HomeMy WebLinkAboutChange Order No 4 - Coal Line Trail, Phase IIB Proj No. 122-035 - INDOT Milestone1316 COUNTY -CITY BUILDING
227 W. JEFFERSON BOULEVARD
SOUTH BEND, INDIANA 46601-1830
PHONE 574/235-9251
FAx 574/235-9171
CITY OF SOUTH BEND TAMES MUELLER, MAYOR
BOARD OF PUBLIC WORKS
November 14, 2023
Mr. Dustin P. Hilary
Milestone Contractors North, Inc.
24358 State Road 23
South Bend, IN 46614
akrueger&mile stonelp. com
RE: Change Order No. 4 — Coal Line Trail, Phase IIB — Project No. 122-035
Dear Mr. Hilary:
At its November 14, 2023 meeting, the Board of Public Works approved the above
referenced Change Order be increased by $7,381.52, bringing the revised contract amount to
$3,508,535.51.
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
ELIZABETH A. MARADIK JOSEPH R. MOLNAR GARY A. GILOT ALEXANDRA DOLZ-LANE MURRAY L. MILLER
INTER -OFFICE MEMORANDUM
DEPARTMENT OF PUBLIC WORKS
TO: Board of Public Works
FROM: Gemma Stanton, Project Engineer
SUBJECT: Change Order #4 (PN: 122-035) PO- 25244, PROJ 18
DATE: 11 /2/2023
Attached is Change Order # 4 for the Coal Line Trail Phase 1113 Project:
Original Contract amount: $3,450,217.13
Previously approved change orders: $50,936.86
Percent Increase Including Requested: 1.690%
New Contract Amount: $3,508,535.51
Change order #4 is related to extra costs incurred due to water fountain installation
Increase Amount: $7,381.52
Percent Increase of this CO: 0.214%
Revised Contract Amount: $3,508,535.51
As this is a federal aid project, INDOT is responsible for the construction contract with Milestone. The
construction costs of 80% reimbursable by INDOT. The City will only be responsible for a
maximum of 20% ($1,476.31) of the Change Order amount.
It is requested the Board of Public Works approve Change Order #4 for a total increase of $7,381.52
which is results in a total increase of 1.690% to the original contract price bringing the new contract
price to $3,508,535.51.
Thank you for your consideration of this request.
Please call with your questions.
Contract No:B -44292
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Change Order No.: 004
Page:
Contract Information
Contract No.: B -44292
Letting Date:09/14/2022
District:LAPORTE DISTRICT
AE:Hauersperger, Steven
PE/S:Holth, Chris Status:Draft
Change Order Information
Change Order No.: 004
EWA: Y or Force Acct: N
Date Generated: 00/00/0000
Date Approved: 00/00/0000
Reason Code: CHANGED COND, Constructability Related
Description: Connection change to water fountain
Original Contract Amount
$ 3,450,217.13
Current Change Order Amount
$ 7,381.52
Percent: 0.214 %
Total Previous Approved Changes
$ 50,936.86
Percent: 1.476 %
Total Change To -Date
$ 58,318.38
Percent: 1.690 %
Modified Contract Amount
$ 3,508,535.51
Time Extension Information
Date Initiated 00/00/0000 Date Completed 00/00/0000
Original Contract Time SS Completion Date 05/01/2024 or SS Calendar/Work Days 0
SP Date 00/00/0000 or SP Days
(SS = Standard Specification, SP = Special Provision)
Time Element Description: This is to bore and install water connection that needed to be adjusted due to issues
with the origninal connection point.
Current Time Extension SS Days 0 SP Days 2 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:B -44292
INDIANA Department of Transportation
Construction Change Order and Time Extension Summary
Review and Approval Information
Required Approval Authority
($ per Change Order)
(Days per Contract)
Verbal Approval Required?
Total Change To-Date>5%?
Scope/Design Recommendation
Required?
Change Order No.: 004
Page: 2
AE: ✓ DCE: SCE: * DDCM:
(-LE$250K-) (-LE$750K-) (--LE$2M--) (--GT$2M--)
( 50 SS days ) ( 100 SS days) ( 200 SS Days ) ( GT 200 SS days)
0' N If Y, by S.Hauersperger . Date Issued_ 10/16/23
Y /Of Y, Copy to Program Budget Manager
Y / NOf Y, Referred to Project Manager(PM)
Date to PM Date Returned
Approval Authority Concurs with PM? Y / N)f Y, Concurrence by
If N,Resolution: Approved
Resolved by
LPA Signatures Required? & N If Y, Date to LPA 10/16/23
FHWA Signatures Required? Y Of Y, Date to FHWA_
* Field Engineer Recommendation (Required for SCE or DDCM Approval)
Field Engineer Date
Comments:
Date
Disapproved
Date
Date Returned
Date Returned
Contract No:B -44292 INDIANA
Change Order No:004 Department of Transportation
Contract: B -44292
Project: 2200199 - State:220019900LC4
Change Order Nbr: 004
Change Order Description: Connection change to water fountain
Reason Code: CHANGED COND, Constructability Related
CLN PCN PLN Item Code Unit Unit Price
0055 2200199 0055 720-04815 EACH 4,500.000
Item Description: DRYWELL
Supplemental Descriptionl:
Supplemental Description2:
0084 2200199 0084 715-11896 EACH 11,881.520
Item Description: WATER SERVICE CONNECTION
Supplemental Descriptionl: Change of connection point
Supplemental Description2:
CO Qty Comment
-1.000 C
Date:10/14/2023
Page: 3
Amount Change
Amount:$-4,500.00
1.000 C Amount:$ 11,881.52
Total Value for Change Order 004 = $ 7,381.52
Contract Completion Date Time Adjustment
Original Completion dt: 05/01/2024 Adj comp) dt 05/08/2024 Adj No. of Days 2
Explanation: This is to bore and install water connection that needed to be adjusted due to issues with the origninal connection point.
Milestone Time Adjustment
MileStone Nbr: 01
Milestone Description: CSGP INTERMEDIATE COMPLETION DATE
Original Completion dt: 09/01/2023 Adj compl dt 09/08/2023 Adj No. of Days 2
Explanation: This is to bore and install water connection that needed to be adjusted due to issues with the origninal connection point.
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
Site Furnishing in the Contract Information Book and the Q&A Form indicates the drinking fountain to be connected to the existing water line
crossing Riverside Drive. The water main crossing Riverside Drive is 30-inch diameter, and a service line tap cannot be made on that large of a
main. Approximately 100 LFT north and 50 LFT west of the drinking fountain location a 10-inch water line can be tapped to service the drinking
fountain. The service is to be metered, so a meter pit was added. There was no detail in the plans showing to have a way to drain the pressure
line, this was added. A fee was added for the City to complete the live tap.
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:_fv—■►S •,V�1 Signed By:
Date: Z42 I IQ
?ilk
NOTE: Other required State and FHWA signatures will be obtained electronically through the SiteManager system.
Contract No:I3 -44292 INDIANA
Change Order No:004 Department of Transportation
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
1*11I4
Elizabeth A. Maradik, President
4' gGfO-t t
Gary A. Gilm, Member
x-, K
Murray L. Miller, Member
1011—/i l
Joseph R. Molnar, Vice President
Alexandra Dolz-Lane, Member
Attest: Theresa M. Heffirer, Clerk
Date: November 14, 2023
PE/S f /6
APPROVED FOR LOCAL PUBLIC AGENCY
SUBMITTED FOR CONSIDERATION
APPROVED FOR INDIANA DEPARTMENT OF TRANSPORATION
Datel 0/14/2023
Page: 4
Approval Level .- Name of Approver Date Status
City of South Bend
Department of Administration & Finance
Change Order Request Form
Changing the line amount:
You can only change a line amount if it has NOT been invoiced against.
• If the line has NOT been invoiced — reduce the line amount to equal what it should be.
• If the line has been invoiced — cancel the delivery remainder and finalize the individual line, then add a new line for the
amount that should be remaining.
Multiple PO lines:
If you have changes to more than one line on the same PO, fill out a separate section for each line affected by the change
order.
Project POs:
For change orders on project -related POs, this form must be approved by the Project Accounting Team as described in
Supplement 508.
PO Number
PO-25244
Line Number
6
Original Dollar Amount
new line
New Dollar Amount
$7,381.52
For liquidation request, enter $0
Reason Code if changed)
SV
Financial Dimensions (fund-dept-
324-444000
division -subdivision -main account
Project Code if applicable)
PROJ-00000018
Description of change (include
add $7,381.52 for drinking fountain installation on Coal Line Trail Phase 1113
bud et impact)
APPROVED BY PROJECT
(PAT member's name and date to be completed by PAT member)
ACCOUNTING TEAM (if applicable)
PO Number
Line Number
Original Dollar Amount
New Dollar Amount
For liquidation request, enter $0
Reason Code if changed)
Financial Dimensions (fund-dept-
division-subdivision-main account
Project Code if applicable)
Description of change (include
budget impact)
APPROVED BY PROJECT
ACCOUNTING TEAM (if applicable)
(PAT member's name and date to be completed by PAT member)
PO Number
Line Number
Original Dollar Amount
CO#4 CLT 1113 - DFO Balancing Change Order 1 of 3
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/1/23
Name Gemma Stanton Department DPW
BPW Date l l /l 4/23 Phone Extension 9083
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
❑ Bid Opening
❑ Quote Opening
❑ Proposal Opening
® Chg. Order, No. 4
I-1 Other:
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
All Submissions
U Proposal
❑ Special Purchase, QPA
❑ Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
Company or Vendor Name INDOT (Contractor is Milestone)
New Vendor ❑ Yes❑ If Yes, Approved by Purchasing
❑ No
MBE/WBE Contractor ❑❑ ❑
MBE Completed E-Verify Form Attached ❑ Yes
No
Project Name Coal Line Trail Phase IIB
Project Number 122-035
Funding Source TIF — River West
Account No. 324-444000
Amount $7,381.52
Terms of Contract
Purpose/Description Change order #4 for charges incurred during drinking fountain installation
For Change Orders Only
Amount of ❑ Increase $ 7,381.52
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
$ 3,501,153.99 (previous change orders); $3,450,217.13 (original)
Increase 0.214%
Decrease %
$ 3,508,535.51
Increase 1.690%
Decrease ( %
New Completion Date: