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Home My WebLink AboutAward Bid - 2023 Street and Sewer Material Bid Proj No. 123-019 ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Jacob Wood Smith Ready Mix 31480 Edison Rd. New Carlisle, IN 46552 jacobwood@smithreadymix.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Wood: At its April 11, 2023 meeting, the Board of Public Works awarded Division A of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division C: Ferguson Waterworks Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Anthony Winters Klink Trucking, Inc. PO Box 428 Ashley, IN 46705 pprumm@klinktrucking.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Kwilasz: At its April 11, 2023 meeting, the Board of Public Works awarded Division B, Items B-1, B- 3, B-4, and B-6 of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division B, Item B-2: No bids received Division C: Ferguson Waterworks Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Jacob K. Kwilasz Rieth-Riley Construction Co., Inc. 25200 State Road 23 South Bend, IN 46614 ralvarado@rieth-riley.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Kwilasz: At its April 11, 2023 meeting, the Board of Public Works awarded Division B, Item B-5 of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division C: Ferguson Waterworks Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Thomas Holmer Ferguson Waterworks 1077 Oliver Plow Ct. South Bend, IN 46601 Thomas.Holmer@Ferguson.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Holmer: At its April 11, 2023 meeting, the Board of Public Works awarded Division C of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Jason Downing American Highway Products 11723 Strasburg Bolivar Rd. NW Bolivar, OH 44612 jdowning@ahp1.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Downing: At its April 11, 2023 meeting, the Board of Public Works awarded Division D of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division C: Ferguson Waterworks Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. Denver Preston K-Tech Specialty Coatings PO Box 428 Ashley, IN 46705 pprumm@ktechcoatings.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Preston: At its April 11, 2023 meeting, the Board of Public Works awarded Division F, Item F-8 of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division C: Ferguson Waterworks Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division G: Bit-Mat Products of Indiana A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT JORDAN V. GATHERS MURRAY L. MILLER 1316 COUNTY-CITY BUILDING 227 W. JEFFERSON BOULEVARD SOUTH BEND, INDIANA 46601-1830 PHONE 574/ 235-9251 FAX 574/ 235-9171 CITY OF SOUTH BEND JAMES MUELLER, MAYOR BOARD OF PUBLIC WORKS April 11, 2023 Mr. John Baumgartner Bit-Mat Products of Indiana PO Box 428 Ashley, IN 46705 pprumm@bitmatproducts.com RE: Award Bid –2023 Street and Sewer Material Bid – Project No. 123-019 Dear Mr. Baumgartner: At its April 11, 2023 meeting, the Board of Public Works awarded Division G of the above referenced material to you. Enclosed please find a signed Bid/Proposal form. The remaining bids were awarded as follows: Division A: Smith Ready Mix Division B, Items B-1, B-3, B-4, and B-6: Klink Trucking Inc. Division B, Item B-2: No bids received Division B, Item B-5: Rieth-Riley Construction Co., Inc. Division C: Ferguson Waterworks Division D: American Highway Products Division E: No bids received Division F, Items F-1 through F-7: Bid rejected as non-responsive; Rebid at later date Division F, Item F-8: K-Tech Specialty Coatings A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235-9251. Sincerely, /s/ Theresa Heffner Theresa Heffner, Clerk Enclosures TH/lh Page 1 of 2 INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Theresa Heffner, Clerk Board of Public Works FROM: Scott Kreeger, Project Engineer SUBJECT: 2023 Street and Sewer Materials Bid Award Project 123-019 DATE: April 3, 2023 On March 28, 2023, the Board of Public Works opened and read bids for the above project. Engineering noted Ferguson Waterworks did not include a signed copy of Addendum No. 1, which included the additions of Division G (AE-T Tack and RS-2). These items do not impact the Divisions in which Ferguson placed bids. Per the attached bid tabulation, Engineering recommends approval of the following awards for the 2023 Street and Sewer Materials Bids: DIVISION A Award to the lowest responsive/responsible bidder: Smith Ready Mix DIVISION B, Items B-1, B-3, B-4, and B-6 Award to the lowest responsive/responsible bidder: Klink Trucking Inc. DIVISION B, Item B-2 No bids were received for Division B, Item B-2. Recommendation to proceed to open market. DIVISION B, Items B-5 Award to the lowest responsive/responsible bidder: Rieth Riley Construction Co., Inc. DIVISION C Award to the lowest responsive/responsible bidder: Ferguson Waterworks DIVISION D Award to the lowest responsive/responsible bidder: American Highway Products DIVISION E No bids were received for Division E. Recommendation to proceed to open market. DIVISION F – Items F-1 through F-7 Upon further review of the bid documents, Engineering observed Ferguson had written a Page 2 of 2 statement informing the City all their unit prices for Division F would be subject to change after 30 days. The specifications require all unit pricing to be valid until April 24, 2024. Engineering recommends rejection of Ferguson’s bid as non-responsive for Division F, Items F-1 through F- 7.Items F-1 through F-7 will be send out for bids again at a later time in the year. DIVISION F – Items F-8 Award to the lowest responsive/responsible bidder: K-Tech Specialty Coatings DIVISION G Award to the lowest responsive/responsible bidder: Bit-Mat Products of Indiana Please call if you have any questions at EXT: 9245 Enclosure: Bid Tabulation End of Memo April 11, 2023 BID TABULATION2023 Street and Sewer Material BidProject No: 123-019For Bids Due: March 28, 2023DIVISION A - PCC MATERIALSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceA-1 Class A Concrete2500 CY -$ -$ -$ -$ -$ -$ 155.00$ A-2 Class A High Early800 CY -$ -$ -$ -$ -$ -$ 165.00$ A-3 7 Bag Mix600 CY -$ -$ -$ -$ -$ -$ 177.00$ A-4 High Early Concrete w/ Integral Color - Black650 CY -$ -$ -$ -$ -$ -$ 255.00$ A-5 Flowable Fill, Removable350 CY -$ -$ -$ -$ -$ -$ 110.00$ A-6 Non-Chloride Accelerator added to concrete – 0.5% 325 EA CY -$ -$ -$ -$ -$ -$ 3.50$ A-7 Non-Chloride Accelerator added to concrete – 1% 1000 EA CY -$ -$ -$ -$ -$ -$ 7.00$ A-8 Non-Chloride Accelerator added to concrete – 2% 2100 EA CY -$ -$ -$ -$ -$ -$ 14.00$ DIVISION B - AGGREGATE MATERIALSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceB-1 No. 23 Sand5000 TON -$ -$ -$ 14.00$ -$ 15.00$ -$ B-2 No. 53 Gravel1000 TON -$ -$ -$ -$ -$ -$ -$ B-3 No. 53 Recycled Concrete7500 TON -$ -$ -$ 17.00$ -$ 19.25$ -$ B-4 No. 53 Slag1000 TON -$ -$ -$ 19.00$ -$ 20.00$ -$ B-5 Topsoil650 TON -$ -$ -$ -$ -$ 29.00$ -$ B-6 No. 11 Slag Chip Stone1000 TON -$ -$ -$ 23.50$ -$ 24.00$ -$ DIVISION C - SEWER MATERIALS CASTINGSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceC-1 Manhole Cover and Frame: EJ 1040A, Neenah R-1642 or approved equal (Circle One) 300 EA -$ -$ 387.00$ -$ -$ -$ -$ C-2 Catch Basin Cover & Frame: EJ 1020-M1 or Neenah R-1642 (Circle One) 300 EA -$ -$ 341.00$ -$ -$ -$ -$ DIVISION D - SEWER MATERIALSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceD-1 MH Riser 20 3/4” D – 1”R – 7/8”L40 EA 107.00$ -$ -$ -$ -$ -$ -$ D-2 MH Riser 20 3/4” D – 1 1/2”R – 7/8”L40 EA 113.25$ -$ -$ -$ -$ -$ -$ D-3 MH Riser 20 3/4” D – 2”R – 7/8”L20 EA 119.50$ -$ -$ -$ -$ -$ -$ D-4 MH Riser 20 3/4” D – 2 1/2”R – 7/8”L10 EA 126.75$ -$ -$ -$ -$ -$ -$ D-5 MH Riser 21 3/4” D – 1”R – 1 3/8”L20 EA 152.00$ -$ -$ -$ -$ -$ -$ D-6 MH Riser 21 3/4” D – 1 1/2”R – 1 3/8”L30 EA 158.25$ -$ -$ -$ -$ -$ -$ D-7 MH Riser 21 3/4” D – 2”R – 1 3/8”L30 EA 164.50$ -$ -$ -$ -$ -$ -$ D-8 MH Riser 22 1/8” D – 2”R – 1 1/4”L20 EA 119.50$ -$ -$ -$ -$ -$ -$ D-9 MH Riser 22 1/8” D – 3”R – 1 1/4”L5 EA 137.00$ -$ -$ -$ -$ -$ -$ D-10 MH Riser 22 1/4” D – 1”R – 1 1/2”L30 EA 107.00$ -$ -$ -$ -$ -$ -$ D-11 MH Riser 22 1/4” D – 1 1/2”R – 1 1/2”L30 EA 113.25$ -$ -$ -$ -$ -$ -$ D-12 MH Riser 23” D – 1”R – 1 3/4”L30 EA 107.00$ -$ -$ -$ -$ -$ -$ D-13 MH Riser 23” D – 1 1/2”R – 1 3/4”L20 EA 113.25$ -$ -$ -$ -$ -$ -$ D-14 MH Riser 23” D – 2”R – 1 3/4”L40 EA 119.00$ -$ -$ -$ -$ -$ -$ American Highway ProductsBit-Mat Products of IndianaFerguson WaterworksKlink Trucking Inc.American Highway ProductsBit-Mat Products of IndianaFerguson WaterworksKlink Trucking Inc.American Highway ProductsBit-Mat Products of IndianaFerguson WaterworksKlink Trucking Inc.Rieth Riley Construction Co., Inc.Rieth Riley Construction Co., Inc.Klink Trucking Inc.Rieth Riley Construction Co., Inc.Rieth Riley Construction Co., Inc.American Highway ProductsBit-Mat Products of IndianaFerguson WaterworksK-Tech Specialty CoatingsK-Tech Specialty CoatingsK-Tech Specialty CoatingsK-Tech Specialty CoatingsSmith Ready MixSmith Ready MixSmith Ready MixSmith Ready MixPage 1 of 2 BID TABULATION2023 Street and Sewer Material BidProject No: 123-019For Bids Due: March 28, 2023D-15 MH Riser 23 5/8” D – 1 1/2”R – 1 1/8”L10 EA 113.25$ -$ -$ -$ -$ -$ -$ D-16 MH Riser 23 5/8” D – 2”R – 1 1/8”L10 EA 119.50$ -$ -$ -$ -$ -$ -$ D-17 MH Riser 23 5/8” D – 1”R – 1 1/2”L20 EA 107.00$ -$ -$ -$ -$ -$ -$ D-18 MH Riser 23 5/8” D – 1 1/2”R – 1 1/2”L25 EA 113.25$ -$ -$ -$ -$ -$ -$ D-19 MH Riser 23 5/8” D – 2”R – 1 1/2”L20 EA 119.50$ -$ -$ -$ -$ -$ -$ D-20 MH Riser 23 5/8” D – 2 1/2”R – 1 1/2”L20 EA 126.75$ -$ -$ -$ -$ -$ -$ DIVISION E - TRAFFIC MATERIALSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceE-1 High Build Fast Dry Waterborne Traffic Marking Paint – White2200 GAL -$ -$ -$ -$ -$ -$ -$ E-2 High Build Fast Dry Waterborne Traffic Marking Paint – Yellow 2200 GAL -$ -$ -$ -$ -$ -$ -$ E-3 High Build Fast Dry Waterborne Traffic Marking Paint – Blue 50 GAL -$ -$ -$ -$ -$ -$ -$ E-4 High Build Fast Dry Waterborne Traffic Marking Paint – Green50 GAL -$ -$ -$ -$ -$ -$ -$ E-5 Pavement Marking Beads, Standard40000 LBS -$ -$ -$ -$ -$ -$ -$ DIVISION F - SNOW REMOVAL MATERIALSItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceF-1 Curved Double Bevel Carbon Steel Underbody Blade 5’L x 6”T x 5/8”Th 300 EA -$ -$ 76.95$ -$ -$ -$ -$ F-2 Curved Single Bevel Carbon Steel Underbody Blade 5’L x 6”T x 3/4”Th Heat Treated – Hardened 50 EA -$ -$ 98.05$ -$ -$ -$ -$ F-3 Curved Single Bevel Carbon Steel Underbody Blade 6’L x 6”T x 3/4”Th Heat Treated – Hardened 50 EA -$ -$ 117.65$ -$ -$ -$ -$ F-4 Boss Power V Plow Blade 51” X 6” X ½” Part # BAL08858 Passenger Side Edge 6 EA -$ -$ 198.60$ -$ -$ -$ -$ F-5 Boss Power V Plow Blade 51” X 6” X ½” Part # BAL08859 Drivers Side Edge 6 EA -$ -$ 198.60$ -$ -$ -$ -$ F-6 8’ 6” Western MVP Plus Plow Blade Part # 44285-1 6 EA -$ -$ 356.00$ -$ -$ -$ -$ F-7 Western Pro Plus Plow Blades 90”L x 6”T x 1/2"Th 8 EA -$ -$ 201.50$ -$ -$ -$ -$ F-8 Beet Juice Concentrate20000 GAL -$ -$ -$ -$ 1.60$ -$ -$ DIVISION G - Street MaterialsItem No. DescriptionQuantity Unit Unit Price Unit Price Unit Price Unit Price Unit Price Unit Price Unit PriceG-1 AE-T Tack25000 GAL -$ 2.65$ -$ -$ -$ -$ -$ G-2 RS-225000 GAL -$ 2.55$ -$ -$ -$ -$ -$ *Note: Ferguson Waterworks unit prices for Division F, Items F-1 through F-7 are valid only for 30 days.I hereby certify that the above truly and accurately represents bids received for this project on March 28, 2023Scott Kreeger, Project EngineerKlink Trucking Inc.Rieth Riley Construction Co., Inc.American Highway ProductsBit-Mat Products of IndianaFerguson WaterworksAddendum #1YY*Ferguson WaterworksAmerican Highway ProductsBit-Mat Products of IndianaAmerican Highway ProductsBit-Mat Products of IndianaFerguson WaterworksNon-Collusion AffadavitYYYKlink Trucking Inc.Rieth Riley Construction Co., Inc.Rieth Riley Construction Co., Inc.NKlink Trucking Inc.YYYYYYYYSmith Ready MixSmith Ready MixK-Tech Specialty CoatingsK-Tech Specialty CoatingsK-Tech Specialty CoatingsSmith Ready MixPage 2 of 2 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 4/3/2023 Name Scott Kreeger Department Public Works BPW Date 4/11/2023 Phone Extension 9245 Required Prior to Submittal to Board BPW Attorney Attorney Name Michael Schmidt Dept. Attorney Attorney Name Purchasing Mickey Lovy 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. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name See Memo New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name 2023 Street and Sewer Material Bid Project Number 123-019 (PR-22956) Funding Source MVH R, MVH NR, MVH Curb & Sidewalk, Sewer Insurance, Sewage Ops & Maint., Sewer Concrete, Water Works, Parks Account No. 266-06-602-503-422018, 202-06-602-503-423003, 202-06-602-505- 423003, 640-06-602-510-422000/423005, 641-06-602-509-423002, 641- 06-602-511-422000/423005, 620-06-604-606-423007, 201-11-201-201- 439000/423005 Amount Unit Price (See Memo) Terms of Contract Purpose/Description _________ For Change Orders Only Amount of Increase Decrease $ ($ ) Previous Amount $ Current Percent of Change: Increase Decrease % ( %) New Amount $ Total Percent of Change: Increase Decrease % ( %) Time Extension Amount: