HomeMy WebLinkAboutChange Order No 2 - INDOT - SRTS Monroe Primary and Studebaker Elementary Proj No 116-039Contract No:R -39513 Change Order No.: 002
INDIANA Department of Transportation Page:1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -39613 Letting Date: 10/1212017
Distdct:LAPORTE DISTRICT AE:Forgey, Ryan PE/S:Miliion, Jeff Status -Draft
Change Order Information Change Order No.: 002 EWA: Y or Farce Acct: N
Date Generated: 00/00/0000 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructabllity Related
Description: Additional cost and time extension for root removal.
Original Contract Amount $1,938,001.25
Current Change Order Amount $10,990.04 Percent: 0.567 %
Total Previous Approved Changes $-12,649.50 Percent: -0.648 %
Total Change To -Date $-1,559.46 Percent: -0.081 %
Modified. Contract Amount $1,936,441.7'9
Time Extension Information
Date Initiated 00/00/0000
Date Completed 00/00/0000
Original Contract Time
SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SP Date 00/00/0000 or SP Days
(SS = Standard Specification, SP = Special Provision)
Time Element Description:
Current Time Extension
SS Days 0 SP Days 14 SP Days Value $ 0.00
Previous Time Approved
SS Days by AE:_ DCE: SCE: DDCM:
SS Days SP Days Value $
Revised Contract Time
SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
Contract No:R -39513
Change Order No.: 002
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approved Information
Required Approval Authority AE: DOE: SCE.,-* DDCM: "
($ per Change Order)
(Days per Contract)
Verbal Approval Required?
Total Change To-Date>5°/a?
Scope/Design Recommendation
Required?
(-LE$250K3{-LE$750K-) (--LE$2M--)(--GT$2 M--)
( 50 SS days) (100 SS days ) ( 200 SS Days ) ( GT 200 SS days)
a/ N If Y, by �_ Date Issued l
Y /&f Y, Copy to Program Budget Manager
Y / N If Y, Referred to Project Manager(PM)
Date to PM
Approval Authority Concurs with PM? Y / N if Y, Concurrence by,
Date Returned
Date
If N,Resolution: Approved Disapproved
Resolved by Date
LPA Signatures Required? N If Y, Date to LPA Date Returned
FHWA Signatures Required? Y Gif Y, Date to FHWA,,- ^, , pate Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer
Comments:
Date
Contract No:R -39513 INDIANA
Change Order No:002 Department of Transportation
Date:07/27/2018
Page: 3
Contract: R -39513
Project: 1600075 - State;160007500LC4
Change Order Nbr: 002
Change Ordar Description: Additional cost and time extension for root removal.
Reason Code: CHANGED COND, Constructability Related
Oi.N PCN PLN Item Code unit Unit Prise CtJ Qty Comment Amount Change
0041 1600075 0040 105.06007 LS 10,990.040 1.000 G Amounl:$ 10,990.04
Item Description: ADDITIONAL
Supplemental DescdptlonI., Cost for tool removal
Supplemental Descdption2:
Total Value for Change Order 002 = S 10,990.04
Milestone Time Adjustment
Mileslons Nbc 01
Milestone Description. INTERMEDIATE COMPLETION DATE 1
Original Completion dt: 09/07/201 a Adj comp) dt 09/2112018 Ad) No. of Days 14
Explanation. The Intermediate Completion Date to complete all of the concrete work on this project needs to be extended 14 calendar
days due to the delays caused by the extreme amount of root removal encountered on this project, mainly along
Woodside, Oakside, and Eckman Sts. This 14 days Includes the time Involved removing the roots as wall as The time
needed to Import and replace the borrow material to fill the voids left by the root removal.
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
This change order adds a new lump sum item to cover the cost Incurred by the contractor for the removal of the extreme number and size of the
tree roots encountered on this project, mainly along Woodside, Oakslde, and Eckman Sts. This work Involves the actual root removal as well as
the hauling away of this debris. This change order also Includes a time extension of 14 calendar days to the Intermediate Completion Date of
9107118. The time delays involve the extra work for the root removal along with the time It takes to import and replace the borrow material to till
the voids left by this removal.
Change Order Explanation for Specific Line Item
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It Is the intent of the parties that this change order Is full and complete compensation for the work describe above.
Notltication and consent to this chancre order Is herebv acknowtedoed.
Contractor
Date:
Signed By: ) ):
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:A -39613
INDIANA Date:07/27/2018
Change Order No:002
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Department of Transportation Page: 4
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APPROVED FOR LOCAL PUBLIC AGENCY
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
ApprovalLevel Name of Approver bate Status
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date August 6, 2018
Name Roger Nawrot
Department Public Works
Division/Bureau Engineering
BPW Date August 14, 2018 Phone Extension 5932
Rpn uired Prior to Submittal to Board
Legal 01 Attorney Name. -
Controller F-1 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 El
U Agreement
El Professional Services
F-1 Bid Opening
❑ Quote Opening
Change Order No. 2
El Ease/Encroach.
F1 Other:
Company or Vendor Name
LJ Contract
El Resolution
F1 Bid Award'
F] Quote Award
F1 C/O & PCA No.
F1 Traffic Control:
New Vendor
MBEN\1BE Contractor
MBEN\1BE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Proposal
El Req. to Advertise
Elm
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Indiana Department of Transportation
Addendum
❑ Title Sheet
10 No If Yes, Approved by Purchasina
IN M _BE 9 WB E
LJ No LJ Yes Name of CoMpapy
SRTS Monroe Primary and Studebaker Elementary R-39513
116-039
Terms of Contract Federal 80% and City 20O/o
Purpose/Description This change order if for additional excavation and disposal for the
-removal of tree roots removed under the new sidewalk.
Ll Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Rc�uird For Chan Orders �r�ly
Previous Amount $ 1,925,451.75
Current Percent of Change: 0.567%
New Amount $1,936,441,791
Total Percent of
Di s ersal After A royal
Copy Original
F] F-1
R El