HomeMy WebLinkAboutChange Order No 4 - SRTS Monroe Primary & Studebaker Elementary Project No 116-039 - DLZ Indiana LLC1316 COUNTY -CITY BUILDING
227 W.JEFFERSON BOULEVARD
SOUTH BEND. INDIANA 46601-1930
Jeff Million
DLZ Indiana LLC
2211 E. Jefferson Blvd.
South Bend, IN 46615
a�
1865
CITY OF • BEND PETE BUTTIGIEG, MAYOR
BOARD OF PUBLIC
November 27, 2018
PHONE 574/235-9251
Fax 574/235-9171
RE: Change Order No. 4 - 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 27, 2018, approved the above
referenced Change Order for an increase of $16,222.27, bringing the current contract amount
to $1,967,953.98.
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
GARY A. GILOT SUZANNA M. FRrrZBERG ELIZABETH A. MARADIK JAMES A. MUELLER THERESE J. DORAU
Contract No:R -39513
Change Order No.: 004
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.: 004
EWA: N or Force Acct: N
Date Generated: 00/00/0000 Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Overruns and Underruns in excess of $20,000.00
Original Contract Amount $1,938,001.25
Current Change Order Amount $ 16,222.27
Percent: 0.837 %
Total Previous Approved Changes $-1,559.46
Percent: -0.081 %
Total Change To -Date $ 14,662.81
Percent: 0.756 %
Modified Contract Amount $1,952,664.06
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 0 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.: 004
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®If Y, by Date Issued
Total Change To-Date>5%?
Y 0 Y, Copy to Program Budget Manager
Scope/Design Recommendation
Y / ) Y, Referred to Project Manager(PM)
Required?
Date to PM-- Date Returned
Approval Authority Concurs with PM?
Y / N If Y, Concurrence by Date
If N,Resolution: Approved Disapproved
Resolved icy Date
,LPA Signatures Required?
YQ N If Y, Date to LPA Date Returned
FHWA Signatures Required?
Y ,9If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Contract No:R -39513 INDIANA Date:11/06/2018
Change Order No:004 Department of Transportation Page: 3
Contract: R -39513
Project: 1500075 - State: 160007500LC4
Change Order Nbr: 004
Change Order Description: Overruns and Underruns in excess of $20,000.00
Reason Code: CHANGED COND, Constructability Related
... r. ��. P „. le'l 6 w „Y11 s. "d -. "e e.....
CLN PCN PLN Item Code Unit Unit Price CO t]ty Comment Amount Change
0023 1600075 0023 604-06070 SYS 45.900 907.010 C Amount:$ 41,631.75
Item Description: SIDEWALK, CONCRETE
Supplemental Descriptlonl:
Supplemental Description2:
0024 1600075 0024 604-08086 SYS 122.750-550.350 C Amount:$-67.555.46
Item Description: CURB RAMP, CONCRETE
Supplemental Descriptlonl:
Supplemental Description2:
0026 1600075 0026 605-06120 LIFT 37.850 1113,500 C Amount.$ 42,145.97
Item Description: CURB, CONCRETE
Supplemental Descripflonl:
Supplemental Descriptlon2:
Total Value for Change Order 004 - $ 16,222.27
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 sidewalk hem overran because additional walk was removed at several locations that was In poor condition and impossible to match or at
curb romp locations in order to meet the required ADA slopes. Also the breakdown between curb ramps and sidewalk at the comers was not
calculated per ADA standards In the designer talcs causing a substantial overrun of plan quantity In the sidewalk and underrun in the curb
ramps. The curb ramp item underran because of the same reason mentioned above regarding an error In the designer calce with the breakdown
between sidewalk and curb ramps at the comer not done per ADA standards. The curb quantity overran because more curb removal was done
than shown because it had been paved over and not Included In the designer quantity tales. More removal means more new curb. Also the
owner requested curb at the radius comers to be uniform at all 4 comers which was not always shown that way on fhe plans. There is no
additional time required for this change order.
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: _".9..r;�rl CO ,t _ Signed By �„µ°
Date. 4
NOTE: Other required Stale and FHWA signatures will be obtained electronically through the SileManager system.
Contract No:R -39513 INDIANA
Change Order No:004 Department of Transportation
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(SIGNATURE)
APPROVED FOR LOCAL PUBLIC AGENCY
(TITLE) (DATE)
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Date: 11/06/2018
Page: 4
SUBMITTED FOR CONSIDERATIOI J�
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
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Npproval Level Name of Approver Date Status
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date November 19, 2018
Department Public Works
Name Roger Nawrot Division/Bureau
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BPW Date November 27, 2018 Phone Extension 5932
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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 El'
Check the
Agreement
El Professional Services
j Bid Opening
Quote Opening
® Change Order No. 4
El Ease/Encroach.
Other:
Company or Vendor Name
)ropriate Item Type —
M Contract
El Resolution
El Bid Award
El Quote Award
F] C/O & PCA No.
Traffic Control:
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
d for All Submissions
:J Proposal
❑ Req. to Advertise
Reauired Information
❑ PCA
Indiana Department of Tr
ansportation
Addendum
❑ Title Sheet
Yeswp No If Yes, improved ley Purchasi
❑ MBE El WBE
0- .-" . es Name of Co
No . Y mpao.y.
SRTS Monroe Primaryand Studebaker Elementary R-3951„33
116-039
20% Federal 80° ° ............__�_ and City.....�....�r�r..._.....���....................................�.......... __�.�
This change order is for overruns and underruns of major
quantity amounts that exceed $20,000 in total amount of the line
item. When the change order is approved it is to be sent to
ry t DLZ Please e-mail it tqjMjl4qq@dlz.com
m
e e i ion a.. �— .
LJ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
.__.., . ....Required For Char
Amount of Increase $ 16,222.27
Decrease $
Previous Amount $ 1,951,731.71
Current Percent of 83 Change: 0. g 7%
New Amount $ 1,967,953.98
Total Percent of Charge �1545%°
Dispersal After
Copy
Original
®
E] Roger Nawrot
❑
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Orders On
roval