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Change Order Nos. 1,2,4,5,6 - INDOT - Boland Trail Project No 113-047
Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM July 2, 2018 Roger Nawrot Department Division/Bureau Public Works Engineering BPW Date July 10, 2018 Phone Extension 5932 U Agreement L Contract a Proposal U 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: F1 Other: Company or Vendor Name New Vendor MBEIWBE Contractor MBEIWBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Indiana Department of Transportation ❑ Yes ❑ No ❑ If Yes, Approved ❑ MBE ❑ WBE ❑ No ❑ Yes Name of Company Boland Trail R-36881 113-047 Special LOIT 257-0608-431.42-96 Purchasin $0.00 Federal 80% and City 20% This administrative change order is for changing the type of Structural Backfill. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Amount of H Increase $ ❑ Decrease $ Previous Amount $ 1,163,781.52 Current Percent of Change: 0% New Amount $ 1,163,781.52 Total Percent of Change: 0% Dispersal After Approval Copy Original ® ❑ Roger Nawrot ❑ ❑ ❑ ❑ Contract No:R -36881 Change Order No.: 001 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Contract Information Contract No.: R -36881 Letting Date:09/13/2017 District:LAPORTE DISTRICT AE:Forgey, Ryan PEIS:Carey, Michael Change Order Information Change Order No.: 001 EWA: Y or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: CHANGED COND, Constructability Related Description: Design change of Structural Backfill type Original Contract Amount $ 1,163,781.52 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 $ 1,163,781.52 Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Page: 1 Status:Pending 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 Previous Time Approved SS Days 0 SP Days 0 SS Days by AE: DCE: SS Days SP Days Value $ 0.00 SCE: DDCM: SP Days Value $ Revised Contract Time SS Completion Date 00/00/0000 or SS CalendarfWork Days 0 SS Date 00/00/0000 or SP Days 0 Contract No:R -36881 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority ($ per Change Order) (Days per Contract) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Change Order No.: 001 Page: 2 AE: DCE: SCE: * DDCM: {-LE$250K-){-LE$750K-)(--LE$2M--}(--GT$2M--) { 50 SS days ) ( 100 SS days } ( 200 SS Days) ( GT 200 SS days) Y I N If Y, by Date Issued Y 1 N If Y, Copy to Program Budget Manager Y 1 N If Y, Referred to Project Manager(PM) Date to PM Approval Authority Concurs with PM? Y 1 N If Y, Concurrence by If N,Resolution: Approved Date Return Date Disapproved Resolved by Date LPA Signatures Required? Y I N If Y, Date to LPA Date Returned FHWA Signatures Required? Y 1 N If Y, Date to FHWA Date Returned * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36881 INDIANA Change Order No:001 Department of Transportation Date:06I2912018 Page: 3 Contract: R -36881 Project: 1382758 - State: 138275800LC4 Change Order Nbr: 001 Change Order Description: Design change of Structural Backfili type Reason Code: CHANGED COND, Constructability Related C L N PCN PLN Item Code Unit Unit Price Co aty Comment Amount Change 0025 1382758 0025 211-09265 CYS 35.000-509.000 C Amount:$-17,815.00 Item Description: STRUCTURE BACKFILL, TYPE 2 Supplemental Descriptionl: Supplemental Description2: 0115 1382758 0115 211-09264 CYS 35.000 509.000 C Amount:$ 17,815.00 Item description: STRUCTURE BACKFILL TYPE 1 Supplemental Descriptionl: Supplemental Description2: Total Value for Change Order 001 = $ 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 Design change to change structural backfill type 2 to type 1 due to the native material is sufficient material. Change order Explanation for Specific Line Item ************kk:Yhit4xk:Yh..... ..Ytkkfh r+Fkk:whxxdtxk:Yxwkx%k.**..xzfk*xxRfxk*--..xx*#x*x*x*k****wk***ir*kk*k**k**k****k**k**kk*k 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. Contractor: Signed By: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract NOR -36881 INDIANA Date:06/29/2018 Change Order No:001 Department of Transportation Page: 4 APPROVED FOR LOCAL PUBLIC AGENCY Izi K (SIGNATURE) (TITLE) (DATE) F A (SIGNATURE) (TITLE) (DATE) W,14 6 F /A"' OWIT 61`613 dbW§jDERATION PETS APPROVED FOR iNDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status Project Engineer/Supervisor Carey, Michael 00/00/0000 Action Pending BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date July 2, 2018 Department Public Works Name Roger Nawrot Division/Bureau Engineering BPW Date July 10, 2018 Phone Extension 5932 Agreement a Contract Professional Services F I Resolution ❑ Bid Opening ❑ Quote Opening ® Change Order No ❑ Ease/Encroach. n Other: Proposal U Addendum ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Award 2 ❑ CIO & PCA No. ❑ PCA ❑ Traffic Control: Company or Vendor Name Indiana Department of Transportation New Vendor U Yes LJ No Ll If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Boland Trail R-36881 Project Number 113-047 Funding Source Special LOIT _ Account No. 257-0608-431.42-96 Amount -$29,953.32 Terms of Contract 80% and City 20% Purpose/Description _Federal _ This change order is for changing the allowing the Road Closure Time by 30 days for public safety and increased Contractor efficiencies. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Amount of ❑ Increase $ ® Decrease $ 29,953.32 Previous Amount $ 1,163,781.52 Current Percent of Change: -2.57% New Amount 1.133.828.20 Total Percent of Change: -2.57% Dispersal After Approval Copy Original ® ❑ Roger Nawrot ❑ ❑ Contract No:R -36881 Change Order No.: 002 INDIANA Department of Transportation Page: 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -36881 Letting Date:09/1312017 District:LAPORTE DISTRICT AE:Forgey, Ryan PE/S:Carey, Michael Status:Draft Change Order Information Change Order No.: 002 EWA: Y or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: INCENTIVE/DISINCENT, Closure Times Description: Road closure 6 weeks extension and $30,000 credit Original Contract Amount $ 1,163,781.52 Current Change Order Amount $-30,000.00 Percent: -2.578 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $-30,000.00 Percent: -2.578 % Modified Contract Amount $ 1,133,781.52 Time Extension Information Date Initiated 06/28/2018 Date Completed 00/00/0000 Original Contract Time SS Completion Date 00/00/0000 or SS CalendarlWork Days 0 SP Date 04/19/2018 or SP Days (SS = Standard Specification, SP = Special Provision) Time Element Description: Current Time Extension Previous Time Approved SS Days 0 SP Days 42 SP Days Value $ 0.00 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 -36881 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority ($ per Change Order) (Days per Contract) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Change Order No.: 002 Page: 2 AE: DCE: SCE: * DDCM: {-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--) { 50 SS days) ( 100 SS days } ( 200 SS Days) ( GT 200 SS days) Y I N If Y, by Date Issued Y I N If Y, Copy to Program Budget Manager Y 1 N If Y, Referred to Project Manager(PM) Date to PM Date Returned Approval Authority Concurs with PM? Y 1 N If Y, Concurrence by Date If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? Y 1 N If Y, Date to LPA Date Returned FHWA Signatures Required? Y 1 N If Y, Date to FHWA Date Returned * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract NOR -36881 INDIANA Date:07/09/2018 Change Order No:002 Department of Transportation Page: 3 Contract: R -36881 Project: 1382758 - State:1382758001-C4 Change Order Nbr: 002 Change Order Description: Road closure 6 weeks extension and $30,000 credit Reason Code: INCENTIVEIDISINCENT, Closure Times ,. CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change 0130 138275E 0127 108-08222 DOL 30,000.000 -1.000 C Amount:$-30,000.00 Item Description: INCENTIVEID(SINCENTIVE Supplemental Descriptionl: Supplemental Descriptionl: Total Value for Change Order 002 = $-30,000.00 Milestone Time Adjustment MileStone Nbr: 03 Milestone Description: CLOSURE TIME Original Completion dt: 04119/2018 Adj camp[ dt 05/31/2018 Adj No. of Days 42 Explanation: Increase road closure for project safety and increased efficiencies. Whereas, the Standard Specifications for this contract provides for such work to be performed, the fol[owing change is recommended. General or Standard Change Order Explanation The contract allows for a 21 day road closure period. The intent of the closure is to allow for the storm sewer to be installed under the roadway and preform the other work adjacent to the roadway. HRP proposes a deduct change order in order to increase the road closure period. They are offering 30000 dollars for additional six weeks of the full road closure. They feel it will make the project safer and likely allow It to be completed sooner due to increased efficiencies. Change Order Explanation for Specific Line Item 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. Contractor: Signed By: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract No:R -36881 INUANA Date:07/09/2018 Change Order No:002 Department of Transportation Page: 4 APPROVED FOR LOCAL PUBLIC AGENCY 77" (SIGMA URE) (TITLE) (DATE) (SIGNATURE) (TITLE) (DATE) A 1�11'Ad�Ml EAO"R CO'NSI'D'ERATION PE/s APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status CONTRACT NO. R 3G8$1' NOTE: Upon request from Engineer, enter detailed description on page 2. DATE OF SUBMISSION Ju 9.. 2 2€;18 ONSET DATE OF CHANGEt�lrsl CHANGE ORDER TYPE 1{tf3 03;'Quanty lncreasi%t1ecrease PROPOSED COST AND TIME ADJUSTMENT" COST COST INCREASE / (DECREASE): $ (3U,000) The cost adjustment shall include lump sum and estimated totaled unit -priced item costs. Attach a separate sheet of unit price items including item description, unit of measurement, estimated quantity and unit price. CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE: E1.109.03 AlterOicquantities Z 109.05(a) Agreed Price ❑ 109 05(b) i orce Account d 109.65..O.Delay Casts PROPOSED COST CHANGE INCLUDES: ©;Labor A Material :Equipment..'Lease Agreement Subcontractor TIME ADJUSTMENT INCREASE / (DECREASE): CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: (work days) BO Excusable, Nan Comperisable ❑ 108 0$(b) Excusable,Compensabfe NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs. Haanionai Intormatlon rnay pe enterea by the contractor. CHANGE ORDER ORIGINATION: ❑ ,IND0T / LPA ®,;Contractor , DOCUMENTS AFFECTED: ❑ Contract Specifications (ref. doc name/no.) ® Contract Plans (ref. doc name/no.) CHANGE ORDER AFFECTS DBE PARTICIPATION: Ver, 10-23.17 a]ANGE ORDER REQUEST FORM CONTRACT NO. Rw3688') UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL. DETAIL DATE RECEIVED REQUEST FOR .Iuly 2; 203.8 SUBMITTAL DATE OF July �, �tl�.$ ADDITIONAL DETAIL ADDITIONAL DETAIL DETAILED DESCRIPTION / JUSTIFICATION. (include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries, discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached or available to support this change order request.) 5;days -.1 week Additional road closure wil.i, make the project safer and could increase Con..tractor efficiencies thus allowing the project to be completed Sooner. �LbSUQ� � .M � /"t t LC PROPOSED SOLUTION — ADDITIONAL DETAILS: (include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted scope and the effect on the contract schedule, Also include references to attached documents including, but not limited to, sketches, calculations, photos, material information, and submittals and meeting minutes.) Should delays beyond the control of the Contractor, or. its Subcontractors, delay the project prior to. the use of.this additional road closure, days will be.added to the closure congruent to additional days granted on associated charige orders. SIGNATURES Contractor: _ Name: (print) T.J ne S--b'5 5 (signature) Date: Project Engineer/Supervisor: (signature is to acknowledge receipt of the document and does notsignify agreement of the change order) Name: (print)C YACt pg. 2 CHANGE ORDER MUEK7 / r (signature) / NOTE: The Contractor and PE/5 should retain a signed r of this document for record. CONTRACT NO. ATTACHMENT: UNIT PRICE ITEMS DETAIL., Attach or paste a unit price item detail. Date: P5a 3 Joe Saggars From: Joe Saggars Sent: Friday, March 23, 2018 3:02 PM To: Michael Carey Subject: Additional road closure for R-36881-A Mike, The R-36881-A contract allows a 21 day full closure of Boland Drive. As mentioned at the pre - construction meeting, HRP would like to propose deduct change order in order to increase the road closure period. Our offer is $30,000 for an additional six weeks of full road closure. This amount is greater than the cost of flagging for the same time period. One might ask why we would make this offer if it costs more. The answer is we feel it will definitely make the project safer and likely allow it to be completed sooner due to increased efficiencies. It was stated at the pre -construction meeting that the City garbage truck traffic was a major influencer in the closure period selected and Jacob Klosinski, Assistant City Engineer, was named as a contact to discuss the situation further. I have spoken with Jacob about the situation a couple of times. He is not really involved with the garbage trucks, but is associated with the Bio Solid Organic Resources trucks that access the WWTP off of Boland Dr. He has stated it would be minimal disruption to them to go north on Riverside Dr. to Cleveland Rd. to access their final destination. In regards to the garbage trucks, Jacob referred me to Mike Bronsteader of the Solid Waste Department. Mike stated there are 18 trucks that enter and exit the WWTP once a day, Monday through Thursday. They typically use the Boland Drive entrances, but could easily use the Riverside Drive entrances when needed. It is my understanding that on only one day of the week a portion of their trucks head west on Boland Drive. Mike said there would be no problem diverting them north or south on Riverside if additional closure was granted. It seems like this could be a win / win situation for the residents of South Bend and HRP. Please let me know in the next few days if this proposal will be accepted. Thanks, Joe Saggars Estimator ! Project Manager HRP Construction Inc. (574) 271-7800 - office (574) 315-2331 - Mobile (574) 271-0524 - Fax www.hrrmonstruction.com CONSTRUCTION � Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM July 2, 2018 Roger Nawrot Department Division/Bureau Public Works Engineering LJ Agreement LJ Contract Proposal H Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 4 ❑ CIO & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: I-1 Other: Company or Vendor Name New Vendor MBEIWBE Contractor MBEANBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of Indiana Department of Transportation U Yes U No Ll If Yes, Approved by Purchasing ❑ MBE ❑ WBE ❑ No ❑ Yes Name of Company Boland Trail R-36881 113-047 Special I-OIT 257-0608-431.42-96 $26,291.03 _Federal 80% and City 20% This change order is for changing the two service points to a single Tesco cabinet and changing the pedestrian crossing flasher at Riverside Drive to be solar powdered. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Increase $ 26,291,03 Decrease $ Previous Amount $ 1,133,828.20 Current Percent of Change: 2.32% New Amount $ 1,160,119.23 Total Percent of Change: -0.32% Dispersal After Approval Copy Original ® ❑ Roger Nawrot ❑ ❑ Contract No:R -36881 Change Order No.: 004 INDIANA Department of Transportation Page: 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -36881 Letting Date:0911312017 District:LAPORTE DISTRICT AE:Forgey, Ryan PEIS:Carey, Michael Status:Pending Change Order Information Change Order No.: 004 EWA: Y or Force Acct: N Date Generated: 05/16/2018 Date Approved: 00/00/0000 Reason Code: ERRORS & OMISSIONS, Design/Plan Related Description: Lighting Plan - Revision Original Contract Amount $ 1,163,781.52 Current Change Order Amount $ 26,291.03 Percent: 2.259 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $ 26,291.03 Percent: 2.259 % Modified Contract Amount $ 1,190,072.55 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 Previous Time Approved SS Days 0 SP Days 0 SS Days by AE SS Days SP Days Value $ 0.00 DCE: SCE: DDCM: SP Days Value $ Revised Contract Time SS Completion Date 00/00/0000 or SS CalendarlWork Days 0 SS Date 00/00/0000 or SP Days 0 Contract No:R -36881 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority ($ per Change Order) (Days per Contract) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Change Order No.: 004 Page: 2 AE: DCE: SCE: * DDCM: (-LE$250K-){-LE$750K-)(--LE$2M--)(--GT$2M--) ( 50 SS days ) ( 100 SS days) ( 200 SS Days) ( GT 200 SS days) Y I N If Y, by Date Issued Y 1 N If Y, Copy to Program Budget Manager Y 1 N If Y, Referred to Project Manager(PM) Date to PM Date Returned Approval Authority Concurs with PM? Y 1 N If Y, Concurrence by Date If N,Resolution: Approved Disapproved Resolved by Date LPA Signatures Required? Y 1 N If Y, Date to LPA Date Returned FHWA Signatures Required? Y 1 N If Y, Date to FHWA Date Returned * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36881 1NDIANA Date:06/29/2018 Change Order No:004 Department of Transportation Page: 3 Contract: R -36881 Project: 1382758 - State:138275800LC4 Change Order Nbr: 004 Change Order Description: Lighting Plan - Revision Reason Code: ERRORS & OMISSIONS, Design/Plan Related . CLN PCN PLN Item Code Unit Unit Price Co Qty Comment -:. Amount Change 0086 1382758 0086 802-09838 SFT 13.000-18.000 C Amount:$-234.00 Item Description: SIGN, SHEET, WITH LEGEND, 0.080 IN, Supplemental Descriptionl: Supplemental Descriptionl: 0087 1382758 0087 805-07190 EACH 345.000 -4.000 C Amount:$-1,380.00 Item Description: TRAFFIC SIGNAL HEAD, 1 SECTION, 12 IN. Supplemental Descriptionl: Supplemental Description2: 0088 1382758 0088 805-11813 LFT 8.120 310.000 C Amount:$ 2,517.20 Item Description: CONDUIT, PVC, 2 IN. SCHEDULE 80 Supplemental Descriptionl: Supplemental Description2: 0089 1382758 0089 805-78010 EACH 1,230.000 -1,000 C Amount:$-1,230.00 Item Description: CONTROLLER AND CABINET, FLASHER SOLID STATE Supplemental Descriptionl: Supplemental Description2: 0090 1382758 0090 805-78370 EACH 210.000 -2,000 C Amount:$-420.00 Item Description: PEDESTRIAN PUSH BUTTON, NON-APS Supplemental Descriptionl: Supplemental Description2: 0094 1382758 0094 807-04651 LFT 7.120-2060.000 C Amount:$-14,667.20 Item Description: WIRE Supplemental Descriptionl: NO 10 CU IN DUCT IN TRENCH 4 11C Supplemental Description2: 0096 138275E 0096 807-07580 LFT 10.320 2403.000 C Amount:$ 24,798.96 Item Description: WIRE, NO. 4 COPPER, IN PLASTIC DUCT, IN TRENCH, 4 VC Supplemental Descriptionl: Supplemental Description2: 0097 1382758 0097 807-86810 EACH 3,390.000 -2.000 C Amount:$-6,780.00 Item Description: SERVICE POINT, It Supplemental Descriptionl: Supplemental Description2: 0101 1382758 0101 807-86920 EACH 16.000 6.000 C Amount:$ 96.00 Item Description: MULTIPLE COMPRESSION FITTING, NON -WATERPROOFED Supplemental Descriptionl: Supplemental Description2: 0102 1382758 0102 807-86925 EACH 32.000 4.000 C Amount:$ 128.00 Item Description: MULTIPLE COMPRESSION FITTING, WATERPROOFED Supplemental Descriptionl: Contract No:R -36881 INDIANA Date.-06/29/2018 Change Order No:004 Department of Transportation Page: 4 Supplemental Description2: 0116 1382758 0114 807-02194 EACH 7,812,000 1.00C Item Description: SERVICE POINT II MODIFIED Supplemental Descriptionl: ELECTRICAL SERVICE. POINT, TESCO, SINGLE METER Supplemental Description2: 0117 1382758 0112 805-11597 EACH 14,185.070 1.000 Item Description: ACCESSIBLE PEDESTRIAN SYSTEM Supplemental Descriptionl: WIRELESS CROSSWALK, PEDESTRIAN SYSTEM Supplemental Description2; 0118 1382758 0111 805-04973 LFT 11.720 125.000 Item Description: CONDUIT Supplemental Descriptionl: CONDUIT, HDPE, 3 IN. SCHEDULE 80 Supplemental Description2: C Amount:$ C Amount:$ C Amount:$ 7,812.00 14,185.07 1,465.00 Total Value for Change Order 004 = $ 26,291.03 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 In order to match the South Bends lighting cabinets, the cabinets called out in the plans will need to be switched to the City standard cabinet. The plans reflected two pole mounted service points. The service point was relocated to the middle of the project and in turn the PED crosswalk system is changed to a solar wireless system for cost savings and not running a separate circuit from the new cabinet location. No additional time is needed. Change Order Explanation for Specific Line Item 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. Contractor: Signed By: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract No:R -36881 NDIANA Date: 06/29/201 8 Change Order No:004 Department of Transportation Page: 5 .......... * ...... (SIGNATURE) (SIGNATURE) FEW APPROVED FOR LOCAL PUBLIC AGENCY (TITLE) (TITLE) (DATE) (DATE) APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status Project Engineer/Supervisor Carey, Michael 00/00/00010 Action Pending CONTRACT NO. R 3�88'1 NOTE: Upon request from Engineer, enter detailed description on page 2. DATE OF SUBMISSION ,luly. 2t3�:8 ONSET DATE OF CHANGEMI3�38. CHANGE ORDER TYPE t0�1 Ci3 Exrra Woii< PROPOSED COST AND TIME ADJUSTMENT COST COST INCREASE / (DECREASE): $ 2629J. 03 The cost adjustment shall include lump sum and estimated totaled unit -priced item costs. Attach a separate sheet of unit price items including item description, unit of measurement, estimated quantity and unit price. CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE: 0.349.03 P ltered Quantities ©109 05(a)Agree0rICE :1D9 D5(b} Force.Account Ci 1D9,A5.02 Delay Costs. PROPOSED COST CHANGE INCLUDES: ®, ! abor ';© Material `U Equip:rn fit f� Lease Agreement . E Subcontractor TIME ADJUSTMENT INCREASE / (DECREASE): CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: (work days) 44. ® 108.08(a) Excusable; Nan-Conipensable 0.108.0$(bJ Excusable; .Compensable NOTE: If Compensable, attach details based on 109.05.2(a) Allowable relay Costs. Additional intormatlon may be entered by the contractor. Ver. 10.23.17 CHANGE ORDER REQUEST FORM CONTRACT NO. R �6881 UPON WRITTEN TE REQUEST FROG#! THE ENGINEER, PROVIDE ADDITIONAL DETAIL BATE RECEIVED RERU1 ST FOR I�ly �.8 2, �a SUBMITTAL DATE OF July ADDITIONAL DETAIL ADDITIONAL DETAIL DETAILED DESCRIPTION / JUSTIFICATION: (include location(s), actions of contractor, owner, and other stakeholders, key events and related couse(s), discoveries, discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached or available to support this change order request.) PROPOSED SOLUTION --ADDITIONAL DETAILS: (include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted scope and the effect on the contract schedule. Also include references to attached documents including, but not limited to, sketches, calculations, photos, material information, and submittals and meeting minutes.) Hawk Erterpris,es is tlodrsolebBt source,n this protect This change will;sl�ghti.y raise"our.©BE percentage on'he protect Submittals for the sonar flasher system and Telco cabinet have been provided ,to the,E.n;ineer SIGNATURES Contractor: �-�-- Name: (print) J be sA C.S ji (signature) 9!!� � Date 7-9- ce "o 2 CHANGE ORDER REQUEST FORM Project Engineer/Supervisor: (signature is to ocknowledgereceipt of the document and does notsignify agreement of the change order) Name: (print) (signature) NOTE: The Contractor and PE'/5 should retain a signed copy of this document for record. CONTRACT NO. R 3688'I ATTACHMENT: UNIT PRICE ITEMS DETAIL Attach or paste a unit price item detail. Date: 6 Line Original Final No. Item It Description Qty. City. Unit Unit Price Total Difference 86 802-09838 SIGN, SHEET, WITH LEGEND, 0.080 IN. 30.5 12.5 SFT $ 13.00 $ 162.50 $ (234.00) TRAFFIC SIGNAL HEAD, 1 SECTION, 12 87 805-07190 IN. 4 0 EACH $ 345.00 $ - a $ (1,380,00) 88 805-11813 CONDUIT, PVC, 2 IN. SCHEDULE 80 761 1071 LFT $ 8,12 $ 8,696.52 $ 2,517.20 CONTROLLER AND CABINET, FLASHER 89 805-78010 SOLID STATE 1 0 EACH $ 1,230.00 1 $ - $ (1,230.00) PEDESTRIAN PUSH BUTTON, NON- 90 805-78370 APS 2 0 EACH $ 210.00 $ - $ (420,00) WIRE, NO 10 COPPER, IN PLASTIC 94 807-04651 DUCT, IN TRENCH 41/C 2060 0 LFT $ 7.12 $ - $ (14,667.20) WIRE, NO, 4 COPPER, IN PLASTIC 96 807-07580 DUCT, IN TRENCH, 4 1/C 1365 3768 LFT $ 10.32 $ 38,885.76 $ 24,798.96 97 807-86810 SERVICE POINT, 11 2 0 EACH $ 3,390.00 1$ - $ (6,780.00) MULTIPLE COMPRESSION FITTING 101 807-86920 NON -WATERPROOFED 63 69 EACH $ 16.00 $ 1,104.00 $ 96.00 MULTIPLE COMPRESSION FITTING, 102 807-86925 WATERPROOFED 8 12 EACH $ 32,00 $ 384.00 $ 128.00 CONDUIT - 905-04973 CONDUIT, HDPE, 3 IN. SCHEDULE 80 0 125 EACH $ 11.72 $ 1,465.00 $ 1,465.00 i ACCESSIBLE PEDESTRIAN SYSTEM - I' 805-11597 WIRELESS CROSSWALK, PED 1 EACH $ 14,185.07 $ 14,185.07 $ 14,185.07 SERVICE POINT, 11 MODIFIED ELECTRICAL SERVICE POINT, TESCO, 901-02194 SINGLE METER 0 1 EACH $ 7,812,00 $ 7,812.00 $ 7,812.00 New items $ 26,291.03 Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM July 2, 2018 Roger Nawrot Department Public Works Division/Bureau Engineering U Agreement Lj Contract U Proposal U Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Reg. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 5 ❑ CIO & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: n Other: Company or Vendor Name Indiana Department of Transportation New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing MBEIWBE Contractor ❑ MBE ❑ WBE MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Boland Trail R-36881 Project Number 113-047 Funding Source Special LOIT Account No. 257-0608-431.42-96 Amount $188,364.94 Terms of Contract Federal 80% and City 20% Purpose/Description This change order is for changing the stabilized slope to a block retaining wall in order to restrict the slope excavation where the human remains were found along the County Cemetery. Previous Amount $ 1,160,119.23 Current Percent of Change: 16.24% New Amount $ 1,348,484.17 Total Percent of Change: 15.87% Dispersal After Approval Copy Original ® ❑ Roger Nawrot ❑ ❑ ❑ ❑ Contract No:R -36881 Change Order No.: 005 INDIANA Department of Transportation Page: 1 Construction Change Order and Time Extension Summary Contract Information Contract No.: R -36881 Letting Date:0911312017 District:LAPORTE DISTRICT AE:Forgey, Ryan PE/S:Carey, Michael Status:Draft Change Order Information Change Order No.: 005 EWA: Y or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: SCOPE CHANGES, Project Upgrades Description: Gravity Block Wall Original Contract Amount $ 1,163,781.52 Current Change Order Amount $ 18);,364.94 Percent: 16.186 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $ 188,364.94 Percent: 16.186 % Modified Contract Amount $ 1,352,146.46 Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Original Contract Time SS Completion Date 11/02/2018 or SS Calendar/Work Days 0 SP Date 04/19/2018 or SP Days (SS = Standard Specification, SP = Special Provision) Time Element Description. The existing completion date is November 2, 2018 which is 70 calendar days after the existing intermediate completion date. We feel the new completion date should also be 70 calendar days after the new intermediate completion date of November 19, 2018. INDOT does not count days between December 1 and April 1 in this situation, so the new completion date would be May 30, 2019. Current Time Extension SS Days 0 SP Days 87 SP Days Value $ 0.00 Previous Time Approved SS Days by AE: DCE: SS Days SCE: DDCM: 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 -36881 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority ($ per Change Order) (Days per Contract) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Change Order No.: 005 Page: 2 AE: DCE: SCE: * DDCM: (-LE$250K-){-LE$750K-)(--LE$2M--)(--GT$2M--) ( 50 SS days) ( 100 SS days ) ( 200 SS Days) ( GT 200 SS days) Y 1 N If Y, by Date Issued Y 1 N If Y, Copy to Program Budget Manager Y 1 N If Y, Referred to Project Manager(PM) Date to PM Approval Authority Concurs with PM? Y 1 N If Y, Concurrence by If N,Resolution: Approved Date Returned Date Disapproved Resolved by Date LPA Signatures Required? Y 1 N If Y, Date to LPA Date Returned FHWA Signatures Required? Y 1 N If Y, Date to FHWA Date Returned * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36881 INDIANA Date:07/09/2018 Change Order No:005 Department of Transportation Page: 3 Contract: R -36881 Project: 1382758 - State: 138275800LC4 Change Order Nbr: 005 Change Order Description: Gravity Block Wall Reason Code: SCOPE CHANGES, Project Upgrades ..,. . % . ... ..::: CLN PCN Pt.N item Code Unit Unit Price ..._ Co city Comment Amount Change 0017 1382768 0017 203-02000 CYS 18.000 -795.000 C Amount:$-14,310.00 Item Description: EXCAVATION, COMMON Supplemental Descriptionl: Supplemental Description2: 0018 1382758 0018 203-02070 CYS 8.000 1665.000 C Amount:$ 13,320.00 Item Description: BORROW Supplemental Descriptionl: Supplemental Description2: 0022 1382758 0022 207-08266 SYS 1.500 -24.000 C Amount:$ -36.00 Item Description: SUBGRADE TREATMENT, TYPE III Supplemental Descriptionl: Supplemental Description2: 0023 1382758 0023 207-09935 SYS 20.000 302.000 C Amount:$ 6,040.00 Item Description: SUBGRADE TREATMENT, TYPE IC Supplemental Descriptionl: Supplemental Description2: 0024 1382758 0024 211-02050 CYS 8.000 169,000 C Amount:$ 1,352.00 Item Description: B BORROW Supplemental Descriptionl: Supplemental Description2: 0025 1382758 0025 211-09265 CYS 35.000 19.000 C Amount:$ 665.00 Item Description: STRUCTURE BACKFILL, TYPE 2 Supplemental Descriptionl: Supplemental Description2: 0026 1382758 0026 214-11609 SYS 173.000 -574.000 C Amount:$-99,302.00 Item Description: GEOCELL CONFINEMENT SYSTEM Supplemental Descriptionl: Supplemental Description2: 0030 1382758 0030 304-07493 TON 125.000 36.000 C Amount:$ 4,500.00 Item Description: WIDENING WITH HMA, TYPE B Supplemental Descriptionl: Supplemental Description2: 0045 1382758 0045 604-05528 TON 82.000 36.000 C Amount:$ 2,952.00 Item Description: HMA FOR SIDEWALK Supplemental Descriptionl: Supplemental Description2: 0048 1382758 0048 605-06155 LFT 30.000 412,000 C Amount:$ 12,360,00 Item Description: CURB AND GUTTER, CONCRETE, MODIFIED Supplemental Descriptionl: Contract No:R -36881 INDIANA Date:07I0912018 Change Order No:005 Department of Transportation Page: 4 Supplemental Description2: 0051 1382758 0051 621-01004 EACH 450,000 1.000 C Amount:$ 450.00 Item Description: MOBILIZATION AND DEMOBILIZATION FOR SEEDING Supplemental Descriptionl: Supplemental Description2: 0052 1382758 0052 621-02770 SYS 1.180-14.000 C Amount:$ -16.52 Item Description: EROSION CONTROL_ BLANKET Supplemental Descriptionl: Supplemental Description2: 0053 1382758 0053 621-03909 LBS 27.000-11.000 C Amount:$ -297.00 Item Description: SEED MIXTURE, NATIVE Supplemental Descriptionl: Supplemental Description2: 0054 1382758 0054 621-06545 TON 890.000 0.500 C Amount:$ 445.00 Item Description: FERTILIZER Supplemental Descriptionl: , FOR PERMANENT SEEDING Supplemental Description2: 0056 1382758 0056 621-06565 TON 455.000 -0.500 C Amount:$ -227.50 Item Description: MULCHING MATERIAL Supplemental Descriptionl: Supplemental Description2; 0057 1382758 0057 621-06575 SYS 4.050-446.000 C Amount:$ -1,806,30 Item Description: SODDING, NURSERY Supplemental Descriptioni: Supplemental Description2: 0059 1382758 0059 715-05149 LIFT 40.000 54.000 C Amount:$ 2,160.00 Item Description: PIPE, TYPE 2, CIRCULAR, 12 IN. Supplemental Descriptionl: Supplemental Description2: 0069 1382758 0069 715-09064 LIFT 2,190 54.000 C Amount:$ 118.26 Item Description: VIDEO INSPECTION FOR PIPE Supplemental Descriptionl: Supplemental Description2: 0073 1382758 0073 720-04682 EACH 2,800.000 2.000 C Amount:$ 5,600.00 Item Description: INLET Supplemental Descriptionl:, STANDARD, WI CURB AND GUTTER CASTING Supplemental Description2: 0110 1382758 0027 301-12234 CYS 35.000 56.000 C Amount:$ 1,960.00 Item Description: COMPACTED AGGREGATE NO 53 Supplemental Descriptionl: Supplemental Description2: 0119 1382758 0116 203-02055 CYS 60.000 192.000 C Amount:$ 11,520.00 Item Description: EMBANKMENT Supplemental Descriptionl: Supplemental Description2: Contract NOR -36881 INDIANA Date:0710912018 Change Order No:005 Department of Transportation Page: 5 0120 1382758 0117 211-09266 CYS. 190.000 65.000 C Amount:$ 12,350.00 Item Description: STRUCTURE BACKFILL TYPE 3 Supplemental Descriptionl: Supplemental Description2: 0121 1382758 0118 715-05048 LFT 20.000 275.000 C Amount:$ 5,500.00 Item Description: PIPE TYPE 4 CIRCULAR 6 IN Supplemental Descriptionl: Supplemental Description2: 0122 1382768 0119 715-05053 LFT 150.000 30.000 C Amount:$ 4,500.00 Item Description: PIPE UNDERDRAIN OUTLET 6 IN Supplemental Descriptionl: Supplemental Description2: 0123 1382758 0120 720-45130 EACH 3,300.000 1.000 C Amount:$ 3,300.00 Item Description: INLET E7 MODIFIED Supplemental Descriptionl: Supplemental Description2: 0124 1382758 0121 720-45510 EACH 8,000,000 1.000 C Amount:$ 8,000.00 Item Description: MANHOLE C4 MODIFIED Supplemental Descriptionl: Supplemental Description2: 0125 1382768 0122 720-45605 LFT 700.000 4.300 C Amount:$ 3,010.00 Item Description: STRUCTURE MANHOLE RECONSTRUCTED Supplemental Descriptionl: Supplemental Description2: 0126 1382758 0123 732-11770 CYS 190.000 67.000 C Amount:$ 12,730.00 Item Description: AGGREGATE FOR DRAINAGE FILL Supplemental Descriptionl: Supplemental Description2: 0127 1382758 0124 732-11810 SFT 30.000 1780.000 C Amount:$ 53,400.00 Item Description: MODULAR BLOCK WALL Supplemental Descriptionl: Supplemental Description2: 0128 1382758 0125 732-11811 SFT 77.600 1780.000 C Amount:$ 138,128.00 Item Description: MODULAR BLOCK WALL ERECTION Supplemental Descriptionl: Supplemental Description2: Total Value for Change Order 005 = $ 188,364.94 Contract Completion Date Time Adjustment Original Completion dt: 11/0212018 Adj comp) dt 01/11/2019 Adj No. of Days 70 Explanation: The existing completion date is November 2, 2018 which is 70 calendar days after the existing intermediate completion date. We feel the new completion date should also be 70 calendar days after the new intermediate completion date of November 19, 2018, INDOT does not count days between December 1 and April 1 in this situation, so the new completion date would be May 30, 2019. Milestone Time Adjustment Milestone Nbr: 01 Milestone Description: INTERMEDIATE COMPLETION DATE Original Completion dt: 08/24/2018 Adj comp) dt 1111912018 Adj No. of Days 87 Contract NOR -36881 INDIANA Change Order No:005 Department of Transportation Date:0710912018 Page: 6 Explanatiow HRP requested 60 work days for the work associated with adding a gravity wall. That equals 87 calendar days when the INDOT holidays of Labor Day, Columbus Day, and Veterans Day are figured in. We are counting on being allowed to work the Friday prior to these Monday holidays. We feel strongly the 87 calendar days should be added to the existing intermediate completion date of August 24, 2018 for a new intermediate completion date of November 19, 2018. 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 The accidental discovery on April 20th lead to a redeslgn of the path adjacent to the Cemetery. The current design proposed the ground between the path and the edge of the Cemetery to be sloped at 1.7 to 1 with a Geocell system. The new design proposes a gravity block wall system along with additional drainage item. And the path with be located adjacent to the road with curb and gutter buffer. Change Order Explanation for Specific Line item }ti#iii#i##ii#i#i###i##iii****ii**k*****k*k**i**********i*i#iiiii}*i*ifi#kfifi*fi##*k#**kfi#**##itii#i#iiiiiiii}i}}ii 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. Contractor: Signed By: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract NOR -36881 INNANA Date:07/09/2018 Change Order No:005 Department of Transportation Page: 7 APPROVED FOR LOCAL PUBLIC AGENCY 6 a (SIGNATURE) (TITLE) (DATE) 7 (SIGNATURE) (TITLE) (DATE) [4" IT b Mf' S 8N/S'IDWflbN PE/S APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status CONTRACT NO. R 3688'i NOTE: Upon request from Engineer, enter detailed description on page 2. PATE OF SUBMISSION .Ittl�r.2 2{D'1$;: ONSET DATE OF CHANGE CHANGE ORDER TYPE 104:02 Ctttiriged Cni3dttirtns : PROPOSED COST ,AND TIME ADJUSTMENT COST COST INCREASE J (DECREASE): $ ;'1138,364 94 The cost adjustment shall include lump sum and estimated totaled unit -priced item costs. Attach a separate sheet of unit price items including item description, unit of measurement, estimated quantity and unit price. CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE: CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: ® 108.(38(a) Excusable, Nan=Comperisable ' CI 1Q8.08(It)'Excusable'Comp;nsab[e NOTE: If Compensable, attach details based on 109.05.2(a) Allowable Delay Costs. SUPPLEMENTAL INFORMATION Additional intorrnation €rtaV ne enterea pY the contractor. CHANGE ORDER AFFECTS DBE PARTICIPATION: Ver. 10.23.17 CHANGE ORDER REQUEST FORM CONTRACT NO. R 36$81 UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL DATE RECEIVED REQUEST FOR ' j �gg !yy� Daly C, L V � SUBMITTAL DATE OF ` s� (�q p July if �U 8 ADDITIONAL DETAIL ADDITIONAL DETAIL DETAILED DESCRIPTION /JUSTIFICATION; (include location(s), actions of contractor, owner, and other stakeholders, key events and related cause(s), discoveries, discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached or available to support this change order request.) PROPOSED SOLUTION —ADDITIONAL DETAILS. (Include proposed scope of work, means & methods, materials, equipment, utility relocation required, subcontracted scope and the effect on the contract schedule. Also include references to attached documents including, but not limited to, sketches, calculations, photos, material information, and submittals and meeting minutes.) Pg. 2 CHANGE ORDER REQUEST FORM Attached are submittals for.Redi-R.ock Ledgestone 60".Retaining Blocks. SMATURES Contractor: Name: (print) S Ada, Nr (signature) �--��---- Date: rd Project Engineer/Supervisor: (signature is to acknowledge receipt of the document and does not signify agreement of the change order) Name: (print) (signature) NOTE: The Contractor and PENS should retain a signed copy of this document for retard. CONTRACT NO. R-36881 ATTACHMENT- UNIT PRICE ITEMS DETAIL Attach or paste a unit price item detail. Date: pu. 3 Line No. I Item 4 Description Original Qty. Final Qty. Unit Unit Price Total Difference 14 202-91385 INLET, REMOVE. 2 2 EACH $ 500.00 $ 1,000.00 $ - 17 203-02000 EXCAVATION, COMMON 7305 6510 CYS $ 18.00 $ 117,180.00 $ (14,310.00) 18 203-02070 BORROW 655 2320 CYS $ 8,00 $ 18,560.00 $ 13,320.00 22 207-08266 SUBGRADE TREATMENT, TYPE IIE 5349 5325 SYS $ 1.50 $ 7,997.50 $ (36.00) 23 207-09935 SUBGRADE TREATMENT, TYPE IC 747 1049 SYS $ 20.00 $ 20,980.00 $ 6,040.00 24 211-02050 B BORROW 820 989 CYS $ 8.00 $ 7,912.00 $ 1,352.00 25 211-09265 STRUCTURAL BACKFILL, TYPE 2 509 528 CYS $ 35.00 $ 18,480,00 $ 665.00 26 214-11609 GEOCELL CONFINEMENT SYSTEM 574 0 SYS $ 173.00 1,$ - $ (99,302.00) 30 304-07493 WIDENING WITH HMA, TYPE B 150 186 TON $ 125.00 $ 23,250.00 $ 4,500.00 45 604-05528 ;HMA FOR SIDEWALK 693 729 TON $ 82.00 $ 59,778A0 $ 2,952.00 48 605-06155 CURB AND GUTTER, CONCRETE, MODIFIED 445 857 LFT $ 30.00 $ 25,710.00 $ 12,360.00 51 621-01004 DEMOBILIZATION FOR SEEDING 4 5 EACH $ 450.00 $ 2,250,00 $ 450.00 52 621-02770 EROSION CONTROL BLANKET 6214 6200 SYS $ 1.18 $ 7,316.00 $ (16.52) 53 621-03909 SEED MIXTURE, NATIVE 140 129 LBS $ 27.00 $ 3,483.00 $ (297.00) 54 621-06545 FERTILIZER, FOR PERMANENT SEEDING 1.1 1.6 TON $ 890.00 $ 1,424.00 $ 445.00 56 621-06565 MULCHING MATERIAL 7 12980 6.5 TON $ 455.00 $ 2,957.50 $ (227.50) 57 621-06575 SODDING, NURSERY 2534 SYS $ 4.05 $ 10,262.70 $ (1,806.30) 59 715-05149 PIPE, TYPE 2 CIRCULAR 12 IN 452 506 LFT $ 40.00 $ 20,240,00 $ 2,160.00 69 715-09064 VIDEO INSPECTION FOR PIPE 910 964 LFT $ 2.19 $ 2,111.16 $ 118.26 73 720-04682 INLET, STANDARD, W/ CURB AND GUTTER CASTING 2 4 EACH $ 2,800.00 $ 11,200.00 $ 5,600.00 76 720-45410 MANHOLE, C4 3 3 EACH $ 4,500.00 $ 13,500.00 $ - 110 301-12234 53 727 783 CYS $ 35.00 $ 27,405.00 $ 1,960.00 111 203-02055 EMBANKMENT 0 192 CY5 $ 60.00 $ 111520.00 $ 11,520,00 112 211-09266 STRUCTURAL BACKFILL, TYPE 3 ..0 65 CYS $ 190.00 .$ 1.2,350.00 $ 1.2,350.00 113 715-05048 PIPE, TYPE 4 CIRCULAR 6 IN 0 275 LFT $ 20.00 $ ,< 5,500.00 $ 5,500.00 114 715-05053 PIPE, UNDERDRAIN, OUTLET 6 IN 0 . 30 LFT $ `150.00 "$ . 4,500.00 $ 4,500.00 115 720-45605 STRUCTURE, MANHOLE, RECONSTRUCTED 0 4.3 LFT : $ 700,00. $ 3,010.00 $ 3,010.00 116 732-11770 AGGREGATE FOR DRAINAGE .FILL, 0 67 CYS $ : 190.00 . $ 1.2,73.0.00 $ 12,730.00 117 732-11810 MODULAR BLOCK WALL 0 1780 8FT $ 30:00 $ 53,400.00 $ . 53,400.00 118 732-11811 ERECTION 0 1780 SFT $ 17.60 $ 138,128.00 $ 138,128.00 124 DOGHOUSE MANHOLE, C4- FOR RETAINING WALL 0 1 EACH $ 8,000.00 $ 8,000.00 $ 8,000.00 11251 1 RESET STR 1048 (INLET) 01 1 EACH $ 3,300.60 1 $ .:.3,300.00 $ 3,300.00 $ 188,364.94 INew items Strong. Rugged. Handsome. What, you don't have those thoughts about retaining walls? Well, we do. At Redi-Rack, we like retaining walls to look great while doing the hard job of holding back the earth. We painstakingly sought out world -class stone to create molds that give these blocks their classic stone aesthetics. Redi-Rock Ledgestone blocks give projects a random, stacked stone look. Because they're made using architectural -grade precast concrete, the level of detail in the texture is outstanding. Ledgestone Block Specifications • Trapezoidal shape allows convex • Ten individual face molds offer up and concave radii to 115 square feet (10.5 square me- * 5.5 inch (140 millimeter) deep texture ters) of non -repeating patterns • Colors can be formulated based ' Wei -cast concrete gives a greater upon local region level of detail and durability Regional colors and coordinating accessories are available. Contact your local Redi-Rock retailer or visit redi-rock.conn to learn more about the Redi-Rock Ledgestone face today! 19.5 Foot (6 Meter) Gravity Wall Cremes Access For FBI Headquarters The Challenge When the FBI was relocating its division headquarters near Cincinnati, the terrain at the new site included extreme grade changes, making for some challenging planning for an access road to the site. The road was slated for a tight space between an existing residential neighborhood and a major office building, which would require a 700 foot (218 meter) long retaining wall. The Solution "Sycamore Township chose Redi-bock because we had a limited amount of space; we did not want to cut back behind the wall for tie-ins and we didn't want to lose trees that were buffering the neighbors from the project," explained Tracy Kellums, Super- 9-inch setback blocks, and finished with intendent for Sycamore Township. 41-inch blocks and 28-Inch blocks. Redi-Rack is known for building tall gravity walls using massive, one -ton blocks to get the job done, but this 19.5 foot (6 meter) tall wall gave engi- neers the chance to show just what Redl-Rock blocks are really capable of. To reach the required 19.5 feet (6 meters) with a gravity wall, engineers at URS uti- lized several unique components of the Redi-Rock system to achieve a custom solution for the project without the need for geogr€d reinforcement or anchors. The design began with six to eight courses of the 60-inch base blocks, continued with In total, the 8,000 square foot (743 square meter) wall was installed in less than three weeks, using a piece of heavy machinery and a small crew. 46" (1170 mm) 18" (457 mm) 41" (1030 mm) 5.75 square feet of face - 2240 pounds (0.5 square meters of face -1015 kilograms) Project: Ronald Reagan Drive Project Customer. Sycamore Township, Ohio Design/Specifying Engineer: URS Block Manufacturer: Redi-Rock Structures of OKI Wall Installer: Nemann Construction Location: Cincinnati, Ohio Completed: 2011 Your Complete Wall Solution —Each block in the Redi-Rock system is available in any texture and can coordinate in the same wall, giving you the flexibility you need. LEI See redi-rock.com for additional LEE] prodUCtS and accessories. Gravity Walls MSE Waiis Freestanding Walls (shown above) Contact your local Redi-Rock retailer or visit redi-rock.com ®2015Redi-Rocklnlemational,LLC to learn more about the Redi-Rock Ledgestone face today! Form No. RRI.004-061015LTS PRODUCT DATA SHEETS The Redi-Rock 60" (11520mm) Retaining wall blocks are machine -placed, wet -cast, precast modular block units manufactured from first -purpose, non -reconstituted concrete and intended for constructing dry -stacked modular retaining wall systems. The block units are manufactured from structural -grade concrete mixes in accordance with ASTM C94 or ASTM C685 that produce a finished unit with excellent resistance to freeze -thaw, deicing chemical exposure, and submerged conditions in both fresh water and salt water applications. All Redi-Rock Retaining wall products are manufactured and distributed through an international network of individually -owned, licensed precast concrete manufacturers. DIMENSIONAL. PROPERTIES DIMENSIONS I'1 MIDDLE BOTTOM HALF MIDDLE HALF BOTTOM HEIGHT (FRONT OF BLOCK) 18±Vie (457t5) 18±%s(457±5) 18±%6(457±5) 18±3/1e(457±5) HEIGHT (BACK OF BLOCK) 18±3/5(457k5) 1B±311s(457±5) 18t1s(457±5) 18±3/s(457±5) LENGTH (FRONT OF BLOCK) 46Ye ±i'2(1172±13) 46Y ±Y (1172± 13) LENGTH (BACK OF BLOCK) 31% t i'z (797 ± 13) 8% t)'2 (231 t 13) WIDTH 54 %±Yz (1387 ± 13) PLUS ± 5 % (136) FACE TEXTURE 54 % ± Y2 (1387 ± 13) PLUS ± 5 % (136) FACE TEXTURE CONCRETE VOLUME MIDDLE BOTTOM HALF MIDDLE HALF BOTTOM LIMESTONEICOBBLESTONE FACE ± 23.00 ft3 {0.651 m3} ± 23.90 ft3 (0.677 m') ±9.34 ft3 (0.264 m3) ± 9.77ll' (0.277 m3) LEDGESTONE FACE ± 22.49 It' (0.637 m) ± 23.40 fO (0,663 m) ±9.09 ft3 (0,258 m) ± 9,5211' (0,270 m) SHIPPINGlHANDLING WEIGHT Izt MIDDLE BOTTOM HALF MIDDLE HALF BOTTOM LIMESTONE/COBBLESTONE FACE ± 3287 lb (1491 kg) ± 3418 lb (1550 kg) ±1335 lb (606 kg) # 13971b {633 kg) LEDGESTONE FACE t 3216 lb (1458 kg) t 3346lb (1518 kg) ± 1300lb (590 kg) ± 13641b (618 kg) Irl All dimensions are inches (mm). j2I Weight shown is based on an assumed concrete unit weight of 143 lblH 3 (2291 kglm). Actual weights will vary. CONCRETE MIX PROPERTIES (3) FREEZE THAW MINIMUM 28 DAY MAXIMUM WATER NOMINAL MAXIMUM AGGREGATE CLASS AIR CONTENT trt EXPOSURE CLASS (df COMPRESSIVE STRENGTH 451 CEMENT RATIO AGGREGATE SIZE DESIGNATION l°p MODERATE 4.000 psi (27.6 MPa) 0.45 1 Inch (25 mm) 3M 4.5%± 1.5% SEVERE 4,000 psi (27.6 MPa) 0,45 1 Inch (25 mm) 3S 6.0%11.50/6 VERY SEVERE 4,500 psi (30.0 MPa) 0.40 1 inch (25 mm) 4S 6.0%± 1.5% MAXIMUM WATER-SOLUBLE CHLORIDE ION (CI') CONTENT IN CONCRETE, PERCENT BY WEIGHT OF CEMENT let 0.015 MAXIMUM CHLORIDE AS Cl- CONCENTRATION IN MIXING WATER, PARTS PER MILLION 1000 MAXIMUM PERCENTAGE OF TOTAL CEMENTITIOUS MATERIALS BY WEIGHT ('"')(VERY SEVERE EXPOSURE CLASS ONLY) FLY ASH OR OTHER POZZOLANS CONFORMING TO ASTM C618 25 SLAG CONFORMING TO ASTM C989 So SILICA FUME CONFORMING TO ASTM C1240 10 TOTAL OF FLY ASH OR OTHER POZZOLANS, SLAG, AND SILICA FUME {t01 5o TOTAL OF FLY ASH OR OTHER POZZOLANS AND SILICA FUME t30i 35 ALKALI -AGGREGATE REACTIVITY MITIGATION PER ACI 201 I'r Concrete mix properties are in general accordance with ACI 31 a durability requirements. Research has shown that concrete manufactured to These standards demonstrates good durability and performance. When these requirements are followed, specific freeze -thaw testing of the concrete is typically NOT required. 011 Exposure class is as described in ACl 318. 'MODERATE' describes concrete that is exposed to freezing and thawing cycles and occasional exposure to moisture. `SEVERE' describes concrete that is exposed to freezing and thawing cycles and in continuous contact with moisture. `VERY SEVERE" describes concrete that is exposed to freezing and thawing cycles and in continuous contact with moisture and exposed to deicing chemicals. Exposure class should be specified by owner1purchaser prior to order placement. Longer lead times maybe required for block units manufactured tar "severe" and 'very severe" exposure classes. I51 Test method ASTM C39. t6t Defined in ASTM C33 Table 3 Limits for Deleterious Substances and Physical Properly Requirements of Coarse Aggregate for Concrete. I71 Test method ASTM C231. tBt Test method ASTM C1218 at age between 28 and 42 days. (')The total cementitious material also Includes ASTM C150, C595, C845, and C1157 cement The maximum percentages shall include: (a) Fly ash or other pozzolans in type IP, blended cement, ASTM C595, or ASTM C1157. (b) Slag used in the manufacture of an IS blended cement, ASTM C595, or ASTM C1157. (c) Silica fume, ASTM C1240, present In a blended cement. Fly ash or other pozzolans and silica fume shall constitute no more than 25 and 10 percent, respectively, of the total weight of the cementitious materials. 171 Prescriplive limits shown may he waived for concrete mixes that demonstrate excellent freexelthaw durability to a detailed and current testing program. PRODUCT DATA SHEETS DESIGN PROPERTIES HORIZONTAL SETBACK I WALL FACE BATTER OPTIONS BLOCK TO BLOCK INTERFACE SHEAR t'3l 10 Inch (254 mm) KNOB 1 %inch (41 mm) PER BLOCK COURSE (5.2° BATTER) V = 6,061 + N tan 44' s 11,276 Iblft (08.4 + N tan 44° 5164.5 kNlm) 7 Y? inch (190 mm) KNOB Ys Inch (10 mm) PER BLOCK COURSE (1.2* BATTER) V = 1.178 + N tan 54" 5 10,970 IbIft (17,2 + N tan 54" 5160.1 kNlm) 6 3/4 inch (171 mm) KNOB NO SETBACK (NO BATTER) ("I V µ 1,178 + N tan 54° 5 10,970 Iblft (IT2 + N tan 54° 5160.1 kNlm) INFILLED UNIT WEIGHT FOR WALL STABILITY CALCULATIONS t'�1 60" (1520) BOTTOM RETAINING UNIT 60" (1520) MIDDLE RETAINING UNIT LIMESTONE 1 COBBLESTONE BLOCKS 1341bW (2146 kg1m) 130 WO (2082 kgim3) LEDGESTONE BLOCKS 132 lblil3 (2114 kg10) 128 Iblit3 (2050 kgim3) MINIMUM CONSTRUCTION RADIUS ('S1 CONCAVE CURVE 14 it 6 in (4.42 m) CONVEX CURVE 14 it 6 in (4.42 m) (12) Special consideration should be given to the design of vertical retaining walls subject to active lateral earth pressure. tut Values based on full scale testing performed In October 2011. Copies of the full last reports are available at www.redl-rock,com, 114) The Infilled unit weights shown here are based on full width units and an assumed concrete unit weight of 143 IbIR3 (2291 kg1m3) and an assumed sell unit weight of 100 Ib1f0 (1602 k9im3). They are reference values. Several factors can cause the unit weights of both concrete and Infl)i soil to vary. The designer should use sound engineering judgement when assigning an Infilled unit weight value for analysis. ('5) The minimum construction radius slated is applicable to both concave and convex curved retaining wall sections. Increases to this minimum radius are required to account for wall batter. Special consideration should be given to block selection, facing batter, and wall height when selecting the minimum radius for the final wall alignment. LyGT� MACkJ S Y U`U ur `t 3: 'b BPC1�� �FR0NT� 'NOO k� k o�M WIDTH (FACE TEXTURE) ----1- MIDDLE - 60" (1520) BOTTOM - 60" (1520) HALF MIDDLE 60" (1520) HALF BOTTOM - 60" (1520) Revised 052015 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date July 2, 2018 Department Public Works Name Roger Nawrot Division/Bureau Engineering BPW Date July 10, 2018 Phone Extension 5932 Legal ❑ Attorney Name: 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 ❑ H Agreement H Contract H Proposal j j Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 6 _ El C/O & PCA No. ❑j PCA ❑ Ease/Encroach. ❑ Traffic Control: F Other. - Company or Vendor Name New Vendor MBEIWBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract PurposelDescription Amount of Indiana Department of Transportation Boland Trail R-36881 113-047 Special LOIT 257-0608-431.42-96 $2,750.00 Federal 80% and City 20% This change order is for adding a gate for the St. Joseph County access to their Cemetery off of Boland Drive. ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Nan -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Increase $ 2,750.00 Decrease $ Previous Amount Current Percent of Change: New Amount Total Percent of Change: Copy Original ❑ ❑ $ 1,348,484.17 0.20% $ 1,351,234.17 16.10% Dispersal After Approval Roaer Nawrot Contract No:R -36881 Change Order No.: 006 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Contract Information Contract No.: R -36881 Letting Date:0911312017 District:LAPORTE DISTRICT AE:Forgey, Ryan PE/S:Carey, Michael Change Order Information Change Order No.: 006 EWA: Y or Force Acct: N Date Generated: 00/00/0000 Date Approved: 00/00/0000 Reason Code: SCOPE CHANGES, Added Quantities/Items Description: Gate for Drive Approach Original Contract Amount $ 1,163,781.52 Current Change Order Amount $ 2,750.00 Percent: 0.236 % Total Previous Approved Changes $ 0.00 Percent: 0.000 % Total Change To -Date $ 2,750.00 Percent: 0.236 % Modified Contract Amount $ 1,166,531.52 Time Extension Information Date Initiated 00/00/0000 Date Completed 00/00/0000 Page: 1 Status:Draft Original Contract Time SS Completion Date 00/00/0000 or SS CalendarlWork Days 0 SP Date 00/00/0000 or SR Days (SS = Standard Specification, SP = Special Provision) Time Element Description: Current Time Extension Previous Time Approved SS Days 0 SP Days 0 SP Days Value $ 0.00 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 -36881 INDIANA Department of Transportation Construction Change Order and Time Extension Summary Review and Approval Information Required Approval Authority ($ per Change Order) (Days per Contract) Verbal Approval Required? Total Change To-Date>5%? Scope/Design Recommendation Required? Change Order No.: 006 Page: 2 AE: DCE: SCE: * DDCM: (-LE$250K-)(-LE$750K-)(--LE$2M--}(--GT$2M--) ( 50 SS days ) { 100 SS days } ( 200 SS Days) ( GT 200 SS days) Y 1 N If Y, by Date Issued Y I N If Y, Copy to Program Budget Manager Y 1 N If Y, Referred to Project Manager(PM) Date to PM Approval Authority Concurs with PM? Y 1 N If Y, Concurrence by If N,Resolution: Approved LPA Signatures Required? Resolved by Y 1 N If Y, Date to LPA Date Returned Date Disapproved Date Date Returned FHWA Signatures Required? Y 1 N If Y, Date to FHWA Date Returned * Field Engineer Recommendation (Required for SCE or DDCM Approval) Field Engineer Date Comments: Contract No:R -36881 INDIANA Date:0710212018 Change Order No:006 Department of Transportation Page: 3 Contract: R -36881 Project: 1382758 - State:138275800LC4 Change Order Nbr: 006 Change Order Description: Gate for Drive Approach Reason Code: SCOPE CHANGES, Added Quantities/Items ........ CLN PCN PLN Item Code Unit Unit Price CO C ty Comment Amount Change 0129 1382758 0126 603-04847 EACH 2,750.000 1.000 C Amount:$ 2.750.00 Item Description: FENCE GATE Supplemental Description I: 6FT x 14FT Double Drive Gate Supplemental Descriptionl: Total Value for Change Order 006 = $ 2,750.00 ' Whereas, the Standard Specifications for this contract provides for such work to be performed, the,following change is recommended. Change Order Explanation for Specific Line Item 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. Contractor: Signed By: Date: NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system. Contract NOR -36881 INDIANA Date:07/02/201 8 Change Order No:006 Department of Transportafion Page: 4 (SIGNAT RE) (SIGNATURE') PEIS APPROVED FOR LOCAL PUBLIC AGENCY (TITLE) (TITLE) TION 111) . Z I ') /,,.) (), / (f, (DATE) pp (DATE) APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION Approval Level Name of Approver Date Status CONTRACT NO. R=3$81 NOTE: Upon request from Engineer, enter detailed description on page 2. DATE OF SUBMISSION JuBy 2 20I8 ONSET DATE OF CHANGE June::I4 2tJ 4 8` CHANGE ORDER TYPE 1Q�} t33 Extra Work PROPOSED cou AND TIME ADJUSTMENT COST COST INCREASE / (DECREASE): $ Ez2i50 00 The cost adjustment shall include lump sum and estimated totaled unit -priced item costs. Attach a separate sheet of unit price items including item description, unit of measurement, estimated quantity and unit price. CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF COST CHANGE: ❑ 109.03 Altered Quant.it'te.s '. ® 109.05(a) Agreed Price ❑.109 05('b) Force Account ❑ s 109.05.02.Delay Costs PROPOSED COST CHANGE INCLUDES: © Labor `© Material ' ❑:Equ�ent .❑ Lease Agreement S Subcontractor TIME ADJUSTMENT INCREASE / (DECREASE): (work days) i CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE: ® 108.08(a) EXcusable; Non-Compe;nsabke Ci 108.Q8(i.. xcusa.ble, Gompensable. NOTE: If Compensable, attach details based on .109.05.2(a) Allowable Delay Costs, SUPPLEMENTAL INFORMATION Ver. 10,23.17 CHANGE ORDER REQUEST FORM CONTRACT NO. R-36881 UPON WRITTEN REQUEST FROM TIME ENGINEER, PROVIDE ADDITIONAi_ DETAIL DATE RECEIVED REQUEST FOR JU!Y 2, 2018 SUBMITTAL DATE OF 4tily 2, 211 8 ADDITIONAL DETAIL ADDITIONAL DETAIL DETAILED DESCRIPTION / JUSTIFICATION: (Include location(s), actions of contractor, owner, and other stakeholders, key events and related couse(s), discoveries, discussions, meetings, and effect on the contract if no action is taken. Also include references to key documents attached or available to support this change order request.) .The installation of this gate is. expected to take :one day and needs to occur on the sarne mobilization as the other fencing on the project. PROPOSED SOLUTION — ADDITIONAL DETAILS: (include proposed scope of work, means & methods, materials, equipment, utiilty relocation required, subcontracted scope and the effect on the contract schedule. Also Include references to attached documents including, but not limited to, sketches, calculations, photos, material information, and submittals and meeting minutes.) SIGNATURES Contractor: Name: (print) oe- sly Pr�� (signature)--�aN--- - - Date: a� _!Lij Project Engineer/Supervisor: (signature is to acknowledge receipt of the document and does not signify agreement of the change order) Larne: (print) A t L RA-e OVO'b-14 (signature) 0hate:_ NOTE. The Contractor and PF/S should retain a signed copy of this doc m nt far record. Pg. 2 CHANGE ORDER REQUEST FORM CONTRACT NO R �688�1 ATTACHMENT: UNIT PRICE ITEMS DETAIL Attach or paste a unit price item detail. p_ 3 Quote JAMES H DREW ' CORP. 8701 ZIONSVILLEFZOAD INOIANAFOLI$, IN 462.68 IUZP CONSfKUCTION JOESAGGARS Date: June2%2018 Expiation Cate: July26,2018 Quotation pmpared by; 03R78 FRYE f 1 � r 5�6tomi vS Sj�G ; sa3oa ra« Tam his Is a quotation on the goo4 ned„ �jett to the tondiliotvs Tof.i S j OUR QUOTE INCLUDES ALL EQUIPMENT, MATERIALS AND LABOR NECESSARY TO COMPLETE THE WORK ACCORDING TO THE SPECIFICATIONS AND CONDITIONS AS LISTED BELOW, 1, ALL 61ATERIALS TO MEET CURRENT IN DOT SPECIFICATIONS 2, ALL MATERIALS ARE GALVANIZED FINISH. 3. 4, 5, Thank you for your business. 7o acceptthis ciuote, sigh here and return____ 2,500.00 2,600.00 2,500,00