HomeMy WebLinkAboutChange Order No 1 - Coal Line Trail Phase IIA Proj No. 115-064 - INDOT Selge
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
May 9, 2023
Mr. Robert Kuhns
Selge Construction Co., Inc.
2833 South 11TH St.
Niles, MI 49120
aswinehart@selgeconstruction.com
RE: Change Order No. 1 – Coal Line Trail, Phase IIA – Project No. 115-064
Dear Mr. Kuhns:
At its May 9, 2023 meeting, the Board of Public Works approved the above referenced
Change Order be increased by $73,593, bringing the revised contract amount to $1,770,053.65.
Enclosed is a copy of the Change Order for your records.
If you have any further questions, please call this office at (574) 235-9251.
Sincerely,
/s/ Theresa Heffner
Theresa Heffner, Clerk
Enclosures
TH/lh
Contract No:R -38065 Change Order No.: 001
INDIANA Department of Transportation Page: 1
Construction Change Order and Time Extension Summary
Contract Information Contract No.: R -38065 Letting Date:09/14/2022
District:LAPORTE DISTRICT AE:Hauersperger, Steven PE/S:Dietz, Don Status:Draft
Change Order Information Change Order No.: 001 EWA: Y or Force Acct: N
Date Generated: 00/00/0000 Date Approved: 00/00/0000
Reason Code: SCOPE CHANGES, Added Quantities/Items
Description: Concrete For Multiuse Path
Original Contract Amount $ 1,696,460.65
Current Change Order Amount $ 73,593.00 Percent: 4.338 %
Total Previous Approved Changes $ 0.00 Percent: 0.000 %
Total Change To-Date $ 73,593.00 Percent: 4.338 %
Modified Contract Amount $ 1,770,053.65
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 -38065 Change Order No.: 001
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 / N If Y, by_____________ Date Issued___________
Total Change To-Date>5%? Y / N If Y , Copy to Program Budget Manager_________________
Scope/Design Recommendation
Required?
Y / N If Y, Referred to Project Manager(PM) __________________
Date to PM__________ 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 _________________________ Date _____________
Comments: ____________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Contract No:R -38065 INDIANA Date:04/18/2023
Change Order No:001 Department of Transportation Page: 3
Contract:R -38065
Project:1401811 - State:140181100LC4
Change Order Nbr: 001
Change Order Description: Concrete For Multiuse Path
Reason Code:SCOPE CHANGES, Added Quantities/Items
CLN PCN PLN Item Code Unit Unit Price CO Qty Comment Amount Change
0027 1401811 0027 604-05528 TON 157.000 -666.000 C Amount:$ -104,562.00
Item Description:HMA FOR SIDEWALK
Supplemental Description1:
Supplemental Description2:
0087 1401811 0087 604-06070 SYS 48.150 2172.000 C Amount:$ 104,581.80
Item Description:SIDEWALK CONCRETE
Supplemental Description1: Multi-Use Path Participting
Supplemental Description2:
0089 1401811 0088 604-06070 SYS 48.150 1528.000 C Amount:$ 73,573.20
Item Description:SIDEWALK CONCRETE
Supplemental Description1: Multi-Use Path Non Participating
Supplemental Description2:
Total Value for Change Order 001 = $ 73,593.00
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 City of South Bend requested the multi-use path in the original bid be changed from HMA to five inch thick concrete sidewalk. The price
Selge submitted for the concrete is acceptable. The dollar amount bid for the HMA will be the participating dollar amount from the orignal bid and
the remainder will be non-particpating. 3700 syd was anticipated. The participating amount will be 2172 syd and the non-participating amount will
be 1528 syd. The PM has been notified. No time will be added to the contract for this change order.
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:____________________________________________Signed By:_____________________________________________
Date:__________________________________________________
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NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:R -38065 INDIANA Date:04/18/2023
Change Order No:001 Department of Transportation Page: 4
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APPROVED FOR LOCAL PUBLIC AGENCY
______________________________________________________________________________
(SIGNATURE)(TITLE)(DATE)
______________________________________________________________________________
(SIGNATURE)(TITLE)(DATE)
****************************************************************************************************************************
SUBMITTED FOR CONSIDERATION
PE/S _________________________
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APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Approval Level Name of Approver Date Status
May 9, 2023
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 4/02/23 Department Public Works
Name Rebecca Maenhout Division/Bureau Engineering
BPW Date 05/09/2023 Phone Extension 5996
Required Prior to Submittal to Board
Legal Attorney Name: Michael Schmidt
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 Michael Schmidt
Check the Appropriate Item Type – Required for All Submissions
Agreement Amendment Contract Proposal Addendum
Professional Services Resolution
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award
Change Order No. C/O & PCA No. PCA
Ease/Encroach. Traffic Control:
Other:
Required Information
Company or Vendor Name INDOT R-38065
New Vendor
Yes No If Yes, Approved by
Purchasing
MBE/WBE Contractor MBE WBE
MBE/WBE Contractor Requested No Yes Name of Company
Project Name R-38065 Coal Line Trail Phase IIA
Project Number 115-064
Funding Source PR-00024541 | specific to this change order was created 04/25/2023
Account No. 324-10-102-121-444000 and 324-10-102-121-443001--PROJ00000018
Amount $73,593.00
Terms of Contract
Purpose/Description
Change Order 1 covers the cost of changing the path from asphalt to concrete.
INDOT covered 80% of original contract amount. City covered the
change.
Required Contractor’s Certification Forms Attached (Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of Increase
Decrease
$ 73,593.00
$
Previous Amount $ 1,696,460.65
Current Percent of Change: 4.338%
New Amount $ 1,770,053.65
Total Percent of Change: 4.338%
Dispersal After Approval
Copy Original
1X
X