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Home My Public Portal AboutChange Order No. 1 to Contract No. 138-2023 - Clark Dietz - Complete Streets Loop Project ' . . Contract No:R -41309 Change Order NQ.., OO1 MNOUAYAA Department ofTransportation Page- 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -413O8 Letting Daba:11/15/2O23 District:GREEN F|ELO DISTRICT AE'Prather, Michael PE/G:Trueb|nod, Ke|eb St8tus:Dneft Change Order Information Change Order No., OO1 EVVA: Yor Force Anct: N Date Generated: 04103/2024 Date Approved: 00/00/0000 Reason Code: CHANGEDCDND. Utility Related Description: Temporary Lighting ' Main Street Closure Original Contract Amount $ 4.74O.000.00 Current Change Order Amount $ 31.551�0O Percent: O.607 % Total Previous Approved Changes $ 0.00 Percent: O.0O0 % Total Change To-Date $ 31.651.08 Percent: 0.O67 % Modified Contract Amount $ 4.77S.O51,OO Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Original Contract Time GG Completion Date 00/00/0000 or SS Calendar/Work Days OP Date OO/OO/0000 orSPDays (SS = Standard Specification, 8P = Special Provision) Time Element Description: Current Time Extension G3 O8y3 O 8P Days O GP Days Value $ 0.00 Previous Time Approved 85 Days byAE: DCE: _SCE: __DOCK4: SS Days_ _ SP Days Value $ Revised Contract Time 88 Completion Date OO/0O/O0OOorSS Calendar/Work Days 0 S5 Date OO/O0/0000 orOP Days O ' Contract No:R -41309 Change Order No.* OO1 INO|ANA Department ofTransportation Page: 2 ConmtruoZon Change Order and Time Extension Summary Review and Approval Information Required Approval Authority AE: DCE: SCE: ° OUCM: ° U$ per Change Order) /' LES25QK'\ /' LE $ 750R ' \ / — LE $ 2M — ) / — GT $ 2K4 — ) (Days per Contract) / 5O88 days \ / 1OOSO days \ / 2OOGS Days > ( GT2OO88days) Verbal Approval Required? Y / NIfY' by Date Issued Total Change TO-Oaf8>5%? Y / N If . Copy to PFOgr8rO 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 (fY. Concurrence by Date |fN'ReSO|ution: Approved Disapproved Resolved by _ [)8te__ LPA Signatures Required? Y / N If Y, Date to LPA Date Returned FHVVA Signatures Required? Y / N If Y, Date to FHVVA [}ahs Returned_ * Field Engineer Recommendation (Required for SCE or [)OCMApproval) Field Engineer Date CO0nl8ntS: - - 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 Amountr$ 31,651.08 Item Description:TEMPORARY ILLUMINATION Supplemental Descriptionl: Supplemental Description2: Total Value for Change Order 001 =$3'1,651.08 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 A contract time adjustment is not reqi.ired 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 It is the intent of the parties that this diange order is full and complete compensation for the work describe above. Notification and consent to this chance order is hereby acknowledged. s,gnod by[Mtloy i b‘+114,yr(4rmle'itooclp.or Brtley Jack n, jrea,(,;xustractor-4, , Contractor: Milestone Contractors L.P. Signed By' O 2094 o4 090? 50.(14'00" Date: 004/09/2024 /********“..1,.**144,41******.....*Itt*****k*....."..***..*.***.***•*“...41.0[A.1”1",“ ..**-1,t5ith P,R**.* P** 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 , 7 / (iirl,,f ill I frn il ,I, „.... (S GNATURE) (TITLE) — (DATE) , , ,v40.64.) kiL.V1.1,‘i _ b.„d. g, _ (SlciNk ' y - (TITLE) (DATE) i riif /i, 42 / t V/, SUBMITTED FOR CONSIDERATION /47 PE/S APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status CONTRACT NO. R41309 DATE OF SUBMISSION April 3, 2024 PROJECT DESCRIPTION Bike and Pedestrian Facilities on Main Si, 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 pedestrian access DESCRIPTION to business and apartments. PROPOSED SOLUTION SUMMARY Add item for temp. illumination to contract NOTE:Upon request from Engineer, enter detailed description an page 2, r ONSET DATE OF CHANGE April 3, 2024 CHANGE ORDER TYPE 104k03 Extra Work PROPOSED COSTA D Ti E ADJUST ENT COST COST INCREAS (DECREASE): $ 34651.08 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: 1 109,03 Altered Quantities El 109.05(a)Agreed Price 0 109.05(b) Force Account 0 109,05,02 Delay Costs PROPOSED COST CHANGE INCLUDES: 0 Labor [.... Material El Equipment U Lease Agreement Li Subcontractor I i TIME ADJUSTMENT INCREASE/(DECREASE): (work days) a CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: 108.08(a) Excusable, Non-Compensable 0 108.08(b) Excusable, Compensable NOTE:If Compensable, attach details based on 109.05.2(a)Allowable Delay Costs. SUPPLEMENTAL NFOR ATON Additional information. CHANGE ORDER ORIGINATION; N INDOT LPA 0 Contractor DOCUMENTS AFFECTED: None O Contract Specifications(ref.doc name/no.) Click here te enter lext D Contract Plans(ref.doc name/no.) Ulir.k here to enter teal CHANGE ORDER AFFECTS DBE PARTICIPATION: 0 yes IN no (if yes,attach details) Ver, 101818 CHANGE ORDER REQUEST FORM CONTRACT NO. R-41309 UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL DATE RECEIVED REQUEST FOR 1 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, SIGNATURE Contractor: Name: (print) Milestone Contractors, L.P. gnoct by Brylley Jack (signature) Britley Jack L Date: 04/09/2024 WO 4 GA rI)44 04 GO NOTE: The contractor should retain a signed copy of this document for record. pg. 2 CHANGE ORDER REQUEST FORM CONTRACT NO. R-41309 ATTACHMENT: UNIT PRICE ITEMS DETAIL Attach or paste a unit price item detaiL NUM . LABOR HOURS RATE AMOUNT EQUIPMENT xoms RATE AMOUNT Time Hours ` PAVER oHOm �� pe�ow $n,� 1 FOREMAN � wa� �Rm, r+��o xm�s o ov �.� psmxx �m ,vp'x^/ox o*ouno �w pcxxn $0.00 xemocv o*ouvo@ $000 ,ewx* $O�Gc , waopsa oxou $n00 PER xn $o/m swmsn oxouxx@ $0.00pse�Hn $0�00 ` SCnesoMAN o^oo $000 PER x* $0,00 cuxpMACH o*ou $0,00pswx" $0,0c ` p/wo*sn n000no $0.00 pcvH* $000 pIC^m" ,u/*nu $oao pERJHR $3x�xm 1 COMBO MAN o*oua $oun PER v* $o�� w^ muc^ oxovn^@ �.mpEnma $0.00 `TEAMSTER om ovou*s $0,00 PER a $0.00 n/mrnvo^ vxnuns $000 ps**n $0*0 `TEAMSTER LO*oo, nxoux $n'm psxxp $umo Lo^oce oxouxn o0�00 pcwx* $��00 1 CAR=wrsv oxoun S100 pcxxx $n,GO cxCwwmx o s0,00 ,Enmn $0,00 , MECHANIC 000vx v0.00 PER FIR $0,00 aRoow 000vp,� $0.00 rcemx $o,s `o^ o°ouxs �m PER xn $o�u a�xos unoono@ $o:opsmx, �,� ,ow` n*ovR $0.00 psxx* s0.00 nmusrsee 0^ouvo(9- u0.00 psmwx $0,00 ,m^er oHovn $0.00 PER FIR $o.m o*ou*n vo,nl) pcmxx s0,00 1 Other o*ou*Z@ $0m PER HP $o.m oxooms �,� pEmvx �uo ,m^� �o*ou*� souo PER nn $^�� o xov n0�00pE**x $0.00 oxouws o0�00 ,rR*v $om Overtime Hours oxov^x $o.m rewx* ,00v 1 FOREMAN nn $m�� pEnv= ��,zs n*ovp n0.00 penmv $om `o,sx^rnx o*ouxS muo PER FIR $0,00 oxov°o no,m penmn $o oo ,L^monen onovnZ »ouo PER FIR $0.00 oxounn@ ,owpenmn Som /nCResom^w n,noxp �voo pen** $0.00 Lowuo, vvovnxg $0,00 psnm* nu� ` nwmxce o*ouxw $vnv PER FIR $o»o ---. ------------------------------- _------- _________' `COMBO MAN nxovxs $0.00psn*n onuo TOTAL EQUIPMENT $3,600,00 .TEAMSTER om vxouxmw n0.00 PER FIR oom UNIT EQUIP COST 3onu�ou ,rc^woc*'oWao, o*nupm@ uvou PER xx au.m so s�v/pm ^ w^v^ur ,u% $432n0 ,n^*pewrev oxou^a $:ov PER FIR uo»o TOTAL.EQUIPMENT WITH MARKUP w,032ko , esox^w/C o*ouRa $ow psexn $o»o -----------------------------___-______- ,o^ oxovao $u,()() PER FIR so�00 nurpusx ^mouwr `Otm, nxouvu $o 00 PER FIR $o.m un*r,mN zo~ro(,tt $2,147,24 EACH $4,294*8 `w^" o*ouxn $o.00 PER xn $n.m pus/ 2400a^um $^ons*cH $9.ww,� ,m^�, o*ouna� ^o.00 PER*n $o.� n �ouw � $o.me^cp snov `m�°, uxnon�� So�� psxxp $ovv ---�—'------------------------_._______— ___ ........ TOT AL.nvppLv COS, $13.894^8 TOTAL LABOR $o.on.m uwv»urpaCOST ^`ow^o UNIT COST moo" yo,^.or SUPPLY MARKUP 'zw psnrm MARKUP owLABOR 20% $`.yn^n` TOTAL.SUPPLIES WITH MARKUP $15.561,62 ror^L LABOR WITH MARKUP *1.968,68 ------.......... '------------- -------------------------------------------- ------------- ------ ----— nooCo°rn^Cr w^rs*/^L npc ou^wn owo rnnr ^wouwr ovw/,s(�, $o^u So 00 ^osxes^rc ornwS @ ^nvo $000 nuwox(§, $0,00 $000 x^u "rnws(q� ,000 $uov ouw.ro(q), $n�^n $000 *^c ornwo(q) ,00u $uoo -------------------------------- ---------'----------------------- ------_. pmme 0 GAL@ xom $0.00 TOTAL SUBCONTRACT COST So,m r^cx oa^ $o.m onoo uwI,SUBCONTRACT COST ouo wmc o $0,00 oo,� SUBCONTRACT MARKUP ,w w/Sc no^L@ $000 $0,00 TOTAL nuaon*rn^vr WITH MARKUP $0�00 wmc ^c^�r �o�� o»u --------------------'--�-----------------' wmC o $0,00 $ouo -------- --------------- ---------------------------------------- ---------------------- ......--''---- rO FAIL MAT sx/^LCOST oo.w UNIT MATERIAL.COS r 000 MATERIAL MARKUP `z% $0,00 `ur^'w^rem^L WITH MARKUP $11(yj TOTAL PRICE or ALL/rswnwv"our,nwo $n�.Ymm -------------— ----- ------ ------------------------- ---- ------- ----------'- vwn,mcsop^'�ITEMS WITHOUT BOND m/.,sz/o HAUL. ~~~~~~~~~~~ ~~..~~~~~ ~~~.~~~..~~~~~~~~~�~~~~~ ~~~~~~~~~ ~~~-~~~~~~~~~~ ro"s Lo^no xouxu n^rs ^wouw` o o v $0n0 $0.D0 o o o $0,00 $o 00 ADDITIONAL aowo^INSURANCE $/o^` u v n $0,00 $000 BOND c INSURANCE MARK up $9.47 o^,o n,vcxs xouxs mne -------- o n n SOLO ,o.ov TOTAL rn/ns*.rxBOND m1.651,08 o n o $o/m $ouo UNIT PRICE wnvBOND $31,651u8 ------ -------------------------------------________---------------------- _____----- _ --- TOTAL x^oL u°ncoorx^u' 000 $0,00 uw/rempv/oc n1.651o" ror^L p1.651Av nmm/wsw^nv"r 12% $oon TOTAL T°um.wa WITH MARKUP x0.00 ---------------------------------------- -- -----------------------'-----'- --------- -------------------- ------ ITEM NAME. _/so`PLANTS uMAINTENANCE o'o ITEM QUANTITY 'o^ m ITEM NO yy,5o�oz n+/3o9� mc*wowoems^rsor^uurex -------- ADDITIONAL DAYS REQUESTED o 4791 NATIONAL ROAD EAST ---_ *acAllister CAT RICHMOND, IN 47374 765-966-0626 :ifrIacAffiSter CAT RE enli tal MacAllister Rentals Contract No. Date - 5767485 01APR2024 Page i COPY QUOTE 8: 53 AM Date out Date In 4750510 MI LESTONE CONTRACTORS LP ATTN A/P 1500 PO BOX 421459 1 - JOB 234033 RI CHM QUOTE: I NDI ANAPOLI S, I N 46242 Locatio ered by Phone: E MAI N ST RI CHMOND Fax: 317-788-6925 09A jP B:00 AM abR2024 Job n , Purchase Order Ord BRI T'LEY WYNJACOBT 000085 Qty Equi pment # Mi n Day Week 4 Week Amount 1 4000-5000 WATT 30 LI GHT TOWE 1 10. 00 110. 00 315, 00 525, 00 525, 00 0654000 RATES SHOWN ARE FOR SINGLE Still ET USE. DOUBLE SHI ri AND TRIPLE SHI l T WI LL BE HI LLED AT ADDI II oNAL. CHARGES SALES I TEMS: Qty I tem number UM t Pr l cc 1 I NEX EA 11. 81 I 3 11. 81 RENON... F XCI SE TAX ...„„.........__ .. _.._...„„_____ Sub-total 536. 81 Exempt Total 536. 81 IMPORTANT! Please note and acknowledge safety instruction by initialing here: By his/her Initial„Lessee will provide All safety accessoriesas required,per safety instructions,WIN here PAYMENT: Net-30 days from sac cc date unless otherwise specified herein.A service charge wtli apply to all past due accounts. RENTAL EQUIPMENT PROTECTION PLAN cREP"): Lessee will purchase REP(terms at www.rnacallister,corn/rep and incorporated herein by reference)if Lessee fails to obtain insurance 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 lime. TERMS AND CONDITIONS:The rental agreement terms and conditions found at www.rnacallister.com/rentalternis("Rental Terms")are kroorporaltA herein by this reference and apply to your rental of Equipment from or provision of Service's oy MacAllister(as defined in the Rental Terms).Pease read carer 1.111y,This agreement includes an indemnification clause,a jury waiver, city disclaimers,and timilatiuilo of MacAilister's liability,By accepting delivery uf or using the Ecy.,iprnent or Services or making payment(s)to Mt:icAllister for the same OSSee agrees to be bounri by the Rental Terms and REP terms even if this Rental Out form has nut been fully executed. ACCEPTED BY CUSTOMER 4,9'94'1(10T E (2 9 On(2920