HomeMy WebLinkAboutChange Order No 3 - INDOT Safe Routes to School Monroe Primary and Studebaker Elementary Project No 116-039 - DLZ1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOI 1TH BEND_ INDIANA 46601-1 830
Jeff Million
DLZ Indiana, LLC
2211 E Jefferson Blvd
South Bend, IN 46615
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1865
November 13, 2018
PHONE 574/235-9251
FAx 574/235-9171
RE: Change Order No. 3 — INDOT - Safe Routes to School: Monroe Primary and
Studebaker Elementary — Project No. 116-039
Dear Mr. Million:
The Board of Public Works, at its meeting held on November 13, 2018, approved the above
referenced Change Order for an increase of $15,289.92, plus an additional seven (7) days,
bringing the current contract amount to $1,951,731.71 and the revised contract completion
date to September 28, 2018.
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,
d err ,
Linda M. Martin, Clerk
Enclosure
GARY A. GILOT SUZANNA M. FRITZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
Contract No:R -39513
Change Order No.: 003
INDIANA
Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information
Contract No.: R -39513 Letting Date:10/12/2017
District:LAPORTE DISTRICT
AE:Forgey, Ryan PE/S:Million, Jeff Status:Draft
Change Order Information
Change Order No.: 003 EWA: Y or Force Acct: N
Date Generated, 00/00/0000
Date Approved: 00/00/0000
Reason Code, CHANGED COND, Constructability Related
Description: Additional cost and time
extension for root removal, No. 2.
Original Contract Amount
$ 1,938,001.25
Current Change Order Amount
$ 15,289.92 Percent: 0.789 %
Total Previous Approved Changes
$-1,559.46 Percent: -0.081 %
Total Change To -Date
$13,730.46 Percent, 0.708 %
Modified Contract Amount
$ 1,951,731.71
Time Extension Information
Date Initiated 00/00/0000 Date Completed 00/00/0000
Original Contract Time SS Completion Date 00/00/0000 or SS CalendarMlork 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 7 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.: 003
INDIANA Department of Transportation Page: 2
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority AE, —/—DCE: SCE: * DDCM:
($ per Change Order) (- LIE $ 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? YOf Y, by Date Issued
Total Change To-Datey5%? Y /@N If Y, Copy to Program Budget Manager__
Scope/Design Recommendation Y I( If Y, Referred to Project Manager(PM)
Required?
Date to PM Date Returned
Approval Authority Concurs with PM? 0 N If Y, Concurrence by Date
If N,Resolutlon: Approved Disapproved
Resolved by Date
LPA Signatures Required? 0 N If Y, Date to LPA 1 O Date Returned
FHWA Signatures Required? Y Of Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract NOR -39513 INDIANA
Change Order No:003 Department of Transportation
Date:10/01 /2018
Page: 3
Contract: R -39513
Project: 1600075 - State:160007500LC4
Change Order Nbr: 003
Change Order Description: Additional cost and time extension for root removal, No. 2.
Reason Code: CHANGED COND, Constructability Related
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CLN pCN PLN 'Item iCode Unit unit hrfce CO raty Comment Amount C tinge
0042 1600075 0041 105-06607 LS 15,289.920 1.000 C Amount:$ 15,289,92
Item Description: ADDITIONAL
Supplemental Descriptionl: Cost for root removal, No. 2
Supplemental Descriptlon2:
Total Value for Change Order 003 = $15.289.92
Milestone Time Adjustment
Milestone Nbr: 01
Milestone Description: INTERMEDIATE COMPLETION DATE 1
Original Completion dt: 09/07/2018 Ad) compl dt 09128/2018 Adj No. of Days 7
Explanation: The Intermediate Completion Date to complete all work except the tree plantings needs to be extended another 7 days to
allow for the delays caused by the extreme amounts of root removal during the second half of the project.
Whereas, the Standard Speclffcadons 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 another lump sum item for the removal of the extreme number and size of the tree roots encountered during the second
half of this project, mainly along Dayton and Rush Sts. This work involves the actual root removal as well as the hauling away of this debris.
Attached Is a letter from Selge along with a breakdown of the agreed upon prices which seem to be justified for this work. This change order also
Includes a time extension of another 7 calendar days to the Intermediate Completion Date of 9/21/10. 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 fill 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.
Notification and consent to this change order Is hereby acknowledged.
Contractor: � � r a "
Date:
Signed By,-
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system,
Contract No:R -39513 INDIANA
Change Order No:003 Department of Transportation
Date:10/01 /2018
Page: 4
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(SIGNATURE)
APPROVED FOR LOCAL PUBLIC AGENCY
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Approval Level ' Name of Approver Date Status
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date November 5, 2018
Department Public Works
Name Roger Nawrot Division/Bureau Engineering
BPW Date N �_.,............................�....._........��_
ovember 13, 2018 Phone Extension 5932
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..Repired Prior to Submittal to Board w
Legal ❑ Attorney Name�...�.�.._.��. ..w.
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 ❑
Check the
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❑' Professional Services
[� Bid Opening
Quote Opening
Change Order No. 3
El Ease/Encroach.
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Company or Vendor Name
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❑ Resolution
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F] Quote Award
IBC/O &PCANo.
Traffic Control:
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ired Information
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Indiana Department of Transportation
Addendum
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SRTS Monroe Primary and Studebaker Elementary R-39513
116-039
Federal 80% and City 20%
This change order if for additional excavation and disposal for the
removal of tree roots removed under the new sidewalk._
�] Required Contractor's Certification Forms Attached (Non
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
R aired For Char
Amount of 0 Decrease $ .. Increase ........$...�....3730.46
El� .......m..m�_....�
Previous Amount $ 1,938,001.25
Current Percent of Change: 0.789%
New Amount $ 1,,951 ,731.71
Total Percent of Change: 0.708%
Dispersal After
Copy Original
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