Laserfiche WebLink
Contractor's / Subcontractor's <br />TfnUcMMAN <br />Change Order Request Summary <br />Date: 9/19/2016 COR: 1 RI <br />General Contractor 521 W. 84th Drive <br />Suite A, Merrillville, IN 46410, 219-947-4700 phone/ 219-947-4711 fax <br />Engineer: Greeley and Hansen <br />Owner: City of 5cuth Bend <br />Project: South Bend Grit and Screenings <br />Improvements <br />_ _ <br />TCI Job# 1511 <br />_ _ <br />DESCRIPTION OF CHANGE- —.---,—.—,--- <br />_.—,—.— ------___,_._._._.—.-- _.___._._ <br />In accordance with Greeley and Hansen Request for Change Order Proposal ffi dated April 25, 2016, TO offers the following <br />the expanded metal viewing windows with gas tight hatches for the two (2) grit washers. <br />SUMMARY OF DETAILED BREAKDOWN <br />LABOR <br />MATERIAL <br />EQUIPMENT <br />OTHER COSTS <br />1. SAFETY <br />2. EXPENDABLE TOOLS <br />NETTOTAL <br />OVERHEAD AND PROFIT <br />TOTAL WORK PERFORMED BY CONTRACTOR <br />Additions <br />Deletions <br />Net Total <br />$ 2,800.00 <br />$ - <br />$ <br />2,800.00 <br />(1%of LABOR-Deletion-0- <br />$ <br />- <br />(3.0%of LABOR)-Deletion-0- <br />$ <br />- <br />(A+B+C+D1+D2) <br />$ <br />2,800.00 <br />(Ex1S%)- Deletion -0. <br />$ <br />420.00 <br />(Lines E+F) <br />$ <br />3,220.00 <br />CONTRACTOR'S MARK-UP ON WORK OF SUBCONTRACTORS <br />Detailed Breakdowns and summaries from each contractor must be attached. <br />SUBCONTRACTOR: Firm Name CONTRACT WORK: Description <br />2. <br />3. <br />4. <br />PROPOSAL <br />SUBTOTAL of all work performed by contractor's subcontractors $0.00 <br />MARK-UP on work of subcontractors (Min. $ 00) (Line H x 5%)- Deletion -0- $0.00 <br />PROPOSAL (Lines G+H+I) $3,220.00 <br />BONDS (1.5%of PROPOSAL)-Deletion-0- $48.30 <br />BUILDER'S RISK INSURANCE (0.0%of PROPOASL) -Deletion -0- <br />$3,268.30 <br />TOTALPROPOSAL <br />TOTAL PROPOSAL for subject COR increase (decrease) in contract amount $3,268.30 <br />An extension time of 0 day to extend the Contract dates for Completion will be required commencing on <br />the date when we are notified a Change Order will be issued for the price quoted herein. Approval needed In 5 days. <br />If the work has to be performed to continue construction with no response on pricing or if we are issued a Work <br />Change Directive (WCD) to proceed with this work and agreement on the price has not been reached within 30 <br />calendar days, then this proposal shall be considered a Claim, in accordance with Article 10.5 of the <br />Contract General Conditions. <br />CONTRACTOR <br />Signature A&&✓Ylceary Title: PM Date: 9/19/2016 <br />