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Contract No:R -38064 INDIANA Date:06/27/2022 <br />Change Order No:013 Department of Transportation Page: 3 <br />Contract:R -38064 <br />Project:1401810 - State:140181000LC4 <br />Change Order Nbr: 013 <br />Change Order Description: Concrete Staiway Infill <br />Reason Code:SCOPE CHANGES, Project Upgrades <br />CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change <br />0141 1401810 0140 616-12161 SYS 60.290 130.700 C Amount:$ 7,879.90 <br />Item Description:RIPRAP GROUTED 6-9 IN <br />Supplemental Description1: <br />Supplemental Description2: <br />Total Value for Change Order 013 = $ 7,879.90 <br />Whereas, the Standard Specifications for this contract provides for such work to be performed, the following change is recommended. <br />General or Standard Change Order Explanation <br />Concrete stairs were constructed as part of this contract along side of the existing Portage Road bride. A gap between the stairs and the bridge <br />32 inches wide did not make sense to topsoil and seed as it would be difficult to maintain as it is behind stair railing. The proposed solution from <br />the contractor to place 5 inches of concrete in the space depress decorative boulders into fresh concrete providing no need to maintain. It would <br />also deter pedestrians from using this space. The City of South Bend agreed with this proposal. The contractors change order request form is <br />attached to this change order. A cost analysis was performed using the closest item to this installation. The was not enough data to complete the <br />analysis, however the contractors unit price was lower that all listed. They have also included costs for labor, materials, and equipment and have <br />been deemed acceptable. The cost analysis data is attached to this change order. The work is not necessary to complete the original scope of <br />the contract and therefore deemed nonparticipating. The AE and PM have been notified and their notification, concurrence emails are attached. <br />Change Order Explanation for Specific Line Item <br />**************************************************************************************************************************** <br />It is the intent of the parties that this change order is full and complete compensation for the work describe above. <br />Notification and consent to this change order is hereby acknowledged. <br />Contractor:____________________________________________Signed By:_____________________________________________ <br />Date:__________________________________________________ <br />*************************************************************************************************************************** <br />NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. <br />Selge Construction Co., Inc. <br />6/28/22 <br />Robert P. Kuhns, P. E.