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Home My WebLink AboutChange Order No 1 - Safe Routes to School Monroe Primary and Studebaker Elementary Proj No 116-039 - INDOT - DLZ Indiana13 16 COUNTY -CITY BUILDING 227 W. JEFTERSON Boul,UVARD SOUTH 13END. INDIANA 46601-1830 CITY OFSOUTij BEND PETE Burrw.iEG, MAYOiR BOARD OF PUBLICJblx�-�� May 22, 2018 Jeff Million DLZ Indiana, LLC 2211 E. Jefferson Blvd. South Bend, IN 46615 PHOW, 574/2359251 FAX 574/ 235-9171 RE: Change Order No, I - Safe Routes to School: Monroe Primary and Studebaker Elementary — Project No. 116-039 Fol-W MON f W, "I I MM The Board of Public Works, at its meeting held on May 22, 2018, approved the above referenced Change Order for a decrease of $12,549.50, bringing the current contract amount to $1,925,451.75. 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 Enclosure c: Roger Nawrot, Engineering GARY A. GILOT SUZANNAM.FRITZBERG E1JZABFrrjiA.MARAD1K JAW's A, MUPLLER THERESE J. DORAU Contract No:R -39513 Change Order No.: 001 INDIANA Department of Transportation Page: t Construction Change Order and Time Extension Summary Contract information Contract No.: R -39513 Letting Date:10/1212017 District:LAPORTE DISTRICT AE:Forgey, Ryan PE/S:Million, Jeff Status:Draft Change Order information Change Order No.: 001 EWA: Y or Force Acct: N Date Generated: 00100/0000 Date Approved: 00/00/0000 Reason Code: CHANGED COND, Constructability Related Description: Adding Sorrow and Concrete Patching Original Contract Amount $ I,938,001.25 Current Change Order Amount $ '-12,549.50 Percent: -0.648 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $-12,549.50 Percent: -0.648 % Modified Contract Amount $ 1,925,451.75 Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Original Contract Time SS Completion Date 00/00/0000 or SS CalendarlWork 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: DOE:- SCE: DDCM: SS Days SP Days Value $ Revised Contract Time SS Completion Date 00/00/0000 or SS CalendarMork Days 0 SS Date 00/00/0000 or SP Days 0 Contract No:R -39513 Change Order No.: 001 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 $ 2 M --) (-- GT $ 2 M -- ) (Days per Contract) ( 50 SS days ) { 100 SS days) ( 200 SS Days) ( GT 200 SS days) Verbal Approval Required? Y Of Y, by Date Issued Total Change To-Date>S%? Y Of Y , Copy to Program Budget Manager Scope/Design Recommendation Y 1 ) Y, Referred to Project Manager(PM) Required? Date to PM Date Returned Approval Authority Concurs with PM? @ N If Y, Concurrence by Date If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? 0 N If Y, Date to LPA Date Returned FHWA Signatures Required? Y 1 N if Y, Date to FNWA Date Returned w Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract NOR -39513 INDIANA Date:0510312018 Change Order No:001 Department Of Transportation Page: 3 Contract: R -39513 Project: 1600075 - State:160007500L.C4 Change Order Mr. 001 Change Order Description: Adding Sorrow and Concrete Patching Reason Code: CHANGED COND, Constructability Related CLN PCN PLN Item Cade unit Unit Price CO City Comment Amount Change 0020 1608075 0021 207-08264 SYS 40,250-818.000 C Amount:$ 32,924.50 Item Description: SUBGRADE TREATMENT. TYPE It Supplemental Descriptioni: Supplemental Dascriptlon2: 0021 1600075 0022 304-07490 TON Item Description: HMA PATCHING, TYPE t3 Supplemental Descriptions: Supplemental Descdiolion2: 0039 1600075 0038 203-02070 CYS Item Description: BORROW Supplemental Descriptionl: Supplemental Desariptlon2: 0040 1600075 0039 506-0fi333 SYS item Description: PCCP PATCHING FULL DEPTH Supplemental Descaiptioni: Supplemental Description2: 290.000-455.000 55.000 400.000 100.250 1300.000 C C C Amount:$ -131,950.00 Amount:$ 22,000,00 Amount:$ 1$0,325.00 Total Value for Change Order 001 = $-12,649.60 Whereas, the Standard Speclficationa for this contract provides for such work to be performed, the following change Is recommended, General or Standard Change Order Explanation This change order creates a borrow item which is needed to fill the voids under the new sidewalk after the large roots have been removed in the areas where the trees were taken down. A concrete patching Item has also been created which will replace the Base portion of the HMA Patching Item as well as the Subgrade Treatment at these patching locations located at the comer curb ramps. The concrete patching which was approved by the City of South Bend will fill these patches up to 1.5 in. below grade leaving only the HMA Surface to finish the patch. The concrete can be placed the next day as opposed to waiting weeks for the HMA Base eliminating a safety hazard at these Intersecfions. There is also a cost savings to the project. No additional time is needed for this change order. Change Order Explanation for Specific Lino Item fffHf+f t+f Kf#+lifK M+K.A++fi#i#fHf+fKiHfffHfHKHf ifsH,ifiK+i+#HK#iHKr+KK4,iMH.if#++#fH#++f++Hff#H#f## It is the Intent of the parties that this change order is full and complete compensation forthe work describe above. Notification and consent to this change order is hereby acknowledged. Contractor. Sr. 1 A 0— C o t1.5t' C :rA 4 . Signed By: �^'ty`t�� _.L.L.A Bate: 3 , #+ff+HiiHi+-f#fHff+#f f+f tit.++•+� f+f #+#++K####+#KaKif i+ik#,K+K#Kw##Kffffafff f sill.HaK+f+.Kiara+.�+..+K.a+x+rfi NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system, Contract NOR -39513 INDIANA Change Order No:001 Department of Transportation (SIGNATURE) �-j LVt-'�' �' - �� k � . ......... * .. . ..... . ...... . . * ....... APPROVED FOR LOCAL PUBLIC AGENCY 617 (TITLE) /1"YE (TITLE), SUBMITTED FOR CONSIDERATION PE/S (DATE) (DATE) APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION Date:05/0�3/2018 Approval Levif— Name of Approver Date Status BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date May 10, 2018 Department Public Works Name Roger Nawrot Division/Bureau Engineering BPW Date May 22, 2018 Phone Extension 5932 ❑ Agreement ❑ Contract ❑ Proposal jJ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 1 ❑ CIO & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: F] Other: Company or Vendor Name Indiana Department of Transportation New Vendor MBEIWBE Contractor MBEIWBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description U Yes LJ No If Yes, Approved by Purchasing ❑ MBE ❑ WBE ❑ No 0 Yes Name of Company SRTS Monroe Primary and Studebaker Elementary R-39513 116-039 -$12,549.50 (deduct) Federal 80% and City 20% This change order is for changing of the street patching at the handicap ramps and adding borrow material to fill the holes left by the tree removal. City share of the change order is $2,315.00 deduction. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Amount of ❑ Increase $ ❑ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % Dispersal After Approval Copy Original - ® ❑ Roger Nawrot ❑ ❑ ❑ ❑