Change Order No 6 - Coal Line Trail Phase IIB Proj No. 122-035 - INDOT Milestone

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 5/31/2024 Name Gemma Stanton Department PW BPW Date 6/11/2024 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 ❑ Ron O'Connor Check the Appropriate Item Type — Re uired or 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. 6 and Final ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Information Company or Vendor Name INDOT (Contractor is Milestone) ❑ Yes❑ If Yes, Approved by Purchasing New Vendor ® No Yes MBE MBE/WBE Contractor Completed E-Verify Form Attached ❑ ❑ No Project Name Coal Line Trail Phase 2B Project Number 122-035 DES2200199 Funding Source Account No. PO-0025244 Amount $3,406,165.11 Terms of Contract Purpose/Description See attached memo. For Change Orders Only Amount of ❑ Increase ® Decrease ($ 102,370.4) Previous Amount $3,508,535.51 Increase Current Percent of Change: Decrease New Amount $3,406,165 Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: 967% (1.277%)