Change Order Nos 4 & 5 - Corby, Ironwood, Rockne Intersection Improvements - Rieth-Riley Construction

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/15/2020 Name Leslie Biek Department PW BPW Date 10/27/2020 Phone Extension Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ® Ron O'Connor Check the ADDronriate Item Tvne — Professional Services Agreement ❑ Open Market Contract ❑ Bid Opening ❑ Quote Opening ❑ Proposal Opening ® Chg. Order, No. 4 & 5 n Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract All Submissions U Contract U Proposal ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Award ❑ Req. to Advertise ❑ Quote Award ❑ Reject Bids/Quotes ❑ C/O & PCA No. ❑ PCA ❑ Traffic Control ❑ Resolution n Ease./Encroach Information INDOT- (Rieth Rilev Contractor ❑ Title Sheet U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes No Corby Ironwood Rockne Intersection Improvement 116-034 LR&S Streets and Alleys 442001 $13,920.77 Unit Price Purpose/Description CO #4 is for an additional $1,592.85 to change the signal head visor on Rockne after it was installed and to remove the banner arms from the streetlights after instillation. CO#5 is for an additional $12,327.92 to repair irrigation lines that were dama ed during construction. For Change Orders Only Amount of ® Increase $ 13,920.77 ❑ Decrease ($ ) Previous Amount $ 3,162,661.70 Increase 0.44% Current Percent of Change: Decrease ( %) New Amount $ 3,176,582.47 Increase 1.30% Total Percent of Change: Decrease ( %) Time Extension Amount: New Completion Date: