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Change Order No. 14 - WWTP Secondary Treatment Improvements Project No. 114-053 - Thieneman Construction Inc.
JOL .J6 F9 Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM August 11, 2017 Jacob M. Klosinski Department Utilities Wastewater BPW Date August 22, 2017 Phone Extension (574) 235-9496 Requited Prior to Submittal to Board Legal ® Attorney Name Michael Schmidt Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® Carol Kurzha Check the Appropdate'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. 14 ❑ CIO & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control n Other: Company or Vendor Name Thieneman Construction Inc. New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBEIWBE Contractor ❑ MBE ❑ WBE MBEMIBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Wastewater Treatment Plant Secondary Treatment Improvements Project Number 114-053 Funding Source 2017 Wastewater Capital Account Account No. 642-0630-415-43-66 Amount $ Terms of Contract Lump Sum and Unit Prices Purpose/Description The Division of Utilities recommends the approval of Change Order No. 14 which includes additions and deductions to the scope of work as described in the attached Inter -Office Memordandum and Change Order Documents. ❑ Required Contractor's Certification Form Attached (Non - Collusion. Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc.) Amount of ❑ Increase $ ® Decrease $ 66,489.40 Previous Amount $ 13,988,104.87 Current Percent of Change: -0.56% New Amount $ 13,921,615.47 Total Percent of Change: +17.14% Dispersal After Approval Copy Original ® ❑ Al Greek, Director of Utilities ® ❑ Jacob M. Klosinski, Assistant City Engineer ® ❑ Carol Kurzhal, Director of Financial Services, Environmental Services INTER -OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF UTILITIES TO: Members of the Board of Public Works Eric Horvath, Director of Public Works Michael Schmidt, Board of Public Works Attorney FROM: Al Greek, Director of Utilities Jacob M. Klosinski, Assistant City Engineer SUBJECT: Agenda Request Form — Change Order No. 14 Project No. 114-053: Wastewater Treatment Plant Secondary Treatment Improvements DATE: August 11, 2017 The Division of Utilities is requesting the Board of Public Works approval of Change Order No. 14 for Project No. 114-053 Wastewater Treatment Plant Secondary Treatment Improvements. Refer to attached documents for supporting details for the subject work. Change Order No. 14 addresses the following changes: COP 57 R4 — Return Activated Sludge Channel Cleaning $ 3,846.00 COP 66 R2 — Return Activated Sludge Channel Cleaning $ 3,486.00 COP 78 R1 — Return Activated Sludge Channel Cleaning $ 4,409.00 COP 80 — Return Activated Sludge Channel Cleaning $ 4,272.00 COP 81 0 West Entrance Culvert Replacement $ 5,505.00 COP 82 R1 — Return Activated Sludge Channel Cleaning $ 2,855.00 COP 83 R1 — Return Activated Sludge Channel Cleaning $ 2,996.00 COP 84 --Additional Asphalt Drive Overlay $ 5,625.00 COP 85 — Inforeseen Demolition at Final Clarifier 4 & 5 Influent Gates $ 381.00 COP 86 — Sludge Removal Return Activated Sludge Channel Cleaning $ 25,514.00 COP 87 — Water Line Abandonment, East of Aeration Tanks $ 5,489.00 Unused Unit Price Quantity Deductions (See Attached Summary) ($131.867.40) NET DECREASE FOR CHANGE ORDER NO. 14 ITEMS ($ 66,489.40) Original Contract Sum $11,885,000.00 Net change by previously authorized change orders $ 2,103,104.87 The contract sum prior to this change order $13,988,104.87 By this change order, the project amount decreases by ($ 66,489.40) The new contract sum including this change order is $13,921,615.47 This Change Order represents a total change of -0.56% Total change for the entire project +17.14% Time Extensions resulting from Change Order No. 14: Substantial Completion_ 0 days Final Completion: 0 days The funding sources for Change Order No. 14 shall be directed from the 2017 Utilities, Wastewater Capital Account (642-0630-415-43-66). If there are questions regarding the subject change order, please contact Al Greek (Ext. 4210) or Jacob M. Klosinski (Ext. 9496) at the Division of Utilities. w *I tk 1JXI)C'EP 11;(:'EiEl Ptti 3li'::1 f; t',^;;tU<CI ' 1>�ii'.'.r•,�I NIS E:iIr',\��'ll'E. Change Order No. 14 Date of Issuance: August 9, 2017 Effective Date: Owner: City of South Bend Owner's Contract No.: 114-053 Contractor: Thienernan Construction Contractor's Project No.: Engineer: Areadis US Engineer's Project No.: 03029034.0000 Project: Secondary Treatment Improvements Contract Name: The Contract is modified as follows upon execution of this Change Order: COP 57 R4 — Slide Gate Extension................................................................................................... $3,846.00 COP 66 R2 — Junction Box E Cover Plate......................................................... ............................... . $3,486.00 COP 78 R1 Remove Fillets for Stop Logs...................................................................................... $4,409.00 COP 80 — RAS Channel Cleanout..................................................................................................... $4,272.00 COP 81—West Entrance Culvert Replacement............................................................................... $5,505.00 COP 82 R1-- Swap hatches for HS-20.............................................................................................. $3,855.00 COP 83 R1— Repair 2-in comm cable.............................................................................................. $2,996.00 COP 84—Additional Asphalt Drive Overlay.....................................................................................$5,625.00 COP 85 — Unforseen Demo at C4 and C5 Gates............................................................................. .$381.00 COP 86—Sludge Removal RAS Channel Phase G2........................................................................$25,514.00 COP 87 —Water Line Abandonment, East of Aeration................................................................... $5,489.00 Unused Unit Price Quantity Deductions, See Attached ............................................................($131,867A0) Attachments: Contractor's Change Order Proposals CHANGE IN CONTRACT PRICE CHANGE IN CONTRACT TIMES Original Contract Price: Original Contract Times: Substantial Completion: July 26, 2017 $ 11,885,000.00 Ready for Final Payment: August 25,_ 2017 Increase from previously approved Change Orders: Increase from previously approved Change Orders: Substantial Completion: 225 days $ 2,103,104.87 Ready for Final Payment: 225 days Contract Price prior to this Change Order: Contract Times prior to this Change Order: Substantial Completion: March 8, 2018 $ 13 988 104.87 Ready for Final Payment: Aril 7 2018 Increase of this Change Order: Increase of this Change Order: Substantial Completion: 0 days $ (66,489.40) Ready for Final Payment: 0 days Contract Price incorporating this Change Order: Contract Times with all approved Change Orders: Substantial Completion: March 8, 2018 $ 13 921 615.47 Ready for Final Payment: Aril 2L 208 R END D: i Engineer (if required) Title: AOJr Date: Q� a ACCEPTED: By: , ' By: Owner (Authorized Signature) Title lAt"dTitle Date p$ - /7. Zo/7 Date X"daVC ' 7b APPXvvA_ AY C-'" of Savlw $ PO &~ oie Ltd" C "Ot K ' ACCZ Contract (Authorized Signature) EJCDC" C-941, Change Order. Prepared and published 2013 by the Engineers Joint Contract Documents Committee. Page 1 of 2 R to M in o � 0 0 0 0 0 to 00 w m 0 0 0 U m m � N r-I rrH � rq "' to n' 00 co �d z a " c 0 0 0 0 0 a o 0 0 o rn un Lo © 1 ! I rn F I 0 T--E F I 1 M tD +L+ N N cc * N o A2 0 0 U f I I I i 6O � I 1 ! cr a a Qy M r (D M r N E O o +J N eM— U o o 0 0 0 0 o d N N (0 ti � CD N? N C 6U')9 64 dN9 � Q 6s r � bs bs Cl) � � � �+ *-' c 0 0 0 0 0 0 0 0 0 0 0 0 0 o m o00 0 CD N 0 r .- r .- r cj Lo r o r o CQ m M co m C co r LL m C LL LL Q L LL. Q N 7 .Q U C OD `= n O LL 'o CL a n Q of CY N 2� o o n > p ioj a U U o c ,o c c 'qs O o a -O -0 � a)'m 1 m .L c E c f4 c f� C. a O Q Q .0 U N ix OS Q) C a (D O N a tll Cl) 2: U C C X N O O Q G (0 fD CL C. 0. CCL O O CL O (d U W UJ UJ UJ to CO cn U OG a Q0 00 V rn VL Q O `m 0 F C l0 u ri Kr c� 0 u m CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 114-053-057.4 Date: 8/7117 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WWTP Secondat Treatment lm )rovements Contractor: Thieneman Construction Inc. Subject: Per the revised detail from Areadis as related to the response to RFl #116, the location of the temporary stop plate limits the width of the concrete curb at the bottom of the channel to 9". As directed, this proposal excludes adding a small concrete kneewall at the top east side on the slide gate to prevent water from simply going around the gate. Subsequent-to-eu+--Mi elr-lfil lit the • ast },aie: Revised as requested per Aracadis's email dated 5/22/17. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and li.si supporting information as required) 1. Item: TCI -- See attached cost breakdown - $3,344.00 JUSTIFICATION: 1. Item. Owner Request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Times for Subsianital Completion, readiness for final payment, and Milestones, if any. If increase or decrease, state specific number of days for changes to the Contract Times. Descrti©n Amount Contract Times (days) Substantial Final 1. Item - TCI _ $3,344.00 0 0 2. Item - TCI - M15% TO Total This Change Orden Proposal $502.00 S3,846.00 0 0 0 0 Changes to Milestones, fra any: The adjustment proposed is the entire adjustment to ie�Contract to which the proposer believes it is entitled as a result of the proposed change, Change Order Proposal By: Crai � S� teele Signature of Proposer: U u I oC 0 & n JU� Q A V) li 6 rEM :Cal v) w ,A: w V) w L-9 "A V�: yr ram! Ct Si II III Af J O: us L6: Lq: oo' co P—,: V) O - Er ppp0 1 izi :3: P- ro CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 1 1q-053-0GG,2 Date: 8/7/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WWTP Secondar .._Treatment Iinprove mctits Contractor: Thieneman Construction Inc. Subject: Provide cover plate, Inc-lt��ling-stat�i}eddiwi�rgs, at .function Box E. Revision #1 included additional shipping costs (previously neglected, but needed as the remainder of the East side metals remain on hold pending Owner's decision on K P's #2 & #3), and the upgrade to 5/8" thick aluminum checkered plate on 3/20/17. Revision 2 eliminated the requirement for stamped drawings, cover plate to be provided as designed by Arcadis, costs aligned to Arcadis's email dated 5/8/17. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl —See attached cost breakdown - $3,031.00 JUSTIFICATION: 1. Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cast breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for final payment, and A4ilestones, ifany. If increase or decrease, state specific number ofdays for changes to the Contract Times. Description Amount Contract Tinter (days) Substantial Final 1. Item -- TCI & Badger Costs $3,031 0 0 2. Item — TCI — Marku : 5% Subs / 15% TCI $455 0 0 Total This Change Order Proposal $'3, 486 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: C:rai Steele Signature of Proposer: Ws IL09 to G. UD 01 V) o. <u U: w C>: C> o o 6.) Gq: coo 64, 64 60� � W4 49 4): o ru 14 0 75- VL Y C O L A +� o C 0 O vv) O C � d � �+ 4-1 a o C C O � vi O C � O � 0 a � L q O E a O ' U U (O m O c � U 0 o L v E a d v v1 c L [/) ro' CL d• � C C C3 m Q w ! o ani d qj j 0.. a) CLOO U E C r-J t CiA to •� al C Q 0�0 COL L ai aC > p @ j O :3 (v O p @J [d0 1~ UD O v c t'i O .2 LL kn ►a- Li v in J.< O ® Ob O .w O U � K O Y.a N Q rn rn U a w o � m `o E E N L�QCi " N v C C T N D .. C m (O ¢ j L �0QQ �O N C O� c a 2 — g 'm .� o� E m a+.•� ��a>N N p C {Cp E � e o 12 a12 Tpy E � (0 CC a> N C m O U O N C U) .? Is , ��. VL UQi C ,c Q •V @ G �aa�p coo�N o 0 @ Q t0 a�Ea•d E Q E N � T � N a O EEN«m 0 ej C m zg (n 'w $ ar .0 D L O > •p l}iS O E a m Q a'o •� 'iv 'aa 2 :S E a �aN,«, 'Ul E o U C m � m o c c G Q E e 6 vJ �. N C Y m m ( ;. �5 C w C E O Q E •� :n -a ` C LA T N O (tl W C11 Ql C C O Q c +J G Q' N Q ca a a1i r+� Q C Q ,G CL o aai m N n QQ C ) O ME .m E :ccm c -° fm A'--' ~ N I ul ii L"'m 5/S ALUM {... CHECKERED PLATE,,,--,, 2" 1 /4" BAR 1 /2" x t L3x3x1 /4. ..... 1 /2° \ I3 L3x3x1 /4 TYPICAL GRATING AND CHECKERED PLATE SUPPORT DETAIL NOTFS: 1, PROVIDE TYPICAL SUPPORT AS SHOWN FOR ALL GRATING AND PLATE SUPPORT, 2. PROVIDE- SUPPORT ANGLE AND ANCHOR STUD OF THE SAME MATERIAL AS THE GRATING AND PLATE. CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO, 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 1114-053-078.1 Date: 8I7117 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WWII' Secondary Treatment Improvements Contractor: Thieneman Construction,.Inc. Subject: Remove existing "sloped" fillets in the Aeration Effluent, Final Clarifier, and old RAS channels at 3 stop log locations. Revised per Arcadis's comments, added labor clarifications, and split out concrete cutting expenses The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl — See attached cost breakdown - $2,970,00 2. Item: ]CC -- See attached cost breakdown - $946.00 JUSTIFICATION: 1. Item: Unforeseen condition CHANCES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Times for Substanlial Completion, readiness for final payment, and Milestones, if any, If increase or decrease, slate specific number ofdays for changes to the Contract Times. Description, Amount Contract Times days Substantial Final 1. Item — Direct Costs $3,916.00 0 0 2. Item — Markup: 5% Subs / 15% TCl $493.00 0 0 Total This Change Order Proposal $4, 409.00 0 0 Changes to Milestones if any: NIA The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the p4"vl Change Order Proposal By: Signature of Proposer:_ 10 C)io F-CD C5, 0 kr; 'kr;. in EO CIO iu II i ! k ��� � o� ac) c) C) tr� C. PD, 0 0 SC) tA r-49 rag 0 u 9:1 00 kr) C) kr) to <: < m m gym. F. :M cy i i '. EI 3 O �)EI'I, I C) C) c 6 I tr; tr M r4 t, rq v vq 0 c 0 C)C> c CD 1 tn' tr EA C) c Cl 14=> c tr iu i mac. ON. t- kf) An! M: r- go kn JA.JA C, cl vq fjo3 q3 Ea r CITY OF SOUTH BEND, INDIANA W WTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANCE ORDER PROPOSAL Change Order Proposal No.: 114-053-080 Date: 6/15/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WWTP Secondary Treatmejtt Improvements Contractor: Thienernan Construction lnc. Subject: Clean sludge from RAS channel for phase G1 as requested by Owner. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCI — See attached cost breakdown - $3,853 JUSTIFICATION: 1. Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES; We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, .Supplier quotations, and other information required For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for final payment, and Milest ones, if any. If increase or decrease, state specific number of dgys for changes to the Contract Times. Description Amount Contract Times da s Substantial Final 1, Item —TCI _ $3,853 0 0 2. Item — TO — Markup: 5% Subs / 15% TCI $419 0 0 Total This Chan e Order Pro osal $4.272 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change Change Order Proposal By: Craig Stec Signature of Proposer: z III a4 .00 ic. lo! 15: C, CD C>O 0 0 F, ic) tr) vi IW) eq 6g) bq SA :00 !01 'Mi6 t-; c� kn I w): in NO t-- Cq 5 lo CY; .,q 69 69 69 (A Qq (n NO C> C> :00;C> 00. 64 i4A:fn loq 4�n 1 < r4 io4 m M �u u ry a4 I of lu 1 064 1 i iE :M!r- 1 02 i u t� N u 10 0 i t �m 00 en tn F LVI 0 51 THIENEMAN CONSTRUCTION, INC. EXTRA WORK ORDER JOBNAME. 5 ,�U7 ✓ s lei [? ? �C J, �JU'—L!LA. ._: BATE: i 'ALE CODE o C QUANTITY MATERIALS UNIT PRICE TOTAL AIJTHORI'LED SIGNATURE 'rHIENEMAN SIGNATURE.` PRINTED NAME !COMPANY PRINTED NAME 1 POSITION THIENEMAN CONSTRUCTION, INC. EXTRA WORK ORDER JO-B'NAME: JOB NO- e5-05 ,,— DESCRIPTION: TE AUTHORIZED SIGNATURE DATE: TH€ENEMAyN &IONATUi2E PRINTED NAME I COMPANY -�� 7 l of �_7y�c 1 5' (d Pc_-t2 1 &2 f :j 1 c)L::tJ�f PRINTED NAME I POSITION �2- THIENEMAN CONSTRUCTION, INC. EXTRA WORK ORDER JOB NAME: JOB NO: IIll A DATE:. $%17�7 DESCRIPTION: - c-am �7igtiLd RATE AUTHORIZED SIGNATURE A TOTAL. THIENEMAN SIGNATURE T PRINTED NAME I COMPANY Mfys�n�l� ��r,f��:-rzr,u�rJyc�y- PRINTED NAME I POSITION REMIT TO: Badger ©aylighting Corp 75 Remittance Drive Sulte 3185 Chicago, IL 60675-3186 Phone: (877) 322.3437 Fax: (877) 741-3134 INVOICE INVOICE NUMBER: AR00144322 INVOICE DATE: 05/25/2017 Page 1 of 1 TH1002 1508 NET 30 DAYS FROM INVOICE DATE xg�� w NORTHERN INDIANA CORP 3113 Riverside Dr @ South Bend WWTP (we; 06/24/2017 ffiNWMKW,=1M'i WE 05/1712017 TKT00535955 1098 MOBILIZATION! DEMOBILIZATION 2.00 Hours 175.00 350.00 06/17/2017 TKI'00535955 1098 HYDROVAC W11 MAN CREW - HOURLY - 01 STANDARD RATE 4,00 Hours 240.00 980,00 Subtotal 1,310.00 Sales Tax 0,00 TOTAL DUE $1,310,00 Payment terms are Net 30 days, Any unpaid balances are subject to: a 10% late tee, maximum interest allowed bv law. collection tees. and an'v and all court costs and legal fees. TKTOO535955 Billed To: THIENEMAN CONSTRUCTION 521 W 84TH DRIVE STE A MERRILLVILLE IN 46410 Badger Daylighting Corp 75 Remittance Drive Suite 3166 Chicago, Illinois, United States, 60676-3185 Ph: (877) 3SADGER Fax: (877) 74i-3134 Email: AR Dept Job Number J00346768 Ticket Date: 06117/2017 Paper Ticket #: Operator(s) ELLIOTT KEITH Jab Location 3113 Riverside Dr @ South Bend WWTP (west PO: 1508 Company; Badger Daylighting Corp Select Truck Project Name/AFE: Jab Name/#: South Bend WWTP (west side) sand blast med Customer Rep: Pat Johnston Area NORTHERN INDIANA CORP Customer Rep #: 317-417-3484 Industry Ticket Items Item Unit # 1 Personnel Quantity U of M Rate Amount HYDROVAC W11 MAN CREW - HOURLY - 01 1098, HYDROVAC 4.00 HR 240.OD 960,00 STANDARD RATE MOBILIZATION / DEMOBILIZATION 1098, HYDROVAC 2.00 HR 175.00 350.00 TIME-01-OPERATOR 1-DAY SHIFT ELLIOTT. KEITH 0.00 HR 0.00 0,00 Total $1,310.00 Approved By- - Taxes included if applicable. Work Order #1 1508 Rnlrn %Mralaaa Mold TIArmOnn CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 1 141 14-053-081-081 Date: 6/15/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WW'1'13 Secondary rreatinent Improvements Contractor: Thieneman Construction, Inc. Subject: Replace existing culvert at middle West side entrance as requested by Owner. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) Item: TCl — See attached cost breakdown - $4,817 JUSTIFICATION: 1. Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, stale increase, decrease, or no change to Contract Times for Substantial Completion, readiness far final payment, and Milestones, ifany, 1j'increase or decrease, stale specific number of days for changes to the Contract Times. Description Amount Contract Times (days) Substantial Final 1. Item — TCI $4,817 0 0 2. item -- TCI — Marku : 5% Subs / 15% TO $688 0 0 Total This Chan e Order Proposal $5,505 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change._ Change Order Proposal By: Crai Ste e�� Signature of Proposer: 3 C>,©COI '4R C) 1 CD Vo it 13 ;� E� 10jo 0 J-Irl cpq 0 tb lui rg THIENCHMAN CON STR LK "'T! ("'IN, INC. EXTRA ViiORK ORD`R e DA DESCRIPTION: NAME KIM OPERATOR & EQUIPMENT -ZQ-<2l, l-i7-92 Wo /K,L-,Af/ &J- 6h4f- LLS QUANTITY MATERIALS UNIT PRICE TQTAL -LO-0 -L-/-- :sk, il'. -in C- i z .. ........... ? AUTHORIZED 3IGNATlJFlF TriIHNl--VA!4 SiGNA-i QH� WE PRINTED NAME / COMPANY PRINTFO NAME I POSITION (/ TNIENEMAN CONSTRUCTION, INC. EXTRA WORK ORDER JOB INANE: . J JOB NO:_1 f o B _ DATE: L� DESCRIPTION: -AFILL Z. AUTHORIZED SIGNATURE IT PRICE _ r -, 14111 TNIENEMAN SIGNATURE PRINTED NAME I COMPANY r� Nnl5720R ) 5 LcI�A� 0 7ryj Lk1_0cfa: PRINTED NAME I POSITION EMAIL DUPL.ICA TE INVOICE Wig D©livor To: AP 219-947-470o FERGUSON WATERWORKS #1934 From: Riley Forkner PO BOX 644064 Comments: PITTSBURGH, PA 15264-4054 Please Contact With Questions: 674-282-2323 Invoice Number Customer Page 0087232 6516 1 Please refer to Invoice Number when making payment and remit to: TOTAL DUE ...> 1170.00 FERGUSON WATERWORKS #1934 PO BOX 644054 PITTSBURGH, PA 16264-4054 Sold To: THIENEMAN CONSTRUCTION INC SOUTHBEND WWTP 521 WEST 84TH DRIVE STE A MERRILLVILLE, IN 46410 Ship To: THIFNEMAN CONSTRUCTION INC SOUTHBEND WWTP 521 WEST 84TH DRIVE STE A MERRILLVILLE, IN 46410 Ship Whse sell Whse Tax Cade Customer Order Number Sales Person Job Name Invoice pate Hatch 3390 3390 INE 1508 LQQ SOUTHBEND WWTP 06/10/2017 9168 Ordered Shipped Item Number Description Unit Price UM Amount 1 1 pSLUBXLIQ i QT2 LB PIPE JT LU13 NSF NEW FORM 5.000 EA 5,00 2 2 CGMPESS12 12 GAL END SEC STRP 85.000 � EA � 170.00 100 100 P40BEP1220 12X20 FT PVC S40 BE PIPE 995.000 C 995.00 Invoice Sub -Total 1170.00 Tax 0.00 Total Amt 1170.00 TOTAL DUE --•> 1170.00 ALL ACCOUNTS ARE DUE AND PAYABLE PER THE CONDITIONS AND I ERiVlS OF THE ORIGINAL INVOICE. ALL PAST DUE AMOUNTS ARE SUBJECT TO A SERVICE CHARGE AT THE MAXIMUM RATE ALLOWED BY STATE LAW PLUS COSTS OF COLLECTION INCLUDING ATTORNEY FEES IF INCURRED. FREIGHT TERMS ARE FOR OUR DOCK UNLESS OTHERWISE SPECIFIED ABOVE, COMPLETE TERMS AND CONDITIONS ARE AVAILABLE UPON REQUEST OR CAN BE VIEWED ON THE WEB AT Ititip:liwolsefryna.cfl��titanr�s,_ccrnditions GOVT BUYERS: ALL ITEMS QUOTLD ARE OPEN MARKETUNLESS NOTED OTHERWISE. LEAD LAW WARNING: IT IS ILLEGAL TO INSTALL PRODUCTS THAT ARE NOT "LEAD FREE" IN ACCORDANCE WITH US FEDERAL OR OTHER APPLICABLE LAW IN POTABLE WATER SYSTEMS ANTICIPATED FOR HUMAN CONSUMPTION. PRODUCTS WITH °NP IN THE DESCRIPTION ARE NOT LEAD FREE AND CAN ONLY BE INSTALLED IN NON -POTABLE APPLICATIONS, BUYER IS SOLELY RESPONSIBLE FOR PRODUCT SELECTION. CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 1 14-053-082.1 Date: 8/3/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend W WTP Secondar `Treatment Improvements Contractor: `l'hieneman Construction Inc, Subject: Return and upgrade Aeration deck hatches to H2O rated hatches. Revision 1 removed small tools markup. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list .supporting information as required) 1. Item: TCI — See attached cost breakdown - $3,352 JUSTIFICATION: 1, Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and ,Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Times.for• Substantial Completion, readiness for final payment, and Milestones, if any. If increase or decrease, state specific number ofdoys for changes to the Contract Times. Description Amount Contract Times da s Substantial Final 1. Item -- TC1 $3,352 0 0 2. Item -- TCI — Marku : 5%Subs / 15% TCI $503 0 �— 0 Total This Chan e Order Proposal $3, 8S5 0 0 Changes to Milestones if any: NIA The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: Craig Steele Signature of Proposer: C) C� C) O-C) o: 00 :6 �wi o0 o6 c5: rq M 11 C6,D3 Cl) c"I In: tn: 11) no t� 6q "I "t� L,:I, 00 oc oo!CD! or, CIO u w �0� C>: CD 00 6 0: O O Vf W) � Cn V) V) I A I qj Cq 0. t- An C4 0� 2 h .8 Im V) u i w P4 (z z C) CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 1 14-053-083.1 Date: 8/7/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend W W` P Secondar `l'reatment Im mr•ovements Contractor: Thieneman Construction Inc. Subject: Repair 2" communication cables exposed during the extended regrading of the center West side entrance culvert to the North due reversed existing culvert grades. Revised per Arcadis's comments, removed Sweney's cost for box (damaged by TCI), and Sweney's truck costs. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Iiem: TCl — See attached cost breakdown - $1,330 2. Item: Sweney — See attached cost breakdown - $1,396 JUSTIFICATION: 1. Item. Unforeseen CHANCES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness forflinal payment, and Milestones, ifany. If increase or decrease, state specific number ofdays far changes to the Contract Times. Description Amount Contract Times ( ays Substantial Final i . Item — Direct Costs $2,726 0 0 2. Item — Marku s. 5% Subs/ 15% TO Total This Change Order Proposal _ $270 $2,9961 �— 0 ]---o 0 1 0 Changes to Milestones if any: NIA The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By, Craig Ste to Signature of Proposer: 11V •THIENEMAN CONST UCTIQN, INC, ... I : EXTRA WORK ORDER JOB NAME:. ,JOB NO�L�U �, pA� E:���— DESCRIPTION; is] r1l AUTHORIZED SIGNATURE PRINTED NAME ! COMPANY THIENEMAN SIGNATURE �! J w[.loznf PRINTED NAME ! POSITION CIAO^ An4 ew&" �//,//�aw#ry/" l CONTRACTORS & ENGINEERS +4! ,Il` �• / 9111 Lonixianu Street Merrillville, Indiana 46410 July 6, 2017 Thienemen Construction 17219 Foundation Westfield, IN ATTN: Mr. Craig Steele RE: SOUTH BEND WWTP Mr. Steele: Phone: (219) �769-6007 Fax: (219)769-0565 We are submitting for your use field report for additional work we have been directed to perform, 1. Field Report 107520 — Replace Quazite grade box damaged by trucks. Material $ t'-39" — 6q3 Equipment Labor 495.00 PM 6&00 Profit 99: fr 173 Total -_-2-,06"0-- � 1�q C� If you have any questions or comments please feel free to contact me. Sincerely yours, 5wc1 uticctric Company, Inc. Ihornas C. Niormeyer Daily Field Report late .c _ �.� l ei z& e400 "' Joe, 107 520 ELECTRICAL CONTRACTORS 9111 LOUISIANA STREET ob Name W �' ��' ..- ....__... MERRILLVILLE, INDIANA 46410 ob No. ,._ iJ-------_ Phone; [219} 769-6007 Fax; [2191 769-0565 CLASS NAME ST I « D8L QUANT MATERIAL UNIT PRICE EXT. A TOTAL TOTAL MATERIAL LABOR TOTALS ST. 1 1/2 DBL RATE EXTENSION EQUIPMENT HRS RATE EXTENS(ON AREA FOREMAN PICK-UP TRUCK GENERAL FOREMAN _ - - WINCH TRUCK FOREMAN �^ - �� AIR COMPRESSOR JOURNEYMAN WELDER APPRENTICE POWER SAW OFFICE TRAILER STORAGE TRAILER TOTAL TOTAL REMARKS; _ [ACCEPTED BY �% CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No.: 114-053-084 Date: 7/18/17 Submitted in Response to Proposal Request No.: Contract Name and No,: 114-053 South Bend W WTP Secondary "Treatment hnljLgYements Contractor: Thicneman Construction Inc. Subject: Additional asphalt overlays on the West side road from the Admin Bldg to the Gallery 4. TCl and Owner agreed to split the cost of the I" 100' as some of the damage may have been caused by construction. Owner then requested a 2"d overlay of another 126', The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl — See attached cost breakdown - $286 2. Item: Rieth Riley— See attached cost breakdown - $5,043 JUSTIFICATION: 1. Item: Unforeseen CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors. Supplier quotations, and other information required. For the Contract 7Nes, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for f nal payment, and Milestones, ifany. If increase or decrease, state specific ntanber ofdays for changes to the Contract Times. _ Iiescri tiara 1, Item — Direct Costs Amount $5,330 Contract Times days Substantial 0 Final 0 _ 2. Item --- Marku s: 5% Subs / 15% TCl $295 _- _ 0 0 Total This Change Order Proposal $5, 625 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: L`rai S Signature of Proposer: �� 0 2 ■ ■ � V ■ / / E 7 $ r ® A A ° R x \ § m E r'd 2 7 m E E # �.[ / ƒ A o w > k $ � C u k m ° LU o m co Ln ƒ k - ± q 0 � 5 9 2 K ƒ \ m m % 7 3 Uƒ$ § 2c/ k �$� ¥ v . m f 9 / 2 k / / e Ln ° P-�, & LA c 0 E e ¥ c k L,U* -0 c ■ a 0 cc k / B k K ƒ E f d 2 E ■ u ® 3 bD W. k 2 2 Ln co k 0 Qj Ul j R o � / �£ E a / �e 2 \ u c k � k / cr 0f i$ �o C R + r R 2 � 2 m q ® 0 2 m 0 u e � £ \ k r \ 0/ b� � M m 0 0 � k � � & x 0 ƒ � S \ ƒ q 0k/ �k � k k � k 3 2 q } / k a 0) IV)00 00 m > 7 � «7Ln� k I ƒ 0 L) - A m 00 N m N a c a m .o a c a+ C 9A 0 w ro Q C 0 m D F^^ n E V Y U w C m N E m n E 0 u C O m M x w w 3 c Y 0 3 �Nr U ro C 0 U a C] m io w Y M C 0 a � 0 0 w E 3 � 3 E u 3 C 40 4. M O C Ln 0 Ow.. c � O ro 4- C C m c C w o © 0 N rf E iA. � m w u y ro 0 -0 GJ w = E 4° 0 ,U a� w w E 3 0 O w ..0 +a 0 V) o G 0 a m ar 0 w s w CL w .0 H w a� UO 7� c m b Cl) w c a 0 c w E 41 0 ° - � w s 4 w o tw E c w a QM C] E m a 0 U E m w C Q w C Z7 a C C a 0 �- - nra u w �.? E t m y � w E "t7 E 0 to CL O H T3 u E 0 c a w ` w w0 CL -s o 0 0 = o �s 4' Ts _ m m p ,C w a m L] � E � N p 1� V1 0 0 a e`u Ta E 7- ,w O C CL � i + O 'u o w � C w .ro L LC w E +r C 4ml 4; a O a = +J v7 0 E L! 0 0 •� Li Qy c u ro a w - o 41 ► m L w E w a w 0 ro w 0 E m m 0 r u p o C m , Q E w 0 c c +� u m o w m � as •� 0 %4- . c C O'-C ro a n °o ro a`ui a ro QJ TS u V o o� : 'pn � .Q pCj O 41 V) •L �„ O LL ►- u A!_^ 0 I: CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 L.MNIrlir� Change Order Proposal No.: 1 14-053-085 Date: 7/21/17 Submitted in Response to Proposal Request No,: Contract Name and No.: 1 1.4-053 South Bend W W`1'P Secondary Treatment Improvements Contractor: Thieneman Construction, Inc, Subject: Unforeseen demo at C4/5 gates, submersed old gate frames conflicted with the new concrete wall location and needed to be removed. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TCl — See attached cost breakdown - $331 2. Item: JUSTIFICATION. 1. Item: Unforeseen CiJ7:�C►!'�1r�►[i#7►:hYlri3La1�D1►i1EZfL/J►MS#:i11W111►�iDF We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns for Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Times, state increase, decrease, or no change to Contract Thnes Jar Substantial Completion, readinessfor•,finalpayment,and Milestones,ifany. tf increase or decrease, slate specific number ofdaysforchanges to the Contract Times. Description µmm 1. Item — Direct Costs Amount $331 es Contract Timdays) Substantial 0 Final 1 0 2. Item — Marku s: 5% Subs / 15% TO $50 0 0 Total This Chary e Order Proposal $381 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed chap, Change Order Proposal By: Craig S _e Signature of Proposer: CN � rl VI tf, Jul E-4 0 lu� 0 i lzi O!m 101 C� C? j 00 �C) 'n In t- in z LI) W) In 'n CY F-t low! iU El C,Z'I! o 'X rn W U U f4 Z V) THIENEIVIAN CONS SUCTION, INC. EXTRA WORK ORDER JOB NAME: DATE: L ....rim li:E °� r Ct LI.�LLIL%i• Cl I � f—TIC �c l sJ nlc, �= AUTHORIZFD SIGNATURE PRINTIED NAME ! COMPANY THIENEMAN 51GNATURIz 63w PRINTEO NAME! POSITION CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO, 114-053 CHANGE ODDER PROPOSAL Change Order Proposal No.: 1 14-053-086 Date: 7/21/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend WWTP Secondary Tie=fitment Improvements Contractor: Thiencmttn Construction, Inc, Subject: Clean sludge from RAS channel for phase G2 as requested by Owner. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list supporting information as required) 1. Item: TC1— See attached cost breakdown - $4,602 2, Item: Badger — See attached cost breakdown - $19,259 JUSTIFICATION: 1. Item: Owner request CHANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach detailed cost breakdowns far Contractor and Subcontractors, Supplier quotations, and other information required. For the Contract Nines, state increase, decrease, or no change to Contract 77mes for Substantial Completion, readinessforfinal payment, and Milestones, ifany. If'increase or decrease, state specific number ofdays for changes to the Contract Times. W Description Amount Contract Times days -Substantial I Final 1. Item -- `FC1 & Bad ter Costs $23,861 0 0 2. Item — TC1— Marko : 5% Subs 115% TCI �— T'alal This Chan e Order Proposal $11653 $25,514 0 0 0 0 Changes to Milestones if any; NIA The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. w� Change Order Proposal By: Craig S.teelc Signature of Proposer: _ c� O cz:, C= cm O 66 GJ C) a t-, C=: cq C) %0 C, MI Z La t3 01 0, U: a Q.1 0 Lzo 00 N t- C-4 00 i 00 r'4; m M PI ol E .T.HIENEMAN CONST UCTION, INC. EXTRA WORK ORDER JOB NAME, 6. F2. _ _ • . .IQ NU.. � ' I)ATL DESCRIPTION: ILL I� S AI)THORIZkD SIGNATURE PRINTED NAME I COMPANY TNIENEMAN SIGNATURE �4 h �L"� 7 [Y t i r3 LE 1 JCL E Af 7 1:"iJ4 C:A1V PRINTED NAME POSITION FlAin.nni THIENEMAN CONSTRUCTION, INC..„.t` �r EXTRA WORK ORDER JOB NAME: ' JOB NO:- V-Q f-- DESCRIPTION: I C AUTHORIZED SIGNATURE PRINTED NAME! COMPANY THIENEMAN SIGNATURE �- PRINTEI7 NAME! POSITION EWO-ool Phone: (877) 322 3437 Fax: (877) 741.3134 INVOICE REMIT T0: Badger Daylighting Corp 75 Remittance Drive Suite 3185 Chicago, IL 60675-3185 INVOICE NUMBER: AR00152635 INVOICE DATE: 07/20/2017 Page 1 of 2 dY TH1002 1508 NET 30 DAYS FROM INVOICE DATE !1 NORTHERN INDIANA CORP 3113 Riverside Dr @ South Bend WIMP (we: 08/19/2017 UIfenjZo"' WIP00z1 OtY A. ur�i _ _ x ✓' 1. e. 07107/2017 TKTOO637800 1098 CHASE TRUCK 1.00 Hours 100.00 100,00 07107/2017 TKTODS37800 1098 REMOTE FEE 250.00 Feet 2.00 600.00 07/07/2017 TKT00637800 1098 MOBILIZATION 1 DEMOBILIZATION 2,00 Hours 236.00 470.00 0710712017 TKTOO637800 1096 HYDROVAC W/ 2 MAN CREW - HOURLY - 01 STANDARD RATE 8,00 Hours 300,00 2,400,00 0710712017 TKTOO637800 1098 HYDROVAC W12 MAN CREW - HOURLY - 02 OVERTIME RATE 3.00 Hours 340,00 1,020,00 0711112017 7KTOO637801 1098 REMOTE FEE 250.00 Feet 2.00 500,00 07/1112017 7KT00637801 1098 MOBILIZATION / DEMOBILIZATION 3.00 Hours 235,00 705,00 07/11/2017 TKTOO637801 1098 HYDROVAC W12 MAN CREW - HOURLY - 01 STANDARD RATE 8.00 Hours 300.00 2,400.00 0711112017 TKT00037801 1098 HYDROVAC W12 MAN CREW - HOURLY - 02 OVERTIME RATE 3.00 Hours 340.00 1,020,00 47112/2017 TKTOO637002 1090 REMOTE FEE 250.00 Feet 2,00 500.00 07112/2017 TKT00837802 1098 MOBILIZATION 1 DEMOBILIZATION 3,00 Hours 236.00 7p5,00 0711212017 TKT0O837602 1098 HYDROVAC W12 MAN CREW - HOURLY - 01 STANDARD RATE 8.00 Hours 300.00 2,400.00 07112/2017 TKTOO637802 1006 HYDROVAC W/ 2 MAN CREW - HOURLY - 02 OVERTIME RATE 3.00 Hours 340.00 1,020.00 07113/2017 TKT00637803 1D08 CHASETRUCK 1,00 Hours 100.00 100.00 07113/2017 TKT00637803 1098 REMOTE FEE 300.00 Feet 2.00 W0,00 0711312017 TKTOO637803 1096 MOBILIZATION 1 DEMOBILIZATION ZOO Hours 236.00 470.00 07113/2017 TK700637803 1098 HYDROVAC WI 2 MAN CREW - HOURLY - 01 STANDARD RATE 8.00 Hours 300.00 2,400,00 07/13/2017 TKT00037803 1096 HYDROVAC W12 MAN CREW - HOURLY - 02 OVERTIME RATE 3,00 Hours 340.00 1,020.0D Payment terms are Net 30 days. Any unpaid balances are subject to: a 10% late fee, maximum interest allowed by law, collection fees, and any and all court costs and legal fees, Ver 2.2.0 Printed: 0712012017 REMIT TO: Badger Dayiighting Corp 76 Remittance Drive Suite 3185 Chicago, IL 60675-3185 Phone: (877) 322 3437 Fax; (877) 741-3134 INVOICE NUMBER: AR00152635 INVOICE DATE: 07/20/2017 Page 2 of 2 Subtotal 18,330.00 Sales Tax 0.00 TOTAL DUE $18,330.00 Payment terms are Net 30 days. Any unpaid balances are subject to: a 10%a late fee, maximum interest allowed by law, collection fees, and any and all court costs and legal fees. Vat 2.2,0 Printed; 0712012017 TKT00637800 Billed To: THIENEMAN CONSTRUCTION 521 W 84TH DRIVE STE A MERRILLVILLE IN 46410 Badger Daylighting Corp 75 Remittance Drive Suite 3185 Chicago, Illinois, United States, 60675-3185 Ph: (877) 313ADGER Fax: (877) 741-3134 Email: AR Dept Job Number J00346750 Ticket Date: 07/07/2017 Paper Ticket A Operator(s) ELLIOTT KEITH YAGELSKI EUGENE Jab Location 3113 Riverside Dr @ South Bend WWTP (west PO: 1508 Company: Badger Daylighting Corp Select Truck Project Name/AFE: Job Name/#: South Bend WWTP (west side) sand blast med Customer Rep: Pat Johnston Area NORTHERN INDIANA CORP Customer Rep #: 317-417-3484 Industry Ticket Items Item Unit # 1 Personnel Quantity U of M Rate Amount HYDROVAC W12 MAN CREW - HOURLY - 01 1098, HYDROVAC 8.00 HR 300.00 2,400,00 STANDARD RATE HYDROVAC W12 MAN CREW - HOURLY - 02 1096, HYDROVAC 3.00 HR 340.00 1,020.00 OVERTIME RATE REMOTE FEE 1098, HYDROVAC 250.00 FT 2.00 600.00 MOBILIZATION 1 DEMOBILIZATION 1096, HYDROVAC 2.00 HR 235.00 470.00 CHASE TRUCK 1098, HYDROVAC 1.00 HR 100.00 100.00 TIME-01-OPERATOR 1-DAY SHIFT ELLIOTT, KEITH 0.00 HR 0.00 0.00 TiME-38-OPERATOR NON-CDL 3.5-DAY SHIFT YAGELSKI, EUGENE 0.00 HR 0A0 0.00 Subtotal 4,490.00 Total $4,490.00 Taxes included if applicable. Approved By f _ram Work Order #1 1508 Spira Wireless Field Ticketing Visit us at www.spiradata.com Ver 2.0.1 Page 1 of 2 TKT00637801 Billed To: THIENEMAN CONSTRUCTION 521 W 84TH DRIVE STE A MERRILLVILLE IN 46410 Badger Daylighting Corp 75 Remittance Drive Suite 3185 Chicago, Illinois, United States, 60675-3185 ft (877) 3BADGER Fax: (877) 741-3134 Email: AR Dept Job Number J00346768 Ticket Date: 07/11/2017 Paper Ticket #: Operator(s) ELLIOTT KEITH YAGELSKI EUGENE Job Location 3113 Riverside Dr @ South Bend WWTP (west PO; 1508 Company: Badger Daylighting Corp Select Truck Project NameIAFE: Job Namel#: South Bend WWTP (west side) sand blast mod Customer Rep: Pat Johnston Area NORTHERN INDIANA CORP Customer Rep #: 317-417-3484 Industry Ticket Items Item Unit # I Personnel Quantity U of M Rate Amount HYDROVAC W/ 2 MAN CREW - HOURLY - 01 1098, HYDROVAC 8.00 HR 300.00 2,400,00 STANDARD RATE HYDROVAC W/ 2 MAN CREW - HOURLY - 02 1098, HYDROVAC 3.00 HR 340.00 1,020.00 OVERTIME RATE REMOTE FEE 1098, HYDROVAC 250.00 FT 200 500.00 MOBILIZATION / DEMOBILIZATION 1098, HYDROVAC 3.00 HR 235,00 705.00 TIME-01-OPERATOR 1-DAY SHIFT ELLIOTT, KEITH 0,00 HR 0.00 0.00 TIME-38-OPERATOR NON-CDL 3.5-DAY SHIFT YAGELSKI, EUGENE 0.00 HR 0.00 0.00 Subtotal 4,625.00 Total $4,625.00 Taxes included it applicable. Approved By: Jul Y1,2017 Work Order #1 1508 Spire Wireless Field Ticketing Visit us at www.spiradata.com Ver 2.0.1 Page 1 of 1 TKT00637802 C1AYL1GNTING" Billed To: THIENBMAN CONSTRUCTION 521 W 84TH DRIVE STE A MERRILLVILLE IN 46410 Badger Daylighting Corp 75 Remittance Drive Suite 3185 Chicago, Illinois, United Stales, 60675-3185 Ph: (677) 3BADGER Fax: (677) 741-3134 Email: AR Dept Job Number J00346768 Ticket Date: 07/12/2017 Paper Ticket 0: Operator(s) ELLIOTT KEITH YAGELSKI EUGENE Job Location 3113 Riverside Dr @ South Bend WWTP (wesl PO: 1500 Company: Badger Daylighting Corp Select Truck Project NameIAFE: Job Namel#: South Bend VWVPP (west side) sand blast med Customer Rep: Pat Johnston Area NORTHERN INDIANA CORP Customer Rep #: 317-417-3484 Industry Ticket Items Item Unit # I Personnel Quantity U of M Rate Amount HYDROVAC W12 MAN CREW - HOURLY - 01 1098, HYDROVAC 8.00 HR 300.00 2,400.00 STANDARD RATE HYDROVAC Wl2 MAN CREW - HOURLY - 02 1098, HYDROVAC 3.00 HR 340.00 1,020,00 OVERTIME RATE REMOTE FEE 1098, HYDROVAC 250.00 FT 2.00 500,00 MOBILIZATION 1 DEMOBILIZATION 1098, HYDROVAC 3.00 HR 236.00 705.00 TIME-01-OPERATOR 1-DAY SHIFT YAGELSKI, EUGENE 0.00 HR 0.00 0.00 TIME-0I-OPERATOR 'I -DAY SHIFT ELLIOTT, KEITH 0.00 HR 0.00 0.00 Subtotal 4,625.00 Total $4,625.00 Taxes Included if applicable. Approved By: JW 12. 2017 Work Order #1 1508 Spire Wireless Field Ticketing Visit us at www.salredata,com Ver 2.0.1 Page 1 of 1 TKT00637803 Billed To: THIENEMAN CONSTRUCTION 521 W 84TH DRIVE STE A MERRILLVILLE IN 46410 Badger Daylighting Corp 75 Remittance [give Suite 3185 Chicago, Illinois, United States, 60675-3185 Ph: (877) 3BADGER Fax: (877) 741-3134 Email: AR Dept Job Number J00346758 Ticket Date: 07/13/2017 Paper Ticket #; Operator(s) ELLIOTT KEITH YAGELSKI EUGENE Job Location 3113 Riverside Dr @ South Bend WWTP (west PO: 1508 Company: Badger Daylighting Corp Select Truck Project Name/AFE: Job Name)#; South Bend WWTP (west side) sand blast med Customer Rep: Pat Johnston Area NORTHERN INDIANA CORP Customer Rep #: 317-417-3484 Industry Ticket Items Item Unit # 1 Personnel Quantity U of M Rate Amount HYDROVAC W/ 2 MAN CREW - HOURLY - 01 1098, HYDROVAC 8.00 HR 300.00 2,400.00 STANDARD RATE HYDROVAC W/ 2 MAN CREW - HOURLY - 02 1098, HYDROVAC 3.00 HR 340.00 1,020,00 OVERTIME RATE REMOTE FEE 1098, HYDROVAC 300.00 FT 2.00 600.00 MOBILIZATION 1 DEMOBILIZATION 1098, HYDROVAC 2.00 HR 235.00 470.00 CHASE TRUCK 1098, HYDROVAC 1.00 HR 100.00 100.00 TIM E-01 -OPERATOR 1-DAY SHIFT ELLIOTT, KEITH 0.00 HR 0.00 0.00 TIME-38-OPERATOR NON-CDL 3.5-RAY SHIFT YAGELSKI, EUGENE 0.00 HR 0.00 0.00 Subtotal 4,690.00 Total $4,590.00 Taxes Included if applicable. Approved By: w_- Work Order #1 1508 Ticket Notes Job Description 7/13/2017 3113 River Side Drive South Bend IN @ South Bend Water Treatment Plant. Contact Pat Johnston 1-317-417-3484. Hydrovacing Sludge From Sewer Plant Pit & Dumping on Site. Spira Wireless Field Ticketing Visit us at wWw.solradata.com Ver 2,0.1 Page 1 of 1 CITY OF SOUTH BEND, INDIANA WWTP SECONDARY TREATMENT IMPROVEMENTS CITY PROJECT NO. 114-053 CHANGE ORDER PROPOSAL Change Order Proposal No,: 1 14-053-087 Date: 8/7/17 Submitted in Response to Proposal Request No.: Contract Name and No.: 114-053 South Bend W WTP Secotldary freatment Improvements Contractor: Thieneman Construction, Inc. Subject: RFP: Abandon Existing Water Line East of Aeration Tanks. Includes RFP pricing, vac trucking, cutting, capping, disposal, and backfilling. City to isolate if necessary. Excludes landscaping/seeding restoration. The following changes to the Contract are proposed: SCOPE OF WORK: (attach and list .supporting information as required) Item: TCI — See attached cost breakdown - $2,375.00 2. Item: Badger — See attached cost breakdown - $2,627.00 JUSTIFICATION: 1. Item: Owner request CIiANGES IN CONTRACT PRICE AND CONTRACT TIMES: We propose that the Contract Price and Contract Times be changed as follows: For Contract Price, when requested by Engineer, attach derailed cost breakdowns for Contractor and .subcontractors, Supplier quotations, and other information required. F'or the Contract Times, state increase, decrease, or no change to Contract Times for Substantial Completion, readiness for final payment, and Milestones, ifany. If increase or decrease, state sped jic number of days for changes to the Contact Times. Description Amount Contract Tiimes (days) — Substantial Final 1. Item — TC1 & Badger Costs __ $5,002 0 _ 0 2. Item -- TCI — Marku : 5% Subs / 15% TC1 Total This Change Order Proposal +—,$5,489 $487 0 0 0 0 Changes to Milestones if any: N/A The adjustment proposed is the entire adjustment to the Contract to which the proposer believes it is entitled as a result of the proposed change. Change Order Proposal By: Crai g Stcel Signature of Proposer: N o;c, ca c) as rna:ado Lno n o N o CD C,4 kn !n p C;N;�'r ID. GH (A N V1 GA 69 n Gd 00 W iq O o a O O O CA S oa [ mC`E Ch Q1 '.. . 00CA a o o vy1 n, bri Gn n Z/] V) : GA C) - O 604 O U D N tri N rn ] a G v, W 1r5 V i II Q Q nn c; 3 No ooca vi o:o oo N Cy, n as °O � W W a V :ol C) C7.0 O O C? LLJ - .� W: �:�,a�Vl O O a) O iC? CD F7 , o, W wp_ �', tn CIEn N VI bo�' cy 1 i N © N �.C.F a�i p i "N po Ql O' IJE Z