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Home My WebLink AboutChange Order No. 3 - Olive Street and Sample Street Reconstruction Proj No 113-002 - INDOT1316 COUNTY -CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND. INDIANA 46601-1830 CITY OF SOUTH BEND PETE BUTTIGIEG, MAYOR BOARD OF PUBLIC WORKS August 9, 2016 Mr. David Barich INDOT 315 E. Boyd Blvd. LaPorte, IN 46356 RE: Change Order No. 3 — Olive Street and Sample Street Reconstruction Project No. 113-002 Dear Mr. Barich: PHONE 574.'235-9251 FAX 574/235-9171 The Board of Public Works, at its meeting held on August 9, 2016, approved the above referenced Change Order for change in the traffic signal fiber conduit from non -participating to FHWA participating contract items. Enclosed is a copy of the Change Order for your records. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, / Linda M. Martin, Clerk l Enclosure GARY A. GILOT DAVID P. RELOS ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU Contract No:R -35727 Change Order No.: 003 INDIANA Department of Transportation Page: 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -35727 Letting Date:02/17/2016 District:LAPORTE DISTRICT AE:Barich, David PE/S:Dietz, Don Status:Draft Change Order Information Change Order No.: 003 EWA: Y or Force Acct. N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: SCOPE CHANGES, Material Related Description: Participating Item Original Contract Amount $ 8,947,369.00 Current Change Order Amount $ 0,00 Percent: 0.000 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $ 0.00 Percent: 0.000 % Modified Contract Amount $ 8,947,369.00 Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Original Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 0 SP Date 00/00/0000 or SP Days (SS = Standard Specification, SP = Special Provision) Time Element Description: Current Time Extension SS Days 0 SP Days 0 SP Days Value $ 0.00 Previous Time Approved SS Days by AE: DCE: SCE: DDCM: SS Days SP Days Value $ Revised Contract Time SS Completion Date 00/00/0000 or SS Calendar/Work Days 0 SS Date 00/00/0000 or SP Days 0 Contract No:R -35727 Change Order No.: 003 INDIANA Department of Transportation Page: 2 Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority AE: DCE: SCE:_* DDCM: ($ per Change Order) (-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--) (Days per Contract) ( 50 SS days) (100 SS days ) (200 SS Days) (GT 200 SS days) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Y / N If Y, by Date Issued Y / N If Y, Copy to Program Budget Manager Y / N If Y, Referred to Project Manager(PM) Date to PM Approval Authority Concurs with PM? Y / N If Y, Concurrence LPA Signatures Required? FHWA Signatures Required? If N,Resolution: Approved Resolved Y / N If Y, Date to LPA Date Returned Date Disapproved Date Date Returned Y / N If Y, Date to FHWA Date Returned " Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Comments: Date Contract No:R -35727 INDIANA Date:07/20/2016 Change Order No:003 Department of Transportation Page: 3 Contract: R -35727 Project: 1298579 - 1401191 - 1401192 - State:12985790OLC Change Order Nbr: 003 Change Order Description: Participating Item Reason Code: SCOPE CHANGES, Material Related CLN PCN PLN- Item Code Unit Unit Price CO Qty � - -Comment Amount Change 0167 1298579 0148 805-11813 LFT 8.000-3082.000 C Amount:$-24,656.00 Item Description: CONDUIT, PVC, 2 IN, SCHEDULE 80 Supplemental Descriptionl: Supplemental Description2: 0167 1401191 0032 805-11813 LFT Item Description: CONDUIT, PVC, 2 IN. SCHEDULE 80 Supplemental Descriptionl: Supplemental Description2: 0167 1401192 0031 805-11813 LFT Item Description: CONDUIT, PVC, 2 IN. SCHEDULE 80 Supplemental Descriptionl: Supplemental Description2: 0177 1298579 0156 807-78590 EACH Item Description: HANDHOLE Supplemental Descriptionl: , FIBER OPTIC Supplemental Descriptionl: 0249 1298579 0227 805-11813 LFT Item Description: CONDUIT PVC 2 IN SCHEDULE 60 Supplemental Descriptionl: Newly Participating Item Supplemental Descriptionl: 0250 1298579 0228 807-78590 EACH Item Description: HANDHOLE Supplemental Descriptionl: Newly participating Item Supplemental Descriptionl: 0251 1401191 0043 805-11813 LFT Item Description: CONDUIT PVC 2 IN SCHEDULE 80 Supplemental Descriptionl: Newly Participating Item Supplemental Desclption2: 0252 1401192 0049 805-11813 LFT Item Description: CONDUIT PVC 2 1N SCHEDULE 80 Supplemental Descriptionl: Newly Participating Item Supplemental Descriptionl: 8.000 -332.000 8.000 -538.000 910,000 -10.000 8.000 3082.000 910.000 10.000 8.000 332.000 8.000 538.000 C Amount:$-2,666.00 C Amount:$-4,304A0 C Amount:$-9,100.00 C Amount:$ 24,656.00 C Amount:$ 9,100.00 C Amount:$ 2,656.00 C Amount:$ 4,304.00 Total Value for Change Omer 003 = $ 0.00 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 Items listed are being changed from a Non participating Item to a Participating Item. Unit prices and quantities all remain the same as bid. Contract NOR -35727 Change Order No:003 Change Order Explanation for Specific Line Item INDIANA Department of Transportation 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. Signed MRMMYWWMW;YYWYWMWMWYMWYWWM«MYM?WWYkW«YYMYMRMYMMWM«YWYM«WMWMMWMMMYYMWWWMMWMWYMWMMYWYMWWMMMW NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Date:07/20/2016 Page: 4 Contract NOR -35727 INDIANA Change Order No:003 Department of Transportation APPROVED FOR LOCAL PUBLIC AGENCY APPROVgo (SIGNATUR-------ft-0urd of public E) w8ft 4 IN 09 (SIGNATURE) I � ---=BMITTED FOR CONSIDERATION PENS (DATE) (DATE) APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Date:07/20/2016 Page: 5 Approval Level Name of Approver Date Status BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date August 2, 2016 Department Public Works Name Roger Nawrot Division/Bureau Engineering BPW Date August 9, 2016 Phone Extension 5932 Required Prior to Submittal to Board Legal ❑ Attorney Name: Controller El greater review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the Appropriate Item Type — Required for All Submissions ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 3 ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: n Other: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of H Increase Decrease Previous Amount Current Percent of Change New Amount Total Percent of Chanqe: py Original ® ❑ ❑ ❑ ❑ ❑ )artment of Transpi It Yes, Approved by U MBE LJ WBE ❑ No Yes Name of Company Olive Street and Sample Street Reconstruction 113-002 Major Moves 412-0414-1542.03 $0.00 Federal 80%, City 10% & County 10% This change order is for changing the replacement of the traffic signal fiber conduit from non -participating to FHWA participating contract items. This represents a savings of $36,716 on what the City's final cost will be for the overall project. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Nawrot uired For Chanqe Orders