3600,00 1 TEAMSTER LOWBOY 0 HOURS@ $0.00 PER HR $0 00 EQUIPMENT MARKUP 12% $432 00 1 CARPENTER 0 HOURS@ $0 00 PER HR $0.00 TOTAL EQUIPMENT WITH MARKUP , $4,032,00 1 MECHANIC 0 HOUR1;(41 $0.00 PER HR $0.00 - 1 QA 0 HOURS4 Sary.) PER HR $0.00 SUPPLIES AMOUNT 1 Other 0 HOURS@ $0.00 PER HR $0.00 LIGHT PLAN 2 UNITS@ $2,147.24 EACH $4,294.48 1 Other 0 HOURS@ $0.00 PER HR $0.00 FUEL 2400 GAL@ $4,00 EACH $9„600,00 1 Other 0 HOURS@ $0.00 PER HR $0,00 0 UNITS@ $0 00 EACH ' $0.00 1 Other 0 HOUR 0/Fv $0 00 PIE)HR $0,00 TOTAL SUPPLY COST $13,.854,48 TOTAL LABOR $9,974.07 UNIT SUPPLY COST 13894 48 UNIT COST LABOR 9974.07 SUPPLY MARKUP 12% $1,667.3.4 MARKUP ON LABOR 20% $1,994.81 'Turk..SUPPLIES WITH MARKUP $15561,82 TOTAL LABOR WITH MARKUP $11,968.88 SUBCONTRACT MATERIAL TYPE QUANTITY UN IT COST AMOUNT 0 UNITS)1) $0.00 $0.00 AGGREGATE 0 TONS@ $0,00 $0.00 0 UNITS at $0 00 $0,00 HAC 0 TONS@ $0,00 $0.00 C UNITS/Oh) $0 00 $0,00 HAC 0 TONS@ $0,00 $0,00 PRIME 0 GALL§ $0,00 $0,00 TOTAL suBcoNTRACT COST 5.0,00 TACK 0 GAL@ $0.00 $0.00 UNIT SUBCONTRACT COST' 0.00 MISC 0 CY@ $0.00 $0.00 SUBCONTRACT MARKUP 7% $0,00 MISC 0 GAL@ $0.00 $0.00 TOTAL SUBCONTRACT WITH MARKUP $0,00 MISC 0 EA@ $0.00 $0.00 ...Q..., MISC 0 $0 GO $0.00 TOTAL MATERIAL COST $0.00 UNIT MATERIAL COST 0.00 MATERIAL MARKUP 12% $0 00 ====== "========= TOTAL MATERIAL WITH MARKUP $0 GO TOT'AL PRICE OF ALL[IF MS WITHOUT BOND $31,562.70 „... UNIT PRICE OF ALL ITEMS WITHOUT BOND $31,562.70 HAUL TONS LOADS HOURS RATE AMOUNT 0 0 0 $0.00 $0.00 0 0 0 $0,00 $0.00 ADDWONAL BOND&INSURANCE $78,91 0 0 0 $0.00 $0.00 BOND&INSURANCE MARK UP $9.47 DAYS TRUCKS HOURS RATE 0 0 0 $0,00 $0.00 TOTAL PRICE WITH BOND $31,651,08 0 0 0 $0.00 $0.00 ur,Irr PRICE WIITH Eiorqu $.3 1,651 01) TOTAL HAUL uNrr COST HAUL 0.00 $0.00 UNIT BID PRICE $31,651.08 TOTAL $31,65108 TRUCKING MARKUP 12 11//t $0 00 -_,.. TOTAL TRUCKING WITH MARKUP $0.00 -- ITEM NAME LIGHT PLANTS&MAINTENANCE BID ITEM QUANTITY 1.00 LS ITEM NO 99950.802 R-41309-A RICHMOND BIKE&PED FACILITIES ADDITIONAL DAYS REQUESTED 0 04/03/2024 2:06:06 PM 4791 NATIONAL ROAD EAST RICHMOND, IN 47374 [ [ 'YftfacAllister CAT 765-966-0626 "fiora41//iSter CTRental MacAllister Rentals Contract No. Date 5767485 01APR2024 Page COPY QUOTE 8: 53 AM Date out Date In 4750510 09APR2024 8:00 AM MI LESTONE CONTRACTORS LP ATTN A/P 1500 Job Number Purchase Order PO BOX 421459 1 - JOB 234033 RI CHM QUOTE INDIANAPOLIS, IN 46242 Jdo ticn Ordered by Phone: E MAIN ST, RICHMOND BRITLEY Fax: 317-788-6925 WYNJACOBT 000085 Oty Equipment # MI n Day Week 4 Week Amount 1 4000-5000 WATT 30' LIGHT TOWE 110. 00 110. OC) 315. 00 525. 00 525. 00 0654000 RATES SHOWN ARE FOR SI NGLE SHIFT USE. DOUBLE SHI E I AND TRI PLE SHI WI LI. BE HI LLED AT ADC!TI COAL CHARGES. — - SALES ITEMS: Oty Item number . Unit Price 1 I NEX EA 11, 81 3 81 RENTAL EXCI SE: TAX ...„ Sub-total 536, 81 Exempt Total 536. 81 IMPORTANT! Please note and acknowledge safety instruction by initialing here: By h sJfi Is I al,L. ssee will provide All safety accessones as required,per safety instructions.Initial here: PAYMENT: Net-30 days from invoice date unless otherwise specified herein.A service charge will apply to all past due accounts. RENTAL EQUIPMENT PROTECTION PLAN("REP"): Lessee will purchase PEP(terms at www.macallister.corn/rep and incorporated here,in by reference)if Lesse,e fails to obtain nsurance coverage and provide MacAllister with proof of such coverage or if such insurance contains coverage amounts that are inadequate to cover the Equipment at any time. TERMS AND CONDITIONS:The rental agreement terms and conditions found at www.macallister.comirentalterms("Rental Terms')are incorporated herein by this reference and apply to your rental of Equipment from or provision of Services by MacAllister(as defined ddl the Rental Terms).Please rc.,ad carefully,This agreement includes an indemnification clause,a juri waiver,.warranty disclaimers,.and limitations of MacAllister's liability.By accepting delivery of or using the Equipment or Services or making payment(s)to MacAllster for the same,Les&,,e agree to be bound by the Rental Terms and REP Terms,even if this Nntal Out form has not been fully executed. ACCEPTED BY CUSTOMER Fildd 410 E flL,cdd 20)