HomeMy WebLinkAboutChange Order Nos. 3 & 4 - INDOT - Bendix Dr., Lathrop to Indiana Toll Road - Rieth-Riley Construction1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
CITY OF SOUTH BEND JAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
November 10, 2020
Mr. Joshua McCormick
Rieth-Riley Construction Co., Inc.
25200 State Road 23
South Bend, IN 46614
j mcc ormickgrieth-riley. com
RE: Change Order Nos. 3 & 4 — Bendix Dr., Lathrop to Indiana Toll Road
Project No. 114-065
Dear Mr. McCormick:
PHoNE 574/235-9251
FAx 574/235-9171
The Board of Public Works, at its meeting held on November 10, 2020, approved Change Order
No. 3, for an increase of $4,166.80 (the city pays 20% or $833.36); with an additional five (5)
days, bringing the current contract amount to $4,096,097.03 and a new completion date of
September 23, 2020.
The Board of Public Works also approved Change Order No. 4 for an increase of four (4) days
bringing the current completion date to September 27, 2020.
Enclosed are copies of the Change Orders for your records.
If you have any further questions regarding this matter, please call this office at (574) 235-9251.
Sincerely,
s/Linda M. Martin, Clerk
Enclosure
GARY A. GILOT ELIZABETH A. MARADIK THERESE J. DORAU JORDAN V. GATHERS JOSEPH R. MOLNAR
Contract No:R -37497
Change Order No.: 003
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -37497 Letting Date:09/11/2019
District:LAPORTE DISTRICT AE:Patterson, Patrick PE/S:Dietz, Don
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: ERRORS & OMISSIONS, Construct Related
Description: Extra Costs Associated with Plan Changes
Original Contract Amount $ 4,089,000.00
Current Change Order Amount $ 4,166.80 Percent: 0.102 %
Total Previous Approved Changes $ 2,930.23 Percent: 0.072 %
Total Change To -Date $ 7,097.03 Percent: 0.174 %
Modified Contract Amount $ 4,096,097.03
Time Extension Information
Date Initiated 00/00/0000
Original Contract Time
Time Element Description:
Current Time Extension
Previous Time Approved
Revised Contract Time
Date Completed 00/00/0000
Page: 1
Status:Draft
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)
SS Days 0 SP Days 5 SP Days Value $ 0.00
SS Days by AE: DCE: SCE: DDCM:
SS Days SP Days Value $
SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
Contract No:R -37497 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) (-LE$250K-)(-LE$750K-)(--LE$2M--)(--GT$2M--)
(Days per Contract) ( 50 SS days ) ( 100 SS days ) ( 200 SS Days ) ( GT 200 SS days)
Verbal Approval Required? Y / N If Y,
Total Change To-Date>5%?
Scope/Design Recommendation
Required?
Date Issued
Y / N If Y , Copy to Program Budget Manager_
Y / N If Y, Referred to Project Manager(PM)
Date to
Date Returned
Approval Authority Concurs with PM? Y / N If Y, Concurrence by Date
If N,Resolution: Approved Disapproved
Resolved by Date
LPA Signatures Required? Y / N If Y, Date to LPA
Date Returned
FHWA Signatures Required? Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer
Comments:
Date
Contract No:R -37497
Change Order No:003
INDIANA
Department of Transportation
Contract: R -37497
Project: 1400634 - State:1400634001-C4
Change Order Nbr: 003
Date:10/06/2020
Page: 3
Change Order Description: Extra Costs Associated with Plan Changes
Reason Code: ERRORS & OMISSIONS, Construct Related
CLN PCN PLN Item Code Unit Unit Price co oty Comment Amount Change
0125 1400634 0125 105-06807 LS 4,166.800 1.000
Item Description: ADDITIONAL
Supplemental Descriptionl: Additional cost associaes with plan change.
Supplemental Description2:
Milestone Time Adjustment
Milestone Nbr: 02
Amount:$ 4,166.80
Total Value for Change Order 003 = $ 4,166.80
Milestone Description: INTERMEDIATE COMPLETION DATE
Original Completion dt: 09/1812020 Adj compl dt 09/23/2020 Adj No. of Days 5
Explanation: A time extension Is being granted because revision of the road forced a rescheduling of the subgrade treatment by 5
days. The area was completed and had to be regraded and casting readjusted as well.
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 is for additional costs associated with the plan changes on Bandix Rd between Sugar Maple and Nimtz parkway. Upon initial
completion of the excavation and grading of the proposed Bandix Rd, there are several conflicts with In the new alignment of Bandix that do not
allow for the completon of the road as designed. Choice Light has a fiber optic line within the proposed road limits. There is also a handhole
containing the fiber optid line as well as a street light foundation within the limits of the new roadway. A design change was needed and the road
had to be regraded to meet the requirements of the design change. This change order Includes all of the associated costs of the contractor to
make the neccessaty changes. Costs for construction engineering and grading are Included in this change order. Five additional days will be
granted due to this change order. All Items deemed reasonable based on a review of the documents.
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: K1=
Date: 7- o16��%
Signed By: /
..«,.«,.,,,.„..........................»,....,......,.„„«......,,,,.........,,.....,...,,.».«,.,..,.,,,...,.,.,...
NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:R -37497 INDIANA
Change Order No:003 Department of Transportation
***R******kkk*kkk**k****k*********kk**k****k*k**k***kk***k*****k***R**R***R***kk*****R*k*********YRYR##*RRRItRRRYY#Y#R**YR#RR
HOARD OF PUBLIC WORKS
APPROVED FOR LOCAL PUBLIC AGENCY
Gary A. 01,1, President
Therese J. D— , Member
-gzi�a,d-1- (I,/%
-:11�
Elizabeth A. Mmadik, Member
Jmdan V. Gathers, Member
ATTEST:
tea ctrmnx
Joseph K Molnar, Member
Linda M. Marti¢, Clerk
AA SUBMITTED FOR CONSIDERATION
PETS
Date: 10/06/2020
Page: 4
November 10, 2020
(DATE)
(DATE)
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Approval Level Name of Approver Date Status
CHANGE ORDER REQUEST FORM
CONTRACT NO. R-37497
PROJECT DESCRIPTION
(route / intersection / bridge no(s).)
DATE OF SUBMISSION 5/5/2020
ROAD RECONSTRUCTION ON BENDIX DRIVE FROM .10
MILES NORTH OF LATHROP ROAD TO 1-80
CHANGE ORDER REQUEST SUMMARY Edge of Pavement Revision Costs. After Changes where made anew
DESCRIPTION GPS model had to be made and sub grade needed to be regraded.
PROPOSED SOLUTION SUMMARY
NOTE: Upon request from Engineer, enter detailed description on page 2.
ONSET DATE OF CHANGE 4/20/2020
PROPOSED COST AND TIME ADJUSTMENT
COST
COSTINCREASE/(DECREASE):
$ 4,166.80
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:
111109.03 Altered Quantities ❑ 109.05(a) Agreed Price ❑ 109.05(b) Force Account ❑ 109.05.02 Delay Costs
PROPOSED COST CHANGE INCLUDES: ❑ Labor ❑ Material ❑ Equipment ❑ Lease Agreement B Subcontractor
TIME ADJUSTMENT
INCREASE/(DECREASE):
CHECK APPROPRIATE BOXES PER APPROPRIATE BASIS OF TIME CHANGE:
(work days) 5
❑ 108.08(a) Excusable, Non-Compensable ❑ 108.08(b) Excusable, Compensable
NOTE: If Compensable, attach details based on 109.05.2(o) Allowable Delay Costs,
SUPPLEMENTAL INFORMATION
Additional information may be entered by the contractor.
CHANGE ORDER ORIGINATION:
DOCUMENTS AFFECTED:
❑ Contract Specifications (ref. doc name/no.)
❑ Contract Plans (ref. doc name/no.)
A INDOT/LPA
CHANGE ORDER AFFECTS DBE PARTICIPATION: W yes ❑ no (if yes, attach details)
❑ Contractor
CHANGE ORDER REQUEST FORM
CONTRACT NO. R-37497
UPON WRITTEN REQUEST FROM THE ENGINEER, PROVIDE ADDITIONAL DETAIL
DATE RECEIVED REQUEST FOR SUBMITTAL DATE OF
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.)
SIGNATURES
Contractor:
Name: (print) Rieth-Riley Construction Co., Inc. Jeremy Jankoviak
(signature)
Date: 5/5/2020
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 PE/s should retain a signed copy of this document for record.
Date:
Page 2
CHANGE ORDER REQUEST FORM CONTRACT NO. R-37497
ATTACHMENT: UNIT PRICE ITEMS DETAIL
Attach or paste a unit price item detail.
Page 3
Rieth-Riley Construction Co., Inc.
MATERIAL 109.05 (b)(3)
Monutactured
Dewription
Quantity
Unit
Unit Price
Extonction
$
S
$
S
3
S
$
S
$
$
S
S
MATERIALS PURCHASED
MATERIALS MANUFACTURED
TOTAL: LINE(18)+(19)
12 % x LINE (20)
GRAND TOTAL FOR MATERIALS. LINE (20) � (21)
EQUIPMENT 109.05 (b)(4)
$0.00 (18)
$0.00 (19)
$0.00 (20)
$0.00 (21)
$0.00 (22)
F_quipmont8
CONTRACTOR OWNED EQUIPMENT
FHWA HOURLY RATE
HOURS
EXTENSION
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
$0.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Trucking - Striaght Time
$0.00
Trucking . Over Time
$0.00
Trucking. Douala Time
D.
TOTAL EQUIPMENT
$0.00 (23)
TOTAL TRUCKING -
n-w (24)
FUEL, LUBRICANTS AND TRANSPORTATION COSTS
(25)
TOTAL LINES (23) + (24) + (25)
,� (26)
12 % x LINE (26)
$0.0 (27)
GRAND TOTAL FOR EQUIPMENT: LINES (26)+ (27)
n-W (28)
SUBCONTRACTORS 109.05 (b)(6)
TOTAL SUBCONTRACT WEEK ENDING $3,847.65 (29)
7 %x LINE (30) $269.34 (32)
GRAND TOTAL FOR SUBCONTRACTORS: UNES (30) + (31) + (32) $4,116.99 (33)
Irr.�c��rrv�c� c.�.r„nr�ir��rrrealf:rxlna�a
TOTAL UNES (12). (17), (22), (28) b (33)
$4,116.99
(34)
1.1 %OF BOND RATE BASED UPON LINE (34)
$45.29
(35)
10 % x LINE (35)
$4.53
(38)
TOTAL EXTRA WORK LINES: (34) + (35) + (36)
$4,166.80
137)
Page 2 of 2
2010 Went Street— Mishawaka, In.46545
Phone (574)256 - 2467 Fax (574256 - 2473
Rieth Riley Construction May 4, 2020
25200 SR 23
South Bend, Indiana
46614
Attn: Mr. Jeremy Jankoviak
Re: GPS Model Adjustment
Jeremy,
As you are aware there were a few issues discovered in relation to grading and utilities on
phase 1 of R-37497 project. Designer issued an addendum to address issues resulting in
modification of our GPS model and subgrade. Below please find C/O request for this said
work,
R&R Model Adjustment Cost $1,310.40
R&R Cost to Adjust Subgrade $2,537.25
Total C/O #1 $3,847.65
Thank you,
Terry Opaczewski
R&R Excavating
JOB #4690-627-A02
• '
o000000-aoa
Contract No:R -37497
Change Order No.: 004
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -37497 Letting Date:09/11/2019
District:LAPORTE DISTRICT AE:Patterson, Patrick PE/S:Dietz, Don
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, Utility Related
Description: Utility Delay
Original Contract Amount
Current Change Order Amount
Total Previous Approved Changes
Total Change To -Date
Modified Contract Amount
Time Extension Information
Date Initiated 00/00/0000
Original Contract Time
Time Element Description:
Current Time Extension
Previous Time Approved
Revised Contract Time
$ 4,089,000.00
$ 0.00
$ 2,930.23
$ 2,930.23
$ 4,091,930.23
Date Completed 00/00/0000
Percent: 0.000 %
Percent: 0.072 %
Percent: 0.072 %
Page:1
Status:Draft
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)
SS Days 0 SP Days 4 SP Days Value $ 0.00
SS Days by AE: DCE: SCE: DDCM:
SS Days SP Days Value $
SS Completion Date 00/00/0000 or SS Calendar/Work Days 0
SS Date 00/00/0000 or SP Days 0
Contract No:R -37497 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?
Total Change To-Date>5%I
Scope/Design Recommendation
Required?
Y / N If Y, by Date Issued
Y / N If 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
LPA Signatures Required?
FHWA Signatures Required?
If N,Resolution: Approved
Resolved by.
Y / N If Y. Date to LPA
Date Returned
Date
Disapproved
Date
Date Returned
Y / N If Y, Date to FHWA Date Returned
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer
Comments:
Date
Contract No:R -37497 INDIANA Date:09/15/2020
Change Order No:004 Department of Transportation Page: 3
Contract: R -37497
Project: State:140063400LC4
Change Order Nbr. 004
Change Order Description: Utility Delay
Reason Code: CHANGED COND, Utility Related
CLN PCN PLN Item Code Unit Unit Price Co CRY Comment Amount Change
Total Value for Change Order 004 = 6 0.00
Milestone Tim Adjustment
Milestone Nbr: 02
Milestone Description: INTERMEDIATE COMPLETION DATE
Original Completion dl: 09118f2020 Adj comp) dt 09/2212020 Ad) No. of Days 4
Explanation: An oxtonslon of the clalondar days Is being added to the Intermediate completion date due to a delay In the verification of
a 12 Inch abandoned gas main on Bendlx Drive.
Whereas, the Standard Specifications forthla contract provides for such work to be performed, the following change is recommended.
General or Standard Change Order Explanation
A time extension of 4 days is being glvon to the Intermediate completion date for the delay of verification of the vacated 12Inch existing gas main
on Bondix Dr. The existing gas main was relocated prior to the contractor beginning construction. The main was encountered during the
Installation of the storm sewer for phase II on Bondix. At the precon, NIPSCo staled they could be on alto within 24 hours to verify any
encountered pipes, NIPSCo was notified on Monday morning July 0, 2020 at about 10 am. NIPSCo was not able to be on alto for verification until
Wednesday July B, 2020 to confirm the goo main had been vacated. All work on the project was hafted until NIPSCo had confirmed the existing
main had been vacated. A (inlay of 3 calendar days is the result. The Intermediate completion date Is being extended out 4 days to account for
Sunday September 20th. No additional payment will be mode for this change order.
Change Order Explanation for Specific Line Item
HYf f/HYff IMiHR/YYi1YYHfY HfYHHiHftHY1YY W Y.15YHYY/Y/fYHYHYY.YRYIHYf YIR....RH.Yf HY VH.Y/YYYYHfIHHHHM41/fA
it Is the Intent of the parties that this change order Is full and complote compenoatlon for the work doseribe above.
Notification and con )t to th/ls change order Is hereby acknowledged.
Contractor,_..�N��_�p signedBy:_�/...`/ .�__........
Dole,.—
. . ..... w.IH..IYRRHR....IIIHVYRH..... H....WHIR..IIR.YH1H..... NIHfIHAYRHiIH IHYHRYIHHI/H4RHII
NOTE: Other raciulred State and FNWA signatures will be obtained olactronically through the SlteManager system.
Contract NOR -37497
INDIANA
Change Order No:004
Department of Transportation
•+wwwwwxrwtrwwxwxx+x+tttrtxkxktrtt#arkrx aitktxkktx#wtr###r+#tt#ik#ttr#+kRk###fi#fitk
BOARD OF PUBLIC WORKS
tfieiwfi#iwkrfiWfi#k#x##W#fi#Wfi#WWxx#kWkfi#Wfikx#
APPROVED FOR LOCAL PUBLIC AGENCY
Gary A. Gil,S President Therese J. D—a, Member
Elizabeth A. Maradik, Member Jordan V. Gathers, Member
ATTEST:
2ixdr cGfman
Joseph R Molnar, Member
Linda M. Martin, Clerk
SUBMITTED FOR CONSIDERATION
PE1S
krtkrwr;trxwwkxfwwtwrwxwkwikxxwkwkt#wtkrtr#trwrktrxrrwrw+t+wrti#tktk+ixttsarrtk#wtr•+#t•#ttkt#rr+r#ktr #e##it#kk+t#r;;;r;krrw
Date:0911512020
Page: 4
November 10, 2020
(DATE)
(DATE)
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORTATION
Approval Level Name of Approver Date Status
-`HILEY CONSTRUCTION CO., In.
100% Quality • 100% Employee Owned • Over 100 Years
7/22/2020
Don Dietz
Construction Engineer
Lawson -Fisher associates P.C.
Project: INDOT R-37497-A
Road Reconstruction of Bendix Dr.
Re: Delay for Utility Location
Dear Mr. Dietz,
In Phase II of construction we encountered an abandoned gas line on the east side of the road. This was
discovered on Monday 7/6/20. We waited until late Wednesday 7/8/20 before it was verified that the
line was abandoned. We are requesting 5 days added to the intermediate completion date/completion
date of the project. Five days are requested, because regular (Non -Overtime) workdays were used under
the delay. With the intermediate completion date being on a Friday. We will incur additional overtime
cost if we work on Saturday and Sunday. We were delayed a Monday, Tuesday, and Wednesday of work
and would like to gain a Monday, Tuesday, and Wednesday of work because of the Utility Delay. We are
requesting the new completion date of September 23rd 2020.
If you have any questions, please do not hesitate to reach out to us.
Respectfully,
RIETH-RILEY CONSTRUCTION CO., INC.
Jeremy Jankoviak
Estimator
4 u,,•1 5 Va d-."J v voo-
P.D. Box 1775.25200 S.R. 23 - South Bend, IN 46634 !DK
Phone: (574) 288-8321 , www.rieth-riley.com
Y
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date October 20, 2020
Department Public
Name Scott
BPW Date October 27, 2020 Phone Extension 9245
Required Prior to Submittal to Board
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney ❑ Attorney Name
Purchasing ❑ Michael Schmidt
Check the Appropriate Item Type — Required. for All Submissions
❑ Professional Services Agreement ❑ Contract ❑ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes
❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA
® Chg. Order, No. 4 ❑ Traffic Control ❑ Resolution
n Other: n Ease./Encroach
Information
Company or Vendor Name Rieth-Riley Construction
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
❑ Yes❑ If Yes, Approved by Purchasing
® No
❑ WBE Completed E-Verify Form Attached ❑❑ Yes
No
Bendix Dr., Lathrop to Indiana Toll Road
114-065
LRSA - Streets & Alleys
251-06-600-506-442001
4 days
Unit Price
Purpose/Description _Change Order No. 4 for the vacation of the 12 in existing gas main on
Bendix Dr. Additional 4 days to intermediate completion
date.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount $
Increase
Current Percent of Change: Decrease ( %)
New Amount $
Increase
Total Percent of Change: Decrease (%)
Time Extension Amount: 4 days
New Intermediate Completion
Date: 9/27/2020
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date October 20, 2020
Department Public
Name Scott
BPW Date November 10, 2020 Phone Extension 9245
Required Prior to Submittal to Board
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney ❑ Attorney Name
Purchasing ❑ Michael Schmidt
Check the Appropriate Item Type — Required. for All Submissions
❑ Professional Services Agreement ❑ Contract ❑ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes
❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA
® Chg. Order, No. 3 ❑ Traffic Control ❑ Resolution
n Other: n Ease./Encroach
Information
Company or Vendor Name Rieth-Riley Construction
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ Yes❑ If Yes, Approved by Purchasing
® No
❑ WBE Completed E-Verify Form Attached ❑❑ Yes
No
Bendix Dr., Lathrop to Indiana Toll Road
114-065
LRSA - Streets & Alleys
251-06-600-506-442001
$833.36 (20% of $4,166.80)
Unit Price
Additional costs for the excavation and grading at Bendix between Sugar
Maple and Nimtz Parkway due to fiber optic lines.
For Change Orders Only
Amount of ❑ Increase $ 4,166.8
❑ Decrease ($ )
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Intermediate Completion
Date:
$ 4,091,930.23 INDOT TOAL
Increase 0.102%
Decrease %
$ 4,096,097.03
Increase 0.174%
Decrease °/( o)
5 days
9/23/2020